3-an eldarly with low serum protin level which sign is caused low serum protin

1-edema
2-restlessness
3-pallor
4-cinfusion
5-rigid abdomin
answer is a

4-population growth rate in jordan

1-2.2
2-2.8
3-3.8
4-4.1
5-5
answer is 1

5-the most precise daignostic screening procedure for differeniating benign thyroid
nodules from malignancy is
1-thyroidn u/s
2-thyroid scintiscan
3-thyroid hormon suppression
4-FNA
5-thyroid true cut biopsy
answer is 4

6- 20 y are emergancyecy doctor on douty .lady called you on the phone that some
detergent has aplashed in her face ,she complining of sever sye pain ,what is your
first response
answer is extensine eye irrigation with tap water

7-which of the following is not cardinal sign or symptom of intistinal obstruction

1-abdominal distention
2-diarrhea
3-episodic of abdominal pain
4-obstruction
5-vomiting

answer is 2

9-while examining a patient with acute appindicitis a Right iliac fossa pain is
felt on extension of the hip, hip flextion releve the pain this sign called is

anser is psoas sign

10-on which part of body suture are left the longest time before remove
1-face
2-scalp
3-joint
4-chest
5-abdomin
answer is 3

11-casues pf retrosternal pain occurs all except

1-acute mediastinitis
2-disecting aneurysm
4-pergorated doudenal ulcer
4-unstable angina
5-eseophageal spasm
answer is 3

12-which of the following is not associated whith multiple endocraine neoplasia

type 1 (MEN-)
1-hyperparathyroidism
2-medullary carsinoma of thyroid
3-pancreatic neoplasm
4-pituitary neoplasm
5-silavary galnd neoplasm
answer is 2

14-the initial manaegmant of toxic mega colon in ulcerative colits should include
1-broad-specturm antibiotic with IV fluid and electrolit tesusutation
2-6-meracaptopurine
3-urgent total coloectomy
4-opioid anti diarrhea
5-colonoscopy decompression
answer is a NOT sure

15-all are true regarding echioncoccosis (hydatid)liver disease caused by

echinococcus granulosus except
answer is more datal than in echinococcus multilocularis form

16-which the following type of colonic polyp is associated highst malignant

degeneration
1-tubular adenoma
2-tubulovillous adenoma
3-villous adenoma
4-hamartomous polyp
5-lip[matous polyp
answer is 3

17-Grey turner sign (flank brusing )seen in

answer is acute appendicitis

18-regarding acute appindicitis in pregnancy ,one is true

1- it is often fetal
2-the incidence is more common in pregnant due to reduction of immunity
3-it is easier to diagnosis compared the non-pregnant
4-it shares the same symptom and sign as non-pregnant
5-when it happen the side of maximal abdominal tenderness is higher the more
advanced the pregnancy
answer is 5

10-all are causes of chronic pancreatitis except

1-alcohol abuse
2-hyperparathyroidism
3-congenetal anomalis of pancreaic duct
4-pancreatic truma
5-crohn disease
answer is 5

20-regarding chronic polyp ,one of the following is true

1-juvenile rectal polyp are adenomatous polyp
2-metaplastic are pre-malignant
3-the risk of malignancy is higher in tubular than villous adenoma
4-villiou adenoma occasionally causes hypokalemia
5-almost of untreated patient with familial adenomatous polyposis coli will develop
colorectal carcinoma
answer is 5

21-all are usually used in treatment of pyogenic liver disease except

answer is liver tranplantation

22-hydrocyle is excess fluid coolection whithin the

answer is tunica vaginalis

23 which statment about adenocarcinoma of pancreas is correct

answer is most cases occurs in head of pancreas

24-in multiple system truma patient intital imaging studies should include
1-skull, chest,and abdmoin
2-chest ,abdomin and pelcis
3-cerviacl spine ,chest. and pelves
4-skull , cerviacl spine and chest
5-cervical spine ,chest and abdomin
c e

25-in abdominal x-ray doble bubble saign indicat

answer is doudenal atresia

26-A 40 y old male presented with painless mas in she scalp on examination a 3*3 cm
mass was identified with punctum the adjacent skin look normal. most likely
diagnosis is
1-hemangioma
2-sebaceous cyst
3-lipoma
4-osteoma
5-skin abscess
answer is 2

28-a patient suffering from hard spasm whrn blood pressure cuff is inflated what
the electrulit disterbance occur
answer is hypocalcemia

29-the following are part of Glasgow coma scale (QCS) except

1-speech response
2-pain response
3-pupillary response
4-eye opening response
5-command obeying response
answer is 3

30-A 50 t old woman presented with persistent soreness of right nipple of brest , a
crusted red exzematous rash is present on aerela the manegment of choise would be
2- antibiotic
2-biopsy of the nipple
3-cortisone cream
4-observation without specific treatment
5-simple mastectomy
answer b or e NOT SURE but i go with b

31-on arrival to emergancy room apatient suffering from body burn started to
develop stredoer ,were noticed to have burned haie what first step in managment
anser is urgent intubation with mechanichal ventalation
35-the symptom and sign of charcots triad are
answer is abdominal pain ,chilis ,fever and jundice

36-regarding infantile pyloric stenosis one is true

1-it can present with vomiting from birth
2-frequently result in acidosis
3-it redily diagnosis clinicaly
4-it usally cured by conservative treatment
5-it associated with sever abdominal pain
answer is cccc

37-which of the following are not causes of bilious vomiting in children

answer is pyloric stenosis

38-which of the following swallowed foreign bodies need to be removed emergancy

1- coin in stomach
2-coin in esophagus
3-lithium button battary in stomach
4-lithium button battary in esophagus
5-5 gram cocaine in condom sitting in small intestin
answer is 4444

40-which of the following statment is false regarding hernia

1-somtime expansile cough impulse is absent
2-strangulation hernia is indication for surgury
3-u/s is more important than clinicaly assesment for diagnosis
4-repiar is done by open or laproscopic
5-divercation of recti in not a true hernia
answer is ccccc

41-the most commonly affected site with basal cell carcinoma

answer is skin of middle third of face

42-regarding chronic pancreatitis all are true except

1-surgery may be indicated for pain alone
2-my be complicated by psudocyst formation
3-a common cause is alchoholic pancreatitis
4-patient may present with disese complication without pain
5-most patient reguire a surgica; intervention
answer is 5

43-the first step manegment patient with prefusely bleeding open wound of leg is

answer is local preessure on wound and leg elevation

44-the commenest type of hernia

answer is inguinal hernia

45-which of whr following steatment abiut hernia is false

1-femoral hernia has high risk for strangulation
2-all evident hernia shold be reaired
3-femoral hernia is more common in female
4-paraumbilical hernia causes crescent shape umbilical
5-epigastric hernia usually contains extrapritonial fat
answer is 2222
46-clinically commonest type of shock is
answer is hypovolonic shok

47- the most common indication for surgary to acute coloinc diverticyltis is
answer is abscess

48-in chest truma all the following life threatining condoion except
1-tension pneumothorx
2-aortic dissection
3-cardiac temponade
4-massiver hemothorax
5- chest wall ,surgical emphysema
answer is 5

49-which of the following hernia is most likely incacrate and strangulate

1-congrnetal umbilical hernia
2-spiglian hernia
3-direct inguinal hernia
4-indirect inguinal hernia
50epigastric hernia
answer is d or b NOT sure

50-hyphema is term refers for

answer is blood in the anterior chambser of the eye

51-regarding fluid replecment in burn patient what the factor need to be calaulated
answer is the total surface body (TBSA)

52-WHICH STETMENT IS NOT TRUE ABOUT perineal hidradenitis suppurativa

answer is radiotherapy is the first line of treatment

53-differant diagnosis thyroid noudule includes rxcept

1-carcinoma
2-a nonfunctioning adenoma
3-a thyroid cyst
4-a colloid nodule
5-an automonus nofule