ambulatory surgery test
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OUTPATIENT SURGERY TEST
GEE TEST PREPARATION SYSTEM
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QUESTIONS FOR OUTPATIENT SURGERY
A PATIENT WITH POSTPARTUM RIGHT-SIDED MASTITIS IN THE STAGE OF SEROUS
INFLAMMATION WAS IN THE POLYCLINIC. WHICH TREATMENT IS INAPPROPRIATE?
1) [+] breast massage;
2) [-] pumping milk;
3) [-] lubrication of the nipples with disinfectant solutions;
4) [-] elevated position of the chest;
5) [-] UV therapy.
CANNOT BE ATTRIBUTED TO PRIMARY CHRONIC OSTEOMYELITIS:
1) [-] Brody's abscess;
2) [-] Garre's osteomyelitis;
3) [-] Olier osteomyelitis;
4) [+] post-traumatic osteomyelitis.
IN WHAT TERMS DO SIGNS OF OSTEOPOROSIS APPEAR ON RADIOGRAMS IN PATIENTS WITH
ACUTE HEMATOGENIC OSTEOMYELITIS?
1) [-] at 1 week of illness;
2) [-] at the 2nd week of the disease;
3) [+] at 3-4 weeks of illness;
4) [-] at 5-6 weeks of illness.
IN WHAT TERMS DO LINEAR CLEARANCES APPEAR ON RADIOGRAMS IN PATIENTS WITH
HEMATOGENIC OSTEOMYELITIS?
1) [+] by the end of 1 week;
2) [-] by the end of 2 weeks;
3) [-] by the end of 3 weeks;
4) [-] by the end of 4 weeks.
FIRST OF ALL, YOU SHOULD LOOK FOR THE PRIMARY FOCUS OF INFLAMMATION IN ACUTE
HEMATOGENIC OSTEOMYELITIS:
1) [-] in the diaphysis of the bone;
2) [-] in the epiphysis of the bone;
3) [+] in the metaphysis of the bone;
4) [-] doesn't matter.
CANNOT BE CONSIDERED CHARACTERISTIC FOR THE INITIAL PERIOD OF ACUTE
HEMATOGENIC OSTEOMYELITIS:
1) [-] leukocytosis;
2) [-] pain in the limb;
3) [-] impaired limb function;
4) [-] hyperthermia;
5) [+] anemia.
INTRODUCTION OF A PROPHYLACTIC DOSE OF ANTITETENUISIS SERUM IS NOT INDICATED:
1) [-] with a thermal burn of the 2nd degree;
2) [-] with a bruised head wound;
3) [-] with a stab wound of the foot;
4) [+] with a closed fracture of the phalanx;
5) [-] with an open fracture of the phalanx.
IS NOT CHARACTERISTIC FOR THE PICTURE OF THE ACUTE PHASE OF TETANUS:
1) [-] cramps of the muscles of the limbs and torso;
2) [-] hyperthermia;
3) [-] tachycardia;
4) [-] "sardonic" smile;
5) [+] collapse, anemia.
EARLY SYMPTOMS OF TETANUS INFECTION SHOULD NOT BE INCLUDED:
1) [+] convulsions;
2) [-] increased pain in the wound;
3) [-] irritability;
4) [-] headaches;
5) [-] sweating.
LOCAL SIGNS OF TUBERCULOSIS INJURY OF THE HIP JOINT SHOULD NOT BE RELATED TO:
1) [+] hyperemia of the skin;
2) [-] soft tissue atrophy;
3) [-] deformation of the joint;
4) [-] dysfunction of the joint;
5) [-] pain in the joint.
SECONDARY WOUND HEALING IS OBSERVED WHEN HEALING THROUGH:
1) [-] suppuration;
2) [-] scab;
3) [-] granulation;
4) [+] all of the above;
5) [-] none of the above.
HOW LONG DOES LATE SURGICAL TREATMENT OF AN INFECTED WOUND BE CARRIED OUT?
1) [+] 18-24 hours;
2) [-] 24-36 hours;
3) [-] 36-48 hours;
4) [-] 48-72 hours;
5) [-] more than 72 hours.
HOW LONG DOES DELAYED SURGICAL TREATMENT OF AN INFECTED WOUND BE
PERFORMED?
1) [-] after 6 hours;
2) [-] up to 18 hours;
3) [-] 18-24 hours;
4) [+] 24-8 hours;
5) [-] more than 48 hours.
HOW LONG DOES EARLY SURGICAL WOUND TREATMENT BE CARRIED OUT?
1) [+] up to 6 hours;
2) [-] up to 12 hours;
3) [-] up to 18 hours;
4) [-] more than 24 hours.
WHICH COMPLICATION IS NOT CHARACTERISTIC FOR RECURRENT EMISTRY OF THE LOWER
LIMB?
1) [-] lymphostasis;
2) [-] thrombophlebitis;
3) [+] secondary varicose veins;
4) [-] sepsis;
5) [-] periostitis.
ERIZEPELOID DIFFERS FROM PANARITIUM:
1) [-] lack of edema;
2) [+] lack of local pain and itching;
3) [-] lymphangitis;
4) [-] finger hyperemia.
WHAT IS A TYPICAL COMPLICATION OF THE UPPER LIP BOIL?
1) [+] thrombosis of the cavernous sinus;
2) [-] thrombosis of the carotid artery;
3) [-] periostitis of the upper jaw;
4) [-] erysipelas of the face;
5) [-] skin necrosis.
WITH NADAPONEUROTIC PHEGMON OF THE PALM IS NOT OBSERVED:
1) [-] edema;
2) [-] hyperemia;
3) [+] fluctuation;
4) [-] dysfunction;
5) [-] hyperthermia.
WHEN DIAGNOSING CARBUNCLUS WITH LIMBS, THE OUTPATIENT SURGEON SHOULD:
1) [+] to operate on the patient;
2) [-] prescribe antibiotics;
3) [-] prescribe physiotherapy treatment;
4) [-] observe the process in dynamics.
TREATMENT OF A BOIL IN THE FIRST PHASE OF THE DISEASE DOES NOT INCLUDE:
1) [+] operations;
2) [-] physiotherapy;
3) [-] alcohol compresses;
4) [-] antibiotics;
5) [-] methods of immunotherapy.
INFLAMMATION OF WHAT TENDON VAGINA OF THE FINGER FLEXORS CAN BE COMPLICATED
BY FOREARM PHEGMON?
1) [+] I and V;
2) [-] I and III;
3) [-] III and IV;
4) [-] II and IV.
DO NOT USE IN THE TREATMENT OF SEROSE PHASE MASTITIS:
1) [+] dissection;
2) [-] antibiotic therapy;
3) [-] physiotherapy;
4) [-] prevention of lactostasis;
5) [-] retromammary novocaine blockade with antibiotics.
INFILTRATION DIFFERS FROM SOFT TISSUES ABSCESS:
1) [-] pain;
2) [-] hyperemia;
3) [+] lack of fluctuation;
4) [-] hyperthermia;
5) [-] leukocytosis.
HYDRADENITIS MOST MOST LOCALIZED IN THE AREA:
1) [+] armpit;
2) [-] groin;
3) [-] cubital fossa;
4) [-] popliteal region;
5) [-] doesn't matter.
THE CAUSE OF erysipelatous inflammation is:
1) [-] staphylococcus aureus;
2) [+] streptococcus;
3) [-] pork face stick;
4) [-] Klebsiella;
5) [-] anaerobes.
The causative agent of a furuncle is most often:
1) [+] staphylococcus aureus;
2) [-] streptococcus;
3) [-] pork face stick;
4) [-] Klebsiella;
5) [-] anaerobes.
THE CAUSE OF HYDRADENITIS MOST OFTEN IS:
1) [+] staphylococcus aureus;
2) [-] streptococcus;
3) [-] pork face stick;
4) [-] Klebsiella;
5) [-] anaerobes.
SURGICAL TREATMENT OF AN ABSCEDING BOIL INCLUDES:
1) [+] linear cut;
2) [-] arcuate incision;
3) [-] excision of the abscess;
4) [-] cruciform incision;
5) [-] everything is correct.
SURGICAL TREATMENT OF CARBUNCULE INCLUDES:
1) [-] linear cut;
2) [-] arcuate incision;
3) [+] excision of the abscess;
4) [-] cruciform incision;
5) [-] everything is correct.
WHEN OPENING THE SUBCUTANEOUS PANARITIUM IN THE CONDITIONS OF THE POLYCLINIC,
ANESTHESIA IS USED BY THE METHOD:
1) [+] Oberst-Lukashevich;
2) [-] Brown;
3) [-] infiltration local anesthesia;
4) [-] blockade of the brachial plexus;
5) [-] everything is correct.
A PATIENT CAME TO THE OUTPATIENT SURGEON WITH A CONTAMINATED BITE WOUND OF
THE RIGHT FOREARM. HISTORY - ATTACK STRAY DOG. WHICH OF THE FOLLOWING IS NOT
INDICATED TO THIS PATIENT?
1) [-] primary surgical treatment of the wound;
2) [+] wound closure;
3) [-] administration of antibiotics;
4) [-] prevention of tetanus.
A PATIENT TURNED TO THE OUTPATIENT SURGEON WITH COMPLAINTS OF SHARP PAIN IN
THE 2nd FINGER OF THE RIGHT HAND, INCREASED BODY TEMPERATURE TO 37.9°C. ON
EXAMINATION, THE FINGER IS DRAFTLY INCREASED IN VOLUME, IRREGULAR SHAPE, THE
SKIN IS CYANOTIC, THERE IS NO MOVEMENT IN THE FINGER JOINTS. DATE OF DISEASE - 5
DAYS. MOST LIKELY DIAGNOSIS:
1) [-] bone panaritium;
2) [-] tendovaginitis;
3) [+] pandactylitis;
4) [-] subcutaneous felon.
A PATIENT TURNED TO THE OUTPATIENT SURGEON WITH COMPLAINTS OF INTENSE,
"DRILLING" PAIN IN THE DISTAL PHALANX OF THE 3rd FINGER OF THE RIGHT HAND,
INCREASED BODY TEMPERATURE TO 39°C, HEADACHE, GENERAL malaise. DURING
INSPECTION, A flask-shaped thickening of the phalanx is observed, the SKIN ABOVE IT IS
HYPEREMIC. THE PRESSURE ON THE AXIS OF THE FINGER IS SHARPLY PAINFUL. DISEASE
DATE - 3 DAYS. MOST LIKELY DIAGNOSIS:
1) [+] bone panaritium;
2) [-] tendovaginitis;
3) [-] pandactylitis;
4) [-] subcutaneous felon.
THE MOST COMMON CAUSE OF DEATH FROM TETANUS INFECTION IS:
1) [+] asphyxia;
2) [-] addition of anaerobic infection;
3) [-] pneumonia;
4) [-] damage to the nervous system.
WHICH OF THE SYMPTOMS OF PHEGMONIS IS NOT CHARACTERISTIC IN LOCALIZATION OF
THE PROCESS ON THE PALM SURFACE OF THE HAND?
1) [-] pain;
2) [+] fluctuation;
3) [-] increase in body temperature;
4) [-] local swelling;
5) [-] hyperemia of the skin.
A PATIENT CAME TO THE OUTPATIENT SURGEON WITH AN INGrown NAILS ON 1 TOE OF THE
LEFT FOOT. EXAMINATION REVEALED MINOR HYPEREMIA AND PAINFULNESS IN THE AREA
OF THE NAIL PLATE. WHAT IS INDICATED TO THIS PATIENT?
1) [-] perform a longitudinal resection of the nail plate;
2) [-] remove the nail;
3) [+] foot hygiene, baths with potassium permanganate, followed by surgical treatment;
4) [-] does not need treatment.
A PATIENT WITH A TEMPERATURE OF 38°C, COMPLAINTS OF CHILLS, SEVERE HEADACHES,
APPROVED TO THE OUTPATIENT SURGEON. WHEN EXAMINATION IN THE AREA OF THE NECK,
A DENSE PAINFUL BLUE-PURPLE INFILTRATION IS DEFINED, ON THE SKIN THERE ARE
SEVERAL FISTULAR HOLES THROUGH WHICH PUSS IS EXHAUSTED. MAKE A DIAGNOSIS:
1) [-] abscess;
2) [+] carbuncle;
3) [-] phlegmon;
4) [-] furuncle.
FOR erysipelas NOT CHARACTERISTIC:
1) [-] the formation of sharply limited erythematous foci on the skin;
2) [+] the formation of inflammatory erythematous foci on the skin with indistinct boundaries;
3) [-] recurrent nature;
4) [-] lymphangitis, lymphadenitis.
A PATIENT WITH AN INFECTED WOUND OF THE RIGHT FOREARM, FROM WHICH PROXIMALLY
STRIP OF INFILTERATION AND HYPEREMIA EXTENDS PROXIMALLY TO THE OUTPATIENT
SURGEON. PALPATION OF THIS ZONE IS PAINFUL. WHAT COMPLICATION SHOULD I THINK
ABOUT?
1) [-] abscess;
2) [-] tendovaginitis;
3) [+] stem lymphangitis;
4) [-] myositis.
A PATIENT WITH RETROMAMMARY ABSCESS COMED TO THE OUTPATIENT SURGEON. HOW
SHOULD I OPEN THE ABSCESS?
1) [+] bordering incision along the fold under the gland;
2) [-] radial incisions in the upper quadrants of the gland;
3) [-] radial incisions in the lower quadrants of the gland;
4) [-] peripapillary incision.
THE OUTPATIENT SURGEON SHOULD KNOW WHAT THE MOST HARD, WITH SEVERE
INTOXICATION, IS PARAPROCTITIS:
1) [-] retrorectal;
2) [-] submucosal;
3) [+] pelviorectal;
4) [-] subcutaneous.
AT THE RECEPTION IN THE POLYCLINIC WITH THE SURGEON, THE PATIENT COMPLAINTED
OF PAIN AND MINOR BLEEDING (SCARLET BLOOD) AFTER THE ACT OF DEFECATION,
CONSTIPATION AND FEAR OF THE DEATH. WHAT DISEASE IS POSSIBLE?
1) [+] hemorrhoids;
2) [-] adrectal fistula;
3) [-] insufficiency of the anal sphincter;
4) [-] fissure of the anal canal;
5) [-] cancer of the rectum.
THE OUTPATIENT SURGEON SHOULD REMEMBER THAT THE HIGHEST POSSIBILITY OF
MAGNIFICATION IS WITH RECTAL POLYPS:
1) [-] hyperplastic;
2) [+] villous;
3) [-] adenomatous;
4) [-] multiple adenomatous.
THE SURGEON IN THE POLYCLINIC SHOULD REMEMBER THAT THE APPEARANCE OF
HEMORRHOIDS DOES NOT PREDISE:
1) [-] two-moment act of defecation;
2) [+] dolichosigma;
3) [-] chronic inflammation of the anal canal;
4) [-] heredity;
5) [-] static load.
A PATIENT WITH A PARECTAL FISTULA COME TO THE POLYCLINIC. WHAT IS NOT
CHARACTERISTIC FOR THIS DISEASE?
1) [-] periodic exacerbations;
2) [+] anemia;
3) [-] purulent discharge;
4) [-] the presence of a fistula.
WHAT METHOD OF ADDITIONAL EXAMINATION IS PREFERRED IN THE POLYCLINIC TO
CONFIRM THE ANAL FICK?
1) [-] digital examination of the rectum;
2) [-] colonoscopy;
3) [+] anoscopy;
4) [-] irrigoscopy;
5) [-] rectoscopy.
DURING THE EXAMINATION IN THE POLYCLINIC, THE SURGEON REVEALED IN THE PATIENT
AN INCREASE IN TEMPERATURE, PAIN DURING DEFECTION, THE PRESENCE OF SWELLING
WITH HYPEREMIA OF THE SKIN ON THE PERINEUM. DATE OF DISEASE - 3 DAYS. FOR WHAT
PARAPROCTITIS SUCH SIGNS ARE CHARACTERISTIC?
1) [-] skin;
2) [+] subcutaneous;
3) [-] ischiorectal;
4) [-] pelviorectal.
WHICH METHOD OF TREATMENT OF ACUTE SUBCUTANEOUS PARAPROCTITIS SHOULD AN
OUTPATIENT SURGEON CHOOSE?
1) [-] puncture of the abscess with washing the cavity with antibiotics;
2) [-] physiotherapy;
3) [-] massive systemic antibiotic therapy;
4) [-] sedentary warm baths;
5) [+] opening of the abscess.
CANNOT BE CONSIDERED A TYPICAL COMPLICATION OF HEMORRHOIDS:
1) [-] anal fissure;
2) [-] bleeding;
3) [-] thrombosis of hemorrhoids;
4) [+] prolapse of the rectum;
5) [-] dropping nodes.
AT THE RECEPTION IN THE POLYCLINIC, THE SURGEON REVEALED IN THE PATIENT THE
STRONGEST PAIN IN THE ANAL REGION AFTER THE ACT OF DEFECTION, BLEEDING IN THE
FORM OF 2-3 DROP OF BLOOD AFTER THE STOCK, FEASIBILITY, CHRONIC CONSTIPATION.
PRELIMINARY DIAGNOSIS?
1) [-] rectal cancer;
2) [-] acute paraproctitis;
3) [+] fissure of the anal canal;
4) [-] adrectal fistula;
5) [-] hemorrhoids.
THE SURGEON OF THE POLYCLINIC SHOULD REMEMBER THAT FOR PELVIORECTAL
PARAPROCTITIS IN THE EARLY STAGE OF THE DISEASE IS NOT CHARACTERISTIC:
1) [+] perineal infiltrate with hyperemia;
2) [-] pain in the depths of the pelvis;
3) [-] no changes in the skin of the perineum;
4) [-] high temperature;
5) [-] severe intoxication.
THE SURGEON OF THE POLYCLINIC, EXAMINING THE PATIENT, REVEALED THE CLINICAL
PICTURE OF A COMPLETE PARARECTAL FISTULA. IT IS NOT CHARACTERISTIC FOR HER:
1) [-] purulent discharge from the fistula;
2) [-] discharge of liquid feces from the fistula;
3) [+] discharge of scarlet blood from the anal canal after defecation;
4) [-] release of gases through the fistula;
5) [-] periodic exacerbation of pain with fever.
SYMPTOM, MOST CHARACTERISTIC FOR CANCER OF THE RIGHT HALF OF THE COLON:
1) [-] constipation;
2) [+] anemia;
3) [-] chills;
4) [-] jaundice;
5) [-] cramping pains, intestinal obstruction.
SYMPTOM MOST CHARACTERISTIC FOR CANCER OF THE LEFT HALF OF THE COLON:
1) [-] heartburn;
2) [-] anemia;
3) [-] chills;
4) [-] jaundice;
5) [+] cramping pains, intestinal obstruction.
SYMPTOM, MOST CHARACTERISTIC FOR CANCER OF THE CECA:
1) [+] diarrhea;
2) [-] heartburn;
3) [-] chills;
4) [-] jaundice;
5) [-] cramping pains, intestinal obstruction.
IN A POLYCLINIC IN A PATIENT WITH A LONG-EXISTING CHRONIC DISEASE, THE SURGEON
REVEALED THE PECTINOSIS PHENOMENON. THIS COMPLICATION IS CHARACTERISTIC FOR:
1) [-] hemorrhoids;
2) [+] anal fissure;
3) [-] paraproctitis;
4) [-] adrectal fistula;
5) [-] rectal prolapse.
IN WHAT POSITION SHOULD AN OUTPATIENT SURGEON EXAMINATE A PATIENT WITH
SUSPECTED RECTAL CANCER?
1) [-] on the right side;
2) [-] on the left side;
3) [-] on the back;
4) [-] in the knee-elbow position;
5) [+] everything is correct.
OUTPATIENT SURGEON SHOULD REMEMBER THAT RECTAL CANCER IS DETECTED BY FINGER
EXAMINATION IN:
1) [-] 10% of clinical observations;
2) [-] 20% of clinical observations;
3) [-] 30% of clinical observations;
4) [+] 60-80% of clinical observations.
WHAT SHOULD AN OUTPATIENT SURGEON DO NOT DO WHEN A PATIENT WITH STRANGED
HEMORRHOIDS IS CONSIDERED?
1) [-] anesthesia;
2) [-] ointment bandage on the anus;
3) [-] referral by specialized transport to a hospital;
4) [+] referral to the hospital independently.
AT WHAT DISTANCE FROM THE ANUS IS IT POSSIBLE TO VIEW THE RECENT AND SIGMOID
INTESTINES?
1) [-] up to 10 cm;
2) [-] up to 20 cm;
3) [+] up to 30 cm;
4) [-] up to 60 cm.
WHICH OF THE LISTED SIGNS IS CHARACTERISTIC FOR RECTAL PROPAGATION, UNLIKE TO
INTERNAL HE-MORROIDAL NODES?
1) [-] radial folds of the mucosa;
2) [-] pain during defecation;
3) [+] annular folds of the mucosa;
4) [-] sensation of a foreign body in the anus.
AT THE RECEPTION IN THE POLYCLINIC AT THE SURGEON THE PATIENT HAS BEEN
IDENTIFIED WITH A NUMBER OF SYMPTOMS. OF THEM IS NOT CHARACTERISTIC FOR PAGETSCHRETER DISEASE:
1) [-] cyanosis of the face and neck;
2) [-] arching pains in the arm;
3) [-] cyanosis of the skin of the hands, increased venous pattern;
4) [-] hand edema;
5) [+] Horner's syndrome.
IN THE AMBULATORY, A SURGEON IN THE PATIENT SUSPECTED POST-THROMBOPHLEBITIC
SYNDROME. WHAT IS NOT CHARACTERISTIC FOR THIS DISEASE?
1) [-] skin hyperpigmentation;
2) [-] congestive dermatosis and scleroderma;
3) [-] the formation of trophic ulcers;
4) [+] pale "marble" skin;
5) [-] secondary varicose veins of superficial veins.
AT THE COMMUNITY HOSPITAL THE SURGEON DECIDED TO PERFORM THE PRATT TEST
WITH TWO BANDAGES, WHICH IS USED FOR:
1) [-] detection of obstruction of the deep veins of the lower extremities;
2) [-] determination of insufficiency of arterial circulation of the lower extremities;
3) [+] study of insufficiency of perforating veins;
4) [-] diagnosis of popliteal artery occlusion.
WHEN THE SURGEON OF THE POLYCLINIC REGISTERED A 62 YEARS OLD PATIENT FOR THE
DISABILITY GROUP FOR COMPLICATED VARICOSE VEINS OF THE LOWER LIMB, A NUMBER OF
SYMPTOMS WAS INVESTIGATED. AT THE SAME TIME THE COMPLICATIONS OF VARICOSE
DISEASE OF THE LOWER LIMB ARE NOT RELATED TO:
1) [-] trophic ulcers;
2) [-] eczema and dermatitis;
3) [-] chronic venous insufficiency;
4) [+] intermittent claudication;
5) [-] venous thrombosis.
A PATIENT WHO REFERRED TO AN OUTPATIENT SURGEON HAD A NUMBER OF SYMPTOMS.
FROM THE SPECIFIED MANIFESTATIONS OF LOCAL THROMBOSIS OF THE SUPERFICIAL
VEINS OF THE LOWER LIMB CANNOT BE ATTRIBUTED TO THIS DISEASE:
1) [-] distal edema;
2) [+] bursting pains;
3) [-] increase in body temperature;
4) [-] hyperemia of the skin along the vein;
5) [-] sharp pain on palpation.
WHAT PATHOLOGY CAN BE SUSPECTED IN A PATIENT APPLYING TO A POLYCLINIC TO A
SURGEON WITH PHENOMENA OF MIGRANTING PHLEBITIS?
1) [-] leukemia;
2) [+] a malignant tumor, more often of the pancreas;
3) [-] thromboangiitis vascular occlusion;
4) [-] nodular periarteritis;
5) [-] varicose veins.
WHICH COMPLICATION IS THE MOST DANGEROUS AFTER INPATIENT TREATMENT FOR
LOWER LIMB PHLEBOTHROMBOSIS?
1) [+] pulmonary embolism;
2) [-] varicose veins of the subcutaneous veins;
3) [-] ischemic gangrene of the foot;
4) [-] ischemic stroke.
OUTPATIENT SURGEON SHOULD KNOW THAT POSTOPERATIVE LOWER LIMB VEIN
THROMBOSIS MOST COMMONLY LEADS TO THROMBOEMBOLISM:
1) [-] vessels of the brain;
2) [-] coronary arteries;
3) [+] pulmonary artery;
4) [-] pulmonary veins;
5) [-] arteries of the kidneys and liver.
WHEN AFTER TREATMENT IN THE POLYCLINIC AFTER THE SURGERY IN A PATIENT WITH A
HIGH RISK OF THROMBOEMBOLIC COMPLICATIONS, PREVENTION OF THE LAST INCLUDES
EVERYTHING EXCEPT:
1) [-] anticoagulants;
2) [-] antiplatelet agents;
3) [-] physiotherapy exercises;
4) [+] prolonged bed rest;
5) [-] compression therapy of the lower extremities.
IN THE LONG POSTOPERATIVE PERIOD DURING TREATMENT IN A POLYCLINIC FOR THE
PREVENTION OF PULMONARY THROMBOEMBOLISM IN A PATIENT AFTER PHLEBECTOMY DO
NOT USE:
1) [+] antibiotics;
2) [-] disaggregants;
3) [-] anticoagulants;
4) [-] hemodilution;
5) [-] compression therapy of the lower extremities.
WHICH OF THE PATIENT'S FACTORS WHICH ARE THE LOST LIKELY TO LEAD TO PULMONARY
EMBOLISM AFTER SURGERY, SHOULD THE OUTPATIENT SURGEON CONSIDER?
1) [-] obesity;
2) [-] varicose veins of the lower extremities;
3) [-] phlebothrombosis of deep veins of the lower leg and thigh;
4) [+] gastric ulcer.
WHEN AFTER TREATMENT IN THE POLYCLINIC, COMPRESSION BANDAGE OF THE LOWER
LIMB AFTER PHLEBECTOMY START WITH:
1) [-] upper third of the thigh;
2) [-] lower third of the thigh;
3) [-] popliteal region;
4) [+] feet.
WHAT SHOULD BE THE OPTIMUM UPPER LEVEL OF COMPRESSION BANDAGEING OF THE
LOWER LIMB AFTER PHLEBECTOMY?
1) [-] middle third of the lower leg;
2) [-] upper third of the lower leg;
3) [-] lower third of the thigh;
4) [+] upper third of the thigh.
THE DURATION OF LOWER LIMB COMPRESSION THERAPY AFTER PHLEBECTOMY IN
POLYCLINIC CONDITIONS IS:
1) [-] 1 week;
2) [-] 2 weeks;
3) [-] 3 weeks;
4) [+] 1.5-2 months.
AN AMBULATORY SURGEON WITH A SMALL EXPERIENCE OF WORK TO A PATIENT THAT
HAVE SUFFERED A PHLEBECTOMY GIVEN THE FOLLOWING RECOMMENDATIONS. WHAT IS A
MISTAKE?
