surgery 2

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Hydradenitis is most often localized in the area of:

armpit

The causative agent of the furuncle is most often:

staphylococcus

Surgical treatment of an abscessing furuncle provides for: //

cruciform incision

When opening a subcutaneous panaritium in a polyclinic, anesthesia is used according to the method:

Oberst-Lukashevich

A patient with a contaminated bitten wound of the right forearm came to the outpatient surgeon. In the anamnesis - an attack by a stray dog. Which of the following is not shown to this patient?

primary surgical treatment of the wound

A patient with a pararectal fistula came to the polyclinic. What is not typical for this disease?

anemia

Which method of additional examination is preferable in a polyclinic to confirm a crack in the anal canal?

anoscopy

Which method of treatment of acute subcutaneous paraproctitis should an outpatient surgeon choose?

opening of the abscess

It cannot be considered a typical complication of hemorrhoids://

anal fissure

A patient with Lerish syndrome came to the polyclinic for an appointment with a surgeon. What is it?

atherosclerotic occlusion of abdominal aortic bifurcation

During the conduction anesthesia of the finger according to Lukashevich-Amulet, novocaine is administered:

at the base of the finger and on the lateral sides of the main phalanx

At the reception at the polyclinic, a 42-year-old patient complains of heartburn and pain 2 hours after eating. What kind of disease can you think about first of all?

about peptic ulcer of the duodenum

To the outpatient surgeon's cabinet brought a patient on severe condition from the street. The surgeon suspected a perforation of the whole organ. What symptoms do not indicate this diagnosis?

bloating

In the polyclinic, the surgeon suspected a perforated ulcer of the duodenum of the patient. What kind of examination method should he do?

Gastroduodenoscopy

Who can lead the clinical expert commission of a medical and preventive institution?

chief physician or deputy chief physician for clinical and expert work

How many disability groups are allocated?

three

The document confirming the temporary disability of the patient is:

temporary disability sheet

Which of the most dangerous complications of deep vein thrombosis should an outpatient surgeon consider?

pulmonary embolism

What recommendations should not be given by an outpatient surgeon on the 10th day after phlebectomy?

jogging

When examining a patient with acute pneumothorax in the outpatient clinic, the surgeon could not determine the following sign:

anemia

The outpatient surgeon should remember that spontaneous pneumothorax most often occurs in:

Bullous cysts of the lung

Hydradenitis is most often localized in the area of:

axilla

The surgeon in the outpatient clinic should remember that hemorrhoids are not predisposed to the occurrence of:

two-moment act of defecation

The following cannot be considered a typical complication of hemorrhoids:

anal fissure

When talking to the patient in the outpatient clinic, the surgeon said that everything can lead to varicose veins except:

arterial ulcers

What is the most informative method of investigation that an outpatient surgeon should prescribe outpatient surgeon to a patient with suspected esophageal hernia of the diaphragm?

Contrast-enhanced polyposis radiologic study

What treatment should an outpatient clinic surgeon prescribe to a patient with Canker's diverticulum?

removal of diverticulum with myoesophagotomy

The outpatient surgeon should remember that the most common complication of esophageal diverticula is:

diverticulitis

What early signs should an outpatient surgeon look for in a patient with suspected esophageal cancer?

dysphagia

What an outpatient surgeon should not perform on a patient with suspected esophageal foreign body:

esophageal probing

A patient with mild symptoms of reflux esophagitis presented to the outpatient clinic.What recommendations can the outpatient clinic surgeon give for this disease?

all of the above

At the visit to the surgeon in the outpatient clinic, the patient had a number of symptoms. None of them are typical for Paget's-Schretter's disease:

Horner's syndrome

A 19-year-old male patient had a left-sided inguinal hernia that had previously existed during static exercise and stopped repositioning. The patient unsuccessfully tried to put the hernia back in on his own several times and then came to the surgeon in the outpatient clinic. What should be done in such a case?

Send the patient to a surgical hospital

An outpatient examination of a 65-year-old patient revealed a rectal tumor. The tumor is located 5 cm from the anus. What kind of surgery is indicated to the patient?

abdominoperineal extirpation

A 42-year-old patient came to see a surgeon at an outpatient clinic. He complained of severe pain in the anus area, which increased with walking and sitting. The pains occurred after drinking a lot of spicy food and alcohol. The patient's general condition is moderately severe. Body temperature was 37.6 degrees. Bluish-purple, tense, sharply painful nodes are determined in the anus area. What's your diagnosis?

acute thrombosis of hemorrhoidal nodes

A 29-year-old patient was operated for duodenal ulcer complicated by bleeding. 2/3 of the stomach was resected. In the postoperative period 4 months later fibrogastroduodenoscopy revealed the stomach stump ulcer. What is the further tactics?

Exclude chronic abdominal ischemia syndrome

A man sees a proctologist and complains of a foreign body in the rectal area. Examination reveals cauliflower-like overgrowth in the anal canal and perianal area. What is your diagnosis?

vorsinous tumor

A 56-year-old patient complains of constant nagging pains in the left iliac region, unstable stool (constipation alternates with diarrhea). The stools were mixed with blood and mucus. Examination of a patient shows only moderate pain in the left iliac area. Necessary investigations?

irrigoscopy

During examination in the outpatient clinic, the surgeon found the patient to have fever, pain during defecation, swelling and hyperemia of the skin on the perineum. The duration of the disease is 3 days. What kind of paraproctitis has these symptoms?

subcutaneous

In a surgical outpatient clinic, a young doctor found out that the patient had been operated for acute gangrenous appendicitis, local peritonitis, and pilephlebitis while reviewing the accompanying medical records. In addition to the appendectomy, the patient underwent relaparotomy with removal of the ascending colon. Pylephlebitis is a thrombosis of:

the portal vein

When talking to the patient in the outpatient clinic, the surgeon said that everything can lead to varicose veins except:

obliterating diseases of the arteries

A young man who had been involved in a car accident and had signs of acute bleeding from a wound in his thigh was brought to the surgeon's office in an emergency. Which method of temporary stopping bleeding should not be used in this case:**

Wound tamponade

A patient with signs of acute arterial ischemia of the lower extremity was brought to the surgeon in the outpatient clinic. What cannot be referred to the characteristic symptoms of this pathology?

Intermittent cramps in the lower leg

A patient with constant severe abdominal pain was brought to the surgeon. The anamnesis revealed that he had been ill for 3 hours. Objectively: hemodynamics - unstable, pulse - 90 bpm, pulsating mass palpated at the level of the navel, pulse on the femoral arteries weakened. The patient is pale. What disease can be suspected?

dissecting aortic aneurysm//

A 54-year-old patient with sudden sudden abdominal pain was brought to the surgeon's office. He considered himself ill for about 2 hours. After examination the diagnosis of abdominal hollow organ perforation was made. What is characteristic of a perforated ulcer?

plank-like tension of the muscles of the anterior abdominal wall

When interpreting the symptom of absence of hepatic obtuseness in a patient with a perforative gastric ulcer, the outpatient surgeon concluded that this fact was due to:

Pneumoperitoneum

A surgeon diagnosed a patient with acute recurrent calculous cholecystitis in an outpatient clinic. What symptom could indicate gangrenous inflammation?

Schetkin-Blumberg's symptom in the right subcostal area

A patient with a long history of cholelithiasis is suspected of cholangitis by an outpatient clinic surgeon. What is not typical for this pathology?

Courvoisier's symptom

When examining the patient in the outpatient clinic on the 10th day after appendectomy surgery, the surgeon revealed a number of symptoms. Which of them are the signs of an abscess of the Douglas space?

Overhang and painfulness of anterior wall of rectum

A patient who underwent appendectomy and came to see an outpatient surgeon on the 44th day after surgery experienced nausea, abdominal bloating, triple vomiting, and cramp-like abdominal pain. What complication could the patient have had?

late adhesive intestinal obstruction

A 19-year-old man had a left-sided inguinal hernia that had previously existed during static exercise and stopped being repositioned. The patient repeatedly tried unsuccessfully to put the hernia back in on his own, after which he went to the surgeon in the outpatient clinic. What should be done in this case?

Send the patient to a surgical hospital

A surgeon in an outpatient clinic should know that femoral hernias are more common:

women

A patient came to the surgeon's office 1 hour ago with a spontaneous inguinal hernia. What should be done?

observation in a surgical hospital

The outpatient surgeon should remember that intestinal necrosis develops most rapidly in:

abdominal adhesions

An outpatient surgeon suspected acute pancreatitis while examining a patient. Which of the following symptoms are not characteristic of this disease?

Abdominal asymmetry

How to distinguish outpatient inguinal hernia from testicular sheath vesicles?

diaphanoscopy

an outpatient surgeon has decided to perform a pleural puncture on a patient with exudative pleurisy. Where should it be performed?

At VIII intercostal space along posterior axillary line

Postoperative venous outflow is improved by all of the following except:

early standing up

During the treatment of a patient after vascular prosthesis implantation surgery for chronic arterial ischemia of atherosclerotic genesis in an outpatient clinic, the surgeon assessed the probability of graft thrombosis. The leading factors of acute prosthetic thrombosis in this case are all but:

Anemia

When treating elderly and senile patients in an outpatient clinic, remember that the most common thromboses are:

femoral arteries

What drugs can be avoided in the pre-hospital phase for acute arterial ischemia of the lower extremity?

antibiotics

A 45-year-old female patient who had been involved in a car accident was brought to the surgeon from the street. On examination, the surgeon suspected a fracture-dislocation of the right shoulder joint. Not typical for this pathology:

Extension of the limb

At an appointment with an outpatient surgeon, the patient complained of persistent severe pain in the left foot and heel area. The previous day the patient had jumped from the 2nd floor while intoxicated. Which of the following signs would indicate heel bone fracture?

Pain in heel bone area

During the examination of a 21-year-old patient, the outpatient clinic surgeon found multiple abrasions and bruises to the head. It was found out that the patient had been beaten by unknown people the day before. What symptoms are not characteristic for concussion in this case?

anemia

When examining a patient in the outpatient clinic, the surgeon suspected a spinal fracture in the TXI-TXH area. Which of the following radiologic signs would not confirm this diagnosis?

Hematoma of the peri-vertebral tissues

A soccer player came to the surgeon in the outpatient clinic complaining of severe pain in the upper third of the anterior surface of the right thigh. These pains appeared the day before during training when he hit the ball hard. What is not characteristic for rectus femoris muscle tear?

Pain in the groin area

A 30-year-old patient consulted a surgeon at an outpatient clinic complaining of weakness, dizziness, vomiting, tarry stools. Abdominal pain did not bother him. Your preliminary diagnosis?

Gastrointestinal bleeding

A 36-year-old patient C., who works as a butcher, came to the outpatient clinic with complaints of a "boil/furuncle" on his right forearm. On the right forearm a necrotic ulcer 5 mm in diameter with serous fluid and indentation in the center, surrounded by a pronounced inflammatory ridge and a ring of dense vesicles. There is pronounced edema of the surrounding soft tissues. The indicated mass is:

Anthrax carabunculus

A 34-year-old patient came in for a facial carbuncle. Examination revealed painless swelling of subcutaneous fatty tissue, black scab in the center of the carbuncle, vesicular rash on the periphery. Microbiological examination revealed immobile streptobacilli capable of forming capsules. Identify the main causative agent of this disease?

Staphylococcus aureus

Patient Y., 43 years old, has had type II diabetes mellitus for 10 years, severe form. He complains of pain, tumor-like mass in the interscapular region, up to 5 cm in diameter, with marked hyperemia and edema. In the center there are 5 pus-filled apices up to 0.2-0.3 cm in diameter. On the palpation, there was sharp painfulness. What disease can be suspected in this patient?

Carbuncle

A 31-year-old patient consulted an outpatient surgeon with complaints of fever up to 38°C, pain in the lumbar region, and swelling. During the examination, a painful infiltrate 5×6 cm in size was found in the right lumbar region, the skin above it was purple, in the center there were many purulent-necrotic fistulas, which exuded pus. The most likely diagnosis?

Lumbar carbuncle

You have been invited to the home of a patient, 20 years old, with a pregnancy of 38 weeks. On examination you diagnosed iliofemoral venous thrombosis. What should be done in this situation?

Hospitalize the patient in a maternity hospital, carry out conservative therapy prescribed and monitored by a vascular surgeon

An outpatient surgeon saw a patient K., 23 years old, complaining of pain in the left axillary area, fever up to febrile digits. Objectively: a sharply painful infiltrate is detected in the left axillary area, the skin is hyperemic, softening in the center, positive fluctuation symptom. Diagnosis?

Hidradenitis

Patient L., 42 years old, consulted a surgeon at an outpatient clinic complaining of pain in the right inguinal area, febrile fever, headache. Objectively: swelling of tissues, sharply painful infiltrate, hyperemic skin, softening in the center, positive fluctuation symptom in the right inguinal area. In the clinical blood test - neutrophilic leukocytosis. Diagnosis?

Lymphadenitis

Recto-Romanoscopy revealed a 3x2 cm villous polyp in the rectum at 10 cm from the edge of the anus. On the basis of the investigations, it was found that the villous polyp has a benign structure. In this case we should:

Hospitalize the patient as planned for surgical removal of the polyp

Horseshoe-shaped fistulas are rectal fistulas that have:

Fistulous tract with one internal opening, and several external ones on left and right side of anus

While examining a 70-year-old patient at home, you found bloating of the abdomen, heard increased resonating peristalsis and "splashing noise”. What disease is the clinical picture characteristic for?

Acute intestinal obstruction

A 34-year-old patient presented to an outpatient surgeon with complaints of sore throat, difficulty swallowing, fever, weakness and black stool. Anamnesis revealed that the patient accidentally drank a small amount of acetic essence 3 days ago. The patient's examination revealed a moderate leukocytosis up to 9.4-10/12, anemia (erythrocytes - 3.5x10/12), increase of body temperature up to 37.4°С, black formalized stool on rectal finger examination. Review radiography revealed no pathology. What complication of the chemical burn of the esophagus did the patient develop?

gastrointestinal bleeding

A 56-year-old patient consulted a surgeon in the outpatient clinic complaining of black stools and occasional "coffee grounds" vomiting. He believes that he fell ill about 4 months ago when he noted a decreased appetite, weight loss, unmotivated weakness. On objective examination: hemodynamics stable, pale skin, no pathology noted on palpation of the abdomen, black feces on the glove after rectal finger examination. The tests show anemia. What disease could we be talking about?

gastric cancer

While examining a 67-year-old patient who suffered a myocardial infarction 2 months ago, a surgeon at an outpatient clinic found a pinched inguinal hernia. The impingement, according to the patient, occurred 3 hours ago. What should be done?

Perform emergency surgery as an inpatient

A patient consulted an outpatient surgeon complaining of weakness and increased body temperature up to 38°C. The medical history showed that the patient had been hospitalized for right-sided lower lobe pneumonia for 3 weeks. He was discharged six days ago. X-ray examination revealed darkening in the right lung and fluid level up to the angle of the scapula. Physician's tactics:

Perform pleural puncture

A 38-year-old man slept on a park bench for 6 hours while intoxicated. Two days later, he noted a fever and chest pain on the right side. He did not consult a doctor. For the next 2 weeks he felt weakness, fever up to 37.5-38°C. In the morning, while coughing, suddenly about 200 ml of pus with an unpleasant smell came out. I went to the outpatient surgeon for an appointment. What is the likely diagnosis?

Lung abscess

A patient consulted an outpatient surgeon complaining of pain in the right knee joint. Past medical history: fall with bruise of the joint. On examination: the joint was enlarged in volume, its contours were smoothed, balloting of the patella was detected. The most probable diagnosis?

Posttraumatic hemarthrosis

A patient presented to an outpatient surgeon with a cut wound penetrating into the elbow joint cavity. After primary surgical treatment, the joint capsule should be: //

Suture tightly with drainage

A 54-year-old patient with sudden abdominal pain was brought to the surgeon's office. He considered himself sick for about 2 hours. After examination, the diagnosis of abdominal hollow organ perforation was made. What is characteristic of a perforated ulcer?

Anterior abdominal wall muscle tension

During a follow-up examination of a 22-year-old woman, a node of dense consistency with a smooth surface measuring 2 x 2 cm, easily displaced, separated from the surrounding tissue was found in the upper respiratory quadrant of the mammary gland. What disease can be suspected if the peripheral lymph nodes are palpatory unchanged ?

Fibroadenoma

A 30-year-old pregnant woman was examined at an antenatal clinic and found a tumor node 3 cm across in her mammary gland. The gestational age was 12 weeks. After consultation and examination by oncologist, the breast cancer was detected. What method of treatment is necessary to be recommended to the patient?

Termination of pregnancy, radical mastectomy

A 19-year-old female patient complained of moderate mammary gland pain, which intensified during the premenstrual period. Both mammary glands were regular in configuration and symmetrical. Nipples and skin were not changed. On palpation, lumpy masses are detected in the gland, against which a dense, well-defined tumor up to 6 cm in diameter, easily displaced in the tissue, not connected to the skin and nipple is revealed. Regional lymph nodes are not enlarged. What is the most likely diagnosis ?

Fibroadenoma on cystic fibrosis //

A 40-year-old patient presented to an outpatient clinic with complaints of pain and difficulty in passing food for 3 months. Past medical history: he was known to have accidentally drank a sip of acetic acid 2 years ago. The clinical picture may be due to//

cancerous narrowing of the esophagus

A 52-year-old patient came to an outpatient clinic complaining of chest pain, pesky dry cough, shortness of breath. Sputum was difficult to discharge, scanty, sometimes with a touch of blood. He had been ill for two months. During this time, collapse of energy, weakness increased, body temperature was elevated only in the first week of the disease, now it was normal. On objective examination, vesicular breathing in the lungs, slightly stiffer on the right side. X-ray examination reveals intense triangular-shaped darkening corresponding to the projection of the lower lobe of the right lung. What methods of investigation should be recommended to the patient?

