Таблица 1.Перечень заданий по гинекологии для студентов 5 курса лечебного факультета за VII – учебный семестр, обучающихся на английском языке.
Topic N 26: Organization of the gynecological hospital. Type The code Research methods in gynecology. Ф
The main indicator of the effectiveness of a preventive В 001 gynecological examination of working women is
О Г number of women examined
О Б the number of gynecological patients taken to the dispensary
О В the number of women referred for treatment in a sanatorium the proportion of identified gynecological patients among the О А examined women О Д correct a) and б)
The role of examination gynecological rooms in polyclinics В 002 consists, as a rule О Г in the medical examination of gynecological patients О Б in the examination and observation of pregnant women О В in conducting periodic medical examinations О А in coverage of preventive examinations of unemployed women О Д correct в) and г)
Women's consultation is a structural unit 1) maternity hospital В 003 2) clinics 3) medical and sanitary part 4) sanatorium-preventorium О Б correct 1, 2, 3 О А correct 1, 2 О В all answers are correct О Г correct only 4 О Д all answers are wrong
The concept of "family planning" most likely means activities that help families В 004 1) avoid unwanted pregnancy 2) adjust the intervals between pregnancies 3) to produce the desired children 4) increase the birth rate О А correct 1, 2, 3 О Б correct 1, 2 О В all answers are correct О Г correct only 4 О Д all answers are wrong
In a women's consultation it is advisable to organize specialized receptions for the following diseases В 005 1) infertility 2) miscarriage 3) gynecological diseases in children and adolescents 4) diabetes of pregnant women О Б correct 1, 2, 3 О А correct 1, 2 О В all answers are correct О Г correct only 4 О Д all answers are wrong
Dispensary monitoring in a women's clinic is usually subject to patients 1) with infertility and neuroendocrine disorders of generative В 006 function 2) with inflammatory diseases of the female genitals 3) with benign tumors of the genitals
4) with trichomoniasis О А correct 1, 2, 3 О Б correct 1, 2 О В all answers are correct О Г correct only 4 О Д all answers are wrong
A preventive gynaecological examination is usually referred to as a medical examination 1) the contingent of women working in harmful production conditions В 007 2) decreed contingents of workers and employees when applying for employment 3) patients registered at the dispensary 4) women with the purpose of detecting gynecological and oncological diseases О Г correct 1, 2, 3 О Б correct 1, 2 О В all answers are correct О А correct only 4 О Д all answers are wrong
Periodic medical examinations of women, as a rule, mean an examination 1) decreed contingents of workers and employees when applying В 008 for employment 2) workers and employees who deal with harmful factors of production in the course of work 4) pregnant women registered at a dispensary О Г correct 1, 2, 3 О Б correct 1, 2 О В all answers are correct О А correct only 4 О Д all answers are wrong
When microscopy of the vaginal smear, you can determine the В 009 endocrine changes occurring in the body. To do this, you must consider О Д belonging of cells to one or another layer of the vaginal epithelium
О Б the degree of staining the protoplasm of cells
О В cell nucleus size
О Г epithelial cell ratio
О А all of the above
В 010 Karyopiknotic index is a percentage eosinophilic superficial cells of the vaginal epithelium to the total О В number of cells in the smear surface cells of the vaginal epithelium with pyknotic nuclei to the О Б total number of cells in the smear basal and parabasal cells of the vaginal epithelium to the total О А number of cells in the smear surface cells of the vaginal epithelium with pyknotic nuclei to О Г eosinophilic surface cells О Д nothing of the above
В 011 Basal temperature test based О Б on the effects of estrogen on the hypothalamus О А on the effect of prostaglandins on the hypothalamus on the effect of progesterone on the thermoregulatory center of the О В hypothalamus О Г on nothing of the above О Д on all of the above
The monotonous hypothermic curve of basal temperature is В 012 characteristic О В for a two-phase menstrual cycle for a biphasic menstrual cycle with a shortening of the luteal phase О Б up to 5 days О А for anovulatory menstrual cycle О Г nothing of the above О Д on all of the above
An indicator of insufficiency of the function of the corpus luteum В 013 on the graph of basal temperature (with a normoponing menstrual cycle) is the duration of the second phase less О Б 4-6 days О А 6-8 days О В 8-10 days О Г 10-12 days О Д on nothing of the above
In a biphasic menstrual cycle, the difference between the basal В 0014 temperature of the I and II phases is О Б 0.2-0.3°С
О А 0.4-0.6°С
О В 0.7-0.8°С
О Г 0.9-1.5°С
О Д nothing of the above
With a normoponing biphasic menstrual cycle, the symptom of В 0015 arborization of cervical mucus (+ - -) corresponds th О Б 4 day of the menstrual cycle th О А 7 day of the menstrual cycle th О В 10 day of the menstrual cycle th О Г 13 day of the menstrual cycle th О Д 16 day of the menstrual cycle
Pupil phenomenon (+ + +): opening of the cervical canal up to 0.3 В 0016 cm in diameter (external pharynx in the form of a circle) corresponds to th О Д 5-6 day of the menstrual cycle th О Б 7-8 day of the menstrual cycle th О В 9-10 day of the menstrual cycle th О Г 9-10 day of the menstrual cycle th О А 13-14 day of the menstrual cycle
A positive symptom of the pupil throughout the menstrual cycle В 0017 indicates О Д about the presence of hyperandrogenism
О Б on shortening phase II of the cycle
О В about anovulatory cycle
О Г about all of the above
О А nothing of the above anything
The symptom of stretching cervical mucus by 5-6 cm with a В 0018 normal menstrual cycle corresponds О В 1-5 th day of the menstrual cycle О Б 6-10 th day of the menstrual cycle О А 12-14 th day of the menstrual cycle О Г 16-20 th day of the menstrual cycle О Д 22-24 th day of the menstrual cycle
Stretching of cervical mucus to 10-12 cm on the 24th day of the В 0019 menstrual cycle indicates О В about anovulatory cycle О Б about hyperandrogenism О А on shortening phase II of the cycle О Г on shortening phase I of the cycle О Д nothing of the above anything
A positive progesterone test for amenorrhea (manifestation 2-3 В 0020 days after discontinuation of the drug menstrual-like bleeding) indicates О Б the presence of endometrial atrophy О А about sufficient estrogenic saturation of the body
О В about hyperandrogenism
О Г about hypoestrogenism
О Д about reduced levels of progesterone in the body
When conducting a hormonal test in a patient with amenorrhea В 0021 with estrogens and gestagens, a negative result (absence of a menstrual reaction) indicates О В the presence of amenorrhea of central genesis
О Б ovarian form of amenorrhea
О А about the uterine form of amenorrhea
О Г the presence of sclerocystic ovary syndrome
О Д nothing of the above
In the normal course of pregnancy, the level of CG reaches a В 0022 maximum at О В 5-6 weeks
О Б 7-8 weeks
О А 9-10 weeks
О Г 11-12 weeks
О Д 13-14 weeks
When using the radioisotope diagnostic method, 32P accumulation В 0023 in the uterus of more than 350% is characteristic О Д for endometrial atrophy О Б for uterine fibroids О В for endometrial polyposis О Г for endometriosis О А for endometrial cancer
For the diagnosis of submucous uterine fibroids with В 0024 hysterosalpingography, it is better to use contrast agents О А watersoluble О Б fatsoluble О В and those and others О Г neither one nor the other
To diagnose adenomyosis, hysterosalpingography should be В 0025 performed. О А на 7-8 th day of the menstrual cycle О Б на 1-5 th day of the menstrual cycle О В на 20-25 th day of the menstrual cycle О Г на 26-28 th day of the menstrual cycle
Contraindications to laparoscopy in gynecology is all of the above, В 0026 except О В acute inflammatory process in the appendages О Б pronounced adhesive process in the abdominal cavity
О А impaired uterine pregnancy
О Г severe general condition of the patient
В 0027 Dexamethasone test used for diagnosis О Д adrenogenital syndrome О Б adrenal cortical hyperplasia О В Itsenko - Cushing's syndrome О Г correctly а) and б) О А all of the above
The diagnostic value of laparoscopy in gynecology is especially В 0028 high for all these conditions, except О Б undisturbed ectopic pregnancy О А uterine pregnancy О В ovarian tumors О Г uterine fibroids О Д all of the above
When conducting a morphological study, the following data allow В 0029 to suspect cervical cancer О Д polymorphism of cells and their nuclei О Б polymorphism of cells and their nuclei О В violation of stratification of the epithelial layer О Г nothing of the above О А all of the above
В 0030 Indications for excretory urography are the need to establish the anatomical and functional state of the О А kidneys and ureters О Б suspected uterine perforation during abortion
О В suspected cervical cancer
О Г internal endometriosis
О Д all of the above
В 0031 Indication for irrigoscopy and sigmoidoscopy in gynecology is О А ovarian tumor
О Б suspected ectopic pregnancy
О В endometriosis
О Г correctly а) and б)
О Д correctly а) and в)
If uterine body endometriosis is suspected, hysterography should В 0032 be performed. rd О Б on the 2-3 day of the menstrual cycle th О А на 7-8 day of the menstrual cycle th О В on the 14-16 day of the menstrual cycle th О Г on the 20-22 day of the menstrual cycle th О Д on the 26-28 day of the menstrual cycle
The shortest period of pregnancy, counting from the moment of В 0033 conception at which it is possible to detect a fetal egg using transabdominal ultrasound, is О В 1 Week О Б 2 weeks О А 3 weeks О Г 4 weeks О Д 5 weeks
