41 surgery

 Question 41 of 209
41. Question

For the persons who live in a hot area after an accident at a nuclear object, the greatest risk within the first decade is represented by cancer of:

   --- 1. Thyroid gland
    2. Reproduction system organs
    3. Lungs
    4. Skin
    5. Breast
 42. Question

A 4 month old child was admitted to a surgical department 8 hours after the first attack of anxiety. The attacks happen every 10 minutes and last for 2-3 minutes, there was also one-time vomiting. Objectively: the childs condition is grave. Abdomen is soft, palpation reveals a tumour-like formation in the right iliac area. After rectal examination the doctors finger was stained with blood. What is the most probable diagnosis?

    1. Helminthic invasion
    2. Gastrointestinal haemorrhage
    ---3. Ileocecal invagination
    4. Pylorostenosis
    5. Wilms tumour
 43. Question

A 40-year-old patient underwent an operation for a lumbar phlegmon. Body temparature rose again up to 38°C, he got intoxication symptoms, there was an increase of leukocyte number in blood. The wound that was nearly free from necrotic tissues and full of granulations started to discharge pus, the granulations turned pale. What complication dveloped in this patient?

    1. Putrid phlegmon
    2. Erysipelas
    ---3. Sepsis
    4. Erysipeloid
    5. Allergic reaction
 44. Question

A 54-year-old patient applied with complaints of acute pain in the shoulder-joint. 10 minutes earlier he fell in the street with his arms stretched. Doctor of the traumatological unit noticed an acute deformation of the right shoulder-joint, the impossibilty of active movement in the right extremity. Roentgenologically: uncoincidence of articulating surfaces. What is the most probable diagnosis?

    1. Contusion of the humerus
    2. Dislocation of the humerus
    ---3. Dislocation of the clavicle
    4. Dislocation of the scapula
    5. Fracture of the humerus
 Question 45 of 209
45. Question

A man with a stab-wound of the right foot applied to doctor. He stepped on the board with nail two hours ago. In the patient medical chart it is stated that 3 years ago he passed the whole course of vaccination against tetanus. What is the tactics of doctor to prevent tetanus in this case?

    1. Administer 1.0 ml of tetanus toxoid
    2. Administer 3000 U of anti-tetanic serum
    ---3. Do not conduct specific prophylaxis
    4. Administer 0.5 ml of tetanus toxoid
    5. Administer 1 ml tetanus toxoid and 3000 U of anti-tetanic serum
 46. Question

A 41 year old patient was admitted to the intensive care unit with haemorrhagic shock due to gastric bleeding. He has a history of hepatitis B during the last 5 years. The source of bleeding are esophageal veins. What is the most effective method for control of the bleeding?

    1. Hemostatic therapy
    2. Administration of plasma
    3. Intravenous administration of pituitrin
    ---4. Introduction of obturator nasogastric tube
    5. Operation
 47. Question

A 40-year-old female patient complains of having a bulge on the anterior surface of neck for 5 years. Objectively: Ps- 72 bpm, arterial pressure – 110/70 mm Hg, in the right lobe of thyroid gland palpation reveals a mobile 4;2 cm node, the left lobe is not palpable, the basal metabolic rate is 6%. What is the most likely diagnosis?

    1. The median cervical cyst
    2. Nodular hyperthyroid goiter
    3. Riedels thyroiditis
    4. Mixed euthyroid goiter
    ---5. Nodular euthyroid goiter
 48. Question

A 19 year old girl was admitted to emergency department: unconsciousness, cyanosis, myotic pupils are present, superficial breathing is 12/min. BP is 90/60 mm Hg, Ps- 78/min. Choose the action necessary in this clinical situation:

    ---1. Controlled respiration
    2. Oxygen inhalation
    3. Cordiamine injection
    4. Caffeine injection
    5. Gastric lavage
 49. Question

A 3-year-old male patient consulted a family doctor 2 months after he had been operated for an open fracture of brachial bone. Objectively: the patients condition is satisfactory, in the region of the operative wound there is a fistula with some purulent discharge, redness, fluctuation. X-ray picture shows brachial bone destruction with sequestra. What complication arose in the postoperative period?

    1. Hematogenic osteomyelitis
    2. Wound abscess
    3. Posttraumatic phlegmon
    ---4. Posttraumatic osteomyelitis
    5. Suture sinus

 50. Question

During a surgery on a 30-year-old patient a dark ileo-ileal conglomerate was discovered, the intussusceptum intestine was considered to be unviable. The intussuscipiens intestine was dilated to 7-8 cm, swollen, full of intestinal contents and gases. What pathology led to the surgery?

    ---1. Invagination (combined) obstruction
    2. Strangulation obstruction
    3. Paralytic obstruction
    4. Spastic obstruction
    5. Obturation obstruction