Standards of answers

1 – c; 2 – d; 3 – c; 4 – c; 5 – d.

Young man, 25 years old, has diffuse abdominal pain, vomiting. He suffers from abdominal pain for 4 days. Pain started as diffuse lower part abdominal pain, after some hours localized in right lower quadrant, became general again on the 3 day. Body temperature is 38.5 ºС. Tenderness of abdominal wall and Blumberg’s sine are present.

1. What is the most probable cause of peritonitis:

1. acute cholecystitis;

2. acute pancreatitis;

3. acute appendicitis;

4. perforated ulcer.

2. The most important laboratory study for patient is:

1. CBC with differential, serum electrolytes with renal function;

2. urinalysis;

3. C – reactive protein;

4. liver tests.

3. The most informative investigation is:

1. Ultrasonic scan of abdominal cavity;

2. CT scan of abdominal cavity;

3. abdominal plain film;

4. that is necessary for preoperative preparation.

4. Treatment policy includes:

1. emergency surgery;

2. conservative treatment (Taylor method);

3. surgery if conservative treatment is not successful;

4. emergency surgery after preoperative preparation.

5. Optimal surgical incision for patient isik:

1. McBurney incision;

2. middle line laparotomy;

3. right side pararectal laparotomy;

4. right side transrectal laparotomy.

Standards of answers

1 – с; 2 – a; 3 – d; 4 – d; 5 – b.

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