Quiz: FINAL Module 2023

A listless 9-month-old boy presents with acute onset of severe intermittent abdominal pain accompanied with vomiting. The attack lasts for 10 minutes and disappears for a while. When his mother changed his napkin. she noticed the presence of a red jelly like mucoid material. What is the most likely diagnosis?

A a. Meckel's diverticulum B b. Acute appendicitis. C c. Intussusception D d. Intestinal polyp.

A 5-years-old patient presented to clinic by midline neck mass just below the hyoid bone, which moves with, protrusion of the tongue. The mass, is most likely to be.

A a. Branchial cyst. B b. Cystic hygroma. C c. Thyroglossal cyst. D d. Teratoma.

Concerning Grid-Iron incision at Mc Burney's point.

A a. Done midway between umbilicus and anterior B b. superior iliac spine. C c. Suitable for cholecystectomy. D d. Gives direct access to appendix.

The commonest site of colorectal cancer is:

A a. Caecum. B b. Transverse colon. C c. Splenic flexure. D d. Rectosigmoid area.

A 59-year-old man, having four weeks history of worsening painless jaundice. He has no other symptoms or signs. The LFT shows the following: ALT 83u/L (N.10-55), ALP 394u/L (N.30-110), total Bilirubin 157umol/L (N.6-24). What is the most likely cause of his jaundice?

A a. Pancreatic cancer. B B.Chronic pancreatitis. C c. Hepatitis. D d. non of the above

A 34 -year- man with a history of splenectomy 2 years ago, presented to you with during your duty in ER. With repeated vomiting, absolute constipation, Scolicky abdominal pain and abdominal distention since yesterday. What is the first radiological t investigation to be ordered for him?

A a. CT of the abdomen. B b. Supine and erect x-rays of the abdomen. C c. Ultrasonography of the abdomen. D d. Contrast study of the intestine.

A patient is diagnosed to have carcinoma of the caecum advised to undergo right hemicolectomy. You are taking the informed consent. What would yου inform the patient about the extent of resection that the resected gut would involve?

A a. Caecum and part of ascending colon. B b. Caecum, ascending colon and whole of transverse colon. C c. Terminal ileum, caecum, ascending colon, right third of transverse colon. D d. Terminal 10cm of ileum, caecum and ascending colon.

In a case of a lady 29-year-old,with Rt. illiac pain, vomiting, pyrexia 39°C, Rt. Illiac guarding and rigidity rof 4 days duration, with sonographic finding of a cystic swelling in Rt. illiac fossa, your management will be:

A a- Laparotomy and peritoneal lavage. B b- Appendectomy. C c- Medical treatment and follow up. D d- Extra peritoneal drainage.

The most common form of Anorectal abscess is:

A a. Perianal. B b. Ischiorectal. C c. Sub mucous. D d. Pelvi rectal.

A 49 year-old female, a known case of gallstone disease, presented with rigor and jaundice. Her US .revealed that the common bile duct is 1.5 cm. diameter.What is best next step to be done?

A a. Abdominal CT scan. B b. MRCP. C c. ERCP. D d. Intravenous cholangiogram.

The axillary lymph nodes are divided into three levels I, II and III by:

A a The axillary artery. B b. The axillary vein. C c. The pectoralis minor muscle. D d. The clavicle.

Splenectomy is often Indicated in the management of which of the following?

A a. Pheochromocytoma. B b. Hereditary neurofibromatosis. C c. Hereditary spherocytosis. D d. Aplastic anemia.

A patient is admitted from the emergency department following a large volume hematemesis. Esophagogastroduodenoscopy is performed. This identifies a posteriorly positioned duodenal ulcer that is actively that is actively bleeding. The vessel responsible is:

A a. Right gastric artery. B b. Abdominal aorta. C c. Gastroduodenol artery. D d. Left gastric artery.

When gallstone ileus occurs, obstruction is most frequent in:

A a- The duodenum. B b- The jejunum. C c- The proximal ileum. D d- The terminal ileum.

The most common complication after hemorrhoidectomy is:

A a- Urinary retention. B b- Rectal bleeding. C c- incontinence. D d- Wound infection.

Which of the following statements are true regarding umbilical hernia?

A a. Men are affected more frequently than women. B b. Irreducibility is common due to omental adhesions. C c. Mayo's operation involves mesh repair of the hernia. D d. It can be easily controlled by truss.

Cystic Hydatid disease of the liver is caused by:

A a. Entamoeba histolytica. B b. Echinococcus multilocularis. C c. Echinococcus granulosus. D d. Entamoeba coli.

Factors associated with the development of complications of gastroesophageal reflux disease include:

A a. The presence of o defective lower esophageal Esphincter. B b. Inadequate esophageal clearance. C c. The presence of a hiatal hernia. D d. All the above

For abdominal exploration, what is the preferred incision?

A a) Midline incision. B b) b. Gridiron incision. C c) Kocher incision. D d) Morris lumber incision.

Which of the following tumor marker disease association is not correct?

A a-PSA and prostatic cancer. B b-CEA and colon cancer. C c-CA19-9 and pancreatic cancer. D d) AFP and breast cancer.

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