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Examination bank of tests tasks Step 1 General medical practice A medical type is a normal anatomy 1 In a patient the paralysis of back group of muscles of shoulder and forearm developed after the break of superior third of humerus. Which nerve was damaged? A. *Radial B. Ulnar C. Median D. Musculocutaneous E. Axillary 2 Patient cannot bend the leg, he has an absence of skin sensitiveness on the front surface of thigh. The neurological inspection found out the defected nerve. Which? A. *Femoral B. Obturator C. Sciatic D. Superior gluteal E. Genito-femoral 3 A sick person inflammation of middle ear by mastoiditis was complicated. In future there was the threat offestering thrombosis of the nearest venous sinus. Which? A. * The sigmoid sinus B. The transversal sinus C. The superior saggital sinus D. The straight sinus E. The inferior petrosal sinus 4 In the surgical department a man of ( 35 years ) with a running sore on the neck ahead of trachea ( in the area of the previsceral space ). Where can the infection spread to, if patient is not operated quickly? A. *In the thoracic cavity – the anterior mediastinum B.In the thoracic cavity – the middle mediastinum C. In the thoracic cavity – the posterior mediastinum D. In the retrovisceral space E. In the suprapectoral interaponeurosis space 5 As a result of stroke (encephalorrhagia) a patient has absence of voluntary motions of muscles of head and neck. The inspection of cerebrum routined by NMR, that a haematoma was in the knee internal capsule. Which damaged pathway does a patient have? A. * Cortico-nuclear tract B. Cortico-spinal tract C. Cortico-thalamic tract D. Cortico-fronto-pontine tract E. Thalamo-cortical tract 6 After the collision of two cars one of drivers deformation is marked in middle third of left shin ( leg ), great pain, especially at an attempt to move left shin. The 1 ends of bone of that trihedral cuts, and come forward from the wound, increase loss of blood. Which bone is damaged? A. *Tibia bone B. Fibula bone C. Thigh-bone D. Patella E. Talus 7 After liberation from the obstruction from suffering darkening of consciousness, a lot of hypodermic hemorrhages on the head and neck, shallow wounds are marked on face. In the posterio-superior parts of head were scalped wound and sharp deformation of contours of head. Which bones are damaged? A. *Parietal and occipital bones B. Sphenoid bone and mandible C. Frontal and nasal bones D. Temporal bone and maxilla E. Zygomatic bone and lacrimal bone 8 During the ultrasonic inspection of heart a doctor looks at the cusps of mitral valve. What happens with them at the systole of atrium? A. * It is turned inside out in the cavity of ventricle B. Cuddle to the walls of auricle C. It is turned inside out in the cavity of atrium D. Close up, closing a road opening E. Cuddle to the wall of vessels 9 During the section of cavities of heart on the midwall, there were found papillary muscles . Which parts of cavities of heart are exposed ? A. *Right and left auricle B. Right and left ventricle C. Left auricle and left ventricle D. Left atrium and left ventricle E. Right auricle and right ventricle 10 Narrowing of large vessel is a reason of worsening of outflow of blood from the left ventricle. Which vessel tested the pathological changes? A. * Aorta B. Pulmonary trunk C. Pulmonary vein D. Superior vena cava E. Inferior vena cava 11 Increase of the blood pressure in aorta, entailed load on a cardiac muscle. The muscular wall of what region of heart reacts on the irritation? A. * Left ventricle B. Left auricle C. Right ventricle D. Right auricle E. Venous sinus 2 12 Increase of blood pressure in a large vessel that carries blood to lungs entailed loading on a cardiac muscle. The muscular wall of which region of heart reacts on this irritation? A. *Right ventricle B. Left ventricle C. Right auricle D. Left auricle E. Venous sinus 13 After the trauma of eye there was suppuration ( pus) of soft tissues of the orbital cavity. Though which anatomical formation can a festering process spread into middle cranial fossa? A. * Through the supraorbital fissure B. Through the anterior ethmoid foramen C. Through the posterior ethmoid foramen D. Through the inferior orbital fissure E. Through the zygomatico-orbital opening 14 The breaking of humerus in the area of intertubercular groove was diagnosed in a patient through radiology. The tendon of which muscle has trauma by the fragment of bone in the first place? A. *Biceps muscle of shoulder B. Deltoid muscle C. Teres major muscle D. Latissimus dorsi muscle E. Thoracic major muscle 15 On an inspection of a patient with knives wounds on right on the arm the thermoanaesthesia skin of lateral half of the dorsal surface of the hand and the proximal phalanges of 1st, 2nd and partly 3rd fingers is set. Which nerve is damaged? A. * Radial B. Median C. Ulnar D. Musculocutaneous E. Lateral cunatenous nerve of the forearm 16 In suffering it is found in the wound of the superior part of frontal area of shoulder. At the inspection the loss of the active bending in an elbow joint and sensitiveness of skin of the anteriolateral surface of a forearm. Violation of which nerve takes place? A. *Musculocutaneous B. Radial C. Median D. Ulnar E. Axillary 17 A patient after the wound of left leg lost ability to retain the foot in pronation position. Which nerve is damaged? A. * Superficial fibular 3 B. Deep fibular C. Tibial D. Sciatic E. Common fibular 18 A 30 years old patient K., complaints of strong thirst, dryness in the mouth, which appeared after strong nervous shock. At the laboratory inspection an increase of sugar is discovered in blood to 10 mmol/l. Disease of which endocrine gland is suspected? A. *Pancreas B. Thyroid C. Genital D. Supraadrenal E. Еpiphysis 19 A 39 years old patient, which during 8 years can not become pregnant advised to consult a endocrinologist. At the inspection patient is found out to have еxophthalmos, tremor of nerves, heart beat rate increases. The disease of which endocrine gland is accompanied by such symptoms? A. * Thyroid B. Pancreas C. Genital D. Supraadrenal E. Epiphysis 20 A mother went to a doctor whose son after summer increased by 18см. At the inspection of boy 12 years old: growth is 180 см, weight 68 kg With violation of activity of which endocrine gland is it related to? A. *Hypophysis B. Thyroid C. Genital D. Suprarenal E. Epiphysis 21 A 50 years old patient B., complaints that lately his ears, nose and hands has begun to increase in size. Hyperfunction of which gland will give similar symptoms? A. *Hypophysis ( a pituatory gland) B. Thyroid C. Genital D. Suprarenal ( adrenal ) E. Epiphysis 22 A patient has the loss of general sensitiveness on the different areas of body of the right side. Which of the gyri of the hemispheres of cerebrum is staggered ? A. * Postcentral B. Superior temporal C. Middle temporal D. Inferior temporal E. Precentral 4 23 As a result of dislocation of lower jaw a patient has absence of feeling of taste by the anterior part of tongue and epiphora. The irritation of the nerves it caused by: A. * Facial B. Hyoid C. Mandible D. Vagus E. Tympanic 24 A patient has the paralysis of muscles of the upper and lower limbs on the left side. Which gyri of the hemispheres of cerebrum are staggered ? A. * Precentral B. Middle frontal C. Inferior frontal D. Superior frontal E. Postcentral 25 A patient does not understand the сontents of words, and also does not understand language or (verbal deafness). Which of the gyri of the hemispheres of cerebrum are staggered ? A. *Superior temporal B. Inferior frontal C. Postcentral D. Superior parietal particle E. Inferior parietal particle 26 Victim is delivered in a hospital with a broken lower jaw and considerable bleeding in the broken area. Damage of which artery is more able to that take place? A. *Inferior alveolar artery B. Ascending oesophageal artery C. Lingual artery D. Ascending palatine artery E. Superior alveolar artery 27 In newborn during urination from urinary bladder there is the selection of urine from a belly-button.Which is a reason of this phenomenona? A. *Nonclosure of the urinary channel B. Nonclosure of the cystic channel C. Incomplete process D. Ectopia of a orifice ( ostium) of ureter E. Diverticulum of urinary bladder 28 At a cystoscopy in a normal the mucous membrane of urinary bladder forms the folds except for one area of the trigone shape, where a mucous membrane is smooth. Which part of urinary bladder is this triangle in? A. *Fundus of bladder B. Neck of bladder C. Apex of bladder D. Body of bladder 5 E. Isthmus of bladder 29 A woman ( 25 years old ) is hospitalized into gynaecological department with the purpose of operation on an occasion of the tumour of ovary. During realization of operation it is necessary to dissect a ligament, that connects ovary to the uterus. Which one is it? A. *Proper ligament of ovary B. Cardinal ligament C. Broad ligament of uterus D. Suspensory ligament of ovary E. Lateral umbilical ligament 30 After considerably becoming thin a man 70 years felt pain appeared in the lumbar area. There was a proposed diagnosis at the inspection: "Nephrospasia". Which part of fixative apparatus of kidney more reliable at all was staggered? A. *Adipose capsule B. Fibrous capsule C. Iliopsoas muscle D. Hepatorenal ligament E. Quadratus lumborum muscle 31 A man, 35 years old appealed to the doctor with complaints about pain and slight swelling of right testis. At the inspection it was found out a tumour, that needs operation at which it is necessary to dissect 7 layers of scrotum until the albuminous membrane. Which membrane will be dissected the last before a albuminous membrane? A. *Vaginal membrane of testis B. External spermatic fascia C.Dartos membrane D. Internal spermatic fascia E. Orchis membrane 32 After the trauma a patient with haematoma of cheek area. The outflow caused by the haematoma is blocked by salivary gland called? A. *Parotid B. Sublingual C. Submandibular D. Labial E. Cheek 33 A patient mistakenly drank a solution of acetic acid. Which membrane of esophagus is tested mostly damaged? A. *Mucous B. Muscular C. Serous D. Elastic membrane E. Muscular and serous 34 In a clinic a 45 years old man appealed with complaints about the loss of sensitivity in the area of back 1/3 of the tongue. The function of which pair of craniocerebral nerves are broken? 6 A. *ІХ B. Х C. VIII D. V E. XII 35 A woman 54 years old appealed to the doctor with complaints about obscures, nausea, unbalance after falling and trauma of head. A breach of function of which structure of the internal ear mostly credible was in this case? A. *Vestibular organ B. Osseous labyrinth C. Spiral organ D. Tympanic membrane E. Longitudinal modiole canal 36 A patient with frontitis. It is known from anamnesis, that he had inflammation of the maxillary sinus. Which part of nasal cavity could an infection get through into frontal sinus? A. * From middle nasal meatus ( portion) B.From superior nasal meatus C. From inferior nasal meatus D. From a vestibule of the nasal cavity E. From a ethmoid- sphenoid pocket 37 In a clinic a patient is hospitalized with the tumour which is located in the middle lobe of the right lung. Rotined operation. Which segments can be removed in composition of this lobe? A. *2 B. 3 C. 4 D. 5 E. 1 38 A 3 years old child entered the hospital with a foreign body in bronchi. In which bronchi was more reliable wherel foreign body got ? A. *In a right main bronchi B. In a left main bronchi C. In a right segmental bronchi D.Iin a left segmental bronchi E. In a particle bronchi 39 A woman 58 years old complete a full removal of uterus with appendages, after that the excretion of urine was stopped. At a cystoscopy: a bladder of urine does not contain, from ostium of ureters urine does not act. Which part of the urogenital system was damaged ? A.* Ureter B.Renal pelvis C.Urethra D.Urinary bladder E. Kidney 7 40 A patient complaints about violation of sensitiveness of skin in mеdial part of dorsal and palmar surface of the hand. Which of the nerves are damaged? A.* Ulnar nerve B. Radial nerve C. Median nerve D.Musculocutaneous nerve E. Medial cutaneous nerve of forearm 41 A young man 18 years old is delivered to the hospital with the signs of internal bleeding. During a game in football the patient got a blow in the area of left subcostal region. The damage of which of the organs, that project in this area, can entail the strong bleeding? A.* Spleen B. Tail of pancreas C. Fundus of stomach D. Flexura of left colon E. Left kidney 42 With children it is often possible to see a difficulties with nasal breathing which is related to the over development of the lymphoid tissue of mucous membrane of pharynx. Excrescence of which tonsills can entail this phenomenon? A. * Pharyngeal tonsill B. Palatine tonsill C. Lingual tonsill D. Tubal tonsill E. All adopted tonsills 43 To hospital an injured patient is delivered by a shooting-iron with strong bleeding. It is set at a review by a surgeon, that a bullet channel got through the anterior wall of stomach, vault of stomach and went out at level ІХ ribs on the left axillary midline. Which organ suffered together with the wound? A. *Spleen B. Left kidney C. Pancreas D. Transverse part of colon E. Left particle of liver 44 A patient appealed to the doctor with complaints about the enhanceable algesthesia of skin of auricle and external acoustic duct . Palpation behind sternocleidomastoid muscle is paintful. The irritation of which of nerves can give such clinical picture? A. * Magnus auricular nerve B. Transverse nerve of neck C. Minor occipital nerve D. Supraclavicular nerve E. Vagus nerve 45 A patient knocked his elbow at a table, the patient felt burnt and pricked on the internal surface of the forearm. Which nerve has trauma in this case? A. *Ulnar nerve 8 B. Radial nerve C. Median nerve D. Axillary nerve E. Musculocutaneous nerve 46 At inflammation of the deep lymphatic knots of the axillary region a surgeon must expose the deeply placed abscess. After the operation a patient lost ability to bend a forearm and an elbow joint and the skin sensitiveness of lateral surface of forearm was violated. Which nerve was damaged during the operatiion? A. *Musculocutaneous nerve B. Radial nerve C. Ulnar nerve D. Median nerve E. Axillary nerve 47 A man, 42 years old appealed to medical hospital on an occasion of sword-cut of the inferior part of the anterior surface of shoulder. Objectively: heavy bending of forearm. Which of the adopted muscles are probably damaged in the patient? A. *Brachial m, biceps muscle of shoulder B. Biceps muscle of shoulder, m. anconeus ( elbow m.) C. Coracobrachial m, supraspinatus m. D. Deltoid m, infraspinatus m. E. Deltoid m, biceps muscle of shoulder 48 As a result of tumour of hypophysis at x-ray it is found out destruction and increase of fossula of the turkish saddle. Which bone cavity is staggered? A. *Sphenoid sinus B. Carotid canal C. Optic canal D. Tympanic cavity E. Facial canal 49 Which nerve is staggered, if at a sick right nasolabial fold become smooth, extended right orbital fissure (it does not succeed to be closed during squinting, because eyelids do not close up), there is difficulties during conversation and acceptance of meal (a meal sticks between a cheek teeth)? A. *Right facial nerve B. Right abducent nerve C. Left glossopharyngeal nerve D. Right vagus nerve E. Right trigeminal nerve 50 A victim has a trauma of soft tissues and parietal bones in the region of the saggital suture, which is accompanied by the strong bleeding. Which formations are damaged? A. * Superior sagittal sinus B. Petrosal superior sinus C. Straight sinus D. Inferior sagittal sinus E. Transversal sinus 9 51 A doctor forecasts possibility of inflammation of cellulose of orbit at festering inflammation in the area of the infraorbital opening. Through which of the formations are possible distribution of infection? A. * Infraorbital canal B. Pterygoid canal C. Nasolacrimal canal D. Incisivus canal E. Inferior orbital fissure 52 At the review of a traumatic person in the travelling adventure a doctor set the defect of external wall of the orbital cavity. A victim threw away an opportunity taking of eyeball on a trauma side. Which nerve could be staggered in this case? A. *Abducent nerve B.Trochlear nerve C.Oculomotor nerve D.Ophthalmic nerve E.Infraorbital nerve 53 A patient at pulling out lingua there is the rejection of the apex at the left. Motive innervation of which cranial nerve is broken in this case? A. * Right hypoglossal nerve B. Right glossopharyngeal nerve C. Right vagus nerve D. Left trigeminal nerve E. Left facial nerve 54 As a result of trauma of skull with the damage of the superior wall of right orbital cavity a victim threw away an opportunity to levitate the superior eyelid of right eye and to look up. Which nerve is certainly damaged? A. * Superior branch of oculomotor nerve B. Inferior branch of oculomotor nerve C. Trochlear nerve D. Abducent nerve E. Ophthalmic nerve 55 At the inspection of patient absence of sight is discovered in the medial halves of sight areas of both eyes. Which part of visual way for certain is damaged? A. * Optic chiasma B. Optic nerve C. Optic tract D. Calcarine groove E. Lateral geniculate body 56 During the operation closing of innate fissure of palate (urinoplastic), at the fluffy by the chisel of pterygoid hook, a large palate cannel is damaged. There was bleeding which can be stopped only by block of canal. Which artery is damaged? A. *Descending palatine artery B. Ascending palatine artery C. Ascending oesophageal artery D. Sphenoid artery 10 E. Posterior superior alveolar artery 57 At laparotomy ( theatre) by a surgeon it is found out the gangrenous defect of descending colon of bowel. The thrombosis of which artery stipulated this process? A. *Left colic B. Middle colic C. Right colic D. Iliocolic E. Superior mesenteric 58 A 26 years old patient , found out the large furuncle of soft tissues of face near the root of the nose and lower eyelid. By threatening complication of this disease there can be distribution of infection by venous connection of this region to the venous sinuses of dura mater of the human brain. Which of the sinuses can be most certain ? A. *Cavernous sinus B. Superior saggital sinus C. Occipital sinus D. Sigmoid sinus E. Superior petrosal sinus 59 To the doctor endocrinologist appealed a mother which has girl of 9 years old with complaints about the increase of mammary glands, blood discharge selection from vagina, ramforce growth of hairs on the body and around external genital organs. Which of the endocrine glands is staggered ( what breaks the premature sexual ripening )? A. *Epiphysis cerebri B. Hypophysis cerebri C. Thyroid gland D. Suprarenal gland E. Parathyroid gland 60 A patient found out destruction of the wall of the tympaniccavity with distribution of pulse to the posterior cranial fossa. Which of the walls is blasted? A. *Mastoid wall B. Membranous wall C. Labyrinthic wall D. Tegmental wall E. Jugular wall 61 At the inspection of patient was discovered new formation in the white matter of hemicerebrum of the brain with localization in the knee and the anterior part of the posterior crus of internal capsule. The fibres of which pathways of the brain will be blasted? A. * Pyramidal tract B. Frontothalamic tract C.Thalamocortical tract D. Frontopontine tract E. Parietooccipitopontine tract 11 62 At the inspection of a teenager, by a doctor found out an innate heart-disease is persistence of the ductus arteriosus ( Botalov). What does this channel connect in the intrauterine period of development? A. * Pulmonary trunk and aorta B. Right and left ventricle C. Aorta and inferior vena cava D. Right and left auricle E. Pulmonary trunk and superior vena cava 63 In the surgical department a patient acted with the knifes and wound the thoracic cavity on the right side and pneunothorax (penetration of air in a pleura cavity). The percussion on low boundary of right lung on a midclavicular line walked up the level of the III rib. Where in a norm inspected? A. * VI rib B. VII rib C. VIII rib D. IX rib E. V rib 64 In the resuscitation ( intensive care ) department a patient acted with the heavy poisoning. For the leadthrough of complex of treatment it is necessary to execute cateterization and introduction of medicinal matters to the subclavian vein. In which topographical formation is it found? A. *Antesсalenous space B. Interscalenous space C. Retrosternocleidomastoid space D. Interaрoneurotic suprasternal space E. Omotrapezoid trigone 65 At a patient by a tumour damaged pyramids of the brainstem. What the leadthrough of nervous impulses be violated in which of the pathways? A. *Corticospinal tract B.Corticonuclear tract C. Corticopontine tract D. Dentatorubral tract E. Spinocerebellar tract 66 To a victim the surgical help appears with the chopped wound of the anterior wall of stomach. In which formation of the cavity of peritoneum emages contain of the stomach? A. * Pregastric B. Omental C. Hepatic D. Left mesenteric sinus E. Right mesenteric sinus 67 Hearkening the tones of the heart, a doctor found out at functional violations of bivalve [mitral] valve. In which place did a doctor hearken it? A. * On the apex of heart B. At the xiphoid process 12 C. At the place of attachment of a costal cartilage, on the right side D. In the second intercostal space, on the left side of sternum E. In the second intercostal space, on the right side of sternum 68 In a victim, knife wound of lumbar region , on the right side. Takes place damage of right kidney. Which organs of retroperitoneal space can be damaged in this case ? A. * Duodenum B. Transversal-colon bowel C. Left flexure of transversal colon bowel D. Descending part of colon bowel E. Initial part of jejunum bowel 69 During the operation from a kidney renal pelvis a stone is removed by sizes 3х4 sm, having from one side of three excrescence in type of horns [korall stone]. Which anatomical formation does these processes correspond to? A. * Major calycles B. Nephron C. Minor calycles D. Renal pelvis E. Lobules of kidneys 70 On exretory urogramme [ a contrasting of urinoexcretory ways] a wide sack renal pelvis concernes, in which directly falles small calycles, the large ones are absent. Specify form of excretory ways of kidneys A. * Embryology B.Fetal C. Mature D. Phylogeny E. Оntogeny 71 In newborn baby at viewing of scrotum in the right side do not find out a testis. About which abnomalion of development goes speaking? A. * Моnorchism B. Hermaphroditism C. Cryptorchism D. Hypospadia E. Epispadia 72 In patient hydrocele of testis. In which borders of the testis are located process? A. * Vaginal membrane B. Dartos membrane C. External spermatic fascia D. Internal spermatic fascia E. Skin of scrotum 73 Ultrasonic research of organs of a small pelvis is carried out while filling urinary bladder. Which muscle of the perineum hold the urine at this? A. * Sphincter of urethra B. Bulbous-spongy C. Sciatic-cavernous 13 D. Superficial transversal E. Deep transversal 74 During childbirth a difficult slot of a head of fetus in order to avoid the break of the perineum make the section of opening of vagina in base of large genital lip. Which muscle of the perineum is dissected ? A. * Bulbous-spongy B. Sciatic-cavernous C. Superficial transversal D. External sphincter of rectum E. Deep transversal 75 At revision of cavity of peritoneum in a patient on the occasion of peritonitis found out the limited abscess in root of mesentery of sigmoid colon. In which formation of peritoneum is located? A. * Intersigmoid fossa B. Right mesenteric sinus C. Right lateral canal D. Left lateral canal E. Left mesenteric sinus 76 A patient complaints about a pain in the right iliac region. At palpation concerned mobile, soft, sickly intestine. Which intestine is palpate a doctor? A. * Cecum B. Sigmoid C. Rectum D. Ascending colon E. Jejunum 77 A patient produces the complaints of pain in the superior part of umbilical region. By palpation concerned mobile sickly intestine. Which intestine is palpable by a doctor? A. * Transversal colon B. Jejunum C. Duodenum D. Iliac E. Sigmoid 79 In a victim stab wound on lower part of back wall of axillary fossa. Which muscles are damaged in this case? A. * Latissimus dorsi B. Тriceps muscle of shoulder C. Thhoracic major muscle D. Deltoid E. Infraspinatus muscle 80 In result of blow of the wheel of motor cycle if behind region of middle third of leg in a victim breaks a deep blood vessels, appeared vast haematoma, injury of nerves. In which anatomical formation lies damaged vascular-nervous bunch of leg? A. * Cruro-popliteal canal 14 B. Femoro-popliteal canal C. Obturator canal D. Superior musculo-fibular canal E. Lower musculo-fibular canal 81 A 75 years old man acted in urology department with complaints on expressed pains in inferior part of stomach, absence of urine, impossibility of independent urination. At examination by the urologist in a diagnosis is set: adenoma [of high quality tumour] of prostate gland.Catheterization of urinary bladder is reading. The sequence of passing is which catheter through parts of urination canal? A. * Spongy, membranous, prostatic B. Spongy, prostatic, membranous C. Membranous, spongy, prostatic D. Prostatic, membranous, spongy E. Membranous, prostatic, spongy, deep transverse 82 In a position on the back, a six-month child suffocate.By palpation on the anterior wall of trachea until the jugular notch of sternum are viewing tumour formation, which goes into anterior mediastinum. Which organ it can squeeze? A. * Thymus gland B. Thyroid gland C. Parathyroid glands D. Parathyroid lymphoid nodes E. Paratracheal lymphoid nodes 83 A patient has the ischemia of tissues below the knee joint, that is accompanied by “remittent lameness”. About оcclusion of which artery is it possible to think? A. *Popliteal artery B. Fibular artery C. Posterior tibial artery D. Anterior tibial artery E. Proximal part of femur 84 In reception room a patient acted with the break of the bones of the hand with the strong bleeding in the area of anatomic tobacco-box. What vessel is damaged? A. *Radial artery B. Ulnar artery C. Anterior interosseous artery D. Posterior interosseous artery E. Superficial palmar arch 85 In a patient violation of blood stream is discovered in the pool of the right anterior cerebral artery. Which areas of the cortex of brain can be suffering at these terms? A. * Medial surface of right frontal and parietal parts B. Medial surface of right occipital particle C. Lower surface of right frontal part D. Lower surface of right temporal part E. Right island part 15 86 A patient with haimoritis has broken connection of maxillary near nose sinus with middle nasal motion. Which formation in normal condition provides the receipt of air from nasal motion to the maxillary sinus? A. * Semilunar hiatus B.Ethmoid infundibulum C. Ethmoid foramina D. Sphenopalatine recessus E. Nasalacrimal canal 87 A patient is determined of the defeсt of internal ear of vascular genesis. By the branches of which of the named arteries, mainly, blood supply of the internal ear is carried out? A.* Basilar artery B.Posterior cerebral artery C.Vertebral artery D.Middle cerebral artery E. Anterior cerebral artery 88 In a patient, the malignant tumour of abdominal part of eosophagus is diagnosed. Which group of lymphatic nodes is regional for the indicated part of the eosophagus? A. * Cardic lymphatic annulus ( circle) B. Paratracheal lymphatic nodes C. Prevertebral lymphatic nodes D. Pericardial lateral lymphatic nodes E. Mediastinal posterior lymphatic nodes 89 A patient with aneurizma of the right subclavian artery is observed to have hoarse voice. With irritation of which of nerve can it be connected? A. * Right laryngeal recurrent nerve B. Left laryngeal recurrent nerve C. Right superior laryngeal nerve D. Left superior laryngeal nerve E. Left inferior laryngeal nerve 90 During the leadthrough of computer tomography of the brain of a patient hemorrhage is discovered in the area of knee of internal capsule. Which of the indicated pathways will suffer in this case? A. *Corticonuclear tract B. Thalamic anterior radiants C. Corticospinal tract D. Acoustic radiant E. Optic radiant ( radiatio) 91 A patient with the damage of the function of external breathing must do tracheostomy. At the level of which cartilaginous rings of trachea more frequent can be the isthmus of the thyroid gland? A. * II- ІV B. III-IV C. I-II 16 D. IV-V E. V-VI 92 After a trauma a patient can not retain the body suspended, can not rise up quickly. Which muscle function is broken ? A. *Triceps sural m. B. Tibial anterior m. C. Extensor digitorum long m. D. Fibular long m. E. Extensor hallucis ( toe ) long m. 93 Examining the abdominal region of victim with the penetrable wound of the anterior abdominal wall, a surgeon noticed the damage of the small omentulum from it which red (arterial) blood flowed out clean. Which artery was damaged? A. * Proper hepatic B.Gastroepiploic right C.Common hepatic D.Spleenic E. Gastroepiploic left 94 Inspecting sectional material, pathoanatomist is noticed on the internal surface of one of segments of intestine, a folliculi lymphatici aggregati (Pejerovs plates). Which bowel it belongs this segment? A. *Ileum B. Jejunum C. Duodenum D. Ascending colon E. Descending colon 95 A woman is hospitalized to clinic with the symptoms of sharp stomach. At the inspection there was suspicion on extra-uterine pregnancy. Which of the anatomical formations of pelvis is necessary to see for confirmation of faithful diagnosis? A. * Rectouterine excavation B. Vesicouterine excavation C. Rectovesical excavation D. Ischiorectal fossa E. Vaginal process of peritoneum 96 A 65 years old patient appealed in a clinic on an occasion, a disorders of urine starting. At the inspection it is found out hypertrophy of prostate. The increase of which of the rest of the parts of prostate gland is the possible reason for these violations? A. *Neck (middle part) B. Right part C. Left part D. Capsule of prostate E. Duct of prostate 97 Paranychia of the fifth finger was complicated by the phlegmon of hand and forearm. A fester process spread on: 17 A. * Common synovial sheath of flexor mm. B. Tendinous sheath of flexor pollicis long m. C. Carpal canal D. Tendinous sheath of flexor carpal radial m. E. Interfascial spaces 98 A surgeon, carrying out accesses to the organs of thoracic cavity, did a cut on the anterior pectoral wall on one of the intercostal spaces, especially the carefully unsealed scalpel tissues in the anterior medial area of the intercostal space, not to injure the artery which is located parallell to the margin of the sternum on 1-1,5 cm laterally from it. Which artery was he careful with during sergery? A. * Internal thoracic artery B. Intercostal anterior artery C. Superior phrenic artery D. Costocervical trunk E. Inferior phrenic artery 99 When investigating a patient, a surgeon explores the pulsation of artery behind a меdial malleolus. The pulsation of which artery is explores? A. * Posterior tibial artery B.Fibular artery C. Anterior tibial artery D. Posterior recurrent tibial artery E. Anterior recurrent tibial artery 100 In a woman of 40 years old has fibromyoma of the uterus. In whom is their was supravaginal amputation of uterus with is the removal of the uterine tubes. Ovaries which are healthy, are not remove. Suspensory ovary ligament is fully stored, and vessel which supplies ovaries passes in which . Name it: A. *Ovarіc artery B..Uterine artery C.Pudendal internal artery D.Internal iliac artery E. External iliac artery 101 A 45 years old patient , complaints about dizziness, stagerring during walking, hypotaxia motions. After being set under inspection, the patient has the osteochondrosis of the cervical part of vertebral trunk and compressed vessel passes through the transversal openings of the cervical vertebrae. What is this vessel? A. *Vertebral artery B.Subclavian artery C.External carotid artery D.Internal carotid artery E.Occipital artery 102 The fracture of superior branch of pubic bone was found in a patien, and the pieces parses through the vwessels in vascular compartment ( lacuna).Which vessels are damaged? A. * Femoral artery and vein 18 B.Internal iliac artery and vein C.External iliac artery and vein D.Internal genital artery and vein E.Epigastric superficial artery and vein 103 During the removal of a gall-bladder in ligature of one cystyc artery there was pulling artery damaging of which resulted in necrosis of right part of liver and death. Which artery was by mistake damaged together with cystic artery? A. *Right branch of the proper hepatic artery B.Common hepatic artery C.Gastro-duodenal artery D.Proper hepatic artery E.Pancreatico- duodenal superior artery 104 An extra-uterine pregnancy the break of the uterine tube took place in women, that resulted in bleeding. The damage of which vessel is causes bleeding? A. *Tubal branch of the uterine artery B. Ovaric branch of the uterine artery C.Ovaric artery D.Internal genital artery E.Internal iliac artery 105 At festering inflammation of middle ear in a pathological process pulling artery which is located on the anterior wall of the tympanic cavity. Which vessel is pulled in the pathological process? A. * Internal carotid artery B.External carotid artery C.Middle meningeal artery D.Posterior auricular artery E.Superficial temporal artery 106 When remove a tumour of pancreas a damaged vessel passes to the superior margin of pancreas. Which vessel is damaged? A. * Spleenic artery B.Pancreatico- duodenal superior artery C.Pancreatico- duodenal inferior artery D.Gastro- epiploic right artery E.Gastro- epiploic left artery 107 A 35 years old man during the trauma of back surface of shoulder radial nerve and arterial vessel were damaged, which passes near humeromuscular canal .Which artery was damaged? A. * Deep brachial artery B.Axillary artery C.Radial artery D.Ulnar artery E.Brachial artery 108 A 26 years old patient after operative interference ability disappeared to read, make from the letters words and phrases. In which area of the cortex is not picked function? 19 A. * Angular gyrus B. Cuneus ( wedge ) C. Calcarine groove D. Superior parietal gyrus E. Supramarginal gyrus 109 At x-ray research of bones on basis of skull it is found out the increase of cavity of the turkish saddle, sliming of the anterior clinoids process , destruction of different areas of the turkish saddle. The tumour of which endocrine gland can entail such destruction of bones? A. *Hypophysis B. Thymus C. Epiphysis D. Thyroid gland E. Suprarenal glands 110 A patient which entered into neurological department, at the inspection it is found out the rejection of lingua aside pulling out, atrophy changes half of lingua, violation of lingua, difficult swallowing. Which nerve is damaged? A. *Hypoglossal B. Lingual C. Tympanic chordae ( cord) D. Glossopharyngeal E. Vagus 111 At the inspection of patient which appealed to the neurological department, it is discovered the smoothing of frontal folds, impossibility to squint eyes, the corner of mouth is tomentous, ”pouted'” cheeks. Which nerve is damaged? A. * Facial B. Oculomotor C. Trigeminal D. Vagus E. Accessory 112 In the ophthalmology department has sick people, with complains about the partial loss of eyesight. At the inspection it is found out the fall of the same names halves of eyeshot from the side of the both eyes (homonimny hemianopsia). Which level has damage of fibres of visual nerve take place at? A. * At the level of the one of the visial ways B. At the level of trunk of left visual nerve C. At the level of trunk of right visual nerve D. At the level of chiasma of visual nerves E. At the level of the both visual ways 113 At the inspection of patient it is found out a prolapsus of the superior eyelid, divergencing squint, widening pupil, limitation of mobility of eyeball. Which nerve is damaged? A. *Оculomotor B. Ophthalmic C. Trochlear 20 D. Abducent E. Optic 114 A 38 years old patient K., came to the hospital with complaints about that after she carried a sharp viral respirator disease she lost feelings of touch of meal to front ones 2/3 of lingua, and also feeling of pain and temperature (burning a lingua by hot tea). Specify which branches of which nerve was at this case? A. * Lingual nerve of mandibular nerve of trigeminal nerve B. Lingual branches of glosopharyngeal nerve C. Lingual branches of hypoglossal nerve D. Tympanic membrane of facial nerve E. Superior recurrent nerve of vagus nerve 115 To the neurologist appealed a patient L.52 years old with complaints about the thermoanaesthesia skin of right half of face in the area of lower eyelid, back of nose and superior lip. Specify what branch of which nerve is here damaged: A. *Maxillary nerve of trigeminal nerve B.Great petrosal nerve of facial nerve C. Ophthalmic nerve of trigeminal nerve D. Mandibular nerve of trigeminal nerve E. Tympanic membrane of facial nerve 116 A patient came to the doctor with peryodont of the lower molar dens. It is set that an inflammatory process spread on lymphatic nodes. Which lymphatic nodes were the first pulled in this process? A. *Submandibular B. Lateral cervical C. Anterior cervical D. Submental E. Facial 117 A 45 years old patient by chance took a swig acid. The burning of which parts of the digestive system will take place foremost? A. *Oral cavity, oro-pharynx B. Oral cavity and laryngopharynx C. Pharynx, stomach D. Pharynx and eosophagus E. Oesophagus and stomach 118 During the operation, manipulating in an area between a stomach and liver, a surgeon beware of to injure a hepatoduodenal ligament, because there is : A. *Сommon biliary duct, proper hepatic artery, portal vein B. Common biliary duct, common hepatic artery, portal vein C. Proper hepatic artery, hepatoduodenal artery D. Portal vein, hepatic veins E. Inferior vena cava, biliary duct 119 At the caesar section of 32 years old patient D., , as a result of the strong bleeding and impossible to stop it, an operator was forced to remove an uterus. Which vessels are realize blood supply of uterus ? A. *Uterine artery 21 B. Obturator artery C. Sacral lateral artery D. Pudendal internal artery E. Clitoridis artery 120 In traumatology hospital a patient is delivered with the wound of large lumbar muscle. A patient leave an opportunity to extended leg in a knee-joint. Which nerve is damaged in this case? A. * Femoral nerve B. Ilioepigastric C. Ilioinguinal D. Genito-femoral E. Obturator nerve 121 During surgical interference and doctor manipulates on the midwall of the tympanic cavity. Destruction of which canal of temporal bone is possible? A. * Facial B. Musculotubal C. Tympanic D. Canaliculus of tympanic cord ( chorda) E. Carotid 122 In clinic the hospitalized patient with complaints on blood-spitting, sweating. By roentgenologically is the fire of tuberculosis is discovered in the superior part of right lung. Need the operation. Which amount of segments can be removed in composition of superior part ? A. *3 B. 5 C. 4 D. 2 E. 1 123 Which of the anatomic formations can serve as оrientate for finding of openings of ureter at the internal inspection of urinary bladder? A.* Vesical trigone B. Apex of vesicae C. Body of vesicae D. Urachus E. Neck of vesicae 124 At laboratory research of blood in patient 56 years old is increase of level of sugar. Which of the endocrine glands is staggered? A.* Рancreas B. Suprarenal glands C. Thyroid gland D. Parathyroid gland E. Pineal gland 124 A patient breaking humerus on the border of the middle and lower third, with the partial loss of function of bending of forearm. Which of the muscle function will be damage in this case? 22 A.* Brachial muscle B. Coracobrachial muscle C. Triceps brachial muscle D. Elbow muscle E. Brachioradial muscle 125 Doctor palpated in patient of 43 years old at the lower margin of liver. At which level in a healthy man can locate low bound of liver ? A. * By the margin of costal arch B. On 2 cm below of margin of costal arch C. On 4 cm below of margin of costal arch D. On 4 cm of higher of margin of costal arch E. On 3 cm of below of margin of costal arch 126 In old man has complicated act of urination. Which part of urinary channel more frequent narrows in old age? A.*Prostatic part B. Urethral glands C. External urethrae sphincter muscle D. Membranaceous part E. Spongious part 127 Conducting surgical interference on gall-bladder a doctor must define a general cystic duct. Which anatomical formation of peritoneum is located? A. *Hepatoduodenal ligament B. Hepatorenal ligament C. Gastrocolic ligament D. Duodenorenal ligament E.Hepatogastric ligament 967 as 922 ( the same). 128 After the traumatic defect of the perineum a victim has any incontinence of urine. Which muscle has trauma? A.* Sphincter muscle of urethra B. Superficial transversal muscle of perineum C. Deep transversal muscle of perineum D. Sciatico-cavernous muscle E. Internal sphincter of anal canal 129 At falling from a height, suffering was struck on the front surface of shoulder at and appiad hard object. At a review by a surgeon the break of the biceps muscle of shoulder is established. Which functions of the superior limb will be damage at the indicated trauma of the biceps muscle? A.*Bending of shoulder, forearm and supination of forearm B. Bending and pronation of forearm C. Bending of forearm and hand D. Bending of shoulder, forearm and hand E. Bending of shoulder and forearm 23 130 In x-ray researh a patient of antiphthisic dispensary is diagnosed with tumour in right lung. A surgeon at implementation of surgical interference remove the middle part of right lung, which includes: A.*Lateral segment and medial segment B. Basal anterior segment and medial segment C. Anterior segment and apical segment E.Lingualar superior and inferior E. Apical (superior) and basale medial segment 131 During the reception of meal and new-born child has filling up of milk into nasal cavity. Specify the possible reason of origin of this violation. A. * Wolfish fall B. Curvature of nasal partition to the right C. Break of basis of skull D. Harelip E. Curvature of nasal partition to the left 132 A 60 years old patient is found with expansion of veins of eosophagus, rectum and subcutaneous veins of the anterior abdominal wall. The system of which vein is damaged? A.*Portal vein B. Inferior vena cava C. Hemiazygos vein D. Superior vena cava E. Superior mesenteric vein 133 A patient appealed with the complaints of pain in left inguinal region. At inspection a diagnosis is set: femoral hernia. The walls of femoral canal are: A.* Superficial and deep sheets of wide fascia of thigh, femoral vein B. Superficial and deep sheets of wide fascia of thigh, femoral artery C. Inguinal ligament, superficial and deep sheets of wide ( lata) fascia of thigh D. Deep sheet of wide fascia of thigh, thigh vein, inguinal ligament E. Inguinal ligament, femoral vein, superficial sheet of wide fascia of thigh 134 A patient had to remove gall-bladder on the occasion of bilious-stoning illness. Which artery a surgeon must cross during the operation? A. *Cystic B. Right gastric C. Gastro-duodenal D. Common hepatic E. Left hepatic 135 In acting patient to clinic is marked: great head pain, rigidness of muscles of the back of head, repeated vomiting, sickness at percussion of skull, sensitiveness to the light irritants. A diagnosis is set is meningitis, spinal function is rotined. Specify a place? A.*Between 3 and 4 lumbar vertebrae B. Between 1 and 2 lumbar vertebrae C.Between 12 thoracic and 1 lumbar vertebrae D. Between 5 lumbar and base of sacral bone 24 E. Between 11 and 12 thoracic vertebrae 136 A patient D. at profexamination is found out to have substantial difference of circumference of the right and left thighs. Circumference of the right thigh considerably less left, on the right is absent knee reflex. Which muscles was exposed to atrophy? A. * Quadriceps B. Triceps C. Ilio-femoral D. Large adductor E. Sartorius 137 A 44 years old patient came to therapeutic department with a diagnosis: right-side pleurisy. The inspection of patient confirmed the presence of liquid in pleura cavity. In which sinus of pleura will the accumulation of serofluid be mostly? A.* Right costo-diaphagmatic B. Right costo-mediastinal C. Left mediastino-diaphragmatic D. Left costo-mediastinal E. Right mediastino-diaphragmatic 138 A patient came with complaints on pains of girdle character in epigastric region, arising up at reception of sharp, fat, fried food.. Diagnosed: pancreatitis. At which region of the anterior wall of stomach can possible palpation a pancreas gland? A. * Epigastric and the left subcostal region B. Epigastric and the right subcostal region C. Left lateral D.Umbilical E. Right lateral 139 A patient appealed with complaints on periodically nascent oesophageal bleeding. In anamnesis is carried hepatitis. Takes place portal insufficiency. At examination of mucous of eosophagus eosoophagoscopy is visible gap-filling by blood, curved veins. Which veins form porto-caval venous anastomos of eosophagus? A.* Left gastric and oesophageal B. Right and left gastric C. Portal and left gastric D. Phrenic and oesophageal E. Spleenic and left gastric 140 A patient T. the operation on thyroid is made. The branches of which arteries must to bandage surgeon in time? A. * Superior and inferior thyroid B. Superior and inferior laryngeal C. Superior thyroid and costocervical trunk D. Superior thyroid and ascending cervical artery E. Ascending and deep cervical artery 25 141 In child 2 years old is noticed backwardness in physical development, frequent pneumonias. A diagnosis is set is nonclosure of arterial canal. The report of which vessels causes violation of hemodynamics? A.*By aorta and pulmonary trunk B. By and pulmonary trunk and pulmonary veins C. Superior vena cava and aorta D. Superior vena cava and pulmonary trunk. E. By aorta and pulmonary veins 142 A patient has bow-neck. Which muscle of neck is staggered ? A. Sternocleidomastoid muscle B.Omohyoid muscle C.Platysma muscle D. Sternohyoid muscle E. Mylohyoid muscle 143 A patient high bound of heart at level second intercostal space. At which level the high bound of heart is localized at healthy person? A.*Intercostal space III B. Intercostal space II C. Second rib D.Third rib E. Fourth rib 144 A patient with defect of the aortic valve. Which point of thorax does a doctor hearcen the tones of this valve ? A. * On 2 cm to the right, from the margin of sternum, in the second intercostal space B. At the fifth intercostal space C. On the left, near base of xiphoid process D. On the right, near base of the xiphoid process E. On 2 cm of to the left, from the margin of sternum, in the second intercostal space 145 A palpation of thorax in patient B. ( of 8 years old) apex shove in concerned in VII intercostal space on left medioclavicular line. Question: Are the location of low bound of heart on left medioclavicular line VII intercostal space physiologically, and if it is not where it is disposed ? A.* No. Low bound of heart is on left medioclavicular line , is located in V intercostal space B. No. Low bound of heart is on left medioclavicular line , is located in IV intercostal space C. Yes. Low bound of heart is on left medioclavicular line, is located in IV-VII intercostal space D. Yes. Low bound of heart is on left medioclavicular line , is located in V-IX intercostal space 26 E. Yes. Low bound of heart is on left medioclavicular line, is located in VI-VII intercostal space 146 ( 1017 ) A patient is exudative pleurisy. In which recessus usually is goining most liquids ? A. * Costo-diaphragmatic B. Costo-mediastinal C. Transverse sinus of pericardium D. Oblique sinus of pericardium E. Diaphragmatico-mediastinal recessus 147 A hypertensive illness usually left border of heart is displaced to the left. Which chamber of heart or vessels this displacement is due to ? A.* Left ventricle B. Left auricle C. Left ventricle and left auricle D. Arch of aorta E. Pulmonary trunk 148 In traumatic person there is bleeding from a wound in the area of head. In which place it follows to pin a carotid artery for the temporal stop ? A.* To the anterior tubercle, on the transverse process of the 6th cervical vertebra B. To the spine in superior part of neck C. To the anterior tubercle, on the transverse process of the 4th cervical vertebra D. To the anterior tubercle, on the transverse process of the 5th cervical vertebra E. To the anterior tubercle, on the transverse process of the 7th cervical vertebra 149 A patient has atrophy of muscles on the front surface of the leg. Which are these muscles? A. * Anterior tibial, long extensor of fingers, long extensor of pollex B. Anterior tibial, long and short fibulars C. Anterior tibial, long flexor of fingers, long flexor of pollex D. Long, short and third fibulars E. Long fibular, anterior and posterior tibial 150 A electricweld which carried the burn of eyeball is delivered into eyeing department. Which of the structures transferred below suffered? A.* Cornea B. Anterior camera of eyeball (humor) C. Posterior camera of eyeball (humor) D. Lens E. Ciliary body 151 During implementation of physical exercises in a 15-years-old student suddenly arose up pain in the area of the hip joint at the rotation of the lower limb inside.A traumatologist find out the damage of tendon of one of muscles. Specify which? A. * Medial gluteal muscle B. Internal obturator muscle C. External obturator muscle D. Piriformis muscle 27 E. Quadriceps femoral muscle 152 A patient appealed to the doctor with the wound of soft tissues of the proximal phalanx of finger and with the large phlegmon of palm. A pus filled a common synovial sheath for flexores, in which lies tendon of the superficial and deep flexores of fingers. Which finger was the damage of the proximal phalanx on? A.* On the V-th finger B. On the II-th finger C. On the III-th finger D. On the IV-th finger E. On the I-th finger 153 To the hospital a patient acted with the symptoms of mechanical icterus and with suspicion on the cancer of large papilla of duodenum, which is located: A. * Descending part of duodenum B. Superior part of duodenum C. Horizontal part of duodenum D. Ascending part of duodenum E. Duodeno-jejunal flexure 154 A 40 years old woman , which the sickness of appendicitis, was done appendoctomy, during the leadthrough of which was dissected artery of appendix process, which walks away from: A.* Iliocolic artery B. Jejunocolic artery C. Iliocolic artery D. Right colic artery E. Middle colic artery 155 A child entered to the ETN department of clinical hospital with diagnosis: festering inflammation of the middle ear. The disease began from inflammation of nasolarynx. It is set that an infection got into the tympanic cavity through auditory tube which lies in: A.* Musculotubarious canal B. Tympanic canal C. Carotid canal D. Canaliculus of tympanic chordae E. Caroticotympanic canaliculi 156 During the leadthrough of tracheotomy in a 45 years old patient, which got in the reanimation department of hospital with the edema of larynx, there was by chance a cut of the jugular venous arch which lies in: A. * Suprasternal interaponeurotic space B. Pretracheal space C. Retropharyngeal space D. Interscalenous space E. Antescalenous space 157 During the roentgenologic inspection of stomach of a 55 years old patient, upended a doctor establishes the presence of air. Which part of stomach is it in? 28 A.* Fundus B. Body C. Cardiac D. Pyloric E. Area of small curvature 158 A patient at nephrogramm there were found stones in the macroscopic parts of urinoexcretory ways of kidney.. It is set that they are in: A.* Small and large kidney calycles, renal pelvis B. Collapsible tubes, nipples channels, small kidney calycles C. Direct tubes, small and large renal pelvis D. Nipples ( papillae) channels, large kidney calycles, renal pelvis E. Nipples channels, small kidney calycles, direct tubes 159 With the purpose of determination of diagnosis a man of 70 years old are necessary palpation inspection of organs through the anterior wall of rectum.Which organs are bordering to this wall ? A.* Urinary bladder, prostate, seminal vesicles, deferens channels B. Urethra, bulbourethral glands, urinary bladder, prostate C. Urinary bladder, urethra, ejaculatories channels, seminal vesicles D. Ureters, prostate, urinary bladder, seminal vesicles, bulbourethral glands E. Urinary bladder, urethra, prostate, bulbourethral glands 1042 ( as 812, the same) 160 Determination of the sizes of liver allowed to set that on the right medioclavicular line high its bound is at level IV of the intercostals space, lower its margin comes under costal arch on 4 sm. Estimate the sizes of liver. A.* A liver is increase – its inferior bounder is displaced down B. A liver is decrease –its inferior border is displaced down C. A liver is decrease –its inferior border is displaced upward D. A liver is increase – its superior border is displaced upward E. The sizes of liver are normal 161 A 22 years old patient during the operation is revealing through opening by diameter 3 mm on the anterior wall of stomach in the middle third, nearer to small curvature. Which part of stomach more credible all staggered? A.* Body B. Fundus C. Cardiac part D. Pyloric part E. Pyloric antrum 162 A 58 years old woman is completely removed of uterus conducted with appendages, the selection of urine was stopped. At cystoscopy: the bladder of urine does not contain, from start ureters urine does not act. Which part of the urinary system was damaged ? A. * Ureter B. Urethra C. Urinary bladder D. Renal pelvis 29 E. Kidney 163 Triangle of neck is limited behind by sternocleidomastoid muscle, from above-back belly of the digastric muscle, from the front by superior belly of the omohyoid muscle. Name this triangle. A. * Carotid B. Omotracheal C. Submandibular D. Omoclavicular E. Omotrapezoid 164 Due to the tumour of hypophysis at x-ray, it was found out that destruction and increase of fossula of the turkish saddle. Which bone cavity is here staggered? A.* Sphenoid sinus B. Carotid canal C. Optic canal D. Tympanic cavity E. Facial canal 165 In connection with present malignant tumour in lingua, the patient to remove track of it. In which place it is easily to find a lingual artery and to bandage it? A.* Trigone of Pirogova B. In carotid trigone C. In omoclavicular trigone D. In omotrapezoid trigone E. In omotracheal trigone 166 In a patient the defeat of facial nerve is diagnosed. At which level of the damaged nerve, if a patient has such connection of clinical symptoms: paralysis of mimic muscles, violation of taste sensitiveness of the anterior part of lingua, dryness in mouth (diminishing of saliva separates). It not decrease of the separates of tear. A. * In the canal of the facial nerve below knee, after output of large petrosal nerve B. On the base of brain C. In the cannel of facial nerve, to output of the large petrosal nerve D. After the output of nerve from canal E. In parotid gland 167 Present varicose nodes in the region of the medial surface of lower limb. The defeat of which vessel is there this pathology? A.* Large saphenous vein B. Small saphenous vein C. Femoral vein D. Femoral artery E. Posterior tibial artery 168 At the inspection of patients often with diseases of the cardiovascular system to compare character of pulsation of vessels in the symmetric points of right and left halves of body. The pulsation of which artery can easily be feeled in the front surface of lower third of the forearm space? 30 A.