surgery171

Krok2 – 2014 Base(Surgery)

‘Foundation Course’ for FMGE Preparation

    Question 171 of 209
    171. Question

    A 43 year old patient had right-sided deep vein thrombosis of iliofemoral segment 3 years ago. Now he is suffering from the sense of heaviness, edema of the lower right extremity. Objectively: moderate edema of shin, brown induration of skin in the lower third of shin, varix dilatation of superficial shin veins are present. What is the most probable diagnosis?
        1. Parkes-Weber syndrome
        2. Lymphedema of lower right extremity
        3. Acute thrombosis of right veins
        4. Acute thrombophlebitis of superficial veins
        --5. Postthrombophlebitic syndrome, varicose form
 172. Question

A 16 year old patient with complaints of frequent pain in the abdomen was diagnosed with melanoma, examination revealed also pigmentation of the mucosa and skin, polyp in the stomach and large intestine. It is know that the patients mother has an analogous pigmentation and has been often treated for anemia. What disease is suspected?

    1. Chrons disease
    2. Adolescent polyposis
    --3. Peytz-Egerss polyposis
    4. Tuberculosis of the intestine
    5. Hirschprungs disease
 173. Question

A 35 y.o. patient complains of a difficult swallowing, pain behind the breastbone. He can eat only liquid food. While swallowing sometimes he has attacks of cough and dyspnea. Above mentioned complaints are progressing. It is known that the patient has had a chemical burn of esophagus one month ago. What complication does the patient have?

    --1. Corrosive esophagitis and stricture
    2. Cardiac achalasia
    3. Cardiac insufficiency
    4. Esophageal diverticula
    5. Esophagitis
 174. Question

Three weeks after acute angina the patient is still weak, inert, subfebrile, his retromaxillary lymph nodes are enlarged. Tonsils are flabby, stick together with arches, there are purulent plugs in lacunae. What is the most probable diagnosis?

    1. Paratonsillitis
    2. Chronic pharyngitis
    3. Acute lacunar tonsillitis
    ---4. Chronic tonsillitis
    5. Tonsillar tumour
 175. Question

The diagnosis of a right-sided pneumothorax is made to a 36- year-old patient. What method of treatment is indicated to the patient?

    --1. Drainage of the pleural cavity
    2. Antiinflammation therapy
    3. Symptomatic therapy
    4. Pleural puncture
    5. Thoracotomy

 176. Question

A 50 year old woman with a 2-year history of mild, diffuse, tender thyroid enlargement complains of 10 pound weight gain and fatigue. What is the most probable diagnosis?

    1. Suppurative thyroiditis
    2. Riedels thyroiditis
    3. Subacute thyroiditis
    --4. Hashimotos thyroiditis
    5. Papillary thyroid carcinoma

 177. Question

A patient complains of an extremely intense pain in epigastrium. He has peptic ulcer disease of duodenum for 10 years. The patient is in the forced position being on the right side with legs abducted to stomach. Abdomen has acute tenderness in the epigastrium. Guarding contraction of the abdominal wall muscles is observed. What is the preliminary diagnosis?

    ---1. Perforation of ulcer
    2. Thrombosis of mesenteric vessels
    3. Acute condition of peptic ulcer disease
    4. Acute pancreatitis
    5. Penetration of ulcer into pancreas
 178. Question

A 39-year-old patient complains of a tumour on the anterior surface of her neck. The tumour has been observed for 2 years. It is nonmobile and has enlarged recently. The patient has a changed tone of voice, a sense of pressure. Objectively: in the left lobe of the thyroid gland a 3 cm node is palpable; it is very dense, tuberous, painless. Cervical lymph nodes are enlarged. Functional status of the thyroid gland is unchanged. What is the most likely diagnosis?

    1. Nodular hyperthyroid goiter
    2. Nodular euthyroid goiter
    3. Chronic lymphomatous Hashimotos thyroiditis
    --4. Thyroid gland cancer
    5. Chronic fibrous Riedels thyroiditis
 179. Question

A 65-year-old patient complains of gradual worsening of the left eye vision during 10 months. On physical examination: acuty of vision of the left eye is 0.01, not correctable. The eye is quiet, pupil of the eye is grayish, reflex from the eye-ground is absent. Intraocular pressure is 18 mm/Hg. What is the most probable preliminary diagnosis?

    1. Exfoliation of the retina
    2. Leukoma of the cornea
    ---3. Senile cataract
    4. Disorder of blood circulation in retina vessels
    5. Open-angle glaucoma
 180. Question

If a child has adherent fingers on his right hand, then what will be your diagnosis?

    1. Polydactyly
    2. Ectromelia
    --3. Syndactyly
    4. Ectrodactyly
    5. Macrodactyly