1-About grading all false except

A-Job of surgen

B-Digree of differentiation

C-Digree of metastis

D-Abdominal sinography

E-Liver function test

2- perforated doudenal ulcer is

A- Dirty

B- clean

C- clean conramintaed

D- conraminated

3- benign tumor all followings false , except :

A- Poorly vascularisation

B- Poorly differentiate

C- Loss of normal function

4- peaked T wave can seen ?

A_ hyponatremia

B_hypernatemia

C_hyperkalemia

D_ hypokalemia

5-in treatment of hyperkalemia

A--IV K

B-IV Mg

C- IV Ca

D- resin

E- IV Na
6- monofilament and non absorbable suture materials are all except

A. Wire- steel

B. Nylone

C. Silk

D. Polypropylene

E. Prolene.

7- Pancerase Is rich of:

A-K

B-H

C-HCO3

D-Nacl

8- Markers of Tumar one is;

A- Secreat from body cell

B- Secret from tumar it self
C- May be have one or more
D- Idecate for metastasis of tumar

9--hyponatremia and hyperkalemia my be occur in

A-cushing syndrome

B-addison diseas

c-hyperaldosteronsm

D-rinoma

E-conginetal adrenal hyperplasia

10- Memory of suture means?

A-Ability of tissue to memorize sutur

B- Ability of tissue to sensitization of sutur

C- Ability of tissue to degenerating of sutur

D-Recoiling tendecy after removil from pocket

11- The appropriate sterlization mathods for surgical towels is?

A-hot air oven

B-steam heated at 121 for 15 minutes

C-stearlization by pre acetic acid

D-Sterlization by etylene oxide

E-stearlization by gamma ray

12-The wound after elective herniotomy is

A- Clean
B- Clean-contaminated
C- Contaminated
D- Dirty

13- Dermoid cyst characters by

A-Presence of hair

B-Attach to periosteom

C-Skin appendages

D-Arise from epidermal cyst

E-Usually acquired

14- in staging all true except?

A-pathologist assessments b-Chest radiology is essential

C-Physician assessments

D-Renal function test important

E-Degree of metastases

15-Minimum amouint of urine that to output daily excreted the product wasted:

A-400ml/ 24 h

B-400ml/12h

C-400mg/day
16-Sodium

A-more in intracellular anion

B- is responsible for control water distribution

‫ هيه الحل الصح‬2 ‫ما اذكر البقية بس النقطه‬

17-The fresh cut wound by glass injury is :

A.Healthy wound

B. Clean wound

C. Clean -contaminated wound

D. Contaminated wound .

18- ileus, fatigue, weakness and U waves on ECG

A. Hyponatremia

B. Hypokalemia

C. Hyperkalemia

19-Dry gangrene which of the following is true:

A.Putrefaction is always present

B. Crepitus may be palpated

C. It is typically the result of atheromatous occlusion of arteries.

D. The line of demarcation is absent

E.The affected part becomes swollen and discolored

20- According dry gangrene all false except one:

A-it is the result of atheromatous arterial occlusion

B-the affected part become swollen and red

C-the line of demarcation is absent

D-the putrefaction always present

E-there is foul smell

21-About wound classification, the operation of cholecystectomy without bile secretion
classified as

A.Clean

B.clean contaminated

C.contaminated

D.healthy

E.dirty

22- all are examples of acquired sinus except:

A- suture sinus

B- urachal sinus

C- tuberculous sinus

D-post surgical sinus

23-Classification of ssi all false except

‫وجان الصح مال‬body organ or space between organ

24-Paraentral feeding complication all true accept one false

A- air emobolism

B- venous thrombous

C- nutrient deficiency

D- under feeding

E-catheter causes sever sepsis

25--regarding surgical dressing except?

A-reduce infection

B-absorbe pus

C-prevent metastasis of malignant

D-replacement between 24 to 48h

26- The Plasma volume constitute:

A- 2 third of total body water

B- 2 third of extracellular

C- 1third of extracellular

D_1third of intravascular

E_5%of total body water

27-The total body fluid is :

A) is about 30-40% of TBW.

B) is more in pt with dyhdration.

C) is more in pt with SIAD.

D) is fixed in all pt.

E) increased by increased insensible loss.

28-The risk of surgical site infection include:

A- young age

B- proper sterilization of surgical tools

C- medication such as steroids

D- good nutritional status

29-One of these is premalignat lesion of BBC:

A.keratocanthoma

B.solar keratosis

C.nevus sebaceous

D.leukoplakia

E.brown’s disease

30-Sterilization of endoscope by?

A-Gamma ray

B-Hot air oven

C-Autoclave
31-About memory of surgical material the true answer is:

is recoiling tendency after removal from the packet.

32- Lines of defense against infection include.

A_ first line _ lymphocyte

B- first line. secretion of skin and mucus membrane

33- All are antiseptics commonly used in surgical practice except

A-Hypochlorite

B-Cetrimide (Savlon)

C- Chlorhexidine ( Hibiscrub)

D-Metronidazole

E-Povidone - iodine ( Betadine)

34- In preparation for an operation , the skin of the right groin is : cleaned with an antiseptic
solution that effectively

A-Destroy both aerobic and anaerobic organisms

B-Destroys spores

C-Destroy anaerobic organisms

D-Reduce growth of aerobic and anaerobic organisms

E-Destroys aerobic organisms

35- Regarding gangrene in general , which statement is false

A- intra - venous injection of thiopentone causing gangrene

B- carbuncle is type of infective cause of gangrene
C- most commonly affects the distal part of a limb
D- Uncontrolled diabetes can produce wet gangrene
E- Gangrene is death with putrefaction of macroscopic portions of tissue

36-Metabolic response to starvation

A- ketogenesis

B- low plasma insulin and high plasma glucagon

C- lipogenesis
D- hepatic glycolysis

E- increase in resting energy expenditures

37- hyperkalemia

A- serum potassium more than 5 mEq/L

‫ما اتذكر باقي االختيارات‬

38-Use to reduce risk of ventricular fibrillation

A- calcium

B- potassium

39- perforated wound

A- dirty

B- contaminated

C- clean contaminated

D- clean

40- 18 year old man had accident lead to fresh open wound

A- dirty

B- clean

C- clean contaminated

D- contaminated

41- Grading is

A- degree of differentiation

B- degree of metastasis

42- Staging is

A- degree of differentiation

B- degree of metastasis
43-Everted edge of ulcer mean there is risk of

A- malignancy

44- Punched out ulcer

A- tuberculosis ulcer

B-penetrating