transthoracic and transbronchial biopsy

A woman complains of a dense node in the upper outer quadrant of the right mammary gland in the outpatient clinic. Which of the following examinations would you prescribe to diagnose the disease?

mammography

A patient came to the outpatient clinic 10 days after accidental ingestion of a small amount of battery acid with complaints of Objectively, the patient's condition was moderately severe, pulse - 88 bpm, BP - 130/70 mm Hg, body temperature sub febrile, no pathology detected on the X-ray examination. The surgeon should perform:

hospitalization to a surgical hospital;

A 34-year-old patient came to see a surgeon at the outpatient clinic. Anamnesis: 5 days ago he had been stabbed in the neck area in a domestic quarrel. He felt relatively well, then felt stiff neck, body temperature increased to 38.4°C. X-ray examination revealed a gas layer in the soft tissues of the neck, enlargement of the prevertebral space and displacement of the trachea to the front. What organ injury did the surgeon encounter the surgeon encountered?

esophagus

A 56-year-old patient who smoked 40 cigarettes a day came to see a surgeon in an outpatient clinic. 40 cigarettes a day, complaining of a dry persistent cough for six months. Over the past two months the patient had lost 8 kg in weight. Examination revealed enlarged, limitedly displaced supraclavicular lymph nodes on the right side. Presumptive diagnosis:

lung cancer;

During an examination in an outpatient clinic, a surgeon diagnosed a patient with peptic ulcer gastric ulcer disease, progressive weight loss, decreased appetite and anemia. A dense immobile lymph node was found in the left supraclavicular area. What can we think of in this situation?

A malignant peptic ulcer;

An elderly patient with severe abdominal pain was brought to the outpatient clinic. It was found out that the pain started suddenly 4 hours ago, in the upper third of the abdomen. He was previously treated for coronary heart disease, pneumonia and gastritis. On objective examination: pulse - 88 bpm, BP - 120/80 mm Hg, moderate tension of anterior abdominal wall muscles, positive Schetkin-Blumberg sign, volumetric mass palpated in epigastrium. The tests showed: erythrocytes - 4.8х1012/l, leukocytes - 14.4х109/l. With what diagnosis should the patient be transferred to a surgical hospital?

perforative gastric cancer;

On examination of a patient who underwent acute pancreatitis 8 months ago, an outpatient surgeon identified a mildly painful rounded mass 10 cm in diameter in the upper abdominal floor. Other parts of the abdomen were intact. Blood and urine tests showed no abnormalities. What disease can be thought of first of all?**

False cyst of the pancreas;

A 19-year-old female patient consulted a surgeon in an outpatient clinic with complaints of blunt pain in the epigastric region, nausea, weakness, and body temperature increase to 37.6°C. The patient had been sick for 2 hours. The examination revealed: pulse - 76 bpm, BP - 120/70 mm Hg, tongue moist, abdomen soft in all parts, no symptoms of peritoneal irritation. Blood leukocytes -12x109/l. What disease can start like this?

acute appendicitis

A patient came to the outpatient clinic to see the surgeon, who had undergone prosthesis of the right iliac-femoral segment two years ago in the hospital. The patient had undergone prosthesis of right iliac femoral segment with a synthetic prosthesis two years ago. For the last month, the patient has been experiencing intermittent pain in the lower leg muscles while walking, feeling "tired" in the lower extremity and its coldness. Which of the most probable complications after the surgery could develop in this patient?

Thrombosis of the prosthesis;

100

A patient consulted an outpatient surgeon with complaints of weakness and fever up to 38°С. The medical history showed that the patient had been hospitalized for right-sided lower lobe pneumonia for 3 weeks. He was discharged six days ago. X-ray examination revealed darkening in the right lung and fluid level up to the angle of the scapula. Doctor's tactics:

Refer the patient to the hospital;

internal disease

internal disease

internal disease 2

internal disease 2

internal disease 3

internal disease 3

Abuhussin Alsaeed · 15問 · 1年前

internal 3

internal 3

15問 • 1年前

internal state 1

internal state 1

internal state 2

internal state 2

Abuhussin Alsaeed · 54問 · 1年前

internal state 3

internal state 3

54問 • 1年前

Abuhussin Alsaeed · 70問 · 1年前

internal state 3

internal state 3

70問 • 1年前

pediatric

pediatric

Abuhussin Alsaeed · 68問 · 1年前

pediatric 2

pediatric 2

68問 • 1年前