Professional Documents
Culture Documents
1. The Rt. Phrenic nerve passes through which opening in the diaphragm?
b. IVC opening
c. Esophagus opening
d. Aortic opening
e. Lt. crus of the diaphragm
f. Rt. crus of the diaphragm
e.
d.
e.
12. Treatment of an ICU a ptient with aspiration pneumonia due to pseudomonas argenose should
be
a. Clindamycin
b. Pipracillin
c. Vancomycin
d. Metronidazole
e. 2nd generation Cephalosporine
13. Treatment of an ICU a ptient with aspiration pneumonia due to pseudomonas argenose should
be
a. Clindamycin
b. Pipracillin
c. Vancomycin
d. Metronidazole
e. 3rd generation Cephalosporine
17. Which of the following will cancel an elective surgery if not properly done?
a. CXR
b. EKG
c. CBC
d. Coags
e. Informed Concent
28. All of the following are included in the treatment of hyperkalemia EXCEPT
a. Calcium Gluconate IV (10% in 10 cc NS over 2-5 minutes)
b. Insulin and dextrose
c. Hydrocortisone
d. Binding Resins
e. Dialysis
29. During thyroidectomy which of the following is a landmark for the recurrent laryngeal nerve?
a. Vagus nerve
b. Superior thyroidal artery
c. Inferior thyroidal artery
d. Middle thyroidal vien
e. Cricoid cartilage
32. An ulcer in the medial aspect of the leg. Most likely due to
a. Atherosclerosis
b. Venous hypertension
c. Burgers disease
d.
e. Diabetes
34. A radial nerve injury in the arm will produce all of the following EXCEPT
a. Drop wrist
b. Inability to extend the MCPJ
c. Inability to extend the forearm
d. Atrophy of the extensor muscles
e.
35. Regarding canulation of the radial artery all of the fallowing are true EXCEPT
a. Most common site for arterial canulzation
b. Allen test must be done pre procedure
c. Risk of thrombosis is increased if a 20 gauge canula or larger was used
d. If thrombosis occurs frequent manual NS flushes should be done
e.
38. A 60 year old female was ivolved in an MVA. She is complaining of severe anterior chest pain. BP
110/80 HR 100. Next step is
a. Percardiocentesis
b. Angiogram
c. Conventional CT
d. US
e. IV access
39. Regarding post splenectomy overwhelming sepsis all are true EXCEPT
a. Pneumo-vaccine is helpful
b. Can happen within the first 2 years post op
c. Occurs in children
d. Occurs in post trauma splenectomy
e. Mortality is 20% in adults
40. All of the following are true about hepatic needle biopsy EXCEPT
a. Pain
b. Shock
c. IVC injury
d. Pneumothorax
e. Peritonitis
41. All of the following about sciatic nerve injury are true EXCEPT
a. Inability to dorsiflex the foot
b. Inability to adduct the foot
c. Loss of sensation at the sole of the foot
d. Trophic ulcer in the sole of the foot
e. Loss of sesation in the medial aspect of the foot
42. Regarding the adductor canal, all of the following are correct EXCEPT
a. Contains femoral artery, vein and nerve
b. Origin is the femoral triangle apex
c. Ends at the adductor hiatus
d. Floor is made up of the adductor magnus and longus
e. Roofed by the deep fascia
e.
e.
48. 33 year old male with abdominal pain and high amylase levels. Best medication to treat his pain
is
a. Morphine
b. Aspirin
c. Paracetamol
d. Pethidine
e. NSAID
49. 12 year old boy complains of pain post dental extraction. Treatment for pain should be
a. Morphine
b. Pethidine
c. Tramadol
d. Nitric oxide
e. Paracetamol
53. Indications for Pulmonary catheter insertion include all of the following EXCEPT
a. Pulmonary edema
b. Post cardiac surgery with poor LV function
c. ESRD
d. Shock
e.
e.
57. Which of the following is MOST appropriate to evaluate the nutrional status of a surgical
patient?
a. Albumin
b. Prealbumin
c. Glutamine
d. Retinol Binding Protein (RBP)
e.
e.
60. Which of the following have been shown to be useful in the preoperative preparation of a patient
with high rcardiac risk?
a. Digoxin
b. Lasix
c. Beta blockers
d.
e.
61. A pteint is having a 6 cm AAA. Which of the following is the MOST important to evaluate and
estimate surgical risk?
a. Cardiac
b. Renal
c. Pulmonary
d. Coagulation
e.
62. Regarding the Superior Mesenteric Artery, all of the following are true EXCEPT
a. Crossing infront of the 3rd part of the duodenum
b. Passes the neck of the pancrease
c. The first branch is the right colic artery
d.
e.
d.
e.
66. Regarding hyperacute rejection all of the following are true EXCEPT
a. Cyclosporine A is useful
b. Happens in hours
c. Hydrocortisone is useful
d. Removal of the graft is done
e. Is due preformed antibodies
67. One of the following is considered a controversy in the workup for allograft transplant
a. Blood group matching
b. HLA typing
c. Mixing the recepients serum with the donor cells
d.
e.
68. Which of the following is true regarding the ratio of hepatic arterial flow to the entire blood flow
to the liver?
a. 5%
b. 10%
c. 25%
d. 40%
e. 55%
e.
e.
76. Aminoglycosides
a.
b.
c.
d.
e.
79. In the treatment of hypopituatirism all of the following are correct EXCEPT
a. Glucocorticoids
b. Testosterone in men
c. Estrogen in women
d. Prolactin in men and women
e. Thyroxin
80. TB of the genitourinary system is suggested by
a. Miroscopic hematuria
b. Unilateral renal cyst
c. Pneumaturea
d. Painful epidydemal cyst
e. Bacteria without pyuria
e.
c.
d.
e.
e.
86. Increased indirect bilirubin in neonates occurs with all of the following EXCEPT
a. Criggler-Najjar Syndrome
b. Choledocal cyst
c. Heamolysis
d. Breast feeding
e.
88. 67 year old male patient presents to you with a posterior triangle neck mass for 2 months, which
of the following would be your first line of management?
a. FNA
b. CT neck
c. Examination under GA
d. Ultrasound
e. Antibiotics and observation
d.
e.
90. A 20 year old female presents in the emergency room after being stabbed in the neck just above
the angle of the mandible. After stabllization you notice a significant expansion at the site of
injury. What is your next step?
a. Immediate exploration
b. CT
c. Duplex US
d. Angiogram
e.
92. Which of the following is NOT a consequence of raised intra abdominal pressure?
a. High cardiac output
b. High ICP
c. Decreased preload
d. Decreased mesenteric perfusion
e. Decreased renal perfusion
94. Which is true about Polymorphic adenoma of the minor salivary glands
a. No risk of cancer
b. Rapidly growing
c. Hard mass
d. Treated by simple enaculation
e.
95. the major protein in the early catabolic phase in a multi-trauma pt. from
a. Plasma
b. Fat
c. Skeletal muscles
d. Liver
e. Kidney
102. Which of the fallowing is most important in the prognosis of malignant melanoma
a. Age
b. Gender
c. Clark level
d. Site
e. Breslow thickness
105. The Risk of malignancy in a Solitary thyroid nodule is high in which of the fallowing
a. Age above 40
b. History of radiation to the neck
c. Cold nodule in thyroid scan
d. Positive family history
e. Symptoms of tracheal compression
106. Regarding a 1.5cm ureteric stone with epsilatral hydronephrosis which of the following is correct
a. Conservative treatment is unlikely to be effective
b. Serial KUB is needed for evaluation
c. Urine analysis is always show Hematouria
d. High BUN AND Createnine
e. Extraction is with Dormia Basket
107. Which of the following is the initial treatment for Flaced neurogenic bladder
a. intermittent catheterization
b. suprapubic catheter
c. restrict fluid intake to 300cc/day
d. augmentation surgery
e. surgery to the neck of the bladder
109. Which of the fallowing is the most common cause of Vasicovaginal Fistula
a. Instrumental delivery
b. Prolonged labor
c. Hysterectomy
d. Ca. Cervices
e. Rectal resection
114. Which of the following is not effecting the prognosis of thyroid cancer?
a. Age
b. Gender
c. Capsular invasion
d. Vascular invasion
e. Lymphnode Invasion
e.
e.
119. A patient who had major abdominal surgery develops a temperature of 38.9 degrees 48hrs post
op, the most likely cause is
a. Pneumonia
b. UTI
c. DVT
d. PE
e. Anastamotic leak
d.
e.
