surgery131

 131. Question

A 25-year-old victim of a road accient complains of chest pain, dyspnea. Objectively: the patient is in a grave condition, Ps- 120/min, AP- 90/70 mm Hg.There is pathological mobility of fragments of III-V ribs on the right. Percussion reveals a box sound over the right lung, breathing sounds cannot be auscultated on the right. What examination should be administered in the first place?

    1. Pleural puncture
    --2. X-ray of chest organs
    3. Bronchoscopy
    4. USI of chest organs
    5. Thoracoscopy
 132. Question

A hospital admitted a patient with coarse breathing (obstructed inspiration), skin cyanosis, tachycardia and arterial hypertension. He has a histrory of bronchial asthma. An hour ago he was having salbutamol inhalation and forgot to remove a cap that was aspired while taking a deep breath. What measures should the doctor take?

    1. To send for an anesthesiologist and wait for him
    2. To use an inhalation of a2-adrenoceptor agonist
    3. To make a subcutaneous injection of dexamethasone
    4. To perform conicotomy immediately
    --5. To perform the Heimlich manoever

 133. Question

A 6-year-old girl drank some coloured fizzy drink which gave her a feeling of pressure in the throat. 30 minutes later the childs lips got swollen, then edema gradually spread over the whole face, laryngeal breathing became difficult. The child is excited. Ps- 120/min, breathing rate – 28/min, breathing is noisy, indrawing of intercostal spaces is observed. What basic aid is most appropriate for the restoration of laryngeal breathing?

    1. Tracheostomy
    2. Sedative drugs
    3. Conicotomy
    4. Antibacterial drugs
    --5. Corticosteroids
 134. Question

Blood typing resulted in positive isohemagglutination reaction with standard sera of A(II) and B(III) groups and negative reaction with sera of 0(I) and AB(IV) groups. What is this result indicative of?

    1. The fourth blood group
    2. The first blood group
    ---3. Faulty standard sera
    4. The second blood group
    5. The third blood group
 135. Question

What preparations are used for prevention of fungal infection?

    1. Cytosar, Cormyctin, Lomycitin
    2. Rubomycin, Bleomycin, Mytomycin C
    --3. Fluconozol, Orungol, Nisoral
    4. Captopril, Enalapril
    5. Isoniazid, Ftibazid, Pyrazinamid

 136. Question

A patient, aged 58, was fishing in the winter. On return home after some time felt some pain in the feet. Consulted a doctor. On examination: feet skin was pale, then after rewarming became red, warm to the touch. Edema is not significant, limited to the toes. All types of sensitivity are preserved. No blisters. What degree of frostbite is observed?

    1. III degree
    2. II degree
    --3. I degree
    4. V degree
    5. IV degree
 137. Question

After an accident a patient complains of pain in the hip joint. Objectively: the leg is in the position of flexion, adduction and internal rotation, significantly contracted. There is elastic resistance to passive adduction or abduction of the extremity. Major trochanter is located high above the Roser-Nelaton line. A significant lordosis is present. What is your provisional diagnosis?

    1. Inferoposterior dislocation of hip
    2. Pertrochanteric fracture of hip
    ---3. Iliac dislocation of hip
    4. Femoral neck fracture with a displacement
    5. Cotyloid cavity fracture with a central dislocation of hip

 138. Question

A 30-year-old patient had deep burn covering 30% of body 30 days ago. Now he presents with continued fever, loss of appetite, night sweats. Burned surface weakly granulates. What is the stage of burn disease?

    1. Secondary burn shock
    --2. Septicotoxemia
    3. Primary burn shock
    4. Convalescence
    5. Acute burn toxemia
 139. Question

A 52 y.o. patient fell from 3 m height on the flat ground with the right lumbar area. He complains of pain in this area. There is microhematuria in the urea. Excretory urography revealed that kidneys functioning is satisfactory. What is the most probable diagnosis?

    1. Kidneys abruption
    2. Subcapsular kidneys rupture
    3. Paranephral hematoma
    4. Multiple kidneys ruptures
    ---5. Kidneys contusion
 140. Question

A patient complains about pyrosis and permanent pain behind his breastbone. When he bends forward after eating there appears regurgitation. Roentgenological examination revealed extrasaccular cardiofunctional hernia of esophageal opening of diaphragm. Esophagoscopy revealed signs of reflux-esophagitis. What is the necessary tretment tactics?

    1. Conservative treatment in the therapeutic hospital
    2. Treatment at a health resort
    3. Conservative treatment in a surgical department
    --4. Operation in a surgical department
    5. Conservative treatment in an outpatients clinic