MCQ IV Course


What percentage of peptic ulcers occur in the duodenum?

    

A) 10%

B) 20%

C) 40%

D) 60%

E)  80%

What is the peak age for presentation of duodenal ulcers?

A) 20–30 years

B) 30–40 years

C) 40–50 years

D) 50–60 years

E) 60–70 years


How proximal to the caecum is a Meckel's diverticulum usually found?


A) 20 cm

B) 30 cm

C) 40 cm

D) 50 cm

E) 60 cm


For appendicitis how soon the periumbilical pain is shifted to the right iliac fossa?


A) 2 hours

B) 6 hours

C) 12 hours

D) 24 hours

E) 2 days


What percentage of patients with a perforated peptic ulcer will have free gas present under the diaphragm on chest X-ray?


A) 60%

B) 70%

C) 80%

D) 90%

E) 100%



How many parathyroid glands are there in the body?

   

A) 2

B) 4

C) 6

D) 8

E) 10


The most informative investigation at peptic ulcer is:

 

A) Erythrocyte sedimentation rate

B) Gastroscopy

C) Ultrasound

D) Ductography

E) X-ray of upper GI tract




Bauhin’s valve is located between:


A) Stomach and duodenum  

B) Sigmoid colon and rectum

C) Ileum and caecum

D) Jejunum and ileum

E) Duodenum and jejunum


The most often perforated ulcers are located at:

     

A) Posterior wall of duodenum  

B) Anterior wall of duodenum  

C) Minor curvature of stomach

D) Anterior wall of stomach

E) Posterior wall of stomach


Muscle rigidity in right iliac fossa at perforation of peptic ulcer could be explained by:

      


A) Leakage of content through the right lateral canal   

B) Local atrophy of  muscles  

C) Collection of air at the iliac region

D) Spread of peritonitis

E) Secondary alterations of vermiform appendix


Emergency surgery is indicated for following complications of gastric ulcer:

       

A) Eliminated  bleeding 

B) Perforation  

C) Penetration

D) Gastric outlet syndrome

E) Malignization


Signs of pyloric stenosis are all of them, except:

      

A) Jaundice   

B) Succussion splash

C) Weight loss 

D) Belching with halitosis

E) Colicy pain at epigastric region 


Which sign is not relevant for gastro-duodenal ulcer bleeding:

      

A) Bloody vomiting   

B) Severe pain at epigastric region 

C) Melena

D) Weakness

E) Fall of arterial blood pressure, tachicardia 



Which symptoms more frequently present at the tumor of pylorus of the stomach:

     

A) Quick elimination of fullness of stomach

B) Dysphagia; salivation

C) Constipation; vomiting with masses of food eaten the day before


At appendectomy for excluding the pathology of Meckel,s diverticulum it must be   

      examined:


A) Ileum in length of 2-2,5m from ileocecal junction   

B) Ileum in length of 1m from ileocecal junction

C) Ileum in length of 40 cm from ileocecal junction

D) Ileum in length of 50 cm from ileocecal junction


The most frequent complications after thyroidectomy are all of them, except:

       

A) Paralysis of recurrent laryngeal nerves   

B) Insufficiency of parathyroid glands 

C) Tracheomalacia

D) Hypercalcemia


Hepatic hydatid cyst is characterized with all of them, except:

      

A) Malignization   

B) Cirrhosis

C) Suppuration

D) Rupture


Gallbladder calculus at ultrasound is displayed by:


A) Swelling and thickening of the walls of gallbladder   

B) Wrinkled gallbladder

C) Dilated extrahepatic bile ducts

D) High echogenicity of stone inside the gallbladder with acoustic shadow beyond the stone


At thoracocentesis there is received pus and air. What is relevant diagnosis?

      


A) Eliminated  bleeding 

B) Haemothorax 

C) Pneumothorax

D) Pyopneumothorax

E) Pleural Mezothelioma

Zenker diverticulum is located:

     

A) At the bifurcation of trachea 

B) At the supradiaphragmatic region 

C) At the upper third of oesophagus

D) At the pharyngo-oesophageal region

E) Superior to the cardiac sphincter


Which of the followings are the signs of postoperative infection?

      

A) Pain

B) Swelling


C) Pyrexia

D) Erythema

E) All of them

Which of the followings is true regarding the treatment of an abscess?


A) The definitive treatment of an abscess is by drainage

B) Antibiotics can be used alone to treat an abscess

C) An abscess can be successfully treated by injection of antibiotics into the abscess site

D) An abscess should not be incised

 

What type of fluid should be used to resuscitate a burn patient over the first 24 hours?

     

A) 5% dextrose

B) Normal saline

C) Gelofusine

D) Packed red cells

E) Hartmann's solution(Ringer's lactate)


ANSWER: 

How long is the average inguinal canal?

      

A) 2 cm

B) 4 cm

C) 6 cm

D) 8 cm

E) 10 cm

 

The most frequent hernia type is:

   

A) Umbilical

B) Femoral

C) Inguinal indirect (oblique)

D) Ventral of linea alba

E) Inguinal direct


The most frequent strangulated organ is:

       


A) Major omentum 

B) Colon

C) Small intestine

D) Urinary bladder

E) Uterus with appendages


Peptic ulcer disease symptom is:

   


A) Hepatomegaly 

B) Hydrothorax

C) fissures of mucus line of oesophagus and cardial part of stomach

D) Hypersecretion of stomach


Necrosis of strangulated bowel is started from:

      

A) Mucous membrane

B) Submucosal layer

C) Muscular layer

D) Serotic layer

The difference in the treatment of a strangulated and non- strangulated hernia concerns: 


A) Type of anaesthesia

B) Surgical approach

C) Subsequence of manipulations on hernial sac and hernial ring

D) Type of hernioplasty

E Type of drainage of surgical wound

Differential diagnosis of inguinal hernia have to be carried out with:


A) Hydrops of testicle

B) Inguinal lymphadenitis 

C) Varices of spermatic cord

D) Hydrops of spermatic cord

E) All of them

At self-invagination of strangulated hernia the management  tactics include:

      

A) Laparotomy with exploration of inner organs

B) Patient should be hospitalized and observed

C) Cleansing enema should be applied

D) Patient might be discharged and re-observed later 

E) All recommendations are wrong


Which bacteria is more frequently found at wound abscess:


A) Staphylococcus aureus

B) Streptococcus pyogenes

C) Pseudomonas aeruginosa

D) Bacteroides


Which hernia is more frequent in women?

      


A) Femoral hernia

B) Direct inguinal hernia

C) Undirect inguinal hernia

D) Umbilical hernia

Antibiotic therapy for postoperative infection prophylaxis must be started:

     

A) 2 days before surgery

B) postoperatively

C) 1 week before surgery

D) 1 hour before operation 


Definition of morbid obesity is:


A) When patient 1.5 times exceeds the ideal weight

B) When body mass index exceeds 40

C) When physical activity is restricted

D) When body weight exceeds 40kg


The most frequent cause of incisional hernia is:


A) Obesity

B) Prolonged treatment by steroids

C) Postoperative wound infection

D) Cachexia


The most frequent symptom of acute abdominal aortic dissection is:


A) Syncope

B) Severe abdominal pain

C) Hemiparesis

D) Atrial fibrillation


Basic criterium for overweight measurement: 


A) Body weight

B) Height to weight division

C) Weight to height division

D) BMI (Body Mass Index) – distribution of body mass to body surface area (kg/m2)

Which criteria from mentioned will determine the heaviness of burn: 

      


A) Deepness of burn

B) Burn of face, arms and genital organs

C) Square of burn

D) Burn of airways  

E) All of them


The most frequent sign of acute apendicitis is:

       

A) Constipation 

B) Vomiting with bile content

C) Sharp pain

D) Hectic chills

E) Pain during palpation of right iliac fossa