Перелік питань:
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1.
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A 25-year-old male presents to the ED after being struck in the right eye with a fist. On examination of extraocular movement, you notice entrapment of upward gaze with diplopia. You make a clinical diagnosis of an orbital blowout fracture. While awaiting radiographic confirmation, each of the following physical findings could be anticipated EXCEPT:
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A.
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Anesthesia to the right anterior cheek.
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B.
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Orbital emphysema.
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C.
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Enophthalmos.
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D.
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Subconjunctival hemorrhage.
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E. *
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CSF rhinorrhea.
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2.
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A 62-year-old female with a medical history of hypertension, diabetes, and glaucoma complains of 1 day of sudden, painless loss of vision to the right eye. Physical examination shows only hand-motion visual acuity to the affected side. There is an afferent pupillary defect and absent red reflex on the right. You are unable to visualize the fundus. Slit lamp examination is normal. The MOST likely diagnosis is:
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A.
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Acute open-angle glaucoma.
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B.
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Optic neuritis.
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C. *
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Vitreous hemorrhage.
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D.
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Central retinal artery occlusion.
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E.
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Central retinal vein occlusion.
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3.
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A victim of an assault with a baseball bat presents to the ED for evaluation. Assessment shows an obvious mid-face fracture and unstable mandible. The left eye is noted to be mildly proptotic with severe conjunctival swelling and a subconjunctival hemorrhage. The pupil is fixed and mid-point. Visual acuity is to count fingers only. Appropriate initial management would include all of the following EXCEPT:
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A.
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Broad-spectrum antibiotic coverage.
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B.
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Sedation and analgesia.
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C.
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Radiographic imaging via CT.
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D. *
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Antibiotic ointment and gauze eye patch.
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E.
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Immediate ophthalmologic consultation.
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4.
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A 35-year-old mother of four children presents complaining of bilateral eye irritation, redness, and decreased vision of 2 weeks. She describes worsening symptoms despite having self-treated with over-the-counter eye drops. All four children are developing symptoms. Physical examination shows injected conjunctiva, tender preauricular nodes, and keratitis with subepithelial infiltrates. The MOST likely diagnosis is:
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A.
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Corneal ulcer.
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B.
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Herpes simplex conjunctivitis.
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C.
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Herpes zoster conjunctivitis.
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D.
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Staphylococcal conjunctivitis.
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E. *
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Epidemic keratoconjunctivitis.
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5.
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A 62-year-old male seeks medical attention for 5 days of unilateral eye redness, irritation, and decreased vision. On review of systems, the patient denies fever, weight loss, myalgias, or headache. Physical examination is notable for 20/100 vision on the affected side, injected conjunctiva, and more than one cell in the anterior chamber. Intraocular pressure is measured at 15 bilaterally. There is a small vesicle present at the tip of the nose. All of the following therapies are appropriate EXCEPT:
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A.
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Cyclopentolate drops.
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B.
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Acyclovir drops.
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C.
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Prednisolone drops.
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D. *
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Viroptic (trifluridine) drops.
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E.
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Ophthalmologic consultation.
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6.
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A 75-year-old female with diabetes and hypertension complains of abrupt onset of right eye pain, blurred vision, unilateral headache, and mild nausea. Physical examination is notable for 20/200 vision on the right, conjunctival injection, and a cloudy, edematous cornea. Vision does not correct with pinhole. The pupil is mid-point and nonreactive to light. Slit lamp examination is negative for corneal staining. Which of the following tests would be MOST appropriate at this point?
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A.
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Erythrocyte sedimentation rate (ESR).
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B.
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Pupillary dilation and direct fundoscopy.
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C.
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Orbital CT with 3-mm cuts.
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D. *
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Schiotz tonometry.
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E.
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Intraocular ultrasound.
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7.
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A 43-year-old African-American male presents with complaints of 2 weeks of progressive left eye pain, redness, and photophobia. He states that he has had several similar episodes in the past, all of which spontaneously resolved. Review of systems is positive for a recent diagnosis of restrictive lung disease but negative for joint pains, headache, or dysuria. Physical examination shows mildly decreased visual acuity and scleral injection greatest at the limbus. Slit lamp examination is notable for moderate anterior chamber cell and flare, a small hypopion, but no corneal uptake. The MOST likely underlying diagnosis in this patient is:
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A.
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Reiter's syndrome.
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B.
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Rheumatoid arthritis.
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C.
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HLA-B27.
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D. *
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Sarcoidosis.
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E.
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Tuberculosis.
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8.
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A 25-year-old hockey player complains of 2 days of right eye blurred vision after catching an elbow to the face during a match. Physical examination shows a resolving periorbital ecchymosis. Visual acuity is 20/200 OD and 20/20 OS correcting to 20/20 bilaterally with pinhole. Fundoscopy and visual field examinations are normal. Which of the following conditions do you suspect?
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A.
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Acute posttraumatic cataract.
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B.
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Retinal detachment.
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C. *
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Lens dislocation.
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D.
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Hyphema.
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E.
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Preexisting myopia.
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9.
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A 71-year-old hypertensive male reports sudden painless loss of vision to the right eye beginning 20 min before. He experienced no headache, dizziness, chest pain, or syncope. Since his arrival to the ED, his vision has returned to normal. Physical examination shows 20/30 visual acuity bilaterally, normal intraocular pressure, and a quiet anterior chamber on slit lamp examination. Fundoscopy shows copperwire changes with few flame hemorrhages. The MOST likely etiology of this patient's disorder is:
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A.
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Central retinal artery occlusion.
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B.
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Central retinal vein occlusion.
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C.
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Temporal arteritis.
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D. *
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Amaurosis fugax.
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E.
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Retinal detachment.
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10.
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A 59-year-old male presents 4 h after experiencing an abrupt, painless loss of vision in the left eye. Physical examination shows severe visual impairment on the left, with light perception only, and an afferent pupillary defect. Fundoscopy is notable for a pale retina and a cherry-red-appearing macula. You make a diagnosis of central retinal artery occlusion. Regarding this patient, all of the following statements are true EXCEPT:
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A. *
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The cherry-red spot depicts localized retinal hemorrhage.
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B.
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Urgent anticoagulation may be indicated.
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C.
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Open angle glaucoma has been associated with this disorder.
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D.
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Anterior chamber paracentesis may dislodge intraarteriole clot.
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E.
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This patient has a poor prognosis, with a less than 10 percent chance for return of vision.
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11.
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A 47-year-old female presents with a 6-h history of sudden, painless visual loss to the left eye. Vital signs show a heart rate of 85 beats per minute, blood pressure of 180/110 mm Hg, and respiratory rate of 16 breaths per minute. Corrected visual acuity is 20/25 OD and 20/200 OS. There is an afferent pupillary defect on the left. The conjunctiva, sclera, cornea, and anterior chamber are normal. Fundoscopy shows macular edema and marked venous dilation with retinal hemorrhages in all four quadrants. The MOST likely etiology of this presentation is:
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A.
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Central retinal artery occlusion.
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B. *
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Central retinal vein occlusion.
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C.
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Amaurosis fugax.
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D.
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Temporal arteritis.
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E.
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Malignant hypertension.
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12.
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A 22-year-old female complains of 1 day of dull right eye pain and blurry vision. Review of systems is positive for occasional double vision, and one episode of right-hand numbness the previous year which spontaneously resolved. The patient denies fevers, weight loss, or rash. Visual acuity is 20/100 OD and 20/20 OS. There is pain on range of motion in the affected eye. Conjunctiva, sclera, and slit lamp examinations are normal. Fundoscopy shows a swollen, hyperemic optic disc on the right side. What is the MOST likely cause of this disorder?
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A.
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Intracranial mass lesion.
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B. *
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Multiple sclerosis (MS).
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C.
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Orbital cellulitis.
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D.
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Acute angle closure glaucoma.
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E.
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Iridocyclitis.
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13.
