Sreaastay 89, oc” G oo. D 92. C7 94. Ds. Cc 96. 97. EAS TVS, i bkew ne, UES ERaRtnetion tons F 20. 7020 - a1 89 ’ Page 11 = 01100 poe. ALNOLOGT, OTOLARTHGOLOGY ¢ BntwOLOG sere tn 9 Patten ‘aluacion ta") ancy ope Ra enee: tnaimic ceeded Ina patient vith. “T tranapiantation tuvities toe soculer surgery. tne follow-up should have the following so4le age 108 Schwan Z After barter Bxcerr ett ie eur ne help pa S Dee estieat ad) + co new easting patterns. s Beovigs early is fication of post-op cgaphicetions eae whe sucer of the berietrie procedure to Limit complications Gibbus defora! ang Lower Chose ee vee eee eee trurtarel nypnoete found in upper lumbar Sanda ieoeaeeoe tas dee seceeege Spe ok mere tele eeeeeete me eyotic tibrosie| | * “"""G' Cusazeuioete S. Seeccarenritia Inguinal Hernia is come: * Giese asin: 1 in infancy and results from __- | Menke: noe —— E. fanoral nerniar es Semel eer . S patent procersue vaginalis, He ecreusee 2 ydroepiand: THE. Andros mediene a, at ; 1m, tT B. I, If D. I, I, tr ome = 01100 p.m Mie the D 17 £5 LBs guraical closure of ra aPeQLE SIGH of the folowing neeves? 8. pnEenc nerve as + gletnopnaryngest scureant Letpager shots. The setern EXCEPT od With paausothor: ‘ated by the sedis th eee ape sion of the left chest sew toroltet id male patient is diagnos: fg eitvations should be sppr E gre Shoatgnie creased breath sounds on the left chest B 35. whiten of ene “ totioving ditterentie a preumothorax from @ wich of ne tobouing wittarentseten « ainple peumtnores #ee A. Widening of the mediastin 3. Shifting of trachea towards the opporits ®: ide of the of breath D. Aypexia and ehock. tha following histologic types of Lung cancer da least D 3s. ed with smoking? s mous cell carcinona C. Snail cel} cercinons | eleer cell carcinoma Or adenocarcinoma B3 hroni¢ elcohelie developed cirhos. Physical. ‘his Liver. Elevated da pase in the right lobe o Signa fetoprotein levels, which is the sost Likely diagnosis? A. Hepatic adenona B. Hepatocellular carcinoma C. Metastatic carcinoma of the colon D. Focal nodular hyperplasia C38. Which explains why the esophagus is vulneraDl A. Positioning of the esophagus promotes ret acid. , The esophagus is easily aroded by gastric acid. Cl esophagus iacks a serosel leyer. D. Esephagus is resistant to acid. ed fo: 2 60 year old wonan consult Fain and vague upper abdominal discomfort for the test ered completely by proten pump inhibitor onremarkable, Rew will you proceed in e to perforation? tention of gastric 1s second opinion regarding ber C 39. Juanita, substernel chest S conths. The pain vas not rel therapy. Endoscopic study ¥: the management of T-o-7 A, Psychiatric evaluation ¢. Cardiac work-up D. Manometry 8, Barium asophahogram jun is in tha Ea diagnosed with acute abdonen, in the pre~ management of Jun, select the CORRECT statement. A ’gpecinen of blood for crose satching should be sent whenever urgent surgery is antic: pated. B. Hemoglobin, hematocrit, enite blood count and differenticted fount done on admission are highly informative information. c. plein radiologic test of the ‘abdomen is done in all cases. dicated if there 18 suspected on-going angiography is in bleeding. operative Ad. Continued on Page 6 ops Ver 2-1.PuYSzcray Sungay, Neti ceney: 1 Bape esheets Bxanination . PRamber 30, "2020 - page 4 surcer : : S-OPTHALNOLOGY, OTOLARTROOLOGT & RIEIIOLOG sere C26. whten of 3 with ned Pte, fOlloving Le the better predictor of aurvival in petients Ar SosgitOky thyroid carcinoma? b S0rue calcium level €: THYEeLa stimutating horeone Level . §; Caleitonin doubting tine ate sae cinvembryonic antigen tion therepy for malignant neck mass is indicated oat two oF more 25 © 25+ Post-operative ra: cor ve eaalowies EXCEPT -. + Carvical lymph nodes pos eae new feirearte lymph node Te Tua (asinioe extra capaul . Ei Bihia GPR svieed of cerca ame oe : pacentenia D. bore than two cervical lymph nodes contain not an indication for the surgical renoval of C 26. Which of the unich of the following is ure of pr uae thyroidies ; Anterior neck sage duepicious for malignancy utes to the development of (GERD)? 1 sphincter (LES) page 68 ech B27. Which of the following con Gastroesophageal Reflux Of I. Defective Lower Esopha 2I. Hiatal Hernia ears ate Dysphagia Eg, Tar : c.