Dr.

Wael Na'saan …Choose the most appropriate single

answer
1- The catheter designed to help negotiate the male urethra when
catheterization is difficult is the:
A. Foley.
B. Malecot.
C. Pezzer.
D. Coude’
E. Council

2- When cystoscopic electrocoagulation is planned, the

irrigant solution that should be avoided is:
A. Sorbitol
B. Normal saline
C. Sterile water
D. Glycine
E. Mannitol

3- The long-term effect of uncomplicated recurrent urinary tract

infection is:
A. renal scarring
B. hypertension
C. azotemia
D. ureterao vesical reflux
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 E. nothing

4- Which hormones play a central role in regulation of sertoli

cell function?
A. LH, FSH
B. FSH, estradiol
C. Prolactin, LH
D. FSH, testosterone
E. Prolactin, testosterone

5- The most common abnormality identified in patient with uric

acid stones is:
A. Acidic urine
B. Alkaline urine
C. Low uric acid concentration
D. High uric acid concentration
E. Renal tubular acidosis

6- A 55 year –old smoker man presented with a 2-cm lateral

neck mass. Which of the following statement is TRUE?
A. Immediate removal via excisional biopsy is the most cost-
effective strategy.
B. Fine –needle aspiration biopsy will show malignancy in
about 75% of cases.

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 C. If physical examination of the oropharynx and U/S study
of the thyroid are negative, excisional biopsy is the next step.
C. The most common malignancy is metastatic squamous cell
carcinoma from the lung.
D. If the mass located directly over the parotid gland, an
excisional biopsy can be safely performed.

7- All of the following are appropriate diagnostic procedures in

the evaluation of a solid fixed and firm neck mass EXCEPT:-
A. Fine-needle aspiration biopsy of the mass.
B. Pharyngolaryngoscopy.
C. Chest X-ray.
D. Open biopsy of the mass.
E. CT scan of the head and neck.

8- The following are considered prognostic factors in Ductal

Carcinoma in Situ (DCIS) EXCEPT:-
A. Tumor size.
B. Tumor grade.
C. Safety margin after wide local excision.
D. Comedo type and necrosis.
E. Age of the patient.

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9- 45-year –old woman has strong family history of breast and
ovarian cancer, she has no palpable breast mass on physical
examination and her mammograms are normal, this patient
should be advised that her most appropriate next step(s) would
be:-
A. Simple mastectomy and immediate reconstruction.
B. Enhanced screening, tamoxifen therapy, and tamoxifen
therapy with immediate reconstruction.
C. Risk assessment, counseling, and evaluation for BRCA1 or
BRCA2 mutation.
D. Tamoxifen therapy.
E. Manual breast examination and screening mammography.

10- Risk factor for male breast cancer include:-

A. Gynecomastia.
B. BRCA1.
C. BRCA2.
D. Cannabis abuse.
E. Anabolic hormones.

11- A 25-year-old woman sustains a contact injury to the

posterior aspect of the scalp. Following debridement, she has a 6
× 4-cm defect of the posterior scalp with exposed bone. Which
of the following is the most appropriate next step in
management?
A. Excision and primary closure
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 B. Full-thickness skin grafting
C. Coverage with a rotation flap
D. Hair transplantation
E. Tissue expansion

12- Malignant hyperthermia is associated with

A. Metabolic alkalosis
B. Uncontrolled accumulation of potassium in muscle cells
C. Opiate administration
D. High levels of creatinine kinase
E. Hypokalemia

13- In laparoscopic surgery, the vessel most likely to be

punctured during trochar placement is the:-
A. Aorta
B. Right common iliac artery
C. Vena cava
D. Left common iliac artery
E. Right common iliac vein

14- Primary peritonitis (spontaneous bacterial peritonitis):-

A. Is a complication of peritoneal dialysis
B. Is generally caused by gram-negative bacteria
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 C. Is more likely to occur in patients with cirrhosis
D. Requires immediate operation
E. Is more common in adults

15- Pectus excavatum :-

A. Has a well-characterized genetic predisposition
B. Is associated with congenital cardiac lesions in 25% of
patients
C. Should be repaired only in patients with decreased cardiac
or respiratory reserve
D. Is best repaired during adolescence
E. Is primarily a disease of male patients

16- A 36-year-old man is brought to the emergency department

after sustaining an injury to the ear in a motor vehicle accident.
Examination shows missing perichondrium and denuded and
exposed cartilage. Each of the following treatment options is
appropriate EXCEPT:-

A. coverage with a local flap

B. coverage with a skin graft
C. excision of the cartilage followed by skin grafting
D. open treatment of the cartilage followed by delayed
reconstruction
E. wedge resection and primary closure

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 17- The APGAR Score is:-( Breathing effort Heart rate
Muscle tone Reflexes Skin color)
A. a predictor of future development quotion
B. a predictor of cerebral palsy
C. a systematic method to assess the newborn at birth
D. a predictor of neonatal survival
E. none of the above

18- Which of the following statement about Hirschsprungs

disease is true?
A. It is a congenital ganglionosis of the myenteric plexuses
B. Meconium passage is typical of the disease
C. It produces lack of relaxation of non-innervated bowel
D. The last 10cm of bowel proximal to the dentate line
normally lacks plexuses
E. Ultra short disease is usually detected at birth

19- Increased mortality in neonates with congenital

diaphragmatic hernia is associated with
A. insufflations of nitric oxide
B. in utero diagnosis
C. delay in surgical repair>24 hours
D. hyperventilation
E. persistent arterial pH < 7.35
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20- Which of the following sites of origin has the best prognosis
for pediatric rhabdomyosarcoma?
A. Vagina
B. Chest wall
C. Retroperitneum
D. Bile duct
E. Perineum

1. D 11. C
2. B 12. D
3. E 13. B
4. D 14. C
5. A 15. E
6. B 16. B
7. D 17. C
8. E 18. C
9. C 19. B
10. C 20. A