Hospital Surgery Examination Questions
for the 5th Year Students of General Medicine Department.
1.
The history of department of clinical surgery in Russia. Aims and tasks.
2.
The history of department of clinical surgery of VSMU.
3.
Surgical deontology. N.N. Petrov – the founder of Russian deontology.
4.
Acute appendicitis. Complications. Classifications. Clinical manifestations. Diagnosis of
various complications. Treatment.
5.
Acute appendicitis. Preoperative complications. Clinical manifestations. Diagnostics.
Treatment of preoperative complications.
6.
Acute appendicitis. Postoperative complications. Clinical manifestations of various
complications. Diagnostics. Treatment.
7.
Periappendiceal mass.
Clinical manifestations. Diagnostics. Differential diagnosis.
Treatment.
8.
Features of acute appendicitis course in children, elderly patients and pregnant women.
Clinical manifestations. Diagnostics. Surgical tactic.
9.
Inguinal hernias. Complications. Clinical manifestations. Diagnostics. Principals of
treatment.
10. Strangulated inguinal hernias. Clinical manifestations. Diagnostics. Differential
diagnosis. Treatment.
11. Femoral hernia. Complications. Clinical manifestations. Diagnostics. Differential
diagnosis. Methods of operations.
12.
Epigastric hernia (fatty hernia of the linea alba). Umbilical hernia. Complications.
Clinical manifestations. Diagnostics. Methods of treatment.
13. Strangulated hernia. Types of strangulation. Spurious strangulation. Imaginary taxis.
Clinical manifestations. Diagnostics. Peculiarities of operative technique. Criteria of strangulated
organ vitality. Tactics in doubtful diagnosis.
14. Irreducible and strangulated hernias. Differential diagnosis. Principals of treatment.
15. Incisional hernias. Etiology and pathogenesis. Clinical manifestations. Diagnostics.
Prevention and treatment.
16. Gastroesophageal hernias. Clinical manifestations. Diagnostics. Treatment.
17. Acute cholecystitis. Classification. Complications. Clinical manifestations. Diagnostics.
Methods of treatment.
18. Common bile duct obturation (choledocholithiasis, strictures, tumors). Clinical
manifestations. Diagnostics and differential diagnosis. Treatment.
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19. Obstructive jaundice. Clinical manifestations. Diagnostics and differential diagnosis.
Types of operations. Indications for operations and date of operations.
20. Cholemia and acholia, their origin and complications caused by them. Peculiarities of
operations in anicteric patients. Preoperative preparation. Prevention of cholemic bleeding.
Treatment.
21. Postcholecystectomy syndrome. Definition. Causes. Clinical manifestations. Diagnostics.
Treatment.
22. Cholangitis. Classification. Clinical manifestations. Diagnostics. Differential diagnosis.
Treatment.
23. Acute pancreatitis.
Complications. Clinical manifestations. Diagnostics. Methods of
treatment.
24. Pancreatic necrosis. Pathogenesis. Clinical manifestations. Methods of diagnostics.
Treatment. Pancreatolysis outcomes – pancreas fistulas. Further tactics. Surgical treatment.
25.
Chronic
pancreatitis.
Cysts
and
pancreas
fistulas.
Classification.
Clinical
manifestations. Diagnostics. Principals of surgical treatment.
26.
Acute intestinal obstruction. Classification. Particularities of fluid- electrolyte and acid-
base balance disturbances in different periods of acute obstruction course. Pathogenic correction.
27. Acute intestinal obstruction. Classification. Clinical manifestations. Diagnostics.
Treatment. Preoperative preparation and postoperative regimen management.
28. Intussusception.
Etiology.
Pathogenesis.
Types
of
intussusception.
Clinical
manifestations. Diagnostics. Methods of treatment.
29. Obturation intestinal obstruction. Etiology. Pathogenesis. Clinical manifestations.
Diagnostics. Pathogenetic treatment.
30. Strangulated intestinal obstruction. Volvulus, nodulation. Features of etiology and
pathogenesis. Clinical manifestations. Diagnostics. Indications for intestinal resection.
31. Functional intestinal obstruction. Clinical manifestations. Differential diagnosis.
Principals of medical and operative treatment.
32. Callous ulcus and penetrating ulcus of the stomach and duodenum. Clinical
manifestations. Diagnostics. Differential diagnosis. Treatment.
33. Indications for surgical treatment in case of stomach and duodenum ulcers. Methods
of operative treatment.
34. Stomach and duodenum ulcers. Bleeding ulcer. Types of bleeding. Surgical anatomy.
Pathogenesis of lesions. Clinical manifestations. Diagnostics. Treatment.
35. Clinical presentation and surgical treatment of acute gastroduodenal bleeding. Use of
methods of endoscopy diagnosis and treatment.
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36. Bleeding from esophageal varicose veins dilatation and cardia. Differential diagnosis.
Medical treatment. Methods of surgical treatment.
37. Perforated ulcer of the stomach and duodenum. Classification. Clinical manifestation,
diagnostics and differential diagnosis. Surgical treatment.
38.
Pyloric stenosis. Etiology and pathogenesis. Types. Clinical manifestations. Diagnostics.
Treatment.
39. Postoperative
stomach
disease.
Classification.
Causes
of
its
onset.
Clinical
manifestations. Methods of diagnostics. Treatment.
40. Peritonitis. Classification (due to clinical course, location, character of effusion and
agents, due to stages). Clinical manifestations. Diagnostics. Methods of treatment.
41. Peritonitises. Classification. Clinical manifestations. Diagnostics. Differential diagnosis.
Treatment.
42. Acute purulent peritonitises. Courses. Clinical manifestations. Diagnostics. Treatment.
Role of efferent therapy in peritonitises treatment.
43. Circumscribed peritonitises (subhepatic, interintestinal, subdiaphragmatic, pelvic
abscesses, ileocecal abscesses). Causes of their onset. Clinical manifestations. Diagnostics.
Treatment.
44. Intestinal fistulas. Classifications. Clinical manifestations. Diagnostics. Differential
diagnosis. Treatment.
45. Euthyroid goiter. Etiology and pathogenesis. Classification. Clinical manifestations.
Diagnostics. Treatment. Indications for operation. Prevention.
46. Basedow’s goiter. Etiology and pathogenesis. Classification. Clinical manifestations.
Diagnostics. Treatment. Indications for surgical treatment.
47. Thyroadenitises and strumas. Etiology and pathogenesis. Classification. Clinical
manifestations. Diagnostics. Differential diagnosis. Treatment.
48. Pulmonary abscess and gangrene. Classification. Clinical manifestations. Diagnostics.
Methods of treatment.
49. Purulent pleurisy. Clinical manifestations. Diagnostics. Medical and surgical treatment.
Indications for pleural cavity drainage.
50. Chronic empyema of pleura. Definition. Open and closed methods of treatment. Types
of toracoplasty in case of residual cavities.
51. Spontaneous pneumothorax. Causes. Clinical manifestations. Diagnostics. Treatment.
52. Penetrating chest wounds. Types of pneumothorax. Clinical manifestations. Diagnostics.
Treatment.
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53. Penetrating
chest
wounds.
Lesions
of
lungs.
Haemopneumothorax.
Clinical
manifestations. Diagnostics. Treatment.
54. Penetrating chest wound. Injury of mediastinum organs. Clinical manifestations.
Diagnostics. Treatment.
55. Dull abdominal trauma. Injury of parenchymal organs. Principals of diagnostics and
treatment.
56. Dull abdominal trauma. Rupture of hollow organs. Diagnostics. Treatment.
57. Dull abdominal trauma. Kidneys and bladder lesion. Clinical manifestations. Diagnostics.
Treatment.
58.
Thrombophlebitis of superficial veins of lower extremity. Etiology. Pathogenesis.
Clinical manifestations. Diagnostics. Treatment.
59. Pulmonary embolism. Predisposing factors. Clinical manifestations. Diagnostics.
Treatment.
60. Occlusive disease of the abdominal aorta and ileac arteries. Leriche’s disease. Clinical
manifestations. Differential diagnosis. Indications for surgery.
61. Endarteritis obleterans. Etiology. Pathogenesis.
Clinical manifestations. Stages of
disease. Principals of medical treatment. Indication for surgical treatment. Operation for
sympathetic nervous system.
62. Obliterating atherosclerosis of lover extremity vessels. Clinical manifestations.
Diagnostics. Treatment.
63. Obliterating thrombangitis (Buerger’s disease). Etiology. Pathogenesis. Clinical
manifestations. Diagnostics. Principals of medical and surgical treatment.
64. Acute general hip vein thrombosis. Etiology. Pathogenesis. Clinical manifestations.
Diagnostics. Treatment.
65. Acute deep venous leg thrombosis. Clinical manifestations. Diagnostics. Differential
diagnosis. Treatment.
66. Acute thrombosis of magistral veins of the lower extremities. Complications. Clinical
manifestations. Diagnostics. Treatment.
67. Ileophemoral venous thrombosis. Etiology. Pathogenesis. Clinical manifestations.
Diagnostics. Indications for different methods of treatment.
68. Postthrombophlebitic syndrome. Causes. Clinical forms. Diagnostics. Differential
diagnosis. Significance of permeability definition and condition of valvular veins apparatus for
choosing a method of treatment.
69. Lymphostasis. Classification. Methods of diagnostics. Surgical treatment.
70. Diabetic micro- and macroangiopathy. Clinical manifestations. Diagnostics. Treatment.
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71. Portal hypertension. Classification. Clinical manifestations. Diagnostics. Principals of
surgical treatment.
72. Nonspecific ulcerative colitis. Differential diagnosis. Indications for surgical treatment.
73. Nonspecific ulcerative colitis. Complications. Methods for surgical treatment.
74. Crohn’s disease. Clinical manifestations. Diagnostics. Differential diagnosis. Treatment.
75. Diverticular disease of small intestine. Classification. Clinical manifestations.
Diagnostics. Surgical treatment. Meckel’s diverticulum.
76. Diverticular disease of colon. Clinical manifestations. Diagnostics. Indications for
surgical treatment. Types of operations.
77. Haemorrhoids. Etiology and pathogenesis. Classification. Clinical manifestations.
Diagnostics. Treatment.
78. Haemorrhoids.
Complications.
Clinical
manifestations.
Diagnostics.
Differential
diagnosis. Choice of treatment. Preoperative preparation. Postoperative care.
79. Ano- rectal abscesses. Etiology and pathogenesis. Classification. Clinical manifestations.
Diagnostics. Treatment.
80. Pararectal fistulas. Etiology and pathogenesis. Classification. Clinical manifestations.
Diagnostics. Treatment.
81. Cancer of the ascending portion of the colon. Differential diagnosis. Principals of
preoperative preparation. Peculiarities of postoperative care.
82. Cancer of the descending portion of the colon. Classification. Clinical manifestations.
Diagnostics. Treatment.
83. Diffuse intestinal polyposis. Clinical manifestations. Diagnostics. Treatment.
84. Rectum polyps. Clinical manifestations. Diagnostics. Treatment.
85. Carcinoma rectum. Classification. Clinical manifestations. Diagnostics. Radical and
palliative operations
86. Gallbladder and biliary ducts cancer. Clinical manifestations. Diagnostics. Radical and
palliative operations.
87. Carcinoma pancreas. Clinical manifestations. Diagnostics. Differential diagnosis.
Radical and palliative operations.
88. Carcinoma esophagus. Etiology and pathogenesis. Clinical manifestations. Diagnostics.
Differential diagnosis. Radical and palliative operations.
89. Precursor of stomach cancer. Clinical manifestations. Diagnostics. Role of gastroscopic
examination for confirming a diagnosis. Methods of treatment.
90. Carcinoma stomach. Clinical manifestations. Diagnostics. Differential diagnosis. Types
of treatment.
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91. Stomach carcinoma complications (haemorrhage, penetration, perforation). Clinical
manifestations. Diagnostics. Treatment.
92. Thyroid
neoplasm. Clinical
manifestations. Diagnostics. Differential
diagnosis.
Treatment.
93. Mediastinum tumors. Classification. Clinical manifestations. Diagnostics. Differential
diagnosis. Treatment.
94. Mediastinitis. Etiology. Clinical manifestations. Diagnostics. Treatment.
95. Achalasia cardia. Clinical manifestations. Diagnostics. Differential diagnosis. Treatment.
96. Chemical burns of the esophagus and stomach. First aid. Methods of medical and
surgical treatment in esophagus stenosis and stomach lesions.
97. Esophagus diverticulums. Classification. Clinical manifestations. Diagnostics. Treatment.
98. Hydatid disease of liver. Morphological characteristic of parasite. Clinical manifestations.
Diagnostics. Treatment.
99. Acute arterial occlusion (embolic) of lower extremity vessels. Clinical manifestations.
Diagnostics. Differential diagnosis. Treatment.
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