Quiz: Final 2022

1. Which of the following statements regarding antibiotics in surgical infections is not true?

A a- Tetracycline is a bactericidal antibiotic B b- Flucloxacillin is useful in treating community-acquired staphylococcal Infections. C c- Cephalosporins are not effective against Streptococcus faecalis.. D d- Vancomycin is effective against both MRSA and Clostridium difficil

2. Treatment of paronychia include which of the following

A a- Puncture of the nail. B b- Incision and drainage C c- Elevation of the nail from the nail plate D d- None of the above

3. Involution of hemangioma occur in 50% of children at the age of

A a- 6 months B b- One year C c- 2 years D d- 5 years

4. Regarding burn in children which of the following is true

A a- The majority are chemical and electrical B b- Scalds are the commonest C c- Hot water thermostat at 60 c is useless D d- 10% burn need no resuscitation

5. Prevention of infection include all of the following except?

A a- Prevention of cross contamination B b- Rise of WBC is a sign of infection C c- Swab culture should not show any growth D d- Antibiotic should be given according to culture and

6. The first cell to migrate into the wound are

A a) Macrophage B b) T lymphocyte C c) Polymorphnuclear leucocytes D d) Fibroblasts

7. A girl with large keloid at the ear pinna undergo excision. What is the next step?

A a- Surgical resection is sufficient B b- Pressure C c- Intralesional corticosteroids D d- Radiation therapy

8. Which of the following is incorrect as regards malignant tumor?

A a- Character of malignant cell is invasion B b- Insitu cancer lies above the basement membrane C c- Invasion involve adhesion, motility and proteolysis D d- E cadherin molecule increase the invasion

9. Which of the following tumor marker -disease association is not correct?

A a- PSA and prostatic cancer B b- CEA and colon cancer C c- CA19-9 and pancreatic cancer D d- AFP and breast cancer

10.which of the following is true about inguinal and femoral hernia?

A a- inguinal hernia is more common in women than men B b- femoral hernia is commoner than inguinal hernia C c- inguinal hernia is felt below and lateral to the pubic tubercle D d- complications are more common in femoral hernia than inguinal hernia

11.H-HIV positive patient suffering odynophagia and weight loss because he is afraid to eat. Which of the following is true regarding his condition?

A a- Esophagectomy is the treatment of choice B b- Cancer is the main cause C c- c- Endoscopy is not useful D d- Candida is the most common

12. 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

13.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 all patients

14.A 34 years old female with bloody discharge from the nipple with underlying nodule and normal mammogram. What is the most likely diagnosis?

A a- Breast cyst B b- Intraductal papilloma C c- Intraductal carcinoma D d- Carcinoma in situ

15.Which of these is most accurate regarding the presentation of inflammatory breast cancer?

A a- Axillary adenopathy is always present B b- Inflammatory breast cancer is known to present with a rapidly enlarging C c- erythematous breast without an underlying mass D d- c. Breast color change is usually blue-to-black when it occurs

16.How frequently does the epidermis typically regenerate?

A a) 1-3 weeks B b) b- 4-6 weeks C c) C- 7-9 weeks D d) 10-12 week

17.Failure of the heart to pump effectively causes the following type of shock

A a- Anaphylactic B b- Cardiogenic C c- Hypovolemic D d- Septic

18.The skin is warm and dry in the following type of shock

A a) Cardiogenic B b) Hypovolemic C c) Neurogenic D d) Obstructive

19.The acid base balance which commonly accompanies shock is

A a- Metabolic acidosis B b- Metabolic alkalosis C c- Respiratory acidosis D d- Respiratory alkalosis

20.Mucoepidermoid carcinoma is the most common salivary gland cancer. Which of the following statements about malignant salivary gland tumors is true?

A a) They are usually painless. B b) they are more common than benign salivary gland tumors C c) They are well-circumscribed. D d) Treatment is with chemotherapy..

21.Which of the following is one of the borders of the femoral ring?

A a) Medial edge of the rectus muscle B b) Femoral artery C c) Iliopubic tract D d) Septum femorale

22.The lowest incidence of recurrence of inguinal hernia after

A a- Basini repair B b- Shoudice repair C c- Vay repair D d- Macry repair

23.Potassium deficiency should be suspected

A a- in cases of paralytic ileus B b- when the patient's reflexes are exaggerated C c- if there is an increase in height and peaking of the T waves of an ECG D d- in alkalotic states

24.Massive blood transfusions may be complicated by

A a) Hyperkalemia B b) Hypercalcemia C c) hepatic coma D d) leucopenia

25.The principles of wound care include

A a- early skin cover B b- removal of foreign material C c- routine administration of antibiotics D d- layered apposition of uninfected wounded tissues

26.Oral squamous cell carcinoma with worst prognosis involves:

A a) lip B b) floor of the mouth C c) tongue D d) hard palate

27.Which of the following head and neck region cancer has the highest risk of lymph node metastasis:

A a- Salivary gland tumors B b- Sarcomas C c- Squamous cell carcinoma D d- All have similar risk

28. A 25-year-old woman presents to the emergency room complaining of redness and pain in her right foot up to the level of the midcalf. She reports that her right leg has been swollen for at least 15 years, but her left leg has been normal. On physical examination, she has a temperature of 39 C (102.20F). The left leg is normal. The right leg is not tender, but it is swollen from the inguinal ligament down and there is an obvious cellulitis of the right foot. The patient's underlying problem is

A a) Popliteal entrapment syndrome B b) Acute arterial insufficiency C c) Primary lymphedema D d) Deep venous thrombosis

29.A 55-year-old man with recent onset of atrial fibrillation presents with a cold, pulseless left lower extremity. He complains of left leg paresthesia and is unable to dorsiflex his toes. Following a successful popliteal embolectomy, with restoration of palpable pedal pulses, thepatient is still unable to dorsiflex his toes. The next step in management should be;

A a) Electromyography (EMG( B b) Measurement of anterior compartment pressure C c) Elevation of the left leg D d) Immediate fasciotomy

30.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

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