* Radial B. Ulnar C. Anterior interosseous D. Superficial palmar branch E. Posterior interosseous 169 A patient has a broken sight in the lateral halves of visual areas of both eyes (bitemporal hemianopsia). What nervous structure is damaged? A. * Optic chiasma B. Left visual tract C. Right visual tract D. Retina of eye E. Optic nerves 170 A patient after trauma of right upper limb there is the parafunction of the extensors muscles, and also absence of skinning sensitiveness on back surface of hand. Which nerve ? A. * Radial B. Ulnar C. Medial D. Musculocutaneous E. Axillary 171 In a patient it is necessary to do punction of cavity of pleura. In which part of the intercostal space conduct a needle? A. * In the inferior part of the intercostal space, by the superior margin of the rib B. In the midline of the intercostal space, on even distance from the margins of neighbouring ribs C. In superior part of the intercostal space, by the inferior margin of the rib D. In the back-part of the intercostals space, by the lower margin of the rib E. In the anterior part of the intercostals space, in the midline on even of distance between the margins of neighbouring ribs 172 A patient with panaritium (whitlow ) of a first finger of foot. Which lymphatic nodes will suffer above in the first place ? A. * Lymphatic inguinal superficial nodes B. Lymphatic popliteal nodes C. Lymphatic inguinal deep nodes D. Lymphatic external iliac nodes E. Lymphatic internal iliac nodes 173 Into clinic is devilered a patient in which the inspection of nasal cavity it is found out the accumulation of pus in the lower nasal motion. Where does a pus act from ? A. *Lacrimal channels B. Maxillary sinus C. Frontal sinus D. Sphenoid sinus E. Ethmoid sinus 31 174 A 45 years old person after trauma on production injured the back area of left elbow joint. Objectively: difficulty in bending of forearm. Which muscles mostly are damaged? A. * Triceps brachial m., elbow m. B. Brachioradial m., elbow m. C. Biceps brachial m. D. Biceps brachial m., anconeus m. E. Triceps brachial m. 175 In suffering in the travelling adventure a doctor discovered the break of left collar-bone and violation of circulation of blood in extremity (there is no pulsation in radial artery). What is the reason of violation of circulation of blood in this artery? A. * Pressing of subclavian artery B. Pressing of axillary artery C. Pressing of subclavian vein D. Pressing of vertebral artery E. Pressing of axillary vein 176 A patient suffers from the cirrhosis of liver. Varicose expansions of which veins can be from the system of porto-caval anastomoses ? A. * Epigastric superficial vein B. Femoral vein C. Subcostal vein D. Circumflex iliac deep v. E. Iintercostal posterior vv. 177 After a trauma a patient can not unbend his hand in an elbow joint. Damage of function of which basic muscles can cause it ? A. *Triceps brachial m. B. Infraspinatus m. C. Levator scapulae m. D. Teres major m. E. Subscapularis m. 178 As a result of trauma a patient has the different diameter of pupils (аnisocoria). Activity of which muscle is blocked? A. *Sphincter pupillae m. B. Ciliar m. C. Rectus lateral m. D. Rectus superior m. E. Rectus inferior m. 179 The inflammation of the tympanic cavity (purulent otitis) at patient is complicate by inflammation of the cells of mastoid process. Through which wall of the tympanic cavity is penetrating pus to the cells? A. *Posterior B. Anterior C. Medial D. Lateral 32 E. Superior 180 The thrombosis of lower mesentery artery is in a patient. Which part of the intestine can be damaged? A. * Sigmoid bowel B. Duodenum C. Iliac bowel D. Cecum E. Jejunum 181 A patient with appendicitis appendix is located in retrotcecal position. With inflammation of which organs does it follow to conduct a differential diagnostics? A. * Kidneys B. Stomach C. Liver D. Ovaric E. Rectum 182 Which of the anatomic formations serve as оріentate for finding of openings of ureters at the internal inspection of urinary bladder? A. * Vesical trigone B. Apex vesicae C. Body vesicae D. Fundus vesicae E. Neck of vesicae 183 A patient has oblique inguinal hernia. Where is its gate? A. *Laterally from the inferior epigastric artery B. In supravesical fossa C. In femoral fossa D. Medially from the inferior epigastric artery E. In muscular lacuna ( cavity) 184 A patient with infringement hernia on the right side in hernia sack there is very inflamed bowel, on which it is possible to distinguish fatty formations, retortshape thrusting out, which are tightened by the stretchings of muscles. About the damage of which part of bowel a doctor must think of the first place? A. * Colon bowel B. Duodenum C. Jejunum bowel D.Iliac bowel E. Rectum 185 A patient with inflammation of lungs was complicated by an exsudative pleurisy. In which of the count anatomical formations mostly can liquod? A. *Costodiaphragmatic pleural sinus B. Costomediastinal pleural sinus C. Phrenicomediastinal pleural sinus D. Transverse pericardiac sinus E. Oblique pericardiac sinus 33 186 A patient after the violation of the blood supply of brain lost a capacity for writing of letters and numbers. Which particle of brain was pathology in? A. *Frontal lobe B. Occipital lobe C. Temporal lobe D. Parietal lobe E. Island lobe 187 A patient can not speak, but understands the language turned to him. About the damage of which of structures of cerebrum goes conversation? A. * Inferior frontal gyrus B. Superior frontal gyrus C. Precentral gyrus D. Postcentral gyrus E. Superior temporal gyrus 188 A boy has hernia of scrotum. The defect of development of which of membranes of testis is reason of origin of this hernia? A. *Vaginal membrane of testis B. External spermatic fascia C.Internal spermatic fascia D.Cremasteric fascia E. Dartos membrane ( tunica) 189 A patient is discovered furuncle ( boil) in an external acoustic duct. Which of the count lymphatic nodes knots in the first turn can react on an inflammatory process? A. *Parotid lymphatic nodes B. Retropharyngeal lymphatic nodes C. Mandibular lymphatic nodes D. Superficial cervical lymphatic nodes E. Deep cervical lymphatic nodes 190 A driver of car obtained a trauma of thorax as a result of blow of steering wheel. Which of the count arteries probably can be damaged? A. * Internal thoracic artery B.Superior thyroid artery C.Subscapular artery D.Vertebral artery E. Suprascapular artery 191 A patient lost ability to know objects for the characteristic sounds of them (clock, bell, music). Which part of brain is damaged? A. * Temporal lobe B.Occipital lobe C. Frontal lobe D. Parietal lobe E. Insula (island) 192 A patient cannot take here trunks the upper limb.Which muscle is not executes a function? 34 A. * Deltoid muscle B. Teres major muscle C. Infraspinatus muscle D. Teres minor muscle E. Latissimus dorsi 193 A patient cannot turn up downward lower jaw. Which muscles is not execute a functions? A. *Muscles of mastification B. Mimic muscles C. Circular muscle of mouth D. Epicranius muscle E. Muscle levitating the corner of mouth ( m. levator oris) 194 Violation of tactile and temperature sensitivity in region of lower two third of lateral surface of thigh[illness of Rota] it is explained by the defeat: A. * Lateral cutaneous femoral nerve B. Obturator nerve C. Femoral nerve D. Sciatic nerve E. Genito-femoral nerve 195 Function of the urinary bladder through abdominal wall, not affecting peritoneum, it is possible to execute : A. * When gap-filling urinary bladder B. At empty urinary bladder. C. Only in men D. Only in women E. Only in children 196 Disease of liver and gall-bladder can simulate appendicitis at next position of vermiform process: A. * Asdending B. Descending C. Medial D. Lateral E. Rectocecal 197 In a man gigantism developed. The function of which internal gland is broken? A. *Hypophysis B. Epiphysis C. Thyroid D. Thymus gland E. Suprarenal glands 198 A 45 years old man is delivered into surgical department with a sword-cut in the medial border of forearm. The inspection routined that in patient was cut two muscles of forearm – elbow zgynach of wrist and ulnar flexor and ulnar extensor of wrist. Which motions can not a patient execute? A. * Adduction of hand 35 B. Flexion of hand C. Extension of hand D. Abduction of hand E. Extention and abduction of hand 199 At a trauma in the region of pelvis of a patient on a roentgenologic picture it is found out necrosis of head of thigh-bone.Which of the ligaments of the hip joint were damaged ? A. * Ligament of fovea of the head of femur B. Ilio-femoral ligament C. Pubo-femoral ligament D. Ischio-femoral ligament E. Circular zone 200 At the inspection of patient violation of circulation of blood of pancreas is set. Which of the transferred arteries can be damaged? A. *Spleenic artery B. Proper hepatic artery C. Left gastric artery D. Right gastroepiploic artery E. Right gastric artery 36