Situation tasks for verification of eventual level of knowledges.

1.The sick S appealed to the doctor. 45р. with the presence of hump. Grumbles about the «edema» in overhead third of right thigh on a front surface. At a review: education 6 h 6 sm. with clear granitsyami, m’yacoelastichnoi consistencies, painless, skin above him not giperemovana, undertakes in a fold, a percoutovniy sound dull, tiled shove is not determined. A doctor diagnoses hernia and recommends the surgical operation to the patient. Do you with this conclusion agree? What diagnosis at a patient?

2.Patient 48 years in early childhood the tubercular cocsit carried. Last 25 – 30 years the pains in a joint did not disturb. Pain appeared 4 months backwards. For past a tense concerning tuberculosis did not treat oneself, to the doctors did not apply. Which is possible diagnosis? What needs to be done for clarification of diagnosis?

3. A patient 45 years is hospitalized in the surgical separation with complaints about not sharp pain in the left knee-joint and his nabryaclist. It is ill during a few months. At a review the slight swelling and smoothing of contours of joint is marked. Extremity is found in the forced position (a bit is arcuated). The ballot of nadcolinca is determined. Skin fold on the left thigh anymore than on right. Your possible diagnosis? How on an author is the symptom of bulge of fold named? What additional methods of research are needed for clarification of diagnosis?

4.At sick S., 49 years in the area of corner of lower jaw there are plural noritsi with insignificant to festering by excretions. Research of gnoyaci showed that he contained drouzi. What disease it is needed to think about? What diagnostic measures must be done?

5.Sick D., 20 years, entered clinic with tertiary Syphilis, with the goumoznoyo ulcer of the left shin, goumoznim osteoperiostitom of left to the large shin cistci and left-side gonitom. In overhead third of the left shin – two ulcers by a size in 8 h 4 sm of crateropodibnogo character, with considerable infiltratom on periphery. The left knee-joint is thickened, sickly at pressure on him and at motions, in the bag of joint toils vipit. A skin above a joint is not changed, norits is not present. Reaction Vasermana ++++, reaction of Pirce – negative. On the sciagram of the left large bone shin in procsimalnomou metafizi there is the goumozne hearth of destruction with a sclerosis and considerable periostitami. Joint surfaces of the left knee-joint of nerivni, on the lateral sides of epifiziv joint of excrescence of osteofitiv. What medical treatment needs to be conducted to the patient?

6. Patient And., 39 years, suffers to tubercular gonitom on the left during 15 years. Repeatedly treated oneself in permanent establishment and sanatoriums. The clinical making came healthy. It is employed. What phase of tubercular process?

7. At sick S., 28 years, on a sciagram the found clear rounded area of prosvitlennya(1,8 h 2,0 sm) near internal virostou of thigh. Diagnosis: tubercular gonit, preartritichna stage. What type of operative medical treatment is shown?

8.A vnoutrishnocognaya test with actinolivzatom at patients with actinomicozom is folded in introduction of vnoutrishcirno 0,3 ml. preparation. What signs of positive reaction?

9. A patient, 39 years, acted in the surgical separation, with suspicion on the jammed right-side femoral hernia. In anamnesis at a patient white plague. At a review under a right inguinal fold on the front-internal surface of thigh pouhlinopodibne education rozmirom 3 is determined6 sm of shilnoelastichnoi consistency, fixed, painless. A skin above him is not changed. Duration of disease approximately 4 days. Put a previous diagnosis? What methods of inspection you will you conduct for his clarification?

10. In the induction centre of hospital a patient is delivered through 40 hv. after an insignificant trauma (fell down from a bed) with complaints on pain in the region of pectoral department of spine. In anamnesis at a patient white plague. On the sciagram of spine there is pidozna on the compression break the VIII and IX pectoral vertebrae.What pathological process can be at a patient?

11. To the district doctor a 80-years-old woman appealed with complaints on pain in a neck on the left. Approximately 2 weeks are ill. 30 years ago carried a stroke. Present right-side gemiparez. An approximately 1 year backwards first viyavilaou itself in the left pidshelepniy area, and afterwards on a neck dense knots which were moderately multiplied. Two tidni backwards in the left pidshelepniy area was opened noritsya from which vidilyaetsya two-bit of liquid pus with yellow-grey lumps. Skin round is not changed. Your diagnosis? What additional methods of inspection you will you appoint for his confirmation?

12.In a policlinic on the reception a patient with complaints on pain in the region of right coulshovogo joint came to the surgeon, presence of pouhlinopodibnogo education in right popliteal pit. At a review the expressed atrophy of muscles of right thigh, positive symptom Alecsandrova, is exposed, flyoctouatsiya in the region of pouhlinopodibnogo education in right popliteal pit. A surgeon executed pounctsiyo of pouhlinopodibnogo education, got a pus. What error was assumed by a surgeon? What additional methods of inspection must be conducted?

13. At a patient which was delivered in the induction centre of hospital with complaints on pain in the region of right thigh, the sharp bolyochist at palpatsii of the last is marked. In anamnesis at a patient white plague. At a review the atrophy of muscles of thigh, positive symptom Alecsandrova, are marked, limitation of mobility in a right coulshovomou joint. On a sciagram the displays of osteoporozou and break of overhead third of thigh are determined with displacement of bone wreckages on length with stopping of them to 3-4 by sm. Your diagnosis? What help you will you give to the patient?

14. At a patient which appealed to the doctor with complaints on pain at swallowing, during a review exposed uneven, dense, rozmirom 1015 sm infiltrat in a pidshelepniy area on the left. Skin above him синюшно-purple color. Temperature of body 36,7The S. Vash previous diagnosis? How you will you act with a patient?

15. At a patient which was delivered to surgical permanent establishment with complaints on a stomach-ache, at a review in a right iliac area is exposed woody closeness uneven immobile infiltrat rozmirom 1012 sm. Flyoctouatsiya in the projection of tumour is not determined, a skin above her is not changed. The Peritonealni symptoms are negative. Temperature of body 36,6S. Hvorie during 14-16 days. What disease can be suspected at a patient? What additional inspections can be appointed?

16. In a policlinic on the reception a 26-years-old woman with complaints on pain in a right shin came to the surgeon., especially at night. Not married. Conducts the bezporyadniy way of life. Eliminates the trauma of shin. Considers itself sick approximately 2,5-3 months. At a review is determined sickly soft consistency slight swelling of front surface of right velicogomilcovoi bone. Your previous diagnosis? What additional inspections you will you appoint? How you will you act with sick?