С.Ж.АСФЕНДИЯРОВ АТЫНДАЃЫ ЌАЗА Ќ ¦ЛТТЫ Ќ MEDICINE УНИВЕРСИТЕТІ			THE KAZAKH NATIONAL MEDICAL UNIVERSITY OF NAME С.Д.АСФЕНДИЯРОВА
CHAIR SURGICAL ILLNESSES №2 CONTROL AND MEASURING MEANS

* Transfusiology*1*60*1*

#1

*!Titre standard isohemagglutinating whey for blood type definition should be not less

*1:8

*1:64

*+1: 32

*1:16

*1:128

#2

*!Quantity of cells on a tablet, filled with six standard whey, at blood type definition

*3

*7

*+6

*4

*8

#3

*!How many minutes are necessary to observe agglutination reaction at blood type definition on standard whey

*1 mines

*2 mines

*3 mines

*4 mines

*+5 min

#4

*!The mechanism of reaction of agglutination at blood type definition

*pasting platelet and their destruction

*+pasting and destruction of the erythrocytes

*aggregation of leukocytes

*immunization of blood by a Rhesus factor

*formation of "monetary columns"

#5

*!Blood В (III) groups can be poured to persons

*with I and II blood types

*with any blood type

*+only with the III blood type

*only with III and IV blood types

*with II and III blood types

#6

*!During Rhesus factor definition there was an agglutination. It means that blood

*+the Rhesus factor-positive

*it is not compatible on a Rhesus factor

*a Rhesus factor-negative

*compatible on a Rhesus factor

*it is not compatible on a group accessory

#7

*!Where the Rhesus factor contains:

*+erythrocyte

*leukocytes

*a plasma

*platelets

*eosinophils

#8

*!Name a blood type in which contain agglutinogens A and B

*first

*a second

*+the fourth

*third

*a fifth

#9

*!Approximate percent of people about a Rhesus factor-negative blood

*+15 %

*50%

*85%

*100%

*99%

#10

*!During test carrying out on a Rhesus factor-compatibility of blood of the donor and the recipient there was an agglutination reaction. It means that blood is

*a Rhesus factor-positive

*it is compatible on a Rhesus factor

*+it is incompatible on the Rhesus factor

*a Rhesus factor-negative

*it is compatible on a group accessory

#11

*!If at blood type definition by standard serum, agglutination has occurred to serum of 1st and 3 groups. It means that investigated blood:

*first group

* fourth group

* third group

*+the second group

*a Rhesus factor positive

#12

*!If at test carrying out on group compatibility of blood of the donor and the recipient agglutination was absent, it means that blood:

*it is compatible on a Rhesus factor and it is not compatible on a group accessory

*it is compatible on a Rhesus factor

*it is not compatible on a Rhesus factor

*+it is compatible on the group accessory

*it is not compatible on a group accessory

#13

*!That is necessary for test on individual compatibility of blood of the donor and the recipient

*+serum of the recipient and blood of the donor

*plasma of recipient and whey of donor

*plasma of donor and blood of recipient

*plasma of donor and whey of recipient

*plasma of donor and plasma of recipient

#14

*!Note the scientist who with success used for the first time cadaveric blood for transfusion:

*U.T.Mortons

*J.Janskys

*+V.N.Shamov

*N.I.Pies

*K.Landshtejners

#15

*!At definition of a Rhesus factor of blood reaction the antigene-antibody is called:

*heteroagglutination

*panagglutination

*gomoagglutination

*pseudo-agglutination

*+the isoagglutination

#16

*!Panagglutination during blood type definition on system ABO it can be observed at:

*hemolysisе blood

*use of whey with expired working life

*+non-observance of the temperature mode

*non-observance of proportions of quantity hemagglutinating whey and blood of patient

*addition of solution NaCl

#17

*!What reason autoagglutination can be at blood type definition:

*a wrong parity of volumes of whey and blood

*weak agglutinability erythrocytes

*+the sensitisation erythrocytes autoantigens

* raised maintenance of ions of calcium in test reactants

*non-observance of temperature conditions of reaction

#18

*!Whence the blood sampling is made for compatibility definition on system ABO and a Rhesus factor, from:

*veins in melanzher

*a finger on subject glass

*+veins in the dry test tube

*a finger on subject glass with sodium addition citrate

*veins in a test tube with an isotonic solution of sodium of chloride

#19

*!A blood type at transfusion:

*+it is checked before the each haemotransfusion

*it is checked before first haemotransfusion

*it is not checked, enough data in passport

*it is not checked, enough data of anamnesis

*it is not checked, enough data in history of illness

#20

*!Reaction isoagglutination was positive with standard whey O(I) and A (II). Investigated blood concerns what group:

*А(II)

*О(I)

*ABO

*АВ (IV)

*+В (III)

#21

*!At what temperature mode (in degrees on Celsius) define blood types on system ABO:

*12-14

*5-8

*26-38

*+15- 25

*46-48

#22

*!Specify, what feature blood of newborns has:

*+are poorly expressed the agglutinogens

*are poorly expressed agglutinins IgЕ

*are poorly expressed agglutinins and agglutinogens IgA

*are absent agglutinins and agglutinogens

*is present HbsAg

#23

*!At definition of a blood type at newborns for the error prevention it is necessary:

*to execute cross definition of a blood type

*to carry out reaction at temperature above 25 °

*+to use reactants with the high titres isohemagglutinins

*to refuse use of 0,9 % of a solution of sodium of chloride

*to increase time of course of reaction

#24

*!What features blood of newborns has?

*are poorly expressed agglutinins

*+are the poorly expressed agglutinogens, are absent agglutinins

*are poorly expressed agglutinins and agglutinogens

*features are not present

*resistance erythrocytes is sharply lowered.

#25

*!Why it is impossible to pour Rh *+ blood of donors Rh - to recipients:

*+danger of formation Rh of antibodies at the recipient

*danger of formation Rh of antibodies at donor

*development citrated shock

*development of allergic reactions

*development pyrogenic reactions

#26

*!What is the blood type?

*a set leukocytes antigenes

*serum fibers

*+the set erythrocytes antigenes

*a set of the got antibodies

*a set of immune antibodies.

#27

*!Value of antigenes and system ABO antibodies in blood transfusion to practice?

*characterise an organism condition

*+define compatibility of the poured blood

*have no basic value

*allow to define necessary volume of a haemotransfusion

*define presence or absence of a Rhesus factor

#28

*!How reaction an antigene-antibody is called at definition of a Rhesus factor of blood?

*pseudo-agglutination

*panagglutination

*+the isoagglutination

*heteroagglutination

*gomoagglutination.

#29

*!Specify a temperature mode (in degrees on Celsius) for blood type definition on system ABO?

*6-8

*12-14

*+15- 25

*27-37

*45-46.

#30

*!At definition of a blood type with the help colyclons agglutination is absent with colyclons anti and anti-century of What group investigated blood:

*+О (I)

*А(II)

*В (III)

*АВ (IV)

*АВО

#31

*!Agglutination is observed with colyclons anti and there is no since anti-century of What group an investigated blood:

*О(I)

*+А (II)

*В (III)

*АВ (IV)

*АВО

#32

*!Agglutination is observed with colyclons anti and anti-century of What group investigated blood:

*О(I)

*А(II)

*В (III)

*+АВ (IV)

*АВО

#33

*!Agglutination is observed with colyclons anti-century of What group investigated blood:

*О(I)

*А(II)

*+В (III)

*АВ(IV)

*АВО

#34

*!Control over agglutination reaction at definition of a blood type with the help colyclons is carried out during:

*3-5 секs

*20-30 секs

*1 mines

*2 mines

*+2-5 min

#35

*!Titre standard whey for blood type definition should be not less

*1:8

*+1: 32

*1:64

*1:16

*1:128

#36

*!Quantity of cells on a plate, filled with standard whey, at blood type definition

*3

*+ 6

*7

*4

*8

#37

*!What is the blood type:

*a set leukocytes antigenes

*serum fibers

*+the set erythrocytes antigene

*a set of got antibodies

*a set of immune antibodies

#38

*!What value of antigenes and system ABO antibodies in blood transfusion to practice:

*characterise an organism condition

*+define compatibility of the poured blood

*characterises albuminous structure of blood

*allow to define necessary volume of a haemotransfusion

*defines curtailing system of blood

#39

*!What elements of blood contain agglutinins:

*leukocytes

*erythrocytes

*+ the blood serum

*platelets

*monocytes

#40

*!In what elements of blood are agglutinogens:

*in leukocytes

*in blood plasma

*in blood whey

*+inthe erythrocytes

*in plateletах

#41

*!The mechanism of interaction includes "antigene-antibody":

*+connection of an antibody with the antigene determined blood cell

*there is an agglutination reaction

*goes лизис blood cells

*develops hemolysis

*"antigene-antibody" joins a complex complement

#42

*!250 antigenes erythrocytes which form antigene systems are known.

Clinical value has:

*5 systems

*7 systems

*+13 system

*18 systems

*20 systems

#43

*!Blood transfusion О(I) groups Rh - to recipients with blood of other groups is in exceptional cases admissible, but the quantity of poured blood should not be more:

*600 mls

*800 mls

*700 mls

*1000 mls

*+500 ml

#44

*!At definition of a blood type isoagglutination reaction was positive with standard whey О(I) and В (III) groups and negative with А(II). Group of investigated blood?

*О(I)

*+А(II)

*В (III)

*АВ (IV)

*ABO

#45

*!At definition of a blood type isoagglutination reaction was positive with standard whey А(II) and В (III) groups and negative – with О(I) and АВ (IV). To what the similar result testifies:

*О(I)

*А(II)

*В (III)

*АВ (IV)

*+about unfitness of the standard whey

#46

*!At definition of a blood type isoagglutination reaction was positive with standard whey О(I)and А(II). Investigated blood concerns what group:

*О(I)

*А(II)

*+В (III)

*АВ(IV)

*ABO

#47

*!What is necessary a temperature mode (in degrees on Celsius) at blood type definition on system ABO:

*5-8

*12-14

*+15-25

*26-38

*46-48

#48

*!During blood type definition on system ABO it can be observed panagglutination at:

*hemolysisе blood

*+non-observance of the temperature mode

*use of whey with a expired working life

*addition of solution NaCl

*non-observance of proportions of quantity hemagglutinating whey and blood of patient

#49

*!The reason autoagglutination at blood type definition can be:

*weak agglutinability erythrocytes

*a wrong parity of volumes of whey and blood

*non-observance of temperature conditions of reaction

*raised maintenance of ions of calcium in test reactants

*+ the sensitisation erythrocytes autoantigens

#50

*!The blood sampling on system ABO and a Rhesus factor is made for compatibility definition from:

*a finger on subject glass

*veins in melandger

*a finger on subject glass with sodium addition citrate

*+veins in the dry test tube

*veins in a test tube with an isotonic solution of sodium of chloride

#51

*!As reaction an antigene-antibody is called at definition of a Rhesus factor of blood:

*pseudo-agglutination

*panagglutination

*+ the isoagglutination

*heteroagglutination

*gomoagglutination

#52

*!What features blood of newborns has:

*are poorly expressed agglutinins

*+are the poorly expressed agglutinogens, are absent agglutinins

*are poorly expressed agglutinins and agglutinogens

*eritrotsity - spherocytes

*resistance erythrocytes is sharply lowered

#53

*!For the error prevention at definition of a blood type at newborns

It is necessary:

*to increase time of course of reaction

*+to use reactants with the high titres isohemagglutinins

*to carry out reaction at temperature above 25 °

*to refuse use of 0,9 % of a solution of sodium of chloride

*to execute cross definition of a blood type

#54

*!The transfused blood has no on an organism of the recipient following an effect:

*replaceable

* haemodynamic

*immunological

*haemostatic

*+the antineoplastic

#55

*!Replaceable action poured washed packed red blood cells is caused by that:

*+erythrocytes blood restore the volume of blood and its gas-transport function

*leukocytes raise immune abilities of an organism

*platelet correcting fibrillation system

*plasma improves haemodynamic properties of blood

*factors of a fibrillation and fibrinolysis regulate a modular condition of blood

#56

*!The haemodynamic effect of the poured blood is caused by that:

*+increases the volume of circulating blood

*venous inflow of blood to right departments of heart decreases

*the minute volume of blood decreases

*increases angiospasm vessels

*amplifies sequestration blood

#57

*!The haemotransfusion normalizes immunological properties of an organism as:

*it is entered citrate sodium

*+antibodies, the complement, cytokines are entered

*antibacterial and antitoxic antibodies are deduced

*it is oppressed phagocytic activity of leukocytes

*corpulent cages become more active

#58

*!The haemostatic effect poured plateletmass causes:

*moderate hypocoagulation

*it is oppressed tromboplastic activity of blood

*level fibrinogen decreases

*+entered platelet strengthen the haemostatic reaction

*development of antibodies on antigenes platelet is stimulated

#59

*!Specify that is not sources of blood for transfusion:

*donor blood

*autologous blood

*+blood of the animals

*cadaveric blood

*placentary blood

#60

*!What scientist posesses idea of use of cadaveric blood for transfusion:

*K.Landshtejnerus

*J.Janskys

*N.I.Pirogovus

*+V.N.Shamovu

*U.T.Mortonus

*Transfusiology*2*150*2*

#61

*!In what year the Rhesus factor has been opened:

*+1940

*1900

*1920

*1902

*1930

#62

*!At definition of a Rhesus factor by an express method in a test tube there was an agglutination. It means that blood

*a Rhesus factor-negative

*it is not compatible on a Rhesus factor

*+ the Rhesus factor-positive

*compatible on a Rhesus factor

*it is not compatible on a group accessory

#63

*!Speed of injection of blood at biological test

*+ the 50-60 drops in minute

*jet

*20-30 drops in a minute

*30-40 drops in a minute

*10-20 drops in a minute

#64

*!At test carrying out on a Rhesus factor-compatibility of blood of the donor and the recipient in a test tube there was an agglutination reaction. It means that blood

*a Rhesus factor-positive

*it is compatible on a Rhesus factor

*a Rhesus factor-negative

*+it is incompatible on the Rhesus factor

*it is compatible on a group accessory

#65

*!The Rhesus factor contains in

*to plasmas

*leukocytes

*+erythrocyte

*platelets

*to a spleen

#66

*!A blood type in which contain agglutinogens A and B

* first

* second

* third

*+the fourth

*fifth

#67

*!Percent of people about a Rhesus factor-positive blood

*15%

*50%

*+85%

*100%

*99%

#68

*!Test components on individual compatibility of blood of the donor and the recipient

*plasma of donor and whey of recipient

*plasma of recipient and whey of donor

*plasma of donor and blood of the recipient

*+whey of the recipient and blood of the donor

*plasma of donor and plasma of recipient

#69

*!At blood type definition on standard whey agglutination has occurred to whey of 1st and 3 groups. It means that blood

*first group

*+the second group

* third group

*fourth group

*fifth group

#70

*!At test carrying out on group compatibility of blood of the donor and the recipient agglutination was absent. It means that blood

*it is compatible on a Rhesus factor

*+it is compatible on a group accessory

*it is not compatible on a Rhesus factor

*it is not compatible on a group accessory

*it is compatible on a Rhesus factor and it is not compatible on a group accessory

#71

*!Structure of blood of II group

*+Aβ

*Bα

*АВ

*O

*АВО

#72

*!Agglutination reaction is

*fall of coagulability of blood

*immunization of blood by a Rhesus factor

*an intravascular fibrillation

*+pasting erythrocytes with the their subsequent destruction

*reduction a BLOOD VOLUME

#73

*!Blood can be entered Into (III) groups to persons

*+only with the III blood type

*with any blood types

*only with III and IV blood types

*with II and III blood types

*with I and II blood types

#74

*!The result of reaction of agglutination at blood type definition on standard whey is defined through

*1 mines

*2 mines

*3 mines

*+5 min

*4 mines

#75

*!What functions blood cannot carry out:

* respiratory

*+ the oncogenic

*excretory

*the nutritious

*the haemostatic

#76

*!What speed of blood transfusion at biological test

*+50-60 drops in the minute

*20-30 drops in a minute

*a jet

*30-40 drops in a minute

*10-20 drops in a minute

#77

*!A visual sign infection blood in a bottle

*sweat a bottle

*chylous plasma

*plasma transparent

*blood 3 layer, plasma transparent

*+plasma muddy, with the flakes

#78

*!Heparin blood is stored:

*+24 hour

*1 hours

*1 months

*3 days

*21 days

#79

*!It is for what purpose applied erythrocytes a blood component

*increases in volume of circulating blood

*+ the anemia treatments

*detoxification

*parenteral a food

*treatment hypoproteinemia

#80

*!What blood is applied at reinfusion of autologous

*placentary blood

*tinned blood

*+ the autologous blood

*"warm" blood

*packed red blood cells

#81

*!For a hemostasis blood in small doses pour on purpose

*increases in volume of circulating blood

*+accelerations of the coagulability of blood

*increases ARTERIAL PRESSURE

*improvements of action of heart

*supports osmotic pressure in interstition space

#82

*!How many hours store in the refrigerator at *+4 - *+ 8С⁰ the blood which has remained in a bottle after transfusion:

*24 hours

*72 hours

*+48 hour

*2 hours

*6 hours

#83

*!For fibrillation prevention at its conservation the chemical substance is used:

*a vicasoli

*aminocaproic acid

*acetylsalicylic acid

*a physiological solution

*+ the citrate sodium

#84

*!Before blood transfusion blood transfusion and obstetric the anamnesis allow:

*to reveal hereditary diseases

*to change a way of definition of a blood type

*to define a Rhesus factor-accessory and a blood type of the patient

*+to prevent the possible hemo transfusion complications

*urgently to pick up donor blood

#85

*!At what условиии the complicationscaused by transfusion incompatible on Rh - to the blood factorcan develop:

*at repeated introduction a Rhesus factor - to positive recipients a Rhesus factor - of negative blood

*at pregnancy a Rhesus factor - of the negative woman a Rhesus factor-otritsatelym a fruit

*+at repeated introduction the Rhesus factor-negative to recipientsblood Rhesus factor-positive

*at transfusion a Rhesus factor-negative to recipients of plasma of blood a Rhesus factor-positive of the donor

*at pregnancy a Rhesus factor - of positive woman a Rhesus factor - a negative fruit

#86

*!The blood taken for definition of a Rhesus factor, at temperature *+4 With can be stored:

*+2-3 day

*5-6 days

*about one days

*2-3 hours

*10-12 hours

#87

*!At what pathology blood transfusion gives the greatest efficiency:

*at starvation

*fatty embolism

*traumatic shock

*sharp cardiovascular insufficiency

*+ the sharp anaemia

#88

*!The indication to transfusion of donor blood:

*+the expressed anaemia

*anaphylactic shock

*sharp glomerulonephritis

*hepatic insufficiency

*an anaemia of easy degree

#89

*!What situation is the cause for restriction of indications of a haemotransfusion:

*blood loss during operation within 2-2,5 litres

*rupture aorta aneurysms

*operation uterus amputation complicated метроррагией and an anaemia

*+ACUTE RENAL FAILURE with the anaemia of easy degree

* expanded traumatic operations

#90

*!Specify relative contra-indication to transfusion of donor blood:

*+decompensation of the warm activity

*a heavy anaemia

*presence of haemotransfusions in anamnesis

*operational blood loss more 500ml.

*profuse a gastroenteric bleeding

#91

*!Actions of the doctor at blood transfusion to the patients who are in a condition of a narcosis:

*compatibility only on system ABO is defined

*biological test is spent only

*biological test is not spent

*+tests on compatibility are spent in the full

*compatibility only on a Rhesus factor is defined

#92

*!That is not necessary by preparation of patients for a haemotransfusion:

*to collect obstetric anamnesis

*to make general analysis of blood

*+to spend the X-rays thorax

*to make general analysis of urine

*to collect blood transfusion anamnesis

#93

*!In a category dangerous, because of possible haemotransfusions complications, recipients do not concern:

*transferred an infectious disease

*+for the first time having indications to haemotransfusions

*complications having in anamnesis after a haemotransfusion

*suffering allergic diseases

*blood suffering by system diseases

#94

*!The indication to intraarterial blood transfusion is:

*haemoconcentration

*surgical operation

*+massive blood loss with the hypotonia

*preoperative preparation

*acidosis

#95

*!At blood conservation in red cages occurs:

*+reduction of the concentrationАТР and 2,3 – DIPHOSPHOGLYCERATE

*a potassium input in cages

*an exit from cages of calcium, sodium and water

*aggregation of antigenes on a surface

*progressive loss of antibodies on a membrane

#96

*!Normal term of life erythrocytes:

*60 - 70 days

*70 - 80 days

*80 - 90 days

*90-100 days

*+100-120 day

#97

*! Normal term of life platelet:

*2 4 days

*4 6 days

*6-10 days

*+8-11 day

*11-15 days

#98

*! Negative sides of componental therapy:

*purposeful transfusion influence on an organism

*high medical efficiency at a number of pathological conditions

*absence of negative consequences of transfusion of integral blood

*reception only necessary components of blood

*+formation of the microunits of blood cells

#99

*!The eritrotsitsoderzhashchaja environment:

*+ the packed red blood cells

*leukocyte mass phenotyped

*cryoprecipitate

*platelete mass

*fresh frozen plasma

#100

*!The healthy person at the age from can be the donor of blood

*16 till 55 years

*18 till 70 years

*+18 till 60 year

*16 till 50 years

*14 till 70 years

#101

*!The donor service is counter-indicative at presence in the anamnesis

*an otitis

*an appendicitis

*+ the virus hepatitis

*a pneumonia

*pregnancy

#102

*! At survey of a bottle with tinned blood it is established that blood was stored 40 days. Your conclusion about the validity of blood

*blood is infected and is not suitable for transfusion

*blood is suitable for transfusion

*+the period of storage is delayed, it is impossible to pour

*hemolysis, it is impossible to pour blood

*it is possible to store even 10 days

#103

*!For carrying out of biological test follows

*to enter intravenously jet unitary 25 ml of blood and to observe of a condition of patient of 5 minutes

*+to enter intravenously drip three times on 2-3 ml of blood with the interval of 3 mines, observing of the patient

*to enter drip 25 ml of blood, to observe of a condition of patient of 5 minutes

*to enter drip three times on 25 ml of blood

*to enter hypodermically drip 25 ml of blood, to observe of a condition of patient of 5 minutes

#104

*!Signs infection blood in a bottle

*+plasma muddy, with the flakes

*plasma opalistsiruet

*plasma transparent

*blood 3 layer, plasma transparent

*sweat a bottle

#105

*!The packed red blood cells is applied on purpose

*increases in volume of circulating blood

*parenteral a food

*detoxification

*+anaemia the treatments

*treatment hypoproteinemia

#106

*!Reinfusion is

*transfusion placentary blood

*+transfusion the autologous blood

*transfusion of tinned blood

*direct blood transfusion

*transfusion packed red blood cells

#107

*!With hemostatic purpose in continuous bleeding from esophageal varices varikozno- preferable transfusion:

*leukocyte masss

*packed red blood cells

*reopoligljukin

*+fresh frozen the plasmas

*integral blood

#108

*!That does not concern integral blood:

*fresh citrat donor blood

*tinned donor blood

*cadaveric blood

*autologous blood

*+leukocyte the mass

#109

*!That does not concern blood components:

*packed red blood cells

*leukocyte mass

*platelete mass

*a plasma

*+ the whey

#110

*!Than plasma of blood differs from whey:

*in whey there are no leukocytes and platelet

*+in the whey is absent fibrinogen

*in whey is not present agglutinogens.

*in whey there is no scale-globulinov

*whey contains preservative

#111

*!At what use of a preparation smaller probability of development of albuminous incompatibility:

*integral blood

*native plasmas

*+packed the red blood cells

*albumin

*a protein

#112

*!As direct blood transfusion is called:

*partial or full removal of blood from a blood channel of patient with simultaneous replacement by same quantity of blood

*+direct transfusion from the donor to the recipient

*transfusion to patient of own in advance prepared blood

*transfusion of components of blood

*transfusion of tinned donor blood

#113

*!As exchange blood transfusion is called:

*+partial or full removal of the blood from a blood channel of the patient with simultaneous replacement by the same quantity of blood

*direct transfusion from donor to recipient

*transfusion to patient of own in advance prepared blood

*transfusion of components of blood

*transfusion of tinned donor blood

#114

*!Autoreinfuziej blood name:

*partial or full removal of blood from a blood channel of patient with simultaneous replacement by same quantity of blood

*direct transfusion from donor to recipient

*+transfusion to the patient of own blood at haemoperitoneum

*transfusion of components of blood

*transfusion of tinned donor blood

#115

*!A macroscopical estimation of the validity of donor blood:

*+correctly issued certification of the bottle of blood

*blood working life is delayed for one day

*no leak packings of a bottle with donor blood

*absence three-layer integral blood in a bottle

*muddy plasmas with presence of flakes, films, clots

#116

*!Through how many ten days, after экстракции tooth, it is possible to hand over donor blood:

*+10

*5

*1

*3

*7

#117

*!Test on individual compatibility of blood of the donor and the recipient on system ABO is spent during:

*+5 minute

*10 minutes

*15 minutes

*67 minutes

*546 minutes.

#118

*!For test carrying out on individual compatibility of whey of blood of the recipient and blood of the donor they mix up in the ratio:

*1:1

*1:2

*2:1

*+10:1

*1:5

#119

*!What method makes carrying out of biological test on individual compatibility of blood of the donor and the recipient intravenous?

*+drip

*jets

*under a pressure

*a syringe

*by a endolymphatically

#120

*!What quantity of blood joins unitary at carrying out of 3-fold biological test?

*100 ml

*50 ml

*+2-3ml.

*30-40ml

*500 ml

#121

*!What time interval should be between trial injections of blood at carrying out of 3-fold biological test on individual compatibility of blood of the donor and the recipient?

*10 minutes

*8 minutes

*+3 minute

*2 minutes

*1 minute.

#122

*!What not корригирует the blood poured for the purpose of compensation sharp blood loss?

*completion BLOOD VOLUME

*normalisation ARTERIAL PRESSURE

*+decrease in coagulability of the blood

*increase of coagulability of blood

*increase in a respiratory surface erythrocytes

#123

*!What sign speaks about unfitness of tinned blood to transfusion?

*tight containers

*an accurate passport labels

*a period of storage of 14 days

*three-layers

*+ the muddy film on the plasma surface, not disappearing at heating of blood to *+37 °.

#124

*!What reception is used for difference chylous blood from damaged by fungi or infected?

*to a shake up

*to a filter

*to open and remove a tampon a film

*to make crops on a nutrient medium

*+to warm up to 37 °

#125

*!What from the listed does not concern criteria of an estimation of a condition of the patient at carrying out of biological test?

*pulse rate

* AN ARTERIAL PRESSURE

*colour of a integuments

*A RESPIRATORY RATE

*+peristaltic intestines the noise

#126

*!What from listed is not a sign of biological incompatibility of blood of the donor and the recipient?

*a fever

*a tachycardia

*a pain in a waist

*+ the stomach swelling

*a short wind.

#127

*!That is relative contra-indication to a haemocomponental transfusion:

*immunotentiations

*detoxifications

*+ the mechanical jaundice

*a chronic anaemia

*a surgical infection.

#128

*!Proteins of plasma of donor blood circulate in a vascular channel of recipient:

*10-15 days

*15-20 days

*+18-36 day

*36-46 days

*more than 46 days

#129

*!Fibers of plasma of donor blood circulate in a vascular channel of the recipient:

*10-15 days

*15-20 days

*+18-36 day

*36-46 days

*more than 46 days.

#130

*!Erythrocytes the poured blood function in a vascular channel of the recipient:

*till 10 days

*till 15 days

*till 20 days

*till 25 days

*+till 30 day and more.

#131

*!What tests on compatibility spend at reinfusion of autologous the blood which have streamed in the closed cavity as a result of rupture паренхиматозного of body?

*on a system ABO

*under a Rh-factor

*on АВО and to a Rh-factor

*on an antibodies O

*+no the tests spend.

#132

*!Obligatory test for an estimation of suitability of blood at carrying out reinfusion from a cavity of a body after the closed trauma?

*on haemoglobin maintenances

*on presence of clots

*resistance erythrocytes

*+on the hemolysis erythrocytes

*on microflora.

#133

*!What technical precautions are observed at reinfusion the blood which have streamed in a belly cavity?

*+system the Cell Saver

*cooling

*warming up

*UV irradiation

*cultivation by a physical solution.

#134

*!The fibrillation, at a puncture of a pleural cavity, specifies on:

*high coagulability of blood

*low coagulability of blood

*инфицирование blood

*+ the proceeding bleeding

* stopped bleeding.

#135

*!Absence of what information on the container with donor blood does not forbid its transfusion?

*about group and a Rh-accessory

*about a surname of donor and doctor

*about date of preparation of blood

*about test on Hbs an antigene and a HIV

*+birthday of the donor

#136

*!Whether it is possible to use the blood which has not settled and not divided into layers suitable on terms and the data of the passporting label on the container for transfusion?

*it is possible after cooling

*it is impossible, it is necessary to utilise

*it is possible after a filtration

*+it is possible after upholding and the validity estimation

*it is possible after warming up to 37 °С.

#137

*!What precautions do not need to be observed at long transportation of blood?

*to contain in thermocontainer

*to keep tightness of packing

*a bottle to have control over

*not to subject to jolting and inversion

*+to transport under UV IRRADIATION the lamp

#138

*!What changes occur in donor blood at storage to 21 days, not allowing to pour it in considerable quantities to patients with massive blood loss?

*pasting erythrocytes

*destruction of hormones

*+shift to the ph aside acidosisа

*formation of antibodies

*formation of antigenes

#139

*!Autohemotransfusion it is shown at:

*septic conditions

* expressed anaemia, leycopenia and a thrombocytopenia

*thromboembolic illnesses

*+impossibility of the selection of donor blood

*chronic exhausting diseases

#140

*!The absolute indication to blood transfusion is:

*hypoproteinemia

*+the massive intraoperative blood loss

*an alimentary dystrophy

*immunity stimulation

*a chronic anaemia.

#141

*!The absolute indication for transfusion of the concentrated plasma is:

*a sharp anaemia

*a chronic anaemia

*+the hypoproteinemia

*for parenteral a food

*for a purpose of completion of volume of circulating blood

#142

*!What blood can be poured to the patient with AB (IV) Rh - blood under vital indications if to it under the same indications has been some days ago poured AB (IV) Rh *+ blood?

*+AB (IV) RH -

*AB (IV) Rh *+

*AB (IV) Rh *+ washed erythrocytes

*AND (I I) RH -

*0 (I) Rh *+

#143

*!Specify the maximum quantity of the blood O (I) group Rh - which can be poured, on occasion, to the recipient with AB (IV) blood type:

*100ml

*250ml

*+500 ml.

*750ml

*1000ml

#144

*!Criteria of a macroscopical estimation of worthlessness of the container with donor blood:

*blood working life is specified correctly

*instructions on labels about establishment where blood was prepared

*a transparency of plasma without presence of flakes, films, clots

*correctly issued certification of a bottle of blood

*+no leak packings of the bottle with donor blood

#145

*!Incorrectly issued certification of a bottle with blood:

*presence of date of preparation

*presence of a label with number

*+absence of the surname and the initials of the donor

*working life presence

*an accurate designation of group and an accessory Rhesus factor -

#146

*!Components of blood of the donor and the recipient tests used at carrying out on individual compatibility of blood:

*integral blood of a patient and integral blood of a donor

*plasma of a donor and plasma of patient

*a suspension erythrocytes blood of patient and blood of donor

*a suspension erythrocytes blood of donor and blood of patient

*+plasma or whey of blood of the patient and blood of the donor

#147

*!Correct algorithm of actions at a haemotransfusion:

*to pick up one group blood without an estimation of its working life

*+to define indications and contra-indications to the haemotransfusion

* data about a blood type and a Rhesus factor of recipient to take from passport

*to spend test on individual compatibility on system ABO plasma of donor and plasma of patient

* information about donor a blood type to use from a bottle label, without recheck

#148

*!The healthy person at the age from and to can be the donor of blood

*16 till 55 years

*18 till 70 years

*14 till 70 years

*16 till 50 years

*+ 18 till 60 year

#149

*!Contra-indication to a donor service, at presence in the anamnesis

*an otitis

*an appendicitis

*pregnancy

*a pneumonia

*+ the virus hepatitis

#150

*!What preparation prepare from blood of the person

*gidrolizin

*zhelatinol

*+ the protein

*polyglukin

*perftoran

#151

*!Erroneous actions at a haemotransfusion:

*to spend test on individual compatibility on a Rhesus factor

*to spend biological test

*to recheck a blood type of donor in a bottle

*to fill documentation after a haemotransfusion

*+supervision over the patient during time and after the haemotransfusion to transfer to the nurse

#152

*!Not correct certification of a bottle with blood:

*presence of a label with number

*presence of date of preparation

*an accurate designation of group and an accessory Rhesus factor -

*preservative presence

*+absence of the surname and the initials of the donor

#153

*!What chemical substance is used for fibrillation prevention at its conservation:

*aminocaproic acid

*vicasoli

*+citrate the sodium

*a physiological solution

*acetylsalicylic acid

#154

*!Specify admissible methods of a haemotransfusion:

*+intravenous, the intraarterial, intrabone

*hypodermic, intravenous, intraarterial

*intravenous, epidural, enteral

*intravenous, hypodermic, endolymphatic

*intraarterial, intrabone, endotracheal.

#155

*!How arrive with a bottle released after blood transfusion and its components?

*it wash and hand over in laboratory

*utilise

*+leave 10–15 ml of blood in the bottle and two days store

*leave 10–15 ml of blood in a bottle and store 30 day

*leave 10–15 ml of blood in a bottle and store to an extract of patient.

#156

*!What recipients do not concern a category dangerous because of occurrence possibility haemotransfusions complications?

*transferred blood transfusion more 3 weeks ago, accompanied by reactions

*women with unsuccessful obstetric anamnesis

*suffering malignant diseases with disintegration

*suffering long purulent diseases

*+persons without blood transfusion the anamnesis

#157

*!Blood transfusion to the patients who are in a condition of a narcosis, includes:

*biological test is spent only

*biological test is not spent

*+tests on compatibility are spent in thefull

*compatibility only on system ABO is defined

*compatibility only on a Rhesus factor is defined

#158

*!Blood transfusion and obstetric anamnesises before blood transfusion allow:

*+to preventthe possible haemotransfusions complication

*urgently to pick up donor blood

*to define a Rhesus factor-accessory and a blood type of patient

*to reveal hereditary diseases

*to change a way of definition of a blood type

#159

*!That use for stabilisation and storage of donor blood

*glucose

*glycerine

*+4 % the solution citrate sodium

*an isotonic solution

*5 % aminocaproic acid

#160

*!What maximum period of storage of integral blood

*7 days

*14 days

*28 days

*+21 day

*30 days

#161

*!Specify a blood preparation:

*native plasma

*packed red blood cells

*leukocyte mass

*+the albumin

*platelete mass

#162

*!After blood transfusion observe for:

*отхождением a chair and gases

*a central venous pressure

*intracranial pressure

*A ELECTROCARDIOGRAM

*+pulse, the ARTERIAL PRESSURE and diuresis

#163

*!Specify the component of blood possessing the most expressed haemostatic effect

*leukocyte mass

*packed red blood cells

*+thefresh frozen plasma

*erythrocytes a suspension

*washed erythrocytes

#164

*!A temperature mode of storage The donor blood in the refrigerator

*-2-0 degrees

*0-2 degrees

*-7-10 degrees

*+4 8 degree

*18 *+ 20 degrees

#165

*!At not observance of technics of blood transfusion complication can develop

*citrate shock

*anaphylactic shock

*blood transfusion shock

*sharp nephritic insufficiency

*+airthe embolism

#166

*!Specify a bottle period of storage in the refrigerator with the blood rests, after a haemotransfusion:

*6 hours

*12 hours

*+48 hour

*24 hours

*1 hour

#167

*!After a result tentative estimation, at blood type definition, it is added

*citrate sodium

*5 % a solution of chloride of sodium

*+0,9 % the solution of chloride of sodium

*the distilled water

*5 % a glucose solution

#168

*!What is the time the blood taken for definition of a Rhesus factor at temperature *+4 With can be stored:

*2-3 hours

*10-12 hours

*about one days

*+2-3 day

*5-6 days

#169

*!As contra-indication to blood transfusion serves:

*a heavy anaemia

*+decompensation warm activity with the hypostases and ascitesом

*profuse a gastroenteric bleeding

*operational blood loss more 500ml.

*presence of haemotransfusions in anamnesis

#170

*!At blood transfusion to the patients who are in a condition of a narcosis:

*+tests on compatibility are spent in the full

*biological test is not spent

*biological test is spent only

*compatibility only on system ABO is defined

*compatibility only on a Rhesus factor is defined

#171

*!That does not concern proof-readers of system of a hemostasis:

*+ the citrate sodium

*prothrombin a complex

*fibrinogen

*thrombin

*fibrinolysin

#172

*!For stabilisation of donor blood use

*glucose

*+5 % the solution citrate sodium

*glycerine

*an isotonic solution

*lecithin

#173

*!The maximum period of storage of integral blood

*7 days

*14 days

*+21 day

*28 days

*30 days

#174

*!A blood preparation is

*+the albumin

*packed red blood cells

*leukocyte mass

*native plasma

*platelete mass

#175

*!In red cages at blood conservation occurs:

*a potassium input in cages

*+Disco the Sphero transformation

*an exit from cages of calcium, sodium and water

*growth titreа antibodies

*decrease titreа antigenes

#176

*!Specify normal term of circulation erythrocytes in an organism:

*60 - 70 days

*70 - 80 days

*80 - 90 days

*+100-120 day

*90-100 days

#177

*!Specify normal term of circulation platelet in an organism:

*2 4 days

*4 6 days

*+8-11 day

*6-10 days

*11-15 days

#178

*!Value of haemocomponental therapy:

*+reception only necessary components of the blood

*increase of term of life erythrocytes

*haemoconcentration

*low medical efficiency at a number of pathological conditions

*promotes decrease in number of immune complexes

#179

*!Note not cellular components of blood:

*packed red blood cells defrozen and washed

*erythrocytes a suspension

*leukocyte mass phenotyped

*+fresh frozen the plasma

*platelete mass

#180

*!What plasma is not used in transfusiology:

*native

*dry (lyophilized)

*fresh frozen plasma

*the immune

*+plasma the cadaveric hemolysis blood

#181

*!To the indication of transfusion fresh frozen plasmas refers:

*system diseases of a connecting fabric

*a syndrome of Lerisha

*+the DVS-SYNDROME

*dry diabetic foot

*an anaemia of easy degree

#182

*!The indication to introduction cryoprecipitateа:

*+ the hemophilia And, In

*a syndrome of a portal hypertensia

*illnesses of kidneys with nephritic insufficiency

*performance laparocentesis at ascitesе

*a thrombosis of a pulmonary artery

#183

*!Specify that is not the proof-reader of system of a hemostasis:

*+citrate the sodium

*fibrinolysin

*thrombin

*fibrinogen

*prothrombin a complex

#184

*!The component of blood possessing the most expressed haemostatic effect

*leukocyte mass

*+fresh frozenthe plasma

*packed red blood cells

*erythrocytes a suspension

*washed erythrocytes

#185

*!Donor blood is stored in the refrigerator at temperature

*-2-0 degrees

*0-2 degrees

*+4-8 degree

*7-10 degrees

*18-20 degrees

#186

*!A period of storage of a bottle with the rests of blood after transfusion

*6 hours

*12 hours

*24 hours

*+48 hour

*1 hour

#187

*!At leycopenia it is necessary to pour:

*blood plasma

*+leukocytethe mass

*platelete mass

*packed red blood cells

*fresh citrate blood.

#188

*!The indication to transfusion platelete masss is:

*burn shock

*hypoproteinemia

*+the thrombocytopenia

*chronic iron deficiency an anaemia

*sharp decrease BLOOD VOLUME.

#189

*!At what temperature store fresh frozen plasma?

*5 °С

*0°С

*-20 °С

*+-28 °С

*-40 °С.

#190

*!Into structure of a preserving preparation as the blood stabilizer enters:

*5 % a sorbite solution

*+4 % citrate the sodium

*antibiotics

*distilled water

*fructose.

#191

*!Of 5 % glucose is entered into preservative of blood for:

*fibrillation preventions

*infection preventive maintenance

*+ability to livethe prolongations erythrocytes

*preservations of viability of leukocytes

*creations of osmotic balance of blood.

#192

*!Shelf life of heparin blood is

*1 hours

*1 months

*+24 hour

*72 hours

*21 days.

#193

*!For treatment of a staphylococcal infection it is used:

*packed red blood cells

*+antistaphylococcal the plasma

*dry plasma

*platelete mass

*a solution albumin.

#194

*!For thrombocytopenia treatment it is used:

*integral blood

*dry plasma

*erythro suspension

*+plateletethe mass

*native plasma.

#195

*!Activity of curtailing system of blood does not strengthen:

*fresh citrate blood

*dry plasma

*a solution fibrinogen

*native plasma

*+washed the erythrocytes.

#196

*!What action is not rendered by the transfused blood on an organism of the recipient:

*a replaceable

*+the antineoplastic

* haemostatic

*immunological

*haemodynamic

#197

*!Than to explain replaceable action poured washed packed red blood cells:

*remained platelet correcting fibrillation system

*available leukocytes raise immune abilities of an organism

*erythrocytes blood of donor destroy erythrocytes recipient

*factors of a fibrillation and fibrinolysis regulate a modular condition of blood

*+erythrocytes restore the gas-transport function

#198

*!Than to explain haemodynamic effect of the poured blood:

*+the volume of circulating blood increases

*total peripheral resistance of vessels raises

*amplifies sequestration blood

*venous inflow of blood to right departments of heart decreases

*minute volume of blood decreases

#199

*!Why the haemotransfusion normalises immunological the organism status:

*+antibodies, the complement, cytokines are entered

*formation of immune complexes becomes more active

*it is oppressed phagocytic activity of leukocytes

*antibacterial and antitoxic antibodies are deduced

*are deduced granulocytes, macrophage cages, lymphocytes

#200

*!With what the haemostatic effect is not connected at transfusion allogeneic blood:

*+it is oppressed tromboplastic activity of the blood

*introduction of factors of curling

*entered procoagulants strengthen haemostatic reaction

*entered platelet strengthen haemostatic reaction

*decreases anticoagulants activity of blood

#201

*!At a proceeding bleeding from varikozno - with the haemostatic purpose transfusion is more preferable than the expanded veins of a gullet:

*integral blood

*packed red blood cells

*+fresh the frozen plasmas

*reopoligljukin

*leukocyte masss

#202

*!Name a kind erythrocyte containing a cellular component of blood:

*+packed red blood the cells

*autologous blood

*leukocyte mass

*tinned donor blood

*fresh citrate donor blood

#203

*!That does not concern cellular components of blood:

*erythro concentrate

*platelete mass

*leukocyte mass

*+the plasma

*packed red blood cells

#204

*!Name blood preparations:

*zhelatinol

*platelete mass

*+ the albumin

*polyglukin

*perftoran

#205

*!In what difference of whey of blood from plasma:

*whey contains preservative

*in whey there is no scale-globulinov

*in whey is not present agglutinogens.

*+in whey is absent the fibrinogen

*in whey there are no leukocytes and platelet

#206

*!At what transfusion of a cellular component of blood, there will be a smaller probability of development of albuminous incompatibility:

*native plasmas

*+packed red blood the cells

*integral blood

*a protein

*albumin

#207

*!Name a preparation of blood which is shown for haemocomponental therapy at a chronic anaemia:

*albumin

*integral blood

*leukocyte mass

*prothrombines mass

*+packed red blood the cells

#208

*!Specify contra-indications to reinfusion of autologous to blood:

*haemoperitoneum with a blood finding in a belly cavity no more than 4-6 hours

*+haemoperitoneum atthe malignant formations

*haemoperitoneum at damage mesentery intestines

*haemoperitoneum at extra-uterine pregnancy

*haemoperitoneum with spleen damage

#209

*!What blood transfusion is called to straight lines:

*transfusion of components of blood

*simultaneous replacement of remote blood in same volume of donor blood

*transfusion to patient of own in advance prepared blood

*+direct transfusion from the donor to the recipient

*transfusion of tinned donor blood

#210

*!Make correct definition that such exchange blood transfusion:

*transfusion of components of blood

*transfusion to patient of own in advance prepared blood

*direct transfusion from donor to recipient

*+partial or full removal of blood with simultaneous replacement in the same volume of donor blood

*transfusion of tinned donor blood

*Transfusiology*3*92*1*

#211

*!That name reinfusion of autologous blood:

*direct transfusion from donor to recipient

*transfusion fresh frozen plasmas

*transfusion of components of blood

*+transfusion to the patient of own blood at haemoperitoneum

*transfusion of tinned donor blood

#212

*!Choose definition hemodilution:

*transfusion of cadaveric blood

*reinfusion of autologous

*a massive haemotransfusion

*+ the blood cultivation

*an anaemia

#213

*!From what sources it is impossible to prepare and use blood for transfusion:

*autologous blood

*donor blood

*+blood of the animals

*placentary blood

*cadaveric blood

#214

*!What bone fabric is not used for blood transfusion:

*a crest ileal bones

*proximal tibial metaphysis bones at children

*+metatarsal the bone

*a breast

*a calcaneal bone.

#215

*!Blood transfusion is counter-indicative at:

*a sharp anaemia

*expanded resections of a liver

*hemorrhagic shock

*for purpose of a hemostasis

*+gepato-renalis the syndrome

#216

*!To treatment of a sharp anaemia at an adverse allergic background of the patient it is applied:

*citrate blood

*+the washed erythrocytes

*erythro suspension

*packed red blood cells

*iron preparations.

#217

*!Specify a period of storage fresh frozen plasmas:

*till 3 days

*to 21 days

*till 12 months

*+till 3 month

*till 3 years.

#218

*!The defrozen plasma for transfusion can remain during:

*6 hours

*+1 day

*30 minutes

*1 hours

*3 hours.

#219

*!The bottle with tinned blood was stored 45 days. Your conclusion about the validity of blood

*it is possible to store even 10 days

*blood is infected and is not suitable for transfusion

*blood is suitable for transfusion

*hemolysis, it is impossible to pour blood

*+the period of storage is delayed, it is impossible to pour

#220

*!For carrying out of biological test it is necessary

*+60 drops are unitary poured (two-three milliliters within one-two minutes, then transfusion stops and within 3 minutes supervision over the recipient is spent

*to enter drip 25 ml of blood, to observe of a condition of patient of 5 minutes

*to enter intravenously jet three times on 25 ml of blood with an interval of 5 mines, observing of the patient

*to enter drip three times on 25 ml of blood

*to enter hypodermically drip 25 ml of blood, to observe of a condition of patient of 5 minutes

#221

*!That does not concern plasma substitutes:

*polyglukin

*reopoligljukin

*zhelatinol

*+blood the whey

*stabisol

#222

*!It is for what purpose used polyglukin:

*parenteral a food

*detoxification

*accelerations of coagulability of blood

*+the shock knockings over

*reduction of coagulability of blood

#223

*!Hemo correcting effect at transfusion of dextran:

*+completion the BLOOD VOLUME

*increase of coagulability of blood

*connect immune complexes

*cause a spasm arterioles

*stimulation haematopoiesis

#224

*!What clinical effect, does not arise, at application detoxification plasma substitutes:

*change of physical and chemical properties of blood

*+the haemoconcentration

*strengthening of a nephritic filtration

*high absorption properties

*strengthening detoxification liver functions

#225

*!What preparation possesses plasma replacement action

*+the reopoligljukin

*a gemodez

*mannitol

*fibrinolysin

*5 % a glucose solution

#226

*!A transfusion solution of the expressed haemodynamic action:

*an isotonic solution of chloride of sodium

*Trisol

*a hypotonic solution of chloride of sodium

*a solution of glucose of 5 %

*+ the stabisol

#227

*!Name the mechanism of medical action of haemodynamic plasma substitutes:

*+keep the liquid in the vascular channel

*raise fiber maintenance in blood

*reduce arterial pressure

*worsen liver function

*promote a potassium exit in a vascular channel

#228

*!The basic requirement to antishock plasma substitutes:

*forced diuresis

*fast metabolized

*fast deducing from blood channels

*fast allocation with urine

*+fast increase the BLOOD VOLUME

#229

*!On purpose dehydration plasma substitute is applied:

*4 % of bicarbonate of sodium

*dextran

*a protein solution

*10 % a solution of chloride of sodium

*+10 % the mannitol

#230

*!Contra-indication for transfusion of albuminous plasma substitutes

:

*traumatic shock

*pyoinflammatory processes

*sharp blood loss

*oncological diseases

*+nephritic the insufficiency

#231

*!It is expedient to apply this preparation to fast completion BLOOD VOLUME:

*a protein

*albumin

*plasma

*a solution of Ringera

*+ the dextran

#232

*!For detoxification it is expedient to apply this preparation:

*+ the solution of Ringera-Lokka

*an albumin

*a plasma

*a dextran

*a protein

#233

*!Specify the action mechanism detoxification plasma substitutes:

*raise osmotic pressure of blood

*raise fiber maintenance in blood

*reduce arterial pressure

*stimulate haematopoiesis

*+connect and deduce the toxins from cages

#234

*!Preparations osmodiuretic actions:

*polyglukin, reopoligljukin

*5 % a glucose solution

*zhelatinol, polifer

*Assol, disol

*+10 % mannitol, of the 5 % sorbitol

#235

*!Preparations plasma replacement the actions containing amino acids:

*+the aminoplasmal

*a solution of Ringera

*polyglukin

*10 % a glucose solution

*refortan

#236

*!Name plasma replacement the preparations applied for parenteral of a food:

*+ the infusol

*stabisol

*polyglukin

*trisol

*10 % a glucose solution

#237

*!What mechanism of action on an organism is not characteristic for electrolyte solutions:

*+stimulate the haematopoiesis

*improves rheological properties of blood

*restores osmotic pressure in interstition space

*supports osmotic pressure in interstition space

*strengthens a nephritic filtration

#238

*!Specify a preparation for parenteral a food:

*a gemodez

*a stabisol

*a refortan

*+ the lipofundin

*a polyglukin

#239

*!A clinical sign of a superfluous transfusion:

*number of breath 16 in a minute

*+accent of the II tone on the pulmonary artery

*hypothermia

*urticaria

*vesicular breath

#240

*!Specify an unfitness sign plasma replacement solutions for transfusion:

*sweat a bottle

*+film occurrence on the solution surface

*transparent colour of a solution

*tightness of packing

*safety of a label

#241

*!Name complication which can arise at transfusion of plasma substitutesona basis hydroxy ethylated starch:

*hemo transfusions

*reduces aggregation platelets

*a blood hypercoagulation

*+ the anaphylactic reaction

*standard ergicheskie reactions

#242

*!What contra-indication to application of preparations parenteral a food:

*small bowel a fistula

*+sharp infringement ofthe haemodynamics (shock)

*decrease in volume of circulating plasma

*hypoproteinemia

*cachexia

#243

*!Polyglukin it is mainly used for

*parenteral a food

*detoxification

*+struggle against the shock

*accelerations of coagulability of blood

*reduction of coagulability of blood

#244

*!What hemo correcting action render dextrans:

*stimulation haematopoiesis

*increase of coagulability of blood

*+completion the BLOOD VOLUME

*deterioration reological properties of blood

*improvement of cellular immunity

#245

*!Group detoxification blood substitutes concerns:

*zhelatinol

*plasmasteril

*+the polymisinformation

*gidrolizin

*polyamine.

#246

*!The basic property detoxification plasma substitutes is:

*hemodilution

*aggregation strengthening erythrocytes

*increase in number of immune complexes in blood of a recipient

*+linkage of toxins and strengthening of the nephritic filtration

*blood-groove reduction in a liver

#247

*!The mechanism of medical action of haemodynamic plasma substitutes:

*reduce arterial pressure

*raise fiber maintenance in blood

*+keep the liquid in thevascular channel

*strengthen aggregation erythrocytes

*worsen liver function

#248

*!The basic requirement to antishock plasma substitutes is:

*fast deducing from blood channels

*fast metabolized

*linkage of immune complexes in a blood channel

*+fast increase ofthe BLOOD VOLUME

*fast allocation with urine

#249

*!Albuminous plasma substitutes is counter-indicative to pour at:

*pyoinflammatory processes

*a sharp antritis

*sharp blood loss

*+nephriticthe insufficiency

*oncological diseases

#250

*!What preparation is expedient for applying for detoxification:

*a protein

*albumin

*plasma

*dextran

*+ solution of theRingera

#251

*!Specify the action mechanism detoxification blood substitutes:

*raise osmotic pressure

*+connect and deduce with theurine blood toxins

*reduce ARTERIAL PRESSURE

*stimulate hemolysis

*raise maintenance of fiber of blood.

#252

*!To haemodynamic the blood substitutes concern:

*derivatives polyvinylpyrrolidone

*+derivatives theoxyethylated starch

*hydrolysates fibers

*fatty emulsion

*mixes of amino acids.

#253

*!Application blood substitutes osmodiuretic actions is shown at:

*organic changes in kidneys

*intracranial Hematomas

*dehydration a cellular secret

*+intoxications of the various aetiology

*cardiovascular insufficiency.

#254

*!Specify incorrectly designated mechanism of action osmodiuretic:

*raise osmotic pressure of plasma

*improve a functional condition of a liver and haemodynamics

*activate a proton pomp

*stimulate перистальтику intestines, force diuresis

*+raise the ARTERIAL PRESSURE.

#255

*!What mechanism of action detoxification plasma substitutes:

*raise osmotic pressure of blood

*+deduce toxins from thecages

*reduce arterial pressure

*stimulate haematopoiesis

*raise fiber maintenance in blood

#256

*!What preparations render osmodiuretic action:

*polyglukin, reopoligljukin

*5 % a glucose solution

*zhelatinol, polifer

*+mannitol,the sorbitol

*Assol, disol

#257

*!What plasma replacement a preparation apply for parenteral a food:

*polyglukins

*stabisols

*+infusol

*refortans

*perftorans

#258

*!That does not concern the action mechanism on an organism electrolyte solutions:

*restores osmotic pressure in interstition space

*supports osmotic pressure in interstition space

*+stimulatethe haematopoiesis

*improves rheological properties of blood

*strengthen a nephritic filtration

#259

*!Preparations for parenteral a food does not concern:

*albuminous hydrolysates

*fatty emulsion

*+the gemodez

*amino acids

*infusol

#260

*!A suitability sign plasma replacement solutions for transfusion:

*+transparent colour of thesolution

*occurrence of flakes

*deposit loss

*no leak packings

*film occurrence on a solution surface

#261

*!What complication cannot arise at transfusion of plasma substitutes:

*allergic reactions

*pyrogenic reactions

*toxic reactions

*anaphylactic reactions

*+hemothe transfusion

#262

*!At hemorrhagic shock, first of all, it is necessary to pour to the patient

*integral bloods

*plasmas

*+polyglukin

*platelete masses

*leukocyte masses

#263

*!After blood transfusion the nurse watches for

*pulse

*pulse and ARTERIAL PRESSURE

*diuresis

*+pulse, the ARTERIAL PRESSURE and diuresis

*A ELECTROCARDIOGRAM

#264

*!A condition of the patient in the beginning blood transfusion shock

* adynamic

*+the uneasy

*not contact

* languid

* apathetic

#265

*!At blood transfusion a condition of the patient there was a pain in a waist and behind a breast. It specifies on

*hemorrhagic shock

*citrate shock

*+blood transfusion theshock

*pyrogenic reaction

*a hypostasis of Kvinke

#266

*!At occurrence of signs blood transfusion shock at blood transfusion it is necessary

*+to replace system and tothe enter blood substitutes

*to disconnect system, to remove a needle from a vein

*to reduce speed and to continue a haemotransfusions

*to continue haemotransfusions and urgently to enter drugs

*transfer in resuscitation

#267

*!The complicationscaused by transfusion incompatible on Rh - to the blood factor, can occur under following conditions:

*+at repeated introduction the Rhesus factor-negative to recipients the blood Rhesus factor-positive

*at pregnancy a Rhesus factor - of negative woman a Rhesus factor-otritsatelym a fruit

*at repeated introduction a Rhesus factor - to positive recipients a Rhesus factor - of negative blood

*at pregnancy a Rhesus factor - of positive woman a Rhesus factor - a negative fruit

*at transfusion a Rhesus factor-negative to recipients of plasma of blood a Rhesus factor-positive of the donor

#268

*!The complications caused by transfusion of incompatible blood on a Rhesus factor, can occur under a following condition:

*+at repeated introduction Rh - to recipients Rh *+ blood of the donor

*at pregnancy Rh - women Rh - a fruit

*at repeated introduction Rh *+ to recipients Rh - blood of donor

*at pregnancy Rh *+ women Rh - a fruit

*at transfusion Rh - to recipients of plasma of blood Rh *+ donors

#269

*!The reason air embolism cannot be:

*wrong filling of system before transfusion beginning

*blood transfusion under pressure

*wrong installation of equipment for transfusion

*a spontaneous detachment of system for a transfusion of blood from catheterа in subclavian to a zone

*+transfusion of the warmed blood

#270

*!At occurrence of signs blood transfusion shock follows:

*to accelerate transfusion and quickly to finish transfusion

*to stop a transfusion and to start introduction single-group plasmas

*+to stop the transfusion, to enter intravenously prednisolone, to pass to the transfusion low-molecular blood substitutes

*to enter a tonic

*to stop a transfusion and to translate the patient on ARTIFICIAL LUNG VENTILATION.

#271

*!Hyperkalemia arises at transfusion more often:

*fresh citrate blood

*platelete masss

*defrozen erythrocytes

*+it is thelong stored blood

*native plasmas.

#272

*!The citrate intoxication arises at transfusion:

*more than 800 ml native plasmas

*300 ml citrate blood

*+more than the500 ml fresh citrate blood

*400 ml defrozen erythrocytes

*platelete masss.

#273

*!At massive haemotransfusions the syndrome of homologous blood in a consequence can develop:

*citrate intoxications

*калиевой intoxications

*an ammoniac intoxication

*slow transfusion

*+the phenomenon of fabric incompatibility.

#274

*!For the purpose of preventive maintenance citrate intoxications after transfusion of each 500 ml of blood to the patient it is entered:

*15 ml of 5 % a solutionof sodium of a hydrocarbonate

*+10 ml of 10 % of chloride of thecalcium

*15 ml of 9 % NaCl

*heparin

*aminocaproic acid.

#275

*!What type of reaction concerns hemolytic shock?

* chemical

*isothermal

*mental

*+the immune

*neurogenic

#276

*!What preparation should be entered at гемолитическом shock intravenous right after blood switching-off?

*mezaton

*норадреналин

*+theгидрокортизон

*Dicynonum

*heparin.

#277

*!What allocation of quantity of urine within an hour on catheterу it is possible to consider as norm?

*5 mls

*15 mls

*30 mls

*+50 and more.

*any quantity of urine.

#278

*!What kind of treatment is shown the patient after blood transfusion when it was not possible to restore function of kidneys by conservative actions?

*stomach washing

*peritoneal a dialysis

*lymph sorption

*+the hemodialysis

*a cleaning enema

#279

*!In what branch the patient after transfusion of incompatible blood in a stage of nephritic insufficiency should be treated?

*in surgical

*in cardiological

*+in the nephrological

*in pulmonary

*in rehabilitation branch.

#280

*!You will select what preparation for transfusion intravenous for the purpose of knocking over acidosisа at hemo transfusion shock?

*solution furatsilina 1: 5000

*solution glucose of 5 %

*+solution hydrocarbonate Na ofthe 4 %

*physiological salt solution

*hypertensive solution NaCl

#281

*!Entered into a blood channel heparines donor blood suppresses curtailing ability of blood of the patient on:

*1 hours

*2 hours

*3 hours

*+4 hour

*5 hours.

#282

*!What recipients do not concern a category dangerous because of occurrence possibility haemotransfusions complications

*+for the first time having indications to haemotransfusion

*transferred an infectious disease

*complications having in anamnesis after a haemotransfusion

*blood suffering by diseases

*suffering allergic diseases

#283

*!First of all, at hemorrhagic shock, the patient should pour:

*integral blood

*plasma

*leukocyte mass

*platelete mass

*+thepolyglukin

#284

*!Complication at blood transfusion of mechanical character:

*+air theembolism

*a sharp thrombosis bifurcation aortas

*iliofemoral a thrombosis

*citrate an intoxication

*anaphylactic shock

#285

*!Specify complication of mechanical character at a haemotransfusion:

*anaphylactic shock

*+embolism the pulmonary artery microclots of poured blood

*a sharp thrombosis bifurcation aortas

*pyrogenic reaction

*iliofemoral a thrombosis

#286

*!Note complication of jet character at a haemotransfusion:

*iliofemoral a thrombosis

*jet ksiloadenit

*anisocoria

*a jet pancreatitis

*+post-transfusion pyrogenic thereactions

#287

*!The possible reason of development blood transfusion shock:

*blood transfusion at reinfusion of autologous

*transfusion autologous blood

*+transfusion ofthe incompatible blood on АВО

*transfusion a single-group room temperature blood

*transfusion Rh - donor blood, Rh *+to recipient

#288

*!Name a possible symptom blood transfusion reactions:

*diuresis 50-60 ml \hour

*normothermia

*+thehyperthermia

* ARTERIAL PRESSURE 120\70 мм.рт.ст.

*RESPIRATORY RATE 8-10 in a minute

#289

*!Note clinical displays blood transfusion shock:

*polyuria

*myopia

*a bradycardia

*+pains inthe lumbar area

*a hypertension

#290

*!Display hemotransfusions complication which meets most often at blood transfusion to the patients who are under anaesthetic:

*a hypostasis of Kvinke

*blood transfusion shock

*+increased bleeding ofthe tissues

*a bradycardia

*sharp hepatic insufficiency

#291

*!What later complication meets after a haemotransfusion:

*+thesharp nephritic insufficiency

*trombоembolism a pulmonary artery

*anaphylactic shock

*iliofemoral a thrombosis

*blood transfusion shock

#292

*!That does not concern to clinical manifestations complications at transfusion of incompatible blood on system ABO:

*pains in a waist

*+the bradycardia

*oliguria

*feeling of heat

*pains behind a breast

#293

*!That does not concern to To complications jet character at blood transfusion:

*постtransfusion shock at transfusion of incompatible blood

*постtransfusion shock at transfusion of compatible blood

*post-transfusion pyrogenic reactions

*citrate shock

*+the jet pancreatitis

#294

*!What tranfusion complication meets most often at blood transfusion to the patients who are under anaesthetic:

*blood transfusion shock

*+increased bleeding ofthe tissues

*a hypostasis of Kvinke

*sharp hepatic insufficiency

*a bradycardia

#295

*!Later complication after a haemotransfusion:

*blood transfusion shock

*trombоembolism a pulmonary artery

*anaphylactic shock

*iliofemoral a thrombosis

*+sharp thenephritic insufficiency

#296

*!Complications at blood transfusion of jet character:

*+thepyrogenic

*a syndrome of massive haemotransfusions

*air embolism

* haemodynamic

* infectious

#297

*!A symptom sharp intravascular hemolysisа:

*bilirubinemia

*+thehemoglobinuria

*ascites

*urine of normal colour

*oxalates in urine

#298

*!That do not apply to treatment DVS - a syndrome:

*heparin

*plasmapheresis

*antiplatelet agents

*+10 % of the chloride calcium intravenously

*washed erythrocytes

#299

*!Specify a condition of the patient in the beginning blood transfusion shock

* adynamic

* languid

*not contact

*+the uneasy

* apathetic

#300

*!Specify that does not concern early symptoms of complications at transfusion of incompatible blood on system ABO:

*hyperthermia

*pains in a waist

*+theanisocoria

*pains behind a breast

*feeling of heat

#301

*!During a haemotransfusion a condition of the patient there was a pain in a waist and behind a breast. It specifies on:

*hemorrhagic shock

*citrate shock

*pyrogenic reaction

*+theblood transfusion shock

*a hypostasis of Kvinke

#302

*!At occurrence of first signs blood transfusion shock during a haemotransfusion it is necessary

*to continue hemo transfusion and urgently to enter drugs

*to disconnect system, to remove a needle from a vein

*to reduce speed and to continue a haemotransfusions

*+to stop hemo transfusion and tothe enter blood substitutes

*transfer in resuscitation

#303

*!One of signs of a superfluous transfusion is:

*number of breath 16 in a minute

*varicous expansion of veins of a gullet

*systolic noise in a point Mak-Burney

*vesicular breath

*+hypostases on the bottom extremities

*Transfusiology*4*73*1*

#304

*!Indications to transfusion of donor blood:

*+the expressed anaemia

*an anaemia of easy degree

*hepatic insufficiency

*sharp glomerulonephritis

*+the extensive resection of liver

*pylephlebitis

*trombоembolism a pulmonary artery

#305

*!What diseases in the anamnesis, will not allow to become the donor of blood:

*+the virus hepatitis

*quinsy

*a flu

*caries

*+the syphilis

*paronychia

*flatfoot

#306

*!By preparation of patients for a haemotransfusion it is not necessary:

*to make general analysis of urine

*to make general analysis of blood

*to collect blood transfusion the anamnesis

*to collect obstetric the anamnesis

*+to spend the X-raysof the thorax

*+to spendthe gastric sounding

*to measure pulse

*to measure arterial pressure

#307

*!It is not necessary for haemotransfusion carrying out:

*to make ОАМ

*to make ОАК

*to collect blood transfusion anamnesis

*to collect obstetric the anamnesis

*+to establish the nasogastric tube

*+to spendthe duplex scanning

*to measure pulse

*to measure ARTERIAL PRESSURE

#308

*!That does not concern preparations and blood components:

*cryoprecipitates

*plasmas

*albumins

*+zhelatinol

*platelete masses

*interferons

*+perftoran

#309

*!What preparations of blood are more rational for pouring at a chronic anaemia:

*integral bloods

*albumins

*leukocyte masses

*+packed the red blood cells

*prothrombines masses

*+packed red blood cells the suspension

*native plasmas

#310

*!Contra-indications to reinfusion blood:

*haemoperitoneum with spleen damage

*+haemoperitoneum at the intestines damage

*haemoperitoneum at liver damage

*haemoperitoneum at extra-uterine pregnancy

*haemoperitoneum with a blood finding in a belly cavity less than 4-6 hours

*+haemoperitoneum atthe tumour disintegration

*haemoperitoneum at damage mesentery intestines

#311

*!Test on individual Compatibilityof blood is spent between:

*+plasma or whey of blood of the patient and blood of the donor

*plasma of donor and plasma of patient

*a suspension erythrocytes blood of patient and blood of donor

*a suspension erythrocytes blood of donor and blood of patient

*integral blood of patient and integral blood of donor

*+blood of the donor and plasma or whey of blood of the patient

*plasma of patient and whey of donor

#312

*!Errors in algorithm of a haemotransfusion:

*to define indications and contra-indications to a haemotransfusion

*to collect transfusion anamnesis

*+to write down the blood type and the Rhesus factor of the recipient from its words

*to pick up one group blood and to estimate its validity

*to recheck a blood type of donor in a bottle

*to spend test on individual compatibility on system ABO

*+to ignore the data physical survey

#313

*!Not true algorithm of a haemotransfusion:

*to spend test on individual compatibility on a Rhesus factor

*to spend biological test

*to make a haemotransfusion under supervision of doctor

*+to fill the documentation and to postpone the haemotransfusion for tomorrow

*monitoring ARTERIAL PRESSURE, pulse, body temperature of recipient

*+to defreeze fresh-frozen plasma and to postpone the transfusion for tomorrow

*to spend test on individual compatibility

#314

*!What refers to a blood preparation

*+albumin

*packed red blood cells

*leukocyte masses

*native plasmas

*platelete masses

*+protein

*a fresh frozen plasma

#315

*!At definition of a blood type after a result tentative estimation it is added

*citrate sodium

*+the isotonic solution of chloride of sodium

*a hypertensive solution of chloride of sodium

* distilled water

*5 % a glucose solution

*+the physiological solution of chloride of sodium

*disol

#316

*!From blood of the person prepare

*gidrolizins

*zhelatinols

*polyglukins

*+albumin

*antineoplastic serums

*+ protein

*a gemodez

#317

*!The erythrocyte containing environment:

*+ the packed red blood cells

*leukocyte mass phenotyped

*cryoprecipitate

*platelete mass

*fresh frozen plasma

*+erythrocytes the suspension

*native plasma

#318

*!In transfusiology plasma is not used:

*fresh frozen (FRESH-FROZEN PLASMA)

*immune

*native

*dry (lyophilized)

*+the delayed

*defibrination plasma (whey)

*+the incompatible

#319

*!The indication to transfusion fresh frozen plasmas:

*system diseases of a connecting fabric

*+the DVS-SYNDROME

*a syndrome of Lerisha

*an anaemia of easy degree

*a sharp heart attack of a myocardium

*+ the ulcer bleeding

*cachexia

#320

*!Specify the indication to transfusion fresh frozen plasmas:

*sharp hepatic insufficiency

*paronihii

*illnesses of kidneys with nephritic insufficiency

*+overdose of anticoagulants of the direct action

*performance laparocentesis at ascitesе

*+the DVS-SYNDROME

*a stenosis mitral valve

#321

*!Reinfusion to blood it is counter-indicative at operation apropos:

*an extra-uterine pregnancy

*+gut rupture

*a spleen rupture

*aliver rupture

*rupture aorta an aneurysms

*+tumour disintegration

*rupture mesentery a small intestines

#322

*!Intrabone blood transfusion make in:

*+the crest ileal bones

*diaphysis a femur

*a beam bone

*a humeral bone

*a fibular metaphysisbones

*+the breast

*a clavicle

#323

*!By preparation of patients for a haemotransfusion it is necessary

*to spend questioning

*to establish urethral catheter

*+to collect blood transfusion and obstetric the anamnesis

*to establish a nasogastric tube a probe

*to make a puncture of a marrow with biopsy

*+to define the indication to the haemotransfusion

*to spend gastric sounding

#324

*!Relative contra-indication to blood transfusion is:

*sharp massive blood loss (more than 30 % BLOOD VOLUME)

*traumatic shock of III degree

*+chronic iron deficiency the anaemia

*intraoperative blood loss more 1000ml

*a hemophilia

*+level of the haemoglobin 100 g\l

*hemorrhagic shock

#325

*!What blood cannot be used for transfusionto the recipient?

