1- A 35-year-old male patient come to ER after car accident causing blunt trauma into the right

hypochondrium region which leads to injury into anterior surface of liver and falciform ligament.
What is the embryological origin of falciform ligament?

Anterior part of ventral mesogastrium

Posterior part of ventral mesogastrium

Left umbilical vein

Ductus venosus

Ductus arteriosus

2-Where do the common bile duct and main pancreatic duct open together?

1st part of duodenum

2nd part of duodenum

Pyloric antrum

Duodenojejunal junction

Pancreatic head

3-A 40-year-old female presented with upper right quadrant pain and diagnosed as cholecystitis.
What could be a posterior relation to the fundus of the gall bladder?

Transverse colon

4th part of the duodenum

Fundus of the stomach

Bare area of the liver

Descending colon

4- A midline abdominal incision below the umbilicus passes through all the following except:

Pyramidalis

Linea alba
Extraperitoneal fat

Transversalis fascia

Peritoneum

5-The transversalis fascia contributes to which of the following structures on the anterior abdominal
wall?

Superficial inguinal ring

Deep inguinal ring

Inguinal ligament

Anterior wall of the inguinal canal

Lacunar ligament

6-Which structure does not enter the inguinal canal through the deep inguinal ring?

Testicular artery

Vas deferens

Ilioinguinal nerve

Genital branch of genitofemoral nerve

Testicular vein

7-The main sites for oxidative deamination are

Liver and kidney

Intestine and mamary gland

Skin and pancreas

Lung and spleen

Brain and muscle

8-A coenzyme required for the synthesis of glycine from serine is

Tetrahydrofolate

ATP
Pyridoxal phosphate

NAD

Betain

9-DOPA is an intermediate in the synthesis of

Catecholamine and melanin

Thyroid hormone

Melanin

Catecholamine

Vitamine C

10-In alkaptonuria, which one of the following accumulates abnormally in urine?

Homogentisate

Acetoacetate

Phenylalanine

Fumarate

Pyruvate

11-Niacine deficiency seen with carcinoid syndrome is due to

Shifting of tryptophan to sertonin pathway

Increased synthysis of NAD

Deficiency of pyridoxine

Deficiency of tetrahydrobiopetrine

Deficiency of homogentisate

12-The following antibody marker is found in vaccinated persons and its presence may protect from
new infections:

Anti-HBs

HBcAg.
Anti core IgM

Anti- HBe.

Anti core IgG

13-The following antibody marker becomes detectable as viral replication falls and indicates low
infectivity in a carrier.

Anti-HBs

HBcAg.

Anti core IgM

Anti- HBe.

Anti core IgG

14- Examination of stool in a case of diarrhea reveals the presence of a virus belongs to reoviridae
family, 60-80 nm particles having a double layered capsid suggesting of:

Norwalk virus

Echovirus

Rota virus

Influenza virus

Adenovirus

15-Brucellosis is commonly transmitted by:

Flies

Man to man contact

Water

Raw milk from infected cattle

Mites

16- Polio vaccine "sabin" is characterized by:

Inactivated by formalin.

mimics natural infection with good immunity including IgA in gut.

Safe and stable

Can be used in immunocompromized.

given as 3 injections

17- Examination of stool in a case of diarrhea reveals the presence of a virus belongs to reoviridae
family, 60-80 nm particles having a double layered capsid suggesting of:

Norwalk virus

Echovirus

Rota virus

Plio virus

Adenovirus

18- Which of the following is characteristic for the duodenum ?

long selender villi

payer`s patches in the corium

numerous goblet cells

numerous M cells

Brunner`s gland in the submucosa

19- Which part of the intestine contains lymphoid follicles allover the circumference?

Stomach

Appendix

Colon

Ileum

Doudenum

20- What is the covering epithelium of columns of Morgagni?

Simple columnar epithelium with goblet cells

Stratified columnar epithelium

Pseudostratified columnar with goblet cells

Simple columnar epithelium

Stratified squamous keratinized epithelium

21- What is the lining of the invaginated part of intercalated duct in pancreatic acini?

Centroacinar cells

columnar cells with goblet cells

Pseudostratified epithelium

Stratified epithelium

Columnar cells with microvilli

22- Which of the following is content of the space of Disse?

Bile

Lymph

Whole blood

RBCs only

Microvilli

23- Which is correct about Paneth cells?

Present in crypts of large intestine

Secrete lysozyme

Have basal zymogen granules

Have apical basophilic cytoplasm

Have apical microvilli

24- Which is correct about Entero-endocrine cells?

S- cells secrete gastrin

E.G – cells secrete secretin

Mo- cells secrete motilin

E-cells secrete histamine

D cells secrete serotonin

25- Which of the following organs contains Tenia coli in their wall?

Appendix

Stomach

Oral cavity

Colon

Small intestine

26- Which of the following organs contains Appendices epiploicae in their wall?

Appendix

Oral cavity

Stomach

Small intestine

Colon

27- Centroacinar cells are a characteristic feature of::

Pancreas

Liver

Stomach

Esophagus

Small intestine

28- What is the shape of the classic hepatic lobule?

Hexagonal

Triangular

Rounded
Diamond

Rectangular

29- A 40-year-old white man presents to emergency department complaining of burning retrosternal
chest pain after meal. The pain is relieved by antacids.Endoscopy was done from lower esophagus and
reveled Barretts esophagus.This patient is at risk for developing which of the following type of cancer?

Adenocarcinoma of esophagus

Gastric adenocarcinoma

squamous cell carcinoma esophagus

Krukenberg tumor

Non-small cell carcinoma

30- Celiac disease is best described as a/an:

mucosal disease of the small intestine producing malabsorption

asymptomatic disease of the left colon

condition associated with reflux esophagitis

type of inflammatory bowel disease

common cause of intestinal obstruction A

31- Laennec cirrhosis caused by

Chronic hepatitis C

Chronic hepatitis B

Haemochromatosis

Bile flow obstruction

Malnutration and chronic alcoholism

32- The most commenst cause of chronic pancreatitis

Surgical truma

Gall bladder stone

Long standinding alcohol abuse

Mumps virus

Idiopathic

33- A 49-year-old woman complaining of heartburn during past 3 months. Upper GIT endoscopy was
done and revelead redness with superficial erosions of lower esophagus. Biopsy from the lesion was
taken. Microscopic picture revealed presence of stratified squamous epithelium infiltrated by eosinophils
and neurophils. What is your most likely diagnosis?

Barrett' s esophagus

Reflux esophagitis

Achalasia

esophageal varices

Adenocarcinoma esophagus

34- Which clinical or laboratory finding is most consistently seen in malabsorption syndromes

Hypercalcemia

Iron overload

Elevated zinc levels in serum

Normal small bowel biopsy

Steatorrhea

35- Post necrotic liver cirrhosis commonly caused by

Asbestos

Heart faliure

Haemochromatosis

Carbon tetracholaride

Malnutrition

36- The most commenst cause of acute pancreatitis

Surgical truma

Gallbladder stone
Hypercalcemia

Mumps virus

Idiopathic

37- Which of the following side effects occur with Nabilone?

Dystonia

Tachycardia

Hyperprolactinemia

Psychotropic effects

Urine retention

38- Which of the following drugs inhibit RNA-dependent RNA polymerase ?

Ribavirin

Interferon

Grazoprevir

Elbasvir

Sofosbuvir

39- Which of the following receptors blocked by Aprepitant ?

5HT-3

M1

H1

NK-1

CB1

40- Which of the following anti-amebic drugs produce disulfiram-like reaction?

Iodoquinol

Diloxanide
Paromomycin

Metronidazole

Chloroquine

41- Infliximab is one of drugs used in treatment of inflammatory bowel disease act by which of the
following mechanisms?

Anti-tumor necrosis factor

Anti-integrin

Antimetabolite

Impair purine biosynthesis

Anti-inflammatory

42- Which one of the following drugs can causes reversable oligospermia?

Glucocorticoids

Methotrexate

Sulfasalazine

Azathioprine

6- Mercaptopurine

43- Which of the following is the most potent physiologic choleretic?

bile salts

cholcystokinin

secretin

vagal stimulation

vasoactive intestinal peptide

44-Control of intestinal secretion is mainly through :

gastrin hormone.

local stimuli.
conditioned reflexes.

unconditioned reflexes.

somatostatin hormone.

45- Trypsinogen is activated into trypsin by

Lipase

amylase

Gastrin

Enterokinase

secretin

46- Regarding factors that regulate food intake, the most accepted theory is:

decreased blood fatty acid.

decreased blood amino acid.

decreased blood glucose.

decreased blood vitamins.

decreased blood minerals.

47- Regarding primary bile acids (salts) formation:

they are formed in the intestine

their formation needs bacterial action

they include deoxycholic acid

they are formed in the liver

they are formed from amino acids

48- Which of the following is an active enzyme

Chemotrypsinogen

Proelastase

Precolipase
lipase

Trypsinogen

49- Which of the following electrolytes remain constaint during starvation

Na+

K+

Mg++

Ca++

SO4

50- what is the infective stage of ancylostoma

filariform

eggs

encysted metacercaria

adults

cysticercoid

51- which one of the following cause leovelar syndrome

ancylostoma

entamoeba

giardiasis

enterobiasis

Trichinella

52- what is the infective stage of cryptosporidium

Oocysts

eggs

filariform

cysticercoid
encysted metacercaria

53- what is the infective stage of fasciola

encysted metacercaria

eggs

adults

filariform

cysticercoid

54- what is the mode of infection with ancylostomiasis

penetrations of skin

ingestion

contact

sexual

inhalation

55- which one of the following cause hyper infection

strongloidosis

ancylostomiasis

giardiasis

fasciola

ascariasis