Appendicular infiltrate, peritonitis, pylephlebitis

 

#4

*! Which of the following is the MOST correct definition of peritonitis?

+ acute or chronic inflammation of the parietal and visceral peritoneum.

#5

*! A muscle tendon is attached to the ulnar process?

b. triceps

 

# 6

*! In case of damage to the radial nerve in the area of ​​the head and neck of the radial bone, MOST loss of muscle function is most likely?

d. extensor brush

 

# 7

*! When determining the lesion area according to the "nine" rule, the front surface of the trunk is:

+ 18%

 

#8

*! For traumatic shock is characteristic:

+ erectile and torpid phase

 

#9

*! When the anterior cruciate ligament is torn off, the optimal period for the possibility of its restoration to the place of attachment is considered the first?

+ 2-5 days.

 

#10

*! A burn disease causes a burn, covering:

Burn disease develops in the presence of burns of IIIb-IV degree on 10% of the body surface, burns of II-IIIa degree by 15%

 

# 11

*! What is the content of the parathonsillar space presented?

loose fiber +

 

# 12

* Where is K isselbahovo plexus?

+1 anterior-inferior divisions of the septum

# 13

*! MOST probable time of indigo carmine release during normal intravenous administration

+ 3-5 minutes

# 14

*! MOST probable amount of urine in anuria

From 0 to 50 ml

# 1 5

*! What research method is MOST suitable for examining the fundus?

+ ophthalmoscopy

#sixteen

*! Where is the MOST true focus for myopia?

Before the retina

 

#1

*! A woman entered the reception department. 2 7 years old, with complaints of abdominal pain that started in the epigastric region, have now moved to the right iliac region. On palpation, muscle tension and soreness in the right iliac region are noted.

Which of the following preliminary diagnoses is MOST probable? Acute appendicitis.

# 2

*! A man of 4–5 years old was admitted to the hospital with complaints of pain in the right hypochondrium, nausea, and vomiting. Earlier, an ultrasound revealed cholelithiasis. On examination, the abdomen is tense and sharply painful in the right hypochondrium. It is sharply painful when striking the right hypochondrium. In the analysis of blood leukocytes - 1 6 x ^{10 9} / L.

Which of the following preliminary diagnoses is MOST probable?

Acute cholecystitis.

 

# 3

*! A 38-year-old man was hospitalized for ulcerative bleeding. On examination, the skin is pale, covered with cold sweat. HELL - 50 / 20mm Hg, pulse - 120 beats / min. In the blood test: red blood cells - 1.8x10 ¹² / l, hemoglobin - 62 g / l.

What complication is MOST likely in this patient?

ZhKK.

 

#4

*! A patient of 68 years was delivered to the hospital. A preliminary diagnosis is made: acute pancreatitis. In the history of arterial hypertension, 2 years ago suffered myocardial infarction.

Given the patient’s age and medical history, with which disease is it necessary to conduct a differential diagnosis of acute pancreatitis?

Abdominal myocardial infarction

 

#5

*! M men are e, 22 years old, supplied are mu with a clinical picture of perforated ulcers znachenaobzornaya radiographs abryushnoy cavity.

What radiological symptom is characteristic for perforated ulcers?

Symptom of the sickle.

 

 

# 6 *! A man of 37 years old came with signs of acute pancreatitis. The disease is associated with the intake of alcohol. In the blood test: white blood cells - 9.4x10 ⁹ / l, ESR-10 mm / h; Ultrasound conclusion: an increase in the size of the pancreas.

What indicator level is determined in this case?

Amylase in the blood and urine

 

# 7 *! 3 years ago, a 67-year-old patient in the surgical department was operated on for acute pancreatic necrosis. At the moment, on palpation, the abdomen is soft, painless. In the blood test: white blood cells - 8.5x10 ⁹ / l. Ultrasound: in the parenchyma of the pancreas, a hypoechoic formation with a diameter of up to 7.0 cm without a level of liquids is determined.

Identify the most likely postoperative complication?

Pancreatic cyst

 

#8

*! During the operation for acute intestinal obstruction, a loop of a small intestine of a dark color was found and hemorrhagic fluid in the abdominal cavity, peristalsis and pulsation of the feeding artery of this section of the intestine were absent.

What surgical tactics are MOST acceptable?

* + resection of the necrotic colon

 

#9

*! A man of 50 years old, was admitted with complaints of aching pain in the right half of the abdomen. Sick for 5-6 days, did not consult a doctor. On examination, the body temperature is 37.6 ºС. Palpation in the right iliac region determines the formation, rounded, motionless, 7.0x5.0 cm in size, moderately painful.

Which of the following preliminary diagnoses is MOST probable?

* appendicular infiltrate

10

*! A 38-year-old woman turned to a surgeon with complaints of protrusion in the navel. On examination, a hernial protrusion of 4.0x3.5 cm, the color of the skin over the formation is not changed. On palpation, the contents of the hernial sac of a soft elastic consistency, with percussion, a tympanic sound is determined.

Which of the following is the MOST probable contents of the hernial sac?

*Intestines

 

#eleven

*! A patient, 46 years old, was admitted with complaints of bloating, gas leakage and lack of stool. During the examination, the symptoms of Tsege-Manteifel and Obukhovskaya Hospital are positive.

Identify the MOST probable pathology leading to intestinal obstruction?

* inversion of the sigmoid colon

 

#12

*! A 47-year-old man was taken for surgery 8 hours after infringement of an inguinal hernia. During surgery, a viable two loops of the small intestine were found in the hernial sac. After dissection of the infringing ring, a loop of intestine connecting them is located in the abdominal cavity.

What type of infringement is MOST likely?

Retrograde infringement

 

#thirteen

*! The patient is 55 years old, after physical exertion, cramping pains appeared throughout the abdomen. Over time, nausea, vomiting and bloating appeared, the gas stopped flowing. This symptom complex is MOST probable with?