Крок 2 Загальна лікарська підготовка_2004-2005

4 профиль

№ ItemText DistrA DistrB DistrC DistrD DistrE

The 25 years old patient has complaints about *Pregnancy in Fibromyoma of uterus Horionepithelioma Disturbances of the Amenorhea
suppression of mensis during 3 months, gestation time – 12 menstrual cycle
vomiting. According internal genicological weeks
investigation – cyanosis of vaginae and cervix
uteri, body of uterus is increased. Fundus of the
1.
uterus on the 3 sm under the symphisis,
consistens of uterus is soft, during the internal
investigation it is tioghtly.Adnexa uterus are not
palpable. Discharges – is mucosae. What is the
most probably diagnosis?
On the fifth day after the normal delivery the *7 – 8 cm 5 – 7 cm 9 – 10 cm 11 – 12 cm 12 - 14 cm
2.
height of the fundus uteri above pubis equals
The beginning of delivery is signed with *The beginning of Rupture of water bag Discharges of mucus Desccendingof the Placing the fetus head
3. regular birth from the vagina uterus fundus or the pelvis in the
contraction aditis ad pelvis minor
Deliveri is finished *With the birth of Rupture of water bag Complete opening of The birth of the fetus Separation of the
4. placenta the ostium of the placenta
uterus
A 28years-old pregnant at 20 weeks of gestation. *Glucosuria of Diabetes mellitus Disturbances of Obesity Diabetes mellitus of
In analysis of urine - level of glucosuria is pregnants tolerants to glucosae the 1st type
1.5\%, diuresis – 2 l. Fasting blood sugar : 5,2
5.
mmol/l; 2 hours after 75 g glucose load – 6,2
mmol/l. Height is 160 sm, weight is 78 kg. What
is the most probable reason of glucosuria?
A pasurient has atonic bleeding in early *Laporotomy. Manual control of Applying the clames Putting the tampone Cold on beneath the
postpartum period. Postpartum hemorrhage is Extirpation of uterus cavum uteri and to parametrium, with etherus in the abdomen
1500ml (1,8\%). Status is hard, the without adnexae uteri. massage on the fist claming the cervix back fornix
consciousness is confusional, stupor, motor Infusion therapy after Baksheyev uteri
anxiety, temperature of 37C, pail skin, periphery
6. cyanosis. Tachycardia of 130-140 b/min , AP
70/40 mm. Hg., CVP – 20mm. Hg, dyspnea – 40
per min, hour diuresis 15-20 ml/hour,
haemotocrytis 0.25 , shock index 1.4,
hemoglobin concentration 70 g/l. Doctor’s
tactics?
 A woman in birth for the first time of 29 years *Cesarian section Conservative leading Stimulation of the Obstetrics forceps Amniotomy
old. Pregnancy of 40 weeks. The sizes of the of the childbirth delivery activities
pelvis are: 25 – 28 – 30 – 20 cm. The
presumable weight of the fetus is 4.900 +- 200
g. Position of the fetus is longitudinal. Head
presentation. Heart beating of the fetus is 140
7. per minute. Rhythmical. Vaginal investigation:
cervix uteri is shortened. It let’s 2 fingers go
through. The water bag has not been open
harmed. The head balloting above the aditus ad
pelvis minor. Promontorium of the sacrum is not
reachable with the finger. What is the tactics of
leading the delivery.
Patient after the operation of the caesarian *Positive symptoms Type of the pulse Type of the Type of the pain Clinical analysis of
section has sharp pains in abdomen, vomiting, of irritation of temperature blood
nausea, diarrhea, tachycardia, tachypnoe, peritoneum
enteroparesis, symptoms of irritation of
8.
peritoneum are positive. Temperature is 39 C. In
the blood formula is leucocytosis. What is the
main difference between pelvioperitonitis and
parametritis?
The first and the second periods of delivery – *Defect of the Hypotonia of the Adherent placenta Vegetative placenta Ingrowing placenta
are without complications. It is an uterus placental tissue uterus
bleeding after 10 minutes after childbirth,
hemorrhage is 200 ml. After separation and birth
of placenta by Krede-Lazorevitch’s method
9. bleeding is not stopping it is increasing.
Maternal passages are not traumated. According
examination of placenta it is a defects of
placental tissue with size 3x4sm. Uterus
bleeding is continuing. What is the most
probably reason of the bleeding?
22 years old patient has complaints about *Incipient abortion Treatened abortion Complete abortion Late abortion Incomplete abortion
profuse bloody discharges with clots from
genitals, hard pains in abdomen, like
contractions. Last mensis was 3 months ago.
According bimanual investigations : in vagina -
10.
a lot of clots of blood, cervix uteri is open at 2
sm, in the canal of cervix uteri – elements of
fetal ovum, uterus is enlarged to 12 weeks of
pregnancy, adnexa uterus are not palpable. What
is the most probably diagnosis?
 33 years-old woman in childbirth (2nd labors). *Anaesthesia, Injection of Obstetric forceps Vacuum-extraction of Infusion of
Sizes of pelvis 25-28-31-20. Fundal height – 40 cesarian section spasmolytics fetus uterotonics
sm, circumferentia of abdomen – 100 sm. Stage
of pushing. Passive segment of the uterus is hard
painful. Uterine contractions are painful, edema
11. of external genitals and muscles of the pelvic
floor. Contrant ring on the line of umbilicus. The
sagital suture of the fetus head is in the direct
size at the first plate of the pelvis. Symptom of
Henkel-Vasten is positive. What must be a
doctor’s tactics?
The 30 years-old pregnant arrived to the *Intravenous injection Gastric lavage Intravenous injection Anaestethia with Ether Intravenous injection
maternity home in 37’s gestation term, head of Magnesii sulphatis, of Dibasol, Papaverin of Analgin
presentation of the fetus. She has complaints Droperidol, Euphillin
about headache, vomiting, pains in the epigastric
12. area, disturbances of vision. Artherial blood
pressure 180/110 mm Hg, proteinuria – 1,66 g/l.
The tonus of uterus is normal. Fetal heart sounds
– 140 beat/min, rhythm is normal. What is the
doctor’s tactics in this clinical case?
On the second day after the normal delivery the *12 – 15 cm 15 – 16 cm 9 – 11 cm 7 – 9 cm 5 – 7 cm
13.
height of the fundus uteri above pubis equals
A woman of 18 years old applied to the female *Congenital Hemolytic disease of Delivery trauma of Disease of the Chromosomal
dispensary at the term of 11 – 12 weeks. One embryopathy the newborn the newborn gyalynum membranes abnormalities of the
14. month ago a woman suffered from rubella. fetus
What influence on the fetus is the most probable
in this woman?
A woman is in delivery for the first time. *Obstretrics forceps Cesarian section Fetus destructive Conservative leading Vacuum extraction of
Arrived to hospital in the second period of the operation of delivery with the fetus
delivery in the term. Wasn’t observed in the epysiotomy
famine dispensary during pregnancy. The head
15. of the fetus is in the thin part of the cavity minor
pelvis. The state of the fetus is satisfactory.
Small febrilar trembling of eyelids , which
spreader to the face and upper extremities. What
is the tactics of leading the delivery.
On the seventh day after the normal delivery *5 – 7 cm 7 – 8 cm 9 – 10 cm 11 – 12 cm 13 – 14 cm
16.
the height of the fundus uteri above pubis equals
From what time of pregnance fetal heart beating *25 weeks 18 weeks 20 weeks 22 weeks 30 weeks
17.
starts to be heard.
A 23 years-old pregnant at the 10 weeks of *Registration of the Registration of T 4 in Uptake II 31 by the Ultrasound Nucleo-magnetic
gestation has complaints about enlarged thyroid TTG content in the the blood tyroid gland examination resonans examination
gland. Ps is 72 b/min, artherial blood pressure blood
18. 110/70 mm/Hg. Thyroid gland is enlarger in all
parts, painless, mobile, is not fused with
underlying tissue. What analysis are necessary
to do for marking of thyroid gland function?
 During investigation of the 25 years-old *Preeclampsia of light Preeclanpsia of the Edema of pregnants Hypertonic diseases Pyelonephritis of
pregnant in the term of gestation 34 weeks by degree hard degree pregnants
the doctor of the female dispensary are
registrated edema of legs, AP on the right hand
19.
140/90mm Hg , on the left – 130/90 mm Hg,
proteinuria – 0,66 g/l , level of blood protein –
56 g/l. State of the fetus is satisfactory. What is
the most probably diagnosis?
In a woman in delivery with preecplampsia of *Tromboembolia of Eclampsia Embolia with Edema of the lungs Attack of the bronchal
the middle degree occasionally dyspnea and the lung artery amneotic liquid asthma
drey cough, motor anxiety, pain in thorax,
hemoptysis, tachypnoe, tachycardia, cianosis of
20.
the lips appeared. During the aucultation: accent
of the second tone above the lung artery,
multiple rales in lungs. What is the most
probable complication appeared?
Pregnant of 23 years old applying to female *Hestosis Preliminary childbirth Hemorrhage Rupture uteri Weakness of the
dispensary complained of infections hepatitis, delivery activities
21. holycistopancreatitis, which she suffered from 2
years ago. Appoint the most probable
complication of pregnancy in this woman:
The 19 years -old woman is in the delivery first *Active-waiting Cesarean section Obstetrics forceps Vacuum-extraction of Stimulation of the
time. It is the begining of the first period of tactics with presents fetus labor activity
labors. In her anamnesis – metral cardiac defect of therapeutist and
22.
in the stage of compensation. Her state is maximum analgesia
satisfactory. Amniotic bag is not break. What is
the doctor’s tactics in this delivery?
On the forth day after the normal delivery the *9 – 11 cm 5 - 7 cm 7 – 9 cm 12 – 14 cm 14 – 16 cm
23.
height of the fundus uteri above pubis equals
On the third day after the normal delivery the *12 – 14 cm 5 - 7 cm 7 – 9 cm 9 – 11 cm 14 – 16 cm
24.
height of the fundus uteri above pubis equals
The woman in birth for the first time of 20 years *Amniotomy Waiting tactics Cesarian section Sleep, relaxation Stimulation the
old with plenty of amniotic fluid is being in childbirth with
delivery for 3 hours. Delivery activities are prostaglandins
active. In uterus there is one fetus with head
25.
presentation. Heartbreaking of the fetus is
normal. Opening of the cervix uteri is 4 cm.
Water bag is strained between the contractions.
Appoint the tactics of leading the childbirth.
A woman is in the third in - time childbirth. The *400 ml 450 ml 500 ml 550 ml 600 ml
weight of the woman body is 80 kg. A boy with
4.200 kg. and the length of the body of 50cm
26.
was born. General blood loss is 450 ml.
Physiological volume of blood loss for this
woman equals :
 A woman of 30 years old in birth for the first *Perineotomy Episiotomy Protection of the Waiting tactics Pudendal anesthesia
time has the beginning of intensive pushing with perineum
the interval of 1 – 2 minutes, lasting 45 seconds.
27. During the birth of the fetal head, extraordinary
pain in the perineum appeared. The perineum 4
cm high, is pail. Heart beating of the fetus is not
affected. What is to be done:
When can a woman stand up and walk after *In 6 – 8 hours In 24 hours In 2 hours In 3 days Right away after
28.
childbirth? childbirth
The woman of 25 years has addressed to the Pregnancy Myoma of uterus A salpingocuesis Infringement of a Ovarian tumor
doctor with complaints of a nausea, vomiting 1 menstrual cycle
times in a day, a sleepiness, a delay of a menses
for 2 months. At bimanual inspection: cyanosis
of the mucosa of the vagina and uterine cervix.
29.
The uterus is enlarged, softened, especially in a
region of an isthmus, however during inspection
began more dense, painless. Appendages are not
palpated. Discharge are mucous. The most
relible diagnosis.
The 24-years old woman, earlier not pregnant, *USE of the organs of Determination of the Determination of the Determination of the Computer
terminated to accept oral contraceptives. After the small pelvis level of Gonadotropins level of Progesteron level of Testosteron tomography of the
last reception of a drug she had one menses, and head
30.
then within 6 months the amenorrhea was
observed. Choose the most suitable
investigation:
The puerpera of 24 years old, the 2d day after * A sighting Microscopies lochia A luminescent Bacteriological Vaginoskopy.
laborC. A common state is satisfactory, a body microscopy of lochia investigation of lochia
temperature is 36,6 degrees , sphygmus 82
beets / mines, satisfactory propertieC. There is
no pathology from internals . Mammas are
31. enlarged in the dimensions, mild, papillas are
whole. The uterus is dense, painless, a bottom of
it is on 5 sm above a bosom. A lochia are
serouse-bloody, in a small amount.
Physiological functions are normal. It is enough
for determination of character of lochia:
The puerpera of 22 years old for 2 day after *Palpation to define a USE X-ray inspection To meter a circle of an Palpation to define a
normal laborC. A common state is satisfactory, a level of standing of a abdomen. level of standing of
body temperature is 36,5 degrees, puls of 80 uterine fundus contractive rings of a
beets / mines, satisfactory properties. Mammas uterus
are enlarged, papillas are whole. The uterus is
32.
dense, painless, a bottom is on 8 cm above a
bosom. A lochia are bloody, in a small amount.
Physiological functions are normal. In a
puerperal period it is enough for determination
of dynamics of reduction of a uterus:
 The puerpera of 25 years old, 7 day after labor. * Oxytocinum Folliculinum Progesteronum Chorionic Prolactinum
The common state is satisfactory, there are no Gonadotropinum
complaints A body temperature is 36,6 degrees,
puls is 76 beets / mines, satisfactory properties.
The BP of 120/80 mm.Hg on both humeral
arterias. Mammas are mild, painless, papillas are
33.
whole. The uterus is dense, painless, a bottom of
it is defined at symphisis level. A lochia of
serous-mucous character, scanty. . Physiological
functions are normal What Hormon secreted by
a pituitary gland, stimulates reductions of a
uterus in a puerperal period?:
At the puerpera of 26 years old, for 4 day after *Tool revision of a Manual inspection of a Outside massage of a To enter drugs Supravaginal ablation
labour the incessant parent bleeding began. The cavity of the uterus cavity of the uterus and uterus after bleeding reducing a uterus of a uterus
haemorrhage has made 400 ml. The common erasion of the delayed urinary bladder
state is worsened - a body temperature 36, 7о С, parts of a placenta
34. pulse of 94 beets / mines, the AP of 90/70
mm.Hg. The uterus is intense, morbid, its
bottom is at a level of a umbilicus. The
diagnosis is : " Delivery in time. A bleeding of
the 4th day of puerperal term. ". It is necessary:
A 5 years old girl who attends a kindergarden * Macrolides Quinolones Cephalospores of the Cephalosporines of the Cephalosporines of
35. has an atypical pneumonia. What antibacterial 1-st generation 2-st generation the 3-st generation
drug should be prescribed?
The pregnant woman, aged 25 yr with 36 weeks *severe preeclampsia moderate preeclampsia eclampsia retinal detachment epileptic coma
gestational term complains of upper abdomen
pain, nausea, vomiting and blurred vision. There
36.
is also generalized edema. BP on both arms is
170/100 mm Hg. What is the most probable
diagnosis?
A 25 years old woman in labor has the second *Opening of the Expulsion of the fetus Afterbirth period Preliminary period Postnatal period
timely labor. The contractions appear every 5-6 uterine cervix
minutes and last 20-25 seconds . The
37. longitudinal fetal position and occipital
presentation of the fetal head are found against
the small pelvis entry. What is the stage of
labor?
 A 20 years old 36 weeks of gestation pregnant *Placental Premature placental Uterine rupture Загроза передчасних Incipient abortion
woman was admitted to the obstetrical hospital presentation separation пологів
with complains of the pain in the lower abdomen
and bloody vaginal discharge. The general
condition of the patient is good. Her blood
pressure is 120/80 mm Hg. The heart rate of the
fetus is 140 beats per minute and rhythmic. By
38.
vaginal examination the cervix of the uterus is
formed and closed. The discharge from vagina is
bloody up to 200 ml per day. The head of the
fetus is located high above the minor pelvis
entry. A soft formation was defined through the
anterior fornix of the vagina. What is the
probable diagnosis?
The woman on the seventh day after delivery *Puerperal Uterine postpartum Pelvioperitonitis Sepsis Physiological
complicated by uterine bleeding and manual (postpartum) subinvolution puerperal (afterbirth)
investigation of the uterine cavity started to be endometritis period
feverish up to 38,70C and complains of the
bloody purulent vaginal discharge with
39.
unpleasant smell. The uterine upper border is
located between the pubis and omphalus. The
uterus is tenderness and has a dough-like
consistency. What is the most probable
diagnosis?
18-years-old PG (prima gravida) woman is in * Obstetrics sleep-rest Amniotomy Oxytocin test Labor stimulation Cesarean section.
fully term labor lasting 12 hours. The woman
fills her self tired and dozes between the
contractions. The general conditions of woman
and fetus are good. The obstetric sizes of pelvis
are 25-28-31-20 cm. The labor activity is mild to
40.
moderated. On vaginal examination the uterine
cervix is smooth and up to 4 cm dilated.
Amniotic sac is intact. Fetal head is presented
against the small pelvis entry in sacrum right
posterior position (SRP). What is the correct
management of labor?
After the labor the vaginal examination did not * II degree perineal I degree perineal III degree perineal Groin rupture of the III
reveled the uterine cervix damage. In the rupture rupture rupture degree
perineal region a deep skin laceration up to the
41.
anus and muscular breakage of vagina posterior
wall including external sphincter were noted.
What kind of complications was happened ?
 The 27 years old PG (prima gravida) woman *manual examination curettage of the uterine cold on the lower uterine extirpation supragroinal uterine
delivered the full term newborn with big waight. of the uterine cavity cavity portion of abdomen extirpation
The placenta was separated spontaneously.