1) [-] compression therapy of the lower extremities;
2) [+] early static load;
3) [-] physiotherapy treatment;
4) [-] physiotherapy exercises.
WHAT FACTORS SHOULD AN OUTPATIENT SURGEON LASTLY CONSIDER WHEN LOWER LIMB
VEIN THROMBOSIS IS POSSIBLE?
1) [-] slowing down of blood flow;
2) [-] violation of the endothelium of the veins;
3) [+] atrial fibrillation;
4) [-] varicose veins.
IN THE LONG PERIOD AFTER CARRIAGE OPERATIONS, THROMBO FORMATION FACILITATES
ALL OF THE FOLLOWING, EXCEPT:
1) [+] increase in fibrinolytic activity of blood plasma;
2) [-] obesity;
3) [-] hypodynamia;
4) [-] malignant tumors;
5) [-] coronary heart disease.
IN OUTPATIENT TREATMENT OF PHLEBOTHROMBOSIS OF LOWER LIMB VEINS ALL ARE USED
EXCEPT:
1) [-] elevated position of the limb in bed;
2) [-] anticoagulant therapy;
3) [-] antiplatelet agents;
4) [-] compression therapy;
5) [+] antispasmodics.
OUTPATIENT USE OF WHAT DRUG REQUIRES REGULAR DYNAMIC MONITORING OF BLOOD
COAGULATION INDICATORS?
1) [+] phenyline;
2) [-] trental;
3) [-] antibiotics;
4) [-] chimes;
5) [-] venoruton.
WHICH OF THE MOST DANGEROUS COMPLICATIONS OF DEEP VEIN THROMBOSIS SHOULD
AN OUTPATIENT SURGEON CONSIDER?
1) [-] trophic ulcer of the leg;
2) [+] pulmonary embolism;
3) [-] post-thrombotic disease;
4) [-] chronic venous insufficiency.
WHAT RECOMMENDATIONS SHOULD THE OUTPATIENT SURGEON NOT GIVE 10 DAYS AFTER
THE PHLEBECTOMY?
1) [+] jogging;
2) [-] compression therapy;
3) [-] physiotherapy treatment;
4) [-] physiotherapy exercises.
A 68 YEARS OLD PATIENT WITH MULTIPLE COMBINED PATHOLOGY APPEARED FOR AN
APPOINTMENT TO THE SURGEON OF THE POLYCLINIC. THESE ARE NOT SYMPTOMS OF
VARICOSE DISEASE:
1) [-] swelling of the distal limbs in the evening;
2) [+] intermittent claudication;
3) [-] trophic disorders of the skin;
4) [-] convulsions at night;
5) [-] visible expansion of the saphenous veins.
WHEN ASSESSING THE PASSABILITY OF THE DEEP VEINS OF THE LOWER LIMB IN THE
CONDITIONS OF THE DISTRICT HOSPITAL, A FUNCTIONAL TEST CAN BE USED:
1) [-] Hackenbruch;
2) [-] Pratt-2;
3) [+] Gomans;
4) [-] Delbe-Perthes;
5) [-] Schwarz-Heyerdahl.
WHEN IT IS IMPOSSIBLE TO CARRY OUT INSTRUMENTAL METHODS IN THE POLYCLINIC, THE
SURGEON CAN USE THE SAMPLE TO DETECT FAILURE OF THE SUPERFICIAL VEIN VALVES:
1) [-] three-wire (Sheinis);
2) [-] marching (Delbe-Perthes);
3) [+] Troyanov-Trendelenburg;
4) [-] Pratt-2.
ALL OF THE FOLLOWING HELP TO IMPROVE VENOUS FLOW AFTER SURGERY EXCEPT:
1) [-] elevated position of the limb;
2) [-] physiotherapy exercises;
3) [+] prolonged bed rest;
4) [-] compression therapy;
5) [-] getting up early.
A PATIENT WITH VENOUS PATHOLOGY OF THE LOWER LIMB (SYMPTOMS LISTED BELOW)
APPEALED TO THE POLYCLINIC TO THE SURGEON. EARLY SYMPTOMS OF POSTTHROMBOTIC DISEASE DO NOT APPLY:
1) [-] expansion of small cutaneous and subcutaneous veins of the lower third of the lower leg;
2) [-] swelling in the ankles;
3) [-] painful thickening of the skin in the lower third of the leg;
4) [+] trophic ulcer;
5) [-] subcutaneous varicose veins of the lower extremities.
WHAT IS IT DANGEROUS TO RECOMMEND AN OUTPATIENT SURGEON TO A PATIENT IN THE
TREATMENT OF DEEP VEIN THROMBOSIS OF THE SHIN AND THIGH?
1) [-] indirect anticoagulants;
2) [-] antispasmodics;
3) [+] early active movements;
4) [-] hemodilution.
IN THE SURGICAL OUTPATIENT CLINIC, WHEN STUDYING THE ACCOMPANYING MEDICAL
DOCUMENTATION, A YOUNG DOCTOR FOUND THAT. A PATIENT IS OPERATED FOR ACUTE
GANGRENOUS APPENDICITIS, LOCAL PERITONITIS AND PYLEPHLEBITIS. EXCEPT
APPENDECTOMY, THE PATIENT WAS MADE RELAPAROTOMY WITH REMOVAL OF THE
ASCENDING COLON. PILEPHLEBITIS IS A THROMBOSIS:
1) [-] splenic vein;
2) [-] inferior mesenteric vein;
3) [-] renal veins;
4) [+] portal vein;
5) [-] iliac vein.
WHAT IS CHARACTERISTIC FOR ACUTE PHLEBOTHROMBOSIS?
1) [+] sharp edema and hyperemia of the lower limb;
2) [-] arrhythmia;
3) [-] lack of pulse on the arteries of the foot;
4) [-] intermittent claudication;
5) [-] unstable chair.
WHAT SHOULD NOT RECOMMEND AN OUTPATIENT SURGEON TO A PATIENT WITH ACUTE
THROMBOPHLEBISIS OF THE SUPERFICIAL SHIN VEINS?
1) [-] bed rest;
2) [-]butadione;
3) [-] compresses with Vishnevsky's ointment;
4) [+] active walking;
5) [-] elevated position of the limb.
A 57 YEARS OLD PATIENT APPLICED TO THE POLYCLINIC WITH A DISEASE DATE OF 2 DAYS.
WHAT IN THIS CASE SHOULD BE CONSIDERED NOT CHARACTERISTIC FOR ILEOFEMORAL
PHLEBOTHROMBOSIS?
1) [+] lack of pulse on the popliteal artery and arteries of the foot;
2) [-] swelling of the lower leg and thigh;
3) [-] bursting pains;
4) [-] hyperemia and cyanosis of the thigh skin.
WHAT IS THE MOST RARE COMPLICATION OF VARICOSE DISEASE AN OUTPATIENT SURGEON
MAY ENCOUNTER?
1) [-] eczematous dermatitis;
2) [+] thrombosis of the peroneal vein;
3) [-] varicose rupture;
4) [-] trophic ulcer;
5) [-] hyperpigmentation.
A 32 YEARS OLD WOMAN WAS AT THE RECEPTION OF THE OUTPATIENT SURGEON WITH A
REQUEST TO DEFINE THE POSSIBILITIES OF MINIMALLY INVASIVE TREATMENT OF VARICOSE
DISEASE. THE SURGEON SHOULD KNOW THAT CONTRAINDICATIONS FOR SCLEROTHERAPY
FOR VARICOSE DISEASE OF THE LOWER LIMB ARE:
1) [-] trophic disorders of the skin;
2) [-] main architectonics of veins;
3) [+] obliterating diseases of the arteries;
4) [-] night cramps.
DURING A CONVERSATION WITH A PATIENT IN OUTPATIENT CONDITIONS, THE SURGEON
SAID THAT EVERYTHING CAN CAUSE VARICOSE DISEASE, EXCEPT:
1) [-] pregnancy;
2) [-] static load;
3) [+] obliterating diseases of the arteries;
4) [-] obstruction of deep veins;
5) [-] genetic predisposition.
WHICH OF THE DISEASES DETECTED BY THE SURGEON AT THE RECEPTION IN THE
POLYCLINIC CAUSED THE PROGRESSION OF THE PATIENT'S VARICOSE DISEASE?
1) [+] violation of the valvular apparatus of the veins;
2) [-] blood clotting disorders;
3) [-] pathology of arterial blood flow in the limb;
4) [-] cardiac weakness;
5) [-] pathology of water-salt metabolism.
A YOUNG MAN WHO HAS BEEN IN A CAR ACCIDENT, WITH SIGNS OF ACUTE BLEEDING FROM
A THIGH WOUND, WAS URGENTLY BROUGHT TO A SURGEON'S RECEPTION. WHICH METHOD
OF TEMPORARY STOP OF BLEEDING SHOULD NOT BE USED IN THIS CASE?
1) [-] pressing the supply vessel to the bone;
2) [-] tight tamponade of the wound;
3) [-] tourniquet on the limb;
4) [-] clamping in the wound;
5) [+] vascular suture.
A TRACTOR OPERATOR WITH A PURPLE WOUND OF THE ELBOW AND ARTERIAL BLEEDING
WAS BROUGHT TO A SURGEON TO A RURAL DISTRICT OUTPATIENT CLINIC. THE PATIENT IS
INTRODUCED ANESTHETICS, A SYSTEM FOR INTRAVENOUS INFUSIONS IS SUPPLIED AND A
HARNESS IS APPLIED ABOVE THE WOUND. IT IS DECIDED TO SEND THE PATIENT BY
SPECIALIZED TRANSPORT TO THE VASCULAR HOSPITAL. HOW LONG CAN A HARNESS BE ON
A LIMB WITHOUT PERIODIC OPENING?
1) [+] 1 hour;
2) [-] 2 hours;
3) [-] 3 hours;
4) [-] 4 hours.
IN THE POLYCLINIC TREATMENT OF A PATIENT AFTER SURGERY OF VASCULAR PROSTHESIS
IMPLANTATION FOR CHRONIC ARTERIAL ISCHEMIA OF ATHEROSCLEROTIC GENESIS, THE
SURGEON ESTIMATED THE PROBABILITY OF GRAFT THROMBOSIS. THE LEADING FACTORS
OF ACUTE PROSTHETIC THROMBOSIS ARE ALL EXCEPT:
1) [+] anemia;
2) [-] slowing blood flow;
3) [-] increased blood clotting;
4) [-] atherosclerosis;
5) [-] infection.
WHEN TREATMENT IN THE POLYCLINIC OF PATIENTS OF ELDERLY AND SENIAL AGE, IT
SHOULD BE REMEMBERED THAT THE MOST COMMONLY THROMBATED:
1) [+] visceral branches of the aorta;
2) [-] the aorta itself;
3) [-] iliac arteries;
4) [-] femoral arteries.
A PATIENT WITH SIGNS OF ACUTE ARTERIAL ISCHEMIA OF THE LOWER LIMB WAS BROUGHT
TO THE POLYCLINIC TO THE SURGEON. WHAT CANNOT BE RELATED TO THE
CHARACTERISTIC SYMPTOMS OF THIS PATHOLOGY?
1) [-] pale skin;
2) [-] cooling of the skin;
3) [-] absence or weakening of the pulse below the level of occlusion;
4) [+] periodic cramps in the lower leg;
5) [-] constant pain in the limb.
WHAT DRUGS SHOULD NOT BE USED AT THE PREHOSPITAL STAGE IN ACUTE ARTERIAL
ISCHEMIA OF THE LOWER LIMB?
1) [-] antispasmodics;
2) [-] heparin;
3) [+] antibiotics;
4) [-] cardiotropic.
A 65 YEARS OLD PATIENT APPEALED TO THE POLYCLINIC WITH COMPLAINTS OF
NUMBNESS OF THE RIGHT LOWER LIMB, COOLING AND PERMANENT PAIN IN IT. SICK 8
HOURS. HISTORY - TRANSFERRED MYOCARDIAL INFARCTION. IN OBJECTIVE STUDIES
REVEALED: AFIBILITY; MOVEMENTS IN THE LIMB ARE SAVED; THE PULSE ON THE RIGHT
POPULAR ARTERY AND THE ARTERIES OF THE FOOT IS NOT DETECTED. DIAGNOSIS: ACUTE
ARTERIAL ISCHEMIA. INDICATE THE STAGE OF THE DISEASE:
1) [-] IA;
2) [+] I B;
3) [-] II A;
4) [-] II B;
5) [-] III A-B.
WHEN EXAMINATION OF A SERIOUS 68 YEARS OLD PATIENT AT HOME, THE SURGEON
REVEALED THE FOLLOWING DATA: IS SICK FOR 2 DAYS, COMPLAINTS OF STRONG
PERMANENT PAIN IN THE LEFT LOWER LIMB, THERE IS TISSUE EDEMA, PALE AND COOLING
OF THE SKIN, TOTAL MUSCULAR CONTROL. PULSATING OF THE PERIPHERAL VESSELS AND
DEEP SENSITIVITY AT THE LEVEL OF THE SHIN AND FOOT IS NOT DETECTED. DIAGNOSIS:
ACUTE ARTERIAL ISCHEMIA, STAGE III B. WHAT EMERGENCY OPERATION SHOULD BE
INDICATED TO THE PATIENT?
1) [-] vessel prosthesis;
2) [+] primary amputation;
3) [-] observation and conservative therapy;
4) [-] X-ray endovascular examination.
DURING THE STUDY OF THE PATIENT IN THE POLYCLINIC, ANEURYSM OF THE THORACIC
AORTIC DEPARTMENT IS SUSPECTED. WHAT SYMPTOMS ARE NOT CHARACTERISTIC FOR
THIS DISEASE?
1) [-] pain in the region of the heart;
2) [-] arrhythmia;
3) [+] intercostal neuralgia;
4) [-] shortness of breath and cough;
5) [-] dysphagia.
A PATIENT WITH PERMANENT STRONG PAIN IN THE ABDOMEN IS BROUGHT TO THE
SURGEON'S RECEPTION. FROM THE HISTORY IT IS REVEALED THAT HE IS SICK FOR 3 HOURS.
OBJECTIVELY: HEMODYNAMICS - UNSTABLE, PULSE - 90 beats/min, PULSATING FORMATION
AT THE LEVEL OF THE UMBILIS, PULSE IN THE FEMORAL ARTERIES WEAKENED. THE
PATIENT IS PALE. WHAT DISEASE CAN BE SUSPECTED?
1) [-] ulcer bleeding;
2) [-] pancreatic necrosis;
3) [+] dissecting aortic aneurysm;
4) [-] myocardial infarction;
5) [-] mesenteric thrombosis.
EXAMINATION OF A 45 YEARS OLD PATIENT IN A POLYCLINIC REVEALED: JAUNDICE, ASCITIS,
SPLENOMEGALY, BLACK SEAT, ANEMIA. IN HISTORY: SUFFERED PNEUMONIA, BOTKIN'S
DISEASE, APPENDECTOMY. WHAT DISEASE CAN CAUSE SUCH CLINICAL PICTURE?
1) [-] gastric ulcer;
2) [-] cholelithiasis;
3) [+] Budd-Chiari syndrome;
4) [-] leukemia.
WHEN ASSESSING BLOOD COAGULATION IN THE POLYCLINIC IN A PATIENT WITH GASTRIC
ULCER AND NOSE BLEEDING, THE FOLLOWING DATA WERE OBTAINED BY THE MAS-MAGRO
METHOD. WHICH OF THEM ARE THE NORM?
1) [-] 1 min;
2) [-] 2 min;
3) [+] 10 min;
4) [-] 20 min;
5) [-] 30 min.
A 61 YEARS OLD PATIENT APPEALED TO THE POLYCLINIC WITH COMPLAINTS OF PERIODIC
PAIN IN THE SHIN MUSCLES, ESPECIALLY WHEN WALKING (ABOUT 100-150 M) OR CLIMBING
THE STAIRS. FEEL ESPECIALLY BAD IN WINTER. IS A SMOKER WITH 35 YEARS OF
EXPERIENCE. AN OBJECTIVE EXAMINATION REVEALED THE ABSENCE OF PULSES IN THE
FEET AND A SHARP WEAKENING IN THE RIGHT POPULAR ARTERY. THE DIAGNOSIS IS
ESTABLISHED: OBLITERING ATHEROSCLEROSIS OF THE LOWER LIMB. INDICATE THE STAGE
OF THE DISEASE:
1) [-]I;
2) [+]II;
3) [-] III;
4) [-] IV.
FOR A LONG TIME, A 56-YEAR-OLD PATIENT WAS ON CONSERVATIVE TREATMENT IN A
POLYCLINIC FOR ATHEROSCLEROSIS OBLITERATION OF THE LOWER LIMB VESSELS. WHAT
CAN NOT BE AN INDICATION FOR SURGICAL TREATMENT IN THIS PATIENT?
1) [+] I stage of the disease;
2) [-] II B stage of the disease;
3) [-] III stage of the disease;
4) [-] IV stage of the disease.
A YOUNG PATIENT WAS IN THE POLYCLINIC TO THE SURGEON AFTER HOSPITAL
TREATMENT FOR A TRAUMATIC INJURY OF THE RIGHT HIGH VESSELS. DEVELOPMENT OF
WHAT COMPLICATIONS CAN THE SURGEON SUGGEST IN THIS PATIENT IN THE LONG PERIOD?
1) [+] false arterial aneurysm;
2) [-] obliterating atherosclerosis;
3) [-] Buerger's thromboangiitis;
4) [-] "on" syndrome;
5) [-] acute renal failure.
A PATIENT WHICH HAS PERFORMED PROSTHETICS OF THE RIGHT ILIO-FEMORAL SEGMENT
WITH A SYNTHETIC PROSTHESIS APPROVED TO A POLYCLINIC TO A SURGEON. IN THE LAST
MONTH, THE PATIENT HAS NOTICED PERIODIC PAIN IN THE SHIN MUSCLES WHILE WALKING,
A FEELING OF "FATIGUE" IN THE LOWER LIMB, ITS COOLING. WHICH OF THE MOST PROBABLE
COMPLICATIONS AFTER THE OPERATION COULD DEVELOP IN THIS PATIENT?
1) [+] prosthesis thrombosis;
2) [-] flat feet;
3) [-] angiotrophopathy;
4) [-] phlebothrombosis;
5) [-] post-thrombotic disease.
WHAT TYPES OF DILATED VENOUS ANASTOMOSES SHOULD NOT BE CONSIDERED
CHARACTERISTIC IN A PATIENT WITH PORTAL HYPERTENSION IN A POLYCLINIC?
1) [-] in the region of the lower third of the esophagus;
2) [-] on the anterior abdominal wall;
3) [+] on the head and neck;
4) [-] in the lower third of the rectum.
WHEN EXAMINING A PATIENT WITH CHRONIC ARTERIAL ISCHEMIA, THE SURGEON OF THE
POLYCLINIC CARRIED OUT A DIFFERENTIAL DIAGNOSIS BETWEEN OBLITERATING
ATHEROSCLEROSIS AND ENDARTERIITIS. WHAT SIGNS SHOULD NOT BE CONSIDERED?
1) [-] age of the patient;
2) [-] blood plasma cholesterol level;
3) [+] strengthening of the venous pattern of the limb;
4) [-] diameter of arterial lesions.
WHAT TREATMENT SHOULD AN OUTPATIENT SURGEON RECOMMEND TO A PATIENT IN THE
FIRST STAGE OF OBLITERATING ENDARTERITIS?
1) [-] sympathectomy;
2) [-] primary amputation;
3) [+] conservative therapy;
4) [-] reconstructive surgery on vessels.
A PATIENT WITH STAGE III OF ATHEROSCLEROSIS OBLITERATION APPEALED TO THE
POLYCLINIC TO THE SURGEON. WHAT SYMPTOMS WILL THE PATIENT HAVE?
1) [+] pain at rest;
2) [-] skin moisture;
3) [-] flat feet;
4) [-] symptom of Gomans;
5) [-] anemia.
A PATIENT WITH LERISH SYNDROME APPEALED TO THE POLYCLINIC FOR AN RECEPTION TO
THE SURGEON. WHAT IT IS?
1) [+] atherosclerotic occlusion of the bifurcation of the abdominal aorta;
2) [-] capillaropathy;
3) [-] aortoarteritis;
4) [-] migrating thromboangiitis;
5) [-] occlusion of the inferior vena cava.
WHEN STUDYING THE ACCOMPANYING MEDICAL DOCUMENTATION, THE SURGEON OF THE
POLYCLINIC REVEALED THAT THE PATIENT SUFFERED WITH RAYLE'S DISEASE. WHAT IT IS?
1) [-] occlusion of the abdominal aorta;
2) [-] temporal arteritis;
3) [+] thrombosis of the arteries of the toes;
4) [-] thrombosis of mesenteric vessels.
WHEN EXAMINATION IN THE POLYCLINIC OF A PATIENT WITH STAGE IV OCCLUSIVE DISEASE
OF THE MAIN ARTERIES, THE SURGEON SHOULD RECOMMEND TO THE PATIENT:
1) [-] massive antibiotic therapy;
2) [-] striped cuts;
3) [-] bypass operation;
4) [+] primary limb amputation.
IN A POLYCLINIC, A 67 YEARS OLD PATIENT IS DIAGNOSED BY A SURGEON:
ATHEROSCLEROSIS OBLITERATION, OCCLUSION OF THE RIGHT FEMORAL ARTERY. WHAT
COMPLICATIONS ARE NOT POSSIBLE?
1) [-] limb gangrene;
2) [-] trophic ulcers;
3) [+] pulmonary embolism;
4) [-] intermittent claudication;
5) [-] ischemic neuritis.
DURING THE EXAMINATION IN THE POLYCLINIC, THE SURGEON DID NOT FIND IN THE
PATIENT PULSE ON THE RIGHT RADIAL ARTERY. IN WHAT DISEASE IS IT POSSIBLE?
1) [+] Takayasu's disease;
2) [-] thrombophlebitis of the cubital vein;
3) [-] obliterating atherosclerosis of the lower extremities;
4) [-] aortoarteritis;
5) [-] Buerger's thromboangiitis.
WHEN CHOOSING THE METHOD OF TREATMENT OF A PATIENT WITH OBLITERATING
DISEASES OF THE LOWER LIMB ARTERIES, THE OUTPATIENT SURGEON COULD NOT
RECOMMEND:
1) [-] sympathectomy;
2) [+] safenectomy;
3) [-] prosthetic artery;
4) [-] limb amputation;
5) [-] conservative treatment.
WHEN EXAMINING A PATIENT IN A POLYCLINIC, A SURGEON SUSPECTED AN EMBOLISM OF
THE RIGHT POPLETE ARTERY. FOR THIS DISEASE IS NOT CHARACTERISTIC:
1) [-] atrial fibrillation;
2) [-] lack of pulsation on the foot;
3) [+] absence of pulsation on the right femoral artery;
4) [-] pain in the right leg;
5) [-] pale skin of the foot.
DURING EXAMINATION OF A 64 YEARS OLD PATIENT IN A POLYCLINIC, THE SURGEON
SUSPECTED HIM TO HAVE LERISCH SYNDROME. IT IS NOT CHARACTERISTIC FOR HIM:
1) [-] high intermittent claudication;
2) [-] lack of pulse on the femoral arteries;
3) [-] impotence;
4) [+] enhanced venous pattern;
5) [-] pallor of the skin of the lower extremities.
IN THE POLYCLINIC, THE SURGEON REVEALED IN A 48 YEARS OLD PATIENT THE
PHENOMENA OF ACUTE ARTERIAL ISCHEMIA OF THE RIGHT LOWER LIMB STAGE I B. WHAT
SHOULD THE SURGEON DO?
1) [-] prescribe conservative treatment in a polyclinic;
2) [-] make incisions on the foot;
3) [+] urgently refer to the angiological hospital;
4) [-] carry out hyperbaric oxygen therapy;
5) [-] recommend primary limb amputation.
WHAT IS THE MOST EFFECTIVE METHOD OF PREVENTING THE PROGRESSION OF LOWER
LIMB VARICOSE DISEASE AN OUTPATIENT SURGEON CAN PRESCRIBE?
1) [-] observance of a rational regime of work and rest;
2) [+] compression therapy of the lower extremities;
3) [-] physiotherapy treatment;
4) [-] restriction of heavy physical activity;
5) [-] complex therapy with vasoprotectors.
A PATIENT WITH OCCLEGASING ATHEROSCLEROSIS OF THE LOWER LIMB ARTERIES,
CHRONIC ARTERIAL ISCHEMIA WAS AT AN RECEPTION TO THE SURGEON IN THE POLYCLINIC.
WHEN THIS DISEASE IS DETECTED:
1) [-] pain during movement in the joints of the limbs;
2) [+] intermittent claudication;
3) [-] sciatica;
4) [-] the occurrence of trophic ulcers in the area of the knee joints;
5) [-] concomitant deep vein thrombophlebitis.
WHAT CAN A POLYCLINIC SURGEON RECOMMEND FOR CONSERVATIVE TREATMENT OF
LOWER LIMB VARICOSE VEINS?
1) [-] regular swimming;
2) [-] compression therapy of the lower extremities;
3) [-] warm thermal and swimming pools;
4) [-] preparations with venotonic action;
5) [+] everything is correct.
WHAT IS NOT TYPICAL FOR VARICOSE VEINS OF THE LOWER LIMB?
1) [-] edema;
2) [-] hyperpigmentation of the skin of the lower third of the legs;
3) [-] the formation of ulcers on the legs;
4) [+] hyperpigmentation of the skin of the thighs;
5) [-] dermatitis.
WHEN ASSESSING THE CAUSES OF CHRONIC VENOUS INSUFFICIENCY OF THE LOWER LIMB
IN A 56 YEARS OLD PATIENT WITH VARICOSE DISEASE, THE AMBULATORY SURGEON
SUGGESTED A NUMBER OF FACTORS. EXCLUDE INCORRECT:
1) [-] valvular insufficiency of communicating veins;
2) [+] damage to the heart in left ventricular failure;
3) [-] mechanical obstruction of the outflow of blood from the limb;
4) [-] valvular insufficiency of the great saphenous and deep veins;
5) [-] violation of the tone of the venous wall.
WHAT SHOULD AN OUTBULATORY SURGEON DO WHEN I HAVE EXCESSIVE BLEEDING FROM
A BURNED VARICOSE ON THE SHIN?
1) [-] inject vikasol intramuscularly;
2) [-] press the femoral artery;
3) [-] give the limb an elevated position;
4) [+] apply a pressure bandage to the site of bleeding and send to the hospital;
5) [-] transfuse donor blood intravenously.
THE OUTPATIENT SURGEON SHOULD REMEMBER THAT IN ATHEROSCLEROSIS OBLITERUS
THE FIRST OF ALL ARE AFFECTED:
1) [-] tibial arteries;
2) [-] popliteal artery;
3) [-] finger arteries;
4) [+] femoral artery;
5) [-] iliac veins.
