151. Question
A 33 y.o. patient was admitted to the reception room of the Central District Hospital. He complains of a severely painful swelling localized on posterior neck, fever up to 38.4°C and general weakness. In anamnesis: diabetes mellitus within 5 years. On physical examination on the posterior neck surface there is an infiltrate elevated above surrounding skin. The tissues affected by swelling are tense and blue reddish discoloration in central area. There are also several purulent necrotic pustules which are connected with each other and form a large skin necrosis. A thinned necrotic skin of this swelling has holes looking like sieve, pus discharges through out. What disease should a doctor consider first of all?
1. Skin abscess
--2. Carbuncle
3. Acute skin cellulitis
4. Furuncle
5. Carbuncle associated with anthrax
Krok2 – 2014 Base(Surgery)
‘Foundation Course’ for FMGE Preparation
Question 152 of 209
152. Question
A surgeon examined a 42-year-old patient and diagnosed him with right forearm furuncle at the purulo-necrotic stage. The furuncle was lanced. At the hydration stage the wound dressing should enclose the following medication:
1. Chloramine
2. Ichthyol ointment
3. Dimexide
---4. Hypertonic solution
5. Vishnevsky ointment
153. Question
A patient had disorder of nasal respiration, mucopurulent discharges from nose, headache for 3 weeks. At anterior rhinoscopy in middle nasal meathus the stria of pus, edema, hyperemia of the mucosa of the nose have been determined. What diagnostic method is necessary to administer first of all?
---1. An X-ray of paranasal sinuses
2. Bacteriology analysis of the nasal mucous
3. General blood test
4. CT of a skull
5. Punction of the maxillar sinus
154. Question
A 65-year-old patient complains of pain in the lumbar spine, moderate disuria. He has been suffering from these presentations for about half a year. Prostate volume is 45 cm3 (there are hypoechogenic nodes in both lobes, capsule invasion). The rate of prostate-specific antigen is 60 mg/l. Prostate biopsy revealed an adenocarcinoma. Which of the supplemental examination methods will allow to determine the stage of neoplastic process in this patient?
---1. Computer tomography of pelvis
2. Roentgenography of lumbar spine
3. Roentgenography of chest
4. Excretory urography
5. Bone scintigraphy
155. Question
A 19 year old patient was admitted to a hospital with acute destructive appendicitis. He suffers from hemophilia of B type. What antihemophilic medications should be included in pre- and post-operative treatment plan?
1. Dried plasma
---2. Fresh frozen plasma
3. Native plasma
4. Cryoprecipitate
not right! 5. Fresh frozen blood
156. Question
A patient suddenly felt an acute chest pain irradiating to the left arm. Objectively: the patient is excited, with pale skin. Breathing rate – 38/min, AP – 180/110 mm Hg. Later the patient lost consciousness and fell down. Pulse on the great vessels was absent, the pupils were equally dilated. What is the most likely diagnosis?
1. Coma
2. Disorder of the cerebral circulation
3. Heart attack
4. Agonal state
--5. Clinical death
157. Question
A 36-year-old man was delivered to the surgical department an hour after a road accident. His condition is getting worse: respiratory insufficiency is progressing, there are cardiac abnormalities. Clinical and roentgenological investigations revealed mediastinal displacement. What process has caused this complication?
---1. Valvular pneumothorax
2. Open pneumothorax
3. Subcutaneous emphysema
4. Closed pneumothorax
5. Mediastinitis
158. Question
A victim of the car crash was brought to neurosurgery due to craniocerebral trauma. During examination symptoms of focused injury of the cerebrum are found, cerebrum contusion is suspected. What method of examination is to be used?
1. Eye-ground examination
2. Antiography of vessels of the cerebrum
---3. Computed tomography of the cerebrum
4. X- ray of cranium bones
5. Ultrasound examination of vessels of the cerebrum
159. Question
A 74 y.o. patient has been ill with benign prostate hyperplasy for the last 5 years. 4 days ago, after alcochol consumption, there was an acute retention of urination. At the pre-admission stage his urinary bladder was catheterized with metallic catheter. Examination revealed: right epididymis is enlarged, thick and painful, there are purulent discharges from urethra. What way of emergency care must be chosen?
---1. Trocar or open epicystostomy
2. Placing of intraprostatic stent
3. Introduction of permanent urethral catheter
4. Microwave thermotherapy of prostate
5. Transuretral resection or prostatectomy
160. Question
While making a round, a doctor had noticed the edema of the right shoulder of a 26-day-old child with diagnosis of “umbilical sepsis”. Active movements in the shoulder joint were absent, right hand was hanging down. Mother stated that her child’s condition had worsened for the last 24 hours what resulted in child’s refusal to be breast-fed, restlessness, weeping while swaddling, rise in body temperature up to 38.8°C. What is the most probable preliminary diagnosis?
1. Traumatic brachioplexitis
---2. Epiphysial osteomyelitis of the humerus
3. Phlegmon of the shoulder
4. Fracture of the clavicle
5. Fracture of the humerus