15/09/2020 FINAL E AM

FINAL EXAM To al poin s 60/100

Choose he bes ans er

S name

SAINI

Fi Name

MANISH KUMAR

G N

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1 A 36 year old former intravenous drug user with a prior history of 0/1
Pneumocystis cariniipneumonia is seen for a complaint of diffuse abdominal
pain and peritonitis An abdominal X ray reveals free intraperitoneal air The
most likely etiology for pneumoperitoneum in thispatient is

C tomegalovirus colitis with perforation

Diverticulitis

Necrotic bowel in a hernia

Perforated peptic ulcer

Perforated cecal carcinoma

2 A patient with a history of familial polyposis undergoes a diagnostic 1/1

polypectomy Which of the following types of polyps is most likely to be
found

Villous adenoma

H perplastic pol p

Adenomatous pol p

Retention pol p

Pseudopol p

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3. What is the most common serious complication of an end colostomy 1/1

Bleeding

Skin breakdo n

Parastomal hernia

Colonic perforation during irrigation

Stomal prolapse

4. Regarding regional enteritis, all the following are true statements, EXCEPT 0/1
that:

Regional enteritis ma in ol e an segment of the gastrointestinal tract

The most frequent site of in ol ement is the terminal ileum

Massi e hemorrhage per rectum is common

Adenocarcinoma of the small bo el associated ith the disease has a poor

prognosis

The actual cause of the disease is unkno n

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5 An active 0 year old who has never before been hospitalized is admitted 0/1
with signs and symptoms typical of a small bowel obstruction Which of the
following clinical findings would give most help in ascertaining the diagnosis

Coffee-g o nd a i a e f om he omach

Ae obilia

A le koc e co n of 40,000/mm3

A H of 7.5 Pco2 50 o , and a ado icall acid ine

A al able ma in he el i

6 A 0 year old woman has nausea vomiting abdominal distention and 0/1
episodic crampy midabdominal pain She has no history of previous surgery
but has a long history of cholelithiasis for which she has refused surgery Her
abdominal radiograph reveals spherical density in the right lower quadrant
Correct treatment should consist of

Ileocolec om

Cholec ec om

Ileo om and e ac ion

Na oga ic be decom e ion

In a eno an ibio ic

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A ear old woman develops pain of the right lower quadrant while 0/1
pla ing tennis The pain progresses and she presents to the emergenc room
later that da with a low grade fever a white blood cell count of and
complains of anore ia and nausea as well as persistent sharp pain of the right
lower quadrant On e amination she is tender in the right lower quadrant with
muscular spasm and there is a suggestion of a mass effect An ultrasound is
ordered and shows an apparent mass in the abdominal wall Which of the
following is the most likel diagnosis

Ac e a endici i

Cecal ca cin ma

Hema ma f he ec hea h

T i n f an a ian c

Ch lec ii

All the following statements regarding the etiolog of obstructive jaundice 0/1
are true EXCEPT

A ma kedl ele a ed alkaline h ha a e i all a cia ed ih b ci e

ja ndice

When e ahe a ic bilia b ci ni ec ed, he fi e h ld be

end c ic e g ade ch langi anc ea g a h (ERCP)

A Kla kin m ill e l in in ahe a ic d c al dila i n nl

A li e - leen can ill add li le he diagn ic k f b c i e ja ndice

Ca cin ma f he head f he anc ea can ca e dee e iga ic back ain in a

man a 30 e cen f a ien

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A previously healthy year old boy is brought to the emergency room 0/1
with complaints of about hours of progressive anorexia nausea and pain
of the right lower quadrant On physical examination he is found to have a
rectal temperature of degrees centigrade and has direct and rebound
abdominal tenderness localizing to Mc Burney s point as well as involuntary
guarding in the right lower quadrant At operation through a McBurney type
incision his appendix and cecum are found to be normal but the surgeon is
impressed with the marked edema of the terminal ileum which also has an
overlying fibrinopurulent exudate The correct procedure is to

Close the abdomen after culturing the exudate

Perform a standard appendectom

Resect the involved terminal ileum

Perform the ileocecal resection

Perform an ileocolostom to b pass the involved terminal ileum

Which of the following would be expected to stimulate intestinal motility 0/1

Fear

Gastrin

Secretin

Acet lcholine

Cholec stokinin

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11 Each of the following statements regarding appendicitis during pregnancy 0/1

is correct EXCEPT

Appendici is is he mos pre alen e ra erine indica ion for celio om d ring
pregnanc .

Appendici is occ rs in pregnan and nonpregnan omen of comparable age ih

eq al freq enc .

S spec ed appendici is in a pregnan oman necessi a es promp s rgical

in er en ion

Noncomplica ed appendici is res l s in 20 percen fe al mor ali and 10 percen

prema re labor ra e.

General anes hesia for appendec om ca ses no increase in fe al damage or loss.

1 On Monday morning a year old man has a moderate sized abdominal 1/1
aneurysm resected On Friday he is noted to be markedly distended with an
abdominal radiograph on which the cecum is measured as 1 cm across
Proper management at this time would be

A decompression of he large bo el ia colonoscop

Replacemen of he nasogas ric be and adminis ra ion of lo -dose cholinergic

dr gs

Con in ed no hing b mo h orders, adminis ra ion of a gen le saline enema, and

enco ragemen of amb la ion

Immedia e re rn o he opera ing room for opera i e decompression b rans erse

colos om

Righ hemicolec om

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1 A year old man has CT evidence of complicated appendicitis with a 1/1

contained abscess in the right lower quadrant He is mildly tachycardic
afebrile and normotensive with focal right lower quadrant tenderness but no
peritonitis What is the optimal approach to this patient

Immedia e la a m

La a c ic e l a i n and ab ce d ainage

Pe c ane d ainage, in a en (IV) fl id , b el e , and b ad ec m

an ibi ic

IV fl id , b el e , and b ad ec m an ibi ic

1 A year old woman who is weeks pregnant presents with right sided 0/1
abdominal pain leukocytosis and an abdominal ultrasound that does not
visualize the appendix What intervention would you recommend

E l a la a c

Abd minal CT can

Abd minal magne ic e nance imaging (MRI) can.

Se ial clinical b e a i n .

1 A year old man presents to your clinic asking about an elective 1/1
appendectomy He has no history of appendicitis What are possible
indications for appendectomy in this patient

Planned a el a em e lace ihn gical ca e.

Pa ien i h C hn Di ea e he e he cec m i f ee f g di ea e

A a f Ladd ced e

All f he ab e.

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16. Diverticulosis of the colon is associated with all of the following 1/1
complications EXCEPT

Perforation

Fistula

Obstruction

Hemorrhage

Carcinoma

17. The proper operative management of a perforated diverticulum with fecal 1/1
soilage is

Transverse loop colostom

Sigmoid colon resection ith primar anastomosis

Sigmoid colon resection, diverting colostom , and Hartmann s pouch

Nasogastric suction, laparotom , and drainage

Intravenous antibiotics and h dration

18. The initial therapy for a sigmoid volvulus is 1/1

Nasogastric suction and intravenous h dration

Immediate laparotom ith loop colostom

Placement of a Cantor tube and intravenous h dration

Subtotal colectom

Sigmoidoscopic decompression

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1 The radiologic bird s beak on barium enema is associated with 1/1

Ulcerative colitis

Crohn’s disease

Diverticular disease

Carcinoma

Volvulus

0 Biliary colic is caused by 1/1

A stone obstructing the cystic duct

Passage of a stone through the ampulla of Vater

Acute infection within the bile ducts

Inflammation of the pancreas

Inflammation of the gallbladder

BREATH IN BREATH OUT

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21 A 4x3 cm solitary nodule in a 4 M is best managed by 1/1

T d a a

T d ca

F e eed e a a b

T d e e

22 This type of thyroid cancer is associated to MEN syndrome 1/1

A a a c d ca ce

F c a d ca ce

Med a d ca ce

Pa a d ca ce

23 The recurrent laryngeal nerve is closely associated with this artery 1/1

I e da e

I e a ca da e

E e a ca da e

S e da e

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2 M complaining of a 2x cm left thyroid nodule with associated 0/1

hoarseness and hemoptysis There are positive 1x1 cm lymph nodes in the
left sternocleidomastoid muscle with negative Chest x ray If the biopsy is
Papillary cancer what is the most likely stage of the patient

S age 1

S age 2

S age 3

S age 4

2 The same patient in number based on the stage what would be the 1/1
most appropriate treatment

To al Th roidec om

To al Th roidec om i h Neck Dissec ion

To al Th roidec om i h Neck Dissec ion and RAI pos op

To al Th roidec om i h RAI pos op

To al h roidec om i h pos op chemo herap and RAI

2 Which of the following diagnostic tool that has low sensitivity during 1/1
pregnancy

Ul raso nd

Biops

Mammograph

MRI

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is a rare and aggressive form of breast cancer that often 1/1

appears as a rash or an irritated area of skin It blocks the l mph vessels in the
skin of our breast

