CM The following points are included into psychosocial status of a patient

A. name
B. car
C. age
D. parents
E. occupation
ANSWER: A, C, E

CM The following points are included into subjective examination of a patient

A. chief complaints
B. history of present disease
C. examination of body systems
D. past health history
E. general inspection
ANSWER: A, B, D

CM The following points are included into objective examination of a patient

A. chief complaints
B. history of present disease
C. examination of body systems
D. past health history
E. general inspection
ANSWER: C, E

CS What is the first to be examined?

A. past health history
B. history of present disease
C. examination of body systems
D. chief complaints
E. general inspection
ANSWER: D

CS What item is examined in the past health history section of the case history?
A. complaints
B. allergy
C. vital signs
D. tongue
E. rectal examination
ANSWER: B

CS. The term “acute abdomen” is:

A. Symptom
B. Final diagnosis
C. Syndrome
D. Postoperative diagnosis
E. All of the above are correct
ANSWER: C

CM. The diagnosis of “acute abdomen” is:

 A. An indication for urgent surgery
B. An indication for admission to a therapeutic department
C. An indication for consultation of surgeon
D. A reason to use additional diagnostic measures
E. A reason for discharge of patients from hospital
ANSWER: C, D

CS. Which of the following statements is not true?

A. “Acute abdomen” is a general term, meaning a severe abdominal pain in a patient
B. “Acute abdomen” is a syndrome and at the same time - a preliminary diagnosis
C. “Acute abdomen” means the need for prompt diagnosis
D. “Acute abdomen” means the invariable need for surgery
E. “Acute abdomen” means the need for early treatment
ANSWER: D

CM. Which of the following diseases, given rise to the symptoms of “acute abdomen” have
an inflammatory nature?
A. Acute appendicitis
B. Strangulated hernia
C. Acute pancreatitis
D. Ruptured tubal gestation
E. Perforated ulcer
ANSWER: A, C

CM. Which of the following diseases, causing the clinical picture of “acute abdomen”, does
not relate to inflammatory ones?
A. Acute cholecystitis
B. Strangulated hernia
C. Acute pancreatitis
D. Thrombosis of mesenterial vessels
E. Acute appendicitis
ANSWER: B, D

CM. Which of the following conditions are accompanied by perforation of a hollow organ
into the peritoneal cavity?
A. Spontaneous rupture of abdominal esophagus
B. Duodenal perforated ulcer
C. Thrombosis of mesenterial vessels
D. Ruptured tubal gestation
E. Penetrated injury of small bowel
ANSWER: A, B, E

CM. Which of these conditions does not refer to perforation of a hollow organ into the
peritoneal cavity?
A. Pathological communication between the stomach and colon
B. Pathological communication between the stomach and abdominal cavity
C. Pathological communication between the duodenum and retroperitoneal space
D. Pathological communication between the urinary bladder and abdominal cavity
E. Bleeding gastric ulcer
ANSWER: A, E
CM. Which of the diseases, causing the clinical picture of “acute abdomen”, is related to
the syndrome of “acute intestinal obstruction”?
A. Small bowel obstruction due to adhesions
B. Strangulated hernia
C. Intussusception
D. Pyloroduodenal stenosis due to peptic ulcer
E. Volvulus of sigmoid colon
ANSWER: A, B, C, E

CM. Which of the following diseases is accompanied by intraperitoneal hemorrhage?

A. Gastric ulcer bleeding
B. Ruptured aortic aneurysm
C. Ruptured tubal gestation
D. Uterine bleeding
E. Traumatic rupture of spleen
ANSWER: B, C, E

CM. Which of the following diseases is not accompanied by intraperitoneal hemorrhage?

A. Bleeding gastric ulcer
B. Ruptured aortic aneurysm
C. Ruptured tubal gestation
D. Uterine bleeding
E. Traumatic rupture of spleen
ANSWER: A, D

CM. Which of the following extraabdominal diseases can cause the clinical picture of
“acute abdomen”?
A. Coarctation of aorta
B. Pneumonia
C. Systemic vasculitis
D. Noncompensated diabetes mellitus
E. Alimentary tract infections
ANSWER: B, C, D, E

CM. Specify the management options for patients, who presented with “acute abdomen”.
A. Observation at home (out-hospital setting)
B. Immediate operation
C. Preoperative preparation and then – operation
D. Conservative treatment
E. Observation in surgical department (in-hospital setting)
ANSWER: B, C, D, E

CS. Which of the following diseases is typical for children?

