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Step 1. Total medical training.

2.0 Normal anatomy


1
Patients after fracture of the upper third of humerus developed paralysis
back of shoulder muscles and forearms. What nerve is damaged?
A * Ray
B ulnar
C Median
D musculo-cutaneous
E axillary

2
The patient can not straighten the leg, he had no skin sensitivity on the front
surface of the thigh. Neurological examination revealed a lesion of the nerve. What?

A * Hip
B screened
C sciatic
D Upper sciatic
E age and femoral

3
The patient was complicated by otitis mastoidites. Later came
threat of purulent sinus venous thrombosis nearest. What?
A * sigmoid
B Cross Street
C Upper sagittal
D LIVE
E Lower rocky

4
In the surgical department of the men brought 35 years of festering wound in the
neck in front
trachea (in peredvistseralnogo space. Where can spread
infection if the patient urgently underwent an operation?
A * in the chest cavity - anterior mediastinum
B in the chest cavity - in the middle mediastinum
C in the chest cavity - in the posterior mediastinum
D In retrovistseralny space
E In episternal mizhaponevrotichny space
5
As a consequence of stroke (bleeding in brain) the patient no volitional movement
muscles of the head and neck. Examination of the brain by NMR showed that
hematoma located in the knee internal capsule. What is leading the way
damaged patient?
A * Tr.cortico-nuclearis.
B Tr.cortico-spinalis.
C Tr.cortico-thalamicus.
D Tr.cortico-fronto-pontinus.
E Tr.thalamo-corticalis.

6
After zishtovhnennya two cars at one of the drivers observed deformation
the middle third of the left leg, severe pain, especially when trying to move the left
shin. Of the wounds appear at the end of the bone trihedral cross section increases
hemorrhage. What is the bone can be damaged?
A * Tibia
B Fibula
C Femur
D Nakolinok
E Nadpyatkova bone

7
After his release from the rubble in the affected states eclipse of consciousness,
much subcutaneous hemorrhages on the head and neck, small wounds on his face.
In
posterior-upper parts of degloving injury of the head and sharp deformation of the
contours of the head.
Which bones can be damaged.
A * Parietal and occipital
B sphenoid bone and the mandible
C frontal and nasal bones
D Temporal bone and upper jaw
E Zygomatic bone and the lacrimal bone

8
During the ultrasound the doctor monitors heart mitral
valve. What happens to them during atrial systole?
A * resort to ploys in the ventricular cavity
B are pressed against the walls of the auricle
C resort to ploys in the cavity of the auricle
D merge, closing the gap openings
E pressed to the wall of blood vessels

9
During the autopsy the heart cavities on the inner wall were found scallops muscles.

What are the divisions of the cavities of the heart disclosed?


A * right and left ear
B The right and left ventricle
C left ear and left ventricle
D Left atrium and left ventricle
E right atrium and right ventricle

10
The narrowing of major blood vessels causing the deterioration of the outflow of
blood from the left ventricle. Which
vessel suffered pathological changes?
A * Aorta
B pulmonary trunk
C Pulmonary Vienna
D superior vena Vienna
E postcava Vienna

11
Increased blood pressure in the aorta, causing the load on the heart muscle.
The muscular wall of which is part of the heart responds to stimulation?
A * Left ventricle
B Left atrium
C The right ventricle
D Right atrium
E ciliary

12
Increased blood pressure in a large vessel that carries blood to the lungs, causing
load on the heart muscle. The muscular wall of which is part of the heart responds
to
irritation?
A * right ventricle
B Left ventricle
C of the right atrium
D left atrium
E venous sinus

13
Following eye injury arose suppuration of the soft tissues of the orbit. After some
anatomical
creation of a purulent process may spread to the middle cranial fossa?
A * over the top orbital fissure
B through the front grate opening
C Across the grate opening
D through superior orbital fissure
Through E-zygomatic orbital opening

14
Radiological findings in a patient diagnosed with a fracture of humerus in the
mizhgorbkovoi furrow. Tendon which muscles can be injured by fragments of bone
in the first place?
A * biceps
B deltoid
C Big round muscle
D wide dorsi
E ectopectoralis

15
An examination of a patient with stab wounds right hand set loss
sensitivity of the skin of the lateral half back surface of the brush and the proximal
phalanges
1 st, 2 nd and partially the third finger. What nerve is damaged?
A * Ray
B Median
C ulnar
D musculo-cutaneous
E lateral cutaneous of forearm

16
The victim discovered the wound of the upper part of the front section of the
shoulder. At
examining the loss of the active flexion of the elbow joint and the sensitivity
Skin anterolateral surface of the forearm. Violation of the nerve which takes place?
A * musculo-cutaneous
B radiation
C Mid
D elbow
E axillary

17
Patient after wounding his left leg lost the ability to keep a foot in
pronovanomu position. What nerve is damaged?
A * superficial fibular
B deep fibular
C tibial
D gluteal
E common fibular

18
Patient K., aged 30, complained of severe thirst, dry mouth, which appeared after
severe nervous shock. In laboratory examination revealed an increase in
blood glucose 10 mmol / liter. Diseases of the endocrine gland, which is the patient?

A * Pancreatic
B thyroid
C sex
D adrenal
E epiphysis

19
Patient B, aged 39, for 8 years can not get pregnant was advised to contact
endocrinologist. On examination the patient was found exophthalmos, tremor of
eyelids,
tachycardia. Diseases of the endocrine gland, which is accompanied by such
symptoms?
A * Thyroid
Pancreatic B
C sex
D adrenal
E epiphysis

20
By the doctor's mother's son over the summer has increased by 18cm. On
examination the boy 12
years: height - 180 cm, weight 68 kg. In violation of the endocrine gland, which is
connected?
A * Pituitary
B thyroid
C sex
D adrenal
E epiphysis

21
Patient B. 1950 complains about the fact that in recent ears, nose, hands began
increase in size. Hyperfunctioning gland which will give similar symptoms?
A * Pituitary
B thyroid
C sex
D adrenal
E epiphysis

22
The patient observed total loss of sensitivity in certain areas of the body
right. Which of the convolutions of the cerebral hemispheres surprised?
A * Zatsentralna.
B superior temporal.
C Average temporal.
D Lower temporal.
E to the central

23
Due to dislocation of the mandible of a patient observed no sense
Taste the front part of the language and watery. Irritation of the nerve which is
reason?
A * facial
B hypoglossal.
C jaw.
D vagus.
E drum.

24
The patient is observed paralysis of the muscles of the upper and lower limbs on the
left. Which of the convolutions
cerebral hemispheres surprised?
A * Peredtsentralna.
B Average frontal.
C lower frontal.
D upper frontal.
E Zatsentralna.

25
The patient does not understand the meaning of words, does not understand their
own language (verbal deafness).
Which of the convolutions of the cerebral hemispheres surprised?
A * superior temporal.
B lower frontal.
C Zatsentralna.
D superior parietal lobule.
E Lower Parietal lobe.

26
The victim was taken to hospital with a fractured jaw and a large
bleeding in the area of fracture. Damage to the artery which is likely little
place?
A * Lower neck artery
B ascending pharyngeal artery
C Yazykovo artery
D ascending palatine artery
E Upper neck artery

27
Newborn during urination from the bladder occurs
urine from the umbilicus. What caused this phenomenon?
A * nezarascheniya urinary Strait
B nezarascheniya zhovtochnoi Strait
C incomplete fistula
D ectopia of the mouth of the ureter
E diverticulum of bladder

28
Cystoscopy in normal bladder mucosa forms folds on
except for one section of triangular shape, where the mucosa is smooth. In what
part of
bladder is the triangle?
A * vesical
B bladder neck
C top m
D body m
E isthmus m

29
Woman hospitalized in 1925 in the gynecology department to surgery for
tumors of the ovary. In carrying out operations necessary to dissect connection
connecting
ovary to the uterus. What is it?
A * lig. ovarii proprium
B lig. cardinale
C lig. latum uteri
D lig. suspensorium ovarii
E lig. umbilicale laterale

30
After a significant weight loss in men in 1970 appeared dull pain in the lumbar
region.
The examination was offered a diagnosis: "floating kidney." Which part of the fixing
apparatus buds likely was struck?
A * capsula adiposa
B capsula fibrosa
C m. iliopsoas
D lig. hepatorenalis
E m. quadratus lumborum

31
Man 1935 went to a doctor complaining of pain and swelling of the right testicle.
The examination was a tumor, needs surgery, where necessary
7 layers to dissect the scrotum to the protein shell. Which shell will be cut by
the last before the protein shell?
A * tunica vaginalis testis
B tunica spermatica externa
C tunica dartos
D tunica spermatica interna
E cutis orchis
32
After the injury the patient faces hematoma buccal area. Outflow from which the
salivary gland
blocked hematoma?
A * parotid
B hyoid
C submandibular
D lip
E buccal

33
The patient mistakenly drank a solution of acetic acid. What's esophagus underwent

major injuries?
A * mucous
B muscle
C serous
D elastic membrane
E muscular and serous

34
In the clinic turned 45 years old man complaining of numbness in the back
1 / 3 language. The function which pairs of cranial nerves instituted?
A * IX
BX
C VIII
DV
E XII

35
By the doctor asked the woman in 1954 complaining of pamorochennya, nausea,
violation
equilibrium after the fall and head injury. Violation of the functions of which the
structure
the inner ear, most likely was that?
A * organum vestibulare
B labyrinthus osseus
C organum spirale
D membrana tympani
E canalis longitudinalis modioliI
36
Patient front. From history we know that he had inflammation of the maxillary
sinus. Through a Department of the nasal cavity could get infected in the frontal
bosom?
A * of the middle nasal passage
B from the upper nasal passage
C with the lower nasal passage
D with prisinka nasal cavity
E with lattice-wedge pocket

37
At the clinic the patient was hospitalized with a tumor located in the middle lobe of
the right
lungs. Shown operation. What is the largest number of segments can be removed at

of this fate?
A*2
B3
C4
D5
E1

38
A child 3 years old admitted to hospital with a foreign body in the bronchi. How
bronchus
likely to hit foreign body?
A * in the right main bronchus
B in the left main bronchus
C in the right segmental bronchus
D in the left segmental bronchus
E in the lobular bronchus

39
A woman 58 years old mi conducted a complete removal of the uterus with its
appendages, and then
urine ceased. Cystoscopy: bladder urine does not contain at ustiv ureters
urine does not come. Which of the urethra was damaged during the operation?
A * Ureter
B Pelvis renalis
C Uretra
D Vesica urinaria
E Ren

40
The patient complains of a violation of the sensitivity of the skin in the medial part
of the back and
palmar surface of the brush. Which of the nerve is damaged?
A * N. ulnaris
B N. radialis
C N. medianus
D N. musculocutaneus
E N. cutaneus antebrachii medialis

41
Male 18 years old taken to hospital with signs of internal bleeding. During the game
soccer was hit in the left hypochondrium. Damage to which bodies
project in this area can cause severe bleeding.
A * D. Lien
B Cauda pancreatis
C Fundus ventriculi
D Flexura coli sinistra
E Ren sinistra

42
Children can often be difficult to observe nasal breathing, which is associated with
excessive development of the lymphoid tissue of the mucous membrane of throat.
Sprawl which
tonsils can cause this phenomenon?
A * Tonsilla pharyngea
B Tonsilla palatina
C Tonsilla lingualis
D Tonsilla tubaria
E All of these tonsils

43
In the hospital brought the wounded firearm with heavy bleeding. At
review of the surgeon found that the ball passed through the channel of the front
wall
abdomen, the body of the stomach and left at the IX rib on the left medial groin
line. The Authority has suffered with a stomach wound?
A * Spleen
B The left kidney
C Pancreas
D Transverse colon
E left lobe of liver

44
By the doctor asked the patient complaining of increased pain sensitivity
ear and ear canal. Palpation behind
sternum-clavicular-mamillary muscle pain. Irritation of the nerves which can give
this clinical picture?
A * N. auricularis magnus.
B N. transversus colli.
C N. occipitalis minor.
D Nn. supraclaviculares.
E N. vagus.