In asi e Ductal CA

In asi e Lobular CA

Inflammator breast CA

Ductal Carcinoma In Situ

After a patient underwent modified radical mastectom he developed 1/1

winging of the scapula with shoulder weakness What is the possible cause

Injur to the radial ner e

Injur to the agus ner e

Injur to the long thoracic ner e

Injur to the a illar ner e

A F diagnosed case of Invasive ductal cancer of the right breast came 0/1
to our clinic with a breast mass on the RUOQ x cm in si e There are note
of multiple matted l mph nodes on the axilla and matted supraclavicular
l mph nodes What is the stage of the patient

Stage 2B

Stage 3A

Stage 3B

Stage 3C

Stage 4

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0 What would be the most appropriate treatment for patient in No 0/1

Simple Mas ec om

Modified Radical Mas ec om

Neoadj an Chemo herap

Radio herap

Chemo herap and Radio herap

1 Locations of anatomic narrowing of the esophagus seen on an 1/1

esophagogram include all of the following EXCEPT

LES

Crossing of he lef mains em bronch s and aor ic arch

Thoracic O le

Cricophar ngeal m scle

The cervical esophagus receives its blood supply from the 1/1

In ernal caro id ar er

Inferior h roid ar er

S perior h roid ar er

Inferior cer ical ar er

Facial ar er

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Medical management for GERD 1/1

PPI

Antacid

Antibiotic

Antireflu surger

A 0y o M is diagnosed with GERD Cigarette smoking is thought to 1/1

contribute to GERD by

decreasing LES pressure and impairing contractilit

increasing acid production

decreasing the esophageal clearance of acid

increasing secondar peristalsis

increasing saliva production

A y o F is diagnosed with GERD Which of the following findings will be a 1/1

contraindication to her anti reflux surgery

presence of severe esophagitis on endoscop

T pe III hiatal hernia in esophagogram

Barrett,s esophagus with high grade d splasia

shortened esophagus

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Which egmen of he colon and rec m ha he highe incidence of 0/1

malignanc

A ce di g c l

Ta e ec l

De ce di g c l

Sig id c l

Rec

Which egmen of he colon and rec m ha he highe ra e of ol l 1/1

beca e of i leng h and mobili

A ce di g c l

Ta e ec l

De ce di g c l

Sig id c l

Rec

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For No A o F menopausal is referred to our clinic for painless 1/1

hematoche ia hich has been noted for months She noted eas fatigabilit
but other ise as mptomatic and has no other past medical or surgical
histor On PE she has a BMI of kg m His rectal and anoscopic e am sho
no lesions His FIT test is positi e The ne t step in the management should
be

CT scan

MRI

Bari m Enema

Colonoscop

Caps le endoscop

If the findings re ealed a cm friable mass at the ascending colon and a 0/1
moderatel differentiated adenocarcinoma on histopath hat should be
done to the patient

Obser e and repea he es s af er 3 mon hs

Whole abdominal CT scan

Segmen al resec ion of he descending colon

Lef hemicolec om

Chemo and radio herap

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What ould be the adjuvant treatment of the patient if postoperativel 0/1

she is Stage

Che he a

Che he a a d ad he a

Rad he a

C e g

KEEP GOING

A melanoma that has a primar depth of mm requires this margin for 1/1
e cision

2c

4c

6c

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42 Squamous cell carcinoma may arise from these burn scars 1/1

Bo en s disease

Marjolin s lcers

Le koplakia

C taneo s horn

43 Congenital lesions that result when epithelium is trapped during fetal 1/1
midline closure

Dermoid c sts

Trichilemmal c sts

Epidermal c sts

Lipoma

44 A 42 y o male suffered burns on his right leg circumferential right upper 1/1
extremity circumferential and the genitalia Compute for TBSA of injury

32%

28%

37%

19%

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45. A 54 y o male presented with a suspicious lesion on his right cheek with 1/1
ulceration and crusting and with the typical rolled border appearance.
Clinical suspicion will point to