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A 15-year-old male presents with no significant medical history and complains of right-sided headache, nausea, and fatigue. Before the onset of the headache, the patient experienced a large dark "hole" in his right visual field with adjacent bright flashing lights. All visual symptoms resolved with the onset of headache. Physical examination is notable for bilateral photophobia, normal visual acuity, and normal external eye and slit lamp examinations. The patient has a supple neck and nonfocal neurologic examination. The MOST likely etiology of the patient's symptoms is:
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A.
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Amaurosis fugax.
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B.
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TIA.
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C.
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Subarachnoid hemorrhage.
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D.
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Retinal detachment.
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E. *
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Ocular migraine.
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14.
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An 18-year-old male presents to the ED with his mother complaining of right-sided monocular blindness after being struck in the face by a younger sibling. Examination of the head and neck shows no obvious signs of trauma. Visual acuity is "no light perception" OD and 20/20 OS. Pupillary response is normal, and there is no afferent pupillary defect. Slit lamp examination and fundoscopy are normal. Neurologic examination is nonfocal. The most likely etiology of this patient's disorder is:
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A.
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Cortical blindness.
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B. *
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Functional blindness.
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C.
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Retinal detachment with macular involvement.
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D.
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Vitreous hemorrhage.
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E.
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Traumatic lens dislocation.
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15.
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A patient presents with a bilateral homonymous quadranopsia involving the right upper visual field. Which of the following represents the MOST likely anatomic location of the abnormality?
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A.
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Prechiasmal, right side.
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B.
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Optic chiasm.
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C.
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Postchiasmal, prethalamic, left side.
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D.
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Occipital lobe, right side.
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E. *
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Occipital lobe, left side.
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16.
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A 5-year-old male presents to the ED 3 h after a possible button battery ingestion. The patient is in no acute distress, vital signs are stable, and examination is benign. A chest x-ray shows what appears to be a small button battery in the stomach. Which of the following is the MOST appropriate next action?
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A.
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Upper GI series to further delineate the exact location of the foreign body.
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B.
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Attempt battery removal by the Foley balloon catheter technique.
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C.
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Immediate GI consultation for endoscopic removal.
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D.
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Immediate surgical consultation.
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E. *
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Discharge to home with parental observation and weekly radiographs.
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17.
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A 44-year-old male with a long history of alcohol use and presumptive gastritis presents to the ED complaining of sudden onset of severe abdominal pain and vomiting. Vital signs are blood pressure (BP) of 110/60 mm Hg, heart rate of 110 beats per minute, temperature of 101°F, and respiratory rate of 30 breaths per minute. Examination is remarkable for diaphoresis and epigastric tenderness with mild guarding. Laboratory work-up is within normal limits except for a white blood cell count (WBC) of 30,000 and an amylase level of 2,000. Chest x-ray shows a small amount of free air under the diaphragm. What is the MOST likely diagnosis?
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A.
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Acute pancreatitis with associated Mallory-Weiss syndrome.
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B.
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Acute pancreatitis with associated Boerhaave's syndrome.
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C.
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Acute pancreatitis with associated enzymatic destruction of bowel wall.
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D.
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Acute pancreatitis secondary to anterior duodenal ulcer perforation.
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E. *
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Acute pancreatitis secondary to posterior duodenal ulcer perforation.
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18.
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A 55-year-old male without significant medical history presents to the ED with the complaint of left lower quadrant pain and constipation. Vital signs are temperature of 100.5°F, pulse of 85, BP of 150/80, and respiratory rate of 12. The patient's physical examination is unremarkable except for mild left lower quadrant tenderness without guarding and rebound. Rectal examination shows heme-negative stool and no tenderness. Laboratory examinations, including a chemistry panel, are within normal limits except for a WBC of 13,000 with a left shift. Which of the following would be the MOST appropriate management for this patient?
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A.
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Prompt surgical evaluation in the ED.
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B.
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Emergent upper GI series.
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C.
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Emergent barium enema.
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D. *
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Discharge to home with bowel rest and oral antibiotics.
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E.
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Discharge home with repeat abdominal examination in 12 h or sooner if worse.
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19.
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A patient acted to the induction centre after DTP with the plural breaks of lower extremities. A patient is pale, put on the brakes, a skin is covered sticky then. On overhead third of thigh a plait is imposed on the left, at the removal of which a bandage intensively gets wet blood. A pulsation on a popliteal artery on the left is absent. What most reliable diagnosis?
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A.
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Traumatic damage of femoral artery.
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B.
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B. Traumatic damage of femoral vein.
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C.
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Traumatic damage of popliteal vein.
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D.
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Trauma of soft fabrics.
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E. *
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Traumatic damage of popliteal artery.
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20.
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A patient during work on a circular saw injured a levoe forearm. During a review on the internal surface of levogo forearm wound 7x2 see The bottom of wound are the damaged muscles. From the depth of wound there is a pulsating stream of bright red blood. What first aid does need to be rendered a patient?
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A.
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Imposition of plait on a forearm.
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B.
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Imposition of squeezing bandage.
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C. *
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Imposition of plait on a shoulder.
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D.
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Position of extremity is promoted.
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E.
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Introduction of vikasolu and chlorous calcium.
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21.
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A victim is withdrawn from under the wreckages of the blasted house in 6 hours. Diagnosis: syndrome of the protracted compression of both extremities, the ischemia of the II degree is uncompensated. What volume of the first medical aid?
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A. *
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A. Anaesthetizing, imposition of plait, coolings, immobilization.
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B.
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B. Bandaging of extremities, coolings, immobilization.
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C.
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Liberation of extremities, coolings, immobilization.
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D.
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Quickest transporting to medical establishment.
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E.
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Anaesthetizing, immobilization, introduction of antibiotics.
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22.
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After accident a patient is hospitalized with the break of bones of pelvis, dull trauma of stomach, break of shoulder and forearm. Objectively: AT- 80/60 mm of rt. item, Ps- 120/хв. In blood\: N'- of 76 g/l, Ni- 0,24, eras.- 2,2* 1012/л. What is it needed to begin proceeding in CBV from?
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A.
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Fresh-frozen plasma.
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B.
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Mass of red corpuscles.
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C.
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Whole blood.
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D.
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Albumen.
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E. *
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Crystalloids.
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23.
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As a result of explosion on a mine, under an obstruction a man found oneself 37 years. During a review: a left leg to the level of lower third of thigh is fixed a stone flag; state of middle weight, it is excited a patient, Ps-110/min., AT- 100/60 mm of рт.ст. What will exigent actions be?
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A.
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To free extremity, impose burn thighs on the lower third, to conduct the tight bandaging of extremity.
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B.
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To enter cardiac glikozidy, free extremity, conduct the tight bandaging of extremity.
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C.
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To enter calming, to free extremity, impose a transport tire.
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D.
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To free extremity, enter znebolyuval'ne, fix extremity transport tires.
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E. *
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To impose burn thighs on the overhead third, to free extremity, conduct the tight bandaging of extremity below than plait.
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24.
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At victim, as a result of accident, present the wound of forearm is lacerated with the abundant pulsating bleeding bright red blood from a wound. What measures must be conducted above all things?
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A.
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To impose burn on extremity.
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B.
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To impose a squeezing bandage.
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C. *
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To carry out the finger pinning of humeral artery.
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D.
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To provide intravenous infuziyu of liquid.
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E.
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To give the promoted position of extremity.
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25.
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As a result of car accident, a lorry hit a man in an area of upper part of the left thigh. A patient felt sharp constant pain that increases considerably when he tries to move. He couldn’t by himself. While clinical examination there is bleeding, deformation type “Haliphe”, sharp pain while palpation in upper part of right thigh, incorporation of lower limb. Make up prior diagnosis:
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A. *
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Fracture of femoral bone
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B.
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Trauma of soft fabrics
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C.
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Damage of 4-ceps muscle of thigh
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D.
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Dislocation of thigh
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E.
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Hematoma of thigh
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26.
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A patient was delivered to the waiting department unconscious after car accident. BP - 60/0 mm Hg., pulse – 140 per minute. Objectively: fracture of thigh in the medium third area. Internal hemorrhage. КТ of brain – hemorrhagic trauma of frontal lobe. When osteosynthesis of thigh can be done?
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A. *
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After taking out of shock and arrest of internal hemorrhage
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B.
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immediately after the end of diagnostic process
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C.
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After taking the patient out of shock, not late than third day
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D.
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After arrest of internal hemorrhage
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E.
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After taking the patient out of shock
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27.
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In winter there was the found man in the forest, with symptoms of sleepiness, languor, expressed chill. Objectively: the opened areas of skin are pale, cold, pulse irregular and weak. Determine what is wrong with a victim:
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A.
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Alcoholic intoxication
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B.
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Prereaction period of frostbite
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C.
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Reactive period of frostbite
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D. *
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General freezing
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E.
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Perniokibe
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28.
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The left foot was torn off because the explosion of personnel mine. Strong bleeding from cult. A foot is contained on dermal. Bone wreckages of bones of shin and foot are seen in a wound. Your actions:
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A. *
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To impose an arterial plait
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B.
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Immobilize extremity and foot
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C.
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To amputate a foot by the improvised helpful facilities
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D.
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To calm down a patient
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E.
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To give anesthesia
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29.
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Removing a blow of a stick, the policeman put under a blow the left forearm so, that a blow was on M/3 of cubital bone. Objectively: edema of forearm, pain while palpation, crepitation in the projection of knock, limitation of motions in an elbow joint, motions and sensitiveness in the fingers of hand are preserved. Most certain:
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A. *
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Monteggia's fracture
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B.
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fracture of cubital bone
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C.
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fracture of radius bone
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D.
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Galeazzi's fracture
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E.
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Break of both bones of forearm
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30.
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19 years old man, diving in water, hit his head at soil. He felt crackle and sharp pain in the neck department of spine. His fiends delivered him to hospital: a head is inclined forward, a chin touches breastbone. A victim supports his head by hands through strong pain. The outgrowth of the fifth cervical vertebra stands backward, higher of it a cavity appears. The act of swallowing is heavy. Disorder of sensitiveness, paralyses, and paresis is not found. Motions in the cervical vertebra of spine are sharply limited and painful. Most likely diagnosis:
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A. *
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Subluxation of 5th vertebra
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B.
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Injury of neck department of spine
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C.
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Fracture of body of 5th cervical vertebra
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D.
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fracture- dislocation of 5th vertebra
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E.
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fracture of awned outgrowth
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31.
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As a result of explosion on a mine, a 37 years old man was found under an obstruction. During the examination: his left leg was fixed by a stone flag to the level of lower third of thigh; state of medium gravity, a patient is excited, Heart Rate -110/minute., BP- 100/60 mm Hg. What will the urgent actions be?
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A.
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To free the extremity, put the plait on the lower third of thigh, to conduct the tight bandaging of extremity.
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B.
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To introduce cardiac glycosides, free the extremity; conduct the tight bandaging of extremity.
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C.
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To introduce calming, to free extremity, to put a transport splint.
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D.
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To free extremity, introduce anesthesia, fix the extremity by transport splints.
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E. *
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To put the plait on the upper third of thigh, to free extremity, conduct the tight bandaging of extremity below the plait.
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|
32.
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45 years old man is delivered to the hospital after an accident with the trauma of legs, stomach and pelvis. The brigade of first-aid began fluid management. During hospitalization: BP-60/40 of mm Hg, Ps-100/minute, skin is pale, cold by touch, covered by sweat. What is the criterion of efficiency of fluid management at hemorrhagic shock?
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A.
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Level of hematocrit
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B.
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Pulse pressure
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C. *
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Level of arterial tension, CVP, diuresis
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D.
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Pink skin
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E.
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Level of hemoglobin
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33.
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Brigade of ambulance came to the place of accident to 34 years old victim. Objectively: grave state, conscious, semiconscious, dilated pupil, flat, living photoreaction, shallow breathing, FBM-28/per min. Skin covers are pale, covered by sticky sweat, expressed acrocyanosis. BP- 60/40 mm Hg., pulse on radial arteries is not determined. Heart Rate -130/per min. Closed fracture of bones of pelvis, right thigh and bones of both shins, traumatic shock, are suspected. What paramount measures should be done at the place of accident?
|
A.
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Intravenous infusion of colloid and crystalloid solutions
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B.
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Introduction of analeptics, hormones
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C.
|
Immobilization of extremities, fluid management
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D. *
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Anaesthetizing, intravenous infusion of colloid solutions
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E.
|
Fluid management, hormonetheraphy
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34.
|
14 year old child was hospitalized to the waiting room, who lost his way in the forest during a snowstorm, and was found in a day. Objectively: a skin is sharply pale, t-32°C, raves, a pulse is threadlike, shallow breathing, muscular tone is decreased. What degree of supercooling fits this clinical picture?
|
A.
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Grave
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B. *
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Super grave
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C.
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Terminal
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D.
|
Light
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E.
|
medium gravity
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35.
|
A victim was delivered to the waiting room with complaints about pain in the area of pelvis. Two hours ago during an explosion he was squeezed by car which turned over. Objectively: he moans from pain. AT- 70/40 mm Hg. Heart Rate - 115/per min. A pelvis is deformed. Shortening of right lower extremity. Organs of abdominal cavity are without pathology. Choose the optimum method of removal of pain syndrome:
|
A. *
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Narcotic analgesic
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B.
|
Conductive anesthesia
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C.
|
intrapelvis anesthesia
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D.
|
no narcotic analgesic
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E.
|
intrabone anesthesia in the wing of iliac bone
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36.
|
A public-call message was received by a waiting room of hospital, that soon a patient will be delivered by an ambulance who was withdrawn from blazing home in unconscious state. What damages are most probable in a victim:
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A. *
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Burns of skin and respiratory tracts, sharp poisoning of CO2
|
B.
|
Burns of skin, burn shock
|
C.
|
Burns of respiratory tracts, burn shock
|
D.
|
Poisoning of CO2
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E.
|
Sharp respiratory insufficiency
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|
37.
|
46 year old patient was delivered to traumatology department with the opened break of right shin and thigh in 8 hours after a trauma. During the debridement of wounds it was found out contamination of wounds by soil, presence of nonviable fabrics in wounds. The careful debridement of wounds was conducted, but a doctor can not eliminate possibility of appearance of gas gangrene. What must be done for the specific prophylaxis of gas gangrene?
|
A. *
|
To introduce 30 000 A of multivalencic antigangrene whey
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B.
|
To introduce a specific whey in a dose of 3 000 A after Bezredko
|
C.
|
To introduce a multivalencic whey in a dose of 10 000 A after Bezredko
|
D.
|
To introduce a multivalencic antigangrene whey in an amount of 15 ml
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E.
|
To conduct washing of wounds by 6% solution of hydrogen dioxide
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38.
|
A patient appealed to the traumatic department with an incised wound on palm's surface of lower third of forearm from an elbow side. After the removal of bandage there is expressed arterial bleeding. Violation of which of the following arteries can cause bleeding?
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A. *
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Ulnar artery
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B.
|
Back ulnar artery
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C.
|
radial artery
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D.
|
Interbone
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E.
|
lower ulunar collateral
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39.
|
42 year old patient was hospitalized to a surgical department with the closed fracture of pelvis in the state of grave shock. What blood substitutes must be prescribed for the fluid antishock management:
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A. *
|
Reopoliglyukin
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B.
|
Intralipid
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C.
|
Hemodesum
|
D.
|
Physiological salt solutiom
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E.
|
Plasma
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40.
|
29 years old woman fell down to one side from a chair on the floor. She can not stand because of pain in a thigh joint. Lower extremity is shortened and rotated outside. The patient can not lift up unbend in a knee-joint lower extremity. Triangle of Brian on the side of damage is violated, the large swivel palpates higher to the line of Rozer-Nelaton, palpation under Poupart’s ligament is painful. Probable diagnosis:
|
A. *
|
Fracture of femoral neck of thigh-bone with displacement.
|
B.
|
Fracture of large swivel with displacement.
|
C.
|
Fracture of bottom of thigh cavity.
|
D.
|
Fracture of roof of thigh cavity with back dislocation of thigh.
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E.
|
Suprapubis dislocation of thigh.
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41.
|
75 years old woman fell down from the height of her own growth on the left side, as a result of lateral blow of car. She felt sharp pain in the left thigh joint, can’t move by herself. What additional methods of inspection must be conducted for the establishment of diagnosis:
|
A.
|
Computer tomography of thigh
|
B.
|
Electrocardiography
|
C. *
|
Radiography of the left thigh joint in two projections
|
D.
|
Nuclear-magnetically resonance tomography of thigh
|
E.
|
Radiography of thigh
|
42.
|
47 years old woman, doing housework, scalded by chance lower extremities in boiling water. She was hospitalized by ambulance to a burn department. While examination a skin on the front surface of both feet is hypermovated, many bladders, which are filled by transparent content. What previous diagnosis can be established in this case?
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A.
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Thermal burn of ІІІ degree.
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B.
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Thermal burn of ІV degree.
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C. *
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Thermal burn of I-II of degree.
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D.
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Thermal burn of II-IV of degree.
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E.
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Infected afterburning wound of lower extremities.
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43.
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In the morning, getting out of bed 75 years old woman stumbled and fell down. She is not able to get up by herself on the left leg because of the pain in a thigh joint. While transportation to the clinic a leg is led and rotated outside, an axial load causes pain, the symptom of “stick heel” is positive. Most probable clinical diagnosis is:
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A. *
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Medial fracture of femoral neck of thigh
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B.
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Dislocation of thigh
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C.
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Fracture of head of thigh
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D.
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Lateral fracture of femoral neck of thigh
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E.
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Tearing away of large swivel
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44.
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56 years old woman was struck by car. She complaints about pain in the area of right iliac bone. She is not able to stand on a right foot. Objectively: there is a hematoma in the right half of pelvis, raws, bleeding, extremity is shortened, external rotary press of thigh, positive syndrome of “sticking” heel. Your diagnosis:
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A. *
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Fracture of femoral neck of thigh-bone
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B.
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Dislocation in a thigh joint
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C.
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Fracture of thigh of iliac bone
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D.
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trauma of a hip area
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E.
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Breaking sacro-iliac and bosom connection
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45.
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A young woman fell down on the right arm on the slippery road. She felt strong pain and appealed to the doctor. Her examination showed: pain is localized in a right shoulder joint, a hand is resulted, active motions in a joint are impossible because of pain, below the acromial outgrowth of shoulder-blade, there is a cavity of soft fabrics compared to the left shoulder joint, fingers numbness of hand, the symptom of extremity loading on an axis is negative. What the most probable diagnosis?
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A.
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Fracture of acromial end of collar-bone
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B. *
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Traumatic dislocation of shoulder
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C.
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Damage of shoulder nerve plexus
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D.
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Fracture of shoulder’s diaphysis
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E.
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Trauma of shoulder joint
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46.
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On the 4th day after incompatible (group) blood transfusion, diuresis sharply shortened, anuria developed, the general state worsened sharply, arterial tension rose. While laboratory research: creatinine of plasma - 680 mmol/l, urea of plasma - 24 mmol/l. What illness and what stage of illness is the most probable here?
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A. *
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Hemotransfusional sharp renal failure, anuria
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B.
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Anaphylactic shock, sharp renal failure, anuria
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C.
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Hemotransfusional shock, sharp postrenal failure, anuria
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D.
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Post hemorrhagic sharp renal failure, anuria
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E.
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Sharp interstitial nephrite, obturational anuria
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47.
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Baby was born premature. While examination asymmetry of skin folds on thighs, limitation of taken extremities, insignificant hypotrophy of cluneal muscles on the left were found out. What is the most probable inborn pathology?
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A. *
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Dysplasia of the left thigh joint
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B.
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Congenital dislocation of thigh
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C.
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Varus deformation of femoral necks of thigh
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D.
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Fracture of femoral neck of thigh
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E.
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Dysplasia of the right thigh joint
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48.
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You began the grant of help to the grown man suffering in place of event. He without consciousness and lies on a stomach. you inverted him on the back. A victim does not breathe, there is not a pulse on a carotid. Give description of artificial ventilation of lights and closed massage of heart, when you conduct him personally.
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A. *
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2 complete inhalations after 3 s + 15 pressures are on a thorax after 10 s
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B.
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4 complete inhalations after 6 s + 15 pressures are on a thorax after 10 s
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C.
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2 incomplete inhalations after 3 s + 10 pressures are on a thorax after 10 s
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D.
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2 easy inhalations after 3 s + 15 pressures are on a thorax after 10 s
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E.
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2 complete inhalations after 3 s + 10 pressures are on a thorax after 10 s
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49.
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You began the grant of help to the boy 5 years in place of event. He without consciousness and lies on a stomach. you inverted him on the back. A victim does not breathe, there is not a pulse on a carotid. Give description of artificial ventilation of lights and closed massage of heart, when you conduct him with a helper.
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A.
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1 easy inhalation is after 1,5 s + 5 pressures are on a thorax after 5 s
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B.
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2 complete inhalations after 3 s + 15 pressures are on a thorax after 10 s
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C.
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1 incomplete inhalation is after 1,5 s + 10 pressures are on a thorax after 10 s
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D. *
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1 incomplete inhalation is after 1,5 s + 5 pressures are on a thorax after 3 s
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E.
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2 complete inhalations after 3 s + 10 pressures are on a thorax after 10 s
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50.
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You began the grant of help to the grown man suffering in place of event. At a primary review you found out, that suffering at consciousness, breathes, intensive bleeding in middle third of shin. A medicine chest of the first aid is not. Specify Your actions.
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A. *
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Ask a victim densely to pin the piece of fabric against a wound the hand
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B.
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To impose a plait-rollup in middle third of thigh
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C.
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To impose a plait-rollup in lower third of thigh.
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D.
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To heave up a leg higher level of heart
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E.
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To impose a plait-rollup in overhead third of shin.
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51.
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You began the grant of help to the grown man suffering in place of event. He without consciousness and lies on a stomach. At a primary review you found out traumatic amputation in middle third of right forearm. you have a medicine chest of the first aid. Your actions farther.
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A.
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To wash a wound, impose a tight bandage
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B.
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In overhead third of right shoulder to impose a plait
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C.
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To impose a tight bandage on a wound
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D. *
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In lower third of right shoulder to impose a plait
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E.
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To impose a plait at once higher places of amputation.
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52.
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You began the grant of help to the grown man suffering in place of event. He is without consciousness and lies on a stomach. At a primary review you found out traumatic amputation in middle third of right thigh. you do not have a medicine chest of the first aid. Your actions farther.
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A. *
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In overhead third of right thigh to impose a plait-rollup
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B.
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In lower third of right thigh to impose a plait-rollup
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C.
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To impose a tight bandage on a wound
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D.
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To wash a wound, impose a tight bandage
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E.
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To impose a plait-rollup at once higher places of amputation.
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53.
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You began the grant of help to the grown man suffering in place of event. At a primary review you found out, that suffering at consciousness, breathes, he closed a wound a handkerchief in middle third of right shin, from which blood follows intensively. A medicine chest of the first aid is not. Specify Your actions.
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A. *
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To press a right femoral artery on 10 min
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B.
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To impose a plait-rollup in middle third of thigh
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C.
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To impose a plait-rollup in lower third of thigh.
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D.
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To heave up a leg higher level of heart
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E.
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To impose a plait-rollup in overhead third of shin.
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54.
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You expect arrival of fast and control the state suffering after the stop of bleeding from a humeral artery by imposition of plait. In the street +20° С. Passed 35 minutes from the moment of imposition of plait. Specify Your actions.
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A. *
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To socialize with a victim, calm him.
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B.
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To unstring a plait and impose a tight bandage.
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C.
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