45
Accidentally striking the elbow on the table, the patient felt a burning and tingling
inner surface of the forearm. Which nerve was injured in this case?
A * N. ulnaris.
B N. radialis.
C N. medianus.
D N. axillaris.
E N. musculocutaneus.

46
When burning deep axillary lymph node surgery was
reveal deeply placed abscess. After surgery the patient lost the ability
flex the forearm at the elbow and broken skin sensitivity side
surface of the forearm. Whom the nerve was damaged during surgical intervention?

A * N.musculocutaneus.
B N.radialis.
C N.ulnaris.
D N.medianus.
E N.axillaris.

47
The man turned to the clinic in 1942 at the bottom of the wound chopped
front surface of the shoulder. OBJECTIVE: difficult to bend the forearm. Which
these muscles is probably damaged patient?
A * M. brachialis, m. biceps brachii.
B M.biceps brachii, m. anconeus.
C M.coracobrachialis, m. supraspinatus.
D M. deltoideus, m. infraspinatus.
E M. deltoideus, m. biceps brachii.

48
Because pituitary tumors in X-ray revealed destruction and an increase
fossa of the sella turcica. Which bone cavity with the hit?
A * sinus sphenoid bone
Sleepy B channel.
Visual C channel.
D tympanic cavity.
E. Facial canal.

49
What nerve wonder if the patient's right nasolabial folds rozglazhena, expanded
right superior orbital fissure (it can not close when primruzhuvannya, because
shall never come together), there are difficulties in speaking and eating (food
stuck between the cheek and teeth?
A * N. facialis dexter.
B N. abduceus dexter.
C N. glossopharyngeus sinister.
D N. vagus dexter.
E N. trigeminus dexter.

50
The victim has an injury of soft tissue and parietal bones in the sagittal suture,
accompanied by heavy bleeding? Which entity is likely damaged?
A * Sinus sagittalis superior.
B Sinus petrosus superior.
C Sinus rectus.
D Sinus sagittalis inferior.
E Sinus transversus.

51
The doctor predicted the possibility of tissue inflammation of the orbit with purulent
inflammation in
plot pidochnoyamkovogo holes. Through which of the entities may spread infection?

A * Canalis infraorbitalis.
B Canalis pterigoideus.
C Canalis nosolacrimalis.
D Canalis incisivus.
E Fissura orbitalis inferior.

52
Seen injured in a road accident physician found defeat foreign
wall sockets. The victim lost the possibility of removal of the eyeball to
injured side. What a nerve could be affected in this case?
A * N.abducens.
B N.trochlearis.
C N.oculomotorius.
D N.ophthalmicus.
E N. infraorbitalis ..

53
The patient with the nomination of language deviates its top left.
The motor innervation of the cranial nerve which brought in this case?
A * N.hypoglossus dexter.
B N.glossopharyngeus dexter.
C N. vagus dexter.
D N. trigeminus sinister.
E N.facialis sinister

54
As a result of a skull trauma with injury of the upper wall of the right orbit
the victim lost the ability to raise the upper eyelid of the right eye and look
up. What nerve is probably damaged?
A * R. superior n.oculumotorius.
B R. inferior n.oculumotorius.
C N. trochlearis
D N. abducens.
E N. ophthalmicus.

55
On examination the patient revealed the absence of a priserednih halves of the
fields
vision in both eyes. Which part of the optic path is probably broken?
A * D. Chiasma opticus
B N. opticus.
C Tractus opticus.
D Sulcus calcarinus.
E Corpus geniculatum laterale

56
During the operation, closure of congenital fissure of the sky (plastics of palate),
with
beating chisel wing hook, damaged a large palatal canal.
There is bleeding which can be stopped only by tamponade of the channel. Which
artery
damaged?
A * Descending palatine artery.
B ascending palatine artery.
C ascending pharyngeal artery.
D wedge artery.
E back upper alveolar artery.

57
At laparotomy the surgeon found gangrenous lesions the descending colon.
Thrombosis of the artery which led to this state?
A * Left colon.
B Median colon.
C Right colon.
D Klubov-colon.
E superior mesenteric.

58
The patient, aged 26, discovered a large blotch of facial soft tissues at the root
the nose and lower eyelid. Threatening complications of this disease may be
spread the message of the venous sinuses in the region to the solid
mater. Which of the sinuses could probably be surprised?
A * Pecherista sinus
B Upper sagittal sinus
C Occipital sinus
D sigmoid sinus
E Upper rocky sinus
59
To the doctor - an endocrinologist asked her mother for 9 years with complaints of
increasing
mammary krovyanisti vaginal discharge, increased growth of body hair and
around the external genitalia. Which endokrinnih glands struck (inhibitory
adrenarche?
A * Epiphysis cerebri
B Hypophysis cerebri
C Gl. thyroidea
D Gl. suprarenalis
E Gl. parathyroidea

60
The patient revealed destruction of the walls of the tympanic cavity with the spread
manure to the posterior cranial fossa. Which of the wall destroyed?
A * Paries mastoideus
B Paries membranaceus
C Paries labyrinthicus
D Paries tegmentalis
E Paries jugularis

61
An examination of the patient, tumor was found in the white matter of hemispheres
brain with the localization of the knee and the anterior part of the rear legs of the
internal capsule.
Fibres which lead the way the brain will be destroyed?
A * Tr. pyramidalis
B Tr. frontothalamicus
C TR. thalamocorticalis
D Tr. frontopontinus
E Tr. parietooccipitopontinus

62
On examination of the teenager, doctors discovered a congenital heart defect -
funktsiynuvannya
botalovoi Strait. Connecting the Strait in the intrauterine period of development?
A * pulmonary trunk and aorta
B The right and left ventricle
C aorta and lower rapids vein
D Right and left atrial
E pulmonary trunk and upper rapids vein
63
In the surgical department received a patient with a knife wound to the chest on the
right
and pneumothorax (air infiltration into the pleural cavity. Percussion
lower limit of the right lung on sredneklyuchichnoy line rose to the level III edges.
Where
normally it should be tested?
A * VI rib
B VII rib
C VIII edge
D IX rib
E V edge

64
In the intensive care unit admitted patients with severe poisoning. For
complex treatment is necessary to perform catheterization and administration of
drugs
substances to podklyuchichnoi vein. In a spot formation is it located?

A * Spatium antessalenum
B Spatium interscalenum
C Spatium retrosternocleidomastoideus
D Spatium interaroneuroticum suprasternale
E Trigonum omotrapezoideum

65
The patient tumor damaged pyramid of the medulla oblongata. In some of the
leading
ways violated the holding of nerve impulses?
A * Tr. corticospinalis
B Tr. corticonuclearis
C Tr. corticopontinus
D Tr. dentatorubralis
E Tr. spinocerebellaris

66
The victim with a stab wound the front wall of the stomach turns
surgery. In what kind of education peritoneal cavity horrible content
stomach?
A * Predzheludochnuyu bag
B Lesser sac
C hepatic bag
D Left mesenteric sinus
E Right mesenteric sinus

67
Listening to heart sounds, the doctor discovered the patient functional disorders
bivalve [mitral] valve. In what place he listened to the doctor?
A * At the apex of the heart
B In metasternum
C In the place of attachment rib cartilage deal
D in the second intercostal space left at the sternum
E in the second intercostal space on the right in the sternum

68
In the victim stabbed in the lumbar region on the right. Holds
damage to the right kidney. Which organs are retroperitoneal space can be
damaged while (
A * 12-duodenum
B transverse colon
C Bending Left transverse colon
D Division Descending colon
E Initial jejunum

69
During the operation of the renal pelvis removed a stone the size of 3x4 cm, having
On the one hand shot up in the form of three Rogov [staghorn stone. How
Anatomic structures correspond to the growths?
A * big cup
B nephron
Small C cup
D kidney pelvis
E kidney slices

70
At eksretornoy urogram [kotrastirovaniy urinary tract] is determined
saccular wide pelvis, which directly fall into the small cup,
Long absent. Indicate the form of the excretory tract kidneys.
A * Embryonic
B Foetal
Mature C
D Phylogenetic
E Ontogenetic
71
In a newborn boy when viewed in the right half of the scrotum were found
eggs. What kind of abnormal development in question (
A * Monorchids
B hermaphroditism
C Cryptorchidism
D Hypospadias
E epispadias

72
In the patient hydrocele. Within a shell egg is localized process (
A * tunica vaginalis
B fleshy shell
C external spermatic fascia
D internal spermatic fascia
E scrotal skin

73
Ultrasound pelvic carried out with
filled bladder. What keeps the muscles of the perineum with
urine?
A * urethral sphincter
B bulbospongiosus-cancellous
Sciatic C-racemose
D Surface Transverse
E Deep transverse

74
During labor with difficult eruption of the head of the fetus in
avoid tearing the perineum produce cut holes in the vagina
grounds labia. What is the pelvic floor while dissect (
A * bulbospongiosus-spongy
B sciatic-cavernous
C Surface transverse
D external sphincter of the rectum
E deep transverse

75
When the audit peritoneal cavity in patients over the peritonitis was found
limited abscess in the root of the mesentery of the sigmoid colon. What education
peritoneum is sore?
A * Mezhsigmovidnaya fossa
B Right mesenteric sinus
C Right side channel
D Left side channel
E Left mesenteric sinus

76
The patient complains of pain in the right iliac region. Palpation
determined by the mobile, soft, painful bowel. What intestine palpates doctor?

A * Blind
B sigmoid
Ida C
D ascending colon
E thin

77
The patient complains of pain in the upper part of umbilical region.
Palpation is determined by the mobile, painful bowel. What intestine palpates
doctor?
A * Transverse colon
B thin
C duodenum
D iliac
E sigmoid.

78
In the affected stab wound of the lower back of the armpit
fossa. Which muscles are damaged by this?
A * Latissimus dorsi
B Triceps brachii
C ectopectoralis
D Deltoid muscle
E infraspinatus muscle

79
In a blow to the back wheel of the motorcycle area in the middle third of tibia
affected gap deep blood vessels, formed extensive
hematoma, contusion of the nerves. What anatomic structures is damaged
neurovascular bundle of legs?
A * brit-knee channel
B femoropopliteal channel
C obturator canal
D Upper musculo-fibula channel
E Lower musculo-fibula channel

80
Male 75 years old. admitted to the urology department with complaints expressed
Abdominal pain, lack of urine, inability to self
urination. Seen urologist diagnosed: adenoma
[Benign tumor] prostate gland. Shown catheterization
bladder. What is the sequence of passing the catheter through the departments
urethra (
A * Spongy, membranous, prostate
B Spongy, prostate, membranous
C membranous, spongy, prostate
D Prostate, membranous, spongy
E membranacea, prostate, spongy

81
In the supine position six children suffocated. Palpation at
the front wall of the trachea to the jugular Tenderloin sternum defined tumor
education, drifting to the anterior mediastinum. What body can squeeze
trachea?
A * thymus
B Thyroid.
C parathyroid
D parathyroid lymph nodes
E Okolotrahealnye lymph nodes

82
The patient is observed ischemic tissues below the knee,
accompanied by "intermittent claudication. occlusion on which the artery can think?

