1. After pelvic injury it was revealed necrosis of the femoral head by X-ray examination.
Which ligament of the hip joint had been damaged?
A. ligament of the head of femur
B. iliofemoral ligament
C. pubofemoral ligament
D. ischiofemoral ligament
E. orbicular zone of the hip joint
Arthrology
2. After the knee injury it is possible to move leg forward and backward at right angles like
a drawer. Which ligaments are broken?
A. Cruciate ligament of knee
B. Oblique and arcuate popliteal ligament
C. Transverse ligament of knee
D. Tibial collateral ligament, lateral retinaculum of patella
E. Tibial and fibular collateral ligaments of the leg
3. The victim in a car accident has a dislocation of the shoulder joint. Which ligaments are
demaged?
A. coracobrachialis ligament
B.the long head of biceps brachii m.
C. coracoacromial ligament
D. coracoclavicular ligament
E. transverse ligament of scapula
4. On the X -ray of the pelvis it was observed that all three parts of the pelvic bone
coincide with cartilage location which is invisible on the X –ray. What is the patient's
age?
A. Less then 16 years
B. Up to 36 years
C. Up to 46 years
D. Up to 40 years
E. Up to 50 years
5. The patient with diabetes mellitus has wet gangrene of the foot. He was appointed an
amputation in the area of transverse tarsal joint (Chopart joint). Which ligament a
surgeon have to cross for the exarticulation in this joint?
A. bifurcate lig.
B. cuneocuboideum dorsal lig.
C. latera talocalcaneum lig.
D. mediale lig.
E. talocalcaneum interosseum lig
6. The X-ray revealed that the patient had a herniated disc of the thoracic spine. What kind
of connection between the vertebrae has pathological changes?
A. sinchondrosis
B. diarthrosis
C. sinsarkosis,
D. hemiartrosis,
E. sinostosis
7. Obstetrician has determined the size of the pelvis of pregnant women 29 years old.
It was measured the distance between upper anterior iliac spines using a caliper. What
size of a large pelvis was defined?
A. Distantia spinarum
B. Distantia cristarum
C. Distantia trochanterica
D. Conjugata vera
E. Conjugata anatomica
Respiratory system
1. Patient has frontal sinusitis. From a medical story we know that he had inflammation of
the maxillary sinus. Which part of nasal cavity is a tract for penetrate infection into the
frontal sinus?
A. from the middle nasal meatus
B. from the upper nasal meatus
C. from the lower nasal meatus
D. from the vestibule of the nasal cavity
E. from the ethmoid and sphenoid recesses
2. Child 3 years old admitted to hospital with a foreign body in the bronchus. What
bronchus likely got a foreign body. Which of bronchus probably have a foreign body?
A. In the right primary bronchus
B. In the left primary bronchus
C. In the right segmental bronchus
D. In the left segmental bronchus
E. In lobular bronchus
3. The patient of T.B. prophylactic centre was diagnosed a tumor in the right lung using Xray examination. During surgery, the surgeon removed the middle lobe of right lung,
which includes:
A. Segments lateral and medial
B. Segments basal anterior and posterior
C. Segments anterior and apical
D. Segments lingual superior and inferior
E. Segments apical (superior) and basal medial
4. Patient B. 44 year old entered the therapeutics department with a right-sided pleural
effusion. Examination of the patient confirmed the fluid presence in the pleural cavity.
Which sinus has maximum number of fluid?
A. Right costo-diaphragmatic
B. Right costo -mediastinal
C. Left diaphragmatico-mediastinal
D. Left costo -mediastinal
E. Right diaphragmatico-mediastinal
5. Child 5 years old was admitted to the infectious department of the hospital in poor
condition with a diagnosis of diphtheria. Child was performed tracheotomy to prevent
suffocation. What triangle of the neck has been operated?
A. omotracheal trigon
B. carotic trigon
C. omoclavicular trigon
D. submandibular trigon
E. omotrapezoid trigon
6. Child 10 years old is complain of heavy breathing through the nose. During examination
it was revealed the course of this condition (persistent lymphoid hyperplasia). Which
tonsil is enlarged?
A. pharyngeal
B. palatine
C. left tubular tonsil
D. lingual
E. right tubular tonsil
7. Otolaryngologist determined nonclosing of patient’s vocal cords during phonation by
visual examination. Glottis takes the form of an oval. Which patient’s muscle does not
function?
A. vocalis
B. cricoarytenoid lateral
C. cricoarytenoid posterior
D. thyroarytenoid
E. aryttenoid transverse
8. By X-ray it was identified darkening in the right maxillary sinus, that indicates the
presence of pus. Which nasal tract will be discharged pathological fluid?
A. In the right middle nasal meatus
B. In the lower right nasal meatus
C. In the upper right nasal meatus
D. In general right nasal meatus
E. In the upper left nasal meatus
9. Patient has an inflammation of the sphenoid sinus. In what part of the nasal cavity the
pus is spread into ?
A. superior nasal meatus
B. common nasal meatus
C. medial nasal meatus
D. inferior nasal meatus
10. Joiner accidentally inhaled a spherical object about 0.5 cm in diameter, that caused a
strong cough. Which part of respiratory tract was irritated?
A. The larynx above the vocal cords
B. Larynx below the vocal cords
C. Trachea
D. The right main bronchus
E. The left main bronchus.
11. The patient was hospitalized for correcting nasal septum deviation. What bones are
subjects for correction?
A. perpendicular plate of palatine bone, vomer
B. vertical plate of palatine bone , vomer
C. perpendicular plate of palatine bone, inferior nasal concha
D. nasal bone, vertical plate of palatine bone
E. horizontal plate of palatine bone, vomer
12. Patient 18 years old, went to the hospital with complaints of noise and pain in the ear.
Objectively - acute respiratory disease, rhinitis. Through what opening an infection
spread into the tympanic cavity?
A. pharyngeal opening of auditive tube
B. tympanic opening of auditive tube
C. choanae
D. pharynx
E. laryngeal opening
13. During the lung examination doctor bronchoscoped one of the lobar bronchi and found
that it is divided into two segmental bronchus. What lobe was manipulated by the
physician?
A. the middle lobe of the right lung
B. the upper lobe of the right lung
C. the lower lobe of the right lung
D. the upper lobe of the left lung
E. the lower lobe of the left lung
14. During examination of the patient 67 year old it was revealed a tumor middle lobe of
right lung on the X-ray. Which segments are located in this lobe?
A. Medial , lateral
B. upper lingual, lower lingual
C. anterior basal, posterior basal
D. apical, anterior
E. apical posterior, anterior
15. During the operation, the patient was removed a part of the lung that is ventilated by the
bronchus of third generation that is accompanied by pulmonary artery and other vessels.
What part of the lung was removed?
A. Segment of the lung
B. The middle lobe
C. Lower lobe
D. Upper lobe
E. Pulmonary lobule
16. . Patient 45 years old, admitted to hospital with complaints of fever, pain associated with
breathe, choking and coughing. After the laboratory and X-ray examination it was
diagnosed the pleurisy. For exudate evacuation was appointed pleural puncture. Where
is the largest number of exudate in the pleural cavity?
A. Costo-phrenic sinus
B. Diaphragmatico-mediastinal sinus
C. Costo-mediastinal sinus
D. The cervical pleura
E. Root of lungs.
17. The child breathed a button. Where does it probably fall into?
A. The right main bronchus
B. The left main bronchus
C. Trachea
D. Larynx
E. Esophagus
Skull
1. After the deliverance from blockage, the victim was observed the disorder of the mind, a
lot of subcutaneous hemorrhage in the head and neck, small wounds on his face.
There was a "scalping" type of wound and sharp contour deformation of upper part of
the head. What bones can be damaged?
A. Parietal and occipital bone
B. Sphenoid bone and the lower jaw
C. Frontal and nasal bones
D. Temporal bone and upper jaw
E. Zygomatic bone and lacrimal bone
2. After eye injury begun the suppuration of orbital soft tissues . Through what anatomical
formation of pus may spread into the middle cranial fossa?
A. Through the upper orbital fissure
B. Through the anterior ethmoidal foramen
C. Through the posterior ethmoidal foramen
D. Through the lower orbital fissure
E. Through the rotundum foramen
3.
Due to a pituitary tumor, on radiographs it was revealed destruction and fossa
enlargement of the sella turcica. Which bone cavity was damaged?
A. Sphenoid sinus
B. Carotid channel
C. Optic canal
D. Tympanic cavity
E. Facial canal
4. The victim has an injury of soft tissues and parietal bones in the area of the sagittal
suture, that is accompanied by heavy bleeding. What structure is possibly damaged?
A. superior sagittal sinus
B. superior petrosal sinus
C. rectus sinus
D. inferior sagittal sinus
E. transvers sinus
5. During surgery, the doctor manipulates the medial wall of the tympanic cavity. Which
canal of the temporal bone may be destroyed?
A. facial
B. musculo-tubular
C. tympanic
D. chorda tympani
E. carotid
6. After craniocerebral injury it was revealed a fracture of the skull base by X-ray
examination. Fracture line passes through the spinosum and rotundum foramen. What
bone is damaged?
A. sphenoid
B. temporal
C. ethmoid
D. frontal
E. occipital
7. During the examination of the patient by ENT doctorit was diagnosed inflammation of
the maxillary sinuses. Where was revealed the pus during rhinoscopy?
A. medium nasal meatus
B. upper nasal meatus
C. lower nasal meatus
D. common nasal meatus
E. the highest nasal meatus
8. A child was diagnosed a fracture of the skull base, bulbar disorders was dominated .
Which part of cranial fossa is fractured?
A. posterior
B. anterior
C. media
D. temporal
E. infratemporal
9. Due to head injury, the victim was revealed the damage of the right process of occipital
bone. What part of the occipital bone is damaged?
A. lateral
B. squama
C. basic
D. jugular process
E. foramen magnum
10. The patient is observed asymmetry of the face, especially when trying to contract the
muscles of the face actively. What nerve is damaged?
A. Facial (motor part)
B. Trigeminal - I branch
C. Trigeminal - II branch
D. Trigeminal - III branch
E. Hypoglossal
11. The child has the cleft upper lip ("hare lip") and the anterior part of the sky ("cleft
palate"). What processes are not grow together ?
A. Nasal, palatine
B. Maxillary, frontal
C. Palatine, mandibular
D. Mandibular, nasal
E. Nasal, frontal
Myology
1. The patient was radiologically diagnosed a humerus fracture at tha area of
intertubercular furrow. What muscle tendon may be injured first of all by bone
fragment?
A. Biceps
B. Deltoid muscle
C. Teres major muscle
D. Latissimus dorsi
E. Pectoralis major muscle
2. The victim has stab wound of the posterior lower wall of the axilla. What muscles were
damaged?
A. Latissimus dorsi
B. Triceps muscle
C. Pectoralis major muscle
D. Deltoid
E. Infraspinatus muscle
3. Little finger panaritium become complicated by phlegmon of hand and forearm. Purulent
process spread out:
A. Vagina synovialis communis mm.flexorum
B. Vagina tendinis m.flexor pollicis longi
C. Canalis carpalis
D. Vagina tendinis m.flexor carpi radialis
E. Interfascial compartment
4. The patient complained of pain in the left inguinal region. During the examination it was
diagnosed a femoral hernia. Walls of the femoral channel are:
A. Superficial and deep layers of fascia lata, femoral vien
B. Superficial and deep layers of fascia lata, femoral artery
C. Inguinal ligament, superficial and deep layers of fascia lata
D. Deep layer of fascia lata, femoral vien, inguinal ligament
E. Inguinal ligament, femoral vien, superficial layers of fascia lata
5. During the physical examination it was determine a significant difference between the
roundness of right and left hips. Roundness of the right hip is smaller than the left one,
on the right side there is no knee-jerk reaction. What muscle was atrophied?
A. quadriceps
B. triceps
C. ilio-femoral
D. great adductor muscle
E. tailor's muscle
6. The patient went to a doctor because of soft tissue injuries of the proximal phalanx with
a large palm phlegmon. Pus filled up common synovial sheath flexor tendons in which
are superficial and deep digital flexor. On what finger proximal phalanx was damage?
A. On the V finger
B. On the II finger
C. On the III finger
D. On the IV finger
E. On the I finger
7. The neck triangle was limited by sternocleidomastoid muscle on the backside, posterior belly of
digastric muscle from above, superior belly of omohyoid muscle in front. What is the name this
triangle?
A. Carotid
B. Omo-tracheal.
C. Submandibular
D. Omo-clavicular,
E. Omo-trapezoid
8. Due to the presence of a malignant tumor on the tongue, the patient should be removed
it. Where is easy to find the lingual artery and ligate it?
A. In the Pirogov’s triangle
B. In the carotid triangle
C. In the omo-subclavian triangle
D. In the omo- trapezoid triangle
E. In the omo-tracheal triangle
9. Due to work injury a male 45 year old damaged the back area of the left elbow joint.
OBJECTIVE: it’s difficult to extend a forearm. What muscles are probably damaged?
A. triceps brachii, m anconeus
B. brachioradialis, m. anconeus
C. biceps brachii
D. biceps brachii, m. anconeus
E. triceps brachii
10. The patient has an oblique inguinal hernia. Where is its gates?
A. Laterally from the inferior epigastric artery
B. In fossa supracystic.
C. In femoral fossa
D. Medially from the inferior epigastric artery
E. In muscular lacuna
11. The patient cannot abduct upper extremity from the trunk. What muscle does not function
good?
A. deltoid
B. teres major muscle
C. infraspinatus muscle
D. teres minor muscle
E. latissimus dorsi
12. When the 15-year-old student does physical exercise, he suddenly feels pain in the hip
joint during rotation of the lower limb inside. What muscle is damaged?
A. gluteal medium muscle
B. piriform muscle
C. obturator internus muscle
D. obturator externus muscle
E. quadriceps
13. 30-year-old man came to see the dentist with a complaining of the mastication disorder. .
The pain appeared when the jaw moved backward. Doctor diagnose the inflammation
one of the masticatory muscle. What muscle is it?
A. Temporal (posterior fibers)
B. Temporal (anterior fibers)
C. Medial pterygoid
D. Lateral pterygoid
E. Masticatory muscle
14. The patient cannot move his fingers outward. What muscle does not function good?
A. Dorsal interosseous,
B. lumbrical muscles
C. Palmar interosseous,
D. Superficial flexor digitorum,
E. Deep flexor digitorum.(21)
15. The mother asked to the pediatrician about the fact that the head of her 1 year old child
is turned to the left. What neck muscle is underdeveloped?
A. Sternocleidomastoid muscle
B. Subcutaneous muscle
C. Digastric
D. Longus colli
E. Stylohyoid muscle
16. The patient has a deep transverse tibia damage of the lower third of the back surface.
The dorsal surface of the foot is moved upwards. What ligament is damaged?
A. Achilles
B. Flexor digitorum longus
C. Long peroneus longus
D. Extensor digitorum longus
E. The posterior tibial muscle
17. Male 26 year old injured the upper third of the arm during working. It wasn’t revealed
the bone damage during examination in the emergency room .There is no active
extension of the forearm. What muscle is probably damaged?
A. Triceps brachii
B. Teres pronator muscle
C. Coracobrachial muscle
D. Biceps
E. Articular muscle of elbow
18. During the examination it was revealed that patient cannot put his lips together like a
tube, cannot whistle, while laughing the corners of the mouth do not rise up, it’s
observed transverse smile. Patient suffers for myopathy that is a hereditary disease with
muscle dystrophiy. What muscle is atrophied?
A. Orbicularis oris muscle
B. Zygomatic major muscle
C. Cervical muscles
D. Risorius muscle
E. Masticatory muscle
19. The patient 18 years old who recovered from quinsy was complaining of health
deterioration. During the examination it was revealed an abscess of the pharynx. What
space of the neck must be penetrated by the surgeon during dissection of the abscess?
A. Retrovisceral space
B. Previscerale space
C. Interaponeurotical space
D. Suprasternal space
E. Pretracheal space
20. Scapular spine of the patient is protruding. What muscles have atrophied?
A. Supraspinatus, infraspinatus
B. Supraspinatus, elevator muscle of scapula
C. Infraspinatus, omohyoid muscle
D. Subscapularis, teres major muscle
E. Deltoid, teres minor muscle
21. During the examination the physician noted the asymmetry of patient’s face. The patient
cannot wrinkled his brow, raise eyebrows, whistle, close the eyes completely, baring his
teeth. What muscles do not function?
A. Mimic
B. Masticatory
C. Calvarial
D. Subcutaneous
E. Suprahyoid
22. Patient 26 years old fell and injured palmar surface of the hand. The deep wound of the
medial side of the left hand with a muscle injury was revealed during the examination.
The patient cannot do adduction and flexion of the little finger. What muscles are
probably damaged?
A. flexor pollicis brevis, m. lumbricalis
B. abductor pollicis brevis, m. opponens policis
C. opponens policis, m. adductor policis
D. palmaris brevis, m. abductor digiti minimi
E. palmaris longus, m. opponens policis
23. Patient 28 years old cut the front surface of the forearm 2 cm below the elbow, he is not
able to rotate the hand inside. What muscle isn’t function?
A. pronator teres
B. flexor pollicis longus
C. pronator quadratus
D. flexor digitorum profundus
E. supinator
24. A man 29 years old was delivered to the surgical clinic with a lacerated wound of right
ischial area. The examination revealed a deep wound with muscle injury. When the
patient lie on his stomach, he cannot raise his right leg, so the hip extension is difficult.
What muscle isn’t function?
A. gluteus maximus m.
B. tibialis anterior m.
C. quadriceps femoris m.
D. triceps surae m.
E. peroneus longus m.
25. Child 7 years old cannot do shoulder abduction and raise it to a horizontal level, hand-toface abduction is only by backside, with some shoulder abduction (the hand of
"trumpeter"). What muscle doesn’t work?
A. Deltoid
B. Infraspinatus
C. Pectoralis major
D. Teres minor
E. Teres major
26. The patient complained of impossibility do adduction and abduction of fingers to the 3
finger in the metacarpophalangeal joint.. Which muscle function is affected?
A. Intercostal muscles
B. Lumbrical muscles
C. Short flexor muscle of fingers
D. Long flexor muscle of fingers
E. Extensor muscle
27. During the active chin-ups doing a male felt a sharp pain in the back muscles. During
examination there was a pain when he tried to raise up the limb, to do pronation or
abduction. Which muscle function is affected?
A. latissimus dorsi m.
B. levator scapulae m.
C. romboideus major m.
D. trapezius m.
E. subscapularis m.
28. The patient has a dislocated shoulder joint with displacement of the humeral head
anteriorly and upward. What muscle ligament is probably damaged?
A. Long head of biceps
B. Short head of the biceps
C. Long head of the triceps
D. Deltoid
E. Coracobrachialis
29. The victim has a gunshot wound of the axilla’s front wall. What muscles can be
damaged?
A. Major and minor pectoral muscles
B. Deltoid and coracobrachial muscles
C. Biceps and brachial muscles
D. Serratus anterior and subscapularis muscles
E .Major and minor teres muscles
30. The athlete has rupture of Achilles tendon. What muscle is damaged?
A. Triceps surae
B. Tibialis anterior
C. Posterior tibial
D. Long fibula
E. Flexor digitorum longus
31. An athlete has pain along the sciatic nerve due to compression of its muscle, which
passes through the greater sciatic foramen. What muscle was injured during exercise?
A. Piriform m.
B. Internal obturator m.
C. Psoas m.
D. Iliac m.
E. External obturator m.
32. In the casualty department entered a man 35 years old with a injure of the left hand.
During the examination it was revealed the cut of palmar surface on the left hand, the
middle phalanges II - V fingers do not flex. What muscles are damaged?
A. Superficial flexor of fingers
B. Deep flexor of fingers
C. Lumbrical muscles
D. Palmar interosseous muscles
E. Dorsal interosseous muscle
33. In emergency station entered a man 39 years old with left wrist injury. During the
examination it was revealed the cut wound at the area of thumb elevation, the proximal
phalanx of the thumb is not flex. What muscle is damaged?
