This document contains intermediate level questions related to surgery. It covers topics like injuries from car accidents, hernias, testicular issues, abdominal pain causes, gallbladder conditions, thyroid function tests, trauma injuries, fractures, electrical injuries, liver conditions, and myocutaneous flaps. The questions are multiple choice format to test surgical knowledge on various body systems and common procedures/presentations.
A 12-year-old Chinese boy was admitted with abdominal discomfort and distension. During surgery, his enlarged spleen was removed due to a cystic mass. The spleen filters the blood, produces antibodies, and stores platelets. Its blood supply is the splenic artery and drainage is through the portal vein. The ligaments that hold it include the splenogastric, splenophrenic, and splenocolic ligaments. Common reasons for splenectomy are trauma and hematological/immunological disorders. The most worrisome complication is sepsis from encapsulated bacteria, which can be prevented through pre-surgery vaccinations.
A 32-year-old male presented to the emergency department with swelling, pain and redness in his right big toe. He was initially diagnosed with gout but his symptoms worsened. It was later discovered that 17 years prior he had stepped on a nail which punctured his toe. For years after, the joint would periodically flare up with symptoms. Cultures from the joint grew Pseudomonas aeruginosa, indicating latent osteomyelitis from the prior puncture wound injury. He underwent surgical debridement and continued IV antibiotics for treatment.
This document contains 35 multiple choice questions related to a gynaecology exam. It provides the questions, possible answers and the key/correct answer for each question. The questions cover topics such as infertility, ectopic pregnancy, menopause, prolapse, ovarian tumors, contraception and more.
- An 81-year-old man was admitted due to a 6-month history of dysphagia, regurgitation, and vomiting during meals. Upper endoscopy and radiographs revealed an abnormal corkscrew appearance of the esophagus. Manometry confirmed an alternative form of abnormal peristalsis.
- A 17-year-old boy sustained an avulsion injury to his right pinky finger after his ring caught on a fence he was jumping over. The finger was amputated through the distal joint and the flexor digitorum profundus tendon was completely pulled out.
- The document describes several medical cases illustrated by images from clinical journals, including abnormalities found during examinations, patient
The document describes an endoscopic retrograde cholangiogram (ERC) image from a 24-year-old female with jaundice. The ERC shows obstruction and dilation of the intrahepatic and extrahepatic biliary tree down to the cystic duct junction, where there is thinning of contrast and an apparent filling defect in the cystic duct. The findings are consistent with Mirizzi syndrome, which is partial or complete obstruction of the common hepatic duct caused by a stone lodged in the distal cystic duct.
1) The earliest reports of possible gastric cancer cases date back to ancient Egyptian and Greek civilizations in 1600 BC and the 2nd century AD, though understanding of cancer was limited.
2) The first modern medical description of gastric cancer was not until the 18th century, explaining the mystery of Napoleon Bonaparte's death from stomach cancer in 1821.
3) An autopsy of Napoleon revealed a cancerous ulcer occupying most of his stomach wall, representing one of the earliest confirmed cases of gastric cancer.
A 53-year-old man is readmitted 10 days after reversal of a loop colostomy with vomiting and abdominal pain. Examination shows a tender swelling at the colostomy site. The most likely diagnosis is an obstructed incisional hernia, as the symptoms and findings point to obstruction and loop colostomy reversals carry a high risk of hernia development due to increased risk of postoperative infection.
Hoffa's Fracture: Diagnosis, management & New Classification System by BAGARI...Vaibhav Bagaria
Hoffa's Fracture - coronal split fracture of distal femur, its diagnosis, management strategy, a new classification and tips and tricks of management. First described Hoffa, a new classification system by Bagaria et al helps plan the surgery for these tricky fracture. The most crucial step is not to miss these fractures in ER.
A 12-year-old Chinese boy was admitted with abdominal discomfort and distension. During surgery, his enlarged spleen was removed due to a cystic mass. The spleen filters the blood, produces antibodies, and stores platelets. Its blood supply is the splenic artery and drainage is through the portal vein. The ligaments that hold it include the splenogastric, splenophrenic, and splenocolic ligaments. Common reasons for splenectomy are trauma and hematological/immunological disorders. The most worrisome complication is sepsis from encapsulated bacteria, which can be prevented through pre-surgery vaccinations.
A 32-year-old male presented to the emergency department with swelling, pain and redness in his right big toe. He was initially diagnosed with gout but his symptoms worsened. It was later discovered that 17 years prior he had stepped on a nail which punctured his toe. For years after, the joint would periodically flare up with symptoms. Cultures from the joint grew Pseudomonas aeruginosa, indicating latent osteomyelitis from the prior puncture wound injury. He underwent surgical debridement and continued IV antibiotics for treatment.
This document contains 35 multiple choice questions related to a gynaecology exam. It provides the questions, possible answers and the key/correct answer for each question. The questions cover topics such as infertility, ectopic pregnancy, menopause, prolapse, ovarian tumors, contraception and more.
- An 81-year-old man was admitted due to a 6-month history of dysphagia, regurgitation, and vomiting during meals. Upper endoscopy and radiographs revealed an abnormal corkscrew appearance of the esophagus. Manometry confirmed an alternative form of abnormal peristalsis.
- A 17-year-old boy sustained an avulsion injury to his right pinky finger after his ring caught on a fence he was jumping over. The finger was amputated through the distal joint and the flexor digitorum profundus tendon was completely pulled out.
- The document describes several medical cases illustrated by images from clinical journals, including abnormalities found during examinations, patient
The document describes an endoscopic retrograde cholangiogram (ERC) image from a 24-year-old female with jaundice. The ERC shows obstruction and dilation of the intrahepatic and extrahepatic biliary tree down to the cystic duct junction, where there is thinning of contrast and an apparent filling defect in the cystic duct. The findings are consistent with Mirizzi syndrome, which is partial or complete obstruction of the common hepatic duct caused by a stone lodged in the distal cystic duct.
1) The earliest reports of possible gastric cancer cases date back to ancient Egyptian and Greek civilizations in 1600 BC and the 2nd century AD, though understanding of cancer was limited.
2) The first modern medical description of gastric cancer was not until the 18th century, explaining the mystery of Napoleon Bonaparte's death from stomach cancer in 1821.
3) An autopsy of Napoleon revealed a cancerous ulcer occupying most of his stomach wall, representing one of the earliest confirmed cases of gastric cancer.
A 53-year-old man is readmitted 10 days after reversal of a loop colostomy with vomiting and abdominal pain. Examination shows a tender swelling at the colostomy site. The most likely diagnosis is an obstructed incisional hernia, as the symptoms and findings point to obstruction and loop colostomy reversals carry a high risk of hernia development due to increased risk of postoperative infection.
Hoffa's Fracture: Diagnosis, management & New Classification System by BAGARI...Vaibhav Bagaria
Hoffa's Fracture - coronal split fracture of distal femur, its diagnosis, management strategy, a new classification and tips and tricks of management. First described Hoffa, a new classification system by Bagaria et al helps plan the surgery for these tricky fracture. The most crucial step is not to miss these fractures in ER.
This document contains questions from a surgery exam along with possible answer choices for each question. It covers topics like types of tumors, treatment options for cancer, investigations for various surgical conditions, and statements about different surgical procedures and diagnoses.
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.
This document contains 31 multiple choice questions related to various medical cases and diagnoses. Question 1 presents a case of a 76-year-old woman with swallowing difficulties and asks for the preliminary diagnosis. Question 2 describes a 65-year-old man with urination problems who developed fever and asks what is causing his hemodynamic changes. Question 3 provides details about a 60-year-old man's scrotum edema and asks for the preliminary diagnosis.
1. A 76-year-old woman has had difficulty swallowing solid food for 6 weeks and sometimes regurgitates solid masses without pain. She has lost 6 kg of weight. Preliminary diagnosis is esophageal achalasia.
2. A 36-year-old patient was diagnosed with right-sided pneumothorax. The indicated treatment is drainage of the pleural cavity.
3. A 63-year-old patient was diagnosed with purulent mediastinitis. Diseases that cannot cause this include perforation of the cervical part of the esophagus.
This document contains a series of multiple choice questions and answers related to an MD entrance exam paper. Some key points covered include:
- Question 1 asks about Thromboxane A2 and the correct answer is that it is not secreted by WBC.
- Question 2 presents a scenario of a car accident survivor developing post-traumatic stress disorder.
- Question 3 indicates that neurocysticercosis usually presents with seizure resistant to antiepileptic drugs.
- Question 4 states that free radicals in the brain are detoxified by superoxide dismutase.
- Question 5 suggests atherosclerosis as the likely cause for fusiform dilatation of the descending aorta in an
The document discusses urolithiasis (kidney stone disease) in children. It covers topics such as indications for orchidopexy surgery, management of non-palpable testes, exploration and treatment of testicular torsion, and treatment options for undescended testes that cannot be brought into the scrotum. It also addresses elements of the Fowler-Stephens procedure, management of infants with ambiguous genitalia, factors in testis development, epidemiology of stone disease, physical chemistry of stone formation, types of radiolucent urinary calculi, and time to irreversible renal damage from complete ureteric obstruction.
