اسئلة امتحان السيرجري لسنة رابعة بمختلف المواضيع

endocrine
1-most common thyroid cancer
a-papillary(ithink this is the answer
b- follicular
c-anaplastic
d- lymphoma
e-medullary

2- wrong about thyroid
-- t3 is more active than t4
-- thyroid hormone increase in all types of thyoiditis (this is the answer )

3- how to diagnose hyperaldosteronism
-- hypernatremia
-- hypokalemia(some say this is the answer)
-- high aldosterone with low renin(others say tis is the answer

4- one is wrong
-- most common tumor of submandibular gland is monomorphic

5- one is wrong amout men 1
--insulinoma is the most common pancreatic cancer in men1

6- one is wrong
-- exopytic(not sure) tumors is more virulent than infiltrative tumors

7- most common cause of branchial cyst
-- 2nd branchial cleft

8- most common symptom of pheochromocytoma
a- headache
b-sweating
c-palpitation

dont know the answer

plastic :

9- wrong about wound healing
-- in the final stage there is collagen remodiling and angiogenisis

10-wrong about keloid
-- it is more common than hypertrophic ulcer

11- wrong about preesure ulcers
-- always colonized by bacteria
-- recure rarely after flap (i think this s the answer

12- question about graft
forgot it

13- wrong about vascular malformations

-- you only observe strawbery malformation regardless of its site

14- wrong
-- navi in children u observe untill puperty coz they will regress alone

15- wrong
-- cancer of upper lip is more common than cancer in lower lip

16- wrong
-- scc is more coomon than bcc in immunocomprimized
-- scc in marjolin ulcer is less virulent than other types of scc

oncology
17- causes bloody discharge
papilloma (not sure

18- wrong about locala invasion of breast cancer
-- nipple inversion

19 - wrong about effects of radiotherpay
a-- skin necrosis
b-- lymphoma OR SOMETHING LIKE THAt
dont know the answer

20- wat is important for prognsis of melanoma in neck
a-- size
b- depth(ithink this is the answer

21- wen do u do mamaogramy for asymptomatic female
with no family hstory
a-- 40 yrs)this is the answer
-- 45yrsb


pediatrics

22-most common cause of hydronephrosis
a-- pelvouretric obstruction( this is the answer
b-- vesiculouretric reflux

23- not cause of polyhydominos
a-- duodeneal atresia
b-- esophageal atresia
c-- hurchsprung ( some say this is the answer
infact idont remember the question exactly and dont know the answer


24- least common cause of lowwer bleeding in neonates
intussusception

cardothoracic :

25- apatient has buttock pain and thigh pain and impotence
-- leriche's sundrome

26- bad prognosis with aortic stenosis
-- congestive heart failure

27- someone swallowed a foreign body wat is diagnostic in x-ray
a-- forign body appeares on xray
b-- atelactesis
c-- emphesematous changes ( some say this is the answer

28- not amass in the central mediastinum
a-- broncogenic body
b-- shwanomma ( this is the answer

29- most cancer of lung that is responisve to raditheapy
a-- sqaumous cell ( ithink this is the answer
b- adenocarxinoma
c- large cell
d- small cell
e- bronchoalveolar ( some say this s the answer)

30- one is wrong about tetralogy of fallot
a-- boot shape in x-ray
b-- increased bleeding
c-- anemia ( ithink this is the answer

31- first symptom of arterial insufficiency in leg
a--pain
b -- coldness
c- parasthesia

GI:

32- wrong about adenocarcinoma of stomach
-- diffuse type is associated with h. pylori

33- least coomon site of carcinoid
a-- stomach
b-- colon(ithink this is the answer

34- a question avbout spleenectomy

35- wrong about polyps
a-- juvinel type is hemartoma ( this is wright accoding to recall
b-- 70 % of fab will turn into cancer ( this is the answer cause 100 % turn into cancer

36- true about colorectal
--almost all originate from preexisting adenamtous polyp

37- doesnot relax lower esophegeal spicter
a-- obsity
b-- pregnancy
c- fatty meal
d-- protein meal ( ithink this is the answer

38 - midgut starts at
a-- ampulla of vater ( itihink this is the answer
b-- ligament of treitz

39- most indicative of appendicitis
a-- clociky central pain ( ithink this is the answer
b-- high c reactive protein

40- about organ transplantaion
both humeral and cellular immunity play role in liver transplant--

i think this is the answer coz

41- wrong about tranSplantaion
-- allograft is taken from the patient himself

42- qustion about anal fistula
a-- staphyloccas associated with anal fistula
b-- seton is used to manage anal fistula and prevent incontinence ( some say this is the answer coz seton causes incontinence ?????!!!!!!!