THE OUTPATIENT SURGEON SHOULD REMEMBER THAT IN ENDARTERIIT OBLITERATORS THE
FIRST PERIOD IS AFFECTED:
1) [+] tibial arteries;
2) [-] popliteal artery;
3) [-] femoral artery;
4) [-] iliac artery;
5) [-] aorta.
THE OUTPATIENT SURGEON SHOULD REMEMBER THAT IN DIABETIC ANGIOPATHY THE FIRST
PERIOD IS AFFECTED:
1) [+] foot arteries;
2) [-] popliteal artery;
3) [-] femoral artery;
4) [-] iliac artery;
5) [-] aorta.
INDICATE THE MOST COMMON CAUSE OF PORTAL HYPERTENSION SYNDROME:
1) [+] cirrhosis of the liver;
2) [-] Sent's triad;
3) [-] Caroli's syndrome;
4) [-] Chiari disease;
5) [-] cancer of the head of the pancreas.
A PATIENT WITH A HISTORY OF VIRAL HEPATITIS WAS APPOINTED TO THE SURGEON OF
THE POLYCLINIC. THE SURGEON SUSPECTED PORTAL HYPERTENSION SYNDROME IN THE
PATIENT. WHAT IS THE MOST COMMON SYMPTOM OF THIS DISEASE?
1) [+] splenomegaly;
2) [-] hypersplenism;
3) [-] hemorrhoids;
4) [-] bleeding from varicose veins of the esophagus;
5) [-] ascites.
A PATIENT WITH AN INFLAMMATORY PROCESS IN THE REGION OF THE RIGHT SHOULDER
WAS APPOINTED TO THE OUTPATIENT SURGEON WITH A HISTORY OF INJURY. WAS
DIAGNOSED: PHEGMON; WHEN OPENED, THE CAVITY IS FILLED WITH BLOOD, THE
STRONGEST BLEEDING HAS DEVELOPED, WHICH IS POSSIBLE TO STOP ONLY BY
APPLICATION OF A HARNESS ABOVE THE PLACE OF DAMAGE. WHAT IS THE CORRECT
DIAGNOSIS?
1) [+] post-traumatic artery aneurysm;
2) [-] hematoma;
3) [-] phlegmon.
OUTPATIENT SURGEON DIAGNOSED A PATIENT'S POST-TRAUMATIC ANEURYSM OF THE
FEMORAL ARTERY. WHICH OF THE FOLLOWING SYMPTOMS IS NOT CHARACTERISTIC FOR
THIS PATHOLOGY?
1) [-] pulsating swelling of dense elastic consistency;
2) [-] continuous vascular noise over the swelling;
3) [-] distal to the aneurysm, the pulsation of the vessel is weakened;
4) [+] anemia.
WHAT IS DYPNEA AND COUGH DEVELOPMENT IN A PATIENT WITH DISPLACED AORTIC
ANEURYSM ASSOCIATED WITH?
1) [-] with congestion in the lungs;
2) [+] with pressure of the aneurysm on the trachea;
3) [-] with compression of the recurrent nerve;
4) [-] with compression of the superior vena cava.
WHAT IS CHARACTERISTIC FOR ARTERIAL PRESSURE IN DISSEMINATED AORTIC ANEURYSM?
1) [+] differs on the right and left hand;
2) [-] higher on the arms than on the legs;
3) [-] the same on the arms and legs;
4) [-] differs on the right and left legs.
A YOUNG MAN COME TO THE OUTPATIENT SURGEON WITH COMPLAINTS OF PAIN IN THE
STERNUM REGION. FROM THE ANAMNESIS, IT FOUND OUT THAT THE DAY EVER AT
TRAINING HE RECEIVED A STRONG IMPACT TO THE STERNUM REGION. WHAT WILL BE
CHARACTERISTIC FOR A HEART INJURY?
1) [-] heartbeat;
2) [-] arrhythmia;
3) [-] deafness of heart tones;
4) [-] pain in the region of the heart;
5) [+] all of the above.
IN THE POLYCLINIC, THE SURGEON REVEALED MULTIPLE FRACTURES OF V-VII RIBS IN THE
PATIENT'S RIGHT. WHAT SIGNS ARE NOT CHARACTERISTIC FOR DAMAGE TO THE PLEURA
AND LUNG TISSUE?
1) [-] hemoptysis;
2) [+] pain behind the sternum with irradiation to the left shoulder girdle;
3) [-] pneumothorax;
4) [-] subcutaneous emphysema;
5) [-] crepitation of bone fragments.
A 45 YEARS OLD PATIENT THAT HAS BEEN IN A CAR ACCIDENT WERE BROUGHT INTO THE
POLYCLINIC TO THE SURGEON FROM THE STREET. DURING EXAMINATION, THE SURGEON
SUSPECTED A FRACTURE IN THE RIGHT SHOULDER JOINT. NOT TYPICAL FOR THIS
PATHOLOGY:
1) [+] limb lengthening;
2) [-] limb shortening;
3) [-] lack of active movements;
4) [-] pain during passive movements.
AT THE RECEPTION WITH THE OUTPATIENT SURGEON, THE PATIENT COMPLAINTED OF
CONSTANT STRONG PAIN IN THE AREA OF THE LEFT FOOT AND HEEL. THE EVE, BEING IN A
STATE OF ALCOHOLIC DRUG, THE PATIENT JUMPED FROM THE 2nd FLOOR. WHICH OF THE
LISTED SIGNS WILL INDICATE A FRACTURE OF THE CANEAL BONE?
1) [+] drooping of the tops of the ankles on the side of the lesion;
2) [-] displacement of the outer ankle upward;
3) [-] displacement of the inner ankle up;
4) [-] pain in the calcaneus;
5) [-] hemarthrosis of the ankle joint.
DURING EXAMINATION OF THE PATIENT, THE OUTPATIENT SURGEON SUSPECTED DAMAGE
TO THE OWN PATELLITE LIGAMENT. WHAT DOES SUCH PATHOLOGY MANIFEST?
1) [+] violation of leg extension;
2) [-] violation of leg flexion;
3) [-] fluctuation of the patella;
4) [-] pain on palpation of the patella;
5) [-] instability of the knee joint.
WHEN EXAMINATION OF A 21 YEARS OLD PATIENT, THE SURGEON OF THE POLYCLINIC
REVEALED MULTIPLE ATTRACTIONS AND BRUISES OF THE HEAD. IT FOUND OUT THAT THE
PATIENT HAS BEEN BEATENED BY UNKNOWN ON THE EVE. WHAT SYMPTOMS ARE NOT
CHARACTERISTIC IN THIS FOR A CONCUSION OF THE BRAIN?
1) [-] nausea;
2) [-] dizziness;
3) [-] unstable anisocoria;
4) [+] anemia;
5) [-] headache.
DURING EXAMINATION IN THE POLYCLINIC OF THE PATIENT, THE SURGEON SUSPECTED A
FRACTURE OF THE SPINE IN THE ZONE TXI-TXII. WHICH OF THE LISTED RADIOLOGICAL
SIGNS WILL NOT CONFIRM THIS DIAGNOSIS?
1) [-] decrease in the height of the vertebral body;
2) [+] displacement of the intervertebral disc;
3) [-] hematoma of paravertebral tissues;
4) [-] change in the axis of the spine;
5) [-] the state of the cortical plates of the vertebrae.
A FOOTBALL PLAYER CAME TO THE SURGEON OF THE POLYCLINIC WITH COMPLAINTS OF
STRONG PAIN IN THE UPPER THIRD OF THE FRONT SURFACE OF THE RIGHT THIGH. THE
SPECIFIED PAIN APPEARED ON THE EVE OF THE TRAINING WITH A STRONG IMPACT ON THE
BALL. WHAT IS NOT CHARACTERISTIC IN THIS FOR THE RECTIFYING OF THE RECTIOFEMUS?
1) [-] pain in the groin area;
2) [-] limitation of hip flexion;
3) [+] impossibility of hip abduction;
4) [-] mechanism of injury.
DURING EXAMINATION OF A YOUNG MAN DOING TENNIS, THE SURGEON OF THE POLYCLINIC
SUSPECTED HIM TO HAVE A TYPICAL SUBCUTANEOUS RUPTURE OF THE ACHILLES TENDON.
WHAT IS NOT TYPICAL FOR THIS INJURY?
1) [-] the presence of degenerative changes in the muscle and tendon;
2) [+] localization of the gap in the area of transition of the muscle into the tendon;
3) [-] the location of the hematoma in the ankles;
4) [-] the type of sport that the patient is engaged in.
A 42 YEARS OLD PATIENT COME TO THE OUTPATIENT SURGEON WITH COMPLAINTS OF
MODERATE CONTINUOUS PAIN ON THE FRONT SURFACE OF THE RIGHT SHOULDER. WHAT IS
NOT CHARACTERISTIC FOR BICEPS MYOSITIS?
1) [-] the presence of pain;
2) [+] lymphadenitis;
3) [-] protective contracture of the shoulder;
4) [-] slight swelling of the shoulder;
5) [-] dysfunction of the limb.
IN A POLYCLINIC IN A 43 YEARS OLD PATIENT A FRACTURE OF THE RIGHT NAVOID BONE
WITHOUT DISPLACEMENT IS REVEALED. WHAT IMMOBILIZATION SHOULD THE PATIENT DO?
1) [+] apply a circular plaster bandage from the upper third of the forearm to the fingers with the
capture of the main phalanx of the first finger;
2) [-] circular bandage with fixation of the elbow joint;
3) [-] gypsum splint;
4) [-] Deso bandage.
A 56 YEARS OLD PATIENT CAME TO THE SURGEON IN THE POLYCLINIC WITH COMPLAINTS
OF PAIN IN THE RIGHT RADIOCULAR JOINT. 3 HOURS AGO FALL ON THE RIGHT HAND. WHAT
IS SPECIFIC FOR THE DIAGNOSIS OF A FRACTURE OF THE NAVOID BONE?
1) [-] pain during active and passive movements in the wrist joint;
2) [-] swelling of the joint;
3) [+] pain when pressing on the area of the anatomical snuffbox;
4) [-] crepitus;
5) [-] lymphangitis.
DURING EXAMINATION OF THE PATIENT IN THE POLYCLINIC, THE SURGEON REVEALED A
CLOSED FRACTURE OF THE LEFT BEAM IN A TYPICAL PLACE WITHOUT DISPLACEMENT.
WHAT IMMOBILIZATION SHOULD BE APPLIED IN THIS PATHOLOGY?
1) [+] dorsal and palmar plaster splints;
2) [-] circular plaster cast up to the upper third of the shoulder;
3) [-] circular bandage without gripping the elbow joint;
4) [-] palmar plaster splint;
5) [-] Deso bandage.
WHAT IMMOBILIZATION SHOULD AN OUTPATIENT SURGEON DO IN A PATIENT WITH A
FRACTURE IN THE ELBOW JOINT REGION?
1) [-] Deso bandage;
2) [+] Cramer's tire;
3) [-] thoracobrachial bandage;
4) [-] scarf;
5) [-] CITO bus.
WHAT FOREARM FRACTURES ARE MOST COMMON IN THE PRACTICE OF AN OUTPATIENT
SURGEON?
1) [+] fractures of the beam in a typical place;
2) [-] fractures of the middle third;
3) [-] fractures of the upper third;
4) [-] intra-articular fractures;
5) [-] fracture-dislocation.
WHAT IMMOBILIZATION SHOULD A POLYCLINIC SURGEON PERFORM WHEN TRANSPORTING
A PATIENT WITH A BROKEN SHONE OF THE SHOULDER TO THE HOSPITAL?
1) [+] Cramer's tire;
2) [-] Deso bandage;
3) [-] Delpe rings;
4) [-] scarf;
5) [-] plaster cast.
WHAT IMMOBILIZATION SHOULD AN OUTPATIENT SURGEON PERFORM WHEN A PATIENT
WITH A FRACTURE OF THE DISTAL SHOULDER IS REFERRED TO THE HOSPITAL?
1) [-] Deso bandage;
2) [+] Cramer's tire;
3) [-] scarf;
4) [-] plaster circular bandage;
5) [-] Delpe rings.
WHAT IS NOT TYPICAL FOR THE DIAGNOSIS OF HABITATIVE SHOULDER DISCOSION IN A
POLYCLINIC CONDITION?
1) [-] asymmetry of the blades;
2) [-] muscle atrophy in the area of the shoulder joint;
3) [-] limited range of motion;
4) [+] limb shortening;
5) [-] a history of shoulder dislocations.
WHAT IMMOBILIZATION SHOULD A POLYCLINIC SURGEON PERFORM TO TRANSPORT A
PATIENT WITH A FRACTURE OF THE CLAVE TO THE HOSPITAL?
1) [-] Cramer's tire;
2) [-] Deso bandage;
3) [+] fixation with a roller in the armpit;
4) [-] scarf;
5) [-] plaster splint.
WHAT SYMPTOMS OF STRETCHING OF THE SPHERES CAN A POLYCLINIC SURGEON FIND IN
A PATIENT?
1) [+] pain and dysfunction of the joint;
2) [-] pathological mobility;
3) [-] crepitus;
4) [-] springy fixation of the limb;
5) [-] lymphangitis.
PROGNOSIS FOR LONG-TERM COMPRESSION SYNDROME IS DETERMINED:
1) [-] compression time;
2) [-] compression area;
3) [-] the presence of concomitant mechanical damage;
4) [+] all of the above;
5) [-] none of the above.
WHAT SEVERITY OF LONG-TERM COMPRESSION SYNDROME WILL A PATIENT DEVELOP
WHEN COMPRESSING ONE LIMB FOR 5-6 HOURS?
1) [-] mild degree;
2) [-] moderate;
3) [+] severe;
4) [-] extremely severe.
SHOULD I APPLY A HARNESS ON THE LIMB BEFORE RELEASE IT DIRECTLY FROM UNDER THE
ROCKAGE?
1) [-] yes;
2) [-] no;
3) [+] only with obvious signs of non-viability of the limb.
WHICH METHOD OF ANESTHESIA IS PREFERRED FOR PROLONGED PRESSURE SYNDROME?
1) [+] case and circular blockades;
2) [-] subfascial injection of novocaine in the compression zone;
3) [-] administration of narcotic analgesics;
4) [-] intraosseous anesthesia.
IN PARAVERTEBRAL BLOCKADE, NOVOCAINE SOLUTION IS SUPPLIED BY:
1) [-] to the spinous processes of the vertebrae;
2) [+] to the transverse processes of the vertebrae;
3) [-] to the vertebral bodies;
4) [-] into the epidural space.
DURING THE CONDUCTION ANESTHESIA OF THE FINGER ACCORDING TO LUKASHEVICHOBERST, THE INTRODUCTION OF NOVOCAINE IS CARRIED OUT:
1) [+] at the base of the finger and on the lateral sides of the main pha¬lange;
2) [-] along the palmar surface of the finger;
3) [-] on the lateral sides of all phalanges of the finger;
4) [-] along the back surface of all phalanges.
WHAT MORPHOLOGICAL STRUCTURE DOES THE SURGEON CUT DURING TRACHEOTOMY?
1) [+] the anterior wall of the trachea;
2) [-] cricothyroid ligament;
3) [-] thyroid cartilage;
4) [-] cricoid cartilage.
WHICH ORGAN CAN BE DAMAGED BY A SURGEON WHEN CUTTING TISSUES DURING
TRACHEOTOMY?
1) [-] esophagus;
2) [+] the thyroid gland;
3) [-] throat;
4) [-] thymus gland;
5) [-] larynx.
WHEN CARRYING OUT VAGOSYMPATIC BLOCKADES ACCORDING TO VISHNEVSKY, THE
INTRODUCTION OF A NEEDLE WITH A SOLUTION OF NOVOCAINE IS CARRIED OUT:
1) [+] at the posterior edge of the sternocleidomastoid muscle above the intersection of its
external jugular vein;
2) [-] at the posterior edge of the sternocleidomastoid muscle below the intersection of its
external jugular vein;
3) [-] at the anterior edge of the sternocleidomastoid muscle above the intersection with its
external jugular vein;
4) [-] between the legs of the sternocleidomastoid muscle.
IN THE EXPRESS HEMATHROSIS AFTER ACUTE KNEE INJURY, EVERYTHING IS INDICATED,
EXCEPT:
1) [+] applying a warm compress;
2) [-] puncture of the knee joint;
3) [-] joint immobilization;
4) [-] analgesics.
SIGNS OF A FRACTURE DO NOT APPLY:
1) [-] pain;
2) [-] pathological mobility;
3) [-] crepitus;
4) [+] spring fixation;
5) [-] dysfunction.
SIGNS OF DISTRUCTION DO NOT APPLY:
1) [-] pain;
2) [+] crepitus;
3) [-] spring fixation;
4) [-] change in limb length;
5) [-] dysfunction.
FOR INTRA-ARTULAR FRACTURE IS CHARACTERISTIC OF:
1) [-] smoothness of the contours of the joint;
2) [-] violation of the external landmarks of the joint;
3) [-] pain;
4) [-] impaired limb function;
5) [+] all of the above.
A PATIENT TURNED TO THE OUTPATIENT SURGEON WITH COMPLAINTS OF PAIN IN THE
RIGHT KNEE JOINT. HISTORY: FALL WITH INJURY OF THE JOINT. ON EXAMINATION: THE
JOINT IS INCREASED IN VOLUME, ITS CONTOURS ARE SMOOTHED, THE PATELLET BALLOT IS
DETERMINED. MOST LIKELY DIAGNOSIS?
1) [-] phlegmon of the joint;
2) [+] post-traumatic hemarthrosis;
3) [-] deforming osteoarthritis;
4) [-] dislocation in the joint.
ANKYLOSIS OF THE JOINT IS:
1) [+] immobility in the joint as the outcome of pathological changes in it;
2) [-] immobility in the joint due to severe pain;
3) [-] immobility in the joint due to immobilization;
4) [-] inflammatory changes in the joint.
BURSIT IS:
1) [+] inflammation of the periarticular sac;
2) [-] inflammation of the articular surfaces;
3) [-] inflammation of the ligaments of the joint;
4) [-] inflammation of the muscle tendon.
WHEN INTERCOSTAL NERVE BLOCK IS CARRIED OUT, NOVOCAINE IS INTRODUCED:
1) [+] under the lower edge of the rib;
2) [-] under the upper edge of the rib;
3) [-] in the middle of the intercostal space;
4) [-] in any of the above places.
DURING THE INTRODUCTION OF THE DRUG, THE PATIENT HAS DEVELOPED ANAPHILACTIC
SHOCK. NOT INCLUDED IN THE EMERGENCY AID ALGORITHM?
1) [-] giving the patient a clinostatic position;
2) [-] termination of drug administration;
3) [-] chipping the injection site with a solution of novocaine with adrenaline;
4) [-] restoration of respiratory function and cardiac activity;
5) [+] application of a tourniquet on a limb.
ALTGOVER SHOCK INDEX IS:
1) [+] ratio of pulse to systolic blood pressure;
2) [-] ratio of pulse to diastolic blood pressure;
3) [-] the ratio of systolic blood pressure to central venous pressure;
4) [-] ratio of systolic blood pressure to pulse.
A PATIENT WITH A CUT WOUND PENETRATING INTO THE CAVITY OF THE ELBOW JOINT WAS
APPOINTED TO THE OUTPATIENT SURGEON. AFTER THE PRIMARY SURGICAL PROCESSING
OF THE JOINT CAPSULE, YOU SHOULD:
1) [-] suturing tightly;
2) [+] suturing tightly with the installation of drains;
3) [-] do not suture;
4) [-] apply provisional sutures.
FOR A FRACTURE OF THE PELVIC BONES IS CHARACTERISTIC:
1) [-] hip deformity on the side of the fracture;
2) [+] positive symptom of "stuck heel";
3) [-] negative symptom of spreading load on the wings of the ilium;
4) [-] all of the above.
A PATIENT CAME TO THE OUTPATIENT SURGEON WITH COMPLAINTS OF PAIN IN THE RIGHT
ELBOW JOINT, DISFUNCTION OF THE RIGHT HAND. During the examination, the joint area is
swollen, painful, the limb is in a half -ranging position, the forearm is shortened, the elbow
process protrudes posteriorly, active movements in the joint are impossible, and a springy
resistance is felt when passive movements try. WHAT PATHOLOGY SHOULD YOU THINK
ABOUT?
1) [-] contusion of the right elbow joint;
2) [-] anterior dislocation of the right elbow joint;
3) [+] posterior dislocation of the right elbow joint;
4) [-] deforming osteoarthrosis.
FOR WHAT HIP DISTRUCTION IS THE FOLLOWING POSITION OF THE LEGS CHARACTERISTIC:
MODERATELY BENT IN THE HIP JOINT, ADVISED AND ROTATED INTERNALLY?
1) [+] posterior superior iliac;
2) [-] anterosuperior pubic;
3) [-] anteroinferior obturator;
4) [-] posterior ischial.
SYMPTOM OF THE "KEY" IN DISTRUCTION OF THE CLAVE:
1) [+] is a reliable sign of rupture of the acromioclavicular joint;
2) [-] is a sign of a combination of dislocation of the clavicle with a fracture of the acromial
process of the scapula;
3) [-] consists in a sharp retraction of the clavicle;
4) [-] is determined by dislocation of the sternal part of the clavicle.
A CHARACTERISTIC FEATURE OF SUPRABUROUS FRACTURES OF THE HUMERUS IS:
1) [-] pain in the shoulder joint;
2) [+] absolute impossibility of active shoulder abduction;
3) [-] positive symptom of axial load;
4) [-] crepitus.
FOR ADDUCTIVE FRACTURE OF THE SURGICAL NECK OF THE HUMERUS IT IS NOT
CHARACTERISTIC FOR:
1) [-] the central fragment is displaced outwards;
2) [-] the peripheral fragment is displaced outwards and upwards;
3) [-] the angle between the fragments is open outwards;
4) [+] the peripheral fragment is displaced inwards.
THE ETIOLOGICAL FACTOR IN THE DEVELOPMENT OF FLATFOOT IS:
1) [+] congenital or acquired weakness of the ligamentous apparatus of the foot;
2) [-] congenital defects of the bone structures of the foot;
3) [-] myositis;
4) [-] trophic disorders.
FOR CIRCULAR NOVOCAINE BLOCK OF THE CROSS-SECTION OF THE LIMB, EVERYTHING IS
CHARACTERISTIC, EXCEPT:
1) [-] use for open fractures of long tubular bones;
2) [-] application of 0.25% novocaine solution;
3) [+] the introduction of novocaine into the fascial muscle cases;
4) [-] the introduction is made circularly, the needle sticks in the direction radial to the bone.
HEAL SPUR IS:
1) [+] pointed exostosis on the plantar surface of the calcaneus;
2) [-] the presence of severe callosity in the heel region;
3) [-] congenital rudimentary bone in the heel region;
4) [-] none of the above.
DEFEAT OF WHAT MORPHOLOGICAL STRUCTURES PRIMARY IN OSTEOCHONDROSIS?
1) [+] intervertebral discs;
2) [-] ligamentous apparatus of the spine;
3) [-] intervertebral joints;
4) [-] vertebral bodies.
THE RADIOLOGICAL SIGNS OF OSTEOCHONDROSIS DO NOT APPLY:
1) [-] decrease in the height of the intervertebral discs;
2) [-] subchondral sclerosis;
3) [-] marginal osteophytes;
4) [+] the formation of bone bridges (syndesmophytes) between adjacent vertebrae;
5) [-] subluxation of the vertebral bodies.
WITH WHICH OF THE DISEASES IS THE VISCERAL MANIFESTATION OF OSTEOCHONDROSIS
OF THE CERVICAL AND THORACIC SPINE MOST FREQUENTLY DIFFERENTIATED?
1) [-] pancreatitis;
2) [+] angina pectoris;
3) [-] gastric ulcer;
4) [-] colitis.
VISCERAL MANIFESTATIONS OF OSTEOCHONDROSIS OF THE THORACIC SPINE SHOULD BE
DIFFERENTIATED WITH ALL OF THE LISTED DISEASES, EXCEPT:
1) [-] angina pectoris;
2) [+] acute cystitis;
3) [-] gastric ulcer;
4) [-] acute calculous cholecystitis.
A PATIENT WITH EXAMINATION OF OSTEOCHONDROSIS OF THE LUMBAR SPINE WENT TO
THE POLYCLINIC. WHICH OF THE FOLLOWING IS NOT INDICATED TO THIS PATIENT?
1) [-] immobilization of the spine;
2) [-] paravertebral or epidural novocaine blockade;
3) [-] non-steroidal anti-inflammatory drugs;
4) [+] spa treatment.
WHAT IMMOBILIZATION SHOULD BE PERFORMED IN A PATIENT IN THE ACUTE STAGE OF
KNEE ARTHRITIS?
1) [-] thoracobrachial plaster cast;
2) [+] removable plaster splint;
3) [-] skeletal traction;
4) [-] elastic bandage up to the upper third of the thigh.
WHICH METHOD OF TREATMENT FROM THE PROPOSED IS INDICATED TO A PATIENT WITH
EPICONDYLITIS OF THE RIGHT SHOULDER?
1) [-] emergency surgical treatment;
2) [+] NSAID injection, physiotherapy;
3) [-] antibiotic therapy;
4) [-] skeletal traction;
5) [-] intra-articular administration of analgesics.
A 54 YEARS OLD PATIENT IS BROUGHT TO THE SURGEON WITH SHARP SUDDEN PAIN IN THE
ABDOMEN. CONSIDERS HIMSELF SICK FOR ABOUT 2 HOURS. AFTER THE EXAMINATION, THE
DIAGNOSIS OF PERFORATION OF A HOLLOW ABDOMINAL ORGANO WAS ESTABLISHED.
WHAT IS CHARACTERISTIC FOR A PERFORATIVE ULCER?
1) [-] vomiting of the color of "coffee grounds";
2) [+] board-like tension of the muscles of the anterior abdominal wall;
3) [-] symptom of "splash noise";
4) [-] Rovsing's symptom.
WHEN EXAMINATION BY AN OUTPATIENT SURGEON OF A PATIENT WITH A 15-YEAR HISTORY
OF ULCER, STENOSIS OF THE OUTLET STOMACH WAS SUSPECTED. WHAT IS NOT A
MANIFESTATION OF THIS PATHOLOGY?
1) [-] "splash" noise on an empty stomach;
2) [-] exsicosis;
3) [-] vomiting of eaten food;
4) [+] anemia;
5) [-] periodic convulsive syndrome.
A 32 YEARS OLD PATIENT HAS BEEN ADMITTED TO THE POLYCLINIC WITH STRONG PAIN IN
THE UPPER ABDOMINAL. WHAT IS NOT TYPICAL FOR A PERFECTED DUODINAL ULCER IN THE
FIRST 6 HOURS AFTER PERFORATION?
1) [-] "dagger" pains;
2) [-] lack of vomiting;
3) [+] frequent urge to stool;
4) [-] pneumoperitoneum;
5) [-] Spizharny's symptom.
WHEN INTERPRETATION OF THE SYMPTOM OF THE ABSENCE OF HEPATIC DULT IN A
PATIENT WITH A PERFORATIVE GASTRIC ULCER, THE POLYCLINIC SURGEON CONCLUDED
THAT THIS FACT IS DUE TO:
1) [-] bloating;
2) [-] the presence of fluid in the abdominal cavity;
3) [+] pneumoperitoneum;
4) [-] high standing diaphragm dome on the right;
5) [-] interposition of intestinal loops between the liver and the abdominal wall.
3 DAYS AFTER PERFORATION, WHEN ASSESSING SYMPTOMS IN A PATIENT WITH DUODINAL
ULCER, NO SIGNS OF PERITONITIS WERE DETECTED, THE TEMPERATURE IS NORMAL,
LEUKOCYTOSIS - 7.2X109/L, ON A REVIEW X-RAY OF THE ABDOMINAL CAVITY - PULSE.
TACTICS OF A POLYCLINIC SURGEON?
1) [-] observe in a polyclinic;
2) [-] give a water-soluble contrast agent and make an x-ray of the stomach;
3) [+] send the patient to the surgical hospital;
4) [-] assign strict bed rest;
5) [-] recommend massive antibiotic therapy.
A PALE PATIENT WITH ULCER ANAMNESIS HAS BEEN ADMITTED TO THE POLYCLINIC TO
THE SURGEON. PULSE - 88 beats/MIN, HELL - 100/60 MM Hg. ST. IN BLOOD TESTS:
2.8X1012/L ERYTHROCYTES. ULCER BLEEDING IS SUSPECTED. WHAT IS NOT
CHARACTERISTIC FOR HIM?
1) [-] black feces on a glove during rectal examination;
2) [-] increased pain in the epigastrium;
3) [+] weakening of pain in the epigastrium;
4) [-] vomiting mixed with blood;
5) [-] dizziness.
AT THE RECEPTION IN THE POLYCLINIC, A 42 YEARS OLD PATIENT COMPLAINTS OF
HEARTBURN AND PAIN 2 HOURS AFTER EATING. WHAT DISEASE CAN YOU THINK FIRST OF
ALL?
1) [-] about cholecystitis;
2) [-] about hepatitis;
3) [+] about duodenal ulcer;
4) [-] about chronic gastritis;
5) [-] about pancreatitis.
A SERIOUS PATIENT IS BROUGHT FROM THE STREET TO THE SURGEON'S OFFICE IN THE
POLYCLINIC. THE SURGEON SUSPECTED PERFORATION OF A HOLLOW ORGAN. WHAT
SYMPTOMS DO NOT INDICATE THIS DIAGNOSIS?
1) [-] sharp sudden pains in the abdomen;
2) [+] bloating;
3) [-] "board-shaped" stomach;
4) [-] disappearance of hepatic dullness;
5) [-] pneumoperitoneum.
A PATIENT WHERE THE DIAGNOSIS OF PERFORATIVE GASTRIC ULCER WAS APPOINTED TO
THE POLYCLINIC TO THE SURGEON. THE PATIENT REFUSED THE PROPOSED EMERGENCY
OPERATION FOR RELIGION. WHAT SHOULD A SURGEON DO?
1) [-] observe the patient;
2) [+] send to a surgical hospital;
3) [-] prescribe massive antibiotic therapy;
4) [-] assign strict bed rest at home;
5) [-] recommend antacids.
A 46 YEARS OLD PATIENT WITH ULCER DISEASE WAS IN THE POLYCLINIC TO THE SURGEON
TO SOLVE THE QUESTION OF SURGICAL TREATMENT. ULCER HISTORY IS OBSERVED FOR 12
YEARS. WHAT CAN BE THE BASIS FOR SENDING A PATIENT TO THE HOSPITAL FOR
OPERATION?
1) [-] localization of the ulcerative scar in the duodenum 12;
2) [-] localization of a flat ulcer in the stomach;
3) [+] the diameter of the gastric ulcer is more than 2 cm;
4) [-] absence of ulcers during gastroduodenoscopy;
5) [-] absence of complications of peptic ulcer.
A TYPICAL COMPLICATION OF Peptic ulcer of the stomach and duodenum IS NOT:
1) [-] bleeding;
2) [-] perforation;
3) [-] penetration;
4) [-] stenosis;
5) [+] malignancy.
IN THE POLYCLINIC, THE SURGEON SUSPECTED A PERFORATIVE ULCER OF THE DUODUM IN
THE PATIENT. WHAT RESEARCH SHOULD HE DO?
1) [-] gastroduodenoscopy;
2) [-] contrast radiography of the stomach;
3) [+] panoramic x-ray of the abdominal cavity;
4) [-] angiography;
5) [-] laparoscopy.
A PATIENT WITH A LONG-TERM HISTORY OF ULCER AND CHARACTERISTIC SYMPTOMS OF
THE DISEASE APPEALED TO THE POLYCLINIC TO THE SURGEON. WHICH ARE NOT TYPICAL
FOR PENETRATING GASTRIC ULCER?
1) [-] constant pain syndrome;
2) [-] ineffectiveness of pharmacological treatment;
3) [-] lack of seasonality and daily periodicity of pain;
4) [+] persistent constipation;
5) [-] irradiation of pain in the back.
WHEN STUDYING ULTRASONOGRAPHY DATA IN A PATIENT WITH Cholelithiasis, the SURGEON
OF THE POLYCLINIC DIAGNOSED THE PRESENCE OF BILIC HYPERTENSION. WHAT DIAMETER
OF CHOLEDOKH WILL INDICATE ABOUT THIS?
1) [-] 3 mm;
2) [-] 5 mm;
3) [-] 8 mm;
4) [+] 12 mm.
IN THE POLYCLINIC, A SURGEON DIAGNOSED THE PATIENT WITH ACUTE RECURRENT
CALCULOSIS CHOLECYSTITIS. WHAT SYMPTOM CAN INDICATE THE GANGRENOUS NATURE
OF INFLAMMATION?
1) [-] lack of hepatic dullness;
2) [+] reduction of pain syndrome against the background of increasing intoxication;
3) [-] paroxysmal nature of pain;
4) [-] Shchetkin-Blumberg symptom in the right hypochondrium;
5) [-] palpable gallbladder.
A 60 YEARS OLD PATIENT, ABOUT 20 YEARS SUFFERING WITH CHRONIC CALCULOSIS
CHOLECYSTITIS, APPROVED TO THE POLYCLINIC TO THE SURGEON. WHAT COMPLICATIONS
OF THIS PATHOLOGY CAN HE HAVE?
1) [-] varicose veins of the esophagus;
2) [+] dropsy of the gallbladder;
3) [-] duodenal ulcer;
4) [-] diverticulitis of the common bile duct.
WHICH COMPLICATIONS OF GALLSTONE DISEASE DETECTED AT THE RECEPTION OF AN
OUTPATIENT SURGEON REQUIRE EMERGENCY SURGICAL TREATMENT?
1) [-] obstructive jaundice;
2) [-] dropsy of the gallbladder;
3) [+] peritonitis;
4) [-] choledocholithiasis;
5) [-] papillostenosis.
CHOLANGITIS IS SUSPECTED IN A PATIENT WITH A LONG HISTORY OF Cholelithiasis. WHAT
IS NOT CHARACTERISTIC FOR THIS PATHOLOGY?
1) [-] chills;
2) [-] jaundice;
3) [+] symptom of Courvoisier;
4) [-] pain in the right hypochondrium.
A SURGEON DIAGNOSED ACUTE OBTURATIONAL CHOLECYSTITIS IN THE POLYCLINIC. WHAT
IS NOT CHARACTERISTIC FOR HIM?
1) [-] acute intense pain;
2) [-] palpable gallbladder;
3) [+] symptom of Courvoisier;
4) [-] Shchetkin-Blumberg symptom;
5) [-] leukocytosis.
THE OPTIMAL METHOD OF DIAGNOSTICS OF Choledocholithiasis IN POLYCLINICAL
CONDITIONS WILL BE:
1) [-] retrograde choledochopancreatography;
2) [+] ultrasonography;
3) [-] survey radiography of the abdominal cavity;
4) [-] percutaneous transhepatic cholangiography;
5) [-] biochemical blood test for bilirubin.
FOR THE DIAGNOSIS OF THE MECHANICAL CHARACTER OF JAUNDICE IN THE POLYCLINIC,
THE PATIENT SHOWED:
1) [+] additional examination and treatment in a surgical hospital;
2) [-] consultation of an infectious disease specialist;
3) [-] massive antibiotic therapy;
4) [-] antispasmodics.
FOR THE DIAGNOSIS OF OBSTRUCTIVE JAUNDICE IN A POLYCLINIC IN A PATIENT WITH
Cholelithiasis, A CHARACTERISTIC SIGN IS NOT:
1) [-] growth of the direct fraction of bilirubin;
2) [-] expansion of the common bile duct more than 10 mm;
3) [-] growth of alkaline phosphatase;
4) [+] growth of lactate dehydrogenase;
5) [-] discolored stool.
A 62 YEARS OLD PATIENT WITH LONG EXISTING CHOLEDOCHOLITHIASIS WAS IN THE
POLYCLINIC TO THE SURGEON. WHAT COMPLICATIONS ARE NOT CHARACTERISTIC FOR
THIS DISEASE?
1) [-] choledochal cancer;
2) [-] papillostenosis;
3) [+] choledoch diameter 4 mm;
4) [-] hemobilia;
5) [-] obstructive jaundice.
WHAT COMPLICATIONS OF CHOLEDOCHOLITHIASIS CAN AN OUTPATIENT SURGEON EXPECT
IN A PATIENT WITH Cholelithiasis?
1) [-] dropsy of the gallbladder;
2) [+] obstructive jaundice;
3) [-] perforation of the gallbladder;
4) [-] peritonitis.
WHICH ATTACK OF PAIN IN A PATIENT WITH GALLBLADD STONES WILL BE AN INDICATION
TO REFER HIM TO SURGICAL TREATMENT?
1) [+] first;
2) [-] second;
3) [-] third;
4) [-] set.
A 63 YEARS OLD, 24 YEARS OLD PATIENT SUFFERING WITH GALLSTONE DISEASE WAS AT
THE RECEPTION TO THE OUTPATIENT SURGEON. WHICH OF THE COMPLICATIONS OF THIS
PATHOLOGY WILL BE AN INDICATION FOR A ROUTINE SURGERY?
1) [-] peritonitis;
2) [-] cholangitis;
3) [-] jaundice a;
4) [+] dropsy of the gallbladder;
5) [-] pancreatic necrosis.
A 64 YEARS OLD PATIENT APPEARED TO AN OUTPATIENT SURGEON WITH GALLBLADD
STONES AND JAUNDICE. WHAT WILL SAY IN FAVOR OF THE ONCOLOGICAL CHARACTER OF
THIS PATHOLOGY?
1) [-] Shchetkin-Blumberg symptom;
2) [+] symptom of Courvoisier;
3) [-] high leukocytosis;
4) [-] cramping pains;
5) [-] hyperthermia.
WHEN EXAMINATION OF THE PATIENT IN THE POLYCLINIC FOR 10 DAYS AFTER THE
APPENDECTOMY OPERATION, THE SURGEON REVEALED A NUMBER OF SYMPTOMS. WHICH
OF THEM ARE SIGNS OF A DOUGLAS SPACE ABSCESS?
1) [-] muscle tension of the anterior abdominal wall;
2) [-] positive Shchetkin-Blumberg symptom;
3) [+] overhanging and soreness of the anterior wall of the rectum;
4) [-] restriction of diaphragm mobility;
5) [-] repeated vomiting.
A PATIENT WITH CONSTANT MODERATE PAIN IN THE RIGHT ILIAC REGION WAS AT AN
APPOINTMENT TO THE SURGEON IN THE POLYCLINIC. FROM THE HISTORY IT IS FOUND
THAT THE PATIENT IS SICK FOR 10 HOURS. PHYSICAL AND LABORATORY METHODS OF
RESEARCH HAVE ESTABLISHED A POSITIVE DIAGNOSIS OF ACUTE APPENDICITIS. IN THIS
DISEASE, OPERATION IS NOT INDICATED AT:
1) [-] the first attack of appendicitis;
2) [+] unclear diagnosis;
3) [-] the duration of the disease for more than 12 hours;
4) [-] a history of coronary heart disease.
DURING EXAMINATION OF THE PATIENT IN THE POLYCLINIC, THE SURGEON SUSPECTED
APPENDICULAR INFILTRATE. FOR THIS DISEASE NOT CHARACTERISTIC:
1) [-] palpable painful conglomerate in the right iliac region;
2) [+] the duration of the disease is 1 day;
3) [-] subfebrile temperature;
4) [-] abdominal pain;
5) [-] moderate leukocytosis.
WHEN A DIFFERENTIAL DIAGNOSIS IS NECESSARY IN A PATIENT BETWEEN RENAL COLICA
AND ACUTE APPENDICITIS, THE SURGEON OF THE POLYCLINIC SHOULD PERFORM THE
FOLLOWING:
1) [-] excretory urography;
2) [-] general urinalysis, according to Nechiporenko;
3) [-] chromocystoscopy;
4) [+] send the patient to the surgical hospital;
5) [-] introduce antispasmodics.
A PATIENT THAT HAVE SUFFERED APPENDECTOMY AND COMED TO AN OUTPATIENT
SURGEON'S RECEPTION ON 44 DAYS AFTER THE SURGERY APPEARED NAUSE, BLOODY BODY,
THREE TIMES VOMITING, CAMPING ADOMINAL PAIN. WHAT COMPLICATION COULD OCCUR
IN THE PATIENT?
1) [-] early adhesive intestinal obstruction;
2) [+] late adhesive intestinal obstruction;
3) [-] eventration;
4) [-] pneumonia;
5) [-] perforation of a hollow abdominal organ.
WHEN EXAMINING THE PATIENT IN THE OUTPATIENT CENTER, THE SURGEON REVEALED A
NUMBER OF SYMPTOMS. WHICH OF THEM ARE NOT CHARACTERISTIC FOR THE
GANGRENOUS FORM OF APPENDICITIS?
1) [+] increased pain;
2) [-] pain relief;
3) [-] severe tachycardia;
4) [-] temperature increase;
5) [-] positive Shchetkin-Blumberg symptom.
WHEN AFTER TREATMENT IN THE POLYCLINIC OF A PATIENT WITH APPENDICULAR
INFILTRATION, IT IS INAPPROPRIATE TO PRESCRIBE:
1) [-] physiotherapy treatment;
2) [-] sparing diet;
3) [+] narcotic analgesics;
4) [-] antibiotics.
WHEN STUDYING THE ACCOMPANYING MEDICAL DOCUMENTATION OF THE PATIENT IN THE
POLYCLINIC, THE SURGEON DISCOVERED INFORMATION ABOUT DIVERTICULECTOMY.
WHERE IS MECCKEL'S DIVERTICULUM LOCATED?
1) [-] in the caecum;
2) [+] in the ileum;
3) [-] in the appendix;
4) [-] in the extrahepatic bile ducts;
5) [-] in the stomach.
THE OUTPATIENT SURGEON SHOULD REMEMBER THAT THE SYMPTOMS OF ACUTE
APPENDICITIS IN CHILDREN DO NOT APPLY:
1) [+] rapid development of appendicular infiltrate;
2) [-] prevalence of general symptoms over local ones;
3) [-] rapid development of destructive forms of the disease;
4) [-] the presence of dyspeptic phenomena.
A WOMAN WITH A CLINICAL PICTURE OF ACUTE APPENDICITIS AND THE TERMS OF
PREGNANCY 6-8 WEEKS APPOINTED TO THE SURGEON. WHAT SYMPTOMS MAY BE
CHARACTERISTIC IN THIS SITUATION?
1) [-] cramping pains;
2) [+] higher pain localization;
3) [-] absence of leukocytosis;
4) [-] bradycardia;
5) [-] vaginal discharge.
IN THE POLYCLINIC IN A PATIENT WHO HAD APPENDECTOMY 2 WEEKS AGO, THE SURGEON
SUSPECTED A RIGHT-SIDE SUBDIAPHRAGMIC ABSCESS. WHAT SIGNS ARE NOT
CHARACTERISTIC FOR THIS COMPLICATION?
1) [-] right-sided pleurisy;
2) [-] high standing of the right dome of the diaphragm;
3) [+] positive symptom of Courvoisier;
4) [-] restriction of mobility of the right dome of the diaphragm;
5) [-] right-sided pneumonia.
WHEN ACUTE APPENDICITIS IS SUSPECTED IN A POLYCLINIC SETTING, THE SURGEON
SHOULD DO THE FOLLOWING:
1) [-] put an ice pack on the right iliac region;
2) [-] give a laxative;
3) [+] send the patient to the surgical hospital;
4) [-] perform gastric lavage;
5) [-] prescribe antibiotics.
IN A 37-YEAR-OLD PATIENT ON THE 11 DAY AFTER THE APPENDECTOMY OPERATION, THE
OUTPATIENT SURGEON REVEALED INTESTINAL PARESIS, CHILLS, PAIN IN THE RIGHT
ABDOMINAL HALF, THE ABSENCE OF SYMPTOMS OF PERITONEAL IRRITATION, INCREASED
LIVER AND ICTERICITY OF THE SCLAIRES. WHAT COMPLICATION OF THE OPERATION CAN
YOU THINK ABOUT?
1) [-] about peritonitis;
2) [-] about adhesive intestinal obstruction;
3) [+] about hepatic abscess;
4) [-] about the abscess of the Douglas space;
5) [-] about pneumonia.
ON DAY 12 AFTER THE APPENDECTOMY, THE PATIENT APPEARED PAIN IN THE DEPTH OF
THE PELVIS, INCREASED BODY TEMPERATURE, TENESMIS AND URINATION DISTURBANCES,
LEUKOCYTOSIS GROWED TO 12X109/L. OUTPATIENT SURGEON SUSPECTED DOUGLAS
SPACE ABSCESS. WHAT ADDITIONAL RESEARCH METHOD SHOULD I START WITH?
1) [-] from plain radiography of the abdominal cavity;
2) [+] with a digital examination of the rectum;
3) [-] with chromocystoscopy;
4) [-] from sigmoidoscopy;
5) [-] with irrigography.
THE POLYCLINIC SURGEON SHOULD KNOW THAT A CONTRAINDICATION TO EMERGENCY
APPENDECTOMY IS:
1) [-] pregnancy in the second half;
2) [-] previous myocardial infarction;
3) [+] palpable appendicular infiltrate;
4) [-] old age;
5) [-] children's age.
IN POLYCLINICAL CONDITIONS FOR DIFFERENTIAL DIAGNOSTICS BETWEEN RIGHT-SIDED
PLEURITIS AND ACUTE APPENDICITIS, ALL SHOULD BE USED EXCEPT:
1) [-] X-ray examination of the chest;
2) [-] complete blood count;
3) [+] sigmoidoscopy;
4) [-] chest auscultation;
5) [-] percussion of the chest and abdomen.
WHAT METHOD OF RESEARCH IN A POLYCLINIC CAN HELP IN THE DIFFERENTIAL
DIAGNOSTICS OF ACUTE APPENDICITIS AND Ectopic Pregnancy?
1) [-] palpation of the abdomen;
2) [-] survey radiography of the abdominal cavity;
3) [+] puncture of the posterior fornix of the vagina;
4) [-] blood test for leukocytes;
5) [-] urinalysis.
THE AMBULATORY SURGEON SHOULD KNOW THAT THE SYMPTOM OF THE EXAMPLE IS
CONSIDERED IN THE DIAGNOSTICS:
1) [-] pelvic appendicitis;
2) [+] retrocecal appendicitis;
3) [-] subhepatic appendicitis;
4) [-] acute diverticulitis;
5) [-] acute salpingitis.
DURING THE EXAMINATION IN THE POLYCLINIC, THE SURGEON SUSPECTED A 36 YEARS OLD
PATIENT WITH RIGHT-SIDE STRENGTHENED FEMORAL HERNIA. WHAT DISEASES DO NOT
NEED A DIFFERENTIAL DIAGNOSIS WITH THIS DISEASE?
1) [-] with inguinal hernia;
2) [-] with inguinal lymphadenitis;
3) [+] with varicocele;
4) [-] with fossa ovale lipoma;
5) [-] with thrombophlebitis of a varicose vein in the area of the oval fossa.
A PATIENT WITH STRENGTHENED RIGHT-SIDE FEMORAL HERNIA WENT TO THE POLYCLINIC
TO THE SURGEON. IN THE DIAGNOSIS OF THIS DISEASE, EVERYTHING IS CHARACTERISTIC,
EXCEPT:
1) [-] symptoms of intestinal obstruction;
2) [-] sharp pains in the place of infringement;
3) [+] positive Shchetkin-Blumberg symptom;
4) [-] absence of the “cough shock” symptom;
5) [-] palpable formation.
IN A 19-YEAR-OLD MAN, UNDER STATIC LOAD, THE PREVIOUSLY EXISTING LEFT-SIDE
INGUINAL HERNIA HIS PREVIOUSLY EXISTED AND STOP REDUCING. THE PATIENT
REPEATEDLY UNSUCCESSFULLY ATTEMPTED TO SET THE HERNIA INDEPENDENTLY, THEN
HE COME TO THE SURGEON IN THE POLYCLINIC. WHAT SHOULD YOU DO IN THIS CASE?
1) [+] send the patient to the surgical hospital;
2) [-] try to reposition the hernia after 1 hour;
3) [-] introduce antispasmodics;
4) [-] assign strict bed rest;
5) [-] take a panoramic x-ray of the abdominal cavity.
A WOMAN AT THE AGE OF 82 YEARS DELIVERED TO THE POLYCLINIC BY RELATIVES. AFTER
THE EXAMINATION, THE DIAGNOSIS IS ESTABLISHED: STRENGTHENED LEFT-SIDE FEMORAL
HERNIA, PHEGMON OF THE HERNIAL SAC. NO SIGNS OF PERITONITIS. BODY IS SLIGHTLY
BLOODED. WHAT SHOULD THE PATIENT BE PRESCRIBED?
1) [-] strict bed rest;
2) [-] massive antibiotic therapy;
3) [+] emergency operation in a surgical hospital;
4) [-] dissection and drainage of phlegmon in the clinic;
5) [-] a warm bath and antispasmodics.
WHEN ASSESSING THE INGUINAL HERNIA IN A PATIENT, THE SURGEON OF THE POLYCLINIC
REVEALED SOME SYMPTOMS. OF THEM, THE FOLLOWING IS NOT CHARACTERISTIC FOR
OBLIQUE HERNIA:
1) [-] oval shape;
2) [+] round shape;
3) [-] descent of a hernia into the scrotum;
4) [-] location above the pupart ligament;
5) [-] cough push along the inguinal canal.
THE SURGEON IN THE POLYCLINIC SHOULD KNOW THAT FEMORAL HERNIAS ARE MORE
COMMON:
1) [-] in men;
2) [-] in old people;
3) [-] in children;
4) [+] in women;
5) [-] gender and age do not matter.
A PATIENT COMED TO THE POLYCLINIC TO THE SURGEON, IN WHICH 1 HOUR BACK AN
INGUINAL HERNIA SPONTANEOUSLY REDUCED. WHAT SHOULD YOU DO?
1) [-] emergency operation in a surgical hospital;
2) [+] observation in a surgical hospital;
3) [-] let the patient go home;
4) [-] blood test for leukocytes;
5) [-] survey radiography of the abdominal organs.
THE SURGEON OF THE POLYCLINIC APPOINTED A REVIEW RADIOGRAPHY OF THE
ABDOMINAL CAVITY ORGANS TO A PATIENT WITH A HERNIATION OF THE WHITE LINE OF
THE ABDOMINAL CAVITY. WHY WAS THIS DONE?
1) [-] to determine the nature of the organ in the hernial sac;
2) [+] to identify concomitant pathology of the stomach;
3) [-] to study the size of the hernial orifice;
4) [-] to detect preperitoneal lipoma.
A 63 YEARS OLD PATIENT TURNED TO THE POLYCLINIC TO THE SURGEON WITH
COMPLAINTS OF WEIGHT LOSS, LACK OF APPETITE, DULL PAIN IN THE STOMACH, PERIODIC
BLOATS OF THE BODY, PERSISTENT CONSTIPATION, DISCHARGE OF mucus FROM THE ANUS.
SICK FOR ABOUT 3 MONTHS. SUCH SYMPTOMS ARE CHARACTERISTIC FOR:
1) [-] strangulation intestinal obstruction;
2) [+] tumor colonic obstruction;
3) [-] astritis;
4) [-] colitis;
5) [-] enteritis.
WHEN STUDYING THE RADIOGRAPH, THE OUTPATIENT SURGEON SUSPECTED COLON
OBSTRUCTION. WHAT RADIOLOGICAL SIGNS COULD ALARM THE DOCTOR IN THIS SITUATION?
1) [-] relaxation of the domes of the diaphragm;
2) [+] Kloyberg bowls;
3) [-] pneumoperitoneum;
4) [-] the absence of a gas bubble of the stomach;
5) [-] blackout on the right flank.
WHEN EXAMINATION BY A SURGEON OF A 34 YEARS OLD PATIENT AT THE POLYCLINIC, THE
FOLLOWING SYMPTOMS WERE REVEALED: SHARP CLAMPING PAIN IN THE ABDOMEN, EARLY
REPEATED VOMITING, TWO TIME SMOOTH STOCK. THIS CLINICAL PICTURE IS TYPICAL FOR:
1) [+] high small bowel obstruction;
2) [-] low colonic obstruction;
3) [-] dynamic intestinal obstruction;
4) [-] coprostasis.
A 58 YEARS OLD PATIENT APPEALED TO THE POLYCLINIC TO THE SURGEON WITH
MODERATE CLAMPING PAIN IN THE ABDOMEN, BLOAT, NO SCORE AND GAS. SICK FOR A DAY,
VOMITING AN HOUR AGO. THESE SYMPTOMS ARE CHARACTERISTIC FOR:
1) [-] high small bowel obstruction;
2) [+] low colonic obstruction;
3) [-] dynamic intestinal obstruction;
4) [-] coprostasis.
A POLYCLINIC SURGEON SHOULD REMEMBER THAT INTESTINAL NECROSIS DEVELOPS
FASTEST WITH:
1) [-] intestinal obstruction with gallstones;
2) [-] foreign bodies in the intestines;
3) [-] abdominal adhesions;
4) [-] helminthiases;
5) [+] knot formation.
WHAT METHOD OF INVESTIGATION IS DECISIVE IN THE DIAGNOSIS OF "ACUTE INTESTINAL
OBSTRUCTION" IN A POLYCLINIC?
1) [+] survey radiography of the abdominal cavity;
2) [-] study of the passage of barium through the intestines;
3) [-] gastroscopy;
4) [-] complete blood count;
5) [-] digital examination of the rectum.
IT IS ALLOWABLE TO TREAT INTESTINAL OBSTRUCTION IN THE CONDITIONS OF THE
POLYCLINIC WHEN:
1) [-] inversions;
2) [+] chronic constipation;
3) [-] obstruction by tumors;
4) [-] strangulated hernia.
A 23 YEARS OLD WOMAN APPEARED DULL ANNING PAIN IN THE RIGHT GINGIAN REGION.
AFTER 4 HOURS, THE PAIN WAS INTENSIFIED AND SPREADED HIGHER. THE PATIENT CAME
FOR AN RECEPTION TO THE SURGEON IN THE REGIONAL POLYCLINIC. DURING THE
EXAMINATION: PULSE - 86 beats/MIN, HELL -120/80 MM Hg. ST., THE LANGUAGE IS DRY, THE
STOMACH IS NOT BLOWN, THERE IS A MODERATE STRENGTH OF THE ABDOMINAL WALL
MUSCLES ON THE RIGHT. THERE ARE NO SYMPTOMS OF PERITONEAL IRRITATION. BLOOD
LEUKOCYTES - 10X109/L. TAK-TIKA DOCTOR:
1) [-] consult a patient with a gynecologist;
2) [-] do sigmoidoscopy;
3) [+] send to a surgical hospital;
4) [-] perform abdominal ultrasound;
5) [-] make a survey radiography of the abdominal cavity.
DURING EXAMINATION BY A SURGEON IN A POLYCLINIC, THE PATIENT HAVE PAIN IN THE
RIGHT HYPOCOMBINA WITH IRRADIATION TO THE RIGHT SUPraclavicular Region, Hectic Fever,
High Standing of the Right Diaphragm Dome, and Leukocytosis. WHAT DISEASE DOES THIS
CLINICAL PICTURE INDICATE?
1) [-] about gangrenous appendicitis;
2) [-] about acute pancreatitis;
3) [-] about the abscess of the Douglas space;
4) [+] about subphrenic abscess;
5) [-] about acute cholecystitis.
A 19 YEARS OLD PATIENT TURNED TO A SURGEON IN A POLYCLINIC WITH COMPLAINTS OF
DULL PAIN IN THE EPISGASTRIAL REGION, NAUSE, WEAKNESS, INCREASED BODY
TEMPERATURE TO 37.6°C. SICK FOR 2 HOURS. EXAMINATION REVEALED: PULSE - 76
beats/MIN, BP - 120/70 MM Hg. ST., LANGUAGE IS WET, THE ABDOMEN IS SOFT IN ALL
DEPARTMENTS, THERE ARE NO SYMPTOMS OF PERITONEAL IRRITATION. BLOOD
LEUKOCYTES -12Х109/L. WHAT DISEASE CAN START LIKE THIS?
1) [-] acute adnexitis;
2) [+] acute appendicitis;
3) [-] paranephritis;
4) [-] renal colic;
5) [-] acute pneumonia.
A PATIENT WHO HAD SUSPECTED PANCREATIC CYST 1 YEAR AGO APPROVED TO THE
POLYCLINIC TO THE SURGEON. ADDITIONAL RESEARCH METHOD, MOST INFORMATIVE IN
THIS PATHOLOGY:
1) [+] Ultrasound of the abdominal cavity;
2) [-] radiography of the stomach;
3) [-] study of urine amylase;
4) [-] gastroscopy;
5) [-] ERCP.
WHEN EXAMINING THE PATIENT, THE OUTPATIENT SURGEON SUSPECTED ACUTE
PANCREATITIS. WHICH OF THE SPECIFIED SYMPTOMS ARE NOT CHARACTERISTIC FOR THIS
DISEASE?
1) [-] sudden onset;
2) [-] girdle pain;
3) [-] repeated vomiting;
4) [+] asymmetry of the abdomen;
5) [-] bloating.
WHAT LATE COMPLICATIONS OF THE DISEASE ARE NOT CHARACTERISTIC FOR
PANCRONECROSIS?
1) [-] polyserositis;
2) [-] pancreatic cyst;
3) [+] anemia;
4) [-] insufficiency of the excretory function of the pancreas;
5) [-] diabetes mellitus.
DURING EXAMINATION OF A PATIENT WHO HAD ACUTE PANCREATITIS 8 MONTHS AGO, AN
OUTPATIENT SURGEON REVEALED A MILDLY PAINFUL ROUND FORMATION 10 CM IN
DIAMETER IN THE UPPER FLOOR OF THE ABDOMINAL CAVITY. OTHER DEPARTMENTS OF
THE ABDOMINAL CAVITY, INTACT. IN BLOOD AND URINE TESTS - WITHOUT DIFFERENCES.
WHAT DISEASE CAN YOU THINK FIRST OF ALL?
1) [-] about a tumor of the stomach;
2) [+] about a false cyst of the pancreas;
3) [-] about aortic aneurysm;
4) [-] about pancreatic cystadenoma;
5) [-] about an abscess of the abdominal cavity.
WHAT TYPE OF CYSTS ARE PANCREATIC CYSTS IN PATIENTS WITH PANCRONECROSIS?
1) [-] to true cysts;
2) [+] to false cysts;
3) [-] to abscesses;
4) [-] to malignant tumor-like formations.
A PATIENT IS BROUGHT TO THE POLYCLINIC TO THE SURGEON, IN WHICH THE CLINICAL
PICTURE OF PANCREONETCROSIS IS REVEALED DURING THE EXAMINATION. WHAT IS NOT
CHARACTERISTIC FOR THIS DISEASE?
1) [-] girdle pain in the abdomen;
2) [-] repeated vomiting;
3) [+] pneumoperitoneum;
4) [-] acrocyanosis;
5) [-] tachycardia.
DURING THE ASSESSMENT OF LABORATORY DATA BY A POLYCLINIC SURGEON IN A PATIENT
WITH A CLINICAL PICTURE OF EDEMATED ACUTE PANCREATITIS, CHANGES
CHARACTERISTIC FOR THIS DISEASE WAS DETECTED. WHAT IS NOT TYPICAL FOR ACUTE
PANCREATITIS?
1) [-] amilasuria;
2) [-] leukocytosis;
3) [+] anemia;
4) [-] transient hyperglycemia.
THE PATIENT IS DELIVERED TO THE POLYCLINIC FROM THE STREET IN SHOCK. IT HAS BEEN
DIFFICULT TO FIND OUT THAT THE PATIENT SUDDENLY HAPPENED STRONG PAIN IN THE
UPPER HALF OF THE ABDOMEN LEADING TO SUCH CONDITION. WHAT DISEASES CANNOT
START LIKE THIS?
1) [-] myocardial infarction;
2) [+] acute phlegmonous cholecystitis;
3) [-] pancreatic necrosis;
4) [-] perforated duodenal ulcer;
5) [-] high volvulus of the small intestine.
A PATIENT THAT HAD PANCREONETCROSIS HAVE BEEN PERFORMED AN OVERVIEW
RADIOGRAPHY OF THE CHEST IN THE POLYCLINIC. WHAT CHANGES ARE CHARACTERISTIC
FOR THIS PATHOLOGY?
1) [+] pleurisy;
2) [-] lung collapse;
3) [-] mediastinal emphysema;
4) [-] darkening of the apex of the lung;
5) [-] cardiomegaly.
IN A POLYCLINIC, A SURGEON REVEALED ICTERICITY OF THE SKIN AND SCLERA IN A
PATIENT WITH Cholelithiasis. WHAT CAN THIS NOT EVIDENCE?
1) [-] about stenosis of the major duodenal papilla;
2) [-] about choledocholithiasis;
3) [-] about viral hepatitis;
4) [+] about duodenal ulcer;
5) [-] about perivesical infiltrate.
A YOUNG MAN WITH A CHARACTERISTIC CLINICAL PICTURE OF PERFORATED DUODINAL
ULCER IS BROUGHT INTO THE POLYCLINIC TO THE SURGEON FROM THE STREET. WHICH OF
THE LISTED SYMPTOMS TYPICAL FOR THIS DISEASE?
1) [-] gradual increase in pain syndrome;
2) [-] cramping sharp pains;
3) [+] sudden onset with sharp pains in the epigastrium;
4) [-] profuse repeated vomiting;
5) [-] rapidly growing weakness, dizziness.
A 23 YEARS OLD PATIENT APPEARED TO THE SURGEON WITH COMPLAINTS OF PERIODIC
PAIN (IN 1 HOUR) IN THE PERI-UMBILICAL REGION AND IRRADIATION TO THE RIGHT
HYPOCHOLY, HEARTBURN, SEASONAL EXAMINATIONS OF THE DISEASE. THESE
MANIFESTATIONS ARE TYPICAL FOR:
1) [-] cholelithiasis;
2) [-] gastric ulcer;
3) [+] duodenal ulcer;
4) [-] acute pancreatitis;
5) [-] enterocolitis.
When examining the patient in the clinic, typical symptoms of complications of peptic ulcer of
the 12-pereta intestine were revealed: vomiting with food eaten the day before, tension of the
abdominal muscles, oliguria, “noise of splash” in the stomach of the horses, and the barium
retention in the stomach for more than 24 hours. WHAT COMPLICATION ARE YOU TALKING
ABOUT?
1) [-] about bleeding;
2) [-] about perforation;
3) [-] about the malignancy of the ulcer;
4) [+] about stenosis;
5) [-] about penetration.
A PATIENT, LONG-TERM SUFFERING WITH DUODINAL ULCER, HAS BEEN ADDED TO THE
POLYCLINIC. WHEN THE EXAMINATION REVEALED: THE SKIN COVERS PALE, COMPLAINTS
OF VERTIGO AND WEAKNESS, THERE WAS A BLACK STOCK. WHAT COMPLICATION CAN YOU
THINK ABOUT?
1) [-] about stenosis;
2) [+] about bleeding;
3) [-] about penetration;
4) [-] about malignancy;
5) [-] about perforation.
DURING EXAMINATION OF A PATIENT THAT HAD APPENDECTOMY 12 DAYS AGO, THE
SURGEON OF THE POLYCLINIC SUSPECTED AN ABSCESS OF THE DOUGLAS SPACE. THE
SPECIFIED COMPLICATION IS CHARACTERIZED BY ALL SYMPTOMS EXCEPT:
1) [-] temperature increase;
2) [-] overhanging of the walls of the vagina or the anterior wall of the rectum;
3) [-] pain during rectal examination;
4) [-] pain in the depths of the pelvis and tenesmus;
5) [+] restriction of diaphragm mobility.
DURING EXAMINATION OF THE PATIENT, THE OUTPATIENT SURGEON SUSPECTED ACUTE
APPENDICITIS WITH PELVIC LOCALIZATION OF THE APPLICATION. WHAT SYMPTOM
INDICATES THIS LOCATION OF THE APPENDIX?
1) [-] Resurrection;
2) [+] Cope;
3) [-] Shchetkin-Blumberg;
4) [-] muscle tension in the right hypochondrium;
5) [-] Sitkovsky.
WHEN ASSESSING THE SYMPTOMS OF ACUTE CHOLECYSTITIS, THE OUTPATIENT SURGEON
SHOULD REMEMBER THAT THIS DISEASE STARTS WITH:
1) [-] chills;
2) [-] repeated vomiting;
3) [+] pain in the right hypochondrium;
4) [-] bloating;
5) [-] chalky.
IN THE DIAGNOSIS OF HEPATIC COLICA, THE OUTPATIENT SURGEON MAY REVEAL THE
FOLLOWING SYMPTOMS EXCEPT:
1) [-] cramping nature of pain;
2) [-] non-enlarged painless gallbladder;
3) [+] Shchetkin-Blumberg symptom;
4) [-] lack of markers of inflammation;
5) [-] lack of muscle tension in the right hypochondrium.
DURING THE EXAMINATION IN A POLYCLINIC, A PATIENT WITH UNCOMPLICATED
Cholelithiasis WILL BE DETECTED:
1) [-] leukocytosis;
2) [+] normoglycemia;
3) [-] diastasuria;
4) [-] chills;
5) [-] hyperbilirubinemia.
THE OUTPATIENT SURGEON DURING THE PRIMARY APPLICATION DETECTED THE SYMPTOM
OF COURVOISER IN THE PATIENT. IT IS CHARACTERISTIC FOR:
1) [-] acute pancreatitis;
2) [-] acute non-obstructive cholecystitis;
3) [-] acute obstructive cholecystitis;
4) [-] peptic ulcer;
5) [+] for none of the indicated diseases.
DURING EXAMINATION OF A PATIENT WITH "PAINLESS" JAUNDICE, THE OUTPATIENT
SURGEON REVEALED A NUMBER OF SYMPTOMS. WHICH OF THEM IS NOT TYPICAL FOR
OPERATIVE JAUNDICE:
1) [-] increase in direct bilirubin in plasma;
2) [+] painted chair;
3) [-] increase in alkaline phosphatase;
4) [-] slight increase in plasma cytolytic enzymes;
5) [-] enlarged gallbladder.
WHEN ASSESSING THE DATA OF THE ABDOMINAL PANEL RADIOGRAPHY, THE OUTPATIENT
SURGEON REVEALED KLOIBERG'S WEATHERS. THEY ARE NOT CHARACTERISTIC FOR:
1) [-] obstructive intestinal obstruction;
2) [-] strangulation intestinal obstruction;
3) [+] gastritis;
4) [-] spastic intestinal obstruction;
5) [-] paralytic ileus.
THE OUTPATIENT SURGEON SHOULD KNOW THAT BLOOD EXTRACTION FROM THE RECTUM
IS IMPOSSIBLE WHEN:
1) [-] mesenteric thrombosis;
2) [-] intestinal invagination;
3) [-] hemorrhoids;
4) [+] paralytic ileus;
5) [-] colon cancer.
DURING AUSCULTATION OF A PATIENT WITH ABDOMENAL PAIN, AN OUTPATIENT SURGEON
REVEALED A VOICED ENHANCED PERISTALTIS. THIS SYMPTOM IS CHARACTERISTIC FOR
THE EARLY STAGE OF THE FOLLOWING DISEASE:
1) [-] gastrointestinal bleeding;
2) [-] perforated gastric ulcer;
3) [-] mesenteric thrombosis;
4) [+] mechanical intestinal obstruction;
5) [-] gangrenous appendicitis.
A POLYCLINIC SURGEON MUST REMEMBER THAT MALLORY-WEIS SYNDROME IS:
1) [-] ptosis, miosis and enophthalmos;
2) [+] fissure of the mucous membrane of the cardial part of the stomach;
3) [-] suprahepatic block of outflow of blood from the liver;
4) [-] blood coagulation in microcirculation vessels;
5) [-] gastrogenous tetany.
WHEN SHOULD THE SURGEON OF THE POLYCLINIC PRESCRIBE SURGICAL TREATMENT TO
THE PATIENT WITH NON-SPECIFIC ULCERATIVE COLITIS?
1) [-] with toxic dilatation;
2) [-] with profuse bleeding;
3) [-] with perforation of the intestine;
4) [-] with the ineffectiveness of conservative treatment;
5) [+] in all listed cases.
WHEN EXAMINATION OF A PATIENT WITH ACUTE CHOLECYSTITIS IN A POLYCLINIC, THE
SURGEON STUDYED THE LABORATORY DATA. WHICH OF THE INDICATED PARAMETERS WILL
INDICATE AN UNCOMPLICATED PROCESS?
1) [-] cholesterolemia;
2) [-] glucosuria;
3) [-] hyperbilirubinemia;
4) [-] diastasuria;
5) [+] leukocytosis.
A 43 YEARS OLD PATIENT WITH AN ATTACK OF HEPATIC COLICA WAS APPOINTED TO THE
SURGEON OF THE POLYCLINIC. WHAT DRUGS SHOULD NOT BE USED TO TREAT IT?
1) [-] no-shpu;
2) [-] spazgan;
3) [+] morphine hydrochloride;
4) [-] atropine sulfate;
5) [-] baralgin.
DURING EXAMINATION OF A PATIENT WITH ICTERICITY OF THE SCLAIRA AND JELLOSIS OF
THE SKIN, THE OUTPATIENT SURGEON REVEALED A NUMBER OF SYMPTOMS. WHICH OF
THEM ARE NOT CHARACTERISTIC FOR CALCULOSIS CHOLECYSTITIS AND Cicatricial stricture
of the terminal part of the choledochus?
1) [-] increase in alkaline phosphatase;
2) [+] symptom of Courvoisier;
3) [-] increase in direct blood bilirubin;
4) [-] lack of stercobilin in feces;
5) [-] expansion of the common bile duct up to 2 cm.
DURING THE EXAMINATION IN THE POLYCLINIC, THE SURGEON REVEALED A PATIENT'S
Cholelithiasis, Choledocholithiasis. THE PATIENT REFUSED THE DIRECTION TO THE HOSPITAL.
WHAT PROBABLE COMPLICATIONS OF THIS PATHOLOGY CAN THE PATIENT HAVE?
1) [-] myocardial infarction;
2) [+] jaundice, cholangitis;
3) [-] chronic active hepatitis;
4) [-] anemia;
5) [-] Saint's triad.
EXAMINATION IN THE POLYCLINIC OF A PATIENT WITH ADOMINAL PAIN REVEALED MINOR
BLOODY BLOOD, NAUSE, PERIODIC VOMITING, HYPEREMIA OF THE FACE AND A POSITIVE
SYMPTOM OF KERTE, LEUKOCITOSIS 10.4X109/L. WHAT DISEASE CAN THE PATIENT HAVE?
1) [-] gastric ulcer;
2) [-] acute cholecystitis;
3) [+] acute pancreatitis;
4) [-] acute intestinal obstruction;
5) [-] acute gastritis.
WHEN EXAMINATION IN A POLYCLINIC OF A PATIENT WITH ACUTE PANCREATITIS,
PAINNESS IN THE LEFT COST-VERTEBRAL CORNER IS REVEALED. WHAT IS THIS SYMPTOM
NAMED?
1) [-] tail;
2) [-] Murphy;
3) [+] Mayo-Robson;
4) [-] Kerte;
5) [-] Resurrection.
DURING THE EXAMINATION OF THE PATIENT IN THE POLYCLINIC, THE SURGEON SUSPECTED
PERITONITIS. SYMPTOMS OF PERITONITIS ARE:
1) [-] vomiting;
2) [-] abdominal pain;
3) [-] bloody stools;
4) [-] retention of stool and gases;
5) [+] tension of the muscles of the anterior abdominal wall.
DURING EXAMINATION OF A 67 YEARS OLD PATIENT WHO HAD MYOCARDIAL INFARCTION 2
MONTHS AGO, A POLYCLINIC SURGEON DISCOVERED A STRENGTHENED INGUINAL HERNIA.
INFRINGEMENT, ACCORDING TO THE PATIENT, HAPPENED 3 HOURS AGO. WHAT SHOULD
YOU DO?
1) [-] introduce antispasmodics and drugs;
2) [-] put the patient in a hot bath;
3) [+] perform an emergency operation in a hospital setting;
4) [-] observation, cold on the stomach;
5) [-] correct the hernia.
DURING AN EXAMINATION IN A POLYCLINIC OF A 56 YEARS OLD PATIENT, THE SURGEON
REVEALED A LARGE-SCALE REDUCIBLE INGUIN-SCROTONAL HERNIA. THIS PATHOLOGY
SHOULD BE DIFFERENTIATED FROM:
1) [-] direct hernia;
2) [-] internal hernia;
3) [+] dropsy of the testicle;
4) [-] femoral hernia;
5) [-] epispadias.
IN A POLYCLINIC, A SURGEON ESTABLISHED A 72 YEARS OLD PATIENT DIAGNOSED WITH
STRENGTHENED RIGHT-SIDE INGUINAL HERNIA. HISTORY OF 2 MYOCARDIAL INFARCTIONS
AND CHRONIC PNEUMONIA. 5 HOURS HAVE PASSED FROM THE MOMENT OF INFRINGEMENT.
WHAT SHOULD YOU DO IN THIS CASE?
1) [-] prescribe a warm bath and antispasmodics;
2) [-] correct the hernia;
3) [+] refer to a hospital for an emergency operation;
4) [-] observe;
5) [-] prescribe analgesics and repair the hernia.
A SURGEON OF THE POLYCLINIC DIAGNOSTED IN STRENGTHENED RIGHT-SIDE FEMORAL
HERNIA IN AN ELDERLY PATIENT. WHAT IS NOT CHARACTERISTIC FOR THIS DISEASE?
1) [+] positive symptom of cough shock;
2) [-] irreducible hernia;
3) [-] tension and pain during hernia palpation;
4) [-] sharp pains in the area of the hernia;
5) [-] sudden onset.
A PATIENT AFTER 3 OPERATIONS ON THE ABDOMINAL CAVITY TURNED TO THE POLYCLINIC
TO THE SURGEON. A SURGEON DIAGNOSED A POSTOPERATIVE HERNIA. WHAT IS NOT
CHARACTERISTIC FOR THIS DISEASE?
1) [-] dense edges of the hernial orifice;
2) [+] malignancy;
3) [-] increase in size over time;
4) [-] frequent irreducibility;
5) [-] wide hernial ring.
HOW IN OUTPATIENT CONDITIONS TO DIFFERENTIATE INGUINAL-SCROTAL HERNIA FROM
EDUCATION OF THE MEMBRANES OF THE TESTICULAR?
1) [-] fluoroscopy;
2) [-] sonography;
3) [-] percussion;
4) [-] chromocystoscopy;
5) [+] diaphanoscopy.
A PATIENT WAS SUFFERING WITH DUODINAL ULCER FOR 23 YEARS FOR AN RECEPTION TO
THE SURGEON. IN RECENT YEARS, I HAD WEIGHT LOSS, CONSTIPATION, BUCKING WITH A
ROTTEN SMELL. ABOUT 1 MONTH BACK I APPEARED CAPSURES IN THE UPPER LIMB AND
JERKS OF THE FACE MUSCLE. WHAT COMPLICATION DEVELOPED IN THE PATIENT?
1) [-] malignancy of the ulcer;
2) [+] gastrogenous tetany;
3) [-] bleeding;
4) [-] penetration into the pancreas;
5) [-] hypoparathyroidism.
WHAT SHOULD AN OUTPATIENT SURGEON PRESCRIBE TO A PATIENT WITH SUSPECTED
PERFORATION OF A HOLLOW ABDOMINAL organ?
1) [-] gastroduodenoscopy;
2) [-] sonography;
3) [-] laparocentesis;
4) [-] contrast radiography of the stomach;
5) [+] survey fluoroscopy.
THE SURGEON OF THE POLYCLINIC SHOULD REMEMBER THAT THE MOST LIKELY
COMPLICATION OF ULCERS OF THE ANTERIOR WALL OF THE DUODUM IS:
1) [-] malignancy;
2) [+] perforation;
3) [-] bleeding;
4) [-] duodenostasis;
5) [-] penetration into the head of the pancreas.
THE SURGEON OF THE POLYCLINIC SHOULD REMEMBER THAT THE MOST LIKELY
COMPLICATION OF POSITIVE WALL ULCERS IS:
1) [-] perforation;
2) [+] bleeding;
3) [-] malignancy;
4) [-] duodenostasis;
5) [-] all of the above.
WHICH COMPLICATION OF DUODINAL ULCER IS A CASUISTICITY?
1) [-] penetration;
2) [-] cicatricial deformation of the intestine;
3) [-] perforation;
4) [+] malignancy;
5) [-] bleeding.
AT THE RECEPTION AT THE SURGEON OF THE POLYCLINIC, THE PATIENT SUDDENLY
STARTED REPURING RED FOAMY BLOOD. WHAT DISEASE CAN LEAD TO SUCH
COMPLICATION?
1) [-] tumor of the stomach;
2) [-] Mallory-Weiss syndrome;
3) [-] esophageal diverticulum;
4) [+] pulmonary bleeding;
5) [-] portal hypertension.
A PATIENT WITH A LONG EXISTING ULCER IN THE POSTERIOR WALL OF THE DUODUM AND
PENETRATION INTO THE PANCREATIC HEAD WAS AT THE RECEPTION OF THE SURGEON.
WHAT COMPLICATION CAN THE PATIENT COME?
1) [-] cachexia;
2) [+] profuse bleeding;
3) [-] perforation;
4) [-] stenosis;
5) [-] malignancy.
WHAT COMPLICATIONS CAN DEVELOP IN A PATIENT WHO IS OUTPATIENT TREATMENT AT A
POLYCLINIC SURGEON WITH COLON DIVERTICULOSIS?
1) [-] peritonitis;
2) [-] inflammatory infiltrate;
3) [-] bleeding;
4) [-] diverticulitis;
5) [+] all of the above.
WHAT METHOD OF INVESTIGATION SHOULD A POLYCLINIC SURGEON PRESCRIBE A PATIENT
WITH SUSPECTED COLON POLYPOSIS?
1) [-] study of the Gregersen reaction;
2) [-] ultrasonography;
3) [-] sigmoidoscopy;
4) [-] irrigoscopy;
5) [+] colonoscopy.
OUTPATIENT SURGEON ASSUMES PATIENT'S RETROCECALE APPENDICITIS. WHICH OF THE
FOLLOWING SYMPTOMS IS PATHOGNOMONIC FOR THIS PATHOLOGY?
1) [+] soreness on pressure in the region of Petit's triangle;
2) [-] positive Shchetkin-Blumberg symptom;
3) [-] epigastric pain;
4) [-] nausea and vomiting.
WHICH OF THE FOLLOWING RADIOLOGICAL SIGNS IS NOT CHARACTERISTIC FOR INTESTINAL
OBSTRUCTION?
1) [-] Cloiber bowls;
2) [-] Casey's symptom;
3) [+] symptom of "niche";
4) [-] intestinal pneumatosis;
5) [-] all of the above.
A PATIENT WITH EXAMINATION OF CHRONIC CALCULOSIS CHOLECYSTITIS COMED TO THE
OUTPATIENT SURGEON. ON EXAMINATION, ICTERICITY OF THE SCLERA IS REVEALED, THERE
IS ITCHING, THE URINE IS DARK, THE SCALES ARE ACHOLIC. WHAT TYPE OF JAUNDICE IS
OBSERVED IN THIS PATIENT?
1) [-] suprahepatic;
2) [-] hepatic;
3) [+] subhepatic;
4) [-] all of the above.
KER'S SYMPTOM IN ACUTE CHOLECYSTITIS IS IN THE APPEARANCE OF SORRY:
1) [+] in the right hypochondrium on inspiration;
2) [-] when tapping on the right costal arch;
3) [-] when pressing between the legs of the right sternocleidomastoid muscle;
4) [-] during palpation of the gallbladder.
THE OUTPATIENT SURGEON ASSUMES THE PRESENCE OF THE PATIENT'S ULCERING
BLEEDING. WHAT DATA SUPPORTS THIS DIAGNOSIS?
1) [-] vomiting "coffee grounds";
2) [-] melena;
3) [-] development of anemia;
4) [+] all of the above.
OUTPATIENT SURGEON DECIDED TO PERFORM LAPAROCENTHESIS ON A PATIENT WITH
ASCITES. WHAT IS THE PREFERRED PLACE TO PERFORM A PUNCH?
1) [+] below the navel in the midline of the abdomen;
2) [-] above the navel in the midline of the abdomen;
3) [-] on the right at the level of the navel;
4) [-] in the suprapubic region.
RELIABLE SIGNS OF A PENETRATING WOUND OF THE ABDOMINAL CAVITY DO NOT APPLY:
1) [-] loss of intestinal loops from the wound;
2) [-] prolapse of the omentum from the wound;
3) [+] positive Shchetkin-Blumberg symptom;
4) [-] outflow of intestinal contents from the wound.
IN WHICH OF THE PATHOLOGIES LISTED BELOW CANNOT A POSITIVE SYMPTOM OF
SHCHETKIN-BLUMBERG BE OBSERVED?
1) [-] osteochondrosis of the lumbar spine;
2) [-] myocardial infarction;
3) [-] perforation of duodenal ulcer;
4) [+] irreducible inguinal hernia.
A PATIENT AFTER 8 WEEKS OF IN-SITE TREATMENT FOR PNEUMONIA COMPLICATED BY
PURULENT PLEURITIS WAS APPOINTED TO THE POLYCLINIC SURGEON. WHAT CAN SERVE A
CRITERION OF CURE FROM "SIMPLE" EMPIEMA OF THE PLEURA?
1) [-] "normal" white blood cells;
2) [-] good health of the patient;
3) [-] reduction in the size of the cavity in the pleura;
4) [+] complete expansion of the lung;
5) [-] subfebrile temperature.
A PATIENT APPROVED TO AN OUTPATIENT SURGEON WITH COMPLAINTS OF WEAKNESS
AND INCREASED BODY TEMPERATURE TO 38°C. FROM THE HISTORY IT IS FOUND THAT FOR
3 WEEKS HE WAS IN THE HOSPITAL FOR RIGHT-SIDE LOWER LOBAL PNEUMO-NII.
DISCLAIMED 6 DAYS AGO. WHEN THE X-RAY EXAMINATION FOUND DARKNESS IN THE RIGHT
LUNG AND THE LEVEL OF FLUID TO THE ANGLE OF THE SCOOP. DOCTOR'S TACTICS:
1) [-] puncture the pleural cavity;
2) [+] send the patient to the hospital;
3) [-] prescribe massive antibiotic therapy;
4) [-] recommend spa treatment;
5) [-] drain the pleural cavity.
DURING EXAMINATION OF A PATIENT WHO HAD SUSPECTED PNEUMONIA, THE SURGEON
SUSPECTED PLEURAL EMPIEMIA. WHAT RESEARCH SHOULD NOT BE CARRIED OUT TO
CONFIRM THE SPECIFIED DIAGNOSIS?
1) [-] chest x-ray in two projections;
2) [-] puncture of the pleural cavity;
3) [-] tomography;
4) [+] thoracoscopy.
WHEN EXAMINING A PATIENT THAT HAVE SURVIVED PNEUMONIA, THE SURGEON REVEALED
A LAG IN BREATHING OF THE RIGHT HALF OF THE CHEST, THE ABSENCE OF VOICE
TREMBLING IN THIS ZONE, WEAKENING OF BREATHING AND A SHARP DUTTING ON THE LINE
OF DAMOISO. WHAT COMPLICATION DOES THE DESCRIBED CLINICAL PICTURE INDICATE?
1) [-] about lung abscess;
2) [-] about the recurrence of pneumonia;
3) [+] about effusion pleurisy;
4) [-] about lung gangrene;
5) [-] about pneumothorax.
IN THE POLYCLINIC, WHEN EXAMINING A PATIENT WITH EXUDATIVE PLEURITIS, A SURGEON
REVEALED A SIGNIFICANT SPUMECTION WITH A COUGH. WHAT TYPE OF THIS Sputum?
1) [-] frothy with blood;
2) [-] three-layer;
3) [+] slimy;
4) [-] purulent putrefactive;
5) [-] with blood clots.
WHAT COMPLICATIONS CAN AN OUTPATIENT SURGEON EXPECT IN A PATIENT WITH
CHRONIC LUNG ABSCESS?
1) [+] bleeding;
2) [-] ischemic heart disease;
3) [-] subphrenic abscess;
4) [-] development of bullae in the lung;
5) [-] development of tuberculosis.
A 38 YEARS OLD MAN, BEING DRUNK, SLEEPED ON A BENCH IN THE PARK FOR 6 HOURS.
AFTER 2 DAYS I NOTICED INCREASED TEMPERATURE AND PAIN IN THE RIGHT CHEST. DID
NOT GO TO THE DOCTOR. FOR THE FOLLOWING 2 WEEKS I FELT WEAKNESS, INCREASED
TEMPERATURE TO 37.5-38°C. IN THE MORNING WHEN COUGHING, ABOUT 200 ML OF PUSP
WITH AN UNPLEASANT SMELL SUDDENLY WENT OUT. I WENT TO AN OUTPATIENT SURGEON.
WHAT IS THE PROBABLE DIAGNOSIS?
1) [-] lung cancer;
2) [-] pneumonia;
3) [+] lung abscess;
4) [-] exudative pleurisy;
5) [-] bronchiectasis.
THE OUTPATIENT SURGEON DECIDED TO MAKE A PUNCTURE OF THE PLEURAL CAVITY TO A
PATIENT WITH EXUDATIVE PLEURITIS. WHERE SHOULD IT BE DONE?
1) [-] in the IV intercostal space along the parasternal line;
2) [-] in the II intercostal space along the midclavicular line;
3) [+] in the VIII intercostal space along the posterior axillary line;
4) [-] in the VIII intercostal space along the paravertebral line.
A PATIENT WHO WAS OUTPATIENTLY TREATED FOR CHRONIC ABSCESS OF THE RIGHT LUNG
SUDDENLY APPEARED PAIN IN THE CHEST, dyspnea, CYANOSIS OF THE FACE AND NECK
GROWLED. DURING PER-CUSSION, THE SURGEON REVEALED A "BOX" SOUND ON THE SIDE OF
THE DEFEAT. WHAT COMPLICATION OF THE DISEASE CAN YOU THINK ABOUT?
1) [-] about myocardial infarction;
2) [+] about pneumothorax;
3) [-] about exudative pleurisy;
4) [-] about pleural empyema;
5) [-] about subphrenic abscess.
LUNG CANCER IS DETECTED IN A 56 YEARS OLD PATIENT (SMOKER WITH LONG-TERM
EXPERIENCE) WHO APPROVED TO AN OUTPATIENT SURGEON. WHAT TYPE OF Sputum IS
CHARACTERISTIC FOR THIS DISEASE?
1) [-] three-layer;
2) [-] foamy-purulent;
3) [+] color "raspberry jelly";
4) [-] purulent putrefactive.
WHEN EXAMINING A PATIENT WITH CHRONIC LUNG ABSCESS, THE OUTPATIENT SURGEON
SHOULD KNOW THAT A COMPLICATION OF THIS DISEASE CANNOT BE:
1) [-] pyopneumothorax;
2) [-] bleeding;
3) [+] thoracic aortic aneurysm;
4) [-] pneumosclerosis;
5) [-] sepsis.
A POLYCLINIC SURGEON REVEALED SIGNS OF PYOPNEUMOTHORAX IN A PATIENT WITH
CHRONIC ABSCESS OF THE RIGHT LUNG. WITH THIS COMPLICATION SHOWN:
1) [-] massive antibiotic therapy;
2) [-] endobronchial administration of proteolytic enzymes;
3) [+] hospitalization in a surgical hospital;
4) [-] drainage according to Bullau in a polyclinic;
5) [-] the introduction of enzymes into the pleural cavity.
WHEN A POLYCLINIC SURGEON DETECTS MULTIPLE BULLS IN THE LUNGS OF A PATIENT,
COMPLICATIONS IN THE FORM OF:
1) [+] spontaneous pneumothorax;
2) [-] pulmonary hemorrhage;
3) [-] myocardial infarction;
4) [-] pulmonary embolism;
5) [-] all of the above is incorrect.
WHEN EXAMINATION IN A POLYCLINIC OF A PATIENT WITH ACUTE PNEUMOTHORAX, THE
SURGEON COULD NOT IDENTIFY THE FOLLOWING SIGN:
1) [-] lung collapse;
2) [+] anemia;
3) [-] shortness of breath at rest;
4) [-] sudden chest pain;
5) [-] tachycardia.
DURING PERCUSSION OF THE PATIENT, THE SURGEON OF THE POLYCLINIC REVEALED THE
DAMOISO LINE. THIS HAPPENS WHEN:
1) [+] exudative pleurisy;
2) [-] subphrenic pleurisy;
3) [-] pericarditis;
4) [-] hemothorax;
5) [-] pneumothorax.
THE SURGEON OF THE POLYCLINIC MUST REMEMBER THAT THE MOST COMMONLY
SPONTANEOUS PNEUMOTHORAX OCCURRS WITH:
1) [-] pleural empyema;
2) [-] lung cancer;
3) [-] bronchiectasis;
4) [+] bullous cysts of the lung;
5) [-] lung atelectasis.
DURING AN EXAMINATION IN THE POLYCLINIC, THE SURGEON REVEALED A CLOUDED
HEMOTHORAX IN THE PATIENT. MOST COMMONLY IT HAPPENS WITH:
1) [-] pleural empyema;
2) [+] chest injury;
3) [-] infarction pneumonia;
4) [-] central lung cancer;
5) [-] none of the above.
A PATIENT WAS APPOINTED TO THE SURGEON OF THE POLYCLINIC AFTER A STRONG
INJURY OF THE CHEST, WHICH COULD NOT LEAD TO:
1) [-] hemothorax;
2) [+] asystole;
3) [-] arrhythmias;
4) [-] lung hematoma;
5) [-] lung collapse.
SIGNS OF BRONCHIOECTATIC DISEASE DO NOT APPLY:
1) [-] cough;
2) [-] young age;
3) [-] hemoptysis;
4) [+] Horner's symptom;
5) [-] shortness of breath.
WHAT ADDITIONAL METHOD OF INVESTIGATION SHOULD AN OUTPATIENT SURGEON USE TO
CLARIFY THE DIAGNOSIS OF BRONCHIOECTATIC DISEASE?
1) [-] radiography of the lungs in 2 projections;
2) [-] tomography;
3) [-] bronchography;
4) [-] bronchoscopy;
5) [+] all named methods.
WHAT EXAMINATION IS POSSIBLE NOT TO PERFORM AN OUTPATIENT SURGEON TO
EXCLUDE PLEURAL EMPYEMA?
1) [-] puncture of the pleural cavity;
2) [-] radiography of the lungs in 2 projections;
3) [-] bronchoscopy;
4) [-] tomography;
5) [+] gastroscopy.
THE OUTPATIENT SURGEON DECIDED TO MAKE A PUNCTURE OF THE PLEURAL CAVITY IN A
PATIENT WITH PNEUMOTHORAX. WHERE SHOULD IT BE DONE?
1) [-] in the IV intercostal space along the parasternal line;
2) [+] in the II intercostal space along the midclavicular line;
3) [-] in the VIII intercostal space along the posterior axillary line;
4) [-] in the VIII intercostal space along the paravertebral line.
WHAT PATHOLOGICAL PROCESS SHOULD YOU THINK FIRST OF ALL WHEN A PATIENT HAS
PROGRESSIVE SUBCUTANEOUS EMPHYSEMA?
1) [-] open pneumothorax;
2) [+] valvular pneumothorax;
3) [-] injury of the soft tissues of the neck;
4) [-] large hemothorax.
DURING EXAMINATION OF A PATIENT WITH A CLOSED RIB FRACTURE, A SURGEON REVEALED
HIM SUBCUTANEOUS EMPHYSEMAS. WHAT COMPLICATION OF FRACTURE CAN YOU THINK
ABOUT?
1) [+] damage to the lung;
2) [-] accession of a secondary infection;
3) [-] hemopneumothorax;
4) [-] pneumothorax.
APPLICATION OF OCCLUSIVE BANDAGE IS INDICATED FOR ALL TYPES OF CHEST INJURIES
EXCEPT:
1) [+] closed pneumothorax;
2) [-] open pneumothorax;
3) [-] valvular pneumothorax;
4) [-] is shown in all situations.
SUBCUTANEOUS EMPHYSEMA IS NOT A SIGN OF:
1) [-] open pneumothorax;
2) [-] valvular pneumothorax;
3) [-] damage to the trachea;
4) [+] hemothorax.
An elderly patient with severe abdominal pain was brought to the clinic. IT WAS FOUND THAT
THE PAINS STARTED 4 HOURS AGO SUDDENLY, IN THE UPPER THIRD OF THE STOMACH.
PREVIOUSLY TREATED FOR CORONARY HEART DISEASE, PNEUMONIA AND GASTRITIS. AT
OBJECTIVE STUDY: PULSE - 88 beats / MIN, HELL - 120/80 MM Hg. ST., MODERATE
STRENGTH OF THE MUSCLES OF THE ANTERIOR ABDOMINAL WALL, THE SYMPTOM OF
SHCHETKIN-BLOEMBERG IS POSITIVE, IN THE EPIGASTRIA A VOLUME LESSON IS palpated. IN
THE ANALYSIS: erythrocytes - 4.8x1012/l, leukocytes - 14.4x109/l. WITH WHAT DIAGNOSIS
SHOULD THE PATIENT BE TRANSFERRED TO THE SURGICAL HOSPITAL?
1) [-] myocardial infarction;
2) [+] perforative gastric cancer;
3) [-] dissecting aortic aneurysm;
4) [-] pancreatic necrosis;
5) [-] intestinal volvulus.
A PATIENT WENT TO THE POLYCLINIC TO THE SURGEON WITH COMPLAINTS OF PERIODIC
PAIN IN THE STOMACH. DURING THE EXAMINATION, GASTRIC POLYPS WERE DETECTED.
WHAT POLYPS CAN BE REMOVED OUTPATIENTLY USING ENDOSCOPIC TECHNOLOGY?
1) [-] polyps against the background of Achilles gastritis;
2) [-] total polyposis of the stomach;
3) [+] single glandular polyp;
4) [-] polyps with a wide (more than 2 cm) base;
5) [-] polyp from the bottom of a gastric ulcer.
DURING EXAMINATION OF THE PATIENT IN THE POLYCLINIC, THE SURGEON REVEALED A
TUMORS AND SUSPECTED GASTRIC CANCER. WHAT CONDITIONS AND METASTASES TO
WHICH ORGANIS ARE NOT CHARACTERISTIC FOR STAGE IV GASTRIC CANCER?
1) [-] in the ovary;
2) [-] in the navel;
3) [+] in the axillary region;
4) [-] ascites;
5) [-] in the left supraclavicular area.
IN THE POLYCLINIC, EXAMINING A 58 YEARS OLD PATIENT, SUSPECTED OF GASTRIC CANCER,
A SURGEON SUSPECTED GASTRITIC CANCER FOR A LONG TIME. WHAT OF THEM CANNOT BE
ATTRIBUTED TO THE "SMALL SIGNS" SYNDROME ACCORDING TO A.I. SAVITSKY?
1) [-] causeless weakness;
2) [-] loss of appetite;
3) [-] causeless progressive weight loss;
4) [+] vomiting;
5) [-] anemia.
WHEN EXAMINATION IN THE POLYCLINIC OF A PATIENT, SUFFERING FOR A LONG TIME WITH
A GASTRIC ULCER, THE SURGEON MADE HIM A CONTRAST RADIOGRAPHY WITH BARIUM.
WHAT RESULTS MAY ALARM THE SURGEON REGARDING THE POSSIBLE MAGNIFICATION OF
THE ULCER?
1) [-] liquid on an empty stomach;
2) [-] the shape of the stomach in the form of a "fish hook";
3) [+] ulcer diameter 2.5 cm;
4) [-] evacuation delay;
5) [-] Dequervain's symptom.
WHICH METHOD OF EXAMINATION IN A PATIENT WITH SUSPECTED GASTRIC CANCER IN A
POLYCLINIC CAN BE CONSIDERED THE MOST RELIABLE?
1) [-] radiography of the stomach;
2) [-] gastroscopy;
3) [+] gastroscopy with polyfocal biopsy;
4) [-] cytology of gastric lavage;
5) [-] study of the acidity of gastric contents.
A PATIENT WAS APPOINTED TO THE SURGEON IN THE POLYCLINIC, WHO REPORTED THAT 2
YEARS AGO HAS BEEN SURGERY FOR A MALIGNANT TUMO OF THE GASTRIC. DOCUMENTS
CONFIRMED THIS FACT. WHICH OF THE POSSIBLE SURGERY FOR THIS PATHOLOGY SHOULD
BE CONSIDERED RADICAL?
1) [+] gastric extirpation with lymph node dissection;
2) [-] resection of the stomach;
3) [-] gastrojejunostomy;
4) [-] Naumann operation;
5) [-] stitching of the tumor.
A 56 YEARS OLD PATIENT APPEALED TO THE POLYCLINIC TO THE SURGEON WITH
COMPLAINTS OF THE DESIGNED BLACK CHAIR, PERIODIC VOMITING OF THE COLOR OF
"COFFEE GROUPS". BELIEVE THAT I HAVE BEEN SICK ABOUT 4 MONTHS AGO, WHEN I
NOTICED A REDUCTION OF APPETITE, WEIGHT WEIGHT, UNMOTIVATED WEAKNESS. AT
OBJECTIVE EXAMINATION: HEMODYNAMICS ARE STABLE, SKIN COVERS PALE, NO
PATHOLOGY IS NOTICED ON ABDOMINAL PALPATION, ON THE GLOVE AFTER RECTAL
FINGER EXAMINATION THERE IS BLACK STOCK. IN THE ANALYSIS - ANEMIA. WHAT DISEASE
CAN WE TALK ABOUT?
1) [+] stomach cancer;
2) [-] angina pectoris;
3) [-] stomach polyposis;
4) [-] cirrhosis of the liver;
5) [-] leukemia.
A PATIENT WITH STAGE IV GASTRIC CANCER HAS BEEN ADDED TO THE SURGEON FOR
SYMPTOMATIC TREATMENT IN THE RURAL AMBULATION CENTER. WHAT COMPLICATIONS
OF THE DISEASE CAUSE THE NEED TO SOLUTION THE QUESTION OF SURGICAL TREATMENT?
1) [-] dramatic weight loss;
2) [-] anemia;
3) [+] food obstruction;
4) [-] weakness;
5) [-] pain behind the sternum.
A 54 YEARS OLD PATIENT, AFTER PALLIATIVE SURGERY FOR GASTRIC CANCER, TURNED TO
A RURAL OUTPATIENT CENTER FOR TREATMENT AT THE PLACE OF RESIDENCE. WHAT
FACTORS CAN LEAD TO REPEATED SURGERY?
1) [-] anemia;
2) [-] dramatic weight loss;
3) [+] adhesive obstruction;
4) [-] constant pain syndrome;
5) [-] periodic hemoptysis.
WHEN STUDYING THE ACCOMPANYING MEDICAL DOCUMENTATION OF A PATIENT WHO HAD
SUFFERED SUBTOTAL GASTROINTESTIC RESECTION FOR CANCER, THE SURGEON OF THE
POLYCLINIC REVEALED THAT THE TUMOR HAS NOT GROWLED INTO THE SEROSAL LAYER,
NO LONG-TERM METASTASES WERE DETECTED. INDICATE THE STAGE OF THE DISEASE:
1) [-]I;
2) [+]II;
3) [-] III;
4) [-] IV.
AT THE PRIMARY REFERENCE TO THE SURGEON IN THE POLYCLINIC, THE PATIENT
SUSPECTED A TUMORS OF THE ESOPHAGUS. WHICH OF THE SYMPTOMS AVAILABLE IN THE
PATIENT CANNOT POINT TO THIS?
1) [-] arrhythmia;
2) [-] cough;
3) [-] dysphagia;
4) [+] headaches;
5) [-] face cyanosis.
RISK FACTORS FOR ESOPHAGEAL CANCER DO NOT:
1) [+] obesity;
2) [-] smoking;
3) [-] alcohol abuse;
4) [-] eating hot food;
5) [-] action of nitrosamines.
A PATIENT WAS APPOINTED TO THE SURGEON OF THE REGIONAL POLYCLINIC AFTER
INPATIENT SURGERY IN THE ONCODISPENSARY. THE PATIENT IS KNOWN TO HAVE STAGE
IIA OF THE DISEASE. IT MEANS THAT:
1) [-] a tumor up to 3 cm long, without metastases, localized in the mucous membrane;
2) [+] length 3-5 cm, does not germinate the muscular membrane, there are no metastases;
3) [-] tumor 3 cm long with invasion into the muscle membrane, no metastases;
4) [-] the tumor is 4 cm in size, grows into the muscular membrane, there is a metastasis in the
right lung.
DURING EXAMINATION OF A PATIENT BY A SURGEON IN A REGIONAL POLYCLINIC, A
NUMBER OF SYMPTOMS INDICATING ESOPHAGEAL CANCER WERE REVEALED. WHICH OF
THEM CANNOT BE CONSIDERED EARLY?
1) [-] local wall thickening;
2) [-] wall rigidity;
3) [+] “superior vena cava” syndrome;
4) [-] area of changed color;
5) [-] smoothness of folds.
A PATIENT FROM THE REGIONAL ONCODISPENSER HAS BEEN ADDED TO THE SURGEON IN
THE REGIONAL POLYCLINIC. THE MEDICAL DOCUMENTATION INDICATED THAT THE
PATIENT HAVE MADE A RADICAL OPERATION. WHICH OF THE LISTED SURGICAL
INTERVENTIONS CANNOT BE CONSIDERED RADICAL?
1) [-] extirpation of the esophagus according to Chernousov;
2) [-] Lewis operation;
3) [+] gastrostomy according to Witzel;
4) [-] Dobromyslov-Torek operation.
AT THE RECEPTION IN THE REGIONAL POLYCLINIC IN A 48 YEARS OLD PATIENT (SMOKER
WITH LONG-TERM EXPERIENCE), THE SURGEON AFTER A CAREFUL COMPREHENSIVE
EXAMINATION SUSPECTED ATYPICAL FORM OF LUNG CANCER. IT SHOULD NOT BE RELATED
TO:
1) [-] mediastinal form;
2) [-] miliary carcinomatosis;
3) [+] pneumonia-like cancer;
4) [-] Savitsky's cancer.
THE SURGEON OF THE REGIONAL POLYCLINIC SUSPECTED LUNG CANCER IN A 62 YEARS
OLD PATIENT. WHICH FACTOR SHOULD NOT BE CONSIDERED A RISK FACTOR FOR THIS
DISEASE?
1) [-] smoking;
2) [-] exposure to benzopyrene;
3) [+] glandular polyp of the stomach;
4) [-] chronic bronchitis.
WHEN STUDYING THE ACCOMPANYING DOCUMENTATION BY A SURGEON OF A REGIONAL
POLYCLINIC, IT IS REVEALED THAT THE PATIENT HAS BEEN SURGERY FOR STAGE III B LUNG
CANCER. WHAT IS THE TUMORS?
1) [-] tumor up to 3 cm, without metastases;
2) [-] tumor 4 cm, metastases in bronchopulmonary lymph nodes;
3) [+] tumor 6 cm, with metastases in bronchopulmonary nodes;
4) [-] tumor 3 cm, "superior vena cava" syndrome.
WHAT STUDIES WILL ALLOW TO VERIFY THE DIAGNOSIS OF A PATIENT WITH PAPILLOMA OF
THE MAIN BRONCH TO A SURGEON OF THE DISTRICT POLYCLINIC IN SUSPECTED LUNG
CANCER?
1) [-] complete blood count;
2) [-] urinalysis for amylase activity;
3) [+] bronchoscopy with biopsy;
4) [-] bronchography;
5) [-] determination of the acidity of gastric juice.
WHAT DISEASES SHOULD A POLYCLINIC SURGEON NOT DIFFERENTIATE WITH PERIPHERAL
LUNG CANCER IN A 58 YEARS OLD PATIENT:
1) [-] benign lung tumors;
2) [-] lung cysts;
3) [-] metastatic cancer;
4) [-] intercostal neuralgia;
5) [+] ischemic heart disease.
IN THE EVALUATION OF THE REVIEW RADIOGRAMS OF THE CHEST BY THE SURGEON OF THE
POLYCLINIC, A NUMBER OF CHARACTERISTIC SYMPTOMS WERE REVEALED. WHICH ONE IS
NOT SPECIFIC FOR PANCOST CANCER?
1) [-] arcuate convex downward shadow;
2) [+] localization of darkening in the lower lobe of the lung;
3) [-] usuration of the 1st rib;
4) [-] localization of darkening in the region of the apex of the lung.
DURING EXAMINATION OF A 65 YEARS OLD PATIENT WITH SUSPECTED LUNG CANCER,
POLYCLINIC SURGEON REVEALED PTOSIS, MIOSIS AND ENOPHTHALMOS ON THE RIGHT. FOR
WHAT TUMORS IS SUCH COMBINATION OF SYMPTOMS CHARACTERISTIC FOR?
1) [-] for central lung cancer;
2) [-] for the mediastinal form;
3) [+] for Pancoast cancer;
4) [-] for pneumonia-like cancer of the lower lobe.
IN THE ASSESSMENT OF RADIOLOGICAL DATA IN A PATIENT WITH SUSPECTED CENTRAL
LUNG CANCER, THE SURGEON OF THE POLYCLINIC DETECTED A NUMBER OF SIGNS OF THE
DISEASE. WHICH OF THEM CANNOT BE CONSIDERED TYPICAL FOR THE CENTRAL
LOCALIZATION OF THE TUMOR?
1) [-] bronchoconstriction;
2) [-] atelectasis;
3) [+] polycystic lung;
4) [-] broken bronchus stump;
5) [-] "paradoxical" root of the lung.
FOR THE ASSESSMENT OF THE BIOPSY MATERIAL OF A PATIENT WITH A TUMORS OF THE
CHEST, A POLYCLINIC SURGEON OBTAINED A HISTOLOGIST'S CONCLUSION. WHICH OF THE
NAMES LISTED DESIGNATES AN EVIL-QUALITATIVE DEFEAT?
1) [-] hamartoma;
2) [-] adenoma;
3) [-] fibroma;
4) [+] adenocarcinoma;
5) [-] neuroma.
A 54 YEARS OLD PATIENT WAS APPOINTED TO THE SURGEON OF THE POLYCLINIC. DURING
THE EXAMINATION, A TUMORS OF THE STOMACH IS REVEALED. WHAT SIGNS WILL ALLOW A
TUMOR TO BE CONSIDERED RADICALLY INOPERABLE?
1) [-] localization in the cardiac region;
2) [+] Krukenberg's metastasis;
3) [-] limited displacement of the tumor during palpation;
4) [-] moderate anemia.
DURING THE EXAMINATION IN THE POLYCLINIC OF A PATIENT WITH GASTRIC CANCER, IT IS
FOUND THAT THE TUMOR IS PALPABLE AND THERE ARE A NUMBER OF ITS COMPLICATIONS.
WHICH OF THEM ALLOW THE TUMOR TO BE CONSIDERED UNRESECUTABLE?
1) [-] the presence of minor bleeding and anemia;
2) [-] increased ESR;
3) [-] fluid in the abdominal cavity;
4) [-] single metastasis in the right lung;
5) [+] multiple distant metastases.
DURING EXAMINATION OF A PATIENT WITH STAGE IV GASTRIC CANCER, AN OUTPATIENT
SURGEON DETECTED SCHNITZLER'S METASTASIS. IT IS LOCATED:
1) [-] in the left supraclavicular region;
2) [-] in the navel;
3) [+] in Douglas space;
4) [-] in the liver;
5) [-] in the lung.
THE SURGEON OF THE POLYCLINIC REVEALED SIGNS OF DYSPHAGIA IN A PATIENT WITH
STOMACH CANCER. FOR WHICH LOCALIZATION OF CANCER THEY ARE CHARACTERISTIC
FOR?
1) [-] pyloric;
2) [+] cardiac;
3) [-] body of the stomach;
4) [-] bottom of the stomach;
5) [-] corner of the stomach.
A PATIENT WITH STOMACH CANCER HAS REVEALED VIRCHOV'S METASTASIS. WHAT STAGE
OF THE DISEASE IS THE PATIENT?
1) [-] first;
2) [-] second;
3) [-] third;
4) [+] fourth.
DURING EXAMINATION OF THE PATIENT IN THE POLYCLINIC, THE SURGEON REVEALED THE
POLYP OF THE GASTRIC. WHICH POLYP IS MOST PROBABLY MAGNIFIED?
1) [-] with a diameter of 0.5 cm;
2) [-] with a diameter of 1 cm;
3) [+] with a diameter of 2 cm;
4) [-] size doesn't matter.
WHEN POLYPECTOMY OF THE GASTROINTONE IN THE CONDITIONS OF THE POLYCLINIC,
THE SURGEON SHOULD REMEMBER THAT THE POLYP MAGNIZATION IS MORE LIKELY:
1) [+] at the base;
2) [-] in the body;
3) [-] at the top.
DURING THE EXAMINATION IN THE POLYCLINIC, THE SURGEON REVEALED PROGRESSIVE
WEIGHT WEIGHT LOSS, REDUCED APPETITE AND ANEMIA IN A PATIENT WITH GASTRIC
ULCER. IN THE LEFT SUPRACLUSIC REGION A DENSE SLIDLY MOBILE LYMPH NODE IS
DISCOVERED. WHAT CAN YOU THINK IN THIS SITUATION?
1) [+] about malignant gastric ulcer;
2) [-] about diaphragmatic hernia;
3) [-] about the polyp of the stomach;
4) [-] about ulcerative bleeding;
5) [-] about lymphadenitis.
WHICH METHOD OF RESEARCH IN A POLYCLINIC CAN BE CONSIDERED THE MOST
INFORMATIVE IN THE EARLY DETECTION OF GASTRIC CANCER?
1) [-] contrast X-ray examination;
2) [+] gastroscopy with biopsy;
3) [-] laparoscopy;
4) [-] cytological examination of gastric lavage;
5) [-] palpation.
IN WHAT LOCALIZATION OF GASTRIC CANCER CLINICALLY DOES IT HAVE LITTLE SYMPTOMS?
1) [-] exit department;
2) [+] cardiac department;
3) [-] the body of the stomach;
4) [-] antrum.
DURING THE EXAMINATION IN THE POLYCLINIC, A MAGNIFIED POLYP OF THE GASTRIC BODY
IS REVEALED IN A PATIENT. WHAT IS SHOWN TO THE PATIENT?
1) [+] surgical treatment in a hospital;
2) [-] endoscopic polypectomy in a hospital setting;
3) [-] endoscopic polypectomy in a polyclinic;
4) [-] observation and conservative therapy.
WHEN LIVER METASTASIS IS SUSPECTED IN A PATIENT WITH GASTRIC CANCER, THE
SURGEON OF THE POLYCLINIC SHOULD PRESCRIBE:
1) [-] laparoscopy;
2) [+] ultrasonography;
3) [-] x-ray examination of the stomach;
4) [-] ERCP;
5) [-] gastroscopy with biopsy.
THE SURGEON OF THE POLYCLINIC SHOULD KNOW THAT THE DIFFUSE FORMS OF CANCER
DO NOT RELATE TO:
1) [-] mastitis-like;
2) [-] shell cancer;
3) [+] Paget's cancer;
4) [-] erysipelas;
5) [-] edematous-infiltrative.
IF ADVANCED BREAST CANCER IS EXCLUDED, THE OUTPATIENT SURGEON SHOULD FIRST
LOOK FOR METASTASES IN:
1) [-] bones;
2) [-] brain;
3) [+] mediastinum;
4) [-] kidneys;
5) [-] liver.
IN THE POLYCLINIC, WHEN EXAMINATION OF A PATIENT WITH CENTRAL LUNG CANCER, THE
MOST FREQUENTLY RADIOLOGICALLY CAN REVEAL:
1) [-] limited pleurisy;
2) [-] the presence of a rounded shadow in the lung;
3) [+] atelectasis;
4) [-] the appearance of a "path" to the root of the lung;
5) [-] expansion of the shadow of the heart.
THE OUTPUT SURGEON SHOULD KNOW THAT ALL OF THE FOLLOWING INCLUDED EXCEPT:
1) [-] polyposis of the stomach;
2) [-] Menetrier's disease;
3) [+] Mallory-Weiss syndrome;
4) [-] chronic stomach ulcers;
5) [-] intestinal metaplasia of the gastric mucosa.
DURING THE EXAMINATION IN THE POLYCLINIC, THE SURGEON SUSPECTED THE PATIENT
WITH GASTRIC CANCER. WHAT DISEASE COULD NOT BE A PRECANCER OF THE STOMACH:
1) [-] stomach polyposis;
2) [-] achalasia of the cardia of the 2nd degree;
3) [+] phytobezoar;
4) [-] chronic atrophic gastritis;
5) [-] callous ulcer of the stomach.
WHEN EXAMINATION IN A POLYCLINIC OF A PATIENT WITH LUNG CANCER, IT SHOULD BE
REMEMBERED THAT THIS DISEASE SHOULD BE DIFFERENTIATED:
1) [-] with benign tumors;
2) [-] with metastases of other tumors in the lungs;
3) [+] with all of the above;
4) [-] none of them;
5) [-] with prolonged pneumonia.
WHEN EXAMINATION BY A POLYCLINIC SURGEON OF A PATIENT WITH MEDIASTINAL
CANCER CAN BE DETECTED:
1) [-] Horner's symptom;
2) [-] hoarseness of voice;
3) [-] expansion of the shadow of the mediastinum;
4) [-] swelling of the face;
5) [+] all of the above.
THE OUTPATIENT SURGEON SHOULD KNOW THAT THE MOST COMMON BENIGN
ESOPHAGUS TUMORS ARE:
1) [-] papilloma;
2) [+] leiomyoma;
3) [-] lipoma;
4) [-] adenoma;
5) [-] adenocarcinoma.
WHAT OPERATION SHOULD AN OUTPATIENT SURGEON RECOMMEND A PATIENT WITH
BREAST FIBROADENOMA?
1) [+] sectoral resection;
2) [-] mastectomy;
3) [-] amputation of the mammary gland;
4) [-] operation Pati;
5) [-] all answers are wrong.
A 56-YEAR-OLD PATIENT, WHO SMOKED 40 CIGARETS A DAY, WAS APPOINTED TO THE
SURGEON OF THE POLYCLINIC WITH COMPLAINTS OF A DRY HATCHING COUGH FOR HALF A
YEAR. OVER THE LAST 2 MONTHS, THE PATIENT HAD WEIGHT LOSS BY 8 KG. DURING THE
EXAMINATION, INCREASED, LIMITEDLY DISPLACED SUPRACLUSIC LYMPHONODES WERE
DETECTED ON THE RIGHT. POSITIVE DIAGNOSIS:
1) [-] chronic pneumonia;
2) [-] chronic bronchitis;
3) [+] lung cancer;
4) [-] thyrotoxicosis;
5) [-] tuberculosis.
IN THE POLYCLINIC AT THE SURGEON'S RECEPTION, THE PATIENT COMPLAINTED OF PAIN IN
THE LEFT SHOULDER JOINT. EXAMINATION FOUND PTOSIS, MIOSIS, ENOPHTHALMOS AND
ATROPHY OF THE LEFT UPPER LIMB MUSCLES. ON THE REVIEW RADIOGRAPH OF THE CHEST
- DARKNESS IN THE AREA OF THE TOP OF THE RIGHT LUNG WITH USURATION OF I-II RIBS.
WHAT DISEASE DOES THE PATIENT HAVE?
1) [-] chronic pneumonia;
2) [-] pulmonary tuberculoma;
3) [-] arthrosis-arthritis of the shoulder joint;
4) [+] Pancoast cancer;
5) [-] central cancer.
WHAT COMPLICATIONS CANNOT BE DEVELOPED IN A PATIENT WITH INOPERABLE COLON
CANCER IN OUTPATIENT TREATMENT AT THE PLACE OF RESIDENCE?
1) [-] acute intestinal obstruction;
2) [-] bleeding;
3) [+] cholangitis;
4) [-] peritonitis;
5) [-] perifocal inflammation.
WHAT TREATMENT SHOULD AN OUTPATIENT SURGEON OFFER FOR A PATIENT WITH GRADE
2 NODAL GOITER?
1) [+] excision of the node with gland tissue and urgent histological examination;
2) [-] node enucleation;
3) [-] subtotal strumectomy;
4) [-] hemistrumectomy with isthmus resection;
5) [-] conservative treatment with thyroxin.
A PATIENT 10 DAYS AFTER STUMECTOMY DEVELOPED CLAMPS, SYMPTOMS OF THE TAIL
AND TRUSSEAU. WHAT COMPLICATION IN THE PATIENT?
1) [-] laryngeal nerve injury;
2) [+] hypoparathyroidism;
3) [-] thyrotoxicosis;
4) [-] hypothyroidism;
5) [-] thyrotoxic crisis.
OUTPATIENT SURGEON IN PATIENTS WHO HAVE UNDER SURGERY ON THE THYROID GLAND
CAN EXPECT THE FOLLOWING COMPLICATIONS:
1) [-] hematoma;
2) [-] hypocalcemia;
3) [-] hypothyroidism;
4) [-] keloid scar;
5) [+] all of the above.
SYMPTOMS OF THYROTOXICOSIS AN OUTPATIENT SURGEON MAY ATTRACT ALL OF THE
LISTED EXCEPT:
1) [-] emotional excitability;
2) [-] poor sleep;
3) [-] heartbeat;
4) [-] arrhythmia;
5) [+] Chvostek's symptom.
THE APPEARANCE OF GOITER IN A SIGNIFICANT NUMBER OF PERSONS LIVING IN THE SAME
TERRITORY WILL BE DETERMINED BY YOU AS:
1) [-] sporadic goiter;
2) [-] thyroiditis;
3) [+] endemic goiter;
4) [-] epidemic goiter;
5) [-] massive thyrotoxicosis.
WITH RETRASTERNAL GOITER, THE OUTPATIENT SURGEON WILL NOT DETECT THE
FOLLOWING SIGN:
1) [+] anemia;
2) [-] pulsation above the sternum;
3) [-] displacement of the esophagus during x-ray examination;
4) [-] puffiness of the face and neck;
5) [-] expansion of the veins of the upper shoulder girdle.
EXAMINATION IN A POLYCLINIC OF A 26-YEAR-OLD WOMAN REVEALED HAIR LOSS,
NERVOUSNESS, SWEETING, PERMANENT HUNGER, WEIGHT LOSS OF 12 KG. PRELIMINARY
DIAGNOSIS:
1) [+] hyperthyroidism;
2) [-] gastric ulcer;
3) [-] hypothyroidism;
4) [-] stomach cancer;
5) [-] pheochromocytoma.
WITH BAZED'S DISEASE, THE OUTPATIENT SURGEON MAY NOT DETECT AT THE PATIENT'S
RECEPTION:
1) [-] goiter;
2) [-] tachycardia;
3) [-] exophthalmos;
4) [+] bradycardia;
5) [-] diastolic murmur at the apex of the heart.
THE OUTPUT SURGEON SHOULD REMEMBER THAT THE MOST COMMON COMPLICATION
AFTER SUBTOTAL THYROIDECTOMY IS:
1) [-] exophthalmos;
2) [-] damage to the recurrent nerve;
3) [-] bleeding;
4) [-] tetany;
5) [+] hypothyroidism.
DURING EXAMINATION OF A PATIENT WITH THYROTOXICOSIS, THE SURGEON OF THE
POLYCLINIC REVEALED A NUMBER OF SYMPTOMS. WHICH OF THEM IS NOT A
CONSEQUENCE OF THYROTOXICOSIS?
1) [-] symptoms of Greffe and Möbius;
2) [-] tachycardia;
3) [-] exophthalmos;
4) [-] tremor of the limbs;
5) [+] superior vena cava.
WHEN DETERMINING INDICATIONS FOR SURGICAL TREATMENT OF GOITER, THE
OUTPATIENT SURGEON SHOULD EXCLUDE:
1) [-] thyrotoxic goiter;
2) [-] nodular euthyroid goiter;
3) [-] visceropathic stage of thyrotoxic goiter;
4) [-] multiple nodular goiter;
5) [+] diffuse hypothyroid goiter.
THE OUTPATIENT SURGEON SHOULD KNOW THAT CHRONIC THYROIDITIS IS NOT:
1) [-] strumming Hashimoto;
2) [-] Riedel's goiter;
3) [-] de Quervain's thyroiditis;
4) [+] adenoma of the thyroid gland.
WHICH OF THE DESCRIBED SYMPTOMS SHOULD AN OUTPATIENT SURGEON NOT RELATE TO
A HYPOTHYROID CONDITION?
1) [-] weight gain;
2) [-] hyperhidrosis;
3) [+] tachycardia;
4) [-] weakness of concentration;
5) [-] hair loss.
WHICH SIGN FROM THE LISTED AT STAGE 2 GOITER IS NOT A SYMPTOM OF THYROTOXIC
HEART?
1) [-] systolic murmur at the apex;
2) [-] high systolic pressure;
3) [+] squeezing pericarditis;
4) [-] arrhythmia;
5) [-] cardiodilatation.
DURING THE EXAMINATION IN THE POLYCLINIC, THE SURGEON FOUND THAT THE NODE IN
THE LEFT THYROID GLAND HAS BEGAN TO INCREASE QUICKLY IN THE LAST 3 MONTHS IN A
PATIENT 60 YEARS OLD. THERE ARE NO PHENOMENONS OF THYROTOXICOSIS. SCAN OF THE
THYROID GLAND DETECTED A "COLD" NODE. PRELIMINARY DIAGNOSIS:
1) [-] lung cancer metastasis;
2) [-] thyroid cyst;
3) [-] lipoma of the thyroid gland;
4) [+] thyroid cancer;
5) [-] echinococcal cyst.
WHAT SHOULD AN OUTPATIENT SURGEON NOT CONSIDER A COMPLICATION IN THYROID
SURGERY?
1) [-] damage to the trachea;
2) [-] hypothyroidism;
3) [+] development of chronic venous insufficiency;
4) [-] damage to the esophagus;
5) [-] hematoma.
WHICH IS THE MOST ADEQUATE OPERATION SHOULD AN OUTPATIENT SURGEON SUGGEST
FOR DIFFUSIVE TOXIC GOITER?
1) [-] hemithyroidectomy;
2) [+] subtotal resection of the thyroid gland;
3) [-] subtotal resection of the thyroid gland.
WHAT SYNONYMS OF DIFFUSE TOXIC GOITER SHOULD AN OUTPATIENT SURGEON KNOW?
1) [-] Pancoast disease;
2) [-] Menetrier's disease;
3) [-] Paget's disease;
4) [-] Botkin's disease;
5) [+] Graves-Based disease.
WHAT SHOULD AN OUTPATIENT SURGEON TREAT THYROTOXICOSIS?
1) [-] thyroidin;
2) [-] reserpine;
3) [+] Mercazolil;
4) [-] papaverine;
5) [-] everything is correct.
A PATIENT WITH AN ABERRANT FORM OF GOITER WENT TO THE POLYCLINIC. WHAT IT IS?
1) [+] atypical location of the thyroid gland;
2) [-] thyroid cancer;
3) [-] thyroid cancer metastases to the liver;
4) [-] everything is correct;
5) [-] everything is wrong.
WHEN EXAMINATION IN A POLYCLINIC, A PATIENT WITH NODULAR GOITER REVEALED A
EUTHYREOID STATE. AT WHAT BASIC METABOLISM IS IT POSSIBLE?
1) [+] +10%;
2) [-] +30%;
3) [-] +40%;
4) [-] +50%;
5) [-] +60%.
A PATIENT WITH Graves' DISEASE TURNED TO THE POLYCLINIC TO RESOLUTION THE
QUESTION OF SURGICAL TREATMENT. WHAT IS NOT AN INDICATION FOR THIS TREATMENT
METHOD?
1) [-] nodular toxic goiter;
2) [-] nodular euthyroid goiter;
3) [-] severe thyrotoxic goiter;
4) [-] large goiter, squeezing the surrounding organs of the neck;
5) [+] mild diffuse toxic goiter.
POLYCLINIC SURGEON DURING EXAMINATION OF A 26 YEARS OLD PATIENT SUSPECTED HER
THYROTOXICOSIS. WHICH OF THE SPECIFIED SYMPTOMS CAN BE RELATED TO
MANIFESTATIONS OF THYROTOXICOSIS?
1) [+] heartbeat;
2) [-] heartburn;
3) [-] ptosis;
4) [-] Ortner's symptom;
5) [-] increased body weight.
DURING THE PRIMARY EXAMINATION THE PATIENT HAS BEEN DETECTED GRAVE'S DISEASE.
IT IS NOT CHARACTERISTIC FOR HER:
1) [-] Shtelbach's symptom;
2) [-] exophthalmos;
3) [-] Mobius symptom;
4) [-] goiter;
5) [+] bradycardia.
A 20-YEAR-OLD WOMAN WENT TO AN OUTPATIENT SURGEON WITH COMPLAINTS OF A
THICKENING ON THE FRONT SURFACE OF THE NECK. EXAMINATION REVEALED THAT THE
THYROID GLAND IS SIGNIFICANTLY DIFFUSIVELY INCREASED, SOFT, MOBILE; PROTEIN
BOUND IODINE, THIROXINE AND RADIOACTIVE IODINE ABSORPTION IS INCREASED, BASIC
METABOLISM +50%. HOW TO TREAT THE SICK?
1) [+] operational - subtotal strumectomy;
2) [-] conservatively - thyroid hormones;
3) [-] aspirin;
4) [-] prednisolone;
5) [-] plasmapheresis.
IN THE TREATMENT OF GRANULATING INFECTED WOUNDS THE BEST BACTERICIDAL EFFECT
HAS:
1) [-] rivanol solution;
2) [-] solution of furacilin;
3) [+] iodopyrone solution;
4) [-] hydrogen peroxide;
5) [-] Vishnevsky's ointment.
WHEN SHOULD OINTMENTS BE USED FOR THE TREATMENT OF DEEP LIMITED BURNS?
1) [-] until the rejection of the necrotic scab;
2) [+] after rejection of necrosis;
3) [-] doesn't matter;
4) [-] ointments are not shown.
FOR I-II DEGREES OF BURNING THE HANDS, IT IS PREFERABLE TO USE:
1) [+] aerosols;
2) [-] ointments on a water-soluble basis;
3) [-] fat-soluble ointments;
4) [-] dressings with furacilin;
5) [-] biological coatings.
EARLY NECRECTOMY FOR HAND BURN IS ACCEPTABLE WHEN:
1) [-] the presence of a limited burn eschar in the palm area;
2) [+] the presence of a limited burn eschar in the rear of the hand with localization no deeper
than its own fascia;
3) [-] common deep burns in the palm area;
4) [-] common deep burns in the back of the hand.
IS NOT INDICATOR OF UPPER RESPIRATORY BURN:
1) [-] hoarseness of voice;
2) [-] shortness of breath;
3) [+] large burn area;
4) [-] localization of the burn on the face.
IN THE TREATMENT OF WET BURN SURFACES IN A POLYCLINIC, YOU SHOULD USE:
1) [-] fat-soluble ointments;
2) [+] ointments on a water-soluble basis;
3) [-] biological coatings;
4) [-] dressings with furacilin.
IN THE POLYCLINIC TREATMENT OF BURNS INFECTED WITH GRAM-NEGATIVE FLORA IS NOT
EFFECTIVE:
1) [+] furacilin ointment;
2) [-] boric ointment;
3) [-] iodopyrone ointment;
4) [-] mafenides.
WHAT FIRST AID SHOULD BE PROVIDED TO A PATIENT WITH A BURN?
1) [+] place the injured limb under cold water, followed by the application of an aseptic dressing;
2) [-] apply an alcohol compress;
3) [-] sprinkle with dry antibiotics;
4) [-] everything is correct.
WHICH LAYER OF SKIN IS DAMAGED WHEN A III A DEGREE BURN?
1) [-] epidermis;
2) [+] mesh layer;
3) [-] papillary layer;
4) [-] subcutaneous fat.
WHAT IS SPECIFIC FOR FACIAL BURNS?
1) [-] eye damage;
2) [-] burn of the respiratory tract;
3) [-] frequent development of psychoses;
4) [-] combination with neck burns;
5) [+] all of the above.
WHEN SHOULD AN OUTPATIENT SURGEON USE ANTIBIOTICS IN PATIENTS WITH SKIN BURNS?
1) [-] with limited deep burns;
2) [-] with superficial burns;
3) [+] in case of complications;
4) [-] with symptoms of infection of a limited burn wound.
HOW MANY DEGREES ARE ALLOCATED FOR CHARACTERISTICS OF THE THERMAL BURN
DEPTH?
1) [-] one;
2) [-] two;
3) [-] three;
4) [+] four;
5) [-] five.
FOR THE ERECTILE PHASE OF SHOCK IS NOT CHARACTERISTIC:
1) [-] excitement;
2) [+] decrease in respiratory rate;
3) [-] tachycardia;
4) [-] pallor and coldness of intact skin;
5) [-] increased blood pressure.
WHEN DETERMINING THE DEGREE OF BURN, THE FOLLOWING IS CONSIDERED:
1) [-] assessment of the damage area;
2) [+] alcohol test;
3) [-] localization of damage;
4) [-] all of the above;
5) [-] none of the above.
IN WHAT DEGREE OF BURN IS IT IMPOSSIBLE TO HEAL THE WOUND INDEPENDENTLY?
1) [-] I-II degree;
2) [-] II degree;
3) [-] III A degree;
4) [+] III B-IV degree.
HOW MANY DEGREES ARE ALLOCATED FOR THE CHARACTERISTICS OF THE DEPTH OF
Frostbite?
1) [-] one;
2) [-] two;
3) [-] three;
4) [+] four.
WHEN A PATIENT WITH Frostbite is REFERRED FOR WARMING, IT SHOULD BE:
1) [-] apply a hot heating pad to the area of frostbite;
2) [+] immerse the frostbitten area in cool water (25-30°C) and gradually increase its
temperature;
3) [-] immerse the frostbitten area in hot water;
4) [-] immerse the patient entirely in a hot bath.
FOR Frostbite NOT CHARACTERISTIC:
1) [-] blanching of the skin;
2) [-] cooling of the skin;
3) [-] reduction or loss of all types of sensitivity in the area of damage;
4) [+] hyperemia of the skin.
IN BURN III B DEGREE IS AFFECTED:
1) [-] epidermis only;
2) [-] skin up to the germ layer;
3) [+] skin to the full depth;
4) [-] skin and underlying structures.
WHEN EXAMINATION OF A 34 YEARS OLD PATIENT IN A POLYCLINIC, A SURGEON REVEALED
A NUMBER OF COMPLAINTS ON THE FEELING OF "SCRATCHING" IN THE THROAT,
SALIVATION, AGAINST SWALLOWING, THE NEED TO DRINK FOOD WITH WATER, NIGHT
COUGH AND DISCHARGE FROM THE MOUTH. FOR WHAT DISEASE ARE THESE SYMPTOMS?
1) [-] lung cancer;
2) [-] cancer of the esophagus;
3) [+] Zenker's diverticulum;
4) [-] tumors of the mediastinum;
5) [-] gastric ulcer.
WHAT RECOMMENDATIONS ON CONSERVATIVE THERAPY SHOULD AN OUTPATIENT
SURGEON NOT GIVE TO A PATIENT WITH ESOPHAGUS DIVERTICULAS?
1) [-] sparing rational diet and fractional nutrition;
2) [-] postural drainage after eating and washing the esophagus with mineral water;
3) [-] local anesthetics;
4) [+] nutrition in the clinostatic position;
5) [-] taking 1-2 tablespoons of vegetable oil before meals.
WHEN EXAMINATION BY A POLYCLINIC SURGEON OF A MAN WITH COMPLAINTS OF
STERNAL PAIN, DYSPHAGIA AND REGURGITATION, ACHALASIA OF THE CARDIA IS
SUSPECTED. RADIOLOGICALLY AND ENDOSCOPICALLY REVEALED A SIGNIFICANT
EXPANSION OF THE ESOPHAGUS, THE ABSENCE OF THE SYMPTOM OF DISCLAIMER OF THE
CARDIA, CAUSED BY THE SCAR. INDICATE THE STAGE OF THE DISEASE:
1) [-]I;
2) [-] II;
3) [+]III;
4) [-] IV.
WHAT TREATMENT SHOULD A POLYCLINIC SURGEON OFFER A PATIENT WITH STAGE III
CARDIA achalasia?
1) [-] conservative treatment;
2) [+] cardiodilation;
3) [-] cardiomyotomy operation;
4) [-] resection of the cardia of the stomach;
5) [-] gastrostomy.
WHAT DRUGS OF CONSERVATIVE THERAPY IS INCOMPLETE TO PRESCRIBE TO A PATIENT
WITH CARDIOSPASM IN POLYCLINIC CONDITIONS?
1) [-] local anesthetics;
2) [-] cerucal;
3) [-] vitamins of group B;
4) [+] vasopressors;
5) [-] nitropreparations.
A YOUNG MAN DRUNK WITH A STICK-CUT WOUND OF THE NECK LEFT IS BROUGHT TO THE
OUTPATIENT RECEPTION TO THE SURGEON. A PATIENT COMPLAINTS OF PAIN IN THE
WOUND WHEN SWALLOWING AND DYSPHAGIA. NO SHOCK AND BLEEDING. OBJECTIVE
EXAMINATION FOUND SUBCUTANEOUS EMPHYSEMA. WHICH ORGANS, WITH THE HIGHEST
PROBABILITY, ARE DAMAGED IN THE PATIENT?
1) [-] easy;
2) [+] esophagus;
3) [-] only neck muscles;
4) [-] vessels of the neck;
5) [-] larynx.
A 34 YEARS OLD PATIENT WAS AT THE RECEPTION TO THE SURGEON OF THE POLYCLINIC.
HISTORY DATA: 5 DAYS AGO IN A DOMESTIC QUARGE HE WAS STAFFED WITH A KNIFE IN
THE NECK REGION. I FELT RELATIVELY SATISFACTORY, THEN I APPEARED NECK STIFFNESS,
THE BODY TEMPERATURE INCREASED TO 38.4°C. A REVIEW X-RAY EXAMINATION FOUND A
LAYER OF GAS IN THE SOFT TISSUES OF THE NECK, INCREASED PREVERTEBRAL SPACE AND
ANTERIOR DISPLACEMENT OF THE TRACHEA. WHICH BODY IS WOUNDED BY THE SURGEON?
1) [-] larynx;
2) [+] esophagus;
3) [-] lung;
4) [-] soft tissues of the neck.
A PATIENT APPEARED TO AN OUTPATIENT SURGEON WITH COMPLAINTS OF DIFFICULTY OF
SWALLOWING, INCREASED TEMPERATURE, SENSING OF A FOREIGN BODY IN THE
ESOPHAGUS. HISTORY DATA: 3 DAYS AGO WHEN HE GADED HE CHOKED ON A SMALL FISH
BONE. WHEN THE EXAMINATION REVEALED: THE PATIENT'S CONDITION OF MIDDLE
GRAVITY, PULSER - 92 BPM, BODY TEMPERATURE - 38.4°C. THE POPULAR X-RAY SHOWS GAS
IN THE MEDIASTUM. WHAT SHOULD THE SURGEON PRESCRIBE?
1) [-] esophagoscopy;
2) [-] conservative treatment;
3) [+] emergency hospitalization by specialized transport;
4) [-] blood and urine tests.
A 34 YEARS OLD PATIENT APPEARED TO AN OUTPATIENT SURGEON'S APPOINTMENT WITH
COMPLAINTS OF PAIN IN THE THROAT, DIFFICULTY OF SWALLOWING, FEVER, WEAKNESS
AND BLACK SEATS. FROM THE HISTORY IT WAS FOUND THAT 3 DAYS AGO THE PATIENT
ACCIDENTALLY DRINKED A SMALL AMOUNT OF VINEGAR ESSENCE. EXAMINATION
REVEALED: MODERATE LEUKOCYTOSIS UP TO 9.4X109/L, ANEMIA (erythrocytes - 3.5X1012/L),
INCREASED BODY TEMPERATURE UP TO 37.4°C, IN RECTAL FINGER EXAMINATION - A BLACK
DESIGNED CHAIR. NO PATHOLOGY IS DETECTED ON THE REVIEW RADIOGRAPHY. WHAT
COMPLICATION OF THE CHEMICAL BURN OF THE ESOPHAGUS HAS DEVELOPED IN THE
PATIENT?
1) [-] mediastinitis;
2) [-] pleurisy;
3) [-] esophageal-tracheal fistula;
4) [+] gastrointestinal bleeding;
5) [-] lung abscesses.
A POLYCLINIC SURGEON SHOULD NOT PRESCRIBE A PATIENT WITH ACUTE CHEMICAL BURN
OF THE ESOPHAGUS:
1) [-] gastric lavage with a gastric tube;
2) [-] novocaine solution inside;
3) [+] gastroscopy;
4) [-] oral antidote therapy.
A PATIENT APPEARED TO THE POLYCLINIC 10 DAYS AFTER ACCIDENTAL INTAKE OF A
SMALL Amount OF BATTERY ACID WITH COMPLAINTS OF THE IMPOSSIBILITY OF COMPLETE
NUTRITION, PAIN IN THE ESOPHAGUS AND THE UPPER THIRD OF THE ABDOMEN.
OBJECTIVELY: STATE OF MIDDLE GRAVITY, PULSE - 88 BPM, BP - 130/70 mm Hg. ST., BODY
TEMPERATURE IS SUBFEBRILLE, NO PATHOLOGY IS DETECTED ON THE REVIEW
RADIOGRAPH. THE SURGEON SHOULD DO:
1) [-] esophagogastroscopy;
2) [-] blood and urine tests;
3) [+] hospitalization in a surgical hospital;
4) [-] early bougienage in a polyclinic;
5) [-] conservative outpatient treatment.
IN WHAT TIME SHOULD A POLYCLINIC SURGEON RECOMMEND LATE ESOPHAGUS BOOGGING
TO A PATIENT ABOUT BURN STRICTURE AFTER A SUFFERED CHEMICAL BURN TO REDUCE
THE POSSIBILITY OF COMPLICATIONS?
1) [-] 3-4 weeks;
2) [-] 4-6 weeks;
3) [-] 6-8 weeks;
4) [+] more than 8 weeks.
WHAT PRE-HOSPITAL MEASURES ARE NOT INDICATED TO A PATIENT WITH A CHEMICAL
BURN OF THE ESOPHAGUS IN THE ACUTE PHASE?
1) [-] drinking milk;
2) [+] the introduction of a permanent gastric tube;
3) [-] washing the mouth of the esophagus and stomach with drinking water;
4) [-] taking painkillers.
A PATIENT WITH A CHEMICAL BURN OF THE ESOPHAGUS TWO HOURS AGAIN ADDED TO THE
POLYCLINIC. IS IT NECESSARY TO CARRY OUT PROBE GASTROINTESTINAL WASHING?
1) [-] the probe is inserted only for burns with alkali;
2) [+] mandatory;
3) [-] the probe is inserted only for acid burns;
4) [-] this method is contraindicated.
WHEN EXAMINATION BY A SURGEON OF A POLYCLINIC OF A WOMAN, 26 YEARS OLD,
COMPLAINTS OF DIFFICULTY OF SWALLOWING LIQUID FOOD, PERIODIC REGURGITATION ARE
NOTICED. DURING ESOPHAGOMANOMETRY, A DECREASE IN RELAXATION OF THE
ESOPHAGEAL SPHINCTER DURING SWALLOWING IS REVEALED. WHAT DISEASE IS MOST
LIKELY POSSIBLE FOR THE PATIENT?
1) [-] reflux esophagitis;
2) [-] supraphrenic diverticulum of the esophagus;
3) [-] cancer of the esophagus;
4) [-] polyp of the esophagus;
5) [+] achalasia of the cardia.
A 25 YEARS OLD PATIENT WITH A CLINICAL PICTURE OF THE I STAGE OF ACHALASIA OF THE
CARDIA WAS APPOINTED TO THE SURGEON. WHAT TREATMENT SHOULD THE PATIENT BE
PRESENTED?
1) [-] antireflux operation;
2) [-] the use of sedatives;
3) [-] the use of antispasmodics;
4) [+] dilatation of the lower esophageal sphincter;
5) [-] esophagomyotomy operation.
WHAT SYMPTOMS CAN A POLYCLINIC SURGEON CANNOT DETECT IN PATIENTS WITH
PARAESOPHAGEAL HERNIATION?
1) [-] chest pain;
2) [+] intestinal obstruction;
3) [-] necrosis and perforation;
4) [-] erosive esophagitis;
5) [-] the pain is aggravated in the supine position.
OUTPATIENT SURGEON WHEN EXAMINATION OF A PATIENT WITH A HERNIATE OF THE
HIAPHAGMATIC HOLE SHOULD KNOW THAT THE MOST COMMONLY ENCOUNTERED
COMPLICATION OF ITS IS:
1) [-] infringement of hernial contents;
2) [-] violation of the passage of food;
3) [-] arrhythmia;
4) [-] gastrointestinal bleeding;
5) [+] reflux esophagitis.
WHAT IS THE MOST INFORMATIVE METHOD OF INVESTIGATION SHOULD AN OUTPATIENT
SURGEON PRESCRIBE TO A PATIENT WITH SUSPECTED HIAPHAGNETIC HERNIATION?
1) [-] gastroscopy;
2) [-] angiography;
3) [-] computed tomography;
4) [+] contrast polypositional X-ray examination;
5) [-] sonography.
A POLYCLINIC SURGEON REVEALED CARDIOSPASM IN A PATIENT. IN WHAT STAGE OF THIS
DISEASE (ACCORDING TO BV PETROVSKY'S CLASSIFICATION) SURGICAL TREATMENT IS
INDICATED?
1) [-] in all stages;
2) [-] in the second, third, fourth stages;
3) [+] in the third and fourth stages;
4) [-] in the fourth stage.
WHAT TREATMENT SHOULD A POLYCLINIC SURGEON PRESCRIBE A PATIENT WITH ZENKER'S
DIVERTICULUM?
1) [+] removal of the diverticulum with myoesophagotomy;
2) [-] gastrostomy;
3) [-] probe feeding;
4) [-] endoscopic dissection of the narrowing below the diverticulum of the esophagus;
5) [-] all of the above is possible.
THE OUTPATIENT SURGEON SHOULD REMEMBER THAT THE MOST COMMON
COMPLICATION OF ESOPHAGUS DIVERTICULUM IS:
1) [-] bleeding;
2) [-] cancer of the esophagus;
3) [+] diverticulitis;
4) [-] perforation;
5) [-] stricture of the esophagus.
WHAT EARLY SIGNS SHOULD AN OUTPATIENT SURGEON LOOK FOR IN A PATIENT WITH
SUSPECTED ESOPHAGEAL CANCER?
1) [-] increased salivation;
2) [+] dysphagia;
3) [-] pain behind the sternum and in the back;
4) [-] cough when eating;
5) [-] weight loss.
WHAT THE OUTPATIENT SURGEON SHOULD NOT DO TO A PATIENT WITH A SUSPECTED
FOREIGN BODY OF THE ESOPHAGUS:
1) [-] esophagoscopy;
2) [+] sounding of the esophagus;
3) [-] contrast fluoroscopy of the esophagus;
4) [-] laryngoscopy;
5) [-] all the above can be done.
A PATIENT WITH MILD MANIFESTATIONS OF REFLUX-ESOPHAGITIS WAS AT AN OUTPATIENT
RECEPTION. WHAT RECOMMENDATIONS CAN A POLYCLINIC SURGEON GIVE FOR THIS
DISEASE?
1) [-] antacids;
2) [-] cerucal;
3) [-] fractional food intake;
4) [-] high position of the head end of the body during sleep;
5) [+] all of the above.
THE CLINICAL AND EXPERT COMMISSION OF THE MEDICAL AND PREVENTIVE INSTITUTION
SHOULD NOT INCLUDE THE FOLLOWING:
1) [-] chief physician;
2) [-] Deputy chief physician for clinical and expert work;
3) [-] head of department;
4) [-] attending physician;
5) [+] chief nurse.
WHO CAN HEAD THE CLINICAL AND EXPERT COMMISSION OF A TREATMENT AND
PREVENTION INSTITUTION?
1) [+] chief physician or deputy chief physician for clinical and expert work;
2) [-] head of department;
3) [-] leading experts;
4) [-] attending physician.
DOES AN AVERAGE HEALTH WORKER HAVE THE RIGHT TO CONDUCT EXAMINATION OF
TEMPORARY INABILITY TO WORK?
1) [-] yes;
2) [+] only by decision of the health authority;
3) [-] no.
THE OUTPATIENT SURGEON HAS THE RIGHT TO ISSUE A DISABILITY LIST AT A TIME FOR A
MAXIMUM PERIOD:
1) [-] up to 3 calendar days;
2) [+] up to 10 calendar days;
3) [-] up to 30 calendar days;
4) [-] no more than 10 months.
THE OUTPATIENT SURGEON HAS THE RIGHT TO ONELY EXTEND THE DISABILITY LIST FOR
THE MAXIMUM PERIOD:
1) [-] up to 3 calendar days;
2) [-] up to 10 calendar days;
3) [+] up to 30 calendar days;
4) [-] no more than 10 months.
AT OUTPATIENT TREATMENT A LEAF OF TEMPORARY INABILITY FOR WORK IS ISSUED:
1) [+] on the day of establishment of incapacity for work;
2) [-] at the end of treatment;
3) [-] from the first day of illness or injury.
HOW MANY SIGNATURES OF THE MEMBERS OF THE CLINICAL EXPERT COMMISSION
SHOULD BE IN THE Sick Leave?
1) [-] two;
2) [+] three;
3) [-] four;
4) [-] six.
HOW MANY GROUPS OF DISABILITY ARE THERE?
1) [-] two;
2) [+] three;
3) [-] four;
4) [-] six.
GROUP I OF DISABILITY ARE:
1) [+] persons with persistent significant impairment of body functions, incapable of selfservice and in need of outside care;
2) [-] persons with persistent significant impairment of body functions, disabled, but not in need
of outside care;
3) [-] persons with persistent minor or moderately pronounced impairments of body functions,
capable of performing labor activity, subject to a decrease in qualifications or a decrease in the
volume of work;
4) [-] persons with temporary impairments of body functions, leading to the restriction of their
professional activities.
TO II GROUP OF DISABILITY ARE:
1) [-] persons with persistent significant impairment of body functions, incapable of self-service
and in need of outside care;
2) [+] persons with persistent significant impairment of body functions, disabled, but not in
need of outside care;
3) [-] persons with persistent minor or moderately pronounced impairments of body functions,
capable of performing labor activity, subject to a decrease in qualifications or a decrease in the
volume of work;
4) [-] persons with temporary impairments of body functions, leading to the restriction of their
professional activities.
GROUP III OF DISABILITY INCLUDES:
1) [-] persons with persistent significant impairment of body functions, incapable of self-service
and in need of outside care;
2) [-] persons with persistent significant impairment of body functions, disabled, but not in need
of outside care;
3) [+] persons with persistent minor or moderately pronounced impairments of body functions,
capable of performing labor activities, subject to a decrease in qualifications or a decrease in
the volume of work;
4) [-] persons with temporary impairments of body functions, leading to the restriction of their
professional activities.
THE DOCUMENT CONFIRMING THE TEMPORARY INABILITY OF THE PATIENT IS:
1) [+] certificate of temporary disability;
2) [-] extract from the outpatient card;
3) [-] medical history;
4) [-] control card of dispensary observation.
CAN THE SHEET OF DISABILITY BE ISSUED ONLY ON THE DAYS OF ATTENDANCE TO THE
POLYCLINIC, I.E. INTERMITTENTLY:
1) [-] no;
2) [-] yes;
3) [+] yes, by decision of the CEC - for invasive methods; examinations and treatment.
APPROXIMATE DATES OF TEMPORARY INABILITY FOR WORK IN OBLITERATING
ENDARTERITIS THAT DO NOT REQUIRE SURGICAL TREATMENT (IN-SITE AND OUT-PATIENT
STAGES):
1) [-] 10-15 days;
2) [+] 14-21 days;
3) [-] 20-25 days;
4) [-] 30-40 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE OPERATION FOR
OBLITERING ENDARTERITIS IS PERFORMED TO THE PATIENT (IN-SITE AND OUT-PATIENT
STAGES):
1) [-] 20-30 days;
2) [-] 30-45 days;
3) [-] 50-60 days;
4) [+] 60-80 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN ACUTE THROMBOPHLEBITIS
OF THE SUPERFICIAL VESSELS OF THE LOWER LIMB (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 10-15 days;
2) [+] 15-18 days;
3) [-] 15-24 days;
4) [-] 20-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN ACUTE THROMBOPHLEBITIS
OF THE DEEP VEINS OF THE LOWER LIMB (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 10-15 days;
2) [-] 15-18 days;
3) [-] 15-24 days;
4) [+] 20-30 days.
APPROXIMATE DATES OF TEMPORARY INABILITY FOR WORK IN ACUTE THROMBOPHLEBITIS,
VARICOSE VEINS OF THE LOWER LIMB (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 10-15 days;
2) [-] 15-20 days;
3) [+] 20-30 days;
4) [-] 30-35 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE OPERATION FOR
VARICOSE VEINS OF THE LOWER LIMB IS PERFORMED TO THE PATIENT (IN-SITE AND OUTPATIENT STAGES):
1) [-] 15-20 days;
2) [-] 20-30 days;
3) [+] 25-35 days;
4) [-] 30-35 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF A LUNG
ABSCESS IN A PATIENT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [-] 40-50 days;
3) [+] 60-80 days;
4) [-] 80-90 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY AFTER THE OPERATION FOR PLEURAL
EMPYEMA (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [-] 40-50 days;
3) [-] 50-60 days;
4) [+] 60-90 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF PNEUMOTHORAX
IN THE PATIENT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 10-20 days;
2) [+] 20-30 days;
3) [-] 30-40 days;
4) [-] 40-50 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN A PATIENT HAS ACUTE
GASTRIC ULCER COMPLICATED WITH BLEEDING (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [-] 30-45 days;
3) [+] 45-60 days;
4) [-] 50-70 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY AFTER THE PATIENT'S SURGERY FOR
PERFATION OF ACUTE GASTRIC ULCER (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 30-45 days;
2) [-] 50-60 days;
3) [+] 60-75 days;
4) [-] 75-80 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS
ACUTE DUODENAL ULCER COMPLICATED WITH BLEEDING (IN-SITE AND OUT-PATIENT
STAGES):
1) [-] 15-20 days;
2) [+] 20-40 days;
3) [-] 45-60 days;
4) [-] 50-70 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS
ACUTE DUODENAL ULCER WITH PERFECTION (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 15-20 days;
2) [-] 20-40 days;
3) [+] 45-60 days;
4) [-] 50-70 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF ACUTE
CATARIAL APPENDICITIS IN THE PATIENT (IN-SITE AND OUT-PATIENT STAGES):
1) [+] 16-18 days;
2) [-] 18-21 days;
3) [-] 21-24 days;
4) [-] 26-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF ACUTE
PHEGMONOUS APPENDICITIS IN A PATIENT (IN-STATIONARY AND OUT-PATIENT STAGES):
1) [-] 16-18 days;
2) [+] 18-21 days;
3) [-] 21-24 days;
4) [-] 26-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF ACUTE
GANGRENOUS APPENDICITIS IN THE PATIENT (IN-STATIONARY AND OUT-PATIENT STAGES):
1) [-] 16-18 days;
2) [-] 18-21 days;
3) [+] 21-24 days;
4) [-] 26-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE OPERATION FOR
ONE-SIDED INGUINAL HERNIA IS PERFORMED TO THE PATIENT (IN-SITE AND OUT-PATIENT
STAGES):
1) [-] 18-20 days;
2) [+] 21-23 days;
3) [-] 22-25 days;
4) [-] 25-30 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY OF A PATIENT AFTER OPERATION FOR
UNILATERAL FEMORAL HERNIATION (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 18-20 days;
2) [-] 21-23 days;
3) [+] 22-25 days;
4) [-] 25-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE OPERATION FOR
AN UMBILICAL HERNIA IS PERFORMED TO THE PATIENT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 18-20 days;
2) [-] 21-23 days;
3) [-] 22-25 days;
4) [+] 23-28 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE OPERATION FOR
ANTERIOR ABDOMINAL WALL HERNIATION (IN-SITE AND OUT-PATIENT STAGES) IS
PERFORMED TO THE PATIENT:
1) [-] 18-20 days;
2) [-] 21-23 days;
3) [+] 20-25 days;
4) [-] 25-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE PATIENT'S
OPERATION FOR INTESTINAL INVAGINATION (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [+] 30-40 days;
3) [-] 40-50 days;
4) [-] 50-55 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF ACUTE PURULENT
LOCAL PERITONITIS IN THE PATIENT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [+] 30-40 days;
3) [-] 50-60 days;
4) [-] 60-90 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF ACUTE PURULENT
DIFFERENT PERITONITIS IN THE PATIENT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [-] 30-40 days;
3) [-] 50-60 days;
4) [+] 60-90 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE PATIENT'S
OPERATION FOR LIVER ABSCESS (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 40-50 days;
2) [-] 60-80 days;
3) [-] 90-100 days;
4) [+] 120-140 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE PATIENT'S
CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 25-30 days;
2) [-] 32-45 days;
3) [+] 48-55 days;
4) [-] 55-60 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF
GASTROINTESTINAL BLEEDING IN THE PATIENT (IN-STATIONARY AND OUT-PATIENT
STAGES):
1) [-] 15-20 days;
2) [+] 20-35 days;
3) [-] 30-40 days;
4) [-] 40-45 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS
PLUGMON OF THE FINGERS OF THE HAND OR FOOT (STATIONARY AND OUTPATIENT
STAGES):
1) [+] 5-15 days;
2) [-] 15-20 days;
3) [-] 20-25 days;
4) [-] 25-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IF THE PATIENT HAS
SECONDARY POSTTRAUMATIC POLYARTHRISIS (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 10-20 days;
2) [+] 15-30 days;
3) [-] 30-35 days;
4) [-] 35-40 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE PATIENT'S
SURGERY FOR THYROTOXICOSIS WITH TOXIC MULTINODE GOITER (IN-SITE AND OUT-
PATIENT STAGES):
1) [-] 20-25 days;
2) [-] 25-30 days;
3) [-] 30-35 days;
4) [+] 35-45 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS AN
UNCOMPLICATED CHEST INJURY (IN-SITE AND OUT-PATIENT STAGES):
1) [+] 7-10 days;
2) [-] 10-15 days;
3) [-] 15-20 days;
4) [-] 20-25 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS A
CLOSED RIB FRACTURE WITHOUT DISPLACEMENT (IN-SITE AND OUT-PATIENT STAGES):
1) [+] 15-25 days;
2) [-] 20-30 days;
3) [-] 40-50 days;
4) [-] 50-60 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF A
CLOSED FRACTURE OF THE RIB WITH DISPLACEMENT IN THE PATIENT (IN-SITE AND OUTPATIENT STAGES):
1) [-] 15-25 days;
2) [+] 20-30 days;
3) [-] 40-50 days;
4) [-] 50-60 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF A PATIENT WITH
MULTIPLE FRACTURE OF RIBS (2-3) WITHOUT DISPLACEMENT (IN-SITE AND OUT-PATIENT
STAGES):
1) [-] 15-25 days;
2) [-] 20-30 days;
3) [+] 30-15 days;
4) [-] 50-60 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS A
CLOSED FRACTURE OF THE SACUM WITHOUT DISPLACEMENT (IN-SITE AND OUT-PATIENT
STAGES):
1) [-] 25-45 days;
2) [-] 30-50 days;
3) [+] 55-90 days;
4) [-] 80-100 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS A
CLOSED ILIAC FRACTURE WITHOUT DISPLACEMENT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 25-45 days;
2) [+] 35-45 days;
3) [-] 55-90 days;
4) [-] 80-100 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF A PATIENT WITH
UNCOMPLICATED LUMBAR VERTEBRAL DISTRUCTION (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 25-45 days;
2) [-] 30-50 days;
3) [-] 55-90 days;
4) [+] 80-100 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS AN
UNCOMPLICATED OPEN WOUND OF THE SHOULDER AND SHOULDER (IN-SITE AND OUTPATIENT STAGES):
1) [+] 10-15 days;
2) [-] 15-18 days;
3) [-] 18-20 days;
4) [-] 20-25 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS A
CLOSED FRACTURE OF THE CLAVE WITH NO DISPLACEMENT (IN-SITE AND OUT-PATIENT
STAGES):
1) [-] 25-30 days;
2) [+] 30-40 days;
3) [-] 40-55 days;
4) [-] 55-60 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF A PATIENT WITH A
CLOSED FRACTURE OF THE HEAD OF THE HUMERUS WITHOUT DISPLACEMENT (IN-SITE AND
OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [+] 35-45 days;
3) [-] 55-65 days;
4) [-] 70-80 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF A PATIENT WITH A
CLOSED FRACTURE OF THE SURGICAL NECK OF THE HUMERUS WITHOUT DISPLACEMENT (IN
-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [-] 35-45 days;
3) [+] 50-60 days;
4) [-] 70-80 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IF A PATIENT HAS A CLOSED
FRACTURE OF THE SURGICAL NECK OF THE HUMERUS WITH DISPLACEMENT (IN-SITE AND
OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [-] 35-45 days;
3) [-] 55-65 days;
4) [+] 70-80 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF A
CLOSED FRACTURE OF THE SHAPIT OF THE HUMERUS WITH DISPLACEMENT IN THE
PATIENT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 40-50 days;
2) [-] 60-70 days;
3) [-] 80-120 days;
4) [+] 140-150 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF THE PATIENT WITH
UNCOMPLICATED SHOULDER JOINT DISTRUCTION (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [-] 35-45 days;
3) [+] 45-60 days;
4) [-] 70-80 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF A PATIENT WITH A
CLOSED FRACTURE OF THE DIAPHISIS OF THE ULNUNA AND RADIUS BONES IN THE MIDDLE
THIRD WITHOUT DISPLACEMENT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 20-30 days;
2) [-] 35-45 days;
3) [+] 55-60 days;
4) [-] 70-80 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK WHEN THE PATIENT HAS AN
OPEN WOUND OF THE WRIST OR HAND WITH UNCOMPLICATED COURSE (IN-SITE AND OUTPATIENT STAGES):
1) [-] 10-15 days;
2) [+] 15-20 days;
3) [-] 20-25 days;
4) [-] 25-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF THE
PATIENT'S DISTRUCTION OF THE FINGER OF THE HAND (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 10-15 days;
2) [-] 15-20 days;
3) [-] 20-25 days;
4) [+] 25-30 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IF A PATIENT HAS A CLOSED
FRACTURE OF THE NECK OF THE FEMO WITHOUT DISPLACEMENT (IN-SITE AND OUTPATIENT STAGES):
1) [-] 50-60 days;
2) [-] 80-95 days;
3) [-] 150-160 days;
4) [+] 165-180 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF A
CLOSED FRACTURE OF THE FEMORAL SHAFT WITH DISPLACEMENT IN A PATIENT (IN-SITE
AND OUT-PATIENT STAGES):
1) [-] 125-135 days;
2) [-] 145-155 days;
3) [-] 180-190 days;
4) [+] 195-210 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF THE PATIENT'S
UNCOMPLICATED DISCHARGEMENT IN THE HIP JOINT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 125-135 days;
2) [-] 145-155 days;
3) [+] 180-200 days;
4) [-] 200-210 days.
APPROXIMATE TERMS OF TEMPORARY DISABILITY IN THE PRESENCE OF THE PATIENT'S
UNCOMPLICATED DISTRUCTION IN THE KNEE JOINT (IN-SITE AND OUT-PATIENT STAGES):
1) [-] 40-50 days;
2) [-] 50-70 days;
3) [+] 60-80 days;
4) [-] 80-100 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF A
PATIENT'S THERMAL BURN OF THE TRUNK OF THE II DEGREE (IN-SITE AND OUT-PATIENT
STAGES):
1) [+] 40-60 days;
2) [-] 70-80 days;
3) [-] 100-120 days;
4) [-] 160-180 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK IN THE PRESENCE OF A
THERMAL BURN OF THE TRUNK OF THE III DEGREE IN THE PATIENT (IN-SITE AND OUTPATIENT STAGES):
1) [-] 40-80 days;
2) [-] 100-120 days;
3) [+] 160-180 days;
4) [-] 180-200 days.
APPROXIMATE TERMS OF TEMPORARY INABILITY FOR WORK AFTER THE OPERATION FOR
PURULENT PAIR-PROCTITIS IS PERFORMED TO THE PATIENT (IN-SITE AND OUT-PATIENT
STAGES):
1) [-] 20-25 days;
2) [+] 25-35 days;
3) [-] 30-40 days;
4) [-] 40-45 days.
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