What is the principle of sublay technic of the hernioplasty of postoperative hernia (стр. 17 )

D. Extirpation of esophagus

E. Esophageal plastics by intestine

ANSWER: A

What organ is used for esophageal plastic?

A. Large intestine

B. Part of vein

C. Prosthetic graft

D. Xsenotransplantat

E. Lyophilized esophagus

ANSWER: A

What pulmonary hemorrhage is classified as I degree?

A. Less than 300 ml

B. 300-500 ml

C. 500-700 ml

D. 700-1000 ml

E. More than 1500 ml

ANSWER: A

What pulmonary hemorrhage is classified as II degree?

A. 500-700 ml

B. 50-100 ml

C. 100-300 ml

D. 700-1000 ml

E. More than 1500 ml

ANSWER: A

What pulmonary hemorrhage is classified as III degree?

A. More than 700 ml

B. 50-100 ml

C. 100-300 ml

D. 300-500 ml

E. 500-700 ml

ANSWER: A

What sign is not typical for pleural empyema?

A. Hemoptysis

B. Pain

C. Dyspnea

D. Cough

E. Intoxication

ANSWER: A

What sign is not typical for Zenker's diverticula?

A. Dyspnea

B. Salivation

C. Cervical dysphagia

D. Difficult swallowing

E. Cough

ANSWER: A

What sign shows that the pleural bleeding is stopped?

A. The pleural blood doesn't form the clot

B. Data of general blood analysis

C. Data of biochemical blood analysis

D. Data of coagulogram

E. Clinical manifestation

ANSWER: A

What solution is used for washing out of acid esophageal burn?

A. Sodium hydrocarbonatis solution

B. Antiseptic solution

C. Antibiotic solution

D. Glucose solution

E. Vinegar solution

ANSWER: A

What stage of lung abscess correlates with the necrotic pneumonia?

A. I

B. II

C. III

D. IV

E. V

ANSWER: A

What surgical access should be applied for bifurcational diverticula?

A. Right-sided posterolateral thoracotomy in ІV intercostal space

B. Cervical access along the anterior border of the sternocleidomastoid muscle

C. Left-sided anterolateral thoracotomy in ІV intercostal space

D. Left-sided posterolateral thoracotomy in VІІ intercostal space

E. Right-sided anterolateral thoracotomy in VІІ intercostal space

ANSWER: A

What surgical access should be applied for epiphrenal diverticula?

A. Left-sided posterolateral thoracotomy in VІІ intercostal space

B. Cervical access along the anterior border of the sternocleidomastoid muscle

C. Left-sided anterolateral thoracotomy in ІV intercostal space

D. Right-sided posterolateral thoracotomy in ІV intercostal space

E. Right-sided anterolateral thoracotomy in VІІ intercostal space

ANSWER: A

What surgical access should be applied for Zenker's diverticula?

A. Cervical access along the anterior border of the sternocleidomastoid muscle

B. Left-sided anterolateral thoracotomy in ІV intercostal space

C. Right-sided posterolateral thoracotomy in ІV intercostal space

D. Left-sided posterolateral thoracotomy in VІІ intercostal space

E. Right-sided anterolateral thoracotomy in VІІ intercostal space

ANSWER: A

What test is used to determine the continuity of pleural bleeding?

A. Revilour-Greguar's test

B. Troyanov-Trendelenburg's test

C. Talman's test

D. Mayo-Pratt's test

E. Delbe-Pertess test (marching test)

ANSWER: A

What type of the lung gangrene is considered to be limited?

A. The lesion within 1 lobe

B. The lesion within 1 segment

C. The total lesion of 1 lung

D. The lesion of 2 lungs

E. The lesion of lungs and pleura

ANSWER: A

When the lung abscess is considered to be chronic?

A. In 6-8 weeks after the onset

B. In 10 days after the onset

C. In 3-4 weeks after the onset

D. In 6-8 months after the onset

E. In 1 year after the onset

ANSWER: A

?Where is located the first anatomical narrowing of esophagus?

A. The site of pharyngoesophageal junction

B. The site of crossing with left bronchus

C. The site of crossing with aorta

D. The site of passing through diaphragm

E. The site of cardia

ANSWER: A

Where is located the second anatomical narrowing of esophagus?

A. The site of crossing with left bronchus

B. The site of pharyngoesophageal junction

C. The site of crossing with aorta

D. The site of passing through diaphragm

E. The site of cardia

ANSWER: A

Where is located the third anatomical narrowing of esophagus?

A. The site of passing through diaphragm

B. The site of pharyngoesophageal junction

C. The site of crossing with aorta

D. The site of crossing with left bronchus

E. The site of cardia

ANSWER: A

Where is performed the drainage of pleural space in pyopneumothorax?

A. II intercostal space, midclavicular line and VII intercostal space, scapular line simultaneously

B. II intercostal space, midclavicular line

C. II intercostal space, scapular line

D. VII intercostal space, midclavicular line

E. VII intercostal space, scapular line

ANSWER: A

Where is the drainage of pleural space in spread empyema performed?

A. VII intercostal space, scapular line

B. II intercostal space, midclavicular line

C. II intercostal space, scapular line

D. IV intercostal space, anterior axillary line

E. VII intercostal space, midclavicular line

ANSWER: A

Where is the level of the X-ray shadow in great hemothorax?

A. Up to ІІІ rib

B. Shadow observed only in the region of sinus

C. Up to scapular angle

plete shadow of a pleural space

E. The shadow is absent

ANSWER: A

Where is the level of the X-ray shadow in moderate hemothorax?

A. Up to scapular angle

B. Shadow observed only in the region of sinus

C. Up to ІІІ rib

plete shadow of a pleural space

E. The shadow is absent

ANSWER: A

Where is the level of the X-ray shadow in small hemothorax?

A. Shadow observed only in the region of sinus

B. Up to scapular angle

C. Up to ІІІ rib

plete shadow of a pleural space

E. The shadow is absent

ANSWER: A

Where is the level of the X-ray shadow in total hemothorax?

plete shadow of a pleural space

B. Up to scapular angle

C. Shadow observed only in the region of sinus

D. Up to ІІІ rib

E. The shadow is absent

ANSWER: A

Where the drainage of pleural space in pneumothorax is performed?

A. II intercostal space, midclavicular line

B. II intercostal space, scapular line

C. IV intercostal space, anterior axillary line

D. VII intercostal space, midclavicular line

E. VII intercostal space, scapular line

ANSWER: A

Who mostly suffer from achalasia?

A. Young women

B. Young men

C. Old men

D. Old women

E. Both old men and women

ANSWER: A

5 hours ago, after the bouginage of esophageal cicatricle stricture appeared the pain behind the breastbone, a feeling of compression, subcutaneous crepitation on the neck, fever to 38,5°C. On examination the weakening of the heart tones by auscultation. On plain X-ray of chest – mediastinal emphysema, mediastinal extension of the shadows. What is the most probable diagnosis?

A. Acute mediastinitis

B. Reflux esophagitis

C. Sliding esophageal hernia

D. Paraesophageal hernia

E. Achalasia of the esophagus

ANSWER: A

53 year old man complains of recurrent pain behind the breastbone, heartburn, especially in the horizontal position. Sometimes the burning pain behind the sternum occurs after hot or spicy food. Two weeks ago was vomiting by blood and lost of consciousness. Has entered the hospital after repeated gastric bleeding. What roentgenological sign confirms the pathology?

A. "Bell" sign

B. "Rat tail" sign

C. Filling defects

D. "Bird-beak" sign

E. Esophageal dilatation

ANSWER: A

53 year old man complains of recurrent pain behind the breastbone, heartburn, especially in the horizontal position. Sometimes the burning pain behind the sternum occurs after hot or spicy food. Two weeks ago was vomiting by blood and lost of consciousness. Has entered the hospital after repeated gastric bleeding. What drugs are used for the treatment of this pathology?

A. Blockers of proton pomp

B. Spasmolytics

C. Adrenoblockers

D. Blockers of calcium channel

E. Anticoagulants

ANSWER: A

53 year old man complains of recurrent pain behind the breastbone, heartburn, especially in the horizontal position. Sometimes the burning pain behind the sternum occurs after hot or spicy food. Two weeks ago was vomiting by blood and lost of consciousness. Has entered the hospital after repeated gastric bleeding. What disease should be this pathology differentiated from?

A. Peptic ulcer

B. Pancreatitis

C. Intestinal obstruction

D. Cholecystitis

E. Bronchial asthma

ANSWER: A

53 year old man complains of recurrent pain behind the breastbone, heartburn, especially in the horizontal position. Sometimes the burning pain behind the sternum occurs after hot or spicy food. Two weeks ago was vomiting by blood and lost of consciousness. Has entered the hospital after repeated gastric bleeding. What is the main treatment of this pathology?

A. Conservative treatment

B. Esophagostomy

C. Esophageal plastic

D. Resection of the esophagus

E. Resection of the stomach

ANSWER: A

53 year old man complains of recurrent pain behind the breastbone, heartburn, especially in the horizontal position. Sometimes the burning pain behind the sternum occurs after hot or spicy food. Two weeks ago was vomiting by blood and lost of consciousness. Has entered the hospital after repeated gastric bleeding. What type of operation is used for treatment of this pathology?

A. Cruroplasty with Nissen's fundoplication

B. Esophagostomy

C. Cruroplasty

D. Resection of the esophagus

E. Resection of the stomach

ANSWER: A

?53 year old man complains of recurrent pain behind the breastbone, heartburn, especially in the horizontal position. Sometimes the burning pain behind the sternum occurs after hot or spicy food. Two weeks ago was vomiting by blood and lost of consciousness. Has entered the hospital after repeated gastric bleeding. What is the most probable diagnosis?

A. Sliding esophageal hernia, reflux esophagitis

B. Diverticulum of the esophagus

C. Varicose veins of the esophagus

D. Mallory-Weiss syndrome