Enzyme most specific for parenchymal pancreatic disease *

0/1
a) Trypsin
b) Lipase
c) All of the above

d) None of the above

Correct answer
b) Lipase

A patient has acidemia if arterial blood pH is less than? *

1/1
a) 7,25
b) 7,30
c) 7,35

d) 7,40

The nerve most commonly injured in a laparoscopic preperitoneal

inguinal hernia repair is: *
1/1
a) Obturator
b) Genitofemoral

c) Ilioinguinal
d) Iliohypogastric

While doing ultrasound of the right upper quadrant, pain and

inspiratory arrest is observed. This is? *
1/1
a) Murphy’s sign, actue cholecystitis

b) Rosving’s Sign, appendicitis

c) Shifting dullness, Ascites
d) None of the above

ventral hernia repair by Mayos method types *

1/1
a) Sub-lay
b) On-lay
c) all of the above

d) none of the above

name of funduplication method *

1/1
a) Mayo
b) Lanz
c) Nissen

d) Lichtenschtein

which is the investigation of choice in case of blunt abdominal

trauma? *
1/1
a) CT

b) MRI
c) x-ray
d) esophagogastroduodenoscopy

which artery is ligated in cholecystectomy : *

1/1
a) GDA
b) RHA
c) Cystic artery

d) celiac trunk

what is hernia? *
1/1
a) protrusion of a tissue, structure, or part of an organ

b) defect in abdominal wall

c) abrasion
d) defect of peritoneum

any of the following can be a complication of the hernia EXCEPT: *

1/1
a) Bleeding.

b) Strangulation.
c) Obstruction.
d) Rupture due to massive trauma.

most useful investigation in detection of common bile duct

stones: *
1/1
a) colonoscopy
b) chest x-ray
c) ERCP

d) abdominal CT angio

An incisional hernia occurs when the defect is the result of an

incompletely *
0/1
a) helaed surgical wound
b) bond
c) treatemnt
d) payment

Correct answer
a) helaed surgical wound

Order of Palpation of abdomen should be: *

1/1
a) Begin at a site remote from the reported site of pain.

b) At the area of pain

c) All of the above
d) None of the above

Patient comes to your office with midabdominal discomfort, which

radiated to the right iliac fossa , anorexia, nausea and vomiting.
The pain is progressive and persistent. This could be a sign of: *
1/1
a) Appendicitis

b) Gall bladder stone

c) Renal stone
d) B and C are correct options

Mr. Lasha has been taking NSAIDs for his Ankylosing Spondylitis
for 4 years. He was diagnosed with the common side-effect of
NSAID use. Despite that, he continued the use of NSAIDs. He now
presents to the ER with severe epigastric pain . He could now
have? *
0/1
A) Perforation
B) Bleeding

C) Penetration
D) None of the above
Correct answer
A) Perforation

in Laparoscopic Cholecystectomy which structure is ligated : *

1/1
a) Cystic duct

b) common bile duct

c) right hepatic duct
d) left hepatic duct

stomach blood supply : *

1/1
a) LGA, RGA, AHP, SMA
b) LGA, RGA, Left and Right gastro-epiploic arteries

c) LHA, RHA, LGA, RGA

d) SMA, IMA, LHA, RHA

Choledocholithiasis means, stone is located in: *

1/1
a) gallbladder
b) urethra
c) common bile duct

d) Santorini duct

Chronic incidences of Hepatitis B and C virus infections are the

most common risk factors of primary liver cancer. *
1/1
True

False

Which procedure is more sensitive for determination of pancreatic

small duct anatomy? *
1/1
a) ERCP

b) MRCP
c) CT Scan
d) Ultrasound

Location of McBurney point? *

1/1
a) two-thirds the distance from the umbilicus to the anterosuperior iliac spine.

b) One-thirds the distance from pubic tubercle

c) Near the umbilicus
d) Suprapubic area

name of appendectomy incision *

1/1
a) Mc’gregor
b) Kocher
c) Mcburney

d) Murphy

The left hepatic vein divides the left lobe into *

1/1
e) Anterior and posterior halves
g) Superior and inferior halves
i) Medial and lateral lobes

k) Left and right parts of left lobe

Which artery commonly supplies hemangiomas in liver? *

1/1
a) Hepatic artery

b) Hepatic Vein
c) Portal Vein
d) All of the above

How much is normal Potassium concentration? *

1/1
a) between 3.5 and 5.0 mEq/L

b) between 1.5 and 2.5 mEq/L

c) between 2.0 and 4.0 mEq/L
d) between 4.0 and 6.5 mEq/L

which drug can be prescribed for patient after laparoscopic

cholecystectomy *
1/1
a) Furosemide
b) Adenosine
c) Ursodeoxycolic acid

d) Metoclopramide
which are the types of hernias? *
1/1
a) femoral
b) incisional
c) umbilical
d) all above

Name of pyloroplasty method *

1/1
a) Heineke-Mikulicz

b) Whipple
c) Hofmeister-finsterer
d) Kocher

The spleen is: *

1/1
a) Retroperitoneal
b) Intraperitoneal

c) Intrathoracic
d) Interabodominal

The liver is located in the _________, and extends _______________, into

the ___________. *
1/1
A. LUQ, across the midline, RUQ
B. LLQ, across the midline, RLQ
C. RUQ, across the midline, LUQ

Which cancer is found in people having Barret’s esophagus? *

0/1
a) Squamous cell carcinoma, because squamous cells are found in the esophagus.
b) Adenocarcinoma, because columnar cells are found in normal esophagus.
c) Adenocarcinoma due to metaplasia.
d) Both b and c are correct.

Correct answer
c) Adenocarcinoma due to metaplasia.

Name of PancreatoDuodenal Resection method *

1/1
a) Heineke-Mikulicz
b) Whipple

c) Hofmeister-finsterer
d) Kocher

pancreatic pain is referred to which area? *

1/1
A) Inferior scapular area
B) Intrascapular area
C) Radiates to back, in a Belt like manner

D) None

Gold standard in diagnosis of GERD is? *

1/1
a) Esophageal pH testing

b) Gastric pH testing
c) ERCP
d) CT Scan

What separates the right lobe from the left lobe? *

1/1
Ligament teres
Falciform ligament

Right hepatic vein

Portal vein

For intestinal hernias, which type of surgery is now replacing much

deep suturing? *
1/1
a) Ostomy
b) Laser treatment
c) resection
d) Mesh patching

Mr. Khan underwent Whipple procedure for pancreatic ductal

adenocarcinoma. This involves removal of? *
1/1
a) the head of the pancreas, distal common bile duct, duodenum, jejunum, and gastric
antrum.
b) duodenum, jejunum, and transverse colon
c) All of the above
d) None of the above

method of inguinal hernia repair with prosthetic mesh *

1/1
a) Mayo
b) Lanz
c) Nissen
d) Lichtenschtein

most informative noninvasive investigation of common bile duct

stones: *
0/1
a) MRCP
b) ERCP

c) CT angio
d) US
Correct answer
a) MRCP

Which is the largest lobe of liver? *

1/1
Quadrate
Right

Left
Caudate

Which gastric tumor is associated with PUD most commonly? *

0/1
a) Gastrinoma
b) Zollinger-Ellison syndrome
c) Adenocarcinoma
d) Both a and b
e) Both a and c

Correct answer
d) Both a and b

Giorgi was diagnosed with PUD recently. Most common pathogen

involved in PUD and a common test associated with it is? *
1/1
a) Helicobacter pylori, BUN test
b) Helicobacter pylori, Urea breath test

c) Streptococcus pyogens, Urea test.

d) Both a and b

in Laparoscopic Cholecystectomy which structure is ligated : *

1/1
a) Cystic duct

b) common bile duct

c) right hepatic duct
d) left hepatic duct

name of appendectomy incision *

1/1
a) Mc’gregor
b) Kocher
c) Mcburney

d) Murphy

Name of pyloroplasty method *

1/1
a) Heineke-Mikulicz

b) Whipple
c) Hofmeister-finsterer
d) Kocher

Mr. Trump had been vomiting galore for 4 hours. Which electrolyte
disturbance will be seen? *
1/1
a) Hypochloremia

b) Hyperkalemia
c) Hypernatremia
d) Hypermagnesemia
Which of the following hernias follows the path of the spermatic
cord within the cremaster muscle? *
1/1
Femoral
b) Direct inguinal
c) Indirect inguinal

d) spigelian

Giorgi was diagnosed with PUD recently. Most common pathogen

involved in PUD and a common test associated with it is? *
1/1
a) Helicobacter pylori, BUN test
b) Helicobacter pylori, Urea breath test

c) Streptococcus pyogens, Urea test.

d) Both a and b

which drug can be prescribed for patient after laparoscopic

cholecystectomy *
1/1
a) Furosemide
b) Adenosine
c) Ursodeoxycolic acid

d) Metoclopramide

Which cancer is found in people having Barret’s esophagus? *

0/1
a) Squamous cell carcinoma, because squamous cells are found in the esophagus.
b) Adenocarcinoma, because columnar cells are found in normal esophagus.
c) Adenocarcinoma due to metaplasia.
d) Both b and c are correct.

Correct answer
c) Adenocarcinoma due to metaplasia.

most useful investigation in detection of common bile duct

stones: *
1/1
a) colonoscopy
b) chest x-ray
c) ERCP

d) abdominal CT angio

Biliary tract pain is referred to which area? *

0/1
A) Inferior scapular area
B) Intrascapular area
C) Radiates to back

D) None
Correct answer
A) Inferior scapular area

The pancreas is ____ to the ____ lobe of the liver. *

1/1
Inferior, right
Inferior, left

Superior, left
Inferior, caudate

stomach blood supply : *

1/1
a) LGA, RGA, AHP, SMA
b) LGA, RGA, Left and Right gastro-epiploic arteries

c) LHA, RHA, LGA, RGA

d) SMA, IMA, LHA, RHA

Mr. Gonzales was admitted to the hospital with ascites and

jaundice. To rule out cirrhosis of the liver: Which laboratory test
indicates liver cirrhosis? *
0/1
Decreased red blood cell count
Elevated serum aminotransferase

Decreased serum acid phosphate level

Elevated white blood cell count
Correct answer
Elevated white blood cell count

Which of the following findings would strongly indicate the

possibility of cirrhosis? *
1/1
Peripheral edema
Pruritus
Hepatomegaly

Dry skin

53 years old male patient with a history of cirrhosis and alcoholism

is admitted with severe dyspnea resulted to ascites. The nurse
should be aware that the ascites is most likely the result of
increased… *
1/1
Pressure in the portal vein

Production of serum albumin

Secretion of bile salts
Interstitial osmotic pressure

Choledocholithiasis means, stone is located in: *

1/1
a) gallbladder
b) urethra
c) common bile duct

d) Santorini duct

Name of PancreatoDuodenal Resection method *

1/1
a) Heineke-Mikulicz
b) Whipple

c) Hofmeister-finsterer
d) Kocher

The left hepatic vein divides the left lobe into *

1/1
Anterior and posterior halves
Superior and inferior halves
Medial and lateral lobes

Left and right parts of left lobe

Which type of hernia affects the oesophagus? *

1/1
a) inguinal
b) hiatus

c) gastric
d) alimentary

What is the most common type of hernia? *

1/1
a) umbilical
b) inguinal

c) incisional
d) hiatal

Signs associated with pancreatic diseases are? *

1/1
a) Grey-Turner sign

b) Virchow sign
c) Rose sign
d) All of the above

Mr. Lasha has been taking NSAIDs for his Ankylosing Spondylitis
for 4 years. He was diagnosed with the common side-effect of
NSAID use. Despite that, he continued the use of NSAIDs. He now
presents to the ER with severe epigastric pain . He could now
have? *
0/1
A) Perforation
B) Bleeding

C) Penetration
D) None of the above
Correct answer
A) Perforation

Patient comes to your office with midabdominal discomfort, which

radiated to the right iliac fossa , anorexia, nausea and vomiting.
The pain is progressive and persistent. This could be a sign of: *
1/1
a) Appendicitis

b) Gall bladder stone

c) Renal stone
d) B and C are correct options

which is the investigation of choice in case of blunt abdominal

trauma? *
1/1
a) CT

b) MRI
c) x-ray
d) esophagogastroduodenoscopy

How much is The normal serum sodium ion concentration? *

1/1
a. between 135 and 145 mEq/L

b. between 138 and 145 mEq/L

c. between 140 and 145 mEq/L
d. between 138 and 148 mEq/L

Location of McBurney point? *

1/1
a) two-thirds the distance from the umbilicus to the anterosuperior iliac spine.

b) One-thirds the distance from pubic tubercle

c) Near the umbilicus
d) Suprapubic area

Meckel’s Diverticulum is seen ______ feet away from _______ valve *

1/1
a) 2 feet, ieocecal valve

b) 2 meters, ileocecal valve

c) 2 inches, ileocecal valve
d) None of the above

which artery is ligated in cholecystectomy : *

1/1
a) GDA
b) RHA
c) Cystic artery

d) celiac trunk

Murphy’s sign is seen in? *

1/1
a) Acute cholecystitis

b) Appendictis
c) Diverticulitis
d) All of the above

name of funduplication method *

1/1
a) Mayo
b) Lanz
c) Nissen

d) Lichtenschtein

Transarterial chemoembolization (TACE) involves: *

1/1
A) Selective intraarterial administration of chemotherapeutic agents followed by embolization
of the major tumor artery.

B) Selective interarterial administration of chemotherapeutic agents followed by embolization

of the major tumor artery.
C) Selective intraarterial administration of chemotherapeutic agents followed by embolization
of the major tumor artery and vein.
D) All of the above

ventral hernia repair by Mayos method types *

1/1
a) Sub-lay
b) On-lay
c) all of the above

d) none of the above

alkalemia if the pH is greater than *
1/1
a) 7,45

b) 7,30
c) 7,35
d) 7,40

Gold standard in diagnosis of GERD is? *

1/1
a) Esophageal pH testing

b) Gastric pH testing
c) ERCP
d) CT Scan

method of inguinal hernia repair with prosthetic mesh *

1/1
a) Mayo
b) Lanz
c) Nissen
d) Lichtenschtein

Following organs can be found within the hernia sac EXCEPT *

1/1
) Colon.
b) Ovary.
c) Urinary Bladder.
d) Prostate.

Murphy’s sign is seen in? *

1/1
a) Acute cholecystitis

b) Appendictis
c) Diverticulitis
d) All of the above

If the gallbladder were removed from a healthy person, it would

cause major problems. *
1/1
true