Intermedial

sternothoracic (stellar)

thoracic

*

During the surgery on the neck a surgeon must select the external carotid artery. What is the anatomical reference point to establish the place of initial part of the vessel in the neck region?

Upper border of the thyroid cartilage

Jugular notch

Angle of the mandible

Lower border of the thyroid cartilage

Place of the attachment of the sterno-cleido-mastiod muscle

*

When performing surgery in the axillary cavity, the surgeon should be allocated arterial vessel, surrounded by bundles of the brachial plexus. What is the artery?

А. ахillaris

А. vertebralis

А. transversa colli

А. profunda brachii

А. subscapularis

*

For constant intravenous injection of medicines and to reduce traumatisation, the patient is better to set the subclavian catheter. In what anatomic structure on a neck it is necessary to look for a subclavian vein?

Spatium interscalenum

Spatium retroscalenum

Spatium interaрoneuroticum

Spatium antesсalenum

Spatium suprasternale

*

At operation on a tumor of a mammary gland, the surgeon removed lymph nodes of an axillary cavity where metastasis could extend. Thus there was a complication in the form of hypostasis of the upper limb. Through what lymph nodes the lymph from the upper limb flows in to a subclavian trunk?

Posterior

Anterior

Apical

Medial

Inferior

*

The patient with a fracture of bones of a hand and strong bleeding in the field of an anatomic snuffbox came to an emergency room. What vessel is damaged?

Ulnar artery

Anterior interosseus artery

Posterior interosseus artery

Superficial palmar arch

Radial artery

*

At the patient a disturbance of sensitivity on a lateral surface of a forearm is observed. What nerve is damaged?

N. radіalіs

N. ulnarіs

N. musculocutaneus

N. medіanus

N. аxіllarіs

*

At the patient after a trauma of the anterior surface of the upper third of the forearm the pronation is broken, palmar flexion of the hand is weakened and sensitivity of skin of the palmar surface of 1st, 2nd ,3rd and radial side of the 4th fingers and skin of the posterior surface of the nail and median phalanxes of 2nd, 3rd, and 4th fingers is broken. What nerve is affected at violation of the specified functions?

Median nerve

Ulnar nerve

Radial nerve

Musculo-cutaneus nerve

Medial cutaneus nerve of the forearm

*

At the victim with an incised wound of the neck, which is located along the posterior edge of the m. sternocleіdomastoіdeus, a sensitivity of the skin on the posterior surface of the ear auricle is diminished. What nerve can be damaged?

N. aurіculotemporalіs

R. aurіcularіs nervі vagі

Nn. aurіculares anterіores

N. aurіcularіs magnus

N. aurіcularіs posterіor

*

After the trauma of the shoulder a patient can not straighten (extend) the hand. An examination was also observed a decrease of pain and temperature sensitivity of the two and a half fingers on the dorsal surface of the hand from the thumb side. What nerve is damaged due to injury?

Median nerve

Radial nerve

Ulnar nerve

Axillary nerve

Musculo-cutaneus nerve

*

A patient has an "claw" hand. Which nerve is damaged?

Median nerve

Radial nerve

Musculo-cutaneus nerve

Axillary nerve

Ulnar nerve

*

At the victim after motorcycle wheel injury of the back middle third of the leg the deep blood vessels were ruptured, an extensive hematoma was formed, as the contusion of nerves. At which anatomical structures the damaged neurovascular bundle lies?

Cruro-popliteal channel

Femoral-popliteal channel

Obturator channel

Upper musculo-fibular channel

Lower musculo-fibular channel

*

At the patient an ischemia of tissuse below the knee joint, which is accompanied by "intermittent limping" is observed. About occlusion of which artery can be thought of?

Fibular aertery

Popliteal artery

Posterior tibial artery

Anterior tibial artery

Proximal part of the femoral artery

*

Examining the patient, the surgeon determines the pulsation of the artery behind the medial tibia. Pulsation of which artery the surgeon determines?

