1. Goblet cells are specialized cells in the small intestine that secrete mucus. 2. The submucosa is the strongest layer of the small intestine. 3. Trichilemmal cysts contain a distinctive outer layer resembling the root sheath of a hair follicle and do not contain a granular layer.

1. 1. Abdominal metastasis is most commonly caused by?
A. Synovial sarcoma (ANS)
B. Rhabdomyosarcoma
C. –
D. –
2.
A. The most appropriate initial method in diagnosing 6cm mass of the left thigh:
A. Core needle biopsy
B. Suction Biopsy
C. Incisional Biopsy (ANS)
D. Excisional Biopsy
B. A specialized cells of small intestine that secretes mucus.
A. Enterocyte
B. Paneth cells
C. Microfold cells
D. Goblet cells (ANS)
E. Enteroendocrine cells
3.
A. Strongest layer of the small intestine.
A. Mucosa
B. Submucosa (ANS)
C. Muscularis layer
D. None
B. This cysts contain a destinctive outer layer resembling the root sheath of a hair follicle
and do not contain a granular layer
A. Epidermal cyst
B. Dermoid cyst
C. Trichilemmal cyst - answer
D. Sebaceous cyst
E. Ganglion cyst
4. Abdominal radiographic seen in SBO
A. Dilated small bowel
B. Air filled
C. Paucity of Air
D. U and C shape
E. All of the above

2. 6.
*True statement regarding hemorrhoids:
C. These are submucosal tissue with venules, arterioles, smooth muscles located at
the rectum
*12 y/o patient 5 x 8 soft tissue mass in left thigh. He was diagnose to have
Rhabdomyosarcoma
Ans: Incisional biopsy and MRI
7. Female presents with 6 months lumbar pain, UTZ showed mass at the lumbar area,
hydronephrosis and obscured
Ans: CT scan
8. Which of the following is the branch of superior mesenteric artery
A. left colic artery
B. sigmoidal artery
C. Middle colic artery
D. Superior rectal artery
10. The following genes are inactivated in colorectal carcinoma, except
A. K-ras
B. p53
C. APC
D. DCC
11.
A. Sturge-Weber Syndrome:
a. Glomus tumor
b. Arteriovenous Malformation
c. Port Wine Stain
d. ?
B. A 28yo male, diabetic, developed intolerable pain in the perianal area aggravated by
movement. He is febrile with 38.8 C temp. Patient was diagnosed perianal anscess.
Graver sequalae?
A. Epidermal CA
B. AdenoCA
C. Melanoma
D. Basal cell CA

3. 13.
A. The zone of questionable viability in cases of hyperemic injury
A. zone of stasis
B. zone of coagulation
C. zone of hyperemia
D. a and b
E. all of the above
B. True of hemorrhoids:
A. Aid in continence of anorectal area
B. left anterior, right posterior, right anterior
C. Submucosal tissue containing venules, arterioles, and smooth muscle fibers
D. Part of normal examination...
14.
A. True about lipoma except:
a. …normal fat cells
b.
c. most common subcutaneous tumor
d. they may grow to a large size and substantially deforming e. observation is
never an option. All lipoma should be excised
B. Treatment of uncomplicated acute sigmoid volvulus should begin with:
a. colonoscopy or proctosigmoidoscopy
b. laparoscopy
c. sigmoid colonoscopy
d.
16.
A. Responsible for the acute sunburns and for chronic skin damage leading to malignancy
(something like that yung question)
A. UVA
B. UVB
C. UVC
B. Superior Mesenteric Artery branch are located on
A. Left Colic Artery
B. Sigmoidal Artery
C. Middle Colic Artery

4. D. Superior Rectal Artery
17. Which is tumor suppressor gene that is inactivated an…colorectal cancer?
A. APC
B. DCC
C. P53
D. Kras gene
18. Districtive outer layer non-granular layer?
A. Epidermal cyst
B. Dermoid cyst
C. Trichilemmal (pilar) cyst
D. Sebaceous
E. Granulation cyst
19.
A. 28-y/0 male juvenile diabetic suddenly developed intolerable pain at the perianal pain
area aggravated by movement. He is febrile with temp of 38.8 degree Celsius patient was
diagnosed to have perianal abscess a graver sequel would develop in the form of
A. Fistula in ano
B. Rectal prolapse
C. Fournier’s gangrene
D. fissure in ano
B. Associated with sturge weber sign
A. Globus tumor
B. Port-wine stain
C. A-V malformation
20.
A. Carcinoma of distal anal canal is almost always
A. Epidermoid
B. Adenocarcinoma
C. Melanoma
D. Basal cell cancer
B. Strongest layer of the small intestine?
A.mucosa
B.submucosa

5. C.muscularis mucosa
D.serosa
21. True about hemorrhoids.
A. They aid in the continence mechanism of the anorectal area
B. hemorrhoidal cushiond are primarily located in left anterior, right anterior, right
posterior positions
C. These are submucosal tissues containing venules, arterioles, and smooth
muscles fibers located in the rectum (ANS)
D. Hemorrhoids are a normal part of anorectal anatomy, treated by excision when
encountered in routine anorectal examination
22. True about Lipomas, except:
A. Benign with essentially no risk of malignant devolvement
B. Most common subcutaneous neoplasm
C. May grow to a large size and become substantially deforming
D. --- (surgery/treatment of lipoma)
25. Specific cells of small intestine responsible for mucous secretion.
A. Enterocytes
B. Paneth cells
C. Microfold cells
D. Goblet cells
E. Enteroendocrine cells
27. True regarding metastasis of soft tissue sarcoma
A. the initial site are the lungs
B. long term survival for patients ….80 %
C. long term survival for patients with less pulmonary nodes
D. A and C
E. All of the above
Post op return.... for ileus?
A. 1 day
B. 2 days
C. 3-5 days
D. Indefinite
Strangulation Obstruction, CT SCAN findings EXCEPT..........
(Haba ng choices, I wasnt able to write them all down)

6. Adhesion formation, EXCEPT
A. Good surgical technique
B. Careful handling of tissues
C. Use of seprafilm
D. Laparoscopic......
E. Covered peritoneal floor.......