* donor

* cadaveric

*from body cavities at damage parenchymal bodies

*+from body cavities at the damage of hollow bodies

*pupovino-placentary

*+at haemoperitoneum as a result of the tumour disintegration

*preserved

#326

*!Test on individual compatibility of blood of the donor and the recipient is spent between:

*whey of donor and blood of recipient

*+whey of the recipient and blood of the donor

*whey of recipient and plasma of donor

*blood of donor and blood of recipient

*plasma of recipient and whey of donor

*erythrocyte recipient and blood of donor

*+blood of the donor and whey of the recipient

#327

*!For blood transfusion the absolute indication is:

*hypoproteinemia

*+massive intraoperative blood the loss

*an alimentary dystrophy

*immunity stimulation

*a chronic anaemia

*anaphylactic shock

*+the hemorrhagic shock

#328

*!Reinfusion the blood which have streamed in a belly cavity it is possibleonly at:

*getting wound with gut damage

*to closed trauma of a stomach with bladder rupture

*+the liver wound

*a gunshot wound with stomach damage

*a gunshot wound with crush a pancreas

*+the spleen wound

*disintegration of a tumour with haemoperitoneum

#329

*!The transfused blood does not render the following effect on an organism of the recipient:

* replaceables

* haemodynamics

* nutritiouses

*+immunosuppressive

*immunocorrectings

*+oncoimmunology

*haemostatics

#330

*!It is impossible to apply to a haemotransfusion the cadaveric blood taken, from victims from:

*stenocardias

*a heart rupture

*to closed trauma of a skull

*+the oncological diseases

*electrotraumas

*+the hemotransmissive infections

*crisis of basis of a skull

#331

*!As the stabilizer and the conservative of blood it is possible to use:

*athiopental sodium

*a geksenal

*+heparin

*a gluconate calcium

*aminocaproic acids

*+citrate sodium

*tocopherols

#332

*!During what term use fresh citrate blood under condition of its correct storage is supposed?

*30 days

*21 days

*2 months

*5 years

*+2 hour

*+120 minut

*3days

#333

*!A blood preparation is not:

*a fibrinogen

*фибринная a sponge

*фибринная a film

*a solution albumin

*+heparines of the blood

*+hemolysis of the blood

*a protein

#334

*!A blood component is not:

*erythrocytes a suspension

*a native plasma

*a platelet leukocyte mass

*packed red blood cells

*+the citrate blood

*+the interferon

*erythro concentrate

#335

*!Name immunocorrective blood preparations:

*albumins

*+gamma globulin

*fibrinogens

*a protein

*thrombins

*+interferon

*erythro concentrates

#336

*!Possibility of carrying over of oxygen to fabrics possess:

*reopoligljukins

*a gemodez

*mannitols

*+erigam

*lactosols

*+perftoran

*sorbitols

#337

*!Specify proof-readers of curtailing system of blood:

*albumin, a protein

*erythrocytes and leukocyte mass

*gamma globulin

*+cryoprecipitate, the plasma

*reopoliglyukin, gemodez, gelatinol

*+ fibrinogen, the platelete mass

*erythro concentrate

#338

*!Application of preparations for parenteral a food is shown at:

*sharp haemodynamics infringement

*intoxications

*thromboembolic illnesses

*pochechno-hepatic insufficiency

*+the hypoproteinemia

*+ the cachexia

*infringement mesenteric blood circulations

#339

*!The blood which has remained in a bottle after transfusion store:

*2 hours

*6 hours

*24 hours

*+48 hour

*72 hours

*+2 day

*3 days

#340

*!For a transfusion of cellular components and plasma, a blood type:

*it is checked only before first haemotransfusion

*+it is checked before the each haemotransfusion

*it is not checked, enough data in passport

*it is not checked, enough data in history of illness

*it is not checked, enough data of anamnesis

*+it is checked before everyone plasma transfusion

*blood type of recipient is checked only

#341

*!Componental therapy is most effective at:

*+ the sharp anaemia

*nephritic insufficiency

*fatty embolism

*sharp cardiovascular insufficiency

*at starvation

*+ the proceeding bleeding

*sharp infringement of brain blood circulation

#342

*!Working lives preserved donor blood depending on a preservative kind (glugitsir and ciglufad):

*+21 day

*5 days

*10 days

*15 days

*18 days

*+35 day

*20 days

#343

*!Occasions to narrowing of indications to a haemotransfusion:

*+sharp nephritic the insufficiency

*an expanded traumatic operations

*operation uterus amputation complicated metrorragia and an anaemia

*blood loss during operation within 2-2,5litres

*rupture of an aorta aneurysms

*+decompensation the warm activity

*hemorrhagic shock

#344

*!To the recipient 50 ml FRESH-FROZEN PLASMA from 230 ml, containing in the container then there was a clinic anaphylactic shock are poured. What to do?

*to pour other patient

*to freeze and use for same recipient further

*to pour out in water drain

*+to draw up the recyclingstatement

*to enter rests through a probe

*+a bottle with the rests to store in the refrigerator of 48 hours

*to return on blood transfusion station

#345

*!Transfusions of integral tinned donor blood are shown:

*+as the exception at sharp massive blood lossх and absence blood substitutes, plasmas fresh frozen, erythrocyte mass or erythrocyte suspensions

*+at carrying out of the exchange blood transfusion in therapy hemolytic illnesses of newborns

*at DVS-SYNDROME treatment

*at hypersplenism

*at treatment of a chronic anaemia

*at hemophilia treatment

#346

*!Hemodilution is:

*reinfusion of an autologous

*transfusion of a cadaveric blood

*+«blood cultivation»

*a blood condensation

*an anaemia

*+«liquefaction blood»

*blood clots

#347

*!What preparations concerns means of haemodynamic action:

*lipofundins

*a gemodez

*citrate sodiums

*+dextran

*a solution Lugol 5 %

*disols

*+polyglukin

#348

*!What plasma substitutes it is applied on purpose dehydration:

*4 % of bicarbonate of a sodium

*dextrans

*a protein solution

*+mannitol

*10 % a solution of chloride of sodium

*+sorbite

*gidrolizins

#349

*!What preparations are expedient for applying to fast completion BLOOD VOLUME:

*a protein

*albumins

*plasmas

*+dextran

*a solution of Ringera

*+polyglukin

*polyamines

#350

*!What preparations plasma replacement actions contain amino acids:

*refortans

*polyglukins

*+aminoplasmal

*10 % a glucose solution

*a solution of Ringera

*trisoles

*+aminofusin

#351

*!Indications to application of preparations parenteral a food:

*sharp infringement of a haemodynamics (shock)

*a sharp cardiovascular insufficiency

*anaphylactic shocks

*a sharp hepatic insufficiency

*+hypoproteinemia

*sharp infringement of a mesenteric blood circulation

*+cachexia

#352

*!Plasma replacement action possess:

*fibrinolysins

*a gemodez

*mannitols

*+reopoligljukin

*5 % a glucose solution

*+dextran

*sorbites

#353

*!Plasma substitutes do not concern:

*polyglukins

*+blood whey

*zhelatinols

*reopoligljukins

*a polymisinformation

*+cryoprecipitate

*a refortan

#354

*!The donor service is counter-indicative at presence in the anamnesis:

*an otitis

*an appendicitis

*+the virus hepatitis

*a pneumonia

*a pregnancy

*+the syphilis

*a spondylitis

#355

*!Group detoxification blood substitutes concern:

*zhelatinols

*plasmasterils

*+ polymisinformation

*gidrolizins

*polyamines

*+ gemodez

*albumins

#356

*!Specify not haemodynamic blood substitutes:

*polyglukins

*zhelatinols

*+ gemodez

*plasmotonins

*modejels

*+Trisol

*plasmasterils

#357

*!For treatment hypoproteinemia it is used:

*+albumin

*a washed erythrocytes

*erythro suspensions

*a packed red blood cells

*leukocyte masses

*+ protein

*a solution aminocaproic acids of 10 %

#358

*!For treatment Haemophilus bleedings it is used:

*a solution albumin 10 %

*a solution aminocaproic acids of 10 %

*a fibrinogen

*erythro suspensions

*+antihemophilic gamma globulin.

*+cryoprecipitate

*leukocyte masses

#359

*!For treatment of a sharp anaemia it is more preferable to use:

*+the packed red blood cells

*a citrate blood

*blood plasmas

*polyglukins

*a gemodez.

*+erythro suspension

*fibrinogens

#360

*!What blood substitutes concerns group of carriers of oxygen:

*hydrolysate caseins

*a polymisinformation

*intralipids

*polyglukins

*+perftoran.

*+erigam

*refortans

#361

*!Post-transfusion shock does not develop at transfusion:

*an incompatible blood

*+compatible allogeneic blood

*compatible a denturated blood

*a blood Rhesus factor-incompatible

*compatible, warmed to a 40 degrees of blood

*+autologous blood

*a physiological solution

#362

*!Symptoms of deterioration of a condition of the patient at transfusion of substandard blood:

*normothermias

*absence of a complaints at recipient

*+pains in the lumbar area

*a light urine

*stable arterial pressures

*+the hyperthermia

*frequency of respiratory movements 16 in a minute

#363

*!Clinical display blood transfusion shock:

*a diplopia

*a bradypnea

*a bradycardia

*increase an ARTERIAL PRESSURE

*+the retrosternal pain

*a diarrhoeia

*+pains in the waist

#364

*!Complaints at hemo transfusion shock:

*a diplopia

*a bradypnea

*a bradycardia

*meteorisms

*+pains behind the breast

*a diarrhoeia

*+pains in the lumbar area

#365

*!At infringement of technics of blood transfusion can develop complications

*citrate shocks

*anaphylactic shocks

*blood transfusion shocks

*+air embolism

*a sharp nephritic insufficiency

*+trombоembolism

*a sharp hepatic insufficiency

#366

*!What from listed it is possible not to consider in the anamnesis at blood transfusion?

*+the glucose transfusion

*a blood transfusion

*an obstetric anamnesis

*transfusion of a native plasmas

*transfusion of a plateletmass

*+transfusion of the physiological solution

*transfusion of a leukocyte mass

#367

*!What it is possible not to consider in the anamnesis at a haemotransfusion?

*+transfusion of the polarizing mix solution

*blood transfusions

*a complicated obstetric anamnesis

*transfusion of a fresh frozen plasmas

* transferred virus hepatitis

*+transfusion of the physiological solution

* transferred syphilis

#368

*!Symptoms hemolytic shock does not concern:

*constraint in a breast

*a fever

*a pulse increase

*falling an ARTERIAL PRESSURE

*+the meteorism

*+the diarrhoeia

*pains in a waist

#369

*!Symptoms post-transfusion hemolytic shock does not concern:

*rise in a temperature

*pains in a waist

*a jaundice

*+spasm

*decreasea hourly diuresisа

*+diplopia

*falling an ARTERIAL PRESSURE

#370

*!Transfusion of what blood should not cause hemolyticshock?

*incompatible on a system ABO

*incompatible on a Rhesus factor

*hemolysises

*incompatible on an other antigene systems

*+the chylous

*+compatible on system ABO and the Rhesus factor

*overheated bloods

#371

*!At blood transfusion of the uninspected donor to the recipientthere can be a danger infection hemotransmissive diseases:

*a hepatitis A

*+hepatitis B

*a pyelonephritis

*hemolytic shocks

*urticarias

*+AIDS

*Dysenterys

#372

*!Algorithm of rendering assistance to the patientif at blood transfusion it had signshemo transfusion shock?

*to lower head end of a bed

*to begin closed massage of a heart

*to allow to breathe an oxygen

*+to stop blood transfusion, not to take the needle from a vein

*to cause psychiatrist on a duty

*+to enter intravenously prednisolone, to pass to the transfusion blood substitutes

*to make an angiography

#373

*!You will select what preparations for elimination peripheralangiospasm at hemo transfusion shock?

*a kordiamin i/v

*a caffeine benzoate sodium i/v

*10 % a glucose solution intravenously

*+theintravenousno-shpa

*mezaton i/vs

*+papaverine by the intravenous

*adrenaline an intravenous

#374

*!You execute what actions for controlof function of kidneys at hemo transfusion shock?

*will measure an ARTERIAL PRESSURE on bottom extremities

*will measure central venous pressure

*will make a cleaning enema

*+will enter constant catheter into the bladder

*ultrasonic of an adrenal glands

*+monitoring of quantity of the allocated urine

*will measure venous pressure in a portal system

#375

*!Transfusion of what blood should not cause haemotransfusions complications?

*+the chylous

*incompatible ona system ABO

*incompatible on a Rhesus factor

*hemolysises

*incompatible on other antigene systems

*overheated bloods

*+compatible on system ABO and the Rhesus factor

*Bleedingfrom the gastrointes ttinaltract*1*99*1*

#376

*!What is not a function of the gallbladder

*is a reservoir of bile

*regulates and maintains a constant level of bile pressure in a bile ducts

*participates in a regulation of bilirubin

*concentrates bile

*+participates in the protein metabolism

#377

*!What is unusual in the composition of bile:

*an water

*a bile acid salt

*a cholesterol

*a fatty acid

*+alkaline phosphatase

#378

*!What is the modern theory of the etiology of acute cholecystitis:

*vascular theories

*+infectious, the bile stasis

*mechanicals

*chemical theories

*physicals

#379

*!What you must to note in the study urinalysis for acute cholecystitis:

*+presence of the urobilinogen, bile pigments

*a protein in urine

*leukocytes epitheliums

*erythrocytes

*all the a parameters

#380

*!What is the condition corresponds to the perforation of the gallbladder into the free abdominal cavity:

*jaundices

*pancreatitis

*+shock, peritonitis

*palpable enlarged a gall bladder

*free fluids

#381

*!Emergence of pain on pressure over the right clavicle in the legs sternoclavicular muscle correspond to the symptom:

*+Musso

*Courvoisiers

*Murphies

*Resurrections

*Rovzingas

#382

*!Emergence of pain in acute cholecystitis, with a deep breath and palpation of the right hypochondrium it is a symptom:

*Ortners

*Courvoisiers

*St. Georges

*+Murphy

*Sitkovskiys

#383

*!Typical complaint of patients with acute cholecystitis:

*vomitings

*+irradiation of the pain in his right hand under the shoulder blade, shoulder girdle

*hyperthermia

*chills

*nausea

#384

*!Which method of the conservative treatment of acute cholecystitis is not used:

*antispasmodics

*perirenal novocaine blockades

*antibiotics, infusion therapies

*+heat in the right hypochondrium

*cold

#385

*!In what place bilirubin is excreted:

*+digestive system

*system of a circulatory part

*a skeletal system

*a muscular system

*a reticuloendothelial system.

#386

*!Typical biochemical changes during obstructive jaundice?

*+increase of the bound and free bilirubin, elevated transaminases

*high unconjugated bilirubin in a blood, alkaline phosphatase is not changed

*a high of bilirubin in a lood, increased alkaline phosphatase

*increasing an amylase

*increase in an amylase, LDH

#387

*!Typical complains is typical with obstructive jaundice?

*contact with toxic substances or an icteric patients

*+attacks of the pain with or without jaundice, biliary tract surgery

*diseases of an infectious

*abuse of an alcohol

*obesities

#388

*!Which kind of anamnesis is typical with obstructive jaundice?

*contact with toxic substances or an icteric patients

*+attacks of the pain with or without jaundice, biliary tract surgery

*diseases of an infectious

*abuse of an alcohol

*obesities

#389

*!What is not typical in the complaint of patients with obstructive jaundice?

*pain in a right upper quadrant or epigastric

*jaundices

*prurituses

*+appetite of the increased type

*aholichny chair

#390

*!Typical symptoms correspond to choledocholithiasis?

*paroxysmal abdominal pain, bloating, nausea, vomiting, lack of chairs,

*+acute attacks of pain with the jaundice, persistent itching, aholichny chair

*pain in a right upper quadrant is missing, increase indirect bilirubin

*jaundice, normal temperature, a normal stool

*enlargement of spleen and a liver

#391

*!Which parameters of the organism causes jaundice due to choledocholithiasis:

*+increasing the level of direct bilirubin fraction

*increase in an urine diastase

*the appearance of a melena

*reduction in an ALT level

*hyperglycemias

#392

*!Define tactics when strangulated hernia in elderly patients with recent myocardial infarction:

*delayed surgery after a treatment by a physician

*+immediate surgery with the cardiac intensive therapy

*regardless of an infringement, to carry out cardiac therapy

*reduction of a hernia

*appoint analgesics and an antispasmodics

#393

*!First aid when infringement of inguinal hernia is not more than 4 hours:

*warming baths

*introduction of an antispasmodics

*the introduction of an analgesics

*+emergency surgery

*reduction of a content hernia sac

#394

*!Select a weak wall of the inguinal canal with direct inguinal hernia?

*Front

*+the rear one

*upper

*lower

*lateral

#395

*!Select contraindication to surgical treatment of strangulated hernia:

*pregnancy II half

*huge size of the hernia

*abscess hernia sac

*recent myocardial infarction

*+no usage of the contraindications

#396

*!With what pathology is necessary to differentiate the inguinal-scrotal hernia

(Name wrong answer):

*hydroceles

*an inguinal lymphadenitis

*a direct inguinal hernia

*dropsy of a spermatic cord

*+acute orchitises

#397

*! Richter infringement is:

*+infringement of the intestinal parietal

*internal strangulated hernia

*infringement of a twisted sigmoid

*infringement a Mekkel diverticulum

*infringement of a postoperative hernia

#398

*!Symptoms of strangulated hernia is characterized by (name wrong answer):

*previously free protrusion ceases to reduce a into an abdominal cavity

*a sharp pain in a bulge

*a sudden onset

*phenomenon of an intestinal obstruction.

*+reduction in the abdominal cavity without pain

#399

*!Which one is not a method of special studies of the esophagus:

*+thoracoscopy

*esophagoscopies

*fibro-esophagoscopies

*esophago-onkomonographies

*X-ray examination of an esophagus

#400

*!Which one is not corresponds to general symptoms of diseases of the esophagus:

*dysphagias

*a chest pain

*an abnormal salivation

*an esophageal vomiting

*+constipation

#401

*!Contraindications to sigmoidoscopy

*acute inflammation in a rectum

*presence of purulent secretions in a lumen

*+acute thrombosis of the external hemorrhoids

*a cardiac decompensation

*a jaundice

#402

*!Ulcerative colitis usually affects

*cecum

*risings

*rectosigmoid departments

*+the direct

*transverse colons

#403

*!The earliest symptom of ulcerative colitis is

*abdominal pains

*frequent stools

*weight losses

*+blood in the stool

*increase in a body temperature

#404

*!The pathological process in ulcerative colitis

*never captures a rectum

*affects an exclusive right intestine

*often begins with a transverse colon

*affects only a left colon sections

*+often begins with the distal

#405

*!In a part of the gastrointestinal tract absorption of water takes place,

electrolytes:

*a 12 duodenum

*a small intestines

*+the colon

*a rectum

*a stomach

#406

*!In the pathogenesis of diseases of the colon with one of the main reasons is the lack of nerve plexus cells Auerbach nodes:

*Crohn's disease

*+disease of the Hirschsprung

*intestinal tuberculosis

*ulcerative colitis

*pneumatosis of a colon

#407

*!The colon length is:

*+1-2 meter

*3-4 meters

*5-6 meters

*5-7 meters

*50 cm’s

#408

*!As a method called X-ray examination of the colon:

*cholangiographies

*a colonoscopies

*mediastinographies

*+irrigoscopy

*splenoportographies

#409

*!Which of the following X-ray contrast agents are used in the

studies of the colon:

*cardiotrastum

*verografinum

*bilignostum

*ultravistum

*+barium sulphate

#410

*!The most clear damage in esophageal burns:

*+places restrictions the physiologic esophageal

*in middle third of an esophagus

*throughout

*in a lower third of the esophagus

*only where there is a contact

#411

*!The most characteristic clinical sign of festering ehinococcus liver cysts:

*yellowness of a skin

*appearance of a dry cough

*appearance of a skin rash

*loss of an appetite

*+increase in the body temperature

#412

*!The typical sign of liver cysts with ultrasound:

*presence of an echo dense formation.

*+availability of education with clear echoes of the thick walls

*presence of an echo dense formations with indistinct contours

*presence of a liver deformation with increasing body size

*presence of a strain of vascular pattern of liver

#413

*!In patients after echinococcectomy suddenly appeared abdominal pain, positive symptom of peritoneal irritation, fever, allergic red spots on the body. What complication can be assumed?

*acute cholangitises

*+gap hydatid cysts

*acute hepatitises

*cysts abscesses

*liver abscesses

#414

*!Select complications of liver echinococcosis:

*+jaundice

*a gastrointestinal bleeding

*acute inflammation of a gall bladder

*an acute inflammation of a pancreas

*acute intestinal obstructions

#415

*!Name the treatment of echinococcosis of the liver:

*+surgical

*conservatived

*chemotherapies

*radiotherapies

*lasers

#416

*! Characteristic features of liver alveococcosis different from echinococcosis: 1 density, 2 soft elasticity 3 tuberosity, tenderness 4, 5 sprouting in adjacent organs

Select the correct combination of answers:

*+1,3,5

*1,4

*2, 4

*3, 4, 5

*1, 3, 4

#417

*!Select the radiographic signs of uncomplicated lung echinococcosis:

*homogeneous intense shade of triangular shape

*+a round homogeneous shadow with the clear outline

*cavity with a liquid level and perifocal infiltration

*star-shaped shadow, with inhomogeneous path to root of a lung

*rounded shadow with an indistinct contours

#418

*!What is the most common clinical symptoms in patients with uncomplicated lung

echinococcosis:

*cough with a purulent sputum, hyperthermia,

*hacking cough

*dyspnea, attack a suffocation

*+absence of complaints, revealed by the X-ray examination

*cough with a "rusty" sputum.

#419

*!Select treatment in lung echinococcosis:

*conservative treatment - chemotherapy

*needling hydatid cysts, introduction sclerosants

*+operational the interuptions- echinococcectomy

*constant aspiration through drainage of a cyst cavity

*special preparations

#420

*!Name clinical symptoms typical for a breakthrough in the pleural cavity echinococcosis: / mark the wrong answer /

*+pulmonary hemorrhage

*chest pains

*development of an anaphylactic shock

*shortness of a breath, increasing respiratory distress

*severe weaknesses

#421

*!What is not a function of the gallbladder:

*is a reservoir of bile

*regulates and maintains a constant level of bile pressure in a bile ducts

*participates in a regulation of bilirubin

*concentrates bile

*+participates in the protein metabolism

#422

*!What pancreatic enzyme cleaves proteins:

*steapsin / lipased

*+trypsin

*Amylased

*enterokinased

*kallikreined

#423

*!When fat pancreatic necrosis can be observed all except:

*repeated vomiting

*infiltrate in epigastric

*+the symptom Kulenkampfa

*an increase in liver

*increasing a level of amylase

# 424

*!Shock and collapse in acute destructive pancreatitis is caused by:

*pancreatic edemas

*+enzymatic toxemia

*biliary gipertenzieies

*dynamic intestinal obstructions

*bilirubinemias

# 425

*!Which method is the most informative studies for the diagnosis of acute pancreatitis?

*Diagnostic pnevmoperitonium

*X-ray Reviews

*laparoscopies

*gastroduodenoscopies

*+US

#426

*!The main directions of pathogenetic treatment of acute pancreatitis is everything except:

*suppression of an excretory activity

*surgical treatments

*inactivation of a pancreatic enzymes

*nasogastric decompression of a gastrointestinal tract

*+appointment of the morphine

#427

*!What is absent in the composition of bile:

*an water

*a bile acid salt

*a cholesterol

*a fatty acid

*+alkaline phosphatase

#428

*!The modern theory of the etiology of acute cholecystitis:

*vascular theories

*+infectious, the bile stasis

*mechanicals

*chemical theories

*physicals

#429

*!For sliding inguinal hernias with stepping bladder wall is NOT typical:

*presence of pain in a suprapubic region

*presence of a herniation in a groin

*frequent urination and intermittent

*+ urge to the urinate during palpation of hernia formation

*presence of a positive symptoms tapping

#430

*!Life-threatening complications of esophageal hiatal hernia:

*a reflux esophagitis

*cardiospasms

*+bleeding

*of a stomach outlet stenosis

*false diverticulum of an esophagus

#431

*!Difference of tactics during operation AT strangulated hernia:

*first a cut infringing ring

*+first of all the open hernia sac

*dissection disadvantaged ring followed by a plastics hernial ring

*to perform resection of a disadvantaged entities (intestine, omentum)

*perform a laparotomy

#432

*!The characteristic signs of strangulated hernia of anterior abdominal wall:

*acute onsets

*irreducible hernias

*+pain, tension of the hernia protrusion

*anacatharsises

*loose stools

#433

*!Medical tactic of surgeon for spontaneous reduction of strangulated hernia:

*laparotomy with revision of an abdominal cavity

*+admission to the hospital for dynamic observation

*put a cleansing enema

*outpatient a monitoring

*to appoint a warm bath

#434

*!Before a colonoscopy must perform:

*plain radiography of an abdominal cavity

*duodenographies

*Passage of barium in an intestines

*Esophagogastroduodenoscopies

*+Sigmoidoscopy

#435

*!Incorrect statements in respect of colonoscopy:

*Colonoscopy is a primary method of colon research

*Colonoscopy is an independent method of research

*A colonoscopy would involve a total examination of a colon

*+Colonoscopy is performed after the duodenoscopy

*A colonoscopy is performed after a sigmoidoscopy

#436

*!Indications for colonoscopy:

*Hemolytic anemia

*Cancer of the ovary

*Metastatic liver disease

*Gastric ulcer

*+Bleeding of the intestine

#437

*!Indications for urgent colonoscopy:

*Peritonitis

*+intestinal bleeding of the severe degree

*Suspicion toa colonic perforation

*Diverticulosis of colon with an events pericolitis

*disease of a Hirschsprung

#438

*!Not be used to establish the source of colonic bleeding:

*Rectoromanoscopies

*Sigmoidoscopies

*+splenoportography

*diagnostic colonoscopies

*Intraoperative colonoscopies

#439

*!Indications for intraoperative colonoscopy:

*Diverticulosis of a colon with complicated diverticulitis

*+Intestinal bleeding from the unknown source

*Ulcerative colitis, a bleeding complications

*Crohn's disease in phase of an arctation

*Toxic dilation of a colon

#440

*!Limitations for colonoscopy are:

*disease of a Hirschsprung

*Diffuse polyposis

*Ulcerative colitis in a remission

*Crohn's disease, a form of distal

*+Suspicion to perforated ulcer in the ulcerative colitis

#441

*!Complications after colonoscopy are:

*coprostasises

*Acute small bowel obstructions

* development of a diabetes

*Diarrheas

*+Microperforation of the colon

#442

*!Possible complications unrelated to preparation for study of colon:

*Electrolyte Disorders

*Hypovolaemias

*Dehydrations

*Myocardial infarctions

*+Inversion of the colon

# 443

*!incomplete perforation of the colon are:

*Rupture mucosa

*Rupture of mucosal and a submucosal layers

*Rupture all layers of an intestinal wall, except for a mucous

*Rupture all layers of an intestinal wall

*+Rupture of the serous-muscular layer

# 444

*!Features of preparation of patients with colon diverticulosis:

*Expressed pain syndrome

* risk of the perforation

*+the difficulty of laundering the contents of the diverticula

*Expressed a bowel spasm

*Risk of a bowel obstruction

#445

*!To prepare colon for colonoscopy is used:

*Mineral Oils

*+the fortran

*Candles with a glycerol

*Tablets bisacodyls

*Duphalacs

#446

*!A drug preparation for colonoscopy:

*Mineral Oils

*+Fortran

*Candles with a glycerol

*Tablets bisacodyls

*Duphalacs

#447

*!Endoscopic picture of Crohn's disease in the phase of infiltration

characterized by:

*swelling of a mucous membrane

*+submucosal edema and the superficial ulcerations

*Increased contact bleedings

*increased vascular patterns

*All of the listed

#448

*!Endoscopic picture of Crohn's disease in the phase of destruction

characterized by:

*+deep longitudinal cracks, symptom of the "cobblestones"

*Superficial flat ulcers

*deep crateriform ulcers

*Elastic intestinal walls

*All of a listed

# 449

*!Morphological changes in the colonic mucosa,characteristic only for Crohn's disease include:

*leukocyte infiltrations

*histiocytic infiltrations

*Atypical epithelium and anaplasias

*Granulation tissues

*+sarcoid granulomas

# 450

*!The most characteristic morphological changes in ulcerative colitis following:

*+"crypts" - abscess

*sarcoid granulomas

*Hemosiderin containing macrophages

*fibroblast infiltration of an own plate mucous

*fibrosis and hyalinosis of small vessels of an intestinal wall

#451

*!Criteria for ulcerative colitis at endoscopydo not include:

*a mucosal Colors

* nature of a folds

*Contact bleedings

*+Nature of th content

*type of a surface

# 452

*!The cause of bleeding are all of the colon diseases, except:

*cancers

*an ulcerative colitis

*+Endometriosise

*a Diverticulosises

*a Crohn's Disease

#453

*!Narrowing of colon lumen at infiltrative form of cancer should be differentiated:

*+Crohn disease

*scar of a strictures colon

*compression of colon from an outside

*Radiation colitises

*a nonspecific ulcerative colitis

# 454

*!Maximum colon can absorb per day

*up to a2 liters of liquid

*up to a 3 liters of liquid

*up to a 4 liters of liquid

*up to a 5 liters of liquid

*+up to the 6 liters of liquid

#455

*!By histological data, which indicate the improvement in current ulcerative colitis include all except:

*occurrence of a regeneration of islets

*disappearance of a crypt abscesses

*reducing the vascularity

*recovery of a goblet cells

*+increase lymphocytic infiltration of the submucosa

#456

*!Histological evidence to differentiate between Crohn's disease and nonspecific ulcerative colitis:

*crypt abscesses

*+sarcoid granulomas in the submucosa

*pseudopolyps

*diffuse mucosal inflammation

*mucosal atrophy

#457

*!Similar to Crohn disease have a morphological picture disease:

*a nonspecific ulcerative colitis

*an ischemic colitis

*+colon tuberculosis

*an eosinophilic enterocolitis

*a pseudomembranous colitis

#458

*!In Crohn's disease symptoms of early defeat observed:

*a mucosal

*in a submucosa

*+in the lymph nodes

*in capillaries

*in a serous

# 459

*!Crohn's disease is characterized by all of the following, except:

*is a precancerous condition

*+is the hereditary

*occurs at any age

*has a wide geographical distribution

#460

*!A common symptom of Crohn's disease:

*fevers

*pains

*+diarrhea

*weakneses

*anorexias

#461

*!Diarrhea caused by Crohn disease

*+it is rarely more than the 5 times per day

*generally in a feces - pus, blood, mucus

*usually associated with a tenesmus

*no a pain

*is similar to a cholera

# 462

*!Rare complication of Crohn's disease

*internal fistulas

*external fistulas

*covered perforations

*+perforation into the abdominal cavity

*abdominal abscesses

# 463

*!Changes in Crohn's disease mucosal similar to

*an ulcerative colitis

*+amoebiasis

*a shigellosis

*a polyposis

*typhoids

#464

*!In most cases of Crohn's disease recurrence after surgery is observed

*+during the year

*within 2-3 years

*within 5 years

*over 10 years

*none of an above

#465

*!The right half of the colon supplied with blood

*from a splenic artery

*+from the superior mesenteric artery

*from an inferior mesenteric artery

*from a left colon

*of a pudendal artery

# 466

*!The segment of the colon, which absorbed the least water

*a cecum

*the ascending colon

*transverse colons

*+the descending colon

*a sigmoid colon

#467

*!Normally barium enters through caecum

*a one hour

*a 2:00 hour

*+the 4 hours

*8:00

*12:00

#468

*!The segment of colon where feces form

*a cecum

*a sigmoid colon

*a descending colon

*+transverse colon

*rectums

#469

*!the urge to defecate occurs at:

*reduction of an external anal sphincter

*reduction of an internal anal sphincter

*increasing a pressure in sigmoid colon

*+increasing the pressure in the rectum

*reduction of a rectum

#470

*!The term "dolichocolon" used in the description of the colon which

*loop wale

*shortened

*is not attached to a mesentery

*doubled

*+the extended

#471

*!At dolichocolon patients complains to

*pain in a back

*frequent stools

*rapid saturations

*for a bloating

*+to the constipation since birth

# 472

*!Persons with dolichocolon predisposed to

*for an invagination

*+for the colon volvulus

*to a malignant tumors

*for a rectum fall out

*for a polyps

#473

*!When megacolon notes

*gipertonus of a descending colon

*atony of a colon

*+aganglioz

*atresia of the anus

*lack of an internal rectal sphincter

#474

*!The symptom often observed with psychogenic megacolon and rarely with Hirschsprung's disease

*constipations

*diarrheas

*bloatings

*+fecal incontinence

*onset of disease in a childhood

# 475

*!Normally found in the feces of all of the following enzymes, except

*+pepsin

*amylases

*lipases

*trypsines

*maltases

#476

*!The most unpleasant feces odor is

*in a vegetable diet

*with a milk diet

*+when there is insufficient absorption

*pancreatogenic steatorrhoeas

*use of antibiotics by an oral

*Acute abdomen*2*195*4*

#477

*! Disease of the colon, which are difficult to differentiate with colon cancer

*ulcerative colitises

*Crohn’s disease

*amebic colitises

*+diverticulitis

*polyps up to a 2 cm

#478

*!Antibiotics possessing both bactericidal and bacteriostatic effect on the microbial flora are

*kanamycinum

*klaforanum

*+vancomycin

*carbenicillinum

*Doxycyclineum

#479

*!For antibacterial agents having both bactericidal and bacteriostatic activity, are

*Poteseptilum

*Neomicynum

*Karbenicillinum

*+Vancomycin

*nistatin

#480

*!Bactericidal effect on the microbial flora have

*Lyncomicynum

*+Cefamizyn

*Novobyocinum

*Omapromicinum

*Morfocyclinum

#481

*!Of the following antimicrobials bactericidal effect on microorganisms possess

*streptocid

*+furagin potassium (Sulphud and the dioxidine)

*doxycycline

* nistatin

*oletetrin

#482

*!The colonoscope can not take place in the cecum cupola for all these states except

*+spasm of the colon

*a presence of "uncollected" sigmoid loops

*expressed adhesions of an abdominal cavity

*poor preparation of a colon

*pronounced narrowing of an intestinal lumen

#483

*!In the absence of promotion colonoscope down the intestine is possible to use all of these techniques, except

*oil lubrication devices

*air aspiration of alumen intestine

*use of manual aids through an anterior abdominal wall

*use a reception "barium with colon"

*+use of the reception apparatus "through thestretched noose"

# 484

*!The colonoscope is technically difficult to carry out, in

*recto-sigmoids

*+sigmoid colon

*splenic nodes

*hepatic nodes

*descending colons

#485

*! Technically the most difficult for a colonoscope

*recto-sigmoid intestines

*+the sigmoid colon

*splenic nodes

*hepatic nodes

*a descending colon

#486

*!Stretching of loops of the sigmoid colon during colonoscopy is not accompanied by pain omissions

*+with long mesentery of the sigmoid colon

*for short mesentery of a sigmoid colon

*when abdominal an adhesive process

*colon spasms

*when atony of a colon

# 487

*!Fixation of the sigmoid colon is characterized by

*+increasing the availability of pain associated with barium in the colon

*reduction of pain associated with a presence of barium in colon

*increase tone of a colon

*reduction of a colon tonus

*lack of a colon motility

#488

*!Introduction colonoscope into the colon in the patient's position is performed

*lying on a back

*+lying on the left side

*lying on a right side

*was lying on his a stomach

*in knee-elbow positions

#489

*!Inspection of the colon is made in the patient's condition:

*+lying on the back

*lying on a left side

*lying on a right side

*was lying on his a stomach

*in a knee-elbow position

#490

*!During the colonoscopy, the patient is transferred from a prone position on the left side in the supine position in all these cases, except

* occurrence of an abdominal pain

*after colonoscope for a recto-sigmoid colon

*+after carrying out colonoscope for the hepatic or splenic angle

*appearance of inadequate promoting colonoscope for a colon

# 491

*!During the colonoscopy should pay attention to all of these symptoms, except

* color of a mucous

* severity of a vascular pattern

*width and height of a folds

*+localization transluminescent glow on the anterior abdominal wall

* time-expansion colon by an air

#492

*!The narrowest segment of colon is:

*a rectum

*+recto-sigmoid segment

*a sigmoid colon

*a cecum

*ascending colons

# 493

*!Form an equilateral triangle with slightly convex sides has a lumen

*a cecum

*an ascending colon

*+the transverse colon

*descending colons

*sigmoid colons

#494

*!The shape of a triangle with rounded corners and slightly convex sides have

*a cecum

*ascending colons

* a transverse colon

*+the descending colon

*a sigmoid colon

#495

*!The term " segmentated intestine " includes all of the following sections of the intestine, except

*+ileum

*a cecum

*an ascending colon

*of a sigmoid colon

*a descendingcolon

#496

*!The anatomical definition "segmentated intestine" is not included

*a cecum

*descending colons

*sigmoid colons

*+rectum

*a transverse colon

#497

*!Anatomically, the definition of "large intestine" includes all of the intestine, except

*+of the ileum

*cecum

* transverse colons

* sigmoid colons

*of a rectum

# 498

*!The term "colon" does not include

*+jejunum

*a cecum

*ascending colons

*a rectum

*sigmoid colons

#499

*!Functional and anatomical boundary of the left and right half of the colon is

*hepatic angles

*splenic angles

*a sphincter Cannon Left

*a sphincter Cannon Right

*+sphincter Horst

#500

*!Tenia Omentalis well expressed in:

*a cecum

*an ascending colon

*+transverse colon

*descending colons

*sigmoid colons

#501

*!The lumen of colon has an oval shape

*in a caecum

*in an ascending colon

*in a transverse colon

*in a descending colon

*+in the sigmoid colon

# 502

*!Semilunar folds is characteristic for:

*a cecum

*an ascending colon

*a transverse colon

*a descending colon

*+sigmoid colon

# 503

*!Longitudinal folds Characterized:

*to a cecum

*for an ascending colon

*for a transverse colon

*for a descending colon

*+to the rectum

#504

*!Great color intensity, less pronounced vascular pattern has mucous:

*a cecum

*an ascending colon

*a transverse colon

*descending colons

*+the sigmoid colon

#505

*!irreducible hernia is caused by:

*hernia sac an adhesions with surrounding tissues

*+adhesions between the hernia sac and bodies located in it

*narrow hernials

*stepping bladder a near the hernia sac

*stepping into a hernial sac cecum

#506

*!Treatment tactics of patients with suspected Richter's strangulation:

*+hospitalization, the surgery

*execution of a planned operations

*monitoring in a day care

*conservative a treatment

*reduction of a hernia

#507

*!for the differential diagnosis of inguinoscrotal hernia and dropsy of testicular membranes should do:

*+palpation and the transillumination

*needlings

*Percussions

*auscultation

*puncture a scrotum

#508

*!anatomical location of the neck of hernia sac in femoral hernia:

*in front of a round ligament

*+medial from the femoral vessels

*lateral femoral vein

*behind the femoral vessels

*under the aponeurosis of a rectus abdominis muscle

#509

*!medical tactics at spontaneous reduction(reposition of strangulated hernia) in the first 2 hours:

*to release a patient's home and then operate in a planned way

*shows emergency surgery, a hernia repair

*shows Course of emergency midline laparotomy with a bowel audit

*perform an emergency laparoscopy

*+dynamic observation in the surgical hospital

#510

*!The contents of the inguinal canal in men:

*round ligaments

*+spermatic cord

*egg shells

*femoral arteries

*rectus abdominis muscle

#511

*!The weak place of diaphragm is:

*triangle Pti

*a bunch Treitsa

*obturator canals

*+Larreys' space

*umbilical rings

#512

*!the inner ring of the femoral canal at typical femoral hernia is located:

muscular lacuna

*+in the vascular lacuna

*femoral triangle

*inguinal canal

*inguinal ring

#513

*!Anatomically "weak place" in direct inguinal hernia:

*+the back wall of the inguinal canal

*the upper wall of an inguinal canal

*the front wall of an inguinal canal

*the bottom wall of an inguinal canal

*all of an inguinal canal wall

#514

*!Which anatomical structures are located in the "inguinal canal" of women :

*femoral arteries

*femoral a Vienna

*femoral nerve

*+round ligament of the uterus

*m. cremaster

#515

*!The term "Richter's hernia" means:

*inguinal hernia

*hiatal hernia

*femoral hernia

*strangulated hernia

*+parietal the strangulated hernia

#516

*!in the differential diagnosis of irreducible inguinal hernia and hydrocele are significant:

*contrast study of a bladder

*digital examination of a rectum

*+transillumination (diaphnoscop)

*Review X-rays of an abdominal cavity

*presence of symptom a "cough shock"

#517

*!Causes postoperative ventral hernia:

*respiratory a failure

*+postoperative intestinal paresis

*heart failures

*adhesions in an abdominal cavity

*acute urinary retentions

#518

*!The main symptoms in the differential diagnosis of Hydrocele and inguinal hernia are:

*tympanitis percussions

*dullness to a percussion

*+is a symptom of the "transmission"

*positive symptom "a cough shock"

*sound "cat's purr" an auscultation

#519

*!strangulated hernia is dangerous by development of:

*adhesions in a hernial sac

*enterocolitis

*inguinal lymphadenitis

*+necrosis of the strangulated organ

*thrombosis of a femoral vein

#520

*!anatomical location of hernia sac in Oblique inguinal hernia:

*medial a spermatic cord

*+outwards from the spermatic cord

*in thickness of a spermatic cord

*a femoral ring

*under the aponeurosis of a rectus abdominis muscle

#521

*!To the clinic enrolled patient with suspected Richter's strangulation. Your tactics:

*X-ray of an abdominal cavity in dynamics

*Conservative treatments

*reduction of a hernia

*+hospitalization, the emergency surgery

*operation in a planned manner

#522

*!the main sign of sliding inguinal hernia is:

*passing it between a muscles and aponeurosis

*The presence of a gland in the hernial sac

*stepping through a femoral ring

*+one wall of the organ is located mesoperitoneally

*presence of small bowel in a hernial sac

#523

*!Indications for emergency operations in strangulated hernia:

*pain

*possibility of an infringement of relapse

*+the possibility of necrosis of the strangulated organ

*possibility a spontaneous reduction

*probability of a high blood pressure

#524

*!In a typical strangulation of intestinal loop in the hernia sac there are develops:

*a paralytic ileus

*obstructive ileus

*+strangulate the d intestinal obstruction

*spastic bowel obstruction

*dynamic ileus

#525

*!During herniotomy of strangulated inguinal hernia the surgeon discovered in the hernia sac two*loops of small intestine, type of strangulation:

*fecales

*parietales

*+retrograded

*Mixees

*elastic

#526

*!Select the author of inguinal access in femoral hernia:

*Mayo

*Sapezhko

*Postempsky

*+Rudge-Parlavechchios'

*Girard-Spasokukotsky

#527

*!Signs of intestine vitality in strangulated hernia, except of:

*Color intestine

*presence of a peristalsis

*pulsation of a mesenteric vessels

*nature of a hernia water

*+swelling of the strangulated bowel

#528

*!Which wall of inguinal hernia consolidate in hernioplasty by Bassiny:

*+the rear wall

*only strengthened inguinal ring

*front wall

*eliminated an inguinal canal

*front and a rear walls

#529

*!Causes of formation of femoral canal:

*fetal injuries

*sports injuries

*presence of an inguinal hernia

*+occurrence of the femoral hernias

*anatomies

#530

*!Intraoperative criteria of sliding hernia:

*involved in a formation of hernial sac extraperitoneal body

*lack of a content in hernial sac

*in a presence of a hernial bag of small intestine

*+participate in the formation of hernia sac of organ which is partly covered by peritoneum

*presence of water in a hernia hernial sac

#531

*!Why patients with abdominal hernia of white line in the planned orders needed fluoroscopy stomach:

*for determining a size of bag hernial

*identify a size of a hernial ring

*differentiate with a preperitoneal lipoma

*+to exclude concomitant diseases of the stomach

*to exclude concomitant diseases of a liver

#532

*!What to look for in the study urinalysis for acute cholecystitis:

*+presence of the urobilinogen, bile pigments

*a protein in urine

*leukocytes epitheliums

*erythrocytes

*all the a parameters

#533

*!What is the symptom corresponds to the perforation of the gallbladder into the free abdominal cavity:

*jaundices

*pancreatitis

*+shock, peritonitis

*palpable enlarged a gall bladder

*free fluids

#534

*!Factors contribute to the occurrence of a hernia of anterior abdominal wall:

* young age

* obesity I-II degree

*+particular anatomical structure and the presence of the weaknesses of the anterior abdominal wall

* elderly age

* asthenic constitution

#535

*!What is the Richter infringement?

* bowel impairment in duodenally-jejunal volvulus peritoneum

* sigmoid a colon infringement

*+parietal gut infringement on the antimesenteric edge

* infringement of the stomach into a diaphragmatic hernia

* infringement of a Meckel's diverticulum

#536

*!WHAT is necessary to differentiate an inguinal hernia?

* cyst of the right ovary

* appendicular infiltrate

*+inguinal lympha the denitis

* urolithiasis

* abscess pelvic

#537

*!The patient 70 Years admitted to the hospital with a right inguinal hernia, there have been episodes of infringement twice, but reduce a hernia in the abdominal cavity yourself. History of hypertension, progressive angina pectoris. The patient's condition is relatively satisfactory. Pulse 70 beats per minute, the rhythm of blood pressure - 170/100 mm Hg. The ECG – LVH (Left Ventricular Hypertrophy. By respiratory - aging. Select operative treatment:

* Only a conservative treatment (bandag)

* dispensary observation of a patient

* emergency surgery

* the patient does not require a surgeon observation

*+surgical treatment only in the case of infringement

#538

*!EXTERNAL FORM reducible OBLIQUE inguinal hernia:

* globular

*+oval

* thickening of a spermatic cord on side of the hernia

* presence of a varices of permatic cord

* thickening of a subcutaneous fat

#539

*!Strangulated femoral hernia necessary differentiated from:

* a varicocele

* right ectopic a pregnancy

*+acute inguinal the lymphadenitis

* osteoma pubic bone

* skin papilloma

#540

*!Cause of relapse of hernioplasty of postoperative ventral hernias can be:

* normalization of intra-abdominal pressure

*healing by a first intention

* gemoseroma in a wound

* the divergence of the skin suture

*+discrepancy the fascia sutures

#541

*!Complications of hiatal hernia:

* reflux gastritis

*+bleeding of the esophageal type

*Acute duodenal ulcer

* stenosis of an outlet of a stomach

*acute pancreatitis

#542

*!Advantages laparoscopic fundoplicationover traditional operation:

* long rehabilitation period

*+low-impact in nature, the early rehabilitation after surgery

* high cost of intervention

* no deaths

* no recurrence

#543

*!Disadvantages of hernioplasty of anterior abdominal wallin patients with increased food in the immediate postoperative period:

*+the increased intra-abdominal pressure

*possibility of festering wounds

* more likely to develop postoperative pneumonia

*frequent recurrence of a hernia

* stabilization of an intra-abdominal pressure

#544

*!The modern concept of hernioplasty:

*+elimination of the hernia defect

* increased intra-abdominal pressure

* physical rehabilitation of a patients after surgery

* reduction in an intra-abdominal pressure

* normalization of a bowel function

#545

*!Sick 43 years old complains of chest pain and a burning sensation, which is amplified after meals and in the supine position. In vertical position pain is relieved. In the blood test - hypochromic anemia mild degree. You suppose:

* stomach cancer

* esophageal diverticulum

* chronic gastritis

*duodenal ulcer

*+hiatal hernia with the reflux - esophagitis

#546

*!Patient 36 years underwent surgery after 12 hours following strangulated hernia. In the hernia sac two loops of small intestine. After dissection infringes ring– color of intestinal loops become normal, intestinal motility and pulsations of mesenteric vesselsrestored. Whatkindofharassmentin this case:

* Richter

* parietal

*+retrograded

*elastic

* stercorous

#547

*!Inflammatory and necrotic processes in the hollow organ under strangulated inguinal hernia begins from:

* a serous membrane

* a muscle layer

* a submucosa

*+mucous layer

* all a layers

#548

*!What type of anesthesia, at the moment, is applied at herniotomy:

* mask narcosis

* Local anesthesia by Brown

*+intubation of the anesthesia

* total intravenous anesthesia

* local infiltration anesthesia by a Vishnevsky

#549

*!Author of prosthetic operation in inguinal hernia:

*+Liechtensteins'

* Spasokukotsky

* Napalkov

* Krasnobaev

* Martynov

#550

*!EXTERNAL hernia, for which is shown an emergency surgery:

* reducible

* unreducible,uncomplicate;

* unstrangulated

*+strangulated

* a sliding

#551

*!Contraindication to appendectomy for acute appendicitis during the operation is:

*A myocardial infarction

*36-40 weeks of a pregnancy

*Intolerance novocaines

*+Dense appendiceal infiltrate

*A bleeding disorder

#552

*!Dynamic clinical examination is indicated for a patient with a diagnosis:

*Acute catarrhal appendicitis

*Acute appendicitis in second trimester of a pregnancy

*"First attack" an acute appendicitis

*+Doubtful, not clear diagnosis of the acute appendicitis in patients with recent myocardial infarction

*Acute appendicitis in a children

#553

*!For suspected acute appendicitis is contraindicated to apply:

*Ice pack on a right iliac region

*antibiotics

*Gastric lavages

*+Laxative

*Emergency laparotomies

#554

*!The anatomical localization in acute appendicitis begins:

*Serous cover an appendix

*+Mucosa of the appendix

*Muscle layer of an appendix

*Dome cecuma

*Terminal a small intestine

#555

*!Specify the clinical features of acute appendicitis at the location of the appendix in the pelvis:

*Soreness in a triangle of Petit

*Blood in a stool

*+Intensive pain of the anterior wall of the rectum during rectal examination

*Lack of the reaction temperature

*Positive a symptom Pasternatskogo

 #556

*!What is a contraindication to appendectomy for acute appendicitis?

*35-36 weeks of a pregnancy

*Old age

*+Dense the appendiceal infiltrate

*Decompensated a heart disease

*Recent myocardia an infarction

#557

*!The main symptom of uncomplicated acute appendicitis:

*Symptom of a Shchetkina - Bloomberg

*Symptom of a Rovzinga

*+Muscle tension and local pain in the right iliac region

*Symptom of a Sitkovskiy

*Symptom of a Obraztsova

#558

*!What are some methods of research will enable you to differentiate acute appendicitis from violations of ectopic pregnancy?

*Speaker leukocytosises

*hyperthermias

*Review X-rays of an abdominal cavity

*Pelvic ultrasounds

*+puncture of the rear vaginal vault

#559

*!Contraindications for appedectomy in acute appeditsite:

*35-36 weeks of a pregnancy

*Old age

*+Dense appendiceal infiltrate

*Decompensated a heart disease

*Recent a myocardial infarction

#560

*!Primary-gangrenous appendicitis develops due to:

*Massive adhesions in an abdominal cavity

*Retrotsekalnogo location of an appendix

*Violation of a rheological properties of blood

*+Artery thrombosis of the appendix

*Reduce the reactivity of a patient's body

#561

*!Choose pancreatic enzymes that cleaves proteins:

*lipases

*+trypsin

*amylases

*enterokinases

*kallikreins

#562

*!In acute pancreatitis, tenderness in the left costovertebral angle, characteristic of this symptom:

*Resurrections

*+Mayo-Robsons'

*Grunwalds

*Mandors

*Grey-Turners

 #563

*!Appearance during acute pancreatitis of cyanotic spots on the side walls of the abdomen is typical for this symptom:

*Grunwald

*Mondor

*+Grey-Turners'

*Kera

*Resurrection

#564

*!The cause of bloating in patients with acute pancreatitis:

*Impaction 12 duodenal ulcer edematous head of a pancreas

*Frequent anacatharsises

*+Intestinal paresis

*Deficit of a pancreatic hormones

*Excretory a pancreatic insufficiency

#565

*!The impossibility of determining the pulsation of the abdominal aorta in epigastric in acute pancreatitis is the symptom of:

*Mayo-Robson

*Mondor

*Kera

*Purchased

*+Voskresenskiys'

#566

*!Indications for emergency surgery during destructive pancreatitis:

*Severe pains

*jaundices

*Renal failures

*+Bacterial peritonitis

*Pancreatogenic intoxications

#567

*!Pathognomic sign of perforated gastric ulcer:

*epigastric pain of a severe type

*Neukratimaya a vomiting

*Respiratory a failure symptoms

*+Absence of the "hepatic dullness"

*Blunting of a sloping ground in abdomen

#568

*!The patient was delivered after 5 hours of diseasewit h obvious signs of covered perforation, your actions:

*+Hospitalization and the emergency surgery

*Hospitalization for a dynamic nablyudeniyac.

*Hospitalization in a day clinic

*Observation in an emergency department

*Hospitalization, a delayed surgery in order

#569

*!Through the complications possible after the operations undertaken

about perforated ulcer, first place is occupied by frequency of:

*+Pulmonary complications

*Intra-abdominal abscesseses

*Violation of a gastric emptying

*Thromboembolic complications

*Festering wounds operatings

#570

*!Principles of treatment of perforated ulcer of the stomach and duodenum are:

*+Emergency operation

*Conservative by a Taylor

*Delayed an operative

*Operation with an increase in a phenomena of peritonitis

*Laparoscopic an abdominal drainage

#571

*!The origin of hernias paramount role belongs factor:

* Increased an intra-abdominal pressure;

* Increased nutrition

*presence of "weak" places on an anterior abdominal wall;

*+Increased intra-abdominal pressure and the presence of "weak" places;

* Have a history of trauma

#572

*!IN THE FIELD OF umbilical ring there are layers:

* skin, subcutaneous tissue, transverse fascia, a peritoneum,

*skin, rectus muscle, a transverse fascia, a peritoneum;

* Skin, scar-connective tissue, a peritoneum;

*+Skin, scar-connective tissue, transverse fascia, the peritoneum;

* Scar-a connective tissue

#573

*!CAUSE OF congenital inguinal hernia:

* inguinal cryptorchid;

* Varicose a veins cord;

* Increased intra-abdominal pressure of a fetus;

*+Cleft vaginal process of the peritoneum;

*omission of a kidneys

#574

*!MOST FREQUENT infringes hernia:

*Femoral;

* Umbilical;

* Postoperative;

* Giantal;

*+the Inguinal.

#575

*!DIFFERENCE between eventeretion and hernia:

* presence in a hernial sac hollow organ;

* presence in a hernial sac parenchymal organ;

* Flexing coating parietal layer of a peritoneuminner;

*+Loss (stepping of internal organs are not covered by peritoneum while damage of the skin;

* Congenital prolapse of an internal organs

#576

*!AT Parietal Strangulatein hernia sac infringes:

*loop of a small intestine;

*+The walls of the intestines on the antimesenteric edge;

* Meckels' diverticulum;

*Dome of a cecum;

* Sigmoid colon

#577

*!Litthre’s hernia is:

* Strangulated umbilical hernia;

*Strangulated femoral hernia;

* Infringement of a fallopian tube;

*+Infringement of the Meckels' diverticulum;

* Congenital inguinal hernia;

#578

*!MOST FREQUENT infringes inguinal hernias have:

*+the men;

*a women;

* a child;

*In an elderly women;

* a sportsmen

#579

*!Femoral hernia are more frequent:

* a men;

*+the women;

* a child;

*In an elderly women;

* a sportsmen

#580

*!MOST pathogenetic justifiable way of hernioplasty:

*+fascial-aponeurotic;

* a musculoaponeurotic;

* a muscular;

* a combined;

* an alloplastics.

#581

*!WHAT METHOD of hernioplasty involves the use of polypropylene mesh:

* method of a Bassini;

* method of a Zhirar;

* method of a Spasokukocki;

* method of a Postenski;

*+Liechtenstein's method.

#582

*!SYMPTOM Baryshnikov character for infringement of:

* umbilical hernia;

* femoral hernia;

* diaphragmatic hernia;

*+When parietal infringements the inguinal hernia.

* Meckel diverticulum

#583

*!FREQUENT intraoperative complications in laparoscopic hernioplasty

* recurrences

* inconsistency of a seams

* festering wound

* respiratory an insufficiency

*+Damage to the blood vessels and intestines

#584

*!AUTHOR OF OPERATIONS IN hernial sac phlegmon OVER umbilical hernia:

* Bassini

* Zhirar

* Postnesskii;

* Sholdis

*+Grekovs'

#585

*!The most characteristic clinical symptoms of ulcerative colitis:

*Non-localized pain

*+Loose stools mixed with a blood

*"Greasy" stools with a mucus admixture

*Stool with an admixture of mucus

*a cramping

#586

*!The emergence of pain on pressure over the right clavicle in the legs sternoclavicular muscles, this symptom:

*+Musso

*Courvoisiers

*Murphies

*Resurrections

*Rovzingas

#587

*!The emergence of pain in acute cholecystitis, with a deep breath and palpation of the right hypochondrium - a symptom:

*Ortners

*Courvoisiers

*St. Georges

*+Murphy

*Sitkovskiys

#588

*!What characterizes the complaint of patients with acute cholecystitis:

*vomitings

*+irradiation of the pain in his right hand under the shoulder blade, shoulder girdle

*hyperthermia

*chills

*nausea

#589

*!In the conservative treatment of acute cholecystitis includes everything, except:

*antispasmodics

*perirenal novocaine blockades

*antibiotics, infusion therapies

*+heat in the right hypochondrium

*cold

#590

*!The place of bilirubin is:

*+digestive system

*system of a circulatory part

*a skeletal system

*a muscular system

*a reticuloendothelial system.

#591

*!What are the biochemical changes during obstructive jaundice?

*+increase of the bound and free bilirubin, elevated transaminases

*high unconjugated bilirubin in a blood, alkaline phosphatase is not changed

*a high of bilirubin in a lood, increased alkaline phosphatase

*increasing an amylase

*increase in an amylase, LDH

#592

*!What kind of history is typical with obstructive jaundice?

*contact with toxic substances or an icteric patients

*+attacks of the pain with or without jaundice, biliary tract surgery

*diseases of an infectious

*abuse of an alcohol

*obesities

#593

*!What is unusual in the complaint of patients with obstructive jaundice?

*pain in a right upper quadrant or epigastric

*jaundices

*prurituses

*+appetite of the increased type

*aholichny chair

# 594

*!What are the symptoms correspond to choledocholithiasis?

*paroxysmal abdominal pain, bloating, nausea, vomiting, lack of chairs,

*+acute attacks of pain with the jaundice, persistent itching, aholichny chair

*pain in a right upper quadrant is missing, increase indirect bilirubin

*jaundice, normal temperature, a normal stool

*enlargement of spleen and a liver

# 595

*!Indicate to change any parameters of the organism causes jaundice due to choledocholithiasis:

*+increasing the level of direct bilirubin fraction

*increase in an urine diastase

*the appearance of a melena

*reduction in an ALT level

*hyperglycemias

#596

*!Determine tactics when strangulated hernia in elderly patients with recent myocardial infarction:

*delayed surgery after a treatment by a physician

*+immediate surgery with the cardiac intensive therapy

*regardless of an infringement, to carry out cardiac therapy

*reduction of a hernia

*appoint analgesics and an antispasmodics

#597

*!What needs to be taken when infringement of inguinal hernia is not more than 4 hours:

*warming baths

*introduction of an antispasmodics

*the introduction of an analgesics

*+emergency surgery

*reduction of a content hernia sac

#598

*!What is a weak wall of the inguinal canal with direct inguinal hernia?

*Front

*+rear one

*upper

*lower

*lateral

#599

*!You will find a contraindication to surgical treatment of strangulated hernia:

*pregnancy II half

*huge size of the hernia

*abscess hernia sac

*recent myocardial infarction

*+no usage of the contraindications

# 600

*!What is necessary to differentiate the inguinal-scrotal hernia

(Name wrong answer):

*hydroceles

*an inguinal lymphadenitis

*a direct inguinal hernia

*dropsy of a spermatic cord

*+acute orchitises

# 601

*!What is the Richter infringement:

*+infringement of the intestinal parietal

*internal strangulated hernia

*infringement of a twisted sigmoid

*infringement a Mekkel diverticulum

*infringement of a postoperative hernia

# 602

*!What are the symptoms of strangulated hernia is characterized by (name wrong answer):

*previously free protrusion ceases to reduce a into an abdominal cavity

*a sharp pain in a bulge

*a sudden onset

*phenomenon of an intestinal obstruction.

*+reduction in the abdominal cavity without pain

#603

*!The method of special studies of the esophagus are all except:

*+thoracoscopy

*esophagoscopies

*fibro-esophagoscopies

*esophago-onkomonographies

*X-ray examination of an esophagus

# 604

*!On the general symptoms of diseases of the esophagus does not apply:

*dysphagias

*a chest pain

*an abnormal salivation

*an esophageal vomiting

*+constipation

#605

*!The most pronounced damage in esophageal burns:

*+places restrictions the physiologic esophageal

*in middle third of an esophagus

*throughout

*in a lower third of the esophagus

*only where there is a contact

# 606

*!The most characteristic symptom of festering ehinococcus liver cysts:

*yellowness of a skin

*appearance of a dry cough

*appearance of a skin rash

*loss of an appetite

*+increase in the body temperature

#607

*!The characteristic feature of liver cysts with ultrasound:

*presence of an echo dense formation.

*+availability of education with clear echoes of the thick walls

*presence of an echo dense formations with indistinct contours

*presence of a liver deformation with increasing body size

*presence of a strain of vascular pattern of liver

#608

*!In patients with liver echinococcosis suddenly appeared abdominal pain, positive symptom of peritoneal irritation, fever, allergic red spots on the body. What complication can be assumed?

*acute cholangitises

*+gap hydatid cysts

*acute hepatitises

*cysts abscesses

*liver abscesses

#609

*!Complications of liver echinococcosis:

*+jaundice

*a gastrointestinal bleeding

*acute inflammation of a gall bladder

*an acute inflammation of a pancreas

*acute intestinal obstructions

#610

*!Treatment of echinococcosis of the liver:

*+surgical

*conservatived

*chemotherapies

*radiotherapies

*lasers

# 611

*!What are the characteristic features of liver alveococcosis different from echinococcosis: 1 density, 2 soft elasticity 3 tuberosity, tenderness 4, 5 sprouting in adjacent organs

Select the correct combination of answers:

*+1,3,5

*1,4

*2, 4

*3, 4, 5

*1, 3, 4

#612

*!What are the radiographic signs of uncomplicated lung echinococcosis:

*homogeneous intense shade of triangular shape

*+a round homogeneous shadow with the clear outline

*cavity with a liquid level and perifocal infiltration

*star-shaped shadow, with inhomogeneous path to root of a lung

*rounded shadow with an indistinct contours

#613

*!What is the most common clinical symptoms in patients with uncomplicated lung echinococcosis:

*cough with a purulent sputum, hyperthermia,

*hacking cough

*dyspnea, attack a suffocation

*+absence of complaints, revealed by the X-ray examination

*cough with a "rusty" sputum.

#614

*!The choice of therapeutic tactics in lung echinococcosis:

*conservative treatment - chemotherapy

*needling hydatid cysts, introduction sclerosants

*+operational the interuptions- echinococcectomy

*constant aspiration through drainage of a cyst cavity

*special preparations

#615

*!What are the clinical symptoms typical for a breakthrough in the pleural cavity echinococcosis: / mark the wrong answer /

*+pulmonary hemorrhage

*chest pains

*development of an anaphylactic shock

*shortness of a breath, increasing respiratory distress

*severe weaknesses

#616

*!The emergence of "splashing sound" in acute intestinal obstruction is due to:

*presence of effusion in an abdominal cavity

*+accumulation of liquids and gases in bowel loop leading

*presence of free gas in the abdominal cavity

*adhesive processes

*megadolichosigmas

#617

*!In sigmoid volvulus, emergency surgery is indicated in cases when:

*patient is younger than a 80 years

*there are phenomena of peritonitises

*+in all cases, without the exception

*due to a radiation therapy

*failure of a conservative therapy

#618

*!Determined by palpation "splashing sound" of the liquid accumulated in the extended lumen of the intestine called the symptom:

*+Wilms

*Spasokukotsky

*Chugueva

*Mathieu-Sklyarov

*Valya

#619

*!Balloon-like expansion of ampoule of the rectum and anal gaping holes observed at the sigmoid volvulus is a symptom:

*Tsege-Menteyfelya

*Babouk

*+Obukhov Hospitals

*Wilms

*Rovzinga

#620

*!Which pathology does not cause strangulation intestinal obstruction:

*volvuluses

*nodulations

*infringement of colon in a hernial ring

*+obstruction of lumen of the intestine from the inside tumor

*spikes

#621

*!Palpation of balloon-like bloated bowel loops at a bowel obstruction is a symptom:

*Mathieu-Sklyarov’s

*Schlange's

*+Valya

*Kivulya's

*Voskresenskiy's

# 622

*!What is not decisive in the studies for the diagnosis of "acute intestinal obstruction"

*Review X-rays of an abdominal cavity

*study of passage of barium through a bowel

*+EGDS

*Laparoscopies

*a biochemical blood tests

#623

*!Visible peristalsis occurs when:

*+intestinal obstruction by the mechanical type

*ascites

*kidney diseases

*acute inflammatory diseases of an abdominal organs

*cachexias

#624

*!A characteristic symptom of acute intestinal obstruction:

*Vosnesenskiy’s

*Ortner’s

*+Valyas

*Lexer’s

*Rovsing’s

# 625

*!What type of bowel obstruction refers to strangulation:

*+volvulus

*obstruction by a gallstone

*an intestinal tumor

*obstruction by a worm wad

*an intestine paresis

#626

*!A characteristic feature of obstructive ileus:

*constant pain in an abdomen

*+abdominal pain by the cramping type

*vomiting color -"coffee grounds"

*a "wooden belly"

*positive a Rovsing’s symptom

#627

*!At which form of intestinal obstruction there are spotting such as "raspberry jelly" from the rectum?

*paralyticed

*spasticed

*obstructived

*at a small intestine volvulus

*+intussusception

# 628

*!When is a symptom of "fecal" vomit” appear:

*acute appendicitis

*acute cholecystitis

*acute pancreatitis

*+late stage of the intestinal obstruction

*coprostasia

#629

*!The patient 46y.o. complains on cramping pain around the abdomen, nausea, dry mouth, repeated vomiting, general weakness. Come down 25 hours ago after a heavy meal at the wedding. At night there were abdominal pain, nausea, repeated vomiting. Later the pains acquired accrescent character, joined bloating, gases ceased to retreat. 5 years ago he had surgery- appendectomy. Your preliminary diagnosis?

*Abdominal form of a myocardial infarction

*lobar pneumonia

*an acute renal failure

*+intestinal obstruction of the acute type

*an ulcerative colitis

#630

*!What additional diagnostic measures are necessary to carry out a suspected intestinal obstruction

*contrast study of an esophagus

*thoracoscopies

*+plain abdominal radiography

*laparocentesises

*plain urographies

#631

*!In patient with "acute abdomen" free gas under the dome of the diaphragm was diagnosed with plain X-ray. Your diagnosis?

*acute pancreatitis

*+perforation of the hollow organ

*Crohn's disease

*Mallory - Weiss syndrome

*acute appendicitis

#632

*!In patient with suspected "acute abdomen" a large number of effusion muddy nature with an admixture of fibrin was observed at laparoscopy. What complication has arisen:

*acute intestinal obstructions

*interloop abscesses

*empyema of a gall bladder

*+acute peritonitis

*Ascites

# 633

*!The treatment of the patient with acute peritonitis:

*conservative treatment - hormones,an immunostimulants

*hospitalization in an intensive care unit to improve

*5-6 hours of preoperative preparation and an emergency surgery

*1-2 days of preoperative preparation and an elective surgery

*+1-2 hours of preoperative preparation and the emergency surgery

# 634

*!In patient with acute peritonitis ultrasound can reveal:

*+presence of fluid in the abdomen

*perforation of a penis

*presence of free gas in an abdominal cavity

*presence of a Kloiber's cups

*presence of adhesions

#635

*!Diffuse purulent peritonitis may be a consequence of all these diseases, except:

*diarrhea

*perforated a Meckel diverticulum

*Crohn's disease

*+papillary stenosis of the large type

*Richter strangulated hernia

# 636

*!For the perforation of a hollow organ in the free abdominal cavity is not typical:

*acute onsets

*wooden bellies

*the collapses

*+polyuria

*a tachycardia

#637

*!The most common cause of peritonitis:

*post-operative complications

*acute abdominal traumas

*ruptured cholecystitises

*ileuse

*+destructive appendicitis

#638

*!What are the symptoms are not typical for the initial stage of peritonitis:

*+pain pelvic peritoneum during the rectal examination

*tendency to a tachycardia

*an acute electrolyte shifts

*muscle tension anterior an abdominal wall

*tendency to increase a leukocytosis

#639

*!pathognomonic symptom of perforation of a hollow organ in the abdominal cavity is free:

*an acrocyanosis

*lack of a bowel sounds

*+disappearance of hepatic dullness to the percussion

*positive symptom of a peritoneal irritation

*dullness in sloping areas of an abdominal cavity

# 640

*!Painful palpation of the liver, pain above the right clavicle, high standing of the diaphragm dome and hectic fever says:

*between a loop abscess

*gangrenous appendicitises

*acute pancreatitises

*+subdiaphragmatic abscess on the right

*cholecysto-pancreatitis

#641

*!At which pathology disappears hepatic dullness:

*+hollow body with the perforations

*ileus

*gastrointestinal bleedings

*renal colics

*in a Hirschsprung's disease

#642

*!Factors that have no value for the diagnosis of acute abdomen:

*clinical manifestations of a disease

*level of medical culture of a population

*medical professionalism

*severity of a patient's condition

*+the patient's nationality

#643

*!What is an acute surgical disease most often conducts to peritonitis:

*+appendicitis of the acute type

*penetrating ulcers

*irreducible hernias

*intestinal obstruction of an adhesive type

*acute cholecystitis

#644

*!Tactical medical errors inordinately department at diagnostik "acute abdomen" are all but:

*a failure hospitalization

*long delay more than 30-40 minutes for a sanitary cleaning

*a secondary instrument studies

*a consultancyunjustified

*+introduction of antispasmodics to the facilitate state

#645

*!pathological conditions, pretending to "acute abdomen" include everything except:

*uremias

*+thyroid disease

*spine and a spinal cord diseases

*a diabetic acetonemia

*abdominal syndrome of an ischemic type

#646

*!Symptom peritonitis:

*Kocher

*Kerte

*+Shchetkina-Blumbergs

*Sklyarov

*Murphy

# 647

*!The treatment of acute appendicitis:

*+surgeryof the emergency type

*conservative

*elective surgery

*delayed surgery

*expectant management

#648

*!The emergence of pain in the right iliac region during pushing in the left iliac region in the zone of the descending colon is called a sign:

*+of Rovsings

*of Sitkovskiy

*of Voskresenskiy

*of Razdolsky

*of Bartomier-Michelson

#649

*!Tenderness to percussion over the appendix called a sign:

*+of Razdolskys

*of Voskresenskiy

*of Bartomier-Michelson

*of Rovsing

*of Sitkovskiy

#650

*!Strengthening of pain in sudden removal of the hand after the preliminary pressure on the abdominal wall called a symptom:

*+Shchetkin-Bloombergs

*Voskresenskiy

*Razdolsky

*Sitkovskiy

*Rovsing

#651

*!Increased pain in the right iliac region in the left lateral position is a symptom:

*+Sitkovskiys

*Voskresenskiy

*Rovsing

*Razdolsky

*Bartomier-Michelson

#652

*!Strengthening palpation pain in the right iliac region in the left lateral position is a symptom:

*+Bartomier-Michelsons

*Voskresenskiy

*Rovsing

*Sitkovskiy

*Razdolsky

#653

*!Strengthening of pains in the right iliac region during swiping fingers of the palm through the jacket of the right costal arch to the right iliac fossa is called symptom:

*+Voskresenskiys

*Bartomier-Michelson

*Rovsing

*Sitkovskiy

*Razdolsky

# 654

*!What complication of acute appendicitis is a contraindication to emergency appendectomy:

*+appendiceal infiltrate of the stage 1

*peritonitis

*sepsis

*pylephlebitis

*appendiceal infiltrate stage 2 (absces)

#655

*!What complication of acute appendicitis develops in terms of not less than 3 days from the onset of the disease:

*+infiltrate of the appendiceal type

*appendiceal abscess

*peritonitis

*pylephlebitis

*sepsis

# 656

*!At what complication of acute appendicitis to patient is indicated emergency surgery, but it is impossible to perform appendectomy?

