1-In the US, what is the most common cause of mechanical

obstruction of the colon?

A.adhesions
B.diverticulitis
C.cancer
D.volvulus
E.ing. hernia
THE ANSWER IS C.

2.History and physical examination permit the diagnosis of

intestinal obstruction in most cases.Which of the following are not
important for the clinical diagnosis of small bowel obstruction?
A.crampy abdominal pain
B.fever
C.vomiting
D.abdominal distention
E.leukocyte count above 12,000
F.abdominal tenderness
THE ANSWER IS E.

3.All of the following cause dehydration and electrolyte loss

in intestinal obstruction except?
A.reduced oral intake
B.defective intestinal absorption
C.vomiting
D.diarrhoea
E.sequestration in the bowel lumen
THE ANSWER IS D.

5.Which of the following statement(s) is \are true concerning

postoperative ileus?
A.the use of intravenous patient-controlled analgesia has no effect
on return of small bowel motor activity.
B.the presence of peritonitis at the time of the original operation
delays the return of normal bowel function
C.the routine use of metoclopramide will hasten the return of small
intestinal motor activity.
D.contrast radiographic studies have no role in distinguishing early
postoperative bowel obstruction from normal ileus.

THE ANSWER IS B.
6.Which of the following statements regarding imaging in intestinal
obstruction is true?
A.erect abdominal films should routinely be obtained.
B.the ileal loops are characterized by valvulae conniventes.
C.barium follow-through is helpful in the diagnosis of small bowel
obstruction.
D.a water-soluble enema is helpful in differentiating mechanical
obstruction from pseudo-obstruction.

THE ANSWER IS D.