Fibular aertery

Anterior tibial artery

Posterior tibial artery

Posterior recurent tibial artery

Anterior recurent tibial artery

*

Varices or varicose knots are present on the medial surface of the lower limb. Disorder of which vessel this pathology is?

Vena saphena parva

Vena femoralis

Arteria femoralis

Vena saphena magna

Arteria tibialis posterior

*

Patient has subungual panaritium of the big toe of the foot. Which lymph nodes are going to suffer in the first place?

Nodi lymphatici inguinales profundi

Nodi lymphatici poplitei

Nodi lymphatici iliaci externi

Nodi lymphatici iliaci interni

Nodi lymphatici inguinales superficiales

*

An examination of the patient a neurologist discovered the following symptom: the extinction of cremasteric reflex (contraction of the m. cremaster), violation of the sensitivity of the skin on the front and the inner surface of the upper thigh and scrotum. The damage of which nerve is talking about?

Genitofemoral nerve

Ilioinguinal nerve

Ischіadіc nerve

Femoral nerve

Obturatorius nerve

*

At the patient characteristic changes in gait, so-called "duck" gait, is observed (while walking the patient sways to the side). Furthermore, it is impossible to bring the hip. What nerve is damaged?

Ischіadіc nerve

Inferior gliuteal nerve

Femoral nerve

Obturatorius nerve

Superior gliuteal nerve

*

In examination of the patient with incised wound in the popliteal fossa the lack of sensitivity of the medial posterior surface of the leg's skin was revealed. What nerve is damaged?

N.suralis

n.cutaneus surae lateralis

n.tibialis

n.fibularis

n.cutaneus surae medialis

*

In examination of the patient with incised wound in the lower third of the front portion of the right tibia no extension movements in the right ankle was found. The muscles are not damaged. The integrity of which nerve is broken?

n. peroneus communis

n. peroneus profundus

n. peroneus superficialis

n. cruralis

n. tibialis

*

At the victim of a traffic accident the lower limb at the level of the upper third of the leg was damaged, then on the injured limb dorsal extension of the foot was impossible. What nerve is damaged?

n. peroneus communis

n. tibialis

n. peroneus profundus

n. peroneus superficialis

n. іschіadіcus

*

A child of 3 years old was addmitted to the hospital with a foreign body in the bronchi. In what bronchus the foreign body is more likely to pass?

The right main bronchus

The left main bronchus

The right segmental bronchus

The left segmental bronchus

The lobular bronchus

*

A patient 35 years old was addmitted in the surgical department with a purulent wound on the neck in front of the trachea (in previsceral space). Where the infection can be spread, if the patient does not operated on urgently?

Into the thoracic cavity - middle mediastinum

Into the thoracic cavity - anterior mediastinum

Into the thoracic cavity - posterior mediastinum

Into the retrovisceral space

Into the suprasternal interaponeurotic space

*

A patient 44 years old called in the therapeutic department with the diagnosis of right-sided pleuritis. Examination of the patient confirmed the presence of a fluid into the pleural cavity. In which pleural sinus the largest accumulation of serous fluid is expectes?

The left mediastino-diaphragmatic sinus

The right costo-mediastinal sinus

The right costo-diphragmatic sinus

The left costo-mediastinal sinus

The right mediastino-diaphragmatic sinus

*

A patient has diagnose exudative pleuritis. In which pleural sinus the largest accumulation of serous fluid is predicted?

The oblique pericardial sinus

The costo-mediastinal sinus

The transverse pericardial sinus

The costo-diphragmatic sinus

The mediastino-diaphragmatic sinus

*

The patient is made a puncture of the pleural cavity. In what part of the intercostal space it is necessary to pass a needle?

