-----------------------Вопрос 1-----------------------

A patient with postpartum right-sided mastitis in the stage of serous inflammation came to the clinic. What treatment is
inappropriate?

Ответ:
breast elevation
Ответ:
lubrication of the nipples with disinfectant solutions;
Ответ:
pumping milk;
Правильный ответ:
breast massage;

-----------------------Вопрос 2-----------------------
Cannot be attributed to primary chronic osteomyelitis:

Правильный ответ:
post-traumatic osteomyelitis.
Ответ:
Olier osteomyelitis;
Ответ:
Garre's osteomyelitis;
Ответ:
Brody's abscess;

-----------------------Вопрос 3-----------------------
When do signs of osteoporosis appear on radiographs in patients with acute hematogenous osteomyelitis?

Ответ:
at 5-6 weeks of illness
Правильный ответ:
at 3-4 weeks of illness;
Ответ:
at 2 weeks of illness
Ответ:
at 1 week of illness;

-----------------------Вопрос 4-----------------------
When do linear lucencies appear on radiographs in patients with hematogenous osteomyelitis?

Ответ:
by the end of 4 weeks.
Ответ:
by the end of 3 weeks;
Ответ:
by the end of 2 weeks;
Правильный ответ:
by the end of 1 week;

-----------------------Вопрос 5-----------------------
First of all, you should look for the primary focus of inflammation in acute hematogenous osteomyelitis:

Ответ:
 doesn't matter.
Правильный ответ:
in the metaphysis of the bone;
Ответ:
in the epiphysis of the bone
Ответ:
in the diaphysis of the bone;

-----------------------Вопрос 6-----------------------
It cannot be considered characteristic for the period of acute hematogenous osteomyelitis:

Правильный ответ:
anemia. elementary
Ответ:
hyperthermia
Ответ:
impaired limb function;
Ответ:
pain in the limb;

-----------------------Вопрос 7-----------------------
The introduction of prophylactic tetanus toxoid is not indicated:

Правильный ответ:
with a closed fracture of the phalanx;
Ответ:
with a stab wound of the foot;
Ответ:
with a bruised head wound
Ответ:
with a thermal burn of the 2nd degree

-----------------------Вопрос 8-----------------------
. Not characteristic of the picture of the acute phase of tetanus:

Правильный ответ:
collapse, anemia.
Ответ:
"sardonic" smile;
Ответ:
tachycardia;
Ответ:
hyperthermia;

-----------------------Вопрос 9-----------------------
Early symptoms of tetanus infection should not include:

Ответ:
headaches
Ответ:
irritability
Ответ:
increased pain in the wound;
Правильный ответ:
convulsions
-----------------------Вопрос 10-----------------------
. Local signs of tuberculous lesions of the hip joint should not include:

Ответ:
dysfunction of the joint

Ответ:
deformity of the joint;
Ответ:
soft tissue atrophy;
Правильный ответ:
hyperemia of the skin

-----------------------Вопрос 11-----------------------
Secondary wound healing is observed when healing through:

Правильный ответ:
all of the above;
Ответ:
granulation
Ответ:
scab
Ответ:
suppuration

-----------------------Вопрос 12-----------------------
When is the late surgical treatment of an infected wound performed?

Правильный ответ:
18-24 Hours
Ответ:
24-36 hours
Ответ:
36-48 hours
Ответ:
48-72 hours

-----------------------Вопрос 13-----------------------
. When is the delayed debridement of an infected wound performed?

Правильный ответ:
24-8 hours;
Ответ:
18-24 hours;
Ответ:
up to 18 hours;
Ответ:
after 6 hours;

-----------------------Вопрос 14-----------------------
When is the early surgical treatment of the wound carried out?

Ответ:
more than 24 hours
Ответ:
up to 18 hours;
Ответ:
up to 12 hours;
Правильный ответ:
up to 6 hours;

-----------------------Вопрос 15-----------------------
What complication is not typical for recurrent erysipelas of the lower extremities?

Ответ:
sepsis
Правильный ответ:
secondary varicose veins;
Ответ:
thrombophlebitis
Ответ:
lymphostasis

-----------------------Вопрос 16-----------------------

Ответ:
finger hyperemia
Ответ:
lymphangitis
Правильный ответ:
lack of local pain and itching;
Ответ:
lack of edema

-----------------------Вопрос 17-----------------------
What typical complication can be observed in the furuncle of the upper lip?

Ответ:
erysipelas of the face;
Ответ:
periostitis of the upper jaw
Ответ:
thrombosis of the carotid artery;
Правильный ответ:
thrombosis of the cavernous sinus;

-----------------------Вопрос 18-----------------------
With supraponeurotic phlegmon of the palm, there is no:

Ответ:
dysfunction
Правильный ответ:
fluctuation
Ответ:
hyperemia
Ответ:
edema

-----------------------Вопрос 19-----------------------
When making a diagnosis of carbuncle with localization on the limb, an outpatient surgeon should:

Ответ:
observe the process in dynamics

Ответ:
 prescribe physiotherapeutic treatment
Ответ:
] prescribe antibiotics
Правильный ответ:
to operate on the patient;

-----------------------Вопрос 20-----------------------
. Treatment of a boil in the first phase of the disease does not include:

Ответ:
antibiotics
Ответ:
alcohol compresses;
Ответ:
physiotherapy
Правильный ответ:
operations

-----------------------Вопрос 21-----------------------
Inflammation of which tendon sheaths
flexor fingers can forearms?

Ответ:
II and IV. be complicated by phlegmon
Ответ:
III and IV;
Ответ:
I and III;
Правильный ответ:
I and V;

-----------------------Вопрос 22-----------------------
Do not use in the treatment of the serous phase of mastitis:

Ответ:
prevention of lactostasis;
Ответ:
physiotherapy
Ответ:
antibiotic therapy;
Правильный ответ:
dissection

-----------------------Вопрос 23-----------------------
Infiltrate differs from soft tissue abscess:

Ответ:
hyperthermia
Правильный ответ:
lack of fluctuation;
Ответ:
pain
Ответ:
hyperemia

-----------------------Вопрос 24-----------------------
. Hydradenitis is most often localized in the area:

Ответ:
popliteal region
Ответ:
cubital fossa;
Ответ:
groin
Правильный ответ:
armpit

-----------------------Вопрос 25-----------------------
The causative agent of erysipelas is:

Ответ:
Klebsiella
Ответ:
pork face stick;
Правильный ответ:
streptococcus
Ответ:
staphylococcus aureus;

-----------------------Вопрос 26-----------------------
The causative agent of a boil is most often:

Ответ:
Klebsiella
Ответ:
pork face stick;
Ответ:
streptococcus
Правильный ответ:
staphylococcus aureus;

-----------------------Вопрос 27-----------------------
The causative agent of hydradenitis is most often:

Ответ:
Klebsiella
Ответ:
pork face stick
Ответ:
streptococcus
Правильный ответ:
staphylococcus aureus;

-----------------------Вопрос 28-----------------------
Surgical treatment of abscessing boils involves:

Ответ:
cruciform incision
Ответ:
excision of the abscess
Ответ:
 arcuate incision;
Правильный ответ:
linear cut;

-----------------------Вопрос 29-----------------------
Surgical treatment of carbuncle involves:

Ответ:
cruciform incision

Правильный ответ:
excision of the abscess
Ответ:
arcuate incision;
Ответ:
linear cut;

-----------------------Вопрос 30-----------------------
When opening a subcutaneous panaritium in a polyclinic, anesthesia is used according to the method:

Ответ:
blockade of the brachial plexus
Ответ:
infiltration local anesthesia;
Ответ:
Brown
Правильный ответ:
Oberst-Lukashevich;

-----------------------Вопрос 31-----------------------
A patient came to an outpatient surgeon with a contaminated bite wound of the right forearm. She has a history of being
attacked by a stray dog. Which of the following is not indicated for this patient?

Ответ:
prevention of tetanus.
Ответ:
administration of antibiotics;
Правильный ответ:
wound closure;
Ответ:
primary surgical treatment of the wound;

-----------------------Вопрос 32-----------------------
A patient addressed an outpatient surgeon with complaints of sharp pain in the 2nd finger of the right hand, fever up to
37.9°C. On examination, the finger is sharply enlarged in volume, irregular in shape, the skin is cyanotic, there are no
movements in the joints of the finger. The duration of the disease is 5 days. Most likely diagnosis:

Правильный ответ:
pandactylitis
Ответ:
tendovaginitis
Ответ:
bone panaritium
Ответ:
subcutaneous felon

-----------------------Вопрос 33-----------------------
A patient addressed an outpatient surgeon with complaints of intense, “drilling” pain along the distal phalanx of the 3rd
finger of the right hand, fever up to 39°C, headache, and general malaise. On examination, a flask-shaped thickening of the
phalanx is observed, the skin over it is hyperemic. Pressure along the axis of the finger is sharply painful. The duration of the
disease is 3 days. Most likely diagnosis:

Ответ:
subcutaneous felon
Ответ:
pandactylitis;
Правильный ответ:
bone panaritium
Ответ:
tendovaginitis;

-----------------------Вопрос 34-----------------------
The most common cause of death in tetanus infection is:

Ответ:
damage to the nervous system
Ответ:
pneumonia
Ответ:
addition of anaerobic infection;
Правильный ответ:
asphyxia

-----------------------Вопрос 35-----------------------
. Which of the symptoms of phlegmon is not characteristic of the localization of the process on the palmar surface of the
hand?

Ответ:
local swelling;
Ответ:
increase in body temperature;
Правильный ответ:
fluctuation
Ответ:
pain

-----------------------Вопрос 36-----------------------
A patient with an ingrown toenail on the 1st toe of the left foot came to an appointment with an outpatient surgeon. On
examination revealed slight hyperemia and pain in the area of the nail plate. What is indicated for this patient?

Ответ:
does not need treatment.

Правильный ответ:
foot hygiene, baths with potassium permanganate, followed by surgical treatment;
Ответ:
remove the nail;
Ответ:
[-] perform a longitudinal resection of the nail plate;

-----------------------Вопрос 37-----------------------
A patient came to an outpatient surgeon with a temperature of 38°C, complaints of chills, severe headaches. When viewed in
the back of the head, a dense painful cyanotic-purple infiltrate is determined, there are several fistulous openings on the skin
through which pus is released. Make a diagnosis:
Ответ:
boil
Ответ:
phlegmon
Правильный ответ:
carbuncle
Ответ:
abscess

-----------------------Вопрос 38-----------------------
For erysipelas is not typical:

Ответ:
] lymphangitis, lymphadenitis

Ответ:
recurrent character
Правильный ответ:
the formation of inflammatory erythematous foci on the skin with fuzzy boundaries
Ответ:
the formation of sharply limited erythematous foci on the skin;

-----------------------Вопрос 39-----------------------
A patient came to an appointment with an outpatient surgeon with an infected wound of the right forearm, from which a strip
of infiltration and hyperemia stretches proximally in the form of a tourniquet. Palpation of this area is painful. What
complication should be considered?

Ответ:
myositis
Правильный ответ:
stem lymphangitis;
Ответ:
tendovaginitis
Ответ:
abscess

-----------------------Вопрос 40-----------------------
A patient with a retromammary abscess came to an appointment with an outpatient surgeon. How should an abscess be
opened?

Ответ:
peripapillary incision.
Ответ:
radial incisions in the lower quadrants of the gland
Ответ:
radial incisions in the upper quadrants of the gland;
Правильный ответ:
bordering incision along the fold under the gland;

-----------------------Вопрос 41-----------------------
. An outpatient surgeon should know that paraproctitis is the most severe, with severe intoxication:

Ответ:
subcutaneous
Правильный ответ:
pelviorectal
Ответ:
submucosal
Ответ:
retrorectal

-----------------------Вопрос 42-----------------------
During an appointment with a surgeon at a polyclinic, a patient complained of pain and slight bleeding (scarlet blood) after
defecation, constipation and stool phobia. What disease can be assumed?

Ответ:
fissure of the anal canal
Ответ:
insufficiency of the anal sphincter;
Ответ:
adrectal fistula;
Правильный ответ:
hemorrhoids

-----------------------Вопрос 43-----------------------
An outpatient surgeon should remember that the greatest likelihood of malignancy is with rectal polyps:

Ответ:
multiple adenomatous
Ответ:
adenomatous
Правильный ответ:
villous
Ответ:
hyperplastic

-----------------------Вопрос 44-----------------------
A surgeon in a polyclinic should remember that the following does not predispose to the appearance of hemorrhoids:

Ответ:
heredity
Ответ:
chronic inflammation of the anal canal;
Правильный ответ:
dolichosigma
Ответ:
two-moment act of defecation;

-----------------------Вопрос 45-----------------------
A patient with pararectal fistula came to the polyclinic. What is not typical for this disease?

Ответ:
the presence of a fistula
Ответ:
purulent discharge
Правильный ответ:
anemia
Ответ:
periodic exacerbations;

-----------------------Вопрос 46-----------------------
What method of additional examination is preferred in the polyclinic to confirm anal fissure?
Ответ:
irrigoscopy
Правильный ответ:
anoscopy
Ответ:
colonoscopy
Ответ:
digital examination of the rectum

-----------------------Вопрос 47-----------------------
During an examination in a polyclinic, a surgeon revealed a fever, pain during defecation, swelling with hyperemia of the skin
on the perineum in a patient. The duration of the disease is 3 days. What paraproctitis is characterized by such signs?

Ответ:
pelviorectal.

Ответ:
ischiorectal
Правильный ответ:
subcutaneous
Ответ:
skin

-----------------------Вопрос 48-----------------------
What method of treatment for acute subcutaneous paraproctitis should an outpatient surgeon choose?

Правильный ответ:
opening of an abscess.

Ответ:
sedentary warm baths
Ответ:
massive systemic antibiotic therapy;
Ответ:
physiotherapy;

-----------------------Вопрос 49-----------------------

Правильный ответ:
prolapse of the rectum
Ответ:
thrombosis of hemorrhoids;
Ответ:
bleeding
Ответ:
anal fissure;

-----------------------Вопрос 50-----------------------
During an appointment at the polyclinic, the surgeon revealed severe pain in the anal area after defecation, bleeding in the
form of 2-3 drops of blood after stool, stool phobia, and chronic constipation. Preliminary diagnosis?

Ответ:
pararectal fistula;
Правильный ответ:
fissure of the anal canal;
Ответ:
acute paraproctitis;
Ответ:
rectal cancer;

-----------------------Вопрос 51-----------------------
. A polyclinic surgeon should remember that pelviorectal paraproctitis in the early stage of the disease is not characterized
by:

Ответ:
high temperature;
Ответ:
no changes in the skin of the perineum;
Ответ:
pain in the depths of the pelvis;
Правильный ответ:
perineal infiltrate with hyperemia;

-----------------------Вопрос 52-----------------------
A polyclinic surgeon, examining a patient, revealed a clinical picture of a complete pararectal fistula. It is not typical for her:
[-]

Ответ:
release of gases through the fistula
Правильный ответ:
discharge of scarlet blood from the anal canal after defecation;
Ответ:
discharge of liquid feces from the fistula;
Ответ:
purulent discharge from the fistula;

-----------------------Вопрос 53-----------------------
Symptom most characteristic of cancer of the right half of the colon:

Ответ:
jaundice
Ответ:
chills
Правильный ответ:
anemia
Ответ:
constipation

-----------------------Вопрос 54-----------------------
Symptom most characteristic of cancer of the left half of the colon:

Правильный ответ:
cramping pains, intestinal obstruction.
Ответ:
jaundice
Ответ:
chills
Ответ:
anemia

-----------------------Вопрос 55-----------------------
Symptom, the most typical for cancer of the caecum:

Ответ:
jaundice
Ответ:
chills
Ответ:
heartburn
Правильный ответ:
diarrhea

-----------------------Вопрос 56-----------------------
In a polyclinic, a surgeon revealed pectinosis in a patient with a long-term chronic disease. This complication is typical for:

Ответ:
adrectal fistula;
Ответ:
paraproctitis
Правильный ответ:
anal fissure;
Ответ:
hemorrhoids

-----------------------Вопрос 57-----------------------
In what position should an outpatient surgeon examine a patient with suspected rectal cancer?

Правильный ответ:
everything is correct.
Ответ:
in the knee-elbow position;
Ответ:
on the back;
Ответ:
on the left side;

-----------------------Вопрос 58-----------------------
An outpatient surgeon should remember that rectal cancer is detected by digital examination in:

Правильный ответ:
60-80% of clinical observations
Ответ:
30% of clinical observations;
Ответ:
20% of clinical observations
Ответ:
10% of clinical observations;

-----------------------Вопрос 59-----------------------
What should not be done by an outpatient surgeon when treating a patient with strangulated hemorrhoids?

Правильный ответ:
direction to the hospital independently.
Ответ:
direction by specialized transport to the hospital
Ответ:
ointment bandage on the anus;
Ответ:
anesthesia
-----------------------Вопрос 60-----------------------
At what distance from the anus is it possible to examine the rectum and sigmoid colon?

Ответ:
up to 10 cm;
Ответ:
up to 20 cm;
Правильный ответ:
up to 30 cm
Ответ:
up to 60 cm

-----------------------Вопрос 61-----------------------
At what distance from the anus is it possible to examine the rectum and sigmoid colon?
1
Ответ:
up to 60 cm

Правильный ответ:
up to 30 cm
Ответ:
up to 20 cm;
Ответ:
up to 10 cm

-----------------------Вопрос 62-----------------------
Which of the following signs is typical for prolapse of the rectum, in contrast to the prolapse of internal hemorrhoids?

Ответ:
sensation of a foreign body in the anus
Правильный ответ:
annular folds of the mucosa;
Ответ:
pain during defecation;
Ответ:
radial folds of the mucosa;

-----------------------Вопрос 63-----------------------

-----------------------Вопрос 63-----------------------

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:
-----------------------Вопрос 64-----------------------
During an appointment with a surgeon at a polyclinic, a patient had a number of symptoms. Of these, it is not characteristic
of Paget-Schroetter disease:

Правильный ответ:
Horner's syndrome
Ответ:
swelling of the hand;
Ответ:
cyanosis of the skin of the hands, increased venous pattern
Ответ:
arching pains in the arm;

-----------------------Вопрос 65-----------------------
In the outpatient clinic, a surgeon suspected post-thrombophlebitic syndrome in a patient. What is not typical for this
disease?

Правильный ответ:
pale "marble" skin;
Ответ:
the formation of trophic ulcers;
Ответ:
congestive dermatosis and scleroderma;
Ответ:
skin hyperpigmentation;

-----------------------Вопрос 66-----------------------
. At the district hospital, the surgeon decided to perform the Pratt test with two bandages, which is used to:

Ответ:
diagnosis of popliteal artery occlusion.
Правильный ответ:
study of insufficiency of perforating veins
Ответ:
determination of insufficiency of arterial circulation of the lower extremities;
Ответ:
detection of obstruction of the deep veins of the lower extremities;

-----------------------Вопрос 67-----------------------
When registering a 62-year-old patient with a disability group for complicated varicose veins of the lower extremities, a
number of symptoms were examined by a surgeon at a polyclinic. At the same time, the following are not classified as
complications of varicose veins of the lower extremities:

Правильный ответ:
intermittent claudication
Ответ:
chronic venous insufficiency;
Ответ:
eczema and dermatitis;
Ответ:
trophic ulcers;

-----------------------Вопрос 68-----------------------
A patient who applied for an appointment with an outpatient surgeon had a number of symptoms. Of these manifestations
of local thrombosis of the superficial veins of the lower extremities cannot be attributed to this disease:
Ответ:
] hyperemia of the skin along the vein;
Ответ:
increase in body temperature;
Правильный ответ:
bursting pains;
Ответ:
distal edema;

-----------------------Вопрос 69-----------------------
What pathology can be suspected in a patient who applied to a polyclinic to a surgeon with symptoms of migrating phlebitis?

Ответ:
nodular periarteritis;
Ответ:
thromboangiitis vascular occlusion;
Правильный ответ:
a malignant tumor, more often of the pancreas;
Ответ:
leukemia;

-----------------------Вопрос 70-----------------------
What is the most dangerous complication after inpatient treatment for phlebothrombosis of the lower extremities?

Ответ:
ischemic stroke.
Ответ:
ischemic gangrene of the foot
Ответ:
varicose veins of the subcutaneous veins;
Правильный ответ:
pulmonary embolism;

-----------------------Вопрос 71-----------------------
An outpatient surgeon should be aware that postoperative thrombosis of the veins of the lower extremities most often leads
to thromboembolism:

Ответ:
pulmonary veins;
Правильный ответ:
pulmonary artery;
Ответ:
coronary arteries
Ответ:
vessels of the brain;

-----------------------Вопрос 72-----------------------
When aftercare in a polyclinic after surgery in a patient with a high risk of thromboembolic complications, the prevention of
the latter includes everything except:

Правильный ответ:
prolonged bed rest
Ответ:
physiotherapy exercises;
Ответ:
antiplatelet agents;

Ответ:
anticoagulants;

-----------------------Вопрос 73-----------------------
In the late postoperative period, during treatment in a polyclinic for the prevention of pulmonary embolism in a patient after
phlebectomy, do not use:

Ответ:
hemodilution
Ответ:
anticoagulants
Правильный ответ:
antibiotics
Ответ:
disaggregants

-----------------------Вопрос 74-----------------------
Which of the patient's factors that are least likely to lead to pulmonary embolism after surgery should an outpatient surgeon
take into account?

Правильный ответ:
gastric ulcer.
Ответ:
phlebothrombosis of deep veins of the lower leg and thigh;
Ответ:
varicose veins of the lower extremities;
Ответ:
obesity

-----------------------Вопрос 75-----------------------
. When aftercare in a polyclinic, compression bandaging of the lower extremities after phlebectomy begins with:

Правильный ответ:
feet
Правильный ответ:
popliteal region
Ответ:
lower third of the thigh
Ответ:
upper third of the thigh;

-----------------------Вопрос 76-----------------------
What should be the optimal upper level of compression bandaging of the lower extremities after phlebectomy?

Правильный ответ:
upper third of the thigh
Ответ:
lower third of the thigh;
Ответ:
upper third of the lower leg;
Ответ:
middle third of the lower leg;

-----------------------Вопрос 77-----------------------
The duration of compression therapy of the lower extremities after phlebectomy in a polyclinic is:

Правильный ответ:
1.5-2 months

Ответ:
3 weeks;
Ответ:
2 weeks;
Ответ:
1 week;

-----------------------Вопрос 78-----------------------
An outpatient surgeon with little work experience gave the following recommendations to a patient who underwent
phlebectomy. What is an error?

Ответ:
physiotherapy exercises.
Ответ:
physiotherapy treatment
Правильный ответ:
early static load
Ответ:
compression therapy of the lower extremities;

-----------------------Вопрос 79-----------------------
What are the last factors an outpatient surgeon should take into account in case of thrombosis of the veins of the lower
extremities?

Ответ:
varicose veins.
Правильный ответ:
atrial fibrillation;
Ответ:
violation of the endothelium of the veins;
Ответ:
slowing down of blood flow;

-----------------------Вопрос 80-----------------------
In the long-term period after abdominal operations, all of the following contribute to thrombus formation, except:

Ответ:
malignant tumors
Ответ:
hypodynamia;
Ответ:
obesity;
Правильный ответ:
increase in fibrinolytic activity of blood plasma;

-----------------------Вопрос 81-----------------------
In the outpatient treatment of phlebothrombosis of the veins of the lower extremities, all are used, except:

Правильный ответ:
antispasmodics
Ответ:
compression therapy;
Ответ:
antiplatelet agents
Ответ:
anticoagulant therapy;

-----------------------Вопрос 82-----------------------
Ambulatory use of which drug
requires regular dynamic indicators of blood coagulation?

Ответ:
chimes
Ответ:
antibiotics
Ответ:
trental
Правильный ответ:
phenyline

-----------------------Вопрос 83-----------------------
Which of the most dangerous complications of deep vein thrombosis should an outpatient surgeon consider?

Ответ:
chronic venous insufficiency

Ответ:
post-thrombotic disease;
Правильный ответ:
pulmonary embolism
Ответ:
trophic ulcer of the leg;

-----------------------Вопрос 84-----------------------
What recommendations should not be given by an outpatient surgeon on the 10th day after phlebectomy?

Ответ:
physiotherapy exercises.
Ответ:
physiotherapy treatment;
Ответ:
compression therapy
Правильный ответ:
jogging;

-----------------------Вопрос 85-----------------------
A 68-year-old patient with multiple concomitant pathology came to see a surgeon at a polyclinic. In this case, the symptoms
of varicose veins are not:

Ответ:
convulsions at night
Ответ:
trophic disorders of the skin;
Правильный ответ:
intermittent claudication;
Ответ:
swelling of the distal limbs in the evening;

-----------------------Вопрос 86-----------------------
When assessing the patency of deep veins of the lower extremities in a district hospital, a functional test can be used:

Ответ:
Delbe-Perthes;
Правильный ответ:
Gomans
Ответ:
Pratt-2;
Ответ:
Hackenbruch;

-----------------------Вопрос 87-----------------------
If it is impossible to conduct instrumental research methods in the polyclinic, the surgeon can use a sample to detect
incompetence of superficial vein valves:

Правильный ответ:
Troyanov-Trendelenburg
Ответ:
marching (Delbe-Perthes);
Ответ:
three-wire (Sheinis)
Ответ:
Pratt-2.

-----------------------Вопрос 88-----------------------
All of the following contribute to the improvement of venous outflow after surgery, except:

Ответ:
compression therapy;
Правильный ответ:
prolonged bed rest;
Ответ:
elevated position of the limb;
Ответ:
physiotherapy exercises

-----------------------Вопрос 89-----------------------
A patient with venous pathology of the lower extremities (symptoms are listed below) turned to a surgeon at a polyclinic.
Early symptoms of post-thrombotic disease do not include:

Правильный ответ:
trophic ulcer;
Ответ:
painful thickening of the skin in the lower third of the leg;
Ответ:
swelling in the ankles;
Ответ:
expansion of small cutaneous and subcutaneous veins of the lower third of the lower leg;

-----------------------Вопрос 90-----------------------
. What is dangerous to recommend to an outpatient surgeon for a patient in the treatment of deep vein thrombosis of the leg
and thigh?

Ответ:
hemodilution
Правильный ответ:
early active movements
Ответ:
antispasmodics
Ответ:
indirect anticoagulants;

-----------------------Вопрос 91-----------------------
In a surgical outpatient clinic, while studying the accompanying medical documentation, a young doctor found out that. The
patient was operated on for acute gangrenous appendicitis, local peritonitis and pylephlebitis. In addition to appendectomy,
the patient underwent relaparotomy with removal of the ascending colon. Pylephlebitis is a thrombosis:

Правильный ответ:
portal vein;

Ответ:
renal veins
Ответ:
inferior mesenteric vein;
Ответ:
splenic vein;

-----------------------Вопрос 92-----------------------
What is characteristic of acute phlebothrombosis?

Ответ:
intermittent lameness
Ответ:
lack of pulse on the arteries of the foot;
Правильный ответ:
sharp edema and hyperemia of the lower limb;
Ответ:
arrhythmia

-----------------------Вопрос 93-----------------------
What should not be recommended to an outpatient surgeon for a patient with acute thrombophlebitis of the superficial veins
of the leg?

Правильный ответ:
active walking;

Ответ:
compresses with Vishnevsky's ointment;
Ответ:
]butadione;
Ответ:
bed rest;

-----------------------Вопрос 94-----------------------
A 57-year-old patient came to the polyclinic with a disease duration of 2 days. What in this case should be considered not
characteristic of ileofemoral phlebothrombosis?

Ответ:
hyperemia and cyanosis of the thigh skin.
Ответ:
bursting pains;
Ответ:
swelling of the lower leg and thigh;
Правильный ответ:
lack of pulse on the popliteal artery and arteries of the foot;
-----------------------Вопрос 95-----------------------
What is the rarest complication of varicose veins that an outpatient surgeon may encounter?

Ответ:
trophic ulcer
Ответ:
varicose rupture;
Правильный ответ:
thrombosis of the peroneal vein;
Ответ:
eczematous dermatitis;

-----------------------Вопрос 96-----------------------
. A 32-year-old woman came to an outpatient surgeon's appointment with a request to determine the possibilities of
minimally invasive treatment of varicose veins. In this case, the surgeon should be aware that contraindications for
sclerotherapy for varicose veins of the lower extremities are:

Ответ:
night cramps.
Правильный ответ:
obliterating diseases of arteries
Ответ:
main architectonics of veins
Ответ:
trophic disorders of the skin;

-----------------------Вопрос 97-----------------------
During a conversation with a patient in an outpatient clinic, the surgeon said that everything can lead to varicose disease,
except:

Ответ:
obstruction of deep veins;

Правильный ответ:
obliterating diseases of the arteries;
Ответ:
static load
Ответ:
pregnancy

-----------------------Вопрос 98-----------------------
Which of the diseases identified by the surgeon at the reception in the clinic caused the progression of varicose veins in the
patient?

Ответ:
cardiac weakness;

Ответ:
pathology of arterial blood flow in the limb;
Ответ:
blood clotting disorders;
Правильный ответ:
violation of the valvular apparatus of the veins;

-----------------------Вопрос 99-----------------------
A young man who had been in a car accident with signs of acute bleeding from a thigh wound was urgently brought to an
appointment with a surgeon. What method of temporary stop of bleeding should not be used in this case?
Правильный ответ:
vascular suture
Ответ:
clamping in the wound;
Ответ:
tourniquet on the limb
Ответ:
tight tamponade of the wound;

-----------------------Вопрос 100-----------------------
A tractor driver with a lacerated wound of the elbow area and arterial bleeding was brought to a surgeon in a rural district
outpatient clinic. The patient was given painkillers, a system for intravenous infusion was placed, and a tourniquet was
applied above the wound. It was decided to send the patient by specialized transport to the vascular hospital. How long can
a tourniquet be on a limb without periodic blooming?

Правильный ответ:
1 hours
Ответ:
2 hours
Ответ:
3 hours
Ответ:
5 hours

-----------------------Вопрос 101-----------------------
When treating a patient in a polyclinic after implantation of a vascular prosthesis for chronic arterial ischemia of
atherosclerotic origin, the surgeon assessed the likelihood of graft thrombosis. The leading factors of acute thrombosis of
the prosthesis in this case are all, except:

Ответ:
atherosclerosis
Ответ:
increased blood clotting;
Ответ:
slowing blood flow;
Правильный ответ:
anemia

-----------------------Вопрос 102-----------------------
When treating elderly and senile patients in a polyclinic, it should be remembered that the most often thrombosed:

Ответ:
femoral arteries
Ответ:
iliac arteries
Ответ:
the aorta itself;
Правильный ответ:
visceral branches of the aorta;

-----------------------Вопрос 103-----------------------
A patient with signs of acute arterial ischemia of the lower limb was brought to the polyclinic for an appointment with a
surgeon. What can not be attributed to the characteristic symptoms of this pathology?

Правильный ответ:
periodic cramps in the lower leg
Ответ:
absence or weakening of the pulse below the level of occlusion;
Ответ:
cooling of the skin;
Ответ:
pale skin;

-----------------------Вопрос 104-----------------------
What medications can be avoided at the prehospital stage in case of acute arterial ischemia of the lower limb?

Ответ:
cardiotropic
Правильный ответ:
antibiotics
Ответ:
heparin
Ответ:
antispasmodics

-----------------------Вопрос 105-----------------------
A 65-year-old patient came to the polyclinic with complaints of numbness of the right lower limb, coldness and constant pain
in it. Sick for 8 hours. She has a history of myocardial infarction. An objective study revealed: atrial fibrillation; limb
movements are preserved; pulse on the right popliteal artery and arteries of the foot was not detected. Diagnosed with acute
arterial ischemia. Specify the stage of the disease:

Ответ:
III A-B.
Ответ:
II B;
Правильный ответ:
] I B;
Ответ:
I A;

-----------------------Вопрос 106-----------------------
When examining a seriously ill 68-year-old patient at home, the surgeon revealed the following data: ill for 2 days, complains
of severe constant pain in the left lower limb, tissue edema, pallor and coldness of the skin, total muscle contracture.
Pulsations of peripheral vessels and deep sensitivity at the level of the lower leg and foot were not detected. The diagnosis
was made: acute arterial ischemia, stage III B. What emergency operation in a hospital is indicated for the patient?

Ответ:
X-ray endovascular examination.
Ответ:
observation and conservative therapy;
Правильный ответ:
primary amputation;
Ответ:
vessel prosthesis;

-----------------------Вопрос 107-----------------------
When examining a patient in a polyclinic, an aneurysm of the thoracic aorta was suspected. What symptoms are not typical
for this disease?

Ответ:
shortness of breath and cough
Правильный ответ:
intercostal neuralgia;
Ответ:
arrhythmia;
Ответ:
pain in the region of the heart

-----------------------Вопрос 108-----------------------
A patient with constant severe pain in the abdomen was brought to an appointment with a surgeon. From the anamnesis it
was revealed that he had been ill for 3 hours. Objectively: hemodynamics is unstable, pulse is 90 bpm, a pulsating mass is
palpated at the level of the umbilicus, the pulse in the femoral arteries is weakened. The patient is pale. What disease can be
suspected?

Ответ:
myocardial infarction;
Правильный ответ:
dissecting aortic aneurysm
Ответ:
pancreatic necrosis;
Ответ:
ulcer bleeding;

-----------------------Вопрос 109-----------------------
Examination of a 45-year-old patient in a polyclinic revealed: jaundice, ascites, splenomegaly, black shaped stools, anemia.
History: suffered pneumonia, Botkin's disease, appendectomy. What disease can cause such a clinical picture?

Ответ:
leukemia
Правильный ответ:
Budd-Chiari syndrome
Ответ:
cholelithiasis
Ответ:
gastric ulcer;

-----------------------Вопрос 110-----------------------
When evaluating blood coagulation in a patient with gastric ulcer and nosebleeds in a polyclinic, the following data were
obtained using the Mas-Magro method. Which of them are the norm?

Ответ:
20 min;

Правильный ответ:
10 min;
Ответ:
2 min;
Ответ:
1 min;

-----------------------Вопрос 111-----------------------
A 61-year-old patient came to the polyclinic with complaints of recurrent pain in the muscles of the legs, especially when
walking (about 100-150 m) or climbing stairs. Feels especially bad in winter. He is a smoker with 35 years of experience. An
objective examination revealed the absence of a pulse in the feet and a sharp weakening in the right popliteal artery. The
diagnosis was made: obliterating atherosclerosis of the lower extremities. Specify the stage of the disease:

Ответ:
IV.
Правильный ответ:
II
Ответ:
III
Ответ:
I

-----------------------Вопрос 112-----------------------
. For a long time, a 56-year-old patient was under conservative treatment in a polyclinic for obliterating atherosclerosis of the
vessels of the lower extremities. What is not an indication for surgical treatment in this patient?

Ответ:
IV stage of the disease
Ответ:
III stage of the disease;
Ответ:
II B stage of the disease;
Правильный ответ:
I stage of the disease;

-----------------------Вопрос 113-----------------------
A young patient addressed a surgeon to a polyclinic after inpatient treatment for traumatic damage to the vessels of the
right thigh. What complications can be expected by the surgeon in this patient in the long-term period?

Ответ:
on" syndrome;

Ответ:
Buerger's thromboangiitis;
Ответ:
obliterating atherosclerosis;
Правильный ответ:
false arterial aneurysm;

-----------------------Вопрос 114-----------------------
A patient addressed a surgeon to a polyclinic, in whom 2 years ago the prosthetics of the iliofemoral segment on the right
with a synthetic prosthesis was performed in a hospital. In the last month, the patient notes periodic pain in the muscles of
the lower leg when walking, a feeling of "fatigue" in the lower limb, its coldness. Which of the most probable postoperative
complications could develop in this patient?

Ответ:
phlebothrombosis
Ответ:
angiotrophopathy
Ответ:
flat feet;
Правильный ответ:
prosthesis thrombosis;

-----------------------Вопрос 115-----------------------
What types of dilated venous anastomoses cannot be considered characteristic during examination in a polyclinic in a
patient with portal hypertension?

Ответ:
in the lower third of the rectum
Правильный ответ:
on the head and neck;
Ответ:
on the anterior abdominal wall;
Ответ:
in the region of the lower third of the esophagus;
-----------------------Вопрос 116-----------------------
When examining a patient with symptoms of chronic arterial ischemia, a polyclinic surgeon made a differential diagnosis
between obliterating atherosclerosis and endarteritis. What signs should not be taken into account?

Ответ:
diameter of arterial lesions
Ответ:
blood plasma cholesterol level
Правильный ответ:
strengthening of the venous pattern of the limb;
Ответ:
ge of the patient;

-----------------------Вопрос 117-----------------------
The duration of compression therapy of the lower extremities after phlebectomy in a polyclinic is:

Правильный ответ:
1.5-2 months.
Ответ:
3 weeks
Ответ:
2 weeks;
Ответ:
1 week;

-----------------------Вопрос 118-----------------------

-----------------------Вопрос 118-----------------------

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

-----------------------Вопрос 119-----------------------
An outpatient surgeon with little work experience gave the following recommendations to a patient who underwent
phlebectomy. What is an error?

Ответ:
physiotherapy exercises.
Ответ:
physiotherapy treatment
Правильный ответ:
early static load;
Ответ:
compression therapy of the lower extremities;

-----------------------Вопрос 120-----------------------
What are the last factors an outpatient surgeon should take into account in case of thrombosis of the veins of the lower
extremities?

Ответ:
varicose veins
Правильный ответ:
atrial fibrillation;
Ответ:
violation of the endothelium of the veins;
Ответ:
slowing down of blood flow;

-----------------------Вопрос 121-----------------------
In the long-term period after abdominal operations, all of the following contribute to thrombus formation, except:

Ответ:
malignant tumors
Ответ:
hypodynamia
Ответ:
obesity
Правильный ответ:
increase in fibrinolytic activity of blood plasma;

-----------------------Вопрос 122-----------------------
In the outpatient treatment of phlebothrombosis of the veins of the lower extremities, all are used, except:

Правильный ответ:
antispasmodics
Ответ:
compression therapy
Ответ:
antiplatelet agents;
Ответ:

-----------------------Вопрос 123-----------------------
Ambulatory use of which drug
requires regular dynamic indicators of blood coagulation?

Ответ:
chimes
Ответ:
antibiotics
Ответ:
trental
Правильный ответ:
phenyline

-----------------------Вопрос 124-----------------------
Which of the most dangerous complications of deep vein thrombosis should an outpatient surgeon consider?
Ответ:
chronic venous insufficiency
Ответ:
post-thrombotic disease;
Правильный ответ:
pulmonary embolism;
Ответ:
trophic ulcer of the leg;

-----------------------Вопрос 125-----------------------

-----------------------Вопрос 125-----------------------

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

Ответ:

-----------------------Вопрос 126-----------------------
. What recommendations should not be given by an outpatient surgeon on the 10th day after phlebectomy?

Ответ:
physiotherapy exercises.
Ответ:
physiotherapy treatment
Ответ:
compression therapy;
Правильный ответ:
jogging

-----------------------Вопрос 127-----------------------
A 68-year-old patient with multiple concomitant pathology came to see a surgeon at a polyclinic. In this case, the symptoms
of varicose veins are not:

Ответ:
convulsions at night;
Ответ:
trophic disorders of the skin;
Правильный ответ:
intermittent claudication;
Ответ:
swelling of the distal limbs in the evening;

-----------------------Вопрос 128-----------------------
When assessing the patency of deep veins of the lower extremities in a district hospital, a functional test can be used:

Ответ:
Delbe-Perthes
Правильный ответ:
Gomans
Ответ:
Pratt-2;
Ответ:
Hackenbruch;

-----------------------Вопрос 129-----------------------
If it is impossible to conduct instrumental research methods in the polyclinic, the surgeon can use a sample to detect
incompetence of superficial vein valves:

Ответ:
Pratt-2
Правильный ответ:
Troyanov-Trendelenburg;
Ответ:
marching (Delbe-Perthes);
Ответ:
three-wire (Sheinis);

-----------------------Вопрос 130-----------------------
All of the following contribute to the improvement of venous outflow after surgery, except:

Ответ:
compression therapy
Правильный ответ:
prolonged bed rest;
Ответ:
physiotherapy exercises;
Ответ:
elevated position of the limb;

-----------------------Вопрос 131-----------------------
A patient with venous pathology of the lower extremities (symptoms are listed below) turned to a surgeon at a polyclinic.
Early symptoms of post-thrombotic disease do not include:

Правильный ответ:
trophic ulcer;
Ответ:
painful thickening of the skin in the lower third of the leg;
Ответ:
swelling in the ankles;
Ответ:
expansion of small cutaneous and subcutaneous veins of the lower third of the lower leg;

-----------------------Вопрос 132-----------------------
What is dangerous to recommend to an outpatient surgeon for a patient in the treatment of deep vein thrombosis of the leg
and thigh?

Ответ:
hemodilution
Правильный ответ:
early active movements;
Ответ:
antispasmodics
Ответ:
indirect anticoagulants;

-----------------------Вопрос 133-----------------------
In a surgical outpatient clinic, while studying the accompanying medical documentation, a young doctor found out that. The
patient was operated on for acute gangrenous appendicitis, local peritonitis and pylephlebitis. In addition to appendectomy,
the patient underwent relaparotomy with removal of the ascending colon. Pylephlebitis is a thrombosis:

Правильный ответ:
portal vein
Ответ:
renal veins
Ответ:
inferior mesenteric vein;
Ответ:
splenic vein;

-----------------------Вопрос 134-----------------------
What is characteristic of acute phlebothrombosis?

Ответ:
intermittent lameness
Ответ:
lack of pulse on the arteries of the foot;

Ответ:
arrhythmia
Правильный ответ:
sharp edema and hyperemia of the lower limb;

-----------------------Вопрос 135-----------------------
What should not be recommended to an outpatient surgeon for a patient with acute thrombophlebitis of the superficial veins
of the leg?

Правильный ответ:
active walking;

Ответ:
compresses with Vishnevsky's ointment;
Ответ:
butadione
Ответ:
bed rest;

-----------------------Вопрос 136-----------------------
A 57-year-old patient came to the polyclinic with a disease duration of 2 days. What in this case should be considered not
characteristic of ileofemoral phlebothrombosis?

Ответ:
hyperemia and cyanosis of the thigh skin
Ответ:
bursting pains;
Ответ:
swelling of the lower leg and thigh;
Правильный ответ:
lack of pulse on the popliteal artery and arteries of the foot;

-----------------------Вопрос 137-----------------------
What is the rarest complication of varicose veins that an outpatient surgeon may encounter?

Ответ:
trophic ulcer
Ответ:
varicose rupture;
Правильный ответ:
thrombosis of the peroneal vein;
Ответ:
eczematous dermatitis;

-----------------------Вопрос 138-----------------------
A 32-year-old woman came to an outpatient surgeon's appointment with a request to determine the possibilities of
minimally invasive treatment of varicose veins. In this case, the surgeon should be aware that contraindications for
sclerotherapy for varicose veins of the lower extremities are:

Ответ:
night cramps.
Правильный ответ:
obliterating diseases of arteries;
Ответ:
main architectonics of veins;
Ответ:
trophic disorders of the skin;

-----------------------Вопрос 139-----------------------
During a conversation with a patient in an outpatient clinic, the surgeon said that everything can lead to varicose disease,
except:

Ответ:
obstruction of deep veins
Правильный ответ:
obliterating diseases of the arteries;
Ответ:
static load
Ответ:
pregnancy

-----------------------Вопрос 140-----------------------
Which of the diseases identified by the surgeon at the reception in the clinic caused the progression of varicose veins in the
patient?

Ответ:
cardiac weakness
Ответ:
pathology of arterial blood flow in the limb;
Ответ:
blood clotting disorders;
Правильный ответ:
violation of the valvular apparatus of the veins;

-----------------------Вопрос 141-----------------------
A young man who had been in a car accident with signs of acute bleeding from a thigh wound was urgently brought to an
appointment with a surgeon. What method of temporary stop of bleeding should not be used in this case?

Правильный ответ:
vascular suture.
Ответ:
clamping in the wound;
Ответ:
tourniquet on the limb
Ответ:
pressing the supply vessel to the bone;

-----------------------Вопрос 142-----------------------
A tractor driver with a lacerated wound of the elbow area and arterial bleeding was brought to a surgeon in a rural district
outpatient clinic. The patient was given painkillers, a system for intravenous infusion was placed, and a tourniquet was
applied above the wound. It was decided to send the patient by specialized transport to the vascular hospital. How long can
a tourniquet be on a limb without periodic blooming?

Ответ:
4 hours.
Ответ:
3 hours;
Ответ:
2 hours;
Правильный ответ:
1 hour;

-----------------------Вопрос 143-----------------------
When treating a patient in a polyclinic after implantation of a vascular prosthesis for chronic arterial ischemia of
atherosclerotic origin, the surgeon assessed the likelihood of graft thrombosis. The leading factors of acute thrombosis of
the prosthesis in this case are all, except:

Ответ:
atherosclerosis
Ответ:
increased blood clotting;
Ответ:
slowing blood flow;
Правильный ответ:
anemia

-----------------------Вопрос 144-----------------------
When treating elderly and senile patients in a polyclinic, it should be remembered that the most often thrombosed:

Ответ:
femoral arteries
Ответ:
iliac arteries;
Ответ:
the aorta itself;
Правильный ответ:
visceral branches of the aorta;

-----------------------Вопрос 145-----------------------
. A patient with signs of acute arterial ischemia of the lower limb was brought to the polyclinic for an appointment with a
surgeon. What can not be attributed to the characteristic symptoms of this pathology?

Правильный ответ:
periodic cramps in the lower leg

Ответ:
absence or weakening of the pulse below the level of occlusion;
Ответ:
cooling of the skin;
Ответ:
pale skin;

-----------------------Вопрос 146-----------------------
What medications can be avoided at the prehospital stage in case of acute arterial ischemia of the lower limb?

Ответ:
cardiotropic
Правильный ответ:
antibiotics
Ответ:
heparin
Ответ:
antispasmodics

-----------------------Вопрос 147-----------------------
A 65-year-old patient came to the polyclinic with complaints of numbness of the right lower limb, coldness and constant pain
in it. Sick for 8 hours. She has a history of myocardial infarction. An objective study revealed: atrial fibrillation; limb
movements are preserved; pulse on the right popliteal artery and arteries of the foot was not detected. Diagnosed with acute
arterial ischemia. Specify the stage of the disease:

Ответ:
II B;

Ответ:
II A;
Правильный ответ:
I B;
Ответ:
I A;

-----------------------Вопрос 148-----------------------
When examining a seriously ill 68-year-old patient at home, the surgeon revealed the following data: ill for 2 days, complains
of severe constant pain in the left lower limb, tissue edema, pallor and coldness of the skin, total muscle contracture.
Pulsations of peripheral vessels and deep sensitivity at the level of the lower leg and foot were not detected. The diagnosis
was made: acute arterial ischemia, stage III B. What emergency operation in a hospital is indicated for the patient?

Ответ:
X-ray endovascular examination
Ответ:
observation and conservative therapy
Правильный ответ:
primary amputation
Ответ:
vessel prosthesis;

-----------------------Вопрос 149-----------------------
When examining a patient in a polyclinic, an aneurysm of the thoracic aorta was suspected. What symptoms are not typical
for this disease?

Ответ:
shortness of breath and cough
Правильный ответ:
intercostal neuralgia;
Ответ:
arrhythmia
Ответ:
pain in the region of the heart;

-----------------------Вопрос 150-----------------------
A patient with constant severe pain in the abdomen was brought to an appointment with a surgeon. From the anamnesis it
was revealed that he had been ill for 3 hours. Objectively: hemodynamics is unstable, pulse is 90 bpm, a pulsating mass is
palpated at the level of the umbilicus, the pulse in the femoral arteries is weakened. The patient is pale. What disease can be
suspected?

Ответ:
myocardial infarction
Правильный ответ:
dissecting aortic aneurysm;
Ответ:
pancreatic necrosis;
Ответ:
ulcer bleeding;

-----------------------Вопрос 151-----------------------
. Examination of a 45-year-old patient in a polyclinic revealed: jaundice, ascites, splenomegaly, black shaped stools, anemia.
History: suffered pneumonia, Botkin's disease, appendectomy. What disease can cause such a clinical picture?

Ответ:
leukemia
Правильный ответ:
Budd-Chiari syndrome
Ответ:
cholelithiasis
Ответ:
gastric ulcer;

-----------------------Вопрос 152-----------------------
When evaluating blood coagulation in a patient with gastric ulcer and nosebleeds in a polyclinic, the following data were
obtained using the Mas-Magro method. Which of them are the norm?

Ответ:
20 min;
Правильный ответ:
10 min;
Ответ:
2 min
Ответ:
1 min;

-----------------------Вопрос 153-----------------------
A 61-year-old patient came to the polyclinic with complaints of recurrent pain in the muscles of the legs, especially when
walking (about 100-150 m) or climbing stairs. Feels especially bad in winter. He is a smoker with 35 years of experience. An
objective examination revealed the absence of a pulse in the feet and a sharp weakening in the right popliteal artery. The
diagnosis was made: obliterating atherosclerosis of the lower extremities. Specify the stage of the disease:

Ответ:
IV.
Ответ:
III
Правильный ответ:
II;
Ответ:
I;

-----------------------Вопрос 154-----------------------
For a long time, a 56-year-old patient was under conservative treatment in a polyclinic for obliterating atherosclerosis of the
vessels of the lower extremities. What is not an indication for surgical treatment in this patient?

Ответ:
IV stage of the disease
Ответ:
III stage of the disease;
Ответ:
II B stage of the disease;
Правильный ответ:
I stage of the disease;

-----------------------Вопрос 155-----------------------
A young patient addressed a surgeon to a polyclinic after inpatient treatment for traumatic damage to the vessels of the
right thigh. What complications can be expected by the surgeon in this patient in the long-term period?

Ответ:
"on" syndrome;

Ответ:
Buerger's thromboangiitis;
Ответ:
obliterating atherosclerosis;
Правильный ответ:
false arterial aneurysm;

-----------------------Вопрос 156-----------------------
A patient addressed a surgeon to a polyclinic, in whom 2 years ago the prosthetics of the iliofemoral segment on the right
with a synthetic prosthesis was performed in a hospital. In the last month, the patient notes periodic pain in the muscles of
the lower leg when walking, a feeling of "fatigue" in the lower limb, its coldness. Which of the most probable postoperative
complications could develop in this patient?

Ответ:
phlebothrombosis
Ответ:
angiotrophopathy
Ответ:
flat feet;
Правильный ответ:
prosthesis thrombosis;

-----------------------Вопрос 157-----------------------
What types of dilated venous anastomoses cannot be considered characteristic during examination in a polyclinic in a
patient with portal hypertension?

Ответ:
in the lower third of the rectum.
Правильный ответ:
] on the head and neck;
Ответ:
on the anterior abdominal wall;
Ответ:
in the region of the lower third of the esophagus;

-----------------------Вопрос 158-----------------------
When examining a patient with symptoms of chronic arterial ischemia, a polyclinic surgeon made a differential diagnosis
between obliterating atherosclerosis and endarteritis. What signs should not be taken into account?

Ответ:
diameter of arterial lesions.

Правильный ответ:
strengthening of the venous pattern of the limb
Ответ:
blood plasma cholesterol level;
Ответ:
age of the patient;

-----------------------Вопрос 159-----------------------
What treatment should an outpatient surgeon recommend to a patient in the first stage of obliterating endarteritis?

Правильный ответ:
] conservative therapy
Ответ:
primary amputation;
Ответ:
sympathectomy
Ответ:
reconstructive surgery on vessels.

