Sugical Pathology Test 0% 0 votes, 0 avg 418 You will have 60 minutes to complete all the questions. After the timer reaches 60 minutes, the exam will end and be saved automatically. Good luck! *Fingers crossed* The timer has been reached. The exam has now been terminated and saved. Surgical Pathology Test 1 / 60 Obstruction of small intestine by a large gallstone: a. Gallstone ileus b. Cholangitis c. Cholestyramine (Questran) d. Bile reflux 2 / 60 The observation (finding) of following signs must think at BPH, except one, which?: a. Terminal haematuria. b. Initial dysuria. c. Weak urine stream. d. Imperious micturition. e. A pollakiuria. 3 / 60 Dislocation of shoulder is more common than dislocation hip due the following causes: a. Shallowness of the glenoid cavity. b. Trauma of the shoulder is more common. c. Lack of support by strong muscles. d. Laxity of the capsule of the shoulder joint. e. All the above f. Wide range of movements of the shoulder. 4 / 60 Ladder step deformity characteristic of fracture clavicle is: a. Dislocation of sternoclavicular joint gives ladder step deformity. b. Lateral fragment is displaced foreword while medial is displaced backward. c. Dislocation of acromio-clavicular joint. d. Medial fragment is displaced downward below lateral fragment. e. Lateral fragment is displaced downward & foreword by weight of the upper limb while medial fragment is displaced upward & backward by spasm of the sternomastoid muscle. 5 / 60 There may be a pneumoperitoneum in perforation of all the following locations, except one, which one?: a. Stomach. b. Third duodenum. c. Appendix. d. Ileum. e. Sigmoid colon. 6 / 60 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: a. Serous cyst b. None the above c. All the above d. Functional cyst e. Mucus cyst 7 / 60 Pain in the hypogastrium when internal rotation of the hip is : a. Rovsing's sign. b. The obturator sign. c. The psoas sign. d. Blumbert’s sign e. The pointing sign. 8 / 60 BPH can complicate of: a. Inability to control urine by overflow. b. Renal failure. c. Acute retention of urine with bladder distension. d. All of the above e. None of the above 9 / 60 When teaching a 22-year-old patient about breast self-examination (BSE), the nurse will instruct the patient that: a. BSE will reduce the risk of dying from breast cancer. b. Performing BSE right after the menstrual period will improve comfort. c. Annual mammograms should be scheduled in addition to BSE. d. BSE should be done daily while taking a bath or shower. 10 / 60 A doctor can usually detect an enlarged prostate by…: a. All of the above b. Rectal exam c. Visual diagnosis d. Urinalysis 11 / 60 Urease, flagella, adhesins, mucinase, vauolating toxin, neutrophil activation protein, LPS, superoxide dismutase and catalase, and PAI: a. Urease b. Virulence factors of H. pylori c. Vacuolating toxin d. Mucinase 12 / 60 Shenton line is broken in all of following except: a. Tom Smith arthritis. b. Posterior dislocation of hip c. Impacted fracture of femoral neck d. Pathological dislocation of hip e. Congenital dislocation of hip 13 / 60 Antibiotics, proton pump inhibitor, and bismuth.: a. Reservoir of H. pylori b. Flagella of H. pylori c. Treatment of H. pylori d. Gram Stain of H. pylori 14 / 60 Nursemaid’s Elbow: a. Medial condylar apophysitis Avulsion Ulnar collateral ligament strain Lateral structures compressed Caused by repetitive valgus stress b. Complication of elbow dislocation or supracondylar fracture Damage to brachial artery which supplies finger flexors c. Golfer’s elbow Inflammation of common flexor tendon d. Traction force resulting in radial head subluxation from under the annular ligament 15 / 60 Which of the following isn’t a complication of peptic ulcer disease?: a. Pyloric obstruction b. Pain c. Perforation d. GI bleeding 16 / 60 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: a. Rupture Spleen. b. Cancer Caecum. c. Acute cholecystitis. d. Acute Appendicitis. 17 / 60 Which item has no effect on the risk of breast cancer?: a. Exercise b. Alcohol c. Excess weight d. Preservatives in food 18 / 60 Paralytic or adynamic, ileus is what kind of obstructions?: a. Non mechanical b. Following abdominal surgeries, trauma, mesenteric ischemia, or infection c. Shock and death d. Large and small intestine usually as dramatic. e. In a thin person 19 / 60 Biliary colic: a. Accompany of jaundice. b. Provoke a pain of left hypochondrium. c. Accompany of fever. d. Accompany of respiratory inhibition. e. Reveal of CBD stone. 