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30

Surgical Pathology Preparation (Pr. Kou Kimheak)

 

1 / 211

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

2 / 211

2) Cause of hydrocele in infants:

3 / 211

3) 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?:

4 / 211

4) Best Method Of Investigation of Gall Stone is:

5 / 211

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

6 / 211

6) 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.:

7 / 211

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

8 / 211

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

9 / 211

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

10 / 211

10) The aim sign of large bowel obstruction:

11 / 211

11) What is volvulus?:

12 / 211

12) Pain of hepatic colic in its typical form:

13 / 211

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

14 / 211

14) Helicobacter pylori causes :

15 / 211

15) 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

16 / 211

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

17 / 211

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

18 / 211

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

19 / 211

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

20 / 211

20) 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:

21 / 211

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

22 / 211

22) Helicobacter pylori:

23 / 211

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

24 / 211

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

25 / 211

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

26 / 211

26) Luxatio erecta:

27 / 211

27) Regarding a midshaft fracture of the clavicle:

28 / 211

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

29 / 211

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

30 / 211

30) In ischiatic dislocation of HIP:

31 / 211

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

32 / 211

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

33 / 211

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

34 / 211

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

35 / 211

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

36 / 211

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

37 / 211

37) 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

38 / 211

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

39 / 211

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

40 / 211

40) Who is most likely to develop appendicitis?:

41 / 211

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

42 / 211

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

43 / 211

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

44 / 211

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

45 / 211

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

46 / 211

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

47 / 211

47) Lower fiber:

48 / 211

48) Dunphy’s sign:

49 / 211

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

50 / 211

50) Complications of fracture of proximal humerus include:

51 / 211

51) Regarding small bowel obstruction

52 / 211

52) 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;:

53 / 211

53) 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?:

54 / 211

54) The most common area for volvulus is:

55 / 211

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

56 / 211

56) 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:

57 / 211

57) What’s the Hippocratic method? :

58 / 211

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

59 / 211

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

60 / 211

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

61 / 211

61) Also known as cryptorchidism:

62 / 211

62) With respect to gallstones:

63 / 211

63) 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.

64 / 211

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

65 / 211

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

66 / 211

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

67 / 211

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

68 / 211

68) 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:

69 / 211

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

70 / 211

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

71 / 211

71) 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.

72 / 211

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

73 / 211

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

74 / 211

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

75 / 211

75) 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 :

76 / 211

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

77 / 211

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

78 / 211

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

79 / 211

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

80 / 211

80) 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.:

81 / 211

81) Risk factors for breast cancer include?:

82 / 211

82) The shoulder joint is composed of bones except:

83 / 211

83) Necrosis and rupture of ovary:

84 / 211

84) Posterior dislocation of the shoulder is characterized by:

85 / 211

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

86 / 211

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

87 / 211

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

88 / 211

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

89 / 211

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

90 / 211

90) Landing forcefully on an internally rotated outstretched hand:

91 / 211

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

92 / 211

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

93 / 211

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

94 / 211

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

95 / 211

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

96 / 211

96) General treatment policy of acute peritonitis is:

97 / 211

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

98 / 211

98) The prostate gland…:

99 / 211

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

100 / 211

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

101 / 211

101) What is clinical presentation of peritonitis?:

102 / 211

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

103 / 211

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

104 / 211

104) The adenoma of prostate:

105 / 211

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

106 / 211

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

107 / 211

107) Chemical Causes of Peritonitis:

108 / 211

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

109 / 211

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

110 / 211

110) Biliary colic:

111 / 211

111) Stones in the kidneys are termed:

112 / 211

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

113 / 211

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

114 / 211

114) Obstruction of small intestine by a large gallstone:

115 / 211

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

116 / 211

116) Complication of appendicitis:

117 / 211

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

118 / 211

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

119 / 211

119) Stones in the ureters are termed:

120 / 211

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

121 / 211

121) 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:

122 / 211

122) The bayonet is:

123 / 211

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

124 / 211

124) 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?:

125 / 211

125) 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:

126 / 211

126) Regarding fractures of the proximal humerus.:

127 / 211

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

128 / 211

128) 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?:

129 / 211

129) 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:

130 / 211

130) Nursemaid’s Elbow:

131 / 211

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

132 / 211

132) Dislocation of the shoulder is most often:

133 / 211

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

134 / 211

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

135 / 211

135) 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.:

136 / 211

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

137 / 211

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

138 / 211

138) Ladder step deformity characteristic of fracture clavicle is:

139 / 211

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

140 / 211

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

141 / 211

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

142 / 211

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

143 / 211

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

144 / 211

144) A complication of benign prostatic hyperplasia includes:

145 / 211

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

146 / 211

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

147 / 211

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

148 / 211

148) 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 :

149 / 211

149) 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:

150 / 211

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

151 / 211

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

152 / 211

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

153 / 211

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

154 / 211

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

155 / 211

155) 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:

156 / 211

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

157 / 211

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

158 / 211

158) 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.

159 / 211

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

160 / 211

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

161 / 211

161) Stones in the bladder are termed:

162 / 211

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

163 / 211

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

164 / 211

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

165 / 211

165) Only humans:

166 / 211

166) Peritonitis produces bowel sounds that are:

167 / 211

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

168 / 211

168) Bile:

169 / 211

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

170 / 211

170) 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.:

171 / 211

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

172 / 211

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

173 / 211

173) A hydrocele develops between:

174 / 211

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

175 / 211

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

176 / 211

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

177 / 211

177) The adenoma of the prostate:

178 / 211

178) Surgical placement of the testes in the scrotum:

179 / 211

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

180 / 211

180) Hydrocele is a which type of cyst:

181 / 211

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

182 / 211

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

183 / 211

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

184 / 211

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

185 / 211

185) What is a symptom of Breast Cancer?:

186 / 211

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

187 / 211

187) Most common bone to fracture in body is:

188 / 211

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

189 / 211

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

190 / 211

190) 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:

191 / 211

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

192 / 211

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

193 / 211

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

194 / 211

194) Complications of Peritonitis:

195 / 211

195) A follicular cyst forms . . .?:

196 / 211

196) BPH can complicate of:

197 / 211

197) 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? :

198 / 211

198) Peritonitis signs:

199 / 211

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

200 / 211

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

201 / 211

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

202 / 211

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

203 / 211

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

204 / 211

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

205 / 211

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

206 / 211

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

207 / 211

207) McBurney Point is located ________:

208 / 211

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

209 / 211

209) What does urease do?:

210 / 211

210) Middle 1/3:

211 / 211

211) Cholangiogram:

Your score is

The average score is 74%

0%

Any comments?