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

2) Peritonitis signs:

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

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

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

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

7) Best Method Of Investigation of Gall Stone is:

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

9) Who is most likely to develop appendicitis?:

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

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

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

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

14) Obstruction of small intestine by a large gallstone:

15) 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.

16) Stones in the ureters are termed:

17) Nursemaid’s Elbow:

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

19) 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.:

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

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

22) 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.:

23) 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:

24) Posterior dislocation of the shoulder is characterized by:

25) Which of the following cystic ovarian formations has the highest potential for malignancy?:

26) The prostate gland…:

27) Failure of this perineal extension to obliterate after birth may lead to the development of an
inguinal hernia or hydrocele:

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

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

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

31) What is a symptom of Breast Cancer?:

32) 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? :

33) Lower fiber:

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

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

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

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

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

39) Complications of fracture of proximal humerus include:

40) Cause of hydrocele in infants:

41) Surgical placement of the testes in the scrotum:

42) Necrosis and rupture of ovary:

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

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

45) 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:

46) Landing forcefully on an internally rotated outstretched hand:

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

48) Complication of appendicitis:

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

50) 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?:

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

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

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

54) Stones in the bladder are termed:

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

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

57) A complication of benign prostatic hyperplasia includes:

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

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

60) Inflammation of the gall bladder. Usually associated with cholelithiasis.:

61) The aim sign of large bowel obstruction:

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

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

64) 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 :

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

66) Pain of hepatic colic in its typical form:

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

68) With respect to gallstones:

69) Helicobacter pylori:

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

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

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

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

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

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

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

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

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

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

80) 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?:

81) 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.:

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

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

84) The adenoma of the prostate:

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

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

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

88) Bloat of the pelvic colon volvulus:
1. Has an asymmetrical layout.
2. Was tympanic to percussion.
3. Accompanied by peristaltic waves.
4. Accompanied by abdominal contraction.
5. Accompanied by removal of abdominal skin reflexes

89) A traffic accident, with a vicious attitude to the type of internal rotation adduction with leg
extension, suggests:

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

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

92) 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:

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

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

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

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

97) The most common area for volvulus is:

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

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

100) Dislocation of the shoulder is most often:

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

102) 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;:

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

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

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

106) What does urease do?:

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

108) 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:

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

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

111) Dunphy’s sign:

112) Bile:

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

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

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

116) The bayonet is:

117) Stones in the kidneys are termed:

118) Complications of Peritonitis:

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

120) Only humans:

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

122) 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 :

123) Chemical Causes of Peritonitis:

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

125) A hydrocele develops between:

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

127) Luxatio erecta:

128) Which of the following conditions is most likely to directly cause peritonitis?:

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

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

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

132) 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

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

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

135) Regarding fractures of the proximal humerus.:

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

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

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

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

140) Peritonitis produces bowel sounds that are:

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

142) 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:

143) In ischiatic dislocation of HIP:

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

145) The adenoma of prostate:

146) 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?:

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

148) Regarding small bowel obstruction

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

150) Also known as cryptorchidism:

151) 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:

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

153) Cholangiogram:

154) 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:

155) What’s the Hippocratic method? :

156) Regarding a midshaft fracture of the clavicle:

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

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

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

160) Risk factors for breast cancer include?:

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

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

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

164) A follicular cyst forms . . .?:

165) Closed-loop obstruction of sigmoid colon caused by the bowel twisting on itself. Can result in
vascular compromise and bowel infarction?:

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

167) What is clinical presentation of peritonitis?:

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

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

170) 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:

171) Among the following which ones can be retained as a cause of intestinal obstruction by strangulation?:
1. The occlusion of the sigmoid cancer. 2. The occlusion by volvulus adhesion. 3. The gallstone ileus. 4. The strangulated hernia. 5. The acute intussusception.

172) Ladder step deformity characteristic of fracture clavicle is:

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

174) 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.:

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

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

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

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

179) Biliary colic:

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

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

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

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

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

185) Hydrocele is a which type of cyst:

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

187) Middle 1/3:

188) General treatment policy of acute peritonitis is:

189) Helicobacter pylori causes :

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

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

192) 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?:

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

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

195) When assessing a patient for breast cancer risk, the nurse considers that the patient has a
significant family history of breast cancer if she has a:

196) The shoulder joint is composed of bones except:

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

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

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

200) What is volvulus?: