Surgery 7.

symptoms of clubbing finger and

spindle shape nails are seen in :
1 Metastasis Krukenberg is localized
1. It is characteristic only for bronchiectasis
1) in the recto-vesical fold
2. It can be observed in other suppurative
2) in the navel
lung disease and pleural
3) in the ovaries
3. A more typical for heart disease
4) between the bundle of the sternocleido
4. Characteristic of actinomycosis
mastoid muscle
5. Characteristic of tuberculosis
5) Liver
8. The necessary investigations for the
2. Distant metastasis for gastric cancer is
diagnosis of esophageal diverticulum:
1) in the liver
1. esophagoscope
2) сrukenberg
2. Fibroesophagoscopy and X-ray
3) in the navel
examination
4) Virchow metastasis
3. Pneumomedianotomography
5) all right
4CT scan of mediastinum
5. Right 1 and 2
3.Gastrostomy shows:
1) spasm of pyloric part
9. Chronic lymphedema is not characterized
2) spasm of cardiac part of stomach
with:
3) cardiac part cancer in stage 4
1. When pressing a finger pitting is not
4) cancer of the proximal stomach 2nd stage
formed
5) cancer of the distal stage 4
2. Tight "meaty" tissue swelling
3. The reduction of edema in creating the
4. In the clinic the patient was admitted 69
vertical position of the affected part of the
years earlier had suffered a myocardial
body
infarction and suffering from atrial
4. Pigment and trophic skin changes
fibrillation, which is found on examination
5. subcutaneous tissue fibrosis
of the femoral artery embolism, ischemia III
TO THE EXTENT (total ischemic
10.Diverticulum usually localized:
contracture of the limbs). The best method
1. In the esophagus
of treatment is:
2. In the stomach
1) emergency embolectomy
3. In the duodenum
2) thrombolytic therapy
4. In the ileum
3) Only anticoagulation therapy
5.in colon
4) Only symptomatic therapy
5) primary limb amputation
11. Meckel “s diverticulum is most often
seen:
5 .Common cause of arterial embolism
1.hematemeisis
systemic circulation is:
2.intestinal haemorrhage.
1) coronary artery disease
3.small intestinal obstruction
2) Atherosclerosis of the aortic arch
4.constiraption
3) aortic aneurysm
5.Diverticulitis
4) arteriovenous fistula
5) venous thrombosis of the inferior vena
12.Lymphoedema from Sigma carried
cava.
through the lymph nodes:
1.superior mesenteric
6.Select adjunctive treatment of acute
2.inferior mesenteric
purulent peritonitis, most commonly used in
3.Para aortic
post operation period?
4.none of them
1.Drainage thoracic duct with lympho
5. all above mentioned are correct
absorption
2.haemo absorption
13. Durig intestinal obstructive on the basis
3.intravenous forced diuresis
of the sigmoid colon cancer in 80 years
4.Endolymphatic antibiotics
shows:
5.Local intraventricular hypothermia
1 left sided hemicolectomy with overlying 1. Antibacterial therapy
trasnverstoma. 2. Repeated therapeutic puncture
2.overlying transversetoma. 3. Drainage of the pleural cavity
3.By pass of transveso sigmoid anastomosis. 4. large thoracotomy
4.Resection of sigmoid with end-to-end
anastomosis. 20. Most reliably diagnostic method for
5.Size of operation depends on the state of bronchiectasis is by:
the patient and the abdominal cavity 1. bronchoscopy
2. bronchography
14.Complication of acute lung abscess can 3. fluroscopy
not be due to : 4. auscultation and percussion
1) break the abscess into the pleural cavity 5. X-ray of the lungs
2) Bleeding
3) aspiration of pus in the healthy lung. 21. If you suspect a tumor of the
4) sepsis mediastinum the most informative method
5) formation of a dry cavity in the lung for diagnosis is:
1. Pneumo mediastinoscopy
15. euthyroid goiter is characterized by: 2. Bronchography
1. High levels of blood thyroxine and 3. Bronchoscopy
triiodothyronine 4. Pneumomediastinotomography
2. Low blood levels of thyroxine and 5. Artificial pneumothorax
triiodothyronine
3. High basal metabolism 22. What is the conservative method of
4. The normal level of hormone and stopping gastrointestinal bleeding is the
normal basal metabolism. most effective?
1) small blood transfusion
16. A patient with an ulcer duodenal bulb in 2) intravenous calcium and vikasol.
the study of gastric secretion revealed: 3) administer PEROS thrombin, plasmin
highest secretion and acidity in the basement and aminocaproic acid
and the cephalic phase and normal acidity in 4) endoscopic coagulation of the bleeding
the stomach phase. The most efficient source.
operation in this case is:
1. Subtotal gastrectomy 23.specify the most informative method for
2. vagotomy with pyloroplasty investigation of peptic ulcer:
3. vagotomy without drainage operation 1) X-ray
4. Resection 2) endoscopy
5. Imposition of gastroentero anastomosis. 3) gastric secretion
4) blood gastrin level
17. The most radical method of treatment for 5) 1.2 correctly
cardiac part of stomach cancer is:
1. Radiotherapy 2. Chemotherapy 24. Clinical manifestations of thyrotoxic
3. Surgery crisis after strumectomy:
4. Electro coagulation of tumor 1. Lowering blood pressure, paroxysmal
5. Combination therapy. tachycardia
2. Hypertension, tachycardia, itching,
18. Abscess and gangrene of lungs arises : encephalopathy
1. single purulent processes in the lungs 3. Hypertension, anuria
2. The various diseases that have their 4. Vomiting, anorexia
clinical and radiological features 5. encephalopathy, cerebral edema, anuria
3. The two stages of the process
4. diseases caused by various microflora 25. For a closed heart trauma is
5. Diseases, having its own pathologico- characterized by:
anatomical features 1. ECG changes
2. Pain in the heart
19. The main method of treatment of 3. Low blood pressure
purulent pleurisy is: 4. Increased venous pressure
5. All of the signs present. 3.By pass of transveso sigmoid anastomosis.
4.Resection of sigmoid with end-to-end
26.toxic dilatation in non specific anastomosis.
ulcerative colitis can be complicated: 5.Size of operation depends on the state of
1.haemorrhage the patient and the abdominal cavity
2.Perforation
3.intestial obstruction 32. Patient with lung abscess developed
4.Intoxication clinical picture pio pneumatorocsis your
5. All options are correct actions will be ?
1) massive antibiotic therapy
27.most probable severe form of acute 2) therapeutic bronchoscopy
paraproctitis is: 3) thoracostomy
1.Ishio rectal 4) thoracotomy and sanitation of the pleural
2.Retro rectal 5) resection of the lobe, carrier the abscess
3.submucosal cavity.
4.Pelvio rectal
5.sub cutaneous 33.urgent care of the assistance in valve
pneumothorax your action will be :
28. operation of choice for peptic ulcer 1) with tracheotomy
disease with impaired duodenal patency is: 2) puncture and thoracostomy
1) gastrectomy (antrumectomy) with 3) with the blockade of the intercostal
vagotomy Billroth -1 nerves
2) gastrectomy (antrumectomy) according 4) due to immobilize of the chest.
to EN vagotomy 5) the blockade of the phrenic nerve.
3) gastrectomy (antrumectomy) with
vagotomy on gofmesteru-finsteretu 34.Active drainage of pleural cavity is not
4) SPV with duodenosinus anastomosis shown:
5) SPV without special correction of 1) thoracotomy
impaired duodenal patency. 2) hemothorax due to fracture of ribs
3) recurrent of hemothorax
29.specific indications for surgical 4) pleural empyema
treatment of peptic ulcer disease is not taken 5) lobar pneumonia
into account:
1) the duration of disease 35.chronic empyema pleura considered:
2) the frequency and severity of 1) from the second week
exacerbations of their symptoms 2) from the fourth week
3) The effectiveness of the conservative 3) six weeks
therapy 4) eight weeks
4) the duration of remission 5) three months
5) The periprotses of severity in pylorus
and duodenum 12 36. What are the most characteristic feature
of afferent loop syndrome:
30. basis histological form of colon cancer 1) pain in the right upper quadrant
is: 2) heartburn
1.Skirrhoma 3) vomiting edible food
2.mucous 4) vomiting of bile
3.squamous (stratum) 5) general weakness, weight loss
4.Adenocarsinoma
5.None differentiated 37. From the X-ray methods of research the
most informative when broncho etctotic
31. Durig intestinal obstructive on the basis disease is:
of the sigmoid colon cancer in 80 years 1. Bronchography
shows: 2. Radiography
1 left sided hemicolectomy with overlying 3. Fluoroscopy
trasnverstoma. 4. Tomography
2.overlying transverzsetoma. 5. Computed tomography
 5) combination with chromogastroscopy
38. What are the treatments should be used trans luminisation
in acute paraproctitis:
1) massive antibiotic therapy. physiotherapy 44.patient compensated pyloroduodenal
2) the planned operation. Massive antibiotic stenosis without signs of active sores:
therapy 1) do not require surgical treatment
3) emergency surgery massive antibiotic 2) subject to surgical treatment during
therapy exacerbation of peptic ulcer disease
4) physiotherapy emergency surgery 3) are operated only if the progression of
stenosis
39.for acute paroproctotit treatment is 4) require mandatory surgical treatment
necessary hold to the following principles: 5) are operated after a 2-month course of
1) early surgery intensive anti-ulcer therapy
2) an adequate autopsy and sanitation of
purulent strom center 45.the hemorrhage of ulcer on gastric body
3) excision of internal gap and a small stage of operational risk is
4) adequate drainage shown:
5) all answers are correct 1) wedge-shaped excision of a bleeding
ulcer with a pyloroplasty and vagotomy
40.for investigation of rectal fistula is used: stem
1) an external inspection and palpation 2) resection of gastric ulcer hemorrhage
2) digital examination of the rectum with SPV
3) staining and sounding the fistulous 3) wedge excision of a hemorrhage ulcer
4) fistulography with SPV
5) all of the above 4) needing of ulcer hemorrhage with
pyloroplasty and vagotomy stem
41.which clinical of signs make dubious 5) excision of the ulcer
opportunity to make radical surgery for
rectal cancer: 46.Rezektsiya stomach is not shown:
1) ascites 1) perforation hranicheskim callous ulcers
2) acute colonic obstruction long history
3) palpable tumors 2) when combined ulcers, stomach and
4) enlargement inguinal lymph nodes duodenum 12
5) rectal hemorrhage 3) re-perforation
4) perforating ulcers prepiloricheskih
42.most likely reason for the decline of the 5) after repeated massive bleeding
gastric mucosa resulting in resistance to the gastroduodenal ulcer
development of ulcers is:
1) deficiency of essential for the 47.most rare complications of ulcer 12
reproduction of cells and biochemical duodenal ulcer is:
substances plastic active solid matter 1) perforation
2) metabolic changes in the body 2) malignancy
3) local ischemia of gastroduodenal mucosal 3) hemorrhage
4) chronic gastritis 4) Penetration
5) hormonal changes in body 5) intestine scar of deformity