Squamous cell CA

Bowen s disease

Melanoma

Basal Cell CA

46. The preferred method for diagnosis of palpable or nonpalpable breast 0/1
abnormalities

Fine needle aspiration biops

Core needle biops

E cision biops

Incision biop

47. The axillary lymph node groups are assigned levels according to their 1/1
anatomic relationship to the

Internal mammar arter

Latissumus dorsi

A illar vein

Pectoralis minor

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4 Risk factors for development of breast cancer except 1/1

N a

La ac

La a

Ea ac

4 A 45 y o female is complaining of a unilateral bloody nipple discharge 0/1

spontaneous and localized to a single duct This is suggestive of

P ca a

I a ca a a

Ga ac c

P ac - c a a

50 A 3 y o pregnant is being investigated for a palpable breast mass The 0/1

following is contraindicated

U a

Ma a

MRI

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He nia ha o de la e al o he infe io e iga ic e el a e 1/1

Direct Inguinal hernia

Indirect inguinal hernia

Femoral hernia

Umbilical hernia

Pal a ion of a ma ha doe no change d ing con ac ion of he ec 1/1

m cle

Phren s sign

McBurne s sign

Rovsing s sign

Fothergill s sign

In indi ec ing inal he nia he ac i commonl i a ed a he 0/1

of he e ma ic co d

Posteromedial

Anterolateral

Anteromedial

Superolateral

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54 A 43 y o female complains of a painful mass on the right side of her 1/1

abdomen On history she is on chronic warfarin therapy and suffered a fall in
the bathroom On exam she has a tender firm mass on the right side of the
umbilicus non reducible The best diagnostic test would be

Ultraso nd of the abdomen

CT scan of the abdomen

Abdominal -ra

MRI of the abdomen

55 A 55 y o man complains of an enlarging inguino scrotal bulge associated 0/1

with abdominal pain and vomiting On PE the mass cannot be reduced
Management would be

Electi e hernia repair

Emergenc hernia repair

Man al red ction of hernia

Gi e anti-emetic

5 This reflex is absent in testicular torsion to differentiate it from orchitis 1/1

B lboca ernos s refle

Cremasteric refle

Ilioh pogastric refle

Tendon refle

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57 Tissue folds located in the prostatic urethra which can cause bladder 1/1
outlet obstruction and a damaging cause of bilateral hydronephrosis in a
newborn boy

Vesico re eral refl (VUR)

Ure eral s ric re

Ure erocoele

Pos erior re hral al es (PUV)

5 This type of testicular cancer is highly responsive to radiotherapy 1/1

P re seminoma

Mi ed

Nonsemina o s

Le dig cell mor

5 A 56 y o male came in due to painless gross hematuria KUB ultrasound 0/1

revealed a 4 cm mass in the right lateral bladder wall The next step is

TURP

TURBT

Perc aneo s biops

S prap bic c s os om

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60 A 35 y o male complains of left sided flank pain intermittent colicky Plain 0/1
CT of the abdomen revealed a 2cm stone located at the left proximal ureter
Plain abdominal xray however revealed no abnormal calcifications
Consideration is

A ifac i CT ca

U ic acid e

Ca ci c ai i g e

S ie e

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KEEP MOVING FORWARD

A ear old male orking a a eacher came in d e o hoar ene of 0/1

oice No l mph node palpa ed on he neck area Yo decided o do
lar ngo cop and a able o no e a nila eral e oph ic le ion on he glo i

ocal fold nod le

ocal fold ol

ocal fold c

fib o ma of he ocal fold

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2 Most common parotid gland tumor 1/1

Ple hic ade a

M c e ide id Ca ci a

Ade id c ic ca ci a

S a cell ca ci a

A year old male chronic smoker came in due to 2 months history of 0/1
anosmia and nasal obstruction Patient also has history of serious otitis media
recently Upon physical examination there is also a mass in the posterolateral
neck What is your next step

RT-PCR ab f C id 19, 14 da a a i e, e ab af e aa i e

D e d c f f he e al a i

E ci e a he eck

RE e f CT MRI

A 2 year old patient came in due to a mass on his right temporal area The 0/1
patient claimed the mass appeared after he was involved in a brawl a week
ago On physical examination you thought the mass to be pulsating What is
your next step

Ob e e i ce he a i likel be a he a a a d he l ai i he
a e be ea h he a

D eedle bi d e he ibili f alig a c

Re e i agi g die f he i e iga e

Gi e a ibi ic i ce i a be d e i fec i he igh ha e ai ed d i g he

b a l.

