surgery201

 201. Question

A 62-year-old patient complains of the pain behind the sternum, bad passing of solid and liquid food, bad breath, increased salivation weight, loss of 15 kg during the period of 2 months. Appetite is retained. On physical exam: face features are sharpened. The skin is pale, with sallow tint, its turgor is decreased. The liver is not enlarged. Blood Hb – 86g/L. Gregersen reaction is positive. What kind of pathology caused the given clinical situation?

    1. Chronic non-specific esophagitis
    --2. Esophagus cancer
    3. Benign growth of esophagus
    4. Achalasia of esophagus
    5. Cicatricial constriction of esophagus


Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 202 of 209
    202. Question

    A 38 year old man, previously in good health, suddenly develops severe abdominal pain radiating from the left loin to groin and accompanied by nausea, perspiration and the need for frequent urination. He is restless, tossing in bed but has no abnormal findings. The most likely diagnosis is:
        1. Retroperitoneal haemorrhage
        2. Torsion of the left testicle
        3. Sigmoid diverticulitis
        ---4. Leftsided renal colic
        5. Herpes zoster
 203. Question

A patient suffers from suddenly arising crampy pain in the right loin area. 2 hours after the pain had started, hematuria took place. Loin X-ray: no pathological shadows. Ultrasound: pyelocaliectasis on the right, the left part is normal. What is the most probable diagnosis?

    ---1. Stone of the right kidney, renal colic
    2. Tumour of the right kidney pelvis
    3. Intestine invagination
    4. Twist of the right ovary cyst
    5. Acute appendicitis
 204. Question

A 40 year old woman has changes of mammary gland. What are the most often symtomps that precede the malignization?

    --1. Skin induration with inverted nipple
    2. Painless movable induration
    3. Bloody discharges from the nipple
    4. Pure discharges from the nipple
    5. Painful movable induration

 205. Question

A 37-year-old patient has come to clinic being wounded in the area of umbilicus an hour ago.On physical exam, there is a prick and cut painful wound of about 0.5;1 cm around umbilicus on the abdominal skin with slight bleeding.How would you help this patient?

    1. Drainage of the wound with rubber strip
    2. Inspection of the wound with canal probe
    3. Suture on the wound
    4. Aseptic bandage
    ---5. Laparotomy, abdominal cavity organs inspection. Primary surgical processing of the wound


 206. Question

A 30-year-old man has suffered from traffic accident. Consciousness is absent. Pulse on the carotid artery is undeterminable, no respiration. There is a wide leather belt on mans waist. What measures are to be taken?

   --- 1. Conduct an artificial ventilation of lungs and closed-chest cardiac massage after having released from the belt
    2. Do not touch the victim until the arrival of the police
    3. Start immediate artificial ventilation of lungs and closed-chest cardiac massage
    4. Put the victim with his back on the shield
    5. Turn the victim to the right side
 207. Question

A 36 y.o. patient was admitted to the hospital with sharp pain in substernal area following occasional swallowing of a fish bone. On esophagoscopy the foreign body wasn’t revealed. The pain increased and localized between scapulas. In a day temperature elevated, condition became worse, dysphagia intensified. What complication has developed?

    ---1. Perforation of esophagus with mediastinitis
    2. Obstruction of esophagus
    3. Pulmonary atelectasis
    4. Esophageal hemorrhage
    5. Aspirative pneumonia
 208. Question

A 27-year-old patient was brought to clinic with a crashed wound of the posterior surface of the right shin in 2 hours after the accident happened. During surgical treatment pieces of dirty clothes and gravel were removed. What actions from the given below are the decisive ones to prevent an anaerobic infection?

    1. Hyperbaric oxygenation
    ---2. Radical surgical treatment
    3. Introduction of the medical dose of the anti-gangrene serum
    4. Rational antibiotic therapy
    5. Introduction of the preventive dose of an anti-gangrene serum
 209. Question

A 50 y.o. patient was admitted to the hospital with complaints of blood in urine. There was no pain or urination disorders, hematuria has lasted for 3 days. Objectively: kidneys are not palpable, suprapubic region has no pecularities, external genitals have no pathology. Rectal examination revealed: prevesical gland is not enlarged. Cytoscopy revealed no changes. What disease would you think about first of all?

    1. Necrotic papillitis
    --2. Cancer of kidney
    3. Tuberculosis of urinary bladder
    4. Kidney dystopy
    5. Varicocele

USMLE – Step 1
Exam Fees : $600

Update : Mar, 201