A. Perforated ulcer
B. Cancerous large bowel obstruction
C. Acute pancreatitis
D. Ruptured tubal gestation
E. Intussusception
ANSWER: E

CM. Which of the following diseases is not typical for pediatric patients?
A. Perforated ulcer
 B. Cancerous large bowel obstruction
C. Acute pancreatitis
D. Acute appendicitis
E. Intussusception
ANSWER: A, B, C

CS. Which of the following diseases is typical for patients older than 60 years?
A. Cancerous large bowel obstruction
B. Ruptured tubal gestation
C. Acute pancreatitis
D. Intussusception
E. Perforated ulcer
ANSWER: A

CM. Which of the diseases is characteristic for middle-aged patients?

A. Acute pancreatitis
B. Cancerous large bowel obstruction
C. Perforated ulcer
D. Ruptured tubal gestation
E. Intussusception
ANSWER: A, C, D

CS. Which of the following diseases is characteristic for middle-aged patients?

A. Acute appendicitis, acute cholecystitis, intussusception
B. Cancerous large bowel obstruction, acute appendicitis, adnexitis
C. Strangulated hernia, perforated ulcer, cancerous large bowel obstruction
D. Ruptured Graafian follicle, intussusception, ruptured tubal gestation
E. Perforated ulcer, acute pancreatitis, ruptured tubal gestation
ANSWER: E

CS. In visceral pain irritation from the gastrointestinal organs is distributed by:
A. Parasympathetic nerve fibers
B. Perilymphatic nerve plexus
C. Parasympathetic and sympathetic nerve fibers
D. Perivenous nerve plexus
E. Celiac nerve fibers
ANSWER: E

CS. In somatic pain irritation from the gastrointestinal organs is distributed by:
A. Parasympathetic and sympathetic nerve fibers
B. Parasympathetic nerve fibers
C. Perivenous nerve plexus
D. Perilymphatic nerve plexus
E. Sympathetic nerve fibers
ANSWER: B

CM. What characterizes visceral pain in “acute abdomen”?

A. It is the result of distention or spasm of organ
B. It arises from the parietal peritoneum
C. It has a diffuse character
D. It can be accurately localized by patient
E. It can not be accurately localized by patient
ANSWER: A, C, E

CM. What is the character of visceral pain in “acute abdomen”?

A. It is diffuse
B. It is felt by patients in the form of compression, cramps and colic
C. It is intensive and continuous
D. It is strictly limited and localized
E. It increases with movements
ANSWER: A, B

CM. What characterizes somatic pain in “acute abdomen”?

A. It has an intensive and continuous character
B. It arises from the parietal peritoneum
C. It arises from the gastrointestinal organs
D. It is the result of distention or spasm of organ
E. It is strictly limited and localized
ANSWER: A, B, E

CM. What is the character of somatic pain in “acute abdomen”?

A. It increases with movements
B. It is felt by patients in the form of pressure, cramps and colic
C. It is strictly limited and localized
D. It is diffuse
E. It is intensive and continuous
ANSWER: A, C, E

CM. In which of the following conditions abdominal pain has a visceral nature?
A. Blumberg symptom
B. Kocher’s symptom
C. Acute cholecystitis with local peritonitis
D. Renal colic
E. Biliary colic
ANSWER: B, D, E

CS. For descriptive purposes the abdomen is divided into:

A. 2 parts, 6 regions
B. 3 parts, 9 regions
C. 3 parts, 6 regions
D. 2 parts, 9 regions
E. 3 parts, 3 regions
ANSWER: B

CS. On side inspection of patients with “bird chest” (pectus carinatum) the deformity
usually is maximal:
A. Above the nipple level
B. Below the nipple level
C. At the level of manubrium of the sternum
D. At the level of the second rib
E. At the level of the xiphisternal junction
ANSWER: B

CS. What are the complaints of a patient with “bird chest” (pectus carinatum)?
 A. Dyspnea
B. Chest pain
C. Disturbances of feeding
D. Cosmetic deformity
E. Fatigue
ANSWER: D

CS. Emphysematous chest is also called:

A. Barrel chest
B. Cylindrical chest
C. Bird chest
D. Boat chest
E. Funnel-shaped chest
ANSWER: A

CS. How the inspection of patient is performed to determine lordosis and kyphosis of
spine?
A. The patient is in standing position, the doctor is stands behind
B. The patient is in standing position, the doctor is at the side
C. The patient is in standing inclined forward, the doctor is stands behind
D. The patient is lying on his abdomen, the doctor stands on the right side
E. The patient is lying on his side, the doctor stands on the right side
ANSWER: B

CS. Convexity (posterior direction) of the spine is called:

A. Kyphosis
B. Lordosis
C. Kyphoscoliosis
D. Scoliosis
E. Ankylosis
ANSWER: A