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A 20 year old female came in due to an anterior neck mass She claimed 0/1
she started noticing the mass since she was a child but a few days prior to
consult mass became slightly enlarged and tender after having a cough for a
couple of days On physical examination you noted a tender and swollen mass
approximately 2cm on the upper area of the midline of the neck The mass
does not move upon swallowing but does so upon tongue protrusion What is
your next best step

Ob er e b req e for a neck l ra o nd

An ibio ic + Neck l ra o nd

Ad i e rger

Rea re he pa ien ince hi migh be j a l mph node econdar o he URTI he

had

A 0 year old male came in due to a perianal mass He noted that the mass 1/1
has been intermittently present whenever he defecates and sometimes has
bleeding Although he has had this for a while he was not worried because it
usually goes away on its own However a day prior to consult other than the
bleeding the mass stayed and won t go back in and is painful What is the
most probable stage of this patient

Grade I

Grade II

Grade III

Grade IV

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67 What is your management for this patient in no 66 0/1

High fiber diet, and hot sit bath

Rubber band ligation

Excision of thrombosed external hemorrhoids

Hemorrhoidectom

68 The following are treatment options for hemorrhoids except 1/1

Rubber band ligation

Photocoagulation

Lateral Sphincterotom

Sclerotherap

6 A 35 year old female came in due to a anal tenderness she started to 1/1
notice a week ago The pain is increasing so much that she cannot sit properly
but she can defecate without any problems Upon examination you noted a
swelling and erythematous area near her anus tender and fluctuant on
palpation What is your probable diagnosis

Perianal abscess

Ishiorectal abscess

Intersphinteric abscess

Supralevator abscess

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Ho do ou plan to manage this patient in no 1/1

Request for CT or MRI to full delineate the anatom of the abscess

Incision and drainage of the abscess

Antibiotics

Refer patient for colonoscop

Most common hepatic lesion 0/1

Hepatic c sts

Hepatic adenoma

Hepatocellular Carcinoma

Metastatic carcinoma

A ear old male ho just had his birthda decided to have a general 1/1
check up On his abdominal ultrasound there as a noted minimal free fluid
surrounding the liver as ell as a nodular contour to the liver surface There
as also a mass noted on the right lobe appro imatel cm in si e The patient
came to ou for evaluation of this abdominal ultrasound Other significant
laborator results include bilirubin level mg dL albumin g dL and INR
What is the most probable diagnosis for this patient

Hepatic abscess

Adenoma

Focal Nodular h perplasia

Hepatocellular Carcinoma

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73 On CT scan answer to no 72 will present as 0/1

sharply defined borders, hypodense in venous phase, and subtle hypervascular

enhancement in arterial phase

well circumscribed mass with central scar

Enhanced on arterial phase, hypointense in delayed phase

hypodense with peripheral enhancement

74 Management for patient in No 72 0/1

Antibiotic Therapy

Hepatic resection

Liver Transplantation

Transarterial chemoemboli ation

75 Etiology of sinusoidal portal hypertension except 1/1

Schistosomiasis

Alcohol abuse

Primary biliary cirrhosis

autoimmune hepatitis

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A 3 year old female was brought in by relatives due to fall Upon arrival at 0/1
the ER the patient is awake confused and cannot obey commands What is
the GCS of the patient

C 11

C 12

C 13

C 14

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77. You noted a probable intracranial injury and decided to request for a 1/1
cranial CT scan which shows (picture). Which intracranial injury will be your
diagnosis? *

E id al hema ma

S bd al hema ma

S ba ach id hem hage

Ce eb al c i

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A ear old female as brought b friends due to a gunshot ound 0/1

sustained on the chest On ph sical e amination patient is a ake and
conscious ith BP CR RR The ound on the chest as
noted to be on th ICS anterior a illar line right ith an e it ound on Level
T posterior a illar line right Bubbling on the anterior ound can be noted
What is our ne t step

Do an outright chest thoracostomy

Apply a 3 sided occlusive dressing on the wound

Send patient to Radio department for an immediate CXR

Send patient to the OR for open thoracotomy

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CXR of the patient as done sho ing 1/1

P e h a igh

He h a igh

P e he h a igh

F ei g b d (b lle )

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80 How will you manage this patient in No 78 1/1

Needle thoracostom

Closed tube thoracotom

Open thoracotom to remo e the bullet

Repeat CXR after 6 hours

HANG IN THERE

81 What is the estimated total blood volume 1/1

5% of bod eight

7% of bod eight

9% of bod eight

10 % of bod eight

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Wha i he minim m n mbe of pla ele ha i all fficien fo 0/1

hemo a i

40,000/

70,000/

90, 000/

100,000/

Wha le el of hemoglobin i he al g ide fo blood an f ion fo 0/1

elde l pa ien i h i chemic hea di ea e

7 a /d

9 a /d

10 a /d

12 a /d

Wha d g e e e he effec of hepa in 1/1

V a K

C ad

P a a

H a

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85. Upper GI endoscopy in a 70 year old man showed an ulcerating mass on 1/1
the lesser curve of the stomach which is highly suspicious of malignancy. The
most likely diagnosis is

Gastric l mphoma

Gastric carcinoma

Gastrointestinal stromal tumor

Peptic ulcer disease t pe 1

Squamous cell carcinoma

86. The most important risk factor in the development of Gastric cancer 1/1

Diet high in nitrates salt and fat

Gastric adenomas

H p lori infection

Familial pol posis

Pre ious gastrectom

87. The most important prognostic factors in gastric cancer 1/1

Tumor grade (degree of differentiation)

L mph node in ol ement and depth of tumor in asion

Location of lesion

Age and se of the patient

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88. The most common precursor of for gastric cancer 1/1

Familial adenoma o pol po i

Chronic lcer

A rophic ga ri i

Adenoma

S omach remnan

89. A 55 year old female complains of abdominal pain, loss of appetite, 1/1
postprandial fullness, and weight loss. Suspicion for gastric cancer is high but
an endoscopic biopsy is negative. The suggested next approach in the
management

Req e for pper GI erie

Req e for abdominal CT can i h con ra

Repea endo cop i h aggre i e biop

Req e hole-bod PET can

90. The most accurate tool in distinguishing early gastric cancer from more 0/1
advanced tumors

Endo copic l ra o nd

CT can i h con ra

MRI i h con ra

PET can

Peri oneal c olog laparo cop

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91. Tumors from interstitial cells of Cajal that typically metastasize by the 1/1
hematogenous route

Leiom oma

Leiom osarcoma

L mphoma

Gastrointestinal stromal t mor

Adenosq amo s carcinoma of the stomach

92. Recommended management for stage 3 high grade non hodgskin gastric 0/1
lymphoma diagnosed by endoscopic biopsy

S btotal gastrectom and chemotherap

Total gastrectom and chemotherap

Chemotherap and e ternal beam radiation

S btotal gastrectom and h p lori eradication

Rit imab and imatinib

93. Drugs that increase gastric emptying 1/1

Metoclopramide

Er throm cin

Domperidone

All of the abo e

A and C onl

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94 True statement regarding H pylori infection in peptic ulcer disease 1/1

Compromise m cosal defense mechanism

Diagnosed b rease assa in m cosal biops

Ca ses acid h persecretion

All of the abo e

A and C onl

95 The final common pathway for the formation of peptic ulcer disease 0/1

H peracidit

Helicobacter p lori infection

Inj r to m cosal barrier

Conc rrent NSAID and or steroid intake

Decreased bicarbonate secretion

96 A 25 year old male call center agent smoker taking prednisone with a 3 1/1
month history of burning abdominal pain and associated with night distress
What is the most likely diagnosis

Ac te cholec stitis

Ac te appendicitis

Pancreatitis

M ocardial infarction

Peptic lcer disease

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7 A 25 year old male call center agent smoker taking prednisone with a 3 0/1
month history of burning abdominal pain and associated with night distress
What is the most appropriate test to do

U ea b ea h e a d e m ga i de e mi a i

E hag ga d de c a d l a d f he abd me

U e GI e ie a d l a d f he abd me

Abd mi al l a d a d c m le e bl dc

C m le e bl dc a d CBC

8 The type of surgical procedure recommended for peptic ulcer disease 1/1
located in the body with duodenal ulcers and prepyloric ulcers

Highl elec i e ag m

T cal ag m ih l la

Di al ga ec m a d ag m

All f he ab e

Aa dB l

What clotting factors are dependent on vitamin K 1/1

1,2,5,7

8,9,11,12

2,7,9,10

3,5,7,9

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What is the recommended test for intermittent and recurrent melena and 0/1
occasional hematochezia episodes for days with negative findings on
colonoscopy and upper GI endoscopy

adi cle ide ci ig a h

CT a gi g a h

Vide ca le e d c

d ble ball e e c

GREAT JOB

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