1- All associated with hypercalcemia except?

Pancreatitis

2- Vit A reverses all steps except?

Wound contraction

3- Most common hernia in females

Indirect inguinal hernia

4- A case about blood covering the stool?

Most common site is Rectum

5- A case about right upper limb circumflex burn with perineal and bilateral lower limb
involvement?
46%

6- Most common site of pressures ulcer:

Ischium
Sacrum
Heel
Occiput *

7- Most common arrhythmia in laparoscopic surgery is?

Sinus tachy
Sinus brady*

8- Most common form of diabetic ulcer:

Neuropathic*
Ischemic
Venous

9- Which of the following is true about Meckel’s diverticulum.

Mostly asymptomatic

10- All of these gases can use peritoneum ... laparoscopy except:
Methane *
Co2
No
Helium
Argon

11- Not a risk factor for gastric Ca?

Type O blood

12- Not related to inhalation burn?

Scald burn *
Burn in a closed room.
Burns involve the eyes & nose.
Burns affect lips.
13- Least association to cause infection after appendectomy:
E.coli
Klibsiella
Staph aureus *
Bacteroid
S.Viridine

14- Q: a 2 month old patient with umbilical hernia. Correct treatment

Observe *
Truss and operate when the child turns 1
Truss

15- Q about pancreatic enzyme in active form:

Lipase
Phospholipase A
Trypsin enzyme responsible in the activation *

16- Which of the following is not associated with chronic venous insufficiency.
Painless ulcer
Eczema *
Changing skin color
Lipodermatosclerosis
Venous obstruction or reflux

17- Which of the following need urgent surgery:

Perianal abscess *
Pilonidal sinus
Prolapse hemorrhoid
Cicumfitional hemorrhoid

18- Which of the following is least likely to metastasize /has the best prognosis (2
questions same choices)
Small cell carcinoma
Adenocarcinoma *
Squamous cell carcinoma
Large neuroendocrine carcinoma

19- All of the following are not common following necrotizing pancreatitis except?
Grey turner
Retinopathy *
Cullen sign
Torrsouea sign

20- Clear cell carcinoma

Collecting duct
Loop of Henle
Proximal tubule*
None of the above

21- Q: Which is incorrect about Paget’s disease of the breast

Benign lesion is bilateral
Paget’s disease of the breast is stage 4 *
Benign lesion is associated with eczema in other areas

22- Which of the following is true

Hyperplasia is defined as cells increasing in size
Hypertrophy is defined as cells increasing in numbers
Atrophy is defined as cells increasing in size due to misuse
Metaplasia is defined as the transformation of abnormal tissue into abnormal tissue
Hamartoma is a congenital anomaly (I can’t remember)*

23- about the daily requirements

Calories 30-50 kcal/kg
Water 30-50 ml/kg
Protein
Potassium

24- Q: Clinical presentation of perianal fistula

Pus in undergarment*
Pus with stool

25- Most common cause of esophageal perforation

Iatrogenic*
Foreign body

26- Compartment syndrome can lead to severe consequences if left untreated, despite
patency of vascular repair. Fasciotomy must be performed when the symptoms are
recognized, all of the following are possible symptoms except?
Elevated compartment pressure.
Difficulty in stretching muscles.
6h delay in perfusion postoperatively.
Other choices
All of the above

27- Q: indication for surgery in Crohn’s disease

RLQ pain
Prophylactic to cancer
Fibrous ileal stricture
Internal fistula*

28- 5*5 malignant tumor in the right apical lung. What is the most likely diagnosis?
Adenocarcinoma
Squamous cell carcinoma

29- Perianal fistula:

discharge on clothes

30- about ABCD2 score

A 55 year old man, with no Hx of diabetes, presented with unilateral upper limb
weakness of 2 hour duration. His Bp was 130/70. What is his ABCD2 score.
-3
-4
-5
-6
-7

31- All of the following is correct about intermittent claudication except

It is reproducible
Affects a group of muscles
Indicator of coronary artery disease
relieved by rest
bursting pain when walking*

32- A patient with hematemesis and melena. The bleeding failed to subside. Which
artery should be ligated to stop the bleeding?
Right gastric artery
Left gastric artety
gastroduodenal artery*

33- staging of hemorrhoids is based on

Site
Size
Number
Prolapse*
Complications

34- Which of the following is not found in tension pneumothorax

increased shunt
increased intrapleural shunt*
decreased cardiac stroke volume
increased heart rate
decreased ventilation

35- A question about scald burn all of the following attribute to initial steps in
management except:
Systemic antibiotic administration*
Monitoring urine output
Maintain patent airway
Obtain good intravenous acess
Determine TSBA that was involved

36- a question about which age group is at risk of bowel incarceration.

up to one year*
10 years
Teenagers
Age of 5 years

37- About colorectal cancer:

-At the present, it is the most common cancer in Jordanian males

-Mostly genetic

both answers are correct.

38- Q: In which of the following is surgery not the first line of treatment.
Conn’s Syndrome
Pheochromocytoma
Bilateral adrenal hyperplasia*

39- A patient with thyroglossal cyst, underwent a sistruck procedure and was found to
have malignant cells. What is the type of cancer that is least likely to be present?
Follicular type of papillary?
Follicular
Papillary
Squamous cell carcinoma *
Hurthle cell cancer.

40- There was a question about (what is wrong -I think-) obstructive shock:

-Beck triad is muffled heart sounds, JVD, tachycardia.

41- The best investigation to differentiate malignant from benign thyroid tumors is:
Diagnostic test for thyroid cancer = FNA.

42- For H. Pylori

Endoscopic biopsy antrum & look at histology

Endoscopic biopsy with urease test
urea breath test
urease test
All of the above

43- Which has the best prognosis

Er +ve/ HER2 -ve*
Er -ve / HER 2 +ve
Er -ve / HER 2 -ve
Er +ve / HER 2 +ve
Triple negative disease

44- Triple assement of breast cancer:

Pe + radiology imaging + biopsy

45- Cardinal symptoms of intestinal obstruction except:

Fever

46- Least associations with multinodular goiter:

Change in voice

47- Which statement is true?

Cystic duct always joins the common hepatic above the duodenum.
Cystic artery is a branch of the common hepatic
Normal capacity of the gallbladder is 250 ml.
All wrong *

48- Triple assessment in breast cancer:

Clinical - imaging study - core biopsy

49- About varicose veins, what is the false statement?

Most are secondary*
More common in females
Long and short saphenous are superficial (something along those lines)
Long saphenous is anterior to the medial malleolus

50- Chronic d ulcer associated with:

Hyperpara
Hyperthyroidism
Insulinoma

51- Mcc of malignant pleural effusion in females?

Breast Ca *
Lung Ca
Ovarian Ca

52- False about exudative pleural effusion?

Pleural LDH/serum 0.6
Pleural protein/serum 0.5
Pleural cholesterol/serum 0.3*
LDH should be 2/3rds the max (something similar)
LDH 200U/ml

53- Q about hydatid cysts

Cyst calcification in lung

54- Umbilical discharge

Patent urchas
Granuloma*

55- Following ambulatory surgeries, which of the following does not allow discharge:
Can’t walk *
Can’t eat solid food
Patent airway

56- Q about ran son criteria what is the false:

Glucose
AST
LDH
WBC
Amylase*

57- Which statement is false?

Seminomas are more common than non-seminomas
Alpha feto protein increase in seminoma

58- True about blood supply to parathyroid gland:

The blood supply is highly variable.
Inferior thyroid**
IMA.

59- Most common hernia in females?

Indirect inguinal

60- Q about abscesses? What’s wrong?

-made from epithelial cells
-patient gets infected after discharge (something like that)

61- Was not in Spermatic cord?

Awsan Altamimi
ilioinguinal nerve*
Vas deferens
Testicular artery
Testicular vein
cremasteric muscle

62- Not a risk factor for bladder cancer?

- BPH

63- Staging of piles depends on:

Prolapse

64- Which of the following is true:

A surgeon’s percentage of perioperative stroke should not exceed 3% in asymptomatic
patients, 6% in symptomatic patients.

65- Which is false

Keloids outgrow the wounded area
Keloids occur when scares cross joints/skin creases at a right angle*
Keloids have a familial predisposition
Keloids are more in dark skinned people
Hypertrophic scare respond better than Keloids

66- Q about massive blood transfusion, all of these can happen as a complication
except?
Hypokalemia

67-The physician asks the patient about his preferred method of treatment.
The physician makes sure the patient understands the disadvantages and complications
of the procedure.
The physician elicits the patients desired level of involvement.(can’t recall the exact
phrasing)
All of the above.
68- Which type of ASD is related to partial anomalous pulmonary venous return?
Optimum
seccundum
Sinus venous*

69- Which of the following is incorrect regarding hidradenitis

Children are the most affected age goup
Excision of the affected area is a form of treatment (something similar)
Is a disease of apocrine sweat glands
Associated with abscesses and sinuses

70- About gallbladder ca which is false:

It’s a rare disease
Carries good prognosis *
Ca 19.9 is positive

71- Which of the following is incorrect regarding abscesses:

In case of cellulitis, antibiotics should be prescribed
The wall consists of epithelial cells
actinomyces causes chronic abscess
Most surgical site abscesses develop after the patient had been discharged

72- All of the following are forms of Adynamic obstruction except:

Hernia*
Paralytic ileus
Pseudo-obstruction
Mesenteric artery occlusion

73- About hidradenitis suppurativa which one is false?

It mainly affects the axilla
A disease if apocrine sweat glands
Most common in children

74- Breast cancer in males, which one is false:

Mostly estrogen positive
DCIS is the most common type..
Mostly estrogen negative*

75- Which is wrong about hydatid disease:

Man is an intermediate host
Biliary ducts are the main sites of rupture
Cysts in the lungs are less likely to calcify *
Broad capsule originates from the ectocyst

76- Splenectomy is indicated in:

Sickle cell disease
Thalassemia
Hereditary spherocytosis *
77- About gallbladder stones, one is false:
-Pigmented stones are common in children with sickle cell disease
-acalculous cholecystitis is occurs usually in ICU patients
-elective resection is indicated in patients with hereditary spherocytosis (or sickle cell) *
-elective resection is indicated in the presence of >1cm diameter polyps
-ileal resection is the most common associated condition with non-pigmented stones

78- What is false about necrotizing enterocolitis?

- 2nd type is monomicrobial (‫)إﺷﻲ زي ھﯾك‬

79- 54 years old male known to have Aortic stenosis has experienced Angina pectoris
and single episode of syncope recently.. Which of the following statements is correct:
A. His new symptoms has nothing to do with his condition
B. The patient is not candidate for surgery because he hasn't developed heart failure yet
C. Percutaneous balloon valvuloplasty can be considered for this patient
D. Trans-valvular pressure more the 50 mmHg is an indication for surgery
From awn exam

80- Which of the following is false regarding chronic venous ulcers?

Compression therapy should be used if ABPI <0.7*
- Marjolin ulcer must be excluded.
- You must make sure it is not a mixed ulcer.

81- Which of the following is false about critical limb ischemia:

-Mostly affects the calf muscles *
-Worse at night.
-Pain is relieved by by hanging the foot over the bed.
-Most importantly involves tissue loss and rest pain.
Can’t recall the other choices.