Within 20 minutes after labor the patient lost
42.
300 ml of blood clots from vagina. During the
external massaging the dough-like hypotonic
uterus and additional 200 ml blood loss were
noted. The correct subsequent treatment is:
At term of a gestation of 40 weeks height of * Chronic Delay of an intra- Placental detachment Infection of a fetus Pprematurity
standing of a uterine fundus is less then assumed fetoplacental uterine fetation
for the given term. The woman has given birth insufficiency
43. to the child in weight of 2500 g, a length of a
body 53 cm, with an assessment on a scale of
Apgar of 4-6 points. Labor were fast. The cause
of such state of the child were:
A 26 year old woman complains of a mild *Inevitable abortion Incipient abortion Incomplete abortion Complete abortion Disfunctional
bloody discharge from the vagina and pain in the bleeding
lower abdomen. She has had the last
menstruation 3,5 months ago. The pulse rate is
44. 80 per min. The blood pressure (BP) is 110/60
mm Hg and body temperature is 36,60C. The
abdomen is tender in the lower parts. The uterus
is enlarged up to 12 weeks of gestation. What is
your diagnosis?
Primapara, 24 years with a normal pelvis. After *Stimulation of Obstetric forceps Medicament dream - Caesarian section Spasmolyticses
8 hours of normal patrimonial activity spasms patrimonial activity rest
became weak, ineffective. Vaginal research:
disclosing of a uterine cervix is 8 sm, the head
45.
of a fetus is with its the big segment in an inlet
into a small pelvis. The amniotic membrane is
absent. Palpitation of a fetus a clear, rhythmical
130 heart-rate. Tactics?
A 2 years-old child suffering from food allergy *Euphyllinum, Penicillin Berodual Lasolvan Calcium gluconate
became acutely ill. The spasmodic cough, predisolon
prolonged expiration and expiratory wheezing
are presented. The respiratory rate is 60 per min.
The mild respiratory distress mast be noted
46.
because of chest additional muscles
participation in breathing. The wheezing chest
is hyperinflated. Choose the treatment which
mast be done to the patient by intravenous
infusion.
 At multipara, in a duration of gestation of 40 *Transversal position Transversal position of Longitudinal position Pelvic presentation Slanting position of a
weeks, at survey a spherical, balloting formation of a fetus, left position a fetus, right position of a fetus, a head fetus
is defined to the left of an umbilicus, the presentation
47.
palpitation of a fetus is auscultated closer to an
umbilicus, about one 140/minutes. It is possible
to think of what position of a fetus in this case?
At a vaginal examination at primapara: *Anterior asynclitism Average transversal High direct standing Low transversal Posterior asynclitism
disclosing of a cervix of a uterus up to 8 sm, standing of head of head standing of head
vertex presentation, a sagittal suture is in the
48. transversal size of the inlet plane, is posed closer
to a promontorium, the big and small fontanels
are at the same level. What insertion of the head
of a fetus takes place in this case?
The data of a functional condition of the child *8 points 5 points 6 points 10 points 9 points
after delivery: palpitation is 134 heart-rate;
respiration is independent, but without the first
49. cry; a skin of the face and a trunk is pink,
extremities - dark blue; movements are active,
cry is loud. A condition of a newborn according
to a scale of Apgar?
Puerpera, the 3-d day of the postnatal period, Postnatal acute A postnatal A postnatal adnexitis A postnatal A postnatal
complaints to a fever up to 38,2(С, a pain in the endometritis thrombophlebitis parametritis pelviperitonitis
lower part of abdomen, purulent discharge from
vagina, delicacy have appeared. Objectively:
pulse - 98 heart-rate, the BP – 120/80 mm.Hg, a
skin is pale. The abdomen is soft, painless. The
uterine fundus is lower than umbilicus up to one
50. transversal finger, has a soft consistence,
morbid. At vaginal research: the uterus enlarged
till 17 weeks of pregnancy, softened, painful.
Appendages of a uterus and vaults of the vagina
are without features. Discharge are purulent, in
moderate quantity. The analysis of a blood: a
leukocytosis 13,5(10 9/l, ESR - 32 mm/h.
Establish the preliminary diagnosis.
Menstrual function of the 42 years-old woman *Endometriosis of Cancer of uterus Submucous Endometritis Endometriosis of
as hyperpolymenorrhea and progressiv uterus fibromyoma of uterus adnexa uterus
algodysmenorrhea withing last 10 years. Vaginal
51. dascharge like chokolade, uterine size is
enlarged, tuberous, little morbid, uterine adnexa
are not palpable, fornix are not painful, deep.
What is the most probably diagnosis?
 In gynecological department a woman *Bacteriological Colposcopy Probing the uterus Curettage of the Cytological
complaining about acute pains beneath the investigation of uterine cavity investigation of the
abdomen, increased body temperature up to 38 discharges from the vaginal leucorrhea
deg., complaining about purulent discharges genitals
52.
from the vagina, arrived. Sexual life is
discursive. During the bimanual investigation:
adnexae uteri are painful, purulent leucorrhea.
For making a diagnosis it’s necessary:
A woman of 27 years old leading an active *Virus if Herpes Bartolinitis Primary syphilys Genital condilomatosis Cytomegalovirus
sexual life, complaining about numerous Simplex infection
vesicules on the right major lip, scratching and
53.
irritation. Rash appears periodically before
mensis and finished in 8 – 10 day. Possible
diagnosis.
A 60 years old and 10 years menopausal woman *Consequent Ultra sound Laporoscopia Hysterosalpingographi Sexual hormone
complains of the abdomen enlargment, weight diagnostic curettage investigation a investigation
lost, asthenia, bloody discharge from vagina. of the uterine cavity
54. The uterus is enlarged like up to 16 weeks of and cervical canal
gestation and hard. The salpinxes are not
defined. What method of diagnostics is it
necessary to carry out?
During the colposcopia endometriosis of the *Laser vaporisation Dyathermocogulation Еxterpation of uterus Supervaginal Antiinflamation
55. vaginal part of the cervix uteri was found out in amputation treatment
a patient M. Choose the method of treatment.
A woman of 35 years old complaints of *Psychogene Hypomenstrual Hyperpolymenorrhea Proyomenorrhea Algodysmenorrhea
56. amenorrhea during a year after a hard fright. amenorrhea syndrome
Diagnosis.
11 years -old girl arrived to the hospital with *Infusion therapy Abrasio cavi uteri Hormonal Antyanaemical therapy Intramuscular
uterus bleeding after suppression of mensis. with using of homeostasis injections of
Anaemia is absent. Genital formula is Ax2 P3 uterotonics uterotonics
57.
Mg2 Me+. Virgin. Investigation per rectum – no
pathology. The treatment of this patient should
be start from
A woman of 45 years old is working as a painter *Hard physical work Delivery trauma General disease of the Errosion of the cervix Disturbance of the
and a builder. During bimanual investigation vagina uteri bowels function
58.
elytroptosis of the second degree was find out.
What is the reason of the disease?
 A 20 years old woman was admitted to the *Abdominal cavity Laporoscopia Ultra sound Roentgenoscopy. General blood
reception room of the central district hospital. punction through the investigation of the analysis.
The patient complains of a lower abdomen posterior fornix of abdominal cavity
cramping pain ascending upward, dizziness and vagina
vomiting within painful attack. She recalls the
last menses haven 6 weeks ago. On clinical
examination a cheeks skin hyperpigmentation is
noted. The mucous membranes are pale. Chest is
59. clear. The heart beats are rhythmic. The pulse is
soft and weak 108 per minute. The body
temperature is 36,3 oC. The extremities are cold
in touch. Abdomen is tense, considerably
distended and painful. On percussion in the
lower abdomen dullness is found. There is not
any vaginal bloody discharge. What method of
clinical investigation could help the surgeon to
make a correct diagnosis ?
In a woman of 28 years old with complaints *Local secretion of Disturbance of Thickening of the Congenital hypoplasia Increasing of
about infertility during 3 years . In the prostoglandines synthesis of cortisolum albumine coverage of of genitals viscousity of cervical
laporoscopy internal endometriosis was found. in adrenal glands ophorons mucus
60.
In anamnesis is chronical salpingoophoritis. The
most probable pathogenital cause of infertility in
this woman is:
A woman of 18 years old complaints on the *Spermogram Hysterosalpingography Laporoscopy Test of the functional Bacteriological
absence of pregnancy during regular genital life diagnostics inoculation
within 1 year. Contraception is not being used.
61. Pregnancy never took place. During the
bimanual investigation no pathology is found
out. With what method should the investigation
of this couple be started?
A mother with a girl of 6 years old with pruritus *Analysis of feces for Bacteriological Stear for flora General analysis of Glucose of the blood
in perineum area and outer genitals applied to helmints inoculation urine
the doctor. Objectively: general condition is
62.
satisfactory. Multiple of scratches of vulva and
perineum, around the anus, hyperemia, edema.
What investigation should be carried out?
In a girl of 3 weeks of age fountain vomiting not *Congenital Pylorosthenosis High bowel Real hermophroditism Occute bowel
connected with feeding is registered many times adrenogenital impaction infection
a day. Periodical liquid defecations. Decrease of syndrome
63. the body weight. During the examination the
child is rigid and has dehydratation.
Hypertrophy of clytoris is obviously seen. What
disease takes place?
 A 13-years old girl complains of vaginal *Juvenile uterine Incipient abortion Willibrandt’s disease Thrombocytopenic Vulvovaginitis
bleeding. The last menses was 4 months ago. bleeding purpura
The patient complains of weakness and
dizziness. Her blood analysis shows the
64.
hemoglobin 64 g/l, erythrocytes count 1,8 x
1012/l, platelet count 280 x 109/l. By vaginal
examination the uterus is not enlarged, the
salpinxes are not affected.
In a 32-year old woman during the bimanual *cyst of the left ovary Cystoma of the left Dermoid cyst of the Ovarian cancer Extrauterine
examination a tumor-like firm to hard ovary left ovary pregnancy
consistency swelling was revealed on the left of
the uterus. It is displaceable and painless. Its
65.
diameter is about 10 cm. The uterus and
adnexia are not changed. The menstrual
function is not impaired. The patient looks
healthy. What is the probable diagnosis?
A 42-year old woman consulted by a doctor *Uterine myoma Dysfunctional uterine Ovarian cystoma Uterine body cancer Uterine pregnancy
complais of the gnawing-like pain in the lower bleeding
abdomen, weakness, long abundant menses.
The general condition is good. By bimanual
66.
examination the enlarged uterus sized about 10
weeks of gestation being hard, painless and
having irregular contours was revealed. What is
the probable diagnosis?
A patient complaints of the pains beneath the *Retrocervical Adenomyosis Chronically Parametritis Endometriosis of the
abdomen, radiating to the vagina. strengthening endometriosis inflammation of tne cervix uteri
during menses, sexual intercourse. Anamnesis: adnexae uteri
67. two years ago there was a suspect for
endometriosis. Vaginal investigation: to the back
of uterus a painful nodular conformation is
found out. Diagnosis.
A 27 years old woman being treated concerning *Bacteriological Bacterioscopic A puncture of an Clinical and Bacteriological
a chronic adnexitis for 5 years, is delivered in a research of a vaginal research of a vaginal abdominal cavity bacteriological research after
gynecology department with attributes of content and content through a back vault analysis of a blood provocation
pelviperitonitis. Her husband is suffering from determination of of the vagina,
68.
chronic urethritis. What researches should be sensitivity to bacteriological
appointed for precising of treatment tactics? antibiotics sowing of an obtained
punctate on
gonococcus
 In a gynecology department the woman with Hydatiform mole Threat of abortion A placental A premature placental Antenatal destruction
complaints on bloody allocation from a vagina presentation detachment of a fetus
has addressed. Last menses was 3,5 months ago.
Ultrasonic did not pass. A uterus at a palpation
of a paste consistence, painless, height of
69. standing of a uterine fundus - 24 sm. Parts of a
fetus are not palpated, palpitation is not listened,
the movement does not feel. From both sides of
a uterus are palpated the ovoid form of
formation 5( 6 sm. What is the most authentic
diagnosis?
