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1B hyperacidity is least common cause
2D malignant only in gastric ulcer
3E 60 %
4B may involve all part of colon
5C for investigation
6C murphy sign is for acute cholecystitis
7D pain only in complicated
8A anatomical postiioon
9A treat the vital fisrt

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STOMACH

1) Among the following statements about benign gastric ulcers, the incorrect one is that they:

a) Occur most often on nthe lesser curvature of the stomach
b ) Are always due to hyperacidity
c) Produce epigastric pain soon after meals
d) Requires routine gastroscopy and endoscopic biopsy
e) Commonly recur after medical treatment

INTESTINE

2) The complications of chronic duodenal ulcer do not include

a) Acute perforation
b) Acute haematemesis
c) Penetration into the posterior abdominal wall
d) Malignant transformation
e) Pyloric obstruction

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E
STOMACH

3) The most frequent side of gastric cancer is the

a) cardia
b) fundus
c) lesser curvature
d) greater curvature
e) pyloric antrum

bB 573
INTESTINE

4 ) The following statement abouts about diverticular disease of the colon are true except that it:

a) Increases in incidence with advancing age
b) Does not involve the rectum
c) Is essentially due to a high-resideu diet
d) May be asymptomatic
e) May cause massive rectal bleeding

C
DD ACUTE ABD

5 ) A 70 year old male, with a history of intermittent episodes of mid abdominal pain, presented because the pain has become severe and constant over the last 3 hours. Examination revealed mild distension and geeralize tenderness ad the stools were postive for blood. His white count was 29,000/cm and his serum amylase was 450 units. The correct would be:

a) Barium mean and enema
b) Arteriography
c) Endoscopic retrograde cholangiopancreatography
d) Conservative treatment for acute pancreatitis
e) Exploratory laparotomy

622
APPENDIX

6 ) The signs of acute appendicitis do not include which of the following:

a) Acute tenderness at Mc Burney point
b) Rebound tenderness in the right iliac fossa
c) Positive Murphy's sign
d) Hyperaesthesia in Sherren's triangle
e) Guarding and rigidity over right iliac fossa

COLON


637D
7) Concerning internal piles, the following statemenets are correct except that they :

a) Are due to varicosity of the internal haemorrhoidal plexus
b) May consist of mother or daughter piles
c) Present clinically by bleeding and prolapse
d) Are usually associated with severe pain
e) May resolve under conservative treatment in the early stages

A
LIVER

8) Pyogenic liver abscess is most often caused by:

a) cholangitis
b) phlebitis
c) trauma
d) systemic pyaemia
e) infected cysts

BLEEDING


A
9) A 25 yrs old female presenting with severe vaginal bleeding was found to have ITP with a platelet count of 50,000/cmm. Her initial therapy should consist of:

a) blood transfusion
b) corticosteroids
c) splenectomy
d) azathioprine
e) both A and B