-----------------------Вопрос 160-----------------------
A patient with stage III obliterating atherosclerosis addressed a surgeon to a polyclinic. What symptoms will the patient have?

Ответ:
symptom of Gomans
Ответ:
flat feet
Ответ:
skin moisture;
Правильный ответ:
pain at rest;

-----------------------Вопрос 161-----------------------
A patient with Leriche's syndrome applied to the polyclinic for an appointment with a surgeon. What it is?

Ответ:
migrating thromboangiitis
Ответ:
aortoarteritis
Ответ:
capillaropathy
Правильный ответ:
atherosclerotic occlusion of the bifurcation of the abdominal aorta;

-----------------------Вопрос 162-----------------------
While examining the accompanying medical records, the polyclinic surgeon revealed that the patient was suffering from
Reil's disease. What it is?
Ответ:
] thrombosis of mesenteric vessels.
Правильный ответ:
thrombosis of the arteries of the toes;
Ответ:
temporal arteritis;
Ответ:
occlusion of the abdominal aorta;

-----------------------Вопрос 163-----------------------
When examining a patient with stage IV occlusive disease of the main arteries in a polyclinic, the surgeon should
recommend to the patient:

Ответ:
bypass operation;
Ответ:
striped cuts;
Ответ:
massive antibiotic therapy;
Правильный ответ:
primary limb amputation

-----------------------Вопрос 164-----------------------
In a polyclinic, a 67-year-old patient was diagnosed with obliterating atherosclerosis, occlusion of the right femoral artery.
What are the possible complications?

Ответ:
intermittent claudication
Правильный ответ:
pulmonary embolism;
Ответ:
trophic ulcers
Ответ:
limb gangrene;

-----------------------Вопрос 165-----------------------
During the examination in the polyclinic, the surgeon did not find a pulse in the patient on the right radial artery. With what
disease is this possible?

Ответ:
aortoarteritis
Ответ:
obliterating atherosclerosis of the lower extremities;
Ответ:
thrombophlebitis of the cubital vein;
Правильный ответ:
Takayasu's disease

-----------------------Вопрос 166-----------------------
When choosing a treatment method for a patient with obliterating diseases of the arteries of the lower extremities, an
outpatient surgeon could not recommend:

Ответ:
limb amputation
Ответ:
prosthetic artery;
Правильный ответ:
safenectomy
Ответ:
sympathectomy

-----------------------Вопрос 167-----------------------
When examining a patient in a polyclinic, a surgeon suspected an embolism of the right popliteal artery. For this disease is
not typical:

Ответ:
pain in the right leg;
Правильный ответ:
absence of pulsation on the right femoral artery;
Ответ:
lack of pulsation on the foot;
Ответ:
atrial fibrillation;

-----------------------Вопрос 168-----------------------
When examining a 64-year-old patient in a polyclinic, a surgeon suspected Leriche's syndrome in him. It is not typical for him:

Правильный ответ:
enhanced venous pattern;
Ответ:
impotence
Ответ:
lack of pulse on the femoral arteries;
Ответ:
high intermittent claudication;

-----------------------Вопрос 169-----------------------
In a polyclinic, a surgeon diagnosed a 48-year-old patient with acute arterial ischemia of the right lower extremity, stage I B.
What should the surgeon do?

Ответ:
carry out hyperbaric oxygen therapy;
Правильный ответ:
urgently refer to the angiological hospital;
Ответ:
make incisions on the foot;
Ответ:
prescribe conservative treatment in a polyclinic;

-----------------------Вопрос 170-----------------------
What is the most effective method of preventing the progression of varicose veins of the lower extremities can be
prescribed by an outpatient surgeon?

Ответ:
restriction of heavy physical activity;
Ответ:
physiotherapy treatment;
Правильный ответ:
compression therapy of the lower extremities;
Ответ:
observance of a rational regime of work and rest;
-----------------------Вопрос 171-----------------------
A patient with occlusive atherosclerosis of the arteries of the lower extremities, chronic arterial ischemia came to see a
surgeon at a polyclinic. With this disease, it is revealed:

Ответ:
occurrence of trophic ulcers in the area of the knee joints
Ответ:
sciatica
Правильный ответ:
intermittent claudication
Ответ:
pain during movement in the joints of the limbs;

-----------------------Вопрос 172-----------------------
What can a polyclinic surgeon recommend for conservative treatment of varicose veins of the lower extremities?

Правильный ответ:
that's right
Ответ:
drugs with venotonic action;
Ответ:
warm thermal and swimming pools;
Ответ:
compression therapy of the lower extremities;

-----------------------Вопрос 173-----------------------
What is not typical for varicose veins of the lower extremities?

Правильный ответ:
hyperpigmentation of the skin of the thighs;
Ответ:
formation of ulcers on the legs
Ответ:
hyperpigmentation of the skin of the lower third of the legs;
Ответ:
edema

-----------------------Вопрос 174-----------------------
When assessing the causes of chronic venous insufficiency of the lower extremities in a 56-year-old patient with varicose
veins, an outpatient surgeon suggested a number of factors. Eliminate the wrong one:

Ответ:
valvular insufficiency of the great saphenous and deep veins
Ответ:
mechanical obstruction of the outflow of blood from the limb;
Правильный ответ:
damage to the heart in left ventricular failure;
Ответ:
valvular insufficiency of communicating veins;

-----------------------Вопрос 175-----------------------
What should an outpatient surgeon do in case of heavy bleeding from a torn varicose vein on the leg?

Правильный ответ:
apply a pressure bandage to the site of bleeding and send to the hospital
Ответ:
give the limb an elevated position;
Ответ:
 press the femoral artery;
Ответ:
inject vikasol intramuscularly;

-----------------------Вопрос 176-----------------------
An outpatient surgeon should remember that obliterating atherosclerosis primarily affects:

Правильный ответ:
femoral artery

Ответ:
finger arteries;
Ответ:
popliteal artery;
Ответ:
tibial arteries;

-----------------------Вопрос 177-----------------------
An outpatient surgeon should remember that obliterating endarteritis primarily affects:

Ответ:
iliac artery
Ответ:
femoral artery
Ответ:
popliteal artery
Правильный ответ:
tibial arteries;

-----------------------Вопрос 178-----------------------
An outpatient surgeon should remember that diabetic angiopathy primarily affects:

Ответ:
iliac artery
Ответ:
femoral artery;

Ответ:
popliteal artery;
Правильный ответ:
foot arteries;

-----------------------Вопрос 179-----------------------
Specify the most common cause of portal hypertension syndrome:

Ответ:
Chiari disease
Ответ:
Caroli's syndrome;
Ответ:
Sent's triad;
Правильный ответ:
cirrhosis of the liver;

-----------------------Вопрос 180-----------------------
A patient with a history of viral hepatitis applied to a polyclinic surgeon.
The surgeon suspected that the patient had portal hypertension syndrome. What is the most common symptom that can be
detected in this disease?
Ответ:
hemorrhoids
Ответ:
hypersplenism
Правильный ответ:
splenomegaly
Ответ:
bleeding from varicose veins of the esophagus

-----------------------Вопрос 181-----------------------
An outpatient surgeon diagnosed a patient with a post-traumatic aneurysm of the femoral artery. Which of the following
symptoms is not typical for this pathology?

Ответ:
anemia
Ответ:
distal to the aneurysm, the pulsation of the vessel is weakened
Ответ:
continuous vascular noise over the swelling
Ответ:
pulsating swelling of dense elastic consistency

-----------------------Вопрос 182-----------------------
anemiaWhat causes the development of shortness of breath and cough in a patient with a dissecting aortic aneurysm?
1) [-] ;
2) [+]
3) [-]
4) [-]

Ответ:
with compression of the superior vena cava.
Ответ:
with compression of the recurrent nerve;
Правильный ответ:
with pressure of the aneurysm on the trachea;
Ответ:
with congestion in the lungs

-----------------------Вопрос 183-----------------------
What is characteristic of blood pressure in dissecting aortic aneurysm?

Ответ:
differs on the right and left legs.
Ответ:
the same on the arms and legs;
Ответ:
higher on the arms than on the legs;
Правильный ответ:
differs on the right and left hand;

-----------------------Вопрос 184-----------------------
A young man came to an appointment with an outpatient surgeon complaining of pain in the sternum. From the anamnesis
it was found out that on the eve of training he received a strong blow to the sternum. What will be characteristic of a
contusion of the heart?

Правильный ответ:
all of the above
Ответ:
pain in the region of the heart;
Ответ:
deafness of heart tones;
Ответ:
arrhythmia

-----------------------Вопрос 185-----------------------
In a polyclinic, a surgeon revealed multiple fractures of the V-VII ribs on the right in a patient. What signs are not typical for
damage to the pleura and lung tissue?

