161. Question
An anestesiologist gives narcosis to the patient, he uses a non-reversive contour. Anesthetic is halothane. Air temperature in the operation room is 21°C, humidity 50%, level of noise 30 dB. What occupational hazard is the principal one under these conditions?
1. Compelled working pose
--2. Air pollution with anesthetic
3. Mental overfatigue
4. High level of noise
5. Improper occupational microclimate
162. Question
A 35-year-old woman was admitted to resuscitation department in asthmatic status. What is the most trustworthy criterion of breath effectiveness?
----1. PaCO2 and PaO2
2. Respiratory volume
3. Respiration rate
4. Minute respiratory volume
5. Determination of “dead” space
163. Question
A 30-year-old man was injured in a fire and got thermic burns of III-A and III-B degree that affected 20% of the total skin. AP – 110/70 mm Hg, heart rate -120/min. What transfusion means should be used for blind infusion before transportation?
---1. Saline solutions
2. 10% glucose solution
3. Albumin
4. Polyglycine
5. Fresh frozen plasma
164. Question
A 24 y.o. woman consulted a doctor about continued fever, night sweating. She lost 7 kg within the last 3 months. She had casual sexual contacts. Objectively: enlargement of all lymph nodes, hepatolienal syndrome. Blood count: leukocytes – 2.2;109/L. What disease can be suspected?
1. Chroniosepsis
2. Infectionous mononucleosis
3. Tuberculosis
4. Lymphogranulomatosis
---5. HIV-infection
165. Question
A severely traumatized patient who has been receiving prolonged parenteral alimentation develops diarrhea, mental depression, alopecia and perioral and periorbital dermatitis. Administration of which of the following trace elements is most likely to reverse these complications?
1. Copper
2. Iodine
---3. Zinc
4. Silicon
5. Selenium
166. Question
A 34-year-old patient was bitten by a dog 3 hours ago.There is a wound by dog teeth without bleeding in the left arm. What surgical help would you provide to this patient?
1. Aseptic bandage
2. Complete suture of the wound
--3. Clean wound with detergent water and apply anti-septic
4. Incomplete suture of the wound
5. Cream bandage
167. Question
On the 5th day after a surgery for colon injury a patient complains of bursting pain in the postoperative wound, weakness, drowsiness, headache, fever up to 40°C. Objectively: the skin around the wound is swollen, there is gas crepitation. The wound discharges are scarce foul-smelling, of dark-gray color. What is the most likely diagnosis?
1. Abscess
2. Postoperative wound infection
--3. Anaerobic clostridial wound infection
4. Phlegmon
5. Erysipelas
168. Question
A 63 year old patient was diagnosed with purulent mediastinitis. What of the below listed diseases are NOT the cause of purulent mediastinitis?
---1. Cervical lymphadenitis
2. Iatrogenic injury of the trachea
3. Deep neck phlegmon
4. Perforation of the cervical part of the oesophagus
5. Perforation of the thoracic part of the oesophagus
169. Question
The 67 y.o. patient had 5 recurrent fractures of the lower extremities without considerable cause within 5 years. O-shaped deformity of the legs in the knee joints has appeared. The skull, pelvis and lower extremities X-Ray shows the thickening of flat bones. In the long bones there is a hyperostosis along the bone axis.The blood test has not revealed any inflammation activity. Serum calcium is normal. What disease do you consider in this case?
1. Hyperparathyoid dystrophy
--2. Pagets disease
3. Myeloma
4. Mottled disease (marble disease)
5. Chronic osteomyelitis
170. Question
A 35 y.o. female patient was admitted to the surgical department with symptoms of ulcerative gastric hemorrhage. Its been the third hemorrhage for the last 2 years. After conservative treatment vomiting with blood stopped, hemoglobin elevated from 60 till 108 g/L. General condition became better. But profuse vomiting with blood reoccured in 2-3- hours. Hemoglobin decreased to 93.1 g/L then to 58.1 g/L. What is the tactics of treatment?
1. Taylors treatment
2. Conservative treatment
3. Deferred surgery
--4. Urgent surgery
5. Conservative treatment with following surgery