Revalida Examination
2. What is the most reliable method for precisely locating an upper gastrointestinal
lesion that is responsible for a bleed? C
a. Upper GI series
b. Explore laparotomy
c. Upper GI endoscopy
d. Arteriography
e. Radionuclide scanning
4. Ligation of the superior thyroid artery above the superior pole of the thyroid gland
carries with it the risk of? E
a. Injury to the recurrent nerve
b. Injury to the vagus nerve
c. Devascularization of the inferior parathyroid gland
d. Injury to the hypoglossal nerve
e. Injury to the external branch of the superior laryngeal nerve
7. An elderly woman is admitted with weakness, anemia, weight loss and palpable
abdominal mass. She has a colon cancer. The most likely anatomic site is the? E
a. Rectum
b. Sigmoid colon
c. Left colon
d. Transverse colon
e. Cecum
9. The most effective way to prevent infection in a dirty traumatic wound is to? D
a. Administer tetanus toxoid
b. Administer IV antibiotics
c. Apply a skin graft
d. Repeat surgical debridement
e. Administer topical antibiotics
10. Achalasia of the esophagus is suspected on the basis of an x-ray film showing? B
a. Multiple strictures of the esophagus
b. Difuse dilatation of the esophagus
c. “corkcrew” appearance of the esophagus
d. A diverticulum in the cricopharyngeal muscle
e. Reflux of barium into the esophagus
11. All of the following measures are likely to be helpful in the management of
cerebral edema EXCEPT? D
a. Restricting fluids to two-thirds of maintenance
b. Administering osmotic agents (e.g mannitol, glycerol)
c. Monitoring intracranial pressure
d. Maintaining PC02 in the 40mmHg to 45mmHg range
e. Administer barbiturates
12. All of the following components or qualities of stored whole blood tend to decrease
over time EXCEPT? B
a. Red blood cell survival time
b. Potassium concentration
c. pH
d. platelet activity
e. oxygen carrying capacity
14. Familial polyposis of the colon is most often associated with which of the
following conditions? B
a. Carcinoma of the pancreas
b. Carcinoma of the colon
c. Granulomatous disease of the colon
d. Pneumatosis cystoides intestinalis
e. Sigmoid volvulus
15. A 5yrs. Old patient has a midline neck mass, which moves with swallowing and is
located just below the hyoid. The mass is most likely to be a? D
a. Branchial cleft cyst
b. Cystic hygroma
c. Teratoma
d. Thyroglossal duct cyst
e. Laryngeal papilloma
16. A 15 yrs. Old girl is admitted with acute generalized abdominal pain. She gives a
history of intermittent abdominal pain and anorexia with vomiting. Examination of
her abdomen reveals a fullness in the right lower quadrant with localized
tenderness. She has a temperature of 102 degrees F, a WBC of 18,000 and a
hematocrit of 45%. What is the most likely diagnosis? B
a. Simple appendicitis
b. Perforated appendicitis with abscess formation
c. Ovarian tumor
d. Ruptured ectopic pregnancy
e. Intussusception
17. Which of the following presenting symptoms of breast cancer is the most common? C
a. Isolated axillary enlargement
b. Nipple discharge
c. Breast mass
d. Mammographic findings of microcalcification
e. Nipple changes and desquamation
18-22. For each phrase describing a characteristic of ulcer disease, select the most
appropriate answer.
a. Gastric ulcer
b. Duodenal ulcer
c. Both
d. Neither
a. Rectovesical pouch
b. None of the above
c. Supraclavicular node
d. Ovary
e. Peritoneum under umbilicus
f. Axillary node
g. Inguinal node
a. Sigmoid volvulus
b. Cecal volvulus
c. Both
d. Neither
33. a case ot acute gangrenous appendicitis with perforation and abscesses should best
be manage by? D
a. Conservative medical management
b. Drainage
c. Lavage and drainage
d. Appendectomy, lavage and drainage
e. Lavage,drainage, and interval appendectomy
34. A 14y/o boy with a history of abdominal pain, vomiting and fever of a 4 days
duration was diagnosed to be suffering from a perforated gangrenous appendicitis
with abscess. Management is? B
a. A. medical management
b. Drainage, lavage and appendectomy
c. Drainage and antibiotics
d. E.L, lavage and drainage
35. Appendectomy and lavage was done on a 30y/o female with ruptured gangrenous
appendicitis. Five days later temperature shoots up and stays intermittent. Most
probable cause is? D
a. Wound infection
b. Pneumonia
c. Urinary tract infection
d. Tubo-ovarian abscess
36. The most likely cause of fever occurring 1 week after an appendectomy for
ruptured appendicitis inspite of antibiotics is? D
a. Allergy
b. UTI
c. Pneumonitis
d. Wound infection
39. Which of the following symptoms is most likely to be present in patient who has
cancer in the rectum? D
a. Anemia
b. Constipation
c. Diarrhea
d. Rectal bleed
41. The surgical treatment of choice of rectal cancer 3cms. From the anal verge? C
a. Anterior resection
b. Left hemicolectomy
c. APR
d. Sigmoidectomy
43. Internal hemorrhoid that prolapsed through the anus and reduces spontaneously? C
a. Grade 4
b. Grade 3
c. Grade 2
d. Grade 1
48. True regarding traumatic brain injury include the following except? D
a. Males are about twice as female to sustain from TBI
b. Highest groups in TBI include, 0-4 yrs. Old and 15-19 yrs. Old
c. Adult age 75 yrs. And older have the highest rates of TBI related hospitalization
and death
d. None of the above
49. Regarding the evaluation and care of head-injured patients. Which of the following
statements is/are true? C
a. Hypotension is often the direct result of intracranial trauma
b. A decerebrate posturing is a common response to diffuse cortical injury
c. A score of 5 on the GCS is associated with poor prognosis
d. All of the above
50. This is due to rotational acceleration of the head in the absence of significant injury A
a. Cerebral concussion
b. Epidural hemorrhage
c. Subarachnoid hemorrhage
d. Diffuse axonal injury