Baza III Curs Med

8/17/2019 Baza III Curs Med

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Topic 1

"Wounds and wound process. Treatment of clean wounds. "

1. Give the definition of "contamination." This is -

a) irrigation of the wound surface;

b) washing of cavities;

c) penetration of microbes to the human body; (+)

d) secondary infection of microorganism;e) !! of the above.

. Give the definition "asepsis". This is -

a) the set of too!s and organi#ationa! practices aimed on preventing the ingress of

microorganisms in the wound; (+)

b) a set of too!s and organi#ationa! methods aimed on fighting with e$isting infection in the

wound;

c) penetration of microbes in the human body;

d) infestation by microorganism after comp!ete recovery;e) re-infection by microorganism before the recovery from primary infection.

%. Give the definition "antiseptic". This is -

a) the ch!orination of surfaces;

b) steri!i#ation;

c) the set of too!s and organi#ationa! methods aimed at fighting with e$isting infection

in the wound; (+)

d) a set of too!s and organi#ationa! practices aimed on prevent ingress of microorga-

nisms in the wound; e) penetration of microbes in the human body.

&. Give the definition "irrigation". This is -

a) washing of cavities; (+)

b) irrigation of surfaces;

c) treatment with iodine;

d) processing of ch!orine b!each;

e) steri!i#ation.

'. Give the definition "insti!!ation". This is -

)washing of cavities;

b) irrigation of surfaces; (+)

c) processing by bri!!iant green;

d) processing by methy!ene b!ue;

e) steri!i#ation.

. *ines *anhersa - is

a) !ine of operationa! access during appendectomy;

b) !ine of operationa! access during !aparotomy;c) the course of e!astic fibers in the thic,ness of the s,in; (+)

d) dermatog!yphics image pa!mar surface of the hand;


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e) !ine that separates necrotic tissue from hea!thy.

&1. u!nosorption - is

a) the absorption of wound eff!uent with antibiotics;

b) the absorption of wound eff!uentwithen#ymes;

c) the absorption of wound eff!uent with sorbents; (+)

d) the adsorption of anti-inf!ammatory wound eff!uent;

e) a!! of the above.

&&. econdary suture is impose

a) in the first phase of wound hea!ing;

b) in the second phase of wound hea!ing; (+)

c) in the third phase of wound hea!ing;

d) in the fourth phase of wound hea!ing;

e) in the first and third phase of wound hea!ing.

&/. 0rugsthat stimu!ate regenerative processes of tissues shou!d appointa) in the first phase of wound hea!ing;

b) in the second phase of wound hea!ing; (+)

c) in the third phase of wound hea!ing;

d) in the fourth phase of wound hea!ing;

e) in the first and third phase of wound hea!ing.

&2. 3resh wounds are characteristic a!! e$cept

a) pain;

b) b!eeding; c) tissue defects;

d) twitching in the wound; (+)

e) dehiscence.

&4. The secondary is ca!!ed a wound infection which possib!e in

a) vio!ating the ru!es of asepsis at the time of the first medica!assistance;

b) vio!ation of asepsis during bandaging;

c) vio!ation of asepsis during surgery;

d) when receiving wound; (+)

e) a!! answers are correct.

'1. 5enetrating wound of the abdomen is ca!!ed a wound with a damage of

a) s,in;

b) musc!es;

c) the parieta! peritoneum; (+)

d) viscera! peritoneum;

e) interna! organs.

'. 6hat wound hea!s faster then other a) cut; (+)

b) chopped;


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c) bitten;

d) wounded;

e) gunshot.

'&. 7f there is a cavity between the edges of wounds which is fi!!ed with granu!ation tissue

wound is hea!ing

a) under the crust;

b) by primary intention; (+)c) by secondary intention;

d) by tertiary intention;

e) by 8uaternary tension.

''. The correct is a statement that the c!inica! picture of woundconsists of such !oca!

symptoms as paingaping and b!eeding9

a) yes; (+)

b) no;

c) maiby; d) depends on the type of wound;

e) no correct answer.

'/. The primary wound infection is ca!!ed getting into it infection

a) during a first aid;

b) with bandage during the first bandaging;

c) at the time of in:ury; (+)

d) in ne$t bandaging;

e) a!! of the above is correct.

'2. The genera! symptoms of wound comp!ications inc!ude

a) anemia;

b) shoc,;

c) infection (sepsis);

d) pain;

e) a!! of the above . (+)

'4. econdary infection of woundis ca!!ed penetration of infection into it

a) at the time of in:ury;

b) during treatment of wounds; (+)

c) during repeated in:ury;

d) when the patient stays in the hospita!;


/1. ad e$cretion sme!! from the woundscaused by vo!ati!e su!fur compounds produced by

a) intestine stic,;

b) staphy!ococcus;

c) b!ue pus baci!!us; (+)d) anaerobes;

e) streptococcus.


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/'. rea of mo!ecu!ar sha,e is avai!ab!e in

a) s!aughter wounds;

b) a gunshot wound; (+)

c) chopped wound;

d) ragged wound;

e) bitten wound.

//. 6ounds o!ways have damage of

a) interna! organs;

b) s,in and mucous membranes; (+)

c) subcutaneous adipose tissue;

d) the neurovascu!ar bund!e;

e) bone structures.

/. The first phase of wound hea!ing < is

a) epithe!i#ation; b) inf!ammation; (+)

c) granu!ation;

d) dehydration;

e) angiospasm.

/2. =ar!y secondary suture is imposed on previous!y processed wound

a) before the appearance in it granu!ation;

b) at the appearance of granu!ation; (+)

c) covered with granu!ation after e$cision of the edges and the bottom edges;d) immediate!y after treatment;

e) after 1 h.

Topic 2

"Infected and purulent wounds"

4.The most e$pressed immunodepression at in:ury and surgica! intervention

continues

a) from -day to months;

b) from nd day to 2 days; (+)

c) from 1 day to / months;

d) from day 1 to year;

e) from the &th day to 1 year.

1'.y infection define such wounds as

a) septic aseptic poisoned;

b) aseptic sca!ping puru!ent;

c) bit freshinfected aseptic;

d) c!eanfreshinfectedinfected;e) puru!ent freshinfected aseptic. (+)


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1/.6hat e$p!ains the presence of mo!ecu!ar #one sha,e at gunshot in:uries

a) the pressure of the pro:ecti!e on the tissues; (+)

b) pu!sation ce!!s in the wound area;

c) wavy movement of the channe! wa!!s;

d) changes of the osmotic pressure;

e) mass of the pro:ecti!e.

1.6hat determine the degree of wound gaping a) the depth of damage;

b) damage of the nerve trun,s;

c) damage of the fascia;

d) damage of the musc!es and tendons;

e) the direction of the e!astic fibers of s,in. (+)

12.>ow !ong does bacteria in the wound begin to show its activity9

a) 1-& h

b) /-2 h;c) 1?-1 h; (+)

d) 1&-12 h;

e) & h.

14.The deve!opment of infection in the wound contribute to numerous factors e$cept

a) hematoma;

b) b!ood !oss;

c) shoc,;

d) dep!etion;e) !ac, of foreign bodies. (+)

?.7n the deve!oped granu!ation distinguish si$ !ayers. 6hich of them is fourth9

a) !eu,ocyte-necrotic;

b) vertica! vesse!s;

c) ripenng; (+)

d) hori#onta! fibrob!asts;

e) vascu!ar !oops.

1.7n gunshot wound distinguish a!! the affected area e$cept

a) the #one of the wound channe!;

b) the #one of mo!ecu!ar sha,ing;

c) the #one of hemorrhage; (+)

d) primary #one of necrosis;

e) #one of parabiosis.

. 3or missi!e wound is typica! a!! e$cept

a) the comp!e$ity of anatomica! damage;

b) the presence of foreign bodies;c) a high degree of infection;

d) the mandatory presence of input and output ho!e; (+)


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e) uneven s,in damage.

%.7n what woundsis most !i,e!ywi!! be the deve!opment of wound infection

a) the incised;

b) bitten; (+)

c) chopped;

d) !ocated on the face;

e) s,a!ping .

&.!aughtered wound from chopped distinguishes a!! e$cept

a) the presence of hemorrhage on the edges of the wound;

b)different depths of damage;

c) the presence of !ocated tissues;

d) vio!ation of the integrity the nerve trun,s;

e) !ess pronounced b!eeding. (+)

'.To speed up the hea!ing in the treatment of wounds in the phase of dehydration re8uireda) fre8uent bandaging;

b) the use of en#ymes;

c) the imposition of gau#e bandages; (+)

d) the imposition of bandages with hypertonic so!ution;

e) therapeutic e$ercises.

/.5rimary debridement is

a) the e$cision of the wounds edges and bottom ;

b) opening of poc,ets;c) separation of puru!ent content;

d) e$cision of the edges sides and bottom of the wound; (+)

e) washing the wound with antiseptics hemostasis.

.The bottom of the wound is bone. >ow to conduct primary debridement9

a) to carve periosteum;

b) to c!ean the bone by o!,mann@s curette;

c) remove the top !ayer of the periosteum;

d) to trepan the bone;

e) to carve on!y the edges and sides of the wound. (+)

2.vai!ab!e a wound with !imited areas of necrosis of the s,in edges. 6hat is necessary to

do9

a) to assign A>3 on the wound;

b) to app!y a bandage with hypertensive so!ution;

c) to app!y a bandage with ishnevs,y ointment;

d) wound drainage;

e) to carve gangrenous area of the s,in. (+)

4.=nter the main indications for the imposition of primary de!ayed suture

a) shoc,;


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b) a !arge !oss of b!ood;

c) impossibi!ity to pu!! the wound edges after debridement;

d) the possibi!ity of infection deve!opment; (+)

e) in:ury of the nerve.

%?. primary de!ayed suture is imposing on wound

a) at %-&th day;

b) at 'th-/th day; (+)c) at 2-1'th day;

d) immediate!y after the primary debridement;

e) at ?-%?th day.

%1.7n what case can be impose the primary suture on the wound si#e /-2 cm on the pa!mar

surface of the forearm9

a) 7f there is no foreign bodies in the wound;

b) if there is no inf!ammation in the wound;

c) if there is no necrotic tissues in the wound;d) whi!e using antibiotics;

e) primary suture is impossib!e to impose. (+)

%.3or the first phase of wound hea!ing is characteri#ed a!! e$cept

a) deve!opment of acidosis;

b) increasing number of hydrogen ions;

c) increasing the number of potassium ions;

d) increasing of vascu!ar permeabi!ity;

e) deve!opment of a!,a!osis. (+)

%%.6hat is the difference between !ate primary debridement and secondary debridement9

a) techni8ue of operation;

b) terms of operation; (+)

c) number of previous bandages;

d) !ac, of primary debridement;

e) the use of drainage.

%.*ate secondary suture is imposing on

a) wound with the appearance of granu!ation;

b) granu!ating wound; (+)

c) granu!ating wound after e$cision of its the edges and bottom;

d) wound on his foot;

e) wound with the !ac, of foreign bodies.

%2.7f the wound edges are e8ua! without reproduction dense!y ad:oin together such wound

wi!! be hea!ing

a) under the crust;

b) by secondary intention;c) by re-tension;

d) by primary intention; (+)


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e) by scarring.

%4.7f the wound edges are not e8ua! do not dense!y ad:oin together between the edges there

are granu!ation such wound wi!! be hea!ing

a) under the crust;

b) by secondary intention; (+)

c) by re-tension;

d) by primary intention;e) by scarring.

&?.7f the wound edges are e8ua! s!ight!y diverge in the !umen between them - co!!oid

(smooth shiny) such wound wi!! be hea!ing

a) under the crust; (+)

b) by secondary intention;

c) by re-tension;

d) by primary intention;

e) by scarring.

&%.7s it possib!e that puru!ent wound in phase of hydration drain by a tampon moistened

with 1?B sodium ch!oride so!ution9

a) yes; (+)

b) no;

c) at the re8uest of a doctor;

d) at the re8uest of the patient;

e) at the re8uest of the head office.

&2. 5rimary debridement doesCt conduct at

a) point stab wounds;

b) gunshot wounds;

c) puru!ent wounds; (+)

d) !arge wound surface;

e) penetrating surface.

'?.0eferred primary suture is imposing in

a) / h;

b) 1 h;

c) & h;

d) &2 h; (+)

e) 1? days;

'1.econdary primary suture is imposing in

)1 day;

b)a 1 wee,;

c) wee,s; (+)

d)a 1 mounth;e) mounths.


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'.fter c!eaning the wound and the appearance of fresh granu!ationit is necessary to

a) use hydrophi!ic ointments;

b) suturing the wound; (+)

c) use proteo!ytic en#ymes;

d) suture after e$cision of the wound edges;

e) use ointmentsbased on fat.

'%.7n the first phase of wound process advisab!e to usea) bandages with hypertonic so!ution DaE!;

b) bandages with hydrophi!ic ointment; (+)

c) bandage with ishnevs,y ointment;

d) bandages with ointmentbased on fat;

e) proteo!ytic en#ymes.

'&.7n the first phase of wound processbandages is necessary to conduct

a) as se!dom as possib!e;

b) two times a day; (+)c) as often as possib!e;

d) 1 time a wee,;

e) times a wee,.

''.7n the second phase of wound process(pro!iferative phase)bandages is necessary to

conduct

a) as se!dom as possib!e; (+)

b) two times a day;

c) as often as possib!e;d) 1 time a wee,;

e) times a wee,.

'2.6ound after primary debridement stitched tight. andage

a) shou!d be changed two times a day;

b) shou!d be changed % times a day;

c) do not change unti! remova! of sutures; (+)

d) shou!d be changed 1 time a wee,;

e) shou!d be changed times a wee,.

/?.7n the first phase of wound process(phase of inf!ammation) use treatment

a) suturing;

b) sp!it a!! aroundwith novocaine;

c) the action of proteo!ytic en#ymes !oca!!y; (+)

d) ointments based on fat;

e) hydrophi!ic ointments.

/1.The deve!opment of pyoinf!ammatory process after in:ury ca!!ed secondary

suppuration if it ta,es p!ace ina) the first 1- days;

b) the first %-' days;


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c) after ' days; (+)

d) the first %-& hours;

e) after 1 h;

/.=ar!y secondary suture after debridement is imposing

a) immediate!y;

b) provisiona!!y;

c) after %-' days;d) from to 1& days; (+)

e) first %-& h.

/%.The deve!opment of pyoinf!ammatory process after in:ury ca!!ed primary suppuration if it

ta,es p!ace in

)in %-' days; (+)

b)in -1? days;

c)in 1-1& days;

d)unti! 1 month.

/&.7n what 8uantity of microbia! bodies (on 1 g of tissue) deve!ops inf!ammation in the

wound9

a) 1? in degree - 1? in %degree;

b) 1? in 'degree - 1? to /degree ; (+)

c) 1? in %degree - 1? in &degree;

d) ' in %degree - ' in /degree;

e) ' in degree - ' in 4degree

/'.5rimary suture after debridement is imposing

a) immediate!y; (+)

b) provisiona!!y;

c)in -' days;

d)in 2-1' days;

e) unti! 1 month.

//.The tas, of first aid in the treatment of fresh casua! wound is

a) processing wounds with antiseptic;

b) protection against secondary infection; (+)

c) primary debridement;

d) ma,e peace in the wound;

e) radica! surgery.

/.6hat suture shou!d be impose on the woundwhen subsides acute inf!ammation and

appeared

granu!ation

a) primary;

b) primary deferred;c) secondary ear!y; (+)

d) secondary !ate;


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e) it does not matter.

/2.*ate primary debridementby time is conducting

a) in the first / hours;

b) in the first 1 hours;

c) in the first & hours;

d) in the first &2 hours; (+)

e) in the first wee,.

/4.0eferred primary debridement by time is conducting

a) in the first / hours;


c) in the first & hours;

d) during the nd day; (+)

e) during hours.

?.=ar!y primary debridement by time is conductinga) in the first / hours;


c) in the first & hours; (+)

d) during the nd day;

e) during hours.

Topic 3

"Closed damage of soft tissues, skull, chest, abdominal cait!"

. t damage of abdomina! organs in:uries can bea) of the abdomina! wa!!;

b) damage of the abdomina! cavity;

c) damage of the retroperitonea! space;

d) damage of parenchymatous organs;

e) a!! answers are correct. (+)

%. patient with a c!osed in:ury shou!d immobi!i#e

a) in f!otation of sternum area;

b) in f!otation of ribs area;

c) at a trauma without f!otation;

d) in rib fractures with sternum f!otation; (+)

e) !! answers are correct.

2.t b!ow to the so!ar p!e$uscan occur

a) shoc,; (+)

b) co!!apse;

c) !oss of consciousness;

d) death;

e) there wi!! be no changes.

4. t in:ury of the anterior abdomina! wa!!in a patient wi!! observe


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a) pain in the b!ow area;

b) increasing of pain during movement of the abdomina! wa!!;

c) swe!!ing in the b!ow area;

d) the tension of the abdomina! wa!! musc!es;


11. t damage of parenchyma! organs in a patient may arise

a) di##iness; b) nausea;

c) b!eeding; (+)

d) vomiting;

e) there are no signs.

1&. Fn the prehospita! stage patients with damage of the abdomina! cavityshou!d be given

a) antibiotics;

b) anti-inf!ammatory;

c) ana!gesics; (+)d) disaggregants;

e) anticoagu!ants.

12. 7n the case of sp!een crushing with its damage shown

a) suturing of sp!een;

b) p!astic of sp!een;

c) sp!enectomy; (+)

d) suturing de,son grid;

e) a partia! sp!enectomy.

/. 7n the case of easy concussion of the chest patient needs specia! treatment for

a) 1- days;

b) -% days; (+)

c) %-& days;

d) &-' days;

e) '-/ days.

4. 0amageof the chest occurs in

a) a !ight b!ow to the chest during a fa!! on a hard ob:ect;

b) a strong b!ow to the chest during a fa!! on a hard ob:ect; (+)

c) a !ight b!ow to the chest during a fa!! on a sharp ob:ect;

d) a strong b!ow to the chest during a fa!! on a sharp ob:ect;

e) there is no correct answer.

%/. 7n the case of an open pneumothora$ air through a ho!e in the bronchus or !ung

tissueduring

inspiration comes in the p!eura! cavity and during e$ha!ation

a) re-enters it; b) comes out of it; (+)

c) there is no changes of air movement;


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d) comes out an additiona! portion of air;

e) there is no correct answer.

%. t hemothora$b!eeding into the p!eura! cavity !asts unti!

a) due to infused b!oodpressure in the !ungs and aorta unba!anced;

b) due to infused b!oodpressure in the !ungs and vena cava unba!anced;

c) due to infusedb!oodpressure in the !ungs and b!ood vesse!s unba!anced; (+)

d) unti! due to infusedb!oodpressure in the !ungs and heart unba!anced; e) a!! answers are correct.

&?. 7nsignificant b!eeding into the p!eura! cavity (up to '?? m!) re8uires

a) specia! treatment;

b) immediate treatment;

c) surgica! treatment;

d) doesnCt re8uire specia! treatment; (+)


&. 7n easy cases of the chestdamage subcutaneous air accumu!ates more often

a) in the area of the affected part of the chest; (+)

b) in the area opposite to the damage;

c) on the face;

d) on the nec,;

e) in other areas of the chedegree

&/. ir at emphysema of !ungs may disappear in

a) severa! hours; b) a few days; (+)

c) a few wee,s;

d) a few months;

e) a year.

'?. 3or the diagnosis of emphysemaadvisab!e to use

a) u!trasound;

b) radiography; (+)

c) ET scan;

d) nuc!ear magnetic resonance;

e) f!owmetria.

'4. 7n the pathogenesis of "wet" !ung is under!ying hypersecretion of bronchia! g!ands and

vio!ation of venti!ation as a resu!t of accumu!ation in the bronchus

a) b!ood;

b) air

c) mucus; (+)

d) dust;

e) !ymph.

/1. 5atients with "shoc," !ung appoint


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a) disaggregants;

b) antibiotics;

c) s!eeping pi!!s;

d) sedatives;

e) anticoagu!ants. (+)

/. The presence of free gas on radiographsunder the dome of the diaphragmindicates on

damage a) duodenum;

b) co!on;

c) rupture of ho!!ow organ; (+)

d) ribs fracture;

e) !iver rupture.

/&. =rasing the contours m. 7!iopsoas evidenced by

a) damage of duodenum;

b) retroperitonea! hematoma; (+) c) rupture of ho!!ow organ;

d) ribs fracture;

e) !iver rupture.

?.7n diagnosis urinary b!adder rupture he!ps

a) u!trasound scan;

b) radiography;

c) retrograde cystography; (+)

d) retrograde arteriotomia;e) aortography.

Topic

"#ractures. #irst aid in fractures "

1. The abso!ute sign of fracture

a) :oint deformation;

b) deformation of soft tissues;

c) swe!!ing;

d)patho!ogicmobi!ity of bone fragments. (+)

e)b!eeding.

. ign characteristic on!y for fracture

a) a bruise;

b) swe!!ing;

c) crepitation of bone fragments; (+)

d) dysfunction of the !imb;

e) swe!!ing.

'. Eorrect immobi!i#ation is achieved by


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a) imposition of sp!ints with any au$i!iary materia!; (+)

b) imposition of sp!ints from the board;

c) imposition of sp!ints from the s,is;

d) imposition of sp!ints from straw;

e) imposition of sp!ints from cardboard.

. t saved s,in integrityis defined !oca! pain crepitation and!imb deformationcan be

assumeda) damage of !igamentous apparatus;

b) soft tissue s!aughter;

c) dis!ocation;

d) c!osed fracture; (+)

e) open fracture.

2. bso!ute shortened of !imb is characteristic for

a) sprain;

b) fracture; (+)c) s!aughter;

d) rupture of the :oint capsu!e;

e) rupture of the cruciate !igament.

4. Eombined in:ury is a

a) fracture of the humerus and brain in:ury;

b) penetrating in:ury of the abdomen;

c) fracture of the thigh and shin;

d) rupture of the sp!een;

e) rupture of the !iver. (+)

1?. t fracture of the thigh is necessary to fi$

a) thigh :oint;

b) the thigh and ,nee :oints;

c) thigh an,!e and ,nee :oints; (+)

d) p!ace of fracture;

e) an,!e :oint.

11.t fracture of the forearm bonessp!int is imposeda) from the wrist to the upper third of the shou!der; (+)

b) from the wrist to the e!bow :oint;

c) into p!ace of fracture;

d) from tips of fingers to the upper third of the shou!der;

e) on!y on the forearm.

1. t the position "frog" is transported patients with fractures of

a) pe!vic bones; (+)

b) spine;c) thigh;

d) foot bones;


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e) bones of the upper !imbs.

1%. *ying bac, on the shie!d is transported patients with

a) ribs fracture;

b) s!aughter of the chest;

c) in:ury of the abdomina! cavity;

d) fracture of the thoracic spine; (+)

e) fracture of both shou!der bones.

1&. t damage of cervica! spinefor transportimmobi!i#ation is using

a) cotton-gau#e rings 0e!be;

b) cotton-gau#e han#co!!ar; (+)

c) 0iterichs@ sp!int;

d)crossbandage;

e)Eramer@s sp!int.

1'. Fn e$amination a patienwho was de!ivered from the p!ace of car accidentwere founddamageofthehead - c!osed brain in:ury;fracture of the !eft shin bones - bumper fracture;

bi!atera! direct and indirect mu!tip!e rib fractures !eft-sided fractures of the pe!vic bones and

bruises in chest areadiamond shape in the area 1/$ 1% cmwhich reminded imprint

ofwhee!protector. 6hich of these damages is typica! for car in:ury9

a) presence of bumper-fracture; (+)

b) direct and indirect bi!atera! rib fractures;

c) !eft sided fractures of the pe!vic bones;

d) fracture of the!eft forearms;

e)c!osed-brain-in:ury.

1/. t an open fracturebefore immobi!i#ation on the wound is necessary to impose

a) steri!e bandage;

b) unsteri!e nap,in;

c) any he!per means;

d) put drainage; (+)

e) do not impose anything.

1. Fptima! ana!gesia in providing emergency care to the man withtraumatic shoc,

a) introduction of ana!gin;

b) nitrous o$ide narcosis; (+)

c) use of antispasmodics;

d) introduction of aspirin+ dimedro!;

e) introduction of morphine.

12. 7n chi!dren as usua!!y are observed such fractures as

a) ob!i8ue;

b) the type of "green branches";(+)

c) compression;d) fu!!;


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e) incomp!ete.

14.Fn the road was found in:ured


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2. Heposition of fragments conducted in

a) interposition;

b) any disp!acement of fragments; (+)

c) sub-bone fractures;

d) open fractures;

e) c!osed fractures.

4. 7nterposition is -a) formation of pseudo:oint;

b) disp!acement of bone fragments;

c) !imiting soft tissue between the bone fragments; (+)

d) spira! fracture;

e) shortened fracture.

%1. t bone fractures for creating improvised sp!intbest to use

a) bandage;

b) rubber;c) dence c!oth;

d) board; (+)

e) meta!.

%. 7n conducting immobi!i#ation sp!int is a!ways impose

a) no !ess than on two :oints above a p!ace of fracture

b) no !ess than on two :oints be!ow a p!ace of fracture

c) no !ess than on two :oints above and be!ow a p!ace of fracture (+)

d) no !ess than on three :oints be!ow a p!ace of fractured) no !ess than on four :oints above a p!ace of fracture.

%%. 5ercussion doesnCt a!!ow to find

a) the presence of f!uid in the :oint cavity;

b) the presence of air in the :oint cavity;

c) the degree of fractures concrescence of !ong bones;

d) the degree of !imbs b!ood supp!y; (+)

e) the presence of !arge cavities in epiphysis and metaphysis of !imbs;

%&. Asua! radiography enab!es to identify a!! !isted patho!ogye$cept

a) fracture or bone crac,;

b) dis!ocation sub!u$ation of the :oint fragments;

c) bone tumors;

d) soft tissue tumors;

e) damage of carti!age. (+)

%'. patient has an open fracture of the shinbecause of the frontbumper car b!ow. 6hat type

of fracture is the mostprobab!e in this case9

a) shortened; b) compressive;

c) mu!tifragmenta!; (+)


19/117

d) brea,away;

e) spira!.

%/. =$c!ude incorrect !ayer of ca!!us

a) parao,sa!;

b) periostea!;

c) intermedia!;

d) endostea!; e) bone-brain. (+)

%.Dame symptoms of c!osed bone fracture

a) subcutaneous emphysema;

b) pato!ogica! mobi!ity; (+)

c) an increase of abso!ute !ength of the !imb;

d) b!eeding;

e) e!astic resistance in the near :oint.

%2. =$amination of a patient with comp!aints on pain in the shou!der shou!d begin with

a) po!!; (+)

b) I-ray of the shou!der;

c) determining the !eve! of hemog!obin;

d) identify crepitus in the shou!der area;

e) identify patho!ogica! bone mobi!ity.

%4. 6hat shou!d be the borders of the transport immobi!i#ation in a man with fracture of the

humerus9a) fingers - scapu!a of the hea!thy side; (+)

b) wrist - shou!der of the sic, side;

c) wrist :oint - scapu!a of the sic, side;

d) wrist :oint < shou!der :ointof the sic, side;

e) forearm - shou!der of the sic, side.

&?. pecify an e!ement of first aid to the man at the scene of in:ury with a bro,en

!ong tubu!ar bone

a) use a e!ersC sp!int;

b) anestheti#e p!ace of fracture;

c) performreposition of fragments;

d) immobi!i#e !imb by a transport sp!int; (+)

e) perform s,e!eta! traction.

&1. 6hen and where it is necessary to conduct reposition of bone fragments in the open

fracture9

a) at the p!ace of in:ury (when providing first aid); (+)

b) during transport to hospita!;

c) during saniti#ation in the admission department;d) in the operating room short!y after ede!ivery;

e) in any of these p!aces and in any time.


20/117

&. pecify the time of fracture reposition in patients with symptoms of shoc,

a) after novocaine b!oc,ade in the fracture area;

b) after the withdrawa! the patient from a state of shoc,; (+)

c) after the start of intravenous transfusion;

d) immediate!y after de!ivery patient to the hospita!;

e) at the time of first aid.

&%. 6hat shou!d not be done for the prevention of shoc, at fracture of big tubu!arbone at the

time of first aid9

a) transport immobi!i#ation of the !imb;

b) reposition of fragments; (+)

c) stop b!eeding;

d) ana!gesics introduction;


&'. ccording to the mechanism of "bias" often bro,en ribs ) 1-; (+)

b) -&;

c)'-;

d)-4;

e)2-1.

&/. fter imposing circu!ar gipseous bandage on the !imb may occur a!! of the fo!!owing

comp!ications e$cept

a) bedsores; b) the death of the entire s,in saprophyte microf!ora with subse8uent rep!acement it by fungi;

(+)

c) compression of the vesse!s;

d) compression of the nerve trun,s with subse8uent formation of neuritis;

e) compression of the nerve trun,s without neuritis.

&.3rom a!! !isted types of anesthesia in operations on the hand and fingersirrationa! to use

a) a !oca! anesthetic;

b) conduction anesthesia;

c) novocaine b!oc,ade of the brachia! p!e$us;d) intraosseous novocaine b!oc,ade with a twist; (+)

e) genera! anesthesia.

&2.t conservative treatment of fractures of the dista! corner of the shou!dere$tensor corner

of forearms shou!d be

a) ? J;

b) /? J;(+)

c) 4? J;

d) 11?-1&? J;e) 1'? J.

&4. The average !ength of wor, restorationafter fractureof surgica! nec, of the shou!der is


21/117

a) %-& wee,s;

b) '-/ wee,s;

c) 2-1? wee,s; (+)

d) 1?-1 wee,s;

e) 1%-1' wee,s.

'?. t fracture of the !umbar vertebras do not app!y

a) e!ectrostimu!ation of !umbar musc!es; b) massage;

c) therapeutic e$ercises;

d) physiotherapy;

e) hydrotherapy. (+)

'1.7n the treatment of the disease with severe pe!vic bones fractures do not app!y

a) treatment and prevention of traumatic shoc,;

b) restoration of b!ood !ost at a trauma;

c) ear!y ambu!ation and activation of the patient; (+)d) reposition of disp!aced fragments of pe!vic bones;

e) prevention and treatment of comp!ications that arose.

''. 5atient with a fracture of the !ower !imbs can be transported

a) sitting;

b) !ying; (+)

c) standing;

d) !ying on a side;


'/. 5atient with a fracture of the uuper !imbs can be transported

a) sitting; (+)

b) !ying;

c) standing;

d) !ying on a side;


'. 7n order to prevent shoc, in patients with fracture can be app!ied

a) ana!gin;

b) tempa!gin;

c) a!coho!;

d) vod,a;


'4. t rib fractures in a patient

a) pain in the fracture area ; (+)

b) pain!ess cough;

c) pain!ess breathing;d) asymptomatic movements;



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/&. ccording to the severity b!unt chest trauma are divided into

a) easy;

b) average !ightness;

c) moderate;

d) severe;


/'.3or conducting transportation of patients with spine fracture !aying of the patient must

conduct

a) 1- peop!e;

b) -% peop!e;

c) %-&; (+)

d) &-' peop!e;

e) '-/ peop!e.

//. 3ractures of the pe!vic bones may be accompanied bya) damage of interna! organs;

b) shoc,;

c) b!eeding;

d)unconsciousness;

e) a!! of the above. (+)

/.Transportation of patients with fractures of pe!vic bones shou!d be performed

a) in bac, position with ha!fbent at the ,nee and thigh :oints!egs; (+)

b) in bac, position with unbent in the ,nee and thigh :oints !egs;c) on the abdomen with ha!fbent at the ,nee and thigh :ointsfoot;

d) in bac, position with ha!fbent at the ,nee :oints !egs;

e) on the abdomen with ha!fbent at ,nee :oints !egs.

/2. Transportation of patients with damage of pe!vic bones performed

a) on a hard surface after conducting antishoc, measures; (+)

b) on a hard surface before conducting antishoc, measures;

c) on soft surface after conducting antishoc, measures;

d) on soft surface before conducting antishoc, measures;

e) on soft surface without antishoc, measures.

/4.3racturethat arising from pressure or f!attening is ca!!ed

a) cross;

b) ob!i8ue;

c) with disp!acement;

d) compression; (+)

e) shortened.

Topic $

"Treatment of fractures. %islocations "


23/117

1. 5atho!ogica! dis!ocation is ca!!ed

a) natura!;

b) at in in:ury;

c) in the destruction of bone;(+)

d) "deprecated";

e) fresh.

. urgica!!y treatment of patients with craniocerebra! in:uryinc!ude a!! e$cept

)craniotomy;

b)pneumography; (+)

c)tentoriotomia;

d)ventricu!ar drainage;

e)fa!,sotomia.

%. symptom characteristic on!y for the dis!ocation

a) pain; b) hyperemia;

c) dysfunction;

d) springy fi$ation; (+)

&. 3irst aid for c!osed dis!ocation

a) pressure bandage;

b) heat to the in:ury;

c) transport immobi!i#ation; (+)

d) aseptic bandage;

e) antiseptic bandage.

'. 5atho!ogica! dis!ocation is ca!!ed

a) natura!;

b) at in in:ury;

c) in the destruction of bone; (+)

d) "deprecated";

e) fresh

/.7nterna! decompression in patients with craniocerebra! in:ury inc!ude a!! methods e$cepta) tentoriometria on one side;

b) tentoriometria on both sides;

c) fa!,sotomia with sagitta! sinus;

d) decompressive craniotomy; (+)

e) drainage !atera! ventric!es.

.ccording to the mechanism of "bias" often bro,en ribs

) 1-;

b) -&;c)'-;

d)-4;

e)2-1. (+)


24/117

2.Treatment of a patient with a fracture of the !umbar vertebra is made by

a) raising the foot end of the bed with fi$ation of the foot;

b) raising the head end of the bed and fi$ationthe patien by !oops at a$i!!ary cavity; (+)

c) fi$ing by !oop >!issona for the head with a !oad of / ,g;

d) fi$ation of pe!vic by specia! rods a!ong the a$is;

e) the imposition on the chest specia! cadegree

4.t the fructure of the !umbar vertebra are not used

) e!ectrica! stimu!ationof !umbar musc!es;

b) massage;

c) therapeutic e$ercises;

d) physiotherapy;

e) mechanotherapy. (+)

1?.7n conservative treatment of c!avic!e fracture are used a!! immobi!i#ation bandages

e$cepta) 0iterichs@ sp!int;

b) figure-of-eight bandage;

c) 0e!beCs rings;

d) p!aster bandagby Turner; (+)


11. The indications for surgica! treatment of c!avic!e fracture inc!ude

a) open fractures with damage or compression of neurovascu!arbeam;

b) comminuted c!avic!e fractures with danger of s,in in:ury;c) comminuted c!osed fractures;

d) on!y and E; (+)


1.Hestoration of !abor activity after c!avic!e fracture occurs through

a) -& wee,s;

b) 1.'- months; (+)

c) -% months;

d) %-& months;

e) '-/ months.

1%.3or s,e!eta! traction at fractures of the surgica! nec, of the shou!der with disp!acement

need

a) 1- wee,s;

b) %-& wee,s; (+)

c) '-/ wee,s;

d) 2-1? wee,s;

e) 1?-1 wee,s.

1&.verage duration of the restoration of !abor activity after fracture of the surgica! nec, of

the


25/117

shou!der is

) %-& wee,s;

b) '-/ wee,s;

c) 2-1? wee,s; (+)

d) 1?-1 wee,s;

e) 1%-1' wee,s.

1'.7n conservative treatment of diaphysea! fractures of the shou!der on the sp!intoptima!corner

of abduction sha!! be

a) %? J;

b) /? J;

c) ? J;

d) 4? J;(+)

e) 1?? J.

1/.bso!ute symptom of dis!ocation a) swe!!ing;

b) dysfunction;

c) pain;

d) "empty :oint";(+)

e) redness of the s,in.

1.Ander favorab!e conditionsdiaphysea! fractures of the shou!der at conservative

treatmentgrowth

a) up to &-' wee,s;

b) up to /-2 wee,s; (+)

c) up to 1-1& wee,s;

d) up to ?- wee,s;

e) up to -& wee,s.

12.0uring surgica! treatment fractures diaphysis of the shou!der for osteosynthesis

main!y used

a) derotation p!ate; (+)

b)different intraostea!rods;

c) screws;d) wires;

e) screws.

14.7n conservative treatment of fractures of the shou!der a mista,e wi!! be

) over distension fragments with formation of diastase between them;

b) wea, tension of fragments;

c) maintaining a s!ight disp!acement of fragments;

d) tight tension of fragments;


?.0uring surgica! treatment of fractures a mista,e wi!! be

a) incorrect assessment of the genera! condition of the patient;


26/117

b) wrong choice of construction; (+)

c) shortening of immobi!i#ation terms;

d) pro!ongation of immobi!i#ation terms;

e) a!! of the above..

1.7n conservative treatment of fractures of dista! part of the shou!der e$tensor corner of

3 orearmshou!d be

) ?J; b) /?J;

c) 4?J;

d) 11?-1&?J;(+)

e) 1'?J.

.t the e$tensor fructure of the shou!der corner between fragments is open

a) anterior!y and outwards;

b) posterior!y and inward; (+)

c) anterior!y and inward;d) !atera!!y and inward;

e) corner disp!acement there is no.

%.There are the fo!!owing types of dis!ocation

a) fresh;

b) sta!e;

c) outdated;

d) usua!;


&.0is!ocation of acromia! e$tremity of c!avic!e is characteri#ed by

a) a sign of ar$;

b) symptom "triangu!ar pi!!ow";

c) a symptom of ",eys";(+)

d) the springy movement in shou!der be!t;


'.Frder to c!arify diagnosis of "comp!ete" or "incomp!ete" dis!ocation of acromia! end of

c!avic!e is necessary radiograph of

a) shou!der in the patient !ying on his bac,;

b) shou!der in a standing position of the patient;

c) both forearms; (+)

d) both shou!ders;

e) both shou!ders in the patient !ying on his bac,.

/.7rreducib!e dis!ocation of c!avic!e is considered outdated by

a) hours;

b) 1 day;c) ' days;

d) %-& wee,s; (+)


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e) %-& months.

.3or outdated comp!ete dis!ocation of the c!avic!e in acromioc!avicu!ar :ointis

characteri#ed

by a!!e$cept

a)!edgeof acromia! end of the c!avic!e upwards;

b) !imitation of handsabduction;

c) painin shou!der during movement with !oad;d) rapid fatigabi!ity of the upper !imb on the affected side; (+)

e) wea,ening of strength in hand.

2.urgica! treatment of o!d dis!ocation acromia! end of the c!avic!e is possib!e in

a) % months; (+)

b) / months;

a) 1 year;

d) years;

e) % years.

4.Term of the upper !imbimmobi!i#ation after surgica! reductionbecause of the c!avic!e

dis!ocation is

a) wee,s;

b) &-' wee,s; (+)

c) 2 wee,s;

d) 1 wee,s;

e) 1& wee,s.

%?. 3orced !imb position and deformation in the area of the shou!der :oint is typica! for

a) stri,e;

b) arthritis;

c) dis!ocation; (+)

d) tumor.

%1.t the admission department a patient was diagnosed a shou!der dis!ocation. 6hich

e$amination need to conduct in this case9

a) determination of pu!se on carotid artery;

b) determining of pu!se on pop!itea! artery;

c) determiningof pu!se on brachia! artery; (+)

d) determining of pu!se on shin! arteries;

e) determining of pu!se on femora! artery.

%. t sprain of :oint !igamentsfirst is necessary to

a) impose a tight bandage; (+)

b) ma,e stretching of the !imb;

c) app!y heat to the in:ury;

d) stop the b!eeding.

%%. symptom that is characteristic on!y for the dis!ocation


28/117

a) pain;

b) hyperemia;

c) dysfunction;

d) e!astic fi$ation; (+)

e) cyanosis.

%&. 3irst aid for c!osed dis!ocations

a) impose pressure bandage; b) heat to the in:ury;

c) transport immobi!i#ation; (+)

d) impose aseptic bandage;

e) impose antiseptic bandage.

%'. fter imposing circu!ar gipseous bandage on the !imb may occur a!! of the fo!!owing

comp!ications e$cepta) bedsores;

b) the death of the entire s,in saprophyte microf!ora with subse8uent rep!acement it by fungi;

(+)

c) compression of the vesse!s;

d) compression of the nerve trun,s with subse8uent formation of neuritis;

e) compression of the nerve trun,s without neuritis.

%/. bso!ute indications for surgery of osteosynthesis of fractures wi!! be a!! e$cept

a) c!ose fracturefragmentsthat threaten perforated of the s,in; b) compression of the neurovascu!ar bund!e by bone fragments; (+)

c) e$p!icit interposition of soft tissue between the cthighs;

d) open fractures;

e) bone fractures comp!ications of !arge vesse!sin:uries that re8uiresurgica! restoration of its

patency.

%. 7n the treatment of diaphysis fractures of the humerus is necessary to resort to its

osteosynthesis

a) in '-/B of cases;

b) in 1?-1B of cases;

c) in /-%?B of cases;

d) in %-%2B of cases; (+)

e) in &?-&%B of cases.

%2. 6hen using percutaneous osteosynthesis by compressive- distractive apparatus can

e$pect a!! comp!ications e$cept

a) traumatic neuritis;

b) circu!atory disorders;

c) secondary disp!acement of fragments;d) migration of apparatus spo,es; (+)


29/117

e) septic comp!ications in p!aces ofcarrying out spo,es.

%4. 7n !isted types of anesthesia during surgery on the hand and fingers irrationa! to use

a) a !oca! anesthesia;

b) conductive anesthesia;

c) novocaine b!oc,ade of the brachia! p!e$us;

d) intraosseous novocaine b!oc,ade with tourni8uet; (+)

e) genera! anesthesia.

&?. 3rom the proposed methods of operative and conservative treatment of mu!tifragmenta!

f ractures of metatarsa! bones shou!d not use

) create the bone synthesis with neighboring undamaged metatarsa! bones; (+)

b) s,e!eta! traction by rings;

c) osteosynthesis by rods or pins;

d) e$trafoca! osteosynthesis;

e) intraosseous osteosynthesis.

&1. Heposition at the fracture of the humerus and the forearm bones shou!d start

a) with a wrist;

b) with a forearm; (+)

c) both from arm and forearm;

d) with ahand and forearm;

e) with a shou!der.

&. 5hysiotherapy treatment is not contraindicated in

a) cardiovascu!ar disease in the stage of decompensation; (+) b) ma!ignant neop!asms;

c) open form of tubercu!osis of the !ungs;

d) combined radiation in:uries;

e) case of poisoning.

&%. To professiona! rehabi!itation of traumato!ogica! patients be!ongs a!! e$cept

a) professiona! training and retraining;

b) adaptation of machine too!s and instruments of !abor possibi!ities to peop!e with

disabi!ities;

c) the creation of new specia!ties;

d) the creation of a specia! !abor institutions in the form of wor,shops; (+)

e) providing too!s of production and techno!ogy by p!ace of residencedisab!ed peop!e.

&&. 7n the treatment of an open fracture of the 777-b degree in the !ower third of the thigh

irrationa! to use the fo!!owing method of ana!gesia inconducting compression-distraction

osteosynthesis

a) genera! anesthesia with endotrachea! intubation;

b) intravenous anesthesia;

c) peridura! anesthesia;d) !oca! and intraosseous anesthesia;


30/117

e) true are and 0. (+)

&'. The main conditions that ensured the success of treatment in the compression-distraction

osteosynthesis are

a) strong fi$ation rods in the bone connected by a sided c!ip; (+)

b) use for connection rods of two brac,ets in different p!anes;

c) use framewor, for connecting rods;

d) connection by a figured frame rods he!d in different p!anes;e) and 0.

&/. 0uring conducting techni8ue of sing!e-stage rapprochement of bones in the p!ace of

defect at the e$pense of temporari!y shortening of the !imb can be sing!e-stage

rapprochement fragments separated by a distance

a) 1-% cm;

b) &-/ cm;

c) -4 cm;

d) not more than 1? cm; (+)e) more than 1? cm.

&. Futdated unreducib!e dis!ocation of c!avic!e considered in

a) hours;

b) 1 day;

c) ' days;

d) %-& wee,s; (+)

e) %-& months.

&2. 0uring conducting compression-distraction osteosynthesis by 7!i#arov@s apparatus shou!d

remember that the most stiffness through- bone fi$ation observed

a) to the vertica! !oading;

b) to the a$ia! !oading;

c) to the transverse !oading;

d) trueareand0;


&4. The advantages of rod apparatus to spo,e are

a) the simp!icity of construction and speed of the apparatus configuration;

b) reduce the ris, of damage of neurovascu!ar structures;

c) ensuring optima! conditions of access to the soft tissues damages;

d) high variabi!ity of mounting modifications of the apparatus in the treatment;


'?. The best anesthesia during osteosynthesis of the femur with a !arged isp!acement of

fragments in patients with combined trauma are

a) spina! anesthesia in combination with nitrous o$ide anesthesia;

b) peridura! anesthesia combined with intravenous anesthesia;c) =T anesthesia with musc!e re!a$ants;

d) =T anesthesia with musc!e re!a$ants in a sma!! amount; (+)


31/117

e) iny! ch!oride anesthesia in combination with pro!onged intraosseushemostatic b!oc,ade.

'. 7n fractures of the forearm bonessp!int is imposing

a) from the wrist to the upper third of the shou!der; (+)

b) from the wrist to the e!bow :oint;

c) in p!ace fracture;

d) from tips of fingers to the upper third of the shou!der;

e) on!y on the forearm.

'%. Heposition of the fragments is conducting at

a) interposition;

b) any disp!acement of fragments; (+)

c) underbone fracrures;

d)open fractures;

e)c!ose fractures.

'&. Hationa! fi$ation of segment provides a pinapparatus that consist ofa) rings;

b) % rings;

c) & rings; (+)

d) / rings;

e) and E.

''. The most usefu! in conducting spo,e of compression-distraction apparatus is to comp!y

the

fo!!owing princip!es

)spo,es of inner rings conductat a distance of 2-1? cm from the fracture !ine

dista! rings - through the metaphysis;

b) spo,es of interna! rings conduct at a distance of &-' cm from the fracture !inedista! rings -

through the metaphysis;

c)uniform!ythroughe8ua! interva!s a!ong the segment; (+)

d) spo,es of interna! rings conduct at a distance of /-2 cm from the fracture !ine dista! rings

-

through metadiaphysis;

e) conducting of spo,es depending of operating situation.

'/. 0uring conducting compression-distraction osteosynthesis is appropriate to use such

types of ana!gesiae$cept

a) endotrachea! anesthesia;

b) mas, anesthesia;

c) !oca! anastesia; (+)

d) conductive anesthesia;

e) spina! anesthesia.

'. dvantages of e$trafoca! through the bone osteosynthesis over others types of surgica!intervention are a!! !isted e$cept

a) !ow-traumatic;

b) re!iab!e stabi!i#ation of bone fragments;


32/117

c) the possibi!ity of ear!y activation of serious!y i!!;

d) sma!! terms of surgica! intervention combined with the simp!icity of methods of surgica!

intervention; (+)

e) !ac, or inade8uate b!ood !oss.

'2.Eontraindications for the use of the method of compression-distraction osteosynthesis in

pseudo:oint of !ong tubu!ar bones are

a) pseudo:oint in combination with osteomye!itis; b) pseudo:oint of the :oint in combination with heavy-scar changes of the s,in in this area;

(+)

c) "tight" fibrous pseudo:oint;

d) fa!se :oint with preservation of the a$is of the !imb and satisfactory condition of the s,in

segment;

e) fa!se :oint with considerab!e in si#e bone defect.

'4. 3or treatment of a thigh pseudo:oint comp!icated by osteomye!itis by a method of

compression-distraction osteosynthesis appropriate to use a!! methods e$cept)out-mediatedthrough the boneosteosynthesiswithout surgery; (+)

b)out-mediatedthrough the boneosteosynthesiswith surgery;

c)resection of the damage by osteomye!itis process of a bone and rep!acement of the defect

by a autop!astic graft;

d)resection of the damageparts of pseudo:ointwith compression and subse8uent distraction

of fragments;

e)resection of the damageparts ofsegment sub-over bone osteotomy of one of the fragments.

/?. 7n the treatment of bone fracture of the shin bone shortened by & cm by compressive-distraction osteosynthesis shou!d use the fo!!owing methods

a) dosed compression of fragments to :ointconcrescence;

b) dosed distraction;

c) osteotomy of the fibu!acombined with distraction;

d) osteotomy of the fibu!a distraction of the pseudo:oint;

e) osteotomy of the fibu!a and after 1? days - pseudo:oint distraction. (+)

/1. Asing through the bone osteosynthesis by compression-distraction apparatus can e$pect

a!!

of the fo!!owing comp!ications e$cept

a) traumatic neuritis;

b) vio!ation of the b!ood and !ymph circu!ation segment;

c) secondary disp!acement of fragments;

d) migration of apparatus spo,es; (+)

e) septic comp!ications in p!aces of spo,es !aying.

/. 7n the e!der!y (with osteoporosis) to prevent cutting of the boneby spo,es spo,es shou!d

conducted

a) three spo,es within one ring; b) in different p!anes with fi$ture spo,es from different rings ang!es; (+)

c) tangentia!!y two spo,es at an ang!e to each other;


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d) in the fronta! p!ane;

e) and E.

/%. The stabi!ity of fi$ation of fragments in compression-distraction osteosynthesisnotes

a) the number of spo,es and the way they conduct;

b) the !eve! of imp!ementation of spo,es and their number;

c) the thic,ness of spo,es and the degree of tension;

d) and E are correct;e) a!! of the above . (+)

/&. 3racture hea!ing at compression-distraction osteosynthesis noted by the fo!!owing

features

a) absence of pain at the fracture;

b) !ac, of swe!!ing of the foot when wa!,ing regression osteoporosis of the centra! fragment;

c) radio!ogic picture of concrescence;

d) data of functiona! research of peripheric circu!ation - symmetry indices of both !imbs;

e) a!! of the signs. (+)

/'. 6hen removing a segment by using compression-distraction osteosynthesis most

appropriate use of

a) #-shaped osteotomy;

b) ob!i8ue osteotomy;

c) doub!e transverse osteotomy;

d) transversa! osteotomy;

e)E and 0. (+)

//. 7n the treatment of the disease with severe pe!vic fractures do not use

a) treatment and prevention of traumatic shoc,;

b) restore the !ost b!ood in trauma;

c) ear!y uprising and activation of the patient; (+)

d) reposition of the disp!aced fragments of the pe!vis;

e) prevention and treatment of comp!ications that have arisen.

/. 7ndications for surgica! treatment of c!avic!e fracture inc!ude

a) open fractures with damage or compression of the neurovascu!ar bund!e;

b) comminuted c!avic!e fracture with ris, of in:ury to the s,in;

c)c!osedcomminuted fracture;

d) a!! of the above; (+)

e) on!y) andE).

/2. Hehabi!itation with a positive resu!t after c!avic!e fracture arises in

) -& wee,s;

b) 1.'- months; (+)

c) -% months;

d) %-& months;e) '-/ months.

/4. 5eriphera! fragment at scapu!a fracturesdisp!aced


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a) up and inside;

b) downwards and inwards; (+)

c) outward and upward;

d) outwards and downwards;

e) rotary.

?. 7n intraarticu!ar fractures of the scapu!afor immobi!i#ation use

a) p!aster cast by Turner; b) hand,erchief bandage; (+)

c) soft 0esau!t@s bandage;

d) p!aster cast 0esau!t@s bandage;

e) sp!int.

Topic &

"'urns and burn disease"

1. 6hat is the area of 1B of the body surface in adu!ts9a) 1?? cm. K ,

b) 1? - 1&? cm. K ,;

c) 1&? - 1'? cm. K ,; (+)

d) 1/? - 12? cm. K ,;

e) 1%? - 1/? cm. K ,.

. 6hat are the causes of the primary tissue necrosis at burns9

a) destruction of tissue;

b) tissue swe!!ing;c) the inf!ammatory response;

d) microcircu!atory disorders; (+)

e) u!cer.

%. 3our-c!assification of burns is based on

a) the nature of the therma! agent;

b) !ocation of burn;

c) the depth of the !esion; (+)

d) the stage of dysfunction;

e) the area of in:ury.

&. 7n deep burns s,in sensitivity is

a) wea,ened;

b) strengthened;

c) absent; (+)

d) parado$ica!;

e) synesthesia.

'. urn disease deve!ops at superficia! burnsarea overa) 'B;

b) ?B;(+)


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c) 1'B;

d) '?B;

e) B.

/. The best way to terminate factors action

a) remova! by cotton woo!;

b) remova! by twee#ers (+)

c) remova! by water immersion;d) remova! by water :et;

e) remova! by the fingers.

4. The estimated hea!ing time of 7 degree burn

a) days;

b) days; (+)

c) 1' days;

d) %? days;

e) 1.' days.

1?. urn hea!ing of 7 degree often passes

a) without scarring; (+)

b) with form of a de!icate scar;

c) with form of a rough scars;

d) with form of a crust;

e) wi!! not occur.

1. patient has a burn in:ury of the front surface of the chedegree The s,in is hyperemicedematous present mu!tip!e sma!! si#eb!istersfi!!ed with serous effusion. 6hat is the

stage of the burn in:ury9

a) 7 (first);

b) 77 (second); (+)

c) 777 (third);

d) 777 (third);

e) 7 (fourth).

1%. patient has a burn in:ury of the front surface of the chedegree The s,in is hyperemic

swo!!en there are mu!tip!e sma!! si#e b!istersfi!!ed with serous effusion. 5rimary

debridement shou!d inc!ude a!! the avai!ab!e measures e$cept

a) the disinfect of s,in and burn surface

b) disc!osure of b!isters;

c) tracheotomy; (+)

d) washing with co!d water;

e) !aying onaseptic bandages.

1&. E!inica! signs typica! for 77 degree of burn

a) hyperemia; b) swe!!ing;

c) b!isters fi!!ed with ye!!owish transparent !i8uid; (+)


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d) emptied shrun,en b!isters with serous f!uid;

e) the presence of necrotic tissue with charring;

1'. The factors that cause radiation burns

a) acid;

b) a!,a!i;

c) high temperature;

d) ioni#ing radiation; (+)e) e!ectrica! accident.

12. 7n what department is necessary to hospita!i#e a patient with e!ectric shoc,9

a) therapeutic;

b) surgery;

c) burn;

d) reanimation; (+)

e) any - that.

?. t a deep circu!ar burn of !imb is necessary to conduct

a) toi!et of burn surface;

b) ear!y necrotomy;

c) decompression necrectomy; (+)

d) free dermatop!asty;

e) chemica! necrectomy.

1. 6hich !ayer of the s,in ca!!ed growth9a) papi!!ary;

b) granu!ar;

c) basa!; (+)

d) spinosum

e) bri!!iant.

. 3irst aid at burns inc!udes a!! e$cept

a) the use of ointment dressings; (+)

b) introduction of anesthetics;

c) imposition of dry aseptic bandage;

d) prevent of asphy$ia in burns of respiratory tract

e) organi#e de!ivery to a specia!i#ed treatment institution.

%. urn shoc, is characteri#ed by

a) poor!y e$pressed erecti!e phase;

b) pronounced erecti!e phase; (+)

c) no torpid phase;

d) increasing of E5;

e) increasing of E.

&. urn disease in chi!dren arise at deep burns area of over


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a) % - 'B;

b) ' - /B;

c) 1?B;(+)

d) 1'B;

e) ?B.

'. The area of adu!t@s pa!m is e8ua! ....... B of body surface

a) ?.' - ?./; b) 1 - 1.1; (+)

c) - .1;

d) % - %.1;

e) & - &.1.

/. mong the !oca! signs for 77 degree burnis typica! a!! e$cept

a) hyperesthesia; (+)

b) pain;

c) hyperemia;d) b!isters;

e) swe!!ing.

. The s,in is consist of9

a) !ayers;

b) % !ayers; (+)

c) & !ayers;

d) ' !ayers;

e) / !ayers.

2. 6hich burn degrees be!ong to superficia!9

a) and %;

b) 1 < %;

c) 1 - < %; (+)

d) % < %;

e) % < % - &.

4. 6hich burn degrees be!ong to deep9

) < % ;

b) 1 < % ;

c)1 < < % ;

d) % < % ;

e) % < &. (+)

%?. >ow many periods of burn disease are distinguished

a) ';

b) &; (+) c) %;

d) ;


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e) 1.

%1. 6hat is the name of the 7 period of burn disease9

a) septicotocsemia;

b) to$emia;

c) burn shoc,; (+)

d) reconva!escence;

e) sepsis.

%. 6hat is the name of the 77 period of burn disease9

a) septicotocsemia;

b) to$emia; (+)

c) burn shoc,;

d) reconva!escence;

e) sepsis.

%%. 6hat is the name of the 777 period of burn disease a) septicotocsemia; (+)

b) to$emia;

c) burn shoc,;

d) reconva!escence;

e) sepsis.

%&. 6hat is the name of the 7 period of burn disease9

a) septicotocsemia;

b) to$emia; c) burn shoc,;

d) reconva!escence; (+)

e) sepsis.

%'. ccording to the ru!e of nines what percent ta,es the head of adu!t9

a) 4B;(+)

b) 12B;

c) 1B;

d) ?B;

e) %/B.

%/. ccording to the ru!e of nines what percent ta,es the !ower !imb of adu!t9

a) 4B;

b) 12B;(+)

c) 1B;

d) ?B;

e) %/B.

%.ccording to the ru!e of nines what percent ta,es the upper !imb of adu!t9

a) 4B;(+)


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b) 12B;

c) 1B;

d) ?B;

e) %/B.

%2.ccording to the ru!e of nines what percent ta,es head of the 1 year chi!d9

)4 B;

b)12 B;c)' B;

d) ? B ; (+)

e) '?B.

%4. 6hat is the main pathogenetic mechanism of burn shoc,9

a) pain;

b) traumatic; (+)

c) hypovo!emic;

d) hemorrhagic;e) to$ic.

&?. t burn shoc, the patient@s organism !oses

a) water;

b) e!ectro!ytes;

c) proteins;

d) p!asma; (+)

e) b!ood.

&1. >ow !ong !asts burn shoc, 9

a) ' - days;

b) 1 - % days; (+)

c) / - 2 days;

d) 1? - 1 days;

e) 1/ - 12 days.

&.>ow !ong !asts the septicotocsemia period9

a) ' - days;

b) 1 - % days; (+)

c) / - 2 days;

d) 1? - 1 days;

e) - % months to comp!ete the restoration of s,in.

&%. >ow !ong !ast the conva!escence period9

a) 1? - 1 days;

b) %? - &? days;

c) - % months to comp!ete the restoration of s,in; d) from severa! months to severa! years; (+)

e) ' - / months.


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&&. 6hen ca!cu!ating f!uid for iK v introduction at burn shoc,is necessary to ta,e into

account9

a) se$ and age;

b) the age and the percentage of of burns;

c) the percentage of burns and weight; (+)

d) se$ and percentage of of burns;

e) age and weight.

&'. 7n the treatment of burn shoc, it is necessary to introduce

a) proteins;

b) p!asma;

a) red ce!! mass;

d) g!ucose and cardiac g!ycosides;

e) so!ution of erythrocytes and g!ucose. (+)

&/. 777- degree burns c!inica!!y !oo,s !i,ea) hyperemia;

b) b!isters;

L) thic, dim crust;

d) redness and b!isters;

e) surface ye!!owish crudegree(+)

&. 777- degree burns c!inica!!y !oo,s !i,e

a) hyperemia;

b) b!isters; L) thic, dim crust; (+)

d) redness and b!isters;

e) surface ye!!owish crudegree

&2. 7 degree burns c!inica!!y !oo,s !i,e9

a) hyperemia; (+)

b) b!isters;

L) thic, dim crust;

d) hyperemia and b!isters;

e) surface ye!!owish crust;

&4. 6hat is not a temporary wound cover9

a) ,senos,in;

b) auto s,in; (+)

c) homo s,in;

d) corpse s,in;

e) a!!o fibrob!asts.

'?. s first aid for burns shou!d impose

a) oi!;


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b) sea buc,thorn oi!;

c) ointment based on fat;

d) goose fat;

e) antiseptic antibacteria! so!utions. (+)

'1. 3or drying necrotic crust is used

a) antiseptic so!utions;

b) sea buc,thorn oi!;c) hypoosmo!ar fat ointment;

d) hyperosmo!ar water-so!ub!e ointment (Ff!o,sin yramistin); (+)

e) ointment on fat based.

'. 3or c!eaning a wound from necrosis is used such measures as

a) antiseptic so!utions;

b) yodoba,;

c) hyperosmo!ar ointments;

d) aeroso!s;e) necro!itic ointments. (+)

'%. urn by concentrated acids c!inica!!y !oo,s !i,e

a) dry brown crust; (+)

b) hyperemia;

c) b!isters;

d) hyperemia and b!isters;

e) wet gray crudegree

'&. 3irst aid for burns by acids

a) aeroso!s;

b) wash under running water; (+)

c) sea buc,thorn oi!;

d) hyperosmo!ar ointments;

e) dry bandage.

''. Treatment of 777- degree burns

a) conservative methods;

b) operationa! methods; (+)

c) physiotherapy;

d) ba!nea! methods.

e) cryosurgica!.

'/. Treatment of 777- degree. burns

a) conservative methods; (+)

b) operationa! methods;

c) physiotherapy;

d) ba!nea! methods.e) cryosurgica!.


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'.3irst aid for burns by a!,a!is

a) antiburn aeroso!s;

b) sea buc,thorn oi!;

c) wash with citric acid;

d) hyperosmo!ar ointments;

e) wash with running water. (+)

'2.6hat stage of burns hea! by itse!f9a) 7 (first);

b) 777 (third);

c) 7 - 77 - 777 ; (+)

d) 777 - 7;

e) 777 .

'4. 6hat degree of burn with !esions of bones9

a) 7 (first);

b) 77 (second);c) 777 ;

d) 777 ;

e) 7. (+)

/?. 6hat is the !ongest stage of burn disease9

a) shoc,;

b) to$emia;

c) septicotocsemia;

d) reconva!escence; (+) e) demarcation.

/1. Fn what day after burn is recommend to conduct chemica! necro!ysis9

a) 7-nd day;

b) % - &th day;

c) ' - /th day;

d) - 2th day;

e) 4 - 1?th day. (+)

/. t what ma$imum area is appropriate to conduct chemica! necro!ysis9

a) 1B;

b) B;

c) %B;

d) 'B;(+)

e) up to 1?B.

/%. urns by strong acids c!inica!!y !oo,s !i,e

)co!!i8uative MNOPQR;

b) coagu!ation necrosis; (+)c)endothermic reaction;

d)crust be!ow the undamaged s,in;

http://en.wikipedia.org/wiki/Endothermic_reactionhttp://en.wikipedia.org/wiki/Endothermic_reaction


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e)different types of crusts.

/&. urns by a!,a!i c!inica!!y !oo,s !i,e

)co!!i8uative MNOPQR; (+)

b) coagu!ation necrosis;

c)endothermic reaction;

d)crust be!ow the undamaged s,in;

e)different types of crusts.

/'. 6hat is the fre8uency of burns in peacetime9

a) % - 'B;(+)

b) ' - 1B;

c) 1 - 1/B;

d) 1 - ?B;

e) ' - %?B.

//.6hat is the fre8uency of burns during a thermonuc!ear war9a) 1? - ?B;

b) ? - %?B;

c) %1 - '4B;

d) /1 - 2?B;(+)

e) 21 - 1??B.

/. >ow many percent ta,es front torso in adu!t9

a) 'B;

b) 1'B;c) 12B;(+)

d) %?B;

e) &?B.

/2.>ow many percent ta,es bac, torso in adu!t9

a) 'B;

b) 1'B;

c) 12B;(+)

d) %?B;

e) &?B.

/4. >ow much b!ood is deposited in the s,in of a hea!thy person9

a) ' !iters;

b) & !iters;

c) % !iters;

d) !iters;

e) 1 !iter. (+)

? The diagnosis of respiratory tract burn is confirmedifa) there is a burn of the nasa! mucosa !ips tongue; (+)

b) burnt nose hair;

http://en.wikipedia.org/wiki/Endothermic_reactionhttp://en.wikipedia.org/wiki/Endothermic_reaction


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c) burnt hard and soft pa!ate posterior pharyngea! wa!!;

d) there is a hoarseness aphonia;

e) there is abdomina! pain.

Topic (

#rostbite. )lectrical accident.

11. t what body temperature starts genera! coo!ing - free#ing9a) be!ow %/ J E;

b) be!ow %' J E;

c) be!ow %& J E; (+)

d) be!ow %1 J E;

e) be!ow %? J E.

1. 6hat phase of free#ing (5etrov c!assification) deve!ops when the body temperature of the

victim reaches %&-%1JS9

a) adaptive phase; (+) b) stupor phase;

c) convu!sive phase;

d) erecti!e phase;

e) torpid phase.

1%. t what body temperature (5etrov c!assification) deve!ops stupor phase of free#ing9

a) %&-%1 J E;

b) %1-4 J E; (+)

L) 4-/ J E;d) /-& J E;

e) be!ow & J E.

1&. 6hat phase of free#ing (5etrov c!assification) deve!ops when the body temperature of the

victim reaches 4 J E9

a) adaptive;

b) stupor;

c) erecti!e;

d) die away of vita! functions; (+)

e) torpid.

1. pecify the main morpho!ogica! sign of 7 degree of frostbite

a) necrosis of the entire thic,ness of the s,in;

b) signs of necrosis are not defined; (+)

c) necrosis of a!! !ayers of the epithe!ium;

d) necrosis to a depth of a!! tissues of the !imb;

e) necrosis of the s,in to the basa! !ayer.

12. Fn what degree of frostbite indicates necrosis of a!! !ayers of the epithe!ium9a) 7 degree;

b) 77 degree; (+)


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c) 777 degree;

d) 777b degree;

e) 7 degree.

14. pecify characteristic morpho!ogica! sign of 777 degree of frostbite

a) necrosis of a!! !ayers of the epithe!ium;

b) necrosis of the entire thic,ness of the s,in; (+)

c) necrosis to a depth of a!! tissues of the !imb;d) necrosis of the epithe!ium to the papi!!ary !ayer;

e) !ac, of necrosis.

?. Eharacteristic patho!ogic sign of 7 degree of frostbite is

a) !ac, of s,in necrosis;

b) partia! necrosis of the epithe!ium;

c) necrosis of the entire thic,ness of the s,in;

d) necrosis to a depth of a!! tissues of the !imb; (+)

e) necrosis of a!! !ayers of the epithe!ium.

'. y whar e$terna! sign 7 degree of frostbite differ from the others

a) hyperemia of the s,in;

b) e$pressive swe!!ing;

c) bubb!es with hemorrhagic content;

d) presence of necrosis;

e) presence of dry or wet gangrene. (+)

/. pecify the most probab!e timing of the demarcation !ine formation at dry gangrene after frostbite.

a) 1 day;

b) '-/ days;

c) wee,s; (+)

d) months;

e) si$ months.

. t what period conduct determination of the depth damage at frostbite9

a) in pre-reactive;

b) in reactive; (+)

c) in torpid;

d) in erecti!e;

e) in convu!sive.

%?. 6hat conditioned the severity of the patient@s genera! condition in pre-reactive period9

) genera! hypothermia; (+)

b) to$emia;

c) septicotocsemia;

d) bacteremia;e) rena! insufficiency.


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%. pecify the most typica! comp!ications that are possib!e in the pre-reactive period of

frostbite

a) shoc,; (+)

b) rena! insufficiency;

c) !iver insufficiency;

d) ph!egmon;

e) osteomye!itis.

%'. 7n conditions of wet environment frostbite and genera! free#ing goes faster than in a dry

environment. 6hat it caused by9

a) heat transfer in a wet environment is !ower;

b) heat transfer in a wet environment is higher; (+)

c) heat transfer doesn@t matter;

d) on!y comorbidities are important;

e) has meaning on!y the weight of the victim.

&1. 6hen occur signs of "trench foot"a) at high humidity and periodic inf!uence of temperatures +% +' E; (+)

b) periodic inf!uence of temperature +% +' E;

c) at high humidity;

d) at diabetes;

e) at obesity.

&%. 6hen providing first aid to the victim from e!ectrica! accident necessary

a) to pu!! away a current source from the victim by a wooden or rubber ob:ect; (+)

b) to pu!! away victim by wear;c) to turn off a contact-brea,er;

d) to ca!! an ambu!ance and wait for its arriva!;

e) to pu!! away victim by meta!!ic stic,.

&&. Heanimation measures to victim of e!ectrica! accident are necessary to conduct

a) to appearance of independent heartbeat and breathing or arriva! of the doctor; (+)

b) for ' minutes;

c) for ? minutes;

g) for ' minutes then pause for ' minutes and then continue;

e) within /? minutes.

&'. 7n what way as soon as possib!e may warm the victim

a) immerse the victim to a bath with water whose temperature for ? minutes increase from

+%/ E to +&? E; (+)

b) wrap the patient in a warm b!an,et;

c) rub the patient with a!coho! ;

d) give the patient a hot drin,;

e) conduct intravenous!y infusion of heated g!ucose.

&4. 5otentia!!y dangerous for !ife is the current in vo!tage of

a) ? ;


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b) &? ; (+)

c) /? ;

d) 2? ;

e) 1?? .

'1. Fn the first day after e!ectrica! accident victims must be treated in

a) the burn department;

b) the surgica! ward;c) the intensive care department; (+)

d) the therapeutic department;

e) the traumato!ogica! department.

'. *ate b!eeding at e!ectric current !ession most often occur in

a) 1-% days;

b) %-' days;

c) '- days;

d) -1? days; (+)e) 1?-1& days.

'&. Dame residua! symptoms after undergone frostbite of 7 degree

a) spontaneous regeneration is impossib!e;

b) formation of scars;

c) comes comp!ete recovery; (+)

d) nai!s e$fo!iate and comp!ete!y restore;

e) damaged areas regenerate comp!ete!y.

/1. 6hat is phenomenon of meta!!i#ation

a) deposition of sma!! partic!es of mo!ten meta! in tissues; (+)

b) deposition of o$idi#ed meta! in tissues;

c) accumu!ation of gas in tissues;

d) accumu!ation of e!ectrica! discharge in tissues;

e) creation of magnetic fie!d in the tissues.

/. 3rom what is necessary to start cardio-pu!monary resuscitation at providing emergency

care to the victim with e!ectric current

a) precardia! b!ow; (+)

b) turn the head of the victim to the side ;

c) intravenous!y introduce adrena!ine;

d) first need to ca!! an ambu!ance;

e) bent !imbs of the victim in the ,nee :oints.

Topic *

+ethods of eamination surgical patient.

1?. 6hat term is ca!!ed !owering !eve! of b!ood pressure be!ow norma! in a hea!thy person9a) hypertension;

b) hypotension (+)


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c) tachypnea;

d) bradypnoe;

e) tachycardia.

pecify correct answer.

11. Eentra! venous pressure of the patient is determined

a) mi!!imeters of mercury co!umn;

b) mi!!imeters of water co!umn (+)c) degrees Ee!sius;

d) inches of mercury co!umn;

e) inches of water co!umn;


1. 6hat si#ein average is characteri#ed breathing rate in a hea!thy person at rest9

a) 1? respiratory acts in a minute;

b) 1' respiratory acts in a minute;

c) 12 respiratory acts in a minute (+)d) ' respiratory acts in a minute;

e) %? respiratory acts in a minute.


1'. 6hat stage of e$amination of surgica! patient shou!d conduct to confirm (negation)

previous diagnosis and estab!ishing fina! c!inica! diagnosis9

a) ob:ective e$amination p!ace of disease;

b) additiona! !aboratory and instrumenta! methods of e$amination (+)

c) ob:ective e$amination;d) measurements of pu!se and b!ood pressure;

e) ob:ective e$amination in systems.


14. n e$amination of surgica! patient near his bed the doctor shou!d stand (sit) ...

a) from the bac, of the patient;

b) in front to the face of the patient;

c) to the right of the patient face to him (+)

d) to the !eft of the patient to the patient@s face;



?. 6hat does irradiation of pain mean9

a) increased pain;

b) wea,ening strength of pain;

c) spread of pain to another p!ace (+)

d) !oca!i#ation of pain;

e) inducing pain during the e$amination.



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/. 7n a patient at e$amination was found subicterus sc!era. 6hat !aboratory e$amination

needs to be appoint9

a) b!ood ana!ysis on g!ucose;

b) !eve! in the b!ood bi!irubin and !iver en#ymes(+)

c) genera! b!ood ana!ysis;

d) presence of acetone in urine;

e) prothrombin inde$.


