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285

Surgical Pathology Preparation (Pr. Kou Kimheak)

 

1 / 211

1) BPH can complicate of:

2 / 211

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

3 / 211

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

4 / 211

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

5 / 211

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

6 / 211

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

7 / 211

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

8 / 211

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

9 / 211

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

10 / 211

10) The most common area for volvulus is:

11 / 211

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

12 / 211

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

13 / 211

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

14 / 211

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

15 / 211

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

16 / 211

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

17 / 211

17) Ladder step deformity characteristic of fracture clavicle is:

18 / 211

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

19 / 211

19) Regarding fractures of the proximal humerus.:

20 / 211

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

21 / 211

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

22 / 211

22) 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.

23 / 211

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

24 / 211

24) Obstruction of small intestine by a large gallstone:

25 / 211

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

26 / 211

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

27 / 211

27) 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?:

28 / 211

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

29 / 211

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

30 / 211

30) The shoulder joint is composed of bones except:

31 / 211

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

32 / 211

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

33 / 211

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

34 / 211

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

35 / 211

35) What does urease do?:

36 / 211

36) Regarding small bowel obstruction

37 / 211

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

38 / 211

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

39 / 211

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

40 / 211

40) A follicular cyst forms . . .?:

41 / 211

41) Chemical Causes of Peritonitis:

42 / 211

42) What is a symptom of Breast Cancer?:

43 / 211

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

44 / 211

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

45 / 211

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

46 / 211

46) 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 :

47 / 211

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

48 / 211

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

49 / 211

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

50 / 211

50) What’s the Hippocratic method? :

51 / 211

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

52 / 211

52) Lower fiber:

53 / 211

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

54 / 211

54) 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.:

55 / 211

55) Complications of fracture of proximal humerus include:

56 / 211

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

57 / 211

57) Peritonitis signs:

58 / 211

58) 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

59 / 211

59) 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:

60 / 211

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

61 / 211

61) The adenoma of prostate:

62 / 211

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

63 / 211

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

64 / 211

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

65 / 211

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

66 / 211

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

67 / 211

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

68 / 211

68) Peritonitis produces bowel sounds that are:

69 / 211

69) 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.:

70 / 211

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

71 / 211

71) 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:

72 / 211

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

73 / 211

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

74 / 211

74) Helicobacter pylori causes :

75 / 211

75) Hydrocele is a which type of cyst:

76 / 211

76) 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;:

77 / 211

77) Posterior dislocation of the shoulder is characterized by:

78 / 211

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

79 / 211

79) McBurney Point is located ________:

80 / 211

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

81 / 211

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

82 / 211

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

83 / 211

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

84 / 211

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

85 / 211

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

86 / 211

86) 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? :

87 / 211

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

88 / 211

88) 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:

89 / 211

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

90 / 211

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

91 / 211

91) In ischiatic dislocation of HIP:

92 / 211

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

93 / 211

93) 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:

94 / 211

94) Surgical placement of the testes in the scrotum:

95 / 211

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

96 / 211

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

97 / 211

97) Helicobacter pylori:

98 / 211

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

99 / 211

99) Pain of hepatic colic in its typical form:

100 / 211

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

101 / 211

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

102 / 211

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

103 / 211

103) 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:

104 / 211

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

105 / 211

105) The bayonet is:

106 / 211

106) Most common bone to fracture in body is:

107 / 211

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

108 / 211

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

109 / 211

109) The prostate gland…:

110 / 211

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

111 / 211

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

112 / 211

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

113 / 211

113) 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 β€œcold spot” or absent flow to the affected side. Which of the following is the
most likely cause?:

114 / 211

114) Landing forcefully on an internally rotated outstretched hand:

115 / 211

115) Complications of Peritonitis:

116 / 211

116) Complication of appendicitis:

117 / 211

117) 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:

118 / 211

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

119 / 211

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

120 / 211

120) 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 :

121 / 211

121) What is clinical presentation of peritonitis?:

122 / 211

122) General treatment policy of acute peritonitis is:

123 / 211

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

124 / 211

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

125 / 211

125) Also known as cryptorchidism:

126 / 211

126) A hydrocele develops between:

127 / 211

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

128 / 211

128) Regarding a midshaft fracture of the clavicle:

129 / 211

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

130 / 211

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

131 / 211

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

132 / 211

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

133 / 211

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

134 / 211

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

135 / 211

135) 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.:

136 / 211

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

137 / 211

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

138 / 211

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

139 / 211

139) Necrosis and rupture of ovary:

140 / 211

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

141 / 211

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

142 / 211

142) 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.

143 / 211

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

144 / 211

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

145 / 211

145) The aim sign of large bowel obstruction:

146 / 211

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

147 / 211

147) Luxatio erecta:

148 / 211

148) Only humans:

149 / 211

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

150 / 211

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

151 / 211

151) 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:

152 / 211

152) The image of “porcelain vesicle” diagnosed on the abdomen clichΓ© without preparation
corresponds to:

153 / 211

153) With respect to gallstones:

154 / 211

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

155 / 211

155) Risk factors for breast cancer include?:

156 / 211

156) 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?:

157 / 211

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

158 / 211

158) The adenoma of the prostate:

159 / 211

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

160 / 211

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

161 / 211

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

162 / 211

162) 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.

163 / 211

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

164 / 211

164) Dunphy’s sign:

165 / 211

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

166 / 211

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

167 / 211

167) Best Method Of Investigation of Gall Stone is:

168 / 211

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

169 / 211

169) Stones in the bladder are termed:

170 / 211

170) 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:

171 / 211

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

172 / 211

172) Cholangiogram:

173 / 211

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

174 / 211

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

175 / 211

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

176 / 211

176) 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

177 / 211

177) Cause of hydrocele in infants:

178 / 211

178) Stones in the ureters are termed:

179 / 211

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

180 / 211

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

181 / 211

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

182 / 211

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

183 / 211

183) 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:

184 / 211

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

185 / 211

185) 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?:

186 / 211

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

187 / 211

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

188 / 211

188) A complication of benign prostatic hyperplasia includes:

189 / 211

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

190 / 211

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

191 / 211

191) Bile:

192 / 211

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

193 / 211

193) Who is most likely to develop appendicitis?:

194 / 211

194) Stones in the kidneys are termed:

195 / 211

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

196 / 211

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

197 / 211

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

198 / 211

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

199 / 211

199) 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.:

200 / 211

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

201 / 211

201) Nursemaid’s Elbow:

202 / 211

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

203 / 211

203) Biliary colic:

204 / 211

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

205 / 211

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

206 / 211

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

207 / 211

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

208 / 211

208) What is volvulus?:

209 / 211

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

210 / 211

210) Middle 1/3:

211 / 211

211) Dislocation of the shoulder is most often:

Your score is

The average score is 83%

0%

Any comments?