Question 61 of 209
61. Question
A 33 year old male patient was brought to Emergency Department with the signs of cardiovascular collapse: BP – 60/30 mm Hg, Ps – 140 bpm, the skin is pale and moist, diuresis 20 ml/h, Hb – 80 g/l, red blood cell count – 2.5;1012/l. The reduction of blood volume averages:
1. 25-30%
---2. 30-40%
3. 10-15%
4. 20-25%
5. 15-20%
Question 62 of 209
62. Question
A 48-year-old patient got a job-related injury of a hypodermic varicose vein on his shin that was accompanied by the intensive phleborrhagia. Choose the optimal variant of first aid:
--1. Pressure bandage and limb strapping
2. Application of Esmarchs tourniquet beneath the injury
3. Occlusion of femoral artery in a typical place
4. Maximal limb flexion in knee joint
5. Application of Esmarchs tourniquet above the injury
63. Question
A 72-year-old patient complains of pain and bleeding during defecation. Digital rectal investigation revealed a tumour of the anal canal. After verification of the diagnosis the patient was diagnosed with squamous cell carcinoma. The secondary (metastatic) tumour will be most probably found in:
--1. Lungs
2. Brain
3. Liver
4. Pelvic bones
5. Mediastinum
64. Question
Examination of a dead man who died from hanging revealed that cadaver spots disappeared when pressed upon and restored after 50 seconds, rigor mortis was moderately expressed only in the masticatory muscles and the muscles of neck and fingers. Body temperature was 31°C. Specify the time of death:
1. 10-18 hours
2. 16-24 hours
3. 8-10 hours
4. 1-2 hours
---5. 6-7 hours
A 44-year-old patient has been admitted to a hospital with complaints of dull, aching pain in the left lumbar region, the admixture of pus in the urine. Examination revealed a grade II staghorn calculus on the left. What method of treatment is indicated for this patient?
1. Distance lithotripsy
2. Conservative therapy
3. Contact lithotripsy
4. Ascending litholysis
--5. Surgery
66. Question
A child undergoes in-patient treatment for acute staphylococcal destruction of the right lung. Unexpectedly he developed acute chest pain on the right, dyspnea, cyanosis. The right side of chest lags behind in the respiratory act. Percussion reveals dullness in the lower parts on the right, bandbox resonance in the upper parts. Borders of the relative cardiac dullness are shifted to the left. What complication has most likely developed?
1. Pleural empyema
2. Right lung abscess
3. Spontaneous pneumothorax
4. Exudative pleuritis
--5. Right-sided pyopneumothorax
67. Question
4 weeks after myocardial infarction a 56-year-old patient developed acute heart pain, pronounced dyspnea. Objectively: the patients condition is extremely grave, there is marked cyanosis of face, swelling and throbbing of neck veins, peripheral pulse is absent, the carotid artery pulse is rhythmic, 130 bpm, AP is 60/20 mm Hg. Auscultation of heart reveals extremely muffled sounds, percussion reveals heart border extension in both directions. What is the optimal treatment tactics for this patient?
1. Oxygen inhalation
2. Conservative treatment, infusion of adrenomimetics
3. Puncture of the pleural cavity on the left
--4. Pericardiocentesis and immediate thoracotomy
5. Pleural cavity drainage
68. Question
A 26-year-old male patient consulted a doctor abut sore throat, fever up to 38,2°C. A week before, the patient had quinsy, didn’t follow medical recommendations. On examination, the patient had forced position of his head, trismus of chewing muscles. Left peritonsillar region is markedly hyperemic, swollen. What is the provisional diagnosis?
1. Tonsil tumour
2. Phlegmonous tonsillitis
3. Pharyngeal diphtheria
--4. Left-sided peritonsillar abscess
5. Meningitis
69. Question
On the first day after a surgery for diffuse toxic goiter a patient developed difficulty breathing, cold sweats, weakness. Objectively: pale skin, body temperature – 38.5°C, RR – 25/min, Ps- 110/min, AP- 90/60 mm Hg. What early postoperative complication occurred in the patient?
1. Compression of the trachea by the hematoma
2. Postoperative tetany
---3. Thyrotoxic crisis
4. Hypothyroid crisis
5. Acute thyroiditis
70. Question
A patient with autoimmune thyroiditis accompanied by multinodular goiter underwent the right lobe ectomy and subtotal resection of the left lobe. What drug should be administered to prevent postoperative hypothyroidism?
1. Insulin
2. Merkazolil
---3. L-thyroxine
4. Lithium drugs
5. Iodomarin