Where is found the Bernar-Gorner’s syndrome at cancer of oesophagus?
1) implant of recurrent nerve
2) penetration of adventitial tunic
3) penetration of diaphragmatic nerve
4) *penetration of sympathetic ganglion
5) penetration of vagus nerve
The active surgical tactics for patients with benign neoplasia of mediastinum determined
1. Malignizing of neoplasia
2. Beginning of compressive mediastinal syndrome
3. Dangerous for life complications
4. Lung insufficiency progress
5. *All right
Where is often kidney cancer metastasing
1. Eye
2. Spinal cord
3. *Brain
4. Rectum
5. Mammary
What is main symptom of bladder cancer
1. Oligouria
2. Nocturia
3. Polyuria
4. *Hematuria
5. Stranguria
Choose normal level (ng/ml) of PSA (prostat-specific antigen)
1. *0-4
2. 4-10
3. 10-20
4. 30-40
5. 20-30
What method of tumor verification is most optimal
1. cytology
2. *Immunogystochemistry
3. simple gystology
4. scintigraphia
5. tomographia
Choose the most informative method of skin cancer diagnostics
1. *Morphological
2. loboratory
3. USD
4. Thermographia
The most informative method of ovary cancer diagnostics
1. Endoscopy
2. *Morphogical
3. laboratory
4. ultrasound
5. clinical
What studies the diagnosis of early cancer of mammary based-on
1. thermography
2. *mammography
3. sectoral resection with urgent gystology
4. cytological test of nipple discharge
5. palpation
What tactics do you use at multiple adenomatous polyps on the wide crus in antral part of
stomach?
1) Endoscopic polypectomy
2) Partial gastrectomy
3) *Subtotal gastrectomy
4) Radiation therapy
5) Chemotherapy
What is the radical surgical treatment at the cancer head of pancreas ?
1) Cholecystectomy
2) Cholecystojejunoanastomosis
3) *Pancreatoduodenal resection
4) Resection the head of pancreas
5) Choledochojejunostomy
As often tumours of bones are metastasis into :
1) The liver
2) *The lungs
3) The brain
4) The mammary gland
5) The skin
What is the G3 of sarcoma soft tissues?
1) High-differentiated tumor
2) Undifferentiated tumor
3) *Low-grade differentiated tumor
4) Middling - differentiated tumor
5) Unclassified tumor
What is the tactics of treatment by cancer of thyroid gland ?
1) Hormonotherapy
2) Radiotherapy
3) Chemotherapy
4) *Surgery
5) Chemotherapy + hormonotherapy
N1 of kidney cancer charachterize by metastases in
1. *one lymph node
2. several nodes
3. lungs
4. bones
5. liver
The optimal treatment of bladder cancer in T1 stage
1. immunotherapy
2. chemotherapy
3. *Transuretral resection + chemotherapy
4. cystectomia
5. X-ray therapy
For what patients perform prostatectomia
1. not using
2. *in T1
3. in T3
4. in T4
5. for all
What disease of penis is precancer one
1. stricture of urethra
2. impotension
3. priapism
4. *leukoplakia
What is the radical surgical treatment by carcinoma of uterus?
1) Amputation of uterus
2) Resection of uterus
3) Hysterectomy
4) Ovariohysterectomy
5) *Total uterus extirpation
What is the correlation between benign and malignant neoplasms of the pleura?
1) 1:10
2) 10:1
3) *4:1
4) 1:1
5) 1:5
What the size of skin tumour correspond to T4?
1) The diameter to 4 cm
2) The diameter to 5 cm
3) The diameter more the 5 cm
4) The diameter more the 7 cm
5) *The tumour any size that penetration at the surrounding tissues
Most frequent factor of the risk becoming of skin melanoma
1) Heredity
2) Drinking
3) Smoking
4) *Solar radiation
5) Benign tumour of skin
Prognosis of Hodgkin’s lymphoma, when is lymphoid exhaustion
1) Favourable
2) *Unfavourable
3) Unforeseen
4) Questionable
5) Difficult make prognosis
The very often histological form of the cancer the body of uterus ?
1) *Adenocarcinoma
2) Planocellular cancer
3) Undifferentiated cancer
4) Anaplastic cancer
5) Clear-cell carcinoma
What is the first manifestation of ovarian cancer ?
1) Uterine bleeding
2) *Hormonal imbalance
3) Pain in the stomach
4) General weakness
5) Watery discharge
What anatomical structure is affect by central cancer of lung?
1) The apex of lung
2) The subsegmental bronchus
3) *The radix of lung
4) The alveolar epithelium
5) The visceral pleura
What is the tactics of doctor optimal when he detects neoplasm of mediastinum ?
1) The case monitoring
2) *The hospitalization for finish examining in special referral center
3) The anti-inflammatory treatment
4) The phytotherapy
5) The chemotherapy
What tumour is a neoplasm of pleura?
1) The thymoma
2) *The mesothelioma
3) The basalioma
4) The osteoma
5) The dermoid
What is more characteristically for tumour of upper floor the retroperitoneal space?
1) Swelling
2) *Pain in the stomach
3) Rise of temperature
4) Loss of weight
5) Constipation
The clinical forms of the cancer mammary gland
1) *Nodal, diffuse (infiltrative), Paget's cancer
2) Paget's cancer, intraductal noninfiltrating adenocarcinoma, cancer of nipple
3) Cancer of nipple, nodal form, mastitis-like carcinoma
4) Intraductal noninfiltrating adenocarcinoma, nodal form, Paget's cancer
5) Erysipeloid carcinoma, Cancer of nipple, nodal form.
The very often propagation malignant tumor of kidneys ?
1) Papillary adenocarcinoma
2) *Adenocarcinoma
3) Angiosarcoma
4) Lymphosarcoma
5) Wilms' tumor
For T1 cancer of urinary bladder characteristic …
1) *Extension on the subepithelial connective tissue
2) Extension on the superficial muscular layer
3) Extension on the internal muscular layer
4) Tumour is undetermined
5) Penetration at the surrounding tissues.
How old are the patient with cancer of prostate gland?
1) To 20 years
2) 30-40 years
3) 40-50 years
4) *more 60 years
5) 20-30 years
What operation you use for patient with cancer of distal parts of the stomach?
1) Gastrostomy
2) Partial distal gastrectomy
3) Partial gastrectomy
4) Subtotal distal gastrectomy
5) *Gastrectomy
What size of tumour is characterized T1 of the tongue carcinoma?
1) The diameter of the tumour to 1 cm
2) *The diameter of the tumour to 2 cm
3) The diameter of the tumour to 2 cm
4) The tumor within the competence of tongue
5) The diameter of the tumour to 4 cm
What is the histological method for research the cancer of mucous membrane oral cavity?
1) The scrape
2) The smear preparation
3) The aspiration biopsy
4) *The incisional biopsy
5) The needle biopsy
What tumour of the liver is epithelial provenance?
1) Hemangioma
2) Fibroma
3) Lipoma
4) *Adenoma
5) Limphangioma
The very often histological form of the cancer of stomach ?
1) The planocellular cancer
2) *The adenocarcinoma
3) The clear-cell carcinoma
4) The unclassified cancer
5) The basal cellular cancer
Point the radiological signs of infiltrative cancer of stomach?
1) The filling defect
2) *Thickening the folds, change the relief of mucous coat
3) The plus-tissue
4) The minus-tissue
5) The niche sign
The pain syndrome is characterized for :
1) the cancer of the head of pancreas
2) *the cancer of the body of pancreas
3) the cancer of the tail of pancreas
4) the cancer of the all parts of pancreas
5) The pain syndrome is not characterized for cancer of pancreas
The form of radical operation by cancer of sigmoid colon II stage :
1) *the resection of colon
2) the abdominoanal resection
3) the Kenju-Majils’ operation
4) the colonotomy
5) the stoma
What is absolute contra-indication for radical surgery for rectal cancer?
1) The rectitis
2) The cardiac infarction in past history
3) *The metastasis in liver
4) The elderly age
5) The morbus hypertonicus
What method use for taking material for histological diagnostic of skin cancer
1. Scrape
2. *Open biopsy
3. Scarification
4. impression smear
5. puncture biopsy
What tumor of skin the most active metastasing
1. Basalioma
2. Papilloma
3. Nevus
4. Adenocarcinoma
5. *Melanoma
Description of Hodgkin’s lymphoma in IIIa stage
1. *Involvement of cervical lymph nodes + spleen
2. Involvement of cervical lymph nodes + spleen + nocturnal perspiration
3. Involvement of cervical lymph nodes + axillary lymph nodes
4. Involvement of cervical lymph nodes + nocturnal perspiration
5. Involvement of axillary lymph nodes+ nocturnal perspiration
Main risk factor for bones tumor development
1. Hormonal disorders
2. Fracture in anamnesis
3. Diabetes mellitus
4. *Radiation injury
5. Fatness
G3T1N0 of cancer retroperitoneal space is :
1) IIA stage
2) IIB stage
3) IIIA stage
4) *IIIB stage
5) IV stage
Point the optimal treatment for T1 cutis cancer.