Just in the middle of the intercostal space, in the middle of the distance between rib borders

In the upper part of the intercostal space, by the lower border of the rib above

In the back side of the intercostal space, by the lower border of the rib above

In the back side of the intercostal space, in the middle of the distance between rib borders

In the lower part of the intercostal space, by the upper border of the rib below

*

A patient of 54 years was diagnosed macrofocal myocardial infarction of the anterior wall of the left ventricle. In which artery a blood flow is disrupted?

The anterior interventricular branch

The right coronary artery

The posterior interventricular branch

The circumflex artery

The atrial branches

*

At the patient a heart noise which indicate of the presence of mitral heart defect was listened to. At what point the doctor identified on auscultation indicated noise?

Into the left intercostal space near the sternum

Into the V left intercostal space inside from midclavicular line

In place of the attachment of the V left rib with sternum

On the middle of the line connected the place of the attachment of the III left and V right ribs with the sternum

At the lower border of the sternum

*

The patient has a significant increase in the right atrium, a large liver. Violation of what structure of the heart could be involved?

Valva aortae

Valva bicuspidalis

Valva tricuspidalis

Valva trunci pulmonalis

Auricula sinistra

*

In examination of the patient with a coronary heart disease, the doctor revealed the deterioration of venous blood flow in the veins of the heart basin extending in the anterior interventricular sulcus of heart. What is the vein located there?

V. posterior ventriculi sinistri

V. cordis media

V. obliqua atrii sinistri

V. cordis magna

V. cordis parva

*

In intra-uterine development of the fetal vascular system the major arterial (Botall's) duct operates, which turns after the birth into lig. arteriosum. What anatomical structures connects this vessel?

the right and left atria

The aorta and inferior vena cava

The pulmonary trunc and superior vena cava

The aorta and superior vena cava

The pulmonary trunc and aorta

*

Name the place of the lymph formation

Vasa lymphocapillaria.

Folliculi lymphatici.

Nodi lymphatici.

Vasa lymphatica.

Vasa venosum

*

What are the roots of the right lymphatic duct

Truncus lumbalis dexter

Truncus bronchomediastinalis dexter

Truncus intestinalis.

Truncus jugularis sinistra

Truncus lumbalis sinister

*

Name the oppening of the diaphragm through which the thoracic duct passes

Hiatus oesophageus

Trigonum lumbocostale

Hiatus aorticus

Foramen venae cavae

Trigonum sternolumbocostale

*

Lymphatic vessels of whuch organs can inflow straight into the lymphatic ducts bypass lymphnodes?

Hepar

Ren

Pulmones

Oesophagus

Cor

*

Name parietal lymphnodes of the abdominal cavity

Nodi lymphatici phrenicae superior

Nodi lymphatici mesentericae inferiores

Nodi lymphatici epigastrici superior

Nodi lymphatici epigastrici inferior

Nodi lymphatici lumbales

*

The patient mistakenly drank a solution of acetic acid. What layer of the esophagus is expected the greatest damage?

The mucous membrane

The muscular coat

The serous membrane

The elastic membrane

The muscular and serous membranes

*

The victim of a firearm wound with heavy bleeding was admitted to the emergency department of the hospital. On examination, the surgeon found that the bullet channel passed through the front wall of the abdomen to the level of the IX rib by the left mid-axillary line. What organ was affected by the injury?

The left kidney

The spleen

The pancreas

The transverse colon

The left lobe of the liver

*

The patient complains of a pain in the right iliac fossa. On palpation: mobile, soft, painful bowel was determined. What part of the intestine the doctor palpates?

The sigmoid colon

The rectum

The coecum

The ascending colon

The jejunum

*

The doctor palpates the lower edge of the liver at a patient of 43 years old. At what level the lower border of the liver of a healthy person is projected?

At the level of 2 cm below the edge of the costal arch

At the level of 4 cm below the edge of the costal arch

At the level of 4 cm above the edge of the costal arch

By the level of the costal arch

At the level of 3 cm below the edge of the costal arch

*

The patient complained of a pain in the upper part of the umbilical region. By palpation a movable painful bowel was determined. What part of the intestine the doctor palpates?

The jejunum

The duodenum

The ilium

The sigmoid colon

The transverse colon

*

A patient of 60 years identified a dilatation of the veins of the esophagus, rectum, and veins of the anterior abdominal wall. What system of veins is damaged?

The portal vein

The inferior vena cava

The azygos vein

The superior vena cava

The superior mesenteric vein

*

The patient complained of recurrent esophageal bleeding. In anamnesis morbi (history of the desease) a patient had hepatitis and a portal insufficiency. While esophagoscopy of the esophageal mucosa twisted veins filled with blood viewed. Which vein form the porto-caval venous anastomosis of the esophagus?

The right and left gastric veins

The left gastric and eosophageal veins

The portal and left gastric veins

The phrenic and eosophageal veins

The lienal and left gastric veins

*

While the revision of the abdominal cavity a venous bleeding from the hepato-duodenal ligament is found. Which vein is damaged?

The inferior vena cava

The lienal vein

The portal vein

The superior mesenteric

The inferior mesenteric

*

In a patient with thymoma (a tumor of the thymus), cyanosis, enlargement of the subcutaneous venous network and swelling of the soft tissues of the face, neck, upper trunk and upper extremities. What venous trunk is pressed?

The external jugular vein

The subclavian vein

The internal jugular vein

The superior vena cava

The anterior jugular vein

*

In a patient diagnosed a tumor of the pancreatic head, a violation of the venous outflow from some of the abdominal organs. What is a vein which was pressed by tumor?

The renal vein

The left gastric vein

The inferior vena cava

The right gastric vein

The portal vein

*

After significant weight loss in men of 70 years old a dull pain in the lumbar area appeared. While examination "floating kidney" was diagnosed. What part of the fixing apparatus of the kidney has been broken?

Capsula adіposa

Capsula fіbrosa

M. іlіopsoas

Lіg. hepatorenalіs

m. quadratus lumborum

*

In a newborn during voiding of the bladder an urine from the umbilicus was observed. What could caused this phenomenon?

Cleft of the yolk duct

Cleft of the urinary duct

Incomplete fistula

Ectopy of the ostium uretrae

A diverticulum of the urinary bladder

*

During the operation on the renal pelvis a stone the size of 3x4 cm was removed, which had on one side the three outgrowth of horns [staghorn stone]. What anatomical structures do they correspond with?

The nephrones

The lesser calyces

The greater calyces

The pelvis

The renal lobules

*

While ultrasound diagnosis at 19 years old boy a lowering kidney was found . At what level of the vertebrae kidneys located in this this age period?

IX-X thoracic

IV-V lumbar

XII thoracic and I lumbar

XI thoracic and III lumbar

IX-XII thoracic

*

The patient has a stone in place of connection of the left pelvis with ureter. What anatomical structure is placed in front of this connection?

The pancreas

The stomach

The rectum

The spleen

The sigmoid colon

*

What anatomical structure helps to identify opennings of the ureters into the urinary bladder?

Apex vesіcae

Trіgonum vesіcae

Corpus vesіcae

Urachus

Cervіx vesіcae

*

After the trauma of the perineum a patient has enuresis (urinary incontinence). Which musle was damaged?

The ischio-cavernosus muscle

The superficial transverse muscle of the perineum

The external sphincter of the urethra

The deep transverse muscle of the perineum

The internal sphincter of the urethra

*

A man of 70 years has significantly increased in size the left testicle due to increasing the volume of fluid in his serous cavities. Between what layers of the testis a doctor should puncture needle to withdraw transudate?

Between the skin and tunica dartos

Between the internal seminal fascia and the tunica vaginalis

Between the tunica dartos and the internal seminal fascia

Between the parietal and visceral layers of the tunica vaginalis testis

Between the skin and musculus cremaster

*

The patient was admitted to the hospital with suspected prostate tumor. During the operation it was revealed that the tumor "sprouted" to the middle part of the urethra. What is this part?

Spongious