122. Regarding Compartment syndrome, all of the following are true EXCEPT
a. Can occur in a patient with a cast
b. Pain is usually the first sign
c. Angio is essential for diagnosis
d. Peripheral pulses can be palpable
e. Can be due to tight elastic plaster
c.
d.
e.
128. Which of the following has no role in the treatment of rased ICP
a. Hyperventilation
b. Barbiturites
c. Crainectomy
d. Hydrocortisone
e. Trendelinberg postion
129. Regarding Renal cell carcinoma all of the following are true EXCEPT
a. Radio resistant
b. Can extend to the ureter
c. They present with painless heamturea
d.
e.
131. All of the following about a simple bone cyst are true EXCEPT
a. Radiolgical findings include radiolucent lesion with new bone formation around it
b. Pathological fractures are common
c. Common in the proximal femur
d. Treated by curettage and bone grafting
e.
c.
d.
e.
c.
d.
e.
138. Regarding Carpel Tunnel Syndrome all of the following are correct EXCEPT
a. Both sexes are effected equally
b.
c.
d.
e.
139. Regarding ulnar nerve injuries at the wrist all of te following are true EXCEPT
a. Inability to appose the thumb
b. Inability to adduct the thumb
c. Affect the function of the interossie muscles
d. Affect the sensation in the medial 1/3
e. Effect part of the dorsum of the hand
140. In prophylactic antibiotics for wounds all of the folowing are true EXCEPT
a. Best to be given before surgery
b. Should be continued postop for 7 days
c. Should be given before the incision and 48hrs after
d. Mandatory in clean contaminated wounds
e.
145. Regaridng the indications for liver transplant all of the following are correct EXCEPT
a. Chirrosis
b. Acute fulminant hepatitis
c. Primary biliary sclerosis
d. Primary biliary atresia
e.
146. Which of the following combinations most likely would be positive in a patient with choledocal
cyst
a. Jandice Abdominal mass Abdo pain
b. Janudice Abdominal mass Fever
c. Abdominal mass abdominal pain Fever
d. Jaundice Pancreatitis
e. Janudice Abdominal pain - Fever
d.
e.
149. Regarding pulse Ox the following would effect the readings, EXCEPT
a. Nail polish
b. Hyperpigmented skin
c. Anemia
d. Arrythmia
e. Janudice
150. All of the fallowing an cause Ca. Tongue
a. Leukoplakia
b. Hairy Tongue
c. Methanol
d. Smoking
e.
151. All of the fallowing cause loss of water and Sodium EXCEPT
a. Intestinal obstruction
b. Entrocutanous fistula
c. Hyperthyroidism
d.
e.
153. After a major abdominal Surgery you would expect all of the following EXCEPT
a. Kidney Losses water
b. Conserve Sodium
c. Hyperkalemia
d.
e.
154. Which of the following is the most worrying in a pt. with fat embolism
a. Fat in the Urine
b. Fat in the sputum
c. Dyspnoia
d. Chest pain
e. Confusion
155. A pt. suffers partial and full thickness burn 50% of his BSA. Given that his wt. is 60Kg which of
the fallowing will be in your admission orders
a. 450 cc/hr
b. 750 cc/hr
c. 900 cc/hr
d. 100 cc/hr
e. 1200 cc/hr
c.
d.
e.
159. Which of the following is the most common cause of Skin graft failure
a. Hematoma
b. Infection
c. Disruption
d. Sheer forcing
e.
160. in a multi trauma pt. the 1st maneuver to secure the airway is
a. Suctioning with mandibuler thrust
b. ETT with cuff
c. ETT without a cuff
d. Trachiostomy
e. Oropharengial airway
e.
e.
163. Regarding Hyperpyloric stenosis all of the following are true EXCPET
a. Anorexia
b. Non-billios projectile vometting
c. Coffee ground vomitus
d.
e.
e.
165. Regarding testicular cancer, all of the following are true EXCEPT
a. Lymphnode dissection is only useful for staing
b. In radical orchiodectomy you should remove the lymphnodes
c. Its through a scrotal approach
d. Seminoma is radio sensitive
e. Choriocarcinoma is radio resistant
e.
167. In Small bowel malignancy, all of the following are true EXCEPT
d.
e.
e.
169. Regarding Sickle cell anemia all of the following are true EXCEPT
a. Splenectomy is an excellent therapeutic measure
b. HbA is replaced by HbS
c. Crisis can be precipitated by hypoxia
d.
e.