What is the principle of sublay technic of the hernioplasty of postoperative hernia (стр. 6 )

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. Painfullness during palpation of Petit triangle

ANSWER: E

What does the Pasternatsky’s sign mean?

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

B. Increased pain with coughing

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

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

E. Tapping of lumbar region cause the pain

ANSWER: E

What sign is typical for retrocaecal appendicitis in contrast to simple appendicitis?

A. Dunphy's sign

B. Sitkovsky’s sign

C. Bartomier’s sign

D. Kocher’s sign

E. Pasternatsky’s sign

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. Pain and muscular rigidity in a right iliac area during palpation

ANSWER: E

Where is the pain localized in retrocaecal appendicitis?

A. Left subcostal region

B. Left iliac region

C. Epigastric region

D. Right iliac region

E. Right lumbar region

ANSWER: E

Who usually suffer from gangrenous appendicitis?

A. Young men

B. Pregnant women

C. Children

D. Newborns

E. People of old age

ANSWER: E

What signs are typical for gangrenous appendicitis in contrast to simple appendicitis?

A. Single nausea and vomiting

B. Muscular tension in a right iliac area

C. Retention of stool or single diarrhea

D. Signs of gas migration

E. Signs of intoxication

ANSWER: E

What does the Rozdolsky’s sign mean?

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

B. Increased pain with coughing

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

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

E. Painfulness in a right iliac area during percussion

ANSWER: E

What does the Voskresenky's sign mean?

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

B. Increased pain with coughing

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

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

E. Increase of pain during quick sliding movements by the tips of fingers from epigastric to right iliac area

ANSWER: E

What sign is typical for phlegmonous appendicitis in contrast to simple appendicitis?

A. Dunphy's sign

B. Kocher’s sign

C. Bartomier’s sign

D. Sitkovsky’s sign

E. Voskresenky's sign

ANSWER: E

What objective manifestations are typical for acute appendicitis?

A. Rigidity of anterior abdominal wall

B. Absence of peristalsis

C. Absence of hepatic dullness

D. Abdominal distension

E. Muscular tension in a right iliac area

ANSWER: E

What sign is typical for phlegmonous appendicitis in contrast to simple appendicitis?

A. Dunphy's sign

B. Sitkovsky’s sign

C. Bartomier’s sign

D. Kocher’s sign

E. Blumberg's sign

ANSWER: E

What dyspeptic manifestations are typical for acute appendicitis?

A. Constant diarrhea

B. Absence of peristalsis

C. Vomiting by bile without any relief

D. Constant vomiting and nausea without any relief

E. Single nausea and vomiting

ANSWER: E

Where does the pain irradiate in acute appendicitis?

A. Perineum

B. Right scapular

C. Left iliac region

D. Lumbar region

E. Not irradiate

ANSWER: E

The sign of gas migration is called:

A. Dunphy's sign

B. Bartomier’s sign

C. Sitkovsky’s sign

D. Kocher’s sign

E. Rovsing's sign

ANSWER: E

What does the Sitkovsky’s sign mean?

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

B. Increased pain with coughing

C. The increase of pain intensity during the palpation of right iliac area when the patient lies on the left side.

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

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

ANSWER: E

What does the Rovsing's sign mean?

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

B. Increased pain with coughing

C. The increase of pain intensity during the palpation of right iliac area when the patient lies on the left side.

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

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

ANSWER: E

What does the Kocher’s sign mean?

A. Increased pain with coughing

B. The increase of pain intensity during the palpation of right iliac area when the patient lies on the left side.

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

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

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

ANSWER: E

Where is the pain localized in acute appendicitis?

A. Right lumbar region

B. Left subcostal region

C. Left iliac region

D. Epigastric region

E. Right iliac region

ANSWER: E

What components is absent in urine at a mechanical jaundice?

A. All are present

B. Bilious acids.

C. Not direct bilirubin.

D. Direct bilirubin.

E. Urobilin.

ANSWER: E

Specify one of symptoms, what not characteristic for hydropsy of gallbladder:

A. Absence of peritoneal symptoms

B. palpable gall-bladder

C. Increase of gall-bladder

D. Pains in right hypohondrium

E. Icterus

ANSWER: E

The reason of development of mechanical jaundice can be all, except

A. Stenosis of duodenal papilla

B. Stricture of the choledochus

C. Stone in proximal part of choledochus

D. Increase of head of pancreas

E. To the stone in the area of neck of gall-bladder

ANSWER: E

For a cholangitis the most characteristic combination of symptoms: 1) icterus 2) fever 3) anaemia 4) leucocytosis 5) peritonitis

A. 2,3,5

B. 2,5

C. 3,4,5

D. 1,2,3

E. 1,2,4

ANSWER: E

What method of examination is most informative for diagnostics of calculus cholecystitis?