*+abscess of theappendiceal type

*appendiceal infiltrates

*sepsis

*a diffuse peritonitis

*a pylephlebitis

#657

*!Specific complications in the next few hours after appendectomy are:

*typhlitis

*+bleeding into the abdomen

*a diffuse peritonitis

*a festering wounds

*intestine diverticulosis

# 658

*!For the differential diagnosis of acute appendicitis and perforated ulcer in the first place, it is necessary to carry out:

*+overview abdominal by the X-rays

*gastroduodenoscopies

*laparoscopies

*nasogastric intubations

*an ultrasound

#659

*!A noninvasive method of differential diagnosis of acute appendicitis and acute cholecystitis is:

*+US

*laparoscopies

*cholecystograpies

*Angiographies

*determination of a leukocyte index

#660

*!The main method of treatment of pelvic abscess in men:

*+opening through the rectum

*laparotomy with drainage of an abscess

*antibiotics

*physiotherapies

*detoxification therapies

#661

*!contraindication to appendectomy at diagnosis of acute appendicitis is associated:

*+there are no usage of the contraindications

*a myocardial infarction

*haemophilias

*an infectious hepatitis

*an AIDS

# 662

*!On the clinical course of appendiceal infiltrate judges on the following parameters, with the exception of:

*+regularity of the stool

*a temperature curve

*leukocyte index of an intoxication

*size of an infiltrate

*compliance of a body temperature with pulse

# 663

*!What method of research you elect for the diagnosis of abscess of the Douglas space:

*fibrocolonoscopies

*laparoscopies

*palpation of an abdomen

*+examination of the digital rectum

*X-ray examination of an abdominal cavity

# 664

*!On the patient, operated for gangrenous appendicitis, condition does not improve, high fever, appeared bloating and yellowness of the skin. The most likely diagnosis of complications:

*+pylephlebitis

*infectious hepatitises

*diffuse peritonitises

*an ileus

*post-operative pneumonias

# 665

*!After 12 hours after appendectomy at normal temperature in a patient appeared tachycardia, paleness of skin, fainting when he tried to stand up. What first of all you should think about:

*+intra-abdominal bleeding

*a diffuse peritonitis

*an intestinal obstruction

*pylephlebitises

*strokes

# 666

*!The patient who underwent appendectomy, since 5 days, against the background of reducing of local pain occurred deterioration of general condition: fever and its hectic swings, increasing the number of white blood cells, in the depths of the pelvis appeared moderate pain, transient dysuria, tenesmus. With which additional research method for identifying the causes of this clinical picture you should begin:

*+examination of the digital rectum

*repeated blood and urine tests

*sigmoidoscopies

*control irrigoscopies

*an ultrasound

# 667

*!The most radical characteristic symptom of acute appendicitis:

*pain at a Mc Burney’s point

*+muscle tension and local pain in the right iliac region

*pain at a Lanz’s point

*pain at a Kьmmell's point

*a Shchetkin-Bloomberg’s symptom

#668

*!What is a contraindication for surgical treatment of acute appendicitis:

*pregnancy 35-36 weeks

*old ages

*acute cerebrovascular accidents

*a decompensated heart disease

*+there are no usage of the contraindications

# 669

*!The three most common causes of acute abdomen in descending order:

*+acute appendicitis - perforation of the hollow organ - acute intestinal obstruction

*acute appendicitis - a gastrointestinal bleeding - acute intestinal obstruction

*the perforation of a hollow organ - acute appendicitis - acute intestinal obstruction

*acute appendicitis - perforation of a hollow organ - bleeding

*perforation of a hollow organ - bleeding - acute appendicitis

# 670

*!In the differential diagnosis of acute abdomen is not taken into account:

*urinary tract infections

*a right-sided lobar pneumonia

*yolk duct cyst (an omfatsel)

*ovary diseases

*+anorexic symptom

# 671

*!The main symptom of acute appendicitis:

*+local muscle tension and pain in the right iliac region

*a Rovsing’s symptom

*a Shchetkin – Bloomberg’s symptom

*a Sitkovskiy’s symptom

*a Razumovsky’s symptom

# 672

*!The 24-year-old student complains of nausea and vomiting, pain in the navel duration of 4 hours. During the last hour the pain moved to the right iliac region, the temperature of 37,8 °. White blood cells 13 thousand. What diagnosis is most likely:

*acute pyelitises

*+acute appendicitis

*renal colics

*hepatic colics

*an acute pancreatitis

*Diseases of the arteries et vein, and Portal hypertension*3*195*5*

# 673

*!Performed appendectomy about catarrhal appendicitis, and if no comorbidities and complications will appear, which drugs you assign?

*Antibiotics

*sulfonamides

*+analgesic

*drugs that stimulate a peristalsis

*desagregants

# 674

*!Select a symptom of acute appendicitis:

*Ortners

*+Kocher

*Courvoisiers

*Murphies

*Valyas

# 675

*!In acute appendicitis, inflammation begins in:

*serous membrane of a process

*+mucosa of the process

*a cecal mucosa

*submucosa of processes

*mesentery of processes

# 676

*!contraindication to surgery appendectomy for acute appendicitis with local peritonitis:

*pregnancy 36-38 weeks

*intolerance of a novocaine

*a bleeding disorder

*diabetes

*+no usage of the contraindications

#677

*!To confirm the diagnosis of acute appendicitis eliminate unnecessary research method:

*palpation of an abdomen

*digital examination of a rectum

*study of a vaginal

*blood tests

*+fibrocolonoscopy

# 678

*!Kocher’s symptom in acute appendicitis is:

*movement of pain from a navel to right iliac region

*pain at a Lanz’s point

*pain at a Kummel’s point

*pain around an abdomen

*+movement of epigastric pain in the right iliac region

#679

*!The name of the gap between the rib and the costal part of the diaphragm to the right by the author:

*Larrey's slot

*+Triangle Morgagni's

*Triangle Bochdalek

*Triangle Gesselbaha

*Diaphragmatic triangle

# 680

*!What type of injury prevails among multiple and associated injuries:

*Trauma of a chest and abdomen

*Abdominal trauma and a pelvic bones

*+craniocerebral and the fractures of limbs

*Compression of an extremities and abdominal trauma

*Damage to an upper and lower extremities

#681

*!What factor does not determine early mortality in multiple and associated injuries:

*blood loss

*Skull injury

*+Damage to the skeleton

*Traumatic shock

*Internal injuries

# 682

*!Which of the following does not determine mortality in multiple and associated injuries in the first hours after the trauma:

*Fat embolism

*Shock and a blood loss

*Severe traumatic brain injury

*pulmonary embolism

*+The presence of inflammatory diseases

#683

*!What causes lethality in multiple and associated injuries in the long term after the injury:

*Severe traumatic a brain injury

*Pulmonary embolisms

*Severe malnutritiones

*+Suppurative complications

*Fat embolisms

# 684

*!Which of the following has fundamental importance in the prevention of septic complications in open multiple fractures of limbs:

*Introduction of an antibiotics in open fractures

*+Primary surgical processing of the wounds

*Futlyarnoy procaine blockade with an antibiotics

*The use of polymeric dressings with an antibiotics

*Intraosseous prolonged blockade with an antibiotics;

# 685

*!Which of the following could be the cause of primary idiopathic (spontaneou*pneumothorax in young people:

*pulmonary a tuberculosis

*Frequent a viral infection

*Active participation in a sports

*Early prolonged a smoking

*+Hereditary diseases

#686

*!Which of the following could be the cause of secondary idiopathic (spontaneou*pneumothorax in young people:

*+Pulmonary tuberculosis

*Early a prolonged smoking

*Primary pulmonary an emphysema

*Active participation in a sports

*Frequent a viral infection

#687

*!What kind of damage is trauma of two or more anatomical areas:

*combined

*isolated

*+associates

*opened

*closed

# 688

*!The cause of false abdominal syndrome in associated trauma is:

*Dislocation of a hip joint

*Transtrochanteric hip a fracture

*+fracture of ribs in the middle-lower zone

*Contusion of a cervical-thoracic spine

*Fractured sternum and a mediastinal organs injury

#689

*!Reliable sign of diaphragm cupula rupture is:

*Chest pain radiating to a shoulder girdle

*+Output of abdominal organs into the thoracic cavity

*Reduced air on a side of injury

*High standing of a diaphragm dome

*Pain in right upper quadrant and a left

#690

*!Conducting of which sample indicates the stopping or continuation of intrapleural bleeding:

*Sample a Pratt II

*Petrova a test

*Sample Efendiyev's

*Zeldovich's test

*+Ruviula-Gregoirs' sample

#691

*!The dominant objective sign at rupture of parenchymal organ in the abdomen:

*Hemorrhagic Syndromes

*Bradycardias

*Hypodynamies

*Hypertensions

*+Presence of liquid in the abdomen

#692

*!What is the Kulenkampf’s symptom:

*+Sharp increase in pain during removal of the surgeon's hands during soft abdominal wall

*Sharp gain pain during removal of surgeon's hands during an intense abdominal wall

*Expressed bloating, a diarrhea syndrome

*Вisappearance of "hepatic dullness" at a percussion

*Expressed "vein pattern" of an anterior abdominal wall

# 693

*!The causes of peritonitis in a closed abdominal trauma

*+The gap of the hollow body

*An acute gastroduodenitis

*Anacute pyelonephritis

*Hepatocholecystitises

*Paresis of an intestine

# 694

*!The causes of hemorrhagic syndrome with closed abdominal trauma

*An acute pancreatitis

*Intussusception of a bowel

*Peptic ulcer diseases

*+Rupture of the spleen

*An acute appendicitis

# 695

*!On which factors depends severity of the hemorrhagic syndrome?

*+The degree of blood loss

*Severity of a respiratory failure

*Heart failures

*Urinary tract injuries

*Spinal injuries

#696

*!How many degrees of blood loss are distinguished in hemorrhagic syndrome?

*2 degrees

*+ 3 degreees

*4 degrees

*5 degrees

*6 degrees

# 697

*!Indications for conservative treatment with closed abdominal trauma:

*+injuries of the abdominal wall

*damage of a parenchymal organs

*a large subcapsular hematoma

*severe clinical picture of an internal bleeding

*clear signs of a peritonitis

# 698

*!The absolute indication for emergency laparotomy with closed abdominal trauma:

*+Clear signs of the intra-abdominal bleeding

*Presence of signs of a hematoma abdominal wall

*Retroperitoneal hematomas

*Paravesical hematomas

*An acute urinary retention

#699

*!What type of anesthesia is used in laparotomy a closed for abdominal trauma:

*mask narcosises

*+ endotracheal anesthesia

*an intravenous anesthesia

*a spinal anesthesia

*epidural anesthesia

#700

*!What is the screening test used in closed abdominal trauma:

*+ Ultrasonography

*Rectoscopies

*diaphanoscopes

*fibrogastroscopies

*Colonoscopies

#701

*!Damage (rupture) of the spleen is characterized by the position of the patient

*on a left side with straight legs

*on a back with his legs pulled up

*+restless, the "Roly-Poly" symptom

*attempt to take a knee-elbow position

*position on a stomach

# 702

*!Rupture of hollow organs with a closed abdominal trauma is in finding them at the time of injury:

*in a collapsed state

*+in the overfull state

*at an enhanced peristalsis

*in empty state of a hollow organ

*at a weak peristalsis

# 703

*!Clinic of liver rupture is characterized by:

*internal bleedings

*hemorrhagic shocks

*+internal bleeding, hemorrhagic and the traumatic shock

*a clinic does not appear

*a clinic appears slightly

#704

*!With damage to which organs of the body is necessary to differentiate the damage of the retroperitoneal duodenum:

*Stomachs

*+ pancreas, kidneys

*Descending colons

*Spleens

*livers

# 705

*!At what amount of fluid in the abdomen paracentesis is

positive:

*50 ml

*+100,0 ml

*200 ml

*300 ml

*500 ml

# 706

*!Mallory-Weiss’ syndrome is characterized by bleeding from:

*Colon polyps

*+Cracks lining of the esophagus and gastric cardia

*Erosive gastroduodenitises

*Rectal fissures

*Varicose veins of the esophagus and a stomach

# 707

*!Disease (syndrom) accompanied by gastroduodenal bleeding after vomiting:

*Caroll’s

*Afferent loop

*+Mallory-Weiss’

*Zollinger-Ellison’s

*an irritable stomach

#708

*!Stool of gastroduodenal hemorrhage:

*+Black

*liquids

*"crimsons"

*"fatties"

*unformed

#709

*!Scarlet blood on the stool is found at:

*+Hemorrhoid

*Colon tumors

*paraproctitises

*Colon polyps

*Stenosis of an «anus-a»

#710

*!EFGDS at an altitude of gastrointestinal bleeding can be determined:

*Bleeding a forecast

*+Bleeding source

*Bleeding rates

*Degree of a blood loss

*Severity of a blood loss

#711

*!The most informative method of diagnosis of bleeding from the proximal colon:

*rectoscopies

*sigmoidoscopies

*Finger studies

*ergographies

*+colonoscopy

#712

*!Minimally invasive method of mechanical stop bleeding from varicose veins of the esophagus and cardia of the stomach:

*+Blakemores' probe

*Ligation of a vessels

*blood transfusions

*Electrocoagulation of a vessels

*Application of a cold

#713

*!The volume of emergency surgery during bleeding from varicose veins of the esophagus and cardia of the stomach:

*+Flashing of the bleeding esophageal veins

*Gastrectomies

*Splenic-renal anastomosis

*Moving a spleen

*splenectomies

#714

*!The degree of blood loss due to the shock index is defined by:

*Erythrocytes and a hemoglobin

*+Pulse to the blood pressure

*Pulse to a hemoglobin

*Hematocrit values ​​and a pressure

*Hematocrit and a Hemoglobin

#715

*!Indications for emergency surgery for gastrointestinal bleeding of peptic etiology due to endoscopic data:

*Presence of a red blood clot

*bleeding by a Held type

*Bleeding by a Stopped type

*Ulcer covered with a fibrin

*+Arterial bleeding

# 716

*!Conservative treatment of acute blood loss in the prehospital phase begins with the application:

*a red blood cell

*a blood

*+Crystalloid solution

*Colloidal mixtures

*plasmas

#717

*!Indications for surgery for gastrointestinal bleeding of peptic etiology in patient which is in the surgical department:

*Presence of a red blood clot

*bleeding by a held type

*Bleeding by a stopped type

*bleeding in an anamnesis

*+Recurrent bleeding

#718

*!Feces in gastric bleeding:

*+Tarry (Blac)

*liquids

*"Crimsons"

*"Fast"

*fetids

#719

*!What types of drugs can be cause of gastrointestinal bleeding:

*+Salicylate

*antibiotics

*antiseptics

*cytostatics

*analgesics

#720

*!The nasogastric tube is used during gastroduodenal bleeding with this main perpose:

*A gastric lavage

*Preparation for an EGD

*+Hemostasis control

*powers

*Introduction of a drugs

#721

*!What is conservative treatment for bleeding from the GIT of mild degree:

*+Hemostatic

*a blood transfusion

*antibiotics

*cytostatics

*analgesics

#722

*!Choose efficient surgical tactics during continued bleeding, caused by Mallory-Weiss syndrome:

*Transthoracic ligation of an esophageal varices

*Transtorakalnay an aantireflyuksnaya operation

*+Gastrotomy and needling breaks of mucosa and submucosa of the stomach

*Resection pishevodno-gastric junctions

*Gastrectomies

#723

*!Surgical Management of recurrent bleeding from chronic ulcers of duodenum:

*Excision of an ulcer

*+Gastric resection

*Selective vagotomies

*Closure of an ulcer

*gastrotomies

#724

*!Modern Operational Management of profuse bleeding from acute gastric ulcer:

*gastrectomies

*Sparing resections

*Gastrectomy for a B-1

*Gastrectomy for a B-2

*+Electrocoagulation of the ulcer

#725

*!Disappearance of pain and the appearance of weakness in ulcerative bleeding is a symptom of:

*+Bergmans

*Taronenko

*Petrovsky

*Exemplary Mihelsona

*Zollingera- Ellison

# 726

*!The tactics of the doctor, during stopped bleeding with a hemoglobin level of 48:

*Transfusion of a plasma, colloids

*Active haemostatic treatments

*Crystalloid volume replacements

*Emergency surgery, a blood transfusion

*+Blood transfusion, the haemostatics, observation

#727

*!The diagnostic and therapeutic tactics, when receiving trough the tube the contents with clots, "coffee grounds" impurity, and the presence of melena :

*colonoscopies

*irrigoscopies

*esophagoscopies

*+Gastroduodenoscopy

*rentgenogastroscopies

#728

*!Not suitable for transfusion "cadaveric blood", taken, from died people from:

*anginas

*Heart attackes

*skull trauma of a closed type

*+Knife injury of the liver and bowel

*Electrocutions

#729

*!It is optimal to use for the treatment of acute anemia:

*+red blood cells of the packed type

*Citrated bloods

*Blood plasmas

*polyglucines

*Hemodezes

#730

*!Actions of physician during transfusion shock:

*Lower head end of a bed;

*Chest compressions;

*Give oxygen to a breathe;

*+Stop blood transfusions without removing the needle from the vein;

*An invite transfusiologist

#731

*!The absolute indication for blood transfusion:

*+Acute massive blood loss (more than 30% of the volume of blood circulation)

*Traumatic shock of a III degree

*Sepsises

*Severe poisoning of a carbon monoxide

*Chronic iron deficiency anemias

# 732

*!Pathogenically, blood transfusion is indicated for:

*+Acute anemia

*Intestinal obstructiones

*Portal hypertensiones

*Acute cardiovascular insufficiencies

*Fastings

#733

*!The clinical manifestation of bleeding from the terminal part of the large intestine:

*Melenas

*Stool uniformly mixed with a blood clots

*Blood clots in form of a single mass

*+Discharge of 15-20 ml of the liquid blood it the end of defecation

*Constipations

#734

*!If blood transfusion in patients who are in a state of anesthesia:

*+Cross match should be the held completely

*Not an available biological sample

*Carried out only a biological sample

*Compatibility is defined only by an ABO system

*Compatibility is defined only by a Rh factor.

#735

*!If the knife penetrating abdominal injury and the presence of acute progressive anemia what should be taken for hemostasis:

*Compressive bandage on an wound

*Overlay clip on a bleeding vessel

*Plugging wound with a tachocomb

*Intravenous transfusion of a plasma

*+Emergency surgery

#736

*!Laboratory index of blood loss severity:

*Leukopenias

*thrombocytosises

*leukocytosises

*+Erythropenia, the hemoglobin decrease

*leukocyte a left shift

#737

*!Actions of prehospital medical employee in case of knife wounds with suspicion of the spleen damage:

*Compression of wounds with a bandage

*+Sent to the surgical hospital

*Electrocoagulation of a bleeding vessels

*Wound tamponed with a hemostatic sponge

*Tamponed wounds with hot a physiological solution

# 738

*!Reason of heavy bleeding from the rectum:

*Ulcers of a rectum

*crack of a rectal mucosa

*+Varicose veins of the rectum

*rectal cancer

*Polyp of a rectum

# 739

*!Varicose veins of the esophagus and stomach are reliably diagnosed by:

*laparoscopies

*+EGD

*laparocentesises

*Hepatic angiographies

*X-rays

#740

*!Bergman’s symptom of a peptic ulcer is typical for:

*malignancies

*pyloric stenosises

*penetrations

*+bleeding

*perforations

#741

*!Stool as a "raspberry jelly" is characteristic:

*+Ulcerative colitis

*diverticulum by a Meckel type

*An intestinal polyposis

*ulcer of a stomach

*a colon cancer

#742

*!Choose the most common causes of vomiting "coffee grounds":

*+stomach ulcer and the duadenum

*intestinal obstruction

*mesenteric arterial thrombosis

*portal hypertension

*nosebleeds

#743

*!Name a cause of symptom of tarry stool:

*when a hemorrhoidal bleeding

*in a mesenteric arterial thrombosis

*+for gastric and 12 sc, it complicated by the bleeding

*in an ulcerative colitis

*in a Hirschsprung's disease

#744

*!At which cases disappears hepatic dullness:

*+for the perforating hollow bodies

*with an intestinal obstruction

*if a gastrointestinal bleeding

*renal colics

*in a liver injury

# 745

*!Not typical signs of the early signs of bleeding:

*weaknesses

*dizzinesses

*+bradycardia

*swoons

*tachycardias

# 746

*!What is heamatemesis:

*bleeding from an esophageal VV

*a rectal bleeding VV

*+vomiting blood

*heavy menstruations

*blood of a bile

# 747

*! What shows involuntary act of defecation with little admixture of altered blood / crimson stool /:

*a hemorrhoidal bleeding

*one-stage massive bleeding from an upper gastrointestinal tract

*colon cancers

*that is not a case

*+bleeding from the colon

#748

*!Defenition of shock Algovera index for bleeding:

*the ratio of breaths to a pulse

*the ratio of bcc to a pulse

*+the ratio of pulse to the systolic pressure

*the ratio of an amount of hemoglobin in a blood pressure

*the ratio of a hemoglobin to bcc

#749

*!The general condition of the patient is middle, lethargy, pale skin, increased heart rate, decreased blood pressure to 90 mm Hg, repeated vomiting scant "coffee grounds" and tarry stools. hemoglobin 80 g / l, and CBV 15% deficit. What is the severity of the bleeding?

*I

*+II

*III

*IV

*V

#750

*!Select treatment which does not correspond to a local physical effect when gastroduodenal bleeding:

*gastric lavage with a cold water

*introduction into the stomach of a vasoconstrictors

*transfusion of a packed red blood cells

*an endoscopic electrocoagulation

*+Blood UVR

#751

*!Select what is not a reason for the formation of gallstones:

*violation of a blood supply to gallbladder

*violation of a physical and chemical composition of bile

*stagnation of a bile infection

*deformation of a gallbladder

*+development of the biliary tract abnormalities

#752

*!Select clinical symptom which is not typical for acute cholecystitis:

*Murphy

*Myussi- St. George's

*Ortner

*+Bartome-Michelsons

*Courvoisier

#753

*!Not characteristic symptom for acute cholecystitis:

*+frequent urination

*abdominal pains

*nauseas

*was a vomiting bile

*loss of an appetite

#754

*!Select the most informative non-invasive diagnostic method for acute cholecystitis:

*+US

*Review X-rays of an abdominal cavity

*laparoscopies

*cholecystographies

*thermographies

# 755

*!Indications at acute cholecystitis for the urgent operation:

*occurrence of symptoms of a pancreatitis

*suppurative cholangitis

*+signs of the peritonitis

*jaundice

*fistulas biliodigestive

# 756

*! Which operation is indicated in case of failure of conservative therapy in elderly patients with acute cholecystitis and severe concomitant diseases:

*cholecystectomies

*percutaneous puncture-drainage of a gallbladder

*+cholecystostomy

*cholecysto-gastrostomies

*cholecysto-unostomies

#757

*!Worst method for the diagnosis of obstructive jaundice:

*a percutaneous transhepatic cholangiography

*a computed tomography

*endoscopic a retrograde cholangiopancreatography

*+infusion cholangiography

*Magnetic a resonance cholangiopancreatography

#758

*!Select the leading cause of bleeding disorders with obstructive jaundice:

*malabsorption of a vitamin "K"

*+violation of the synthesis of fibrinogen

*increase in a plasma fibrinolytic activity

*reduction of a platelet counts

*hypersplenisms

# 759

*!The most common causes of vomiting "coffee grounds":

*+stomach ulcer and the duadenum

*intestinal obstruction

*mesenteric arterial thrombosis

*portal hypertension

*nosebleeds

# 760

*!When is a symptom of tarry stool:

*when a hemorrhoidal bleeding

*in a mesenteric arterial thrombosis

*+for gastric and 12 sc, it complicated by the bleeding

*in an ulcerative colitis

*in a Hirschsprung's disease

# 761

*!When it disappears hepatic dullness:

*+for the perforating hollow bodies

*with an intestinal obstruction

*if a gastrointestinal bleeding

*renal colics

*in a liver injury

#762

*!What is not typical for the early signs of bleeding:

*weaknesses

*dizzinesses

*+bradycardia

*swoons

*tachycardias

#763

*!Hematemesis - is:

*bleeding from an esophageal VV

*a rectal bleeding VV

*+vomiting blood

*heavy menstruations

*blood of a bile

#764

*!Involuntary act of defecation with little admixture of altered blood / crimson chair / shows:

*a hemorrhoidal bleeding

*one-stage massive bleeding from an upper gastrointestinal tract

*colon cancers

*that is not a case

*+bleeding from the colon

#765

*!Shock Algovera index for bleeding - is:

*the ratio of breaths to a pulse

*the ratio of bcc to a pulse

*+the ratio of pulse to the systolic pressure

*the ratio of an amount of hemoglobin in a blood pressure

*the ratio of a hemoglobin to bcc

#766

*!The general condition of the patient of average weight, lethargy, pale skin, increased heart rate, decreased blood pressure to 90 mm Hg, repeated vomiting scant "coffee grounds" and tarry stools. CBV 15% deficit, and hemoglobin 80 g / l. What is the severity of the bleeding?

*I

*+II

*III

*IV

*V

#767

*!What does not correspond to a local physical effect when gastroduodenal bleeding:

*gastric lavage with a cold water

*introduction into the stomach of a vasoconstrictors

*transfusion of a packed red blood cells

*an endoscopic electrocoagulation

*+Blood UVR

#768

*!What is not a reason for the formation of gallstones:

*violation of a blood supply to gallbladder

*violation of a physical and chemical composition of bile

*stagnation of a bile infection

*deformation of a gallbladder

*+development of the biliary tract abnormalities

# 769

*!Which symptom is not typical for acute cholecystitis:

*Murphy

*Myussi- St. George's

*Ortner

*+Bartome-Michelsons

*Courvoisier

#770

*!What complaints are not characteristic for acute cholecystitis:

*+frequent urination

*abdominal pains

*nauseas

*was a vomiting bile

*loss of an appetite

# 771

*!The most informative diagnostic method for acute cholecystitis:

*+US

*Review X-rays of an abdominal cavity

*laparoscopies

*cholecystographies

*thermographies

#772

*!What complication of acute cholecystitis shows the operation urgently:

*occurrence of symptoms of a pancreatitis

*suppurative cholangitis

*+signs of the peritonitis

*jaundice

*fistulas biliodigestive

#773

*!In case of failure of conservative therapy in elderly patients with acute cholecystitis and severe concomitant diseases shows the operation:

*cholecystectomies

*percutaneous puncture-drainage of a gallbladder

*+cholecystostomy

*cholecysto-gastrostomies

*cholecysto-unostomies

#774

*!The least effective method for the diagnosis of obstructive jaundice:

*a percutaneous transhepatic cholangiography

*a computed tomography

*endoscopic a retrograde cholangiopancreatography

*+infusion cholangiography

*Magnetic a resonance cholangiopancreatography

#775

*!The leading cause of bleeding disorders with obstructive jaundice:

*malabsorption of a vitamin "K"

*+violation of the synthesis of fibrinogen

*increase in a plasma fibrinolytic activity

*reduction of a platelet counts

*hypersplenisms

#776

*!What are the branches of arteries formed arc Riolana?

* the splenic artery

* the superior mesenteric artery

* the common hepatic and splenic arteries

*+the superior mesenteric and the inferior mesenteric arteries

* the inferior mesenteric artery

#777

*!What arteries branch supplies the left half of the descending colon?

* celiac trunks

* splenic arteries

*+inferior mesenteric

* duodenopancratics

* superior mesenteric arteries

# 778

*!uncharacteristic sign of post-thrombotic syndrome:

*skin pigmentation shines

*skin atrophies

*secondary varicose superficial veins

*trophic ulcers

*+hypotrichosis

#779

*!What is the purpose bandaging after the operation produces lower limb elastic bandage:

*prevention lymphostasis

*prevention of a venous disorders

*increase in blood flow in a deep veins of limbs

*+prevention of the pulmonary thromboembolism

*reduction of a blood flow in arteries

#780

*!The informative diagnostic method in post-tromboflebitic syndrome:

*radioisotope scan

*X-ray of a lower leg bone

*+venography

*Thermographies

*oscillographies

# 781

*!The clinical signs of acute thrombosis ileofemoralis:

*atrophy of the leg muscles

*+lymphostasis

*hypotrichosises

*blue flegmazies

*neurodermatitises

#782

*!What is the most life-threatening complication can occur when ascending thrombosis of the great saphenous vein:

*+pulmonary embolism

*thrombosis of a main veins

*abdominal an aortic embolism

*postgrombotic diseases

*ulcer shins

# 783

*!The most common cause of arterial occlusive disease magistrals is:

*+atherosclerosis

*occlusive diseases

*aortoarteriites

*a diabetes

*bacterial endocarditises

#784

*!obliterating endarteritis mostly sick:

*+young men

*womens

*equally often men and womens

*elderly mens

*a children

#785

*!Choose the typical signs of chronic ischemia of the lower limb:

*sharp extremity edemas

*+intermittent claudication

*pain, a redness along veins

*a Homans symptom

*a skin hyperpigmentation shins

#786

*!The cause of acute ischemia of the lower limbs are:

*a femoral artery stenosis

*a lymphangitis

*an acute deep vein thrombosis

*+thromboembolism femoral arteries

*acute thrombosis of a superficial veins

# 787

*!embologenic diseases are:

*+rheumatic heart disease

*a psoriasis

*triad of a Fallot

*a Hirschsprung's disease

*a diabetes

#788

*!In a rapidly progressing wet gangrene of the foot should:

*+make the urgent amputation thigh

*make a multiple incisions foot skin

*produce an artery bypass grafting

*continue activities aimed at translating an wet into a dry gangrene

*carry out a massive antibiotic therapy

#789

*!The most common cause of arterial embolism great circle

circulation is:

*aortic aneurysmes

*range of an aortic atherosclerosis

*+ischemic heart disease

*vein thrombosis pulmonary circulations

*cardiac aneurysmes

#790

*!At what disease syndrome occurs numbness of the legs:

*phlebothrombosises

*+obliterating endarteritis

*postthrombophlebitic syndromes

*Raynaud's diseases

*Takayasu's diseases

# 791

*!The formation of chronic venous insufficiency participates lower extremities following vein:

*perforating

*Vein hypogastriums

*+Deep veins of the lower leg

*Arteriovenous fistula

*V. pudenta externa

#792

*!Hemodynamic changes in patients with chronic venous insufficiency of the lower limbs:

*+Blood deposition in the lower extremities

*Decrease in the volume of a circulating blood

*Pulmonary Hypertension

*A reduction in blood flow to an extremities

*Orthostatic hypotension

#793

*!Complicated phlebothrombosis of lower limbs:

*Renal infarctions

*+pneumonia by the infarction

*Thromboembolism of a mesenteric vessels

*Pylephlebitises

*Thromboembolism of a femoral artery

#794

*!Select the main causes of post-thrombotic syndrome of the lower limbs:

*Thrombosis of a saphenous veins

*Uncomplicated varicose veins of a lower limbs:

*+Venous thrombosis of the deep veins of thigh and shin

*Ligation of a great saphenous vein

*Thrombosis of a major arteries

#795

*!The main symptoms of varicose veins of the lower limbs:

*Pale, dry skin of a feet and a shins

*Hyperemia of a skin

*+Varicose of the saphenous veins

*An intermittent claudication

*Trophic changes of a shin

#796

*!Functional tests with varicose veins:

*+Troyanov-Trendlenburgs

*Babcock’s

*Linton’s

*Dietz’s

*Coquette’s

#797

*!Problems of functional tests with varicose veins of the lower limbs:

*+Determination of valve insufficiency of the saphenous veins

*The availability of a saphenous veins thrombophlebitis

*Determine a volumetric blood flow limb

*The existence of an arteriovenous fistulas

*Definition of an arterial blood flow

#798

*!Patient 45 years old there had pains in the thigh and lower leg by the end of the day. Next day the pain intensified, limb edema joined, body temperature increased to38 C. He cannot get up and walk. What is your diagnosis?

*+thrombosis on the ileofemoral

*thrombophlebitis on a superficial vein

*lymphostasises

*Thromboembolism of a femoral artery

*Occlusive diseases

#799

*!Thrombophlebitis is:

*Phlebeurysms

*Inflammation of a vein

*Venous thrombosises

*+Inflammation and thrombus formation in the vein

*Venous bleedings

# 800

*!Flebothrombosis is:

*Inflammation of a vein

*Inflammation and thrombus formation of a vein

*+Thrombus in the lumen of the veins

*Formation of a trophic ulcer

*Inflammation and bleeding from a vein

#801

*!Life-threatening complication of thrombosis:

*+PE(embolism of the pulmonar

*Elephantiasis of a feet

*Arterial blood flow of an insufficient type

*Venous bleedings

*Venous insufficiency of a chronic type

#802

*!Place of banding the great saphenous vein in ascending thrombophlebitis:

*+Higher the thrombus localization

*Below a thrombus localization

*In a field of inflammatory focus

*In a place of head of a thrombus

*After thrombectomy, in place of an operation

#803

*!Most extended way of venography:

*retrograded

*operatinges

*+ascending

*functions

*fleboscopies

#804

*!Author of the operation on deep veins valves of lower limbs:

*Mueller

*+Vedenskys

*Moden-Kim

*Narat

*Coquette

#805

*!Operation of choice for varicose disease complicated with trophic ulcer:

*Compression therapies

*+Phlebectomy and the Linton’s operation

*Autodermoplasty of ulcers

*Removal of a varicose saphenous veins

*Phlebosclerosing therapies

#806

*!Telangiectasia is:

*Extension of a small saphenous vein

*+Expansion of the intradermal veins

*Syndrome of a "heavy legs"

*Reticular veins

*A deep vein thrombosis

#807

*!The causes of leg ulcers:

*Acute arterial ischemias

*+Venous hypertension

*Lymphatic insufficiencies

*Artery thrombosises

*Failure of a communicant veins 

#808

*!Functional test determines the obstruction of deep vein:

*Trojan-Trendlenburg’s

*Thalmann’s

*Pratt’s

*Homan's

*+Delbo-Perthes’

# 809

*!Life-threatening complication of deep vein phlebothrombosis:

*Renal infarction s

*Infarction pneumonias

*Thromboembolism of a mesenteric vessels

*pylephlebitises

*+PE

#810

*!Non-invasive methods of research in diseases of lower limb arteries:

*Transluminal aortographies

*+Duplex scanning

*Antegrade angiographies

*Isotope Angiographies

*arteriographies

#811

*!If there is no pulsation in the femoral artery in a patient with acute lower limb ischemia, determine the level of occlusion:

*Upper third of a femoral arteries

*External iliac arteries

*Internal iliac arteries

*+Aortic bifurcation

*Concomitant occlusion of a superficial and deep femoral arteries

#812

*!Hemodynamic changes in chronic venous insufficiency of the lower extremities:

*+Blood deposition in the lower extremities

*Decrease in a volume of blood circulation

*Pulmonary Hypertension

*A reduction in blood flow to extremities

*Orthostatic hypotension

#813

*! In the absence of pulsation on femoral artery in patients with acute ischemia of the lower extremities. Determine the level of occlusion:

*Upper third of a femoral arteries

*External iliac arteries

*Internal iliac arteries

*+Aortic bifurcation

*Concomitant occlusion of a superficial and deep femoral arteries

#814

*!Non-invasive research methods in lower limb artery disease:

*Transluminal aortographies

*+Duplex scanning

*Antegrade angiographies

*Isotope Angiographies

*arteriographies

#815

*!Life-threatening complications of deep vein phlebothrombosis:

*Renal infarctions

*Infarction pneumonias

*Thromboembolism of a mesenteric vessels

*pylephlebitises

*+PE

#816

*!The functional test determining deep vein obstruction:

*Trojan-Trendlenburg’s

*Thalmann’s

*Pratt’s

*Homan's

*+Delbo-Perthes’

#817

*!Reasons of development of leg ulcers:

*Acute arterial ischemias

*+Venous hypertension

*Lymphatic insufficiencies

*Artery thrombosises

*Failure of a communicant veins 

#818

*!Clinical manifestations of bleeding from varicose veins of the esophagus:

*Coughing up blood, vomiting with a frothy blood

*Vomit with a gastric contents

*+Red blood vomiting, the tachycardia

*Bloody diarrheas

*Blood in a stool

#819

*!Medical tactic of clinics physician in case of mild ulcer bleeding:

*Send to the gastroenterological department

*+Send to a surgical hospital

*Treat on an outpatient basis

*Send to a diagnostic center on follow-up examination

*Solve problem individually in an each case

#820

*!The methods of temporarily stopping bleeding do not include:

*Pressing of a vessel

*Elevated position of a limbs

*Imposition of a tourniquet

*Throughout finger pressing of a vessel

*+Throughout ligation of the vessel

#821

*!Symptom of "Roly-Poly" is characteristic of the damage:

*Chests

*+Spleen

*Small intestines

*Bladders

*Apertures

#822

*!The research method that has therapeutic and diagnostic importance in ulcerative bleeding:

*Ultra sounds

*X-rays

*Laboratories

*+Endoscopic

*Radioactives

#823

*!The method of stopping bleeding from the injured limb with an open fracture:

*Immobilization of a limbs

*Introduction of a cardiac preparations and vasoconstrictors

*Introduction of drugs for a pain relief

*+Tourniquet on the limb

*Imposing a pressure bandage on a limb wound

#824

*!Frothy blood from mouth is characteristic of bleeding:

*noses

*+lung

*stomachs

*esophagus

*bowels

#825

*!What should be applied for a temporary hemostasis of parenchymal hemorrhage:

*+Tamponade

*Vascular sutures

*Pressure bandages

*Clip on a bleeding vessels

*Ligation of a bleeding vessels

#826

*!The disappearance of pain, and the first appearance of melena with duodenal ulcer is typical for:

*+Bleeding

*Ulcer perforations

*Malignancy of an ulcer

*stenosis of a pyloroduodenal

*Penetration into a pancreas

#827

*!Which of the following can be ignored in the transfusion history of blood transfusion:

*Blood transfusions

*+Infusion of the colloids

*Obstetrical histories

*Exchange vicarious blood transfusion

*Native plasma transfusions

#828

*!Blood transfusion is contraindicated in:

*Severe anemias

*For the purpose of a hemostasis

*Wound exhaustions

*Hemorrhagic shocks

*+Impaired liver function, kidney in the decompensating stage.

#829

*!The absolute indication for allogenetic blood transfusions:

*hypoproteinemias

*Alimentary dystrophies

*Stimulation of immunities

*anemia of a chronic type

*+blood loss by the massive type

#830

*!The presence of clots and blood clotting, resulting from chest puncture using puncture, indicates:

*A high blood clotting

*An ICE syndrome

*Infection of a blood

*+Continued bleeding

*bleeding of a stopped type

#831

*!Indications for use Blackmore probe

*gastrostasis

*stomach ulcer bleeding

*repeated vomiting with blood

*+bleeding from the cardioesophageal varicose veins

*for tube feeding of patient

#832

*!The most important etiological factor of portal hypertension in liver cirrhosis

*a decrease of hepatic circulation

*partitions fibrosis

*intrahepatic shunt

*hepatocyte necrosis

*+formation of knots in the regeneration

#833

*!The patient 42 years entered the hospital. At home, he had developed repeated vomiting with clots and red blood, then black liquid stool. Same situation was 3 months ago. In the history suffered hepatitis. Didn't keep a diet, he abused alcohol. On examination palpable enlarged liver and splee*Diagnosis

*+cirrhosis of the liver

*cancer placed in stomach

*alcoholism

*Mallory-Weiss syndrome

*peptic ulcer

# 834

*!Vein that part of the hepatoduodenal ligament

*Upper mesenteric vein

*+portal vein

*left gastric vein

*lower hollow vein

*common iliac vein

#835

*!Indicate ligament, extending from liver to the umbilicus:

*crescentum

*+round liver ligament

*hepatoduodenal ligamentum

*the gastro-colic ligamentum

*renal and hepatic ligamentum

#836

*!Radical surgery in liver cirrhosis:

*Usov liver electrocoagulation

*+Orthotopic allotransplantation of theliver

*resection of a part of liver

*exposure of liver helium-neon laser

*porto-caval shunt

#837

*!Decompressional operation for portal hypertension:

*+anastomosis of the splenitis-renal

*arterio-venous shunt

*endovascular occlusion of hepatic arteries

*lymph-venous anastomosis

*Tanner’s Operation

#838

*!The main cause of bleeding from the rectum in portal hypertension

*rectum ulceration

*rectal mucosa crack

*hypocoagulation in diapedetic bleeding

*+varicose veins of the rectum

*cancer, colon and polyps

#839

*!Mallory-Weiss syndrome is:

*pyloric stenosis

*penetrating ulcer

*jointing of duodenum ulcers

*cardiospasm

*+crack mucosal cardia of the stomach

#840

*!Minimally invasive surgery with esophageal-gastric bleeding:

*+endoscopic sclerotherapy of the bleeding veins

*external lymphatic drainage

*cardiectomy

of vascular anastomosis

*the internal lymphatic drainage

#841

*!Highlight informative intervention method for diagnosing liver cirrhosis:

*top cavagraphies

*liver arteriographies

*+celliacography

*azygographies

*puncture splenoportographies

#842

*!Operation stimulating liver regeneration in liver cirrhosis:

*+transplantation of the Stem Cell

*omento-hepato-frenopecsy

*retroperitoneal movement of liver’s right lobe

*Rienhoffa of operation

*retroperitoneal spleen movements

#843

*!The pressure in the portal vein is normal (mm H*)

*+10-12

*5-7

*1-3

*15-20

*above 25

#844

*!Segmental structure of the liver by Quinn (number)

*6

*4

*2

*+8

*10

#845

*!The criteria for hypersplenism are to reduce the number of white blood cells below (in 1 mm cube

*2000

*+2500

*4000

*5000

*6000

#846

*!The Head of Medusa - is:

*vascular stars veins on legs

*enlarged spleen

*enlarged liver

*+expansion of umbilical veins of the abdomen

*drum fingers as a result of metabolic disorders

#847

*!Most significantly the level of the portal-channel block is determined by

*scintigraphy of liver and spleen

*liver echography

*+portography of the percutaneous-transhepatic type

*portography through the umbilical vein

*ileomesentericography

#848

*!The operation of choice at an altitude of bleeding from the veins of the cardio-esophageal zone is:

*porto-caval anastomosis

*Rien Hof-operation

*occlusion of hepatic artery spirals of Gianturko

*proximal gastrectomy

*+surgery of the Petrov-Patsiory

#849

*!Chiari disease - it endoflebit and thrombosis of

*splenic veins

*superior mesenteric veins

*umbilical veins

*+hepatic vein

*portal veins

#850

*!The most common cause of intrahepatic portal hypertension is a form of:

*splenic thrombosis or portal vein

*a liver neoplastic lesions

*+cirrhosis of the liver

*pulmonary and cardiovascular failure

*Budd-Chiari syndrome

#851

*!varicose veins of the esophagus and stomach can be shown by using of:

*laparoscopies

*pneumomediastinographies

*liver’s angiographies

*+fibrogastroesophagoscopy

*hepatobiliostsintigraphies

# 852

*!Which of the following drugs is most preferred for bleeding from esophageal varices?

*platifillinum

*+sandostatin

*a calcium chloridum

*menadionum

*diphenhydraminum

#853

*!Artery entering the gates of the liver:

*splenic

*superior mesenteric

*inferior mesenteric

*inner left gastric

*+own artery of the liver

#854

*!Mark the vein that collects blood from the unpaired abdominal organs:

*a superior mesenteric

*an inferior mesenteric

*a splenic

*coronary vein stomach

*+the portal vein

# 855

*!When bleeding from varices of the esophagus and cardia is performed:

*resection of 2/3 of a stomach by Billroth-I

*gastrectomies

*+Gastrotomy with the bleeding of stitching veins

*a selective proximal vagotomy

*gastrostomies

#856

*!The reason for the blockade of intrahepatic portal circulation

*thrombosis of a portal vein

*hepatic artery thrombosis

*Budd-Chiari syndrome

*+nodes of the regenerates liver

*splenic vein thrombosis

#857

*!Highlight decompressive operation in portal hypertension:

*+anastomosis of the porto-caval vessels

*arterio-venous shunt

*endovascular occlusion of a hepatic artery

*a lymph-venous anastomosis

*Tanner’soperation

#858

*!Peak Cirrhosis is:

*liver fibrosis

*biliary cirrhosis

*alcoholic cirrhosis

*pigment cirrhosis

*+cirrhosis of the cardiac

#859

*!A method of diagnosis of bleeding esophageal varices:

*a laparoscopies

*pnevmomediastinographies

*+fibrogastroesophagoscopy

*splenoportographies

*azygographies

#860

*!Indications for use Blakemore probe

*gastrostasis

*ulcer bleeding of a stomach and duodenum

*a chemical burn of an esophagus

*+bleeding from the varicose veins cardioesophageal

*for parenteral nutrition

#861

*!Minimally invasive operation with esophageal-gastric bleeding:

*+endoscopic sclerotherapy with the bleeding veins

*external lymphatic drainage

*proximal gastrectomy

*an angioanastomosis

*internal lymphatic drainage

#862

*!Esophageal bleeding observed in patients with hypertension in portal stage:

*compensations

*subcompensations

*decompensations

*Compensation and subcompensations

*+sub-compensation and the decompensation

#863

*!Hypersplenism this:

*significant enlargement of a spleen

*enlargement of a spleen with perisplenitom

*an increase in a production splenin

*+cytopenia caused by abnormal hyperactivity of the spleen

*spleen atrophies

#864

*!Ascites is observed in portal hypertension in patients with liver cirrhosis:

*transient compensation stages

*in a progressive stage subcompensation

*dystrophic in a decompensation stage

*+Only in the stage of decompensation

*delimited

#865

*!Varicose veins of the esophagus is not observed:

*a splenic vein thrombosis

*liver cirrhosis

*obliteration of a portal vein

*Budd-Chiari syndrome

*+splenomegaly due to the echinococcosis

#866

*!Operations carried out at a bleeding from varicose veins of the esophagus and stomach:

*2/3 of a gastric resection Billroth I

*Gastrectomies

*+gastrotomy, ligation of the varicose veins

*selective proximal vagotomies

*gastrostomies

#867

*!Gall bladder functions as all of these, except for:

*deposition of a bile

*absorption of a water and electrolytes

*mucus secretions

*release of a bile

*+regulation of the H ions

*Bleeding from the gastrointestinal tract*4*33*1*

#868

*!Symptoms of appendiceal infiltrate:

*+Subfebrile temperature

*+duration of illness is 4-5 days

*Profuse diarrheas

*Normal number of a leukocytes in peripheral blood

*+palpable tumor formation in the right iliac region

*Fever up to a 41C^о

*Symptom of a Mayo-Robson

#869

*!The difference between the clinical course of acute appendicitis in children and adults:

*Local tenderness in a right iliac region

*+Timing of a diffuse peritonitis

*+High leukocytosis

*+Expressed intoxication

*Pronounced muscle a Dйfense anterior abdominal wall

*Fever up to 41C

* ESR reduction

# 870

*!Differential - diagnostic signs of acute right-adnexitis with acute appendicitis:

*a Symptom Kocher-Volkovich

*Paroxysmal pain in a right lumbar region

*+Irradiation of pain to the pelvis and the perineum

*+Positive symptom of the Promptov's

*Symptom of a Bartome – Michelson

*Symptom of a Mayo-Robson

#871

*!The symptoms observed in patients with uncomplicated acute appendicitis:

*Shchetkina - Bloomberg

*+Bartome - Michelsons

*+Kocher - Volkovichs

*+Rovsings

*Murphy

*Mayo-Robson

*Pasternatskii

# 872

*!In differential diagnosis of right-sided lobar pneumonia and acute appendicitis are valuable:

*+Respiratory auscultation

*+Endovideolaparoscopy

*+X-ray of the chest

*Indicators of a red blood cells

*colonoscopies

*US of abdomen

* ECG

#873

*!The anatomical localization of pain in acute appendicitis:

*+point of the Mac-Burney

*Epigastric regions

*+The right iliac region

*Point Lanza's

*Point Kьmmel's

*Left upper quadrant

#874

*!What symptoms are characteristic for the gangrenous form of acute appendicitis?

*"wooden" bellies

*Sudden increase in pain in a right iliac region

*+Reduction of pain in the abdomen

*normotermometries

*+Schetkin- Blumberg's symptom in the right iliac region

*Blood in urine

#875

*!Select the symptoms of acute appendicitis:

*Ortner’s

*+Kochers'

*Courvoisier's

*+Sitkovskiys'

*+Rovsings'

*Mayo-Robson’s

*Pasternatskii’s

# 876

*!In the treatment of diffuse peritonitis of appendiceal origin are important:

*+elimination of the source of peritonitis

*+Intraoperative sanitation of the abdominal cavity

*+Intraoperative irradiation of the abdominal cavity, ultrasound cavitation

*Abdominal drainage gauzes

*Colons

*RHPGs

*X-ray of a chest

#877

*!Typical complications of acute appendicitis are:

*+infiltrate of the appendiceal part

*Omental abscesses

*+Presents of the Pylephlebitis

*+Abscess of the Douglas' space

*pyelonephritises

*Malignization

*Hepatitis

# 878

*!Features of clinic of acute appendicitis in the elderly are:

*+Possibility of the development of primary gangrenous form

*+pain of the unexpressed type

*Anacatharsises

*Hectic nature temperatures

*+Mild symptoms of a peritoneal irritation

*ESR reduction

*Blood in urine

# 879

*!The clinical features of acute appendicitis in children:

*+Prevalence of the common symptoms over local

*+Rapid development of the destructive forms

*Bleeding from a rectum

*+Dyspeptic symptoms of the expressed type

*Rapid development of an appendiceal infiltrate

*ESR reduction

*Blood in a urine

# 880

*!The differential diagnosis of acute appendicitis is conducted with the following diseases:

*+Pyelonephritis

*+Acute cholecystitis

*+rotation of the myoma node

*a right-sided inguinal hernia

*+Right-sided renal colic

* lung tumor

* Pneumonia

*Infectious mononucleosis

#881

*!The course of acute appendicitis in 11 trimester of pregnancy:

*+Higher localization of the pain

*+Absence of the expressed muscle tension

*Diarrheal syndromes

*Changes in a red blood

*Dyskinesia intestines

*ESR reduction

# 882

*!For the differential diagnosing of acute appendicitis with right renal colic, you must do:

*+Introduction of the antispasmodics

*Introduction of a narcotic drugs

*+Urine analysis

*+Cystochromoscopy

*Angiography of a renal arteries

*ECGs

*X-ray of a chest

# 883

*!Method for suspected acute pancreatitis:

*Diagnostic pneumoperitoneum

*Review abdomin by a X-ray

*+Laparoscopy

*gastroduodenoscopies

*+Ultra Sound

*HIV-Markers in a blood

# 884

*!Classification of acute pancreatitis by V.S.Savelyev:

*+Acute pancreatic edema

*Pseudotumor pancreatitises

*+Fat pancreatic necrosis

*+Acute hemorrhagic pancreatic necrosis

*a "capitate" pancreatitis

*Chronic pancreatitis

*Cancer of a chronic pancreatitis

#885

*!If you notice during operation catarrhal changes in the appendix, the following diseases should be excluded:

*a gastrointestinal bleeding

*+perforated gastric ulcer or the duodenal ulcer

*+the Meckel diverticulitis

*a colitis

*a strangulated inguinal hernia

*a lumbar ostechondrosis

#886

*!During the opening of the abdominal cavity by Dyakonov-Volkovich’s access exuded hemorrhagic effusion. Which diseases should consider the surgeon:

*a destructive cholecystitis

*an intestinal volvulus

*+the pancreatic necrosis

*+thromboembolism of the mesenteric vessels

*+the interrupted ectopic pregnancy

* rupture of a femoral neck

* cancer of a testicles

#887

*!The symptoms of appendicular infiltrate:

*+the low-grade fever

*+duration of the disease 3-4 days

*a profuse diarrhea

*increasing a number of red blood cells

*+increase in the intoxication leukocyte index

* an excessive sweat

*badspirits

#888

*!Abscess of Douglas space after appendectomy characterized by the following main features:

*muscle tension of an anterior abdominal wall

*+the hectic temperature

*limiting a mobility of diaphragm

*+pain in the pelvic depth and tenesmus

*+diarrhea or the constipation

* anerythrocyturia

*seizures

#889

*!For the differential diagnosis of acute appendicitis and right renal colic you undertake:

*+introduction of the antispasmodics

*an introduction of drugs

*+urgent examination of the urine, blood

*fibrocolonoscopies

*+ultrasound of the kidney

* ECGs

*X-rayofachest

# 890

*!When the differentiation of acute appendicitis with veiled perforated duodenal ulcer following methods are used:

*+gastroduodenoscopy

*+X-ray review of the abdomen

*irrigoscopies

*laparotomies

*duodenographies

*ECGs

#891

*!for the diagnosis of acute appendicitis are used:

*colonoscopies

*+laparoscopy

*+rectal examination

*+vaginal examination

*duodenal intubations

* chest X-rays

* an angiography

#892

*!The most common names of closed abdominal trauma

*+abdominal injury by the subcutaneous type

*+abdominal trauma of blunt

*+abdominal trauma by the closed type

*Bruising bellies

*Compression of an abdomen

* Hematomaofanabdomen

*Ascites

#893

*!The most sensitive abdominal organs to mechanical stress at the closed trauma of the abdomen:

*+Spleen

*+ Liver

*intestines

*stomaches

*mesenteries

*kidneys

#894

*!Mechanisms of closed abdominal trauma:

*+blow by the direct way

*+compression of the stomach

*+fall from the height

*a gunshot wound

*burns

* stabbing by a knife

*a sharp movement

#895

*!The cause of retroperitoneal hematoma:

*+Fractures of the pelvis

*+Fractures of the spine

*+Ruptures of the organs and vessels located retroperitoneal

*Barotraumas

*Fracture of a femoral bone

* Fractureofaskull

*Burns

#896

*!The immediate effects of the closed abdominal trauma:

*+Peritoneal syndrome

*+Hemorrhagic Syndrome

*An acute intestinal obstruction

*Fistulas of a hollow organ

*Intra-abdominal abscesses

* Seizures

#897

*!The main complaints of victims with closed abdominal trauma:

*+Pain in the right upper quadrant radiating to the shoulder girdle to the right when liver injury

*+"Roly-Poly" symptom at rupture of the liver, spleen

*+Pain in the left upper quadrant trauma spleen

*enteroparesises

*a nausea, a repeated vomiting

* Snow’ssymptoms

* anintoxicationsymptom

# 898

*!What is a " pseudoperitonitis symptom ":

*+Bloating

*+Inhibition of the motility

*+Doubtful symptoms of the peritoneal irritation

*Urging to a stool

*Urging to an urinate

* A myocardial infarction

* A hernia incarceration

#899

*!When there are "symptoms pseudoperitonitis":

*When hip fractures

*+When fracture of the lower rib

*+When fracture of the pelvis

*+When hematoma of the retroperitoneal type

*When ascites

* At a pyelonephritis

* At a peritonitis

#900

*!What are the non-invasive diagnostic methods used most frequently at the closed trauma of the abdomen:

*+Review radiography

*+US

*+CT

*diaphanoscopes

*Spirometries

* Anangiography

*ECGs

#901

*!What are invasive methods of investigation are applied at the closed trauma of the abdomen?

*+Laparocentesis

*+Laparoscopy

*cholangiographies

*splenoportographies

*azygographies

*ECGs

* Acute abdomen*4*39*1*

# 902

*!What a find is a confirmation of the closed abdominal injury when laparocentesis:

*+blood in the drainage

*+Availability of intestinal contents into the drain

*+The presence of urine or turbid exudate

*Clean wash liquid in a drain

*+Admixture of bile in the liquid of drainage

* Diarrhea during a laparosentesis

*Pneumodermas

* Presence of a fetus

#903

*!What is the amount of lost blood at various degrees of blood loss?

*+At 1 degreee up to 500 ml

*At 1 degree up to 700 milliliters

*+At 2degreee up to 1 liter

*At 2 degree up to1.5 liters

*+At 3 degree more than the 1 liter

* At 1 degree up to 2 liters

#904

*!What determines the severity of the hemorrhagic syndrome:

*+ the type of the damaged blood vessel (artery, vein, capillaries)

*+velocity of the blood exhaust

*severity of a peritonitis

*a respiratory failure

*loss of a consciousness

*inflammationofalymphnodes

#905

*!Which of these laboratory findings are characteristic in case of damage of parenchymal organs:

*+the moderate leukocytosis

*an increased hematocrites

*+the decreased hemoglobin

*+leukocyte formula is within the normal range

*a high ESR

*an increased level of creatinine

*delayedan ESR

#906

*!Laboratory data in case of damage of hollow organs with a closed abdominal trauma

*+the severe leukocytosis

*+ normal or the elevated hematocrit

*+ normal or the elevated hemoglobin

*leukopenias

*delayed an ESR

* high an bilirubin

*anincreasedhematocrites

#907

*!Possible research at the "acute abdomen" on dogospi¬talnom stage (dispensar

*+blood test for the hemoglobin, leukocytosis

*+analysis of the urine

*+X-ray

*a laparoscopy

*a laparocentesis

*a laparotomy

* an angiography

# 908

*!Management of the doctor patient refusal to be hospitalized with an established diagnosis of "acute abdomen":

*+fix the denial of medical record

*+notify the relatives of the patient and on the impact of

*+active visiting the patient and monitoring of patients at home

*to send home with recommendations of a clinical examination

*hospitalized with help of an executive body

*redirect to oncological department

*send home with ambulatoric treatment plan

#909

*!invasive test under stationary conditions are:

*abdominal ultrasounds

*+laparoscopy

*Doppler ultrasonographies

*colonoscopies

*+laparocentes

*cardiac ultrasounds

#910

*!Diseases simulate "acute abdomen":

*+the acute gastritis

*+the renal colic

*dysmenorrheas

*orhoepidemites

*+infarction

*a mastoidititis

*an osteomyelitis

#911

*!Typical symptoms of acute peritonitis:

*retraction of an abdomen

*+ wooden belly'

*a hyperperistalsis

*+the intoxication encephalopathy

*abdominal pains by a strong type

*sound in an ear (

*a bone pain

#912

*!The cause of jaundice is:

*duodenitiss

*+the choledocholithiasis

*+the major duodenal papilla stenosis

*+tumor Vater’s nipple

*liver cirrhosisess

*appendicitiss

*salpingoopharitiss

# 913

*!What to look for in a blood test for acute cholecystitis:

*number of erythrocytes and a hemoglobin

*color index, number of a platelets

*number of a reticulocytes

*+number of leukocytes and the leukocyte formula

*+on the performance of bilirubin and its fraction

*appearance of a megakaryocytes

# 914

*!Symptoms of acute cholecystitis:

*Rovzingas

*+Ortner

*Sklyarovs

*Mayo-Robsons

*+Georgiev

*Filatovs

#915

*!Common causes that lead to stone formation in the gall bladder

*liver abscesses

* a viral hepatitis

*+hypermotoric the dyskinesia

*+violation of the lipid metabolism

*colitises

*sexual transmitted diseases

#916

*!The cause of postoperative hernia:

*+abscess after the surgical wound

*bleeding from a surgical wound

*early removal of skin sutures

*+incorrect comparison of the tissue

*long bed rests

*an incorrect diet

*non-correct antibacterial a therapy

#917

*!Symptomatic uncomplicated inguinal hernia:

*+oval-shaped protrusion in the groin

*+appearance of the pain during exercise

*+positive symptom the cough shock

*location in a muscular lacuna

*location of a lower occlusive disease

*appear only a during urination

*does not have special symptoms

#918

*!The most frequent causes of the esophagus does not include chemical burns

*acetic acids

*ammonias

*caustic sodas

*+potassium permanganate

*+boiled water

*cold waters

#919

*!What complications are not observed in the lung echinococcosis?

*cyst breakthrough in a bronchus

*cyst breakthrough in a pleural cavity

*+development of the acute heart failure

*a cysts abscess

*+renal failure of the acute type

*Ulceration of an antral part of stomach

# 920

*!If profuse bleeding esophageal inappropriate use:

*Blakemore probes

*pituitrines

*embolization of an esophageal varices

*+Electrical diathermocoagulation the endoscopic variceal esophagus

*+cold

*Ultrasound therapies

#921

*!The forms of acute pancreatitis:

*+edematousity of the pancreatitis

*pseudotumor pancreatitises

*+pancreatitis, the adiposes

*+the acute hemorrhagic pancreatitis

*induratives

*catarrhals

*carcinomatosics

#922

*!Method of treatment of thrombosis of the main veins of the lower limb:

*antispasmodics

*antibiotics

*Sedatives

*+antiplatelet drug

*+non-narcotic analgesic

*R-mass transfusions

#923

*!A characteristic symptom of post-thrombotic syndrome:

*an intermittent claudication

*+hyperpigmentation

*Pratt symptoms

*fragility of a nail plate

*+appearance of the cyanosis

*scratches on an abdomen

#924

*!In the formation of the lower limbs deep veins involved:

*Small subcutaneouses

*+tibial of the anterior part

*+plantar

*+tibial of the posterior part

*Great saphenous a vienna

*a venna portae

*a hemorroidal nodule

#925

*!Inflow of saphenous veins:

*Small subcutaneouses

*Great saphenouses

*+Giacomini

*+Boyd

*+Leonard

*ulnariss

*tibialiss

#926

*!tributaries of the great saphenous vein are:

*Kokketts

*+plantar of the external part

*Gunthers

*Deep femorasl

*+vein of the pudenta externa

*cardiac veins

#927

*!The normal structure of the valve is normally lower limbs:

*triples

*rudementares

*+the semilunar

*double-leaves

*+folding

*an capture

#928

*!What are the veins of the lower limbs have valves:

*Ruptured plantars

*+tibial of the posterior part

*Inferior venas

*iliaces

*+femoral

*ulnaris

#929

*!Muscular-venous pump of the lower extremities is:

*+muscles of the lower leg

*+veins of the lower leg

*+muscles of the foot

*abdominal muscles

*artery of a lower leg

*muscles of a digitis

#930

*!Diagnostic methods used in chronic venous insufficiency of the lower limbs:

*+Venography

*Angiography Seldingers

*+Duplex scanning

*lymphographies

*thermographies

*X-ray

#931

*!Duplex scanning in patients with chronic venous insufficiency defines:

*Blood flows

*Atherosclerotic plaques

*+Valve thrombus

*+Vein stenosis

*Arteriovenousgradients

*Emboli

#932

*!Color Doppler mapping defines:

*Arterio-venous shuntes

*+Blood flow in the deep veins

*+Blood flow in sinuses of the leg muscles

*availability of a sludge-syndrome

*+Wall thickness of the veins

*pathology of arterial walls

* Supreme increase of plagues

#933

*!Methods of study of the microvasculature:

*+Capillaroscopy

*+Transcutaneousoximetry

*flebotonometries

*CT scans

*Arteriographies

*X-ray whith contrast

#934

*!Phlebography methods:

*translumbars

*+Antegrade iliac

*+Retrograde puncture

*+Distal

*lymphographies

*frontal

*transverse

#935

*!Angiographic semiotics in patients with chronic venous insufficiency of the lower limbs:

*+Changes of the width of the vein lumen

*+Insufficiency of the venous filling

*Symptom of a "mouse tail"

*An arterial-venous vascular reflux

*Changes of a shin arteries

*increase in pressure

#936

*!The main clinical signs of chronic venous insufficiency of the lower limbs:

*Primary varicose veins

*+Varicose veins of the secondary type

*Neuroangiopathy of a lower extremities

*Elephantiasis of a feet

*+Trophic shin ulcers of the opened type

*increase in pressure

#937

*!The main clinical signs of post-thrombotic syndrome:

*Pale skin of a shin

*+Varicose subcutaneous veins of the groin and anterior abdominal wall

*+The swollen limbs

*Anatomical and morphological changes in an extremities

*Absence of a pulse on a. tibialis posterior

*rush on skin

#938

*!Recovery operation with post-thrombotic syndrome:

*Troyanov-Trendlenburg;s

*+Palm-Esperons

*Linton's

*+Prosthetic of the veins

*Coquette’s

* Parret’s

#939

*!Corrective surgery of the muscle-venous pump at PTS (post-thrombotic syndrom):

*+Lintons

*Coquette’s

*+Felders

*Vedensky’s

*Palm-Esperon’s

* Parret’s

#940

*!Corrective surgery for chronic venous insufficiency of the lower limbs:

*+Surgeryof the Linton

*+Endoscopic dissection of the perforating veins

*Endovasal stentings

*+Endovideoscopiccsaphenectomy

*Endovideoscopicsympathectomies

*fleboectomy

#941

*!Typical symptoms of chronic venous insufficiency of the lower limbs:

*+Extremity edema

*Intermittent claudicationes

*Pale skin of feet and a shin

*+ symptom of the Homan

*Ischemic pain in a gluteal muscles

*rush on skin

*Diseases of the arteries et vein, and Portal hypertension*4*62*1*

#942

*!The main clinical features of the Paget-Shretta’s syndrome:

*+Swelling of the arm, shoulder and subclavian region

*Pale skin of a face and neck

*+Feeling of "fullness" of the upper limb

*Intensified pulsation of a neck vessels

*a subcutaneous crepitus

*Cyanosis of skin

# 943

*!Which symptoms observed with closed abdominal trauma:

*+Pain

*+Peritoneal syndrome

*+Hemorrhagic Syndrome

*an ileus syndrome

*a diarrheal syndrome

*stools

*rush on skin

#944

*!Select factors which often lead to diagnostic errors in closed trauma of hollow organs:

*Shocks

*Drunkenness

*A blood loss

*+ When it combined with the severe traumatic brain injury and trauma of other organs

*+ At ruptures of the retroperitoneal organs

*Fevers, chills

# 945

*!What factors often lead to diagnostic errors in closed trauma of hollow organs:

*Shocks

*Drunkenness

*Blood losses

*+ When combined with severe traumatic brain injury and the trauma of other organs

*+ When rupture of the retroperitoneal organs

*fevers, chills

#946

*!Typical clinical picture of the valve pneumothorax

*+reduction in the blood pressure, tachycardia, arrhythmia

*fear, anxiety, cyanosis of a face and neck, swelling of a neck veins

*painful coughs

*fevers, chills

*+puffiness of the face, the expansion of intercostal spaces

*bloodlosses

#947

*!By the nature of damage and connection with the environment there are the following types of pneumothorax

*spontaneous pneumothoraxes

*+open pneumothorax

*delimited pneumothoraxes

*+closed pneumothorax

*+valve pneumothorax

*an acute esophagites

*achronicbronchites

#948

*!Empyema is a complication of these diseases

*a chronic bronchitis

*+acute pneumonia

*+gangrene

*an acute esophagitis

*+lung abscess

*delimited a pneumothoraxis

*spontaneousapneumothoraxis

#949

*!According the prevalence of process pleural empyema is divided into:

*parietals

*+total

*+subtotal

*multi-chambers

*+Limited

*acute

*chronic

#950

*!The main clinical sign of acute pleural empyema:

*+increase in the body temperature

*long-term course with a periodic exacerbations

*copious purulent sputum streaked with a blood

*+cough with the sputum production, shortness of breath

*+pain of the chest

*ascites

*spastics

#951

*!At which form of intestinal obstruction may be bleeding from the anus:

*paralytics

*spastics

*+intussusception

*small a bowel volvulus

*+intestinemyocardial

*ascites

#952

*!The main manifestations of peritoneal syndrome with closed abdominal trauma:

*+Severe pain in the abdomen

*+Nausea, the sometimes vomiting

*Hypothermias

*Soft an abdominal wall

*+Muscle tension of the anterior abdominal wall

* Seizures

* Spasm of a peripheral arteries

#953

*!Low colonic obstruction is characterized by:

*+gradual increase in the symptoms

*ascites

*toxic dilation of a colon

*+periodic constipation alternating with the diarrhea

*dehydration of a rapid type

*sigmoidvolvulus

#954

*!What kind of radiological symptom characteristic for intestinal obstruction:

*free gas below a diaphragm

*+Kloiber's cups

*+the intestinal pneumatosis

*open horseshoe of a duodenum

*+the "guard loop"

*rush on a skin

*Cyanosis of a skin

#955

*!The symptoms of intussusception:

*tarry stools

*+determined by palpation in the abdomen sausage-like formation

*+crampingthe abdominal pain

*+stool like the "raspberry jelly"

*vomiting

*nausea

*rush on skin

# 956

*!When conservative treatment of intestinal obstruction apply:

*a narcotic analgesics

*+the 2-sided perirenal blockade

*+the siphon enema

*+the correction of hydro-ion disorders

*laxatives

*corticosteroids

*diuretics

#957

*!Indications for surgery for intestinal obstruction:

*+presence of the peritonitis

*presenceof amegadolichosigma

*an adhesive disease

*+lack of effect of the conservative treatment

*an initial stage of a paralytic intestinal obstruction

*a diarrhea

#958

*!The types of surgery for acute intestinal obstruction are:

*+separation of the adhesions

*Nissenfundoplications

*+the disinvagination

*+resection of the affected bowel segment with simultaneous anastomosis

*omentophrenopexias

*an appendectomy

* transplantation of a liver

#959

*!The cause of volvulus of the sigmoid colon:

*adhesions in an abdominal cavity

*+mobile sigma of the elongated type

*a sharp increase in intra-abdominal pressure

*errors in a diet

*+the Hirschsprung's disease

*arowmeals

# 960

*!congenital bowel obstruction include:

*esophageal achalasias

*partial rotation of a small intestine

*disease of a Hirschsprung

*+atresia of the anus

*+high atresia of the rectum

*a mechanical obstraction

#961

*!According to the mechanism of occurrence of the following types of intestinal obstruction:

*+manual

*+dynamic

*tractions

*mechanical and a dynamic

*paralytics

*spastics

# 962

*!By the level of bowel obstruction distinguish:

*+high

*middle ones

*+low

*small bowel ones

*colonicones

*complites

#963

*!According to the clinical course distinguish obstruction:

*+acute

*+chronic

*latent ones

*full ones

*partialones

*aterminal

#964

*!Which form does not apply to mechanical obstruction?

*obstructived

*strangulationed

*+intestinal infarction

*+spastic

*+paralysis

#965

*!Which form is not a dynamic ileus?

*spasticed

*paralyticed

*+obstructive

*+hypokaliemic

*+strangulation

# 966

*!In which situations may arise obstructive ileus:

*operative traumas

*infringement of a Richter

*retrograde infringements

*+obstruction of the intestinal lumen by gallstone, tumor

*+compression of the intestinal lumen from outside

*peritonitises

#967

*!The symptoms of acute intestinal obstruction are:

*+abdominal pain of the cramping type

*+delayed stool and the gas

*+vomiting of the repeated type

*diarrheas

*intestinal bleedings

*a constant pain

*aregularstool

#968

*!What are the symptoms not pathognomonic for obstructive ileus:

*+stomach pain of the constant type

*cramping an abdominal pain

*vomitings

*bloatings

*+abdomen of the retracted type

*peristaltics

#969

*!The asymmetry of the abdomen occurs at:

*+intestinal obstruction by the mechanical type

*ascites

*+volvulus of the sigmoid colon

*a paralytic ileus

*perforated ulcers

*an appendicitis

#970

*!Specify the early radiographic signs of acute intestinal obstruction:

*accumulation of air under right dome of a diaphragm

*+pneumatizationof the intestine

*expansion of an intercostal spaces

*high standing of left dome of a diaphragm

*+formation of theKloiber's cups

*a”wooden” belly

#971

*!Clinical signs of peritonitis later stage:

*+person ofthe Hippocrates

*bradycardias

*+tachycardia

*+dry tongue

*hoarsenesses

*acoma

*arthrites

*tongue

#972

*!With which diseases can be a symptom of irritation of the peritoneum:

*+in acute inflammatory diseases of the abdominal cavity

*+intestinal obstruction of the acute type

*gastrointestinal bleedings

*a renal colic

*+rupture of hollow body with the closed abdominal injury

*an appedicites

*cholecystites

*trauma of a chest

#973

*!When there is blunting in sloping areas of the abdomen:

*+for the diffuse peritonitis

*when ileus

*if gastrointestinal bleeding

*in acute cholecystitis

*+with the intraperitoneal bleeding

*in chronic cholecystitis

#974

*!Improper medical tactics in acute surgical diseases:

*Timely diagnosis

*informative studies in a clinic

*early hospitalization

*+treatment in the outpatient

*+statement on the dispensary registration

*make an analyses

#975

*!What mistakes are made in the pre-hospital stage at "acute abdomen":

*+administering the drug

*+appointment of the laxative

*+reduction of the strangulated hernia

*hospitalization in a surgical hospital

*+appointment of the conservative treatment in day hospital

*Prepare patient to analysis

*ECG

*hospitalization of patient

#976

*!The most common symptom of "acute abdomen":

*+abdominal pain of the acute type

*+tension of the abdominal muscles

*anorexias

*abruptpaleness

*diarrheas

*liquid

#977

*!Extracorporeal detoxification methods in peritonitis:

*+plasmapheresis

*a detoxification lymphorrhea

*+blood radiation by the ultraviolet

*blood transfusions

*a hemodialysis

*R-mass

# 978

*!Clinical symptoms of dehydration of the body most rapidly developing at:

*sigmoid volvulus

*+bowel volvulus of the small type

*+the ileocecal intussusception

*a tumor in rectum, with symptoms of an intestinal obstruction

*coprostasias

*ascites

#979

*!The clinical picture of valve pneumothorax

*+reduction in the blood pressure, tachycardia, arrhythmia

*fear, anxiety, cyanosis of a face and neck, swelling of neck veins

*painful coughes

*fevers, chills

*+puffiness of the face, the expansion of intercostal spaces

*dehydrationofarapidtype

# 980

*!The nature of damage and messages with the environment are the following types of pneumothorax

*spontaneous pneumothoraxex

*+open pneumothorax

*delimited pneumothoraxes

*+closed pneumothorax

*+valve pneumothorax

*gangrene

*acute pneumonia

#981

*!empyema is a complication of these diseases

*chronic bronchitises

*+acute pneumonia

*+gangrene

*acute esophagitises

*+lung abscess

*delimited pneumothoraxes

*spontaneous pneumothoraxes

# 982

*!The process according to empyema incidence of share:

*parietals

*+pervasive

*+subtotal

*multi-chambers

*+Limited

*acute esophagitises

*chronic bronchitises

# 983

*!The main symptoms of acute pleural empyema:

*+increase in the body temperature

*long-term course with a periodic exacerbations

*copious purulent sputum streaked with a blood

*+cough with sputum production, shortness of the breath

*+pain of the chest

*ascites

*spastics

# 984

*!In what form of intestinal obstruction may be bleeding from the anus:

*paralytics

*spastics

*+intussusception

*roll a small intestine

*+intestinemyocardial

*ascites

#985

*!For low colonic obstruction is characterized by:

*+gradual increase in the symptoms

*ascites

*toxic dilation of a colon

*+periodic constipation alternating with the diarrhea

*rapiddehydrations

*spastics

# 986

*!The dehydration of the body most rapidly developing at:

*a sigmoid volvulus

*+roll the small intestine

*+the ileocecal intussusception

*tumor in a rectum, with symptoms of intestinal obstruction

*coprostasias

*anovalvolvulus

#987

*!The main clinical signs of axillary-subclavian venous thrombosis:

*Muscle weakness of an upper limbs

*+Swelling of the upper limbs

*Pale skin of a hands

*+Feeling of "straining" of the upper limbs

*a dizziness

*rush on skin

#988

*!The patient was 70 years old; appendectomy was made due to acute perforated appendicitis. Prophylactic measures of acute venous thrombosis of the lower limbs are:

*A bed rest

*+Elastic bandaging of the lower limbs

*Exalted position of the lower limbs

*+Early activation of the patient

*I/v introduction of an aminocaproic acid

*Physical activity

#989

*!The main clinical signs of extensive pulmonary embolism:

*+Chest pain

*+Collapse

*+Choking

*Pale skin of a face and neck

*accent of II tone on a projection of a pulmonary artery

*accent of III tone on a projection of a pulmonary artery

*headache

#990

*!The goal of surgical operations with varicose veins of the lower limbs:

*+Reduction of pathological reflux of blood from the deep veins

*+Removal of a varicose saphenous veins

*Restoration of a patency of deep veins

*Restoration of avalvular insufficiency of femoral veins

*Treatment of a trophic veins

*decreasing of arterial pressure

#991

*!The causes of post-thrombotic syndrome of the lower limbs:

*+Thrombosis of the saphenous veins

*Occlusive diseases

*+Deep vein thrombosis of the femur and tibia

*Ligation of a great saphenous vein

*Thrombosis of a major arteries

*Emboli of arteries

#992

*!Hemodynamic factors contributing to the formation of post-thrombotic syndrome:

*Narrowing of an arteries

*+Mechanical obstruction of the deep venous blood flow

*+Reflux of blood from the deep veins

*Arterial-venous fistulases

*Arterial hypertensions

*regurgitation if blood

#993

*!The main clinical manifestations of post-thrombotic syndrome:

*+Edema of the lower extremities

*Absence of pulsation on a femoral arteries

*Trophic skin changesof shin

*+Varicose of the saphenous veins

*Intermittent claudication

* Shin ulcers

#994

*!Indications for surgical treatment of varicose disease of the lower extremities:

*Acute deep vein thrombophlebitis

*+Acute thrombophlebitis of the subcutaneous veins

*Concomitant an acute surgical infection

*Strengthening of an inflammatory process in area of a ​​trophic ulcers

*+Chronic venous insufficiency of the lower limbs II degree

* Cyanosis of lower limbs skin

#995

*!The main symptoms of the thrombosis of shin deep veins:

*Pale skin of a feet and legs

*Severe pain in a lower leg muscles

*+Moderate swelling of the foot in 1 / 3 of shin

*+symptom of the Positive Homan

*An intermittent claudication

* increase of arterial pressure

#996

*!The main features of Lerich’s syndrome:

*Swelling of an extremities

*+Absence of pulsation on the femoral arteries

*Varicose veins of a lower extremities

*+Proximal type of the intermittent claudication

*A distal intermittent claudication

*Syndrome of Salmone

#997

*!Features of Raynaud's disease:

*+Artery spasms of the limbs

*Edema of an upper limb arteries

*Frequent loss of a lower limb arteries

*+Disease is common in the women

*Often ill a young man

* Only sick children

#998

*!The etiological factors of Raynaud's disease:

*+Frostbite

*+Long-term damage to the fingers

*Nutritional disorders

*Autoimmune changes

*Nutritional factors

* Smoking

#999

*!Drug therapy of Raynaud's disease:

*+Removal of the vascular spasm

*Antibiotic therapies

*Increase a body's immunity

*Improved blood rheology

*+Improvement of the metabolism in tissue

* Interferon

#1000

*!Indications for surgical treatment of Raynaud's disease:

*+Ineffectiveness of the conservative therapy

*Reduction of an immunological status

*1 stage

*2-stage

*+Necrosis of the nail phalanges

*Resistance to anesthesia

#1001

*!Functional test during occlusive disease:

*+Shamovs'

*+Pratts'

*Oppel’s

*Goldflamm’s

*Gakkenbruh’s

*Shetkin-Blyumberg’s

#1002

*!What of the above can be ignored in the transfusion history of blood transfusion:

*Blood transfusions

*+Infusion of the colloids

*Obstetrical histories

*+Infusion of the crystalloid

*Native plasma transfusions

*HIV positive patients

# 1003

*!The importance of research in the differential diagnosis of acute appendicitis and gynecological diseases:

*Defining symptom of a Rovzinga

*a clinical blood test

*+Vaginal study

*+puncture of the rear vaginal vault

*+ history of the gynecological part

*biochemical blood test

*Positive symptom of Mayo-Robson

*HEADACHE and Dyspeptic disordersat a pathology of ENT organs and Violation nasal respiration and Dizziness in otolaryngology and Nasalbleeding and Syndromes in rhinology and Syndromes in otology and Syndromes at pharynx pathology*1*64*2*

#1004

*!A characteristic feature of sphenoiditis

*+pain in the occiput

*pain in the nasi

*pain in the brow ridges

*pain in the dorsum of nose

*pain in the bregma

#1005

*!A characteristic feature of external auditory meatus furuncle

*the ear purulence

* the concha protruding and suppuration

*the Griesinger symptom

*+pain at the tragus pressing

*throbbing reflex

#1006

*!A sinusitis diagnosis investigation method

*otoscopy

*direct laryngoscopy

*indirect laryngoscopy

*+rhinoscopy

*pharyngoscopy

#1007

*!A characteristic feature of frontitis

*pain at the «Fossa canina» area

*pain in the hindhead, expressed at the night

*+pain in the forehead, expressed in the morning

*pain in the temple

*pain in the sinciput during the whole day

#1008

*!Headache accompanied by pain in the ear

*+ earache

*migraine

* otorrhoea

* cephalalgia

* odontalgiya

# 1009

*!Level of prevertebral soft tissue swelling at retropharyngeal tendinitis in adults

*+ C1-C4

* C5 -C7

* D1-D3

* D4-D7

* L1-L3

# 1010

*!Headache doesn’t occur in:

* Pathology of temporomandibular joint

* Retropharyngeal tendinitis

* Sinusitis

* Craniocervical dystonia

*+ Auricular keloids

#1011

*!Headache associated with the pathology of the skull bones found at

*+ Petrozite

* Retropharyngeal tendinitis

* Pathology of the temporomandibular joint

* Glaucoma

* Furuncle of external auditory canal

#1012

*!What epithelium covers two lower thirds of a nasal cavity?

* an olfactory

* a cylindrical

* a multilayer flat

*+ multilayer ciliary cylindrical

* single-layer ciliary and sites of a cubic

#1013

*! What epithelium covers the top third of a nasal cavity?

* multilayer ciliary

* single-layer ciliary

* multilayer flat

* cylindrical

*+ olfactories

#1014

*! Where the cortical end of the olfactory analyzer is located?

* in a frontal lobe

* in a parietal share

*+ in temporal shares

* in a Geshle's crinkle

* in an occipital share

#1015

*! By what device sharpness of an olfaction is defined?

* audiometer

* stroboscope

*+ olfactometers

* nasal mirror

* rhinopneumometer

#1016

*! What channel from the listed nerves passes in an orbital wall of a gaymorovy bosom?

*+ inferior occulars

* maxillary

* visual

* front

* vidiyeva

#1017

*! What teeth have the most close neighbourhood with the bottom of a genyantrum?

* first and second a larger molar

* forward cutter

* back cutter

* 4 and 5 teeth

*+3 and 4 teeth

#1018

*! What the lattice labyrinth from a forward cranial pole is delimited by?

* top wall of a main bosom

* back wall of a frontal sinus

* top wall of a nasal cavity

*+ sieve-like plates

* paper plate

#1019

*! When development of the main bosom begins?

* after a birth

*+ after the 3 years

* after 5 years

* after 6 years

* after 17 years

#1020

*!The main complaints with phlegmonous laryngitis

* Hoarseness, moderate body temperature

*+ Sharp pain when swallowing, high fever, nausea, hoarseness

* Tickling and burning sensation in the throat, the normal body temperature

* Sore throat, lockjaw chewing muscles

* Hoarseness and sore throat

#1021

*!What kind of disease is the result of "Infectious diseases, headaches, dizziness, trauma, cardiovascular disease, metabolic disorders"?

* Otitis media

* Meniere's Disease

* Labyrinthitis

*+ Cochlear neuritis

* Otosclerosis

#1022

*!What are the classic triad of the symptoms of Meniere's disease

* Fit the systemic labyrinth of dizziness, nausea and vomiting, hearing loss in both ears, the noise in both ears

*+ Fit the systemic labyrinth vertigo, nausea and vomiting, hearing loss in one ear, the noise in the same ear

* Fit the systemic labyrinth vertigo, nausea with vomiting, complete irreversible deafness in one ear, the noise in the same ear

Dizziness, nausea, vomiting, deafness in both ears, tinnitus

Dizziness, tinnitus, hearing loss

#1023

*!The most characteristic of Meniere's disease are:

* Unconsciousness, convulsions, involuntary urination

* Meningeal signs, headaches

*+ Spontaneous nystagmus, a forced position of the patient, tinnitus, hearing loss, ataxia and vomiting

* The peripheral paresis and paralysis, vomiting, unconsciousness

* Installation nystagmus, unsteadiness of gait, a painful abduction of the eyeballs in end position

#1024

*!What are the main symptoms of acute sinusitis:

* Pain in the nose, headache, pus draining from the upper and middle nasal passage, mucosal hyperemia

* Pain in the frontal sinus and nose, redness of the mucosa, purulent discharge in the middle nasal passage

*+ Pain in the maxillary sinus, headache, dizziness, nausea, redness of the mucous membrane, drainage of pus from the middle nasal passage

* Pain in the nose, headache, difficulty in nasal breathing, polyps in the upper part of the nose

* Paroxysmal pain in the maxillary sinus, the nasal mucosa is not changed

#1025

*!What are the Symptoms of Major course of the first period of acute middle suppurative otitis?

*+ Ear pain, redness and protrusion of the eardrum, fever, headache, dizziness

* Pain in the ear, suppuration, fever

* Headache, suppuration, redness of the eardrum

* Pain in the ear, perforation of the round shape in the stretched PART OF eardrum

#1026

*!Black eyes, bleeding from the nose and the expiry of the cerebrospinal fluid are the main signs of fracture

* Mastoid

* Petrous

* Base of the skull in the middle cranial fossa

* Base of the skull in the region of the posterior cranial fossa

*+ Base of the skull in the anterior cranial fossa

#1027

*!What symptom is characterized by increased intracranial pressure, displayed by the nystagmus occurence at the head tilted forward?

*+ the Rose-Nylen symptom

* the Meyer symtom

* the Trusso symptom

*the Hilov symptom

*the Shwartze symptom

#1028

*!What symptom occurs at otitis, which characterized by hyperemia of the face, neck, upper torso, conjunctivas, characteristic point spots of red or dark-red color with a cyanotic shade are detected on transitional folds?

* the Lesage symptom

* the Wilmes symptom

*+the Chiari-Avtsyn symptom

*the Limbert symptom

*the Luze symptom

#1029

*!What symptom occurs at phlebitis of the sigmoid sinus and characterized by veins overflowing at the surface of the head, their extension and tortuosity increasing?

*+the jellyfish head symptom

* the Lesage symptom

* the Gammershlag symptom

* the Brunner symptom

* the Willysiya symptom

#1030

*!What symptom is characterized by corneas sensitivity decrease, which occurs in lesions of the trigeminal nerve at petrositis?

* the Whacher symptom

*+ the Brunner symptom

* the Willysiya symptom

*the Kvekenshtedt symtom

*the Willis symptom

#1031

*! What symptom occurs at otosclerosis and displayed by eardrum thinning due to connective tissue middle layer atrophy?

*+the Lempert symptom

*the Lessan symptom

*the Lutze

*the jellyfish symptom

*the Chiara-Avtsyn symptom

#1032

*!What symptom is characterized by wide auditory canals?

*+the Virhovsky-Tillo symtom

* the Willysiya symptom

*the Koernig symptom

*the Kvekenshtedt symptom

*the Gammershlag symptom

#1033

*!A woman, age44, complains of the hearing loss. Her hearing is improved in noisy environment. What symptom corresponds to the complaint?

*the Whaher symptom

*+the Willis symptom

*the Brunner symptom

*the Zahorsky symptom

*the Kauden symptom

#1034

*!At the dashed irritation of the foot plantar surface there is an extension. What ear department violation refers to this symptom?

*membranous cavity

*+pyramidal department

*cochlear department

*mastoid department

*bone department

#1035

*!Nosebleed is most commonly caused by…

*cold-related diseases

*+arterial hypertension

*hormonal disorders

*blood diseases

*hypovitaminosis

#1036

*!The most common cause of adolescent boys’ nosebleed is…

*+juvenile angiofibroma

*polyp

*cyst

*crooked nasal septum

*adenoids

#1037

*!Anterior nasal packing is applied for the period of…

*+24-48 hours

*12 hours

*30 minutes

*1-2 hours

*36-72 hours

#1038

*!The most common cause of local nosebleed is…

*nasal polyposis

*+injuries and foreign bodies

*crooked nasal septum

*hypertrophic rhinitis

*inflammatory conditions

#1039

*!The most common nosebleed control method is…

*electric cauterization

*nasal mucosa detachment

*injection of haemostatic drugs

*posterior nasal packing

*+anterior nasal packing

#1040

*!Kiesselbach area is located …

*+in the inferior anterior part of nasal septum

*in the inferior posterior part of nasal septum

*in the superior anterior part of nasal septum

*in the superior posterior part of nasal septum

*along the entire length of nasal septum

#1041

*! From nasal cavity and accessory sinuses of nose, venous blood flows off to …

*+the system of anterior facial and orbital veins

*posterior facial and return facial veins

*angular vein and posterior facial vein

*nasal dorsum vein and angular vein

*lingual vein

#1042

*!Frequent nosebleeds occur from the part of the nose called …

*+Kiesselbach area

*inferior turbinated bone

*uncinate pancreas

*posterior naris

*superior turbinated bone

#1043

*! What is the mechanism of the concentration function of the salivary glands with the Cray-Levi syndrome?

*+ Ion reabsorption in the salivary gland tubules

* Violation of excreta removing from acinar cells

* Partial and complete blockage of the salivary gland duct and its atrophy

* Dilatation of a salivary duct, sometimes as a result of parotitis

*Granulomatous inflammation of the walls of the small and large blood vessels

#1044

*! What are the changes with the Cray-Levi syndrome, except hypersalivation of nasal mucosa and salivary glands?

*+ Disorders of chloride metabolism, calcium deposition in the cervical vertebrae

*agenesia of nasal bones, ocular hypertelorism

*hyperplasia of the palatine and pharyngeal tonsils

*Granulomatous inflammation of the large vessels walls

*Reabsorption of mineral metabolism

#1045

*! What is the possibility of the sick child birth in a family in which the parents are healthy and have a sick daughter with Marfan syndrome (an autosomal dominant mode of inheritance)?

*25%

*40%

*50%

*+75%

*20

#1046

*! What is most unique feature with the Marfan syndrome?

*asthenic body type

* hearing loss

*+pathology of the lens, a big nose shape

*cardiovascular system disease

*hepatomegaly

#1047

*! What is the respiration rate per 1 minute in newborn infants?

*18-20

*16-18

*20-40

*+40-60

*30-35

#1048

*!What of the following defects of the head development cause acute respiratory failure?

*coloboma.

*labium leporinum.

*+choanal atresia.

*hydromeningocele

*Louis-Bar syndrome

#1049

*!It is impossible to put the catheter into the nose of the child with the sharply expressed respiratory failure. What is the most likely cause?

*tracheoesophageal fistula.

*Pierre Robin syndrome.

*+choanal atresia.

*macroglossia.

*hard palate malformations.

#1050

*! What is the possibility of sick child birth in a family in which the parents are healthy and have a sick child with the tricho-rhino-phalangeal syndrome?

*25%

*40%

*+50%

*75%

*20

#1051

*! Psychoacoustic hearing research methods include?

* acoustic reflexometry

* electrocochleography

* tympanometry

*+ tonal threshold audiometry

* acoustic impedancemetry

#1052

*! The objective hearing research methods include?

* Bйkйsy audiometry

* acumetry

* behavioral audiometry

*+ electrocochleography

* tonal threshold audiometry

#1053

*! Which form of hearing loss is typical for Meniere's disease?

* conductive

*+ sensorineural

* mixed

* mixed with Carhart tooth

* normal hearing

#1054

*! The acoustic impedance is based on the measurement of?

* the pressure in the tympanic cavity

* the pressure in the external auditory canal

*+ mobility of the tympanic membrane

* auditory sensitivity

* conduction velocity on the auditory nerve

#1055

*! The accepted unit of sound intensity measurement is?

* Hertz (Hz)

* Background (background)

* Bar (bar)

* Pascal (Pa)

*+ Decibels (dB)

#1056

*! Which clinical features are typical for the transverse fracture of the temporal bone pyramid?

* Dizziness, nausea and vomiting

* Headache, weakness, meningeal symptoms

*+ Complete extinction of auditory and vestibular function

* Inflammation of the middle ear, with the development of post-traumatic mastoiditis

* Syringmus, feeling of fullness in the ear, the transfusion of water

#1057

*! The character of vertigo in Meniere's disease?

* non systematic

*+ systematic

* both types

* there is no right answer

* flashing "flies"

#1058

*! What is a peripheral receptor of the acoustic analyzer?

*+ organ of corti

* spiral ganglion

* auditory nucleus of the rhomboid fossa

* rear quadrigemina core

* ventral and dorsal nucleus of the brainstem

#1059

*! A characteristic sign Zac's Symptom –

*+ puffiness of a mucous membrane over the top pole of a palatal almond and the top parts of palatal handles

* puffiness of a mucous membrane over the lower pole of a palatal almond and the lower parts of palatal handles

* puffiness of a mucous membrane on all surface of a palatal almond and the top parts of palatal handles

* puffiness of a mucous membrane of a palatal uvula and top parts of palatal handles

* puffiness of a mucous membrane of a pharynx and top parts of palatal handles

#1060

*! Characteristic sign Sindrom Mentselya-

* a triad of symptoms of the submaxillary lymph nodes which are found at a benign tumor of a throat increase, decrease in hearing, neuralgia of a hypoglossal nerve

*+ a triad of symptoms of the cervical lymph nodes which are found at a malignant tumor of a throat increase, decrease in hearing, neuralgia of a trigeminal nerve

* a triad of symptoms of the axillary lymph nodes which are found at a malignant tumor of a throat increase, decrease in hearing, neuralgia of a returnable nerve

* a triad of symptoms of the chest lymph nodes which are found at a malignant tumor of a throat increase, decrease in hearing, neuralgia of a facial nerve

* a triad of symptoms of the cervical lymph nodes which are found at a malignant tumor of a throat increase, decrease in hearing, neuralgia of the taking-away nerve

#1061

*! Characteristic sign of Sindroma Mikulicha-

* a triad of symptoms of the submaxillary lymph nodes which are found at a benign tumor of a throat increase, decrease in hearing, neuralgia of a hypoglossal nerve

*+ it is characterized by gradual painless generalized symmetric swelling of salivary and plaintive glands mucous glands of an oral cavity, throat and throat can be involved. The disease can proceed for years

* a triad of symptoms of the axillary lymph nodes which are found at a malignant tumor of a throat increase, decrease in hearing, neuralgia of a returnable nerve

* a triad of symptoms of the chest lymph nodes which are found at a malignant tumor of a throat increase, decrease in hearing, neuralgia of a facial nerve

* a triad of symptoms of the cervical lymph nodes which are found at a malignant tumor of a throat increase, decrease in hearing, neuralgia of the taking-away nerve

#1062

*! A characteristic sign de Quervin's Symptom –

*+ arises at actinomycosis of maxillofacial area and it is characterized by impossibility of free opening of the mouth caused by an inflammatory contracture of a temporal and mandibular joint and parts of chewing muscles, adjacent to the center

* puffiness of a mucous membrane over the lower pole of a palatal almond and the lower parts of palatal handles

* puffiness of a mucous membrane on all surface of a palatal almond and the top parts of palatal handles

* puffiness of a mucous membrane of a palatal uvula and top parts of palatal handles

* puffiness of a mucous membrane of a pharynx and top parts of palatal handles

#1063

*! A characteristic sign Konchalovsky's Symptom of Rumpel Leede –

* arises at actinomycosis of maxillofacial area and it is characterized by impossibility of free opening of the mouth caused by an inflammatory contracture of a temporal and mandibular joint and parts of chewing muscles, adjacent to the center

*+ meets at scarlet fever of a throat and it is shown by emergence of petekhiya because of toxic fragility of capillaries which can be revealed by means of a pinch of skin or imposing on a plait shoulder

* puffiness of a mucous membrane on all surface of a palatal almond and the top parts of palatal handles

* puffiness of a mucous membrane of a palatal uvula and top parts of palatal handles

* puffiness of a mucous membrane of a pharynx and top parts of palatal handles

#1064

*! A characteristic sign of a tonzillokardialny syndrome –

* triad of symptoms: increase in submaxillary lymph nodes, decrease in hearing, neuralgia of a hypoglossal nerve

* it is characterized by gradual painless generalized symmetric swelling of salivary and plaintive glands mucous glands of an oral cavity, throat and throat can be involved

* triad of symptoms of a throat increase in axillary lymph nodes, decrease in hearing, neuralgia of a returnable nerve

* it is caused neuroгуморальнымым by the mechanism and chronic intoxication with a constant subfebrilny temperature

*+ arises at chronic tonsillitis and it is caused by the neuroreflex mechanism and intoxication

#1065

*! A characteristic sign of the Syndrome of the Gaping acoustical pipe –

* it is characterized by gradual decrease in hearing, a gaping of an acoustical pipe and frequent evstakhiita

* the triad of symptoms is characterized by a gaping of an acoustical pipe and frequent evstakhiita, neuralgia of a returnable nerve

* a number of symptoms is characterized by gradual decrease in hearing, a gaping of an acoustical pipe and frequent evstakhiita, decrease in hearing, neuralgia of a facial nerve

* a number of symptoms is characterized by gradual decrease in hearing, a gaping of an acoustical pipe and frequent evstakhiita, neuralgia of the taking-away nerve

*+ it is characterized by a gaping of an acoustical pipe

#1066

*! Characteristic sign of Sindroma Berzherona-

*+ the bright red spots in language bordered with a white rim; spots with twisting edges, are sharply limited from other surface of language; the form and the size of spots change daily

* triad of symptoms of a throat increase in axillary lymph nodes, decrease in hearing, neuralgia of a returnable nerve 6

* meets at scarlet fever of a throat and it is shown by emergence of petekhiya because of toxic fragility of capillaries which can be revealed by means of a pinch of skin or imposing on a shoulder of a plait 5

* a triad of symptoms of the cervical lymph nodes which are found at a malignant tumor of a throat increase, decrease in hearing, neuralgia of the taking-away nerve

* puffiness of a mucous membrane of a pharynx and top parts of palatal handles 5

* Syndromes at pathology of a throat and trachea and HEADACHE and Dyspeptic disordersat a pathology of ENT organs and Vertigo at a pathology of ENT organ and Violation nasal respiration and Nasalbleeding and Syndromes in otology and Syndromes in rhinology and Syndromes at pharynx pathology and Syndromes at pathology of a throat and traсhea*2*152*3*

#1067

*! At Farber's syndrome patients die aged

*+1-2 years

* 5-10 years

* 10-15 years

* 20-25 years

* 30-35 years

#1068

*! The Allergical-Quincke's disease is observed at

* Lezhyen's syndrome

* syndrome of "G"

* Gilchrist's syndrome

*+syndrome of the Quincke

* Dyushen's syndrome (II)

#1069

*! At Dyushen's sinroma (II) thicket are ill aged

*+3-4 years

* 10-14 years

* 20-24 years

* 25-30 years

* 30-35 years

#1070

*! The reference sign of a syndrome of Avelis

*+ paralysises

* hypostasis

* pneumorrhagia

* pain

* rhinitis

#1071

*! The reference sign of a syndrome Villar

*+ paralysises

* hypostasis

* pneumorrhagia

* pain

* rhinitis

#1072

*! The reference sign of a syndrome of the Temporal and maxillary joint

* paralysis

* hypostasis

* pneumorrhagia

*+ pains

* rhinitis

#1073

*! The reference sign of a syndrome of Dyushen (II)

*+ motive frustrations

* pneumorrhagia

* rhinitis

* pain

* skin manifestation

#1074

*! The reference sign of a syndrome of Gilchrist

* motive frustration

* pneumorrhagia

* rhinitis

* pain

*+ skin manifestations

#1075

*!A woman, age 32, complains of the pain in the right ear, expressing while opening the mouth and chewing , headache and mouth opening limitation; a rheumatoid arthritis in anamnesis; the body temperature is 37.2 ⁰ C. Whereas opening the mouth there is a crunch in artculatiotemporomandibularis on the right. There is no pathology found during the otoscopy.

Which of the diagnoses is most probable?

*acute otitis media

*right acute otitis externa

*right acute catarrhal otitis

*+artculatiotemporomandibularis pathology

*right acute purulent otitis media

#1076

*!A woman, age 23, complains of the pain in right ear, expressed while chewing, headache, hearing impairment in the right ear, body temperature, reaching 38⁰ C. Suffers for 3 days, drops “otipax” without relief. Otoscopy (right): skin of external auditory canal is hyperemic, hydropic, a dense infiltration on the front wall, eardrum cannot be seen. A sharp pain is found while pressing the tragus.

Which of the diagnoses below is most probable?

*right acute otitis media

*+furuncle

*right eustachitis

*right acute catarrhal otitis

*artculatiotemporomandibularis pathology

#1077

*! A man, age 25, complains of the pulsating pain in left ear, ear congestion, impaired hearing in the left ear, noise in the left ear; suffers for 2 days, disease started after rhinitis, drops ethanol into the ear without relief.

Which of the diagnoses, listed below, is most probable?

*+ left acute otitis media

*left external auditory canal furuncle

*left acute catarrhal otitis

*left eustachitis

*artculatiotemporomandibularis pathology

#1078

*!A woman, age 32, complains of the sharp pain in the left ear, headache, hearing impairment in the left ear, body temperature, reaching 37 ⁰ C. From anamnesis: ear hurts since childhood, periodically was treated on outpatient basis. Left ear otoscopy: external auditory canal is vacant, perforation in the upper side of the eardrum, while doing the probing there is a caseous secretion with an unpleasant smell.

Which of the diagnoses is most probable?

*acute otitis media

*+exacerbation of chronic epitympanitis

*exacerbation of chronic mesotympanitis

*acute catarrhal otitis

*external auditory canal furuncle

#1079

*!A man, age 28, complains of the pain in the left ear, headache, bulging of the left concha, suppuration of the left ear, body temperature till 39 ⁰ C, left ear hearing loss; suffers for 6 days. Left ear otoscopy: the external auditory canal rear wall overhanging. Eardrum is hyperemic, hydropic, perforated into mesotympanum, dense, purulent secretion without smell. A sharp pain during palpation of mastoid area is observed.

Which of the diagnoses is most probable?

*left acute otitis media

*+mastoiditis

*left external auditory canal furuncle

*exacerbation of chronic mesotympanitis

*exacerbation of chronic epitympanitis

#1080

*!A man, age 25, complains of the headache, expressing during the head tilting down forward, nasal congestion, muco-purulent secretion from the nose. Suffers for 3 days. Rhinoscopycally turbinates are hydropic, pus strips on average nasal passages. X-ray picture of accessory sinuses of the nose shows total occultation of both highmores.

Which of the following diagnoses is true?

*+acute bilateral highmoritis

*acute pansinusitis

*acute unilateral pansinusitis

*exacerbation of chronic sinusitis

*acute sphenoiditis

#1081

*!A man, age 38, complains of the nasal congestion, headache; suffers for long, uses naftisin about 5 years without relief. Rhinoscopy shows white-coloured jellylike formation on both sides of nasal passages, breathing is difficult.

Which of the diagnoses is most probable?

*acute pansinusitis

*acute unilateral pansinusitis

*exacerbation of chronic rhinosinusitis

*+chronic polypoid rhinosinusitis

*hypertrophy of maxilloturbinal bone

#1082

*!A man, age 50, complains of the headache, pain and redness of the nasal wall, body temperature reaching 39⁰С. Got injured his nose 4 days. Examination shows that nasal wall is hyperemic, hydropic, hurting while palpation, fluctuation and displacement of nasal bone is noted.

Which of the following is true?

*+ periostitis

*haematoma

*highmoritis

*sinusitis

*pansinusitis

#1083

*! Male 40 years complained of headaches in the frontal region, heaviness in the face, a feeling of transfusion liquid by tilting the head forward. Rhinoscopy: marked swelling of the mucous nasal cavity, purulent discharge in the upper and middle nasal passages. Pharyngoscope: mucous pharynx pink, clean. On the back wall of the pharynx flows purulent discharge. Otoscopy: without features.

Which of the following preliminary diagnoses is most likely to be?

* retropharyngeal tendinitis

* eustachiitis

*+ sinusitis

* adenoiditis

* Lacunar tonsillitis

#1084

*! A woman of 35 years complained of a headache in the parotid region, front right. Sick for about 3 days. The disease associates with hypothermia from the air conditioner. Buried own boric alcohol to the right ear, the effect is not observed. Rhinoscopy: Mucous nasal pink, pure. Nasal breathing freely. Pharyngoscope: When you open your mouth noted increased pain in the parotid region, front right. The mucous membrane of the throat without features. Otoscopy: AD et AS loose, wide. Mt AD et Mt AS gray, whole, identifying the contours foreseeable.

Which of the following preliminary diagnoses is most likely?

* retropharyngeal tendinitis

* acute otitis media on the right

*sinusitis

* adenoiditis

*+ arthritis of jaw joint

#1085

*! Male 27 years old complains to the weakness, headache worse when bending the head back, swallowing. On palpation of the transverse processes of the upper three cervical vertebrae marked tenderness. The KLA notes ESR 23 mm / hour. Rhinoscopy: Mucous nasal pink, pure. Nasal breathing freely. Otoscopy: AD et AS loose, wide. Mt AD et Mt AS gray, whole, identifying the contours foreseeable.

Which of the following preliminary diagnoses is most likely to be?

*+ Retropharengeal tendinitis

* Acute otitis media

* Sinusitis

* Adenoiditis

* Arthritis of the jaw joint

#1086

*! 37 years old woman complains to purulent discharge from the right ear, headache more in the right pane. Sick for about 5 days. Previously noted periodically discharge from the ear, did not visit doctor. Rhinoscopy: nasal mucous is pink, pure. Nasal breathing freely. Pharyngoscope: mucous pharynx is pink, clean. Otoscopy: AD purulent discharge. The external auditory meatus wide.Mt- totality perforation.AS free, wide. The tympanic membrane is normal. When percussion parotid region noted a sharp pain on the right, left painlessly.

Which of the following preliminary diagnoses is most likely to be?

* Retrophryngeal tendinitis

* Acute medial otitis

* A sinusitis

*+ The mastoiditis

* Arthritis of a jaw joint

#1087

*! 18 years old young man complains to the headache after visiting the pool. Headache is amplified in the nose, under the eyes by tilting the head forward. Rhinoscopy: nasal mucous swelling, secondary purulent strip in nasal passages. AD et AS loose, wide. Mt AD et Mt AS gray, whole, involved.

 Which of the following preliminary diagnoses is most likely to be?

*+ sinusitis

* mastoiditis

*meningitis

*anemia

*pharyngitis

#1088

*! * A woman of 56 years old complains to the severe headache over the right side. Patient associates disease with hypothermia. Sick about 3 days. Rhinoscopy: mucous pharynx pink, clean. Otoscopy: AD external auditory canal is narrowed, there is flushing of the skin. AS free, wide. Mt AD is not observable. Mt AS gray whole.

Which of the following preliminary diagnoses is most likely?

* Acute sinusitis

*+ Acute otitis externa right

* Meningitis

* Acute eustachiitis

* Acute pharyngitis

#1089

*! * The patient 30 years old complains to pus from the right half of the nose, difficulty in nasal breathing and headache. Changes observed during last 6 years. The mucous membrane of the nose cavity hyperemic, infiltrated, determined by the increase in the lower right and middle turbinates, purulent discharge in the middle nasal passage from the right. Purulent discharge flows down the back of the throat. On radiographs of the paranasal sinuses defined intense darkening of the right maxillary sinus.

Which of the following preliminary diagnoses is most likely to be?

* Chronic sphenoiditis

*+ Right-sided chronic sinusitis, the exacerbation

* Chronic tonsillitis exacerbation

* Chronic right-sided frontal sinusitis, exacerbation

* Nasal polyp

#1090

*!The patient 19 years old complains to constant difficulty of nasal breathing on right side, headache. At childhood had nose injury. The outer nose is deformed. In frontal rhinoscopy determined the curvature of the nasal septum to the right. The mucous membrane of the nasal cavity shell pink, discharge in the nasal passages is absent. Palpation and percussion of the front walls of the paranasal sinuses is painless.

Which of the following preliminary diagnoses is most likely to be?

*+ Deviation of the nasal septum

* Closed fracture of nasal bones with displacement

* Tumor of right half of nose

* Allergic Rhinitis

* Chronic sinusitis

#1091

*! The boy 4 years was brought on reception by the parents who noticed that it is difficult for it to swallow and breathe. The speech became muffled, twang appeared. Condition of the child satisfactory. Pharyngoscope: mucous a pharynx pink, palatine tonsils are closed among themselves, dislocated, in lacunas there are no pathological contents.

What of the listed below preliminary diagnoses is MOST probable?

* Adenoid disease, decompencated form

* Chronic hypertrophic pharyngitis

* Bilateral paratonsillar abscess

*+ Hypertrophy of the palatine tonsils

* Adenoid vegetations

#1092

*! The boy of 6 months is uneasy, cries, poperkhivatsya at meal, nasal respiration is complicated, a snuffling voice. Pharyngoscope: a hyperemia of a mucous back wall of a pharynx, on a back wall decides a conglobate diverticulum on fluctuation.

What preliminary diagnosis from below listed is MOST probable?

*+ abscess of the Retropharyngeal

* Parapharyngeal abscess

* Paratonsillar abscess

* Lacunar angina

* Adenoiditis

#1093

*! The boy, 8 years, breathes through the mouth, snores during sleep. In the anamnesis – frequent catarrhal diseases, the attention worsened.

What preliminary diagnosis from below listed is MOST probable?

* Sphenoiditis

* Etmoidit

* Antritis

*+ Adenoides

* Frontal sinusitis

#1094

*! The man of 45 years shows complaints to violation of nasal respiration, a headache, temperature increase do38 to °C., swelling a century, a flow of pus from a nose. Ached sharply. At a rinoskopiya: hypostasis and plethora of sinks of a nose, pus on average nasal course.

What preliminary diagnosis from below listed is MOST probable?

* Hematoma of a nasal partition

* Abscess of a nasal partition

* Erysipelatous inflammation

* A nose furuncle

*+ Sinuitis

#1095

*! The man of 37 years shows complaints to violation of nasal respiration, cold, a headache, it is more in occipital area. Often spits out a purulent sputum. It is sick several years. Rinoskopiya: moderate increase in nasal sinks. Separated in the top nasal course is not present.

What of below the listed chronic diseases MOST possibly?

* Gemisinuits

*+ Sphenoiditises

* Etmoidits

* Antritis

* Frontal sinusitis

#1096

*! The man of 37 years shows complaints to violation of nasal respiration, cold, a headache, pressure in the field of a nose root. It is sick several years. Rinoskopiya: moderate increase in nasal sinks. Separated in the top nasal course is not present.

What of below the listed chronic diseases MOST possibly?

* Gemisinuit

* Sphenoiditis

*+ Etmoidites

* Antritis

* Frontal sinusitis

#1097

*! The young man of 23 years shows complaints to violation of nasal respiration, a headache, puffiness of an upper eyelid of the right eye, purulent discharges from a nose, temperature increase to 39,9 °C. It is sick 6 days after overcooling. At a rinoskopiya – a hyperemia mucous a nose, a purulent discharge on average the nasal course on the right.

What from below the listed preliminary diagnoses is MOST probable?

* Dontogenous antritis

* Chronic sphenoiditis

* Sharp etmoidit

* Sharp antritis

*+ Frontal sinusitis of the acute type

#1098

*! The man of 54 years is brought to clinic with complaints to violation of nasal respiration, hypostasis of the weak tissues of cheek at the left, a headache, a cold fit, periodic temperature increase to 39,9 °C, decrease in temperature is followed pouring then. At a rinoskopiya: not opened furuncle of a vestibule of the nose at the left.

What of below than the complications listed the rinogennykh MOST possibly?

*Thrombosis of a cavernous sine

*Brain abscess

*Encephalitis

*Meningitis

*+Sepsises

#1099

*! The man of 29 years addressed to clinic with complaints to violation of nasal respiration, temperature increase to 39 °C, pain in a forehead and a root of a nose, a flow of pus from a nose, the right eye-socket pains, a swelling a century of the right eye. It is sick 5 days. At survey: an exophthalmos, хемоз, an immovability of the right eyeglobe, morbidity with a pressure upon an eyeglobe. Rinoskopiya: mucous a nasal cavity it is hydropic, hypostasis is more expressed on the right, in the common nasal course on the right - abundance of pus.

What of the listed below preliminary diagnoses is MOST probable?

*The acute purulent frontal sinusitis, etmoidit, complicated by phlebitis of a longitudinal sine

*The acute purulent frontal sinusitis, etmoidit, complicated by thrombosis of a cavernous sine

*The acute purulent frontal sinusitis, etmoidit, the century complicated by a jet hypostasis

*The acute purulent frontal sinusitis, etmoidit, complicated by phlebitis of veins of a person

*+ The acute purulent frontal sinusitis, etmoidit, complicated by othe rbit phlegmon

#1100

*! The young man of 15 years complains of a constant congestion of a nose from 2 parties, mucopurulent selections from a nose, the poor dream, periodic headaches. It is sick 3 years. At a forward rinoskopiya: the lower nasal sinks are sharply increased in volume, are hyperemic, introduction of 3% of solution of ephedrine does not lead to reduction of sinks.

What from below the listed preliminary diagnoses is MOST probable?

*+ The true hypertrophic rhinitis

* Chance hypertrophic rhinitis

* Chronic atrophic rhinitis

* Allergic rhinitis

* Vasculomotor rhinitis

#1101

*! The young man of 15 years complains of a constant congestion of a nose from 2 parties, mucopurulent selections from a nose, the poor dream, periodic headaches. It is sick 2 years. At a forward rinoskopiya: the lower nasal sinks are sharply increased in volume, are hyperemic, introduction of 3% of solution of ephedrine leads to reduction of sinks.

What from below the listed preliminary diagnoses is MOST probable?

* True hypertrophic rhinitis

*+Hypertrophic rhinitis of the false type

* Chronic atrophic rhinitis

* Allergic rhinitis

* Vasculomotor rhinitis

#1102

*! The woman of 53 years complains of a constant congestion of a nose from 2 parties, heavy-bodied mucopurulent selections from a nose, dryness in a nose, the poor dream, periodic headaches. It is sick 3 years. At a forward rinoskopiya: in a crust nasal cavity.

What from below the listed preliminary diagnoses is MOST probable?

* True hypertrophic rhinitis

* Chance hypertrophic rhinitis

*+ Atrophic rhinitis of the chronic type

* Allergic rhinitis

* Vasculomotor rhinitis

#1103

*! The young man of 15 years complains of a nose congestion from 2 parties, plentiful mucous selections from a nose, sneezing attacks, the poor dream, periodic headaches. It is sick 3 years, notes seasonality of a disease which usually begins at the end of August. At a forward rinoskopiya: nasal sinks are sharply hydropic, tsianotichna, are available Voyachek's spots.

What from below the listed preliminary diagnoses is MOST probable?

* Vasculomotor rhinitis, neurovegetative form

* Chronic hypertrophic rhinitis

* true hypertrophic rhinitis

* Chronic atrophic rhinitis

*+ Rhinitis of the allergic type

#1104

*! The man of 44 years is hospitalized in clinic with complaints to violation of nasal respiration, temperature increase to 39 °C, pain in a forehead and a root of a nose, a flow of pus from a nose. On second day of hospitalization the tremendous cold fit, temperature increase to 40 °C, yellowness of mucosas appeared. The consciousness of the patient confused periodically there are clonic spasms. Change of peripheral blood has septic character.

What of the listed below complications MOST possibly?

* Subperiosteal abscess of an eye-socket

* Thrombophlebitis of a cavernous sine

*+ Thrombophlebitis of the longitudinal sine

* Meningocephalitis

* Eye-socket phlegmon

#1105

*! The man of 33 years shows complaints to a constant congestion of the right half of a nose within several years. At a rinoskopiya: on average nasal course spherical formation of a gelatinous consistence.

What from below the listed preliminary diagnoses is MOST probable?

* Polypose etmoidit

*+ Antritis of the polypose type

* Fibroma of a nasal cavity

* Holesteatomny rinosinusit

* Bleeding polyp of a nasal partition

#1106

*!Man, 40 y. o. in the morning on the way to the factory felt left ear congestion and increased noise in it, which is noticed for the past 3 months. After 2 hours, while working on the machine suddenly appeared sharp sensation of dizziness with rotation of items left, balance disorder, nausea, urge to vomiting, general weakness. Doctors at paragraph stated blanching and moisture of the skin, low blood pressure – 90/60 mm Hg. Art., slowing heart rate to 60 beats per minute, spontaneous nystagmus to the left hearing loss in his left ear.

What is the most likely preliminary diagnosis of the following ?

*+Meniere's Disease

*Acute sinusitis

*Chronic suppurative middle otitis media

*Otitis externa

*Acute suppurative otitis media

#1107

*!Man 27 y. o. complains of severe pain in his right ear, radiating to the teeth and temple, stuffy ears, headache, nausea, fever up to 37.8 ° C. He is sick for three days, the disease was preceded by rhinitis. Objectively: the tympanic membrane hyperemia. Whisper it sees the right ear with the 1 m, conversational - 3 m.

What is the most likely preliminary diagnosis of the following information?

*+Acute purulent inflammation of the right middle ear (unperforating)

*Acute purulent inflammation of the left middle ear

*Acute purulent inflammation of the right external ear

*Chronic suppurative inflammation of the middle ear right

*Acute adhesive inflammation

#1108

*!Woman 35 years, delivered to the hospital ENT clinic complaining of: abrupt dizziness, nausea, vomiting, ringing in the left ear balance disorders. In the early episodes were brief, they gradually became more frequent and more pronounced. The sense of hearing has declined. AD and AS without visible pathology, determined spontaneous horizontal nystagmus to the left of the second degree, the deviation of both hands when performing demonstrative tests.

WS left 1.5m, WR right 5m.

What is the most likely preliminary diagnosis of the following?

*Purulent labyrinthitis

*Acute otitis media, serous otitis complicated

*+Meniere's Disease

*Fistula of labirinthis

*Otosclerosis

#1109

*!Woman 32 years old, brought to the clinic with complaints of dizziness, vomiting, disorders of balance, ringing in the left ear, hearing loss. The attack began after a nervous tension, for the first time in her life.

On examination - ENT organs are normal, the left hearing is reduced: WS 1m, WR 4 m. Has left SpNy Article III, finger-finger test - waving both arms to the right, in the Romberg - can not stand, he falls to the right.

What is most likely the preliminary diagnosis of the following?

*Acute labyrinthitis

*+Meniere's Disease

*The outer diffuse otitis

*otomycosis

*Otosclerosis

#1110

*!The patient 48 y. during a hypertensive crisis (BP 240/140 mm Hg) there was vertigo accompanied by nausea, vomiting, spontaneous nystagmus to the right. After 8 hours, changed the direction of nystagmus to the left, there was a sharp decline in hearing in his right ear. These symptoms were held for several days. After the elimination of dizziness revealed the full off the auditory and vestibular function on the right.

What is the preliminary diagnosis of the following is most likely?

* Right focal labyrinthitis

* Suppurative labyrinthitis right

*+ Labyrinthine artery thrombosis right

* Labirintopathy

* Vestibulopathy

#1111

*!The man complained of pain in his right ear for 3-4 days. The boy dripped otipaks. This morning there was a vomiting, complains of dizziness, nausea.

Objectively: pale boy, pained expression on his face. There is horizontal nystagmus in the direction of the patient's ear. Meningeal symptoms are absent.

Otoscopy: AD - the auditory meatus free, Mt - bulging membranes congested, in BTE region normally.

What is the most likely preliminary diagnosis of the following?

* Acute ear

*+ Acute otitis media complicated by labyrinthitis

* Acute otitis media, with a concomitant intestinal infection

* Acute otitis media, with a concomitant cholecystitis

* Acute otitis media with a concomitant hepatitis

#1112

*!Girl, 14y.o., delivered in an ENT hospital complaining of a severe headache, nausea, vomiting. From history: the last 2 weeks was treated in the district hospital, where there was a high fever, cough, runny nose, otitis appeared suppuration. She was ill for 4 years. Objectively: a girl sluggish, lethargy, lying on his side with his eyes closed, answers questions reluctantly, temperature -39.9, P - 106 per minute. Neurological examination is determined by a stiff neck, positive symptom Kernig, Brudzinskogo. When lumbar puncture revealed cloudy cerebrospinal fluid, flows under high pressure

What is the most likely preliminary diagnosis of the following?

* virus nyyneyrotoksikozis

* Meningococcal infection

* Exacerbation of the chronic mezotimpanit

* Exacerbation of the chronic epimezotimpanitis complicated cholesteatoma

*+ Exacerbation of the chronic mezotimpanitis complicated by purulent meningitis

#1113

*!Patient C. The disease progresses rapidly. Onset of the disease characterized by a sharp rise in temperature to 39-40, accompanied by vomiting, general weakness, malaise, mild gastrointestinal disorders. Objective: baby cheeks bright red, congested, nasolabial triangle pale. In the throat - a bright redness, which applies to the soft palate. The mucous membrane of the soft palate a bit swollen, tonsils greatly enlarged, congested. On the skin of the neck, trunk, extremities points -small bright red papular rash, rash on the extremities folds are more pronounced.

What is the most likely preliminary diagnosis of the following?

* Catarrhal angina.

*+ Scarlet angina.

* Mononuclear angina.

* Exacerbation of chronic tonsillitis.

* Lacunar tonsillitis

#1114

*!Patient A. complaints: earache, purulent discharge, hearing loss, weakness, nausea, T-*+38 ° C. Ear sick about three weeks, with acute pain. She came to the clinic receiving treatment - antibiotics, ear drops, physiotherapy. When viewed in the right ear canal creamy pus in large quantities, after using the toilet, revealed a perforation in mezotimpanum, mucous in the lumen of the defect is hydropic, moderately bulging. Determined rear overhang of the upper wall of the ear canal in the bone department.When the right notes percussion pain.

What is the most likely preliminary diagnosis of the following is?

*Acute suppurative otitis media

* Festering epimezotimpanitis.

*+ Mastoiditis

* exacerbation of chronic mezotimpanitis

 * Antritis

#1115

*!Man taken to hospital by ambulance, after being in the clinic at the time of the left ear toilet, the patient abruptly dizzy, vomiting was single. The patient suffers from chronic otitis media. During the pressor tests appears nystagmus with a sense of vertigo. On examination of the ear is determined by an extensive defect of the tympanic membrane. When probing a determined move in the attic. The mucous membrane of the tympanic cavity is infiltrated, hydropic, with areas of hyperplasia. Scant purulent discharge.

What is the preliminary diagnosis of the following is most likely?

* Exacerbation of chronic epimezotimpanititis.

* Exacerbation of chronic otitis, complicated by labyrinthitis.

* Exacerbation of chronic otitis media, labirintopatiya.

*+ Exacerbation of chronic otitis media, the complicated labyrinth fistula.

* Exacerbation of chronic otitis media, vestibulopathy.

#1116

*!The woman complained: pain in the ear, purulent discharge, hearing loss, nausea, vomiting, weakness, periodic temperature rise. The first time in history of the life of the ear was ill about three weeks ago. The disease began with acute pain. Receiving concomitant treatment - antibiotics, ear drops, physiotherapy. When viewed in the right ear canal creamy pus in large quantities, revealed a perforation in mezotimpanum, mucous in the lumen of the defect is hydropic, moderately bulging. When percussion behind the ear with the right notes soreness. What is the most likely preliminary diagnosis of the following is?

*Acute suppurative otitis media.

* Festering epimezotimpanitis.

*+ Mastoiditis

* Exacerbation of chronic mezotimpanitis.

* Antritis

#1117

*!Woman 25 y. with complaints of headaches, nausea, pain in the neck, sometimes the nature of herpes. Complaints of shortness of nasal breathing.Notes purulent discharge from the nose and throat, especially in the morning. Objectively-nasal mucosa moderately hyperemic, sinks are not increased, nose breathing freely. When excessive throat examination revealed purulent discharge on the back wall. On the X-ray opacity of the sinuses preserved, it revealed only a partial blackout ethmoid cells.

What is the most likely preliminary diagnosis of the following is?

*+ Purulent ethmoiditis.

* Purulent sinusitis.

* Purulent salpingitis.

* Festering sphenoiditis.

* Purulent sinusitis

#1118

*!A patient, 14 y.o. complained of nasal congestion, headache, nausea, shortness of nasal breathing. Observed nosebleeds, reasons that do not.Also revealed swelling of the nasal mucosa, with cyanosis.discharge from the nose is not observed. What is the most likely preliminary diagnosis of the following?

*+ Youth nasopharyngeal angiofibroma.

* Chemodectoma.

* Adenoid vegetation.

* Hemangioma.

* Rhinitis

#1119

*!A woman, 45 y.o. with complaints of pain in the throat when swallowing. The patient high fever, complaining of general weakness, headache, dizziness, nausea, vomiting, chills, sweating, insomnia. When viewed in the throat diffuse hyperemia, tonsil hypertrophy, purulent overlay not found. Moderately enlarged liver, spleen, axillary lymph nodes. In the analysis of the blood - leukocytosis 11.2 x 10 9 / l predominate myeloblasts, lymphoblasts, hemocytoblasts erythrocytes 1.5 x 10 1 / L Hemoglobin 33 g / l, the color index 1; Erythrocyte sedimentation rate 20 mm / h.

What is the preliminary diagnosis of the following is most likely?

*+ Mononuclear angina.

* Acute myeloid leukemia.

* Sore throat when tulyarmiya.

* Sore throat with alimentary - toxic aleukemia.

* Ulcer filmy angina.

#1120

*!Boy 10 y.o. complained of a sore throat, malaise, body temperature of 40 degrees, nausea, vomiting. Revealed enlarged lymph nodes in the armpit and groin. The throat on the background of sharply edematous and giperlaziya all lymphoid formations found white throat raids. In the blood: on the background of a moderate leukocytosis 12.0 neutrophils detected, segmented neutrophils, 23% lymphocytes, 50%, 26% monocytes.

What is the most likely preliminary diagnosis of the following?

* Lacunar tonsillitis.

*+ Mononuclear angina.

* Tuberculosis of the pharynx.

* Ulceroglandular filmy angina Simanovskiy Vincent.

* Catarrhal angina.

#1121

*!Boy 12 y.o. complains of pain in the right ear, nausea, vomiting, body temperature rise to 37.6. From history: in the school during a break accidentally dropped. Objectively: the patient's condition is moderate. Otoscopy: right ear - the ear canal is wide, there is a small blood clot. The tympanic membrane hyperemia. From the other ENT - organs pathology not revealed.

What is the most likely preliminary diagnosis of the following?

*+ Acute traumatic otitis media on the right.

*Acute post-traumatic otitis media left.

* Chronic posttraumatic otitis media on the right.

* Subacute posttraumatic otitis media left.

* Post-traumatic otitis media on the right.

#1122

*! A woman, age 25, complains of the vertigo, qualmishness, puke, sweating. Objective: spontaneous eye nistagmus on the side of the aching ear. While performing the Fisher-Wodak test and digitonasal sign a deviation in the direction of the hands into the side of nystagmus slow component is observed. What diagnosis is most probable?

*Meniere disease

*+Labyrinth

*Otosclerosis

*Benign paroxysmal positional vertigo

*Cochlear neuritis

#1123

*! A woman, age 30, complains of the vertigo lasted for 2-3 weeks, surrounded objects rotation (illusionary). Electronystagmometria shows spontaneous nystagmus. Preliminary diagnosis is acute labyrinthitis. What disease should be compared with while making diagnosis?

*the Meniere disease

*Chronic suppurative mesotimpanitis

*+The cerebellum tumor or abscess

*Otogenic abscess

*Osteochondrosis

#1124

*! A man, age 40, complains of the vertigo, vision fixation decrease, going violation, change of body deviation direction at the head turned toward (labyrinth ataxy). Suppurative otitis media is in anamnesis. What the further tactic is?

*Antibacterial and dehydrotational therapy

*+The middle ear emergency surgery, infectious origin elimination

*Hypertonic solution intervenous injection

*Diuretics*+potassium chloride

*Planned surgery

#1125

*!A man, age 35, complains of the vertigo, pain as at hitting, disequilibrium. A noise in one ear and hearing loss take place. Latest attack was 2 weeks ago. Seeks for suitable position during the attack, vertigo is enlarged due to the surrounded noise. What diagnosis is most probable?

*Labyrinthitis

*Otosclerosis

*Osteochondrosis

*+Meniere disease

*Cochlear neuritis

#1126

*!A man, age 35, complains of the vertigo, pain as at hitting, disequilibrium. A noise in one ear and hearing loss take place. Latest attack was 2 weeks ago. Seeks for suitable position during the attack, vertigo is enlarged due to the surrounded noise. What tactic during the attack is most probable?

*Stapedectomy

*Giving lot of water

*Nasal novocaine blockade

*J.Aply method

*+Mobilisation

#1127

*!A woman, age 41, complains of the vertigo attacks, progressive fluctuative hearing loss, unilateral noise in ear. After attack she feels weakness. Dehydrotational glycerol test shows labyrinth hydropsis, after the test hearing got better in audiometry. What diagnosis is most probable?

*Labyrinthitis

*Otosclerosis

*Osteochondrosis

*+Meniere disease

*Cochlear neuritis

#1128

*!A man, age 52, complains of the progressive hearing loss lasted for 2 years. During 2 years he was attacked 5 times. At first the noise was unilateral, further it became bilateral. Disequilibrium is observed. Anamnesis shows angioneurosis, endoliph exchange disorder. Dehydrotation test shows inner-labyrinth pressure increase. What diagnosis is most probable?

*Labyrinthitis

*Otosclerosis

*Osteochondrosis

*+Meniere disease

*Cochlear neuritis

#1129

*!A man, age 52, complains of the progressive hearing loss lasted for 2 years. During 2 years he was attacked 5 times. At first the noise was unilateral, further it became bilateral. Disequilibrium is observed. Anamnesis shows angioneurosis, endoliph exchange disorder. Dehydrotation test shows inner-labyrinth pressure increase. What solution must be injected during the attack?

*1ml 0,1% atropinesulfate

*+10-20ml 40% glucose

*5ml 30% glucose

*2ml 2,5% prometosine

*2ml 2,5% chloropyramone

#1130

*!A man, age 52, complains of the progressive hearing loss lasted for 2 years. During 2 years he was attacked 5 times. At first the noise was unilateral, further it became bilateral. Disequilibrium is observed. Anamnesis shows angioneurosis, endoliph exchange disorder. Dehydrotation test shows inner-labyrinth pressure increase. What drug is most effective to improve the inner ear blood vessels microcirculation and normalize endolimph pressure?

*atropine

*phurosemide

*pyracetam

*phosamax

*+betaheksin

#1131

*! A man, age 35, complains of the vertigo, expressed at the rapid head displacement, qualmishness, puke. Vertigo disappears after corresponding returned tilt of the head. Anamnesis: traumatic brain injury 6 months ago. Hearing loss is not observed. What diagnosis is most probable?

*Meniere disease

*Labyrinthitis

*+Benign paroxysmal positional vertigo

*Labyrinth fistula

*Vestibular neuronitis

#1132

*! A man, age 35, complains of the vertigo, expressed at the rapid head displacement, qualmishness, puke. Vertigo disappears after corresponding returned tilt of the head. What test must be done to make a diagnosis?

*+Diks-Holpyke test

*Toinbie method

*Walsalva test

*Politzer test

*Romberg test

#1133

*! A man, age 35, complains of the vertigo, expressed at the rapid head displacement, qualmishness, puke. Vertigo disappears after corresponding returned tilt of the head. Preliminary diagnosis is benign paroxysmal positional vertigo. What treatment tactic is most probable?

*Palchun surgery

*+J.Aply method

*Symptomatic

*Cochlear implantation

*Trigger position avoiding

#1134

*! A man, age 27, complains of the vertigo, expressed at the rapid head displacement. Vertigo disappears after corresponding returned tilt of the head. After long taking gentamycin he feels qualmishness, puke, and nistagmus in some cases. Diks-Holpyke test is positive. What preliminary diagnosis is the most probable?

*Meniere disease

*Labyrinthitis

*+Benign paroxysmal positional vertigo

*Labyrinth fistula

*Vestibular neuronitis

#1135

*!A man, age 27, complains of the vertigo, expressed at the rapid head displacement. Vertigo disappears after corresponding returned tilt of the head. After long taking gentamycin he feels qualmishness, puke, and nistagmus in some cases. Diks-Holpyke test is positive. What preliminary diagnosis is the most probable? What J.Aply method mechanism of action during the treatment?

*+ At the patient head fixing otolith fragments, found in vials of the semicircular canals, are displaced into utriculus

*Trigger position avoiding

*Palchun surgery – dissection of the endolymphatic flow at the maze hydrops

*Spicy and salty foods avoiding

*taking meds, improving inner ear vessels microcirculation, expanding supply in basilar artery and normalizing endolimph pressure in labyrinth

#1136

*!A man, age 30, complains of the periodic vertigo, qualmishness, puke, disequilibrium, hearing loss. Vertigo lasts for several minutes. Fisher-Wodak test is positive. Which of the anatomic structures is disordered?

*eardrum

*+maze

*tympani chorda

*auditory canal

*concha

#1137

*! A man, age 25, complains of the constant vertigo, disequilibrium, bilateral noise in ears, progressive hearing loss. Preliminary diagnosis is the Meniere disease. What the disease action mechanism is linked to?

*Hypoproduction of endolimph

*+Hyperproduction of endolimph

*Hyperptyalism

*Arterial hypertension

*Arterial hypotension

#1138

*!A two-year-old fell from a chair onto his side, hit the nose on some object, and slight nosebleed occurred. Physical examination: nasal soft tissue hyperemic, abrasions, external nose regular, mucous tunic of the nose swollen.

Which examination of the following is THE MOST reasonable to conduct to establish a specific diagnosis?

*nasal bone palpation

*+nasal bone X-ray

*postnasal rhinoscopy

*magnetic resonance imaging

*put under the care of a physician

#1139

*!A 14-year-old male complains of impaired nasal airflow and periodical nosebleed without evident causes. Rhinoscopy results: mucous tunic congestive, with cyanotic tint, no pathologic discharges. A bluish red rough-surfaced formation is observed in the nasal pharynx vault.  

Which of the following preliminary diagnoses is THE MOST probable?

*third degree adenoids

*polyp of the posterior nasal cavity

*choanal polyp

*cerebral hernia

*+juvenile angiofibroma

#1140

*!A 6-year-old boy with nosebleed, delivered by an ambulance. Anamnesis: the boy had fever and nasal stuffiness, and was indisposed. His mother gave him an anti-febrile medicine containing aspirin. Nosebleed occurred on several occasions.

Which of the following is THE MOST probable cause of the nosebleed?

*third degree adenoids

*papilloma

*chronic myeloleukemia

*+ARVI

*intoxication

#1141

*!A 16-year-old male complains of constant nasal stuffiness, periodical spontaneous nosebleed. Physical examination: nasal cavity mucous tunic moderately swollen, with cyanotic tint. No pathological discharges. A tuberous dark red formation covering the posterior naris is observed in the nasal pharynx.

Which of the following preliminary diagnoses is THE MOST probable?

*benign lymphoid hyperplasia

*polyp of the posterior nasal cavity

*choanal polyp

*+juvenile angiofibroma

*teratoma

#1142

*!A 17-year-old male seeks ENT specialist’s advice in relation to periodical nosebleeds. Physical examination identified nasal sternum deviation to the right, but breathing is difficult on both sides. Indirect rhinoscopy identified a round brown-red formation filling up the superior part of nasal pharynx.

Which examination of the following is THE MOST informative in this case?

*endoscopy

*X-ray

*+biopsy

*digital investigation

*angiography

#1143

*!A 22-year-old male complains of nasal breathing difficulties, pain in nasal area and fever of 37,5 С. 3 days ago he has been hit on the nose and experienced nosebleed. Nasal passages on the left are strongly narrowed due to mucous tunic infiltration in the nasal septum area. The infiltrate is soft in the center, and fluctuation is observed upon touching the area with a probe.

Which of the following preliminary diagnoses is THE MOST probable?

*+nasal septum abscess

*nasal septum hematoma

*polyp of the posterior nasal cavity

*teratoma

*angiofibroma

#1144

*!A 40-year-old female complains of frequent minor nosebleeds from the left nostril, stopping without intervention. Rhinoscopy: a round purple-blue formation on a thin pedicle is located in the left cartilaginous part of nasal septum. The formation easily bleeds upon touching. Bleeding can be stopped by pressing left wing of the nose to nasal septum.

Which of the following preliminary diagnoses is THE MOST probable?

*+nasal septum polyp

*nasal septum hematoma

*benign lymphoid hyperplasia

*choanal polyp

*nasal septum abscess

#1145

*! A two-year-old fell from a chair onto his side, hit the nose on some object, and slight nosebleed occurred. Physical examination: nasal soft tissue hyperemic, abrasions, external nose regular, mucous tunic of the nose swollen.

Which of the following preliminary diagnoses is THE MOST probable?

*+soft tissue bruise

*non-displaced nasal bone fracture

*fissure nasal bone fracture

*displaced nasal bone fracture

*nasal septum cartilage fracture

#1146

*!A 65-year-old male brought by ambulance is complaining of nosebleed from the left nostril. Anamnesis: admits periodical brief hemorrhagic occurrences along with arterial hypertension. Physical examination: nose shape regular, nasal mucous tunic pasty, hyperemic. Enlarged Kiesselbach area vessels on the left.Unobstructed nasal airflow.

Which of the following treatment methods are THE MOST reasonable in this case?

*+anterior nasal packing, admission to internal medicine department

*posterior nasal packing, admission to ENT department

*external carotid ligation

*posterior nasal packing, referred to polyclinic for observation

*antihypertensive therapy

#1147

*!A 48-year-old male suffering from hypertensive disease was admitted to an ENT clinic following profuse nosebleed that could not be stopped domiciliary.

Which of the following treatment methods are THE MOST reasonable in this case?

*+antihypertensive therapy, nasal packing

*external carotid ligation, admit to a hospital

*antihypertensive and anticoagulation therapy

*blood loss replacement, posterior nasal packing, ABP measurement

*ABP measurement, ECG tracing, consult with a physician

#1148

*!A 27-year-old female was admitted to the receiving room with nosebleed. Anamnesis: has been suffering from this pathology for 15 years. At first nosebleeds were minor, then nasal airflow on the left became obstructed, the nosebleeds became regular. Physical examination: a round solitary tuberous formation of purplish red color is observed in the mid-superior part of nasal septum. The formation’s surface is covered with scabs and starts to bleed upon touching.

Which of the following preliminary diagnoses is THE MOST probable?

*bleeding polyp of nasal septum

*+nasal septum hemangioma

*benign lymphoid hyperplasia

*choanal polyp

*nasal septum abscess

#1149

*!A 70-year-old male was brought by ambulance with complaints of nosebleed. Anamnesis: admits periodical brief nosebleed occurrences along with arterial hypertension. Physical examination: nose shape regular, nasal dorsum in midline, nasal mucous tunic pasty, hyperemic.