11. The most common predisposing conditions related to "spontaneous rupture" of the spleen are
(A) Tuberculosis
(B) Candidiasis
(C) Infectious mononucleosis, malaria, typhoid fever
(D) Miliary tuberculosis
(E) Hyperplenism

12. Apical lung cancers that tend to invade the neural structures around the trachea & cervical sympatheticplexus, and produce Horner syndrome are referred to as (A) Carcinoid tumor(B) Pancoast tumor(C) Malignant mesothelioma(D) Solitary fibrous tumor(E) Hamartoma

13. Which of the following pathogenesis is not associated with squamous cell carcinoma of the head and neck? (A) Infection with high-risk human papillomavirus (HPV) (B) Smoked tobacco and alcohol(C) Actinic radiation and pipe smoking (E) Herpes simplex virus infection(D) Chewing of betel quid

14. The most common salivary gland tumor is (A) Basal cell adenoma (B) Warthin tumor (C) Oncocytoma(D) Pleomorphic adenoma(E) Ductal papilloma

15.Which of the following statements is not associated with Barrett esophagus?(A)Barrett esophagus can be identified only thorough endoscopy and biopsy(B) It is usually prompted by GERD symptoms(C) Esophageal squamous cell carcinoma t inoma typically arises in the background of Barrett esophagus (D) It is characterized by intestinal metaplasia within the esophageal squamous mucosa (E) It is associated with an increased risk of cance

16.Which of the following risk factors does not belong to peptic ulcer disease? (A) Menetrier disease(B) Helicobacter pylori infection (C) Cigarette use(D) Chronic obstructive pulmonary disease(E) Psychological stress

17. The disease ofthe gastrointestinal tract is typically transmural in(A) Ulcerative colitis (B) Crohn disease (C) Adenocarcinoma (D) Carcinoid tumor (E) Pseudomembranous colitis

18. Which of the following diseases may have occult metastases at the time of diagnosis?(A) Osteochondroma Ostenhlas (B) Osteosarcoma (C) Chondrosarcoma(D) Osteoblastoma(E) Fibrous dysplasia

19. Hyperucicemia may present in patients with(A) Ankylosing spondylitis (B) Mycobacterial arthritis (E) Ganglion cyst (C) Gout(D) Lyme arthritis

20. Which of the followings is NOT TRUE for deep fibromatosis (desmoid tumor)? (A) Large, infiltrative mass(B) Frequently recur (C) Frequently metastasize(D) Do not metastasize (E) So-called aggressive fibromatosis

21. The most common form of skeletal malignancy is(A) Chondrosarcoma(B) Osteosarcoma (C) Synovial sarcoma(D) Ewing sarcoma(E) Metastatic tumors

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