not sure at all

43- doesnot give inguinal lymph node
a-- penis
b-- testis
c- lower part of anal canal
d- lower part of abdomen
e - legs

dont know the answer

44-wrong asbout portal hypertension
-- happens when portal vain preesure above 5 mm hg

45- true answer
-- fap is treated by removing colon and ileorectal anstamosis(not sure at ALL )

46- One is not a cause of acute non surgical pain:
A--hyperthyroidisim ( THE ANWER ACCORDING TO DR JAMAL MASAD
B --pneumonia
spinal injury?? eshe hek--
-- HYPERCALCEMIA C

47- one is true
a-- obturator hernia causes pain on lateral side
b-- richter is caused by strangulation of part of gut wall inthe hernia ( i think this is the answer

48- most comon hernai in females
a-- direct inguinal
b-- indirect inguinal ( this is the answer )
c-- femoral

49 - one wrong about femoral canal

50- one wrong about inguinal canal

51- most coomon site for benign ulcer in stomch
a-- lesser curvature
b-- greater curvuture
c-- antrum
d- cardia

some say lesser curvuture others say antrum

52- wrong about fap-familial aden polyposis:autosomal recessive

53 - chron's disease: kol el5yarat kant medicine sa7
bs atwa8a3 eljwab inhom be3malo bypass aktar mn resection !!!!

other choices -- 20 % only in colon
-- happening in rectum isnot alot

54- fe kman so2al append. kanat 5yarato mt5alfeh
ana 76eet enno 8% bser elha spontanious remmision??
kan fe enno laparatomy btzeed abcsess!!
laparatomy btqalel hospital stay..bla bla

55- wrong about HLA
a -- only on leukocytes ( ithink this is the answer )
b-- 4 in number

general :

56 - clean contaminated wound
-- chloecystectomy

57- someone lost 25 % of his blood one is wrong
-- decrease in his diastoilic pressure ( ithink this is the answer

58 - the drug that act on cell wall: vancomysin

59- the most virulant baceria: strep a b hemolytic
--some say itis staph
there is also tb

60- patient with hypotention post op
u suspect the cauuse to be hypovolemia
one will confirm it in urine:
-urine Na 40
-urine\plasma creatinine ratio 20
- na execretion ratio less than 1(this is the answer but not sure
-urine osmolality 350

61- primary survey all must be done exept

--radiogaphs and selecting fractures
--airway patency
--disability
--circulation

elmohem A B C D

62- all antibiotcs affects anerobes exept:
-metronidazole
-chloramphenicole
-clindamycein
-cefalaxin? هو الجواب واحد من 2nd generation cephalosporines


63- not important in prevention of surgical infections during surgery
- dec number of persons in OR
-masks and gloves
-air handeling systems
- taking shower to the surgeon pre op----- had eljwab

64- aquestion about gas gangrene

65- apateint needs how much energy per day

i think 30-50 kcal

not sure neither of question nor of answer at all

66- a patient comes aith a shock or something like that

i think give him ringer lactate but not sure at all


others :
67 - can u give a women blood with + rh while she is negative ?

68 - a wustion about grafts

69-about hircsprung

70- dermoid cyst is surrounded by skin ithink is true according to
endocrine dosia
mohadart branchial cyst

71- can u close degloved wound ?

72 - a question about gastroscesis

73 - alot of questions about infections and antibioitcs

74- first symptom of varicose veins
-- Aesthetic

75 - not a branch of facial nerve
-- frontal

76- wrong about pericariditis

77- a mass associated with chronic pancreatitis
pseudocyst
according to most of students and past papers

78 - wrong about acute pancerititis
a-- most common iatrogenic cause is POC ( ithink this is the answer
b- most pateints of pancreatic devisium doesnot have acute pancreatitis

79- a 70 kg person how much is interstitilal fluid
a-- 5 liter
b- 11 liter( i think this is the answer

77- a mass associated with chronic pancreatitis
pseudocyst
according to most of students and past papers

78 - wrong about acute pancerititis
a-- most common iatrogenic cause is POC ( ithink this is the answer
b- most pateints of pancreatic devisium doesnot have acute pancreatitis

Mohammad Ghalib Riziq كتب:جزاكم الله خيرا ووفقكم
صراحة أنتم قمتم بمجهود جبار وفقكم الله
ولتشعروا بعظيم مافعلتم اعلموا أن هذه الأسئلة لن يطلع عليها طلاب سادسة فقط
بل هناك مقيمين طلبوها والذي هم امتحانهم غدا إن شاء الله
جزاكما الله خيرا

الله يخليك يا اخ محمد
وهذا واجبنا بس
واشي متواضع جدا
وكمان اخواننا بسادسة ما قصرروا معنا وساعدونا بالميديسين

والله يوفق كل اخواننا سواء سنة سادسة او مقيمين

المهم انت توصل الخبر و الموقع لاخواننا في سادسة والمقيمين كمان

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