Choose the Best appropriate answerfor each of the

following questions:
1.The ilio-inguinal nerve:
A. supplies the rectus abdominis muscle
B. supplies skin on inner side of thigh
C. supplies the cremasteric muscle
D. supplies the urethra
E. does none of the above

2. The skin of the tip of the index finger is supplied by the:

A. Radial nerve only
B. Radial & median nerves
C. Median & ulnar nerves
D. Ulnar nerve only
E. Median nerve only

3. Hypovolaemic shock is characterized by:

A. A low central venous pressure , high cardiac output, low
peripheral resistance
B. A high central venous pressure, high cardiac output, high
peripheral resistance
C. A low central venous pressure , low cardiac output, high
peripheral resistance

D. A low central venous pressure , high cardiac output, high

peripheral resistance
E. A high central venous pressure, low cardiac output, low
peripheral resistance

4. Which of the following in NOT true of Hodgkin's disease?

A. Usually starts from several groups of nodes simultaneously
B. Usually involves liver & spleen
C. Sometimes manifests itself as pyrexia of unknown origin
D. Severe pain follows ingestion of alcohol
E. Shows increased susceptibility to opportunistic infection

5. Tetanus toxoid:
A. Is produced by injecting animals with antititanic serum
B. Is administered to previously immunized subjects with potentially
infected wounds
C. Frequently gives rise to anaphylactic reaction
D. Is used to induce active immunity against tetanus

6. The most probable cause of shock in a patient with multiple injuries &
craniocerebral trauma is:
A. Depression of vital medullary centres
B. Hypoperfuion control over subcortical areas
C. Loss of cortical control over subcortical areas
D. Hypovolaemia
E. Inadequate ADH response

7. The most sensitive guide to acute changes in fluid balance in a surgical

patient is:
A. Accurate daily weight
B. Serial serum Na concentration
C. Fluid balance sheets recording inputs & outputs
D. Daily urine output
E. Serial anion gap measurements

8. cellullitis is:
A. Inflammation of the bone marrow
B. Inflammation of the mastoid cells
C. Inflammation of the subcutaneous tissues
D. Infiltration of the skin by gaint cells
E. A malignant condition

9. secondary haemorrhage occurs:

A. Within 6 hours of operation
B. 7-14 days after operation
C. As a result of violent coughing on recovery from anaesthesia
D. Due to a blood transfusion line disconnected
E. When a ligature slips

10. the minimum urine output for 24 hours required to excrete end
products of protein metabolism is:
A. 200 ml
B. 300 ml
C. 400 ml
D. 500 ml
E. 600 ml

11. Potassium deficiency is present if the plasma-potassium level is:

A. 6.0 mmol/l
B. 5.0 mmol/l
C. 4.5 mmol/l
D. 4.0 mmol/l
E. 3.0 mmol/l

12.in health the pH of the blood lies between the range:

A. pH 7.05-7.19
B.

7.20-7.35

C.

7.36-744

D.

7.45-7.59

E.

7.60-7.80

13. TNM classification of a malignant tumour was designed as:

A. An histological staging
B. A clinical staging
C. A staging carried out at operation
D. A staging dependent upon radio scanning & skeletal survey
E. A staging dependent upon ultrasound

14. a blue-green discharge from an ulcer will be seen to contain:

A. Pseudomonas pyocyaneus
B. Streptococcus viridians
C. Candida albicans
D. Staphylococcus aureus
E. Haemophilius influenzae

15. a rodent ulcer is:

A. A squamous cell carcinoma
B. A basal cell carcinoma
C. Only occur on the face
D. Contains epithelial pearls
E. A venous ulcer

16. the space of Parona is:

A. In the wrist between the deep flexor tendons & the pronator quadratus
B. Above the patella between the quadriceps muscle & the femur
C. Benath the tendon of the iliopsos
D. Between the achills tendon & the posterior aspect of the tibia
E. The web space of the palm

17. 'rest pain' occurs:

A. Anywhere in the body at rest
B. In the thigh of a patient with Buerger's disease
C. In the calf of a patient with intermittent claudicating
D. In the foot of a patient with severe vascular disease
E. In the back

18. ischaemia means:

A. Pain in the ischial tuberosities
B. Anaemia due to malignant seconderies in the ischial part of the pelvis
C. Lack of blood flow
D. Increased blood flow
E. Polycythaemia

19. Colles' fracture is:

A. A common in adolescence
B. A fracture about the ankle joint
C. Common in elderly women
D. A fracture of the head of the radius
E. A fracture of scaphoid

20. Pott's disease is;

A. A fracture dislocation about the ankle
B. A neuropathic joint
C. Traumatic ostechondritis of the spine
D. Tuberculosis of the spine
E. A secondary tumour in the skull

21. Vincent's angina is a form of angina associated with:

A. Spasm of the oesophagus
B. Diphtheria
C. An infection of the mouth
D. Coronary artery spasm
E. Carcinoma of the bronchus

22. Ludwig's angina is due to :

A. A type of coronary artery spasm

B. Oesophageal spasm
C. Retropharyngeal infection
D. A virulent infection of the cellular tissue around the submandibular
salivary gland
E. Infection with candida

23. in simple nodular goiter:

A. Carcinoma occurs in 30% of cases
B. The nodular stage is irreversible
C. Operation is contraindicated
D. The patient does not develop hyperthyroidism
E. Cretinism is the presenting feature

24. Hashimoto's disease is:

A. A granulomatous thyroiditis
B. An auto-immune thyroiditis
C. An infiltrating fibrosis of the thyrois & the adjacent muscles
D. Focal thyroiditis
E. A parathyroid tumour

25. A thyroglossal fistula:

A. Is never congenital
B. Follows inadequate removal of a thyroglossal cyst
C. Has a hood of skin with its concavity upwards
D. Is lined throughout by squamous epithelium
E. Occurs in carcinoma of the tongue

26. The following are clinical signs supporting an early diagnosis of

carcinoma of the breast:
A. A prickling sensation in a breast lump
B. Peau d'ornge
C. Brawny arm
D. Cancer en cuirasse
E. A krukenderg tumour

27.The gastroduodenal artery is a branch of the:

A. Celiac axis
B. Hepatic artery
C. Superior mesenteric artery
D. Gastroepiploic artery
E. Splenic artery

28.Chronic gastric ulcers most often occur in patients with:

A. Blood groub A
B. Tend to occur in alkaline mucosa
C. Muscularis mucosae is separated from the muscularis at the edge of the
ulcer
D. Are malignant when there is epithelial proliferation & downgrowths
E. Are never large

29. Meckel's diverticulum:

A. Is present in 20% of the human race
B. Arises from the mesenteric border of the jejunum
C. May contain heterotopic pancreas
D. Is only present in the male sex
E. Is a diverticulum of the bladder

30. Intussusception is related to:

A. Mucoviscidosis
B. Swollen Peyer's patches
C. Volvulus
D. A littre's hernia
E. A patent vitello intestinal duct

31. The site of the neck of a femoral hernia is the:

A. Transversalia fascia
B. Iliopectineal ligament
C. Femoral ring
D. Cribriform fascia
E. Obturator foramen

32. Regarding operation for an indirect inguinal hernia:

A. It should not be performed on patients who have chronic bronchitis
B. General anaesthesia has to be used
C. In infants the posterior inguinal wall should be repaired
D. In adults the internal inguinal ring usually needs to be strengthened
E. Mesh implants are mandatory