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1. Normally the distance between the DL loop and the ileocecal segment is
a. Narrow
b. Lie Side by side
c. Variable in length
d. Wide based triangle
3. Embryology of GIT
a. The 3rd part of the duodenum is to the left of the SMV
b. The DJ loop rotates 270 degrees counterclockwise around the ligament of Treitz
c. The ileocecal segment rotates clockwise around the SMV
d. The DJ loop rotates 270 degrees counterclockwise around the SMV
5. Incidence of Malrotation :
a. Will be symptomatic, vomiting green, at different times in their llives
b. Chronic abdominal pain at presentation in older patients
c. Usually presents late in childhood
d. All are symptomatic shortly at birth
7. In older children with Malrotation, the usual presenting symptom is often mistaken as
psychogenic and or cyclical in etiology
a. Obesity
b. Post prandial chronic abdominal pain
c. Recurrent bilous vomiting
d. Frequent stooling
a. Electrolyte imbalance
b. Dehydration
c. Sigmoid volvulus
d. Small intestinal volvulus
13. Intestinal atresia is usually an isolated problem. Type of atresia that is usually familial or associated
with other anomalies
14. Type of intestinal atresia is most likely associated with short bowel syndrome
a. web b. diaphragm c. v-shaped defect d. apple peel
15. Intestinal atresia in contrast to malrotation presents with bilous vomiting associated with
b. presacral gas
a. mekel’s diverticulum
b. adenovirus
c. unknown
d. lymphoid hypertrophy
a. bilous vomiting b. disease of 24 hours duration c. bloody mucoid stools d. severly dehydrated
patient
A 1 year old male down’s syndrome presenting with sudden onset of intermittent abdominal pain with
vomiting. Several hours later he presented bloody stools. PE showed a heathy non-cooperative infant
with slightly full abdomen with voluntary muscle guarding
21. The most likely impression
c. intestinal atresia
d. intussusception
a. internal sphincter
b. rectum
c. rectosigmoid
d. distal – descending
b. higher mode of transmission in male than female index patients tp their offspring
c.the longer the type of aganglinosia, the lesser the the chances of familial incidence
d. agangliosis in siblings
c. MEN 2
d. RET – protoncogene
a. no racial predilection
d. 1:10,000
26. The usual clinical picture of a patient with Hirschsprung disease nowadays
d. should be the sole considearation when dealing with chronic constipation in older children
27. Hirschsprung disease should be considered in infants and children who presents with
a. explosive diarrhea
a. saw-toothing
c. apple core
d. redundant sigmoid
32. The daily maintenance fluid requirement of a 15kg patient according to Holiday- Segar formula
a. 1250 cc
b . 1500 cc
c . 1,800 cc
d . 2000 cc
d. immature kidneys in children that requires less volume of fluid to excrete waste
c. a benign condition that may or may not require any surgical intervention
b. dental carries
c. LISP
d. pointed tongue
c. drains protein rich fluid that leaked from the vascular system
d. a sterile system
a. malignant degeneration
b. bleeding
c. infection
d. cosmetic reasons
40. The tract of branchial cleft fistula
48. hemangioma
a. semi malignant lesion of blood vessels
7. The anterior and posterior leaves the gerota’s fascia become fused on three sides around the
kidney except
a. Laterally b. medially c. superiorly d.inferiorly
8. CT reveals a 3.2 cm left renal mass with well defined borders and numerous thin septa
surrounding low attenuation (16 HU) spaces. There is no enhancement. According to Bosnek
criteria this is a
A. Category 1 lesion b. category 2 lesion c. category 3 lesion d. category 4 lesion
9. Color Doppler sonography of the testis is helpful in differentiating testicular torsion cyst
a. Tumor b. epididymo-orchitis c. fracture of the testis d.cysts
10. A 55 year old male has a family history of prostate cancer . His uncle was also diagnosed to have
prostate cancer. What is the risk probability of the patient having prostate cancer as compared
to general population
a. 3x b.. 5x c. 7x d. 9x
11. Which are perhaps the most common benign renal mass lesions?
a. Cortical adenoma b. renal cysts c. renal oncocytoma d. renal angiomyolipoma
12. Choice of investigation for a thorough staging of renal cell carcinoma
a. Ct scan b. ultrasonography c. IVU d. MRI
13. Squamous cell carcinoma of the urinary bladder common in all of the following conditions
except
a. Biharzial bladder b. intestinal urinary conduit c. recurrent UTI’s d. chronic infection from
urinary calculi
d . sarcoma
20. a 28 year old G1P0 PU12 weeks patient suddenly complained hypogastric pains PE showed
positive CVA tenderness how would you work up this patient?
21. a 70 year old complaing of low back pains. He was diagnosed to have prostate carcinoma. What
would be the sensitive test to demonstrate osseous bone metastasis
a.radionuclide bone scan b. radiographic skeletal x-ray c.CT scan d. MRI
22. a 24 year old man sustained a vehicular accident while riding his motorcycle . He was brought into
the ER. PE showed presence of blood coming out per urethral meatus.There was hematoma noted the
perineal area. What would your impression about the origin of the injury?
23. an excretory urography was done.. Senal x-rays at different time interval was done..Nephrotosis can
be demonstrated during?
a. plain film b. 15 minute film c.. 45 minute film d. post void film
24. voiding cystoutertography (VCUG) showed reflux of contrast material up to the upper calices. There
was calculi formation mild tortuously of the ureter .How would you grade the reflux?
a. I b. II c. III d. IV
25. the only genitourinary malignancy wherein it is more commonly encountered in female population
26. The most common histologic type of testicular tumor encountered in undescended testis?
a. uteropelvic portion
c. peritoneal irritation
a. irritative symptom
b. obstructive symptom
a. calcium b. uric acid c. can be seen as black in the film d. cannot be seen in ct scan
a. calcium b. uric acid c. can be seen as white in the film d. cannot be seen in the ct scan
c. diet related
43. The rare benign tumor of the kidney contains 3 histologic components of fat,smooth muscle cells
and blood vessels. The condition is called
a. ESWL
b. medical management
50. the passage of lymphatic fluid noted by the patient as passage of milky white urine