* A 39 year old man presents with severe * The spleen filters all of the following particles

epigastric pain and right upper quadrant pain . cells except ?

Radiating to the back associated with nausea A . Malformed erythrocytes
and vomiting . Inspection of the abdomen shows B . T lymphocytes
bruising below the inguinal ligament . This sign is C . Malarial parasites
called ? D . Streptococcus pneumonia
A . Cullen sign E . Platelets
B . Boas sign
C . Fox sign * Which of the following is not a feature of Crohn
D . Grey turner sign disease ?
E . Murphy's sign A . Involvement from mouth to anus .
B . Risk of flare up is decreased with smoking
* Pleomorphic adenomas of the salivary glands C . Macroscopically demonstrates cobblestone .
are characterized by one of the following ? D . Endoscopically demonstrates skip lesions .
A . They occur only in the parotid glands . E . Histologically demonstrates transmural
B . They grow rapidly . granulomatous inflammation .
C . They rarely recur if simply enucleated .
D . They present as rock _ hard masses . * A 45 year old female . Patient presented to E.R
E . They are common benign salivary tumors . complaining of right hypochondriac pain and
nausea with repeated vomiting for the last few
* A 20 year old man involved in RTA sustains hours . She recalls eating a cheese cake earlier
bilateral fractured femurs . On assessment , he is that day . Examination showed right
anxious and confused , with a pulse of 130 / min hypochondriac tenderness but otherwise soft and
and BP of 70/50 mmhg . Urine output over 1 hour lax . Her laboratory results were normal . The
is 10 ml . This patient has hemorrhagic shock most appropriate next investigation ?
type ? A . Erect abdominal X_Ray
A . Class 1 B . Endoscopy
B . Class 2 C . CT abdomen
C . Class 3 D . Ultrasound of the abdomen
D . Class 4
E . Class 5 * A 50 year old man presented to E.R
complaining of severe epigastric pain of 5 hours
* All of the following are branches from the duration . The pain is radiating to his back
external carotid artery except ? associated with recurrent vomiting . His amylase
A . Superior thyroid artery is 2017 u/ L . All of the following criteria are used
B . Ascending pharyngeal artery to predict the severity of the case during
C . Lingual artery admission except ?
D . Inferior thyroid artery A . Age over 55 years
E . Facial artery B . Blood sugar more than 200 mg/dl .
C . AST more than 250 u/ L
* On postoperative day 5 post hepatic resection a D . WBC less than 5000 /UL
healthy 55 year old patient is noted to have fever E . LDH more than 350 u/ L
38.6 c . Which of the following is the most
ommon associated ? * The highest potassium concentrate in ?
A . UTI A . Saliva
B . Wound infection B . Gastric juice
C . Pneumonia C . Bile
D . Intra_abdominal abscess D . Ileal
E . Intravenous catheter related infection
* Regarding abdominal trauma in pediatric age
* One of the following statement is incorrect ? group , which of the following is true ?
A . Elevated CA125 is ass with ovar carcinoma . A . Clinical examination , stabilization and
B . Elevated CEA is associated with resuscitation are not of priority .
chondrosarcoma . B . Ultrasound is the diagnostic tool of choice .
C . Elev CA 15_3 is ass with certain breast CA . C . Blood transfusion should be started
D . Elevated B_HCG is associated with certain immediately .
testicular cancer . D . Peritoneal lavage is contraindicated .
E . Elevated CA 19_9 is associated with E . Splenectomy is not a routine management
pancreatic cancer . for all types of Splenic injuries .

