#OPTIMAL VARIANT TREATMENT OF SUBPHRENIC ABSCESS
-puncture abscess by a thick (hevy-gauge) needle, aspiration
of pus, lavage by antiseptics
-laparotomy, slit, drainage and tamponade of an abscess cavity
-all enumerated insecurely
-massive antibiotic therapy
+drainage of abscess by extraperitoneal access
#ATPATIENT WITH CANCER OF ANTRAL PART OF A STOMACH DURING
OPERATION THE SMALL AMOUNT OF AN ASCITIC FLUID IS REVEALED AND
LYMPHONODUSES ON A COURSE OF AN AORTA. GERMINATIONS OF A TUMOUR IN ADJACENT ORGANS IS NOT DETECTED. YOUR TACTICS
-laparotomy
-gastroenterostomy
+palliative subtotal gastrectomy
-gastrectomy
-gastrostomy
#CHILLS ARE CHARACTERISTIC OF PYLEPHLEBITIS
-is not present
+yes
#METHOD STOPPING OF A BLEEDING - CONCRETE MECHANISM
-thermal -tourniquet
-mechanical - irradiating by the laser
+biological -tamponade by an omentum
-chemical - hemotransfusion
#CONSECUTION CHANGE OF PARAMETERS AT GASTRIC BLEEDING
-a deficit of volume of circulating erythrocytes, level AP,
pulse rate, amount of erythrocytes and haemoglobin
-amount of erythrocytes and haemoglobin, level ap, pulse rate,
deficit of volume of circulating erythrocytes
-a pulse rate, amount of erythrocytes and haemoglobin, level
AP, deficit of volume of circulating erythrocytes
+pulse rate, level AP, deficit of volume of circulating erythrocytes, amount of erythrocytes and haemoglobin
#PATIENT, ENTERED CLINIC IN CONNECTION WITH GASTRIC BLEEDING,
IN THE EMERGENCY ORDER ROTINS CARRYING OUT FOLLOWING MEASURES
-stationary value an aspiration gastric content, gastroduodeno- and a laparoscopy, definition of a hematocrit and VCB
-gastroduodeno-, laparoscopy, definition of a hematocrit and
VCB
+constant aspiration gastric content, gastroduodenoscopy, definition of a hematocrit and VCB
-a stationary value an aspiration gastric content, roentgenoscopy of a stomach, gastroduodenoscopy
-constant aspiration of gastric contents, x-ray of stomach,
gastroduodenoscopy
#AT PATIENT 26 YEARS IS DIAGNOSED GANGRENOUS ЪГ'-..." of lung,
COMPLICATED by a PROFUSE PULMONARY BLEEDING. MOST EFFECTIVE
METHOD of TREATMENT
-a pneumoperitoneum
-a tamponade of a draining bronchus
-artificial pheumothorax
+radical surgical treatment by the way pneumonectomies
-hemostatic therapy
#OCCURRENCE OR INTENSIFYING OF PAIN IN A POSITION ON THE LEFT
SIDE-IS A SIGN OF
+Sytkovslty
-Razdolsky
-Bartomie-Michelson
-Voskresensky
-Blumberg-Schetkin
-Rovzingp
#BLEEDING STRENGTHENS AT RECEPTION OF DRUGS OF
-epsilonaminocapronic acid
+aspirin
-bismuth
#METHOD STOPPING OF A BLEEDING CONCRETE MECHANISM
-chemical -electrocoagulation
+mechanical - compressing bandage
-biological - hydrogen dioxide
-thermal - hemotransfusion
#THE MORE OFTEN COMPLICATION OF A CANCER OF THE HEAD OF PANCREAS
+mechanic icterus
-hepatorenal failure
-bleeding
-obstruction of a duodenum
-fistula
-peritonitis
#THE MOST FREQUENT malignancy GASTRIC POLYPS
-hyperplastic
-adenomatous
-everything, irrespective of their histological structure, have an identical index of a malignancy
-adenopapillomatou s
+villus
#MAN 48 YEARS, COMPLAIN ON MORBID AND SUFFERED TRANSIT OF FOOD. FOR THE FIRST TIME IT HAS APPEARED MONTH BACK. HAS TRANSFERRED ON SEMIFLUID AND FLUID FOOD. OFFENSIVE SENSATIONS ON
TIME WERE STOPPED. FORTHE LAST WEEK ARDUOUSLY PASSES SEMI LIQUID FOOD. THE COMMON STATE SATISFACTORY, WORKS, APPETITE IS
GOOD, BUT THERE IS A PHOBIA OF EAT PERIOD. AT CLINICAL INSPECTION OF PATHOLOGICAL CHANGES IS NOT DETECTED. THE DIAGNOSIS
-foreign body
-varicose phlebectasia
-srticture
+canceresophagus
#ATRESEARCH OF PATIENT WITH AN ACUTE INTESTINAL OBSTRUCTION
THE POSITIVE SIGNS OF TZEGE-MANTEIFEL AND OBUHOVS HOSPITAL
FIXED. IT IS CHARACTERISTIC FOR
-volvulus of a small bowel
-an ileocecal invagination
-of an obturation by a tumor of a colon ascendens
+tumor's or volvulus of a sigmoid intestine
-all correctly
#MECHANISM OF ANTIAGREGANT EFFECT OF ACIDUM ACETYLSAUCYLICUM
+oppression biosynthesis of thromboxan
-stimulation of a biosynthesis of prostaciclynum
-decrease of a biosynthesis of leukotriens
#METHOD OF SURGICAL TREATMENT OF ACHALASIA ESOPHAGUS
-cardiotomy
-diaphragm otomy
-fundopli cation
-esophagogastrostomy
+cardioplastic
#THE MAN OF 35 YEARS HAS ENTERED RECEPTION WITH COMPLAINTS ON
WEAKNESS. IN AN ANAMNESIS NIGHT AND "HUNGRY" PAINS MORE THAN 5
YEARS WITH SEASONAL EXACERBATIONS. WAS NOT INSPECTED AND WAS
NOT TREATED. CUTANEOUS COVERS ACYANOTIC, WET, TACHYCARDIA. AP
OF90/70MMHG. CVP 3 CMS OF WATERS. A HEMATOCRIT 20. DURING
SURVEY REPEATEDLYWAS VOMITING WITH OIL CLOTSS OF A BLOOD,
SYNCOPE. MEASURES
-intubation of a stomach, gastroscopy, operation, infusion
therapy
-the operation, infusion therapy, intubation of a stomach,
gastroscopy
+infusion therapy, intubation of a stomach, gastroscopy, operation
#AT60-YEAR'S WOMAN IN 48 HOURS AFTER PERFORMANCE OFTHE TOTAL
HYSTERECTOMIES HAVE APPEARED THE COMPLAINTS TO SUDDEN DEVELOPMENT OF SHORTAGE AND PAIN IN A THORACAL CELL OF PLEURISY NATURE. IF THE CAUSE OF THESE COMPLAINTS IS THE EMBOLISM OF A PULMONARY ARTERY, MORE PROBABLE SOURCE
-dextral auricle
-inferior cava vein
+pelvic vein
-vein of an anticnemion
-vein of a upper extremity
#COMBINATION OF X-RAY TAGS OF ACUTE PANCREATITIS
-free gas under a calotte of a diaphragm, augmentation of a
shade of a liver, cup of Kloyber
+effusion in the left pleural cavity, pneumatosis of a transversal colon, shift of a stomach forward
#EARLY AND AUTHENTIC TAG OF A CARCINOMA OF THE STOMACH IS
-abhorrence for meat dishes
-enlarged erythrocyte sedimentation rate (ESR)
-all enumerated tags
-anemia
+no one of the enumerated tags
#ATAN APPENDICULAR PERITONITIS APPENDECTOMIA AT CHILDREN IS
EXPEDIENT TO CARRY OUT
я_я1-я.яОЬуа ligature method
-anyway
+bya dipping method
-all is correct
#THE MAN OF 35 YEARS HAS ENTERED RECEPTION WITH COMPLAINTS ON
WEAKNESS. IN ANAMNESIS NIGHT AND "HUNGRY" PAINS IN MORE THAN 5
YEARSWITHSEASONALEXACERBATIONS. WAS NOT INSPECTED AND WAS
NOT TREATED. CUTANEOUS COVERS ACYANOTIC, WET, TACHYCARDIA. AP
90/70 MM HG. CVP IS 3 CMS OF WATERS. HEMATOCRIT 20. DURING
SURVEY REPEATEDLY WAS VOMITING WITH OIL CLOTSS OF A BLOOD,
SYNCOPE. THE PRELIMINARY DIAGNOSIS
-a bleeding from varicose veins of an esophagus
+peptic ulcer
-Mallory-Weiss syndrom
-an acute leukosis
-hemorrhagic gasritis
#BETTER DIAGNOSTICATED INTRA-ABDOMINAL ABSCESSES
-notgaseous
+gaseous
#AT EMBOLISMS OF A PULMONARY ARTERY IS MOST TYPICAL THE RISING
-transaminases
-bilirubin
+lactatedehydrogenase
#PATIENT43 YEARS WAS HANDLED ON THE CAUSE RESTRICTED
RIGHT-SIDE FEMORAL HERNIA. DURING OPERATIONS A SURGEON FOR
ELIMINATING A RESTRICTING CUT AN CICATRIX TISSUE LATERAL
FROMTHEHERNIALSAC. THAT HAS CAUSED AN MASSIVE BLEEDING,
STOPPED BY SUTURING DEFECT IN THE WALL OF VESSEL OPERATION
IS FINISHED BY THE PLASTIC ON BASSINI. AT POSTOPERATIVE PERIOD BESIDE PATIENT WAS NOTED EDEMA THE WHOLE RIGHT OF LOWER
LIMB, WHICH COMPLETELY DISAPPEARTHROUGH 10 DAYS ON THE
BACKGROUND OF CONDUCTING TREATMENT. MISTAKE OF SURGEON
+cutting of restricting ring laterally
-defect of operations technique on vessel
-wrong choose a variant of plastics
#THE MOST INFORMATIVE METHOD OF DEFINITION OF TACTICS OF TREATMENT OF PATIENT WITH A GASTRIC BLEEDING
-Investigation of a gastric secretion
-x-ray of stomach
-a laparoscopy
-a survey roentgenoscopy of abdominal cavity
-gastroduodenoscopy
+computer (count of all risk factors)
#STRESS-ULCER DOES NOT APPEAR BY
-bleeding
-perforation
+internal fistula
#MANOF 54 YEARS COMPLAIN OF LOSE OF WEIGHT, POORAPPETITE,
ABDOMINAL PAIN. IS DETECTED ICTERUS OF SCLERAS, INCREASE OF
ABDOMEN, IN EPIGASTRIC AREAATUMOUR, THE LIVERAPPEARS UNDER
RIBARCON5CM, SURFACE ITS ROUGH, NODOSES, DULLNESS AT A
PERCUSSION IN SLOPING PLACES OF A STOMACH. COMPLICATIONS OF
DISEASE AT THIS PATIENT
-perforation
-stenosis
-bleeding
+absence (natural current of disease)
#MORTALITY ON PERITONITIS IN LATE TERMS DEPENDS FROM
-aerobes
+anaerobes
#INTERMITTENT ICTERUS IS INVOKED
-stone of a cystic duct
-stricture bile ducts
+valve stone bile ducts
-tumor bile ducts
-wedging stone of terminal part bile ducts
#COMMON SIGNS OF AN ACUTE APPENDICITIS AND AN PERFORATION OF A
ULCER ARE
-acute beginning, abdominal pain, vomiting
+acute beginning, pain in the epigastric area, tension of an
abdominal walls
-gradual beginning, fever, abdominal pain
#PATIENT WITH A PROGRESSING ICTERUS CAUSED CHOLELYTHIASIS, REQUIRES
-detoxication therapy, medical catheterization celiac artery
-immediate surgery
+detoxication therapy, researches and operating treatment per
the first 3-5 days
-immediate surgery, detoxication therapy
-medical catheterization coeliac artery, immediate surgery
-only conservative treatment
#DATAOFANAMNESIS- BLEEDING POINT
-lowering and distortion of appetite - acute ulcer of a stomach
-a vomiting after reception of alcohol - vein of an esophagus
+nagging Pain - carcinoma of the stomach
-the transferred hepatitis - chronic ulcer
-a stressful situation - Mallory-Weiss syndrom
#OPTIMAL VOLUME OF THE OPERATION AT A CICATRIX-ULCERATIVE STENOSIS OF PYLORUS FORTHE PATIENT 50 YEARS
-the gastroenterostomy
-trunk vagotomy + pyloroplasty
+resection of 2/3 stomach
#PATIENT 42 YEARS COMPLAIN OF A STRONG PAIN IN EPIGASTRIUM
RANGE OF CONSTANT CHARACTER RETURNING IN A LOIN, MULTIPLE VOMITING WHICH IS NOT AFFERENT OF SIMPLIFICATION. WAS ILL SUDDENLY 6 CLOCKS BACK. ABUSESWITH SPIRITS. SIMILAR PAINS IN
FIRST TIME. A STATE OF AVERAGE GRAVITY, DERMAL INTEGUMENTS
ACYANOTIC, MOIST, ACROCYANOSIS. SPHYGMUS 108, ARTERIAL PRESSURE 100/60. ABDOMEN IS MODERATELY DISTENTED IN UPPER HALF, IS
REFRACTORY IN EPIGASTRIUMS AND LEFT HYPOCHONDRIUM. THESIGNS
KERTE, VOSCRESENSKY, MAYO-ROBSON ARE POSITIVE. HEPATIC DULLNESS IS SAVED. PERISTALTIC HUMS NOT AUSCULTATED. FORTHE DIAGNOSIS OF AN ACUTE CHOLECYSTITIS IT IS DESIRABLE TO MARK
-pain in epigastriums
-vomiting
+irradiation in a dextral brachium
-sign of Schetkin- Blum berg
#TENSION OF MUSCLES OF RIGHT ILEAL AREA AT A PERFORATION OF
DUODENAL ULCER IS EXPLAINED
+flowing down of gastric contents in the right side channel
-development of a total peritonitis
-reflector by links through spine-cerebral nerves and arrival
of air in abdominal cavity
-viscero-vicseral links with appendix vermiformix
#TEMPERATURA OF BODY INCREASES AT
-toxic struma
+in proximate period after resection of thyroid gland
-nontoxic struma
#CHOOSETHAT CONNECTED WITH GASTRIC-ESOPHAGUS REFLUX BESIDE
CHILDREN
-stomachaches
+r etching
-malabsorbtion, appearing after entering gramineous
-gastrointestinal bleedings
-reiterative jaundice
#AT PATIENT 30 YEARS IN 5 DAYS AFTER SUTURING OF PUNCTURED-SWORD-CUT THE WOUNDS OF THE LEFT HEPATIC LOBE SUBITANEOUSLY HAVE ARISEN STRONG PAINS IN THE RIGHT HYPOCHONDRIUM WITH AN
IRRADIATION IN A SPIN, THE NAUSEA, WAS SINGLE VOMITING WITH AN
ADMIXING OF A BLOOD, AND 2 HOURS AFTER MELENA. THE AP HAS DECREASED UP TO 100/60 MM HG. WHAT METHOD OF TREATMENT IS MORE
PREFERABLE FOR AVOIDANCES OF A RELAPSE OF A BLEEDING
-complex medicamental hemostatic therapy
-hemotransfusion
+operative treatment
-operative treatment + endoscopic interference
#PATIENT OF 64 YEARS DURING LONG TIME SUFFERED BY A PEPTIC ULCER. ULCERS IS SCARRING. TROUBLES IS WEAKNESS, LOSS OF WEIGHT,
CONSTANT PAIN IN EPIGASTRIC AREA, ERUCTATION WITH A SMELL OF A
ROTTEN EGG, OCCASIONALLY VOMITING WITH FOOD AFFERENTIMPROVEMENT. IN EPIGASTRIC AREAS THE COMPACTION IS PALPATED, THE
SPLASHING SOUND IS DETERMINED. THE LOW BOUND OF A STOMACH IS
LOWERTHAN A UMBILICUS. AT ENDOSCOPIC INVESTIGATION IN PYLORIC
PART OF A STOMACH IS TAPED CIRCULAR DENSE TISSUE, THROUGHWHICH
TO PASS IN A DUODENUM IT WAS NOT POSSIBLE. AT A X-RAY ANALYSIS
BARIUM COMPLETELY WENT FROM A STOMACH ONLY IN 24 HOURS. THE
DIAGNOSIS
-a malignancy of a duodenal ulcer
+subcom pen sated cicatricle stenosis
-violation of intestinal obstruction
#MANOF 64 YEARS DURING THE HALFYEAR LOWERING APPETITE, HAS
GROWN THIN ON 13 KG, THE LOSE OF WEIGHT PROGRESSES, DURING MEAL FAST TRANSIENT FEELING OF OVERFLOW OFASTOMACH, NAGGING
PAINS AMPLIFY. IS WHITENESS. IN THE LEFT SUPRACLAVICULAR AREA
ASITEBYTHESIZE4x3CM, DENSE CONSISTENCE. A PALPATION OF
EPIGASTRIUM PAINFULLLY, IN PROJECTION OFASTOMACH IS DEFINED
SWELLING WITHOUT LEGIBLE BOUNDARIES. YOU GUESS TO OPERATE IN
THE BEGINNING
+nodus in supraclavicular area
-stomach
#COMMON SIDE OFTRIANGL'S HESSELBACH AND FEMORAL
-united tendon of medial oblique and transverse muscles
-nothing from enumerated
-lower epigastral vessels
+inguinal ligament
-sartorius muscle
#IN DISTANT PERIOD OF ILLNESS OUTCOME OF ACUTE PANCREATITIS
NOT CAN BE ADVANCED
-cystous fibrosis of pancreas
-the false cyst
+insuloma
-chronic pancreatitis
-sugar diabetum
# AT THE BEGINNING OF ACHALASIAS ESOPHAGUS ARE MORE UGHTERTHE
FOOD PASSES
-firm
+liquid
#MAN 45 YEARS FOR A LONG TIME SCORE PERIODIC RECTAL BLEEDINGS.
THE BLEEDINGS ARISE AFTERTHE ACT OF A DEFECATION (BLOOD SCARLET IN A SMALL AMOUNT FROM TRACES ON A PAPER UP TO SEVERAL
DRIPS). WITHIN THE LAST 2 MONTHS OF A BLEEDING HAVE AMPLIFIED,
APPEARED PRACTICALLYAFTEREACHCHAIRBYASMALLTRICKLEOFA
SCARLET BLOOD. THE PRELIMINARY DIAGNOSIS
-a nonspecific ulcerative colitis
-a clottage of a hemorrhoidal node with a breakage of the latter
+hemorrhoid
-a cancer of a rectum
-a fissure of the anal canal
#CUNIC OF OBSTRUCTIONS OF INTESTINE ARE BRIGHTER AT TUMOR OF
-sigmoid
+in range of an ileocecal gate
#ICTERUS AT ACUTE APPENDICITIS CAN BE AT
-retroperitoneal localization of appendix
-localization of appendix small basin
+localizacion of appendix under liver
#STAGE OF CARCINOMA OF THE STOMACH SPROUTING SEROUSE SHELL,
WITH BY METASTASISES IN A MAJOR OMENTUM
-4
-2a
+3b
-2b
-3a
#AT PATIENT WITH CARCINOMA OF THE STOMACH GYNECOLOGIST HAS DETECTED ABOUTAUTERUS TWO SPHERICAL PAINLESS SWELLING. IT IS
MORE LOGICAL TO ASSUME
-Virchow's metastasis
+Krukenberg's metastases
-cyst of ovaries
-Schnitzler's metastasis
-cystomas of ovaries
#DYSURIC PHENOMENA AT THE PATIENTWITH AN ACUTE APPENDICITIS
IS CAUSED BY
+position appendix before a rectum at the man
-pylephlebitis
-position appendix before a rectum at the woman
#PATIENT OF 57 YEARS, SUFFERRING DURING 3 YEARS AN INGUINAL
HERNIA, DELIVERED ON THE CAUSE OF DAYLY RESTRICTING, ACCOMPANYING RETCHING, CRAMPING PAIN. AT RECEIVING TO DEPARTMENT
HERNIA SPONTANE IS SET, BUT PAINS COMPLETELY DID NOT PASS.
PHYSICIAN MUST
-to hospitalize in therapeutic branch for observing
-to hospitalize in surgical branch for observation
+urgently operate
-to release patient homeward
#INTESTINAL FISTULAS MORE OFTEN WILL BE DERIVATED AT
-cancer of colon
+nonspecific ulcerative colitis
#AT THE EARLY SIGNS OF A CANCER OF AN ESOPHAGUS SHOULD REFER
-growing thin
-period a reinforced salivation
-pains behind a breast bone and in a spin
+disphagia
-tussis at eat
#OPERATIONOF MILUGAN-MORGAN TO A CAUSING OF A HEMORRHOIDS
CONSISTS
-in a coretraction of hemorrhoidal nodes on 3, 7 and 11 clocks
in genucubital position patient
-in broad dissection of a pararectal fat and introduction to
hemorrhoidal nodes of sclerosing solutions
+in coretraction of hemorrhoidal nodes on 3, 7 and 11 clocks
in a position patient Ming on a spin
-in a circular coretraction of a mucosa of anal part of a rectum
-in perineal proctectomy with voiding in the anal canal of
proximal parts of a colon
#AT BLEEDING FROM CANCEROUSE TUMOUR OF A STOMACH
-laparotomy, dressing of vessels and vagotomy with a pyloroplasty
+at operability - radical interference
-tube of Blakemore, sclerotherapy, embolization of splenic and
left gastric arterias, in cool period a splenorenal anastomosis
-to prolong conservative therapy including Meulengracht's diet, portacaval anastomosis
#INTRODUCTIONOFlLOFANORMAL SALINE SOLUTION OF SODIUM
CHLORIDE INCREASE VOLUME OF A CIRCULATING BLOOD ON (ML)
-750
-500
-1000
-Less than 250
+250
#THE MAN OF 36 YEARS HAS ENTERED RECEPTION WITH COMPLAINTS ON
WEAKNESS, VOMITING WITH A BLOOD. IN AN ANAMNESIS NIGHT AND
"HUNGRY" PAINS MORE THAN 5 YEARS WITH SEASONAL EXACERBATIONS.
HEWAS NOT INSPECTED ANDNOT WAS TREATED. CUTANEOUS COVERS
ACYANOTIC, WET, TACHYCARDIA. AP 90/70 MM HG. CVP 3 CMS OF WATERS. A HEMATOCRIT 20. IN TIME SURVEY IN A RECEPTION REPEATEDLY THERE WAS A VOMITING WITH OILCLOTSSOF BLOODS, SYNCOPE. IN
DEPARTMENT THE STATE WAS STABILISED, AP 120/70 MM HG. THE
FIRST PRELIMINARY MEASURE
-the operation
+probe of stomach, gastroscopy
-infusion therapy
SLOWER WALL OF FEMORAL CHANNEL
-femoral vein
-inguinal ligament
-ligament of Gimbernat
+pectineum (upper pubic, Couperi) ligament
#CONTRAINDICATION TO A GASTRIC LAVAGE BEFORE THE OPERATION
-bleeding from a tumour
-pyloric stenosis
+cancer of cardial part of a stomach
#THE MOST OFTEN CAUSE OF DERIVATION OF INTRA-ABDOMINAL ABSCESSES - INFECTION CONTAMINATION
+direct (contact)
-lymphogenic
-hematogenous
-the cause is obscure
#INCOMPLEX OF CONSERVATIVE TREATMENT OFARUPTURED ULCER ON
TAYLOR DOES NOT ENTER
-the constant probe from a stationary value by an aspiration
of gastric contents
-introduction of antibiotics
-intravenous application of plasma substituting solutions
-introduction of atropine
+per oral application of alkalis and resources lowering a peristalsis of a stomach, periodic (everyone 4-5 clocks) exploration of a abdominal wall
#THE MOST OFTEN SOURCE OF INTRA-ABDOMINAL ABSCESSES
-trauma
-acute cholecystitis
+acute appendicitis
-peptic ulcer
-cancer of an intestine
-disease of female generative organs
#DIAGNOSTIC PROGRAM AT AN ACUTE APPENDICITIS IS
-rectal, vaginal, laboratory researches, is probable emergency
chromocystoscopy
+all answers are correct
-anamnesis, rectal, vaginal, laboratory researches, is probable emergency hromocystoscopy
-anamnesis, differential diagnosis, rectal, vaginal research
of the women
-anamnesis, differential diagnosis, rectal, vaginal and laboratory researches
#DIAPEDESIS BLEEDING ARE CHARACTERISTIC FOR
-of a ulcer of a stomach
+radiation sickness
-mechanical damages
#COMPUCATION OF THE PROBE BLAKEMORE DOES NOT HAPPEN
-trophic changes of a mucosa of an esophagus
-hypersalivation
-pneumonia
+thireoiditis
-decubituses
#LOW BORDER OF A DEFICIT OF GLOBULAR VOLUME AT BLOODLOSS OF
SERIOUS DEGREE
+30%
-50%
-20%
-10%
#PAIN IN RIGHT BRACHIUM CAN BE RATHERAT
-perforation of stomach ulcer
-acute appendicitis
+perforation of duodenal ulcer
#CHARACTER SIGN PRIORTO TUBERCULAR PERITONITIS
+diarrhea
-pulmonary tuberculosis in an anamnesis
-growing thin
-hectic fever
#SELECTIVE PROXIMAL VAGOTOMY MOST ALL IS INDICATED AT A ULCER
OF
-acute gastroduodenal bleeding
-antral part of a stomach
-perforated duodenal ulcer
-duodenal ulcer with appearances of a subcompensated stenosis
+duodenal ulcer without appearances of a stenosis
#THE MOST OFTEN COMPLICATION OF A PENETRATING ULCER OF A STOMACH
+bleeding
-perforation
-development of a pyloric stenosis
-a malignancy of a ulcer
-derivation of interorgan fistula
#AT WHAT LOCALIZATION OF A TUMOR OF A COLON AN ACUTE INTESTINAL OBSTRUCTION EDUCES MORE OFTEN
-splenic flexure
+sigmoid colon
-transversal colon
-caecum
#ATTHE PATIENT OF 34 YEARS OLD FOR7 DAYS AFTEROPERATION
CONCERNING OF A PHLEGMONOUS-GANGRENOUS APPENDICITIS THE PAINS
IN RECTUM, CHILLS, PAINTUL DESIRE TO DEFECATE, DYSURIA HAD APPEAR. AT RECTUM RESEARCH THE INFILTRATE IN A SMALL BASIN WAS
FOUND. IN 3 DAYS AFTERTHE BEGINNING OFTHE TREATMENT INCLUDING A WARM MAYWEED CLYSTER AND ANTIBIOTICS, CONDITION OF THE
PATIENT DO NOT IMPROVE . AT REPEATED RECTUM RESEARCH IS MARKED
A MALAX OF AN INFILTRATE. TEMPERATURE HAS ACCEPTED A HECTIC
CHARACTER. DIAGNOS IS
-an acute adnexitis
+an pelvis abscess
-an acute cystitis
#A MECKEL'S DIVERTICULUM ARISES ON
+ileal intestine, owing to patency of yolk duct
-jejunum, owing to patency of yolk duct
-ascending department of a colonic intestine, as a consequence
of appendectomia
-ileal intestine, as a consequence appendectomia
-ascending department of a colonic intestine, owing to patency
of yolk duct
#CUNICOF AN ACUTE HEMORRHAGE ARISES ALREADY AT BLOODLOSS,
EQUAL
+1000 mis
-250 mis
-1500 mis
-2000 mis
-500 mis
#AT PATIENT, SUFFERING DURING MANY YEARS BY PEPTIC ULCER OF A
DUODENUM, BLEEDING OF A MILD DEGREE, TRUSTY HAS STAYED. IN
PAST HAS TRANSFERRED A SEQUENCE GASTRIC BLEEDINGS. FURTHER MEDICAL TACTICS
-the operation expedited
-transfer in therapeutic clinic
+operation scheduled
-statement on an out-patient treatment to the gastroenterologist
#THE MOST FREQUENTLY AT AN ACUTE APPENDICITIS PATIENTS COMPLAIN ON PAIN
-surrounding
-connected with departure of physiological needs
+arising suddenly on a background of complete health
-in the left half of abdomen
-erratic
-caused by an exercise stress
-in the right hypochondrium
-"hungry"
-night, after plentiful meal
-appearing suddenly after a prodromal stage
#THE MOST REPRESENTATIVE FORA HEMORRHOIDS
+constant moderate pain in anal range intensifyed at the moment of a defecation, instigated bythe use of alcohol and
acute dishes; an itch of anal range, abundant bleeding after a
defecation
-the strongest pain after a defecation, bleeding by the way
2-3 drips of a blood, chronic constipations
-alternating constipations and diarrheas, sense of moderate
gravity in pelvic range, the feces of the customary configuration, but is intensively agitated with a dark or scarlet blood; the "sheep"feces is possible; periodic abdominal distentions which are not facilitated by a scanty chair
#AT INADEQUATE TREATMENT OF A HEMOTHORAX ARISES
+clotting hemothorax, posttraumatic pleuritis
-pericarditis
-bronchopleural fistula
-pneumonia
#FOR DIAGNOSIS OF A HEMORRHOIDS IS SUFFICIENT
-colonoscopy
-a proctosigmoidoscope
-irrigoscopy
+digital investigation of rectum and survey of an anus
#AT SYNDROME MALLORY-WEISS THE MUCOSA IS AMAZED
-of a small bowel
+cardial part of a stomach and esophagus
-antral part of a stomach
-of a rectum
#FOR OF A BLEEDING ULCER OF A DUODENUM IS NOT CHARACTERISTIC
-Vomiting of colour of a coffeegrounds
+increasing Of pain in an abdomen
-lowering of VCB
-the melena
-falling of a haemoglobin
#GEES ANGULUS IS DERIVATED BY WALL
-esophagus and small curvature of a stomach
-esophagus and dextral bronchus
+esophagus both greater curvature
-esophagus and left bronchus
-esophagus both trachea
#FOR CANCER OF THE STOMACH IS CHARACTERISTIC
-thrombocytopenia
+thrombocytosis
#CONTRAINDICATION TO A GASTRIC LAVAGE BEFORE THE OPERATION
+cardial adenocarcinoma
-bleeding from a tumour
-pyloric stenosis
#PRECANCEROUS DISEASES OF A STOMACH
-Mallory-Weiss syndrome
-Zollinger-Ellison syndrome
-Peutz-Jegers syndrome
+Menetrie disease
-Wheeple illness
#COMMON SIGN OF PERITONITIS AND LEAD COLIC
+tension of abdominal wall
-fever
-obtusion in sloping places of abdomen
-petering hepatic of dullness
#APATIENTWITH AN ACUTE APPENDICITIS HAVE A ABDOMEN DURING
THE PALPATION
-soft
-is board-similar intense
+is morbid in the right ileal area
-is intense in the right hypoch on drill m
-is intense in the left half
#CHARACTERSIGN OF CIRCULAR ENDOPHYTIC CANCEROF A BODY OF A
STOMACH
-dysuria
+feelingof fast passing overflow of a stomach after meal
-dysphagia
-a vomiting by nutrition, eating on the eve
#AGE - MORE OFTEN LOCALIZATION OF A ULCER (BLEEDING POINT)
-aged - duodenum
+aged - stomach
-young - stomach
#LIGATURE OF VESSELS ON STRETCH IS EFFECTED AT
-a secondary early bleeding
+secondary late bleedings
#INLIING POSITION OR AT DECLINATION DOWNWARDS AT A HERNIA
ESOPHAGUS HOLE OF DIAPHRAGM SIGNS
-do not variate
+increase
-reduce
«COMMON SIGNS OF AN ACUTE APPENDICITIS AND AN TYPHOID
-abdominal pain, fever, sign of Blum berg-Schetkin through 2-3
weeks from a beginning of disease
+abdominal pain, fever, sign of Blum berg-Schetkin
-abdominal pain, eruption, diarrhea
«THE MAIN METHOD OF TREATMENT OF AN ACHALASIA OF CARDIA
-cardioplasty on Heller
+cardiodilatation
-bougieunage
-fundoplication on Nissen
-different methods extramucous plasty
«THE MOST DANGEROUS FORM OF PERITONITIS
+dry
-purulative-fibrinous
-purulative-fibrinous with a necrotic builder
-serofibrinous
«AT THE PATIENT WITH AN APPENDICULAR INFILTRATE DURING TREATMENT THE PAIN IN THE RIGHT ILEALAREA HAD AMPLIFIED AND HAD
APPEAREDCHILL AT A PALPATION OF A abdomen THE AUGMENTATION
OF THE SIZES OF INFILTRATAND INTENSIFYING OF ITS MORBIDITY
WAS NOTICED. A CONSISTENCE OF AN INFILTRATE WAS NON-UNIFORM.
ON EVENINGS WAS OBSERVED A RISING OF TEMPERATURE UP TO 38-39,
CHILLS. LEUCOCYTES IN A BLOOD ARE 17*10A9/L MEDICAL TACTICS
IS
-drainage of a pelvis abscess through a rectum
-antibiotics, physiotherapy, hyperbaric oxygenation
-other ways
+drainage of an abscess by access of Pirogov
-drainage of an abscess through a cut of Volkovich-Diakonov
«MEASURE, MISMATCHING THERAPIES OF A BLEEDING FROM VARICOUS
VEINS OF ESOPHAGUS
-introduction of Blakemore probe
-transfusion of freshen bloods
+repeating introduction of a gastric tube and lavage by solution of acidum aminocapronicum
-introduction of Vasopressinum
«AT RESECTION OR EXTIRPATION OF ESOPHAGUS AT CANCER OF LOW
THORACAL PART WITH IT SHOULD BE REMOVED LYMPHATIC NODES
-bifurcation
-front mediastinal
+bifurcation, periesophagal, paracardiac, left stomachal
-bifurcation, periesophagal, paracardiac, left stomachal,
front mediastinal
-bifurcation, periesophagal, paracardiac bifurcation, periesophagal
«ENLARGE OF LEVEL OF CALCITONINUM DEFINED RADIOIMMUNOLOGICAL
METHODS, IS CHARACTERISTIC FOR A CANCER OF A THYROID GLAND
-non differentiated
-papillary
-any of enumerated
+medullar
-follicular
«FOR CANCER OF BODY OF STOMACH ARE CHARACTERISTIC
-dysphagia, anemia, gastric discomfort
+anemia, gastric discomfort, growing thin an anemia, hypersalivation, growing thin an anemia, hypersalivation a dysphagia,
growing thin
«THE MAIN METHOD OF DIAGNOSTIC OF CANCER OF THYROID GLAND
+morphological
-USI
-physical
-x-ray
-radioisotope
«FACTOR OF CHOICE OF THE OPERATION AT A PERFORATED ULCER
-location of perforative hole
+all enumerated
-period from the moment of perforation
-a degree of an expressiveness of a peritonitis
-age of the patient
«FORTERMINAL PHASE OF PERITONITIS CAUSED PERFORATION OF A DUODENAL ULCER, THE DEVELOPMENT IS CHARACTERISTIC
-toxic lesion a CNS, function intestinal obstruction, disseminated intravascular coagulation-syndrom, hepatonephricfailure
+all correctly
-toxic lesion of CNS, disseminated intravascular coagulation
syndrom, hepatonephric failure
-toxic lesion CNS, function intestinal obstruction, disseminated intravascular coagulation syndrom
-toxic lesion of CNS, functional intestinal obstruction, hepa-
tonephric failure
#HERNIA ESOPHAGUS HOLE OF DIAPHRAGM CAN PRODUCE
-pseudostenocardia
-any of the enumerated tags
+all enumerated
-disphagia appearance
-the violation of a heart rhythm
#GYNECOLOGIST DURING SURVEY PATIENT FINDS OUT A POLYP OF NICKS
OF A UTERUS AND DELETES IT. PATIENT INFORMS, THAT DURING LAST
MONTHS SHE SCORES A BLOOD IN A FECES. OFTEN BLOOD DISCHARGE
BEFORE A FECES. THE DOCTOR DIAGNOSTICATES A HEMORRHOIDS AND
GIVE A RECOMMENDATIONS. CORRECT DOING OFTHE DOCTOR
-digital, instrumental, optical. X-ray analysis of a colon
+to set to the surgeon, proctologist or oncologist to investigation repeatedly after obtaining the histological conclusion
about a structure of a polyp
-investigation repeatedly after obtaining of the histological
conclusion about a structure of a polyp
#DANGER FOR LIFE THE LOSS OF BLOOD IN BULK MORE REPRESENTS
-20%
-70%
+50%
#VOMITING AT UNCOMPLICATED PEPTIC ULCER RE DUCES TO PAIN
-not change intensity
+remitting
-amplification
#IN BLOOD SUPPLY OF A STOMACH PARTICIPATES
+common hepatic arteria
-lower mesenteric arteria
#MAN 38 YEARS. PAINS IN EPIGASTRIUMS AFTER MEAL, GROWING THIN,
SUBFEBRILE FEVER. DURING THE YEAR HE HAS 3 ATTACKS OF ACUTE
PANCREATITIS. ABUSES WITH ALCOHOL A STATE IS SATISFACTORY.
THE ABDOMEN PARTICIPATES IN RESPIRATION, MILD. IN EPIGASTRIUMS
AN INFILTRATE WITHOUT LEGIBLE OUTLINES, FIXED. ANALYSISES OF A
BLOOD AND URINE- IN LIMENS OF NORM. ATUSIINAA BODY AND
TAIL OF A PANCREAS THE FLUID DERIVATION UPTO 8 CMS WITH
WELL-MARKED WALLS, WITHOUT INNER PATTERNS IS DETERMINED. FOR
DEFINITION OFTHE STRATEGY OF TREATMENT (PUNCTURE/DRAINAGE,
THE OPERATION) IS NECESSARY TO CARRY OUT
-bacteriological research of a punctate
+antegrade USI-controled cystography
-laparoscopic ultrasonic investigation
-retrograde cholangiopancreaticography
-CT or NMR imaging
#AT PATIENT OF CANCER OF A BACK WALL OF PYLORIC PART OF A STOMACH, SPROUTING IN A TAIL OF A PANCREAS. SELECT PALLIATIVE
OPERATION
-a gastrostomy
-gastrectomy, ablation of a pancreas
-distal resection of a stomach, ablation of a pancreas
+gastroenter ostomy
-proximal resection of a stomach
«ANAMNESIS- BLEEDING POINT
-a vomiting after reception of alcohol - vein of an esophagus
+nagging pain - chronic ulcer
-lowering and distortion of appetite - hemorrhagic gastritis
-the transferred hepatitis - acute ulcer of a stomach
#KIND OF BLEEDING - SIGNS
-pulmonary - tarry chair
-gastrointestinal - not changed blood in a feces
-hemorrhoidal - hemobilia
+from urinary system - hematuria
-from bile routes - hemoptoe
#THE PAINSATANACUTEAPPENDICITISCANBE LOCALIZED NOT IN
RIGHT ILEAL AREA MORE OFFEN OWING TO
+initial period of development of disease
-atypical locating of appendix
-perforation of appendix
#FEATURESOF AN ACUTE APPENDICITIS IN THE SECOND HALF OF A
PREGNANCY
+the correct combination is not present
-higher localization of morbidity, signs of a boring of the
peritoneum are weakly expressed, expressed changes in the analysis of urine
-the signs of a boring of a peritoneum are weakly expressed,
expressed changes in the analysis of urine
-anything, expressed changes in the analysis of urine
#AT LOCALIZATION OF A SWELLING IN A MAJOR DUODENAL PAPILLA AN
ICTERUS
+remitting
-stationary value
-misses
#OPTIMAL METHOD of SURGICAL TREATMENT of a BLEEDING ULCEROF
MIDDLE THIRD of SMALL CURVATURE of a STOMACH
-truncal vagotomy with a pyloroplasty
-gastroenteroanastomosis
-dressing of the left gastric artery
+resection of stomach
#RESTRICTED VENTRAL HERNIAS ARE ONE OF THE MOST FREQUENT REASONS AN ACUTE INTESTINE ODSTRUCTION
+yes
-no
#THE SYSTEM WHICH BASICALLY AMAZED AT AN ACUTE APPENDICITIS IS
-intimately vascular
-endocrine
-genitourinary
-other
-nervous
-respiratory
+digestive
-immune
#SPASTIC ILEUS ARISES AT
+porphyrinic illness
-hypokalemia
-peritonitis
-pancreatitis
-at one of these states
#FOR DIFFERENTIAL DIAGNOSIS OF AN ACUTE APPENDICITIS WITH COVERED PERFORATIVE ULCER ARE USEFUL
+erect abdominal X-ray, laparoscopy
-erect abdominal X-ray, irrigoscopy
-erect abdominal X-ray, ultrasound of abdominal cavity, irrigoscopy
-gastroduodenoscopy, erect abdominal X-ray, laparoscopy
-gastroduodenoscopy, erect abdominal X-ray, ultrasound of abdominal cavity
#AT SUBPHRENIC ABSCESS AT LEFT AT STANDING PATIENT IS NOTABLY
FIXEDNESS OF A VERTEBRAL COLUMN AND FLEXION OF ATRUNK (SIGN
OF SENATOR) TO THE
+left
-right
#DOMINATING ETIOLOGICAL CAUSE OF ORIGIN OF CHRONIC PANCREATITIS
-chronic gastroduodenitis
-cholelithiasis
-chronic cholecystitis
+chronic alcoholism
-duodenostasis
#PATIENT OF 55 YEARS WITHIN 12 YEARS SUFFER BY A PEPTIC ULCER.
THE ULCERWAS FOUND OUT ATX-RAY AND ENDOSCOPIC, INVESTIGATION. EACH TIME ULCERWAS LOCALIZED IN ASTOMACH. HE WAS TREATED
REGULARLY, SPENT OUT-PATIENT COURSES OF TREATMENT, WENT ON HEALTH RESORTS. NOW ULCER IS DETECTED ON SMALL CURVATURE,
1,0x0,3 CM. SUSPICION ON A BLEEDING, FORMER AT ARRIVAL, DO NOT
CONFIRM. TO OFFERTHE OPERATION TO THE PATIENT
-no
+yes
#THE MAN 29 YEARS HAS ARRIVED WITH COMPLAINTS ON WEAKNESS, VOMITING WITH BLOOD. IN AN ANAMNESIS NIGHT AND "HUNGRY" PAINS
WITHIN 5 YEARS, WITH SEASONAL EXACERBATIONS. EARLIER WAS NOT
INSPECTED AND WAS NOT TREATED. CUTANEOUS COVERS ACYANOTIC,
WET, TACHYCARDIA, AP 90/70 MM HG. CVP 3 CMS OF WATERS. A HEMATOCRIT 20%. DURING SURVEY REPEATED A VOMITING WITH OIL CLOTSS
OF A BLOOD. AFTER CARRYING OUT HEMOSTATIC AND INFUSION OF THERAPY THE HEMODYNAMICS WAS STABILISED, BUT IN ONE HOURTHE REPEATED COLLAPSE IS MARKED. MEDICAL TACTICS
-to realize a hypothermia of a stomach
+urgent operation
-to lead esophagogastroscopyfor an improvement of the diagnosis and solution of the question about the operation
-to carry out a x-ray analysis of a stomach
-to prolong infusion and hemostatic therapy
#TUBERCULOUS PERITONITIS EXTREMELY SELDOM DEMANDS OPERATING
INTERFERENCES, IN MAIN IS TREATED ONLY BY ANTITUBERCULOSIS
DRUGS
+true
-not everything correctly
#THE MOST LETHALITY ARE ACCOMPANIED INTRA-ABDOMINAL ABSCESSES
-peripheric
+central
#THE LIMITED PERITONITIS AT AN ACUTE APPENDICITIS IS
-local peritonitis
-diffuse peritonitis
+abscess of peritoneum
-total peritonitis
#PATIENT34 YEARS ARRIVED IN A STATE OF EXPRESSED ALCOHOLIC
DRUNKENNESSES, WITH THE COMPLAINT ON STRONG STATIONARY PAIN IN
A UPPER HALF OF A ABDOMEN, MULTIPLE VOMITING BY SMALL PORTIONS
OF GASTRIC CONTENT. THE TACHYCARDIA, THE ABDOMEN IS DEFINED
ACUTELY MORBID, TIGHT IN A UPPER HALF, SIGN OF SCHETKIN-BLUMBERG IS VAGUE. MORE RELEVANT RESEARCH FOR PRELIMINARY DIAGNOSIS
-expedited fibrogastroscopy
+reveal roentgenogram of abdominal cavity
#OFTHE FIRST MAGNITUDE INVESTIGATION FORAN IMPROVEMENT OF
THE DIAGNOSIS "BLEEDING ULCEROF A STOMACH"
-analysis of a gastric juice on an occult blood
-a contrast roentgenoscopy of a stomach
-analysis of a feces on an occult blood
+fi b r oga str о s со py
#ATCURRENTTIMEINTRA-ABDOMINALABSCESSMORE OFTEN FIND AT
OPERATION, THAN BEFORE IT
-no
+yes
#GASTROSTOMY AT ACHALASIA OF ESOPHAGUS
+no
-apply
#TO ACUTE PANCREATITIS THERE CORRESPONDS
-hemorrhagic shock
-colic pains with an irradiation in inguinal range, mild abdomen, paresis of an intestine
-palpated tumours in the left ileal range, tenesms, abjection
of blood with oil clots at defecation, meteorism
-paralytic violation of intestinal permeability, morbidness
and infiltration at rectal research
-roasted shade in upper level abdominal cavity, leukocytosis,
paralytic violation of intestinal permeability
+pains In epigastric range and left hypochondrium, morbidness
in a point of Boas, vomiting, paralytic violation of intestinal permeability
#EARLY TAG OF A CARCINOMA OF THE STOMACH
-icterus
+gradual growing thin a cachexia
#METHOD OF ESOPHAGOPLASTIC, OFFERED BEFORE OTHER
+plastic of esophagus by a small bowel
-esophagoplasty by a colon
-dermal esophagoplasty
-esophagoplasty by a stomach
#THE MAN 58 YEARS IS SUPPLIED IN A RECEPTION WITH ABUNDANT BY
VOMITING OF "A COFFEEGROUNDS" AND REPEATED MELENA FOLLOWING
AFTER A COLLAPSE 3 HOURS BACK. WITHIN TWO WEEKS TO THIS THE
COMMON WEAKNESS, REPEATED BLACK HAS PRECEDED, BAD MADE OUT
CHAIR. LAST A SEVERAL YEARS SCORES PAIN IN EPIGASTRIC RANGE,
WHICH ONE RECENTLY HAVE BEGUN TO IRRADIATE IN A SPIN. NEVER
EARLIERWAS TREATED AND WAS NOT INSPECTED. RANGE REPRESENTATIVE LOCATING OF A ULCEROF A STOMACH
+small curvature of a body of a stomach
-gastrinproducing range
-acidproducing range
-range of gastroesophageal transition
#AT PATIENT 26 YEARS ENTERED WITH CONNECTIONS WITH A REPEATED
VOMITING WITH A BLOOD, FLUID BLACK FECES, HAEMOGLOBIN 80 G/L,
ERYTROCYTES2 MLN, HEMATOCRIT 22, DEFICIT VCB 25%. PULSUS 110
INMIN, AP 100/60 MM HG. AT EMERGENCY GASTRODUODENOSCOPY IS
DETECTED CHRONIC ULCEROF A DUODENUM WITH THROMBOSED VESSEL,
IN A LUMEN OF A STOMACH SMALL QUANTITY OF "COFFEEGROUNDS".
TACTICS
-embolization б®бгй®у stomach
-operation at a relapse of a bleeding
-medicamental treatment
-all correctly
-embolization of vessels of a stomach
+urgent operation
#ON BASIS WHAT SIGN IN THE POSTOPERATIVE PERIOD YOU CAN TO SUSPECT AT PATIENT ACUTE TROMBOEMBOLISM OF PULMONARY ARTERY
+dyspnoea
-hyperemia of a face
-extra systole
-bradycardia
-bronchial respiration defined at auscultation of lungs
#RICHTER RESTRICTING
-Mekkel's diverticulum
-vermiform appendix
-sygmoid gut in sliding hernia
+guts, parietal
-abdomen in diaphragmal hernia
#SIGN OF BLUMBERG-SCHETKIN
-at pressing by the left hand in the left ileal area the jerk
by the right hand there (in the left ileal area) causes morbidity in the right ileal area
-the morbidity at a palpation of a caecum in a position of the
patient on the left side
+morbidity atthe sharp tearing away of the palpating hand
-occurrence or intensifying of pain in a position on the left
side
-the percussion morbidity in the right ileal area
-the sign of shirt
#BESIDETHE MEN 70 YEARS LONG EXISTS BIG LEFTSIDED INGUINAL
HERNIA. AT ROENTGEN STUDY OF ABDOMINAL CAVITY IS DISCOVERED
THAT HERNIA CONTAIN SYGMOID GUT. AT OPERATION THE MOST SUGGESTION DISCOVERYWILL
-direct hernia
-femoral hernia
+sliding hernia
-Richter's hernia
-restricted by hernia
#MAN OF 56 YEARS COMPLAIN OF SHARP LOSE OF WEIGHT, STATIONARY
NAGGING ABDOMINAL PAINS IN BATCHES INTENSIFYED. DURING THREE
DAYS THE CURRENT WAS NOT OF A CHAIR, THE GASES REMOVE. AN ESTATE OF AVERAGE GRAVITY, SKIN WHITENESS, THE TURGOR IT IS REDUCED. IT IS SCORED CONVULSIVE TENSION OF MUSCLES OF THE PERSON, NECK AND FINITENESSES. THE ABDOMEN IS ASYMMETRIC - PROTRUDED ITS TOP, AT A LEVELOF A BELLY-BUTTON IS PALPATED SWELUMG7X6CM, DENSE, MOVABLE, MODERATELY PAINFULL AT RECTAL
RESEARCH IN PARARECTAL CELLULARTHE TUBEROUS SWELUMG IS REVEALED. ATX-RAYAND ENDOSCOPIC RESEARCH THE CARCINOMA OF THE
STOMACH IS DIAGNOSED. MUCOUS SHELL OF INTESTINES IS NOT CHANGED. A STAGE OF DISEASE
-II
+IV
-I
-III
#AT PATIENT, WITHIN MANY YEARS SUFFERING PROGRESSIVE DUODENAL
ULCER, IS DETECTED CICATRIX-ULCERATIVE DEFORMATION OF A PILORIC PART OF A STOMACH WITH VIOLATION OF EVACUATION. IN WHAT
PHASE OF A GASTRIC SECRETION IT IS POSSIBLE TO EXPECT A HYPERSECRETION
+cephalic and humoral
-cephalic and intestinal
-intestinal
-humoral
-cephalic
«TENSION THE ABDOMINAL WALLS ARE MORE EXPRESSED AT A BREAKAGE
OF
+bowel
-liens
-liver
#THROUGH 5-6 CLOCKS AFTER CORROSIVE BURN OF AN ESOPHAGUS LAVAGEOFASTOMACH
+oblige
-forbidden
-problem on a lavage is solved individually
-not necessarily
#USUALLY, AN EVACUATION FUNCTION OF AN INTESTINE IN EARLY
TERMS OF AN ACUTE APPENDICITIS IS
-diarrhea
-delay of feces
-morbid desires on a defecation
-feces after a clyster
-"rectum's spittle"
-delay of gases
-coprostasia
-liquid unitary feces
+normal chair
#HISTOLOGICAL STRUCTURE OF THE STOMACH CARCINOMA IS MORE FREQUENT
-all enumerated variants meet identical frequency
+glandular
-correct answer no
-mixed glandular-epidermoid
-epidermoid
#THE MOST FREQUENTLY MEETING COMMON SIGN OF AN APPENDICITIS
AND ACUTE DISEASES OF URINARY WAYS
-pollakiuria
+pain in the right ileal area
-erythrocytes in urine
-irradiation in a leg or lumbar area
#A STUDENT, WOMAN, OF 20 YEARS OLD COMPLAIN OF A NAUSEA AND
VOMITING, PAIN ABOVE A UMBIUCUSBY DURATION 4 HOURS. DURING
LAST 0,5 OF HOUR A PAIN DISLOCATED IN THE BOTTOM PART OF A abdomen. TEMPERATURE IS 37,8. LEUCOCYTES ARE 13*10*9/1-THE MOST
PROBABLE DIAGNOSIS
+acute appendicitis
-acute pyelitis
-acute right-side adnexitis
-broken salpingocuesis
-break of an ovarian cyst
#FOR DIAGNOSTICS OF INTRA-ABDOMINAL ABSCESSES IS MORE INFORMATIVE RESEARCH
+echographic
-x-ray
#PATIENT OF 64 YEARS DURING LONG TIME SUFFERED BY A PEPTIC ULCER. ULCERS IS SCARRING. TROUBLES IS WEAKNESS, LOSS OF WEIGHT,
CONSTANT PAIN IN EPIGASTRIC AREA, ERUCTATION WITH A SMELL OF A
ROTTEN EGG, OCCASIONALLY VOMITING WITH FOOD AFFERENTIMPROVEMENT. IN EPIGASTRIC AREAS THE COMPACTION IS PALPATED, THE
SPLASHING SOUND IS DETERMINED. THE LOW BOUND OF A STOMACH IS
LOWERTHAN A UMBILICUS. AT ENDOSCOPIC INVESTIGATION IN PYLORIC
PART OF A STOMACH IS TAPED CIRCULAR DENSE TISSUE, THROUGHWHICH
TO PASS IN A DUODENUM IT WAS NOT POSSIBLE. AT A X-RAY ANALYSIS
BARIUM COMPLETELY WENT FROM A STOMACH ONLY IN 24 HOURS. THE
DIAGNOSIS
-violation of intestinal obstruction
-a malignancy of a duodenal ulcer
+subcom pen sated cicatricle stenosis
#AT PATIENT 26 YEARS, OPERATED WITH DIAGNOSIS "ACUTE APPENDICITIS", AFTER DISSECTING OF ABDOMINAL CAVITY IS MARKED, THAT
APPENDIX DWARFED, BLOODSHOT. TERMINAL PART OF INTESTINE DURING
50-60 CMS IS SHARPLY EDEMATOUS, BLOODSHOT, PLACES IS COATED
WITH A FIBRIN, ON A MESENTERY FIELDS OF DOTTED HEMORRHAGES,
THE ENLARGED LYMPH NODES ARE DEFINED. THE DIAGNOSIS
-tuberculosis of mesemtery lymphonoduses
-nonspecific ulcerative colitis
+morbus of Crohn
#THE MOST AUTHENTIC X-RAY TAG OF A CHRONIC CHOLECYSTITIS AT A
CHOLECYSTOGRAPHY
+"disconnected" gallbladder
-suspicion on a shade of concrements in gallbladder
-sharply enlarged, not contracting on giving of cholagogue lunch
-shade of gallbladder
-weak radiopaque shade of gallbladder
-at contraction it on 1/3 after giving cholagogue lunch
#OPTIMUM VARIANT OF OPERATIONS BESIDE PATIENT WITH DIRECT
INGUINAL HERNIA
-Martinov
+Bassini
-Girard
#FOR sliding INGUINAL HERNIA DISTINCTIVE
-full or partial absence of hernial contents
-breakup of round ligament of womb beside worn an s and hemicastration beside mans
-full or partial absence hernial gate
+full or partial absence of hernial sac
-obliteration of inguinal channel
#DRUG FOR CHEMOTHERAPY AT A CARCINOMA OF THE STOMACH
-h on van
-gordoxum
-contrical
-nevigramonum
+5-ftoruracylum
#CUNIC OF LOW OBTURATION INTESTINAL OBSTRUCTION
-an early multiple vomiting
-delay of a chair and gases, sign Wahl, expressed abdominal distented
-early multiple vomiting, delay of a chair and gases, sign
Wahl
-expressed abdominal distented, sign Tzege-Manteifel
-sign Wahl, expressed abdominal distented, sign Tzege-Manteifel
+delay chair and gases
-expressed abdominal distented, sign Tzege-Manteifel
#AT A HEMORRHOIDS THE FOLLOWING SIGNS CAN BE WATCHED
-constipations, teniform feces, itch in range of an anus
+constipations, bleeding, itch in range of an anus
-tenesms, teniform feces
-constipations, bleeding
-a bleeding, вГ-Г§-<л, teniform feces
#METHOD STOPPING OF A BLEEDING - CONCRETE MECHANISM
-biological - tamponade
-chemical - hemotransfusion
+thermal - electrocoagulation
-mechanical - epinephrine
#THE TENSION OF AN ABDOMINAL WALL AND THE STAGE OF A PERITONITIS AT AN ACUTE APPENDICITIS
-expressed, the abdomen is not inflated - terminal
+is absent, the abdomen is not inflated - toxic
-is absent, the abdomen is inflated - initial
#OBLIQUE INGUINAL HERNIA
-obtained, penetrates through lacuna vasorum, lateral from
tuberculum pubicum, more often beside worn an s at age 40-70
years
-only obtained, medial from vasa epigastrica and tuberculum
pubicum, spermatic cord not slaked, in 90% beside mans
+oval form, often comes down in scrotum, greater sexual lip,
prone to restricting, CAUSED by weakness of front wall of
inguinal channel
-increasing a scrotum, positive diaphanoscopy, at percussion
dull sound, cough push is absent
#INDICATION TO THE OPERATION AT A HEMORRHOIDS
-itch
+anemia
-a blood in a feces
#INTIME OF THE OPERATION IS DETECTED NECROTIC PANCREATITIS.
BEFORE MORE RESPECTFULLY
+necrectomy
-marsupialization of an omental bursa
-pancreatectomy
#ROENTGEN TAG OF A CARCINOMA OF THE STOMACH
-absence of a gas bubble of a stomach
+"niche" sizes more than 2 cm
#MAN OF 64 YEARS DURING THE HALFYEAR LOWERING APPETITE, HAS
GROWN THIN ON 13 KG, THE LOSE OF WEIGHT PROGRESSES, DURING MEAL FASTTRANSIENT FEELING OF OVERFLOW OF A STOMACH, NAGGING
PAINS AMPLIFY. IS WHITENESS. IN THE LEFT SUPRACLAVICULAR AREA
ASITEBYTHESIZE4x3CM, DENSE CONSISTENCE. A PALPATION OF
AN EPIGASTRIUM PAINFULLLY, IN PROJECTION OF A STOMACH IS DEFINED SWELLING WITHOUT LEGIBLE BOUNDARIES. THE DIAGNOSIS
-ulcer of a stomach
+cancer of stomach
#b,,tjTJb'T>K, DICYNONUM, ...-ACIDUM AMINOCAPRONICUM FALL IN TO
AGENTS OF A STOPPING OF A BLEEDING
-physical
-biological
+chemical
#FIBROESOPHAGOSCOPY CAN BE ACCOMPANIED BY
+all enumerated
-breakage of an esophagus
-trauma of a mucosa
-trauma of a pharynx
#DEVELOPMENT OF COMPLICATIONS IN POSTOPERATIVE PERIOD AT PATIENT WITH THE PORTAL HYPERTENSION WHICH HAS TRANSFERRED AT THE
ALTITUDE A BLEEDINGS DIFFERENT OPERATIVE MEASURES, DEPENDS ON
ALL ENUMERATED FACTORS, EXCEPT FOR
-volume of an operative measure
-degree of anemization
-duration of the period of a bleeding
+size of Uver and lien
-function state of a liver
#AT A FAILURE OF INOPERATIVE TREATMENT OF A REFLUX-ESOPHAGITIS
FOLLOWS TO MAKE
-resection of a stomach on B-l
-selective proximal vagotomy
-truncal vagotomy
+fundoplication
-fundopexia
#MOST OFTEN REASON OF UNUSUAL CLINICAL CURRENT OF AN ACUTE APPENDICITIS
+atypical locating of appendix
-elderly age of the patient
-areactivityof an organism
#MAN OF 72 YEARS COMPLAIN OF STATIONARY NAGGING PAIN IN EPIGASTRIUM, RETURNING IN THE LEFT SHOULDER, HICCUP, DIFFICULTY
OF MOVING EVEN OF LIQUID NUTRITION, POORAPPETITE, LOSE OF WEIGHT. IS SICK ABOUT 6 MONTHS. THE DRYNESS AND UNDERTURGOR OF
A SKIN, MODERATE IS EXPRESSED MORBIDITY AT A PALPATION OF A
ABDOMEN NEARXIPHOID PROCESS. IN THE LEFT SUPRACLAVICULAR AREA
DENSE LUMP 2x2 CM. THE DIAGNOSIS
-Pancoast tumour
+cancer of stomach IV
-tuberculosis of lung
-Virchow's metastases
#THE TREATMENT OF APPENDICULAR INFILTRATE IS
-conservative, operation at obvious attributes of forming of
abscess
-only operative
+strictly conservative
#55-YEAR MAN IS SUPPLIED WITH TUSSIS AND HEMOPTOE. A BEDROOM
AND ASSIGNMENT OF CODEINUM HAVE REDUCED IN A STOPPING OF BLEEDING. WHAT FROM THE ENUMERATED PROCEDURES SHOULD BE DONE
-a thoracotomy
-biopsy of prescalene lymphonoduses
-a bronchography
+bronchoscopy
-intubation of a trachea and assisted ventilation
#OPTIMAL METHOD OF SURGICAL TREATMENT OF A BLEEDING ULCEROF
STOMACH
-a dressing of the left gastric artery
+resection of stomach
-gastroenteroanastomosis
-truncal vagotomy with a pyloroplasty
#AT ACUTE INTESTINAL OBSTRUCTION IN AN ORGANISM EDUCES
-hyperkalemia, dehydration, down stroke of a hematocrit
-hyperkalemia, down stroke of hematocrit, hypokalemia
+dehydration, rising of a hematocrit, hypokalemia
-hypercalcemia, rising of hematocrit, hypokalemia
-dehydration, down stroke of a hematocrit, hypokalemia
#AT HISTOLOGICAL FRAME THE CANCER OF AN ESOPHAGUS IS MORE OFTEN
-planocellular keratosic
-adenocarcinoma
-ringformcell
+epidermoid Not keratosic
#COMMON SIGNS OF APPENDICITIS AND MENINGITIS AT SMALL CHILDREN
ARE
-headache, legs given to a abdomen, high temperature in the
beginning of disease
+abdominal pain, tension, morbidity at a palpation of a abdomen
-stiff neck, Kernig's sign
#THE MOST OFTEN SOURCE OF PERITONITIS
+acute appendicitis
-trauma of a abdomen
-perforated ulcer
-strangulated hernia
-acute cholecystitis
-acute intestinal obstruction
-acute pancreatitis
#OBTURATION OBSTRUCTION OF A SMALL BOWEL IS PRODUCED
-formation of knots
-its volvulus
-clottage of blood vessels
+bile stone, bezoar, foreign body
#INDICATIONS TO A SUBTOTAL GASTRECTOMY AT A CANCER
+exophytic tumour of a cardia
-saucer-like cancer of a body and cardia of a stomach
#THREE MOST OFTEN REASONS OF AN ACUTE ABDOMEN IN THE DECREASING ORDER
+acute appendicitis - acute intestinal obstruction - perforation of hollow organ
-acute appendicitis - gastrointestinal bleeding - acute ileus
-perforation of hollow organ - acute appendicitis - acute
ileus
-gastrointestinal a bleeding - acute appendicitis - acute ileus
#TO REPRESENTATIVE COMPLICATIONS OF A HEMORRHOIDS DOES NOT
CONCERN
-clottage of hemorrhoidal nodes
-the abaissement of nodes
+fissure of anal canal
-bleeding
#CONSECUTION APPLICATION AT BLEEDING ULCER WITH STEADY HEMODYNAMICS
-the operation, infusion therapy, endoscopy
+endoscopy, infusion therapy, operation
-an endoscopy, operation, infusion therapy
#FOR OF A CHOLANGITIS IS CHARACTERISTIC
-startling chill rising, of a startling, thirst, dryness in a
mouth
+all enumerated
-fever showing quite often by a heat of hectic type
-augmentation of a lien
#FOR DECOMPENSATED PYLORIC STENOSIS IS NOT CHARACTER
+tension of muscles of an abdominal wall
-the vomiting by food, eating on the eve
-"splashing sound" in a stomach fasting
-delay of barium in a stomach
-oliguria
#THE MAIN METHOD OF TREATMENT OF AN ACHALASIA OF CARDIA
-fundoplication on Nissen
+cardiodilatation
-a bougieunage
-different methods of extramucous plasty
-a cardioplasty on Heller
#ATLOW SYSTOLIC PRESSURE STIPULATED HEMORRHAGIC SHOCK, ON
PREHOSPITAL STAGE TREATMENT IS NECESSARY BEGIN FROM INTRODUCTION
+cristalloids
-of blood substitutes
-anesthetizing agents
-bloods
-polyglucinum
#ATACANCEROFMIDDLE-THORACALPARTOFAN ESOPHAGUS IS WATCHED MORE OFTEN
-tussis, dyspnea
-pain behind a breast bone
+dysphagia
-a regurgitation
-hypersalivation
#THE PAINSATANACUTEAPPENDICITISCANBE LOCALIZED NOT IN
RIGHT ILEAL AREA MORE OFTTN AT
+pregnancy
-formation of an appendicular infiltrate
-appendicitis caused by an obturation
#MAN 42 YEARS HAS ENTERED CLINIC THAT AT HIM REPEATED VOMITING
WITH A BLOOD, FLUID BLACK FECES WAS ADVANCED. IN ANAMNESIS THE
HEPATITIS, DIET DID NOT KEEP, MISUSED ALCOHOL ENLARGED A LIVER AND LIEN, THE AMOUNT OF THROMBOCITES AND LEUCOCITES IS REDUCED. BLEEDING POINT AT HIM MORE PROBABLY IN
-duodenum
-small bowel
+esophagus
-stomach
-rectum
-colon
#DIFFERENS SIGN OF PERITONITIS AND LEAD COLICA
-strain of abdominal wall
+lead border on gingivas
#AT TUMOUR OF A BODY OF A STOMACH 4 CM SPROUTING A MUSCLE
STRATUM, WITHOUT REGION METASTASISES, THE DIAGNOSIS IS INSTALLED
-3b
-4
+2a
-2b
-3a
#RARE THEN ALL HEMOPTOE HAPPENS AT
-an infarct a of lung
+pneumoconiosys
-Bronchial cancer
-Mitral stenosis II of a degree
-tuberculosis
«ANAMNESIS- BLEEDING POINT
+transfered hepatitis vein of an esophagus
-a vomiting after RECEPTION of alcohol - carcinoma of the stomach
-nagging pain Mallory-Weiss syndrom
-a stressful situation - carcinoma of the stomach
-lowering and distortion of appetite - hemorrhagic gasritis
#CHARACTER SIGN OF CANCER OF A CARDIAL PART OF A STOMACH
-feeling of gravity in epigastriums after meal
+hyper salivation
#WOMAN43 YEARS COMPLAIN OF A PAIN BEHIND A BREAST BONE AND
SENSE OF A BURNING SENSATION, WHICH ONE STRENGTHEN AFTER MEAL
AND IN A POSITION LIING. IN VERTICAL POSITION PAIN AND BURNING
SENSATION DECREASE. IN ANALYSISES OF A BLOOD HYPOCHROMIA ANEMIA OF A MILD DEGREE. YOU GUESS
+hernia esophagus hole of diaphragm
-epiphrenal diverticulum of an esophagus
-chronic gastritis
-reflu x-esophagitis
-duodenal ulcer
-carcinoma of the stomach
#AT COMBINED BURN INJURY OF AN ESOPHAGUS AND STOMACH INDICATING AND DEMANDING PRIME ELIMINATION IS THE STENOSIS
+ventricle
-esophagus
#THE CLINICAL PICTURE OF AN ACUTE APPENDICITIS IS ESPECIALLY
FAST PROGRESSING AT
-AIDS-infection
-the old men
-the pregnant woman
+children
-the sportsmen
#CAUSES OF INTRAVITAL THROMBOSIS HAS DEFINED IN 1854 BY
-Rokitansky
-Pavlov
-Aschoff
+Wirchov
#BLEEDING FROM A NOSE
-Hematemesis
-an ecchymoma
+epistaxis
#TO FORMING A POSTOPERATIVE HERNIA PREDISPOSE
+all enumerated
-postoperative paresis
-wrong technology of mending is reeked
-median cutting
-wound infection
-nothing from named
#FORACUTE HIGH INTESTINAL OBSTRUCTION IS UNREPRESENTATIVE
-pernicious vomiting
-fast deaquation
-colicy pains
+rapid down stroke of a hematocrit
#METHOD STOP OFAHEMORRHAGEATBLEEDING FROM VARICOSE VEINS
OFAN ESOPHAGUS
-diathermocoagulation
+setting two-balloon and three-lumen probe
-laser photocoagulation
#THE MAIN HISTOLOGICAL FORM OFA CARCINOMA OF THE STOMACH IS
^-adenocarcinoma
-non-differentiated
-carcinoid
-epidermoid
-ringcell
#CHARACTERSIGN OF CANCER OF PYLORIC PART OF A STOMACH
-a hypersalivation
+feeling gravity in epigastriums after meal
#DRAINAGE OPERATION AT A PEPTIC ULCER
+pyloroplastic
-vagotomy
#COMPUCATION OF ACUTE PANCREATITIS IS NOT
-abscess of an omental bursa
-peritonitis
-cyst of a pancreas
+infarctof intestine
-hepatorenal failure
#AT HEMOPERITONEUM DANGER FOR LIFE IS CONNECTED WITH
+«бвав© anemia
-by a compression of an internals organ
#INTESTINE ODSTRUCTION WITHOUT RESTRICTING MORE OFTEN CANS
BE IN HERNIA
-inguinal
-femoral
+irreducible, giant, multi-stage
«SYNDROM HORNER UNIT
-ptosis of upper blepharon, miosis
-all correctly
-retraction of eyeglobe, conjunctivitis
-paresis of a phonatoryband, conjunctivitis
+ptosis of upper blepharon, miosis, retraction of eyeglobe
#HECTIC FEVER BEFORE DEVELOPMENT POSTOPERATIVE INTESTINAL OBSTRUCTION ARISES MORE OFTEN IN OUTCOME
-cancer of colon
-foreign body
+develop of intra-abdominal abscess
#STAGEOF CANCER OF A STOMACH BODY BY A DIAMETER4 CM SPROUTING MUSCLE STRATUM, WITH SINGLE METASTASISES IN AN OMENTUM
-T2N1M1
-T1N1M0
-T2 NO MO
+T2 N1 MO
-T3N1M0
#PATIENT 42 YEARS COMPLAIN OF A STRONG PAIN IN EPIGASTRIUM
RANGE OF CONSTANT CHARACTER RETURNING IN A LOIN, MULTIPLE VOMITING WHICH IS NOT AFFERENT OF SIMPLIFICATION. WAS ILL SUDDENLY 6 CLOCKS BACK. ABUSESWITH SPIRITS. SIMILAR PAINS IN
FIRST TIME. A STATE OF AVERAGE GRAVITY, DERMAL INTEGUMENTS
ACYANOTIC, MOIST, ACROCYANOSIS. SPHYGMUS 108, ARTERIAL PRESSURE 100/60. ABDOMEN IS MODERATELY DISTENTED IN UPPER HALF, IS
REFRACTORY IN EPIGASTRIUMS AND LEFT HYPOCHONDRIUM. THESIGNS
KERTE, VOSCRESENSKY, MAYO-ROBSON ARE POSITIVE. HEPATIC DULLNESS IS SAVED. PERISTALTIC HUMS NOT AUSCULTATED. FORTHE DIAGNOSIS OF AN ACUTE APPENDICITIS IS DESIRABLE
-pain in epigastriums
-sign of Schetkin- Blum berg
+symptom of kocher-volcovitch
-vomiting
#MOSTOFTENCHARACTEROFAVOMITINGATAN ACUTE APPENDICITIS
IS
-with crimson jelly
-repeated, plentiful, with an impurity of intestinal contents
-with ablood
-unrestrained
-on an empty stomach
+unitary, with gastric contents
-with changed blood (coffee's sediment)
-repeated
-after meal
-with green slime
#SHOCK INDEX ALGOWER ATTITUDE
-a diastolic AP and pulse rate
+puls rate and systolic AP
-puis AP and pulse rate
#CONTEMPORARY METHOD OF DIAGNOSTIC OF A GASTRIC BLEEDING
-roentgenoscopy
-USI
+gastroscopy
-computed tomography
#AT BLAKEMORE'S PROBE IS POSSIBLE TO HOLD AIR IN BALLOONS (AT
STOPPING BLEEDING)
-6-10 hours
-12-18 hours
-4-8 day
-9-12 day
+3day
-13-18 day
#THE MAN 38 YEARS HAS ENTERED RECEPTION WITH COMPLAINTS ON WEAKNESS. IN ANAMNESIS NIGHT AND "HUNGRY" PAINS MORE 5 YEARS
WITH SEASONAL EXACERBATIONS. WAS NOT INSPECTED AND WAS NOT
TREATED. CUTANEOUS COVERS IS ACYANOTIC, WET, TACHYCARDIA. AP
OF 90/70 MM HG. CVP (-3) CMS OF WATERS. A HEMATOCRIT 20. DURING SURVEY IN RECEPTION WARD REPEATEDLY THERE WAS A VOMITING
WITH OIL CLOTSS OF A BLOOD, SYNCOPE. PATIENT SHOULD BE DIRECTED TO DEPARTMENT
-cardiovascular therapeutic
+anesthesiology and reanimation
-gasroenterologic surgical
-vascular surgical
-gasroenterologic therapeutic
#CAUSE OF AN ACUTE INTESTINAL OBSTRUCTION - MECHANISM
-invagination- one from intestinal loop of intestines with
the mesentery will derivate an axis, around of which one other
loop of intestine always
-arteriomesentery-tumor of a colon
-volvulus -the prelum of a horizontal branch of a duodenum by
a upper mesenteric artery removing from an aorta under an acute angle a nodulation
-nodulation - twisting of an intestine with a mesentery around
of a direct axis
-obturation-implantation of one segment of an intestine in
other is torqued
+paralytic - retroperitoneal hematoma, peritonitis
#AT INGUINAL HERN IAS AT CHILDREN FAITHFULLY
-in 60% double-sided
-at immature children and beside children, given birth upon
the terms, their frequency equal
+can cause intestine obstruction or damage of testicle's
-treatment - plastic of muscle wall of inguinal channel
-when restricting their should not set
#AT RESTRICTING OF HERNIA BESIDE ELDERLY PATIENT, RECENTLY UNDERGOING MYOCARDIAL INFARCTION, TACTICS STIPULATES
-purpose an analgetics and antispasmodic
+immediate operation with simultaneous cardial therapy
-entering the narcotics
-all enumerated
-setting a hernia
-undertaking an cardial therapy, not shaving off attention on
restricting a hernia
#MAN OF 72 YEARS COMPLAIN OF STATIONARY NAGGING OF A PAIN IN
EPIGASTRIUM, RETURNING IN THE LEFT SHOULDER, HICCUP, DIFFICULTY OF MOVING EVEN OF LIQUID FOOD, POOR APPETITE, LOSE OF WEIGHT. IS SICK ABOUT 6 MONTHS. THE DRYNESS AND UNDERTURGOR OF
A SKIN, MODERATE IS EXPRESSED MORBIDITY AT A PALPATION OF ABDOMEN. IN THE LEFT SUPRACLAVICULAR AREA DENSE SWELLING 2x2 CM.
A STAGE OF DISEASES
-III
+IV
-II
-I
#KIND OF BLEEDING - SIGNS
-gastrointestinal - hematuria
-Ё§ urinary 6ЁбвГ-.л bleedinge a€ -мГ
+from Bile routes - hemobilia
-pulmonary - not changed blood in a feces
-from urinary system - hemoptoe
-hemorrhoidal -tarrychair
#INDICATION TO A VASCULAR SUTURE
-a wound of a major SAPHEN vein of a femur
+wounding of popliteal artery
-a parenchymatous bleeding
#CAUSE OF A HEMOPTOE MOST LESS OFTEN IS
+pneumoconiosys
-Any of called
-infarct-pneimonia
-Bronchoectatic disease
-a stenosis of a mitral gate with stagnation in a small circle
of a circulation
#INDICATION TO A CHOLECYSTOSTOMY
-gangrene of gallbladder
-obstruction of cystic duct
+severe condition of patient
#ATAWOUNDOFAN ESOPHAGUS IS MORE PREFERABLE PREOPERATIVE
INVESTIGATION
-endoscopic
+x-ray with usage of water-soluble contrast
#LABORATORY data at RESTRICTED INGUINAL HERNIA
-macrohematuria
-hyperbilirubinemia
-speed erythrocyte sedimentation rate (ESR)
+no denominated change
#PRECANCER DISEASE OF A STOMACH
-Mallory-Weiss syndrome
+atrophic gastritis
-acute ulcer
#AMOUNT OF SHOCK INDEX ALGOWER AT SATISFACTORY STATE OF PATIENT
-1
-1.5
+0.5
-2
#LOSS OF MASS OF A BODY MORE OFTEN HAPPENS AT
+penetration
-perforations
-bleeding
#MALLORY-WEISS SYNDROM
-nonperishable spastic stricture of a cardial sphincter
-"kissed" ulcers
-ulcer penetrating in a liver
-pyloric stenosis
+breake mucosa of cardial part of a stomach or esophagus
#AT THE PATIENT DURING CLINIC CONCERNING OBSERVED AN APPENDICULAR INFILTRATE IN THE RIGHT ILEAL AREA, FOR б DAY APPEARANCE
ATTRIBUTES OF ITS PURULATION. ACCESS FOR A DRAINAGE OF ABSCESS
+on Pirogov
-on Volkovitch-Diakonov
-on Lenander
-through a forward wall of a rectum
-bottom or median laparotomy
#AT PERFORMANCE OFTHE OPERATION OF HEMORROIDECTOMY IT IS NECESSARY TO REMEMBER, THAT IN REGION OF HEMORRHOIDAL NODES ALLOCATE THE CAVERNOUS BULLOCKS, INTO LACUNAS WHICH ONE RUN THE
BRANCHES OF
-of the inferior gluteal artery
-a umbilical artery
+low, middle and upper rectal arterys
#GIRDLE CHARACTER OF PAIN AT PATIENT WITH INTRA-ABDOMINAL ABSCESSES IN MATCHING WITH ACUTE PANCREATITIS IS EXPRESSED
-more often
+rare
#GYNECOLOGIST DURING SURVEY OF PATIENT FINDS OUT A POLYP OF
NICKS OF A UTERUS AND DELETES IT. PATIENT INFORMS, THAT DURING
THE LAST MONTHS SHE SCORES A BLOOD IN A FECES. OFTEN BLOOD
DISCHARGE BEFORE A FECES. THE DOCTOR DIAGNOSTICATES A HEMORRHOIDS AND GIVE RECOMMENDATIONS. TO WHAT SIGN THE DOCTOR HAS
NOT PAID ATTENTION
-a blood in a feces
-a bleeding on a background of a polyp of nick of a uterus
+blood discharge before feces
-the bleeding within several months is excreted
#SUPPLEMENTAL RESEARCH ABLE TO HELP TO DIAGNOSTICS PERFORATION
OF A CARCINOMA OFTHE STOMACH
+reviewX-radiography abdominal cavity
-gastroscopy
-x-radiography of a stomach
#CAPROFER (INCLUDES IRON TRICHLORIDE, AMINOCAPROIC ACID, SODIUM CHLORIDUM) AGENT FORTREATMENT AND PROPHYLAXIS OF
+bleeding
-a clottage
-Infection contaminations
#MAN 42 YEARS HAS ENTERED HOSPITAL THAT HOUSE AT HIM THE REPEATED VOMITING WITH OIL CLOTSS WAS ADVANCED RECALLING LIVER,
THEN FLUID BLACK CHAIR. SIMILAR STATE WAS AT PATIENT 3 MONTHS
BACK. IN AN ANAMNESIS AN INFECTIOUS DISEASE. A DIET NOT KEPT,
MISUSEDWITHALCOHOL AT SURVEY ARE PALPATED ENLARGED LIVER
AND LIEN. THE DIAGNOSIS
-a carcinoma of the stomach
+cyrrhosis of liver
-alcoholism
-a peptic ulcer
-Mallory-Weiss syndrom
-alcoholism
#AT AN ACUTE CLOTTAGE OF HEMORRHOIDAL NODES THE OPERATING TREATMENT COUNTERINDICATIVES, BECAUSE THE OPERATION AT AN ACUTE
CLOTTAGE HEMORRHOIDAL NODES IS DANGEROUS BY AN EMBOLISM OF A
PULMONARY ARTERY
-correctly
+wrong
#AT BLEEDING FROM MALIGNANT ULCER PYLORIC DEPARTMENTS OF A
STOMACH IS ROTINED
-a resection of 2/3 stomach
-truncal vagotomy
-a underrunning of veins
+subtotal resection of stomach
#THE NEUROPATHOLOGICAL SIGN OF AN ACUTE APPENDICITIS IS SIGN
OF
-Kocher
-Blumberg
-Rovzing
-Voskresensky
+Razdolsky
-Sytckovsky-Bartomie-Michelson
#AT AN ACUTE GASTRIC BLEEDING THE VOMITING IS WATCHED
+of "a coffeegrounds", blood
-at the altitude of pain
-by eaten food
-by bile, of intestinal kept
«CONSTANT BURNING PAINS AFTER OPERATIONS ON CAUSE AN INGUINAL
HERNIA CAN APPEAR AT INVOLVEMENT IN SCAR
+ileo-inguinal nerve
-ileo-hypogastricum nerve
-femoral nerve
#THE MOST VAST DAMAGES OF AN ESOPHAGUS EDUCE AT RECEPTION OF
-substitutes of alcohol
-mineral acids
-organic acids of lacquers
+alkalis
#FROM OF ALL LAYERS OF WALL OF AN ESOPHAGUS THE WALL OF A DIVERTICULUM CONSISTS
+tr action
-pulsion
#FORAN IMPROVEMENT OF CHARACTEROF AN ICTERUS AND CAUSE OF
ITS ORIGINATING IT IS NECESSARY TO PRODUCE
+USI, transcutaneous transhepatic cholangiography, retrograde
cholangiography
-roentgenography subhepatic of space, infusion cholecystocholangiography, retrograde cholangiography
-transcutaneous transhepatic cholangiography, retrograde cholangiography
-USI, infusion
cholecystocholangiography,
transcutaneous
transhepatic cholangiography
-infusion cholecystocholangiography, retrograde cholangiography
#FUNCTIONAL DAMAGE OF PATENCY OF OUTPUT PART OF STOMACH AT A
ULCER IT IS POSSIBLE TO DISTINGUISH FROM ORGANIC AT
-at a X-ray analysis
+after medicamental therapy
-gastroscopy
#THE MOST OFTEN REASON OF MORS OWING TO A PEPTIC ULCER
+bleeding
-malignancy
-stenosis
-penetration
-perforation
#AT OBLIQUE INGUINAL HERNIA HERNIAL SAC PASSES MEDIAL FROM
A. EPIGASTRIC A INFERIOR
-yes
+no
#FOR A MECKEL'S DIVERTICULUM IS NOT CHARACTERISTIC
-contains all walls of an intestine
-is present at 2-3 % of the people
-is in 60-70 ёь of the more orally ileocecal valve
-can contain a heterotopic tissue of a pancreas, stomach or
mucosa of a colonic intestine.
+localization in mesenteric edge of an ileal intestine
#THE MOST OFTEN CAUSE OF DERIVATION INTRA-ABDOMINAL ABSCESSES
-hematogenous
-lymphogenous
-obscure
+direct (contact)
#AT PATIENT A CARCINOMA OF THE STOMACH COMPLICATED BY A STENOSIS. ARE POSSIBLE A BIOCHIMIC CHANGE OF A BLOOD
-hyperglycemia
+hypochloremia
#FORTHE GANGRENOUS FORM OF AN ACUTE APPENDICITIS ARE CHARACTERISTIC
-sudden intensifying of pain in the right ileal area, sign of
Blum berg- Schetkin in the right ileal area
-sudden intensifying of pain in the right ileal area, decrease
of pain sensations
-aboard-forming tension of a abdomen, tachycardia, sign of
Blum berg-Schetkin In the right ileal area
+decrease of pain sensations, tachycardia, sign of Blumberg-Schetkin in the right ileal area
-a board-forming tension of a abdomen, sudden intensifying of
pain in right Ileal area, sign of Blum berg-Schetkin in the
right leal area
#TUMOR OF STOMACH DIAMETER4 CM SPROUTING MUSCLE STRATUM, WITH
SINGLE METASTASISES IN AN OMENTULUM, FALLS INTO STAGES
-2a
+2b
-3a
-4
-3b
#ATPATIENT ELDERLYAGEWITH EXPRESSED CARDIAC INSUFFICIENCY
HAS ARISEN A BLEEDING FROM AN ACUTE ULCER OF A STOMACH. BLEEDING IS STAYED. FURTHER MEDICAL TACTICS
-an emergency operative measure
+expectant tactics
-an operative measure per the proximate days after compensation of a state
#MAN 42 YEARS HAS ENTERED CLINIC THAT FOR HIM THE REPEATED VOMITING WITH A BLOOD, FLUID BLACK FECES WAS ADVANCED. IN ANAMNESIS THE HEPATITIS, DIET DID NOT KEEP, MISUSED ALCOHOL EN-
LARGED A LIVER AND LIEN, THE AMOUNT OF THROMBOCYTES AND LEUCOCYTES IS REDUCED. PRESSURE OF A BLOOD IN A PORTAL VEIN AT HIM
MORE OFTEN
-normally
+increased
-reduced
#AT PATIENT OF 26 YEARS WHICH HAVE ARRIVED IN CONNECTION WITH
A REPEATED VOMITING WITH A BLOOD, LIQUID BLACK FECES, HAEMOGLOBIN 80 G/L, ERYTROCITES 2 MILLION, HEMATOCRIT 22, DEFICIT OF
VOLUM CIRCULATING BLOOD 25%. PULSE 110 IN MINES., ARTERIAL
PRESSURE OF 100/60 MM HG AT EMERGENCY GASTRODUODENOSCOPY IS
DETECTED CHRONIC DUODENAL ULCERWITH THROMBOSED VESSEL, IN A
GLEAM OF A STOMACH SMALL QUANTITY OF "COFFEE-GROUND". TACTICS
-operation at a relapse of a bleeding
-medicament treatment
-all correctly
-embolisation of vessels of a stomach
+urgent operation
#IN ADJACENT WITH A TUMOURS FIELDS OF A TISSUE OF A PANCREAS
NOT EDUCES
-of fatty necrosises
-atrophy of pancreas
-chronic inflammation
-sclerosis
+multitude of cysts
#TEMPORARY STOPPING OF A CAPILLARY BLEEDING
+compressing bandage
-tourniquet
#SYNTOPY STOMACH WITH
+lien
-caecum
#FORTHE HYPOVOLEMIA ARE CHARACTERISTIC FOLLOWING VALUES CVP
(MM OF WATERS)
-above 240
-60-120
+less 60
-190-240
-130-180
#ATTHE PATIENT OF 34 YEARS OLD FOR7 DAYS AFTEROPERATION
CONCERNING OF A PHLEGMONOUS-GANGRENOUS APPENDICITIS THE PAINS
IN RECTUM, CHILLS, PAINTUL DESIRE TO DEFECATE, DYSURIA HAD APPEAR. AT RECTUM RESEARCH THE INFILTRATE IN A SMALL BASIN WAS
FOUND. IN 3 DAYS AFTERTHE BEGINNING OFTHE TREATMENT INCLUDING A WARM MAYWEED CLYSTER AND ANTIBIOTICS, CONDITION OF THE
PATIENT DO NOT IMPROVE . AT REPEATED RECTUM RESEARCH IS MARKED
A MALAX OF AN INFILTRATE. TEMPERATURE HAS ACCEPTED A HECTIC
CHARACTER. DIAGNOS IS
-an acute adnexitis
-an acute cystitis
+an pelvis abscess
#FALSE, THAT THE PAIN AT ACUTE PANCREATITIS HAPPENS
-from acute begining
+without nausea and vomiting
-of diffuse in epigastriums
-stationary
-irradiating in a spin
#CHARACTER SIGN OF CANCER OF A BODY OF A STOMACH
+feeling of fast passing overflow of a stomach after meal a
vomiting by nutrition, eating on the eve
-dysphagia
-capotement
#UNDER LONG RESTRICTING A SMALL INTESTINE PERCUSSION SOUND ON
SWELLING
+blunt
-tympanite
#MOST OFTEN REASON OF UNUSUAL CLINICAL CURRENT OF AN ACUTE APPENDICITIS
-areactivityof an organism
-elderly age of the patient
+atypical locating of appendix
#DRAINAGE OPERATION AT A PEPTIC ULCER
-suturing of perforated hole
+longitudinal excision of a perforated ulcer with transversal
suturing
#LEUKOCITESAT A TUBERCULAR PERITONITIS
-leukocytosis
+leukopenia
-normal
#METHOD STOPPING OF A BLEEDING AUTHOR
+ligature - Celsus
-a VASCULAR suture - Asmarch
-a tourniquet - Carrel
#IS THERE ANY VALUE TO A C-REACTIVE PROTEIN IN PATIENTS WITH
APPENDICITIS
+this protein level rises within 6-12 hours of acute inflammation; though non-specific, it is highly sensitive after 12 to
24 hours; a normal c-reactive protein 12-24 hours after symtpom onset has, in some studies, approached a negative predictive value of 100%
-this protein level rises before 6-12 hours of acute inflammation; though non-specific, it is highly sensitive after 12 to
24 hours; a normal c-reactive protein 12-24 hours after symtpom onset has, in some studies, approached a positive predictive value of 100%
#AT SUSPICION ON AN INTRINSIC BLEEDING
-to lay down, to give anesthetizing, to call the doctor
+lay down With the raised podal extremity, to call first aid,
cold, famine
-cold, cool drink, rest
#IS NOT COMPLICATION OF ACUTE CHOLECYSTITIS
+varicouse phlebectasia of an esophagus
-an icterus
-peritonitis
-cholangitis
-subhepatic abscess
#SIGNS INDIRECT INGUINAL HERNIA ALL, EXCEPT
-locations above inguinal ligament
-oval form
+globous form
-cough push on move of inguinal channel
-thickening of spermatic cord on side of hernia
#THE MAIN CLINICALLY SIGNS OF MASSIVE PULMONARY ARTERY THROMBOEMBOLISM
-collapse, dyspnea, turgescence and pulsing of bulbar veins,
accent of the second sound on aorta
-pain behind a breastbone, dyspnea, cyanosis of a face and upper half of trunk, accent of the second sound on a pulmonary
artery
-dyspnea, cyanosis of a face and upper half of trunk, accent of
the second sound on aorta
-pain behind a breast bone, collapse, turgescence and pulsing
of bulbar veins
+all correctly
#METHOD OF STOPPING OF A BLEEDING - AUTHOR
-a ligature - Asmarcha
+vascular Suture - Carrel
-tourniquet- Celsus
#THERAPY AT A THYROIDITIS OF HASHIMOTO
-antibiotics
-operating treatment - subtotal thyroidectomy
-radial therapy
-all offered insecurely
+thyroxinum and cortisonum
-all offered correctly
#MOST OFTEN REASON OF OCCURRENCE APPENDICULAR INFILTRATE IS
-areactivityof the patient
+medical mistake
-hypersensibilization of an organism
-elderly age
#AT PATIENT OF CANCER OF AN OUTPUT PART OF A STOMACH WITH APPEARANCES OF A STENOSIS. ITISNECESSARYTOSWITCHONIN THE
SCHEDULE OF INSPECTION RESEARCH
-all is insecure
+volume of circulating blood (VCP), electrolyte composition of
plasma, measurement of a diuresis
-all correctly
-volume of circulating blood (VCP), electrolyte composition of
plasma, pH-metryof a stomach, duodenal exploration
-volume of circulating blood (VCP), electrolyte composition of
plasma, duodenal exploration
#ATTHE PATIENT WITH CHOLEDOCHOLITHIASIS, ASA RULE, DOES NOT
ARISE
-obstructive icterus
-decubituses of a wall of a duct
+symptom Courvousier
-cholangitis
-cicatrical changes of a duct
-cancer of gallbladder
#AT INCIPIENT STATES OF PERITONITIS CONCERN
-strain of muscles of an abdominal wall, tendency to increase
of a leukocytosis
+tendention to a tachycardia, strain of muscles of an abdominal wall, tendency to increase of a leukocytosis
-sharp electrolyte alterations, strain of muscles of an abdominal wall, tendency to increase of a leukocytosis
-morbidness of pelvic peritoneum at rectal research, tendency
to a tachycardia, sharp electrolyte alterations
-morbidness of a pelvic peritoneum at rectal research, strain
of muscles of an abdominal wall
#AT PATOLGYCAL RESEARCH OF APPENDIX THE SMALL CARCINOID ON AN
APEX WITHOUT INVOLVING OF MESENTERIES WAS FOUND. THE FURTHER
THERAPY
-resection of the right half of colonic intestine
+no therapy
-relaparotomy with a biopsy of mesentery lymphatic node
-chemotherapy
-cecostomy
#AT COMPLICATION OF AN ACUTE APPENDICITIS BY APPENDICULAR INFILTRATE IS SHOWN CONSERVATIVE TREATMENT, BECAUSE
-the s elf-treatment, resorption of an infiltrate are possible,
perforation of small intestine at attempt of allocation of appendix
+all answers are correct
-at attempt to make appendectomia the perforation of small intestine is possible, at attempt to allocate of appendix from
infiltrate the peritonitis can develop
-is possible resorption of an infiltrate, development of the
mild form of disease - chronic appendicitis
-the self-treatment is possible, at attempt to make appendectomia the perforation of a small intestine is possible
#KIND OF BLEEDING - METHOD OF A STOPPING
+arterial - the tourniquet is higher than a damaged area
-venous - dressing of the vessel above than damaged area
#THE MOST OFTEN COMPLICATION OF A PENETRATION OF A ULCER
-a perforation
+formation of fistula
-a pyloric stenosis
#MAN62 YEARS WITHIN THE LAST MONTHS SCORE COMMON DELICACY,
DOWNSTROKE OF WORK CAPACITY. AMONG COMPLETE HEALTH HE HAS EXPERIENCED PAINS IN THE LEFT HALF OF THORACAL CELL AND WAS HOSPITALIZED IN THERAPEUTIC DEPARTMENT TO A CAUSING STENOCARDIA.
AFTER THE CONFORMING TREATMENT WAS WRITTEN OUT ON AMBULANCE.
HAS GROWN THIN. WAS SOME TIMES SCORED COMMUNICATION OF A PAIN
WITH BY HANDICAPPING OF SWELLING OF FOOD. MOST PROBABLE DIAGNOSIS
-inherent esophageal stenosis
-aneurysm of heart
-aortic aneurysm
+cancer esophagus or cardial part of a stomach
-varicose phlebectasia of an esophagus
-achalasia ofcardia
-disphagia lusoria
#SIGN OF ROVZING IS
-morbidity at a palpation of a caecum in a position of the patient on the left side
-morbidity at the sharp tearing away of palpating hand
-occurrence or intensifying of pain in a position on the left
side
-percussional morbidity in the right ileal area
+at pressing by the left hand in the left ileal area the jerk
by the right hand there (in the left ileal area) causes morbidity in the right ileal area
-shirt
#CONSECUTION OF CHANGE OF
PARAMETERS AT
PROLONGING
GASTRIC
BLEEDING
-a pulse rate, amount of erythrocytes and haemoglobin, value
AP, deficit of volume of circulating erythrocytes
-the value AP, deficit of volume of circulating erythrocytes,
pulse rate, amount of erythrocytes and haemoglobin
+pulse rate, value of AP, deficit of volume of circulating
erythrocytes, amount of erythrocytes and haemoglobin
#TREATMENT OF RESTRICTING HERNIA AT PATIENT WITH ACUTE MYOCARDIAL INFARCTION
-position of Trendelenburg
-setting a hernia
-observation, cold on abdomen
+emergency operation
-introduction an antispasmodic
#IN WHAT ACCESS AT AN ACUTE APPENDICITIS IT IS POSSIBLE TO DAMAGE A.EPIGASTRICA INFERIOR
+transversal, trasnsrectalis
-Volkovitch-Diakonov's access
#FEATURE OF CLINIC OF AN ACUTE APPENDICITIS AT CHILDREN
+faster development of a total peritonitis, higher leukocytosis, expressed intoxication
-local morbidity in the right ileal area, more fast development of a total peritonitis
-all answers are correct
-local morbidity in the right ileal area, more fast development of a total peritonitis, higher leucocitosis, expressed
intoxication
#CORRECTSEQUENCEOFAPPENDECTPMIAIS
+cut of a skin, cut of aponeurosis of m. obliquus external abdominis,stratification of muscles, cut of a peritoneum, auditing of bodies of peritoneum cavity, appendectomia, mending of
a peritoneum, mending of muscles, seam of aponeurosis of m.
obiquus external abdominis, seam of a skin
-stratification of muscles, cut poneurosis of m.obliquus external abdominis, auditing of bodies of peritoneum cavity,
mending of a peritoneum, cut of a peritoneum, cut of a skin,
mending of muscles, seam of m. obliquus external abdominis,
seam of a skin, appendectomia
-mending muscles, seam of a skin, cut of a skin, cut of a peritoneum, appendectomia, seam of aponeurosis m. obliquus external abdominis, stratification of muscles, cut of aponeurosis of m. obliquus external abdominis, mending of a peritoneum, auditing of bodies of peritoneum cavity
#PERCUSSION MORBIDITY IN THE RIGHT ILEAL AREA - IS THE SIGN OF
-Blumberg-Schetkin
-Voskresensky
-Bartomie-Michelson
+Razdolsky
-Rovzing
-Sytkovsky
#GEES ANGULUS IS DERIVATED BY WALL
-esophagus and dextral bronchus
-esophagus both trachea
-esophagus and small curvature of a stomach
-esophagus and left bronchus
+esophagus both greater curvature
#MAN OF 46 YEARS COMPLAINTS OF A STATIONARY PAIN IN EPIGASTRIC
AREA REMITTING ON SHORT TIME AFTER MEAL, GROWING THIN, THE ROENTGENOSCOPY OF A STOMACH IS PRODUCED. ON SMALL CURVATURA OF A
STOMACH IN THE FIELD OF A CORNER "AMBRY" BY THE SIZE 1,5x1 CM
WITH CONVERGENCE OF TUCKS IS DETECTED. WALLS OF A STOMACH
ELASTIC, PERISTALSIS IS SAVED. HOW TO IMPROVE THE DIAGNOSIS
+gastrobiopsy
-ultrasound
-repeated x-ray analysis
#CUNICALLY TUMOR WHICH ARE COMING FROM OF THE HEAD OF PANCREASE IN RANGE
-uncinate process
+other parts
#SYNDROMS AT ACUTE PANCREATITIS
+strong pain in epigastric range, shock, diastasuria
-night pains, heartburn
-colicy pains, vomiting, delay of a chair and gases
-an icterus, loss of weight
-hypoglicemic crisises
#IN TIME OF SURVEY OF THE MONTH BABY THE MOTHER HAS NOTIFIED,
THATTHE CHILD FROM BIRTH SUFFERS AFFLICTION BY VOMITINGS INTENSIFYEDWITHAGE. BY THE INDICATING THATTHE VOMITING IS CAUSED BY A PYLOROSTENOSIS, IS ALL, EXCEPT FOR
+vomiting with bile
-palpated derivation in a right upper quadrant of abdomen
-absence of meconium chair
-hydramnion of the mother
-hypokaliemic metabolic alkalosis
#MAN55 YEARS WITHIN 12 YEARS SUFFER BY A PEPTIC ULCER. THE
ULCERWASFOUNDOUTAT X-RAY AND ENDOSCOPIC INVESTIGATION,
EACH TIME IT WAS LOCALIZED IN A STOMACH. HE WAS TREATED REGULAR, CONDUCTEDOUT-PATIENTCOURSESOFTREATMENT, WENT ON HEALTH RESORTS. NOW ULCER IS FOUND ON SMALL CURVATURE, 1,0 • 0,3
SEE. SUSPICION ON A BLEEDING, FORMER AT ENTERING, DO NOT CONFIRM. TO TENDERTHE OPERATION TO PATIENT
+should be done
-should not be done
#FRONTWALLOF INGUINAL CHANNEL
+aponeurosis of external lateral muscles of abdomen
-transverse fascia
-inguinal ligament
-united aponeurotic edge of internal lateral and transverse
muscles
#RETCHING BY FOAMY BLOOD of bright RED COLOUR INTENSIFYED
ATTUSSIS, IS CHARACTERISTIC FOR
-syndrom Randu-Osler
-cancer of cardia of stomach
+pulmonary bleeding
-Mallory-Weiss syndrom
-bleeding ulcer of a STOMACH
#AGE - MORE OFTEN LOCALIZATION OF A ULCER (BLEEDING POINT)
-young stomach
+young duodenum
-aged duodenum
#THE PRACTICAL VALUE OF A SIGN COURVOISIER IS NOT ENCOMPASS
BYED VOLUME, THAT HE
-contributes in detection of the cause of an icterus
-assists in diagnostic without what application or padding investigations
+helps to spot a degree of violation of functions of a liver
-with a high probability bears to a swelling and its localization in distal parts of bile ducts
-assists in framing tactics of treatment
#ATILL70YEARSCANCEROFMIDDLETHORACALPART OF ESOPHAGUS
IN FORTH. A PROCEDURE OF CHOICE OF TREATMENT
+radial therapy on the radical program
-operating
-chemotherapy
-combined with preoperation radial therapy combined with postoperative radial therapy
#DEFINITION OF BOUNDARIES OF A TUMOUR AT A GASTROSCOPY IS BASED ON
-morphological research biopsy material
-visual tags of a tool palpation
-correct answer no
+combine all enumerated tags
#SYMPTOM
-Scliarov- in late period of disease are audible distented
intestine and characteristic rigidity
+Obuhov's hospital - ballon-like dilating of the ampula of a
rectum and hiatus of anal orifice owing to weakening tone of a
sphincter of an anus
-Loteisen - palpation of a fixed and distented bringing loop
of an intestine
-"of death silence" — is defined at a percussion above the
closed loop of intestine, stretched by the way a balloon, the
tympanic note with metal shade is audible
-Kivuhl - at auscultation of abdomen the respiratory and cardiac hums
-Wahl - splash sound
#UNTRUETHAT UNDER PRIMARY VARICOSE EXPANSION VEIN OF LOWER
LIMBS QUITE OFTEN FIND
+deforming artrosis
-aptitude to hernial building
-haemorrhoid
-teleangioectasy of lower limbs
«COMPLICATIONS OF BLEEDING
-loss of consciousness, pain shock, headache
-rising AP, hypertonic crisis, vomiting of a central parentage
+acute anemia, hemorrhagic shock, compression of members and
tissues
#ATTHE PATIENT OF 34 YEARS OLD FOR7 DAYS AFTEROPERATION
CONCERNING OF A PHLEGMONOUS-GANGRENOUS APPENDICITIS THE PAINS
IN RE CTUM,C HILLS, PAINTUL DESIRE TO DEFECATE, DYSURIA. HAD
APPEARED, AT A RECTAL RESEARCH THE INFILTRATE IN A SMALL BASIN
WAS FOUND. IN 3 DAYS AFTER THE SPENT TREATMENT, INCLUDING A
WARM CAMOMILE CLYSTER AND ANTIBIOTICS, CONDITION OFTHE PATIENT DO NOT IMPROVED. AT REPEATED RECTAL RESEARCH WAS MARKED A
SOFTENING OF AN INFILTRATE. TEMPERATURE HAD ACCEPTED A HECTIC
CHARACTER. THE TREATMENT IS
-antibiotics, physiotherapy, hyperbaric oxygenation
+drainage of a pelvis abscess through a rectum
-other ways
#THE OBSERVATION IS NOT AN ERROR AT A DEGREE OF COMPENSATION
OFTHE MESENTERYCIRCULATION
-only compensated
+com pen sated, subcompensated
-subcompensated, decompensate
-only decompensate
#EARLY TAGS OF A CARCINOMA OF THE STOMACH ARE
+decrease of appetite
-the expressed paleness
#GASTROSTOMY IS INDICATED AT
-cancer of a proximal part of a stomach stage II
-cancer of distal part of a stomach stage IV
-pylorospasm
-cardiospasm
+cancer of cardia stage IV
#FOR PLASTICS OF BACK WALL OF INGUINALCHANNEL IS NOT USED
METHOD OF
+Napalkov
-Postempsky
-Kukudganov
-Bassini
-Andrus
#PARTICULATITIES RESTRICTED INTERINTESTINAL PERITONITIS
-an abundant fluid chair, abdominal distention
-vomiting
-hectic fever
+retchingon urination, tenesms
#MAN62 YEARS WITHIN THE LAST MONTHS SCORE COMMON DELICACY,
DOWNSTROKE OF WORK CAPACITY. AMONG COMPLETE HEALTH HE HAS EXPERIENCED PAINS IN THE LEFT HALF OF THORACAL CELL AND WAS HOSPITALIZED IN THERAPEUTIC DEPARTMENT TO A CAUSING STENOCARDIA.
AFTER THE CONFORMING TREATMENT WAS WRITTEN OUT ON AMBULANCE.
HAS GROWN THIN. WAS SOME TIMES SCORED COMMUNICATION OF A PAIN
WITH BY HANDICAPPING OF SWELLING OF FOOD. MOST PROBABLE DIAGNOSIS
-achalasia of cardia
-aortic aneurysm
-inherent esophageal stenosis
-varicose phlebectasia of an esophagus
+cancer esophagus or cardial part of a stomach
-disphagia lusoria
-aneurysm of heart
#ABDOMINALPAIN AT AN ACUTE APPENDICITIS ON A BACKGROUND OF
THE PHENOMENA OF INTOCSICATION CAN DECREASE FORTHE ACCOUNT
-medical action of antibiotics
+necrosis of the terminal nervous, euphoria, intoxication
-introduction of anesthetizing agents
#COMMON MANIFESTATION OF A CARCINOMA OF THE STOMACH
+the lose of weight, losses of appetite
-abdominal pain, dysphagia, vomiting
-fever, itch, increase of all groups of lymphonoduses
#TOTHE CONTRIBUTING FACTORS OF AN INHERENT ACUTE INTESTINAL
OBSTRUCTION DOES NOT CONCERN
- m ega d о lych о sygm a
-common mesentery of small and large intestines
-gemination of an intestine
+situs viscerum inversus
#AT ACHALASIA OF AN ESOPHAGUS INFERIOR ESOPHAGUS SPHINCTER
+loses the ability to a release phenomenon
-loses ability to contraction
-spasmed
#SIGN OF ADVANCING CANCER OF AN ESOPHAGUS
-complete obstruction of an esophagus
-a hypersalivation
-a dysphagia
+sign of Horner
#SPONTANE CONVALESCENCE IS POSSIBLE AT OUTBREAK A PELVIC ABSCESS IN
+rectum
-urinary bladder
#ATAN INTRINSIC HEMORRHOIDS THE NODES ARE COATED BY ...... ,
ON EXTRINSIC- ......
+mucouse SAP, skin
-by a skin, mucosa
#THE MORE IS ADAPTED TO BLOODLOSS AN ORGANISM
-elderly
-the men
-children
+women
#KIND OF BLEEDING SIGNS
+|Г-.ваавЁН «м-® Г not changed blood in a feces
-from cholic pathes hematuria
-from urinary system tarry chair
-pulmonary hem obilia
-gastrointestinal hemoptoe
#AIM OF OPERATION AT CHRONIC THYROIDITIS
+elimination of compression of trachea and esophagus
-avoidance of malignancy
-elimination be sick in range of a neck
#REFLUX-ESOPHAGITIS POSSIBLE DIAGNOSE BY MEANS OF
-esophagomanometry
-roentgenoscopy of gullet and stomach in position of Trendelenburg
-esophagoscopy
-intraesophagus pH-metry
+all answers is correct
#METHOD STOP OFAHEMORRHAGEATBLEEDING FROM VARICOSE VEINS
OFAN ESOPHAGUS
+setting two-balloon and three-lumen probe
-diathermocoagulation
-laser photocoagulation
#ATPATIENT AFTER RECEPTION OF ALCOHOL HAS APPEARED MULTIPLE
VOMITING, LAST WITH AN ADMIXING OF A SCARLET BLOOD. THE PRESUMABLE DIAGNOSIS
-a bleeding from varicose-amplate veins of an esophagus
-a peptic ulcer of a stomach
+Mallory-Weiss syndrom
-disease of a Cron
-acute pancreatitis
#THE MAIN SIGN OBTURATION OFAN INTESTINAL OBSTRUCTION
-abdominal distention
-stationary abdominal pain
-melena
+cramping-like abdominal pain
-vomiting of colour "by a coffee-ground"
#AT X-RAY TAGS OF A CANCER OF AN ESOPHAGUS CONCERN
-change of an elastance of a wall of an esophagus
+change of elastance of a wall of an esophagus and deformation
of a contour of a mucosa
-jagging of an outline of esophagus
-deformation of a contour of a mucosa
-violation of a swallowing
#GRAVITY OF FLOW PERITONITIS IN A LESSER DEGREE DEPENDS FROM
-character of microflora
+mass of body of patient
-oligemia
-degrees of violation albuminous, electrolyte exchange and
acid-base equilibrium
#AT PATIENT WHO HAD TRANSFERRED APPENDECTOMIA, SINCE 5 DAY ON
BACKGROUND OF DECREASE OF LOCAL MORBIDITY, THERE WAS A DETERIORATION OF GENERAL CONDITION: RISING OF TEMPERATURE, HECTIC
FIVER, RISING OF AMOUNT OF LEUCOCYTES. IN DEPTH OF A BASIN
HAVE APPEARED MODERATE PAINS, TRANSIENT DYSURIC PHENOMENA, PAINTUL DESIRE TO DEFECATE. WITH WHAT IS YOUR FIST RESEARCH
-repeated analyses of a blood and urine
-proctosigmoidoscope
+digital research of a rectum
-irrigoscopy
-chromocystoscopy
#FOR A MECHANICAL ICTERUS ON A BACKGROUND OF А С HOLE DOC HO LITHIASIS IS UNREPRESENTATIVE
-absence of a stercobilin in a feces
-rising a direct bilirubin of a blood
+sign Courvoisier
-enhancement of activity of an alkaline phosphatase
#FOR CARCINOMA OF THE STOMACH IS CHARACTERISTIC ERYTHROCYTE
SEDIMENTATION RATE (ESR)
+rapidity
-slow
«ANAMNESIS BLEEDING POINT
-the transferred hepatitis acute ulcer of a stomach
-a vomiting after reception of alcohol vein of an esophagus
+nagging pain chronic ulcer
-lowering and distortion of appetite hemorrhagic gasritis
#THE MAN 39 YEARS HAS ENTERED WITH COMPLAINTS ON WEAKNESS. IN
ANAMNESIS NIGHT AND "HUNGRY" PAINS MORE 5 YEARS WITH SEASONAL
EXACERBATIONS WITHOUT INSPECTING AND TREATING. CUTANEOUSCOVERS ACYANOTIC, WET, TACHYCARDIA. AP 90/70 MM HG. CVP 3 CMS OF
WATERS. A HEMATOCRIT 20. DURING SURVEY IN RECEPTION DEPARTMENT
REPEATEDLY THERE WAS A VOMITING WITH OILCLOTSS OF A BLOOD,
SYNCOPE. AT A GASTROSCOPY THE BLOOD IN A STOMACH, THIN JETS IS
DETECTED IMPLYING FROM A DEEP ULCER OF A POSTERIOR WALL OF PYLORIC PART OF STOMACH. TACTICS OF TREATMENT THE PATIENT
-hypothermia of a stomach
-to infuson therapy to add a hemotransfusion, active hemostatic вГа 1Ёо, to get electrocoagulation of ulcer, hemostatic
therapy
-scheduled operation
-to produce an electrocoagulation of a ulcer,
+urgent operation
#CHARACTERSIGN OF CANCER OF PYLORIC PART OF A STOMACH
-dysphagia
-dysuria
+vomiting by Nutrition, eating on the eve
#ATBLEEDINGFROMAPENETRATINGULCEROFAPOSTERIOR WALL OF
DUODENUM IS POSSIBLE ARROSION OF AN ARTERY
-a. gastrica sinistra
-a. gastrica sinistra
-a. gastroepiploica sinistra
+a. gastroduodenalis
-a. gastroepiploica sinistra
#AT ORIGINATING OF ULCERATIVE BLEEDING PAIN IN ABDOMEN
+decrease
-strengthen
-do not variate
#50-A YEAR MAN IS CONSULT ON THE CAUSE OF DYSPEPSIA, BURNING
PAINS FORTHE BREASTBONE. IRRIGATION OF DISTAL DIVISION OF
GULLET 0,1 N SOLUTION HYDROCLORIC ACID WILL ALLOW TO
^-differentiate other reasons of retrosternal pains
-value tone lower of a sphincter gullet
-value duration of a reflux
-confirm increased acidity
-prove diagnosis of short gullet
#TO DISTINGUISH FEMORAL HERNIA FROM VARICOSE NODE OVAL FOVEA
ALLOWS
-thermography
+auscultation (blowing noise under cough) and palpation determination of inverse wave of blood under cough
-ascendant functional flebography
-roentgenography
-puncture of node
#UNDERACHALASIA GULLET EASIER PASSES FOOD
-hard
+fluid
#CHARACTER SIGN OF CANCER OF A BODY OF A STOMACH
-vomiting by nutrition, eating on the eve
+feelingof fast passing overflow of a stomach after meal
-dysuria
«DIAGNOSIS OF HEMORRHAGIC EXUDATE IN ABDOMINAL CAVITY AND LOCUSES OF FATTY NECROSIS ON PERITONEUM ALLOWS TO THINK ABOUT
+acute pancreatitis
-damage of hollow organ
-ruptured stomach Ulcer
-mesentery clottage
-breakage of liver
#SOURCE OF BLEEDINGS IS MORE OFTEN
+ulcer of duodenum
-the ulcer of a stomach
#AT SUSPICION ON THE CARCINOMA OF THE STOMACH IS NECESSARY TO
CONSULT TO
-therapeutist-gastroenterologist
+surgeon-oncologist
#IMPLANTATION METASTATIC SPREAD OF A CARCINOMA OF THE STOMACH
IS THE METASTASIS
-in lymph on oduses of an omentum
-Schnitzler
+all Is insecure
-Virchov
-in portal fissures
«GASTROINTESTINAL BLEEDING, BOUND WITH FORMER IN ANAMNESIS A
SHUNTING OF AN AORTA, IS LOGICAL TO CONNECT WITH
-a ulcer of a stomach or duodenum
+ <авв-intestinal fistula
-a carcinoma of the stomach
#VOLUMEOF A CIRCULATING BLOOD FORTHE ADULT MEN COMPOUNDS
(ML/KG)
-50-60
-90 and more
-Less than 50
+70-80
#CHRONIC COLITIS IS NECESSARY TO DIFFERENTIATE WITH
+tuberculosis of mesentery noduls
-appendicular infiltrate
#AT ENDOSCOPIC RESEARCH IT IS IMPOSSIBLE TO REVEAL
-Mallory-Weiss syndrome
-the initial form a reliquary
-the form gastritis
-a degree of contraction of the pylorus
+ZOLLINGER-ELLISON SYNDROM
#ATTHE PATIENT WITH A PERFORATED ULCER THE TENSION OF A STOMACH HAS DECREASED, THE INFLATION, PULSE 110 ONE MINUTE HAS
APPEARED. A STAGE OF A PERITONITIS
-toxic
+terminal
-reactive
#OPTIMALTERM FOR ELIMINATION OF INTRINSIC FISTULA, IF IT NOT
REMOVED DURING PRIMARY INTERFERENCE ON TO A CAUSING OF BILIARY
ILEUS
-about 1 month without the statement from a hospital
+through 6 months
-not later than 2 weeks after the first operation
#PATIENT OF 70 YEARS WITHIN 5 YEARS ARE OBSERVED CONCERNING A
ULCER OF ANTRAL PART OFASTOMACH. FROM OPERATING TREATMENT
REFUSED. WITHIN THE LAST 3 MONTHS OF A PAIN IN EPIGASTRIUMS
HAVE TAKEN OVER CONSTANT CHARACTER, THE SERVICE ABILITY HAS
DECREASED, HAS GROWN THIN. DIAGNOSIS
-transition of a ulcer in callous
+malignisation of ulcer of a stomach
-a chronic bleeding
#CLASSIFICATION OF DEGREE OF VIOLATION OF PERMEABILITY OF AN
INTESTINE ON E.G.TOPUZOV
-incomplete, complete
+com pen sated, subcompensated, decompensated
-acute, subacute, chronic
#BLEEDINGINACAVITY
-hemothorax - pericardium
-hemoperitoneum - pleural
-hemothorax - abdominal
+hemarthrosys - joint
#OBJECTIVE TAGS OF A ULCERATIVE BLEEDING
+melena, vomiting by a blood, paleness
-a tachycardia, rising of a central venous pressure
-paleness, lowering AP, cramp, vomiting by nutrition
#CARDIODILATATION ISAPPUEDAT
-cicatrical stricturee of an esophagus
+achalasia cardia
-a diverticulum of an esophagus
-cancer of an esophagus
#THE MAJOR IN DIAGNOSTICS OF AN ABSCESS OF DUGLAS'ES SPACE
-percussion and auscultacion of a abdomen
+digital research of a rectum
-proctosigmoidoscope
-laparoscopy
-roentgenoscopy of a peritoneum cavity
#"SHORT ESOPHAGUS"
-shift of a esophagogastroanastomosis in a cranial direction
+shortening of length of esophagus as a result of an inherent
underdevelopment or esophagitis
-going of the hernial sac of afield of a greater curvature
near an esophagus
#COMMON SIGNS OF APPENDICITIS AND MENINGITIS AT SMALL CHILDREN
ARE
-headache, legs given to a abdomen, high temperature in the
beginning of disease
-stiff neck, Kernig's sign
+abdominal pain, tension, morbidity at a palpation of a abdomen
#X-RAYSIGN OF ACUTE PANCREATITIS
-free gas under a calotte of a diaphragm
+distended gas a transversal colonic intestine
-fluid levels in an intestine
-high stand of a calotte of a diaphragm
#FECAL LIKE "OF CRIMSON JELLY" IS CHARACTERISTIC FOR
+infarct of intestine
-phytobezoar
-appendicitis
-pyloric stenosis
#ARTERYAL HYPOTENSION WITH LOWERING OF PULSE AND VENOUS PRESSURE, LOWERING CVP AND TACHYCARDIA ARISES AT
-bloodloss less than 10%VCB
-of a decompensation of a myocardium
-thromboembolism of a pulmonary artery
+bloodloss more than 20% VCB
#THE MAIN IN PATHOGENETIC TREATMENT OF ACUTE PANCREATITIS
-nasogastral decompression of gastrointestinal tract
-liquidation of an oligemia
-inactivation of pancreatic enzymes
-introduction cytostatics
+suppression of secretory function of a pancreas
#PATIENT 29 YEARS WAS OPERATED CONCERNING AN ACUTE APPENDICITIS ON 2 DAY FROM A BEGINNING OF DISEASE. DURING THE OPERATION
WAS FOUND PHLEGMONOUS APPENDICITIS AND MUDDY EXUDATE IN THE
ILEAL AREAS. THE SURGEON WAS LIMITED ONLY TO ERASION APPENDICITIS. FOR 6 DAYS AFTER OPERATION AT THE PATIENT HAVE APPEARED
A MEDIUM PAIN IN A RECTUM, URODYNIA. AT A RECTUM RESEARCH WAS
FOUNDTHE PROTRUSION OF A FORWARD WALLOF RECTUMS, DENSE AND
MORBID. LEUCOCYTES IN BLOOD IS 11* lO^/L, TEMPERATURE 37,8.
TACTICS OF A TREATMENT IS
-immediate surgery
+conservative, at intensifying of pain, rising of temperature
of the bodies, leukocytosis is operation
#ON FOLLOWING DAY AFTER RECEPTION OF A GREAT GUANTITY OF ALCOHOL PATIENT HAS EXPERIENCED A SHARP PAIN IN AN ANUS, SENSATION
OF FOREIGN BODY, HAVE APPEARED SCANTY BLOODISH ABJECTION FROM
ANUS. ATSURVEYINRANGEOFAANUSISDEFINED"ROSETTE" FROM
THE SHARPLY MORBID AND TIGHT DIVERTICULUMS OF MUCOUS SAPS OF A
RECTUM OF CRIMSON COLOUR, ON 7 CLOCKS DIAL ARE SCORED A NECROSIS OFA MUCOSA WITH MODERATE BLEEDING. IN CONDITIONS OF POLYCLINIC THE THERAPY IS NOT ROTINED
+sclerotherapy
-presacral novocainic blockage
-antiflogistic therapy
-hyrudotherapy
-assignment of anesthetizing drugs
#CONSECUTION APPLICATION ATA BLEEDING ULCER WITH STAYED HEMODYNAMICS
-an endoscopy, operation, infusion therapy
-the operation, endoscopy, infusion therapy
+endoscopy, infusion therapy, operation
-infusion therapy, operation, endoscopy
-the operation, infusion therapy, endoscopy
#THE MOST POSSIBLE EXOD OF A CARCINOMA OF THE STOMACH
+metastases in a liver
-100% for that is possible to live two years without treatment
#THE MORE APPROACHING TREATMENT OFTHE BABYWITH A PYLOROSTENOSIS
-suction through nasogastral probe before resolving of obstruction
-resection of stomach
+pylorotomy
-gastrostomy
-gastroje ju n osto my
#ABDOMINALWALLATTHE FIRST HOUROF MESENTERY THROMBOSIS
-paretic
-tense
+soft
#A REASON OF OCCURRENCE OF AN APPENDICULAR INFILTRATE
-areactivityof the patient
-hypersensibilization of an organism
+delayed arrive of the patient to the doctor
#FOR DUODENAL OF A ULCER IS ATYPICAL
-stipulated by rise of tonus of a vagus nerve and hypersecretion of gastric gland
-distinguish by seasonal prevalence accompany by night and
hungry pains
+frequent at the people with group of a blood the AB (IV)
-more often arises for the men in the age of 20-40 years, than
for the women
#THE BLOOD SUPPLY OF AN INTESTINE DECREASES FROM INITIAL TO
FINAL PARTS
+yes
-no
#MAN OF 54 YEARS COMPLAIN OF LOSE OF WEIGHT, POOR APPETITE,
ABDOMINAL PAIN. IS DETECTED ICTERUS OF SCLERAS, INCREASE OF
ABDOMEN, IN EPIGASTRIC AREA TUMOUR, THE LIVER APPEARS UNDER
RIB ARC ON 5 CM, SURFACE ITS ROUGH, NODOSUS, DULLNESS AT A
PERCUSSION IN SLOPING PLACES OF ABDOMEN. SUGGESTING DIAGNOSIS
+cancer of stomach IV
-lymphogranulomatosis
-lymphosarcoma
-cirrhosis of a liver
#the most rare CAUSE of hemoptoe
-Mitral stenosis of the second degree
-a bronchial cancer
-a tuberculosis
+pnemoconiosys
-an infarct of lung
#AT MALIGNANT TUMOURS OF AN ESOPHAGUS THERE IS MORE OFTEN
-sarcoma
-rhabdomyosarcoma
+cancer
-leiomyosarcoma
-melanoma
#AT HEMORRHOIDAL BLEEDING A HAEMOGLOBIN
-increase
+decrease
#OPTIMUM ALTERNATIVE OF THE FINAL PALLIATIVE OPERATION AT A
CANCER OF TERMINAL PART OF CHOLEDOCH
+biliodigestive an anastomosis
-choledochostomy
-cholecystectomia
#METHOD, DECIDING DIAGNOSTIC OF AN ACUTE INTESTINAL OBSTRUCTION
-laparoscopy
-research of barium passage
+review roentgenoscopy (graphy) of abdominal cavity
-biochemical researches
#INTESTINAL BLEEDING AS COMPLICATION IS CHARACTERISTIC FOR
-of an alimentary toxinfection
+typhoid fever
-rotavirus gastroenteritis
-of a bacterial dysentery
-of a cholera
#FOR PROPHYLAXIS OF A RELAPSE OF A DUODENAL ULCER RATIONAL TO
USE
-de-nol
-drinking soda (Natrii hydrocarbonas)
-ranitidin
+metronidazolum
-omeprazolum
#KIND OF BLEEDING - CHARACTERISTIC
+capillary - drip of a bright red blood
-arteryal - sluggish entering of a blood of dark cherry colour
-venous - fountain of a bright red blood by a pulse jet
#CONSECUTION APPLICATION ATA BLEEDING ULCERWITH SATISFACTORY
CONSTANT HEMODYNAMICS
-infusion therapy, operation, endoscopy
+endoscopy, infusion therapy, operation
-infusion therapy, endoscopy, operation
-the operation, infusion therapy, endoscopy
-the operation, endoscopy on an operating table, infusion therapy
#AT LEADINGOUT PATIENT FROM PANCREATOGEN SHOCK DOES NOT OWE
ACTED
-cupping of a pain
-carrying out of complex detoxification
-fulfilment of volume of a circulating blood
-treatment of violations Of contractile function of a cardium
+prescription of major doses of antibiotics
#MANOF 54 YEARS COMPLAIN OF LOSE OF WEIGHT, POORAPPETITE,
LOSS OF WEIGHT, ABDOMINAL PAIN. IS DETECTED ICTERIC DISCOLOURATION OF SCLERAS, INCREASE ABDOMEN, IN EPIGASTRIC AREA A TUMOUR, THE LIVER APPEARS UNDER RIB ARC ON 5 CM, SURFACE ITS ROUGH, NODOSES, DULLNESS AT A PERCUSSION IN SLOPING PLACES OF A
ABDOMEN. FOR HIMTHE CARCINOMA OFTHE STOMACH IS DIAGNOSED.
TREATMENT
-radical operation
-palliative operation
+symptomatic therapy
#AT ENDOSCOPIC RESEARCH IT IS IMPOSSIBLE TO REVEAL
-the form gastritis
-Mallory-Weiss syndrome
-the initial form a reliquary
-a degree of contraction of the pylorus
+ZOLLINGER-ELLISON SYNDROM
#AFTER PERFORATIONS OF ESOPHAGUS THE HYPODERMIC EMPHYSEMA CAN
ABSENCE AT
+perforation esophagus at any level without damage of a mediastinal pleura, diaphragm and peritoneum
-perforation of an esophagus at any level with damage of a mediastinal pleura of perforation of an esophagus with damage of
transabdominal department, diaphragm and peritoneum
#PATIENT OF 80 YEARS SUFFERING FROM CARDIOPULMONARY DEFICIENCY. HE HAS ARRIVED CONCERNING A PERFORATION OFTHE STOMACH ULCER. OPTIMAL OPERATION
-resection of a stomach
+suturing of perforated hole
-vagotomy and pyloroplasty
#FIBRINOUSAPPLYINGSON PERITONEUM DO NOT HAPPEN AT PERITONITIS
-putrid
-purulent
+serous
-fibrinous
-"fecal"
#MAN OF 54 YEARS COMPLAIN OF LOSE OF WEIGHT, POOR APPETITE,
ABDOMINAL PAIN. IS DETECTED ICTERUS OF SCLERAS, INCREASE ABDOMEN, IN EPIGASTRIC AREA A TUMOUR, THE LIVER APPEARS UNDER RIB
ARC ON 5 CM, SURFACE ITS ROUGH, NODOSES, DULLNESS AT A PERCUSSION IN SLOPING PLACES OF A ABDOMEN. FOR HIM THE CARCINOMA OF
THE STOMACH IS DIAGNOSED AND THE BLEEDING WAS DEVELOPED. IT IS
POSSIBLE TO APPLY NOT OPERATING TREATMENT
+embilization
-electrocoagulation
-infiltration of enclosing tissues by a normal saline solution
#T.KOCHERWAS AWARDED NOBEL PRIZE FOROPERATIONS AT DIFFUSE
TOXIC STRUMA WITH
-optimal volume removing gland
-decrease of volume removing gland
+enlarge of volume removing thyroid gland
#HASSAL'S BODIES ARE IN
+thymus
-pancreas
-paranephros
-thyroid gland
-epithelial body
#CHARACTERSIGN OF CANCER OF PYLORIC PART OF A STOMACH
-dysphagia
-feeling of fast passing overflow of a stomach after meal
+constipation
#AT ACUTE PANCREATITIS TEMPERATURE ALWAYS INCREASES BECAUSE OF
APPOSITIONS OF AN INFECTION CONTAMINATION
-yes
+no
#MORE DANGEROUS BLEEDING
-capillary
^-parenchimatous
#URGENT OPERATIVE MEASURE DEMANDS
+total peritonitis
-bowel-bladder fistula
-cicatrical strictura of choledoch
-choledocholithiasis
-mechanical icterus
#CONSEQUENCE OF MEASURES AT RENDERING OF CONSERVATIVE HELP
TO
THE PATIENTS WITH AGASTRIC BLEEDING ULCERATIVE ETHIOLOGYATA
STEADY HEMODYNAMICS
-infusion therapy, operation, endoscopy
+endoscopy, infusion therapy, operation an endoscopy, operation, infusion therapy the operation, infusion therapy, endoscopy
-the operation, endoscopy, infusion therapy
#MANOF 70 YEARS WITHIN 5 YEARS ARE OBSERVED CONCERNING A ULCER OF ANTRAL PART OF A STOMACH. OPERATING TREATMENT HAS REFUSED. WITHIN THE LAST 3 MONTHS OF A PAIN IN EPIGASTRIUMS ACCEPTED CONSTANT CHARACTER, THE SERVICEABILITY HAS DECREASED, HAS
GROWN THIN. A ULCER
-bleeding
+malignancy
-constrictive
#AT CLOTTING HEMOTHORAX EFFECTIVELY INTRAPLEURAL INTRODUCTION
OF
+terrilitin
-streptodecasums
-pepsinum
-trypsin um
-chymotrypsin
#AT COMPENSATED PYLORIC STENOSIS A SPLASHING SOUND FASTING
HAPPENS
-always
-never
+rare
#THE MAIN METHOD OF TREATMENT OF THE PATIENT WITH STOPPED HEMORRHAGE FROM A ULCER AT A DEFICIT OF GLOBULAR VOLUME 30% AND
MORE(ONAJ.GORBASCHKO)
-the expedited operation per the proximate day (morning)
+urgent operation at the proximate hours (night)
-expectant