1) Surgery + hormonotherapy
2) Chemotherapy
3) Laser therapy + chemotherapy
4) *Cryosurgery
5) Chemotherapy + radiotherapy
What is the method of anesthetization is contra-indicated by operation for melanoma?
1) Intravenous narcosis
2) Field block anesthesia
3) Spinal anesthesia
4) *Infiltration anesthesia
5) Endotracheal anesthesia
What country has the high level of the morbidity liver cancer?
1) *Uganda
2) Ukraine
3) USA
4) Russia
5) Spain
Which tumour of the esophagus is the epithelial derivation ?
1) The hemangioma
2) The myoma
3) The fibroma
4) The neurinoma
5) *The polyp
What is the optional productive preneoplastic disease of lower lip ?
1) Erythroplacia
2) *Atrofical heilitis
3) Leicoplacia
4) Papilloma
The very often histological form of the mucous cover mouth cavity tumour is?
1) Adenocarcinoma
2) *Planocellular cancer
3) Melanoma
4) clear-cell carcinoma
5) Basal cellular cancer
The pathological substrate of lymphogranulomatosis is :
1) Leukocytal granuloma
2) Cellular enlargement
3) Hyperplasia of cells
4) Neutrophilous granuloma
5) *Polymorphonuclear granuloma
We must begin treatment I stage of ovarian carcinoma with :
1) *Operation
2) Chemotherapy
3) Hormonotherapy
4) Immunotherapy
5) Radiotherapy
Will institute I stage of therapy for T4b sage of breast cancer?
1) Holsted-Majers’ operation
2) *Sanitary amputation of mammary gland
3) Quadrantectomy with axillary lymphadenectomy
4) Chemotherapy
5) Radiotherapy
Point the most propagation method for diagnostics renal carcinoma.
1) *Ultrasonic examination
2) Computerized Axial Tomography
3) Computer tomography
4) Plain urography
5) Excretory urography
What benign tumor of urinary bladder is the most propagation ?
1) *Papilloma
2) Myoma
3) Lipoma
4) Fibroma
5) Adenoma
What histological form of cancer prostate is the most propagation ?
1) Planocellular cancer
2) Sarcoma
3) Small cell cancer
4) Papillary cancer
5) *Adenocarcinoma
What hystologic form of lower lip cancer is more frequent?
1. *planocellular, keratinized
2. planocellular
3. basal cell
4. clear cell
5. adenocarcinoma
The main method of treatment planocellular cancer of oral cavity on early stage?
1. Telegammatherapy
2. *short-distance radiation therapy
3. chemotherapy
4. hormonotherapy
5. laserotherapy
X-ray symptom of head of pancreas cancer is?
1. niche sign
2. duodenal cap deformation
3. *reamed duodenal horseshoe
4. defect of filling
5. de Quervain symptom (of index finger impression)
What localization of colon cancer often cause bowel obstruction
1. Cancer of colon ascendens
2. *Cancer of colon descendens and colon sigmoideum
3. Cancer of hepatic angle
4. Cancer of caecum
5. Cancer of colon transversum
The method of rectum cancer treatment depend on
1. *Localizing
2. Clinical form
3. Hystology
4. Kind of growth
5. Stage of neoplasia differencing
What is the metachronous multiple cancer of colon?
1) *Arise tumour at the different parts and in the different time
2) Simultaneous lesions the different parts of bowels
3) Arise the relapse in the different parts of bowels
4) Arise the metastasis in the different parts of bowels
5) Penetration at the surrounding tissues
What is the Virchov’s metastasis ? This is a metastasis in the …
1) Right lymphatic node
2) *left lymphatic node
3) umbilicus
4) ovaries
5) peritoneum of small pelvis
Point the histological form of pulmonary cancer which has least 5-years survivability.
1) Planocellular cancer
2) *small-celled cancer
3) Adenocarcinoma
4) low-grade differentiated large cell carcinoma
5) clear-cell carcinoma
Point the most informational method for diagnostics the tumour of mediastinum.
1) Radiography
2) *computed tomography
3) tomographic imaging in the two projections
4) thermography
5) diagnostic pneumothorax
The most usable method of diagnostics neoplasia of extraperitoneal space
1. *ultrasound
2. Limphographia
3. X-ray
4. Laboratory
5. Thoracoscopy
For what clinicoanatomical kind of branched cancer of lungs
1. *Central cancer
2. Atypical cancer
3. Peripheral cancer
4. Pneumonia-liked cancer
5. Cancer of Pancoasta
Choose the taking method for cytological study for cancer of lower lip
1. incisional biopsy
2. excisitinal biopsy
3. exfoliative biopsy
4. open biopsy
5. *scarification
Diameter size for T2 of salivary gland less then
1. 6 cm
2. 1 cm
3. 2 cm
4. 5 cm
5. *4 cm
Main method of differentiation hemangioma and hemangiosarcoma
1. Endoscopy
2. *Morphogical
3. laboratory
4. ultrasound
5. clinical
The most frequent benign tumor of esophagus
1. *Leiomioma
2. Fibroma
3. Adenoma
4. Lipoma
5. Lymphangioma
Tumour of bones more frequent metastasing
1) Lymphogenous channel
2) *Haematogenous channel
3) Implantation channel
4) Lymphohaematogenous channel
5) Germination channel
What symptom is the basic for tumour soft tissues?
1) Pain
2) *Presence a tumor-like mass
3) Atrophy of tissue
4) Malfunction
5) Loss of weight
The morphological structure of primary cancer is?
1. Adenocarcinoma
2. *Hepatocellular cancer
3. Planocellular cancer
4. Basalioma
5. Small-cellular cancer
Polypoid cancer of esophagus is ?
1. Infiltrative form
2. Mixed form
3. Mesophitic form
4. Endophitic form
5. *Exophitic form
The function of laparoscopy in stomach cancer diagnostics is?
1. Allow detect metastases in liver and peritoneum
2. Allow detect stomach neoplasm
3. *Allow detect growth of stomach neoplasm out of peritoneum
4. Allow detect metastases in pancreas
5. Allow detect Virchow's metastasis
The C-cells of thyroid gland are?
1) *Perifollicular cells
2) Follicular cells
3) Gurtly - Ashkenaze
4) Kraela
5) Epithelial metaplasia
What part of stomach injury by cancer more frequently
1. Proximal
2. Body
3. *Distal
4. Middle part
5. Fundus
What is Schnitzler metastasis is metastasis in
1. Ovary
2. Umbilicus
3. *Peritoneum of small pelvis
4. Supraclavicular lymphatic node
5. Liver
Positive Courvoisier's symptom is for
1. Stomach cancer
2. Liver cancer
3. Gallbladder cancer
4. Pancreas body cancer
5. *Bile papilla cancer
Clinical form that often occur in right part of colon cancer
1. Retension
2. *Toxicoanemic
3. Dyspeptic
4. Enterocolitic
5. Tumor-liked
Optimal treatment of rectum cancer in III stage
1. Operation
2. *X-ray therapy + operation
3. X-ray therapy
4. Chemotherapy
5. X-ray therapy + chemotherapy
Mesenchimal genesis malignancy of exraperitoneal space
1. *Rabdomiosarcoma
2. Melanoma
3. Carcinoma
4. Hodgkin’s lymphoma
5. Neurosarcoma
Horner’s symptom appear when neoplastic process injury
1. Nervus reccurens
2. *Thruncus sympaticus
3. Nervus phrenicus
4. Nervus vagus
5. Plexus brachialis
Tumor of mediastinum that have osseus inclusions on X-ray
1. Bronchial cyst
2. Thymoma
3. *Mature teratoma
4. Endogenic cyst
5. Neurinoma
The disease that typically have haemorhagic pleural effusion
1. Tuberculous pleuritis
2. *Mesothelioma of pleura
3. Nonspecific pleuritis
4. pleural empyema
5. insufficient of blood circulation
Main method of treatment of soft tissues tumors
1. X-ray therapy
2. *Operation
3. Chemotherapy
4. Hormonotherapy
5. X-ray + chemotherapy
The follicular cancer of thyroid gland often metastasing in ?
1. *Lung
2. Prostate
3. Kidney
4. Spleen
5. Skin
The most frequent type of growth of uterus body cancer
1. *Exophytic
2. Mesophytic
3. Infiltrative
4. Endophytic
5. Ulcerous
The most unfavorable morphological variant of ovary cancer
1. G0
2. G1
3. G2
4. G3
5. *G4
Choose the taking method for gystological study mammary gland cancer
1. Puncture aspiration biopsy
2. *Excisitional biopsy
3. Incisitional biopsy
4. Scrape
5. impression smear