In a gynecology department there is a 47 years *A fractional medical- Hormonal hemostasis Nonhormonal Cyclic hormonal Ablations of the
old woman with dysfunctional uterine bleeding diagnostic curettage hemostasis. therapy uterus
70.
after a delay of a menses of about 10 days. With of a mucous of uterus
what it is necessary to start the treatment?
On the 3rd day after the artificial abortion the *Pelvioperitonits Diffuse peritonitis Extrauterine Acute appendicitis Ovarian apoplexy
patient felt a dull pain in all abdomen, fever up pregnancy
to 39,90 C, nausea and one time vomiting .
The pulse is 120 beats per minute and weak. A
marked abdomen distention and painful voiding
are defined. Morton, Schyotkin – Blumberg’s
symptoms are not clear positive. After 24 hours
of observation the patient’s condition become
better but lower abdomen distention and
71.
tenderness are still presented . The pulse and
body temperature are normal. On vaginal
examination there is any effusion defined in
the space between uterus and rectum. . The
uterine cervix upward shift provokes severe
pain. Salpinx is enlarged and also painful. An
abdominal cavity puncture through the
posterior vaginal fornix did not reveal a blood.
What is the diagnosis of this woman?
The patient of 24 years was admitted into a *Missed abortion Beginning abortion Abortion at a course Incomplete abortion Menacing abortion
gynecology department due to a disharmony of
the sizes of a uterus to a duration of gestation.
72. Last menses were 4 months ago. At vaginal
examination: the uterus is enlarged according to
10 weeks of pregnancy. What diagnosis the most
probable?
At vaginal examination: the uterus is enlarged *Hysterectomy with Ablation of a uterus A chemotherapy Anemia treatment A hormonetherapy
by a chorionepithelioma up 12-13 week appendages and the
73. pregnancy, the patient complains of a strong subsequent
uterine bleeding; a haemoglobin is 52 g/L. What chemotherapy
treatment should be appointed to this patient?
 The 24-years old woman, earlier not pregnant, *USE of the organs of Determination of the Determination of the Determination of the Computer
terminated to accept oral contraceptives. After the small pelvis level of Gonadotropins level of Progesteron level of Testosteron tomography of the
last reception of a drug she had one menses, and head
74.
then within 6 months the amenorrhea was
observed. Choose the most suitable
investigation:
47 years- old patient is complainting to bloodish *Dysfunctional Adenomyosis Uterine body cancer Vaginal tumour Submucosal
discharge from genitals withing 3 weeks after uterine bleeding fibromyoma of uterus
suppression of menses during 2 months.
75. According bimanual vaginal investigation sise
of uterus is nornal, it is’nt painful, fornix are
deep, palpatia is painless. Uterine adnexa are not
palpable.What is the most probably diagnosis?
Patient has complaints about pain in her *Hyperstimulaton of Inflamation of ovaries Yellow body Ovulation Bleeding to the
abdomen, metheorism, nausea, and vomiting, ovaries persistency intestinal cavity
nervous irritation. Symptoms are registered on
the 3rd day after abolishing of clomiphen-
76.
cytratis. Objective state – bracing of musk’s of
the abdominal wall, adnexa uterus are enlarged,
painful. The level of AP is low, tachycardia.
What is the pathogenesis of such complication?
12 years -old girl is complaining to the strong *Ultrasound Clinical blood General analysis of Rectal examination X- ray investigation
pains in the right iliounguinal area of abdomen investigation examination urea of the organs of
after physical tension, vomiting, body abdominal cavity
77. temperature is 38 C. Palpation of abdomen -
symptom of Schotkin is positive in the right
iliounguinal area. What is a main type of
investigation in this case?
In the gynecologic office a 28-years old woman *Hysterosalpingograp Hormone investigation Ultra sound Diagnostic scraping Hysteroscopia
complains of sterility within three years. The hy investigation out of the uterine
menstrual function is not impaired. There were cavity
one artificial abortion and chronic salpingo-
78. oophoritis in her case history. Oral
contraceptives were not used. Her husband’s
analysis of semen is without pathology. From
what diagnostic method will you start the
workup in this case of sterility?
A patient complaints on dark spready discharges *Endometriosis of Adenomiosis Errosion of the uterus Endocervicitis Polyp of the cervical
from genitals before and after the mensis. uterus wall wall canal
79.
During the colposcopy cianosis inclusions are
visualised on the cervix uteri. Diagnosis.
 The 31 year old female patient complains of the *pyosalpinx Acute salpingo- Parametritis Appendicitis Endometritis
lower abdomen pain, fever up to 38,80C. The oophoritis
patient is ill within 4 days. She has had her last
menstrual period one week ago. Besides it is
known that she has a history of chronic
salpingitis (pelvic inflammatory disease – PID).
The patient`s skin is pale, the tongue is dry, the
80.
blood pressure is 120/80 mm Hg, the pulse rate
is 100. The Schyotkin’s sign is (+)-ve. By
bimanual examination the 10 cm sized
painfully sharp swelling has been noted in the
right side from uterus. The WBC (leukocyte
count) is 16*109/l. What is the previous
diagnosis?
A 27 years old woman being treated concerning *Bacteriological Bacterioscopic A puncture of an Clinical and Bacteriological
a chronic adnexitis for 5 years, is delivered in a research of a vaginal research of a vaginal abdominal cavity bacteriological research after
gynecology department with attributes of content and content through a back vault analysis of a blood provocation
pelviperitonitis. Her husband is suffering from determination of of the vagina,
81.
chronic urethritis. What researches should be sensitivity to bacteriological
appointed for precising of treatment tactics? antibiotics sowing of an obtained
punctate on
gonococcus
A 26 years old woman is delivered in a *Puncture of an Colposcopy Laparotomy Define horionic Hysteroscopy
gynecology department with complaints on a abdominal cavity gonadotropinum level
sharp pain in right ileac range. Last menses 16 through a posrerior
days ago, in time. At survey in specula: a vagina vault of the vagina
and uterine cervix are without changes. At a
82. vaginal examination the body of the uterus and
appendages are not accessible to a palpation
because of sharp morbidity and a strain of
muscles of a frontal abdominal wall. The back
vault is morbid. What it is necessary to make
for specification of the diagnosis?
