What is the principle of sublay technic of the hernioplasty of postoperative hernia (стр. 5 )

E. intravenous anaesthesia

ANSWER: E

After appendectomy to early postoperative complications belongs:

A. colitis

B. ligature fistula

C. ventral hernia

D. intestinal fistula

E. peritonitis

ANSWER: E

During appendectomy the most frequent complication is:

A. peritonitis

B. infecting

C. leak of the sutures

D. infiltrate

E. bleeding

ANSWER: E

After appendectomy the patient stands out of bed on:

A. fifth day

B. fourth day

C. third day

D. second day

E. first day

ANSWER: E

Modern method of appendectomy is:

A. ligation

B. laparotomy

C. laparocentesis

D. microlaparotomy

E. laparoscopic

ANSWER: E

The point through which the Volkovich-Dyakonov access is performed located on the line between anterior-superior process of the iliac bone and umbilicus:

A. in external third

B. in the middle

C. in the internal third

D. between external and internal third

E. between external and middle third

ANSWER: E

The removal of appendix from the base is:

A. laparoscopic appendectomy

B. antececal appendectomy

C. retrocecal appendectomy

D. antegrade appendectomy

E. Retrograde appendectomy

ANSWER: E

On the line between the anterior-superior process of the iliac bone and umbilicus located the point:

A. Volkovich-Dyakonov

B. Lenander's

C. Kehr's

D. Kalk's

E. McBurney's

ANSWER: E

The removal of appendix from apex - is :

A. laparoscopic appendectomy

B. antececal appendectomy

C. retrocecal appendectomy

D. retrograde appendectomy

E. antegrade appendectomy

ANSWER: E

For appendectomy the most suitable surgical access is:

A. Kocher

B. Sprengel

C. Lenander

D. McBurney

E. Volkovich-Dyakonov

ANSWER: E

Appendectomy after the treatment of appendicular infiltrate performed after:

A. 3-5 days

B. 1-2 months

C. 3-4 weeks

D. 1-2 weeks

E. 2-4 months

ANSWER: E

Appendicular infiltrate appears after:

A. 8-10 days

B. 7-8 days

C. 5-6 days

D. 1-2 days

E. 3-5 days

ANSWER: E

Conservative treatment of appendicular infiltrate is going on:

A. 2-4 months

B. 1-2 months

C. 3-4 weeks

D. 1 week

E. 1-2 weeks

ANSWER: E

Appendicular infiltrate is treated:

A. anti-inflammatory drugs, paranephral blockade, detoxication therapy

B. analgesia, antibiotics, diuretics, anti-inflammatory therapy

C. antibiotics, diuretics, antispasmodic, anti-inflammatory therapy

D. antiseptics, analgesia, antibiotics, anti-inflammatory therapy

E. antibiotics, paranephral blockade, detoxication therapy

ANSWER: E

Treatment of appendicular infiltrate:

A. at first ultraviolet radiation, then the cold

B. at first the warm, then the cold

C. the warm on the abdomen

D. the cold on the abdomen

E. at first the cold, then the warm

ANSWER: E

Appendicular infiltrate is treated:

A. only surgical treatment

B. drainage

C. puncture

D. only conservative therapy

E. conservative therapy, then surgery

ANSWER: E

Appendicular infiltrate is treated:

the novocain block

rgically

antibiotics

anti-inflammatory medicines

E. conservative therapy

ANSWER: E

Name the clinical phases of appendicitis

A. abdominal, abdominal changes, complications

B. iliac, local changes, peritonitis

C. mesogastric, abdominal changes, peritonitis

D. local, abdominal changes, peritonitis

E. epigastric, local changes, complications

ANSWER: E

Acute appendicitis in the 1st phase is necessary to differentiate from:

A. strangulated hernia

B. intestinal obstruction

C. cholecystitis

D. pancreatitis

E. gastric ulcer

ANSWER: E

The most informing method of instrumental diagnostics of acute appendicitis is:

A. colonoscopy

B. esophagogastroscopy

C. gastroscopy

D. contrasting roentgenoscopy

E. ultrasound examination

ANSWER: E

Characteristic changes in the general blood analysis in appendicitis:

A. white cells neutrophilia with deviation of the differential count to the right

B. neutrophil leucocytosis with deviation of the differential count to the right

C. neutrophil eosonophilia with deviation of the differential count to the left

D. neutrophil lymphocytosis with deviation of the differential count to the left

E. neutrophil leucocytosis with deviation of the differential count to the left

ANSWER: E

Pain during removing of the hand from abdominal wall after its pressing - is:

A. Kulenkampf's sign

B. Obrastsow's sign

C. Sitkovsky's sign

D. Rovsing's sign

E. Shchotkin-Blumberg's sign

ANSWER: E

Pain in the right iliac region by pushing of the left - is:

A. Kulenkampf's sign

B. Voskresensky's sign

C. Obrastsow's sign

D. Sitkovsky's sign

E. Rovsing's sign

ANSWER: E

Pain during percussion by fingers of anterior abdominal wall - is:

A. Kulenkampf's sign

B. Voskresensky's sign

C. Sitkovsky's sign

D. Obrastsow's sign

E. Rozdolsky's sign

ANSWER: E

Pain during digital examination of rectum - is:

A. Sitkovsky's sign

B. Kocher-Volkovitch's sign

C. Voskresensky's sign

D. Obrastsow's sign

E. Kulenkampf's sign

ANSWER: E

Pain in the right iliac region during palpation of the iliac region on the left side - is:

A. Kocher-Volkovitch's sign

B. Voskresensky's sign

C. Obrastsow's sign

D. Sitkovsky's sign

E. Bartomier-Mikhelson's sign

ANSWER: E

Strengthening of pain in right iliac region on the left side - is:

A. Bartomier-Mikhelson's sign

B. Kocher-Volkovitch's sign

C. Voskresensky's sign

D. Obrastsow's sign

E. Sitkovsky's sign

ANSWER: E

Pain during sliding of hand on abdominal wall - is:

A. Bartomier-Mikhelson's sign

B. Kocher-Volkovitch's sign

C. Obrastsow's sign

D. Sitkovsky's sign

E. Voskresensky's sign

ANSWER: E

Pain in the iliac region during elevation of the leg - is:

A. Voskresensky's sign

B. Bartomier-Mikhelson's sign

C. Kocher-Volkovitch's sign

D. Sitkovsky's sign

E. Obrastsow's sign

ANSWER: E

Displacement of pain from epigastric region into the iliac– is:

A. Bartomier-Mikhelson's sign

B. Obrastsow's sign

C. Sitkovsky's sign

D. Voskresensky's sign

E. Kocher-Volkovitch's sign

ANSWER: E

Black colour, fibrino-purulent fur, perforation are the signs of:

A. dystrophic appendicitis

B. catarrhal appendicitis

C. gangrenous appendicitis

D. phlegmonous appendicitis

E. gangreno-perforative appendicitis

ANSWER: E

Black colour, fibrino-purulent fur, pus in the lumen are the signs of:

A. dystrophic appendicitis

B. gangreno-perforative appendicitis

C. catarrhal appendicitis

D. phlegmonous appendicitis

E. gangrenous appendicitis

ANSWER: E

Hyperemia, fibrino-purulent fur, pus the lumen are the signs of:

A. dystrophic appendicitis

B. gangreno-perforative appendicitis

C. gangrenous appendicitis

D. catarrhal appendicitis

E. phlegmonous appendicitis

ANSWER: E

Hyperaemia, thickening, oedema of appendix are the signs of:

A. dystrophic appendicitis

B. gangreno-perforating appendicitis

C. gangrenous appendicitis

D. phlegmonous appendicitis

E. catarrhal appendicitis

ANSWER: E

Typical complications of the appendicitis are:

A. infiltrate, abscess, osteomyelitis, pilephlebitis

B. abscess, phlegmon, peritonitis, pilephlebitis

C. infiltrate, gangrene, paraproctitis, pilephlebitis

D. abscess, phlegmon, paraproctitis, pilephlebitis

E. infiltrate, abscess, peritonitis, pilephlebitis

ANSWER: E

What is the treatment of appendicular infiltrate?

A. Caecostomy

B. Hemicolectomy

C. Appendectomy

D. Draining operation

E. Conservative treatment

ANSWER: E

What complication is typical for acute appendicitis?

A. Malignization

B. Appendicular-intestinal fistula

C. Acute intestinal obstruction

D. Appendicular bleeding

E. Appendicular abscess

ANSWER: E

What complication is typical for acute appendicitis?

A. Malignization

B. Appendicular-intestinal fistula

C. Acute intestinal obstruction

D. Appendicular bleeding

E. Appendicular infiltrate

ANSWER: E

What does the examination of infant children in acute appendicitis require to use?

A. X-ray with barium swallow

B. Cleaning enema

C. Siphon enema

D. Contrast enema

E. Chloralhydrate enema

ANSWER: E

What clinical picture is typical for appendicitis in children?

A. Clinic of acute intestinal obstruction

B. Absence of muscular tenderness

C. Absence of dyspeptic manifestation

D. Abdominal distension

E. Clinic of destructive forms of appendicitis and intoxication

ANSWER: E

Where is the pain localized in left-side appendicitis?

A. Right lumbar region

B. Left subcostal region

C. Right iliac region

D. Epigastric region

E. Left iliac region

ANSWER: E

What objective manifestations are typical for retrocaecal appendicitis?

A. Rigidity of anterior abdominal wall

B. Clinic of retroperitoneal phlegmon

C. Absence of hepatic dullness

D. Abdominal distension

E. Painfullness of anterior rectal wall and posterior vaginal vault

ANSWER: E

What manifestation is typical for pelvic appendicitis?

A. Clinic of acute pancreatitis

B. Clinic of acute abdomen

C. Clinic of acute intestinal obstruction

D. Clinic of retroperitoneal phlegmon

E. Absence of muscular tenderness

ANSWER: E

What manifestation is predominant for pelvic appendicitis?

A. Clinic of acute pancreatitis

B. Clinic of acute intestinal obstruction

C. Clinic of retroperitoneal phlegmon

D. Clinic of acute abdomen

E. Clinic of irritation of pelvic organs (dysuria, pulling rectal pain, tenesmi)

ANSWER: E

What does the Gabay’s sign mean?

A. Increase of pain in a right iliac area when the patient lies on the left side

B. Tapping of lumbar region cause the pain

C. Migration of pain to the right iliac area from epigastric

D. Pain in right lower quadrant during palpation of left lower quadrant

E. Blumberg’s sign in Petit triangle

ANSWER: E

What does the Yaure-Rozanov sign mean?