A. ERCP

B. Endoscopy

C. X-Ray

D. Laparoscopy

E. Sonography

ANSWER: E

What method of examination is most informative at the estimation of pathology of bile ducts?

A. CT

B. Sonography

C. transcutaneus transhepatic cholangiography

D. intravenous cholangiography

E. ERCP

ANSWER: E

What combination of clinical symptoms does explain the syndrome of Curvuasie?

A. an icterus, enlarged liver

B. absence of stool, pain, appearance of formation in abdominal region

C. icterus, local peritoneal phenomena

D. increase of liver, hydro-peritoneum, expansion of veins of front abdominal wall

E. A painless enlarged gall-bladder in combination with icterus

ANSWER: E

What is the most frequent reason of development of mechanical jaundice?

A. Metastases of tumor into the liver

B. Peptic ulcer

C. Cancer of head of pancreas

D. Stricture of extrahepatic bile ducts

E. Choledocholitiasis

ANSWER: E

What indications for surgical treatment of cholecystitis?

A. Dispeptic syndrome

B. presence of pancreatitis

C. Concomitant changes in a liver

D. Anamnesis of disease

E. Presence of stones in the gall-bladder

ANSWER: E

What is the method of treatment of chronic calculus cholecystitis?

A. Conservative therapy

B. Antispastic drugs

C. Lithothripsy

D. Cholecystostomy

E. Cholecystectomy

ANSWER: E

At gallstone disease cholecystectomy is performed:

A. At young persons

B. At old patients

C. At presence of clinical signs of disease

D. At the latent form of disease

E. Always

ANSWER: E

Complication of choledocholitiasis is:

A. Perforative cholecystitis, peritonitis

B. Chronic hepatitis

C. Hydrocholecystitis

D. Empyema of gall-bladder

E. Icterus, cholangitis

ANSWER: E

In the case of gallstone disease urgent operation is indicated:

A. At a hepatic colic

B. At mechanical joundice

C. At oclusion of cystic duct

D. At Cholecysto-pancreatitis

E. At perforative cholecystitis

ANSWER: E

The symptom of Curvuasie is not observed at cancer of:

A. Head of pancreas

B. Duodenal papilla

C. Retroduodenal part of common bile duct

praduodenal part of choledochus

E. Gall-bladder

ANSWER: E

Gallstone disease is complicated by all of listed, except:

A. Mechanical jaundice

B. Development of destructive cholecystitis

C. Secondary pancreatitis

D. Cancer of gall-bladder

E. Development of cirrhosis of liver

ANSWER: E

A remittent icterus is caused:

the stricture of choledochus

B. Peptic ulcer disease

the stone in cystic duct

the tumor of choledochus

the valve stone of choledochus

ANSWER: E

For acute cholangitis not characteristic:

A. High temperature

B. Leucocytosis

C. Icterus

D. Pain in right hypochondrium

E. Unsteady liquid stool

ANSWER: E

Gallstone disease is not complicated:

A. Cholangitis

B. Fistula

acute cholecystitis

mechanical icterus

E. Intra-abdominal bleeding

ANSWER: E

For acute cholangit is not characteristic:

A. increase of liver

B. leucocytosis with shift of formula to the left

C. icterus

D. increase of temperature

E. decreasing of sizes of liver

ANSWER: E

Intraoperative cholangiography is not indicated:

A. At icterus during the operation

B. At dilatation of choledochus

C. At presence of icterus in anamnesis

D. At tumor of head of pancreas

E. At a single large stone in the common bile duct

ANSWER: E

For clarification of character of icterus and its reason of origin not used:

A. Sonography

B. ERCP

C. transcutaneus transhepatic cholangiography

D. CT

E. intravenous cholecystocholangiography

ANSWER: E

For a mechanical icterus, with choledoholitiasis, not characteristic: