100 MCQs

Question 1

What is the relation between increased intracranial pressure and extension of morbid change?
a) Exponential
b) Linear relationship
c) Similar to exponential relation
d) Similar to linear relationship between
e) Does not matter

Answer 1

a) Exponential
b) Linear relationship
c) Similar to exponential relation
d) Similar to linear relationship between
e) Does not matter

Question 2

The most common symptom of Acute Appendicitis is
a) Abdominal Pain
b) Fever
c) Functional disorder of bowel
d) Lumbago
e) Vomitting

Answer 2

a) Abdominal Pain
b) Fever
c) Functional disorder of bowel
d) Lumbago
e) Vomitting

Question 3

Which of the following is not the pathophysiology change of upper urinary tract obstruction ?
a) part of the urine exmoses into the environment of the renal pelvis through the renal sins
b) Nephredema pressure increases
c) Glomerular filtration pressure increases
d) part of the urine backflows through the renal pelvis veins , lymph and renal tubule
e) Glomerula urinary function temporarily maintained

Answer 3

a) part of the urine exmoses into the environment of the renal pelvis through the renal sins
b) Nephredema pressure increases
c) Glomerular filtration pressure increases
d) part of the urine backflows through the renal pelvis veins , lymph and renal tubule
e) Glomerula urinary function temporarily maintained

Question 4

Which of the following description about Osteoarthritis is wrong ?
a) The main pathophysiological changes in degeneration of articular cartilage and secondary Hyperostosis
b) Common in elderly and amount of women is more than men
c) Corticoid can be used for long term intra articular injection
d) X-ray show joint space narrow and osteophyte can be seen on edge of joint
e) Constitutional is common occurrence in obese people who are more than 50 years old

Answer 4

a) The main pathophysiological changes in degeneration of articular cartilage and secondary Hyperostosis
b) Common in elderly and amount of women is more than men
c) Corticoid can be used for long term intra articular injection
d) X-ray show joint space narrow and osteophyte can be seen on edge of joint
e) Constitutional is common occurrence in obese people who are more than 50 years old

Question 5

Which of the folllowing have been used to guide the treatment of bone tumor
a) Formulated according to the Surgical classification
b) Formulated according to the Surgical stage
c) Formulated according to the regionality or distant metastasis
d) Formulated according to the surgical area
e) According to three in one combination of clinic, X ray and pathology

Answer 5

a) Formulated according to the Surgical classification
b) Formulated according to the Surgical stage
c) Formulated according to the regionality or distant metastasis
d) Formulated according to the surgical area
e) According to three in one combination of clinic, X ray and pathology

Question 6

Which of the following about osteochondroma is wrong
a) Osteochondroma is the essentially abnormal direction of bone growth and remodelling mistake of epiphyseal area of long bone
b)Commonly occurs in young people
c) This kind of lesion cannot be referred as Exostosis
d) Commonly occurs in the metaphysic which grows most active bone
e) 1% of the solitary osteochondroma have canceration

Answer 6

a) Osteochondroma is the essentially abnormal direction of bone growth and remodelling mistake of epiphyseal area of long bone
b)Commonly occurs in young people
c) This kind of lesion cannot be referred as Exostosis
d) Commonly occurs in the metaphysic which grows most active bone
e) 1% of the solitary osteochondroma have canceration

Question 7

A female 15 years old tumbled fall in bicycling left forehead touch the ground fall in coma and awake after 20 minutes self conscious,mild headache,limbs activities is normal.Headache aggravate in the next day,vomiting 1 time back to the hospital for further consultation.What should be taken first?
a)Head CT
b)EEG
c)Cerebral angiography
d)Lumbar puncture
e)Head MRI

Answer 7

a)Head CT
b)EEG
c)Cerebral angiography
d)Lumbar puncture
e)Head MRI

Question 8

A female 59yr old abdominal pain ,vomitting of stomach contents for 3 days with dyspepsia,What should be considered about this pateint?
a) Hyperkalemia and metabolic acidosis
b) Hypokalemia and metabolic alkalosis
c) Hypokalemia and metabolic acidosis
d) Hyperkalemia and respiratory acidosis
e) hyperkalemia and metabolic alkalosis

Answer 8

a) Hyperkalemia and metabolic acidosis
b) Hypokalemia and metabolic alkalosis
c) Hypokalemia and metabolic acidosis
d) Hyperkalemia and respiratory acidosis
e) hyperkalemia and metabolic alkalosis

Question 9

Which of the following is not the sign of fracture?
a) elastic fixation
b) abnormal activity
c) pain,swelling
d) bony crepitus
e) deformity

Answer 9

a) elastic fixation
b) abnormal activity
c) pain,swelling
d) bony crepitus
e) deformity

Question 10

)a male,40 year old,his chest was hurt by motorcycles,and half hour later he felt tachypnea with right thorax dyspnea and diminished respiration .sternum shows right side pneumothorax and 40% lung compressions .which of the following handling is incorrect?
a)administeration of oxygen
b)encouraged to cough expectoration
c) antibiotics injection to prevent infection
d)pneumatosis is not too much, let him self absorption
e)symptomatic treatment,while drawing pleural effusion

Answer 10

a)administeration of oxygen
b)encouraged to cough expectoration
c) antibiotics injection to prevent infection
d)pneumatosis is not too much, let him self absorption
e)symptomatic treatment,while drawing pleural effusion

Question 11

With regard to diagnosis and treatment of fracture,which of the following is wrong?
a)in the situation of impact fracture, there is still part of activities.
b)the diagnosis of the fracture is mainly depends on X ray examination
c)deformities, abnormal activity and bony crepituses is the specific sign of fracture
d)when fracture occurs parenchyma has edema. Swelling of limb is significant,can cause tension varices
e)superficial fracture has obvious subcutaneous echymosis

Answer 11

a)in the situation of impact fracture, there is still part of activities.
b)the diagnosis of the fracture is mainly depends on X ray examination
c)deformities, abnormal activity and bony crepituses is the specific sign of fracture
d)when fracture occurs parenchyma has edema. Swelling of limb is significant,can cause tension varices
e)superficial fracture has obvious subcutaneous echymosis

Question 12

The most important treatment for preventing pleural effusion(blood) empyemic is
a) systemic application of antibiotics
b)hydrops exhaustion as soon as possible
c) broad spectrum antibiotics injected into pleural cavity
d)According to antibiotic sensitivity experiment, select the most useful antibiotic
e) cleaning hydrops with open chest surgery

Answer 12

a) systemic application of antibiotics
b)hydrops exhaustion as soon as possible
c) broad spectrum antibiotics injected into pleural cavity
d)According to antibiotic sensitivity experiment, select the most useful antibiotic
e) cleaning hydrops with open chest surgery

Question 13

The most effective treatment for renal stone

a) drink lots of water
b) diet adjusment
c) adjust pH of urine
d) traditional chinese medicine
e) control infection

Answer 13

a) drink lots of water
b) diet adjusment
c) adjust pH of urine
d) traditional chinese medicine
e) control infection

Question 14

which of the following belongs to specific infection ?
a)coccus infection
b)proteus infection
c)pseudomonas aerogenosa infection
d)staphylococcal aureus infection
e)clostridium tetanus infection

Answer 14

a)coccus infection
b)proteus infection
c)pseudomonas aerogenosa infection
d)staphylococcal aureus infection
e)clostridium tetanus infection

Question 15

Which part does Urinary calculus usually form in
a) Kidney
b) Bladder
c) Ureter
d) Kidney and Bladder
e) Bladder and ureter

Answer 15

a) Kidney
b) Bladder
c) Ureter
d) Kidney and Bladder
e) Bladder and ureter

Question 16

which of the following belongs to specific infection ?
a)coccus infection
b)proteus infection
c)pseudomonas aerogenosa infection
d)staphylococcal aureus infection
e)clostridium tetanus infection

Answer 16

a)coccus infection
b)proteus infection
c)pseudomonas aerogenosa infection
d)staphylococcal aureus infection
e)clostridium tetanus infection

Question 17

kidney damage with apparent hematuria mostly occurs in?
a)ureter break
b)renal parenchymal broken deeply into renal calyces and pelvis
c) pelvis is broken broadly
d)ureter blocked by blood clots
e)renal vascular is serious injury

Answer 17

a)ureter break
b)renal parenchymal broken deeply into renal calyces and pelvis
c) pelvis is broken broadly
d)ureter blocked by blood clots
e)renal vascular is serious injury

Question 18

a male 60 years old was suffered from progressive dysuria for 2 years have increased urinary frequency from one month with urinating 10 times a day and urine overflowed out of the urinary meatus.The examination reveals lower abdomen swells up percussive flatness. rectal touch shows prostate 4.5cm x 5cm x5 cm and quality is tough with median groove disappear and urinary residual volume is 305ml. According to medical history which type is it?
a)enuresis
b)urinary retention with overflow incontinence
c)stress urinary incontinence
d)real urinary incontinence
e)urge incontinence

Answer 18

a)enuresis
b)urinary retention with overflow incontinence
c)stress urinary incontinence
d)real urinary incontinence
e)urge incontinence

Question 19

)the decisive factor for the prognosis of acute osteomyelitis?
a)early diagnosis and early treatment
b)combined with high dose of effective antibiotics.
c)bone tissue fenestration draining as early as possible
d)early implementation of soft tissue and periosteum drainage
e)a small amount of multiple inputs fresh blood and fluid replacement

Answer 19

a)early diagnosis and early treatment
b)combined with high dose of effective antibiotics.
c)bone tissue fenestration draining as early as possible
d)early implementation of soft tissue and periosteum drainage
e)a small amount of multiple inputs fresh blood and fluid replacement

Question 20

A 28 year old male presents with distal femur fracture caused by trauma articular surface is uneven,phase difference of 0.8cm despite of treatment and fracture displacement has no change .which of the following is the most likely leading to advance stage of complication?
a)myositis ossificans
b)knee joint stiffness
c)bedsores
d)knee traumatic arthritis
e)knee valgus deformity

Answer 20

a)myositis ossificans
b)knee joint stiffness
c)bedsores
d)knee traumatic arthritis
e)knee valgus deformity

Question 21

which of the following diseases may cause mediastinal swaying?
a)tension pneumothorax
b)tension pneumothorax
c)rib fracture
d)progressive pneumothorax
e)blunt injury of lung

Answer 21

a)tension pneumothorax
b)tension pneumothorax
c)rib fracture
d)progressive pneumothorax
e)blunt injury of lung

Question 22

Expression of x-ray examination on malignant bone tumor is

A) Edge not clear, destruction of bone,without periosteal reaction
B) Edge clear, destruction of bone, periosteal reaction obvious
C) Edge not clear, destruction of bone, periosteal reaction is obvious
D) Edge not clear, hyperostosis, without periosteal reaction

Answer 22

A) Edge not clear, destruction of bone,without periosteal reaction
B) Edge clear, destruction of bone, periosteal reaction obvious
C) Edge not clear, destruction of bone, periosteal reaction is obvious
D) Edge not clear, hyperostosis, without periosteal reaction

Question 23

Male 14 year old, superior belly strike high bar in physical class, sudden upper abdominal pain with back pain in the corresponding part, vomiting with bloody thing one time. Abdominal x-ray shows gas accumulated around right kidney. Considerable diagnosis is?

A) Hepatorrhexis
B) Rupture of Gallbladder
C) Right kidney rupture
D) Duodenal rupture
E) Pancreatic rupture

Answer 23

A) Hepatorrhexis
B) Rupture of Gallbladder
C) Right kidney rupture
D) Duodenal rupture
E) Pancreatic rupture

Question 24

There are changes of vital signs in acute increased intracranial pressure patient, such as elevated blood pressure, slowing heart rate and pulse, rhythm disturbance of breathing and fervescence. These means

A) Wallenberg syndrome
B) Brown-Sequard syndrome
C) Cushing syndrome
D) Weber syndrome
E) Locked-In syndrome

Answer 24

A) Wallenberg syndrome
B) Brown-Sequard syndrome
C) Cushing syndrome
D) Weber syndrome
E) Locked-In syndrome

Question 25

Which of the following is the mark expression of hemolytic reaction?

A) Increased amount of reticulocyte
B) Stipple cells in peripheral blood
C) Color of urine is dark yellow, test of urobilirogen is strong positive
D) Urine looks like soy, occult blood test is positive
E) Amount of bone marrow erythroblastic obviously increase.

Answer 25

A) Increased amount of reticulocyte
B) Stipple cells in peripheral blood
C) Color of urine is dark yellow, test of urobilirogen is strong positive
D) Urine looks like soy, occult blood test is positive
E) Amount of bone marrow erythroblastic obviously increase.

Question 26

What one is the the clear indication of femoral shaft fracture?

A) Non-surgical treatment failure
B) Combined with multiple injuries
C) Thrypsis
D) Old persons should not take in bed too long
E) Child which is less than 3yrs

Answer 26

A) Non-surgical treatment failure
B) Combined with multiple injuries
C) Thrypsis
D) Old persons should not take in bed too long
E) Child which is less than 3yrs

Question 27

Which of the following description is wrong for hemothorax?

A) Due to defibribinated effection of heart, lung and diaphragmatic movement bleeding does not clot.
B) Short-term heavy bleeding does not clot
C) Hematopexis and coagulated blood organisation confine breathing
D) If hemothorax is not removed early it may cause infections
E) Infection of blood hemothorax should be treated as emphysema

Answer 27

A) Due to defibribinated effection of heart, lung and diaphragmatic movement bleeding does not clot.
B) Short-term heavy bleeding does not clot
C) Hematopexis and coagulated blood organisation confine breathing
D) If hemothorax is not removed early it may cause infections
E) Infection of blood hemothorax should be treated as emphysema

Question 28

A 30yr. old female, back pain for more than 1 months aggravates after exertion with emaciation, acretia and night sweat. On examination shows tenderness and percussion pain in 7-8 thoracic vertebrae,in order to confirms the diagnosis, which of the following test is not necessary?

A) Routine blood test and ESR
B) T-spine PA and LAT X-Ray test
C) Nuclide bone scan
D) Tuberculin test
E)Nuclide bone scan

Answer 28

A) Routine blood test and ESR
B) T-spine PA and LAT X-Ray test
C) Nuclide bone scan
D) Tuberculin test
E)Nuclide bone scan

Question 29

Total hematuria shows diseased region mostly occurs in

A) Posterior urethral
B) Ureter
C) Renal
D) Bladder and above
E) Bladder

Answer 29

A) Posterior urethral
B) Ureter
C) Renal
D) Bladder and above
E) Bladder

Question 30

About sub-phrenic abscess, which is correct?

A) After splenectomy, left subphrenic abscess is common to happen
B) Most patients have infection of biliary tract
C) Most common pathogen is hemolytic streptococcus
D) Is the most common complication of upper abdomen surgery
E) Unknown reasonable post operative fever should be considered of subphrenic abscess

Answer 30

A) After splenectomy, left subphrenic abscess is common to happen
B) Most patients have infection of biliary tract
C) Most common pathogen is hemolytic streptococcus
D) Is the most common complication of upper abdomen surgery
E) Unknown reasonable post operative fever should be considered of subphrenic abscess

Question 31

Most significant auxillary exam for lumbar disc herniation and spinal canal tumor is

A) CT
B) MRI
C) X-RAY
D) Electromyography
E) Ultrasound

Answer 31

A) CT
B) MRI
C) X-RAY
D) Electromyography
E) Ultrasound

Question 32

Acute bacterial cystitis disease rate in women is much more higher than that in men which reason list is wrong?
a. Anatomical orificium urethrae is deformed
b. Urethra mureilis is short and straight
c. Infection often occurs near urethra mureilis
d. Infection usually happens secondary to urolithiasis
e. Injury of friction in secual intercourse

Answer 32

a. Anatomical orificium urethrae is deformed
b. Urethra mureilis is short and straight
c. Infection often occurs near urethra mureilis
d. Infection usually happens secondary to urolithiasis
e. Injury of friction in secual intercourse

Question 33

Indication of chronic osteomyelithis sequestomy is?
a. Sequestrum, dead space bone jacketing is weak
b. Fever , partly swelling , sequestrum , dead space
c. Sequestration is clear, fully formed jacketing
d. Open fractures infection, fractures not healed , sequestration is large
e. Pathological fractures has healed

Answer 33

a. Sequestrum, dead space bone jacketing is weak
b. Fever , partly swelling , sequestrum , dead space
c. Sequestration is clear, fully formed jacketing
d. Open fractures infection, fractures not healed , sequestration is large
e. Pathological fractures has healed

Question 34

In treatment of supracondylar humeral fracture which kind of deformity should be mostly prevented
a. Cubitus valgus deformity
b. Cubitus varus deformity
c. Forward angular deformity
d. Backward angular deformity
e. Rotational deformity

Answer 34

a. Cubitus valgus deformity
b. Cubitus varus deformity
c. Forward angular deformity
d. Backward angular deformity
e. Rotational deformity

Question 35

Falling from upper air with the right ocipitalia on the ground after injury the patient has progressive disturbance of consciousness,the left pupil gradually scatterd large.Diagnosis should be firstly considered
A.left occipital acute subdural hematoma
B.right occipital acute subdural hematoma
C.right frontotemporal fracture combined with acute subdural hematoma
D.left frontotemporal fracture combined with acute subdural hematoma.
E.right cerebellar hematoma in posterior cranial fossa

Answer 35

A.left occipital acute subdural hematoma
B.right occipital acute subdural hematoma
C.right frontotemporal fracture combined with acute subdural hematoma
D.left frontotemporal fracture combined with acute subdural hematoma.
E.right cerebellar hematoma in posterior cranial fossa

Question 36

Aldosterone is a very important hormone which can regulate blood volume and extracellular fluid,its main site of action is,
A.Glomerular capsule
B.Proximal convolated tubule
C.Distal convoluted tubule
D.Medullary loop
E.None of the above

Answer 36

A.Glomerular capsule
B.Proximal convolated tubule
C.Distal convoluted tubule
D.Medullary loop
E.None of the above

Question 37

When secretion of aldosterone in human body increases,which kind of condition will happen?
A.Urine output volume,sodium ,potassium increase.
B.Urine output volume and sodium increase,potassium decrease.
C.Urine output volume,sodium,potassium decrease
D.Urine output volume increase,potassium and sodium increase.
E.Urine output and sodium decrease,potassium increase.

Answer 37

A.Urine output volume,sodium ,potassium increase.
B.Urine output volume and sodium increase,potassium decrease.
C.Urine output volume,sodium,potassium decrease
D.Urine output volume increase,potassium and sodium increase.
E.Urine output and sodium decrease,potassium increase.

Question 38

About prevention of lumbar disc herniation,which of the following is wrong?
A.Reducing accumulate damage is very important
B.People who must bow to work should stretch oneself or lift the chest regularly
C.When benting down and taking things,people should not flex the hip joint or genuflex and sit down
D.Should also strengthen the back muscle exercise.
E.After treatment,the patient should wear fixed waist bell.

Answer 38

A.Reducing accumulate damage is very important
B.People who must bow to work should stretch oneself or lift the chest regularly
C.When benting down and taking things,people should not flex the hip joint or genuflex and sit down
D.Should also strengthen the back muscle exercise.
E.After treatment,the patient should wear fixed waist bell.

Question 39

About closed rib fractures , which one of the following indicate the complication of tension pneumothorax ?

a. Injured side disappeared breath sounds
b. Injured side lung rales
c. Injured side chest bad pain
d. Injured side subcutaneous emphysema

Answer 39

a. Injured side disappeared breath sounds
b. Injured side lung rales
c. Injured side chest bad pain
d. Injured side subcutaneous emphysema

Question 40

A 40 year old male with hematuria,, cystocopy examination reveals hyperemia with dropsy in tunica mucosa urinarie which is around the left ureterostoma combined with scattered yellow nodus. Which of the following check should also be done?
a. Cystography
b. Bladder B-Ultrasound test
c. Nodule biopsy of the bladder mucosa
d. urodynamic study
e. residual urine volume determination

Answer 40

a. Cystography
b. Bladder B-Ultrasound test
c. Nodule biopsy of the bladder mucosa
d. urodynamic study
e. residual urine volume determination

Question 41

. total joint tuberculosis of the hip joint combined with cold abscess formation, the best treatment after confirmed diagnosis is
a. incision and drainage immediately
b. remove focus immediately
c. abscess scoraping after application of anti TB drugs for 2 to 4 weeks
d. remove focus after application of anit-TB drug for 2 to 4 weeks
e. fix with hip spica cast combined with application of anti-TB

Answer 41

a. incision and drainage immediately
b. remove focus immediately
c. abscess scoraping after application of anti TB drugs for 2 to 4 weeks
d. remove focus after application of anit-TB drug for 2 to 4 weeks
e. fix with hip spica cast combined with application of anti-TB

Question 42

Complication of renal tumor intervenion is:

A)renal cyst
B)renal cell carcinoma
C)renal abcess
D)renal calculus
E)pneumothorax

Answer 42

A)renal cyst
B)renal cell carcinoma
C)renal abcess
D)renal calculus
E)pneumothorax

Question 43

About description of blood transfusion, which of the following is wrong?

A)except children,the general regulation is 4-6 ml per minute
B)1 ml per minute is suitable for heart disease patients
C)10 drops per minute in children
D)in situation of hemmoragic shock,the blood transfusion should be quickly inputed.
E)anemia with normal blood volume, blood transfusion should be 200-400 ml per time

Answer 43

A)except children,the general regulation is 4-6 ml per minute
B)1 ml per minute is suitable for heart disease patients
C)10 drops per minute in children
D)in situation of hemmoragic shock,the blood transfusion should be quickly inputed.
E)anemia with normal blood volume, blood transfusion should be 200-400 ml per time

Question 44

To carry patient with spinal fracture, the correct position is?
A.Lateral decubitous position
B. backlying flexion position
C. semirecling position
D. pronation hyperextension position
E. backlying hyperextension position

Answer 44

A.Lateral decubitous position
B. backlying flexion position
C. semirecling position
D. pronation hyperextension position
E. backlying hyperextension position

Question 45

A 62 yr old male patien private prosecution shows poor sleep recently, weight loss and difficult in urinating,combined with upper abdominal discomfort,right inguinal swelling gradually increases and may enter into region of scrotum. What symptom of this patient have relativeness to the cause of the disease?

A.Dysuria
B. Upper Abdominal Discomfort
C. Poor Sleep
D. Persistant Hypertension
E.Weight Loss

Answer 45

A.Dysuria
B. Upper Abdominal Discomfort
C. Poor Sleep
D. Persistant Hypertension
E.Weight Loss

Question 46

with Regard to Urinary tuberculosis, Which statement is false?

A. Mostly renal tuberculosis originated from tuberculosis
B. Urinary Tuberculosis originated from Renal tuberculosis
C. Normally tuberculosis to clinical renal tuberculosis conversion gradually needs 3 to 10 years
D. Renal Tuberculosis occurs rarely in children in lessthan 10 years
E. Multiple micro TB lesion appears in bilateral renal cortical. Clinical symptoms can be seen

Answer 46

A. Mostly renal tuberculosis originated from tuberculosis
B. Urinary Tuberculosis originated from Renal tuberculosis
C. Normally tuberculosis to clinical renal tuberculosis conversion gradually needs 3 to 10 years
D. Renal Tuberculosis occurs rarely in children in lessthan 10 years
E. Multiple micro TB lesion appears in bilateral renal cortical. Clinical symptoms can be seen

Question 47

If forefinger suppurative tenosynovitis of the flexor muscle has not treated been treated in time, What would happen easily?
A. Forefinger bone osteonecrosis
B. Forefinger Musculous Extensor Indicis proprius Necrosis
C. Radial ulnar bursa
D. Forefinger Ungui flexor tendon necrosis
E. Felon

Answer 47

A. Forefinger bone osteonecrosis
B. Forefinger Musculous Extensor Indicis proprius Necrosis
C. Radial ulnar bursa
D. Forefinger Ungui flexor tendon necrosis
E. Felon

Question 48

proper emergency treatment for acute obstructive suppurative cholangitis.

a) hepalobectomy
b)cholecystostomy
c)choledochus open decompression and t-tube drainage
d)cholecystectomy
e)cholangiojejunostomy with cholangioplasty

Answer 48

a) hepalobectomy
b)cholecystostomy
c)choledochus open decompression and t-tube drainage
d)cholecystectomy
e)cholangiojejunostomy with cholangioplasty

Question 49

about the description of left sided groin extrasaccular hernia,which of the following is incorrect?

a)it always is irreducible hernia.
b)the hernia contents should not be the omentum majus
c)bladder can be a part of hernia
d)incarceration may occur
e)sigmoid colon can be a part of hernia sac

Answer 49

a)it always is irreducible hernia.
b)the hernia contents should not be the omentum majus
c)bladder can be a part of hernia
d)incarceration may occur
e)sigmoid colon can be a part of hernia sac

Question 50

a 64 year old female complains of paroxysmal abdominal pain for half a year with intermittent constipation with a frequency of one bowel movement every 4-6 days,with small amount and occasionally with blood in stool.nine months ago she had underwent billroth 1 subtotal gastrectomy for gastric polyps. abdominal examination shows slight left lower quadrant tenderness without any mass or increased bowel sounds. digital rectal examination is negative.x-ray examination and colon double contrast medium with gas and barium shows 5 cm long luminal narrowing,wall stiffness and irregular ulcer in the middle of the sigmoid colon.most likely the diagnosis is?

a)intestinal tuberculosis
b)chronic dysentry
c)sigmoid cancer
d)adhesions of intestine
e) ulcerative colitis

Answer 50

a)intestinal tuberculosis
b)chronic dysentry
c)sigmoid cancer
d)adhesions of intestine
e) ulcerative colitis

Question 51

a 50 year old male with recurrent epigastric discomfort with poor appetite in the recent 3 months, in the recent one month progressive jaundice is seen.physical examination shows marked jaundice in the whole body.liver is enlarged and gall bladder is palpable 3 cm below the ribcage.urinebilirubine is positive.most likely diagnosis is?

a)viral hepatitis
b)cholelithiasis
c)carcinoma of the pancreatic head
d)chronic pancreatitis
e)intrahepatic cholestasis

Answer 51

a)viral hepatitis
b)cholelithiasis
c)carcinoma of the pancreatic head
d)chronic pancreatitis
e)intrahepatic cholestasis

Question 52

A 38 yr old female presented with left mammary lump with vague boundary nodular and tough. Menstrual period is often accompanied by swelling pain of both breast, diagnosis should first consider.

a) breast cancer

b) intraductal papilloma

c) mammary fibroadenoma

d) cyctic hyperplasia of breast

e) pagets nipple disease

Answer 52

a) breast cancer

b) intraductal papilloma

c) mammary fibroadenoma

d) cyctic hyperplasia of breast

e) pagets nipple disease

Question 53

The main reason for colorectal cancer misdiagnosis is due to :-

a) due to high location of cancer

b) the mass is too small

c) early symptoms are atypical most of the time

d) no digital rectal examination is performed

Answer 53

a) due to high location of cancer

b) the mass is too small

c) early symptoms are atypical most of the time

d) no digital rectal examination is performed

Question 54

Diagnosis of mechanical intestinal obstruction is based on

a) abdominal pain

b) abdominal distension

c) vomiting

d) several ladder like line of flat liquid gas on x-ray study

e) cessation of bowel movement or flatus

Answer 54

a) abdominal pain

b) abdominal distension

c) vomiting

d) several ladder like line of flat liquid gas on x-ray study

e) cessation of bowel movement or flatus

Question 55

Which of the following patients with hyperthyroidism can receive operative treatment?

a) juvenile hyperthyroidism

b) patients with basal metabolic rate of +20%

c) 3 months pregnant woman with hyperthyroidism

d) frail elderly patient with hyperthyroidism

e) 9 months pregnant woman with hyperthyroidism

Answer 55

a) juvenile hyperthyroidism

b) patients with basal metabolic rate of +20%

c) 3 months pregnant woman with hyperthyroidism

d) frail elderly patient with hyperthyroidism

e) 9 months pregnant woman with hyperthyroidism

Question 56

A patient had right inguinal mass suddenly fall into the scrotum for 8 hrs associated with marked pain, nausea and vomiting. After admission pain subsided but tumor did not disappear. Abdominal examination reveals lower abdominal muscle tension, rebound tenderness and weak bowel sounds. The treatment protocol for this patient is?

a) manual reduction

b) selective operation

c) bowel resection and high ligation of the hernia sac

d) bowel resection and herniorrhaphy

e) McVay hernia repair

Answer 56

a) manual reduction

b) selective operation

c) bowel resection and high ligation of the hernia sac

d) bowel resection and herniorrhaphy

e) McVay hernia repair

Question 57

A 40 yr old female patient complained of cervical mass for 5 years with sudden enlargement and pain for 3 days. On physical examination a hemispherical mass is palpable on the right lobe of thyroid.The mass is 3 cms in diameter, hard in quality tender with smooth surface and clear boundary . iodine scan shows a cold nodule.The appropriate treatment is:-

a) oral administration of thyroxine tablets

b) oral administration of iodine

c) isotope treatment

d) ipsilateral subtotal thyroidectomy

e) ipsilateral thyroidectomy , ishtmectomy with contralteral subtotal thyroidectomy

Answer 57

a) oral administration of thyroxine tablets

b) oral administration of iodine

c) isotope treatment

d) ipsilateral subtotal thyroidectomy

e) ipsilateral thyroidectomy , ishtmectomy with contralteral subtotal thyroidectomy

Question 58

A 10 yr old boy was paroxysmally crying and shouting for abdominal pain with nausea and vomiting for 3 times but without bowel movement or flatus.Abdominal examination reveals deformed and deflected strip mass but the abdominal x-ray shows no abnormality. the most appropriate management is :-

a) abdominal hot compression and massage

b) oral administration of diarrheal drugs to help bowel movements

c) Intra muscular injection of morphine to relief pain

d) slow ingestion of 500 ml oxygen through gastric tube after pain remission

e) exploratory laparotomy

Answer 58

a) abdominal hot compression and massage

b) oral administration of diarrheal drugs to help bowel movements

c) Intra muscular injection of morphine to relief pain

d) slow ingestion of 500 ml oxygen through gastric tube after pain remission

e) exploratory laparotomy

Question 59

A 30 yr old male presents feverish for 4 days and he also had right anal pain which worsened on defecation. Digital Rectal examination shows swelling on the right side of anus and redness with pressure indentation . the most appropriate management is:-

a) intravenous antibiotics

b) limited activity and bed rest

c) sitz bath and hot compress

d) analgesia

e) puncture with pus incision and drainage

Answer 59

a) intravenous antibiotics

b) limited activity and bed rest

c) sitz bath and hot compress

d) analgesia

e) puncture with pus incision and drainage

Question 60

The most important critical therapeutic principle for non surgical treatment of acute perforated gastroduodenal ulcer is :-

a) infusion of fluids and blood transfusion

b) gastrointestinal decompression

c) fasting water

d) selection of antibiotics

e) rest on semi supine position

Answer 60

a) infusion of fluids and blood transfusion

b) gastrointestinal decompression

c) fasting water

d) selection of antibiotics

e) rest on semi supine position

Question 61

a 65 year old male with paroxymal abdominal pain,bloating and constipation for more than 4 months, but with no history of blood in stools.on examination he is slightly anemic and a 3*5cm slightly moveable mass is felt in the left abdomen. diagnosis is should first consider
A)intusucception
B)adhesion intestinal obstruction
C)intestinal tuberculosis
D)Schistosomiasis granuloma of colon
E)carcinoma of descending colon

Answer 61

A)intusucception
B)adhesion intestinal obstruction
C)intestinal tuberculosis
D)Schistosomiasis granuloma of colon
E)carcinoma of descending colon

Question 62

a 58 year old man with upper abdominal discomfort in ,fullness and
anorexia for 2 and half months .he has no previous history of any gastric disease
.on examination appears anemic emanciatiating. there is no other other positive signs except for mild upper abdominal tenderness urinalysis reveals fecal occult blood test are +++ which
of the following is preferred examination for conforming diagnosis .
A) abdominal ct scan
B) abdominal b mode ultrasonic scanning
C)gastric barium meal examination
D)fibrogastroscopy
E) fibrocolonoscopy

Answer 62

A) abdominal ct scan
B) abdominal b mode ultrasonic scanning
C)gastric barium meal examination
D)fibrogastroscopy
E) fibrocolonoscopy

Question 63

) A one and half year old boy presents with crying and restless with
nausea and vomiting for 2 hours. On examination a 6*2.5 cm strip
palpable mass is found in right middle abdomen. The mass is
smooth elastic, firm. Fixing X- ray inflated photograph reveals inverted cup like shadow in right
upper abdomen. The most appropriate treatment is -
a) fasting and fluid infusion
b) administration of analgesics
c) exploratory laparotomy
d) air enema reduction
e) abdominal hot compress

Answer 63

a) fasting and fluid infusion
b) administration of analgesics
c) exploratory laparotomy
d) air enema reduction
e) abdominal hot compress

Question 64

) A 30 year old male with blunt upper abdominal contusion 6 months
ago. Two months ago, upper abdominal mass is noticed with vomiting but
without abdominal pain and fever. On examination, enlarged cystic mass in upper abdomen
is noticed without tenderness. B- mode ultrasonic ultrasonic scanning indicates a huge
cystic dark liquid areas in the upper edge of pancreas. The most
appropriate management is -

a) continuous observation
b) puncturing to draw cyst contents out
c) surgical excision of cystic
d) extracystic drainage
e) intracystic drainage

Answer 64

a) continuous observation
b) puncturing to draw cyst contents out
c) surgical excision of cystic
d) extracystic drainage
e) intracystic drainage

Question 65

the main treatment for breast cystic hyperplasia?
a)local excision of the hyperplasia
b)mammectomy
c) routine hormonal therapy
d) medication
e)radiotherapy

Answer 65

a)local excision of the hyperplasia
b)mammectomy
c) routine hormonal therapy
d) medication
e)radiotherapy

Question 66

A 60 years old female had sudden upper abd. Pain which spreads to
whole abdomen in 18 hrs. Abd. Examination revelas marked
tenderness,muscle tension,rebound tenderness,shifting dullness +ve on
percussion,absent hepatic and pulmonary border and absent bowel
sounds.The most appropriate treatment is
a)fasting , GI decompression,observation
b) fluid infusion , administration of antibiotics, non surgical treatment
c) abdominal drainage
d) sub total gastrectomy
e) perforating neoplastic abdominal drainage

Answer 66

a)fasting , GI decompression,observation
b) fluid infusion , administration of antibiotics, non surgical treatment
c) abdominal drainage
d) sub total gastrectomy
e) perforating neoplastic abdominal drainage

Question 67

A 19 yr old male feels discomfort in pit of stomach, vague pain with nausea and vomitting from 24 hours.Two hours ago he noted that pain in the right lower abdomen was not relieved after oral administration of analgesics.The abdominal pain progreesively aggravated and was admitted in hospital with bodytemperature37.5 degree celsius .on examination local tenderness is
found on rt lower quadrant with rebound tenderness(+)., lab studies shows wbc 15.4 *10 9/l Rovsing sign was (+) , best treatment option is
A) antibiotic treatment
B)surgical treatment
C)traditional chinese medication
D)physiotherapy
E)incision & drainage

Answer 67

A) antibiotic treatment
B)surgical treatment
C)traditional chinese medication
D)physiotherapy
E)incision & drainage

Question 68

For rectal cancer 4 cms away from anal canal, the most appropriate radical surgery is

A)Dixon operation
B)bacon operation
C)miles operation
D)Protectomy through perineum
E)Proctectomy through sacrum

Answer 68

A)Dixon operation
B)bacon operation
C)miles operation
D)Protectomy through perineum
E)Proctectomy through sacrum

Question 69

A patients had right sided firm mass , groin pain since 16 years ago. 3 days back , the mass descended into scrotum and is not coming back and is associated with nausea and vomiting , abdominal distension without deflection and flatus. Abdominal examination shows enlarging
abdomen , visible intestinal form and swelling red indentation and tenderness on right scrotum . The most criteria treatment ?
a. fluid infusion
b. flat and gastrointestinal decompression
c. administration of antibiotics
d. herniorrhaphy
e. bowel resection and high hernia sac ligation

Answer 69

a. fluid infusion
b. flat and gastrointestinal decompression
c. administration of antibiotics
d. herniorrhaphy
e. bowel resection and high hernia sac ligation

Question 70

A patient had appendictomy for suppurative appendicitis 4 days ago , and developed a fever of 38.0 c temp and right lower quadrant jumping pain. On examination , the incision there is red swelling with positive tenderness and indentation. Which of the following is the best treatment ?
a. High dose of antibiotics
b. Administration of traditional chinese medicine to repel evil toxic spells
c. Dermal sutures open and out wide for drainage
d. Incision physiotherapy
e. Abdominal drainage

Answer 70

a. High dose of antibiotics
b. Administration of traditional chinese medicine to repel evil toxic spells
c. Dermal sutures open and out wide for drainage
d. Incision physiotherapy
e. Abdominal drainage

Question 71

A 54 year old female had recurrent paroxysmal epigastric cramps for 6 years.Three days ago the pain recurred and she was admitted to the emergency department.On physical examination she has sclera and skin jaundice with a temperature of 36.2 degree c,a blood pressure of 12/9.3 k Pa(90/60 mmhg) and a pulse rate 116 bpm.There is marked tenderness and muscle tension in the right hypochondrium.The most appropriate treatment is
A.cholecystostomy
B.cholecystojejunostomy
C.exploration of the common bile duct and ‘T’-tube drainage
D.choledochojejunostomy
E.choledochoduodenostomy.

Answer 71

A.cholecystostomy
B.cholecystojejunostomy
C.exploration of the common bile duct and ‘T’-tube drainage
D.choledochojejunostomy
E.choledochoduodenostomy.

Question 72

A 26 year old 3 month pregnant female had epigastric pain associated with nausea,vomiting and dry stool 24 hours ago.Right lower abdominal pain accompanied by fever developed 6 hours ago.On examination,she has a temperature of 38.5 degree C,Abdominal examination reveals positive tenderness,positive rebound tenderness and mild muscle tension in the right lower quadrant.laboratory studies shows a white blood cell count of 17.4*10 9/L.Apart from sedation and tocolysis which of the following is the most correct treatment?
A.Intravenous injection of high dose of antibiotics.
B.Surgical removal of lesions
C.drainage
D.Clear away the heat evil and expel toxic evils with traditional Chinese medicine
E.Administration of antibiotics and physiotherapy

Answer 72

A.Intravenous injection of high dose of antibiotics.
B.Surgical removal of lesions
C.drainage
D.Clear away the heat evil and expel toxic evils with traditional Chinese medicine
E.Administration of antibiotics and physiotherapy

Question 73

A 44 yr male with great saphenous vein varix with significantly exacerbated superficial varicose vein. When the thigh root is tied with rubber band, the patient rapidly flexed and extended the knee 20 times. The preferred treatment is?
a. The high ligation of the great saphenous vein
b. the high ligation of the great saphenous vein and segment ligation
c. The high ligation of thegreat saphenous vein and stripping.
d. The high ligation of the saphenous vein, stripping and excision of venous
e. No surgical procedure.

Answer 73

a. The high ligation of the great saphenous vein
b. the high ligation of the great saphenous vein and segment ligation
c. The high ligation of thegreat saphenous vein and stripping.
d. The high ligation of the saphenous vein, stripping and excision of venous
e. No surgical procedure.

Question 74

A 48 yr old male with the paroxysmal abdominal pain, bloating, constipation for more than 4 months. There was no history of blood or mucus in the stool. Examination show mild anemia with the 3x5 cm left upper quadrant. Which of the following procedure make establishing diagnosis?
a. Digital rectal exam
b. Endoscopy
c. Fibercolonoscopy
d. Gastro intestinal barium examination
e. Abdominal bi mode ultrasonic scanning

Answer 74

a. Digital rectal exam
b. Endoscopy
c. Fibercolonoscopy
d. Gastro intestinal barium examination
e. Abdominal bi mode ultrasonic scanning

Question 75

a 72 yr old male has constipation for 6 to 7 years occasionally associated with abdominal cramps. The abdominal pain is relieved after defecation or gas dimination.when the pain, a giant intestinal loop is obscurely seen in the left abdomen. Intestinal lavage is performed with 300ml liquid. Digital rectal examination reveals empty rectal ampulla without mucous or blood on the fingertip. The diagnosis is?
a. Intestinal obstruction due to ascariasis
b. Adhesive intestinal obstruction
c. Acute intestinal obstruction due to sigmoid volvulus
d.acute Intestinal obstruction due to colon carcinoma
e. Dynamic ileus

Answer 75

a. Intestinal obstruction due to ascariasis
b. Adhesive intestinal obstruction
c. Acute intestinal obstruction due to sigmoid volvulus
d.acute Intestinal obstruction due to colon carcinoma
e. Dynamic ileus

Question 76

A 30 yr old female has self perceived palpitations. On examination her pulse rate is 90bpm and BP 17.3/10.7 Kpa (130/90 mmHg). Her thyroid is diffusely enlarged. To establish diagnosis sensitive is?
a. Thyroid B-ultrasound
b. Determination of T3 and T4
c. Iodine uptake rate determination
d. Determination of basal metabolic rate
e. Determination of TSH