Ответ:
subcutaneous emphysema
Ответ:
pneumothorax
Правильный ответ:
pain behind the sternum with irradiation to the left shoulder girdle;
Ответ:
hemoptysis

-----------------------Вопрос 186-----------------------
A 45-year-old patient, who had been in a car accident, was taken to a surgeon from the street. On examination, the surgeon
suspected fracture-dislocation in the right shoulder joint. Not typical for this pathology:

Ответ:
pain during passive movements
Ответ:
lack of active movements;
Ответ:
limb shortening;
Правильный ответ:
limb lengthening;

-----------------------Вопрос 187-----------------------
. During an appointment with an outpatient surgeon, a patient complained of constant severe pain in the region of the left
foot and heel. The day before, being in a state of alcoholic intoxication, the patient jumped from the 2nd floor. Which of the
following signs would indicate a fracture of the calcaneus?

Ответ:
pain in the calcaneus;

Ответ:
displacement of the inner ankle up;
Ответ:
displacement of the outer ankle upward;
Правильный ответ:
drooping of the tops of the ankles on the side of the lesion;

-----------------------Вопрос 188-----------------------
When examining a patient, an outpatient surgeon suspected damage to his own patellar ligament. What is the manifestation
of such a pathology?

Ответ:
pain on palpation of the patella
Ответ:
fluctuation of the patella;
Ответ:
violation of leg flexion;
Правильный ответ:
violation of leg extension;

-----------------------Вопрос 189-----------------------
During examination of a 21-year-old patient, a polyclinic surgeon revealed multiple abrasions and bruises of the head. It was
found out that the day before the patient was beaten by unknown people. What symptoms are not typical for a concussion?

Правильный ответ:
anemia
Ответ:
unstable anisocoria
Ответ:
dizziness
Ответ:
nausea

-----------------------Вопрос 190-----------------------
When examining a patient in a polyclinic, a surgeon suspected a fracture of the spine in the zone TXI-TXII. Which of the
following radiological signs does not confirm this diagnosis?

Ответ:
change in the axis of the spine;
Ответ:
hematoma of paravertebral tissues;
Правильный ответ:
displacement of the intervertebral disc;
Ответ:
decrease in the height of the vertebral body;

-----------------------Вопрос 191-----------------------
A football player came to an appointment with a polyclinic surgeon complaining of severe pain in the area of the upper third
of the anterior surface of the right thigh. These pains appeared the day before in training with a strong blow to the ball. What
is not typical for the detachment of the rectus femoris muscle?

Ответ:
mechanism of injury.
Правильный ответ:
impossibility of hip abduction;
Ответ:
limitation of hip flexion
Ответ:
pain in the groin area;

-----------------------Вопрос 192-----------------------
While examining a young man playing tennis, a polyclinic surgeon suspected that he had a typical subcutaneous rupture of
the Achilles tendon. What is not typical for this injury?

Ответ:
the type of sport that the patient is engaged in.
Ответ:
the location of the hematoma in the ankle area
Правильный ответ:
localization of the gap in the area of transition of the muscle into the tendon;
Ответ:
the presence of degenerative changes in the muscle and tendon;
-----------------------Вопрос 193-----------------------
A 42-year-old patient came to an appointment with an outpatient surgeon with complaints of moderate persistent pain on
the anterior surface of the right shoulder. What is not typical for biceps myositis?

Ответ:
slight swelling of the shoulder;

Ответ:
protective contracture of the shoulder;
Правильный ответ:
] lymphadenitis;
Ответ:
the presence of pain;

-----------------------Вопрос 194-----------------------
In a polyclinic, a 43-year-old patient was diagnosed with a fracture of the right navicular bone without displacement. What
kind of immobilization should be performed for the patient?

Ответ:
Dezo bandage
Ответ:
plaster splint
Ответ:
circular bandage with fixation of the elbow joint;
Ответ:
apply a circular plaster bandage from the upper third of the forearm of the dofingers with the capture of the main phalanx of
the first finger;

-----------------------Вопрос 195-----------------------
A 56-year-old patient came to a surgeon's clinic with complaints of pain in the right wrist joint. 3 hours ago fell on the right
hand. What is specific for diagnosing a scaphoid fracture?

Ответ:
crepitus
Правильный ответ:
pain when pressing on the area of the anatomical snuffbox;
Ответ:
pain during active and passive movements in the wrist joint
Ответ:
swelling of the joint;

-----------------------Вопрос 196-----------------------
When examining a patient in a polyclinic, a surgeon revealed a closed fracture of the left ray in a typical place without
displacement. What immobilization should be applied in this pathology?

Ответ:
Dezo bandage
Ответ:
palmar plaster splint
Ответ:
circular bandage without gripping the elbow joint;
Правильный ответ:
dorsal and palmar plaster splints;

-----------------------Вопрос 197-----------------------
What kind of immobilization should an outpatient surgeon perform on a patient with a fracture in the elbow joint?

Ответ:
scarf
Ответ:
thoracobrachial bandage;
Правильный ответ:
Cramer's tire;
Ответ:
-] Deso bandage;

-----------------------Вопрос 198-----------------------
What fractures of the forearm are most common in the practice of an outpatient surgeon?

Ответ:
fracture-dislocation
Ответ:
intra-articular fractures
Ответ:
fractures of the upper third;
Правильный ответ:
fractures of the beam in a typical place;

-----------------------Вопрос 199-----------------------
What kind of immobilization should be performed by a polyclinic surgeon when transporting a patient with a fracture of the
shaft of the shoulder to the hospital?

Ответ:
plaster cast.
Ответ:
scarf
Ответ:
Delpe rings
Правильный ответ:
Cramer's tire;

-----------------------Вопрос 200-----------------------
What kind of immobilization should be performed by an outpatient surgeon when referring a patient with a fracture of the
distal end of the shoulder to the hospital?

Ответ:
plaster circular bandage
Ответ:
scarf
Правильный ответ:
Cramer's tire;
Ответ:
Deso bandage;

-----------------------Вопрос 201-----------------------
What is not typical for the diagnosis of habitual dislocation of the shoulder in a polyclinic?

Правильный ответ:
limb shortening;
Ответ:
limited range of motion;
Ответ:
muscle atrophy in the area of the shoulder joint;
Ответ:
asymmetry of the blades;
-----------------------Вопрос 202-----------------------
What symptoms of sprains can be found by a polyclinic surgeon in a patient?

Ответ:
springy fixation of the limb;
Ответ:
crepitus
Ответ:
pathological mobility;
Правильный ответ:
] pain and dysfunction of the joint

-----------------------Вопрос 203-----------------------
The prognosis for the syndrome of prolonged compression is determined by:

Правильный ответ:
all of the above
Ответ:
the presence of concomitant mechanical damage;
Ответ:
compression area;
Ответ:
compression time;

-----------------------Вопрос 204-----------------------
What severity of the syndrome of prolonged compression will develop in a patient with compression of one limb for 5-6
hours?

Ответ:
] extremely severe
Правильный ответ:
severe
Ответ:
moderate
Ответ:
mild degree

-----------------------Вопрос 205-----------------------
Should a tourniquet be applied to a limb before its immediate release from under the rubble?

Правильный ответ:
only with obvious signs of non-viability of the limb
Ответ:
no
Ответ:
yes
Ответ:
facxe

-----------------------Вопрос 206-----------------------
Which of the methods of anesthesia is preferable for the syndrome of prolonged compression?
1) [+]
2) [-]
3) [-] s; 4) [-
Ответ:
] intraosseous anesthesia. n
Ответ:
administration of narcotic analgesics
Ответ:
subfascial injection of novocaine in the compression zone;
Правильный ответ:
case and circular blockades;

-----------------------Вопрос 207-----------------------
Paravertebral blockade of novocaine solution is carried out:

Ответ:
into the epidural space. summing up
Ответ:
to the vertebral bodies;
Правильный ответ:
to the transverse processes of the vertebrae;
Ответ:
to the spinous processes of the vertebrae;

-----------------------Вопрос 208-----------------------
When conducting conduction anesthesia of the finger according to Lukashevich-Oberst, the introduction of novocaine is
carried out:

Ответ:
along the back surface of all phalanges.

Ответ:
along the lateral sides of all phalanges of the finger
Ответ:
along the palmar surface of the finger;
Правильный ответ:
a t the base of the finger and on the lateral sides of the main pha¬lange;

-----------------------Вопрос 209-----------------------
What morphological structure is dissected by the surgeon during tracheotomy?

Ответ:
cricoid cartilage.

Ответ:
thyroid cartilage;
Ответ:
cricothyroid ligament;
Правильный ответ:
the anterior wall of the trachea;

-----------------------Вопрос 210-----------------------
What organ can be damaged by a surgeon during tissue dissection during tracheotomy?

Ответ:
thymus gland
Правильный ответ:
throat
Ответ:
the thyroid gland;
Ответ:
esophagus