What is the principle of sublay technic of the hernioplasty of postoperative hernia (стр. 18 )

E. Crohn's disease.

ANSWER: A

After the birth of the child appeared the signs of respiratory auscultation on the left side the breathing is absent. On X-ray expressed mediastinal shift to the right, the presence of protrusion on the left side. What is the most probable diagnosis?

A. Left-sided diaphragmatic hernia

B. Hypoplasia of right lung

C. Polycistosis of the left lung

D. Relaxation of the diaphragm

E. Esophageal stricture

ANSWER: A

Complaints of burning, pain behind the breastbone. Has been ill for 4 months. On contrasting X-ray was diagnosed: the "bell" sign, the absence of gas bubble of the stomach, blunt Hiss angle. What is the most probable diagnosis?

A. Sliding esophageal hernia

B. Paraesophageal hernia

C. Gastric ulcer

D. Peptic duodenal ulcer

E. Decompensated pyloric stenosis

ANSWER: A

Complaints of cough with foul-smelling purulent sputum with streaks of blood, increased body temperature to 40°C, pain in the left half of the chest, dyspnea at rest. Has been ill for 2 weeks, the onset is caused by undercooling. The lag of the left half of the chest during breathing, with a shortening of the pulmonary percussion sound, by auscultation moist rales over the lower lobe of the left lung. On X-ray of the chest expressed infiltration of left lung tissue with a giant cavity in the lower lobe with the level of the fluid. What is the primary diagnosis?

A. Gangrenous abscess of lung.

B. Pleural empyema.

C. Acute lung abscess

D. Abscessing pneumonia.

E. Gangrene of the lung.

ANSWER: A

Complaints of cough with foul-smelling purulent sputum with streaks of blood, increased body temperature to 40°C, pain in the left half of the chest, dyspnea at rest. Has been ill for 2 weeks, the onset is caused by undercooling. The lag of the left half of the chest during breathing, with a shortening of the pulmonary percussion sound, by auscultation moist rales over the left lung. On X-ray of the chest expressed infiltration of the left lung with multiple sites of destruction. What is the primary diagnosis?

A. Gangrene of the lung.

B. Pleural empyema.

C. Acute lung abscess

D. Abscessing pneumonia.

E. Pyopneumothorax.

ANSWER: A

Complaints of cough with purulent sputum, increased body temperature to 39°C, pain in the left half of the chest, dyspnea. Has been ill for 2 weeks, the onset is caused by undercooling. The lag of the left half of the chest during breathing, the shortening of percussion sound over the lower lobe, by auscultation the breathing is absent. On X-ray of the chest the shadow in the basal parts of the left lung with a horizontal fluid level and enlightenment over it. Is visible the edge of collapsed lung. What is the primary diagnosis?

A. Limited pyopneumothorax.

B. Acute lung abscess

C. Chronic lung abscess.

D. Pleural empyema.

E. Total pyopneumothorax.

ANSWER: A

Complaints of cough with purulent sputum, increased body temperature to 39°C, pain in the left half of the chest. Has been ill for 2 months, the onset is caused by undercooling. The lag of the left half of the chest during breathing, the shortening of percussion sound over the lower lobe, by auscultation weakened breathing with amphoric sound. On X-ray of the chest the destruction cavity with the fibrous capsule in the projection of lower lobe of the left lung, infiltration of lung tissue is not determined. What is the primary diagnosis?

A. Chronic lung abscess.

B. Pleural empyema.

C. Acute lung abscess

D. Abscessing pneumonia.

E. Pyopneumothorax.

ANSWER: A

?Complaints of cough with purulent sputum, increased body temperature to 39°C, pain in the left half of the chest. Has been ill for 2 weeks, the onset is caused by undercooling. The lag of the left half of the chest during breathing, lung sounds by percussion, by auscultation crackling rales over the lower lobe of the left lung. On X-ray of the chest expressed infiltration of lung tissue with areas of enlightenment in the center. What is the primary diagnosis?

A. Abscessing pneumonia.

B. Pleural empyema.

C. Acute lung abscess.

D. Pyopneumothorax.

E. Bronchiectatic disease.

ANSWER: A

Complaints of cough with purulent sputum, increased body temperature to 39°C, pain in the left half of the chest. Has been ill for 2 weeks, the onset is caused by undercooling. The lag of the left half of the chest during breathing, the shortening of percussion sound over the lower lobe, by auscultation weakened breathing with amphoric sound, crackling rales. On X-ray of the chest expressed infiltration of lung tissue with enlightenment in the center with fluid level. What is the primary diagnosis?

A. Acute lung abscess.

B. Pleural empyema.

C. Abscessing pneumonia.

D. Pyopneumothorax.

E. Bronchiectatic disease.

ANSWER: A

Complaints of cough with purulent sputum, increased body temperature to 39°C, pain in the left half of the chest. Has been ill for 2 weeks, the onset is caused by undercooling. The lag of the left half of the chest during breathing, the shortening of percussion sound over the lower lobe, by auscultation weakened breathing with amphoric sound. On the X-ray of chest the destruction cavity with the fluid level, with a clear thin-walled capsule in the projection of the lower lobe of the left lung. Infiltration of lung tissue is not determined. What is the primary diagnosis?

ppurative cyst of the lung.

B. Pleural empyema.

C. Acute lung abscess

D. Abscessing pneumonia.

E. Pyopneumothorax.

ANSWER: A

Complaints of cough with purulent sputum, increased body temperature to 39°C, pain in the left half of the chest. Has been ill for 2 weeks, the onset is caused by undercooling. The lag of the left half of the chest during breathing, over the left lobe a dull percussion sound, by auscultation the breathing is absent. On X-ray of the chest the shadow in the basal parts of the left lung with an oblique upper level along Damuazo's line. What is the primary diagnosis?

A. Pleural empyema.

B. Acute lung abscess

C. Chronic lung abscess.

ppurative cyst of the lung.

E. Pyopneumothorax.

ANSWER: A

Complaints of cough with purulent sputum, increased body temperature to 39°C, pain in the left half of the chest. Has been ill for 2 weeks, the onset is caused by undercooling. The lag of the left half of the chest during breathing, the shortening of percussion sound over the lower lobe, by auscultation weakened breathing. On X-ray of the chest paracostal fusiform shadow in the projection of the left lower lobe of the lung. What is the primary diagnosis?

A. Limited empyema.

B. Wide-spread pleural empyema.

C. Acute lung abscess

D. Chronic lung abscess.

E. Pyopneumothorax.

ANSWER: A

Complaints of heartburn, pain behind the breastbone, outpour of food. Has been ill for 2 months. On X-ray examination revealed the "bell" sign, blunt Hiss angle, absence of gas bubble of the stomach. Your tactics?

A. Conservative therapy.

B. Bouginage of esophagus.

rgical intervention.

D. Large-intestinal plastic of esophageal cardia.

E. Small-intestinal plastic of esophageal cardia.

ANSWER: A

Complaints of heaviness in the epigastric region, nagging pain after eating. When EGDS pathology identified. On X-ray examination pronounced gas bubble of the stomach is is visible the to the level III intercostal space on the left. What is the most probable diagnosis?

A. Relaxation of the diaphragm.

B. Paraezofagalnaya esophageal hernia.

C. Sliding esophageal hernia.

D. Malignant tumor of the esophagus.

E. Achalasia of the esophagus.

ANSWER: A

Complications paraesophageal hernias of esophagus:

A. Incarceration

B. Malignancy.

C. Esophageal stricture.

D. Dysphagia.

E. Reflux esophagitis.

ANSWER: A

In the patient at night appeared a severe pain in the epigastric region, nausea, vomiting. 6 months ago was diagnosed paraesophageal hernia. What complication arose?

A. Incarceration

B. Malignancy.

C. Esophageal stricture.

D. Dysphagia.

E. Reflex esophagitis.

ANSWER: A

In the patient at night appeared a severe pain in the epigastric region, nausea, vomiting. 6 months ago was diagnosed paraesophageal hernia. What type of operation is is indicated for this patient?

A. Cruroplasty

B. Esophagostomy

C. Resection of the esophagus

D. Resection of the stomach

E. Cruroplasty with Nissen's fundoplication

ANSWER: A

In the patient on the fourth day after the chest trauma on X-ray - heterogeneous shadow in the lower puncture received a small amount of light yellow fluid with blood clots. What treatment are the best for the patient?

A. Drainage of the pleural cavity

B. Operational - lung decortication

C. Daily puncture

D. Resorbed therapy

E. Antibacterial therapy

ANSWER: A

In the patient, 35 years old, during the physical exertion appeared severe pain in the left half of the chest. Objectively: the patient is covered with cold sweat, dyspnea, pain during auscultation: vesicular breathing on the right side, on the left - is absent. Tachycardia, pulse 100 beats/min. What is the primary diagnosis?

A. Spontaneous pneumothorax

B. Angina pectoris

C. Acute myocardial infarction

D. Left-sided pleurisy

E. Pneumonia

ANSWER: A

In the patient, 48 years old, on the seventh day after the onset of a moderate pain in the chest, severe cough, fever to 39°C appeared the bad-smell sputum. The patient's condition remains grave, with expectoration more than 600 ml of gray-green sputum, and hectic fever. On X-ray – on the background of the heterogeneous shadow of the lower lobe of right lung revealed a cavity with a horizontal level of fluid. What is the primary diagnosis?

A. Abscess of the right lung

B. Gangrene of the right lung

C. Acute abscess of the right lung

ppuration cyst of the right lung

ppuration tuberculous cavern

ANSWER: A

Patient A., aged 42, had been treated for two months for an acute abscess of the upper lobe of right lung without improvement. The treatment: intramuscular injection of antibiotics, sulfanilamidns drugs. Remains the cough with purulent sputum to 80-100 ml per day, fever (37,6°C). What is the primary diagnosis?