Foundation Course for FMGE Preparation surg

Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 1 of 209
    1. Question

    A patient, aged 25, suffering from stomach ulcer. Had a course of treatment in the gastroenterological unit. 2 weeks later developed constant pain, increasing and resistant to medication. The abdomen is painful in epigastric area, moderate defence in pyloroduodenal area. Which complication development aggravated the patients state?
    ----    1. Malignisation
        2. Stenosis
        3. Haemorrhage
        4. Perforation
        5. Penetration

Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 2 of 209
    2. Question

    Parents of a 2-year-old boy applied to clinic complaining of right testicle absence in the scrotum of a boy. While examining the boy, hypoplasia of the right half of the scrotum was revealed, absence of the testicle. Testicle is miniaturized, it palpitates along the inguinal canal but it could not be moved down to scrotum. What is the most probable diagnosis?
        1. Left-sided monorchism
       

--2. Right-sided cryptorchism, inguinal form
        3. Ectopia of the right testicle, pubic form
        4. Right-sided cryptorchism, abdominal form
        5. Retraction of the right testicle (pseudocryptorchism)


Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 3 of 209
    3. Question

    A 49-year-old male patient consulted a doctor about difficult swallowing, voice hoarseness, weight loss. These symptoms have been gradually progressing for the last 3 months. Objectively: the patient is exhausted, supraclavicular lymph nodes are enlarged. Esophagoscopy revealed no esophageal pathology. Which of the following studies is most appropriate in this case?
        1. Radioisotope investigation of chest
        2. X-ray of lungs
        --3. Computed tomography of chest and mediastinum
        4. Multiplanar imaging of esophagus
        5. Ultrasound investigation of mediastinum


 Question 4 of 209
4. Question

A patient has restrained umbilateral hernia complicated by phlegmon hernia, it is necessary to take following actions:

    1. Herniotomy by Lekser
    2. Herniotomy by Grenov
    ---3. Herniotomy by Mayo-Sapezhko
    4. Herniotomy by Sapezhko
    5. Herniotomy by Mayo

Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 5 of 209
    5. Question

    A 52 year old man has recurrent transient ischemic attacks. Auscultation of the carotid arteries detected murmur. What diagnostic method is to be applied in the first place?
       -- 1. Ultrasound dopplerography
        2. MRI of the brain
        3. Electroencephalography
        4. Cerebral angiography
        5. CT of the brain


Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 6 of 209
    6. Question

    A victim of a road accident, aged 44, is operated on account of intraperitoneal haemorrhage. In which case can the patients blood from the abdominal cavity be used for autotransfusion?
        1. Liver rupture
        ---2. Stomach rupture
        3. Bladder rupture
        4. Small intestines rupture
        5. Splenic rupture

 Question 7 of 209
7. Question

A 43-year-old patient had been admitted to a hospital with clinical presentations of ischiorectal periproctitis. On the 12th day of treatment the patients condition deteriorated: there was an increase in the rate of intoxication and hepatic failure, the body temperature became hectic, AP was 100/60 mm Hg. USI of liver revealed a hydrophilic formation. In blood: WBCs – 19.6;109/l, RBCs.- 3.0;1012/l, Hb- 98 g/l. What complication was developed?

    1. Budd-Chiari syndrome
    --2. Liver abscess
    3. Liver necrosis
    4. Pylephlebitis
    5. Hepatic cyst


Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 8 of 209
    8. Question

    After contusion of the right eye a patient complains of sudden loss of vision with remaining light perception. Objectively: the eye is not irritated. The cornea is transparent. Pupil reacts to light. The pupil area is black. The fundus reflex is absent. What is the most likely cause of vision loss?
        1. Optic nerve avulsion
        2. Acute occlusion of retinal vessels
        3. Retinal detachment
        4. Traumatic cataract
        5. Hemophthalmia

Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 8 of 209
    8. Question

    After contusion of the right eye a patient complains of sudden loss of vision with remaining light perception. Objectively: the eye is not irritated. The cornea is transparent. Pupil reacts to light. The pupil area is black. The fundus reflex is absent. What is the most likely cause of vision loss?
        1. Optic nerve avulsion
        2. Acute occlusion of retinal vessels
   neizv     3. Retinal detachment
        4. Traumatic cataract
        5. Hemophthalmia
 Question 9 of 209
9. Question

A 60 y.o. man complains of sense of heaviness in the region of scrotum. Objectively: scrotum edema in the left part. Testicle is of normal size, but there is a soft, scrotum limited edema over it that can be pressed and disappears when the patient lies down. What is the preliminary diagnosis?

    1. Ectopic testicle
    ---2. Varicocele
    3. Inguinal hernia
    4. Inguinal lymphadenopathy
    5. Varicosity of subcutaneous veins
 Question 10 of 209
10. Question

A 98 y.o. male patient complains of pain in the left lower limb which intensifies on walking, feeling of cold and numbness in both feet. He has been ill for 6 years. On examination: pale dry skin, hyperkeratosis. Hairy covering is poorly developed on the left shin. “Furrow symptom ” is positive on the left. Pulse on foot arteries and popliteal artery isnt palpated, on the femoral artery its weak. On the right limb the artery pulsation is reserved. What is the most probable diagnosis?

    1. Raynaulds disease
    2. Buergers disease (thromboangiitis obliterans)
    3. Hemoral arthery thombosis
    4. Obliterating endarteritis
    ---5. Arteriosclerosis obliterans