A 18 years old woman complains of acute pain *acute bartholinitis furuncle of the major acute vulvovaginitis cyst of the Bartholin’s acute vulvitis
in the external genitals particularly in walking genital lip gland
and labia majora swelling. Body temperature is
370C, pulse rate is 98 beats per minute. The
examination revealed the thickness of the right
83.
labia majora and severely painful swelling
5,0x4,5 cm in it The local skin and mucous
membranes are hyperemic. There is an abundant
smelly discharge. What is the most probable
diagnosis ?
 A woman of 28 years old complains about *Inoculation of Inoculation of the urine Hysterosalpinogograp Analyses of discharges X-ray investigation of
periodical aching pains beneath the abdomen, menstrual blood three hy lunges
subfebral temperature. Night sweating, times during one
olygomenorrhea, algodysmenorrhea, infertility menstruation
84. during 7 years. Woman lost 7 kg of weight.
Bimanual investigation: uterus is not enlarged,
mobile, painless, adnexae uteri have numerous
bands, painless. What primary investigation
should be carried out for making a diagnosis?
Secundapara of 25 years. In the third period of Laparotomy, a Application of A hemotransfusion Laparotomy, Tool secretion of an
delivery the bleeding has appeared. The hysterectomy uterotonic agents supravaginal afterbirth
attributes of placenta’ detachment are absent. At amputation of uterus
85.
manual detachment of a placenta it was
revealed that a placenta is fixed, with growing
into a myometrium. Tactics of the doctor?
A 37-year old woman was admitted to the *Twist of ovarian cyst Acute Ovarian apoplexy Cyst rupture Pyosalpinx
gynecological department by the ambulance. pedicle salpigooophoritis
She complains of acute pain in the lower part of
abdomen, weakness, nausea, vomiting.
Menstrual and genital functions are not
impaired. Ultra sound investigation a week ago
revealed the cyst of the right ovary. The patient`s
conditions are the body temperature 36,6 0C, the
86.
pulse 88 beats per minute, the blood pressure
90/60 mmHg. The acute tenderness in the lower
abdomen and positive Schyotkin-Blumberd’s
symptom are noted. Uterus and left adnexia are
normal. A displaceable firm to hard consistency
swelling was defined on the right side from the
uterus. It is severely painful on palpation. What
is the diagnosis?
18-year old woman complains of the pain in the *impaired extrauterine ovarian apoplexy twist of cystoma of acute salpingoophoritis acute appendicitis
lower abdomen. Some minutes before pregnancy right uterine adnexa
suddenly she was appeared unconsciousness at
home. The patient has not had a menses within
last 3 months. The main features of this case are
pale skin, the pulse rate 110 beats per minute,
Hb (hemoglobin) 76 g/l, BP 80/60 mm Hg. The
87.
Schyotkin’s sign is (+)-ve. The vaginal
examination revealed following features. The
uterus is a little bit enlarged. Its displacement is
painful. There is also any lateral swelling with
indistinct size. The posterior fornix of the vagina
is tenderness and overhangs inside. What is the
most probable diagnosis?
 The 36 weeks of gestation pregnant woman was *premature placental Placental presentation premature delivery uterine rupture Embolism caused by
admitted to the obstetric in-patient department. separation threat amniotic fluid
She has previous history of arterial
hypertension, now complains of a headache,
aching pains in the lower abdomen and bloody
88. discharge from vagina. The main clinical
features are blood pressure 180/100 mm Hg and
hypertonic uterus. During investigation about
300 ml of dark blood was discharged from
vagina. The fetal heartbeats are not heard. What
is the diagnosis?
The woman delivered twins has early postnatal *Uterine extirpation Supravaginal uterine Uterine vessels Inner glomal artery To put clamps on the
hypotonic uterine bleeding reached 1.5\% of her amputation ligation ligation uterine cervix
bodyweight. The bleeding is going on.
Conservative methods to arrest the bleeding
89. have been found ineffective. The conditions of
patient are pale skin, acrocyanosis, oliguria. The
woman is confused. The pulse rate is 130 beats
per min, BP – 75/50 mm Hg. What is the further
treatment?
Primapara with a preeclampsia of a serious *Embryotomy Applying of obstetric Vacuum extraction of Caesarian sections. Skin-head forcepses
degree. The sizes of a pelvis: 23-25-29-19 sm. forcepses a fetus. by Ivanov
The position of a fetus is longitudinal, vertex
presentation. Palpitation of a fetus is not
90.
auscultated. An attack of an eclampsia. Vaginal
examination: disclosure of uterine cervix is
complete, the head is in a narrow part of a pelvic
cavity. Tactics of delivery’s conducting?
Primapara 26 years, in-time labor, began 8 hours *Caesarian section Embryotomy operation Cavitary obstetric Uterotonics Dream - rest,
ago. Amniotic fluid has flown away 3 hours ago. forcepses spasmolyticses
Spasms for 30-40 sec., in 5-6 minutes, regular,
painful. The position of a fetus is longitudinal,
head presentation; fetus’ head is pressed to an
inlet into a small pelvis. Palpitation of a fetus
91.
precise, 136 hits in one minutes. At a vaginal
examination: disclosure of uterine cervix is 8
sm, a forehead, superciliary arches of a fetus are
palpated, a frontal suture is in the right slanting
size. The amniotic membrane is not present.
What from the listed below is the most rational?
 The 20 years old patient shows complaints on a *Urgent General laboratory Ultrasound scanning Examination according Puncture of an
delay of menses to 10 days. Infringement of hospitalization examination in in one week to the tests of function abdominal cavity
menstrual function marks for the first time. polyclinic diagnostics through a posterior
Sexual life is regular, is not preserved from vault of the vagina
pregnancy. At survey: a state is satisfactory, an
92.
abdomen is painless, the AP of 120/80 mm.Hg.
The pulse is 72 per minute, of satisfactory
properties. At transvaginal echograpphy:
progressing tubal pregnancy is suspected.
Correct tactics of the doctor?
In a gynecology department there is a 34 years *Laparoscopy A puncture of an Ultrasonic A colposcopy Bimanual research
old patient with complaints of acute pains in the abdominal cavity investigation of
bottom of abdomen on the right which have through a back vault of organs of a small
begun suddenly, nausea, vomiting. Bimanual the vagina pelvis
research: the uterus of the normal sizes, its
shifting is morbid, the right ovary a little bit
93.
enlarged, spherical, morbid. Vaults of the vagina
are protruding; the palpation on the right is
morbid. In specula: the uterine neck and
mucous of vagina are not changed. Discharges
are not present. What method of research is most
informative?
In a gynecology department there is a 47 years *A fractional medical- Hormonal hemostasis Nonhormonal Cyclic hormonal Ablations of the
old woman with dysfunctional uterine bleeding diagnostic curettage hemostasis. therapy uterus
94.
after a delay of a menses of about 10 days. With of a mucous of uterus
what it is necessary to start the treatment?
A 26 years old woman is delivered in a Puncture of an Colposcopy Laparotomy Define horionic Hysteroscopy
gynecology department with complaints on a abdominal cavity gonadotropinum level
sharp pain in right ileac range. Last menses 16 through a posrerior
days ago, in time. At survey in specula: a vagina vault of the vagina
and uterine cervix are without changes. At a
95. vaginal examination the body of the uterus and
appendages are not accessible to a palpation
because of sharp morbidity and a strain of
muscles of a frontal abdominal wall. The back
vault is morbid. What it is necessary to make
for specification of the diagnosis?
 Multipara, 35 years, 1 period of the second Rupture of uterus Premature detachment Placental Uterine’ cervix Embolism with
labor. Spasms are of average force. Three of normally posed presentation, bleeding rupture, ІІІ degree amniotic fluid
medical abortions and caesarian section placenta
concerning a placental presentation in
anamnesis. Suddenly the parturient woman
complaints of strong abdominal pains, weakness
96.
have appeared. The BP - 80\50 mm Hg. From a
vagina - moderate bloody discharge. Palpitation
of a fetus is not auscultated. Parts of a fetus are
palpated to the left of an middle line of
abdomen. Patrimonial activity is absent. The
preliminary diagnosis?
A pregnant woman having 20 weeks gestation *Anemia of pregnan Neurocirculatory Endocrinopathy Chronic arterial Preeclampsia
term began to complain of weakness, fatigue, woman dystonia hypertension
dizziness. The hemoglobin is 80 g/l, pulse rate
97.
86 beats per minute, blood pressure 120/80 mm
Hg. The skin and mucous membranes are pale.
What is the diagnosis?
Patient has complaints about non-regular *Disease of Chronical adnexitis Tuberculosis of Kysts of ovaries Endomerriosis of
manses, obesity, girsutism, she suffers from polycystose ovaries adnexa uterus ovaries
sterility. According bimanual investigation – size
98. of the uterine body is smaller then normal one .
The left and right ovaries are mobile, painful.
Sizes of ovaries are 4 x 5 x 4 sm. What can be a
pathology in this case?
A 26 years old woman, delivery has taken place * A depression of Excessive production Depression of Infringement of Hyperproduction of
12 months ago, complicated by hemorrhage and function of a pituitary of prolactinum function of ovaries function of androgens
DIC-syndrome in an early puerperal period. A gland paranephroses
patient complaints on a headache, giddiness,
sleepiness, abasement of hair on a head and
pubis. The BP is 90/50 mm. Hg. Menstrual
99.
function after delivery is not iterated. The uterus
is diminished, ovaries are not palpated and
dryness of mucous of vagina is marked. The
basal temperature is monophasic, lower than
37(C, signs of pupil and fern are negative. What
is the pathogenesis of disease?
 A 26 years old woman, delivery has taken place * A depression of Excessive production Depression of Infringement of Hyperproduction of
12 months ago, complicated by hemorrhage and function of a pituitary of prolactinum function of ovaries function of androgens
DIC-syndrome in an early puerperal period. A gland paranephroses
patient complaints on a headache, giddiness,
sleepiness, abasement of hair on a head and
pubis. The BP is 90/50 mm. Hg. Menstrual
100.
function after delivery is not iterated. The uterus
is diminished, ovaries are not palpated and
dryness of mucous of vagina is marked. The
basal temperature is monophasic, lower than
37(C, signs of pupil and fern are negative. What
is the pathogenesis of disease?
The 46 years-old woman has copmplaints about *Aromatisation of Hyperprolactinaemia High secretion level Low level of Hyperandrogenia
prolonged menstruation, polymenorrhea within androstendiol in of glucocorticoids
2 years. She has hypertonic diseases, obesity of estrone adrenocorticopripical
101. 2nd degree. In the hystological investigaion in hormone
the scrap of endomethrium – numerous big
glands with cists.What is the link of the
pathogenesis of such state?
28 years-old patient has complaints about *Syndrome of Shtein- Disease of Itsenko- Adreno-genital Adrenosteroma Corticoadrenosteroma
absense of menorrhea, growth of hair as of Levental Kushing syndrome
men’s type. Married. Menarche since 14 years-
age – hypomenorrthea and finished after 2 years.
Height is 160 sm, weight is 65 kg. Female
102.
constitution. Colour and humidity of skin are
normal. External genitals of the female are
normal. Uterine size is normal to. Uterine
adnexa are enlarged according palpation. What
is the most probably diagnosis?
30 years old patient has complaints about *Necrosis of Stimulation of Momental turning of Involutia of Pathological clymacs
amenorrhea during 2 years after delivery. Labor adenohypophis after ovulation the ovarial function hypothalamus
was complicated with massive bleeding. After haemorragical shok
delivery woman lost a body weight, has
103.
alopecia. According of bimanual investigation –
the size of uterine body is small, hypoplasia of
minor and major lips . What is the etiological
factor of this changes