1. The document discusses various medical cases and questions. It includes a case of glaucoma where the increased intraocular tension is due to injury of the ciliary muscle.
2. Another case involves a woman diagnosed with Bartholinitis, which is inflammation of the Bartholin's glands located in the labia minora.
3. Multiple choice questions cover topics like cardiac function, genetic disorders, anatomy, pathology, and pharmacology. The document contains medical information and questions to test one's knowledge of various body systems and diseases.
High Yield surgery MCQ episode 3 (NEET PG, NEET SS, INI CET, FMGE)Think Surgery
Visit our telegram channel for daily MCQ
https://t.me/thinksurgery
This is part 3 of MCQ series, covering wide range of topics from surgery.
Many such questions are asked in NEET PG, NEET SS, INI CET and FMGE exams.
Questions are set from standard textbooks like Bailey and Love, and Sabiston textbook of surgery.
Do like the presentation and don’t forget to join our telegram channel for daily MCQ.
1) Organ X is the vermiform appendix. A 67-year-old Malay woman presented with fever and right lower quadrant pain and was found to have a perforated appendix.
2) She underwent an appendectomy to remove the perforated appendix. Post-operatively, she is at risk for complications like an abdominal abscess.
3) Her management involved initial resuscitation, treatment of pain and fever, establishing the diagnosis of appendicitis, and an appendectomy followed by post-operative monitoring and treatment with IV antibiotics to prevent infection from the perforation.
Krok 2 - 2009 Question Paper (General Medicine)Eneutron
A woman complains of dark bloody discharge and abdominal pain for several days. She is 7 weeks pregnant based on her last period. Ultrasound is necessary to detect the location of the fetus, as examination found a cyst-like formation in her left fallopian tube.
A pregnant woman in her 40th week has high blood pressure and protein in her urine at 32 weeks. She requires complex therapy for pre-eclampsia for 7 days before being induced or having a c-section.
A woman had post-partum hemorrhaging after the birth of her second child despite uterine contraction and emptying. The most probable cause is uterine atony.
A 76-year-old woman has been experiencing progressive swallowing difficulties for 6 weeks, with occasional regurgitation of solid food masses. Preliminary diagnosis options include cancer of the esophagus, diaphragmatic hernia, diffuse constriction of the esophagus, and esophageal achalasia.
- Echogenic intracardiac focus is most commonly seen as a normal variant on prenatal ultrasound but should prompt careful examination for other abnormalities.
- While it represents a normal variant, echogenic intracardiac focus has been associated with trisomy 13 and 21 but not trisomy 18.
- The majority (90%) of echogenic intracardiac foci are located in the left ventricle, not the right ventricle as stated in one response option.
Krok 2 - 2008 Question Paper (General Medicine)Eneutron
This document presents a series of multiple choice questions related to medicine. The questions cover topics such as diagnosing a child's illness based on symptoms, examining a pregnant woman, complications during and after childbirth, diagnosing breast changes, and interpreting various medical tests and measurements.
repeat questions fmge every ear but didn'tkpspranav
This document contains 44 multiple choice questions covering various topics in general surgery. The questions test knowledge in areas such as:
- Procedures like nasogastric intubation, FAST exam, and percutaneous endoscopic gastrostomy
- Surgical conditions including burns, hemorrhagic shock, and anal cancer
- Anatomy related to thyroid surgery and complications that can occur
- Investigations for conditions affecting the liver, pancreas, and kidneys
- Hernias and their presentations
- Classifying stages of breast cancer and investigating mammographic findings
1. Histological examination of a 40 year old man's thymus revealed changes typical of age-related involution, including decreased parenchymal tissue, increased adipose and connective tissue, and thymic corpuscle enrichment.
2. Biopsy of a woman's enlarged lymph nodes showed changes characteristic of Hodgkin's lymphoma, including lymphocytes, histiocytes, Reed-Sternberg cells, and caseous necrosis.
3. Examination of a child with delayed dentition and other dental abnormalities revealed microscopic findings consistent with rickets, including irregular enamel mineralization and extended predentin zone.
This document contains information about Dr. Saeed Shafi including his qualifications, positions, and contact information. It also contains 48 multiple choice questions related to anatomy with corresponding answers. The questions cover topics like nerves, muscles, lymphatic drainage patterns, and anatomical structures of the head and neck region.
The document discusses pelvic fractures, their classification, associated injuries, diagnosis and management. Key points include:
1. Pelvic fractures can be classified as outside the pelvic ring, single fractures, or double fractures. Double fractures have the highest risk of complications like bladder rupture.
