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Teaching Problem

Task 1.

Patient complains of pain in the perineum pulling. After completing routine prophylactic examinations ill directed to consult an oncologist. A rectal examination in the right piece of prostate formation of 1x1 cm, dense, hilly. Between partial furrow pronounced. Your preliminary diagnosis?

A. Prostatitis;

B. Tuberculosis of the prostate;

C. Prostate cancer;

D. Adenoma of the prostate;

E. Sclerosis of the prostate.


Task 2.

Patient in '73, pale, complains of poor urination, pain in the abdomen, in the perineum and sacrum, blood in the urine. During rectal palpation revealed nodular, very dense tumor in both pieces of the prostate. What data speak in favor of a malignant tumor prostate?

A. Pallor, anemia.

B. Pain in the perineum and sacrum.

C. Poor urination.

D. Danny palpation of the prostate.

E. Blood sechy.


Problem 3.

Patient F., 48 years complains of frequent painful urination, pain in the perineum, buttocks and back, periodically increased body temperature. During rectal palpation determined enlarged prostate tuhoelastychnoyi consistency. How much research will be the best?

A. Common blood and urine tests, ultrasound of kidney, retrograde pyelography.

B. Common blood and urine tests, ultrasound of the bladder, intravenous pyelography.

C. Common blood and urine tests, blood chemistry, ultrasound of the kidneys and bladder, intravenous pyelography.

D. CT of the pelvis, the urine on the microflora.

E. CT of the pelvis. Ultrasound bladder, survey abdominal radiography.


Problem 4.

The patient complains of '73 poor urination, pain in the abdomen. During rectal palpation revealed nodular, very dense tumor in both pieces of the prostate. Diagnosis - prostate cancer. What tactics further management of the patient?

A. Hospitalization in the surgical department for epitsystostomiyi.

B. Hospitalization in the surgical department for adenomektomy.

C. Hospitalization in the therapy department for symptomatic treatment.

D. Refer to an oncologist.

E. Observation surgeon.


Problem 5.

Patient S., '51, who works as a teacher, conducted surgical treatment for prostate cancer. How to evaluate the performance of the patient?

A. Not broken

B. Temporarily lost

C. Steadily lost

D. It can not work with children

E. Requires the reduction of working time


Problem 6

Patient S., 64 years had sought a urologist with complaints of frequent small meals sechospuskannya that arise also at night. Other complaints there. Above symptoms gradually increased over several years. Palpable prostate enlarged's due to the formation of elastic to 5 cm in diameter, rolling. When ultrasound is defined node with indistinct contours to 4.5 cm in diameter. When needle biopsy - elements proliferating epithelium. Assumptions diagnosis - prostate adenoma. What symptoms can differentiate the diagnosis from another prostate pathology?

A. Polakiuriya, nocturia, which continued growing slowly, no other complaints.

B. Data palpation.

C. Data ultrasound.

D. These puncture.

E. Dimensions node.


Standards of answers: 1 - C, 2 - D, 3 - E, 4 - D, 5 - B, 6 - D.


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