2. t !ung percussion in a hea!thy person is defined

a) abso!ute pu!monary du!!ness;

b) re!ative pu!monary du!!ness;

c) du!! !ung sound;

d) ringing !ung sound;

e) c!ear !ung sound. (+)


4. Fb:ective e$amination of heart rate (pu!se) is most often performed on

periphera! arteries

a) !eft upper !imb; (+)

b) !eft !ower !imb;

c) both upper !imbs at the same time (+)

d) right upper !imb;

e) right !ower !imb.


%?. Eomp!aints of patient on sudden appearance of pain decreased sensitivity coo!ing of

!imb and !imiting function of !imb may point on necessity of additiona! e$amination of the

system

a) arteria! b!ood supp!y of !imb (+)

b) vegetative innervation;

c) venous outf!ow of !imb;

d) !imb innervation;

e) osteoarticu!ar apparatus of !imb.


%1. The heart rate in a hea!thy person on average is e8ua!

) 4? beats in a minute;

b) '? beats in a minute;

c) ? beats in a minute; (+)

d) 1? beats in a minute;

e) 1&? beats in a minute.

%%. Apper !imit of b!ood pressure in hea!thy peop!e is e8ui!

a) 1??K/? m.m.c.; b) 1?K2? m.m.c.;

c) 1%4K24 m.m.c.; (+)


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d) 1?K1?? m.m.c.;

e) 2?K/? m.m.c.

%&. 3a!!ing of b!ood pressure !ess than 1?K2? m.m.c. is ca!!ed

a) hypertension;

b) tachypnea;

c) tachycardia;

d) bradypnoe;e) hypotension. (+)

%/. 6hat b!ood f!ows in pu!monary arteries of human

a) venous b!ood (+)

b) arteria! b!ood;

c) mi$ed b!ood;

d) !ymph;

e) synovia! f!uid.

&1. 6hat stage e$amination of surgica! patient is the ne$t after ob:ective e$amination9

a) patient@s comp!aints;

b) previous diagnosis (+)

c) passport part;

d) fina! diagnosis;

e) treatment.

&%. 6hat stage e$amination of surgica! patient shou!d perform after insta!!ation fina! c!inica!

diagnosis9a) conducting echocardios,opy;

b) measurement of respiratory rate;

c) determination of tota! protein in the b!ood;

d) fi!!ing diary;

e) appointment treatment to the patient. (+)

&/. ethods of e$amination of surgica! patient provides measuring the temperature of his

body

a) once a day;

b) twice a day (+)

c) three times a day;

d) four times a day;

e) if necessary.

&2. The !ast stage a!gorithm e$amination of surgica! patient is

a) anamnesis of disease;

b) anamnesis of !ife;

c) ob:ective e$amination;

d) epicrisis (+)e) diary.


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'. *eve! of erythrocytes in genera! b!ood ana!ysis of a hea!thy person is

) &?-'?1?1K!; (+)

b) /?-?1?1K!;

c) 2?-4?1?1K!;

d) 1??-11?1?1K!;

e) 1?-1%?1?1K!.

'%. *eve! of !eu,ocytes in genera! b!ood ana!ysis of a hea!thy person is) '?-%??1?4K!;

b) 1'?-&?1?4K!;

c) 1??-1&?1?4K!;

d) ?-11?1?4K!;

e) &?-4?1?4K!. (+)

'&. *eve! of thrombocytes in genera! b!ood ana!ysis of a hea!thy person is

) 1???-???1?4K!;

b) 1'??-&??1?4

K!;c) 12??-%??1?4K!; (+)

d) %??-%%??1?4K!;

e) 2??-%4??1?4K!.

''. "hift of !eu,ocyte formu!a to the !eft" means

a) increase in genera! b!ood ana!ysis content of !eu,ocytes;

b) decrease in genera! b!ood ana!ysis content of !eu,ocytes;

c) increase in genera! b!ood ana!ysis content of !ymphocyte;

d) increase in genera! b!ood ana!ysis content of neutrophi!; (+)e) increase in genera! b!ood ana!ysis content of monocyte.

'/. *eve! of erythrocyte sedimentation rate for men and women on average in norm is

) ??-1? mmKh;

b) 1-1' mmKh; (+)

c) %'-12 mmKh;

d) 1%'-1/2 mmKh;

e) - mmKh.

'. >ow many in norm in genera! b!ood ana!ysis must be eosinophi!s9

) ?'-1?B;

b) ?'-?B;

c) ?'-%?B;

d) ?'-&?B;

e) ?'-'?B.(+)

'2. >ow many in norm in genera! b!ood ana!ysis must be basophi!s9

) ?-1?B; (+)

b) ?-?B;c) ?-%?B;

d) ?-&?B;


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e) ?-'?B.

'4. >ow many in norm in genera! b!ood ana!ysis must be !ymphocytes9

) 1??-??B;

b) 1'?-&?B;

c) 14?-%?B; (+)

d) '?-&&?B;

e) %??-'??B.

/?. >ow many in norm in genera! b!ood ana!ysis must be monocytes9

) %?-1?B;

b) %?-1&?B;

c) %?-1?B;

d) %?-11?B; (+)

e) %?-1'?B.

/1. 6hat specific density of urine in norm (in genera! urine ana!ysis)9) 1???-1??;

b) 1??1-1?&?; (+)

c) 1??-1??;

d) 1??%-1??;

e) 1??1-1??.

/. 6hat reaction (p>) of urine in norm (in genera! urine ana!ysis)9

) 1?-%?;

b) %?-'?;c) '?-?; (+)

d) ?-4?;

e) 4?-11?.

/%. >ow many in norm can be protein in the urine (in genera! urine ana!ysis)9

) to ??%%; (+)

b) to ??&%;

c) to ??'%;

d) to ??/%;

e) to ??%.

/&. >ow many in norm in genera! urine ana!ysis can be !eu,ocytes9

) to %-4 in sight;

b) to %-2 in sight;

c) to %- in sight;

d) to %-/ in sight;

e) to %-' in sight. (+)

/'. >ow many in norm in genera! urine ana!ysis can be erythrocytes9) ?-4 in sight;

b) ?-' in sight;


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c) ?- in sight;

d) ?-1 in sight; (+)

e) ?-1' in sight.

//. Eo!or of urine in norm is

a) orange;

b) straw-ye!!ow (+)

c) red;d) straw-orange;

e) straw-red.

/. The increase of b!ood g!ucose is ca!!ed

a) g!ycosemia;

b) g!ycocytosis;

c) g!ycemia;

d) hyperg!ycemia (+)

e) hyperg!ycosemia.

/2. The increase !eve! of !eu,ocytes in the b!ood is ca!!ed

a) po!itcytosis;

b) anisocytosis;

c) !eu,ocytosis; (+)

d) poi,i!ocytosis;

e) agranu!ocytosis.

Topic -11 .

Curation of surgical patients. Writing of medical histor!.

1. 6hat shou!d be written in documents Hh-factor9

) Hh(+ K-)


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b) genera! urine ana!ysis ;

c) biochemica! b!ood ana!ysis; (+)

d) e!ectrocardiography;

e) I-ray of the chest.

&.0uring curation near a bed sic, doctor shou!d stand (sit) ...

a) frontU face to the patient;

b) from the bac, of the patient;c) right of the patient to the patient@s face; (+)

d) !eft of the patient@s face to the patient;

e) face-to-the patient.

'.7nvasive additiona! instrumenta! methods of e$amination inc!ude

a) e!ectrocardiography;

b) A!trasound diagnosis;

c) reovasography;

d) contrast angiography; (+)e) capi!!aroscopy.

/.6hat is the heart rate of a hea!thy person9

a) ? per minute; (+)

b) '? per minute;

c) 4? per minute;

d) 1? per minute;

e) 1&? per minute.

.6hat is the name of increase of heart rate more than norma!9

a) bradycardia;

b) tachypnea;

c) bradypnoe;

d) tachycardia; (+)

e) hypertension.

2.!ood pressure in a hea!thy person is

a) 1??K/? mm >g;

b) 1?K1?? mm >g;c) 1&?K1?? mm >g;

d) 1?-1&?K2?-4? mm >g; (+)

e) 2?K/? mm >g.

4.6hat is the name of reduction of b!ood pressure be!ow norma!

a) hypertension;

b) hypotension; (+)

c) tahy,ardiya;

d) bradypnea;e) tachypnea.

1?.6hat is the fre8uency of breathing in a hea!thy person9


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a) %? per minute;

b) 1' per minute;

c) ' per minute;

d) 12 per minute; (+)

e) 1? per minute.

11.7n human pu!monary arteries is f!owing

a) arteria! b!ood; b) venous b!ood; (+)

c) mi$ed b!ood;

d) !ymph;

e) synovia! f!uid.

1.6hich of the fo!!owing named steps is unnecessary when e$amining surgica! patient9

a) passportCs part;

b) fi!!ing the sheet of temporary disabi!ity; (+)

c) patient@s comp!aints;d) anamnesis of disease;

e) anamnesis of !ife.

1%.6hat is not inc!uded in the datawhich are necessary to fi!! the passport part of the

history9

a) !astname name and patronymic of the patient;

b) age of the patient;

c) body temperature of the patient;

d) b!ood group Hh-factor;e) diagnosis at direction. (+)

1&."namnessis of the disease" inc!ude

a) name of the disease in *atin;

b) a brief description of the patient@s !ife transferred previous!y diseases;

c) information about the presence of a!!ergic reactions;

d) description of the !ocation of disease;

e) a!! information about the disease about which the patient came to the doctor. (+)

1'.6hat doesnCt refer to physica! e$amination9

a) genera! ob:ective e$amination;

b) ob:ective e$amination by systems;

c) ob:ective e$amination of the disease p!ace;

d) e$amination pa!pation percussion auscu!tation;

e) patientCs comp!aints. (+)

1/.6hat stage of curation of the patient is performed after ob:ective e$amination9

a) patient@s comp!aints;

b) passport part;c) setting previous diagnosis; (+)

d) setting fina! diagnosis;


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e) treatment.

1.6hat stage of e$amination of the surgica! patient necessary to conduct confirmation

(denia!) previous

diagnosis and estab!ishing fina! c!inica! diagnosis9

a) measuring of pu!se and b!ood pressure;

b) ob:ective e$amination of the diseases p!ace;

c) genera! ob:ective e$amination;d) ob:ective e$amination by systems;

e) additiona! !aboratory and instrumenta! methods of e$amination. (+)

12.6hat stage of curation of the surgica! patient is performed after setting fina! c!inica!

diagnosis9

a) treatment of the patient; (+)

b) measurement of respiratory rate;

c) measurement of b!ood pressure;

d) fi!!ing the diary;e) conducting I-ray of the chest.

14.6ha

Documents

Baza III Curs Med