2. Associated injuries include bleeding, nerve damage, and injuries to organs like the bladder, urethra and rectum.
3. Diagnosis involves imaging like CT scans to evaluate fracture pattern and bleeding. Management priorities are stabilizing the patient's condition through bleeding control and treating associated injuries, while also stabilizing the pelvic fracture through techniques like external fixation or internal fixation.
The document discusses gastrointestinal radiology and contains questions and answers about various gastrointestinal conditions and imaging findings. Question 226 asks which finding on helical CT with dynamic bolus contrast enhancement is the best prognostic indicator of acute pancreatitis. The correct answer is the presence of pancreatic necrosis.
A 25-year-old male presented with a painful, sustained erection for 2 days. His history included splenomegaly. Examination found an erect, tender penis and enlarged spleen. Tests showed leukemia. Dark blood was aspirated from his cavernosa, and distal shunts were created to drain blood and induce flaccidity. He was diagnosed with ischemic priapism caused by leukemia-induced sickle cell disease and thrombocytosis. Distal shunting successfully treated his priapism.
This document discusses the evaluation and workup of patients presenting with renal stones. It outlines the importance of obtaining a detailed history regarding lifestyle, diet, medical history and risk factors. A physical exam can reveal signs of renal colic or obstruction. Metabolic testing and stone analysis help determine the stone composition and underlying abnormalities. Radiological investigations including ultrasound, CT and occasionally IVP are used to identify stones and assess for complications like hydronephrosis. Proper evaluation guides management and treatment of kidney stone disease.
This document contains questions from a surgery exam along with possible answer choices for each question. It covers topics like types of tumors, treatment options for cancer, investigations for various surgical conditions, and statements about different surgical procedures and diagnoses.
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.
This document contains 31 multiple choice questions related to various medical cases and diagnoses. Question 1 presents a case of a 76-year-old woman with swallowing difficulties and asks for the preliminary diagnosis. Question 2 describes a 65-year-old man with urination problems who developed fever and asks what is causing his hemodynamic changes. Question 3 provides details about a 60-year-old man's scrotum edema and asks for the preliminary diagnosis.
1. A 76-year-old woman has had difficulty swallowing solid food for 6 weeks and sometimes regurgitates solid masses without pain. She has lost 6 kg of weight. Preliminary diagnosis is esophageal achalasia.
2. A 36-year-old patient was diagnosed with right-sided pneumothorax. The indicated treatment is drainage of the pleural cavity.
3. A 63-year-old patient was diagnosed with purulent mediastinitis. Diseases that cannot cause this include perforation of the cervical part of the esophagus.
This document contains a series of multiple choice questions and answers related to an MD entrance exam paper. Some key points covered include:
- Question 1 asks about Thromboxane A2 and the correct answer is that it is not secreted by WBC.
- Question 2 presents a scenario of a car accident survivor developing post-traumatic stress disorder.
- Question 3 indicates that neurocysticercosis usually presents with seizure resistant to antiepileptic drugs.
- Question 4 states that free radicals in the brain are detoxified by superoxide dismutase.
- Question 5 suggests atherosclerosis as the likely cause for fusiform dilatation of the descending aorta in an
The document discusses urolithiasis (kidney stone disease) in children. It covers topics such as indications for orchidopexy surgery, management of non-palpable testes, exploration and treatment of testicular torsion, and treatment options for undescended testes that cannot be brought into the scrotum. It also addresses elements of the Fowler-Stephens procedure, management of infants with ambiguous genitalia, factors in testis development, epidemiology of stone disease, physical chemistry of stone formation, types of radiolucent urinary calculi, and time to irreversible renal damage from complete ureteric obstruction.
1. The document discusses various medical cases and questions. It includes a case of glaucoma where the increased intraocular tension is due to injury of the ciliary muscle.
2. Another case involves a woman diagnosed with Bartholinitis, which is inflammation of the Bartholin's glands located in the labia minora.
3. Multiple choice questions cover topics like cardiac function, genetic disorders, anatomy, pathology, and pharmacology. The document contains medical information and questions to test one's knowledge of various body systems and diseases.
High Yield surgery MCQ episode 3 (NEET PG, NEET SS, INI CET, FMGE)Think Surgery
Visit our telegram channel for daily MCQ
https://t.me/thinksurgery
This is part 3 of MCQ series, covering wide range of topics from surgery.
Many such questions are asked in NEET PG, NEET SS, INI CET and FMGE exams.
Questions are set from standard textbooks like Bailey and Love, and Sabiston textbook of surgery.
Do like the presentation and don’t forget to join our telegram channel for daily MCQ.
1) Organ X is the vermiform appendix. A 67-year-old Malay woman presented with fever and right lower quadrant pain and was found to have a perforated appendix.
2) She underwent an appendectomy to remove the perforated appendix. Post-operatively, she is at risk for complications like an abdominal abscess.
3) Her management involved initial resuscitation, treatment of pain and fever, establishing the diagnosis of appendicitis, and an appendectomy followed by post-operative monitoring and treatment with IV antibiotics to prevent infection from the perforation.
Krok 2 - 2009 Question Paper (General Medicine)Eneutron
A woman complains of dark bloody discharge and abdominal pain for several days. She is 7 weeks pregnant based on her last period. Ultrasound is necessary to detect the location of the fetus, as examination found a cyst-like formation in her left fallopian tube.
A pregnant woman in her 40th week has high blood pressure and protein in her urine at 32 weeks. She requires complex therapy for pre-eclampsia for 7 days before being induced or having a c-section.
A woman had post-partum hemorrhaging after the birth of her second child despite uterine contraction and emptying. The most probable cause is uterine atony.
A 76-year-old woman has been experiencing progressive swallowing difficulties for 6 weeks, with occasional regurgitation of solid food masses. Preliminary diagnosis options include cancer of the esophagus, diaphragmatic hernia, diffuse constriction of the esophagus, and esophageal achalasia.
- Echogenic intracardiac focus is most commonly seen as a normal variant on prenatal ultrasound but should prompt careful examination for other abnormalities.
- While it represents a normal variant, echogenic intracardiac focus has been associated with trisomy 13 and 21 but not trisomy 18.
- The majority (90%) of echogenic intracardiac foci are located in the left ventricle, not the right ventricle as stated in one response option.
Krok 2 - 2008 Question Paper (General Medicine)Eneutron
This document presents a series of multiple choice questions related to medicine. The questions cover topics such as diagnosing a child's illness based on symptoms, examining a pregnant woman, complications during and after childbirth, diagnosing breast changes, and interpreting various medical tests and measurements.
repeat questions fmge every ear but didn'tkpspranav
This document contains 44 multiple choice questions covering various topics in general surgery. The questions test knowledge in areas such as:
- Procedures like nasogastric intubation, FAST exam, and percutaneous endoscopic gastrostomy
- Surgical conditions including burns, hemorrhagic shock, and anal cancer
- Anatomy related to thyroid surgery and complications that can occur
- Investigations for conditions affecting the liver, pancreas, and kidneys
- Hernias and their presentations
- Classifying stages of breast cancer and investigating mammographic findings
1. Histological examination of a 40 year old man's thymus revealed changes typical of age-related involution, including decreased parenchymal tissue, increased adipose and connective tissue, and thymic corpuscle enrichment.
2. Biopsy of a woman's enlarged lymph nodes showed changes characteristic of Hodgkin's lymphoma, including lymphocytes, histiocytes, Reed-Sternberg cells, and caseous necrosis.
3. Examination of a child with delayed dentition and other dental abnormalities revealed microscopic findings consistent with rickets, including irregular enamel mineralization and extended predentin zone.
This document contains information about Dr. Saeed Shafi including his qualifications, positions, and contact information. It also contains 48 multiple choice questions related to anatomy with corresponding answers. The questions cover topics like nerves, muscles, lymphatic drainage patterns, and anatomical structures of the head and neck region.
The document discusses pelvic fractures, their classification, associated injuries, diagnosis and management. Key points include:
1. Pelvic fractures can be classified as outside the pelvic ring, single fractures, or double fractures. Double fractures have the highest risk of complications like bladder rupture.
2. Associated injuries include bleeding, nerve damage, and injuries to organs like the bladder, urethra and rectum.
3. Diagnosis involves imaging like CT scans to evaluate fracture pattern and bleeding. Management priorities are stabilizing the patient's condition through bleeding control and treating associated injuries, while also stabilizing the pelvic fracture through techniques like external fixation or internal fixation.
The document discusses gastrointestinal radiology and contains questions and answers about various gastrointestinal conditions and imaging findings. Question 226 asks which finding on helical CT with dynamic bolus contrast enhancement is the best prognostic indicator of acute pancreatitis. The correct answer is the presence of pancreatic necrosis.
A 25-year-old male presented with a painful, sustained erection for 2 days. His history included splenomegaly. Examination found an erect, tender penis and enlarged spleen. Tests showed leukemia. Dark blood was aspirated from his cavernosa, and distal shunts were created to drain blood and induce flaccidity. He was diagnosed with ischemic priapism caused by leukemia-induced sickle cell disease and thrombocytosis. Distal shunting successfully treated his priapism.
This document discusses the evaluation and workup of patients presenting with renal stones. It outlines the importance of obtaining a detailed history regarding lifestyle, diet, medical history and risk factors. A physical exam can reveal signs of renal colic or obstruction. Metabolic testing and stone analysis help determine the stone composition and underlying abnormalities. Radiological investigations including ultrasound, CT and occasionally IVP are used to identify stones and assess for complications like hydronephrosis. Proper evaluation guides management and treatment of kidney stone disease.
Dr. Sarwar, resident urologist at JPMC, saw a 54-year-old female with a 1.5 month history of left flank pain radiating to the groin. Imaging showed a hydronephrotic left kidney with a mid-ureteric stricture. A JJ stent was placed but a MAG-3 scan later showed the left kidney was non-functioning. The patient underwent a transperitoneal laparoscopic left nephrectomy removing the non-functioning hydronephrotic kidney.
A 64-year-old male presented with dull aching pain in his left flank region for 1.5 months. On examination, a hard, immobile mass was palpated in his left lumbar region. CT scan showed a large renal cell carcinoma arising from the left kidney involving the left renal vein and IVC up to the diaphragm, with para-aortic, para-caval, and aorto-caval lymph node involvement. The patient underwent radical nephrectomy but the thrombus in the IVC remained.
A 25-year-old male presented with a painful, sustained erection for 2 days. His history included splenomegaly. Examination found an erect, tender penis and enlarged spleen. Tests found leukemia. He was treated for ischemic priapism by aspirating blood and injecting the penis to induce flaccidity. He was then referred to oncology for leukemia management.
Dr. Sarwar, resident urologist at JPMC, saw a 54-year-old female with a 1.5 month history of left flank pain radiating to the groin. CT and diagnostic tests found a hydronephrotic left kidney with ureteric stricture. A MAG-3 scan after stenting showed non-function of the left kidney, so the patient underwent laparoscopic left nephrectomy.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
1. INTERMEDIATE MODULE QUESTIONS (SURGERY)
1. A 25 year driver suffers RTA and is brought to d. Acute mesenteric lymphadenitis
you in emergency; he has seatbelt mark over e. Gall stones
his body, which organ is mostly injured in a 10. The location of hernia sac in the case of
seat belt injury? femoral hernia is
a. Gall bladder a. Above the inguinal canal
b. Duodenum b. Medial to femoral vessels
c. Liver c. Lateral to femoral vessels
d. Spleen d. Anterior to femoral vessels
e. Kidney e. Posterior to femoral vessels
2. In the setting of pelvic trauma which part of 11. 22 year male got hit to his testis while playing
urethra is most commonly injured? cricket 4 hours back and he present to you with
a. Bulbar complaint of pain, on examination scrotum is
b. Prostatic well developed but empty on the right side,
c. Membranous there is a tender swelling palpable just medial
d. Penile to groin crease, what is your diagnosis
e. Retrobulbar a. Testicular torsion
3. Most appropriate investigation to diagnose an b. Testicular displacement
esophageal perforation is c. Scrotal abscess
a. X-ray chest d. Undecended testis
b. Ultrasound e. Tumor
c. Esophagoscopy 12. 35 year male presents with a hard non tender
d. Gastrograffin swallow swelling of the right testis swelling doesn’t
e. Abdominal X-ray transilluminate, inguinal lymph nodes are
4. A patient is admitted in your ward with palpable, he recalls the history of mild trauma
diagnosis of esophageal stricture, surgery is while playing 6 months back, what is the cause
planned what measures will you take to build of his testicular swelling?
up the patient nutritionally before surgery a. Heamtocele
a. Open gastrostomy b. Hydrocele
b. Percutanous gastrostomy c. Tumor
c. Fine tube jejunostomy d. Varicocele
d. Nasogastric tube feeding e. Benign cyst
e. TPN 13. 26 year male presents to you with scrotal
5. Diagnostic investigation for gastroesophageal swelling for 4 hours, on examination there is a
reflux disease is small swelling in the right side of scrotum and
a. Acid clearance test overlying skin is red, hot and tender, what will
b. Acid reflux monitoring (PH) be the treatment?
c. Urinay acid levels a. Excision biopsy
d. Manometry b. Exploration of scrotum
e. Endoscopy c. Incision and drainage
6. 55 year old male presents with esophageal d. Antibiotics and analgesics
mass, the most accurate diagnosis can be e. Scrotal support
established by 14. 27 year poor man complaint of backache, night
a. CT Scan sweats, and low grade fever, your examination
b. MRI reveals a swelling that extends above and
c. Endoscopy and Biopsy below the inguinal canal, what would be the
d. FNAC diagnosis?
e. Ultrasound a. Direct inguinal hernia
7. Heamomediastinum found on the chest X-ray, b. Indirect inguinal hernia
what is most probable diagnosis c. Femoral hernia
a. Tracheal injury d. Psoas abscess
b. Esophageal perforation e. Enlarged inguinal lymph node
c. Gastric perforation 15. Regarding strawberry gall bladder
d. Rupture of thoracic aorta a. It is a congenital condition
e. Bronchpulmonary fistula b. It occurs due to increased
8. 18 year old man presents to emergency with cholesterol deposition
complaint of abdominal pain and distention, c. Is premalignant
he has a history of fever for one week, what d. Occurs in liver cirrhosis
might be the cause of his abdominal symptoms e. Should always be considered
a. Duodenal perforation malignant
b. Gastric perforation 16. Which is the single best test to assess the
c. Acute appendicitis function of thyroid gland
d. Typhoid enteric perforation a. Free T3
e. Acute pancreatitis b. Free T4
9. 4 year old boy is brought to you with history of c. TSH
abdominal pain for 12 hours, pain is d. Total T3
associated with low grade fever, nausea and e. Total T4
vomiting one episode. Pain started in the 17. In a patient of trauma which of the following
centre and changes the position with change of injury can be immediately life threatening
posture what is most probable cause of pain? a. Bullet in head
a. Volvulus b. Depressed fracture of skull
b. Acute appendicitis c. sucking chest wound
c. Peptic ulcer d. Bleeding from a fractured limb
1 UROLOGICAL SURGERY WARD 19, JPMC, KARACHI
2. INTERMEDIATE MODULE QUESTIONS (SURGERY)
e. Pelvic fracture d. Commonly occurs in well
18. Which of the following injuries will lead to approximated stitched surgical
Volkmann’s ischemic contracture most wounds
commonly e. Minimum where skin is lax
a. Fracture of humerus shaft 26. NSAIDS do not cause
b. Radius ulna fracture a. Gastric erosions
c. Fracture of tibia and fibula b. Decrease in renal function
d. Supracondylar fracture of distal c. Decrease in platelate function
humerus d. Steroid synthesis
e. Dislocation of shoulder e. Decrease in inflammatory response
19. Which of the following fracture leads to non- 27. A patient known case of liver cirrhosis with
union frequently portal hypertension and ascites develops
a. Fracture of distal tibia hematoemesis, what is the most likely cause of
b. Scaphoid his bleeding
c. Proximal humerus a. Perforated peptic ulcer
d. Femur shaft b. Esophageal varices
e. Neck of femur c. Gastric erosions
20. A 43 year old man is working with electrical in d. Esophageal tear
his basement when he accidently touches an e. Gastroenteritis
bare wire and receives a current of 220v and 28. the factor which determines the poor prognosis
20amp, what can lead to a deleterious effect in CLD is
a. Cardiac arrhythmia a. Age
b. Hypovolemia b. Encephalopathy
c. Acute renal failure c. Ascites
d. Muscle injury d. Portal hypertension
e. Brain injury e. Constipation
21. Regarding myocutanous flap 29. The finding which favors pyogenic liver abscess
a. Arteriovenous shunting in the flap rather than amebic liver abscess is:
will not cause any significant problem a. Anchovy sauce appearance
b. Thrombosis of arteries will lead to b. Fever
arteriovenous shunting of blood and c. Jaundice
increase capillary perfusion d. Size
c. Thrombosis of veins will lead to e. Rural area of origin
arteriovenous shunting of blood and 30. 12 year boy present to emergency with
decreased capillary perfusion abdominal pain, vomiting and distention, you
d. Flap will survive despite of diagnose as a case of intestinal obstruction, on
arteriovenous shunting laparatomy you find a bunch of round worms
e. Thrombosis of blood vessel does not occluding the lumen and causing obstruction
occur in myocutanous flaps what will be the next step?
22. Fracture of proximal fibula is associated with a. Milking the worms down the IC valve
a. Injury to common peroneal b. Ileotomy and removal of worms
nerve c. Closure of abdomen, anti-round
b. Instability of knee joint worm medication
c. Non- union d. Normal saline enema
d. Fixation is mandatory e. Resection and anastomosis
e. No significant problem 31. Most common presenting symptom of
23. Injury to menisci most commonly occurs with pulmonary embolism
a. Compression at knee joint a. Dysphagia
b. Flexion and external rotation b. Respiratory distress
c. Extension c. Pleuritic chest pain
d. Lateral bending d. Tachycardia
e. Medial bending e. Hypotension
24. Triage 32. Next step in management of annular pancreas
a. A system of providing medical care at causing partial obstruction of duodenum
the scene of trauma a. Resection of pancreas
b. Dividing the patient on the basis of b. Duodenojejunostomy
age c. Gastojejunostomy
c. Scientific assessment of trial and d. Resection and anastomosis
error e. Whipple’s procedure
d. A system of sorting out and 33. A 6 year old girl complaint of pain in the left
classifying the trauma patients loin during micturation, what is the most likely
on the basis of priority of cause
treatment required a. Renal stone
e. System of transportation b. Stone in urethra
25. Contracture of wound c. Urethral stricture
a. Occurs to a maximum of 50% d. Pelviureteric junction obstruction
b. Is delayed by bacterial invasion of the e. Renal agenesis
wound 34. During spinal anesthesia drug is instilled in
c. Is maximum when skin is firmly a. Subdural space
attached to the underlying tissues b. Subarachnoid space
c. Epidural space
d. Spinal cord
2 UROLOGICAL SURGERY WARD 19, JPMC, KARACHI
3. INTERMEDIATE MODULE QUESTIONS (SURGERY)
e. Spinal canal d. Clot retention
35. A patient is going to operated for small bowel e. Bladder stone
obstruction, x-ray shows multiple air fluid 44. What is true regarding hypertrophic scar
levels, which inhalational anesthetic will cause a. Responds to pressure
further deterioration in her condition? b. More common in female
a. Halothane c. More common on face and anterior
b. Isoflurane chest
c. Enflurane d. Should always be excised
d. Ether 45. A 30 year male patient sustained a gun shot
e. Nitrous oxide wound to his right buttock, how will you
36. ANA score in a patient who is known classify his wound:
hypertensive and takes two tablets of 50mg a. Clean
atenolol daily, still his blood pressure is b. Clean contaminated
175/100. c. Contaminated
a. ANA I d. Dirty
b. ANA II e. Infected
c. ANA III 46. A 45 year female with previous history of gall
d. ANA IV stones presents to you with complaint of
e. ANA V jaundice and pain in RHC, what will be the
37. 65 year old female fell down from stair and most appropriate investigation for this patient
sustained fracture of neck of femur, what will a. Ultrasound
the position of fractured leg b. Serum amylase
a. Externally rotated c. ERCP
b. Internally rotated d. Upper GI series
c. Shortened and flexed at hip e. X-ray abdomen
d. Flexed at knee 47. A 46 year female presents with pain in
e. Shortened and internally rotated epigastrium, and vomiting. Her pain radiates
38. Most common dislocation at shoulder to back. What will be the most appropriate
a. Anterior investigation to confirm the diagnosis
b. Posterior a. ERCP
c. Superior b. CT scan
d. Inferior c. Ultrasound
e. Central d. Serum Amylase
39. The organisms involved in synergistic e. ABG’s
gangrene 48. A new born is born with omphalocele, urgent
a. Beta hemolytic streptococci surgery is needed to replace his viscera to
b. Streptococci and staphylococci abdomen because
c. Clostridium prefrenges a. Viscera are covered by maternal
d. Escherchia coli membrane
e. Bacteriodes b. Gut is malrotated
40. 42 year farmer sustains a trivial injury while c. Chances of infection
working in the field, he ignores it and 12 days d. Chances of dehydration
later he presents to you with fever, pain and 49. A patient with pelvic trauma presents to
neck stiffness, on examination you fine a tense emergency, where external fixation was
abdomen, what is your diagnosis applied to the pelvis to stabilize the fractures,
a. Intestinal obstruction but patient is still unstable and does not
b. Bacterial meningitis respond to resuscitation, what is the most
c. Viral meningitis appropriate treatment strategy
d. Cervical spine injury a. Laparatomy and ligation of bleeding
e. Tetanus vessels
41. Virulence of staphylococcus aures is b. Angioembolisation
determined by c. Laparatomy and packing of pelvis
a. Hemolysis of blood cells d. Internal fixation of fracture
b. Resistance to drugs e. Ligation of abdominal aorta below
c. Coagulase activity origin of renal arteries
d. Carbohydrate fermentation 50. 42 year male presents with complain of
e. Cell wall stability hemaemesis due to esophageal varices, patient
42. A 55 year old man presents to you with is vitally stable, what will be the treatment
dysuria, frequency of micturation and burning, option
on DRE prostate is palpable normally but it is a. Endoscopic banding and ligation
tender, which of the following organism most b. Partial gastrectomy
probably the cause of his symptoms? c. Portocaval shunt
a. Streptococcus d. Balloon temponade
b. Kleibsella e. octeriotide
c. E.Coli
d. Salmonella
e. Clostridium difficle
43. Commonest cause of acute urinary retention in
the females?
a. Urethral stricture
b. Stone in urethra
c. Retroverted gravid uterus
3 UROLOGICAL SURGERY WARD 19, JPMC, KARACHI