A. Short flexor of the thumb
B. Long flexor of the thumb
C. Short abductor of the thumb
D. Muscle that contrasts thumb
E. Adductor muscle of the thumb
34. The muscle which belong to the surae front group of muscles has been damaged due to
fracture of the tibia. What muscle may be damaged?
A. long extensor muscle of great toe
B. long flexor muscle of toes
C. long peroneal muscle
D. soleus muscle
E. long extensor muscle of toes
35. The patient complains of pain during movement in the left side of the neck. Best position
in which the patient does not feel pain is when neck tilts to the left at the same time the
head lifts and the face turns in the opposite side. What muscle may be damaged?
A. sternocleidomastoid m. on the left side
B. sternocleidomastoideus m. on the right side
C. trapezius m. on the left side
D. trapezius m. on the right side
E. sternohyoid m.
36. After a shoulder injury in the area greater tuberosity of the humerus the patient can not
rotate the arm outward. What muscles are injured?
A. infraspinatus m. and teres minor m.
B. supraspinatus m. and teres major m.
C. subscapularis m. and coracobrachialis m.
D. deltoid m. and supraspinatus m.
E. teres major m. and teres minor m.
37. Basketball player complains of pain above the heel, which is increases during walking.
Where is the damage( the muscle)?
A. triceps surae m.
B. tibialis posterior m.
C. flexor digitorum longus m.
D. fibularis longus m.
E. fibularis brevis m.
Urogenital system
1. The newborn has a urine from the navel during urinating . What is a cause of this
phenomenon?
A. non-closed urachus
B. non-closed bile duct
C. incomplete fistula
D. ectopia ureteric orifice
E. cystic diverticulum
2. At cystoscopy, bladder mucosa forms the folds with the exception of one area triangular
form. Mucosa in this place is smooth. Where is this triangular is located?
A. The bottom of the bladder
B. The bladder neck
C. The top of the bladder
D. The body of the bladder
E. The isthmus of the bladder
3. Female 25 years old was admitted to the gynecology department in order to carry out
the surgery for ovarian cancer. During operation it is necessary to cut the ligament that
connects the ovary and the uterus. What ligament is this ?
A. ovarіі proprіum lig.
B. cardіnal lig.
C. latum uterі lig.
D. suspensorіum ovarіі lig.
E. umbіlіcale laterale lig.
4. After significant weight loss man 70 year old has dull pain in the lumbar area. During
the examination it was diagnosed the "floating kidney." What part of the kidney fixing
apparatus has been damaged?
A. Capsula adіposa
B. Capsula fіbrosa
C. іlіopsoas m.
D. hepatorenal lig.
E. quadratus lumborum m.
5. Woman 58 year old have completely removed the uterus and the uterine appendages,
whereupon the urination stopped. Cystoscopy: no urine at the bladder, does not flow the
urine from ureters. Which department of the urinary system was damaged?
A. Ureter
B. Pelvіs renalіs
C. Uretra
D. Vesіca urіnarіa
E. Kidney
6. During the examination of a newborn boy it wasn't found the testicle in the right half of
scrotum. What kind of maldevelopment is it?
A. monorchism
B. hermaphroditism
C. cryptorchidism
D. hypospadias
E. epispadias
7. The patient has hydrocele.
In which testicle membrane the process is localized?
A. Tunica vaginalis
B. Dartos muscle
C. External spermatic fascia
D. Internal spermatic fascia
E. Scrotal skin
8. Male 75 year old entered to the urology department. He complains of severe abdominal
pain, anuria , inability to urinate by himself . After the examination the urologist
diagnosed the adenoma of the prostate. The bladder catheterisation should be
performed. How the catheter passes through the urethra ?
A. spongious , membranous , prostate
B. spongious , membranous
C. membranous
D. prostate
E. prostate , spongious
9. Woman was admit to the hospital with symptoms of acute abdomen. During the
examination it was suspected of ectopic pregnancy. Which anatomic structures of the
pelvis is necessary to punctured in order to confirm the diagnosis?
A. Excavatіo rectouterіna
B. Excavatіo vesіcouterіna
C. Excavatіo rectovesіcalіs
D. Fossa іschіorectalіs
E. Processus vagіnalіs perіtoneі
10. Patient 65 year old has applied to the clinic with painful urination. The examination
revealed the hypertrophy of the prostate. What part of the prostate gland was enlarged
and caused that disorder?
A. Isthmus (average share)
B. Right lobe
C. The left lobe
D. Prostate capsule
E. Ducts of the prostate gland
11. What can be a landmark in order to find an ureteral orifice during an internal
examination of bladder?
A. Trіgonum vesіcae
B. Apex vesіcae
C. Corpus vesіcae
D. Urachus
E. Cervіx vesіcae
12. 70 years old man was examined by palpation through the front wall of the rectum to
clarify the diagnosis. What organs are adjacent to this wall?
