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1. Acute appendicitis in the 1st phase is necessary to differentiate from:
A. gastric ulcer
B. pancreatitis
C. cholecystitis
D. intestinal obstruction
E. strangulated hernia
ANSWER: A
2. After appendectomy the patient stands out of bed on:
A. first day
B. second day
C. third day
D. fourth day
E. fifth day
ANSWER: A
3. After appendectomy to early postoperative complications belongs:
A. peritonitis
B. intestinal fistula
C. ventral hernia
D. ligature fistula
E. colitis
ANSWER: A
4. After appendectomy to late postoperative complications belongs:
A. intestinal fistula
B. appendicular infiltrate
C. pilephlebitis
D. peritonitis
E. colitis
ANSWER: A
5. Appendectomy after the treatment of appendicular infiltrate performed after:
A. 2-4 months
B. 1-2 weeks
C. 3-4 weeks
D. 1-2 months
E. 3-5 days
ANSWER: A
6. Appendectomy, as a rule, is performed under such anaesthesia:
A. intravenous anaesthesia
B. local anaesthesia
C. ether anaesthesia
D. conducting anaesthesia
E. endotracheal anaesthesia
ANSWER: A
7. Appendicular infiltrate is treated:
A. conservative therapy, then surgery
B. only conservative therapy
C. puncture
D. drainage
E. only surgical treatment
ANSWER: A
8. Appendicular infiltrate is treated:
A. antibiotics, paranephral blockade, detoxication therapy
B. antiseptics, analgesia, antibiotics, anti-inflammatory therapy
C. antibiotics, diuretics, antispasmodic, anti-inflammatory therapy
D. analgesia, antibiotics, diuretics, anti-inflammatory therapy
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E. anti-inflammatory drugs, paranephral blockade, detoxication therapy
ANSWER: A
9. Bartomier’s sign is typical for:
A. acute appendicitis
B. acute cholecystitis
C. acute intestinal obstruction
D. food poisoning
E. acute pancreatitis
ANSWER: A
10. Typical complications of the appendicitis are:
A. infiltrate, abscess, peritonitis, pilephlebitis
B. abscess, phlegmon, paraproctitis, pilephlebitis
C. infiltrate, gangrene, paraproctitis, pilephlebitis
D. abscess, phlegmon, peritonitis, pilephlebitis
E. infiltrate, abscess, osteomyelitis, pilephlebitis
ANSWER: A
11. Voskresenky’s sign is typical for:
A. acute appendicitis
B. acute thrombophlebitis
C. pneumothorax
D. food poisoning
E. bleeding ulcer
ANSWER: A
12. What complication is typical for acute appendicitis?
A. Appendicular infiltrate
B. Appendicular bleeding
C. Acute intestinal obstruction
D. Appendicular-intestinal fistula
E. Malignization
ANSWER: A
13. What complication is typical for acute appendicitis?
A. Appendicular abscess
B. Appendicular bleeding
C. Acute intestinal obstruction
D. Appendicular-intestinal fistula
E. Malignization
ANSWER: A
14. Absolute indication to operative treatment the ulcerous illness is
A. perforation of ulcer
B. heavy pain syndrome
C. relapses more than 2 one time per a year
D. ulcerous anamnesis more than 10 years
E. giant ulcers
ANSWER: A
15. Absolute sign of unstable hemostasis
A. profluvium blood from a vessel;
B. absence blood in a stomach and bulb of duodenum;
C. presence light blood and faltungs of blood in a stomach;
D. all answers are correct;
E. all answers are not correct
ANSWER: A
16. Acute cholecystitis usually begins with
A. Pains under a rib on the right
B. Increases the temperature
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C. Appearances the vomiting
D. Disorders of chair
E. Weights are in a epigastria area
ANSWER: A
17. Acute cholecystitis usually begins with:
A. Pains in right under rib space
B. Increases of temperatures
C. Appearances of vomiting
D. Disorders of defecation
E. Weights in the epigastric area
ANSWER: A
18. Acute pancreatitis with a heavy flow treat in terms:
A. Department of intensive therapy
B. Ambulatory
C. Permanent establishment
D. All answers are faithful
E. A faithful answer is not present
ANSWER: A
19. After cholecystectomy drainage is more frequent than all used
A. To the couch of the gall-bladder and Vinslov foramen
B. By Robson - Vishnevskiy
C. By Holsted - Pikovskiy
D. By Ker
E. Combination draining by Pikovskiy and Spasokukotskiy
ANSWER: A
20. After cholecystostomy drainage more frequent than all used:
A. By Spasokukotskiy
B. By Robson-Vishnevskiy
C. By Holsted-Pikovskiy
D. By Ker
E. Combination draining by Pikovskiy and Spasokukotskiy
ANSWER: A
21. After time of origin complications acute pancreatitis select:
A. Early and late
B. Premature and remote
C. Urgent and deferred
D. Primary and second
E. Any of variants faithful
ANSWER: A
22. After what operation at ulcerous illness the natural arcade of meal is saved on a digestive tract
A. resection by Bil'rot I
B. Valter-Braun’s gastroenterostomy
C. not saved after any operation
D. resection by Bilrot II
E. saved after all transferred operations
ANSWER: A
23. At what pathology is appearance of sickliness in left costal-vertebral coal:
A. Acute pancreatitis
B. Acute cholecystitis
C. Perforated ulcer
D. Intestinal obstruction
E. A right answer is not present
ANSWER: A
24. Basic method examination the patients with the uncomplicated cholecystitis
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A. Sonography
B. Infusion cholegraphy
C. ERCP
D. Laparoskopy
E. Gastroduodenoscopy
ANSWER: A
25. Bergman’s sing is characteristic for
A. bleeding ulcer
B. for cicatrical-ulcerous pylorostenosis
C. perforeted ulcers
D. penetratration ulcers
E. malignization ulcers
ANSWER: A
26. Berhtein’s sing characteristic for
A. perforeted ulcers
B. bleeding ulcer
C. penetratrated ulcers
D. malignizated ulcers
E. for cicatrical-ulcerous pylorostenosis
ANSWER: A
27. Bile-stones diseases can cause everything, except for
A. Intra-abdominal bleeding
B. Cystic-duodenal fistula
C. Mechanical icterus
D. Acute cholecystitis
E. Cholangitis
ANSWER: A
28. Caused a remittent icterus is
A. The valve stone of the common bile stone
B. The wedged stone of terminal department of the common bile stone
C. The tumour of the common bile stone
D. The stone of cystic channel
E. Stricture of the common bile stone
ANSWER: A
29. Characteristic complication acute pancreatitis is:
A. Pancreonecrosis
B. Pylephlebitis
C. Hepatocirrhosis
D. Veritable pancreas cyst
E. Hepatitis
ANSWER: A
30. Characteristic complication the acute pancreatitis is:
A. Pancreonecrosis
B. Paranephritis
C. Duglas’s abscess
D. Pylephlebitis
E. Cyst of pancreas
ANSWER: A
31. Complications of acute cholecystitis
A. Empyema of gall-bladder
B. Bleeding
C. Syndrome of v. cava sup.
D. Artery-venous fistula
E. All answers are right
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ANSWER: A
32. In a gall-bladder stone formation don’t promote
A. Violation secretion the pancreas
B. Stagnation of bile in a bladder
C. Exchange violations
D. Inflammatory changes in a gall-bladder
E. Diskinetic of the bile excretive ways
ANSWER: A
33. In obedience to classification complications of acute pancreatitis, after etiology and pathogeny,
distinguish such complications, except for:
A. Allergic
B. Infectiously inflammatory
C. Enzymic
D. Mixed
E. Trombogemoragic
ANSWER: A
34. In the case of bile-stones diseases an urgent operation is indicated at
A. Perforate cholecystitis
B. Occlusion of cystic channel
C. Cholecystopancreatitis
D. The mechanical icterus
E. The hepatic colic
ANSWER: A
35. Intraoperatrive cholangiography is not indication at
A. Finding concrements in the common bile duct at palpation
B. Cancer the head of pancreas
C. The icterus in anamnesis
D. Expansion of common bile duct
E. The icterus during an operation
ANSWER: A
36. Kerte’s sing at acute pancreatitis:
A. Sickliness and proof tension the muscles in an epigastrium with passing to left
subcostal area
B. Absence pulsation the abdominal aorta
C. Sickliness in left costal-vertebral coal
D. Icteritiousness round a belly-button
E. Skin hyperesthesia in projection the gland
ANSWER: A
37. Kulen’s sing at acute pancreatitis:
A. Icteritiousness round a belly-button
B. Violet spots on face and trunk
C. Cyanosis sides of stomach and trunk
D. Cyanosis skin of stomach
E. Cyanosys of hands
ANSWER: A
38. Kurvuazie symptoms is not characteristic for
A. Acute calculary cholecystitis
B. Tumor the head of pancreas
C. The pancreatitis
D. Tumours large duodenal nipple
E. Tumours common bile duct
ANSWER: A
39. Normal indexes the billirubin of blood:
A. 8,55-20,52 mcmol/l
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B. 0,10-0,68 mcmol/l
C. 2,50-8,33 mcmol/l
D. 3,64-6,76 mcmol/l
E. 7,62-12,88 mcmol/l
ANSWER: A
40. Normal width of the common bile duct
A. 0,5-0,7 cm
B. To 0,4 cm
C. 0,8-1,3 cm
D. 1,4-2,0 cm
E. Over 2,0 cm
ANSWER: A
41. On a background choledocholitiasis needs a sick icterus
A. To the urgent operation after preoperative preparation
B. To the urgent operation
C. Medicinal treatment
D. Cannulations of the abdominal artery
E. Plazmopheresis
ANSWER: A
42. Operating access at operations on a stomach
A. Upper-middle laparotomy
B. Lower-middle laparotomy
C. Pararectum access
D. Volokovich-Dyakonov’s access
E. Pfanenhtil’s access
ANSWER: A
43. pathognomonic symptom at acute pancreatitis is:
A. Kulen’s sing
B. Pasternatskiy’s sing
C. Ker’s sing
D. Lenander’s sing
E. Rovsing’s sing
ANSWER: A
44. The attack of hepatic (bilious) colic arises up:
A. Suddenly, acutely
B. After a initial period
C. Gradually, gradually
D. After the protracted starvation
E. After supercooling
ANSWER: A
45. The characteristic laboratory sign of the acute uncomplicated cholecystitis is:
A. Leucocytosis
B. Diastasuria
C. Hypoglycemia
D. Glucosuria
E. Hyperbilirubinemia
ANSWER: A
46. The Courvoisier’s symptom is not observed at a cancer
A. Gall-bladder
B. Heads of pancreas
C. Supraduodenal part of the common bile stone
D. Retroduodenal part of general bilious channel
E. Large duodenal papilla
ANSWER: A
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47. To complications of the acute stone cholecystitis does not attribute
A. Varicose widening the vein of gullet
B. Mechanical icterus
C. Cholangitis
D. Under hepatic abscess
E. Peritonitis
ANSWER: A
48. To early complications acute pancreatitis attribute:
A. Shock
B. Acute hepatic-kidney insufficiency
C. Poured out peritonitis
D. Icterus
E. All answers are faithful
ANSWER: A
49. To the gastric – intestinal bleeding of unulcerous etiology belong
A. Mallory-Weiss syndrome;
B. hemorragic erosive gastritis;
C. diseases by Randyu – Oslera – Vebera;
D. Menetrie's sing;
E. all answers are correct.
ANSWER: A
50. To the intraoperative methods research the extrahepatic bilious ways does not pertaine
A. Intravenous cholangiography
B. Palpation of the common bile duct
C. Choledochoscopy
D. Intraoperative cholangiography
E. Sounding of the common bile duct
ANSWER: A
51. To the intraoperative methods of research the extrahepatic bilious ways all behaves, except for:
A. Intravenous holangiography
B. Palpation of the common bile duct
C. Choledochoscopy
D. Intraoperative cholangiography
E. Soundings of the common bile duct
ANSWER: A
52. Turner’s sing at acute pancreatitis:
A. Cyanosis sides of stomach and trunk
B. Violet spots on face and trunk
C. Cyanosis skin of stomach
D. Icteritiousness round a belly-button
E. Cyanosys of hands
ANSWER: A
53. Udin’s sing at a perforated ulcer is
A. feeling at palpation shove the gases which penetrate through the perforated opening
B. dulling perforated sound in the lateral departments of stomach
C. disappearance of hepatic dullness
D. irradiation pain in a shoulder or shoulder-blade
E. sickliness the back vault of vagina
ANSWER: A
54. Vomiting coffee-grounds is a characteristic sign
A. bleeding ulcer
B. penetrative ulcers
C. perforated ulcers
D. malignizated ulcers
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E. for cicatrical-ulcerous pylorus stenosis
ANSWER: A
55. Vomiting what arose up in 4-6 hours after eating characteristic for
A. pylorus ulcers
B. chronic alcoholic gastritis
C. cancer and ulcers of cardia
D. achalasia of gullet
E. ulcer and cancer the body of stomach
ANSWER: A
56. Voskresenskiy’s sing at acute pancreatitis:
A. Absence pulsation the abdominal aorta
B. Sickliness in left costal-vertebral coal
C. Sickliness and proof tension the muscles in an epigastrium with passing to left
subcostal area
D. Icteritiousness round a belly-button
E. Skin hyperesthesia in projection the gland
ANSWER: A
57. What nosotropic conditionality Voscresencky’s sing at acute pancreatitis:
A. Inflammatory edema of pancreas
B. Reflex paresis of colon
C. Thrombosis of abdominal aorta
D. Embolism of abdominal aorta
E. Development of peritonitis
ANSWER: A
58. What a clinical flow can be at acute pancreatitis:
A. Abortive, making progress
B. Easy, middle, heavy
C. Acute, chronic
D. Edema, necrosis
E. Any variant
ANSWER: A
59. At peritonitis of violation the proteometabolism characterized:
A. diminishing of the albumen - globulins coefficient
B. by the increase of concentration the albumen
C. by the increase of concentration the globulins
D. diminishing of concentration the albumen
E. by the increase of the albumen - globulins coefficient
ANSWER: A
60. At suspicion on a subdiaphragmatic abscess the followings methods of diagnostics are rotined,
except for:
A. laparoscopy.
B. Sonography.
C. X-ray examination of thorax.
D. X-ray examination of abdominal region.
E. computer tomography
ANSWER: A
61. ERCP apply at:
A. Stenosis the supraduodenal department of choledoch
B. Postcholecystectomy syndrome
C. Stenosing papillitis
D. Stricture the terminal department of choledoch
E. Mechanical icterus
ANSWER: A
62. Resection of stomach by Bilrot II belongs to
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A. radical operation
B. palliative operation
C. draining operations
D. organ protect operation
E. does not belong to any group
ANSWER: A
63. To the gastric – intestinal bleeding of unulcerous etiology belong
A. Mallory-Weiss syndrome;
B. hemorragic erosive gastritis;
C. diseases by Randyu – Oslera – Vebera;
D. Menetrie's sing;
E. all answers are correct.
ANSWER: A
64. Giant ulcer is an ulcer measuring
A. over 3 cm
B. over 4,5 cm
C. over 4 cm
D. over 5 cm
E. over 3,5 cm
ANSWER: A
65. Hepatic dullness is not determined at
A. perforations of gastric ulcer
B. break of spleen
C. break of bud
D. volvulus of stomach
E. mesenterial ishemia
ANSWER: A
66. To the gastric – intestinal bleeding of unulcerous etiology belong
A. Mallory-Weiss syndrome;
B. hemorragic erosive gastritis;
C. diseases by Randyu – Oslera – Vebera;
D. Menetrie's sing;
E. all answers are correct.
ANSWER: A
67. What method diagnostics hte ulcerous illness most informing
A. esophagogastroduodenoscopy
B. analysis of excrement on the hidden blood
C. X-ray
D. global analysis of blood
E. research of gastric secretion
ANSWER: A
68. What most effective treatment the unformed complicated cyst is:
A. External draining cyst
B. Conservative treatment
C. Resection cyst within the limits of the unchanged gland
D. Cysticenterostomy
E. Cystogastrostomy
ANSWER: A
69. What most effective treatment the unformed uncomplicated cyst is:
A. Conservative treatment
B. External draining cyst
C. Resection cyst within the limits of the unchanged gland
D. Cysticenterostomy
E. Cystogastrostomy
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ANSWER: A
70. The acute obstruction of duodeno-jejunal junction is characterized by:
A. Vomiting by bile
B. The phenomena of paralytic intestinal obstruction
C. Diffuse distension of abdomen
D. Delay of stool and gases
E. Tenesmi
ANSWER: A
71. The manifestation of the Wahl's sign in acute intestinal obstruction is:
A. Limited elastic formation in the abdomen
B. A metallic sound over the dilated bowel
C. Sound of falling drop”
D. Gaping of anus
E. Noise of intestinal splash
ANSWER: A
72. What among the mentioned types of intestinal obstruction has primary vascular origin:
A. Mesenteric obstruction
B. Arteriomesenteric obstruction
C. Adhesive
D. Strangulation
E. Obturation
ANSWER: A
73. What are the Kloiber's cups?
A. Horizontal air-fluid levels
B. Gas bubble of the stomach
C. Folds of intestine
D. Gas sickles under the domes of diaphragm
E. None of mentioned
ANSWER: A
74. Bergman’s sing is characteristic for
A. bleeding ulcer
B. for cicatrical-ulcerous pylorostenosis
C. perforeted ulcers
D. penetratration ulcers
E. malignization ulcers
ANSWER: A
75. Bleeding ulcer, complicated blood loss III stage degrees, requires
A. blood and its components transfusions
B. transfusion of salt solutions
C. transfusion of colloid solutions
D. transfusion of salt and colloid solutions
E. infusion therapy does not need
ANSWER: A
76. The painfullness of anterior wall of rectum is the sign:
A. Kulenkampf's
B. Krymov's
C. Kocher
D. Culen's
E. Crown's
ANSWER: A
77. For perforeted ulcer characteristically
A. tension the muscles of front abdominal wall
B. melena
C. vomiting by coffee-grounds
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D. high intestinal impassability
E. vomiting stagnant gastric maintenance
ANSWER: A
78. The method of Kukudzhanov is performed at hernioplasty of:
A. Inguinal hernia
B. Umbilical hernia
C. Femoral and inguinal hernia
D. Epigastroceles
E. Femoral hernia
ANSWER: A
79. The method of Spasokukotsky is performed at hernioplasty of:
A. Oblique inguinal hernia
B. Umbilical hernia
C. Umbilical hernia
D. Femoral hernia
E. Direct inguinal hernia
ANSWER: A
80. The objective sign of hernia is:
A. Swelling
B. Vomit
C. Nausea
D. Constipation
E. Pain
ANSWER: A
81. The posterior wall of femoral channel is:
A. Horizontal branch of pubic bone
B. Transversal fascia of abdomen
C. Edge of Jimbernat ligament
D. Femoral vein
E. Inguinal ligament
ANSWER: A
82. The posterior wall of inguinal channel is:
A. Transversal fascia of abdomen
B. Pubic bone
C. Inguinal ligament
D. Lower edge of internal oblique and transversal muscles of abdomen
E. Aponeurosis of external oblique muscle of abdomen
ANSWER: A
83. Specify the most informative method of examination at a peptic peptic ulcer:
A. Endoscopy
B. Colonoscopy
C. CT
D. Determine the gastric secretion
E. Sonography
ANSWER: A
84. Syndrome of Mellori-Veys is:
A. Fissure in a cardiac part of stomach with bleeding
B. hemorragic erosive gastroduodenitis
C. Varicosity of cardiac part, complicated by bleeding
D. Bleeding from mucous membrane.
E. Bleeding peptic ulcer from diverticulum of Mekkel
ANSWER: A
85. Syndrome of Zollinger-Ellison is?
A. Tumor of pancreas
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B. Hepatitis
C. Cholecystitis
D. Diabetes
E. Hyperthyroidism
ANSWER: A
86. Tension of muscles at right iliac region at the perforation of duodenal peptic ulcer is explained
by:
A. Flowing of gastric content to the right lateral channel
B. By viscero-visceral reflex
C. By development of peritonitis
D. Bleeding
E. Entering of air to abdominal cavity
ANSWER: A
87. The best method of diagnostics of perforative peptic ulcers is:
A. Laparoscopy
B. X-Ray
C. Endoscopy
D. Laparocentesis
E. Sonography
ANSWER: A
88. The basic method ofexamination of acute cholecystitis is:
A. Sonography of gall-bladder
B. Gastroduodenoscopy
C. Laparoscopy
D. Cholegraphy
E. Endoscopy
ANSWER: A
89. What is the method of treatment of chronic calculus cholecystitis?
A. Cholecystectomy
B. Conservative therapy
C. Antispastic drugs
D. Lithothripsy
E. Cholecystostomy
ANSWER: A
90. What is the most effective treatment of the non-formed non-complicated cyst:
A. Conservative treatment
B. Cystogastrostomy
C. Cystoenteroanastomosis
D. A resection of cyst
E. External draining of cyst
ANSWER: A
91. What is the most frequent reason of development of mechanical jaundice?
A. Choledocholitiasis
B. Metastases of tumor into the liver
C. Peptic ulcer
D. Cancer of head of pancreas
E. Stricture of extrahepatic bile ducts
ANSWER: A
92. What is the reason of late complications of acute pancreatitis?
A. Infection
B. By violation of local blood flow
C. Obstruction of pancreatic ducts
D. Development of aseptic inflammation
E. Enzymes
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ANSWER: A
93. What localization of ulcer is most characteristic for the patients of elderly and senile age
A. cardial department of stomach
B. overhead third of gullet
C. lower third of gullet
D. bulb of duodewnum
E. small curvature
ANSWER: A
94. What method diagnostics hte ulcerous illness most informing
A. esophagogastroduodenoscopy
B. analysis of excrement on the hidden blood
C. X-ray
D. global analysis of blood
E. research of gastric secretion
ANSWER: A
95. What method is it orientation possible to define the volume of hemorrhage on at the acute
gastroenteric bleeding?
A. On an arteriotony, pulse, state of patient
B. On maintenance red corpuscles, haemoglobin, Ht, thrombocytes
C. On blood volume
D. On a globular volume
E. On the level of thrombocytes
ANSWER: A
96. What method of examination is most informative at the estimation of pathology of bile ducts?
A. ERCP
B. CT
C. Sonography
D. transcutaneus transhepatic cholangiography
E. intravenous cholangiography
ANSWER: A
97. What method of examination is most informative for diagnostics of calculus cholecystitis?
A. Sonography
B. ERCP
C. Endoscopy
D. X-Ray
E. Laparoscopy
ANSWER: A
98. What operation is indicated at the edematous form of acute pancreatitis:
A. Operation is not needed
B. Marsupilisation
C. Abdominisation of pancreas
D. Omentopancreatopexy
E. Pancreatectomy
ANSWER: A
99. What operation is not performed at pancreatic abscesses and infected necrosis?
A. Total pancreatectomy
B. Draining of abscess
C. Pancreato-necro-sekvestrectomy with laparostomy
D. Pancreato-sekvestrectomy
E. Pancreato-necro-sekvestrectomy
ANSWER: A
100. What operation is performed at the pseudocyst of pancreas in III stage usually:
A. Cistoenterostomy
B. Conservative treatment
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C. Cistoduodenostomy
D. Cystogastrostomy
E. External draining of cyst
ANSWER: A
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