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اسبيرو طويل مهم جدا الثلاثاء
اسبيرو طويل مهم جدا الثلاثاء
Bicarbonate.
Chloride ion.
Potassium ion.
Protein.
Sodium ion.
Anorexia.
Apathy.
Decreased body temperature.
High pulse pressure.
Orthostatic hypotension.
Bicarbonate
Chloride ion
Phosphate radicals
Sodium ion
Sulfate radicals
Bicarbonate
Chloride ion
Phosphate radicals
Sodium ion
Sulfate radicals
Acute Abdomen
10. Acute abdominal pain which is (all correct except one)
a) Colicky in nature indicates obstruction of hollow viscus.
b) In right upper quadrant increased by inspiration is typical
of cholecystitis
c) Continuous is typical of inflammation
d) Maximal in the right loin is typical with duodenal ulcer.
e) Maximal in epigastrium and related to meal is typical of
gastric problem.
11. Faeculent vomiting:
a)
b)
c)
d)
e)
16. Obstruction of the lumen of the appendix may lead to: (all correct
except one)
a)
b)
c)
d)
e)
Mucosal ulceration
Gangrenous appendicitis.
A perforated appendix.
Intussusception of the appendix.
Acute appendicitis.
Ileo-ileal instussusception.
Basal pneumonia.
Henoch-schoenlein purpura.
Torsion of an ovarian cyst.
Gastroenteritis.
Is accompanied by hypercalcaemia.
Produces paralytic ileus.
Is associated with a pleural effusion.
Produces pyloric stenosis. *
Upper abdominal pain and vomiting.
28. acute superior mesenteric artery occlusion: (all correct except one)
a) Characteristically presents with sudden pain and tenderness of
increasing intensity.
b) Is frequently accompanied by overt or occult blood loss in the stools.
c) Frequently produces peritonitis.
d) Can usually be diagnosed on plain abdominal x-rays. *
e) Can be diagnosed by mesenteric artery ongiography.
Polytrauma
30.Regarding tension pneumothorax, the first step in the
management is:
a) Obtaining a stat chest x-ray.
b) Cricothyroidectomy
c) Passin on endotracheal tube
d) Starting oxygen by a valve-mask device
e) Chest decompression needle.
31.Regarding the management of polytrauma:
A) Death follow a trimodal distribution.
B) X-ray after primary survey should be AP cervical spine, chest
and pelvis.
C) Cardiac tamponade is characterized by raised B.p, a low JUP.
D) Assessment of uncomplicated limb fractures should occur
during the primary survey.
E) A and B only. *
35. In head trauma patient after control of air way , the first
diagnostic study
a)
b)
c)
d)
e)
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Burns
36. Estimation of the area of a burn: ( all correct except one)
a)
b)
c)
d)
38. Scalds:
a)
b)
c)
d)
e)
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Fractures
And
Dislocations
46. In a healing fracture: (All correct except one)
A.
B.
C.
D.
E.
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Thyroid,Parathyroid
60- Signs and symptoms of hyperthytoidism include:
(All correct except one)
A.
B.
C.
D.
E.
Decreased sweating. *
An irregular pulse rate.
Cardiac failure.
Diplopia.
Loss of weight.
Diarrhoea.
Polydipsia and polyuria. *
Unexplained weight gain.
Mucle spasm
C&D only.
65- Phaeochromocytomata:
A.
B.
C.
D.
E.
There is usually an increased deposition of fat over the face and trunk.
Hypotension ans hypokalaemia are frequently present.
There is an increased production of adrenal hormones.
The cause is most frequently an adrenal tumour.
A&C only. *
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Surgical Infection
It is common in male.
It is usually results from a defect in lateral part of transversalis fascia.
It is common in children.
It is less common in female.
It may be confused with inguinal lymphadenopathy. *
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Vascular Systems
74- Acute arterial occlusion:
A. Should be treated conservatively if the site of the occlusion is above
the inguinal ligament.
B. Demands the urgent use of vasodilator drugs.
C. Of a limb is usually painless due to the anoxic damage produced in
the peripheral nerves.
D. May produce irreversible muscle necrosis after 6 hours. *
E. B&C only.
75- Common sites for atheromatous arterial aneurysms are:
A.
B.
C.
D.
E.
One of the most common sites of origin is the short saphenous vein.
One of the common sites of origin is in the iliofemoral segment. *
The diagnosis can usually be made by clinical examination.
Tender swollen thrombosed veins are usually palpable.
Usually associated with varicose vein.
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Neurosurgery
79- In head injuries the causes of a rising intracranial pressure: (all
correct except one)
A.
B.
C.
D.
E.
Intracerebral haemorrhage.
Cerebral oedema.
Rhinorrhoea. *
Meningitis.
Extradural hemorrhage.
80- Birth injuries involving the fifth and sixth cervicaal nerve roots of
the brachial plexus:
A. Are known as klumpkes palsy.
B. Are rarely followed by full recovery.
C. Are characterised by the arm being held in the pronated and internally
rotated position. *
D. Show weakness and wasting of the small muscles of the hand.
E. Non of the above correct.
81- Following a peripheral nerve injury:
A.
B.
C.
D.
E.
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