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last selection exam for GS 2010

selection exam for general surgery thursday 22/4/2010 BY : Alenazy 1. question about parkland formulla of fluid calculation of the burn pt , he gave

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قديم 04-23-2010, 10:14 AM
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dr.dmc will become famous soon enough


selection exam for general surgery
thursday 22/4/2010


BY : Alenazy



1. question about parkland formulla of fluid calculation of the burn pt , he gave the wt

of yhe pt with involment of the head and neck and and trunk and upper extremities , how

much fluid needed in 24 hrs
parkalnd formulla = 4 . wt . % of burn


2. one meaning of term one day surgery

it mean pt is schaulled for ellective surgery and discharge on the same day


3. a lady with wt of 90 kg and her height is 1.5 meter what is her body mass index BMI

BMI = wt/ (height )2
the answer is 40

4. what is the most common site of carcinoid tumor

veriform appendix

5. a female pt presented to the ER with a history of pain in RIF for 5 days with anorexia

fever and vomittig , her examination she look ill and she febrile , abdominal examination

there is tender well defined mass in RIF , what is the course of manegement

treat her conservatively with antibiotics and reschaulled her for interval

appendectomy after 6 weeks

7. for lacal anesthesia of big toe what is the substance used

xylocain

8. one of these anesthetic substances is well known to cause hepatotoxicity

hallothine

9. victum of RTA arrived to ER apenic and hypotensive 90/50 , what is the next step of

manegement

rapid sequence intubation

10. RTA pt came to ER with history of sustain blunt abdominal trauma , he is irritable

and hypotensive , aggressive intial resuscitation done for the pt , but patient showed no

significant good response , what is the next step of manegment

deep peritneal lavage ( DPL )

11. 10 yrs child victum of RTA with blunt chest trauma , on examination he is hypotensive

, tachypenic with decrease air entery in the right side of the chest , whayt is the most

likely diagnosis

1. cardiac tamponade
2. aortic dissection
3. tension pneumothorax
4. rupture diaphgram

the answer is (4)

12. 46 yrs lady she is for cholecystectomy after 10 days , she is currently on warrfarin

for the last 6 months because of previous DVT , what is the best drug from the listed can

be used for supporting her coagulation system

1. vitamine k
2. protamine sulphate

answer is (1)

13. hemophilia A is deficiency of factor

factor VIII

14. young girl she has history of cutwuond in the hand 3 days back , currently she is

presented with pain,swelling and redness at site of cut wound , what is the immunological

cells responsile for these symptoms

Neutrophil

15. middle aged male presented with fever and painfull red streaks at leg , what is the

treatment of this pt

1. venogram
2.lymphangiogram
3. incision and drainge
4. antibiotics

answer is (4)

16. an 65 yrs old lady on TPN , she is for radiological study of the bowel , so TPN was

stopped ,and next day on doing radiological study she became confused then unconscios ,

what is most likely cause

1. hyperkalemia
2. hypocalcemia
3. hypoglycemia
4. hyperglycemia

answer is (3)

17. what is the most common cause of secondary hypoparathyrodism

past history of thyroid surgery

18. a 60 yrs male underwent abdominal surgery for primary resection and anastomosis

following colonic cancer located near to splenic flexture , next day patient have fever

of 38 , most likely cause of the fever

1. atelectasis
2. bowel anastomosis leak

answer is (2)

19. trenderberg position useful in which type of shock

1. hypovolumic shock
2 cardiogenic shock
3. septic shock
4. neurogenic shock

answer is (1)

20. which of these is used to moniter increase in intraabdominal pressure following

abdominal surgery

1.foleys catheter
2 abdominal drainge
3. cental line

answer is (1)

21. which of the following surgeries is consider clean contaminated surgery

1. lap. cholecystectomy with no bile leak
2. perforated appendix
3. bowel surgery
4. breast surgery

answer is (1)

22. in which surgeries,prophylactic antibiotic is given

1. breast surgery
2. thyroid surgery
3. lap. cholecystectomy

answer is (3)

