:A pic for anal fissure -1 ?What is this anal fissure ?Mention 2 surgical procedures for tt lat.

partial internal sphincrectomy and dilatation under GA ?Mention one complication ana katabt fecal incontinence b3d il surgery

..CT for abdomen with enlarged kidney -2 Dx: ana katabt hydronephrosis bs b7ko enha renal cell carcinoma What is the most common presentation? For carcinoma painless haematuria bt for hydronephrosis abdominal pain

:KUB with double j tube and a hx of recurrent loin pain -3 One indication for the tube? Relieve obstruction Dx? Uretric colic modalities for tt:ESWL,open ,uretroscope 3

a pic for jaundice and and on examination there was palpable -4 :gallbladder Dx? Pancreatic ca ,,and I wrote acute acalculus cholecystitis 'stone 'not 2

radiologiacal investigation? US and CT for pancreatic ca (but I wrote US 2 and ERCP but ERCP is unlikely to be done in those with suspected ( pancreatic ca :a pic for nipple discharge it was bloody -5 give the most common cause:ductal papilloma what is the cause of the bleeding:invasion of the basement membrane ((not angiogenesis give other 2 causes for this case(the bloody discharge):carcinoma and trauma

-give 2 radiological invx : US and mammo : endoscopic pic-6 What is this: barret eso Pathophysiology:mataplasia of the sq epith of the eso to become coloumnar . Do u want to follow up and why?yes due to risk of adenocarcinoma Other 2 conditions associated with barret:esophagitis and GERD

CXR and hx of surgery in joints and pt start to complain of intestinal -7 obstruction Dx:paralytic ileus Mention 4 causes:hypokalemia,DM,infx,drugs or ischemia (that was my answer) There was also other 3 Qs that I cant remember I will send it for u as soon as possiple :Osce pt with liver mets on US and past hemicolectomy due to colorectal ca -1 :examin head and neck ,chest,abdomen,lower limb pt withprevious hx of anal abcess and now came with discharge take a -2 hx and many other Qs .pt with cirrhosis examin for all chronic liver signs -3

RAWAN KHUWAILEH