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Download Назва наукового напрямку (модуля): Семестр: 9 Step
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Назва наукового напрямку (модуля): Семестр: 9 Step-2. Pediatric Surgery. Module 3. Опис: 5 course Перелік питань: 1. A. * B. C. D. E. 2. A. * B. C. D. E. 3. A. * B. C. D. E. 4. A. * B. C. D. E. 5. A. * B. C. D. E. ?A young man has painful indurations in the peripapillary regions of both mammary glands. The most reasonable action will be: To leave these indurations untouched To remove them To cut and drain them To take an aspirate for bacterial inoculation and cytology To administer steroids locally The 10 y.o. boy has complains on headache, weakness, fever 400С, vomiting, expressed dyspnea, pale skin with flush on right cheek, lag of right hemithorax respiratory movement, dullness on percussion over low lobe of right lung, weakness of vesicular respiration in this zone. The abdomen is painless and soft at palpation. Which disease lead to these symptoms and signs? Pneumonia croupousa Intestinal infection Acute appendicitis Acute cholecystitis Flu The child has complains of the "night" and "hungry" abdominal pains. At fibroscopy in area a bulbus ofa duodenum the ulcerrative defect of 4 mms diameter is found, the floor is obtected with a fibrin, (H.p +). Administer the optimum schemes of treatment: Omeprasole - Trichopolum - Claritromicin De-nol Maalox - Ranitidin Vicalinum - Ranitidin Trichopolum A 9-year-old girl has attacks of abdominal pain after fried food. No fever. She has pain in Cera point. The liver is not enlarged. Portion B [duodenal probe] - 50 ml. What is your diagnosis? Biliary tracts dyskinesia, hypotonic type Hepatocirrhosis Acute colitis Chronic duodenum Peptic ulcer A 4 year old girl was playing with her toys and suddenly she got an attack of cough, dyspnea. Objectively: respiration rate - 45/min, heart rate - 130/min. Percussion revealed dullness of percutory sound on the right in the lower parts. Auscultation revealed diminished breath sounds with bronchial resonance on the right. X-ray pictue showed shadowing of the lower part of lungs on the right. Blood analysis revealed no signs of inflammation. The child was diagnosed with foreign body in the right bronchus. What complication caused such clinical presentations? Atelectasis Emphysema Pneumothorax Bronchitis Pneumonia 6. A. * B. C. D. E. 7. A. * B. C. D. E. 8. A. * B. C. D. E. 9. A. * B. C. D. E. 10. A. * B. C. D. E. 11. A. * B. C. D. E. A 3-year-old child was playing in a playpen when he suddenly developed paroxysmal cough and shortness of breath. Objectively: dry cough, mixed dyspnea. Lung auscultation revealed some wheezes. Breathing sounds on the right are diminished. The child doesn't mix with other children. Immunization is age-appropriate. What pathological condition can be suspected? Foreign body in the respiratory tracts Pneumonia Acute respiratory viral infection Pertussis Bronchial asthma On the 6th day of life a child got multiple vesicles filled with seropurulent fluid in the region of occiput, neck and buttocks. General condition of the child is normal. What disease should be suspected? Vesiculopustulosis Impetigo neonatorum Miliaria Impetigo Epidermolysis bullosa A 16 year old patient with complaints of frequent pain in the abdomen was diagnosed with melanoma, examination revealed also pigmentation of the mucosa and skin, polyp in the stomach and large intestine. It is know that the patient's mother has an analogous pigmentation and has been often treated for anemia. What disease is suspected? Peytz-Egers's polyposis Chron's disease Tuberculosis of the intestine Adolescent polyposis Hirschprung's disease 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: disease of the terminal ileum Crohn's Perforated Meckel's diverticulum Ulcerative colitis Ileocecal tuberculosis Acute ileitis A severely traumatized patient who has been receiving prolonged parenteral alimentation develops diarrhea, mental depression, alopecia and perioral and periorbital dermatitis. Administration of which of the following trace elements is most likely to reverse these complications? Zinc Iodine Selenium Silicon Copper 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? Stone of the right kidney, renal colic Acute appendicitis Intestine invagination Twist of the right ovary cyst Tumour of the right kidney pelvis 12. A. * B. C. D. E. 13. A. * B. C. D. E. 14. A. * B. C. D. E. 15. A. * B. C. D. E. 16. A. * B. C. D. E. On the 4th day after recovering from a cold a patient was hospitalized with complaints of solitary spittings of mucoid sputum. On the 2nd day there was a single discharge of about 250 ml of purulent blood-streaked sputum. Objectively: the patient's condition is moderately severe. Respiratory rate 28-30/min, Ps- 96 bpm, AP- 110/70 mm Hg. Respiration above the left lung is vesicular, weak above the right lung. There are moist rales of different types above the lower lobe and amphoric breath near the angle of scapula. What is the most likely diagnosis? Acute pulmonary abscess Exudative pleuritis Acute focal pneumonia Pleural empyema Pyopneumothorax On the 5th day after a surgery for colon injury a patient complains of bursting pain in the postoperative wound, weakness, drowsiness, headache, fever up to 40oC. Objectively: the skin around the wound is swollen, there is gas crepitation. The wound discharges are scarce foul-smelling, of dark-gray colorl. What is the most likely diagnosis? Anaerobic clostridial wound infection Abscess Postoperative wound infection Erysipelas Phlegmon A 15 y.o. patient has developmental lag, periodical skin yellowing. Objectively: spleen is 16х12х10 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: Splenectomy Spleen transplantation Portocaval anastomosis Omentosplenopexy Omentohepatopexy A patient has a stab wound on his right foot. On the fourth day after injury the patient's body temperature rose up to 38oC, inguinal lymph nodes became enlarged and painful, skin over them reddened. What complication might be suspected? Lymphadenitis Lymphangitis Phlegmon Tetanus Erysipelas 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 child's condition is grave. Abdomen is soft, palpation reveals a tumour-like formation in the right iliac area. After rectal examination the doctor's finger was stained with blood. What is the most probable diagnosis? Ileocecal invagination Gastrointestinal haemorrhage Wilm's tumour Helminthic invasion Pylorostenosis 17. A. * B. C. D. E. 18. A. * B. C. D. E. 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 patient's 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? Posttraumatic osteomyelitis Hematogenic osteomyelitis Wound abscess Posttraumatic phlegmon Suture sinus Forensic medical expertise of corpse of a newborn revealed: body weight 3500 g, body length 50 cm, the umbilical cord was smooth, moist, glossy, without any signs of drying. Hydrostatic tests were positive. The test results are the evidence of: Live birth Stillbirth Primary atelectasis Secondary atelectasis Hyaline membrane disease