A. Bladder, prostate, seminal vesicles, deferent ducts
B. Urethra, bulbourethral gland, bladder, prostate
C. Bladder, urethra, deferent ducts, seminal vesicles
D. Ureters, prostate, bladder, seminal vesicles, bulbourethral gland
E. Bladder, urethra, prostate, bulbourethral gland
13. The boy has a scrotocele. Which one of testicle shells is the cause of this hernia?
A. Tunіca vagіnalіs testіs
B. Fascіa spermatіca externa
C. Fascіa spermatіca іnterna
D. Fascіa cremasterіc
E. Tunіca dartos
14. Puncture bladder through the front abdominal wall without touching the peritoneum,
may be performed:
A. With a full bladder,
B. With an empty bladder,
C. Only for males
D. Only for women
E. Only for children
15. During the parturition the woman suffered from the tear of the perineum tissues . To
eliminate this disease it should be well to sew the tissues that include muscle too. What
muscle of the perineum should be sewed?
A. Superficial transverse perineal muscle
B. Muscle lifting the anus
C. External sphincter of the anus
D. Ischio-cavernouse muscle
E. Bulbo-cavernouse muscle
16. The patient complains of severe pain in the left side of the lumbar region and colic
during the urinating. On examination he was diagnosed with renal stone disease.
Determine the most probable location of stone
A. Pelvis
B. Pelvis, cortex
C. Small cups, medulla
D. Pelvis, medulla
E. Cortex, pyramid
17. A woman in childbirth has a pathologically narrow pelvis and she was carried out a
caesarean section. Which layers of the uterine wall the surgeon must to dissect ?
A. Visceral layer of the peritoneum, muscle and mucous membranes
B. Parietal layer of the peritoneum, muscle and mucous membranes
C. Visceral layer of the peritoneum, parauterine adipose tissue, adventitia
D. Parietal and visceral peritoneum sheets, parauterine adipose tissue, muscle membrane
E. Visceral layer of the peritoneum, muscle, parauterine adipose tissue
18. During gynecological surgery for hysterectomy, the surgeon must to tie uterine artery,
which runs between the layers of wide ligament of uteri. What organ can be damaged
during this manipulation?
A. Ureter
B. Bladder
C. Fallopian tubes
D. Rectum
E. Ovary
19. In the eyeshot of the cystoscope there is a smooth mucosal surface without folds. What
part of the urinary bladder is in the eyeshot?
A. cystic triangle
B. wall
C. body
D. neck
E. bottom
20. In the gynecology department the woman was admited with signs of internal bleeding
and it was suspected to ectopic pregnancy. In which of these formations the blood is
probably accumulation ?
A. Exavatіo recto-uterіna
B. Exavatіo vesіco-uterіna
C. Fossa іschіo-analіs
D. Fossa paravesіcalіs
E. Fossa ovarіca
21. Urolithiasis complicated by the exit a stone from the kidney . Where it may get stuck at
the ureter?
A. At the boundary of the abdominal and pelvic parts
B. In the pelvis
C. In the middle of the abdominal part
D. 2 cm above the flow into bladder
E. 5 cm above the pelvic region
22. Patient 65 years old, was operated on due to a tumor of the ureter. During surgery, it was
found that the tumor has grown into the wall of the small intestine. What part of the
urinary tract was damaged by tumor?
A. Abdominal ureter
B. Pelvic ureter
C. Intramural ureter
D. The renal pelvis
E. Large cups
23. During the examination of the external genitalia of a newborn boy it was found a gap of
the urethra, which opens on the underside of the penis. What kind of malformations is it?
A. hypospadias
B. hermaphroditism
C. epispadias
D. monorchism
E. cryptorchidism
24. During vaginal examination of female the gynecologist examines the front vaginal vault.
What are the anatomical structures that forms it?
A. Cervix and the anterior vaginal wall
B. The anterior and posterior walls of the vagina
C. Cervix and the posterior wall of the vagina
D. Anterior and posterior lips of the cervix
E. Body of the uterus and anterior vaginal wall
25. During the examination of the external genitalia of the boy it was found a full closure of
the urethra from above. The urethra is opened at the bottom like a small gap. What kind
of malformations of the external genitalia is observed in this case?
A. hypospadias
B. epispadias
C. phimosis
D. hermaphroditism
E. paraphimosis
26. A newborn baby's pediatrician found that the hole of the foreskin in magnitude less than
the diameter of the urethra and the glans penis cannot go through this hole. What kind of
malformations of the external genitalia is observed in this case?
A. phimosis
B. epispadias
C. hypospadias
D. paraphimosis
E. hermaphroditism
Osteology
1. The fracture of the left ankle joint is detected on the internal surface Where probably
the fracture is ?
A. Medial bone
B. The lower third of the fibula
C. Tarsal bones
D. Lateral bone
E. Calcaneus
2. In the traumatological department the 10 year-old boy has entered with the right hip
injury. The radiographs revealedtat there is no fracture of the femur, but there are dark
periods at its proximal and distal ends. What's this?
A. Metaphysis (cartilage)
B. Epiphysis
C. Diaphysis
D. Articular cartilage
E. Apophisis
3. As a result of incidence a man 70 year old broke his femur. Where is probably the
fracture is located?
A. the neck
B. the middle.
C. the upper third
D. the lower third
E. the processes
4. On radiographs the newborn's pelvic bone has three separated bones that are connected
by cartilages at the site of the acetabulum. What bone is it ?
A. Ilium, pubis, ischium
B. Pubic, sciatic, femoral
C. Sciatic, femoral, sacral
D. Ilium, sacrum, coccyx
E. Sacral, pubic, coccyx
5. As a result of hit into the bottom corner of the scapula a man has fractured ribs. Which
ribs are damaged?
A. VI-VII
B. VIII-IX
C. X-XI
D. XII
E. I-III
6. The child has a fracture of the humerus. Broken arm began to lag behind in growth.
What part of the bone has been damaged?
A. metaphysis
B. epiphysis
C. diaphysis
D. apophisis
E. medullary canal
7. To establish the boundary between the cervical and thoracic spine, the doctor had to find
the process of VII cervical vertebra by palpation . What process is this?
A. Spinouse
B. Transverse
C. Superior articular
D. Inferior articular
E. Mastoid
Cranial nerves
1. A patient has no sense of taste at the front area of the tongue and lacrimation due to
dislocation of the mandible. What nerve is irritated?
A. Facial
B. Hypoglossal
C. Mandibular
D. Vagus
E. Tympanic
2. Male 45 year old is complaining of the loss of sensation in the back third of the tongue.
What pair of cranial nerves does function bad?
A. IX
B. III
C. VIII
D. V
E. XII
3. When the patient's tongue is moving forward its tip is deviating to the left. What cranial
nerve does not execute its motor innervation?
A. right hypoglossal nerve
B. right glossopharyngeal nerve
C. right vagus nerve
D. left trіgemіnal nerve
E. left facіal nerve
4. As a result of skull injury with damage of the upper wall of the right eye hole the victim
isn't unable to lift the upper eyelid of the right eye and look upward. What nerve is
probably damaged?
A. superіor branch of oculumotor nerve
B. іnferіor branch of oculumotor nerve
C. trochlear nerve
D. abducent nerve
E. ophthalmіc nerve
5. А patient has an aneurysm of the right subclavian artery. It is observed a hoarse voice.
What nerve is irritated?
A. larіngeal reccurens right n.
B. larіngeal superіor right n.
C. larіngeal reccurens left n.
D. larіngeal superіor left n.
E. larіngeal іnferіor left n.
6. A patient appealed to the neurological department. Smoothness of frontal folds, inability
to squint eyes, a corner of the mouth was omitted, "sail" cheeks were revealed during the
examination . What nerve is damaged?
A. Facial nerve
B. Parotid nerve
C. Trigeminal nerve
D. The vagus nerve
E. Accessory nerve
7. The examination of the patient revealed ptosis of the upper eyelid, the exotropia,the
dilated pupil, the limited mobility of the eyeball. What nerve is damaged?
A. The oculomotor
B. Ophthalmic
C. Trochlear
D. Abducent
E. Optic.
8. The patient 52 years old complains of sensory loss of the skin on the right side of face
at the area of the lower eyelid, the dorsum of nose and the upper lip. What branch and
what nerve is damaged?
A. Maxillary nerve of trigeminal nerve
B. The greater petrosal nerve of facial nerve
C. The ophtalmic nerve of the trigeminal nerve
D. Mandibular nerve of the trigeminal nerve
E. Chorda tympani of the facial nerve
9. The patient has a dysfunction of the extensor muscles, the lack of skin sensitivity on the
back surface of the hand after the injury of right upper extremity. What nerve is
damaged?
A. Radial
B. Ulnar
C. Medial
D. Musculocutaneous
E. Axillary
10. The patient has a different diameter of the pupils (anisocoria) due to injury. What muscle
is blocked?
A. sphіncter pupіllae m.
B. cіlіarіs m.
C. rectus lateralіs m.
D. rectus superіor m.
E. rectus іnferіor m.
11. A patient with purulent media otitis complained of the taste violation of the anterior 2/3
of tongue and the salivation. What nerve is damaged?
A. chorda tympani
B. tympanic nerve
C. greater petrosal nerve
D. lesser petrosal nerve
E. lingual.
Endocrinology
1. The patient 30 years old complains of the severe thirst, dry mouth, which appeared after
a strong nervous shock. Laboratory examination revealed an increase of blood sugar to
10 mmol / l. What endocrine gland has struck?
A. Pancreas
B. The thyroid
C. Genital
D. The adrenal gland
E. Epiphysis
2. The patient 39 year old cannot get pregnant for 8 years. She was advised to go to an
endocrinologist. The examination revealed proptosis, tremor of eyelids, tachycardia.
What endocrine gland has been damaged?
A. The thyroid
B. Pancreas
C. Genital
D. The adrenal gland
E. Epiphysis
3. The mother whose son grew up to 18cm over the summer was admited to the doctor. The
examination of a boy of 12 years: height is 180 cm, weight is 68 kg. What endocrine
gland is functioning poorly?
A. Pituitary gland
B. The thyroid
C. Genital
D. The adrenal gland
E. Epiphysis
4. The mother of the 9 years old girl came to the endocrinologist. Her daughter complains
of mammary glands enlargement, bloody vaginal discharge, the increased of hair
growth on the body and around genitals. What endocrine gland inhibits the precocious
puberty?
A. Epіphysіs cerebrі
B. Hypophysіs cerebrі
C. The thyroіd gl.
D. The suprarenal gl.
E. The parathyroіd gl.
5. It is necessary to make a tracheostomy to the patients with disturbance of external
respiration . Where can usually located the isthmus of the thyroid gland (level
cartilaginous rings of the trachea)?
A. II-IV
B. III-I
C. I-II
D. IV-V
E. V-VI
6. The patient 30 year old was diagnosed the diabetes insipidus by the physician. What
gland does not function?
A. The pituitary gland
B. The thyroide
C. The genital
D. The adrenal gland
E. The epiphysis
7. During radiographic examination of the skull base bones were identified an enlargement
of fossa Turcica and destruction of its parts. What tumor has grown and has damaged
bone?
A. The pituitary gland
B. The epiphysis
C. The thalamus
D. The plate of colliculus
E. The geniculate bodies
Esthesiology
1. On examination of the patient it was found the absence of the medial halves of the visual
fields of both eyes. What part of the optic tract is probably damaged?
A. The optic chiasm
B. The optic nerve
C. The optic tract
D. The calcarine sulcus
E. The lateral geniculate body
2. The patient was found destruction of the wall of the tympanic cavity. The pus spread
into the posterior cranial fossa. What wall has been destroyed?
A. mastoid wall
B. membranaceus wall
C. labyrinthic wall
D. tegmental wall
E. jugular wall
3. During the surgery the physician manipulates on the internal wall of the tympanum.
What canal of the temporal bone may be destroyed?
A. facial
B. carotid
C. musculo-tubal
D. tympanic
E. canaliculus of chorda tympani
4. In ophthalmology department an electric welder was delivered with the burn of the
eyeball. What structures are affected?
A. Cornea
B. The anterior chamber (humor)
C. The posterior chamber (humor)
D. Lens
E. The vitreous body
5. The inflammation of patient's tympanic cavity was complicated by inflammation of
mastoid cells . Through what wall of the tympanic cavity the pus penetrated into the
cells?
A. posterior
B. anterior
C. medial
D. lateral
E. upper
6. The patient has a hearing loss. During the examination the sulfur crusts were identified.
What part of the organ of hearing has been changed?
A. In external ear
B. In the middle ear
C. In an internal ear
D. In the eardrum
E. In the auditory tube
7. A child 5 year old with purulent inflammation of the internal ear has symptoms of
inflammation of the dura mater. What is the path of infection?
A. Vestibular aqueduct
B. Canaliculus of helix
C. The window of helix
D. The window of the vestibule
E. Canaliculus of chorda tympani
8. A patient with a right-sided media purulent otitis was taken to the ENT department.
During the examination the subcutaneous abscess was found in the mastoid. Through
what wall of the tympanic cavity the pus has been penetrated?
A. Posterior
B. Anterior
C. Lower
D. Medial
E. Upper
9. The damage to the one structure of the visual analyzer pathway is shown as a lack of
sensitivity to light of the medial half of the retina in both parties. What structure is it?
A. The optic chiasm
B. Right optic tract
C. Left optic tract
D. Right optic nerve
E. Left optic nerve
10. The patient has the violation of eyes accomodation . What muscle is damaged?
A. ciliaris mm.
B. sphincter pupillae m.
C. dilatator pupillae m.
D. rectus superior m.
E. rectus inferior m.
11. The patient has converging strabismus. What muscle of the eyeball has been damaged?
A. rectus oculi medialis m.
B. rectus oculi lateralis m.
C. rectus oculi superior m.
D. rectus oculi inferior m.
E. oblique oculi superior m.
12. A child 2 years old has a diagnosis of divergent strabismus. What muscle of the eyeball
has been damaged?
A. rectus oculi medialis m.
B. rectus oculi lateralis m.
C. rectus oculi superior m.
D. rectus oculi inferior m.
E. obliqus oculi inferior m.
13. A patient with glaucoma has a violation of the outflow the aqueous humor through the
drainage system from the anterior chamber of eye into the venous plexus. What
anatomical formation has been damaged?
A. Shlemov’s canal
B. The lens
C. The ciliary muscle
D. Muscle of the iris
E. Zinn bunch
14. As a result of trauma the patient has dilated pupils and the pupillary reflex violation.
What muscle does not function?
A. sphincter pupillae m.
B. ciliaris m.
C. dilatator pupillae m.
D. rectus superior m.
E. rectus inferior m.
15. A patient, 75 years old,was taken to the ophthalmology department of the hospital; he
was complaining of visual impairment. During an objective examination it was detected
a brain tumor which is located at the region of the optic tract. What visual impairment
will be observed in a patient?
A. vision loss in the left half of the retina at both eyes
B. vision loss in the right half of the retina at both eyes
C. vision loss of both halves at the left eye
D. vision loss of both halves at the right eye
E. vision loss of both eyes