Abdominal Surgery Questions

Origin of a massive hemorrhage from duodenal ulcus is most commonly: mesenterica superior. vena portae. mesenterica inferior. gastroduodenalis. vena cava inferior.

Blood irrigation of small intestine is NOT: jejunal arteries. ileal arteries. mesenterica inferior. mesenterica superior. ileocolic artery.

Which change in gastrointestinal mucosa is a precancerosis?. vilous adenoma of the anus. polyp in Peutz-Jeghersovem syndrome. angiodysplasia. juvenile polyps in the colon. solitary peduncular polyp 5mm in sigma.

For neuroendocrine tumors of small intestine it is true: they are benign. the ony form of treatment is surgical. treatment is surgical, with chemotherapy, analogs of somatostatin and antagonists of serotonin. they always excrete serotonin. we find them only in women.

Which statement is false? Hemorrhage from peptic ulcus in the stomach or duodenum can be stopped with: sclerotization of the affected artery. embolization. stomach resection. photocoagulation with laser. portosystemic shunt.

Among the indications for surgical treatment of ulcerous colitis is NOT: extraintestinal manifestations (arthritis, osteoporosis). toxic megacolon. failure of treatment with medicaments (does not react to 5-aminosalycilic acid, corticosteroids, ciclosporine and biologic drugs). perforation. hemorrhage.

Radical resection of the colon (R0 resection) in colorectal cancer means: removal of the part of the colon with a sufficient margin in the healthy tissue (there is no microscopic residual tumor, there is no macroscopic residual tumor) and affected lymph nodes. partial resection of the part of the colon without removal of affected lymph nodes. endoscopic resection of the tumor with a laser. endoscopic resection of the tumor with coagulation. enteroenteroanastomosis.

Cause for pain in epigastrium outside of the abdomen can be: CVI. fracture of the 1st lumbar vertebra. AMI of the inferior wall of the heart. nephrolithiasis. ectopic pregnancy.

Radical surgery of colorrectal cancer is: if we do enteroenteroanastomosis. if there is a macroscopically seen residual tumor. if there are distant metastases. if there is no residual tumor. if there is a microscopically confirmed tumor.

Among late complications after surgery because of peptic ulcer is NOT: chronic pancreatitis. afferent loop syndrome. late dumping syndrome. early dumping syndrome. alkaline reflux gastritis.

Rare cause from lower part of the gastrointestinal tract: varices of the colon. Chrohn’s disease. diverticles of the colon. proctitis. angiodysplasia.

First diagnostic method for hemorrhage from lower part of gastrointestinal tract is: gastroscopy. scintigraphy. rectoscopy. colonoscopy. angiography.

In acute cholecistitis we can find: painful resistence in right upper quandrant below the ribs. resistance in epigastrium. polyuria. leucopenia. pleural effusion on the left side.

Programmed abdominal lavage is done in: ileus with adhesions. recent perforation of the duodenal ulcus. empiema of the thorax. ectopic pregnancy. old peritonitis.

The worst prognosis of mesenterial ischemia has: mesenteric venous thrombosis. neoclusive mesenterial ischemia. embolus. chronic mesenterial ischemia. thrombosis.

What is NOT characteristic for Crohn’s disease?. Among surgical options are stricturoplastic surgeries. In adult patients only mucosa is affected. Long-lasting disease presents a risk for colorectal cancer. Most commonly affected is a terminal ileum. It can affect any part of gastrointestinal tract.

Hematemesis. vomiting stercoral contents. passage of fresh blood. vomiting bile. vomiting blood. passage of black, sticky stool.

Truncal vagotomy in peptical ulcus surgery means: interruption of the part of the vagal nerve for corpus of the stomach with preservation of the part for the antrum. interruption of all parts of the vagal nerve at the level of cardia and 2/3 stomach resection. interruption of both sides of vagal nerve at the level of cardia. 2/3 stomach resection with anastomosis Roux. 2/3 stomach resection.

Most common indication for peptic ulcer surgery is: penetration. perforation. hemorrhage. stenosis. pain.

Younger patient has abdominal pain, accompanied with vomitting, tenesmus, high body temperature and bloody diarrhea. Which disease is it?. diverticulitis. Crohn’s disease. ulcerous colitis. Hirschprungs disease. acute apendicitis.

40-year old patient has epigastric pain and vomitting. In examination the epigastric part is above the level of thorax and there is a a wave-like contractions phenomenon. Most probable diagnosis: acute cholecistitis. pilorus stenosis. acute pancreatitis. acute gastritis. perforation of peptic ulcer.

Purpose of paliative procedures is: (mark the wrong answer). prevent advancing of the disease. improve quality of life of the patient. treat the disease. prevent ileus. prevent hemorrhage.

Radical resection in colorectal cancer of sigmoid colon is NOT: expanded left-hemicolectomy. segmental resection of sigmoid colon with ligation of inferior mesenteric artery. segmental resection of sigmoid colon with ligation of sigmoid arteries. total colectomy with ileorectoanastomosis. ileorectoanastomosis.

Short bowel syndrome NOT true: is a congenital anomaly. Accompanied with symptoms of malnutrition, diarrhea and steatorrhea. Consequence of surgical removal of a large part of small intestine. Possible treatment is small intestine transplantation. Patients often need parenteral nutrition.

Diagnostic method for small intestine hemorrhages is: scintigraphy with marked leukocytes. CT. jejunoileography. capsule endoscopy. colonoscopy.

Among non-resection methods for peptic ulcer treatment is NOT: Heineke-Mikulitzu pyloroplastic. Finney pyloroplastic. proximal selective vagotomy. Bilroth II method. truncal vagotomy.

Surgery NOT suitable in Crohn’s disease of colorrectal part: by-pass surgery (ileotransversoanastomosis). coloproctectomy with anastomosis between J-pouch of ileum and anus. stricturoplastic of stenosis of the colon at the site of disease. total colectomy with ileostoma. segmental resection of colon.

Which form of peritonitis is the most common?. secondary. primary. local. quartal. tertiary.

Most common treatment option of perforation of duodenal ulcus is: gastrectomy. truncal vagotomy. proton pump inhibitors. suturing the perforation. proximal selective vagotomy.

In clinical diagnosis of peritonitis we can find: At the beginning stronger peristaltics and, after some time, paralytic ileus. higher cholesterol levels. hyperperistaltics in the developed phase. metabolic alcalosis. polyuria.