THEORY EXAMINATION THEMES 6 year student group A 1-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 Be sure of writing your full name, number of the slide and number of the question.

Theme 1 : Anal and perianal conditions A Anal stenosis F Anal fissure B Fistula-in-ano G Ischiorectal abscess C 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 pathology A Duodenal atresia F Duplication cyst B Exomphalos G Gastroschisis C Hirschsprung’s disease H Intussusception D Malrotation I Meckel’s diverticulum E 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 hydrocele B 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 fracture B- 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 fracture 3- 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