Archive for April 2019

Characteristic symptoms of fissura ani are all, except:

Characteristic symptoms of fissura ani are all, except: 


A. Bleeding
B. Affright from defecation
C. Obstipation
D. Diarrhoea
E. Pain in anal region which intensifies during and after defecation


Answer: D. Diarrhoea

On which rectum disease method of ligature treatment is useful?

On which rectum disease method of ligature treatment is useful? 


A. Rectum condyloma
B. Anal fissura
C. Coccygodinia
D. Transsphincteric pararectal fistula
E. Sinus pilonoidalis


Answer: D. Transsphincteric pararectal fistula

X-ray signs of acute pancreatitis are all, except:

X-ray signs of acute pancreatitis are all, except: 


A. High positioned diaphragma
B. Air below diaphragma
C. Small excursions of diaphragma
D. Exudate in left pleural cavity
E. Meteorism of colon transversum and stomach atony


Answer: B. Air below diaphragma

Symptoms of acute pancreatitis:

Symptoms of acute pancreatitis:


1) Epigastral pain, belted
2) Nausea, frequent vomiting
3) Curvuasie symptom
4) Positive Mayo-Robson symptom
5) Meteorism

Choose the right answer:


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


Answer: C. 1., 2., 4., 5.

Pathogenesis of acute pancreatitis:

Pathogenesis of acute pancreatitis:


1) Alcoholism
2) Bile duct diseases
3) Duodenal diseases
4) Obturation of ductus Wirsung
5) Pancreas trauma

Choose the right answer:

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


Answer: E. All answers are right

Complications of acute destructive pancreatitis are:

Complications of acute destructive pancreatitis are:


1) Fermentative peritonitis
2) Retroperitoneal abscessus or phlegmona
3) Abscessus of bursa omentalis
4) Pseudocysta of pancreas
5) External fistula of pancreas

Choose the right answer:


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


Answer: E. All answers are right

Postcholecystectomy syndrome develops after:

Postcholecystectomy syndrome develops after:


1) Ductus choledochus strictured stenosis
2) Bile ducts dyskinesia
3) Choledocholithiasis (no diagnosed in time of operation)
4) Stenosis of papilla Vater
5) Long trunk of ductus cysticus

Choose the right answer:


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


Answer: E. All answers are right

Mechanical jaundice can develop in all cases, except:

Mechanical jaundice can develop in all cases, except: 


A. Choledocholithiasis
B. Stenosis of common bile duct
C. Stenosis of papilla Vater
D. Mts in the liver
E. Stone in ductus cysticus


Answer: E. Stone in ductus cysticus

Only women have such gastric cancer metastasis:

Only women have such gastric cancer metastasis: 


A. Virhow mts
B. Mts in liver
C. Crucenberg mts
D. Schnicler mts
E. Parietal carcinomatosis


Answer: C. Crucenberg mts

Which statement about lipoma is not true:

Which statement about lipoma is not true: 


A. Localisation everywhere in fat tissue
B. Typical malignization
C. Treatment - simple excision


Answer: B. Typical malignisation

Ulcer disease can be promoted with all factors, except:

Ulcer disease can be promoted with all factors, except: 


A. A.Mallory-Weiss syndrome
B. Cofein
C. Alcohol
D. Zollinger-Ellison syndrome
E. Aspirin


Answer: A. A.Mallory-Weiss syndrome

All points about esophageal achalasia is right, except:

All points about esophageal achalasia is right, except: 


A. Big risk to fall ill with oesophageal cancer
B. To establish diagnosis oesophagoscopy and manometry are necessary
C. Sometimes lower sphincter tone is increased
D. Achalasia can be treated with pneumatic oesophagus dilatation
E. If operation is performed the best way is to make Nissen fundoplication


Answer: E. If operation is performed the best way is to make Nissen fundoplication

The best Zenker's diverticulum treatment is:

The best Zenker's diverticulum treatment is: 


A. Nissen fundoplication
B. Cricopharyngeal myotomy and excision of diverticulum
C. Excision of diverticulum
D. Heller operation


Answer: C. Excision of diverticulum

A 63-year-old man is hospitalised with increasing colic type abdominal pain that lasts for 3 days, constipation, vomiting. Gas passage is normal. Objective: Abdominal distension, intestinal hyperperistalsis, slightly inflated rectum, no blood in stool. Which method do you start investigation with?

A 63-year-old man is hospitalised with increasing colic type abdominal pain that lasts for 3 days, constipation, vomiting. Gas passage is normal. Objective: Abdominal distension, intestinal hyperperistalsis, slightly inflated rectum, no blood in stool. Which method do you start investigation with? 


A. Colonoscopy
B. Mesentericography
C. Plain abdominal x-ray
D. Stomach barium x-ray examination
E. Irrigoscopy


Answer: C. Plain abdominal x-ray

The most feasible operation for pancreas pseudocysts treatment is:

The most feasible operation for pancreas pseudocysts treatment is: 


A. Transcutane cyst drainage
B. Internal cyst drainage
C. Pancreatectomy
D. Cyst extirpation
E. Pancreas resection in association with cyst


Answer: B. Internal cyst drainage

A 45-year-old woman has complaints about abdominal pain, vomiting, abdominal distension. At x-ray fluid levels in small bowels. Uterus extirpation in anamnesis. The most feasible cause of obstruction?

A 45-year-old woman has complaints about abdominal pain, vomiting, abdominal distension. At x-ray fluid levels in small bowels. Uterus extirpation in anamnesis. The most feasible cause of obstruction? 


A. Colon carcinoma
B. Small bowel carcinoma
C. Adhesions disease
D. Incancerate inguinal hernia
E. Diverticulitis


Answer: C. Adhesions disease

Most feasible early complication after splenectomy is:

Most feasible early complication after splenectomy is: 


A. Subdiaphragmatic abscessus
B. Pancreatitis
C. Bleeding from spleen bed
D. Necrosis of the stomach wall
E. Deep vein thrombosis


Answer: B. Pancreatitis

6 months after phlebothrombosis the patient has lower extremity oedema which disappears at night. Treatment should be started with:

6 months after phlebothrombosis the patient has lower extremity oedema which disappears at night. Treatment should be started with: 


A. Regular diuretics therapy
B. Thrombectomy
C. Venous bypass with autovena
D. Venous bypass with prosthesis
E. Compression therapy with elastic band or stocking


Answer: E. Compression therapy with elastic band or stocking

The following points relate to traumatic rupture of spleen, except:

The following points relate to traumatic rupture of spleen, except: 


A. Positive Keer symptom
B. Percutor flank damp
C. Subcapsular spleen heamatoma may rupture 2 weeks after trauma
D. In any case, during operation, needs to be preserved spleen


Answer: D. In any case, during operation, needs to be preserved spleen

Most feasible gastric pyloric stenosis complication is:

Most feasible gastric pyloric stenosis complication is: 


A. Arterial hypertension
B. Disturbancies of electrolytes
C. Fever
D. Liver insufficiency
E. Hypoglicemia


Answer: B. Disturbancies of electrolytes


High risc group of a.pulmonalis thromboembolic includes all, except:

High risc group of a.pulmonalis thromboembolic includes all, except: 


A. Adipose women after cholecystectomy
B. Adipose women after appendectomy with disturbances of miocard functions in anamnesis
C. Middle-aged women with colon cancer
D. 25-year-old men after inguinal hernia operation
E. 36-year-old spinal patient after vertebra trauma


Answer: D. 25-year-old men after inguinal hernia operation

A 60 year-old man complains about pain and weakness in the left leg, that manifests when walking. After rest pain passes. He is impotent for some recent years. Objectively: muscle atrophy of the left leg, systolic murmur on a.femoralis. Most feasible diagnosis is:

A 60 year-old man complains about pain and weakness in the left leg, that manifests when walking. After rest pain passes. He is impotent for some recent years. Objectively: muscle atrophy of the left leg, systolic murmur on a.femoralis. Most feasible diagnosis is: 


A. Syndrome Lerish
B. Intervertebral disc hernia
C. Arthritis
D. Blue phlegmasia


Answer: A. Syndrome Lerish

A 65 year-old man with sudden abdominal pain, flatulent abdomen and bloody diarrhoea. Blumberg symptom negative, no intestinal peristalsis in auscultation. Leukocytosis, shift to the left. Blood amylase increased. Most feasible diagnosis is:

A 65 year-old man with sudden abdominal pain, flatulent abdomen and bloody diarrhoea. Blumberg symptom negative, no intestinal peristalsis in auscultation. Leukocytosis, shift to the left. Blood amylase increased. Most feasible diagnosis is: 


A. Ulcerative colitis in active phase
B. Haemorrhagic necrosis of pancreas
C. Aortoenteral fistula
D. Infarction of small intestine


Answer: D. Infarction of small intestine

Symptoms of thyrotoxicosis are all, except:

Symptoms of thyrotoxicosis are all, except: 


A. Nervousness
B. Tachycardia
C. Enophtalmus
D. Increasing of basic metabolism
E. Debilitation


Answer: C. Enophtalmus

Indications for varices haemorrhoidales operative treatment are all, except:

Indications for varices haemorrhoidales operative treatment are all, except: 


A. Prolongead haemorrhoidal bleeding
B. Big varicose nodes which often inflame, dip and jam
C. Pregnant women have varices haemorrhoidales
D. Ulcerations of haemorrhoidal nodes
E. Suspected malignant tumor in a formative stage


Answer: C. Pregnant women have varices haemorrhoidales

Rectal investigation methods are all, except:

Rectal investigation methods are all, except: 


A. Digital investigation
B. Inspection with anoscope
C. Rectoscopy
D. Laparoscopy
E. Irrigoscopy


Answer: D. Laparoscopy

Methods of large intestine investigation are all, except:

Methods of large intestine investigation are all, except: 


A. Mask-blood investigation in stool
B. Irrigoscopy
C. Selective mesentericography
D. Fibrocolonoscopy
E. Selective celiacography


Answer: E. Selective celiacography

Pancreas diseases which don´t need immediate operation are:

Pancreas diseases which don´t need immediate operation are: 


A. Acute haemorhhagic pancreanecrosis
B. Indurative pancreatitis with mechanical icterus
C. Acute, purulent pancreatitis
D. Diabetes mellitus
E. Purulent pancreatitis, peritonitis


Answer: D. Diabetes mellitus

Symptoms of cholangitis are not:

Symptoms of cholangitis are not: 


A. High temperature
B. Icterus
C. Fever
D. Peritonitis
E. Hard intoxication


Answer: D. Peritonitis

In case of mechanical icterus you can see:

In case of mechanical icterus you can see: 


A. Bilirubinemia
B. Loss of stercobilin in feces
C. Loss of urobilin in urine
D. Increasing of blood coagulation
E. Decreasing of protrombin in blood


Answer: D. Increasing of blood coagulation

The causes of mechanical icterus are all, except:

The causes of mechanical icterus are all, except: 


A. Obstruction of ductus choledochus with stone
B. Cholangitis
C. Cancer of pancreas head
D. Indurative pancreatitis
E. Hemolysis of blood


Answer: E. Hemolysis of blood

Characteristic symptoms for acute cholecystitis are all, except:

Characteristic symptoms for acute cholecystitis are all, except: 


A. Courvoisier symptom
B. Muscle resistance in the right side
C. Ortner-Grecov symptom
D. Phrenicus symptom
E. Merphy symptom


Answer: A. Courvoisier symptom

Subscribe to: Comments (Atom)