20 / 60 McBurney Point is located ________: a. In the upper abdomen b. Around the umbilicus c. In the left lower abdomen d. In the right lower abdomen 21 / 60 The most frequent localisation of tumors which are complicated by oobstructive bowel obstruction is: a. Descendant and sigmoid colon. b. Ascendant colon; c. Transversal colon; d. Cecum; 22 / 60 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?: a. Fecalith b. Bowel Kinking c. Internal bowel occlusion d. Abdominal wall swelling 23 / 60 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.: a. Navicular (scaphoid) fracture b. Spiral fracture c. Posterior shoulder dislocation d. Monteggia’s deformity e. Greenstick fracture 24 / 60 If a patient reports a recent breast infection, then the nurse should expect to find _____ node enlargement.: a. Nonspecific b. Inguinal and cervical c. Ipsilateral axillary d. Contralateral axillary 25 / 60 Only humans: a. Treatment of H. pylori b. Reservoir of H. pylori c. Gram Stain of H. pylori d. Diagnosis of H. pylori 26 / 60 Where is the appendix located in the body?: a. In the center of the abdomen b. In the lower right abdomen c. In the upper left abdomen d. In the upper right abdomen 27 / 60 Which of the following are the two most important things women can do to lower their risk for breast cancer?: a. Quit smoking and limit alcohol intake b. Limit alcohol intake and maintain a healthy weight c. Maintain a healthy weight and quit smoking d. Quit smoking and limit red meat intake 28 / 60 Most common site of fracture of the clavicle is: a. Medial end. b. Junction of the medial two-thirds and the lateral third. c. Junction of the lateral two-thirds and the medial third. d. Midpoint of the clavicle. e. Lateral end. 29 / 60 Lower fiber: a. What kind of a diet can induce appendicitis b. What will be positive during an obturator sign c. What is always a secondary liver issue d. What is a good AB choice is appendicitis is likely 30 / 60 The main mechanism of urine leakage during the course of an unoperated adenoma is: a. A destruction of the vesical neck by the adenoma b. Superinfection c. Decrease in urethral pressure d. The existence of chronic bladder distention e. Insufficiency of the striated sphincter 31 / 60 Handling of intestines during abdominal surgery causes it to lose function Electrolyte disturbances-especially hypokalemia; Peritonitis, intestinal ischemia/ lack of blood to intestines.: a. Most common cause of obstruction in people 65 and older b. Most common cause of paralytic ileus (non-mechanical obstruction) c. Best way to treat non-mechanical / partial obstruction d. Postoperative care for minimally invasive stabilization 32 / 60 The adenoma of prostate: a. Is benign tumor which sometime degenerate. b. Is rare after 70 years old. c. Is developed from periurethral gland. d. Manifested often by incontinence of urine. 33 / 60 Before a bowel obstruction which is on the item for a small bowel obstruction due to strangulation?: a. No matter the digital rectal examination. b. The existence of an abdominal scar. c. The absence of fluid levels on radiographs of the abdomen without preparation. d. The permanent nature of the pain. e. The gradual onset of pain. 34 / 60 The commonest site of fracture clavicle caused by indirect trauma in form of fall on outstretched hand is: a. Anywhere. b. Junction of the lateral third with medial two thirds. c. Middle of the clavicle. d. None of the above. e. Junction of the medial third with lateral two thirds. 35 / 60 A traffic accident, with a vicious attitude to the type of internal rotation adduction with leg extension, suggests: a. Fracture of neck of femur b. Iliac dislocation c. dislocation ischial d. pubic dislocation e. Obturator dislocation 36 / 60 General treatment policy of acute peritonitis is: a. Surgical in young patients, conservative in elderly patients. b. Surgical. c. Initial treatment is conservative + surgery for some indications. d. Conservative. 37 / 60 Which of the following statement is/are true concerning the solubilization of cholesterol in bile?: a. Most cholesterol found in bile is the result of excretion from serum. b. Cholesterol is highly soluble in both serum and bile. c. Mixed micelles are the primary transport mechanism for biliary cholesterol. d. Biliary vesicles are composed primarily of biliary phospholipids. 38 / 60 Also known as cryptorchidism: a. Hydrospadia b. Direct hernai c. Varicocele d. Indirect hernia e. Undescended testis 39 / 60 The most helpful diagnostic radiographic procedure in small bowel obstruction is: a. Ultrasonography of the abdomen. b. Supine and erect x-rays of the abdomen. c. Contrast study of the intestine. d. CT of the abdomen. 