A * popliteal artery.
B Deep femoral artery
C descending artery knee
D dorsal artery of foot
E proximal part of femoral artery.

83
In the emergency ward received patients with fractures of the hand bones with heavy bleeding
in the anatomical snuffbox. Which vessel is damaged?
A * radial artery.
B ulnar artery.
C Front interspinous artery.
D Posterior interspinous artery.
E superficial palmar arch.

84
The patient, an infringement of blood flow in the basin of the right anterior cerebral artery.
Which parts of the cortex of the telencephalon may suffer in these conditions?
A * medial surface of the right frontal and parietal lobes
B medial surface of the right occipital
C lower surface of the right frontal lobe
D lower surface of the right temporal lobe
E right insula

85
The patient maxillary sinusitis violated message verhnoschelepovoi paranasal sinuses with
middle nasal way. Which creature in the norm ensures the supply of air
nasal passage to the sinus?
A * hiatus semilunaris
B infundibulum ethmoidale
C foramina ethmoidalia
D recessus sphenopalatinus
E canalis nasolacrimalis

86
The patient is set defeat of the inner ear vascular genesis. Branches with which
these arteries, mainly by blood flow to the inner ear?

A * a. basilaris
B a. cerebri posterior
C a. vertebralis
D a. cerebri media
E a. cerebri anterior

87
The patient diagnosed with a malignant tumor of the abdominal part of esophagus. Which group
of regional lymph nodes is specified for the esophagus?
A * anulus lymphaticus cardiae
B nodi lymphatici paratrachealis
C nodi lymphatici prevertebralis
D nodi lymphatici pericardiales
E_

88
In patients with aneurysms of the right subclavian artery observed hoarseness.
With stimulation of the nerve it may be the reason?
A * n.laringeus reccurens dexter
B n.laringeus superior dexter
C n.laringeus reccurens sinister
D n.laringeus superior sinister
E n.laringeus inferior sinister

89
During a CT scan of the brain in a patient found
hemorrhage in the knee internal capsule. Which of these conductive
ways to be hurt in the first place?
A * tractus corticonuclearis
B radiationes thalamicae anteriores
C tractus corticospinalis
D radiatio acustica
E radiatio optica

90
Patients with impaired lung function to do tracheostomy.
At the level of the tracheal cartilage rings which can often be the isthmus
thyroid?
A * II-IV
B III-IV
C I-II
D IV-V
E V-VI

91
After the trauma patient can not hold the body in a vertical position, can not
stood on tiptoe. Muscle function which instituted?
A * M. triceps surae
B M. tibialis anterior
C M. extensor digitorum longus
D M. fibularis longus
E M. extensor hallucis longus

92
When viewing the abdominal cavity of a patient with penetrating injury of the anterior
abdomen, the surgeon noticed damage to the lesser omentum, which implies clearly
red (arterial) blood. What artery was damaged.
A * A. hepatica propria
B A. gastroepiploica dextra
C A. hepatica communis
D A. lienalis
E A. gastroepiploica sinistra

93
Examining the sectional material patanatom noticed on the inner surface of one of
segments of the intestine folliculi lymphatici aggregati (Peer plaques). Which belongs to the gut
this segment?
A * Ileum
B Jejunum
C Duodenum
D Colon ascendens
E Colon descendens

94
The woman admitted to hospital with symptoms of acute abdomen. Examination
suspected ectopic pregnancy. Which of the anatomic structures of the pelvis must
propunktuvaty to confirm the correct diagnosis?
A * Excavatio rectouterina
B Excavatio vesicouterina
C Excavatio rectovesicalis
D Fossa ischiorectalis
E Processus vaginalis peritonei

95
Patient 1965 addressed to the clinic about sechopusku disorders. Examination
revealed hypertrophy of the prostate. Increase that to these parts
Prostate cancer is a possible cause of data breaches?
A * Isthmus (average percentage)
B share rights
C The left lobe
D prostate capsule
E Propoint prostate

96
Paranihy pinky become complicated cellulitis hand and forearm. Purulent process
distributed by:
A * Vagina synovialis communis mm.flexorum
B Vagina tendinis m.flexor pollicis longi
C Canalis carpalis
D Vagina tendinis m.flexor carpi radialis
E Mizhfastsialnih spaces

97
The surgeon, realizing access to the organs of the thoracic cavity, the incision made on the front
chest wall on one of mizhrebrovih spaces. He particularly cautious
dissected tissue with a scalpel in the anterior medial area mizhrebrovogo space,
not to damage the artery, which lies parallel to the edge of the sternum 1-1,5 cm
laterally from it. What kind of wary of damaging an artery surgery?
A * internal mammary artery.
B Mizhrebrovu anterior artery.
C upper phrenic artery
Rebrov D-cervical trunk
E phrenic artery

98
Examining the patient, the surgeon examines the pulsating artery behind the medial malleolus.
Artery pulsation which explores the surgeon?
A * posterior tibial artery
B fibular artery
C Anterior tibial artery
D The back of the return tibial artery
E Anterior tibial recurrent artery

99
The woman's uterine fibroids in 1940. Completed supravaginal uterus
removal of the fallopian tubes. The ovaries are healthy, not removed. Fully preserved lig.
suspensorium ovarii, which is a vessel, krovopostachae ovaries. Name this
vessel.
A * a. ovarica
B Ramus ovaricus a.uterina
C a. pudenda interna
D a. iliaca interna
E a. iliaca externa

100
The patient, aged 45, complained of dizziness, shatkist walking, violations
coordination of movements. The examination revealed that the patient's cervical osteochondrosis
of the vertebral trunk and flattened vessel passing through the transverse holes
cervical vertebrae. What is a vessel?
A * a. verterbralis
B a. subclavia
C a. carotis externa
D a. carotis interna
E a. occipitalis

101
The victim discovered a fracture of the body and the upper branch of the pubic bone, fragments
damaged vessels passing in the vascular lacuna. What vessels are damaged?
A * a. et v. femoralis
B a. et v. iliaca interna
C a. et v. iliaca externa
D a. et v. pudenda interna
E a. et v. Epigastrica superficialis

102
When you remove the gall bladder in a ligature instead of one a. cystyca was involved
artery ligation which led to necrosis of the right lobe of the liver and death. Which
artery was mistakenly tied together with a. cystyca?
A * Ramus dexter a. hepatica propria
B a. hepatica communis
C a. gasro-duodenalis
D Ramus sinister a. hepatica propria
E a. pancreato-duodenalis sup.

103
If an ectopic pregnancy in women ruptured fallopian tube, resulting in
bleeding. Damage to blood vessels which caused the bleeding?
A * Ramus tubaria a. uterina
B Ramus ovaricus a. uterina
C a. ovarica
D a. pudenda interna
E a. iliaca interna

104
When purulent inflammation of the middle ear in the pathological process involved artery,
located on the front of the tympanic cavity. Which vessel is involved in
pathological process?
A * a. carotis interna
B a. carotis externa
C a. meningea media
D a. auricularis posterior
E a. temporalis superficsalas

105
When you remove a tumor of the pancreas is damaged vessel, which runs on
the upper edge of the pancreas. Which vessel is damaged?
A * a. lienalis
B a. pancreato-duodenalis superior.
C a. pancreato-duodenalis inferior.
D a. gastro-epiploica dextra.
E a. gastro-epiploica sinistra.

106
A man injured in 1935 during the posterior surface of the shoulder was damaged
radial nerve and arterial vessel passing near him at the canalis
What humeromuscularis artery was damaged?
A * a. profunda brachii
B a. axillaris
C a. radialis
D a. ulnaris
E a. brachialis

107
In patients 26 years after surgery was lost the ability to read, write
letters of words and phrases. In what area of the cerebral cortex is not restored function?
A * Gyrus anqularis
B Cuneus
C Sulcus calcarinus
D Gyrus parietalis superior
E Gyrus supramarginalis

108
Radiological examination of bones of the skull base revealed an increase
cavity of the sella turcica thinning of the anterior tilted processes, destruction
different parts of the Turkish saddle. The tumor is endocrine gland may
such destruction of bones?
A * Pituitary
B thymus
C epiphysis
D Thyroid
E adrenals

109
Patients admitted to the neurological department at the survey found
rejection of language in the direction in vydviganii, atrophic changes in half of the tongue, the
violation
language. What nerve is damaged?
A * oid
B language
C Drum String
D Language-pharyngeal
E Vagus

110
An examination of the patient, applied to the neurology department, revealed
zglazhenist frontal folds, failure primruzhity eyes, the angle of the mouth is omitted,
Parus cheeks. What nerve is damaged?
A * Face
B oculomotor
C trigeminal
D Vagus
E Additional

111
On examination the patient revealed the deletion of the upper eyelid, strabismus consumables,
dilated pupil, the limited mobility of the eyeball. What nerve is damaged?
A oculomotor
B intramural
C Block
D outlet
E Auditorium

112
In the hospital asked the patient K. 1938, complaining of the fact that after suffering
acute viral respiratory disease she lost her sense of touch to the food
anterior 2 / 3 languages, as well as feelings of pain and temperature (hot burned tongue
tea. Indicate which of the branches of the nerve with which tsmu was damaged?
A * Language nerve mandibular nerve, the trigeminal nerve
B Language yazikogorlovogo nerve branches
C Language branch of hypoglossal nerve
D Drum string facial nerve
E superior laryngeal nerve of vagus nerve

113
By the neurologist asked the patient L.52 years with complaints of numbness
skin of the right half faces of the lower lid, the backs of the nose and upper
lips. Indicate which branch of which nerve is damaged at the same time:
A * maxillary nerve of the trigeminal nerve
B Greater petrosal nerve of the facial nerve
C intramural nerve of the trigeminal nerve
D mandibular nerve of the trigeminal nerve
E Drum string facial nerve

114
By the doctor asked the patient with periodontal Kutno lower teeth. Found that
inflammatory process has spread to lymph nodes. Which lymph nodes were the first
embroiled in an inflammatory process?
A * submandibular
B Side neck
C Anterior cervical
D chin
E Front

115
The patient accidentally drank a 1945 acetic acid. Burn some parts of the digestive system before

all happen?
A * oral cavity, oropharynx.
B The cavity of the mouth and hypopharynx.
C pharynx, stomach
D pharynx and esophagus.
E esophagus and stomach.

116
During the operation, manipulating the area between the stomach and liver, the surgeon wary
damage hepatoduodenal connection, because there is:
A * Joint bile duct, proper hepatic artery, the portal Vienna
B Joint bile duct, common pechinkva artery, the portal Vienna liver.
C Own hepatic artery, gastroduodenal artery.
D the portal Vienna liver, hepatic veins
E postcava Vienna, cystic Strait.

117
When cesarean section in patient D., 32 years, resulting in heavy bleeding and
inability to stop it, the operator had to remove the uterus. By whom
vessels by perfusion of the uterus?
A * Arteria uterina.
B Arteria obturatoria.
C Arteria sacralis lateralis.
D Arteria pudenda interna.
E Arteria clitoridis.

118
In the emergency station brought a patient with a large wound of the lumbar
muscle. The patient lost the ability to unbend tibia in the knee joint. What nerve
damaged in this case?
A * femoral nerve
B-Klubov pidcherevny
C Klubov-inguinal
D Age-femoral
E Zatulnny nerve

119
During the surgery the doctor manipulates the inner wall of the tympanic
cavity. The destruction of which the channel of the temporal bone perhaps?
A * facial.
B musculo-pipe.
C drum.
D tubules drum string.
E asleep.

120
At the clinic the patient was hospitalized with complaints of hemoptysis, sweating.
X-rays detected focus of tuberculosis in the upper lobe of right lung.
Shown operation. How many segments can be removed in the upper lobe
the right lung?
A*3
B5
C4
D2
E1

121
In conducting cystochromoscopy doctor should find cells ureters. Which
anatomic structures can serve as a guide for this manipulation?
A * Trigonum vesicae
B apex vesicae
C corpus vesicae
D urachus
E cervix vesicae

122
In a laboratory study in the patient's blood in 1956 was an increase in the level
sugar. Which of the endocrine glands surprised?
A * Rancreas
B Glandula supratenalis
C Glandula thyroidea
D Glandula parathyroidea
E Glandula pineale

123
The patient had fracture of the humerus between the middle and lower third, with
partial loss of function of bending the forearm. Violation of functions which myaziu
caused this damage?
A * Musculus brahialis
B Musculus coracobrachialis
C Musculus triceps brachii
D Musculus anconeus
E Musculus brachio radialis

124
The doctor palpate the patient's 1943 bottom edge of the liver. At what level in a healthy person
is the lower limit of the liver?
A * On the edge of the costal arch
B 2 cm below the costal arch
C at 4 cm nizhche the costal arch
D at 4 cm above the costal arch
E at 3 cm below the costal arch

125
In the year-old man complicated act sechevivedennya. Which part sechevividnogo
channel narrows increasingly aged men?
A * Pars prostatica
B Glandulae urethrales
C M. sphincter urethrae externum
D Pars membranacea
E Pars spongiosa

126
Through surgery, gall bladder doctor must determine
common cystic Strait. What anatomic structures peritoneum it
located?
A * Lig. Hepatoduodenale.
B Lig. Hepatorenale.
C Lig. Gastrocolicum.
D Lig. Duodenorenale.
E Lig. Hepatogastricum.

127
After a traumatic lesion of the perineum of the victim observed arbitrary
incontinence. Which muscle has been injured?
A * m LANG - stiskach urethra.
B Superficial transverse perineal muscle.
C deep transverse perineal muscle.
D-ischial cavernous muscle.
E Internal stiskach seasonal workers.

128
When falling from a height of victim hit the front surface of the shoulder
he solid object. When viewed from the surgeon ascertained gap
biceps. What kind of upper extremity function would be a violation of the declared
injury biceps?
A * Bending the shoulder, forearm supination and forearm.
B Bending and forearm pronation.
C Bending of the forearm and hand.
D Bending shoulder, forearm and hand.
E Bending shoulder and forearm.

129
When rentgenobstezhenni patient diagnosed TB dispensary
tumor in the right lung. Operator in the performance of surgical deleted
the average share of the right lung, which includes:
A * Segmentum laterale et segmentum mediale.
B Segmentum basale anterius et posterius.
C Segmentum anterius et segmentum apicale.
D Segmentum lingualare superius et inferius.
E Segmentum apicale (superius) et segmentum basale mediale.

130
During a meal in a newborn child has cast milk
nasal cavity. Indicate the possible cause of this violation.
A * cleft palate.
B Warping septum to the right.
C fracture of the skull base.
D cleft lip.
E Warping septum to the left.

131
In patients 60 years and found veins of the esophagus, rectum and
subcutaneous veins of anterior abdominal wall. System of a vein is damaged?
A * portal.
B inferior vena cava.
C odd vein.
D superior vena cava.
E superior mesenteric.

132
The patient complained of pain in the left inguinal region. At
examination diagnosed: femoral hernia. Walls of the femoral canal
are:
A * superficial and deep sheets femoral fascia lata, femoral Vienna.
B surface and deep sheets femoral fascia lata, femoral artery.
C inguinal ligament, superficial and deep fascia lata sheets femoral
D Deep piece fascia lata hip, femoral Vienna, inguinal ligament.
E inguinal ligament, femoral Vienna, superficial piece of fascia lata femoral

133
Patients underwent removal of the gallbladder on the bile-stone
disease. Which artery must cross the surgeon during the operation?
A * cystic
B right gastric
C gastroduodenal
D total hepatic
E Lev hepatic

134
In patients admitted to the clinic notes: severe headache, stiffness
muscles of the neck, repeated vomiting, pain on percussion of the skull, increased
sensitivity to light stimuli Installed diagnosis - meningitis.
Shown lumbar puncture. Enter venue.
A * Between 3 and 4 poyasnichnymy pozvonkamy
B between 1 and 2 poyasnichnymy pozvonkamy
C between the 12 thoracic and 1 lumbar pozvonkamy
D Between 5 and the base of the lumbar sacrum
E between 11 and 12 grudnymy pozvonkamy

135
In AD patients with baseline medical examination revealed a significant difference circle
right and left thigh, right thigh circumference is much smaller than the left,
it is not knee-jerk reaction. Which muscles underwent atrophy?
A * quadriceps
B Triceps
C iliac-femoral
Big D leads
E sartorius

136
Patient B. 44 years old admitted to the therapeutic department with the diagnosis:
right sided pleurisy. Examination of patients confirmed the presence of fluid in
pleural cavity. In a sine pleura would be the largest accumulation of serous
fluid?
A * right costophrenic
B right costo-mediastinal
C-Left mediastinal phrenic
D left costo-mediastinal
Right mediastinal E-phrenic

137
The patient was diagnosed: pancreatitis. In what area of the anterior abdominal wall
You can propalpirovat sore body?
A * epigastric and subcostal lion
B epigastric and right hypochondrium
C left side
D umbilical
E right side

138
The patient complained of recurrent oesophageal
bleeding. The case history - brought hepatitis. There is a portal
insufficiency. Seen from the mucosa of the esophagus Oesophagoscope visible
engorged, tortuous veins. What are the veins form a porto-caval
venous anastomosis of the esophagus?
A * Left gastric and oesophageal
B, right and left gastric
Gate C and left gastric
D diaphragmatic and oesophageal
E splenic and left gastric

139
The patient performed an operation on the thyroid gland. Firstfruits which arteries should be kept

tie a surgeon during the operation?


A * top and bottom of the thyroid
B Upper and lower guttural
C superior thyroid and schitosheyny trunk
D superior thyroid and ascending cervical artery
E ascending and deep cervical artery

140
A child 2 years revealed stunted physical development, frequent pneumonia.
Installed diagnosis - nezaraschenie ductus arteriosus. Report any
vessels caused by violation of hemodynamics?
A * aorta and pulmonary trunk
B Pulmonary trunk and legochnymy veins
C Upper polo vein and aorta
D Upper polo vein and pulmonary trunk
E aorta and veins legochnymy

141
The patient torticollis. Which muscle neck struck?
A * M. Sternocleidomastoideus
B M. omohyoideus
C M. platisma
D M. sternohyoideus
E M. mylohyoideus

142
On examination the patient's upper limit of the heart proekuetsya at the second
mizhrebrovogo interval. At what level this boundary is localized in a healthy heart
Rights?
A * III edge
B II rib
C I edge
D IV rib
E V edge

143
The patient lack of aortic valve. At the point of the chest physician listens to the tone of this
valve?
A * 2 cm right from the edge of the sternum in the second mizhrebiri
B In the fifth mizhrebiri
C left at the base mechepodibnogo sprouts
D point at the base mechepodibnogo sprouts
E 2 cm from the left edge of the sternum in the second mizhrebiri
144
On palpation of the chest in patient B. (8 years), apical beat
determined in VII intercostal space on the linea medioclavicularis sinistra. Question: Is
location of the lower boundary of the heart of linea medioclaviculari sinistra VII intercostal
space
fizologinym, but if not then where it is located in the norm.
A * No. The lower boundary of the heart on the linea medioclavicularis sinistra located in the V-
th
intercostal space.
B No. The lower boundary of the heart on the linea medioclavicularis sinistra located in the IV-
th
intercostal space
C Yes. The lower boundary of the heart on the linea medioclavicularis sinistra located in IV-VII
intercostal space
D Yes. The lower boundary of the heart on the linea medioclavicularis sinistra located in V-IX
intercostal space
E Yes. The lower boundary of the heart on the linea medioclavicularis sinistra located in the VI-
VII
intercostal space

145
Patient pleural effusion. In a corner of course there are more than
fluid
A * costophrenic
B edge-mediastinum.
C transverse sinus of pericardium.
D Spit sinus of pericardium.
E-diaphragmatic mediastinal cubbyhole

146
When hypertension is usually left border of the heart is shifted to the left. Through a
chamber of the heart is this happening?
A * Left ventricular
B of the left atrium.
C of the right ventricle
D right atrium
E_

147
In the injured bleeding from a wound to the head. At what point should squeeze
carotid artery to temporarily stop the bleeding?
A * to the anterior tubercle on the transverse processes of the 6 th cervical vertebra.
B to the spine in the upper neck.
C to the anterior tubercle on the transverse processes of the 4-th cervical vertebra.
D to the anterior tubercle on the transverse processes of 5-th cervical vertebra.
E to the anterior tubercle on the transverse processes of the 7 th cervical vertebra.

148
The patient's muscle atrophy front surface of the tibia. What are these muscles?
A * tibialis anterior, extensor digitorum long, long extensor large
finger.
B anterior tibial, long and short malogomilkovi.
C tibialis anterior, long Bending the fingers, long Bending thumb.
D Long, short and third malogomilkovi.
E Dovgiy fibula, anterior and posterior velikogomilkovi.

149
In Ophthalmology delivered elektrosvarschika who had undergone eye burns
apples. Which of the following structures damaged?
A * Cornea.
B Camera anterior bulbi (humor).
C Camera posterior bulbi (humor).
D Lens.
E Corpus vitreum.

150
The patient consulted a doctor with a wound to the proximal phalanx of thumb, which
complicated cellulitis palm. Manure filled joint synovial sheath for
flexors, in which the tendons are superficial and deep flexors of the fingers. Where
finger was damaged proximal phalanx?
A * to V-th fingers.
B to II-m fingers.
C in the III-m fingers.
D to IV-m fingers.
E on I-m fingers.

151
In the hospital received a patient with symptoms of obstructive jaundice and suspected cancer
large duodenal papilla, which is located in:
A * descending portion of duodenum.
B top of the duodenum.
C horizontal part of the duodenum.
D ascending part of duodenum.
E-danadtsyatipalo empty crook.
152
A woman patient in 1940 was made appendicitis appendectomy, during which
cut the artery of the appendix, which departs from:
A * klubovoobodovoi artery.
B porozhnokishkovoi artery.
C klubovokishkovoi artery.
D, right colic artery.
E middle colic artery.

153
A child enrolled in the ENT Department Hospital with a diagnosis: purulent inflammation
middle ear. The illness began with inflammation of the nasopharynx. Found that
infection got into the tympanic cavity through the auditory tube, which lies in:
A * canalis musculotubarius.
B canaliculus tympanicus.
C canalis caroticus.
D canaliculus chordae tympani.
E canaliculi carotici tympanici.

154
In the conduct of tracheotomy in a patient 45 years old, who was in intensive care
department of the hospital with edema of the larynx, was accidentally cut the jugular venous
arc, which lies in:
A * spatium interaponeuroticum suprasternale.
B spatium pretracheale.
C spatium retropharyngeale.
D spatium interscalenum.
E spatium antescalenum.

155
During the X-ray examination of the stomach patient years in the vertical
position of the doctor finds the presence of air. In what part of the stomach is it located?
A * days.
B body.
C fore.
D pyloric
E section of the lesser curvature.

156
The patient with renography were found stones in macroscopic sections
urinary tract kidneys. It is established that they are in:
A * small and large cups of kidney, kidney bowl.
B prefabricated ducts, papillary Straits small renal cups
C straight tubules, small and large renal cups.
D papillary straits, large cups of kidney, kidney bowl.
E papillary Straits small renal cups, straight ducts.

157
In order to clarify the diagnosis in men in 1970 it became necessary to palpation
examination bodies through the front wall of the rectum. Which organs adjacent to this
wall?
A * prostate
B bulbourethral gland
C urethra
D ureters
E_

158
Radiological examination of bones of the skull base revealed an increase
cavity of the sella turcica, thinning of the anterior tilted processes, destruction
different parts of the Turkish saddle. The tumor is endocrine gland may
is the destruction of bone?
A * Pituitary
B thymus
C epiphysis
D Thyroid
E adrenals

159
Determining the size of the liver revealed that on the right seredoklyuchichny
through its upper boundary is at the level IV intercostal space, the lower its edge in favor of a
costal arch at 4 cm to estimate the dimensions of the liver.
A * liver was enlarged - the lower its boundary is shifted downwards.
B Liver reduced - lower its boundary is shifted downwards.
C Liver reduced - lower its boundary is shifted upwards.
D Liver enlarged - its upper boundary is shifted upwards
E of the liver were normal.

160
The patient 22-ies during the operation revealed a hole diameter of 3 mm
the front wall of the stomach in the middle third, closer to the lesser curvature. What part
Gastric likely hit?
A * Corpus
B Fundus
C Pars cardiaca
D Pars pylorika
E Antrum pyloricum

161
A woman 58 years old mi conducted a complete removal of the uterus with its appendages, and
then
urine ceased. Cystoscopy: bladder urine does not contain at ustiv ureters
urine does not come. Which of the urethra Blvd damaged during the operation?
A * Ureter
B Uretra
C Vesica urinaria
D Pelvis renalis
E Ren

162
The triangle is bounded from behind the neck grudinnoklyuchichnososkovidnim muscle, top-rear

dvocherevtsevogo belly muscles in the front - the upper abdomen


lopatkovo-hypoglossal muscle. Call this triangle.
A * sleepy.
B Lopatkovotraheyny.
C submaxillary.
D Lopatkovoklyuchichny.
E Lopatkovotrapetsievidny.

163
Due to the pituitary tumors in X-ray revealed destruction and the increase
fossa of the sella turcica. Which bone cavity with the hit?
A * sinus sphenoid bone.
Sleepy B channel.
Visual C channel.
D tympanic cavity.
E facial canal.

164
In connection with nayanistyu malignant tumor on the tongue, the patient should remove it. What

site easy to find yazichnuyu artery and perevzaty it?


A * triangle Pirogov.
B In the sleepy triangle.
C Vlopatochno-subclavian triangle.
D In Shoulder trapezoid triangle.
E In Shoulder tracheal triangle.

165
The patient was diagnosed lesion of the facial nerve. At what level of damaged nerve
if the patient is a combination of clinical symptoms: facial paralysis
muscles, the violation of taste sensitivity front of the tongue, dry mouth
(Decrease slinoviddilennya. Snee Nha slozoviddilennya not.
A * in the channel of the facial nerve below the knee after the separation of the large rocky
nerve.
B Based on the brain.
C In the facial canal, to the separation of greater petrosal nerve.
D After the release of the nerve from the canal.
E In bilyavushny gland.

166
Existing varicose parts of the medial surface of the lower extremity. Lesion which
vessels of the pathology?
A * great saphenous Vienna.
B Minor subcutaneous Vienna.
C Vienna thigh.
D femoral artery.
E Rear velikostegnova artery.

167
The examination of patients with diseases of the cardiovascular system often
compare the nature of the pulsations of blood vessels in the symmetric points of the left and right
halves
body. Artery pulsation which can easily palpate the anterior surface of the lower n
third arm?
A * Ray.
B Liktevoi.
C Anterior interosseous.
D superficial palmar branch.
E posterior interosseus.

168
The patient violated the eyesight of the lateral half fields of both eyes (bitemporal
hemianopsia. What neural structures struck?
A * Visual intersection.
B The left optic tract.
C right optic tract.
D retina.
E optic nerves.

169
The patient after an injury right upper limb dysfunction observed
extensor muscles, as well as the absence of skin sensitivity to the back of his hands. Which
nerve is damaged?
A * beam
B ulnar
C median
D m, yazevoshkirny
E axillary

170
The patient must make a puncture of pleural cavity. In what part of the intercostal
space to hold the needle?
A * At the bottom of the intercostal space on the upper edge of the ribs.
B middle intercostal space on the flat distance from the edges of adjacent edges.
C In the upper part of intercostal space along the lower edge of the ribs.
D In the back of the intercostal space on the lower edge of the ribs.
E in front of the intercostal space in the middle distance between the edges of neighboring
ribs.

171
The patient panaritium a toe. Which lymph nodes will suffer in the first
turn?
A * Nodi lymphatici inguinales superficiales
B Nodi lymphatici poplitei
C Nodi lymphatici inguinales profundi
D Nodi lymphatici iliaci externi
E Nodi lymphatici iliaci interni

172
In the clinic delivered a patient who, while examining the nasal cavity was found
skopichennya manure in the lower nasal passage. Where does manure?
A * Sliznovividni Strait
B sinus
C Frontal sinus
D Sphenoid sinus
E ethmoid sinus
173
Male 45 years as a result of work injury damaged the rear section of the left
elbow joint. OBJECTIVE: difficult straightening the forearm. What muscle
naymovir undisputed all damaged?
A * M. triceps brachii, m anconeus
B M. brachioradialis, m. anconeus.
C M. biceps brachii
D M. biceps brachii, m. anconeus
E M. triceps brachii

174
The victim in a traffic accident doctor discovered a broken left clavicle and violations
circulation in the limbs (no pulsation in the radial artery. What is the cause of violations
circulation in the end?
A * Compression of the subclavian artery
B Compression of the axillary artery
C Compression of the subclavian vein
D Compression of the vertebral artery
E Compression of the axillary vein

175
Lighted in the tympanic cavity (purulent otitis media) in a patient complicated by inflammation
cells of the mastoid process. Through which penetrated the wall of the tympanic cavity
manure in a cell?
A * Leg
Near B
C medial
D lateral
E Upper

176
In patients 45 years of age with suspected inflammation of the meninges had
obtain cerebrospinal fluid. Made of diagnostic puncture between the arcs
lumbar vertebrae (L3-L4). After some communication with the needle must penetrate
puncture?
A * Yellow links
B Klubov-lumbar
The front longitudinal C
D posterior longitudinal
E Mizhpoperechnu connection
177
Patient 28 years in the production received chemical burns on the face and the fluid has entered
eye. The patient lost his vision. What is the structure of the eyeball is damaged due to chemical
custody?
A cornea
Lens B
C Skliste body
D Retina
E iris

178
In auditing the abdominal cavity was found bleeding from the venous
hepatoduodenal ligament. Which of the veins are damaged?
A * the portal
B inferior vena
C splenic
D superior mesenteric
E inlenor

179
In the clinic received patients complaining of pain in the right area pidrebrovy, vomiting with
blood. In the study it was found, liver enlargement, expansion
subcutaneous veins of the anterior abdominal wall. In a blood vessel is difficult?
A * the portal Vienna
B abdominal aorta
C hepatic vein
D postcava Vienna
E superior vena Vienna

180
In the injured deep transverse Injuries of distal posterior surface
tibia. Rear foot lifted up. What is a tendon injury?
A * Heel
B flexor finger
C peroneus longus
D Length of extensor digitorum
E posterior tibial muscle

181
As a result of head trauma from the victim found injuries to his right
occipital condyle. Which part of the occipital bone damage?
A * Lateral
B Scales
C Main
D jugular process
E foramen

182
In the victim in a car post-traumatic dislocation of the shoulder joint.
What a bunch of damage?
A * beak Shoulder
B_
C conical
D beak-clavicular
E transverse ligament of scapula

183
During the operation the surgeon performs a median section of the surface layers of
the neck
over the handle of the sternum. Verv of venous anastomosis should be tie
Surgeon to stop the bleeding?
A * jugular arch
B inferior thyroid veins
C Wen thymus
D internal jugular veins
E brachiocephalic vein

184
A child 3 years old admitted to the hospital with a diagnosis: otitis. There is a
possibility distribution
pus from the tympanic cavity through the back wall. Where can nayvirogidnishe
go dung?
A * In the mastoid cave
B in the inner ear
C In the auditory tube
D In the external auditory canal
E in the posterior cranial fossa

185
After the injury front surface of the upper third of the forearm in a patient difficulty
pronation, the weakening of palmar flexion of wrist and breach skin sensitivity 1-3
fingers on the palm. What nerve is damaged?
A * n. Medianus
B n. musculocutaneus
C n. ulnaris
D n. cutaneus antebrachii medialis
E n. radialis
186
In patients 53 years as a result of blunt abdominal trauma diagnosed gap
liver. In a peritoneal cavity of Education will meet izlivshayasya blood?
A * rectouterine deepening
B vesico-uterine deepening
C right mesenteric sinus
D omental
E Lev mesenteric sinus

187
Patient skrzhitsya to edema of the legs, blue in the face of the skin, small sores at
the side of the lateral
bone. On examination the patient noted puhlinnist, increase the size of veins,
education units. On one side there is a vein pathology?
A * V saphena parva
B V. saphena magna
C V.femoralis
D V.profunda femoris
E V.iliaca externa

188
In patients 70 years of age diagnosed with neck fracture left femur with a gap
ligament of the femoral head. The branch which artery lesions?
A * obturator
B femoral
C external iliac
D inferior gluteal
E interior gender

189
Women underwent surgery for an ectopic (tubal) pregnancy.
Firstfruits of the arteries which should bind the surgeon during the operation?
A * uterine and ovarian
B Upper gall and ovarian
C lower gall and ovarian
D uterine and upper gall
E uterine and lower gall

190
The child is 6 months bronchitis made chest X-ray. In addition to changes
associated with the bronchi, the R-gram is determined by the shadow of the thymus
gland (thymus). With what
may be associated with those changes?
A * For this age specified condition is a variant of the rules
B is a consequence of bronchitis
C is the result of incorrect anatomical position
D is a consequence of inflammation of the thymus
E is a consequence of tumor

191
Radiological examination of bones of the skull base revealed an increase
sella turcica and destruction of its individual parts. Tumor growth is
anatomical creations can cause such destruction of bone?
A * Pituitary
B epiphysis
C thalamus
D Chotirigorbovogo body
E crank phone

192
A child 10 years of surgeon suspected inflammation of Meckel diverticula, which
requires
intervention. Specify the audit is part of the intestine is necessary to
find diverticulum?
A * 1 m of ileum from the place where it flows into the colon
B 0,5 m empty bowel from Treitz's ligament
C descending colon
D ascending colon
E 20 cm of ileum from the iliac-slipokishkovogo angle

193
The patient purulent inflammation of the sphenoid sinus. In what part of the nasal
cavity
follows pus?
A * Meatus nasi superior
B Meatus nasi communis
C Meatus nasi medius
D Meatus nasi inferior
E-

194
The victim in the accident, bleeding from the soft tissue in front of the angle
mandible. Which vessel struck?
A * A.facialis.
B A.carotis interna.
C A.temporalis superficialis.
D A.alveolaris inferior.
E A.lingvalis.

195
The patient purulent inflammatory process of the skin of the first interdigital
intervals legs. Which
lymph nodes are regional for the specified area and react with pain and
swelling?
A * Superficial inguinal
B Front velikogomilkovi
C Hind velikogomilkovi and popliteal
D Superficial and deep inguinal
E External club

196
The patient went to a doctor with complaints of inability to adapt and derivation
fingers in the metacarpophalangeal joints in relation to three fingers. Function
which
muscle broken?
A * intercostals
B vermicular
C Short finger flexor
D flexor finger
E extensor

197
The victim injury of soft tissue and parietal bones of their connection to each other,
which is accompanied by heavy bleeding. Which vascular lesions damaged?
A * Sinus sagittalis superior.
B Sinus transversus.
C Sinus petrosus superior.
D Sinus rectus.
E Sinus sagittalis inferior.

198
In the prenatal period of development in the vascular system of the fetus are major
Arterial (botalova) Strait, after the birth into a lig.
arteriosum. As it connects with each other?
A * pulmonary trunk and aorta
B Right and left atrial
C aorta and inferior vena cava
D pulmonary trunk and the upper vena cava
E aorta and the upper vena cava

199
The young man because of the active pull-ups on the bar felt a sharp pain in
dorsi. On examination there is pain when trying to movement of the upper
ending, the restriction of such functions as the enforcement and pronation. Tension
which
muscle occurred most likely?
A * M. latissimus dorsi
B M. levator scapulae
C M. romboideus major
D M. trapezius
E M. subscapularis

200
In Trauma as a result of direct attack on the inner surface
middle third of the tibia. Fracture of anatomical education is most
probable?
A * tibial shaft
B distal fibular epiphysis
C distal epiphysis of tibia
D Proximal tibial epiphysis
E proximal epiphysis of fibula

201
Operating on the breast, surgeons prefer the radial incision.
With the structural features of some anatomical structures related to such
equipment
operation?
A * upper lobes converge toward the nipple
B base lobes pointing to the nipple
C slices gland located transversely
D lobules glands are arranged vertically
E-

202
In the sanitary inspection brought a man with a foot injury chopped right foot. In
affected a limited raised lateral margin of the foot. When processing a
Rana tendon damage. Which muscle damage?
A * long peroneal
B anterior tibial
C Long extensor digitorum
D Triceps surae
E Short fibula

203
In the women to consult a surgeon determined seals in the mammary gland. In
What direction should make the incision the surgeon during the operation for
reduce injury wedges?
A Radial
B Vertical
C Cross
D arcuate
E-
204
In the casualty department entered a man 35 years with the trauma left hand. At
survey found: incised wound palmar surface of the left wrist; Middle phalanx II - V
fingers do not bend. Which muscles are damaged?
A * Superficial muscle Bending fingers
B deep finger flexors
C lumbrical
D mizhkistkovi palmar muscle
E Rear mizhkistkovi muscle

205
In the emergency station did a man 38 years with right hand injury. Seen
found: incised wound in the improvement of the thumb, right hand;
distal phalanx of a finger does not bend. Which muscle is damaged?
A * A long arm Bending thumb
B Summary of muscle-Bending thumb
C Short abductor of thumb
D opposing muscle of thumb
E drive muscle of thumb

206
In men 35 years of the patients with meningoencephalitis has been a sharp decline
hearing. The survey excludes the pathology of the conductive and zvukospriymalny
organ of hearing devices. In what zvivinii cerebral cortex lesions?
A * superior temporal
B average temporal
C upper frontal
D Nadkrayovy
E Angle

207
Emergency room at the reception office delivered a patient with bloody
vomiting. In the history of cirrhosis of the liver. Damaged veins are most likely to
this case?
A * oesophageal
B superior mesenteric
C liver
D inlenor
E splenic

208
During the test, the patient was diagnosed perednoperetinkovy myocardial
infarction.
Closure of the blood supply on which of the vessels of the heart was the reason?
A * anterior interventricular branch of left coronary artery
B posterior interventricular branch of right coronary artery
Skirting the C branch of the left coronary artery
D posterior branch of the left ventricle
E Oserdno-diaphragmatic artery

209
The patient complains of pain when moving the left side of the neck. The best
situation in
the patient does not feel pain - the slope of the neck to the left while lifting the head
and
return of the person in the opposite direction. Muscle function which instituted?
A * m.sternocleidomastoideus left
B m.sternocleidomastoideus case
C m.trapeziums left
D m.trapezius case
E m sternohyoideus

210
In patients with femoral nerve neuritis instituted bending hips and unbending
tibia in the knee joint. The function which muscles while impaired?
A * Chotirohgolovogo femoris
B biceps femoris
C triceps thigh
D Pivsuhozhilkovogo muscle
E Pivperetinchastogo muscle

211
After the trauma patient can not straighten their arm at the elbow. Malfunction
whose muscles can cause this?
A * Musculus triceps brachii
B Musculus biceps brachii
C Musculus brachialis
D Musculus coraco-brachialis
E Musculus subscapularis

212
The patient impaired function of the cardiovascular and respiratory centers. The
pool
which arteries impaired circulation?
A * A.a vertebrales et basilaris
B A.a cerebri anterior et communicans anterior
C A.a serebri anterior et cerebri media
D A.a communicans posterior et cerebri media
E A.a communicans posterior et cerebri posterior
213
Patient difficulty stroke. Established joint inflammation of the synovial sheath
flexors. From history we know that the patient received a week ago stab injury
finger. Which finger was probably damaged?
A * Digitus minimus
B Pollex
C Digitus medius
D Index
E Digitus anularis

214
In the wounded bleeding from branches of the carotid artery. To pause
haemorrhage, carotid artery should be pressed against the tubercle of the
transverse process of the
cervical vertebra. Which one vertebra?
A * VI
BV
C IV
D III
E II

215
The accident resulted in the victim's severe pain and swelling of the anterior surface

tibia, dorsal flexion of the foot is difficult. The function of which of these leg muscles

likely to suffer?
A * M. tibialis anterior
B M. flexor digitorum longus
C M. flexor hallucis longus
D M. peroneus longus
E M. peroneus brevis

216
Patient internal crack on the right is much larger than the left. The function is to
mimic
muscles instituted?
A * M. orbicularis oculi
B M. procerus
C M. corrugator supercilli
D M. occipitofrontalis (venter frontalis)
E M. zygomaticus major

217
On examination the patient's physician revealed femoral Kila. Through which the
anatomical
education, she goes under the skin?
A * Hiatus saphenus
B Anulus femoralis
C Canalis adductorius
D Lacuna musculorum
E Anulus inguinalis superficialis

218
Patient 30, with inflammation of the pulp of the 2 nd upper molar, turned to the
doctor with
complained of headache and mucous discharge from the nose. After visiting him put

diagnosis - pulpitis, complicated sinusitis. Which of the sinus infection came from
root of the tooth?
A * maxillary
B Frontal
C sphenoid
D Lattice
E mastoid cells

219
Patient 18 years old, went to the hospital with complaints of noise and pain in the
ear.
Objectively speaking - in patients with acute respiratory disease, rhinitis. Through
which the hole
throat infection got into the tympanic cavity and caused her inflammation.
A * pharyngeal opening of auditory tube
B tympanic opening of auditory tube
Joan C
D Ziv
E entrance to the larynx

220
Urolithiasis complicated exit pebble from the kidney. At what level
ureter, most likely, he can stay?
A * On the border of the abdominal and pelvic parts
B In lohantsi
C In the middle ventral
D 2 cm above the confluence of the bladder
E at 5 cm above the pelvic region

221
During surgery on pelvis, women became necessary
bind uterine artery. Which entities can be accidentally swathed
with her?
A * Ureters
B oviduct
C round ligament of uterus
D Internal iliac Vienna
E Urethra

222
The patient with cancer back of the tongue appeared bleeding due to injury
tumor dorzalnoi artery language. What the doctor bandaged the vessel to stop
bleeding?
A * Yazykovo artery
B Dorsally artery language
C deep artery of tongue
D facial artery
E ascending pharyngeal artery

223
In the hospital after a car accident a young man entered the age of 18. In trauma
Department found numerous soft tissue injuries in the face of the medial angle
eyes, which were accompanied by massive bleeding. Which arterial anastomosis
formed in this region?
A * A. carotis externa et a. carotis interna
B A. carotis externa et a. subclavia
C A. carotis interna et a. subclavia
D A. subclavia et a. ophthalmica
E A. carotis interna et a. ophthalmica

224
A child 2 years after an attack of influenza began to complain of pain in the ear.
Doctor
found hearing loss and inflammation of the middle ear. How infections
got to the middle ear?
A * through the auditory tube
B through the foramen jugularis
C through canalis caroticus
D through the atrium mastoideum
E through the canalis nasolacrimalis

225
When operative intervention for gall stones moves surgeon must find
common hepatic Strait. Between the sheets which star (Duty is it?
A * hepatoduodenal
B Pechnkovo-gastric
C hepatonephric
D Round communications (Duties of the liver
E venous connection (DUTIES
226
Patient M., 41, came to the infectious department of the hospital with high fever
body. Objectively pronounced meningeal symptoms. A lumbar puncture.
What anatomical education was propunktovano?
A * spatium subarachnoideum
B spatium subdurale
C spatium epidurale
D cavum trigeminale
E cisterna cerebellomedullaris posterior

227
The patient's 37 years as a result of contact with a foreign body in respiratory tract
appeared
coughing, then choking. The patient was made tracheotomy in his neck, which
limited to the upper abdomen $ m.omohyoideus $, $ m.sternocleidomastoideus $
and
the median line of the neck. In a triangle of the neck underwent surgical
intervention?
A * Omotracheale
B Caroticum
C Submandibulare
D Omotraperoideum
E Omoclaviculare

228
The patient was 75 years arrived in ophthalmic department of the hospital with
complaints of
visual impairment. An objective study vstanovlna presence of a brain tumor
located in the left optic tract. What kind of visual impairment will
observed in the patient?
A * loss of vision in the left halves of the retina of both eyes
B loss of vision in the right half of the retina of both eyes
C loss of vision in both halves of the left eye
D loss of vision in both halves of the right eye
E loss of vision in the retina of both eyes

229
In pregnant women, 1929 obstetrician determined the size of the pelvis. With the
help of a compass
measured the distance between the two upper front iliac ostyamy. Which
large size of the pelvis was defined?
A * distantia spinarum
B distantia cristarum
C distantia trochanterica
D conjugata vera
E conjugata anatomica

230
After resection of the middle third of the femoral artery thrombus obliterovanoi
lower
ending krovopostachaetsya through bypass. Name the artery that has
primary importance in restoring blood flow.
A * deep femoral artery
B Surface oginalna iliac artery
C Descending genicular artery
D Superficial epigastric artery
E Deep external shameful artery

231
In the patient does not bend the knee, no knee-jerk reaction, the excited
sensitivity of the skin on the front of the thigh. What are the neural structures
affected by?
A * femoral nerve
B Upper sciatic nerve
Big C fibular nerve
D Zatulny nerve
E Lower sciatic nerve

232
The patient, 50 years old, was admitted to hospital complaining of pain behind the
sternum, choking with
physical activities. After angiography revealed pathological changes in the posterior

interventricular branch of right coronary artery. Which parts of the heart amazed?
A * posterior wall of the right and left ventricles
B, left atrium
C front wall of the right and left ventricles
D right atrium
E right atrioventricular valve

233
Patient hospitalized in the surgical department with suspected inflammation
Meckel diverticula. A survey of intestine must be
produce for the detection of diverticula during surgery?
A * Ileum
B Duodenum
C Jejunum
D Caecum
E Colon ascendens
234
In a newborn boy at the examination of the external genitalia detected
cleft urethra, which opens at the bottom
surface of the penis. What kind of developmental anomalies in question?
A * Hypospadias
B hermaphroditism
C epispadias
D Monorchids
E Cryptorchidism

235
The patient complains of a violation of the evacuation function of stomach
(The long delay of food in the stomach. The examination revealed a tumor
initial division of the 12 duodenal ulcer. The localization of the tumor.
A * Pars superior
B Pars inferior
C Pars descendens
D Pars ascendens
E Flexura duodeni inferior

236
The young man went to the hospital with complaints of violation of urination.
An examination of the external genitalia revealed that urinary
channel is split top and urine flows out through this hole. What type of anomaly
development of the external genitalia observed in this case?
A * epispadias
B Phimosis
C Intersexuality
D paraphimosis
E Hypospadias

237
The patient decrease tactile and taste sensations of the mucous
posterior third of shell back of the tongue. From patologiyue which nerve is
connected?
A * Yazikoglotkovogo.
B III branch of the trigeminal nerve.
C facial.
D hypoglossal.
E II branch of the trigeminal nerve.

238
By the doctor asked the patient complaining of pain in the left half of the neck,
which is reinforced
head movements. The situation in which pain is not worried - it tilts his head to the
left, with
return the person to the right. The defeat of the muscles which causes pain in the
case?
A * Musculus sternocleidomastoideus sin.
B Musculus sternocleidomastoideus dext.
C Musculus platisma dext.
D Musculus platisma sin.
E Musculus longus colli.

239
Patient aged 35, went to a doctor complaining of severe cold and loss of feeling
odors during the week. On examination, the nasal cavity a large quantity of mucus,
covering the mucous membrane and blocks the receptors of smell. Where in the
nasal cavity
these receptors are located?
A * supraturbinal
B Average turbinate
C Lower turbinate
D total nasal passage
E vestibule of the nose

240
Patient 45 years old, hospitalized with complaints of high temperature, pain
in breathing, choking and coughing. After examination, laboratory and
X-ray diagnosis was offered - pleurisy. For the evacuation of the exudate was
designed pleural puncture. Where in the pleural cavity is
Most exudate?
A * costophrenic sinus
B diaphragmatic-mediastinal sinus
C costo-mediastinal sinus
D under the dome of the pleura
E Under the root of light

241
The patient was 45 years old, hospitalized with a suspected tumor of the uterus.
After the survey,
diagnosed - uterine fibroids. In what layer of the uterus is located
tumor?
A * Myometrium
B Endometrium
C Perimetrium
D Parametrium
E Mesometrium

242
A girl 10 years under the clinical examination revealed signs of premature
puberty. Reducing the function of which endocrine gland could afford it
phenomenon?
A * epiphysis
B thyroid
C Prischitopodibnoi cancer
D thymus
E Brain adrenal

243
The inflammatory process is altered pidseroznoi bases around the cervix caused
the intensity of pain symptoms in the patient. Pathological process which plots
genital established doctor?
A * Parametrium
B Mesometrium
C Myometrium
D Endometrium
E Perimetrium

244
During the operation the patient was removed part of the lung, ventilated bronchi
third order, accompanied by branches of the pulmonary artery and other vessels.
Which
part of lung was removed?
A * segment of lung
B average proportion
C Lower
D Top
E Pulmonary particle

245
The patient in 1953 after being wounded in the groin notes arbitrary
urination. Which muscles probably damaged?
A * m. sphyncter uretrae
B m. ischiocavernosus
C m. bulbospongiosus
D m. transversus perinei superficialis
E m. transversus perinei profundus

246
Dentist for dental examination found between the middle and posterior thirds
back of the tongue sore nipples. What inflamed tongue papillae?
A * Papillae vallatae
B Papillae fungiformes
C Papillae foliatae
D Papillae filiformes
E Papillae conicae
247
Seen from the mouth the doctor found a small ulcer on the left front
palatine arch. In some muscles, lying in the interior of this bracket may
dissemination process?
A * M. palatoglossus
B M. styloglossus
C M. palatopharyngeus
D M. genioglossus
E M. hyoglossus

248
During the examination, the patient revealed an abscess wing-palatine fossa. Where
can
spread infection in late provision of medical care?
A * orbit.
B Mizhkrilopodibny space.
C frontal sinuses.
D Pidaponevrotichny temporal space
E tympanic cavity.

249
During the inspection a boy 5 years old, the doctor noticed that the child is
breathing through the mouth. On
using additional methods of study found an increase in the size
one of the tonsils limfoepitelialnogo pharyngeal ring. Which is the amygdala?
A * pharyngeal
B language
C Pipe
D palatine
E guttural

250
During a difficult birth ruptured pubic symphysis. Authority may be
be hurt?
A * Urinary Bladder
B Rectum
C Ovaries
D intrafallopian
E Uterus

251
A man 40 years after maxillofacial trauma and disrupted function of the hyoid
submandibular gland on the left. Saliva from these glands there is little. Function
which nerve
instituted?
A * VII couples
B VI pair
C X couples
D XII couples
E XI couples

252
In a patient with cholelithiasis developed jaundice. At
survey found that the stone is in the common bile duct. What
bile ducts form obturirovanny straits?
A * Ductus hepaticus communis et ductus cysticus
B Ductus hepaticus dexter et sinister
C Ductus hepaticus dexter et ductus cysticus
D Ductus hepaticus sinister et ductus cysticus
E Ductus hepaticus communis et ductus choledochus

253
The patient in 1965 with neurological examination revealed hemorrhage within
superior temporal gyrus. In the area where the blood supply artery is it located?
A * Middle cerebral artery
B Anterior cerebral artery
C posterior cerebral artery
D anterior communicating artery
E Main artery

254
In 1928, women found ectopic pregnancy, which was complicated by rupture
fallopian tube. How does peritoneal space may hit blood?
A * recto - uterine
B vesico - uterine
C Right mesenteric sinus
D Left mesenteric sinus
E Mizhsigmovidny sine

255
Male 1970 while shaving cut the abscess in the mastoid process. Through
2 days, he was taken to hospital with a diagnosis of inflammation Obolon brain.
How does the infection spread to the cranial cavity? Via:
A * V. emissariae mastoideae
B V.v. labyrinthi
C V.v. tympanicae
D V. facialis
E V.v. auriculares

256
A patient with inflammation of the tongue (glossitis) complains about the disorder
gustatory sensitivity of the anterior two-thirds of the language. Lesion of nerve
it is called?
A * drum string
B drum
C Small rocky
D multilingual
E glossopharyngeal

257
In the traumatized epidural hematoma in the temporal region. Which artery is
damaged?

A * Average Obolon artery


B middle cerebral artery
C posterior communicating artery
D Front Obolon artery
E anterior cerebral artery

258
In the differential diagnosis of meningitis are conducting studies of cerebrospinal
fluid. At what point lumbar puncture is safe?
A * L III-L IV
B L II-L III
C L I-L II
D Th XII - L I
ELV-SI

259
The patient exhibited diagnosed hydrocele (hydrocele). Which of the egg shells
forms
cavity, inside which fluid accumulates?
A * Tunica vaginalis testis
B Tunica dartos
C Fascia spermatica interna
D Fascia spermatica externa
E Tunica albuginea

260
In certain patient complaints doctor decided to investigate the pulse on the foot.
Which artery
best to do this?
A * a. dorsalis pedis
B a. tibialis posterior
C a. tibialis anterior
D a. plantaris medialis
E a. plantaris lateralis

261
When surgical intervention on the paraproctitis, which is localized closer to
buttock, was damaged vessel. Which is more likely?
A * a. pudenda interna
B a. rectalis superior
C v. rectalis media
D a. pudenda extena
E a. perinealis

262
When the bottom of tracheotomy in emergency procedure carried out on average
line of the neck, further revealed the presence of bleeding. Which vascular lesions
were
damaged?
A * arcus venosus juguli
B v. jugularis anterior
C a. thyroidea interior
D v. thyroidea inferior
E v. jugularis externa

263
The victim trauma of the knee joint with a broken knee. Tendon
whose thigh muscles can be damaged by this injury?
A * quadriceps femoris
B biceps femoris
C sartorius
D adduc
E Dovgiy adductor

264
When preparing for a competition gymnast was injured with a dislocated shoulder
joint.
The tendon which brachii passes inside the cavity of the above
joint and can be damaged.
A * biceps
B triceps brachii
C Dzoboplechovogo muscle
D shoulder muscles
E deltoid

265
In one of the clinics asked parents of a boy 12 years old, who had growth of about 2
meters,
x-ray examination revealed an increase in cranial fossa of the sella turcica.
What is the structure of the brain was changed from a boy?
A * Pituitary
B epiphysis
C Thalamus
D Mesencephalon
E hindbrain

266
The patient was diagnosed with a brain tumor, located in the section "hippocampus.

Violation of that function will develop in a patient, if the tumor is actively


evolve further?
A * Violation of the function
B Violation of hearing function
C Violation of olfactory function
D Violation of taste function
E Infringement function of the vestibular apparatus

267
Seen from the patient's neurologist found no "knee-jerk reflex"
when tapped on the bond nakolinka. What a nerve may be damaged in this
case?
A * femoral
B Zatulny
C gluteal
D tibia
E Common fibular

268
The patient takes complaints about the inability to understand the words (sensory
aphasia), although
the sounds he hears. Violation of the cortical analyzer which is it?
A * auditory analyzer speech
B Movnoruhovy Analyzer
C motor analyzer writing
D Visual Analyzer writing
E core of the auditory analyzer

269
The patient consulted a doctor complaining of pain in the hip joint and all
drive the muscles and skin over them while driving. What nerve is damaged?
A * Zatulny nerve
B Klubovopahvinny nerve
C femoral nerve
D lateral cutaneous nerve of thigh
E posterior cutaneous nerve of thigh

270
The patient complains of pain in the diaphragm during breathing, which appeared
after
minor damage to the chest. Violation of the nerve which is it?
A * phrenic nerve
B subscapular nerves
C supraclavicular nerves
D Nadlopatkovy nerve
E Transverse cervical nerve

271
The patient purulent inflammatory process of the skin of the first interdigital
intervals legs. Which
lymph nodes are regional for the specified area and react with pain and
swelling?
A * Superficial inguinal
B popliteal
C Front velikogomilkovi
D Rear velikogomilkovi
E External club

272
By the doctor asked the patient periodontitis second floor of a large tooth Kutno
left. The examination revealed the inflammatory process in the lymph nodes.
Which lymph nodes are involved in the inflammatory process?
A * submandibular
B parotid
C Face
D buccal
E Lateral neck

273
In patients with preventive care on the medial wall of the left
underarm lymph node metastases showed an increased
origin. Indicate the most likely localization of the primary tumor.
A * Breast
B submandibular gland
C Light
D stomach
E Thyroid

274
In the weightlifter during lifting rods ruptured thoracic lymph
Strait. Indicate the most likely place of damage.
A * In the area of the aortic orifice.
B In the lumbosacral junction.
C In the posterior mediastinum.
D At the confluence of the venous angle.
E in the neck.

275
The man, who is ill osteochondrosis, there was a sharp pain in the muscles of the
abdomen (lateral and
front. An objective examination of the doctor found an increased pain
sensitivity pidcherevnoi site. The defeat which the nerve could cause this
pain?
A * Klubov-pidcherevnogo nerve
B sciatic nerve
C Zatulnogo nerve
D femoral nerve
E Age-femoral nerve

276
A woman that is sick osteochondrosis, appeared sharp pain in the shoulder joint,
which
amplified with the withdrawal of the shoulder. The defeat which the nerve may be
the cause of these
symptoms?
A * axillary nerve.
B of the same name of the nerve.
C dorsal nerve of scapula.
D subclavian nerve.
E breast-dorsal nerve.

277
A radiograph of the kidneys when pyelography doctor detect kidney bowl, in which
immediately fell into the small cup (large absent. Which form of urinary
how the kidney found a doctor?
A * Embryonic
B Fetal.
C mature.
D ampullar.
E tree.

278
The patient deep incised wound to the back of the shoulder in its middle third.
About
muscle injury which he can think of?
A * three-headed muscle of the shoulder
B biceps
C anconeus
D shoulder muscle
E-coracoid shoulder muscles

279
The patient is defined infarction. Narrowing of the heart by opening
could lead to this?
A * holes of the aorta
B Holes pulmonary trunk
C Left atrio-ventricular
D Right atrioventricular opening
E openings of the superior vena cava

280
On examination the patient revealed that the horse impetus shifted to 3.5 cm left
from the left sredneklyuchichnoy line. Which camera with hypertrophied hearts?
A * Left ventricle
B The right ventricle
C Right atrium
D Left atrium
E All the cells of the heart

281
The patient was diagnosed defeat of the valves of the right atrio-ventricular
valve. As a result of the inflammatory process which anatomical structures of the
heart
have changed the valves?
A * endocardium
B fibropericarditis
C serous pericardium
D infarction
E Epikardu

282
The man appeared pain, swelling and redness of the skin in the anterior-upper
hip and big toe. What are the lymph nodes of the lower limbs responded
on the inflammatory process?
A * superficial inguinal
B deep inguinal
C internal longitudinal
D surface longitudinal
E total longitudinal

283
The patient does not feel the touch of skin on the anterior surface of the shoulder to
the elbow
joint after injury. Inflammation of the nerve which is observed in the patient?
A Priserednogo cutaneous nerve of arm
B Priserednogo cutaneous nerve pereplichchya
C radial nerve
D ulnar nerve
E inguinal nerve

284
The patient's paralysis mimic muscles, impairment of taste perception in the front 2
/3
language, a decrease salivation. Which of the cranial nerves impressed?
A * n. facialis
B n. glossphapyngeus
C n. hypoglossus
D n. trigeminus
E n. vagus

285
A man after traumatic brain injury occurred right-sided strabismus that
converges. Damage which cranial nerve led to such consequences?
A * n. abducens
B n. facialis
C n. trigeminus
D n. trochlearis
E n. aculomotorius

286
When penetrating wound of abdominal wall wound canal passed over
lesser curvature of the stomach. What education peritoneum likely damaged?
A * Ligamentum hepatogastricum
B Ligamentum gastrocolicum
C Ligamentum hepatoduoduodenale
D Ligamentum hepatorenale
E Ligamentum triangulare sinistrum

287
After the trauma patient can not straighten their arm at the elbow. Disrupters
which of the major muscles can cause this?
A * m. triceps brachii
B m. subscapularis
C m. teres major
D m. infraspinatus
E m. levator scapulae
288
The patient diagnosed with compression fracture of the lumbar vertebra. This
sharply increased curvature of lordosis of the lumbar spine. With the price of which
connection may be accompanied by a change in curvature of the spine?
A * Anterior longitudinal ligament
B posterior longitudinal ligament
C yellow ligament
D Klubov-lumbar ligament
E interspinous connection

289
After traumatic brain injury patient is losing opportunities
perform familiar to trauma complex coordinated movements (apraxia). In what area

cerebral cortex in the norm corresponding localized center?


A * Gyrus supramarginalis
B Gyrus angularis
C Gyrus paracentralis
D Gyrus lingualis
E Gyrus parahipocampalis

290
Spinal cord injury in a traffic accident led to the loss of tactile
sensitivity, sense of body, feelings vibratsii.Kakie conductive
way damaged?
A * A thin and wedge-shaped beams
B Anterior spinal cerebellar path
C Rubrospinalny path
D reticulo-spinal path
E Tektospinalny path

291
On examination the doctor discovered the patient hypertrophy and inflammation of
the lymphoid
tissue, swelling of the mucous membrane between the parentheses of the soft
palate (acute tonsillitis).
Which of the tonsils contained in the norm in this town?
A * Tonsilla palatina
B Tonsilla pharyngealis
C Tonsilla tubaria
D Tonsilla lingualis
E-

292
When performing surgery in the axillary cavity, the surgeon
necessary to allocate the arteries, which is surrounded by bundles of the brachial
plexus.
What is PAD?
A * A. axillaris
B A. vertebralis
C A. transversa colli
D A. profunda brachii
E A. subscapularis

293
In patients with impaired blood coagulation revealed thrombosis of one of the
branches of the lower
mesenteric artery. What a gut surprised?
A * Colon sigmoideum
B Ileum
C Caecum
D Colon transversum
E Colon ascendens

294
The patient admitted to the surgical department with a diagnosis of inguinal Kila.
When operational
intervention plastic surgeon holds the posterior wall of inguinal canal. What it
formed?
A * transverse fascia
B aponeurosis of external oblique abdominal muscles
C inguinal ligament
D Unleashing the lower edge of the transverse abdominal muscles
E peritoneum

295
In the intensive care unit admitted a man with a wound to the back of the neck
regions
(Regio nuchae. Which of the muscles of the body takes this plot?
A * M. trapezius
B M. sternocleidomastoideus
C M. latissimus dorsi
D M.rhomboideus minor
E M. scalenus anterior

296
The patient complains of dizziness and hearing loss What nerve is damaged?
A * prisinkovoy-curl
B trigeminal
C under (a language
D o'
E Block
297
On palpation of breast cancer in a patient identified seals as a node in
nizhnomu medial quadrant. In some lymph nodes may spread
metastases at the same time?
A * Prigrudinni
B Posterior mediastinum
C Deep lateral CHILLY
D Brnholegenevi
E Top diaphragmatic

298
After the trauma patient is a violation of motor centers that regulate
activity of muscles of the head. In what areas of the cerebral cortex in normal
localized
corresponding center?
A * Lower peredtsentralnoi gyrus
B Top peredtsentralnoi gyrus
C Nadkrayova gyrus
D superior parietal particle
E Angular gyrus

299
Seen from the 6-month-old baby doctor found not closed back benevolent. At what
age is
closes at normal development of the child?
A * Up to 3 months of age
B Before Birth
C Up to 6 months of age
D By the end of the first year of life
E By the end of the second year of life

300
The victim with head injury in the temporal region diagnosed epidural
hematoma. Which of the arteries most likely damaged?
A * Average Obolon artery
B middle cerebral artery
C superficial temporal artery
D Front Obolon artery
E Posterior auricular artery

301
The patient found paralysis of facial and chewing muscles. Hematoma is
knee internal capsule. What is leading the way damaged?
A * Tr. cortico-nuclearis.
B Tr. cortico-spinalis.
C Tr. cortico-thalamicus.
D Tr. cortico-fronto-pontinus.
E Tr. cortico-temporo-parieto-occipito-pontinus.

302
An elderly woman was hospitalized with complaints of extreme pain, swelling in the
area
right hip joint, which appeared after the fall. Seen: hip
given by mouth, movement of the hip violated. Fracture, which bone or
of identified doctor?
A * neck of femur
B the body of the femur
C condyles of the femur
D pubis
E ischium

303
The patient does not feel the touch of the skin in the area priserednoi surface of the
shoulder. Inflammation
whose nerve is observed in the patient?
A * priserednogo cutaneous nerve of arm
B priserednogo cutaneous nerve of forearm
C radial nerve
D ulnar nerve
E axillary nerve

304
Intraorbital foreign body (button) closed space of partial upper bronchus of the right
lung. In
which segments of the right lung air will not get?
A * Apical, posterior and anterior
B The upper and lower reed
C Apical and posterior basal
D Apical and basal priseredny
E medial and lateral

305
The patient exhibited diagnosis bartholinitis (inflammation of the large glands
prisinka. In what
urogenital system are these glands?
A * labia
B small labia
C clitoris
D vagina
E uterus
306
During the operation, the inguinal canal, for hernia patient, the surgeon injured
its contents. Identify, damaging the surgeon:
A * Funiculus spermaticus
B Urarchus
C Lig. teres uteri
D Lig. inguinale
E-

307
Ultrasonography in the patient revealed an aneurysm in the aortic arch, which led
to a change
voice function larynx. What a nerve with ne?
A * Rotary laryngeal
B phrenic
C superior laryngeal
D mandibular
E hyoid

308
The patient consulted a doctor with complaints brought sense of balance, which
appeared
after injury. What nerve is damaged?
A * prisinkovoy-curl
B trigeminal
C Facial
D Sub
E Vagus

309
In the operational approach to the thyroid gland cross (neck)
Access opens mizhaponevrotichny nadgrudnny space. Damage is
anatomical entities in this space is dangerous?
A jugular venous arch
B External jugular vein
C subclavian vein
D inferior thyroid artery
E superior thyroid artery

310
During surgery on pelvis, women became necessary
bind ovarian artery. Which entities can be accidentally swathed
with her?
A * Ureters
B oviduct
C round ligament of uterus
D Internal iliac Vienna
E Urethra

311
The victim taken to the surgical department with a penetrating wound to the
the left side of the abdomen. Which division intestine, probably damaged?
A * Colon descendens
B Colon ascendens
C Colon transverses
D Cecum
E Rectum

312
Victim in crash driver taken to hospital with damage to the medial
nadvirostka humerus. What a nerve there may be damaged.
A * n. Ulnaris
B n. radialis
C n. axillaries
D n. muscolocutaneus
E n. medianus

313
In the hospital emergency room patients admitted with knife wounds to his left
lumbar
area. During the operation the surgeon found that the internal organs are not
damaged,
but the knife damaged one of the muscles of renal bed. We call this muscle.
A * psoas muscle
B iliacus
C Rectifier spine
D internal oblique.
E external oblique muscle belly

314
During the passage of a medical examination in a patient 25 years was revealed
pathological
type of chest. In this case the transverse dimensions have been reduced,
and the breast
strongly forward. Determine the type of chest.
A * pigeon breast
B chonechondrosternon
C flat chest
D cylindrical thorax
E Barrel chest
315
A man with a stab wound in the four-hole went to a doctor.
The examination revealed that the victim can not withdraw his hand from
the body. What nerve
probably damaged?
A * n. Axillaris
B n. medianus
C n. radialis
D n. ulnaris
E n. subclavius

316
When imaging of the brain revealed a tumor patient in the region where
red nucleus. Which division of the brain damaged?
A * Average
B Medulla
C cerebellum
D Sub
E Bridge

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