Answer 76

a. Thyroid B-ultrasound
b. Determination of T3 and T4
c. Iodine uptake rate determination
d. Determination of basal metabolic rate
e. Determination of TSH

Question 77

A 42 yr old female has accidentally noted mass on the left breast for 2 weeks. There are no other symptoms and the mass is not enlarged. On examination the mass is 2x1x1 cm mass in the upper left outer quadrant of breast. The mass is firm, not tender and has little skin adhesion. Enlarged lymph nodes is of 1cm in size palpable under the left axilla. To confirm , the diagnosis further examination include?
a. Breast molybdenum target x-ray examination
b. Tuberculin test
c. Breast mass puncture biopsy
d. Breast mass excisional biopsy
e. Breast mass incision biopsy

Answer 77

a. Breast molybdenum target x-ray examination
b. Tuberculin test
c. Breast mass puncture biopsy
d. Breast mass excisional biopsy
e. Breast mass incision biopsy

Question 78

In case of blunt abdominal injury visceral injury is indicated when peritoneal lavage and blood cell count is higher than
a. 2500/mm3
b. 10,000/mm3
c. 25,000/mm3
d. 50,000/mm3
e. 100,000/mm3

Answer 78

a. 2500/mm3
b. 10,000/mm3
c. 25,000/mm3
d. 50,000/mm3
e. 100,000/mm3

Question 79

Patient is said to have mechanical ileus and strangulated intestinal obstruction when which of the following is demonstrated in the plain abdominal radiograph?
A.expansion of proximal intestine and no gas in the distal intestine.
B.Trapezoid arrangement of expanded intestine
C.Expansion and fixation of isolated intestinal section.
D .Fish bone like mucosa in the expanded intestine.
E.None of the above.

Answer 79

A.expansion of proximal intestine and no gas in the distal intestine.
B.Trapezoid arrangement of expanded intestine
C.Expansion and fixation of isolated intestinal section.
D .Fish bone like mucosa in the expanded intestine.
E.None of the above.

Question 80

For small cell hepatocellular carcinoma with a diameter less than 2 cm,the best way to localize is,
A.radionuclide liver scan
B.B mode ultrasonic scanning
C.CT
DSelective hepatic arteriography
DMagnetic Resonance Imaging

Answer 80

A.radionuclide liver scan
B.B mode ultrasonic scanning
C.CT
DSelective hepatic arteriography
DMagnetic Resonance Imaging

Question 81

Diagnosis of suspected thyroid cancer primarily based on
A.isotope scanning of cold nodule
B.suddenly enlarged nodules
C.firm,fixed nodules or combined with compression symptoms
D.hypothyroidism
E.pain

Answer 81

A.isotope scanning of cold nodule
B.suddenly enlarged nodules
C.firm,fixed nodules or combined with compression symptoms
D.hypothyroidism
E.pain

Question 82

Gastroduodenal ulcer which can lead to hemorrhage is most commonly present in
A.the gastric cardia or the duodenal anterior wall
B.the greater curvature of stomach or duodenal lateral wall
C.the lesser curvature of stomach or duodenal posterior wall
D.the gastric antrum or the duodenal anterior wall

Answer 82

A.the gastric cardia or the duodenal anterior wall
B.the greater curvature of stomach or duodenal lateral wall
C.the lesser curvature of stomach or duodenal posterior wall
D.the gastric antrum or the duodenal anterior wall
E.the gastric fundus or the posterior part of the duodenal ampulla

Question 83

The early clinical manifestations of ampullary carcinoma is
A.Jaundice
B.Epigastrin pain & back pain
C.chills and fever
D.Hematochezia
E.Anemia and weight loss

Answer 83

A.Jaundice
B.Epigastrin pain & back pain
C.chills and fever
D.Hematochezia
E.Anemia and weight loss

Question 84

The basal metabolic rate of moderate hypothyroidism
A.± 10
B.± 10 ~ 30
C.+ 30 ~ 60
D.+ 40 ~ 60
E.+ 60 or above

Answer 84

A.± 10
B.± 10 ~ 30
C.+ 30 ~ 60
D.+ 40 ~ 60
E.+ 60 or above

Question 85

a young male patient underwent subtotal gastrectomy and billroth’s II anastomosis. Four days after operation,abdominal distention developed after eating,with vomiting of bile but without food.The barium meal examination,the barium can pass through the anastomatic stoma without any obstruction. what would be the most likely complication is
A.gastric resmnant asthenia after subtotal gastretomy
B.anastomatic block complicated by subtotal gastrectomy
C.proximaljejunal syndrome complicated by subtotal gastrectomy
D.distaljejunal obstruction complicated by subtotal gastrectomy
E.proximaljejunal reflux after subtotal gastrectomy

Answer 85

A.gastric resmnant asthenia after subtotal gastretomy
B.anastomatic block complicated by subtotal gastrectomy
C.proximaljejunal syndrome complicated by subtotal gastrectomy
D.distaljejunal obstruction complicated by subtotal gastrectomy
E.proximaljejunal reflux after subtotal gastrectomy

Question 86

the earliest metastatic site of primary carcinoma of liver is
A.the bone
B.the lung
C.the left supraclavicular lymph node
D.the liver

Answer 86

A.the bone
B.the lung
C.the left supraclavicular lymph node
D.the liver
E.the hepatic heliar lymph node

Question 87

the diameter of common bile duct in normal adults is about
A.0.2-0.4cm
B.0.4-0.6cm
C.0.6-0.8cm
D.0.8-1.0cm
E.1.0-1.2cm

Answer 87

A.0.2-0.4cm
B.0.4-0.6cm
C.0.6-0.8cm
D.0.8-1.0cm
E.1.0-1.2cm

Question 88

the most common cause of upper gastrointestinal hemorrhage is
A.portal hypertension
B.hemorrhagic gastritis
C.gastric ulcer
D.stress ulcer
E.gastroduodenal ulcer

Answer 88

A.portal hypertension
B.hemorrhagic gastritis
C.gastric ulcer
D.stress ulcer
E.gastroduodenal ulcer

Question 89

Which of the following is correlated with the formation of hemarroids?
A.Habitual constipation
B.Increasedintraabdominal pressure
C.No venous valve in the rectum
D.chronic-infection of the lower rectum and anal canal
E.Long-term drinking and eating of spicy and pungent food

Answer 89

A.Habitual constipation
B.Increasedintraabdominal pressure
C.No venous valve in the rectum
D.chronic-infection of the lower rectum and anal canal
E.Long-term drinking and eating of spicy and pungent food

Question 90

The most common cause of Intestinal obstruction?
A.Intestinalascariasis
B.Volvulus
C.Intestinal adhesion
D.Incarcerated hernia
E.Intestinal tumor

Answer 90

A.Intestinalascariasis
B.Volvulus
C.Intestinal adhesion
D.Incarcerated hernia
E.Intestinal tumor

Question 91

a 30 yr old male was admitted to hospital 2 hours after falling down from 5 metres height.he stated of thirst,shortness of breathand abdominal pain.on examination he was pale with a pulse 132,bp 70/60mm of hg.abdominal examination reveals abdominal tension , tenderness rebound tenderness(+).shifting dullness(+) with weak bowel sounds. the best appropriate management is ?
a.anti shock and laprotomy immediately after condition is improved
b.bloodtransfusionand fluid infusion and anti shock and observation
c.administration of high dose homeostatic agents
d. admisnistration of high dose antibiotics to prevent infection
e. anti shock and surgical operation at the same time.

Answer 91

a.anti shock and laprotomy immediately after condition is improved
b.bloodtransfusionand fluid infusion and anti shock and observation
c.administration of high dose homeostatic agents
d. admisnistration of high dose antibiotics to prevent infection
e. anti shock and surgical operation at the same time.

Question 92

a 18yr old youth was admitted to hospital 1 wk after left knee sprain. on examination there was tenderness in the internal tuberosity of tibia and the diagnosis was medical collateral ligament injury.the condition was not improved by rest,physiotherapy and local block theraphy especially at night.when he visited the doctor again ,the preferred examination is
a. determination of alkaline phosphate
b. determination of wbc
c.photographs
d. determination of ESR and WBC
e. determination of rheumatoid factor

Answer 92

a. determination of alkaline phosphate
b. determination of wbc
c.photographs
d. determination of ESR and WBC
e. determination of rheumatoid factor

Question 93

a 10 yr old boy presented with left thigh swelling and high fever one month ago.on high dose of antibiotic and blood transfusion his temperature returned to nrml. on x-ray examination reveals extensive sieve- like damage in femoral diaphysis.the best treatment is
a.immobilisation with hip spica cast &anti inflammatory symptomatic treatment
b.immobilisation splintage&anti inflammatory symptomatic treatment
c. trapanation and drainage
d.immobilisation with splintage&active joint activities to prevent stiffness
e.focusclearence

Answer 93

a.immobilisation with hip spica cast &anti inflammatory symptomatic treatment
b.immobilisation splintage&anti inflammatory symptomatic treatment
c. trapanation and drainage
d.immobilisation with splintage&active joint activities to prevent stiffness
e.focusclearence

Question 94

a 32 yr old male had waist sprain while lifting heavy load 2 yrsago.since then there is pain in right lower extremity repeatdly with foot &leg numbness &intermittent claudication. on examination no deformity,no tenderness found.but right leg,right straight leg raising test is 60 (+),but enhance test -ve. He has normal sensation & feeling normal muscle tension,decreased ankle reflex.on x-ray examination.L4L5 hyperplasia found
next preffered examination for further diagnosis is?
a. lumbar puncture and examination of csf
b. electromyography
c. ct examination
d. x-ray tomography
e. surgical exploration

Answer 94

a. lumbar puncture and examination of csf
b. electromyography
c. ct examination
d. x-ray tomography
e. surgical exploration

Question 95

. a 40 yr old farmer was admitted to our hospital 2 hours after a car crushed his right leg. on examination there is 4x8 cm skin breakdown in the front of the right leg with contamination of sediments and 1x3 cm free long bone slices.The best treatment?
a. debridement and retention of bone slices,internalfixation,primary wound closure
b. debridement,external fixation and bone chip removal
c. debridement, removal of free bones,external fixation
d. debridement,bone chip removal,internal fixation
e. amputation

Answer 95

a. debridement and retention of bone slices,internalfixation,primary wound closure
b. debridement,external fixation and bone chip removal
c. debridement, removal of free bones,external fixation
d. debridement,bone chip removal,internal fixation
e. amputation

Question 96

8 yr old boy has had left arm swelling and pain accompanied by fever since 1 mnth.The condition was not improved with antibiotics treatment.soft tissue abcess in the lower part of the upper arm.Theabcess undergoes spontaneous rupture but is nt cured. x-ray film revealed thin,new yet incomplete cladding layer on the left humerus.the appropriate treatment of this condition is?
a. complete removal of sequestrum, sinus scraping
b. removal of sequestrum, and muscle flap filling
c. removal of sequestrum,an dorrs therapy
d. removal of sequestrum, and closed irrigation
e. cast immobilization,administration of antibiotics and dressing change

Answer 96

a. complete removal of sequestrum, sinus scraping
b. removal of sequestrum, and muscle flap filling
c. removal of sequestrum,an dorrs therapy
d. removal of sequestrum, and closed irrigation
e. cast immobilization,administration of antibiotics and dressing change

Question 97

a 52 yr old man had left elbow pain radiating to lateral forearm for one month. he had normal elbow activity with limited tenderness on external epicondyle of humerus. The best treatment is t is?
a. surgery
b. physiotherapy
c.injection of prednisolone on pain spot
d. massage
e. plaster immobilisation

Answer 97

a. surgery
b. physiotherapy
c.injection of prednisolone on pain spot
d. massage
e. plaster immobilisation

Question 98

25 yr old man has a twisted his right hand an hour ago.Onexamoination, his blood circulation is good with the 3rd and 4th metacarpel fracture and dislocation.There is also 4x3cm dorsal skin loss with basal bone and tendon rupture.(3rd-4th extensor tendon) best treatment is?
a. debridement,tendon suture manipulative reduction,plaster immobilization
b. secondary treatment after debridement,external fixation ot the tendon with splints
c.debridement,internalfixation of the fracture ,tendon suturing, plaster external fixation with abdominal flap
d. debridement,internalfixation of the fracture ,tendonsuturing,plaster external fixation with skin graft
e.secondary treatment of dressing and anti inflammatory treatment

Answer 98

a. debridement,tendon suture manipulative reduction,plaster immobilization
b. secondary treatment after debridement,external fixation ot the tendon with splints
c.debridement,internalfixation of the fracture ,tendon suturing, plaster external fixation with abdominal flap
d. debridement,internalfixation of the fracture ,tendonsuturing,plaster external fixation with skin graft
e.secondary treatment of dressing and anti inflammatory treatment

Question 99

5 yr old child suffered with pain and swelling on the right leg associated with high fever of 39-40for 1 week. there is slight swelling and deep tenderness,the condition could not be control even after 3 days of high dose antibiotic therapy. toxic symptoms are very severe. what is the best treatment?
a.hormonal therapy
b. blood transfusion
c. local limited activities
d. incision and drainage
e. focus clearance

Answer 99

a.hormonal therapy
b. blood transfusion
c. local limited activities
d. incision and drainage
e. focus clearance

Question 100

a 15 yr old female had pain on the top of the left lateral knee for 2 mnths.the pain exacerbated in recent days with slightly higher surface temperature .x-ray revealed femoral metaphyseal bone destruction with periosteal reaction.what is the diagnosis?
a. metastasis cancer of the bone
b. osteoblastoma
c.bone tb
d.osteosarcoma
e.gaint cell tumour of the bone

Answer 100

a. metastasis cancer of the bone
b. osteoblastoma
c.bone tb
d.osteosarcoma
e.gaint cell tumour of the bone