‫ اسبمه الخزاعله‬: ‫الدكتور‬ ‫اسئلة الجراحة العبمه‬

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* Which of the following is true regarding the * One of the following is not a complication of
femoral pulse ? gallstones ?
A . It is usually felt at the midpoint of inguinal A . Intestinal obstruction
ligament . B . Mucocele .
B . The femoral nerve is medial to the femoral C . Acute cholycystitis .
pulse . D . Liver cirrhosis .
C . The femoral pulse is lateral to the deep E . Pancreatitis .
inguinal ring .
D . The femoral pulse is felt at the mid * Which of the following statements is true
inguinal point . concerning Meckels diverticulum ?
E . A Radio_femoral delay is usually felt in aortic A . It's found within 2 inches of the ileocecal
stenosis . valve .
B . It's a remnant of the embryonic vitelline
* Which of the following is not true regarding duct .
sepsis ? C . Ectopic colonic epithelium is found in it .
A . Tachycardia and / or tachypnea may be a D . Diagnosis is best made by CT_ scan .
sign . E . It's usually found on the mesentric border of
B . Sepsis is defined as systemic inflammatory the bowel .
response syndrome in the presence
of infection . * A 34 years old male patient presented after
C . Leukocytosis or leukopenia may be a sign . being in RTA with severe shortness of breath .
D . Sepsis and hypotension is defined as Examination revealed a deviated trachea to the
septic shock . left side . Absent breath sounds on the right side
E . Temperature greater than 38 or less than 36 of the chest . The best initial management option
may be a sign . for this patient is ?
A . Intubate the patient .
* Regarding the oxygen dissociation curve , one B . Insert a chest tube on the right side .
is true ? C . Do a chest X_Ray then manage accordingly .
A . Is shifted to the left by increase 2.3 _ DPG . D . Insert a needle thoracostomy followed by
B . Is Sigmoid shape for both hemoglobin and a chest tube in the right side of chest .
myoglobin . E . Insert 2 large bore cannulas and give 1 liter of
C . Is shifted to the left when one ascends to high ringer lactate .
altitude .
D . Is shifted to the right by an increase in the PH * All of the following are true regarding colon
E . Is ideally 50% saturated at a PO2 of 28 cancer except ?
mmhg A . It's the second most common cause of cancer
related death in Jordan .
* One of the following passes through the aortic B . A ( T1 N1 M0 stage 3 ) tumor is equivalent to
hiatus in the diaphragm ? Duke stage C tumor .
A . Vagal trunks C . A majority of colorectal cancers occur in
B . Right phrenic nerve the descending colon .
C . Thoracic duct D . FAP and HNPCC are two inherited causes of
D . Esophagus colorectal cancer .
E. Branches from left gastric artery E . Patients with primary sclerosing cholangitis
and ulcerative colitis have increased risk of
* A 62 year old male patient presented developing colon cancer .
complaining of bloody diarrhea and cramps , he
has recently been started on Clindamycin for * One of the following is false regarding
septic arthritis . As he is allergic to penicillin . crystalloid solutions ?
Which of the following is the most likely diagnosis A . Osmolarity of RL solution 273 mosm L .
A . Campylobacter jujeni diarrhea . B . Ringer lactate contain 154 meq/L sodium .
B . Pseudomembranous colitis . C . Readily pass through semi _ permeable
C . Salmonella typhi diarrhea . membrane , therefore they are considered
D . Rectal cancer . extravascular space expanders .
E . Hemorrhoids . D . Have poor capillary perfusion and no allergic
reaction and short intravascular half life 20_30 m
E . Hartmann solution , 0.9% NaCl solution , 5%
Dextrose in water are isotonic crystalloid
solutions .

‫ اسبمه الخزاعله‬: ‫الدكتور‬ ‫اسئلة الجراحة العبمه‬

Page 5
* How much calories per liter in D_Dextrose 5% ? * A patient has the following ABG , PH = 7.56 ,
A . 150 PCO2 = 50 mmhg , PO2 = 85 mmhg , HCO3 =
B . 170 40 meq/L . What is the acid base abnormality ?
C . 180 A . Uncompensated metabolic alkalosis .
D . 200 B . Respiratory acidosis with metabolic
E. 250 compensation .
C . Combined metabolic and respiratory alkalosis
* A 66 years old woman falls fracturing the D . Metabolic alkalosis with respiratory
surgical neck of humerus . Sex months later she compensation .
is unable to abduct her arm's above her hand . E . Mixed respiratory and metabolic alkalosis .
Most likely nerve injury ?
A . Median nerve * Most common thyroid tumor that spread via
B . Radial nerve . lymphatics ?
C . Ulnar nerve A . Follicular
D . Axillary nerve B . Anaplastic
E . Musclo_cutaneous nerve C . Medullary
D . Papillary
* A 45 years old female found to have wasting of E . Lymphoma
intrinsic muscle , of the hand , weakness and
pain in the wrist , most likely nerve injury ? * All of the following are causes of blood stained
A . Ulnar nerve nipple discharge except ?
B . Radial nerve A . Intraductal papilloma
C . Median nerve B . Carcinoma
D . Axillary nerve C . Ductectasia
E . Thenar and hypothenar nerves D . Fibrocystic disease
E . Fat necrosis of breast
* The following causes of Hypercalcemia except
A . Sarcoidosis * Which of the following pathologies is thought to
B . Primary hyperparathyroidism have no malignant potential ?
C . Acute pancreatitis A . Ulcerative colitis
D . Metastasis bronchial carcinoma B . Villous adenoma
E . Milk Alkali syndrome C . FAP
D . Hyperplastic polyps
* What is the most likely diagnosis in a 45 year E . Crohn disease
old male patient with HTN , development of facial
hair and 7cm suprarenal mass ? * Which of the following vaccines are live ?
A . Myelolipoma A . H influenza type B
B . Cushing disease B . Diphtheria
C . Adrenocortical adenoma C . OPV
D . Pheochromocytoma D . Hepatitis B
E . Carcinoid tumor E . H influenza A

* 60 kg woman involved with extensive burns . * One of the following is true regarding the
On physical exam found to have pink to red skin electrolyte concentration in Hartmann solution ?
colour , slightly swelling and pain , dry skin on the A . Chloride 200 mmol/L
head . Her left arm and leg have dry white B . Lactate 70 mmol/L
painless burns and her anterior torso has C . Sodium 131 mmol/L
Erythematous painful burns with blistering. How D . Potassium 40 mmol /L
much fluid she require ? E . Calcium 15 mmol/L
A . 2500 ml
B . 10800 ml * All are true regarding Heparin except ?
C . 8640 ml A . It's heterogeneous mixture of sulfated
D . 12960 ml polypeptides .
E . 17280 ml B . Potentiates the actions of antithrombin 3 .
C . Has a half life of a 90 minutes .
D . Can be reversed by protamine sulphate .
E . Can induce an idiosyncratic
thrombocytopenia .

‫ اسبمه الخزاعله‬: ‫الدكتور‬ ‫اسئلة الجراحة العبمه‬

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