%, 1Ir Bl or. ar OB. , ty TEE B 2g, tn early stegud tracheal neoplasm, the treataent of choice is __- ‘A. rodiotherapy C. hormonal therapy B. surgery Dl chemotherapy Psst} Sowmne findinge indicates incurability of lung cancer? D 25. which of the following ‘AL Recurrent pneumonia B. Tuberculosis €. Clubbing of the digit D. Left vocal cord paralysis sly stage long B30. what is the primary managenent of a patient with an cancer? A. Hormone Therapy ¢, Radiotherapy B. Surgery B. Chemotherapy In pulsonary apex. £ pain and weakness of the umor is a malignancy affecting the progressive cases when the patient complains eeeree of the arms and hand, there is compression of __ A. phrenic nerve ¢. superior vena cava D. subclavian artery B, brachial nerve B31. a Pancoast ti B32. Kyle is a 25 year old patient who arrived in the emergency room with Kyte geral chest pain and shortness of breath. Physieat examination and soray verified the presence of pneumothorax: According to the patient, chile de the first episode, Which of the following is the most appropriate treatment? ae 6 Soe PrPnoracotomy and pleural abrasion Insertion of chest tube drainage of the pleural space C, Plevrodesis with tetracycline injected in the pleural space ‘ Ton and daily sonitoring with chest radfograph p. Observat. Continued on Page 5 rons ver 2-1-9Farsreta Bunday, Se uieene ee Ore Bxanination aurora: Ptenber 20, 2020 = Page 3 © NCEQPNTHALNOLOGT, OTOLARTNGOLOGY + RAINOLOG 8 TB 1s TB 18, unten Do eee ree ENe following Le HOT s goal of damage control surgery (OCS) in aitylocing trauna ieparotony? le Snterd Sontent eptilaga. Page 180 Soman surgically a: To sake sure thet ail crauen Lnjuriee @ cc, Sorrected. To prevent the bicody vicious cycle. while preventing Lechems ©. Te control eurgical bleeding wi Bir. ro tame FocHiCks, gormtatey auring ene operation. esnosenent of Pleading etax ts strained preoperatively in the follguing patients EXCEPT __- coagulant therapy qq yet atk a Bs Hemoglobin of 10 cs an &. Liver acd kidney dysfunction 0. Pre-existing anemia stress-related Bi @. In the crits pet ally i11, post-operative patients, yeorglycemta te dive to the iner fof the following hormones EXCEYT i! civeagon B. Thyroid Stimulating Hormone €. Epinephrine 9. Clucocorticoid ‘SH mina en cxneregatery haere D 19. the Glasgow Coma Scale is used to describe the ganeral level of coneciousne: e in patients with traumatic brain in and to define road categories of head injury. Which of the roniowing are components of GCS score? I. motor respon: TI. pupillary ction to light III. eye opening A. TT, TIT c. I. Wa, 11% B. f, If Do. I, WIT C20, rn general surgery, which of the following is HOT necessarily monitored in the recovery room? A. vital signs . C. central venous pressure D. distal puis 8, fluid balance on her anterior neck area- (21. Tess, a 15 year old girl, complaing of a sa Siopsy revealed thyroid cancer. Which of the following is the 4ST probable histologic type? he medullary thyroid carcinoma B, follicular thyroid carcinoma = “yr Shi torsos mas ¢. papillary thyroid carcinoma D. anaplastic thyroid carcinoma Radical mastoidectomy is performed for __ 22. D A, acute otitis externa BL ghronie otitie media with central tympanic manbrane perforation. c. acute otitis media . somone, ad mactoid disease with cholesteatoma. D. middle ear an cer withia the oral cavity, ee ee ena following gtructures EXCEPT 8 A, neck dissection g, vermiliion surface of the lip cc, malignant mass . ae pb, portion of the mandible a composite resection means excision Continued on Page & nqns Ver 2-1-9paysite To CONBUrS Examination Ptesber 20, 2020 = 11100 ¢ Xt OPHTHALMOLOGY, OTOLARYNGOLOGY BILBQLOG = 01100 pea. sere nificantly tn suscen: D *- which : CRD OF the toltgving setivstion witt wor cones ties sis : Stent of puimonary function pont cparthsweryy och, Degeth exercises c. Tecentive spirometer Cs. gation S. Eacky feo@tIgees eae cosuperaie prntiycovpestina si presuned nagnitude of bactertel 1088 St the tine of ce eeeurolcel procedure ssscctated with o clean wound: olorectal surgery (nteepteny se oct a a oa §: Seraierrasny hecuargiace sand + Oebridenent of necrotizing fasciitis recommanded for the following D 10. Proton Prolonged course of antibiotic te osaeeee itis eae OUTS ey AME UTM rtd wo atta 119Senmu - prosthetic infection ——_ 1, II c. It, MIE ton. 23r B. Ty If, ILE complications. select the IHCORRECT B 11. The tolioving ore blood transfusion ae to the blood transfusion complications enusert . Allergic reaction ~ pretreatment with anti-histamine eB eee tune. injury . continue blood transfusion, tncreshe on c. Reasiytie reaction - stop transfusion imediotely ee! D. Febrile nonchemolytic reaction - pretreatment with acetaminophen following suture characteristics ore id A 12) Which of the eal 7 I, pliability to allow ease of handling and knot security It, uniforn teneile strength be resistant to infection iI. suture material should AL I, IT ¢. 