363.Specific pararectal fistulas may occur in: 1) tuberculosis; 2) gonorrhoea, 3) syphilis, 4) diverticulosis, 5) actinomycosis. Select the correct combination of answers? => 1,2&3 364. Splenomegaly is not seen in which disease? => Depend upon the options 365. In which disease does spontaneous rupture of the spleen not occur? => Sickel cell disease 366. Statefactor that does not contribute to the development of strangulation intestinal obstruction? => Diet 367. What is the most common mediastinal neoplasm? => Thyoma 368. Which tumour is the most common among malignant neoplasms of the oesophagus? => Adenocarcinoma 369. What is the shelf life of fresh frozen plasma at minus 25 C. => 12 months from date of freezing 370. What disease is characterised by regurgitation of scarlet frothy blood? Hematemesis => Peptic ulcer disease: => Esophageal varices: => GASTRITIS => Mallory Weiss tear -- GI bleeding 371. Where is the sphincter of Lutkens located? => In the distal parts of the cystic duct 372. Impingement of what organ can be suspected when determining the tympanic sound above the hernial bulge during percussion? => Presence of bowel loops 373. What is not a typical complication of acute appendicitis? => Gallstone formation 374. State the cause that most commonly contributes to the development of mesenteric vein thrombosis? => Thrombophilia 375. State the most adequate operation for a chronic lung abscess occupying 1 to 3 segments? => Wedge resection and segmentectomy. 376. Specify the correct option of performing pleural puncture for hydrothorax? => just above the upper edge of the rib and not below the rib. 377. Indicate the symptoms most commonly seen in sliding oesophageal hernia: 1) heartburn; 2)sternal pain; 3) melena; 4) diarrhoea; 5) constipation. Indicate the correct combination of answers? => 1&2 378. Indicate in which hernias does the pain syndrome increase in the horizontal position of the patient? => Para oesophageal hernia and obturator hernia 379. What disease corresponds to the presented ultrasound image? => -------- 380. With what diseases should a pinched femoral hernia be differentiated? = > Inguinal Hernia, Lymphadenopathy: Lipomas Femoral Ar tery Aneurysm 381. Which peritonitis does not have fibrinous deposits on the peritoneum? => Primary bacterial peritonitis 382. What is the character of abdominal pain in acute destructive pancreatitis? => In acute destructive pancreatitis, the character of abdominal pain is typically severe, intense, and persistent. The pain is of ten described as a deep, piercing, or stabbing sensation in the upper abdomen, par ticularly in the epigastric region (located between the lower end of the sternum and the navel) 383. What factor does not determine the nature and extent of surgery in acute mesenteric thromboembolism ? => Time of symptom onset
