surgery111

 Question 111 of 209
111. Question

A rounded well-defined shadow was found in the costo-vertebral angle on the chest roentgenogram of an otherwise healthy 9 year old girl. Make a preliminary diagnosis:

    1. Sympatoblastoma
    --2. Ganglioneuroma
    3. Ganglioneuroblastoma
    4. Sympatogonioma
    5. Sarcoma of the vertebra
 112. Question

A patient presented to a hospital with a carbuncle of the upper lip. The body temperature is 39°C. There is a pronounced edema of the upper lip and eyelids. What is the surgeons tactics of choice?

    1. Administer out-patient course of antibiotics
    --2. Hospitalize in the surgical unit
    3. Administer physiotherapy
    4. Disclose the carbuncle and administer antibiotics
    5. Disclose the carbuncle and administer out-patient treatment
 113. Question

During an operation for presumed appendicitis the appendix was found to be normal; however, the terminal ileum is evidently thickened and feels rubbery, its serosa is covered with grayish-white exudate, and several loops of apparently normal small intestine are adherent to it. The most likely diagnosis is:

    ---1. Crohns disease of the terminal ileum
    2. Perforated Meckels diverticulum
    3. Acute ileitis
    4. Ileocecal tuberculosis
    5. Ulcerative colitis
 114. Question

A 25 y.o. patient was admitted with chest trauma. Clinical and X-ray examination have revealed tense pneumothorax on the left. What emergency treatment should be undertaken?

    1. Analgetics
    2. Oxigenotherapy
    3. Intravenous infusions
    ---4. Pleural cavity drainage
    5. Intubation
115. Question

A 15 y.o. patient has developmental lag, periodical skin yellowing. Objectively: spleen is 16x12x10 cm large, holecistolithiasis, skin ulcer on the lower third of his left crus. Blood count: erythrocytes – 3.0;1012/L, Hb- 90 g/L, C.I.- 1.0 microspherocytosis, reticulocytosis. Blood bilirubin – 56 mmole/L, indirect bilirubin – 38 mmole/L. Choose the way of treatment:

    1. Omentohepatopexy
    --2. Splenectomy
    3. Portocaval anastomosis
    4. Spleen transplantation
    5. Omentosplenopexy
 116. Question

A 21-year-old male patient got a deep cut wound in his right thigh. In the emergency room a surgeon on duty performed primary debridement of the wound and primary wound closure with a suture. After 4 days, there appeared pain, redness, edema, purulent discharge from the wound gap, body temperature rose up to 39°C. What kind of wound complication can you think of and what actions should be taken?

    1. Infiltration, apply a hot compress
    2. Tetanus, active-passive immunization against tetanus
    3. Erysipelas, prescribe antibiotics
    4. Lymphangitis, apply a hot compress
    ---5. Wound abscess, remove the sutures and drain the wound

 117. Question

A 30-year-old patient complains of pain, hyperemia along subcutaneous veins, rise in body temperature. While examining the large shin subcutaneous vein, there is hyperemia, pain by pressing. Homanss and Lusess symptoms are negative. What is the preliminary diagnosis?

    1. Lymphostasis
    2. Acute ileophemoral phlebothrombosis
    3. Thrombosis of aorta
    ---4. Acute thrombophlebitis of subcutaneous veins
    5. Embolism of aorta
 118. Question

A patient, aged 81, complains of constant urinary excretion in drops, feeling of fullness in thelower abdomen. On examination: above pubis there is a spherical protrusion, over which there is a dullness of percussion sound, positive suprapubic punch. What symptom is observed in this patient?

    1. Enuresis
    2. Urinary incontinence
    3. Dysuria
    4. Pollakiuria
    --5. Paradoxal ischuria
 119. Question

An emergency team deliverd a 83-year-old patient complaining of inability of her right leg to support the body after falling on her right side. Objectively: the patient lies on a gurney, her right leg is rotated outwards, the outside edge of foot touches the bed. There is positive straight leg raising sign. What is your provisional diagnosis?

    1. Cotyloid cavity fracture
    2. Hip joint contusion
    3. Femoral diaphysis fracture
    ---4. Femoral neck fracture
    5. Hip dislocation

 120. Question

A 40-year-old female patient has a history of rheumatism. She complains about acute pain in her left eye, especially at night, vision impairment, photophobia, lacrimation. The patient cannot suggest any reasons for the disease. Objectively: weak pericorneal injection, flattening of iris relief, iris discoloration. What is the most likely diagnosis?

    --1. Iridocyclitis
    2. Iritis
    3. Keratitis
    4. Acute attack of glaucoma
    5. Choroiditis