What is the principle of sublay technic of the hernioplasty of postoperative hernia (стр. 7 )

A. absence of stercobilin in stool

B. hypertermy

C. increase of alkaline phosphatase

D. Increasing of direct bilirubin of blood

E. An acute increasing of level of amylase is in plasma

ANSWER: E

For patient with gangrenous cholecystitis it is indicated:

A. Conservative treatment

B. Without operation

C. Tactic depends from age

D. An operation is deferred

E. Urgent operation

ANSWER: E

The diameter of ductus choledochus is :

A. over 2,0 cm

B. 1,6-2,0 cm

C. 1,1-1,5 cm

D. to 0,5 cm

E. 0,6-1,0 cm

ANSWER: E

The basic method ofexamination of acute cholecystitis is:

A. Gastroduodenoscopy

B. Laparoscopy

C. Cholegraphy

D. Endoscopy

E. Sonography of gall-bladder

ANSWER: E

At a acute and chronic cholecystitis contra-indicated drugs:

A. Baralginum

B. Atropinum sulfate

C. Nospanum

D. Omnoponum

E. Morphinum

ANSWER: E

Normal indexes of білірубіну of blood:

A. 60,6-80,5 mmol/l

B. 40,6-60,5 mmol/l

C. 20,6-40,5 mmol/l

D. 0-1,6 mmol/l

E. 1,7-20,5 mmol/l

ANSWER: E

A acute cholecystitis usually begins from:

A. Paine in the left hypohondrium

B. Disorders of chair

C. High temperature

D. Vomiting

E. Paine in the right hypohondrium

ANSWER: E

Complaints of the patient with pseudo-tumorous pancreatitis:

A. Yellow color of the skin

B. Icterus

C. Dispeptic syndrome

D. Pain in the epigastric region

E. All of answers are true

ANSWER: E

At a pseudo-tumorous pancreatitis a basic symptom is:

A. Portal hypertension

ppuration

C. Pseudocysts

D. Paine

E. Intensive mechanical jaundice

ANSWER: E

A liquid in the cysts of pancreas:

A. Milk-white

B. Green

C. Hemorragic

D. Brown grey

E. Transparent or rather yellow

ANSWER: E

Method of instrumental examination of pseudocysts is:

A. Biopsy

B. Endoscopy

C. Colonoscopy

D. Sciagraphy of organs of abdominal cavity

E. Sonography of organs of abdominal cavity

ANSWER: E

An unreal pancreatitis cyst contains:

A. Sinovial liquid

B. Gastric juice

C. Serous liquid

D. Rudiments of teeth, hairs, nails

E. Blood, pancreatitis juice, products of necrosis of pancreas

ANSWER: E

What does the pseudocyst of pancreas behave to?:

A. All of answers are true

B. Symptom of acute pancreatitis

C. Congenital pathology of pancreas

D. Early complication of acute pancreatitis

E. Late complication of acute pancreatitis

ANSWER: E

As a rule, a pseudocyst contains:

A. Water

B. Lymph

C. Pus

D. Bile

E. Pancreatic juice

ANSWER: E

What is the complications of pseudocyst of pancreas:

A. Fistula

B. Bleeding

C. Perforation

ppuration

E. All is true

ANSWER: E

Specify what pathology is reason of development of pseudocyst of pancreas:

A. Liver cirrhosis

B. Peptic ulcer

C. Diabetes

D. Acute cholecystitis

E. Acute pancreatitis

ANSWER: E

At the complicated pancreatitis conservative therapy indicated for:

A. Decreasing of secretion of stomach

B. Decreasing of secretion of pancreas

C. Treatment of shock

D. Decreasing of pain

E. All listed true

ANSWER: E

Frequency of hepatic insufficiency at complicated acute pancreatitis:

A. In 95 % patients

B. In 2 % patients

C. In 75 % patients

D. In 100 % patients

E. In 25 % patients

ANSWER: E

Fermentativ shock at the complicated pancreatitis more frequent arises up at:

A. Chronic pancreatic fistula

B. Abscess of pancreas

C. To the edema of pancreas

D. Local necrosis of pancreas

btotal or total necrosis of pancreas

ANSWER: E

Result of hypersecretion of pancreas can be the spasm of sphincter:

A. Heyster

B. Vestfal

C. Mirizzi

D. Lutkins

E. Oddi

ANSWER: E

Complications of acute pancreatitis is not:

A. Omentobursitis

B. Biliary hypertension

C. Fermentativ peritonitis

D. Pylephlebitis

E. Phlegmon of retroperitoneal space

ANSWER: E

What are complications of acute pancreatitis:

A. Phlegmon of retroperitoneal space

B. Biliary hypertension

C. Omentobursitis

D. Fermentativ peritonitis

E. All indicated complication

ANSWER: E

Principle of conservative treatment of fistula of pancreas:

A. Conservative treatment is non-effective

B. Improvement of outflow of bile

C. Increase of regeneration

D. Increase of pancreatic secretion

E. Decrease of pancreatic secretion

ANSWER: E

Specify the most dangerous complication of pancreonecrosis:

A. Pseudocyst of pancreas

B. Diabetes

C. Inflamation

D. Fibrosis of pancreas

E. Bleeding

ANSWER: E

Ferment’s peritonitis in patients with acute pancreatitis develops:

A. After 72 hours

B. In 5-6 days

C. In 12-15 hours

D. In 6 hours from the beginning of disease

E. In the period of 24-48 hours

ANSWER: E

The symptoms of intoxication psychosis at the complicated acute pancreatitis is:

A. Visual hallucinations

B. Aggression

C. Apathy

D. Hypodynamia

E. Disorientation

ANSWER: E

Ferment’s peritonitis can arise up in the case of disease of such organs of abdominal cavity:

A. Stomach

B. Gall-bladder

C. Liver

D. Spleen

E. Pancreas

ANSWER: E

What procedure must be performed at the postnecrotic cysts of pancreas:

A. Omentopancreatopexy

B. Pancreatotomy

C. Necrectomy

D. Pancreatectomy

E. Puncture and external draining of cyst

ANSWER: E

Mostly a intoxication psychosis can arise up at abuse of:

A. Smoking

B. Medicines

C. Drugs

D. Fatty food

E. Alcohol

ANSWER: E

When could be intoxication psychosis at acute pancreatitis?

A. In 2 weeks

B. On the 9-11 days

C. On the 6-8 days

D. On the first day

E. On the 2-3 days

ANSWER: E

At the complicated pancreatitis, bleeding could be from vessels, except:

A. Left gastric artery

B. Gastro-duodenal artery

C. Splenic vein

D. Splenic artery

E. Hepatic artery

ANSWER: E

In case of acute pancreatitis bleeding could be to:

A. Intestine (at internal fistula)

B. Abdominal cavity

C. Wound

D. External fistula

E. At all listed variants

ANSWER: E

The early bleeding at the complicated pancreatitis is stopped by using:

A. Cold on the abdomen

B. Hot-water bottles on the abdomen

C. Rest and cold on the abdomen

D. Operative treatment

E. Ordinary haemostatic drugs

ANSWER: E

What are cysts of pancreas?:

A. Traumatic

B. Inflammatory

C. After echinococcus

D. Real and unreal

E. All of answers are true

ANSWER: E

The early bleeding at the complicated acute pancreatitis are more frequent:

A. In the first minute

B. During the first hour

C. During the first minute

D. At a few first hours

E. In a few first days

ANSWER: E

Name specific complications of acute pancreatitis in early and late postoperative periods:

A. Phlegmon of retroperitoneal space

B. Pseudocyst of pancreas

C. Fistula of pancreas

D. Bleeding

E. All of answers are true

ANSWER: E

After what develops postnecrotic cysts of pancreas?

A. Acute pancreatitis, edematous form

B. Chronic indurative pancreatitis

C. Chronic pseudotumor - pancreatitis

D. Chronic pancreatitis

E. Acute pancreatitis, pancreonecrosis

ANSWER: E

What is local symptoms of retroperitoneal phlegmon at complicated acute pancreatitis?

A. Hyperemia of tissue

B. Swelling of tissue

C. Tension of lumbar muscles

D. Pain during palpation on the left hypochondrium

E. All of symptoms true

ANSWER: E

Lung complications is includes:

A. Bronchial asthma

B. Pulmonary insufficiency

C. Abscess of lights

D. Right-side pleurisies and pneumonias

E. Left-side pleurisies and pneumonias

ANSWER: E

What is the basic methods of diagnostics of postnecrotic cysts:

A. Laparoscopy

B. ERCP

C. Colonoscopy

D. Endoscopy

E. Sonography and CT

ANSWER: E

At lung complication of acute pancreatitis respiratory insufficiency is characterized:

absence of all listed symptoms

a frequent superficial breath

C. Acrocianosis

the short breath

the presence of all listed symptoms

ANSWER: E

Septic complications of acute pancreatitis is indication to:

A. Analgesic treatment

B. Antibiotic treatment

C. Conservative treatment

D. Sonography

E. Operation

ANSWER: E

Specify the best therapy of parapancreatic infiltrate:

A. Operative treatment

B. Antispastic

C. Analgesic treatment

D. Desintoxication

E. Antibiotic

ANSWER: E

What is the best method of examination of pancreatic infiltrate:

A. Sonography

B. X-Ray

C. Biochemical blood test

D. Palpation

E. Sonography

ANSWER: E

What is result of pancreatic infiltrate:

A. Development of pseudocyst

B. Distribution of process with development of peritonitis

C. Formation of capsule

D. Quick disappear

E. Slow (during 1,5-3 month) disappear

ANSWER: E

Forming of pancreatic infiltrate is depended from:

A. Toxic influence

B. Autoimmune inflammation

C. Septic inflammation

D. Allergic reaction

E. Aseptic inflammation

ANSWER: E

What is the reason of late complications of acute pancreatitis?

violation of local blood flow

B. Obstruction of pancreatic ducts

C. Development of aseptic inflammation

D. Enzymes

E. Infection

ANSWER: E

Late complications of acute pancreatitis are:

A. Cysts and fistula of pancreas

B. Abscesses of abdominal cavity

C. Phlegmon retroperitoneal tissue

D. Festering pancreatitis and parapancreatitis

E. All of answers are true

ANSWER: E

What procedure is prescribed for patients with plenty of hemorrhagic exudates with high ferment activity in the abdominal cavity?

A. Conservative treatment

puter томографії of organs of abdominal cavity

C. X-Ray of organs of abdominal cavity

D. Sonography of organs of abdominal cavity

E. Laparotomy

ANSWER: E

When do patients have late complications of acute pancreatitis?

A. 1-2 days

B. 2-3 days

C. 5-6 days

D. 3-4 days

E. 10-12 days

ANSWER: E