С. Artificial cardiac pacemaker implantation.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 3

A man (age 20), is taken to regional hospital after the traffic accident. Complaints about pain, swelling and a left forearm deformation. The patient is placed in a traumatology hospital, medical manipulations are made, course of therapy is prescriped. What is a clinicoroentgenologic diagnosis?

А. Dislocation.

В. Fracture.

С. Hematoma.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 4

The patient (age 15) complains of a permanent, more steady at night, pain in a lower part of a left thigh, swelling of this region. He considers himself sick for the last 3 months. Treated himself with compresses, no effect. Roentgenography of the left thigh is made.

What is a clinicoroentgenologic diagnosis?

А. Thigh bone inflammation.

В. Thigh bone osteomyelitis.

С. Thigh bone tumor.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 5

The emergency team has taken a man (age 25) to admission department. Mobility of a right lower limb is objectively limited as a result of pain, deformation in the middle one-third of a right shin with soft tissues edema, distal part of a shin is rotated outward. After doing of roentgenologic research the following diagnosis may be made.

А. Shinbone fracture.

В. Fibular bone fracture.

С. Fracture of a middle one-third of shank bones.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 6

The patient J. (age 39) appealed to traumatology centre with complaints about pain, swelling in a region of a right clavicle, the mobility of a right hand is limited. The complaints came after he fell from the stairs 2 hours ago. While examination a hematoma in a region of a right supraclavicular area is revealed, active movements of a right hand are limited, a deformation of a right clavicle is locally revealed. Interpret the result of a roentgenological study.

А. Acromial extremity of clavicle dislocation.

В. Clavicle fracture.

С. Sternal extremity of clavicle dislocation.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 7

The patient (female, age 30) suffers from a permanent pain in a left lumbar area for three years, fever in the last two weeks, up to 38.5⁰С in some days. Objectively: palpatory tenderness of a left hypochondrium, a positive Pasternatsky's symptom on the left.

What roentgenologic investigation is done?

What pathology is revealed?

А. Tumor of kidney.

В. Pyonephrosis.

С. Hydronephrosis.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 8

During 3 days a 1-month-old child loses weight, projectile vomiting with sour odor without biliary impurities, epigastric peristalsis is visible. What disease is indicated by the roentgenogram?

А. Bowel obstruction.

В. Congenital pyloric stenosis.

С. Abdominal cavity abscess.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 9

The patient G. (age 40) complains of periodical weakness, headache, discharge of small amount of sputum and fever up to 37.5⁰С. Took treatment himself. After examination the doctor from a pulmonological department prescriped an additional examination. Specify the method of roentgenologic research and a possible diagnosis.

А. Bronchoscopy.

В. Pleurography.

С. Bronchography.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 10

The patient P. (age 57) got his left lung’s lower part amputated. During postoperative period the clinical signs of the lung’s straightening are absent. The doctor prescribed a supplemental method of research. Specify the technique of research and interpret the result.

А. Pleurography, residual cavity.

В. Plan radiograph, postoperative hemorrhage.

С. Thoracoscopy, pleura tuberculosis.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 11

The patient (male, age 76) complains of frequent, difficult urination at night, up to 3 times, sensation of an urinary bladder uncomplete emtying. Feels sick for 3 years after he first noticed more frequent urination. What roentgenologic investigation was done and what pathology is revealed?

А. Urinary bladder stone.

В. Urinary bladder tumor.

С. Prostate adenoma.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 12

Before making the patient’s (age 24) irrigoscopy the plan radiograph of the abdominal cavity was made. Interpret its results.

А. Pelvis tumor.

В. Urinary bladder stone.

С. Prostate adenoma.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 13

The patient (age 38) was taken to the surgical department with complaints about abdominal swelling and gas retention. What research was made? What is a clinicoroentgenologic diagnosis? What is the roentgenologic sign of pathology?

А. Nonspecific ulcerative colitis.

В. Abdominal cavity abscess.

С. Intestinal obstruction.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 14

The patient (female, age 18) suffered from pains in the right lumbar region for the last two weeks. The patient consulted an urologist. What roentgenologic research was made? What is a roentgenologic diagnosis?

А. Urinary bladder stone.

В. Double right kidney and ureter.

С. Coral kidney calculus.

Examined and Approved at Interdepartmental Meeting

Protocol № 9 from 30.04.14

Head of Surgery Department with Pediatric

Surgery and Urology Course Prof. Leonov V.V.

MINISTRY OF EDUCATION AND SCIENCE OF UKRAINE

SUMY STATE UNIVERSITY

MEDICAL INSTITUTE

Discipline “Confirmed”

“Surgery with Pediatric Surgery” The Head of Medical Sumy State University

Practical skills «___» ______________ V.A. Smiyanov

BLOCK 6. “Interpretation of roentgenograms” Task 15

The patient (age 65) complains about periodical abdominal distention, onset of blood in excrements, some lose of weight. Considers himself sick for the last month. During examination abdomen is not swollen, there are no signs of peritoneum irritation, pathology is not detected during profound palpation. What roentgenologic research was made? What is a clinicoroentgenologic diagnosis?

А. Gastric ulcer.

В. Large intestine fistula.

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