40 / 60 Which of the following ovarian tumor is most prone to undergo torsion during pregnancy?: a. Dermoid cyst b. Serous cystadenoma c. Theca lutein cyst d. Mucinous cystadenoma 41 / 60 Hydrocele is a which type of cyst: a. Retention b. Exudation c. Distension d. Traumatic 42 / 60 Lower back pain, pelvic pain, abnormal bleeding: a. Cysts on the ovaries are usually malignant. b. Compare signs of non-ruptured ovarian cysts with the signs of ruptured ovarian cyst. c. How soon after removal of an ovarian cyst can a woman resume sexual intercourse d. Common signs of large ovarian cysts 43 / 60 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.: a. Diagnostic Studies for cholelithiasis b. Other causes of cholecystitis c. How do gallstones develop d. Post-Op Care for a Laparoscopic Cholecystectomy 44 / 60 The diagnosis of acute appendicitis is most difficult to establish in: a. Infants younger than 1 year. b. Pregnant women. c. Persons aged 60 and older. d. Women aged 18 to 35. 45 / 60 The prostate gland is located where in your body?: a. At the tip of penis. b. Right next to the kidneys. c. All of the above d. Below the bladder and in front of the rectum. e. None of the above 46 / 60 In an uncomplicated dislocation of the glenohumeral joint, the humeral head usually dislocates primarily in which of the following directions?: a. Medially b. Posteriorly c. Anteriorly d. Laterally e. Superiorly 47 / 60 Complication of appendicitis: a. Peritonitis b. Intestinal obstruction c. Appendicitis d. Phlegmon e. Peritonitis wound care 48 / 60 A fecal impaction is a solid, immobile bulk of stool that can develop in the rectum as a result of chronic ________.: a. Crohn's disease b. Constipation c. Ulcerative colitis d. Irritable bowel syndrome 49 / 60 The most common fatal complication of chronic peptic ulcer of the stomach is: a. Pyloric outlet obstruction b. Acute gastritis c. Pancreatitis d. Perforation and peritonitis e. Adenocarcinoma 50 / 60 With respect to gallstones: a. Gallstone ileus occurs when a gallstone travels through the bile duct into the small bowel and causes an obstruction. b. Most people with gallstones are asymptomatic. c. Mirizzi's syndrome is caused by a stone in the common bile duct. d. Approximately 90% of gallstones are visible on plain abdominal x-ray. e. CT is the imaging modality of choice in diagnosing gallstones. 51 / 60 Epigastric pain without radiation, post-prandial late, cramping, punctuated in the day, speaks first: a. A gastritis b. A hemorrhagic pancreatitis c. A gastroesophageal reflux d. An ulcer pain e. A colic 52 / 60 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: a. Rovsing's sign. b. The pointing sign. c. The psoas sign. d. The obturator sign. e. Blumbert’s sign. 53 / 60 The shoulder joint is composed of bones except: a. The first rib b. The clavicle (collarbone) c. The scapula (shoulder blade) d. The humerus (upper arm bone) 54 / 60 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. a. 1-5-4 b. 2-3-5 c. 1-2-5 d. 1-2-4 e. 1- 4-3 55 / 60 What is the basic clinical signs of traumatic posterior shoulder dislocation?: a. Deformation of the shoulder stump. b. Attitude of arm in irreducible internal rotation c. None of the above signs d. Attitude of arm in adduction e. Attitude of arm in external rotation 56 / 60 The obstructive and irritative symptom complex caused by benign prostatic hypertrophy is termed: a. Prostatism. b. Prostatitis. c. Prostatectomy. d. Prostaglandin. 57 / 60 Appendix shows the histology of the necrotic area, images of vascular thrombosis, an inflammatory infiltrate small. They are: a. A catarrhal appendicitis. b. normal appendix. c. An appendiceal abscess. d. A subacute endoappendicite. e. A gangrenous appendix. 58 / 60 May be vague: Epigastric fullness or mild gastric distress after large or fatty meal: a. Early manifestations of gallstones b. Empyema c. Cholecystitis presentation d. Cholecystitis 59 / 60 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: a. Cholecystectomy + choledochotomy with ablation of stone and closure of the common bile duct on Kehr drain. b. Cholecystostomy. c. Choledochotomy with ablation of calculation and closure of the common bile duct. d. Cholecystectomy. e. Choledocho-duodenal anastomosis alone. 60 / 60 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: a. Trochanteric fracture b. Posterior dislocation hip c. Fracture neck of the femur d. Subcapital fracture Your score isThe average score is 83% Facebook 0% Restart quiz Any comments? Send feedback