23. which of these fractures require urgent operative mangement OR

1. fracture radius and ulna
2. suprachondyler fracture with angulation
3. comminuted femur fracture
4. open tibial fracture
5. fracture shaft of humerus

answer (2)

24. what is the most common thyroid malignant neoplasm

1. papillary
2. follicullar
3. medullary
4. anaplastic

answer (1)

25. in which thyroid neoplasm FNA has no role

1.papillary
2.follicullar
3.medullary
4.anaplastic

answer (3)

26. 46 yrs lady on routine mammogram there microcalcification , on examination there is

no masses found , most likely diagnosis

carcinoma in situ

27. lady presented with bloody discharge from the nipple , most likely diagnosis

ductal papilloma

28. one of the following gall bladder condition is has risk of malignancy

1.a chalcolus cholecystis
2. septated GB
3. chronic cholelithiasis
4.GB mucocele

answer is (3)

29. transcoelemic spread of gastric CA is mannifested by

1.metastasis to liver
2.spread to regional LN
3.pancreatic metastasis
4.krukenbergs tumor

answer is (4)

30. middle aged male presented with epigastric pain which radiated to the back , on exam

pt has epigastric tenderness , and his amylase is 1000 , most common cause of his

pancreatis is

1.alcohol
2.GB stones

answer is (2)

31. reffered pain of appendicitis is felt in

in the umilicus

32. appendicullar artery is branch from

posterior cecal artery which branch of iliocolic artery

33. blood supply testis come from

from internal iliac artery and from abdominal aorta

34. all these hormones release in stress except

1.glucogan
2.insulin
3.epinephrine
4.thyroid hormones

answer is (4)

35. a cheaper complaining of pain in the left hypochondrial and diarrhea for the last 2

month , on exam pt is afebrile , ultrasound abdomen revealed acyst in the spleen , most

likely the diagnosis

1.schistomiasis
2.hydatid disease
3.thyphoid

answer is (2)

36. a victum of RTA , brought to ER , on exam ther is blood on the tip of urethral

meateas and perineal ecchymosis , what is the best next step

1.ascending urothrogram
2,ultrasound
3.CT cystogram

answer is (1)

37.you have a patient with perforated appenddix ,which regimen of antibiotics give him

1.single dose preop.
2.single dose preop.+single dose postop.
3.sigle dose preop.+5days postop.
4.sigle dose preop.+14 days postop.

answer is (3)

38. what is the antibiotics used in treatment of psuedomemranous colitis

vancomycin

39. one of this antiobiotics is anaerobes cephalosporin

1.cefatetain
2.ampicillin
3.cefazolin

answer is (1)

40. regarding diabetic neuropathy one is true

1.usually joint is not affected
2.common cause of ulceration
3.upper limbs usually not affected
4.usually result from infection
5.sympathetic fibers not affected

answer (5)

41. the best fluid for prophylaxis against DVT

1.NS
2.LR
3.starch
4.dextran

answer (4)

42. in ER you recieve a case of RTA with head injury , intially pt GCS 14/15 ,then

suddenly the pt became unconcious and right pupil became dilated , most likely the

diagnosis

1. diffuse subarachanoid hge
2.subdural hematoma
3.hemmoraghic contusion
4.intervenricular contusion
5.diffuse axonal injury

answer (2)

43. the commenest site of chronic anal fissure

posteriorily

44. regarding the internal hemmorroid one is correct

1.located above the dentate line
2.commenly thrombosed and bleed
3.pt need urgent hemmroidectomy

answer (1)
`

45. a patient 45 yrs presented with fatigibility and upper neck swelling , CT chest

demonstrate mass in the anterior mediastinum , most likely the diagnosis

1.lymphoma
2.thymoma

answer (2)

46. most common complication of mickeles diverticulum

1.iflammation
2.bleeding
3.obstruction
4.perforation

amswer (1)

47. lady brought her son 10 yrs , on exam pt is pale and tachycardiac with splenomegally

most likely the diagnosis

1.hypersplenism
2.congenital spherocytosis
3felty syndrom

answer (2)

48. in plastic surgery , splitt thickness graft involving

1.only epidermis
2.epidermis and part of dermis
3.epidermis and hole the dermis
4.epidermis and dermis and subcutaneous fatt

answer (2)

50. a married lady presented to ER with severe lower abdominal and RIF pain since 2 hrs
on exam she afebrile , hypotensive 90/50, most likely the diagnosis

1.ectopic pregnancy
2.PID
3.midcyclic pain
4.acute appendicitis

answer (1)

51. one of these microphathogen causing pelvic inflammatory disease

1.chlamydia infection
2,pseudomonus infection

answer (1)

52.most common neoplasms in the upper part of esophagus

1.sequamous cell carcinoma
2.lieomayoma
3.adenocarcima

answer (1)


53. the most common cause of upper GIT bleeding

1.gastric ulcer
2.duodenal ulcer
3.esophygeal varices
4.mallory weiss syndrom

answer (1)

54. a femal pt known case of GB stones ,diagnosed to have ascending chalangitis , what is

the best theurapatic procedure

1.ERCP
2.ultrasound
3. MRCP

answer (1)

55.what is the drug that injected lacally by endoscope in case of esophygeol varices

octreotide

56. regarding the congental pyloric stenosis all are false except

1. mannifest at age of 2 yr
2. treated conservativelly
3. no change in child wt
4.more common in boys
5. bile vomittus

answer (4)

57. the most intestinal polyps tend to be malignant

1.inflammtory polyps
2.villous polyps
3.adenomatous polyps

answer (2)

58.regarding familial polyposis colitis all are wrong except

it is 100% premalignant

59 .alady diagnose to have breast cancer , what is the usual skin changes

skin dimpling and teathering

60 . a 46 yrs female presented with painless mass in the right breast , on exam the size

8 . 10 cm most likely the diagnose

cystosarcoma phylloid

61 . one of these is a symptom of arterial occlusion

1. hair loss
2. muscle atrophy
3. shinny skin

answer (1)

62 . one of these is signs of hyperthyroidism

thin built and hot skin

63 . a middle aged male presented with neck pain and swelling plus fever , lethargy and

mylagia on exam pt is febrile with diffuse tender thyroid , investigation showed low

level of thyroid hormones , most likely the diagnosis

hashimatous thyroiditis

64 . most common non adrenal cause of cushing syndrom

pituitary adenoma

65 . middle aged male previosly healthy , discover recently to be hypertensive , on exam

patient is totally well apart from high BP , investigation showed hyponatremia , and

abdominal ultra sound showed adrenal gland tumor , most likely the diagnosis

CONNS syndrom

66 . regarding duodenal ulcer one is true

1.mostly occur in second and third part
2.can invade the splenic artery if it located posteriorly
3.very little chance to be malignant

answer (3)

67. the cystic artery is braanch from

right hepatic artery

68. gas which use to inflate the abdomen in lap. chole.

1.co
2.hydrogen
3.co2

answer (3)

69. the most common liver neoplasms

Hemangioma

70. the commenest organism causing cellulitis

streptococcus spieces

71. one question he will prescribe for you the radiological finding of small bowel study

with contrast , feature of chrons disease , so what is the most likely the diagnosis

chrons disease

72 .one question about pheochromocytoma

73. one question about basal cell carcinoma

74. one question about sequamous cell carcinoma

75 . one question about ulcertive colitis

76. one question about abdominal TB

77. one question about labrotaries finding in case of obstructive jaundice

78. direct question about direct inguinal hernia

79. direct question about indirect inguinal heria

this all what i can remember

best of luck
[email protected],com
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من مواضيعي : dr.dmc
موضوع مغلق

مواقع النشر (المفضلة)

الكلمات الدليلية (Tags)
2010, exam, last, selection


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