81. Question
The patient complains of a painful swelling in the chin region, malaise, headache. Examination reveals an acutely inflamed cone-shaped dense node. The skin over it is tense, red. In the center of the node there is an ulcer with overhanging edges and a necrotic core of a dirty-green colour. Submandibular lymph nodes on the right are enlarged and painful. What is the most likely diagnosis?
1. Parasitic sycosis
2. Carbuncle
---3. Furuncle
4. Tuberculosis
5. Tertiary syphilis (gummatous form)
82. Question
A 36 year old patient was diagnosed with right-sided pneumothorax. What method of treatment is indicated to the patient?
---1. Surgical treatment: drainage of the pleural cavity
2. Symptomatic therapy
3. Thoracotomy
4. Pleural puncture
5. Antiinflammation therapy
83. Question
A female patient has been suffering from pain in the right subcostal area, bitter taste in the mouth, periodical bile vomiting for a month. The patient put off 12 kg. Body temperature in the evening is 37.6°C. Sonography revealed that bile bladder was 5.5;2.7 cm large, its wall – 0.4 cm, choledochus – 0.8 cm in diameter. Anterior liver segment contains a roundish hypoechoic formation up to 5 cm in diameter and another two up to 1.5 cm each, walls of these formations are up to 0.3 cm thick. What is the most likely diagnosis?
1. Paravesical liver abscesses
-2-. Alveolar echinococcus of liver
3. Cystous liver cancer
4. Liver abscess
5. Liver cancer
84. Question
A 26-year-old patient complains of experiencing pain in the right hand for 4 days. The pain arose at the site of corns on the palmar surface at the base of the II and III fingers. Some time later the dorsum of hand became edematic. I and III fingers are half-bent in the interphalangeal joints, the hand looks like “rake”. What is the most likely diagnosis?
1. Corn abscess of the right hand
---2. Phlegmon of the second interdigital space of the right hand
3. Tendovaginitis
4. Adenophlegmon of the right hand
5. U-shaped phlegmon of the right hand
85. Question
Two hours ago a 38-year-old patient got pain in his right shin. He was diagnosed with popliteal artery embolism, acute arterial insufficiency of grade I. What is the most appropriate therapeutic tactics?
1. Resection of the popliteal artery
2. Destruction of the embolus by the catheter
---3. Embolectomy
4. Amputation at the middle of shin
5. Bypass grafting
86. Question
A 55 year old patient felt suddenly sick in a hospital corridor, he was immediately examined by a doctor. Examination revealed that the patients skin was pale, autonomous respiration was absent, pulse on carotid arteries couldn’t be felt, pupils were mydriatic. What action should be taken at the beginning of cardiac resuscitation?
1. Closed-chest cardiac massage
2. Mouth-to-mouth ventilation
---3. Precordial thump
4. Defibrillation
5. Restoration of airway patency
87. Question
A 10 year old boy complains about pain in his left eye and strong photophobia after he had injured his left eye with a pencil at school. Left eye examination: blepharospasm, ciliary and conjunctival congestion, cornea is transparent, other parts of eyeball have no changes. Visus 0.9. Right eye is healthy, Visus 1.0. What additional method would you choose first of all?
1. X-ray examination of orbit
--2. Staining test with 1% fluorescein
3. Gonioscopia
4. Tonometria
5. Cornea sensation-test
88. Question
14 days ago a 49-year-old patient was operated on for perforated appendicitis and disseminated fibrinopurulent peritonitis. The postoperative period was uneventful. On the 9th day the patient presented with low-grade fever, abdominal pain, frequent liquid stools. USI of the left mesogastrium reveals a fluid formation 9;10 cm large. In blood: leukocytosis with the left shift. What is your provisional diagnosis?
--1. Interloop abscess
2. Abdominal cavity tumour
3. Left kidney cyst
4. Liver abscess
5. Spleen abscess
89. Question
A 76 y.o. woman complains of progressing swallowing disorder, mostly she has had problems with solid food for the last 6 weeks. Sometimes she has regurgitation of solid masses. Swallowing is not painful. She lost 6 kg. 10 years ago she had myocardiac infarction, she takes constantly aspirine and prolonged nitrates. She consumes alcochol in moderate proportions, smokes. Objectively: icteric skin, neck has no pecularities, lymph nodes are not enlarged. Thorax has no changes, cardiovascular system has no evident changes. Liver is +3 cm. What is the preliminary diagnosis?
1. Diffuse constriction of esophagus
2. Diaphragmatic hernia
---3. Cancer of esophagus
4. Myasthenia
5. Esophageal achalasia