THEORY EXAMINATION THEMES
6 year student group A1-For each of the following scenarios, choose the single most likely letter from the list given.
2-Each option may be used once, more than
once or not at all.
3-Each slide will remain for 5 minutes only
4- total mark of this exam is 10.5-Be sure of writing your full name, number of the slide and number of the question.
Theme 1 : Anal and perianal conditionsA Anal stenosis F Anal fissure
B Fistula-in-ano G Ischiorectal abscessC Perianal abscess H Perianal haematoma
D Pilonidal sinus I Proctalgia fugax
E Rectal carcinoma J Proctitis
1-A 29-year-old male describes occasional bleeding and discharge from a midline opening at natal cleft.
2- A 54-year-old man has pain after defecation and has noticed blood on the toilet paper.
3- A 44-year-old woman has noticed a discharge of foul smelling fluid from a pit lateral to the anal verge.
4- A 60 years old male with loss of weight and early morning diarrhea.
5- After heavy straining, a tender mass appear at anal verge.
Theme 2 : Skin lesions
A Acanthosis nigricans F Basal cell carcinoma
B Keratoacanthoma G Junctional naevus
C Strawberry hemangioma H Seborrhoeic keratosis
D Pretibial myxoedema I malignant melanoma
E Dercum disease J Bowens disease
1- A 20 years old female with graves disease and high antibody titer, has painless thickening and nodules on the
Skin at dorsum of her shins.2- A 45-year-old man is diagnosed with stomach cancer and he is also noted to have dark thickened skin in several parts of his body folds and creases.
3- A 69-year-old farmer has a ruled edge ulcer at his upper lip for 3 years.
4- A baby of 1 year age has growing soft compressible mass on his left check.
5- multiple lipomatoses in many areas of the body.
Theme 3 : Neonatal pathologyA Duodenal atresia F Duplication cyst B Exomphalos G GastroschisisC Hirschsprung’s disease H IntussusceptionD Malrotation I Meckel’s diverticulumE Tracheo-oesophageal fistulaI J Meconium ileus
1-A newborn with Down's syndrome has bilious vomiting, plain abdominal X-ray shows double bubble gas pattern.
2- A newborn girl with suspected cystic fibrosis has abdominal distension and bilious vomiting.3- A 2-day-old neonate has vomiting for approximately 12 hours. She has not passed any meconium since delivery.
4- A newborn with inability to swallow his saliva with chocking on feeding.
5- One year old baby with abdominal cramps and passing of red current jelly stool.
Theme 4 : Groin swellings
A Direct inguinal hernia F Encysted hydroceleB Femoral hernia G Vaginal Hydrocele
C strangulated inguinal hernia H Indirect inguinal hernia
D Inguinal lymphadenopathy I Saphenovarix
E cryptorchidism J Varicocele.
1- A 74-year-old woman is admitted with a tender irreducible right groin swelling with symptoms of bowel obstruction.
2- A 2-year-old boy is seen with no testes at scrotum.
3- A 34-year-old man painless swollen right groin which does not reduce, and which you can get ‘above’. There is no cough impulse.
4- A 60 years old with bilateral swelling at both groin not reaching the scrotum.
5- A tender mass at left groin with history of infected wound in between the first and second toes.
Theme 5 : Orthopedic
A- Montagia fracture F- scaphoid bone fractureB- Intra capsular femoral
neck fracture G- marsh fracture
C- Colles fracture H- galiazi fracture dislocation
D- supracondyler fracture I- mid clavicle fracture
E- Lunate bone fracture J- patellar fracture
1-Fracture of proximal ulna with dislocation of radial head.
2- Commonest carple bone fracture3- Fracture that has the slowest chance to heal and often develops non-union
4- Is a fracture of the distal third of one of the metatarsals occurring because of recurrent stress.
5- The most common fracture after 40 years of age