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 22
The patient (age 57) has got rumbling and colicky abdominal pains for the last 3-4 days, periodical gas retention, thirst, absence of defecation. Multiple vomiting. Objectively: abdominal swelling, percussion data – tympanitis, auscultation data – hyperperistalsis. What roentgenologic research was made? What is a clinicoroentgenologic diagnosis?
А. Peritonitis.
В. Hemoperitoneum.
С. Bowels 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 23
The patient (age 37) was taken to the traumatology department in a stretcher after the traffic accident. Complains about severe pain in pelvis. Objectively: the patient can’t raise his legs, clear “stuck heel” sign of two legs. Which examination is made?
А. Hip dislocation.
В. Femoral bones fracture.
С. Caxal bones fracture. Which 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 24
The patient Sh. (female, age 62) complains of general weakness, indisposition. She’s lost weight lately. She keeps a fluid diet, because she can’t swallow solid food. During general examination an enlarged lymph node in the left supraclavicular region is revealed. Which examination method is used? Specify the possible diagnosis.
А. Contrast radiography of esophagus. Cancer of esophagus.
В. Plan radiography of the abdominal cavity organs. Signs of ileus.
С. Plan radiography of the thoracic cage organs. Acute mediastinitis.
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 No 25
A 66 years-old patient N has been suffering from troublesome dry cough. General weakness, absence of appetite. He noticed vestiges of blood in the cough spit 3 days ago. The palpation of the left supraclavicular region has shown the entrapment of 1.5 cm in diameter. The survey radiography was carried out.
What was the clinicoradiologic diagnosis?
A. Pulmonary tuberculosis.
B. Lung abscess.
C. Tumor of lung.
D. Examined and Approved at Interdepartmental Meeting
E. Protocol № 9 from 30.04.14
F. Head of Surgery Department with Pediatric
G. 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 No 26
A 73 years-old patient complains of the constant aching pain in the right hypohondrium, sense of bloating. He considers himself to have been sick for 2.5 months. Objectively: the right part of liver is enlarged (4cm lower the costal margin). What kind of investigation was carried out? What kind of pathology was detected?
A. Liver tumor.
B. Retroperetonial space neoplasms.
C. Hepatic cyst.
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 No 27
The ambulance car has conveyed a 43 years-old patient to the traumatology department after the traffic accident. The general condition is bad, consciousness is clear. Breathing is rapid, hypopnoea, 30/min. The examination has detected: abrasion on the left hemothorax skin, intercostal spaces smoothed, obtundation within the extent of the left hemothorax, auscultation detects no respiratory murmurs. Name the method of the instrumental investigation and the probable diagnosis.
A. Survey radiography of the thorax apparatus. Left posttraumatic pneumohemothorax.
B. Survey radiography of the thorax apparatus. Left pneumothorax.
C. Pleurography, bronchopleural fistula.
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 No 28
Patient N, born 1954, has been treated for abscess of the lower part of the left lung. Suddenly he felt chest pain, broke out with sweat. The examination has detected: percussionaly diminished respiratory murmurs above the left lung – without changes. What disease did the doctor suspect and what method of supplementary examination is used?
A. Survey radiography of the thorax apparatus. Left pyopneumothorax.
B. Survey radiography of the thorax apparatus. Myocardial infarction.
C. Survey radiography of the thorax apparatus. Abscess of the lower part of the left lung.
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 No 29
Patient N, born 1955, went to a doctor about complaints of temperature rise to 38.5 °C, shivery, general indisposition and cough with expectoration. He has been sick for the last month. Auscultation detects rales above the right lung, percussion shows tympanic resonance over the median part of the right lung. What kind of supplementary investigation was used? Interpret the result.
A. Survey radiography of the thorax apparatus. Acute abscess of the medium part of the right lung.
B. Survey radiography of the thorax apparatus. Cyst of the medium part of the right lung.
C. Survey radiography of the thorax apparatus. Cancer of lung.
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 No 30
A 21 years-old patient suffers from episodes of colicky abdominal pains. 3 years ago he underwent appendectomy. Objectively: the abdomen is not swollen, hyperperistalsis. Splashing sound is absent. Percussion shows tympanitis. What kind of investigation was carried out? What was the clinicoradiologic diagnosis?
A. Hemoperitoneum.
B. Pneumoperitoneum.
C. Bowel obstruction. What degree of compensation?
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 No 31
A patient after the traffic accident entered the admission office by emergency. Consciousness is darkened. Hypopnoea, 27/min. Auscultation over the right lung shows no respiratory murmurs, percussion shows tympanitis, cardiac performance is arrhythmic. Blood pressure is 100/70 mm HG.
Name the method of investigation, interpret the result.
A. Survey radiography of the thorax apparatus. Acute posttraumatic pneumothorax on the left.
B. Survey radiography of the thorax apparatus. Acute posttraumatic hemothorax on the left.
C. Survey radiography of the thorax apparatus. Hemopneumothorax on the left.
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 No 32
A patient after being beated by the unknown entered the admission office by emergency. Consciousness is darkened. Hypopnoea, 27/min. Auscultation over the leftt lung shows no respiratory murmurs, percussion shows tympanitis, arrhythmic pulse, blood pressure 100/70 mm HG. Name the methods of investigation, interpret the result.
A. Survey radiography of the thorax apparatus, acute posttraumatic pneumothorax on the left.
B. Survey radiography of the thorax apparatus, acute posttraumatic hemothorax on the left.
C. Survey radiography of the thorax apparatus, aortic dissecting aneurism.
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 No 33
A 23 years-old man after the traffic accident was admitted to the traumatology hospital in a state of shock with deformed lower leg. What kind of investigation was carried out? What was the diagnosis? What kind of emergency was provided?
A. Plaster splint was put.
B. Cramer’s splint was put.
C. Extramedullary osteosynthesis was carried out. With what apparatus?
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 No 34
A 75 years-old patient N went to a doctor about complaints of lymphadenopathy of the inguinal region on the left. Lately she noticed slight left mamma discharges. The examination showed the inguinal lymphadenopathy on the left, inverted nipple, “lemon crust” symptom round the left mamma nipple. Name the method of the supplementary investigation and probable diagnosis.
A. Mammography of the left mamma. Mammary tumor.
B. Mammography of the left mamma. Acute mastitis.
C. Ultrasonography of the left mamma. Dishormonal mastopathy.
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 No 35
Patient N, born 1952, went to a doctor about complaints of absence of appetite, weakness, body weight loss by 15 kg for the last 2 months. The patient anamnesis shows gastric ulcer of approximately 10 years. At the examination the patient is anemic-pale, weakened. The abdomen at the palpation is soft, indolent. Palpation of the epigastric region shows freely infiltration. Enlarged solid lymph node in the left clavicular region. What kind of investigation was used? What disease did the doctor suspect?
A. Roentgenopaque abdominal investigation. Gastric carcinoma.
B. The abdominal cavity radiography. Stenosis of the pyloric portion of the stomach.
C. Roentgenopaque abdominal investigation. Esophageal achalasisa.
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.
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