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

2) Cause of hydrocele in infants:

3) Regarding fractures of the proximal humerus.:

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

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

6) 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:

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

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

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

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

11) 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? :

12) Biliary colic:

13) What is clinical presentation of peritonitis?:

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

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

16) 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:

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

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

19) Dislocation of the shoulder is most often:

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

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

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

23) Best Method Of Investigation of Gall Stone is:

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

25) McBurney Point is located ________:

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

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

28) 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?:

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

30) 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:

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

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

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

34) Posterior dislocation of the shoulder is characterized by:

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

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

37) Only humans:

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

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

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

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

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

43) Obstruction of small intestine by a large gallstone:

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

45) 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:

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

47) With respect to gallstones:

48) 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:

49) Chemical Causes of Peritonitis:

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

51) Bile:

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

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

54) The prostate gland…:

55) A complication of benign prostatic hyperplasia includes:

56) Who is most likely to develop appendicitis?:

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

58) 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 :

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

60) Surgical placement of the testes in the scrotum:

61) The aim sign of large bowel obstruction:

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

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

64) Regarding small bowel obstruction

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

66) The bayonet is:

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

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

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

71) 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:

72) A hydrocele develops between:

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

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

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

76) 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:

77) Nursemaid’s Elbow:

78) 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.

79) Risk factors for breast cancer include?:

80) 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 :

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

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

83) Stones in the kidneys are termed:

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

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

86) What is volvulus?:

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

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

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

90) Complication of appendicitis:

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

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

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

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

96) Lower fiber:

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

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

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

100) Most common bone to fracture in body is:

101) 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?:

102) Cholangiogram:

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

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

105) Dunphy’s sign:

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

107) The shoulder joint is composed of bones except:

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

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

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

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

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

113) The adenoma of prostate:

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

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

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

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

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

119) BPH can complicate of:

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

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

122) Stones in the ureters are termed:

123) 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.:

124) The image of “porcelain vesicle” diagnosed on the abdomen cliché without preparation
corresponds to:

125) 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

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

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

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

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

130) 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:

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

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

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

134) A follicular cyst forms . . .?:

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

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

137) What does urease do?:

138) Helicobacter pylori causes :

139) 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.:

140) 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;:

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

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

143) Pain of hepatic colic in its typical form:

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

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

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

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

148) The adenoma of the prostate:

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

150) What’s the Hippocratic method? :

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

152) Helicobacter pylori:

153) Landing forcefully on an internally rotated outstretched hand:

154) Complications of Peritonitis:

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

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

157) Peritonitis signs:

158) 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?:

159) Complications of fracture of proximal humerus include:

160) 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:

161) Ladder step deformity characteristic of fracture clavicle is:

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

163) Luxatio erecta:

164) Middle 1/3:

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

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

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

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

169) Stones in the bladder are termed:

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

171) 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.

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

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

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

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

176) The most common area for volvulus is:

177) Necrosis and rupture of ovary:

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

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

180) Hydrocele is a which type of cyst:

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

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

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

184) 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.:

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

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

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

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

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

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

191) In ischiatic dislocation of HIP:

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

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

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

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

196) 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.

197) Also known as cryptorchidism:

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

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