Midterm

1) stomach blood supply :

a) LGA, RGA, AHP, SMA
b) LGA, RGA, Left and Right gastro-epiploic arteries
c) LHA, RHA, LGA, RGA
d) SMA, IMA, LHA, RHA

2) ventral hernia repair by Mayos method types

a) Sub-lay
b) On-lay
c) all of the above
d) none of the above

3) in Laparoscopic Cholecystectomy which structure is ligated :

a) Cystic duct
b) common bile duct
c) right hepatic duct
d) left hepatic duct

4) Choledocholithiasis means, stone is located in:

a) gallbladder
b) urethra
c) common bile duct
d) Santorini duct

5) which artery is ligated in cholecystectomy :

a) GDA
b) RHA
c) Cystic artery
d) celiac trunk

6) most useful investigation in detection of common bile duct stones:

a) colonoscopy
b) chest x-ray
c) ERCP
d) abdominal CT angio

7) most informative noninvasive investigation of common bile duct

stones:
a) MRCP
b) ERCP
c) CT angio
d) US

8) which is the investigation of choice in case of blunt abdominal trauma?

a) CT
b) MRI
c) x-ray
d) esophagogastroduodenoscopy

9) name of appendectomy incision

a) Mc’gregor
b) Kocher
c) Mcburney
d) Murphy

10) method of inguinal hernia repair with prosthetic mesh

a) Mayo
b) Lanz
c) Nissen
d) Lichtenschtein

11) name of funduplication method

a) Mayo
b) Lanz
c) Nissen
d) Lichtenschtein

12) Name of PancreatoDuodenal Resection method

a) Heineke-Mikulicz
b) Whipple
c) Hofmeister-finsterer
d) Kocher
13) Name of pyloroplasty method
a) Heineke-Mikulicz
b) Whipple
c) Hofmeister-finsterer
d) Kocher
14) which drug can be prescribed for patient after laparoscopic
cholecystectomy
a) Furosemide
b) Adenosine
c) Ursodeoxycolic acid
d) Metoclopramide

15) Patient comes to your office with midabdominal discomfort, which radiated to the right iliac
fossa , anorexia, nausea and vomiting. The pain is progressive and persistent. This could be a
sign of:

a) Appendicitis
b) Gall bladder stone
c) Renal stone
d) B and C are correct options

16) Location of McBurney point?

a) two-thirds the distance from the umbilicus to the anterosuperior iliac spine.
b) One-thirds the distance from pubic tubercle
c) Near the umbilicus
d) Suprapubic area

17) Murphy’s sign is seen in?

a) Acute cholecystitis
b) Appendictis
c) Diverticulitis
d) All of the above

18) Mr. Lasha has been taking NSAIDs for his Ankylosing Spondylitis for 4 years. He was
diagnosed with the common side-effect of NSAID use. Despite that, he continued the use of
NSAIDs. He now presents to the ER with severe epigastric pain . He could now have?
A) Perforation
B) Bleeding
C) Penetration
 D) None of the above
19) Which cancer is found in people having Barret’s esophagus?
a) Squamous cell carcinoma, because squamous cells are found in the esophagus.
b) Adenocarcinoma, because columnar cells are found in normal esophagus.
c) Adenocarcinoma due to metaplasia.
d) Both b and c are correct.
20) Gold standard in diagnosis of GERD is?
a) Esophageal pH testing
b) Gastric pH testing
c) ERCP
d) CT Scan
21) Giorgi was diagnosed with PUD recently. Most common pathogen involved in PUD
and a common test associated with it is?
a) Helicobacter pylori, BUN test
b) Helicobacter pylori, Urea breath test
c) Streptococcus pyogens, Urea test.
d) Both a and b

22) Which gastric tumor is associated with PUD most commonly?

a) Gastrinoma
b) Zollinger-Ellison syndrome
c) Adenocarcinoma
d) Both a and b
e) Both a and c

23) Mr. Trump had been vomiting galore for 4 hours. Which electrolyte disturbance will
be seen?
a) Hypochloremia
b) Hyperkalemia
c) Hypernatremia
 d) Hypermagnesemia
24) Meckel’s Diverticulum is seen ______ feet away from _______ valve
a) 2 feet, ieocecal valve
b) 2 meters, ileocecal valve
c) 2 inches, ileocecal valve
d) None of the above

25) Signs associated with pancreatic diseases are?

a) Grey-Turner sign
b) Virchow sign
c) Rose sign
d) All of the above
26) Transarterial chemoembolization (TACE) involves:
A) Selective intraarterial administration of chemotherapeutic agents
followed by embolization of the major tumor artery.
B) Selective interarterial administration of chemotherapeutic agents followed by
embolization of the major tumor artery.
C) Selective intraarterial administration of chemotherapeutic agents followed by
embolization of the major tumor artery and vein.
D) All of the above

27) Following organs can be found within the hernia sac EXCEPT:

a) Colon.

b) Ovary.

c) Urinary Bladder.

d) Prostate.

28) . How much is The normal serum sodium ion concentration?

a. between 135 and 145 mEq/L
 b. between 138 and 145 mEq/L
c. between 140 and 145 mEq/L
d. between 138 and 148 mEq/L

29) Which of the following hernias follows the path of the spermatic cord within the cremaster
muscle?

a) Femoral

b) Direct inguinal

c) Indirect inguinal

d) spigelian

30) alkalemia if the pH is greater than

a) 7,45
b) 7,30
c) 7,35
d) 7,40
If the gallbladder were removed from a healthy person, it
31)
would cause major problems.
A. true
B. False
32) What is the most common type of hernia?

a) umbilical

b) inguinal

c) incisional

d) hiatal

33) Which type of hernia affects the oesophagus?

a) inguinal

b) hiatus

c) gastric
d) alimentary

34) Biliary tract pain is referred to which area?

A) Inferior scapular area

B) Intrascapular area
C) Radiates to back
D) None

35) Which of the following findings would strongly indicate the possibility of
cirrhosis?

Peripheral edema

Pruritus

Hepatomegaly

Dry skin
36) Murphy’s sign is seen in?
a) Acute cholecystitis
b) Appendictis
c) Diverticulitis
d) All of the above
36) The left hepatic vein divides the left lobe into

Anterior and posterior halves

Superior and inferior halves

Medial and lateral lobes

Left and right parts of left lobe

37) 53 years old male patient with a history of cirrhosis and alcoholism is admitted with
severe dyspnea resulted to ascites. The nurse should be aware that the ascites is most
likely the result of increased…
Pressure in the portal vein

Production of serum albumin

Secretion of bile salts

Interstitial osmotic pressure

38) The pancreas is ____ to the ____ lobe of the liver.

Inferior, right

Inferior, left

Superior, left

Inferior, caudate

39) Mr. Gonzales was admitted to the hospital with ascites and jaundice. To
rule out cirrhosis of the liver: Which laboratory test indicates liver cirrhosis?

Decreased red blood cell count

Elevated serum aminotransferase

Decreased serum acid phosphate level

Elevated white blood cell count

40) Giorgi was diagnosed with PUD recently. Most common pathogen involved in PUD
and a common test associated with it is?
a) Helicobacter pylori, BUN test
b) Helicobacter pylori, Urea breath test
c) Streptococcus pyogens, Urea test.
d) Both a and b