Archive for September 2018

Obligatory provision to determine the diagnosis of sepsis is:

Obligatory provision to determine the diagnosis of sepsis is: 




A. High temperature and fever
B. Profuse perspiration during decrease of temperature
C. Existence of primary infection locus
D. Positive blood samples
E. All answers are correct


Answer: E. All answers are correct

What complications can appear for patient with acute cholecystitis?

What complications can appear for patient with acute cholecystitis?


1) Covered? Perforation of gall-bladder
2) Icterus mechanicus
3) Abscessus of liver
4) Cholangitis and pancreatitis
5) Empyema of gall-bladder and gangrene



A. 2.,3.,4.
B. 1.,2.,4.
C. 1.,4.,5.
D. 1.,2.,3.,4.
E. All answers are correct


Answer: E. All answers are correct

The one year ago patient underwent resection of stomach. Approximately after half a year he noticed qualm, feeling of hunger, asthenia, hand tremor, perspiration, which appears 2 hours after meal. What disease do you suspect?

The one year ago patient underwent resection of stomach. Approximately after half a year he noticed qualm, feeling of hunger, asthenia, hand tremor, perspiration, which appears 2 hours after meal. What disease do you suspect? 




A. Reflux - gastritis
B. Late demping - syndrome
C. Syndrome of small stomach
D. Chronic pancreatitis
E. Relapse of stomach ulcer


Answer: B. Late demping - syndrome

In case of refluxe-esophagitis of sliding hiatal hernia you can use for conservative treatment such methods as:

In case of refluxe-esophagitis of sliding hiatal hernia you can use for conservative treatment such methods as:


1) Higher bed - head
2) Antacide medicines
3) In the case of overweight - normalize it
4) To strenthen the muscles of abdominal wall
5) To apply Cerucal


A. 1.,3.,5.
B. 1.,3.,4.
C. 1.,3.,4.,5.
D. 1.,2.,3.,5.
E. All answers are correct


Answer: D. 1.,2.,3.,5.

Choose the rational treatment for acute retromammar mastitis:

Choose the rational treatment for acute retromammar mastitis:




A. Opening of pus collection with radiar incision
B. Opening of pus collection with incision along submammar crinkle
C. Puncture of pus collection and irrigation of it with antiseptic liquids
D. Treatment with antibiotics in compliance with antibioticogramm and microflora
E. Retromammar blockades


Answer: B. Opening of pus collection with incision along submammar crinkle

What can You advise for varicose vein conservative treatment?

What can You advise for varicose vein conservative treatment?


1) Regular swimming
2) Bathing with warm-cold water changing
3) Bathing with tonic water and medicine against oedema
4) Elastic bandages and socks


A. 1.,4.
B. 1.,3.
C. 1.,2.,4.
D. 1.,3.,4.
E. All answers are correct


Answer: E. All answers are correct

Which methods of sepsis treatment will You choose?

Which methods of sepsis treatment will You choose?


1) Transfusion of fresh blood
2) Infusion of desintoxication liquids
3) Complete rest for the patient
4) Antibacterial therapy
5) Imunotherapy



A. 1.,2.,3.,4.
B. 2.,3.,4.,5.
C. 3.,4.,5.
D. 1.,4.,5.
E. All answers are correct


Answer: B. 2.,3.,4.,5.

Early symptoms of anaerobe infection:

Early symptoms of anaerobe infection:


1) Increased temperature
2) Intoxication
3) Pain in the wound
4) Enlargement of extremity
5) Weak, rare pulse




A. 1.,2.,3.
B. 2.,3.,4.,5.
C. 1.,2.,3.,4.
D. 1.,3.,4.,5.
E. All answers are correct


Answer: C. 1.,2.,3.,4.

The contraindications for first surgical wound treatment are:

The contraindications for first surgical wound treatment are: 




A. Great wound damage with gravel
B. Destruction of wound margins
C. Open fracture of radii
D. Defect of tendon
E. III degree shock

Answer: E. III degree shock

What you must do in the case of maceration of soft tissue flegmona?

What you must do in the case of maceration of soft tissue flegmona? 




A. Wide incision, necrectomy and drainage
B. Hot compress
C. Puncture and then bacteriological investigation
D. Coldness (hypothermia)
E. Novocaine blockade with antibiotics


Answer: A. Wide incision, necrectomy and drainage

The biological methods for hemorrhage suppressing:

The biological methods for hemorrhage suppressing:


1) Tamponade with omentum majus
2) Tamponade with muscle
3) Intravenous infusion of frozen plasma
4) Intravenous infusion of aminocapronic acid
5) Intravenous infusion of vicasol



A. 1.,2.,3.
B. 3.,4.,5.
C. 1.,2.
D. 3.,4.
E. All answers are correct


Answer: A. 1.,2.,3.

For malignant tumors characteristic is:

For malignant tumors characteristic is:


1) Infiltrative kind of growth
2) Metastases
3) Autonome growth
4) Tendency to recur
5) Extensive kind of growth

A. 1.,2.,4.,5.

B. 1.,2.,3.,4.
C. 2.,3.,4.,5.
D. 1.,2.,4.
E. All answers are correct


Answer: E. All answers are correct

Name early complications in case of penetrated injury of the chest

Name early complications in case of penetrated injury of the chest


1) Intapulmonal hematoma
2) Haemotorax
3) Pleuropulmonal shock
4) Pneumonia


A. 1.,2.,3.
B. 1.,3.
C. 2.,4.
D. 4.
E. All answers are correct

Answer: A. 1.,2.,3.

Objective results after investigation of the patient with acute prostatitis: urinary bladder 10 cm above symphisis, asimetric prostata, the right lobe is increased, tense, painful, fluctulation can be determined. Choose the correct diagnosis:

Objective results after investigation of the patient with acute prostatitis: urinary bladder 10 cm above symphisis, asimetric prostata, the right lobe is increased, tense, painful, fluctulation can be determined. Choose the correct diagnosis: 




A. Acute calculose prostatitis
B. Cancer of prostate gland
C. Acute cystitis
D. Abscess of prostatic gland
E. Tuberculosis of prostate gland


Answer: D. Abscess of prostatic gland

In the case of subdiafragmal abscess you must notice:

In the case of subdiafragmal abscess you must notice:


1) Less pulmonal excursions
2) Higher diafragm
3) Basal pulmonal atelectasis
4) Cough
5) Pain with irradiation to the shoulder


A. 2.
B. 2.,3.
C. 1.,2.,3.
D. 1.,2.,3.,5.
E. All answers are correct


Answer: E. All answers are correct

The symptoms of diffuse peritonitis are all, except:

The symptoms of diffuse peritonitis are all, except: 



A. Superficial breezing
B. Intestinal paresis
C. Diffuse tension of abdominal muscules
D. Tachicardia
E. The patient is active


Answer: E. The patient is active

The patient complains about severe pain in the anus region after defecation and mild hemorrhage ( 2-3 drops) after defecation, and also about chronic constipation. He has fear of defecation, because of above mentioned complains. Your previous diagnosis is ?

The patient complains about severe pain in the anus region after defecation and mild hemorrhage ( 2-3 drops) after defecation, and also about chronic constipation. He has fear of defecation, because of above mentioned complains. Your previous diagnosis is ? 




A. Hemorrhoids
B. Cancer of the rectum
C. Acute paraproctitis
D. Fissura ani
E. Pararectal fistula


Answer: D. Fissura ani

What complications can be observed in patients with colon diverticulosis?

What complications can be observed in patients with colon diverticulosis?


1) Retroperitoneal phlegmona
2) Perforation of divercula
3) Bleeding
4) Bowel obstruction with infiltration
5) Intestinal fistulas



A. 1,2,5
B. 1,2,3,5
C. 1,3,4
D. 1,3,4,5
E. All answers are correct


Answer: E. All answers are correct

Surgical tactics in case of periappendicular infiltration:

Surgical tactics in case of periappendicular infiltration: 




A. Urgent operation-appendectomy
B. Laparocenthesis and drainage of peritoneal cavity
C. Operation-laparotomy un peritoneal tamponage
D. Laparoscopic appendectomy and drainage of peritoneal cavity
E. No right tactics mentioned


Answer: E. No right tactics mentioned

Features of clinical picture in case of appendicitis in elderly patients:

Features of clinical picture in case of appendicitis in elderly patients:


1) Early beginning of destructive changes in appendix
2) Local symptoms of peritoneal irritation
3) Hyperthermy
4) No epigastric phasis
5) Poor symptoms of local peritoneal irritation


A. 1,4,5
B. 1,2,4,5
C. 2,3,5
D. 2,4,5
E. All answers are correct


Answer: A. 1,4,5

Which symptom is determinant for making decision about urgent surgical intervention in case of acute cholecystitis:

Which symptom is determinant for making decision about urgent surgical intervention in case of acute cholecystitis: 




A. Pain
B. Body temperature
C. Murphy's sign
D. Intensity and prevalence of peritoneal irritation symptomatology
E. Prolonged anamnesis of gallstone disease


Answer: D. Intensity and prevalence of peritoneal irritation symptomatology

Name complications of gastric polyposis:

Name complications of gastric polyposis:




A. Bleeding
B. Malignisation
C. Pylorostenosis
D. Nothing from previous
E. All answers are correct


Answer: E. All answers are correct

A 45-year-old patient, 6 months ago underwent gastric resection by Biliroth II due to duodenal ulcer, now bleeding duodenal ulcer is detected. Which are possible causes?

A 45-year-old patient, 6 months ago underwent gastric resection by Biliroth II due to duodenal ulcer, now bleeding duodenal ulcer is detected. Which are possible causes?


1) Remains of antral mucosa
2) Normal bile passage
3) Collinger-Elisson syndrome
4) Hyperparathyreosis
5) Too small resection extend after previous surgery

A. 1,2,3
B. 2,4
C. 1,3,4,5
D. 2,5
E. All answers are correct


Answer: C. 1,3,4,5

Contraindications for planned surgical hernia repair:

Contraindications for planned surgical hernia repair: 




A. Too old age
B. Bronchial asthma
C. Angina pectoris
D. Prostatic adenoma with urinary retention
E. Nothing from previous


Answer: D. Prostatic adenoma with urinary retention

Which factors can promote eventeration?

Which factors can promote eventeration?


1) Repeated operations through previous incisions
2) Wound suppuration
3) Hypoproteinemia and hypovitaminosis
4) Severe cough and vomiting after operation
5) Oncological diseases


A. 1,5
B. 1,2,3
C. 1,2,3,4
D. 3,4,5
E. All answers are correct


Answer: E. All answers are correct

A 48-year-old patient was admitted with complaint about pain beyond sternum and between scapulas. Pain started during vomiting. The patient is in shock, body temperature 39.5°C, leucocytosis - 20 000. In X-ray left hydropneumothorax, mediastinal emphysema. Your working diagnosis:

A 48-year-old patient was admitted with complaint about pain beyond sternum and between scapulas. Pain started during vomiting. The patient is in shock, body temperature 39.5°C, leucocytosis - 20 000. In X-ray left hydropneumothorax, mediastinal emphysema. Your working diagnosis: 




A. Acute pneumonia with parapneumonic pleural empyema
B. Esophageal rupture
C. Gastric ulcer perforation
D. Myocardial infarction
E. Acute cholecystitis with subdiaphragmatic abscess


Answer: B. Esophageal rupture

Symptoms of chronic lower extremity ishaemia:

Symptoms of chronic lower extremity ishaemia:


1) Reduced marking
2) Nail deformation
3) Skin atrophy
4) Paraesthesy

A. 1,2,3
B. 2,3
C. 2,3,4
D. All answers are incorrect
E. All answers are correct


Answer: E. All answers are correct

Basic symptoms in case of v. subclavia - v. axillaris thrombosis:

Basic symptoms in case of v. subclavia - v. axillaris thrombosis:


1) Arm fatigue during physical activity
2) Arm edema
3) Cyanosis
4) Lacerated pain in arms



A. 1,2
B. 1,2,3
C. 1,4
D. 2,3,4
E. All answers are correct


Answer: E. All answers are correct

For Tajasu symptom is not characteristic:

For Tajasu symptom is not characteristic: 




A. Pulse disappearance on upper extremities
B. Pulse disappearance on lower extremities
C. Finger spasm by writing
D. Headaches and dizziness
E. Vision impairing up to blindness


Answer: B. Pulse disappearance on lower extremities

Lung cancer is suspected, if following symptoms are present:

Lung cancer is suspected, if following symptoms are present:


1) Dry barkly cough
2) Dispnoe during load
3) Arterial hypertension
4) Indeterminate pain in chest
5) Haemoptoe


A. 1,2,4,5
B. 2,5
C. 2,3,4
D. 1,3,5
E. All answers are correct


Answer: A. 1,2,4,5

The most common cause of spontaneous pneimothorax:

The most common cause of spontaneous pneimothorax: 




A. Pulmonary abscess
B. Lung cancer
C. Bronchoiectases
D. Bullous emphysema
E. Lung injury


Answer: D. Bullous emphysema

Necessary preconditions for successful wound healing:

Necessary preconditions for successful wound healing: 




A. Edges stick closely to each other
B. Blood clots in the wound
C. Foreign body in the wound
D. Necrotic edges of the wound
E. Acceding of the infection


Answer: A. Edges stick closely to each other

Treatment procedures in case of furuncle:

Treatment procedures in case of furuncle:


1) Treatment of surrounding skin with 70% spirit
2) Necrotic mass extrusion with following hypertonic solution application
3) Novocain and penicillin injection in infected seat
4) Using of antibiotics
5) Ultraviolet irradiation


A. 1,2,3,4
B. 1,2
C. 1,4,5
D. 3,5
E. All answers are correct


Answer: C. 1,4,5

For phlegmona is not characteristic:

For phlegmona is not characteristic: 




A. General prostration
B. Evaluated body temperature
C. Local tenderness
D. Local skin hyperemia
E. Pus cavities terminated with capsule


Answer: E. Pus cavities terminated with capsule

For exhausted patient best agent for i/v infusion is:

For exhausted patient best agent for i/v infusion is: 




A. Haemodesis
B. Polyglucin
C. Plasma
D. Isotonic NaCl solution
E. Amino-acid solution


Answer: E. Amino-acid solution

Tamponage and compressive bandaging as method for temporary haemostasis is used in following cases:

Tamponage and compressive bandaging as method for temporary haemostasis is used in following cases:


1) Bleeding from forearm veins
2) Arterial bleeding from gluteal region
3) Bleeding from hairy part of head
4) Popliteal injury
5) Bleeding from soft tissue



A. 1,2,3
B. 2,3,4
C. 3,4,5
D. 1,2,3,5
E. All answers are correct


Answer: E. All answers are correct

Method of choice in treatment of oncological patient depends on:

Method of choice in treatment of oncological patient depends on:


1) Nature of tumor
2) Localization of tumor
3) Stage of tumorous process
4) Age
5) Side diseases

A. 1,3
B. 1,2,3
C. 3,5
D. All answers are correct
E. All answers are incorrect


Answer: D. All answers are correct

A 27-year-old female patient suffers from pain in the right mesogastrium, temperature-39°C, fever. Pulse rate 104 x/min., rhythmic. Non-rigid abdomen. Positive Pasternatsky symptom on the right side. Tenderness by palpation of right kidney region. Leucocyturia, disuria, leucocytosis. Enlarged renal calyces in urogramms. Which disease can be suspected?

A 27-year-old female patient suffers from pain in the right mesogastrium, temperature-39°C, fever. Pulse rate 104 x/min., rhythmic. Non-rigid abdomen. Positive Pasternatsky symptom on the right side. Tenderness by palpation of right kidney region. Leucocyturia, disuria, leucocytosis. Enlarged renal calyces in urogramms. Which disease can be suspected? 




A. Acute right pyelonephritis
B. Acute cholecystitis
C. Acute appendicitis
D. Acute adnexitis
E. Peritonitis


Answer: A. Acute right pielonephritis

Choose the optimal kind of treatment in case of subdiaphragmatic abscess:

Choose the optimal kind of treatment in case of subdiaphragmatic abscess: 




A. Massive antibiotic therapy
B. Drainage under US control with constant irrigation and aspiration
C. Laparotomy and drainage of pus cavity
D. Punction of pus cavity with gross needle and irrigation with antiseptic solutions
E. Nothing from previous


Answer: B. Drainage under US control with constant irrigation and aspiration

Which symptoms are characteristic for beginning of peritonitis:

Which symptoms are characteristic for beginning of peritonitis:


1) Tensity of anterior abdominal wall muscles
2) Tenderness of pelvic peritoneum by rectal palpation
3)Tendency of pulse rate elevation
4) Tendency to leycocytosis
5) Thirst

A. 1,3
B. 4,5
C. 1,3,4
D. 3,4
E. All answers are correct


Answer: E. All answers are correct

Diagnosis bowel obstruction is based on:

Diagnosis bowel obstruction is based on:




A. FGS examination
B. Anamnesis and laboratory tests
C. Anamnesis, clinical picture, repeated X-ray examination (planned abdominal X-ray)
D. Clinical picture in dynamics only
E. Laparoscopy


Answer: C. Anamnesis, clinical picture, repeated X-ray examination (planned abdominal X-ray)

Name the possible complications of colon transversum cancer:

Name the possible complications of colon transversum cancer:


1) Perforation of the caecum
2) Pericolitis
3) Obturation ileus
4) Bleeding
5) Chronic pancreatitis

A. 1,3,4
B. 2,3,5
C. 1,2,4
D. 1,2,3,5
E. 1,2,3,4


Answer: E. 1,2,3,4

Five days after appendectomy the patient's general condition becomes worse: temperature is rising till hectic curve, elevation of leucocytosis. Mild pain in small pelvis bottom, intermittent disuric complaints, tenesmus. Which method of additional investigation will you use at first to detect causes of clinical picture?

Five days after appendectomy the patient's general condition becomes worse: temperature is rising till hectic curve, elevation of leucocytosis. Mild pain in small pelvis bottom, intermittent disuric complaints, tenesmus. Which method of additional investigation will you use at first to detect causes of clinical picture? 




A. Chromocystoscopy
B. Reapeated blood tests and urinalyses
C. Rectal examination
D. Rectomanoscopy
E. Control irrigoscopy


Answer: C. Rectal examination

What can happen with Meckel's diverticula?

What can happen with Meckel's diverticula?


1) Intestinal bleeding
2) Persistent pain in the middle part of the abdomen
3) Bowel stangulation
4) Intestinal fistula
5) Malignisation

A. 2,3,4,5
B. 1,3,4
C. 1,2,3
D. 1,2,3,4
E. All answers are correct


Answer: D. 1,2,3,4

A 46-year male patient is complaining about increasing pain in the upper part of the abdomen. Two months ago he suffered from attack of pain with vomiting. After that the pain didn't disapear but became constant. Objectively: 10 cm smooth tumor with marked edges under right rib arbor is palpable. On X-ray: deviation of stomach to the right, ESR-55 mm/h, Hb-13.3g%. No leucocytosis. Biochemical tests are normal. Your preliminary diagnosis:

A 46-year male patient is complaining about increasing pain in the upper part of the abdomen. Two months ago he suffered from attack of pain with vomiting. After that the pain didn't disapear but became constant. Objectively: 10 cm smooth tumor with marked edges under right rib arbor is palpable. On X-ray: deviation of stomach to the right, ESR-55 mm/h, Hb-13.3g%. No leucocytosis. Biochemical tests are normal. Your preliminary diagnosis:




A. Hepatic tumor
B. Stomach cancer
C. Pancreatic cyst
D. Insulinoma
E. Pylorostenosis


Answer: C. Pancreatic cyst

The most common cause of acute calculous cholecystitis is:

The most common cause of acute calculous cholecystitis is: 



A. Stones in the common bile duct
B. Spasm on Odi sphincter
C. Stone jamming in cystic duct after dietary failure
D. Obstruction of the hepatic duct
E. Coli infection in gallbladder


Answer: C. Stone jamming in cystic duct after dietary failure

Precancer diseases of the stomach are:

Precancer diseases of the stomach are:


1) Chronic ulcer
2) Menetreaux disease (antral rigid gastritis)
3) Polyposis
4) Biliary reflux gastritis of the stump
5) Chronic gastritis with enterolisation of the mucosa


A. 1,2,3
B. 1,3
C. 1,2,4
D. 2,3
E. All answers are correct


Answer: E. All answers are correct

Why inancerated hernia must be operated on immediately?

Why inancerated hernia must be operated on immediately?


1) Due to possible necrosis of incarcerated organ
2) Due to pain syndrome
3) Due to prophylaxis of recurrence
4) Due to acute bowel obstruction
5) Due to inflammation of hernia gate


A. 1,2
B. 2,3
C. 3,4,5
D. 1,4,5
E. 2,4,5


Answer: D. 1,4,5

What isn't taking part in femoral canal formation:

What isn't taking part in femoral canal formation: 




A. Periost of os pubis
B. Femoral artery
C. Lacunare ligament
D. Inguinal ligament
E. Femoral vein


Answer: B. Femoral artery

All methods can be used for varicose veins treatment except:

All methods can be used for varicose veins treatment except: 




A. Sclerotherapy
B. Vascular bypass procedure
C. Surgical ligatures of veins
D. Elastic bandaging of extremity
E. Rest with elevated lower extremities


Answer: B. Vascular bypass procedure

What is characteristic for lower extremity DVI syndrome:

What is characteristic for lower extremity DVI syndrome:


1) Skin pigmentation
2) Congestion dermatosis and tissue sclerosis
3) Skin atrophy
4) Trophic ulcers
5) Secondary enlargement of varicose veins


A. 2
B. 4
C. 1,2,3
D. 1,2,3,5
E. 1,2,3,4,5


Answer: E. 1,2,3,4,5

Pencoast's tumor can be related on tumors in:

Pencoast's tumor can be related on tumors in: 




A. Basal part of the lung
B. Breast
C. Supraren
D. Kidney
E. In none of them


Answer: E. In none of them

Characteristic features for humid gangrene are:

Characteristic features for humid gangrene are:


1) Development of putrid infection
2) Demarcation edge
3) Hard intoxication
4) No intoxication
5) Edema of extremity



A. 1,2,3
B. 1,4,5
C. 1,2,3,5
D. 1,3,5
E. 2,3,5


Answer: D. 1,3,5

Primary delayed suture can be put on:

Primary delayed suture can be put on:




A. Immediately after primary surgical handling
B. Within first 24 hours after primary surgical handling
C. After 2 - 7 days after primary surgical handling
D. Ever after expressed granulation tissue
E. Later after developed granulation tissue and scar formation


Answer: C. After 2 - 7 days after primary surgical handling

Correct treatment in case of acute mastitis infiltration stage is:

Correct treatment in case of acute mastitis infiltration stage is:


1) Incision
2) Prophylaxis of lactostasis
3) Immobilization of breast with kerchief dressing
4) Antibacterial therapy
5) Retromammary blockage by penicillin with novocaine



A. 1
B. 1,2,3
C. 2,3,4,5
D. 2,4,5
E. All answers are correct


Answer: C. 2,3,4,5

Locally elevated temperature is not typical for:

Locally elevated temperature is not typical for: 




A. Lever abscess
B. Femoral phlegmona
C. Thumb panaritium of hand
D. Knee joint tuberculosis
E. Acute bursitis of elbow joint


Answer: D. Knee joint tuberculosis

On the second day after chlecystectomy progressive jaundice is developing on. Name the possible causes:

On the second day after chlecystectomy progressive jaundice is developing on. Name the possible causes:



1) Residual stones in the common bile duct
2) Pancreatitis and edema of papilla duodeni major
3) Serum hepatitis
4) Ligature on common bile duct
5) Ligature on right hepatic bile duct

A. 1,2,4,5
B. 1,4
C. 1,4,5
D. 2,3,4
E. All answers are correct


Answer: A. 1,2,4,5

Pain in the right subcostal region with evolution to shoulder, intensified by inspiration, palpable tenderness in the right lower part of the chest, high localization of the right diafragmatic cupola, liquid in the right pleural cavity, hectic temperature. Your diagnosis?

Pain in the right subcostal region with evolution to shoulder, intensified by inspiration, palpable tenderness in the right lower part of the chest, high localization of the right diafragmatic cupola, liquid in the right pleural cavity, hectic temperature. Your diagnosis?




A. Abscess in Douglass cavity
B. Gangrenose appendicitis
C. Acute pancreatitis
D. Subphrenic abscess
E. Empyema of gallbladder


Answer: D. Subphrenic abscess

The most significant screening investigation in case of rectal Ca is?

The most significant screening investigation in case of rectal Ca is?




A. Regular examination of masked bleeding in feces
B. Anoscopy
C. Digital rectal examination
D. Rectal X-ray with contrast
E. Cytological examination of feces


Answer: C. Digital rectal examination

The following symptoms of acute appendicitis are characteristic except:

The following symptoms of acute appendicitis are characteristic except:




A. Tenderness in McBourney point
B. Board like abdomen
C. Muscular rigidity and tenderness in ileocaecal region
D. Tenderness in Lanc's point
E. Tenderness in Kymmel's point

Answer: B. Board like abdomen


Esophageal vein varicose develops in case of:

Esophageal vein varicose develops in case of:


1) Thrombosis of lienal vein
2) Hepatic chirrhosis
3) Chronic myeloleikosis with splenomegaly
4) Thrombosis of portal vein



A. 2
B. 4
C. 1,2,3
D. 1,2,4
E. All answers are correct


Answer: E. All answers are correct

Curvasser symptom is characteristic in case of the following diseases:

Curvasser symptom is characteristic in case of the following diseases: 




A. Chledocholithiasis
B. Tumor of the pancretic head
C. Acute pancreatitis
D. Tumor in pancreatic corpus and cauda
E. Obturation of the cystic duct


Answer: B. Tumor of the pancretic head

Typical complications of gastric ulcer:

Typical complications of gastric ulcer:


1) Perforation
2) Penetration
3) Bleeding
4) Malignisation

A. 2,4
B. 1,3
C. 2,3
D. 3,4
E. All answers are correct


Answer: E. All answers are correct

Most common cause why hernia becomes irreponibile:

Most common cause why hernia becomes irreponibile: 




A. Adhesions between bowel loops in hernia sac
B. Narrow hiatus of hernia
C. Big mass of hernia content
D. Adhesions between hernia contains and hernia sac
E. Rigidity of hernia hiatus

Answer: D. Adhesions between hernia contains and hernia sac

Your tactics in case of spontaneous reposition of hernia after incarceration:

Your tactics in case of spontaneous reposition of hernia after incarceration: 




A. Laparotomy and exploration
B. Admission to hospital and scrupulous observation
C. Urgent X-ray of digestive tract
D. Ambulatory treatment with control
E. All recommendations are questionable


Answer: B. Admission to hospital and scrupulous observation

Criteria for sliding hernia is:

Criteria for sliding hernia is:




A. Extraperitoneal organ takes part in formation of hernia sac
B. No content in hernia sac
C. Intraperitoneal organ takes part in formation of hernia sac
D. Mesoperitoneal organ takes part in formation of hernia sac
E. Presence of content in hernia sac


Answer: D. Mesoperitoneal organ takes part in formation of hernia sac

Localization place of metastases in case of breast cancer is:

Localization place of metastases in case of breast cancer is: 




A. Axillary lypmhatic nodes
B. Intrathoracal lypmhatic nodes
C. Peritoneal lypmhatic nodes
D. Infraclavicular and pectoral lypmhatic nodes
E. All localizations


Answer: E. All localizations

Most informative method for diagnosis of bronchoectasis is:

Most informative method for diagnosis of bronchoectasis is: 




A. Chest X-ray (two positions)
B. Laboratory examination of sputum
C. Bronchography
D. Bronchoscopy
E. Functional tests of respiration


Answer: C. Bronchography

The most characteristic symptom in case of retrosternal goiter is:

The most characteristic symptom in case of retrosternal goiter is: 




A. Deviation of the trachea (on X-ray)
B. Enlarged veins in cervical region
C. Dyspnoe and orthopnoe
D. Night cough
E. All answers are correct


Answer: E. All answers are correct

Possible complications of sepsis are?

Possible complications of sepsis are?


1) Bleeding
2) Endocarditis
3) Pathologic fractures
4) Decubitus
5) Pneumonia


A. 1,2,3
B. 1,2,4
C. 1,2,4,5
D. 1,3,4,5
E. All answers are correct


Answer: C. 1,2,4,5

What is characteristic for 1st stage of healing process (inflammatory phase)?

What is characteristic for 1st stage of healing process (inflammatory phase)?


1) Changes in permeability of the vascular wall
2) Inflammatory edema
3) Granulation tissue bank
4) Tissue leukocytar infiltration
5) Tissue acidosis


A. 1,2,3,4
B. 2,3,4,5
C. 1,2,4,5
D. 1,2,5
E. 1,2,3,4,5


Answer: C. 1,2,4,5

What you will use for local hemostasis:

What you will use for local hemostasis:




A. Polyglucin
B. Vicasolum
C. Thrombin
D. Isotonic solution
E. CaCl2 solution


Answer: C. Thrombin

Resistance of pathogen microbes against antibiotics is facilitated by:

Resistance of pathogen microbes against antibiotics is facilitated by:

1) Prolonged usage of antibiotics
2) Large dosage of antibiotics
3) Small dosage of antibiotics
4) Microbial resistance disregarding
5) Unproved enlarging indications for antibiotic therapy


A. 1,4,5
B. 2,3,5
C. 3,4,5
D. 2,3,4,5
E. 1,3,4,5


Answer: E. 1,3,4,5

First aid in case of tension pneimothorax:

First aid in case of tension pneimothorax: 




A. Hermetic wound dressing
B. Analgesis
C. Pleural puncture
D. Cardiotropic agents and respiratory analeptics
E. Urgent thoracothomy


Answer: C. Pleural puncture

Not characteristic for peripheral lung cancer is:

Not characteristic for peripheral lung cancer is: 




A. Chest pain
B. Cough
C. Athelectatic pneumonia
D. Symptoms appears in late stages of disease
E. Transthoracal puncture helps in diagnostics


Answer: C. Athelectatic pneumonia

All is characteristic in case of lung abscesus opening stage except:

All is characteristic in case of lung abscesus opening stage except: 




A. Body temperature growes down
B. Free fluid level in X-ray
C. Enlarged oozing of sputum
D. General status becomes better
E. Foetor ex oris


Answer: B. Free fluid level in X-ray

All is characteristic in case of nodular masthopaty except:

All is characteristic in case of nodular masthopaty except: 




A. Negative lemon peel sign
B. Pain intensifies during menstruation
C. Regional lymphatic nodes are not enlarged
D. Tenderness palpation
E. Positive umbilication sign


Answer: E. Positive umbilication sign

Fear from defecation is characteristic for:

Fear from defecation is characteristic for:




A. Rectal cancer
B. Chronic anal fissure
C. Pararectal fistula
D. Hemorrhoids
E. Epithelial canals in os coccygis region


Answer: B. Chronic anal fissure

The best irrigation method in case of supurative wounds is:

The best irrigation method in case of supurative wounds is: 




A. Without intermission with pulsatory gush (required special equipment)
B. With hydrogen peroxide
C. With iodine agents
D. With hypertonic solution
E. With distillate water


Answer: A. Without intermission with pulsatory gush (required special equipment)

The most effective group of antibacterials in case of anaerobic infection is:

The most effective group of antibacterials in case of anaerobic infection is:




A. Aminogycosides (gentamycin, tobramycin, amicacin)
B. Monobactames (aztreonem)
C. Antifungal agents
D. Metronidasole (Metrogil, Flagil, Klion)
E. Rifampicin


Answer: D. Metronidasole (Metrogil, Flagil, Klion)

The most rational method of disinfection of the operating area is:

The most rational method of disinfection of the operating area is: 




A. 0.5% chlorhexadin-spirit solution
B. 0.5% ammonia water solution
C. 1% degmicin solution
D. 1% brilliant-green solution
E. 3% perhidrol solution


Answer: A. 0.5% chlorhexadin-spirit solution

A 68-year-old male patient had no urine passage during 18 hours, increasing pain in lumbal region, more in right side, thirst and dry mouth. About 20 years patient is suffering from nephrolithiasis, several times had oozing of the concrements. Which symptom is present:

A 68-year-old male patient had no urine passage during 18 hours, increasing pain in lumbal region, more in right side, thirst and dry mouth. About 20 years patient is suffering from nephrolithiasis, several times had oozing of the concrements. Which symptom is present: 




A. Ishuria
B. Pollakiuria
C. Anuria
D. Oliguria
E. Poliuria


Answer: C. Anuria

A 40 year-old female patient was pressed against wall by lorry. General condition is moderately severe. Tahicardia. Severe inhibited breath on medial and lower part of the left lung. In X-ray left diaphragmatic cupola is not identified, shadow on the left thoracic side. Your tactics:

A 40 year-old female patient was pressed against wall by lorry. General condition is moderately severe. Tahicardia. Severe inhibited breath on medial and lower part of the left lung. In X-ray left diaphragmatic cupola is not identified, shadow on the left thoracic side. Your tactics: 




A. Punction of the left thoracic cavity
B. Drainage of the left thoracic cavity
C. Bronchoscopy
D. MRI
E. Urgent esophageal and ventricular X-ray with contrast


Answer: E. Urgent esophageal and ventricular X-ray with contrast

What procedures must be performed on a patient with heart tamponade in reception department?

What procedures must be performed on a patient with heart tamponade in reception department? 




A. Left thoracotomy at reception in unsterile conditions
B. Thoracic X-ray in two positions and ECG
C. Vagosymphatic blockage and drainage of the left pleural cavity
D. Punction of pericardial cavity, drainage, antishock therapy and urgent transportation to operating room
E. Urgent admission in intensive care unit


Answer: D. Punction of pericardial cavity, drainage, antishock therapy and urgent transportation to operating room

A patient with stabbed wound in 3rd costal space was admitted at reception. No signs of external bleeding. General condition is severe, hypotension, bradycardia, modified heart bruits, enlarged heart edges by percussion. Your diagnosis?

A patient with stabbed wound in 3rd costal space was admitted at reception. No signs of external bleeding. General condition is severe, hypotension, bradycardia, modified heart bruits, enlarged heart edges by percussion. Your diagnosis? 




A. A. thoracis interna lesion, haeomthorax
B. Lesion of left principal bronchus
C. Haemopericardium with heart tamponade
D. A. pulmonalis sin. lesion
E. Haemopneumothorax


Answer: C. Haemopericardium with heart tamponade

Usage of aspirin before myocardial revascularization procedure:

Usage of aspirin before myocardial revascularization procedure: 




A. Should not be stopped
B. Should be stopped 12-24 hours before surgery
C. Should be stopped 14 days before surgery
D. Should be stopped 1 month before surgery
E. Should be stopped 7 days before surgery


Answer: E. Should be stopped 7 days before surgery

The most effective trombolytic agent is:

The most effective trombolytic agent is: 




A. Heparin
B. Fibrinolysin
C. Urokinasis
D. Rheopolyglucin
E. Phenilin


Answer: C. Urokinasis

Early X-ray signs in case of congenital femoral luxation are: c

Early X-ray signs in case of congenital femoral luxation are: 




A. Late rentgenological manifestation of the ossification nucleus in femoral caput
B. Too early rentgenological manifestation of the ossification nucleus in femoral caput
C. Gradient of acetabular roof is smaller than 30°C
D. Caudal dislocation of femoral caput


Answer: A. Late rentgenological manifestation of the ossification nucleus in femoral caput

A 53 year-old female patient complains about pain, burning under processus xyphoideus, heartburn becoming more manifested after slopping down. During last few weeks pain beyond sternum with irradiation between scapulas was started. Your diagnosis:

A 53 year-old female patient complains about pain, burning under processus xyphoideus, heartburn becoming more manifested after slopping down. During last few weeks pain beyond sternum with irradiation between scapulas was started. Your diagnosis: 




A. Chronic gastritis
B. Zenker's divercula, diverticulitis
C. Reflux oesophagitis
D. Oesophageal cancer
E. Paraoesophageal hernia


Answer: C. Reflux oesophagitis

All diseases are stomach precancer diseases, except:

All diseases are stomach precancer diseases, except: 



A. Bile reflux gastritis
B. Polyposis
C. Chronic atrophic gastritis
D. Hyperacid gastritis
E. Nitride producing microflora in stomach


Answer: D. Hyperacid gastritis

Relative contraindication for erythrocyte aggregation transfusion is:

Relative contraindication for erythrocyte aggregation transfusion is: 




A. Diffuse glomerulonephritis, chronic gastrointestinal bleeding
B. Myocarditis, massive blood loss after trauma
C. Active tuberculosis dissemination, acute ulcer bleeding
D. Acute and chronic renal and hepatic insufficiency, heart failure with decompensation, diffuse glomerulonephritis, miocarditis, active tbc dissemination, pulmonary oedema
E. Trombembolic disease, miocarditis, bleeding from traumatic spleen injury


Answer: D. Acute and chronic renal and hepatic insufficiency, heart failure with decompensation, diffuse glomerulonephritis, miocarditis, active tbc dissemination, pulmonary oedema

Ten days ago the radical excision procedure of melanoma pT1N0M0 on 53 years old male patient was performed on. Invasion deepness by Clark - 1. Your recommended further tactics:

Ten days ago the radical excision procedure of melanoma pT1N0M0 on 53 years old male patient was performed on. Invasion deepness by Clark - 1. Your recommended further tactics: 



A. X-ray therapy on postoperative scar
B. Start chemiotherapy
C. Right axillary lymphadenectomy
D. X-ray therapy on axillary lymphatic node region
E. Regular observation only


Answer: E. Regular observation only

Facultative precancerous diseases of skin are:

Facultative precancerous diseases of skin are:


1) Skin papilloma
2) Chronic nonspecific dermatitis
3) Chronic nonspecific inflammation
4) Herpes zoster
5) Xerodermia pigmentosum



A. Correct only 1
B. Correct only 5
C. Correct 1,4 and 5
D. Correct 2 and 3
E. Correct 3 and 4


Answer: D. Correct 2 and 3

Allopurinol must be used:

Allopurinol must be used: 




A. In case of oxalate stones
B. In case of urate stones
C. In case of phosphate stones
D. In case of cystin stones
E. In all cases of stones


Answer: B. In case of urate stones

In second stage of benign prostatic hyperplasia is indicated:

In second stage of benign prostatic hyperplasia is indicated: 




A. Conservative therapy by drugs
B. Operative treatment - transuretral or transvesical prostatic adenomectomy
C. Cystostomy procedure
D. Catheterisation


Answer: B. Operative treatment - transuretral or transvesical prostatic adenomectomy

The cause of renal anuria can be:

The cause of renal anuria can be:




A. Embolic obstruction of kidney arteries
B. Bilateral uretheral impression by tumor
C. Bilateral uretheral stones
D. Acute nephritis
E. Massive blood loss


Answer: D. Acute nephritis

The most common cause of spontaneous pneumothorax is:

The most common cause of spontaneous pneumothorax is: 




A. Lung abscessus
B. Lung cancer
C. Bronchoiectasis
D. Bullous pulmonary cysts
E. Pulmonary atelectasis


Answer: D. Bullous pulmonary cysts

For which diseases hemoptoe is not characteristic?

For which diseases hemoptoe is not characteristic? 




A. Infiltrative tuberculosis
B. Bronchial cancer
C. Lung infarction
D. Pneumoconiosis
E. Mitral stenosis II stage


Answer: D. Pneumoconiosis

A 33 year-old patient is complaining about cough disturbing for a few years. During spring and autumn suffers from pneumonia with a good effect of conservative treatment. Objective findings: haemoptoe, malodour from mouth, sputum with 3 layer stratification. Medium and large calibrated bruits on medial and basal part of the right lung. Temperature 37.2°C. Light cyanosis of the lips, clubbing of the fingers. Your diagnosis:

A 33 year-old patient is complaining about cough disturbing for a few years. During spring and autumn suffers from pneumonia with a good effect of conservative treatment. Objective findings: haemoptoe, malodour from mouth, sputum with 3 layer stratification. Medium and large calibrated bruits on medial and basal part of the right lung. Temperature 37.2°C. Light cyanosis of the lips, clubbing of the fingers. Your diagnosis: 



A. Bronchoneoplasma
B. Bronchiectasis
C. Tuberculous bronchopneumonia
D. Chronic bronchitis
E. Lung abscessus


Answer: B. Bronchiectasis

Advantage of the mammaro-coronary bypass procedure comparing with aorto-coronary autovenous bypass operation is:

Advantage of the mammaro-coronary bypass procedure comparing with aorto-coronary autovenous bypass operation is: 




A. Shorter operation time
B. Operation is easier
C. Anticoagulants during postoperative period are not required
D. Higher bypass transit percentage in late period after operation
E. Excellent effect of nitrate therapy after operation


Answer: D. Higher bypass transit percentage in late period after operation

Three weeks ago patient underwent left hemiplegia due to disturbances of cerebral blood supply. Systolic bruit on the right carotid artery. Your tactics:

Three weeks ago patient underwent left hemiplegia due to disturbances of cerebral blood supply. Systolic bruit on the right carotid artery. Your tactics:




A. Emergency operation
B. Angiography should be performed
C. Dopplerography should be performed
D. CT should be performed
E. Conservative treatment


Answer: E. Conservative treatment

What is significant etiological moment of the Hirschsprung disease:

What is significant etiological moment of the Hirschsprung disease: 




A. Muscular layer hypertrophy of the large bowel
B. Deficiancy of the Meisner's and Ouerbach's gangliones
C. Dilatation of the large bowel
D. Muscular hypotrophy of the large bowel
E. Disorders of blood supply in large bowel


Answer: B. Deficiancy of the Meisner's and Ouerbach's gangliones

Which urological pathology can be detected immediately after birth:

Which urological pathology can be detected immediately after birth:




A. Uretherocele
B. Double kidney
C. Extrophy of the urinary bladder
D. Cystorenal reflux
E. Dystrophy of the kidney


Answer: C. Exstrophy of the urinary bladder

Which factor supports the acute hematogenous osteomyelitis proceeding in children?

Which factor supports the acute hematogenous osteomyelitis proceeding in children? 




A. Features of the blood circulation in children
B. Features of nutrition
C. Having had viral infection
D. Social situation of the family
E. Exudative diathesis


Answer: A. Features of the blood circulation in children

All is characteristic in case of femoral hernia, except:

All is characteristic in case of femoral hernia, except: 




A. Male patients are affected more often
B. Rarely becomes very big
C. Usually has tendency of incarceration
D. Going through the all femoral canal
E. Localization under inguinal ligament


Answer: A. Male patients are affected more often

Which of prophylactic events is contraindicated in case of wound contact with ground?

Which of prophylactic events is contraindicated in case of wound contact with ground? 




A. Injection of the anatoxin
B. Ordination of the antitetanus serum
C. Wider incision of the wound
D. Primary wound excision
E. Primary suturing after surgical care making


Answer: E. Primary suturing after surgical care making

What is renifusy?

What is renifusy? 




A. Removing plasma and substitution with fresh frozen plasma
B. Patient has transfusion of his own blood effused from the patient's wound and serose thoracal or abdominal cavities at least 12 hours
C. Transfusion of the preoperatively removed blood
D. Intravenous transfusion method of the blood components by single use of transfusion system
E. Total substitution of the recipients blood with adequate blood volume


Answer: B. Patient has transfusion of his own blood effused from the patient's wound and serose thoracal or abdominal cavities at least 12 hours

The right statements about skin basalioma are:

The right statements about skin basalioma are:

1) Usually development is rapid
2) In 10% cases process is primary multicentric
3) Metastasing is very uncommon
4) High impressibility for X-ray therapy


A. Correct only 1.
B. Correct only 3.
C. Correct only 1.,4.
D. Correct 1.,3.,4.
E. Correct 2.,3.,4.


Answer: E. Correct 2.,3.,4.

X-ray negative concrements are:

X-ray negative concrements are:




A. Oxalates
B. Phosphates
C. Urates
D. Nothing from previous
E. All of them


Answer: C. Urates

The optimal tactics on patients with instabile thorax is:

The optimal tactics on patients with instabile thorax is: 




A. Therapeutic bronchoscopy under general anaesthesia with artificial lung ventilation and intubation
B. Bronchoscopy under local anaesthesia
C. Emergency thoracotomy and osteosynthesis of the ribs
D. Thoracal X-ray in two positions to make the decision for further tactics
E. Thoracophenicotomy


Answer: A. Therapeutic bronchoscopy under general anaesthesia with artificial lung ventilation and intubation

A 30 year old patient after traffic accident. On admission the following signs and symptoms where determinated: frequent flath respiration, one part of the chest is breathing paradoxically, manifest cyanosis and mild hypotension. The most valid working diagnosis is:

A 30 year old patient after traffic accident. On admission the following signs and symptoms where determinated: frequent flath respiration, one part of the chest is breathing paradoxically, manifest cyanosis and mild hypotension. The most valid working diagnosis is: 




A. Haemothorax
B. Rupture of trachea
C. Instabile skeleton of the chest (fluctuated thorax)
D. Haemopericardium
E. Rupture of intra abdominal organs


Answer: C. Instabile skeleton of the chest (fluctuated thorax)

Most common cause of the pleural empyema is:

Most common cause of the pleural empyema is: 




A. Acute and chonic pumonary diseases
B. Nonpenetrative chest injuries
C. Purulent diseases of abdominal and retroperitoneal organs
D. Criminal abortion
E. Previous lung operations


Answer: A. Acute and chronic pulmonary diseases

Preparation of the patient for any surgical operation after heart valve prosthetics following procedures must be performed on:

Preparation of the patient for any surgical operation after heart valve prosthetics following procedures must be performed on:




A. Usage of Phenilin discontinued, Heparin started
B. All anticoagulants and antiagregants must be canceled
C. Stopping to use Phenilin 4 - 5 weeks before operation
D. Special events are not required
E. Glycosides and antiarrhythmics must be started


Answer: A. Usage of Phrenilin discontinued, Heparin started

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