Archive for June 2019

Formation of the haemorrhagic pancreonecrosis is based on:

Formation of the haemorrhagic pancreonecrosis is based on: 


A. Infection aggression on the edematous pancreatitis
B. Activation and aggression of the lipolytic enzymes
C. Activation and aggression of the proteolytic enzymes
D. Activation and aggression of the glycolytic enzymes
E. Involution of the diffuse pancreatonecrosis


Answer: C. Activation and aggression of the proteolytic enzymes

In development of the acute pancreatitis the main role belongs to:

In development of the acute pancreatitis the main role belongs to: 


A. Mikroflora aggression
B. Duodenostasis
C. Microcirculation disturbances
D. Auto-enzyme aggression
E. Disturbances in venous blood supply


Answer: D. Auto-enzyme aggression

For edematous form of acute pancreatitis is characteristic:

For edematous form of acute pancreatitis is characteristic: 


A. Significantly elevated body temperature
B. Severe abdominal pain
C. Diarrhea
D. Jaundice of sclera and skin
E. Urine incontinence


Answer: B. Severe abdominal pain

Chronic calculous cholecystitis is indication for:

Chronic calculous cholecystitis is indication for: 




A. Urgent surgery
B. Planned surgery
C. Conservative treatment
D. Xenodesoxicholic agents (Xenofalc) for optimizing of the cholesterolo-cholate balance
E. All answers are correct


Answer: B. Planned surgery

The bile excretion in early postoperative period after cholecystectomy threw the drainage tube inserted near to the cystic duct stump testifies about:

The bile excretion in early postoperative period after cholecystectomy threw the drainage tube inserted near to the cystic duct stump testifies about: 


A. Uncompleted closure of the cystic duct stump
B. Intraopetive damage of the duodenum
C. Early postoperative pancreatonecrosis
D. Early postoperative hepatitis
E. All answers are correct


Answer: A. Uncompleted closure of the cystic duct stump

Drainage of extrahepatic bile duct with T-tube is:

Drainage of extrahepatic bile duct with T-tube is: 


A. Piskovsky's drainage
B. Kerr's drainage
C. Whisnevsky's drainage
D. Kocher's drainage
E. Halsed's drainage


Answer: B. Kerr's drainage

Indications for intraoperative cholangiography are:

Indications for intraoperative cholangiography are: 


A. Suspect concrements in the extrahepatic biliary tract
B. Acute destructive cholecystitis
C. Pancreonecrosis
D. Infiltration of the hepatico-duodenal ligament , identified itraoperatively
E. All answers are correct


Answer: A. Suspect concrements in the extrahepatic biliary tract

Indications for endoscopic retrograde cholangiopancreatography and papillotomy are:

Indications for endoscopic retrograde cholangiopancreatography and papillotomy are: 


A. Choledocholithiasis
B. Choledoecholithiasis and purulent cholangitis
C. Acute terminal blockage of common bile duct
D. Acute terminal blockage of papilla duodeni major
E. All answers are correct


Answer: E. All answers are correct

Indications for endoscopic retrograde cholangiopancreatography are:

Indications for endoscopic retrograde cholangiopancreatography are: 


A. Jaundice with unclear etiology
B. Suspect mechanical jaundice on patient with chronic calculous cholecystitis
C. Mechanical jaundice with unclear etiology
D. Suspect choledocholithiasis after US examination
E. All answers are correct


Answer: E. All answers are correct

In case of acute gangrenous cholecystitis and local peritonitis is indicated:

In case of acute gangrenous cholecystitis and local peritonitis is indicated: 


A. Urgent surgical procedure
B. Urgent ultrasound cholecystostomy
C. Urgent laparoscopic cholecystectomy
D. All answers are correct
E. All answers are incorrect


Answer: A. Urgent surgical procedure

In case of acute phlegmonous cholecystitis is indicated:

In case of acute phlegmonous cholecystitis is indicated: 


A. Initial conservative treatment with following decision-making about surgical treatment dependia. ng on situation
B. Urgent surgical procedure
C. Urgent delayed surgical procedure
D. Planned surgical procedure
E. All answers are correct


Answer: A. Initial conservative treatment with following decision-making about surgical treatment depending on situation

The cause of mechanical jaundice is:

The cause of mechanical jaundice is: 


A. Acute blockage of cystic duct
B. Acute blockage of hepatoco-choledochus
C. Acute blockage of rigt branch of the common bile duct
D. Choledocholithiasis, cholangitis
E. All answers are correct


Answer: C. Acute blockage of right branch of the common bile duct

The cause of mechanical jaundice is:

The cause of mechanical jaundice is: 


A. Tumor of the hepatoco-choledochus
B. Acute papillitis
C. Tumor in the head of the pancreas
D. Choledocholithoiasis
E. All answers are correct


Answer: E. All answers are correct

The cause of mechanical jaundice is:

The cause of mechanical jaundice is: 


A. Remains after acute viral hepatitis
B. Liver cirrhosis
C. Dyskynesia of the billiary tract
D. Dyskynesia of the duodenum
E. All answers are incorrect


Answer: E. All answers are incorrect

The cause of mechanical jaundice is:

The cause of mechanical jaundice is: 


A. Acute blockage of common bile duct
B. Acute blockage of distal hepatico-choledochus
C. Acute destructive pancreatitis (localized b. in the head of pancreas)
D. Choledocholithiasis
E. All answers are correct

Answer: E. All answers are correct

Pathognomonic sign in case of acute cholecystitis is:

Pathognomonic sign in case of acute cholecystitis is: 


A. Kocher's sign
B. Ortner's sign
C. Bortolomeux-Micheloson's sign
D. All answers are correct


Answer: B. Ortner's sign

Clinical signs of acute cholecystitis are:

Clinical signs of acute cholecystitis are: 




A. Muscular rigidity in right subcostal area
B. Colic-like pain in subcostal area
C. Vomiting and nausea
D. Pain irradiation to right shoulder
E. All signs


Answer: E. All signs

Development of primary gangrenous cholecystitis on elderly patients is based on:

Development of primary gangrenous cholecystitis on elderly patients is based on: 


A. Rapid disturbance of the blood supply in cystic artery due to atherosclerosis
B. Exacerbation of the chronic calculose cholecystitis and acute blockage of ductus cysticus by stone
C. Acute blockage of ductus cysticus by sludge
D. Acute blockage of distal hepatico-choledochus
E. Acute blockage of right hepatic branch of common bile duct


SurgicalA. Rapid disturbance of the blood supply in cystic artery due to atherosclerosis

On elderly patients with acute appendicitis is not typical:

On elderly patients with acute appendicitis is not typical: 


A. Prevalence of destructive forms
B. Development of primary gangrenose appendicitis
C. Blank clinical picture
D. Blank epigastric pain in the beginning
E. Bright expressed Kocher's sign


SurgicalE. Bright expressed Kocher's sign

The diagnostics of pelvic localization of appendicitis is based on all statements except:

The diagnostics of pelvic localization of appendicitis is based on all statements except: 


A. Well bordered inflammation process in small pelvis
B. Frequent development of retroperitoneal flegmona
C. Decreased signs of peritoneal irritation
D. Absence of typical symptoms of appendicitis
E. Rectal and vaginal examination is very important


SurgicalB. Frequent development of retroperitoneal flegmona

Non-typical sign in case of acute gangrenous appendicitis is:

Non-typical sign in case of acute gangrenous appendicitis is: 


A. Dry, furred mouth
B. Repeated vomiting
C. Signs of peritoneal irritation
D. Normal temperature
E. Decreased sounds of bowel movement


SurgicalD. Normal temperature

Non-typical finding in case of acute phlegmonous appendicitis is:

Non-typical finding in case of acute phlegmonous appendicitis is: 


A. Muscular resistance in lower right part of a. abdomen
B. Elevated temperature (38 - 38.5 degrees b. /C)
C. Blumberg, Voscresensky, Rosdolsky signs
D. Leucocytosis 25 000
E. Rouzving, Sytkovsky, Bartolomeux-Michelson signs


SurgicalD. Leucocytosis 25 000

Everything is typical in case of acute phlegmonous appendicitis except:

Everything is typical in case of acute phlegmonous appendicitis except: 


A. Intensive, constant pulsating pain in right lower part of abdomen
B. Frequent vomiting
C. Peritoneal irritation signs
D. Elevated temperature (38 m. - 38.5 degrees/C)
E. Leucocytosis 12-20 * 10(9)/l and shift to the left


Answer: B. Frequent vomiting

Symptoms of acute appendicitis are:

Symptoms of acute appendicitis are: 


A. Kochers
B. Obrascov
C. Sytkovsky
D. All of them
E. Nothing from them


Answer: D. All of them

To decide the question about urgent operation or conservative treatment in patient with ileus the most significant is differentiated diagnosis among following ileus types:

To decide the question about urgent operation or conservative treatment in patient with ileus the most significant is differentiated diagnosis among following ileus types: 


A. Adhesion and tumor
B. Obturation and strangulation
C. Early and late
D. Small and large intestine
E. Dynamic and mechanic


Answer: E. Dynamic and mechanic

Causes of spastic ileus can be all, except:

Causes of spastic ileus can be all, except: 



A. Foreign bodies of gastrointestinal tract
B. Helminth invasion
C. Plumbum poisoning
D. Renal colic
E. Mesenterial emboly

In case of dog bite wounds obligatory measure is:

In case of dog bite wounds obligatory measure is: 


A. Administartion of antibiotics
B. Anti tetanus and rabies vaccination
C. Wound tendance
D. Assuagement
E. Iodine locally and nothing more


Answer: B. Anti tetanus and rabies vaccination

In case of nodular mastopathy is used:

In case of nodular mastopathy is used: 


A. Vitamine A
B. K iodine
C. Hormone therapy
D. Operative therapy
E. Psychotherapy


Answer: D. Operative therapy

The main markers in case of colorectal cancer are:

The main markers in case of colorectal cancer are:


1) CEA
2) A-FP
3) Ca 19,9
4) beta-HG
5) CA 15,3

Right answer is:
A. 1.
B. 2.
C. 1., 3.
D. 4.
E. 5.


Answer: C. 1., 3.

Following skin tumours has manifested aggression:

Following skin tumours has manifested aggression:


1) Basal cell cancer
2) Skin derivate origin tumors
3) Melanoma

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


Answer: C. 2., 3.

I/v urography is contraindicated in case of:

I/v urography is contraindicated in case of: 


A. Renal insufficiency
B. Coronary disease
C. After renal colic
D. Macrohematury
E. Leucocyturia


Answer: A. Renal insufficiency

Prostate adenoma stages are classified after:

Prostate adenoma stages are classified after: 


A. Functional condition of the kidneys and remain urine
B. Patient`s subjective complaints
C. Nicturia frequency
D. Adenomas size
E. Urine flow speed


Answer: A. Functional condition of the kidneys and remain urine

Acute pyelonephritis is characterized by:

Acute pyelonephritis is characterized by: 


A. Infection often has chronic course
B. No general symptoms
C. Easy to treat with antibacterial therapy
D. Often spontaneous recovalescence
E. All above


Answer: A. Infection often has chronic course

With ultrasonoscopy method one can find out:

With ultrasonoscopy method one can find out: 


A. Hydronephrosis
B. Volume process in renal parenchyma
C. Renal stones
D. Renal size
E. All above


Answer: E. All above

In chronic non complicated pleural empyema case lungs cannot expand because of:

In chronic non complicated pleural empyema case lungs cannot expand because of: 


A. Pleural adhesions on pleural pleura
B. Massive pleural adhesions on visceral pleura
C. Massive pleural adhesions on diaphragmatic pleura
D. Decreasing elasticity of lung tissue
E. Surfactants deficiency


Answer: B. Massive pleural adhesions on visceral pleura

The most common cause of pleural empyema is:

The most common cause of pleural empyema is: 


A. Acute and chronic lung disease
B. Thorax nonpenetrating injury
C. Abdominal and retroperitoneal organs purulent diseases
D. Criminal aborts
E. After lung operations


Answer: A. Acute and chronic lung disease

At opening stage of lung abscessus all is characteristic, except:

At opening stage of lung abscessus all is characteristic, except: 


A. Increasing temperature
B. Liquid level in x-ray
C. Decreasing pus evacuation
D. Aggravation of general condition
E. Fetor ex oris


Answer: C. Decreasing pus evacuation

Indications for myocardial revascularization depend on:

Indications for myocardial revascularization depend on: 


A. Coronary artery stenosis is more than 50%
B. Coronary artery stenosis is 30-50%
C. Positive loading test
D. Non stable angina pectoris
E. Stable angina pectoris


Answer: A. Coronary artery stenosis is more than 50%

Indication for operation in a.femoralis occlusion case is:

Indication for operation in a.femoralis occlusion case is: 


A. Chronic ischemia stage
B. If pain in shank muscles when walking
C. III chronic ischemia stage
D. If ankle-shoulder index is less than 1.0
E. If occlusion is longer than 20 cm


Answer: C. III chronic ischemia stage

Most common etiology factor of aorta aneurysma is:

Most common etiology factor of aorta aneurysma is: 


A. Atherosclerosis
B. Medianecrosis
C. Wall cystic degeneration
D. Syphilis
E. Trauma


Answer: A. Atherosclerosis

What symptom is characteristic for Hirschsprung disease?

What symptom is characteristic for Hirschsprung disease? 


A. Acromegaly
B. Faeces incontinence
C. Prolonged constipations
D. Frequent vomiting
E. Spleno-hepatomegaly


Answer: C. Prolonged constipations

What vomiting is characteristic for children pyloric stenosis?

What vomiting is characteristic for children pyloric stenosis? 


A. With bile
B. With faeces
C. Vomiting jet like
D. With less mass than eaten before
E. Only rejection, no vomiting


Answer: C. Vomiting jet like

In central lung cancer x-ray examination all points are characteristic, except:

In central lung cancer x-ray examination all points are characteristic, except: 


A. Round mass with gateway to lung radix
B. Lung radix dilatation
C. Lung lobe or segment atelectasis or hypoventilation
D. Mediastinum deviation to one side


Answer: A. Round mass with gateway to lung radix

A 48-year-old woman with normal menstrual function. You detect fast growing, painful infiltrate in the lower quadrant of right breast. Skin above is oedematous, redness, enlarged axillary lymph nodes. Temperature normal. Your diagnosis?

A 48-year-old woman with normal menstrual function. You detect fast growing, painful infiltrate in the lower quadrant of right breast. Skin above is oedematous, redness, enlarged axillary lymph nodes. Temperature normal. Your diagnosis? 


A. Brest cancer
B. Galactocoele
C. Pedget cancer
D. Erysipelas
E. Cystic mastopathy


Answer: A. Brest cancer

In which cases no principal differential diagnostic and following urgent operation tactic if you suspect acute appendicitis?

In which cases no principal differential diagnostic and following urgent operation tactic if you suspect acute appendicitis?


1) Extrauterine pregnancy
2) Meckel diverticulum inflammation
3) Perforation of acute appendicitis
4) Renal colic
5) Apoplexia ovarii

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


Answer: C. 1., 2., 3., 5.

The most common complication after appendectomy is:

The most common complication after appendectomy is: 


A. Wound suppuration
B. Interintestinal abscessus
C. Intraperitoneal bleeding
D. Douglass cavity abscessus
E. Eventration


Answer: A. Wound suppuration

Acute appendicitis is most common stage:

Acute appendicitis is most common stage: 


A. Teenagers and young adults
B. Men after 40
C. Old people
D. Women in climacteric period
E. Newborns


Answer: A. Teenagers and young adults

Mechanical ileus obligatory treatment involves:

Mechanical ileus obligatory treatment involves:


1) Ileus surgical treatment
2) Radical action on etiology of the cause of ileus
3) Correction of water-electrolytes disorders
4) Gastrointestinal tract decompression
5) Stimulation of gastrointestinal tract with medications after operation

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


Answer: E. 1., 2., 3., 4., 5.

What symptoms characterize onset of peritonitis?

What symptoms characterize onset of peritonitis?


1) Muscle tension of anterior abdominal wall
2) Pelvic peritoneum tenderness in rectal nvestigation
3) Pulse acceleration
4) Increasing leucocytosis
5) Pain---

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

Answer: E. All answers are right

The most radical operation on haemorrhoids is:

The most radical operation on haemorrhoids is: 


A. Sclerotherapy
B. Haemorrhoid pressure with latex ring
C. Ligation of haemorrhoidal nodes
D. Haemorrhoidectomy
E. Criotherapy


Answer: D. Haemorrhoidectomy

Characteristic signs of sygma diverticulosis are all, except:

Characteristic signs of sygma diverticulosis are all, except: 


A. Most frequent is sygma
B. Suffer old people
C. No complications
D. Causing by obstipation
E. Easy to find at irrigoscopy


Answer: C. No complications

Localisation of lymphogen metastasis of breast tumours:

Localisation of lymphogen metastasis of breast tumours: 


A. Axillary and parasternal lymphnodes
B. Axillary and intratoracal lymphnodes
C. Axillary and subscapular lymphnodes
D. Infraclavicular and pectoral lymphnodes
E. All above


Answer: E. All above

What is characteristic for Sitkowski symptom?

What is characteristic for Sitkowski symptom? 


A. Increasing pain in ileocecal region when patient`s position is on the left side
B. Push type palpation at the left hypogastrium causes intense pain in ileocecal region
C. Deep palpation in localising pain zone and then fast jerck back the hand causes strong blurry pain
D. Pain in epigastirum or paraumbilical region then dislocate to ileocecal region
E. Musculature distension in ileocecal region during superficial palpation


Answer: A. Increasing pain in ileocecal region when patient`s position is on the left side

Most saving operation in non complicated duodenal ulcer case is:

Most saving operation in non complicated duodenal ulcer case is: 


A. Gastric resection
B. Truncular vagotomy
C. Truncular vagotomy with drainage operation
D. Truncular vagotomy with antrum resection
E. Selective proximal vagotomy


Answer: E. Selective proximal vagotomy

Characteristic features for nodular mastopathy are all, except:

Characteristic features for nodular mastopathy are all, except: 


A. Positive Kenig symptom
B. Pain increasing during menstruation
C. No enlargement of regional lymphnodes
D. No discharge from mamilla
E. Constant labile mood


Answer: A. Positive Kenig symptom

Characteristic features for gastric ulcer are:

Characteristic features for gastric ulcer are:


1) Localisation in lesser curvature intermedial zone
2) Antacids and H2 blocators therapy is not so goood as in duodenal ulcer sace
3) More relapses
4) Can malignisate
5) Most frequent is indications to operate

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


Answer: E. 1., 2., 3., 4., 5.

Circumcision operation is indicated in case of:

Circumcision operation is indicated in case of: 


A. Hidrocoele
B. Renal tumors
C. Phimosis
D. Renal stones
E. Urinarry bladder tumor


Answer: C. Phimosis

Hashimoto goiter clinical signs:

Hashimoto goiter clinical signs:


1) Tireotoxicosis
2) Thyroid enlargement
3) Hypothireosis
4) Depressive mood
5) Chilly

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


Answer: C. 2., 3., 4., 5.

What kind of hernia can be sliding?

What kind of hernia can be sliding? 


A. Postoperative hernia after middle laparotomy
B. Linea albae
C. Posttraumatic diaphragmatic
D. Inguinal
E. Umbilical


Answer: D. Inguinal

Incarcerate hernia is characterized by:

Incarcerate hernia is characterized by:


1) Sudden abdominal pain
2) Pain in region of hernia
3) Hernia is solid bulge
4) Negative cough symptom
5) Increased temperature

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


Answer: E. 1., 2., 3., 4.

We can exclude retrograde incarceration if:

We can exclude retrograde incarceration if: 


A. One loop in hernia sac
B. Two or more loops in hernia sac
C. No liquid in hernia sac
D. One small bowel and one colon loops in hernia sac
E. No peritonitis signs


Answer: A. One loop in hernia sac

In case of incarcerate hernia ileus can be not obligatory if it is:

In case of incarcerate hernia ileus can be not obligatory if it is:


1) Elastic incarceration
2) Incarcerate omentum
3) Retrograde incarceration
4) Faecal incarceration
5) Richter type incarceration

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


Answer: D. 2., 5.

The most frequent complications of nonspecific ulcerative colitis are:

The most frequent complications of nonspecific ulcerative colitis are:


1) Bleeding
2) Acute colon transversum toxic dilatation
3) Perforation
4) Paralitic dynamic ileus
5) Inoxicatio and loss of weight

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


Answer: E. All answers are right

What is the best incision for Douglas abscessus drainage?

What is the best incision for Douglas abscessus drainage?


1) Volkovich-Djakonov incision
2) Middle inferior laparotomy
3) Pararectal laparotomy
4) Transrectal incision
5) Transvaginal access

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


Answer: C. 4., 5.

What are characteristic features for ampullary part of rectal cancer?

What are characteristic features for ampullary part of rectal cancer?


1) Pain in anal region
2) Gas and faeces detained
3) Mucus and blood in stool
4) Abdominal bloating
5) Tenesmus

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


Answer: E. 3., 5.

Indications for surgical treatment of varices haemorrhoidales are all, except:

Indications for surgical treatment of varices haemorrhoidales are all, except: 


A. Prolonged haemorrhoidal bleeding
B. Big varicose vodes what frequent inflammate
C. Haemorrhoids in patients with portal hypertension
D. Ulceration of haemorrhoidal nodes
E. Haemorrhoidal nodes what slide out at defecation and physical work.


Answer: C. Haemorrhoids in patients with portal hypertension

Obligatory in strangulation ileus treatment are:

Obligatory in strangulation ileus treatment are:


1) Ileus treatment surgically
2) Bowel resection
3) Correction of water-electrolyte disorders in postoperative period
4) Decompression of gastrointestinal tract
5) Stimulation of GI tract with medications preoperatively for ileus treatment

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


Answer: E. 1., 2., 3., 4.

Typical intestine invagination symptoms are:

Typical intestine invagination symptoms are:


1) Meteorism
2) Colic abdominal pain
3) Delay of faeces and gas
4) Blood in stool
5) Tumor like mass in the abdomen

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


Answer: E. All answers are right

Following a radical operation in case of colon ascendens cancer is:

Following a radical operation in case of colon ascendens cancer is:


1) Right hemicolectomy
2) Colon ascendens resection
3) Ieostomia
4) Ileotransversoanastomosis
5) Sygmostomia

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


Answer: A. 1.

In what diseases anal bleeding can occur?

In what diseases anal bleeding can occur?


1) Haemorrhoids
2) Colon cancer
3) Nonspecific ulcerative colitis
4) Colon diverticulosis
5) Anal fissura

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


Answer: E. All answers are right

Colon proximal part pathology can be established with following methods

Colon proximal part pathology can be established with following methods


1) Retroperitoneum
2) Irrigoscopy
3) Fibrocolonoscopy
4) Rectoromanoscopy
5) Selective celiacography


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


Answer: D. 2., 3.

Indications for surgical treatment of acute pancreatitis are all, except:

Indications for surgical treatment of acute pancreatitis are all, except: 


A. Intensive conservative therapy no effective for 2-3 days
B. Acute pancreatitis with delirium
C. Acute pancreatitis with mechanical jaundice
D. Pancreas necrosis
E. Acute pancreatitis with peritonitis


Answer: B. Acute pancreatitis with delirium

The cause of mechanical icterus can be evaluated by:

The cause of mechanical icterus can be evaluated by:


1) Intravenous cholangiography
2) Retrograde cholangiography
3) Scintigraphy
4) Percutane transhepatic cholangiography
5) Peroral cholecystography

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


Answer: A. 2., 4.

Ulcer penetration to pancreas is not characterized by:

Ulcer penetration to pancreas is not characterized by: 




A. Pain irradiate to back
B. Constant pain
C. Diastasuria
D. Free air subdiaphrzgmal in x-ray
E. Positive Mayo-Robson symptom


Answer: D. Free air subdiaphrzgmal in x-ray

Duodenal ulcer perforation is not characteristic by:

Duodenal ulcer perforation is not characteristic by: 


A. Pain in ileocecal region what simulate appendicitis
B. Liver damp disappearance
C. In x-ray free air subdiaphragmal
D. Splash symptom during palpation
E. Pain shock at onset of disease


Answer: D. Splash symptom during palpation

Conservative treatment of obliterative endarteritis of the lower limbs is:

Conservative treatment of obliterative endarteritis of the lower limbs is:


1) Decreasing of unhealthy factors
2) Improvement of metabolic processes
3) Spasmolytic therapy
4) Physical therapy
5) Special diet

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


Answer: B. All answers are right

Development factors of superficial lower limb varicose veins are:

Development factors of superficial lower limb varicose veins are:


1) Insufficiency of vein valves
2) Predisposition
3) Tumors in pelvis
4) Factors what increase venous stasis in lower limbs
5) Repeated pregnancies

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


Answer: B. All answers are correct

Nodular mastopathy has all characteristic symptoms, except:

Nodular mastopathy has all characteristic symptoms, except: 




A. Manifest skin redness
B. Increasing pain during menstruation
C. Regional lymphnodes are not enlarged
D. Painful tissue thickening in palpation


Answer: A. Manifest skin redness

Which from the breast cancer symptoms are late symptoms?

Which from the breast cancer symptoms are late symptoms? 


A. Lemon husk symptom
B. Mamilla drag-in
C. Palpable non painful nodes in brests
D. Discharge from mamilla
E. Metastasis in lungs


Answer: E. Metastasis in lungs

There is no indication for hernias planned operation in the following case:

There is no indication for hernias planned operation in the following case: 


A. Small inguinal hernia
B. Umbilical hernias never incarcerated
C. Linea alba hernia
D. Another pathology terminal patients
E. Postoperative hernia


Answer: D. Another pathology terminal patients

Your extended diagnosis in case of volvulus jejuni:

Your extended diagnosis in case of volvulus jejuni:


1) Mechanical ileus
2) Dinamic ileus
3) High ileus
4) Strangulation ileus
5) Obturation ileus

A. 1., 4.
B. 2., 4., 5.
C. 1., 2., 3.
D. 1., 3., 5.
E. No right answer


Answer: A. 1., 4.

A female patient after 2-3 swallows left from m.sternocleidomastoideus anterior margin manifests painless mass, and together total dysphagia. After hear clamorous murmur, mass disapperars and reestablishing esophageal permeability. Similar phenomenon persists for a long time. Your preliminary diagnosis?

A female patient after 2-3 swallows left from m.sternocleidomastoideus anterior margin manifests painless mass, and together total dysphagia. After hear clamorous murmur, mass disapperars and reestablishing esophageal permeability. Similar phenomenon persists for a long time. Your preliminary diagnosis? 


A. Lateral cyst of neck
B. Zenker diverticulus
C. Neck lymphnodes tumor what depress oesophagus
D. Oesophagus neck part cancer
E. Nothing from above


B. Zenker diverticulus

In anterior mediastinum can be localised:

In anterior mediastinum can be localised:


1) Tymoma
2) Retrosternal goiter
3) Aneurisma of aortae descendens
4) Pericardial cyst
5) Tumor of oesophagus

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


Answer: B. 1., 2., 4.

The most frequent cause of bleeding from anus is?

The most frequent cause of bleeding from anus is? 


A. Rectum cancer
B. Anal fissura
C. Coccygodinia
D. Pararectal fistula
E. Haemorrhoidal nodes


Answer: E. Haemorrhoidal nodes

Complications of acute destructive pancreatitis:

Complications of acute destructive pancreatitis: 


A. Fermentative peritonitis
B. Phlegmona retroperitoneale
C. Gastrointestinal bleeding
D. Pancreas pseudocysta
E. All from above


Answer: E. All from above

Hydrops vesicae felleae feature is:

Hydrops vesicae felleae feature is: 


A. High temperature
B. Positive Blumberg symptom in right subcostal region
C. Icterus
D. Pain and muscle resistance in the right side
E. Painless formation in the right subcostal region without icterus and high temperature


Answer: E. Painless formation in the right subcostal region without icterus and high temperature

Recommended planned operations in case of duodenal surgical treatment are:

Recommended planned operations in case of duodenal surgical treatment are:


1) Selective proximal vagotomy (SPV)
2) SPV + gastric drainage operation
3) Isolate gastroenteroanastomosis
4) Gastric resection modo Roux
5) Economic resection + truncular vagotomy

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


Answer: B. 1., 2., 4., 5.

What are vital indications for operative treatment in case of duodenal ulcer?

What are vital indications for operative treatment in case of duodenal ulcer?


1) Prolonged out of work
2) Massive bleeding
3) Symptoms of pylorostenosis in compensative stage
4) Ulcer perforation
5) Ulcer penetration

A. 1., 4.
B. 2., 4.
C. All answers are right
D. 2., 3., 4.
E. No right variant


Answer: B. 2., 4.

In case of diffuse mastopathy treatment is performed with:

In case of diffuse mastopathy treatment is performed with:


1) Vitamine A
2) K iodide
3) Operative treatment
4) Psychotherapy
5) Ftorafur

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


Answer: C. 1., 2., 4.

A patient with appendicular infiltrate has hectic temperature, leukocytosis, progressive pain in infiltrate region. You should consider:

A patient with appendicular infiltrate has hectic temperature, leukocytosis, progressive pain in infiltrate region. You should consider: 


A. Abscessus of Douglas cavity
B. Spontane infiltrate drainage to appendix lumen
C. Infiltrate absorbtion
D. Peritonitis
E. Abscessus of infiltrate


Answer: E. Abscessus of infiltrate

Optimal tactics in case of spontane reposition of incarcerate hernia:

Optimal tactics in case of spontane reposition of incarcerate hernia: 


A. Careful patient observation in hospital
B. Patient can go home, further follow-up at out-patients clinic
C. Urgent operation - opening of hernias sac
D. Urgent laparotomy with intestinal tract revision
E. None of the reccomendation is right


Answer: A. Careful patient observation in hospital

Maximal recension in case of retrograde incarceration is in:

Maximal recension in case of retrograde incarceration is in: 


A. One bowel loop that is in hernias sac
B. Both bowel loops that are in hernias sac
C. Afferent bowel loop
D. Deferent bowel loop
E. Bowel loop that is in abdominal cavity between two bowel loops which are in hernias sac.


Answer: E. Bowel loop that is in abdominal cavity between two bowel loops which are in hernias sac.

Hernia operation is not indicated in the following case:

Hernia operation is not indicated in the following case: 


A. Small inguinal hernia
B. Umbilical hernia what never incarcerate
C. Linea alba hernia
D. Sliding diaphragmatic oesophagus hernia without symptoms
E. Postoperative hernia


Answer: D. Sliding diaphragmatic esophageal hernia without symptoms

In case of acute esophageal burn medication includes:

In case of acute esophageal burn medication includes:


1) Analgetics
2) Antibiotics
3) Corticosteroids
4) Desintoxication

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


Answer: E. 1., 2., 3., 4.

A woman can complain about acute pain in ileocecal region in case of:

A woman can complain about acute pain in ileocecal region in case of:


1) Renal colic
2) Acute appendicitis
3) Acute adnexitis
4) Mesenterial lymphadenitis
5) Extrauterine gravidity

A. 1., 2., 3.
B. 2., 5.
C. 2., 3., 4.
D. All answers are right
E. No right answers


Answer: D. All answers are right

Clinical picture of acute appendicitis depends on:

Clinical picture of acute appendicitis depends on: 


A. Localisation of appendix
B. Destruction degree of appendix wall
C. Inflammation manifestation of parietal and visceral peritoneum
D. Reaction of organism
E. All above


Answer: E. All above

Which gynecological diseases can simulate acute appendicitis?

Which gynecological diseases can simulate acute appendicitis?


1) Tubal gravidity
2) Adnexitis
3) Torsion of the right ovarial cyst
4) Rupture of Graph follicule
5) Uterus prolapse

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


Answer: A. 1., 2., 3., 4.

Most characteristic sign of Pedget cancer is:

Most characteristic sign of Pedget cancer is: 


A. Lemon husk symptom
B. Demarcate node in mammary gland
C. Metastatic tumor in reverse side mammary gland
D. Eczema like changes in areola and mamilla
E. Positive Pair symptom


Answer: D. Eczema like changes in areola and mamilla

Terms local or diffuse peritonitis mean:

Terms local or diffuse peritonitis mean: 


A. Virulence of infection
B. Character of exudate
C. Localisation of infection source
D. Duration of the disease
E. Process localisation in one or several anatomical places of peritoneum


Answer: E. Process localisation in one or several anatomical places of peritoneum

X-ray symptoms of acute bowel obstruction are all, except:

X-ray symptoms of acute bowel obstruction are all, except: 


A. Barium passage through gastrointestinal tract is not broken
B. Colon transversum meteorism above occlusion
C. Barium incontinence at irrigoscopy
D. Cloiber vessels ?


Answer: A. Barium passage through gastrointestinal tract is not broken

The cause of mechanical bowel obstruction can be:

The cause of mechanical bowel obstruction can be:


1) Coprolites
2) Colon tumors
3) Invasion of helminths
4) Renal tumor
5) Volvulus

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


Answer: B. 1., 2., 3., 4.
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