1) Chemical Causes of Peritonitis:

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

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

4) Biliary colic:

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

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

7) 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.

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

9) The prostate gland…:

10) The most common area for volvulus is:

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

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

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

14) 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:

15) 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:

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

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

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

19) In ischiatic dislocation of HIP:

20) A hydrocele develops between:

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

22) 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

23) Helicobacter pylori:

24) The bayonet is:

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

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

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

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

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

30) General treatment policy of acute peritonitis is:

31) Lower fiber:

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

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

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

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

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

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

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

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

40) What does urease do?:

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

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

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

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

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

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

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

48) Pain of hepatic colic in its typical form:

49) What’s the Hippocratic method? :

50) 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;:

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

52) What is clinical presentation of peritonitis?:

53) Regarding a midshaft fracture of the clavicle:

54) Ladder step deformity characteristic of fracture clavicle is:

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

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

57) Stones in the kidneys are termed:

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

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

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

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

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

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

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

65) Posterior dislocation of the shoulder is characterized by:

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

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

68) Complication of appendicitis:

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

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

71) Regarding fractures of the proximal humerus.:

72) What is a symptom of Breast Cancer?:

73) The shoulder joint is composed of bones except:

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

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

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

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

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

79) The adenoma of the prostate:

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

81) Regarding small bowel obstruction

82) 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:

83) 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.:

84) Who is most likely to develop appendicitis?:

85) With respect to gallstones:

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

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

88) Complications of Peritonitis:

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

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

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

92) Necrosis and rupture of ovary:

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

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

95) 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

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

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

98) Obstruction of small intestine by a large gallstone:

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

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

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

102) 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?:

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

104) 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:

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

106) BPH can complicate of:

107) 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:

108) Peritonitis signs:

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

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

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

112) 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.:

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

114) 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:

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

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

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

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

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

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

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

122) A complication of benign prostatic hyperplasia includes:

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

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

125) Hydrocele is a which type of cyst:

126) Dislocation of the shoulder is most often:

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

128) 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 :

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

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

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

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

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

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

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

136) 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? :

137) 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:

138) Bile:

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

140) 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.:

141) McBurney Point is located ________:

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

143) A follicular cyst forms . . .?:

144) 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.

145) Only humans:

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

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

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

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

150) Also known as cryptorchidism:

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

152) 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?:

153) Most common bone to fracture in body is:

154) Dunphy’s sign:

155) 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.

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

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

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

159) 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 :

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

161) 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:

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

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

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

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

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

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

168) The aim sign of large bowel obstruction:

169) Luxatio erecta:

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

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

172) Middle 1/3:

173) Peritonitis produces bowel sounds that are:

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

175) Best Method Of Investigation of Gall Stone is:

176) What is volvulus?:

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

178) Nursemaid’s Elbow:

179) Surgical placement of the testes in the scrotum:

180) 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?:

181) 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:

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

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

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

185) Complications of fracture of proximal humerus include:

186) Stones in the bladder are termed:

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

188) Helicobacter pylori causes :

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

190) Cholangiogram:

191) The adenoma of prostate:

192) 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?:

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

194) Stones in the ureters are termed:

195) Risk factors for breast cancer include?:

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

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

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

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) Landing forcefully on an internally rotated outstretched hand: