1) All of the following have been associated with H. pylori infection except:

2) Biliary colic:

3) Helicobacter pylori:

4) The inability to pass a collection of hard stool:

5) Before performing an abdominal examination, the examiner should:

6) “Bell Clapper” is another term used to describe which of the following abnormalities?:

7) Rebound and percussion tenderness, Guarding; Roving’s sign = Pain > in RIF than LIF when LIF is pressed, PR painful on right; Tender mass (occasionally) in RIF, Tachardia, Fever, Lying still, coughing hurts, shallow breaths.:

8) Rebound tenderness. Abdominal is compressed at Mc.Burneys point, and when release of pressure , pain is felt. :

9) In elderly patients the most frequent cause of obstructive bowel obstruction is:

10) Epileptiform convulsion may be a cause. For each description below, select the type of
fracture or dislocation with which it is most likely to be associated.:

11) Luxatio erecta:

12) What is the basic clinical signs of traumatic posterior shoulder dislocation?:

13) In ischiatic dislocation of HIP:

14) Posterior dislocation of the shoulder is characterized by:

15) Ultrasound carries the diagnosis of extrahepatic obstruction causing jaundice if:

16) Pressing the abdomen at Mc Burney’s point and then rapidly released, the patient may increase in pain, is:

17) Treatment of fracture clavicle in an infant is best treated by:

18) A patient has a higher risk of peptic ulcer disease (PUD) if they are a chronic user of:

19) Asymptomatic scrotal swelling, often bilateral, and sometimes with a blueish discolouration.
Contains peritoneal fluid.:

20) The prostate gland…:

21) A male infant is presented in two months by his parents who have discovered a mass in the
inguinal region of very recent appearance, a little painful. I tis irreducible to the abdomen; one
does not feel well at the upper pole of the inguinal ring, it is transillumination. The testicle is
seen below this mass. What diagnosis do your call?:

22) A 42 yo male came to you because of painless swelling, in the left testis, he gives Hx of mild
trauma few days earlier. Swelling is cystic, involving testis only and is not transilluminatable.
Diagnosis is :

23) What’s the Hippocratic method? :

24) The shoulder joint is composed of bones except:

25) What is a symptom of Breast Cancer?:

26) Which of the following ovarian tumor is most prone to undergo torsion during pregnancy?:

27) Spread person to person by fecal-oral route:

28) Invasive with endoscopy or noninvasive with urease breath test or ammonia breath test and
detection of H. pylori antibodies in saliva:

29) Epigastric pain without radiation, post-prandial late, cramping, punctuated in the day, speaks
first:

30) A fracture of the middle 1/3 of the clavicle:

31) A patient who has had a swollen, nontender scrotum for one week is found to have a mass
within the tunica vaginalis that transilluminates readily. The family nurse practitioner suspects:

32) Large scrotum cold called chronic suggest following diagnoses:
1 – Vaginal haematocele
2 – Vaginal hydrocéie
3 – Testicular Cancer
4 – Varicocele
5 – Strangulated inguinal hernia

33) A prostatic adenoma can be revealed by all the below except:

34) What US findings are suggestive of acute appendicitis?:

35) Internal fixation of the clavicle fracture is obtained (achieved) by:

36) The aim sign of large bowel obstruction:

37) The most frequent localisation of tumors which are complicated by oobstructive bowel obstruction is:

38) A boy fell down from a tree and has a fracture of neck of humerus. He can not raise his arm
because of the involvement of:

39) Which of the following fractures is most commonly seen in healthy bones subjected to violent
falls?:

40) The adenoma of the prostate:

41) Which of the following is a TRUE statement regarding benign prostatic hyperplasia?:

42) Middle 1/3:

43) Nursemaid’s Elbow:

44) Move the patient’s legs the pain felt in the right iliac fossa on extension of the hip, and the right hip flexed for pain relief is:

45) Stones in the kidneys are termed:

46) In an uncomplicated dislocation of the glenohumeral joint, the humeral head usually
dislocates primarily in which of the following directions?:

47) The diagnosis of acute appendicitis is most difficult to establish in:

48) What of the following factors, which is usually considered as predominant in the mechanism of
onset of ulcers stomach?:

49) Following abdominal surgeries, trauma, mesenteric ischemia, or infection:

50) Also known as cryptorchidism:

51) The most common area for volvulus is:

52) Among these propositions concerning the usual spontaneous evolution of the functional cysts
of the ovary, which seems to you the most constantly exact?:

53) Sam Ath is admitted to the hospital with a possible diagnosis of appendicitis. On physical examination, the nurse should be looking for tenderness on palpation at McBurney’s point, which is located in the :

54) Cholangiogram:

55) Regarding a midshaft fracture of the clavicle:

56) What is the position of lower limb in pubic dislocation of hip:

57) A hydrocele develops between:

58) Which of the following is not seen in undescended testis?:

59) A follicular cyst forms . . .?:

60) What kind of bacteria is H. Pylori?:

61) The most common fatal complication of chronic peptic ulcer of the stomach is:

62) A14-year-old boy presents with sudden onset of pain and swelling of his right testicle. There
was no history of trauma, he is not sexually active, and denies any history of penile discharge.
On examination, the scrotum is swollen and tender. The cremasteric reflex is absent. A testicular
flow scan shows a “cold spot” or absent flow to the affected side. Which of the following is the
most likely cause?:

63) Which of the following, the three most common complications after surgery for peritonitis? :
1. Small bowel fistula.
2. Abscess cul-de-sac.
3. Postoperative occlusion.
4. Gastrointestinal bleeding.
5. Parietal suppuration.

64) Cause of hydrocele in infants:

65) A client comes into the clinic for a routine breast and axilla exam. Which assessment
technique does the nurse use first during this examination?:

66) The erectal dislocation of the shoulder is a dislocation:

67) In men with benign prostatic hyperplasia, the signs of obstructive syndrome are dysuria and:

68) Among the etiological factors include, what are the two which appear currently the most
important in terms of gastric ulcer?:

1. Heredity
2. Tobacco
3. Stress
4. NSAIDs or aspirin
5. Helicobacter pylori infection

69) A hydrocele is defined as an abnormal fluid collection between the:

70) Stones in the bladder are termed:

71) Complications of Peritonitis:

72) A common temporary benign enlargement of the male breast is ____.:

73) The incorrect statement about anterior dislocation of the shoulder joint is that:

74) Dunphy’s sign:

75) With regard to benign gastric ulceration, the most common location of disease is which of the
following?:

76) What are the indications for surgery for broken collarbone?:

77) Hydrocele is a which type of cyst:

78) Dislocation of shoulder is more common than dislocation hip due the following causes:

79) Which of the following are the two most important things women can do to lower their risk
for breast cancer?:

80) The most helpful diagnostic radiographic procedure in small bowel obstruction is:

81) A 25-year-old female has a unilateral ovarian cyst measuring 6 to 7 cm in diameter. On
ultrasound, it is anechoic. This may be one or more of the following:

82) Antibiotics, proton pump inhibitor, and bismuth.:

83) Among the following bacteria, one of which is frequently associated with gastritis. Which is it?:

84) Forceful abduction, extension and external rotation of the shoulder usually during over-head
activities ( humerus comes to rest under the corocoid process):

85) Anterior dislocation (occur 95% of time):

86) What is not true about fracture surgical neck of humerus?:

87) Pain felt in the right iliac fossa when you press deeply in his left iliac fossa is:

88) Regarding small bowel obstruction

89) Twisting of the spermatic cord upon itself is a predisposing factor of which of the following
abnormalities?:

90) Limb shortening with adduction and internal rotation occurs in which type of hip
dislocation:

91) Gallstones develop when the balance that keeps cholesterol, bile salts, and calcium is altered so
that precipitation of these substances occurs. Infection and disturbances in the metabolism of
cholesterol may cause this.:

92) Peritonitis signs:

93) When the abdominal muscles become rigid in an effort to protect the abdomen from further irritation, this is referred to as:

94) Which of the following conditions does not predispose to urolithiasis?:

95) Dislocation of the shoulder is most often:

96) An anechoic structure arising from the rete testes describes which of the following
structures?:

97) Complications of fracture of proximal humerus include:

98) The surgical treatment of a choledochial lithiasis that has migrated from the gallbladder outside
acute episodes of acute infection (angiocholitis, acute cholecystitis) can only be performed on one
of the following procedures:

99) A tongue of peritoneum that precedes the migrating testes through the inguinal canal:

100) Surgical placement of the testes in the scrotum:

101) Gallbladder duct inflammation, Caused by the migration of gallbladder stones:

102) There may be a pneumoperitoneum in perforation of all the following locations, except one,
which one?:

103) Only humans:

104) Where is the appendix located in the body?:

105) A patient presenting with acute abdomen is being examined. On palpation of Right
hypochondrial region, there is pain on deep inspiration and the patient catches breath. The
diagnosis is probably:

106) Necrosis and rupture of ovary:

107) Appendix shows the histology of the necrotic area, images of vascular thrombosis, an inflammatory infiltrate small. They are:

108) The observation (finding) of following signs must think at BPH, except one, which?:

109) A 22 years old man has had a constant swelling in his testicle for the past 2 years. There is no
pain, fever or tenderness. It is brilliantly transilluminant and is not palpable separately from the
testicle. The cord is uninvolved. What is the most likely diagnosis?:

110) When should you start CBE (Computer-Based Exam)?:

111) Helicobacter pylori causes :

112) Which of the following statement is/are true concerning the solubilization of cholesterol in bile?:

113) The prostate gland is located where in your body?:

114) Which of the following types of cysts most commonly ruptures?:

115) Which of the following most often initiates the development of acute appendicitis?:

116) A cystic translucent mass above the testicle is probably a:

117) What is the position of lower limb in pubic dislocation of hip:

118) Concerning fracture of the shaft of the clavicle, it is untrue that it:

119) Occlusion in strangulation of the small intestine:
1. The pain syndrome begins abruptly.
2. The central abdominal bloating.
3. Vomiting is early and abundant.
4. The infectious syndrome is important from the outset.
5. The cul de sac (uterorectal or vesicorectal pouch) is painful at rectal examination.

120) BPH can complicate of:

121) The commonest site of fracture clavicle caused by indirect trauma in form of fall on
outstretched hand is:

122) Greater tuberosity fracture (simple or fissure) is treated by:

123) In the Demongs-Meigs syndrome, all but one of these propositions can be found. Which?:

124) Which of these findings in the breast of a patient who is suspected of having breast cancer
would support the diagnosis?:

125) Handling of intestines during abdominal surgery causes it to lose function Electrolyte disturbances-especially hypokalemia; Peritonitis, intestinal ischemia/ lack of blood to intestines.:

126) Fever, Tachycardia, RUQ or epigastric tenderness, Guarding or rebound, Murphy sign, Palp
gallbladder or RUQ fullness ~40%, Jaundice ~15% of patients.:

127) What is the position of lower limb in obturator dislocation of hip:

128) You should talk your doctor about shoulder injury if:

129) General treatment policy of acute peritonitis is:

130) Chemical Causes of Peritonitis:

131) Mr. Sok, 19 y/o, is being admitted to a hospital unit complaining of severe pain in the lower abdomen. Admission vital signs reveal an oral temperature of 101.2 0F. The doctor ordered for a complete blood count. After the test, Nurse Sokha received the result from the laboratory. Which laboratory values will confirm the diagnosis of appendicitis? :

132) Surgery for correction of cryptorchidism is best done before?:

133) In patients who have an inappropriately high attachment of the tunica vaginalis, the testicle
can rotate freely on the spermatic cord within the tunica vaginalis. This congenital anomaly is
called the;:

134) Gastric juices/bile/pancreatic/blood/urine:

135) The adenoma of prostate:

136) Which of the following is true of Spontaneous bacterial peritonitis?:

137) A passenger presents severe abdominal pain by moving crisis amid ongoing pain, and vomiting with lost materials and gases. The review shows that you practice a distended abdomen without contracture. You think:

138) Which is most likely to lead to a shoulder injury?:

139) Peritonitis produces bowel sounds that are:

140) The bayonet is:

141) Which of the following position should the client with appendicitis assume to relieve pain?:

142) Pain in the hypogastrium when internal rotation of the hip is :

143) With respect to gallstones:

144) A client is admitted with right lower quadrant pain, anorexia, nausea, low-grade fever, and elevated white blood cell count. Which complication is most likely the cause?:

145) The complication of fracture of the clavicle gives skin emphysema by:

146) Regarding fractures of the proximal humerus.:

147) Most common complication of Anterior dislocation of shoulder is:

148) Paralytic or adynamic, ileus is what kind of obstructions?:

149) Which item has no effect on the risk of breast cancer?:

150) After thorough inspection of the abdomen, the next assessment step is:

151) What does urease do?:

152) A clinical examination of a patient with uncomplicated peptic ulcers:

153) In shoulder dislocations, the humeral head usually dislocates primarily in which of the
following directions:

154) Who is most likely to develop appendicitis?:

155) Who most likely to get a shoulder injury?:

156) What is clinical presentation of peritonitis?:

157) The commonest type of dislocation of the hip joint is:

158) Which of the following isn’t a complication of peptic ulcer disease?:

159) Lower fiber:

160) Caused by obstruction of common bile duct, Jaundice, pain and possible liver damage.:

161) Hyper abduction of the arm force the humeral head to lodge against the acromion. or from
direct axial loading down the shaft of the humeorus while abducted.:

162) During the breast exam, the nurse palpates a series of lymph nodes. Why is this a part of the
breast exam?:

163) Complication of appendicitis:

164) When teaching a 22-year-old patient about breast self-examination (BSE), the nurse will
instruct the patient that:

165) As part of a generalized acute peritonitis in young patients, regardless finding on clinical
examination alone is an indication formal operational?:

166) Risk factors for breast cancer include?:

167) What is/are among the following radiological elements which permit to diagnose a small gut
obstruction on erect film (APF)?:

168) The combination hydrothorax + ovarian tumor + ascites makes you evoke the diagnosis of:

169) Most common bone to fracture in body is:

170) Increasing abdominal tenderness or rigid, board like abdomen:

171) Before a bowel obstruction which is on the item for a small bowel obstruction due to
strangulation?:

172) Shenton line is broken in all of following except:

173) If a patient reports a recent breast infection, then the nurse should expect to find _____ node
enlargement.:

174) A 30-year-old victim of road traffic accident was brought at the casualty with hip flexed,
adducted, internally rotated and limb is shortened, the likely diagnosis is:

175) Ladder step deformity characteristic of fracture clavicle is:

176) Stones in the ureters are termed:

177) Cryptorchism is associated with an increased risk in developing:

178) Among the clinical forms of peritonitis following, which gives a pneumoperitoneum?:

179) Which of the following laboratory results would be expected in a client with peritonitis?:

180) Prostate growth is stimulated by which of the following hormones?:

181) Bile:

182) Which of the following statements relate to the ovarian dermoid cysts, except one? :

183) A fecal impaction is a solid, immobile bulk of stool that can develop in the rectum as a result of
chronic ________.:

184) Landing forcefully on an internally rotated outstretched hand:

185) A complication of benign prostatic hyperplasia includes:

186) What is volvulus?:

187) Obstruction of small intestine by a large gallstone:

188) The rectal examination at a man carrying a typical BPH can feel:

189) A doctor can usually detect an enlarged prostate by…:

190) Sudden onset of severe scrotal pain in an adolescent patient is most suspicious for:

191) The main mechanism of urine leakage during the course of an unoperated adenoma is:

192) The obstructive and irritative symptom complex caused by benign prostatic hypertrophy is
termed:

193) Among the following propositions concerning the liver colic crisis, one is inaccurate. Which?:

194) McBurney Point is located ________:

195) Lower back pain, pelvic pain, abnormal bleeding:

196) Urease, flagella, adhesins, mucinase, vauolating toxin, neutrophil activation protein, LPS,
superoxide dismutase and catalase, and PAI:

197) Most common site of fracture of the clavicle is:

198) May be vague: Epigastric fullness or mild gastric distress after large or fatty meal:

199) Best Method Of Investigation of Gall Stone is:

200) What are the key virulence factors of H. pylori? Why?: