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3) The umbilicus:
A) lies near the to the xiphoid than to the pubis
B) derives its cutaneous innervation from the eleventh thoracic nerve
C) transmits, during development, the umbilical cord two arteries and two veins
D) usually lies at about the level between the third and fourth lumbar vertebra
E) emberiologicall, may transmit urine but never bowel contents
4) The superficial perineal pouch:
A) is limited inferiorly by the urogenital diaphragm
B) is not continuous with the space in the scrotum occupied by the testes
C) has a membranous covering which provides a fascial sheath around the penis
D) is traversedby the urethera in the male but not the urethera and vagina in the
female
E) in the female, the greater vestibular glands are situated outside this pouch
5) The tongue:
A) has a foramen caecum at the base of the frenulum
B) is separated from the epiglottis by the valleculae on each side of the midline
C) has 7-12 circumvallate papillae situated behind the sulcus terminalis
D) is attached to the hyoid bone by the genioglossus muscle
E) is supplied only by hypoglossal nerve
in the
B) CLINICAL SUGERY
18) The best test to monitor the adequacy of levothyroxin therapy is:
F) radioactive iodine uptake
G) thyroglobulin
H) free thyroxine index (T4)
I) triiodothyronine resin uptake (T3)
J) thyroid stimulating hormone (TSH)
19) Which of the following statements about fungal infection is NOT true ?:
A) Prior or synchronous culture positive for Candida at another site occurs in few
patients with candidimia
B) For critically ill patients nonhaematogenous sites of candida are appropriately
treated with systemic antifungal therapy
C) Mortality rates are similar regardlss of whether C. albicans fungmia is treated
with amphotericin B or flconazole
D) Intravenous catheters and the gastrointestinal tract are common portals for
Candida to gain blood stream access
E) Septic emboli are more common with fungal endocarditis than with bacterial
endocarditis
20) The maximum safe dose of local anaesthetic administered subcutaneously in a 70-kg
man is:
A) 10 to 20 ml of 1% lidocaine
B) 40 to 50ml oh 2% lidocaine with epinephrine
C) 40 to 50 ml of 1% lidcaine with epinephrine
D) 40 to 50 ml of 1% bupivacaine (marcaine)
E) 40 to 50 ml of 1%lidocaine without epinephrine
21) Two days after right hemicolectomy for a Dukes B caecal carcinoma , the
Patient complains of sharp right-sided chest pain and dyspnea. HisPaO2
Is 64mmHg ,his PaCo2 is 32mmHg. CVP is 26 cm water, and the blood pressure is
102/78mmHg. A pulmonary embolus is suspected,
The next step in management should be:
A) A ventilation- perfusion lung scan
B) A pulmonary arteriogram
C) Postrioanterior and lateral chest x-rays
D) Heparin sodium ,100 units/kg intravenously
E) Immediate duplex scanning of both lower extremities
22) The major cause of graft loss in heart and kidney allograft is:
A) acute rejection
B) hyperacute rejection
C) vascular thrombosis
D) chronic rejection
E) graft infection
23) All of the following are indicators of tumor aggressiveness and poor outcome for
papillary carcinoma of the thyroid gland EXCEPT:
A) age over 50 years
B) microscopic lymph node metstasis
C) tumor larger than 4 cm
D) poorly differentiated histological grade
E) invasion through capsule to adjacent tissues
24) A 40-year-old woman has extensive microcalcifications involving the
entire upper aspect of the right breast. Biopsy shows a commedo pattern of
intraductal carcinoma.
26) Which of the following statements about patients with abdominal compartment
syndrome is NOT true ?
A) Abdominal pressure is usually measured indirectly through inferior vena cava
B) Multiple contributing factors are commonly responsible
C) The chief manifestations are reflected in central venous pressure , ventilatory
function, and oliguria
D) Decopression of the abdomen is required to resverse the syndrome
E) Aggressive hemodynamic monitoring and management is required when the
abdomen is opened
27) The most appropriate treatment for histologically malignant cystadenoma
phylloides is :
A) total mastectomy without axillary node dissection
B) total mastectomy with axillary node dissection
C) wide margin (3) cm excision of the lesion
D) post operative hormonal manipulation
E) postoperative adjuvant chemotherapy
28) Deep venous thrombosis resulting from upper extremity central venous lines:
A) should be treated with catheter removal, heparin therapy, and long term
anticoagulants
B) is best with urokinase through the catheter
C) is innocuous and self limiting, and best treated with catheter removal only
D) is best treated with low-dose warfarin (coumadin, 1 mg / day) , without catheter
removal
E) is best managed by single systemic dose of low molecular weight heparin daily
and continued catheter use
29) Emergency surgery is indicated for all of the following complications of ulcerative
colitis EXCEPT:
A) colonic dilatation greater than 12 cm (toxic mega colon )
B) free perforation
C) complete intestinal obstruction
D) intractable haemorrhage
E) abscess formation
30) All the following statements concerning carcinoma of the oesophagus are true
EXCEPT that:
A) it has a higher incidence in males than females
B) alcohol has been implicated as a precipitating factor
C) adenocarcinoma is the most common type at the cardio esophageal junction
D) it occurs more commonly in patients with corrosive oesophagitis
E) surgical excision is the only effective treatment
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B
C
D
C
B
C
A
C
16- A
17- D
18- E
19- A
20- C
21- D
22- D
23- B
9- B
10- C
11- B
12- D
13- C
14- E
15- B
24252627282930-
D
A
A
C
A
E
E
DIRECTIONS :
Choose the BEST appropriate answer for each of the following questions :
2)
Hashimoto s thyroiditis :
A) is of viral origin
B) presents usually by nodular goiter (could be nodular but it is usually diffuse)
C) can be diagnosed by thyroid antibodies and fine needle aspiration of thyroid ((
D) is often premalignant
E) must be treated always by surgery
A)
B)
C)
D)
E)
4)
Exophthalmos :
A)
B)
C)
D)
E)
6)
8) Branchial cyst:
A) develops from the third branchial cleft
B) presence of cholesterol crystals in aspirated fluid from the cyst is pathognomonic
to it
C) should be treated with repeated aspiration
D) is not related to carotid vessles,hypoglossal and spinal accessory nerves
E) is never inflamed
9) Cystic hygroma:
A) develops as a sequestration of a portion of a jugular lymph sac
B) typically occupies the upper one third of the neck
C) occasionally may occur in cheek ,axilla and groin but exceptionally in tongue
and mediastinum
D) repeated aspiration is the only treatment
E) A and C are correct
May be E
10) Carotid body tumour:
A)
B)
C)
D)
E)
is chromffin paragranuloma
is usually bilateral
is called chemodactoma or potato tumour
is situated ot the bifurcation of the carotid artery
C and D are correct
THE BREAST
1) The breast :
A) is a modified apocrine sweat gland (
B) overlies the third to the sixth rib
C) is having usually more than 30 lacteferous ducts
D) is drained only by six groups of axillary lymph nodes
E) is having no attachment to skin
2) The commonest cause of bloody nipple discharge is :
A) mammary ductectasia
B) carcinoma of the breast
C) lactational mastitis
D) duct papilloma
E) fibrocystic disease of the breast
4) Bacterial mastitis:
A)
B)
C)
D)
E)
E) A, B, C, are correct
It is a benign condition
It is simply an eczematous lesion of the nipple
It is treated by excision of the nipple
It is usually diagnosed by biopsy of the suspected lesion
the areola and the surrounding skin are never involved
8) Regarding gynaecomastia :
A)
B)
C)
D)
E)
11)