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ECN QUIZ BANK – QUIZ E

1. Amongst the following signs which one can be considered as being almost pathognomonic of evolved chronic pancreatitis?

2. In the list below, which one of is incompatible with the diagnosis on intra-epithelial carcinoma of the cervix?

3. In the observation of a patient with a fracture of the vault of the skull associated with a brief loss of consciousness, the following point to an extradural hematoma except one. Which one?

4. Among the following cancers, which one has an increase in incidence due to the inhalation of asbestos fibres?

5. Among the following propositions which one is false concerning pseudoarthrosis after a fracture of the neck of the femur?

6. A surgical operation is indicated for a prostatic adenoma when.

7. Among the following complications of chronic pancreatitis which one is false?

8. Among the following clinical signs, one not a component of a complete acute ischaemic syndrome of a limb observed in the first six hours. Which one?

9. Patients who have had a splenectomy are at risk of severe bacterial septicaemia. Among the following bacteria, which one particularly threatens these subjects?

10. In case of cancer of the head of the pancreas, the following signs can be observed except one. Which one?

11. The following surgical diseases constitute differential diagnoses of intestinal obstruction except one. indicate the one that is false

12. Intestinal obstruction of the elderly leads to the suspicion of the following aetiologies except one. Which one?

13. Among the following statements, which one relates to common bile duct stones:

14. Crohn’s disease

15. In patient with upper gastro-intestinal bleeding

16. a 16-year-old man presents with blue right arm with absent radial pulse and painful passive finger extension after a supracondylar fracture of the humerus . He has:

17. A 70-year-old woman complains of right sided pleuritic chest pain 10 days after a fractured neck of the femur.

18. A 65-year-old woman falls on an out-stretched arm shows weakness of wrist extensors. She has:

19. A 35-year-old woman present after a fall on an outstretched arm. Her radiograph shows a nondisplaced transverse fracture of the right humeurs

20. A 24-year man presents with a swollen painful hand after falling over playing squash. His radiograph reveals a scaphoid fracture.

21. A 65-year-old woman requires treatment for a fractured neck of femur

22. Which of the following statements concerning fluid and electrolyte balance are correct?

23. A deteriorating level of consciousness in the accident department an hour after serious head injury

24. A 28-year-old man presents with recurrent Crohn’s disease. He has previously had multiple small bowel resections and has 50 cm of small intestine left. One this occasions he has admitted with an enterocutaneous fistula. Witch of the following options would provide the most suitable nutritional support?24. A 28-year-old man presents with recurrent Crohn’s disease. He has previously had multiple small bowel resections and has 50 cm of small intestine left. One this occasions he has admitted with an enterocutaneous fistula. Witch of the following options would provide the most suitable nutritional support?

25. Which of the following statements relates to the peptic ulcer disease?

26. Necrotizing pancreatitis

27. Which of the following is the most common cause of obstructive jaundice in-patient with chronic pancreatitis

28. Concerning cholangiocarcinoma, which of the following if false?

29. A 30-year-old cyclist wearing no helmet was hit by a car travelling at 29m/h; he was taken to the local emergency department. On examination he was confused, localizing to pain and eye, opening to speech. Which of the following is correct?

30. A 48-year-old diabetic patient has been admitted with diabetic ketoacidosis (DKA). On examination there is an erythematous boggy area on the left foot over a small ulcer which is the likely cause of the DKA. What is the management after resuscitating the patient?

31. Venous thromboembolism prophylaxis is not required in:

32. Varicose veins:

33. Which one of the following is not a recognized long-term complication of partial gastrectomy?

34. The anatomical site of the neck of a femoral hernia is the

35. A 45-year-old patient in shock complaining of sudden-onset generalized upper abdominal pain. Radiating to the right iliac fossa and the tip of his right shoulder. He reports one episode of vomiting but none since. He has no past medical problem. On examination his abdomen is rigid and bowel sound are absent the diagnosis is:

36. A 45-year-old man present to the emergency department with a history of coffee-ground vomiting. He also reports that 2 days his stool has appeared darker than usual. Which of the following gives the most sensitive guide to the severity of his gastrointestinal haemorrhage?

37. Aspiration pneumonia

38. Postoperative atelectasis is more common in:

39. The following statements concern cardiogenic shock:

40. The following features are in keeping with a postoperative opiate overdose

41. Which of the following is a contra-indication to major elective surgery requiring general anaesthesia:

42. Barrett’s oesophagus is:

43. In Paget’s disease of the breast

44. Which of the following is a classical feature of a perforated peptic ulcer

45. Which of the following statement is true concerning gastric carcinoma:

46. Strangulating small bowel obstruction is less common in:

47. In small bowel mesenteric ischaemia:

48. Direct inguinal hernias

49. A sliding type inguinal hernia:

50. Which of the following features is characteristics of venous ulcers?

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