1) 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 :

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

3) Dislocation of the shoulder is most often:

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

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

6) 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:

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

8) What’s the Hippocratic method? :

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

10) 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.:

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

12) The bayonet is:

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

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

15) In ischiatic dislocation of HIP:

16) Bile:

17) 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?:

18) 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.:

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

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

21) 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:

22) McBurney Point is located ________:

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

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

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

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

27) Obstruction of small intestine by a large gallstone:

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

29) The shoulder joint is composed of bones except:

30) Surgical placement of the testes in the scrotum:

31) 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

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

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

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

35) Best Method Of Investigation of Gall Stone is:

36) 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.:

37) 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:

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

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

40) A complication of benign prostatic hyperplasia includes:

41) General treatment policy of acute peritonitis is:

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

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

44) 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;:

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

46) The adenoma of prostate:

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

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

49) 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:

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

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

52) 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?:

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

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

55) Stones in the ureters are termed:

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

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

58) Ladder step deformity characteristic of fracture clavicle is:

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

60) Dunphy’s sign:

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

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

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

64) The adenoma of the prostate:

65) Posterior dislocation of the shoulder is characterized by:

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

67) What is clinical presentation of peritonitis?:

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

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

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

71) 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.

72) Complications of Peritonitis:

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

74) Luxatio erecta:

75) 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.:

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

77) With respect to gallstones:

78) BPH can complicate of:

79) Only humans:

80) Biliary colic:

81) 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?:

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

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

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

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

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

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

88) The aim sign of large bowel obstruction:

89) 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?:

90) Peritonitis signs:

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

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

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

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

95) 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:

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

97) Landing forcefully on an internally rotated outstretched hand:

98) Complications of fracture of proximal humerus include:

99) The most common area for volvulus is:

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

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

102) Pain of hepatic colic in its typical form:

103) What is volvulus?:

104) 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.

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

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

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

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

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

110) Helicobacter pylori:

111) 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

112) Most common bone to fracture in body is:

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

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

115) What is a symptom of Breast Cancer?:

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

117) Risk factors for breast cancer include?:

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

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

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

121) Regarding a midshaft fracture of the clavicle:

122) Hydrocele is a which type of cyst:

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

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

125) Helicobacter pylori causes :

126) Cause of hydrocele in infants:

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

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

129) Chemical Causes of Peritonitis:

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

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

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

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

134) 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:

135) Middle 1/3:

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

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

138) Stones in the bladder are termed:

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

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

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

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

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

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

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

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

147) What does urease do?:

148) Peritonitis produces bowel sounds that are:

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

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

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

152) Who is most likely to develop appendicitis?:

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

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

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

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

157) The prostate gland…:

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

159) A hydrocele develops between:

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

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

162) Nursemaid’s Elbow:

163) Cholangiogram:

164) 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:

165) Regarding small bowel obstruction

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

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

168) 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:

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

170) Complication of appendicitis:

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

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

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

174) 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:

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

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

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

178) 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.

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

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

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

182) A follicular cyst forms . . .?:

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

184) Necrosis and rupture of ovary:

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

186) Stones in the kidneys are termed:

187) 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 :

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

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

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

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

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

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

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

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

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

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

198) Also known as cryptorchidism:

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

200) Lower fiber: