Quiz: Final 2023

1- The parents of a 1-year-old boy report that he has begun to experience i pain in his ankles and knees since beginning to walk. His laboratory results are all normal except for a prolonged of PTT. His APTT mixing studies revealed inmediate and 2-h incubated mix correction. What is the next step?

A a) Perform a platelet aggregation study B b) Assay coagulation factors VIII and IX C c) Assay coagulation factors XII D d) Test for a lupus anticoagulant (LA)

2- A 29-year-old man seeks medical attention on returning from a camping holiday in. He sustained a bite wound to his left hand 4 days previously from a wild dog he had tried to feed by hand. He has not seen any other healthcare professionals. He is concerned about the risk of rabies. He has received a full course of tetanus vaccinations and the wound looks clean and dry. What intervention is required?

A a) Wound debridement and washout B b) Topical povidone-iodine C c) Five doses of rabies vaccine days 0, 3, 7, 14,28 D d) Human rabies immunoglobulin infiltrated into the wound

3. Excess potassium ions are eliminated from the body by the

A a) sweat glands. B b) kidneys C c) Liver D d) digestive system

4- Which one of the following options represents potential complications of enteral nutrition?

A a- Osteoporosis B b- Diarrhea and cholestasis C c- Constipation D d- Aspiration

5- Sear constriction is facilitated by

A a) Macrophage B b) Fibroblast C c) Neutrophils D d) Granuloma formation

6- The longest phase of wound healing is

A a) Inflammatory B b) Remolding C c) Hemostasis D d) Regeneration

7. During shock we notice all of the following except:

A a) Subnormal temperature B b) Hypertension C c) Tachycardia D d) Tachypnea

8. Steroids play role in management of:

A a- Traumatic shock B b- Septic shock C c- Hemorrhagic shock D d- Cardiogenic shock

9- Donated blood undergoes screening for which diseases?

A a. HIV B b. Viral hepatitis C c. Syphilis D d. all of the above

10- Which of the following is false in adult burn?

A a) Electrical and chemical burn are common B b) Scald is common than flame burn C c) Alcohol problem are common D d) Multidisciplinary team is required

11- Other than a breast lump, which is the most common symptom of breast cancer?

A a- Weight loss B b- Breast skin abnormalities C c- Nipple abnormalities D d- Back pain

12- A 50 years old waitress inquiry about that implicated of positive estrogen (ER) an invasive carcinoma that is excited from her left breast. They should have informed of what

A a- They are more often positive inpatient under 50 years old B b- If the receptor is positive, anti-estrogen ant estrogen therapy is not indicated C c- Good prognosis with positive estrogen receptor D d- ER and progesterone receptor should be determined in

13- Patients with duplex US confirmed deep vein thrombosis of the calf

A a) Can expect asymptomatic recovery if treated promptly with anticoagulants B b) May be effectively treated with low-dose heparin C c) May be effectively treated with pneumatic compression stockings D d) Are at risk for significant pulmonary embolism

14. As regards preoperative fasting all the following are true except

A a) Clear fluids are allowed 2 hours before surgery B b) Milk is allowed 3 hours before surgery C c) Opioids increased gastric emptying time D d) GERD increase incidence of aspiration

15. Which of the following is true as regard patient with respiratory diseases

A a- Antibiotic course should be given B b- Stopping of smoking have little benefit C c- Regional anesthesia is better D d- Corticosteroids have no role

16-A 48-year-old hairdresser presents with pain and swelling of bis ring finger for 4 days On examination, there is redness hotness and generalized tenderness along the entire digit. Passive extension of the digit triggers excruciating pain

A a- Acyclovir B b- Intravenous antibiotics, splinting and elevation C c- Closed tendon sheath irrigation D d- Continuous closed tendon sheath irrigation from the wrist (proximal) to the distal Interphalangeal joint (distal

17- Shock in Ludwig's angina occur due to

A a) Sepsis B b) Respiratory obstruction C c) cavernous sinus thrombosis D d) Vasovagal attack

18-Hyperbaric oxygen is indicated in

A a) Obstructive Lung diseases B b) Submandibular abscess C c) Cardiac failure D d) None of the above

19- Which of the following is the most common site of distant metastasis from head and neck cancers?

A a) Bone B b) Lung C c) Thyroid D d) d- Liver

20- Which of the following fit in the criteria for a good candidate for sentinel lymph node biopsy (SLNB) breast cancer?

A a- Tumor diameter of less than 2 c B b- Axillary swelling C c- obvious metastatic disease D d- Mastitis carcinoses

21- Prophylactic regimens of documented benefit in decreasing the risk of postoperative thromboembolism include except.

A a- Early ambulation B b- External pneumatic compression devices placed on the upper extremities C c- Elastic stockings D d- Leg elevation for 24 h postoperatively

22- Smoking is associated with decreased

A a- Lung cancer B b- Colonic carcinoma C c- Cholangiocarcinoma D d- Endometrial carcinoma

23- Absolute contraindications for Breast Conserving Surgery are all except

A a. Central mass B b. Prior radiotherapy to the breast or chest wall C c. -malignant appearing micro calcifications D d. Genetic positive

24- The t-lymphocytes and B lymphocytes are the major cells of the Lymph nodes

A a- Lymph node B b- Lymphatic vessels C c- cthyroid D d- Thymus

25- the thoracic duct of the lymphatic system pours its contents into the

A a- Aorta B b- Lt Subclavian vein C c- Internal jugular veins D d- Right auricle

26-You suspect that your patient has an enlarged submandibular salivary gland. You expect the enlarged gland

A a) to be palpable intraorally B b) to be palpable extra orally C c) to be palpable both intra- and extra orally. D d) only to be detectable by radiographical examination

27- Which of the following types of hernias account for 75% of all abdominal hernias

A a- Femoral B b- Incisional C c- Inguinal D d- Umbilical

8- According to the Nyhus classification system that categorizes hernia defects by location, size, and type, type IIIC represents:

A a) Indirect hemia; internal abdominal ring normal; typically, in infants, children, small adults B b) Direct hernia, size is not taken into account C c) Recurrent hernia; modifiers A-D are sometimes added, which correspond to indirect, direct, femoral, and mixed D d) Femoral hernia

29- which of the following is false for leg ulcers?

A a- Venous ulcer constitutes about 60% of leg ulcer causes B b- Venous hypertension is a cause C c- Arterial causes are not present as a cause of leg ulcers ischemic ulcer D d- Malignancy due to long standing ulcer should be suspected

30-Interpretation of trendelenburg's test said to be positive/positive what does it mean?

A a- Competent saphenofemoral /competent perforator B b- DVT C c- incompetent saphenofemoral /competent valves D d- Competent saphenofemoral incompetent valves

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