0, 110 page 118 ary Plt . 5. T, HIE D. 1, 11, B32 ailure in & manifestation of respiretory jent EXCEPT B 13. The following are 30 Death/einute post-operative pat A, respiratory rate above B. elevated tidal volume. C. paco2 > 45 m@ Hg DB. Pao? < 60 mm Ag s NOT indicated aboratory and ancillary tests us tient with compromised pulmonary a veteran of reoperatie paron3ry 9h © 14. which of the following 1 noperative evaluation of a pel in tne pre function? c. arterial Blood Gas ‘A, Chest Radiograph D. Pulmonary Function Test B. Complete Blood Count vey and evaluation, the following es trauma patient's initial sur D 35. ond Pould be identified. These life-threatening conditions conditions shou condirrtmnediate attention te decrease mortality + emote diae tamponade ‘eee teremore I. Car jiac G 1, fagsive nemoperitengun =e. Tri. unstable pelvic eracture gy a etc I at BoE nit D. Ty EL, It 3 ros ver 2 Continued on PageRepublic of the pai Seat Koss PROFESSIONAL REGULATION Sean’ gzOw — antia : DOARD OF MEDICINE surss TASERY § opwrnal ¥ eH iY & AHTNO) INStavET, guentie aoe ee Tiegt the correct anever tor each of the tollovieg Corresponding SebL poe anawer for each item by shading the box STALETEY ws Bee SuRee EOTERE OF Your choice On the snaver sheet provided. : MULTIPLE caorce C4. a beled: ding after massive bicod trensfusion can be a zesule“GE"CKS" prone Nee Bs er suamers of Blur! compat Rabson Suteg masa aon follewing conditions EXCEPT "7? + ditutional cosgulopathy— c. fibrinogen et rhc rraoeers asa : . B. hypofibrinogenenia, ©. platelet dystunctish Teakean From Chapa Sob Tale 8,44 D2. i A 60-year old male pationt underwent explor post-operatively, he complained of ri + ght chest Z ui, BOERS: Troponin Z negative. Which is the sost Likely PEEDLER ams vepieion na Peston atin martes Ks Phounonte Cc. Volume depletion Senate ) Myocardial infarction D. Atelectasis panne on m easee aneoniane tle shock Fetained surgiea) $t@m rie 127 pape 18 whut: D 3. -Never events" in surgery inelod 4A. surgical site infection ¢. B. post-operative bleeding 0. the resident on duty ordered for activated partial Identify the coagulation factor being D 4. prior to surgery, thromboplastin time (aPTT). tested Rev B. VIET hia i acre MIL Bl 8 D. VIET CS. The ourgeon’s knot tie 2 A. begins with en overhand throw then an overhand throw followed by 0 standard square knot throw, >see oy sie yon fi tect ante oor B. ig stronger that a standard square knot- ean enere C. begins with e double overhand throw followed by a standard square knot throws. b. begins with an overhand throw followed by underhand throw D 6. Select the condition wherein after the surgery, the wound is preferably closed by secondary intention. A. Breast biopsy ‘conde rier for henry contaminated wurde sich an pred vaca, B. Myoma uteri age TS tor C. Cholecystitis D. perforated diverticulitis D7, advantage of monofilament sutures ever multifilement suture ance when passing through tissues. s less resist: NCOUNLEE: ee iene ceusing infections. i. _ It harbors less organ: Ht. te has greater tensile strength oe when crushed or erisped- Il c. I, £ ef ran TIE D. I, IF Pap 189 engi 2 qops ver 2-35! Continued on Page11100 aves = 01N80 pam age 2 surg SBEGEAY 4 CPHTuaamtocy, OTOLARTNCOLOGT & RAZKOLOG sere ~ D9. wmtcn : A. Remnants of axnisn are rsassoroed (vio Henbmachia virtua! Of the following stetesants te TRUE for Onphatocoele? Be Ldve a Or never prevent, in the hernte S: Bowel Wall ‘nae ’e very thick wecbrane covering tt « MGEine apdosinel wali detect B °° Cocpartnent ayndrone can ocevt in any extzealty following treuna. Tf ontreated GenvrescTt anpersiyeta and leckemer Feesioweey Feconcended far the foiloving conditions ExcErT A Gendlone pressure o€ eae chat 35 sates + ischemic period of more than 6 hourt@enous cow ta mecxape nano oP trecears, arterial and venove injuries. withoat © 100. unten of the toltowing te « couse of acute painful visual tes oo sscciated red eye? wpople xy + Retinal detachment cc. Pituitary a ” BL orbital cellutices . Gculer vascvier esboll Aetna detriment can bs poness rua fans ar) oer om ae a wi tions (Complete) sat will JARNING: ——Fallure to submit your Test Ques pageeeiaey cause the cancellation of your Test-Results