43. The best method of intraoperative 48.relative indications for surgical treatment
monitoring the completeness of peptic ulcer disease are set at:
vagotomiipriznana: 1) pyloric stenosis
1) intraventricular pH meter PH-specific 2) recurrent ulcer haemorrhage after
probe endoscopic
2) endoscopic pH meter 3) low of bulbous ulcer
3)c hromo gastroscopy with Congo 4) malignant degeneration of ulcers
4) identification of intraventricular RN 5) antitypic of perforate ulcer
through gastrotomic hole
49.the best functional results at low
duodenal stenosis obtained by: 55. The characteristic changes in blood
1) pyloroplasty for Heineken-mikulichu- vessels in diabetes mellitus include:
combined with selective vagotomy 1. Sclerosis arterioles
2) combined with DBS 2. looped arterial thrombosis
gastroduodenoanastomosis on dzhabuleyu 3. Development of Leriche syndrome
3) The combination of SPV with 4. femoral artery thrombosis
duodenoplasty 5. Acrocyanosis
4) gastroenteroanastomosis stem vagotomy
5) economical gastrectomy selective 56. during presence of gangrenous abscess
vagotomy with the size of 6x6 cm in the lower lobe of
the right lung is most expedient:
50. In duodenal ulcer complicated by 1. hospitalize in therapeutic department
stenosis, selective proximal vagotomy can 2. Start treatment with antibiotics, vitamin
apply the following operations: therapy and so.
1) ideal antrumectomy 3. Immediately make a bronchoscopy
2) duodenoplasty 4. Bronchography
3) pyloroplasty 5. Intensive treatment in the surgical
4) gastroduodenoanastomosis on department for two weeks, followed by
Dzhabuleyu radical surgery
5. gastroentroanastomosis
57. If you suspect a tumor of the
51. Secretin is produced: mediastinum the most informative method
1. In the duodenum for diagnosis is:
2. Liver 1. Pnevmomediastenoscopy
3. In the pancreas 2. Bronchography
4. In the distal parts of the small intestine 3. Bronchoscopy
5. In the hypothalamus 4. Pnevmomediastenotomography
5. false l pneumothorax
52. during treatment of chronic callous
fissure is the most effective: 58. The anterior mediastinum is a favorite
1. sacral blockade with solution of place of localization:
Novocain 1. enterogenous cyst of the
2. The introduction of Novocain with mediastinum
alcohol under the fissure 2. bronchogenic cysts of the mediastinum
3. Finger extension the sphincter by 3. ceolomic pericardium
Recome 4. megacaryoblastoma mediastinum
4. Excision fissure 5. Thymoma
5. Excision fissure with dosed
sphincterotomy 59. The most informative diagnostic
methods in detecting early stage cancer of
53. The length of the anal canal is equal to: the esophagus is:
1. 1-2 cm 1. Cytology survey rinse of esophagus
2. 2-3 cm 2. X-ray examination
3. 3-4 cm 3. Monometric examination of the
4. 4-5 cm esophagus
5. 5-6 cm 4. Endoscopic examination of the
esophagus
54. Posterior dosed sphincterotomy is
shown for the treatment : 60. For acute paraprocitit necessary
1. Hemorrhoid , with increased tone of treatments are next principle:
the sphincter and anal fissure 1) early surgery
2 . coccyalgia 2) an adequate autopsy and sanitation of
3. Chronic paraproctitis , purulent focus
4. hemorrhoid, prolapse of internal 3) excision of internal hole
hemorrhoids 4) adequate drainage
5) all answers are correct 4. Closure of wounds duodenum and
cholecystectomy
61.substance of Oppel sample is: 5. Gastro duodenum anastomosis by
1) tiredness of feet Finney
2) reactive hyperemia
3) blanching the plantar surface of the 67. Continuing the hemorrhage is
foot determined by test :
4) blanching of fingers 1. by Kerr
5) a pain in the calf muscles 2. by Abrikosov
3. by Petrov
62.none characteristic of peptic ulcer 4. by Voskresno
disease 12 duodenal is:
1) The high prevalence of the disease 68. The emergence of anal fissure
2) frequent development of among men contribute:
3) frequent development of young age 1. Long-term constipation
4) more stubborn. than with gastric ulcers 2. Hemorrhoid
during 3. Acute paraproctitis and proctitis
5) extremely rare malignant 4. Injury of rectum and anal canal
degeneration 5. correct 1 and 4

63.begining process of ulceration associated 69. Symptom "drum daddies" and "time
with: windows":
1) with reverse diffusion of hydrogen ion 1. the characteristic only for bronchiectasis
2) with decompensation antral acid 2. It can be observed in other suppurative
neutralization function lung disease and pleural
3) with contravention of the acid neutraliz 3. A more typical for heart disease
-function of duodenal ulcer 4. Characteristic for actinomycosis
4) the mechanisms contravention of the 5. Characteristic for tuberculosis
balance between protection and
aggression factors of gastro duodenal 70.during of hospitalization and after
5) with decreased pancreatic secretory decrease in acute inflammation to the patient
function is shown:
1. Sclerotherapy
64. The anterior mediastinum is a favorite 2. sacral Novocain blockade
place of localization: 3. bandaging of hemorrhoid
1. enterogeousis cyst of the mediastinum 4. Hemorrhoidectomy
2. bronchogenic cysts of the mediastinum
3. ceolomic pericardium 71. The clinical picture is characterized by
4. megacaryoblastoma mediastinum rectal fistula:
5. Thymoma 1. fear from bathroom ( stool)
2. hemorrhage during defecation
65. The barium enema in inflammatory of 3. recurrence paraprotiisis with
the colon wall usually reveals: liberation pus from fistula
1. for bowls Kloybera 4. liberation of mucus during defecation
2. Change the intestinal mucosa relief
3. similarly Diverticul protrusion 72. Among of the complications associated
4. Segmental spasm with the production of pleural puncture and
5. total obturation of clear introduction of antibiotics, to the
instantaneous death can result:
66. When fresh injuries of the duodenum 1. Intra pleural hemorrhage
shows: 2. Air cerebral embolism
1. Closure of wounds, duodenal 3. Anaphylaxis
intubation 4. Pleural pulmonal shock
2. Resection of 2/3 of the stomach 5. correct 2 and 3
3. gastro entero anastomosis
73. An anal fissure is established:
1. Examine the anal region 5) all above are right
2. The digital examination of the rectum
3. rectoroscopy 80.Metastasis shniptsler localized:
4. irrigoscopy 1) in iver
5. colonoscopy 2) in recto-vesical fold
3) in the ovaries
74. Once the diagnosis of acute purulent 4) between the stem of the
mediastenisis a primarily needed: sternocleidomastoid muscle
1. Massive antibiotic therapy 5) in the navel
2. Immunotherapy
3. Detoxification Therapy 81.most common histological form
4. Surgery ampullar colorectal cancer is:
5.hemo transfusion 1) undifferentiated
2) squamous
75.Diverticulosis usually localized: 3) mucosal
1. In esophagus 4) adenocarcinoma
2. In stomach 5) solid
3. In duodenum
4. In ileum 82. approach of the Appendectomy is :
5.in colon 1. by Kocher
2. According to Fedorov
76.Limph deflux from Sigma via the lymph 3. by Volkovich-Dyakonovu
nodes: 4. Mayo
1.upper mesenteric 5. all above are none correct
2.inferior mesenteric
3.Paraaortic 83.which symptom is characteristic of acute
4.None of the following groups cholecystitis
5. all of these lymph nodes 1. Resurrection symptom ( voskresensc)
2. Ortner- symptom
77. colon polyps has the highest tendency to 3. symptom Bartome-Michelson
malignancy . 4. Kerte symptom
1.hyperplastic 5. Obukhov - symptom
2.villiferous
3.Adenomatous 84. Acute cholecystitis differentiate with the
4.Multiple adenomatus following diseases, except :
5.Index for malignancy is the same in all 1. a perforated ulcer of the stomach and
cases duodenum
2. acute pancreatitis
78.what feature of the clinical 3. right-side of pleuropneumonia
manifestations of cancer recto-sigmoid 4. with acute appendicitis
rectum? 5. all are above
1.intestinal obturation
2.heamorrhege 85. during umbilical hernia techniques
3.Tenesmus used .
4.loose weight 1. Plastic by Kukuzjanov
5.pain during defecation 2. Plastic by Mayo
3. plastic by Bassin
79.during gangrene affecting one of the 4. Plastic by Gu
lobes of the lung is recommended: 5. None of them
1) daily sanitation of the bronchial tree
through a bronchoscope 86.Diverticulosis is usually localized:
2) introduction of antibiotics into the 1. in the esophagus
pulmonary artery 2. stomach
3) lobectomy 3. duodenum
4) intensive therapy with endobronchial 4. ileum
introduction of antibiotics 5. colon
 3. vagotomy without drainage operation
87. Treatment of boils(fruncle) comprises: 4. Resection
1. Antibiotics 5. Imposition of gastroentero anastomosis.
2. All of the mentioned answers
3. Processing 70% s spirit 93. residual gastro duodenal bleeding is
4. Opening the boil most likely due to:
5. physiotherapy 1 due to . calcosus ulcer
2. penetrating ulcer
88. The perforation of any organ of of the 3. mucosal surface erosion
abdominal cavity is characterized by: 4. thrombosed vessel in the bottom of the
1. Appearance of sharp pain ulcer diameter greater than 0.1 cm
2. Stresses the muscles of the anterior 5. due to scarring ulcer
abdominal wall
3. Bradycardia 94. With fresh wounds of the colon shows:
4. frenikus-symptom 1. Wound Closureby suture.
5. All of the above 2. Wound Closure and drainage of the
abdominal cavity
89. Signs of damageof retroperitoneal 3. hemicolectomy
duodenum at laparotomy are: 4. Operation Lakhiya.
1. Swelling(edema) hepatoduodenal 5. colostomy
ligament
2. Swelling(edema) of the root of the 95. hemorrhoidectomy by Milligan-Morgan
mesentery of the small intestine implies:
3. reabsorption of blood lesser omentum 1. Circular excision of the mucosa of anal
4. The reflux of bile into the stomach canal.
5. reabsorption of bile and the emergence 2. Excision of hemorrhoids at 2, 5 and 8o
of air in the retroperitoneal fat in the clock position of .
descending part of the duodenum 3. excision of hemorrhoids at 3, 7, 11 ‘O
clock position .
90. The most characteristic for acute 4. Excision of prolapsed haemmoridal
duodenal ulcer are: nodes .
1. An elderly patient's age 5. Excision of hemorrhoids at 3, 7, 11’o
2. The history of aspirin or cortico- clock position with the restoration of the
steroids mucosa of the anal canal.
3. Strong seasonal paroxysmal epigastric
pain 96. For the diagnosis of colorectal cancer in
4. Vomiting food that brings relief from the first place it is necessary to carry out
symptoms following investigations:
5. splashing sound in the stomach 1. A digital rectal examination and
sigmoidoscopy
91. barium enema in inflammatory changes 2. Fecal occult blood
in the colon usually reveals: 3. Laparoscopy
1. bowls Kloybera 4. Ultrasound examination of pelvic organs
2. Change the intestinal mucosa relief
3. Diverticular type protrusion 97. For the occurrence of an acute
4. Segmental spasm paraproctitis mandatory etiological factors
5. complete obstruction of lumen. are:
1. Bleeding from the rectum
92. A patient with an ulcer duodenal bulb in 2. Diarrhea
the study of gastric secretion revealed: 3. The tendency to constipation
highest secretion and acidity in the basement 4. Obstruction of the output of the anal
and the cephalic phase and normal acidity in and its duct inflammation
the stomach phase. The most efficient 5. Defect of rectal mucosa
operation in this case is:
1. Subtotal gastrectomy 98. For the diagnosis of extra sphincter
2. vagotomy with pyloroplasty fistula of rectum shows:
1. Irrigoscopy 1. Failure osteal valve with varicose veins
2. Colonoscopy 2. Acute thrombosis of deep vein femoral
3. Anoscopy and fistulography vein.
4. Passage of barium in the intestines 3. Leriche Syndrome
4. The post-thrombotic phlebitic disease
99. The most rare complication of primary 5. Buerger’s disease
varicosal veins are:
1. eczematous dermatitis 105.during ulcerative colitis most often
2. Deep vein thrombosis of the fibula affects the gut:
rvein 1.upward part of colon
3. Painless gap of dilated veins 2.colon
4. Ulceration of the lower third of the limb 3.descending part of colon
5. Hypertrophic nails and atrophic skin 4.secum
5.rectum ,
100. Anticoagulation therapy in the
treatment of thrombosis is used to: 106.specify most frequently applied
1. The dissolution of fibrin surgical procedure in chronic lung abscess
2. Suspension of thrombus growth of 1-2 segments:
3. Increase of thickness of blood. 1) segmental resection of lung
4. Changes in the inner lining of blood 2) drainage of the abscess cavity
vessels 3) pulmono ectomy
5. Reduction of DNA activity 4) excision of the abscess cavity
5) lobectomy
101. In what period of time develops
stomach and duodenal ulcer ? 107.due to gangrene affecting one of the
1. summer lobes of the lungs is recommended:
2. winter 1) Daily lavage of the bronchial tree through
3. The autumn and spring a bronchoscope
4. night 2) introduction of antibiotics into the
5. daytime pulmonary artery
3) lobectomy
102. Cretinism and myxoedema is caused 4) intensive therapy with endobronchial
by which of followig : administration of antibiotics
1. The failure of the pituitary 5) all above
2. internal secretory insufficiency of the
adrenal cortex 108. Pancoast tumor it is -
3. internal secretory insufficiency of 1) central cancer of the middle lobe of the
thyroid gland lung
4. endocrine insufficiency APUD-system 2) peripheral cancer lower lobe of the lung
5. All answers are correct 3) central cancer of the upper lobe of the
lung
103. Among the inflammatory thyroid 4) peripheral lung cancer of apex .
diseases distinguish all of these forms, 5) abdominal form of peripheral lung cancer
except:
1. Acute thyroiditis (purulent and non 109.most frequent localization is the
purulent) following colorectal cancer:
2. chronic thyroditis (goiter Riedel) 1) anal
3. Subacute thyroiditis (de Quervain's 2) lower ampular
thyroiditis, Crile) 3) medium ampular
4. Hashimoto thyroditis. 4) upper ampular
5. Rare inflammation (tuberculosis, 5) rectosigmoid
syphilis), fungal and parasitic diseases
(actinomycosis, echinococcus) 110. Which of the following measures are
essential for the prevention of acute abscess:
104. Symptom Troyanova-Trendelenburg is 1) cleansing enemas
used for diagnostics: 2) medicinal enema
3) The saline laxatives
4) treatment of opportunistic infectious 117. puncture biopsy of the thyroid gland is
disease. advantageously carried out with the aim of
5) refusal to use the toilet paper after all the above, except:
defecation in favor of washing the 1. Differential diagnosis of various thyroid
perineum. diseases
2. Definitions degree turn radiofar-drug in
111. thrombosis of thevein of lower thyroid tissue
extremities most often leads to 3. determine the nature of the pathological
thromboembolism of : process
1. vessels in the brain 4. The definitions of the location and extent
2. Systems of coronary arteries and veins of the pathological process
3. Pulmonary artery 5. Prescribing the duration of the disease
4. pulmonary veins
5. The arteries of the kidneys and liver 118. The most effective method of
conservative treatment of lung abscess is:
112. The most likely source of pulmonary 1. Intra-arterial administration of antibiotics
embolism is: 2. Therapeutic bronchoscopy
1. Deep vein shin 3. Intramuscular administration of
2. iliofemoral plelebotrombosis antibiotics
3. upper limb veins 4. Restorative treatment and immunotherapy
4. The right atrium 5. The combination of all of the above
5. inferior vena cava methods

113.To the early symptoms of mesenteric 119. With a large posseted hemothorax 5
vessel thrombosis is related one of days ago must be perform :
following: 1. Wide thoracotomy, removal of
1. Loose stools mixed with blood hemothorax
2. Vomiting 2. Drainage of the pleural cavity
3. Abdominal pain, radiating to the back 3. Introduction stripteases or other enzymes
4. flaccid anterior abdominal wall to hemothorax
5. All of the above 4. Repeated pleural puncture
5. The introduction of antibiotics in the zone
114. Malignacy of thyroid is more common of coagulated hemothorax
in the presence of:
1. Solitary nonfunctioning node 120. With autopsy of the abscess space
2. Follicular adenoma Pirogov incision depth extends to:
3. Hoshimoto’s goiter 1. subcutaneous tissue
4. De Quervain’s goiter 2. The superficial fascia of the forearm
5. Riedel’s goiter 3. pronator quadratus muscle
4. The superficial digital flexor
115. In the surgical treatment of goiter, both 5. Deep digital flexor
recurrent nerves were damaged. Further
strategy involves: 121. choice of operation for obstructive
1. Continue mechanical ventilation jaundice:
2. Suturing the damaged nerve 1. cholecystectomy
3. Imposition of tracheostomy 2. cholecystectomy + biliodegestiv
4. additional measures are not necessary . anastomosis
5. tube feeding patient 3. cholecystectomy + papillo
sphincterotomy
116. The inferior thyroid artery arises: 4. cholecystectomy- +bile duct drainage
1. From the external carotid artery 5. cholecystostomy
2. From the internal carotid artery
3. From the subclavian artery 122. Secretin is produced:
4. From the common carotid artery 1. In duodenum
5. From thyro-cervical trunk 2. In Liver
3. In the pancreas 4. The fight against intestinal paresis
4. In the distal parts of the small intestine 5. Removal of the causes leading to
5. In the hypothalamus violation of external respiration

123.gall stones often composed: 130.Rational treatment of gallstone disease

1. from Cholesterol is:
2. Because of cystine 1. Diet
3. From oxalate 2. Medication
4. Of the bile salts 3. Surgery
5. From the uric acid 4. Spa
5. Treatment by mineral waters
124. in pathogenesis of acute pancreatitis
may play a role: 131. For Sklyarov symptom in acute
1. Operating injury intestinal obstruction is characteristic appear
2. Cholelithiasis :
3. penetrating peptic ulcer 1. Asymmetric swelling of the lateral
4. Alcohol abdomen, "oblique abdomen"
5. All are above factors 2. The presence of swollen intestinal loops
defined withbimanual, rectal and vaginal
125. Contraindications to appendectomy for examination
acute appendicitis is: 3. Clearly delimited stretched intestinal
1 .miocard infarction loop, which is determined at abdominal
2. Pregnancy 36-40 weeks palpation
3. Intolerance of novocaine 4. "Empty" ileocecal region
4. Appendiceal infiltration 5. "splashing sound " determined in a
5. Violation of the blood clotting limited area or around
belly
126.femoral hernias are more common:
1. for men older age 132.most severe clinical form of intestinal
2. for women many giving birth obstruction is:
3. For women not giving birth 1. Intussusception
4. for young age 2. Inversion
5. for Children 3. nodulation
4. strangulated hernia
127. Abscess from infiltration is differenced 5. Obturation colon tumor
by having:
1. Pain 133. mesenteric vessels is an early symptom
2. Hyperthermia of thrombosis:
3. Fluctuations 1. Loose stools mixed with blood
4. dermahemia( hyperemia of skin) 2. Vomiting
5. leukocytosis with a shift leukocyte form 3. Abdominal pain, radiating to the back
to left side 4. Laxity of anterior abdominal wall
5. All of the above are correct
128. Contraindications to surgical treatment
with strangulated hernia is: 134.Kakoy symptom is not typical for acute
1. The giant size of the hernia appendicitis abscess
2. Pregnancy in the second half 1.Simptom Rovzing
3. Phlegmon hernia sac 2.simptom Bartome-Michelson
4. Recently, myocardial infarction 3.simptom "toxic scissors"
5. None of above them 4.simptom Schetkin-Blumberg
5.simptom Sitkovsk
129.proncipal of the treatment for
peritonitis is: 135. What complication developed during
1. Surgery the migration of stones on the biliary ways
2. Detoxification Therapy 1.pileflebit
3. Rational antibiotic 2.under hepatics(obstructive) abscess
3.trombosis cystic artery 142. The method allows to verify the
4.acut pancreatitis diagnosis of middle part syndrome are:
5.mechanichal jaundice( obstructive 1) lateral tomography
jaundice) 2) bronchography
3) dynamic observation
136. According to the method of Girard- 4) Flexible bronchoscopy with biopsy
Bobrov in the treatment of transactions 5) Computer tomography(CT)
inguinal hernia strengthened:
1. The back wall of the inguinal canal 143.emmergency assistance in valve
2. The upper wall of the inguinal canal pneumothorax start from :
3. The front wall of the inguinal canal 1) with tracheotomy
4. The bottom wall of the inguinal canal 2) puncture and draining the pleural
5. None of the above them cavity
3) with the blockade of the intercostal
137. appendectomy appendicitis is in the nerves
section: 4) to immobilize the thorax .
1. Kera 5) the blockade of the diaphragm nerves.
2. Fedorov
3. Volkovich-Dyakonov 144.Activ drainage of pleural cavity is not
4. Mamakeev shown:
5. None of them 1) thoracotomy
2) when hemothorax due to fracture of ribs
138.Element of obstructive and 3) in recurrent hemothorax
strangulation obstruction include : 4) with pleural empyema
1. intussusception 5) lobar pneumonia
2. Inversion
3. nodulation 145.chronic empyema considered:
4. strangulated hernia 1) from the second week
5. all the listed are correct aswer 2) from the fourth week
3) six weeks
139.complication of acute lung abscess 4) eight weeks
There can be: 5) three months
1) break the abscess into the pleural cavity
2) Bleeding 146. effortless polycystic is not
3) aspiration of pus in the lung complicated:
HEALTHCENTER 1) bleeding
4) sepsis 2) infection
5) formation of a dry cavity in the lung 3) pneumothorax
4) respiratory failure
140.for diagnostic of extra sphincter 5) the development of lung cancer
fistula direct clover shows:
1.irrigoscopy 147.the reason of hemopnoe least likely to
2.kolonoscopy happen:
3.anoscopy 1) TB
4.fistulographia 2) cancer
3) pulmonary infarction
141.the reason transition of acute pleural 4) pneumoconiosis
empyema to chronic empyem can be: 5) the degree of mitral stenosis stage 2
1) failed attempt obliteration cavity in
the acute period 148.examination of sputum atypical cells
2) premature removal of drainage should be carried out:
3) large primary cavity 1) once a knock
4) tuberculosis and other specific flora 2) two consecutive days
5) broncho-pleural fistula 3) Weekly
4) five or six days in a row
5) twice a day
 2) Straining pain in the arm
149.during of cardiac tamponade shows: 3) strengthening the skin cyanosis hand vein
1) pericardiocentesis pattern
2) blood transfusions 4) swelling of the hands
3) diuretics 5) all of the above features are characteristic
4) hemostatic therapy
5) Antibiotics 156. Complications of varicose veins does
not include:
150. surgical Operation for acute 1. skin .pigmentation
paraproctisis best conduct anesthesia is : 2. induration subcutaneous tissue
1) under anesthesia internal 3. trophic ulcers
2) under local anesthesia 4.tromboflebit
3) using sacral anesthesia 5) cyanotic thigh skin
4) under epidural anesthesia
5) using any form of anesthesia. In 157.for flebothrombosis foot-femoral
addition to local anesthesia segment is not typical clinic:
1) hyperemia skin of thigh in area the
151. What are the treatments should be used passage of veins
in acute paraproctitis: 2) foot swelling and shin
1) massive antibiotic therapy. physiotherapy 3) straining pain femoral
2) the planned operation. Massive antibiotic 4) increase volume of femoral and shin
therapy 5) cyanotic thigh skin
3) emergency surgery massive antibiotic
therapy 158. The characteristic effect of the action of
4) physiotherapy emergency surgery angiotensin-2 is:
1) increase of aldosterone production
152.for acute paracproctit treatment 2) increase of production of renin
necessary to keep the following principles: 3) sharp change in vascular tone
1) early surgery 4) all above are correct
2) an adequate autopsy and sanitation of 5) All are above incorrect
purulent focus
3) excision of internal opening 159.for acute limb arterial insufficiency is
4) adequate drainage not typical:
5) all answers are correct 1) absence of a pulse
2) paresthesia
153. for investigation of rectal fistula 3) trophic ulcer of shin
process appear : 4) limb paralysis
1) an external inspection and palpation 5) paleness of skin and pain
2) digital examination of the rectum
3) staining fistulous and probe 160. recommended after phlebectomy
4) fistulography 1) early rising
5) all of the above are correct 2) elastic bandaging limbs
3) physiotherapy
154. first reasons predisposes factor risk 4) physiotherapy( gym)
to the appearance of acute paraproctisis is: 5) all of the above are correct
1) Hemorrhoids
2) damage to the rectum during medical 161.most common cause of acute arterial
procedures thrombosis are:
3) micro trauma rectal mucosa 1) thrombotic angiitis obliteration
4) firearm bowel injury 2) atherosclerosis
5) inflammatory diseases of the disease to 3) puncture and catheterization arteries
adjacent organs 4) extra vasal compression arteries
5) polycythemia
155.none characteristic syndrome for
pedzheta-shrettera is:
1) cyanosis of the face and neck
162.determine the inconsistency 4) decompensation of sour stomach
communication of veins do not allow on 5) hyper product antral gastric
next sample
1) Thalmann 169. The founder of modern antiseptics
2) Sukkar considered:
3) Brodie-Trendelenburg Troyanova 1. Erlich
4) Sheynis 2. Koch
5) Pratt 3.Lister
4.Ahunbaev
163.sindrom Leriche may be the cause of
thrombosis: 170. Shock index normally is:
1) The femoral artery 1. 1.0
2) popliteal artery 2. 1.5
3) the bifurcation of the aorta iliac artery 3. 0.5
4) the renal arteries 4. 2.0
5), pulmonary embolism
&Nasim Khan&
164.due to assessment of deep vein patency
test is used:
1) Thalmann
2) Sheynis
3) gakkenberg
4) mayo-Pratt
5) Brodie-troyanov trendelenburg

165.sindrom Raynaud's is not observed at:

1) Buerger's disease
2) scleroderma
3) stenosis of the subclavian artery
4) cervical rib
5) arteriovenous fistula

166.modern tool for embolectomy:

1) vascular ring Volmer
2) vacuum suction
3) catheter Fogarty
4) Loop Dorminy
5) shipts Liuera

167.for chronic gastroduodenal ulcer is not

typical:
1) thick edge
2) the ability to penetrate into the depth of
the wall
3) of different sizes (0.3 to 8.6 cm or more)
of the ulcer
4) lack of korvengents folds of mucous
membrane to the edges of the ulcer
5) the possibility of complications

168.Patogenesis of ulcer duodenal is not

involved:
1) the intensity of the continuous acid
production
2) the state of antral acid brakes
3) Duodenal acid brake