If endometrial cancer is suspected, hysteroscopy allows you to В 0034 establish all of the above, except О В the presence of a pathological process О Б spread over the surface of the process О А depth of invasion О Г perform targeted biopsy
В 0035 The indications for hysteroscopy are all of these reasons except О В dysfunctional uterine bleeding О Б postmenopausal bleeding О А suspected ectopic pregnancy О Г infertility
Possible causes of diagnostic errors when using morphological В 0036 methods of research in gynecology may be inferiority of the studied material (necrotic tissue taken not from О Д the lesion or improperly stored)
О Б incomplete and inaccurate clinical data
О В insufficient degree of specialist training
О Г lack of a single interpretation of the same pathological process
О А all listed
В 0037 In infertility, hysterosalpingography is best done th О А on the 7-8 day of the menstrual cycle th О Б on the 9-12 day of the menstrual cycle th О В on the 13-15 day of the menstrual cycle th О Г on the 16-20 day of the menstrual cycle th О Д on the 21-25 day of the menstrual cycle
В 0038 Colposcopy determines surface relief of the mucous membrane of the vaginal portion of О Г the cervix О Б the border of the flat and cylindrical epithelium of the cervix О В features of the vascular pattern on the cervix О А all listed О Д nothing of the above
To diagnose the function of FPS use all of the above methods, В 0039 except О А radiological
О Б ultrasound
О В hormonal
О Г radioisotope (scintigraphy)
Functional diagnostic tests usually include 1) study of cervical mucus В 0040 2) measurement of basal temperature 3) colpositology 4) endometrial biopsy О В correct 1, 2, 3 О Б correct 1, 2 О А all answers are correct О Г correct only 4 О Д all answers are wrong
The use of 3% acetic acid with advanced colposcopy allows 1) to distinguish a pathological site from an unchanged mucous membrane of the cervix В 0041 2) to differentiate benign changes in the mucous membrane of the cervix from atypical 3) refuse unnecessary biopsy 4) diagnose cervical cancer О А correct 1, 2, 3 О Б correct 1, 2 О В all answers are correct О Г correct only 4 О Д all answers are wrong
В 0042 The indication for hysterosalpingography is
О Д suspected tubal infertility
О Б the presence of intrauterine pathology
О В the presence of intrauterine pathology О Г suspected tubal pregnancy
О А all answers are correct
Hysterosalpingography is acceptable in the background 1) chronic gastritis В 0043 2) chronic salpingo-ooportitis 3) subacute colpitis 4) flu О Б correct 1, 2, 3 О А correct 1, 2 О В all answers are correct О Г correct only 4 О Д all answers are wrong
Topic №27 “Inflammatory diseases of the female genital organs of nonspecific ethology. Dependence of their type code development, course and outcomes on working and living conditions. ” Ф
In the uterine cavity, the infection most often penetrates through В 0044 the cervical canal: О Б using trichomonads
О В using sperm due to passive transport as a result of negative intra-abdominal О Г pressure that occurs when the diaphragm moves
О А all the listed ways
О Д none of the listed methods
Clinical symptoms that always precede perforation of a purulent В 0045 inflammatory formation of the uterine appendages: О Б chills О В the appearance of diarrhea О Г the appearance of pain during urination О А all of the above О Д none of the above
В 0046 Bacteroids are most sensitive to action: О Б lincomycin О В metronidazole О Г erythromycin О А all of the above
When conducting chemical provocation in patients with chronic В 0047 salpingo-oophoritis, apply: О Б silver nitrate solution 0.5% and 2-3% О В Lugol's solution diluted with distilled water О Г 10% sodium chloride solution О А all of the above
В 0048 Dimexide has the following effect: О Б analgesic О В anti-inflammatory О Г facilitates the penetration of the drug into the tissues О А all of the above
В 0049 For the treatment of Candida vaginitis in pregnant women use: О А Klion-D О Б nystatin О В calendula tincture О Г all of the above
Treatment of vaginitis in pregnant women should be carried out В 0050 by everyone except: О А in the first trimester of pregnancy О Б in the second trimester of pregnancy О В in the third trimester of pregnancy
Features of the clinical course of tuberculosis of the uterus are all В 0051 but: as a rule, there is a combination with tuberculosis of the О Б appendages
О А the body of the uterus is usually enlarged
О В there is a menstrual dysfunction
В 0052 Sexual transmission of the infection is characteristic mainly of all, except: О Б for chlamydia
О А for herpes simplex virus
О В for Trichomonas
Currently, the following features of microflora are noted in В 0053 inflammatory diseases of the female genital organs: О Б predominance of associations of microorganisms О В an increase in the number of anaerobes and viruses
О Г the presence of chlamydia and mycoplasmas
О А all of the above
With exacerbation of chronic salpingo-oophoritis, everything is В 0054 noted, except: О Б pain in the abdomen and in the lumbar region О В pain on palpation of the posterior nerve plexus in the area of the point located in the middle between the womb О А and the navel
В 0055 Bactericidal antibiotics include all of the following, except: О Б ampicillin О А oleandomycin О В gentamicin О Г zeporin О Д kefzol
В 0056 Bacteriostatic antibiotics include all of the following, except: О А carbenicillin О Б erythromycin О В morphocycline О Г chloramphenicol О Д lincomycin
В 0057 Patients with a Bartholin's cyst should be recommended: О Б ultraviolet radiation treatment only at the stage of exacerbation of the inflammatory О В process О А surgical treatment - husking of a Bartholin gland cyst - in remission О Г all of the above
To the features of the course of inflammatory diseases of the В 0058 female genital organs of a non-specific etiology, all of the above applies, except: increase in the number of patients under the age of 18 years and О Б older than 55 years
О В increase in the number of tubo-ovarian formations
О А absence in most patients of a clear clinical picture of the disease
О Г significantly more frequent detection of parametritis the tendency of inflammatory diseases to a long chronic course О Д with frequent exacerbations
The microorganisms that are most often the causative agents of В 0059 inflammatory diseases of the female genital organs of non-specific etiology include all of the following, except: О Б staphylococcus
О В streptococcus
О А gonococcus
О Г gardnerella
О Д anaerobes
Features of sexual function in patients with chronic salpingo- В 0060 oophoritis: О Б decrease or absence of libido
О В pain during intercourse
О Г aversion to sexual intercourse
О А all of the above
The exudation phase associated with an increase in the В 0061 permeability of the walls of the capillaries in the focus of inflammation is characteristic of the stages of inflammation: О Б acute О В subacute О Г exacerbations of the chronic process (one option) О А all of the above
Features of the clinical course of pelvic peritonitis of gonorrheal В 0062 etiology, in contrast to pelvic peritonitis of non-specific etiology, are all but: О Б tendency to form adhesions and splices О В more often delimitation of the process the presence of symptoms of peritoneal irritation in the lower О А abdomen
The treatment of patients with chronic gonorrhea includes all of В 0063 the above О Б gonovaccine therapy О В pyrogenal
О А spa treatment
О Г vaginal baths with 3-5% protargol solution
О Д instillations into the urethra of a 0.5-1% solution of silver nitrate
The criterion of cure in patients with gonorrhea is established after В 0064 treatment for: О Б 1 month
О В 2 months
О А 3 months О Г 4 months О Д 5 months
In the pathogenesis of inflammatory diseases of the female genital В 0065 organs of non-specific etiology, of particular importance О Б microbial virulence
О В the state of the body's defenses
О Г presence of wound entrance gates
О А all of the above
In patients with chronic endometritis, spotting from the genital В 0066 tract is observed: О Б premenstrual О В postmenstrual О Г intermenstrual (ovulatory) О А all of the above
By the time antibiotic therapy is completed in patients with В 0067 exacerbation of chronic salpingo-oophoritis, everything is noted except for: О Б normalization of body temperature О В subjective improvement О А deepening immunodeficiency
In patients with purulent inflammatory formation of the uterine В 0068 appendages in the stage of clinical remission, the following preoperative examination is indicated: О Б excretory urography О В kidney ultrasound О Г radioisotope renography О Д all of the above О А nothing of the above
With exacerbation of chronic salpingoophoritis by the type of В 0069 pelvic neuralgia, all of the above is most effective, except: О А antibiotic therapy О Б amidopyrine electrophoresis
О В diadynamic currents
О Г UV eritemoterapii
О Д amplipulse therapy
Phonophoresis with naphthalan is most appropriate for patients В 0070 with chronic salpingo-oophoritis and: О Б menstrual irregularities type of oligomenorrhea О В disease duration up to 5 years О Г hypoestrogenia О А all of the above
У больных с хроническим сальпингоофоритом и абсолютной В 0071 гиперэстрогенией показаны все перечисленные физиопроцедуры, кроме: О А phonophoresis with naphthalan О Б electrophoresis of potassium iodide О В radon and iodine-bromine baths О Г exposure to an alternating magnetic field of low frequency О Д pulsed ultrasound
The conditions for the occurrence of postoperative peritonitis are В 0072 all listed, except О Б seam failure О В infection of the abdominal cavity during surgery О Г stump tissue necrosis distal to the ligature (with large stumps) О Д insufficiently careful hemostasis О А operation duration up to 2.5-3 hours
In patients with the toxic stage of gynecological peritonitis, all of В 0073 the following is noted, except: О Б tachycardia (up to 120 per minute)
О В severe shortness of breath
О А lack of pain on palpation of the anterior abdominal wall
О Г hypotension
О Д oliguria
В 0074 The following phases of septic shock are distinguished: О Б warm normotension
О В warm hypotension
О Г cold hypotension
О А all of the above
О Д nothing of the above
В 0075 Vaginal discharge in patients with gardnerellosis usually: О Б plentiful
О В slightly viscous and sticky
О Г light gray or yellow green
О А all of the above
For the treatment of gardnerellosis, it is advisable to use in В 0076 patients: О Б doxycycline О В tinidazole О А dalacin C О Г all of the above
In patients with chlamydial cervicitis (outside pregnancy), it is В 0077 better to use all of the above, except: О Б doxycycline О В erythromycin О Г sumamed О А ampicillin О Д tetracycline
В 0078 Chronic non-specific endomyometritis is characterized by: О Б recurrent course О В menstrual dysfunction О Г hyperandrogenism О Д hyperprolactinemia О А all of the above О Е nothing of the above
With chronic endometritis in patients, it is often noted 1) metrorrhagia 2) a tendency to miscarriage В 0079 3) pain in the lower abdomen during menstruation 4) violation of the general condition of women: euphoria or lethargy: О А correctly 1, 2, 3
О Б correctly 1, 2
О В all of the above
О Г correctly 4
О Д nothing of the above
В 0080 The leading links in the pathogenesis of peritonitis are: О Б intoxication
О В paralytic (paretic) bowel obstruction
О Г exudation of the peritoneum
О Д hypovolemia О А all of the above
О Е nothing of the above
In patients with acute vulvitis of nonspecific etiology, the following typical complaints are noted 1) burning of the vulva during urination В 0081 2) the presence of purulent discharge from the surface of the vulva 3) increase in body temperature to 39-40 ° C 4) the presence of nausea and vomiting: О Б correctly 1, 2, 3
О А correctly 1, 2
О В all of the above
О Г correctly 4
О Д nothing of the above
The clinical signs of a true Bartholin gland abscess are 1) an increase in body temperature to 39-40 ° C, chills 2) an increase in inguinal lymph nodes on the affected side is possible В 0082 3) determination of fluctuations in the area of enlarged and painful palpation of the bartholin gland 4) the presence of a painful formation in the thickness of the upper third of the labia majora (on one or both sides): О А correctly 1, 2, 3
О Б correctly 1, 2
О В all of the above
О Г correctly 4
О Д nothing of the above
Features of the course of tuberculous lesions of the uterine В 0083 appendages are as follows: О Б the course of the disease is most often chronic palpation can be determined clearly defined appendages of the О В uterus limited in mobility often there is a mismatch of expressed anatomical changes from О Г internal complaints and general satisfactory consisting patients О Д entero-epididymal and epididymal vesic fistula may form
О А all of the above
В 0084 For the diagnosis of genital tuberculosis apply: О Б hysterosalpingography О В bi-contrast gynecography О Г tuberculin diagnostics О Д lymphography
О А all of the above
О Е nothing of the above
Often there is the following localization of the inflammatory process of the genitals due to chlamydial infection 1) cervicitis В 0085 2) salpingoophoritis 3) endometritis 4) vulvit: О А correctly 1, 2, 3
О Б correctly 1, 2
О В all of the above
О Г correctly 4
О Д nothing of the above
With urogenital trichomoniasis, it is mainly affected 1) the vagina В 0086 2) urethra 3) cervical canal 4) bladder: О А correctly 1, 2, 3
О Б correctly 1, 2
О В all of the above
О Г correctly 4
О Д nothing of the above
In accordance with the existing classification, gonorrhea is В 0087 distinguished: О Б fresh gonorrhea О В chronic gonorrhea О Г latent gonorrhea О Д gonococcus carrier
О А all of the above
О Е nothing of the above
Features of menstrual function in patients with chronic salpingo- В 0088 oophoritis: О Б hypermenorrhea О В polymenorrhea О Г hypomenorrhea О Д oligomenorrhea
О А all of the above
О Е nothing of the above
For the treatment of patients with genital warts of the external genital organs, as a rule, they are used 1) resorcinol topically В 0089 2) surgical treatment - excision of genital warts 3) cryodestruction 4) amphotericin topically: О А correctly 1, 2, 3
О Б correctly 1, 2
О В all of the above
О Г correctly 4
О Д nothing of the above
В 0090 The principles of treatment of patients with genital candidiasis: О Б antiprotozoal and antimicrobial sanitation of foci of infection О В candidiasis treatment О Г treatment of sexual partner О Д exclusion of sexual activity during treatment О А all of the above
Conditions conducive to the penetration of microbes into the В 0091 uterus and its appendages: О Б perineal tears О В sexual health violation violation of the function of self-cleaning of the vagina (due to О Г frequent and lengthy treatments with various chemicals) dehiscence external cervical os (orificium externum uteri) (at О Д unsutured cervix ruptures) О А all of the above О Е nothing of the above
Violation of generative function in women suffering from chronic В 0092 salpingo-oophoritis, manifests itself in the development of them: О Б infertility О В ectopic pregnancy О Г spontaneous miscarriage О Д non-developing pregnancy О А all of the above О Е nothing of the above
Changes in the composition of microorganisms that are the В 0093 causative agents of inflammatory diseases of the female genital organs of non-specific etiology (recently): О Б staphylococcus predominates О В anaerobic infection increased significantly О Г associations of pathogen microbes are noted О Д increased role of Escherichia coli, Proteus О А all of the above О Е nothing of the above
In recent years, there has been a connection between the development of inflammatory tubo-ovarian formations: 1) with abortions, spontaneous miscarriages В 0094 2) with hysterosalpingography, hysteroscopy 3) with the intrauterine device in the uterine cavity 4) with childbirth О А correctly 1, 2, 3 О Б correctly 1, 2
О В all of the above
О Г correctly 4
О Д nothing of the above
Features of the treatment of patients with chronic salpingo- В 0095 oophoritis: О Б beginning of treatment - exacerbation of the inflammatory process О В accounting for ovarian function thorough contraception with a male mechanical tool during О Г treatment and within 3-4 months after its completion О Д treatment of chronic endometritis О А all of the above О Е nothing of the above
Prevention of the development of chronic inflammatory diseases В 0096 of the female genital organs of non-specific etiology: О Б abortion prevention О В post-abortion rehabilitation timely diagnosis and treatment of subacute endometritis after О Г childbirth account contraindications to the introduction of an intrauterine О Д device О А all of the above О Е nothing of the above
In patients with chronic recurrent salpingo-oophoritis, the В 0097 following occurs: О Б violation of the excretion of gonadotropins О В decrease in bactericidal activity of blood serum О Г hypofunction of the adrenal cortex О Д autoimmunization О А all of the above О Е nothing of the above
With purulent inflammatory formations of the uterine appendages, В 0098 very often occurs О Б microperforation of the formation followed by the development of peritonitis О В perforation of education into adjacent pelvic organs О Г formation of inter-intestinal abscess О Д genital fistula formation О А all of the above О Е nothing of the above
For the toxic stage of gynecological peritonitis, as a rule, it is В 0099 characteristic: О Б decreased phagocytic activity of white blood cells decrease in total protein and albuminoglobulin coefficient in О В blood serum О Г sharply positive reaction to C-reactive protein О Д decrease in the number of monocytes О А all of the above О Е nothing of the above
В 0100 Of great importance in the development of gardnerellosis О Б hypoestrogenism О В alkaline pH shift of vaginal contents О Г death of lactobacilli О Д anaerobic growth О А all of the above О Е nothing of the above
Topic N 28. Normal menstrual function and forms of its type code disorders. Ф With a menstrual cycle lasting 28 days, it should be considered a В 0101 cycle: О А normoponing О Б anteponing О В postponing
В 0102 Features of a normal menstrual cycle are: О Б ovulation О В formation of the corpus luteum in the testicle О Г the prevalence of gestagens in the second phase of the cycle О А all of the above О Д nothing of the above
В 0103 Anovulatory menstrual cycle is characterized by: О Б cyclic changes in the body О А prolonged persistence of the follicle О В the prevalence of gestagens in the second phase of the cycle О Г the prevalence of gestagens in the first phase of the cycle
В 0104 The hypothalamus produces the following hormones: О Б gonadotropins О В estrogens О Г gestagens О А releasing factors
В 0105 Releasing factors carry out: О А transmission of nerve impulses to the endocrine system О Б gonadotropin production О В both О Г neither one nor the other
The interaction of the hypothalamus, pituitary and ovaries in the В 0106 regulation of the menstrual cycle is as follows: О Б higher link stimulates lower link function О В lower link slows down or adjusts the function of the higher link О Г link function synchronous О Д shutting down one link violates the whole system О А all of the above
В 0107 Estrogens are secreted by: О Б cells of the inner lining of the follicle О В corpus luteum О Г adrenal cortex О А all of the above О Д nothing of the above
В 0108 In the glomerular zone of the adrenal cortex is formed: О Б glucocorticoids О А aldosterone О В norepinephrine О Г androgens О Д all of the above
В 0109 FSH stimulates: О А follicular growth in the ovary О Б corticosteroid production О В thyroid gland TSH production О Г all of the above
В 0110 Low doses of estrogen: О А stimulate FSH production О Б suppress FSH production О В enhance LH production О Г suppress LH production
With a normal menstrual cycle, a high level of estrogen saturation В 0111 occurs: О А on the 14th day О Б on the 21st day О В both are true О Г neither one nor the other
В 0112 The main effect of estrogen on the body: О Б block oxytocin receptors О В stop (weaken) proliferative processes in the endometrium О Г cause secretory transformations in the endometrium О Д all of the above О А nothing of the above
В 0113 Estrogens have the following effects: О Б contribute to peristalsis of the uterus and tubes О В enhance ossification processes О Г stimulate the activity of cellular immunity О А all of the above О Д nothing of the above
В 0114 Progestogens have the following effect: О Б lower blood cholesterol determine the development of primary and secondary sexual О В characteristics О Г increase the tone of the uterus О Д all of the above О А nothing of the above
В 0115 Conditions for estrogen action: О Б sufficient folic acid О В sufficient ascorbic acid О А both О Г neither one nor the other
В 0116 Progestogens have the following effects on the body: О Б hyperthermic О В inhibit the separation of bile О Г enhance the separation of gastric juice О А all of the above О Д nothing of the above
В 0117 Androgens are formed: О Б in the ovary (interstitial cells, stroma, internal flow) О В in the mesh zone of the adrenal cortex О А both are true О Г both are wrong
В 0118 Functional Diagnostic Tests (TFD) allow you to determine: О Б biphasic menstrual cycle О В body estrogen saturation level О Г the presence of ovulation О Д the usefulness of the luteal phase of the cycle О А all of the above
An increase in rectal body temperature in the second phase of the В 0119 ovulatory menstrual cycle is due to: the action of ovarian progesterone on the thermoregulation center О Б in the hypothalamus О В the action of progesterone, which reduces heat transfer О Г intensification of biochemical processes in the uterus О А all of the above О Д nothing of the above
В 0120 Proomenorrhea is: О Б meager menstruation О В short menstruation (1-2 days) О А short menstrual cycle, frequent menstruation О Г all of the above О Д nothing of the above
For anovulatory menstrual cycle with a short-term persistence of a В 0121 mature follicle is characteristic: О Б pupil symptom (+++) О В single phase basal temperature in scraping the endometrium in the second phase of the cycle - the О Г late phase of proliferation О А all of the above О Д nothing of the above
Anovulatory menstrual cycle with atresia of the follicles is В 0122 characterized by: О Б high estrogen levels О А opsomenorrhea, followed by prolonged blood anointing О В both О Г neither one nor the other
В 0123 Primary algomenorrhea is caused by: О Б infantilism О В retrodervation of the uterus О Г high prostaglandin production О А all of the above О Д nothing of the above
The usefulness of the luteal phase of the menstrual cycle is В 0124 indicated by: О Б increase in basal temperature in the first phase of the cycle proliferative processes in the endometrium in the second phase of О В the cycle О Г both О А neither one nor the other
Treatment of patients with ovarian exhaustion syndrome should В 0125 be directed: О Б to stimulate ovarian function О В to get a menstrual reaction О А to reduce the severity of vegetative-vascular disorders О Г all of the above О Д nothing of the above
To diagnose a typical form of sclerocystic ovary, a hormonal test В 0126 is used: О Б with regulon О В with dexamethasone О Г with chorionic gonadotropin О А all of the above О Д nothing of the above
The mechanism of action of hormones on the cell is due to the В 0127 presence of: О Б prostaglandins О А receptors О В specific enzymes О Г all of the above О Д nothing of the above
В 0128 The effect of large doses of exogenous estrogen on the ovary: О Б ovarian production of estrogen increases О В progesterone production increases О А atrophy of the ovarian tissue О Г nothing of the above
The phase of secretion in the endometrium can be complete only В 0129 if: О Б complete proliferation phase О В ovulation occurred О Г functioning corpus luteum О А all of the above
В 0130 Amenorrhea is the absence of menstruation during: О Б 4 month О В 5 months О А 6 months О Г all of the above О Д nothing of the above
В 0131 Objective data that are important in the diagnosis of amenorrhea: О Б body weight, woman's height О В genital development О Г blood pressure, blood sugar О А all of the above О Д nothing of the above
В 0132 In patients with endocrine infertility, clomiphene is used if: О Б basal temperature increased to 37 ° C О В karyopiknotic index in the range of 10-20% О А there is a good estrogen level О Г all of the above О Д nothing of the above
Ф Topic N 29. Dysfunctional uterine bleeding.
В 0133 Nipple pigmentation and breast enlargement usually occur: О Б at 8-9 years old О В at 10-11 years old О А at 12-13 years old О Г at 14-15 years old О Д at 16-18 years old
В 0134 Juvenile uterine bleeding is most often caused by: О Б violation of the rhythmic production of ovarian hormones О В organic diseases of the reproductive system О Г a disease of various body systems О А all of the above О Д nothing of the above
With anovulatory uterine bleeding during puberty in girls, the В 0135 following occurs: О Б lack of ovulation and luteal phase of the cycle О А follicle persistence О В follicular atresia О Г all of the above О Д nothing of the above
The main causes of delayed sexual development of central genesis В 0136 are: О А violation of the regulatory function of the hypothalamus О Б hereditary inferiority of the hypothalamus and pituitary gland О В toxic infectious diseases (chronic tonsillitis, rheumatism, flu) О Г stressful situations О Д all of the above
With genital infantilism, the ratio of the cervix to the uterus В 0137 usually corresponds to: О Б 1:3 О А 1:2 О В 1:1 О Г 3:1 О Д 2:1
В 0138 Treatment of algomenorrhea in a girl is to use: О Б sedative drugs О В microclyster with camomile О Г analgesics (prostaglandin inhibitors) О А vitamin E О Д all of the above
During puberty, dysfunctional uterine bleeding is most often of В 0139 the nature: О Б ovulatory О А anovulatory, acyclic О В both those and others О Г neither one nor the other
В 0140 The girl leads to endometrial hyperplasia: О Б follicle persistence О В follicular atresia О А both О Г neither one nor the other
Patients with dysfunctional uterine bleeding during puberty differ В 0141 from healthy peers: О Б outstripping the rate of sexual morphotype О В intersex morphotype О Г infantile morphotype О А all of the above О Д nothing of the above
Treatment for dysfunctional uterine bleeding in adolescence В 0142 includes: О Б physiotherapeutic treatment О В vitamins О Г reducing drugs О Д hemostatic drugs О А all of the above
Research methods commonly used in DMB 1) FTD В 0143 2) hysteroscopy 3) diagnostic curettage of the uterus 4) laparoscopy: О А correct 1, 2, 3 О Б correct 1, 2 О В all of the above О Г correct 4 О Д nothing of the above
Anovulatory menstrual cycle with atresia of the follicles is В 0144 characterized by: О Б high estrogen levels О А opsomenorrhea, followed by prolonged blood anointing О В both О Г neither one nor the other
В 0145 Primary algomenorrhea is caused by: О Б infantilism О В retrodervation of the uterus О Г high prostaglandin production О А all of the above О Д nothing of the above
В 0146 The usefulness of the luteal phase of the menstrual cycle is indicated by: О Б increase in basal temperature in the first phase of the cycle proliferative processes in the endometrium in the second phase of О В the cycle О Г both О А neither one nor the other
Treatment of patients with ovarian exhaustion syndrome should В 0147 be directed: О Б to stimulate ovarian function О В to get a menstrual reaction О А to reduce the severity of vegetative-vascular disorders О Г all of the above О Д nothing of the above
To diagnose a typical form of sclerocystic ovary, a hormonal test В 0148 is used: О Б non-ovlon О В with dexamethasone О Г with chorionic gonadotropin О А all of the above О Д nothing of the above
The mechanism of action of hormones on the cell is due to the В 0149 presence of: О Б prostaglandins О А receptors О В specific enzymes О Г all of the above О Д nothing of the above
В 0150 The effect of large doses of exogenous estrogen on the ovary: О Б ovarian production of estrogen increases О В progesterone production increases О А atrophy of the ovarian tissue О Г nothing of the above
The phase of secretion in the endometrium can be complete only В 0151 if: О Б complete proliferation phase О В ovulation occurred О Г a full yellow body is functioning О А all of the above
В 0152 Amenorrhea is the absence of menstruation during: О Б 4 month О В 5 months О А 6 months О Г all of the above О Д nothing of the above
В 0153 Objective data that are important in the diagnosis of amenorrhea: О Б body weight, woman's height О В genital development О Г blood pressure, blood sugar О А all of the above О Д nothing of the above
В 0154 In patients with endocrine infertility, clomiphene is used if: О Б basal temperature increased to 37 ° C О В karyopiknotic index in the range of 10-20% О А there is a good estrogen level О Г all of the above О Д nothing of the above
Ф Topic N 30. Amenorrhea.
В 0155 Amenorrhea is the absence of menstruation during: О Б 4 month О В 5 months О А 6 months О Г all of the above О Д nothing of the above
В 0156 Objective data that are important in the diagnosis of amenorrhea: О Б body weight, woman's height О В genital development О Г blood pressure, blood sugar О А all of the above О Д nothing of the above
In patients with amenorrhea with Symmonds disease, the В 0157 following clinical manifestations are observed: О Б severe metabolic and endocrine disorders О В premature aging О Г drastic exhaustion О А all of the above О Д nothing of the above
В 0158 Amenorrhea associated with gigantism: О Б with hyperproduction of ACTH until puberty О А with hyperproduction of growth hormone before puberty О В with hyperproduction of ACTH after puberty О Г with hyperproduction of growth hormone after puberty О Д with nothing of the above
When treating a patient with any form of gonadal dysgenesis, В 0159 recovery is usually excluded: О Б menstrual function О В sexual function О А generative function О Г all of the above О Д nothing of the above
В 0160 Shereshevsky-Turner's syndrome - is: О Б "pure" form of gonadal dysgenesis О А typical form of gonadal dysgenesis О В "mixed" form of gonadal dysgenesis О Г false male hermaphroditism О Д nothing of the above
A dysgenetic testicle in a patient with ovarian amenorrhea is В 0161 prone to: О Б to virilization О А to malignancy О В to feminization О Г all of the above О Д nothing of the above
In a patient with amenorrhea with adiposogenital dystrophy, as a В 0162 rule, it is shown: О Б surgery О В increased metabolic processes О Г weight loss О А all of the above
The treatment of patients with amenorrhea is the competence of В 0163 the endocrinologist: О Б with panhypopituitarism О В with acromegaly and gigantism О Г with Itsenko - Cushing's disease О А all of the above О Д nothing of the above
A negative test with gonadotropins in patients with amenorrhea В 0164 shows: О Б test with estrogens and gestagens in a cyclic mode О А laparoscopy and ovarian biopsy О В laparoscopy and gonad removal О Г progesterone test О Д nothing of the above
В 0165 Deficiency of body weight, as a rule, is one of the reasons: О Б delayed onset of the first menstruation О В prolonged formation of menstrual function О Г development or exacerbation of menstrual dysfunction О А all of the above О Д nothing of the above
The first menstruation can appear in girls of average height (159- В 0166 162 cm) only when they reach body weight: О А 45-47 kg О Б 48-50 kg О В 51-53 kg О Г nothing of the above
Ф Topic N 31. Endometriosis. Modern aspects of diagnosis and treatment.
В 0167 Cervical endometriosis occurs in women after: О Б abortion О В diathermocoagulation of the cervix О Г hysterosalpingography О А all of the above
В 0168 For adenomyosis, all of the above is characteristic, except: О Б uterine muscle hyperplasia uniform increase in the size of the uterus on the eve of О В menstruation uneven increase in the size of the uterus on the eve of О Г menstruation О А formation in myometrium of dense nodes surrounded by a capsule the spread of endometrioid tissue throughout the entire О Д myometrium
The following clinical symptoms are characteristic of В 0169 endometrioid ovarian cysts: sharp pains in the lower abdomen with the development of acute О Б stomach syndrome in some patients О В progressive algomenorrhea О Г impaired bowel and bladder function О А all of the above
The conditions ensuring the informativeness of В 0170 metrosalpingography in order to diagnose internal endometriosis of the uterine body are all but: О Б application only contrasting aqueous solution О В "tight" filling of the uterine cavity with a contrast solution О А conducting a study in the second phase of the menstrual cycle
В 0171 The endometrioid ovarian cyst should be differentiated: О Б with inflammatory formation of uterine appendages О В with ovarian cyst О Г with subserous uterine myoma О А all of the above
An indication for surgical treatment in patients with endometriosis В 0172 is all of the above, except: inefficiencies of conservative treatment for retrocervical О Б endometriosis О В presence of endometrioid ovarian cyst endometriosis of the postoperative scar of the anterior abdominal О Г wall О А internal uterine endometriosis, the II stage О Д suspicion of the true blastomatous process in the ovary
В 0173 Principles of treatment of genital endometriosis: О Б in all cases, surgical treatment is preferred in all cases of detection of endometriosis, it is preferable to limit О В to hormone therapy with internal endometriosis of the uterus of the uterus of the I-II О Г stage and mild symptoms can be limited to symptomatic therapy the use of physiotherapy is mainly indicated for severe forms of О Д endometriosis О А all of the above is incorrect
В 0174 Stage III retrocervical endometriosis is characterized by: "germination" of endometrioid tissue in the cervix with the О Б formation of small cysts "germination" of endometrioid tissue into the wall of the vagina О В with the formation of small cysts the spread of the pathological process to the sacro-uterine О А ligaments О Г all of the above is incorrect
В 0175 The term adenomyosis is used: О Б in all cases of detection of endometriosis, regardless of location only with focal growths of endometrioid tissue in the inner layer О В of the uterus with endometriosis, which is accompanied by the formation of О Г cysts only in cases when the germination of the myometrium is О А accompanied by hyperplasia of muscle tissue О Д only with retrocervical endometriosis
For internal endometriosis of the uterus body of stage III (with a В 0176 bimanual examination of the uterus in a patient on the eve of menstruation), all of the listed changes in the uterus are characteristic, except: О А seals О Б increase О В softening О Г sharp pain
The following days of the menstrual cycle are most favorable for В 0177 the diagnosis of internal endometriosis of the uterus by the method of hysterosalpingography: О Б 1-2 days before the start of menstruation О А immediately after menstruation О В on the 12-14th day О Г on the 16-18th day О Д on the 20th-22nd day
To prevent the development of cervical endometriosis, В 0178 diathermocoagulation of organ pseudo-erosion is carried out on the following days of the menstrual cycle: О А 1-2 days before the start of menstruation О Б immediately after menstruation О В on the 12-14th day О Г on the 16-18th day О Д on the 20th-22nd day
To prevent the development of cervical endometriosis, organ В 0179 cryodestruction is performed on the following days of the menstrual cycle: О Б 1-2 days before the start of menstruation О А immediately after menstruation О В on the 12-14th day О Г on the 16-18th day О Д on the 20th-22nd day
В 0180 Definition of the term "endometriosis": О Б ectopic endometrial dyshormonal hyperplasia О В tumor process benign growth of tissue, according to the morphological and О А functional properties of an endometrial-like О Г all of the above is true
With "small" forms of endometriosis, the size of endometrioid В 0181 heterotopia does not exceed: О Б 0.4 cm О А 0.5 cm О В 0.6 cm О Г 0.7 cm О Д 0.8 cm
In the pathogenesis of endometriosis, the following В 0182 immunological changes in the body of a woman play a role: О Б decrease in the content of T and B lymphocytes the appearance of autoantibodies to endometrial, myometrium, О В ovary tissue О Г T-suppressor activation О А all of the above
В 0183 With internal endometriosis of the uterus, it is more common: О А diffuse form О Б focal form О В nodular form
The severity of algomenorrhea in patients with internal В 0184 endometriosis of the uterus is directly dependent on: О А from the spread of endometriosis О Б by woman age О В from the presence of concomitant extragenital pathology О Г from all of the above О Д none of the above
A pronounced pain symptom is observed with all of the listed В 0185 localizations of genital endometriosis, except: О Б isthmic-cervical uterus О В ovaries О А cervix О Г fallopian tubes О Д retrocervical area
В 0186 Diagnosis of endometriosis can be considered late if it is detected: О Б adenomyosis О В endometrioid ovarian cyst in diameter up to 5-6 cm О Г endometrioid ovarian cyst in diameter up to 9-10 cm О А all of the above
For patients with ovarian endometriosis (with its "small" forms), В 0187 the presence of: О Б saved biphasic menstrual cycle О В pain in the lower abdomen on the eve of menstruation О Г infertility О А all of the above
When laparoscopy performed in the second phase of the menstrual cycle (on the 5-7th postovulatory day), in patients with В 0188 "small" forms of external genital endometriosis, the following is detected: О Б point type heterotopies О В heterotopia type stains bluish-purple color О Г adhesions and cicatricial changes in the pelvis О А all of the above
In patients with endometrioid ovarian cysts, it is advisable to В 0189 conduct the following additional research method: О Б excretory urography О В irrigoscopy О Г sigmoidoscopy О А all of the above О Д nothing of the above
The diagnostic criterion for endometrioid ovarian cysts during В 0190 ultrasound examination of the pelvis is the presence of: О Б ovarian formation with heterogeneous semi-liquid contents echo-positive suspensions within the pathological formation of the О В ovary О Г thick capsule in ovarian formation О А all of the above
The disadvantage of conservative treatment of patients with В 0191 endometrioid ovarian cysts is the preservation of: О Б lower abdominal pain О А cysts as a cavity formation О В menstrual irregularities О Г nothing of the above
In patients with stage III-IV retrocervical endometriosis, the В 0192 following clinical symptoms are observed on the eve and on the days of menstruation: О Б sharp "shooting" pain radiating to the vagina and rectum
О В flatulence, constipation О Г admixture of blood in the feces О А all of these symptoms
В 0193 The most effective treatment for stage II uterine endometriosis is: 5 mg norkolut per day from the 16th to the 25th days of the О Б menstrual cycle for 6 months О В "regulon" according to the contraceptive scheme for 6 months О Г gestrinone 1 capsule 2 times a week for 6 months О А Buserilin 1 injection in 28 days for 6 months
The optimal duration of treatment for patients with gonadoliberin В 0194 agonists is: О Б 3 months О В 5 months О А 6 months О Г 9 months
Rectovaginal fiber endometriosis should be differentiated 1) with vaginal cancer В 0195 2) with colorectal cancer 3) with stage III-IV ovarian cancer (spread into rectovaginal fiber) 4) with vaginal papilloma: О А correct 1, 2, 3 О Б correct 1, 2, 4 О В with all of the above О Г none of the above
Type Cod Topic N 32. Uterine fibroids Ф
В 196 Changes in the myomatous node associated with malnutrition of the tumor 1) edema 2) hemorrhage 3) necrosis 4) suppuration О А all of these changes О Б correct 1, 2, 3 О В correct 1, 2 О Г correct 4 О Д none of the above
Myomatous necrosis most often occurs 1) during pregnancy В 197 2) in the postpartum period 3) in the postabortion period 4) 3-5 days before the start of menstruation О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above is true О Г all of the above is incorrect
During surgery, conservative myomectomy factors complicating the operation are 1) low location of the node in the region of the vascular bundle В 198 2) the location of the node in the area of the tubular corners of the uterus 3) a large number of nodes 4) subperitoneal arrangement of the node О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above is true О Г all of the above is incorrect
Conservative myomectomy is usually performed. 1) in patients of a young age (reproductive period) В 199 2) with the subperitoneal location of the myoma node on the leg 3) to preserve the menstrual function of women 4) to maintain the generative function of women О А all of the above is true О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г all of the above is incorrect
During the operation of unscrewing the submucosal myomatous node (produced under the control of hysteroscopy) with a diameter of 5 cm on a thin leg, the greatest difficulties are associated В 200 1) with the separation of the node from the uterine wall 2) with the possibility of profuse bleeding from the bed of the node 3) with the possibility of perforation of the uterus 4) with the difficulty of removing the node through the cervix О А all of the above is true О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г all of the above is incorrect
During surgery for uterine fibroids, a 40-year-old patient showed retention ovarian cysts. Necessary 1) make a resection of the ovaries В 201 2) perform husking cysts 3) produce cysts puncture needle 4) to remove the ovaries О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above is true О Г all of the above is incorrect
Indications for supravaginal amputation of the uterus in the presence of organ fibroids 1) tumor size more than 12 weeks В 202 2) submucosal location of the node 3) impaired function of neighboring organs (rapid urination) 4) suspected malignancy of fibroids О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above is true О Г all of the above is incorrect
With supravaginal amputation, the uterus with the left appendages, as a rule, cross 1) both round ligaments В 203 2) own ligament of the right ovary and the right tube (uterine end) 3) the funnel-pelvic ligament on the left 4) the funnel-pelvic ligament on the right О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above is true О Г all of the above is incorrect
With supravaginal amputation, the uterus with appendages, as a rule, cross 1) both round ligaments В 204 2) both funnel-pelvic ligaments 3) both fallopian tubes (uterine their ends) 4) both proper ovarian ligaments О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above is true О Г all of the above is incorrect
Indications for hysterectomy with myoma 1) the low location of the nodes, the impossibility of their removal with supravaginal amputation of the uterus В 205 2) precancerous diseases of the cervix 3) secondary changes in the submucous myomatous node 4) a combination of fibroids with an ovarian cyst О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above is true О Г all of the above is incorrect
When extirpation of the uterus without appendages, as a rule, intersect 1) round ligaments В 206 2) fallopian tube ends 3) own ovarian ligaments 4) sacro-uterine ligaments О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
In a 36-year-old patient, on the second day after the operation of supravaginal amputation of the uterus (due to submucosal В 207 fibroids), relaparotomy was performed due to suspected intraperitoneal bleeding from the postoperative stump. During the operation, a source of bleeding was discovered - vessels of the cervical stump. Need to produce О А extirpation of the cervical stump О Б revision of the cervical stump and suturing of vascular bundles О В extirpation of the cervical stump with appendages О Г extirpation of the cervical stump with tubes
With a combination of fibroids and internal endometriosis of the В 208 uterus in a patient of reproductive age with hyperpolymenorrhea and secondary anemia, surgery is indicated supravaginal amputation of the uterus with tubes with excision of О А the cervical canal О Б hysterectomy with appendages О В supravaginal amputation of the uterus without appendages О Г supravaginal amputation of the uterus with tubes О Д hysterectomy without appendages
Conservative operations performed on the uterus include 1) cutting off the subperitoneal myomatous node on the leg 2) husking of myomatous nodes located intramuscularly В 209 3) uterine defunding 4) removal of the submucosal myoma node under the control of hysteroscopy О А all of the above О Б correct 1, 2, 3 О В correct 1, 2 О Г correct 4 О Д nothing of the above
Ф Topic N 33. Family planning. Contraception.
Ovarian biosynthesis occurs 1) estrogen В 210 2) progestogens 3) androgen 4) oxytocin О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Gestagens secreted В 211 1) luteal cells of the corpus luteum 2) cells of the granular layer of the follicle 3) cells of the outer connective tissue of the follicle 4) the cells of the ovarian gate О А correct 1, 2 О Б correct 1, 2, 3, 4 О В all of the above О Г nothing of the above
Estrogen inactivation decreases 1) with damage to the liver tissue В 212 2) with a deficiency of B vitamins 3) with a low protein content in food 4) when using large doses of antibiotics О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
Conditions for cyclic hormone therapy in patients with menstrual irregularities 1) the use of a minimum amount of estrogen В 213 2) accounting for the woman's age 3) FDT-control 4) preliminary consultation of a neurologist О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
Physiological amenorrhea is the absence of menstruation 1) in girls under 10-12 years old В 214 2) during pregnancy 3) during lactation 4) in old age О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
Amenorrhea with "empty" Turkish saddle syndrome is more often associated В 215 1) with a congenital malformation of the Turkish saddle 2) with atrophy of the glandular tissue of the pituitary gland 3) with pathological birth 4) with a pituitary injury О А correct 1, 2 О Б correct 1, 2, 3, 4 О В all of the above О Г nothing of the above
With gonadal forms of primary amenorrhea in the history of patients, as a rule, 1) the impact on the body of parents of the dangers of chemical production В 216 2) parental abuse of alcohol 3) in the mothers of patients - a late onset of menstruation and various disorders of menstrual function 4) gene and chromosomal abnormalities in close relatives О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
The persistent biphasic type of basal temperature indicates 1) on the hyperthermic action of progesterone В 217 2) ovulation that has occurred 3) the presence of a functionally active corpus luteum 4) about the full phase of proliferation О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Functional Diagnostic Tests (FDT) 1) study of cervical mucus В 218 2) measurement of basal temperature 3) colpositology 4) endometrial biopsy О А all of the above О Б correct 1, 2, 3 О В correct 1, 2 О Г correct 4 О Д nothing of the above
In order to reduce body weight in patients with amenorrhea shown В 219 1) dietary restriction of fats and carbohydrates 2) a restriction in the diet of fluids and sodium chloride 3) physiotherapy exercises 4) cyclic hormone therapy О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
With the uterine form of amenorrhea takes place 1) normal somatic and sexual development 2) pathological process in the endometrium В 220 3) unchanged function of the hypothalamus-pituitary-ovary system 4) positive hormonal test with estrogen and progesterone О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Diagnostic methods for uterine amenorrhea 1) hysteroscopy 2) diagnostic curettage of the uterus followed by histological В 221 examination of scraping 3) hysterosalpingography 4) hormonal test with progesterone О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
With prolonged use of gestagens for the treatment of patients with dysfunctional uterine bleeding in reproductive age, it is necessary 1) keep a menogram В 222 2) prescribe simultaneously choleretic drugs 3) control the blood coagulation system 4) every 3 months to carry out diagnostic curettage of the uterus О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Women with dysfunctional uterine bleeding are at risk В 223 1) miscarriage and pregnancy 2) for the development of anomalies of labor 3) for the development of genital tumors 4) for the development of breast tumors О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
Algomenorrhea is observed in the background 1) general and genital infantilism В 224 2) genital endometriosis 3) inflammatory diseases of the female genital organs 4) genital malformations О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
For corrective therapy in patients with dysfunctional uterine bleeding of the menopause 1) methyltestosterone В 225 2) "norkolut" 3) testosterone propionate 4) estradiol dipropionate О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Contraindications to the appointment of progestogens for therapeutic purposes are 1) impaired liver function В 226 2) pronounced varicose veins of the lower extremities 3) the threat of miscarriage with a gestational age of 4-5 weeks 4) amenorrhea О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Indications for the appointment of estrogen for therapeutic В 227 purposes are 1) uterine fibroids 2) endometriosis 3) uterine cancer 4) fibrocystic mastopathy О А nothing of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г all of the above
The effect of estrogen on the body 1) antibody production is enhanced В 228 2) cholesterol is reduced 3) increases the concentration of iron and copper 4) the synthesis of higher fatty acids is accelerated О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
In patients with a combined form of sclerocystic ovaries, the following features of the clinical manifestations of the disease are noted 1) menstrual irregularities often from the first menstruation В 229 2) the initial manifestations of hirsutism precede the first menstruation 3) there are enlarged ovaries 4) there are neurotrophic skin lesions О А all of the above О Б correct 1, 2, 3 О В correct 1, 2, 4 О Г nothing of the above
The action of gestagens on the body 1) enhance the separation of gastric juice В 230 2) increase the prothrombin index 3) inhibit the separation of bile 4) reduce the excretion of amino acids О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Topic N 34. Background, precancerous diseases of the cervix. Ф Cervical cancer.
A severe degree of cervical dysplasia is characterized by В 231 morphological changes in the epithelium О А in all layers except the surface О Б all layers О В only in the surface О Г only in individual cells
Intraepithelial cervical cancer has morphological signs of В 232 malignancy О А in the entire thickness of the epithelium О Б in the surface layer О В only atypia in some cells О Г only in certain areas of the epithelium layer
В 233 Severe cervical dysplasia is О А precancer О Б initial form of cancer О В background process О Г dishormonal hyperplasia
В 234 A hallmark of intraepithelial cervical cancer is all of the above О А focal penetration of a group of cells into the stroma О Б lack of invasion of the underlying stroma О В preservation of the basement membrane О Г cell atypism in the entire layer of the epithelium
The screening method for detecting cervical pathology in modern В 235 conditions is О А smear cytology О Б visual inspection О В colposcopy О Г radionuclide method
Microinvasive cervical cancer is called "compensated" due to the В 236 fact that it has О А minor stromal invasion О Б low potency for metastasis О В cancer emboli in the lymphatic vessels О Г all of the above А true А) and Б)
В 237 Microinvasive cervical cancer is similar in its clinical course О А with severe dysplasia О Б with intraepithelial cancer О В with invasive cancer О Г all of the above А true А) and Б)
With intraepithelial cervical cancer in young patients, the В 238 treatment of choice is О А electroconization О Б hysterectomy with appendages О В hysterectomy without appendages О Г cryodestruction
With intraepithelial cancer of the cervix in women 50 years of В 239 age and older, it is advisable to produce О А hysterectomy with appendages О Б hysterectomy without appendages О В cryodestruction О Г electroconization
In case of microinvasive cervical cancer in women of В 240 reproductive age, all the listed types of treatment are applied, except О А Wertgeim’s operation О Б laser conization О В high knife amputation of the cervix О Г hysterectomy without appendages
Wertgeim’s operation differs from simple hysterectomy by В 241 removal О А all of the above О Б uterine ligaments О В parametric fiber О Г iliac lymph nodes the upper third of the vagina and around lymphatic collector О Д surrounding the uterus
Cervical precancer refers 1) leukoplakia with atypia В 242 2) dysplasia 3) papilloma 4) retention cysts О А correctly 1, 2 О Б correctly 1, 2,3,4 О В all of the above
Cervical dysplasia is characterized 1) impaired cell differentiation В 243 2) violation of stratification of the epithelium layer 3) cell polarity disorder 4) polymorphism of a number of cells О А all of the above О Б correctly 1, 2,3 О В correctly 1, 2,4 О Г nothing of the above
Cervical dysplasia is distinguished 1) weak В 244 2) moderate 3) heavy 4) mixed О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Cervical Cancer Risk Factors 1) more than three parity В 245 2) viral infection 3) obesity 4) primary infertility О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Diagnosis of cervical cancer using 1) gynecological examination 2) cytological examination of scrapings from the cervix and В 246 cervical canal 3) colposcopy 4) histological examination of a piece of the cervix О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Women are at risk for cervical cancer 1) started early sex life (up to 18 years) 2) having childbirth up to 18 years В 247 3) undergoing genital viral diseases (HPV) 4) suffering from deformation of the cervix after its rupture in childbirth О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
The cytological method for the early detection of cervical pathology is used 1) during preventive examinations В 248 2) in pregnant women at first treatment 3) in patients with pathognomonic complaints 4) everyone who turned to the gynecologist О А correct 1, 2, 3 О Б correct 1, 2, 4 О В all of the above О Г nothing of the above
Cytological signs of malignancy of the cervical epithelium are 1) cell polymorphism В 249 2) a change in the ratio of nucleus and cytoplasm in the cell 3) dyskariosis 4) the presence of pathological mitoses О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Endoscopy of the cervix has the following varieties 1) simple colposcopy В 250 2) advanced colposcopy 3) colpomicroscopy 4) colposervicoscopy О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Colposcopic pictures suspicious for cervical cancer 1) atypical transformation zone В 251 2) atypical vessels 3) thin leukoplakia 4) the simple basis of leukoplakia О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Material for histological examination of the cervix receive 1) with a biopsy В 252 2) during conization 3) amputation 4) when curettage of the cervical canal О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
Invasive cervical cancer, unlike microinvasive cancer, has the following symptoms 1) invasion of the stroma more than 3 mm В 253 2) high potency to metastasis 3) progressive tumor growth 4) reduced signs of tissue protection О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
Histological forms of cervical cancer 1) squamous keratinizing cancer В 254 2) squamous non-keratinizing cancer 3) adenocarcinoma 4) low differentiated cancer О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
Treatment of background processes on the cervix can be performed by the method 1) electrocoagulation В 255 2) laser vaporization 3) cryodestruction 4) radio wave surgery О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4
Treatment of patients with cervical precancer is performed by the method 1) electroconization В 256 2) knife amputation 3) laser conization 4) cryodestruction О А correctly 1, 2, 3 О Б correctly 1, 2, 4 О В all of the above
The outcome of the treatment of background processes and cervical precancer 1) stabilization В 257 2) relapses 3) process progression 4) recovery О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4
Indications for the use of electrocoagulation in background processes on the cervix 1) benign morphological changes В 258 2) strict localization in the field of ectocervix 3) the absence of cicatricial deformity of the cervix 4) the presence of cervical hypertrophy О А correctly 1, 2, 3 О Б correctly 1, 2, 4 О В all of the above
Cervical destruction of the cervix 1) with mild dysplasia В 259 2) with moderate dysplasia 3) with deformation of the cervix 4) with a polyp of the cervical canal О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Cervical cancer metastasizes to lymph nodes 1) iliac В 260 2) locking 3) paraaortic 4) mesenteric О А correctly 1, 2, 3 О Б correctly 1, 2, 4 О В in all of the lymph nodes
В 261 Invasive cervical cancer of stage I is treated with the method О А combined О Б combined beam О В chemotherapeutic О Г hormone therapy О Д all of the above methods О Е none of the listed methods
В 262 Cervical cancer stage II-III is treated by the method О А combined beam О Б combined О В hormone therapy О Г chemotherapeutic О Д all listed methods О Е none of the listed methods
International TNM classification designates 1) T - tumor (tumor) В 263 2) N - regional pelvic lymph nodes 3) M - distant metastases 4) G - tumor differentiation О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
In the domestic classification, the IA stage of cervical cancer (microinvasive cancer) is identified, which has the following characteristics В 264 1) invasion of the stroma up to 3 mm 2) the presence of lymphoid-plasmacytic stromal infiltration 3) fibroblast proliferation 4) damage to the epithelial layer only О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Cervical Cancer Prevention Consists 1) in the clinical examination of patients using cytological and colposcopic diagnostic methods В 265 2) in regular preventive examinations of women with a cytological examination of smears 3) to improve the work of examination rooms 4) in constant study of personnel О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
The main advantages of the electroconization method in the treatment of cervical pathology 1) radical removal of pathological tissues В 266 2) the possibility of histological examination of the remote foci 3) preservation of childbearing function 4) lack of a rough scar О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Topic № 35. Hyperplastic processes of the endometrium. Ф Treatment methods. Endometrial cancer, classification, clinic, diagnosis, treatment.
В 267 Risk factors for hyperplastic processes and endometrial cancer О А all of the above О Б fat metabolism О В stressful situations О Г menstrual irregularities О Д true А) and Б)
Gonadotropins playing a role in the pathogenesis of hyperplastic В 268 processes and endometrial cancer are secreted О А anterior pituitary О Б adrenal glands О В hypothalamus О Г ovaries
В 269 Atypical endometrial hyperplasia is morphologically most similar О А with highly differentiated cancer О Б with glandular cystic hyperplasia О В with endometrial polyp О Г with metroendometritis
В 270 Atypical endometrial hyperplasia passes into cancer more often О А in the postmenopausal period О Б in reproductive age О В in menopause О Г any age
В 271 The second stage of endometrial cancer is characterized by О А the transition of the tumor to the cervical canal О Б enlarged uterus О В damage to the pelvic tissue О Г ovarian damage
The second pathogenetic type of endometrial cancer is usually В 272 characterized О А lack of metabolic disorders О Б ovarian fibrosis О В glandular cystic endometrial hyperplasia О Г all of the above А true А) and Б)
Clinical manifestations of hyperplastic processes in women in the В 273 reproductive period О А all of the above is true О Б acyclic bleeding О В the presence of premenstrual "daub" О Г menorrhagia О Д true А) and Б)
The level of estrogen and progesterone in hyperplastic processes В 274 in the endometrium corresponds to that О А in the first phase of the menstrual cycle О Б in postmenopausal women О В in the second phase of the menstrual cycle О Г always different
Contraindications to hormonal treatment of patients with В 275 postmenopausal hyperplastic processes are all of the above, except О А genital tract bleeding О Б chronic thrombophlebitis О В uterine fibroids О Г ovarian tumors
Differential diagnosis of hyperplastic processes and endometrial В 276 cancer should be carried out О А with all of the above О Б with submucous myoma node О В with glandular fibrous polyp of the endometrium О Г with hormone-active ovarian tumor О Д true А) and Б)
В 277 The main pathway for metastasis in endometrial cancer О А lymphogenous О Б hematogenous О В implant О Г contact
The first stage of endometrial cancer is divided into options (a, b, В 278 c) depending О А from the degree of invasion of the tumor into the myometrium О Б from the degree of spread of the tumor outside the uterus О В from the size of the uterine cavity О Г from the size of the uterus
В 279 Most often with stage I endometrial cancer О А extended Wertgeim’s hysterectomy with appendages О Б hysterectomy with appendages and the upper third of the vagina hysterectomy with appendages, upper third of the vagina and О В lymphadenectomy О Г true А) and Б) О Д all of the above is true
В 280 Prevention of endometrial cancer consists О А in all of the above О Б in eliminating ovulation disorders О В in the timely treatment of diabetes, obesity and hypertension О Г in the use of hormonal contraception О Д true А) and Б)
Hyperplastic processes and endometrial cancer develop most often against the background of 1) anovulation В 281 2) obesity 3) diabetes 4) hypertension О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
Changes in the ovaries leading to excessive estrogenic stimulation of the endometrium: 1) follicle persistence В 282 2) follicular atresia 3) follicular cysts 4) sclerocystic ovaries О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
В 283 Diseases of women leading to hyperestrogenism 1) obesity 2) cirrhosis 3) pancreatitis 4) gastritis О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Functional diagnostic tests indicating hyperestrogenism 1) cariopyknotic index of 50-60% or more В 284 2) the extension length of cervical mucus is 7-8 cm or more 3) IV type of vaginal smear 4) atrophic endometrium О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Modern research allows us to identify pathogenetic types of hyperplastic processes and endometrial cancer 1) first В 285 2) second 3) mixed 4) unclassifiable О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
The first pathogenetic type of endometrial cancer is found, as a rule, in patients 1) with endocrine-metabolic disorders В 286 2) with anovulatory bleeding 3) with feminizing ovarian tumors 4) with uterine myoma О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
For background diseases of the endometrium according to the WHO classification applies 1) glandular hyperplasia В 287 2) endometrial polyp 3) glandular cystic hyperplasia 4) atypical hyperplasia О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Endometrial pre-cancer includes 1) adenomatous polyp В 288 2) atypical hyperplasia 3) recurrent glandular hyperplasia in the menopause 4) atrophic endometrium О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Histological forms of endometrial cancer 1) low-grade cancer В 289 2) adenocarcinoma 3) light cell cancer 4) adenoacanthoma О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
Topic N. 36. Benign and malignant ovarian tumors. The role Ф of preventive examinations in the prevention of malignant neoplasms.
В 290 Ovarian Cancer О А only tumors of epithelial origin О Б all malignant ovarian tumors О В only germ cell tumors О Г only stromal tumors
Scope of surgical treatment for benign ovarian tumors in young В 291 women ovarian resection with the greatest possible preservation of О А healthy organ tissue О Б appendage removal О В tumor removal supravaginal amputation of the uterus with appendages on the О Г affected side
В 292 Prognosis for life in borderline ovarian tumors О А relatively favorable О Б doubtful О В adverse О Г poorly studied
The choice of treatment tactics in a patient with a malignant В 293 ovarian tumor is determined by О А all of the above О Б stage of the disease О В histostructure of the tumor О Г age of the patient О Д state of internal organs
В 294 Scope of surgical treatment for malignant ovarian tumors supravaginal amputation of the uterus with appendages and О А resection of the greater omentum О Б hysterectomy and omentum resection О В vaginal extirpation of the uterus with appendages О Г all of the above is true О А true А) and Б)
В 295 Treatment methods for patients with malignant ovarian tumors О А all listed О Б surgical О В radiation therapy О Г chemotherapy О Д hormone therapy
В 296 Women are at risk for ovarian tumors. 1) with a violation of menstrual function 2) with primary infertility 3) with uterine myoma 4) with endometriosis О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
The following diagnostic methods are used to recognize ovarian tumors. 1) cytological В 297 2) endoscopic 3) ultrasound 4) histological О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Benign ovarian tumors include 1) serous cystadenoma В 298 2) mucinous cystadenoma 3) endometrioid cystadenoma 4) light cell tumor О А correctly 1, 2, 3 О Б correctly 1, 2 О В correctly 4 О Г all of the above О Д nothing of the above
Diagnostic methods most commonly used for the primary detection of benign genital tumors in women 1) gynecological examination В 299 2) ultrasound 3) pneumopelviography 4) tumor puncture О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Options for complications of benign ovarian tumors (giving an acute clinical picture) 1) twisting of the legs of the tumor В 300 2) capsule rupture 3) capsule hemorrhage 4) suppuration of the tumor О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
Treatment of patients with benign ovarian tumors 1) radiation В 301 2) hormonal 3) antibacterial 4) observation is possible О А nothing of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г all of the above О Д correctly 4
Tumor processes in the ovary include 1) follicular cyst В 302 2) cyst of the corpus luteum 3) endometriosis 4) dermoid cyst О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Emergency surgery for benign ovarian tumors takes place 1) when the cyst legs are twisted В 303 2) when the capsule of the tumor ruptures 3) with large tumor sizes 4) with a liquid tumor content О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Borderline (potentially malignant) ovarian tumors are rare and are characterized 1) malignant clinical course В 304 2) the presence of ascites 3) dissemination along the peritoneum 4) a favorable prognosis О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
In patients with borderline ovarian tumor, a treatment method is used. 1) surgical В 305 2) chemotherapeutic 3) hormonal 4) radiation О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
True ovarian cancer is 1) serous cystadenocarcinoma В 306 2) mucinous cystadenocarcinoma 3) light cell carcinoma 4) endometrioid adenoacanthoma О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Germ cell tumors among other ovarian tumors predominate, usually at the age of 1) up to 20 years В 307 2) from 20 to 40 years 3) from 40 to 60 years 4) from 60 years and older О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Rare malignant ovarian tumors include 1) dysgermin В 308 2) endodermal sinus tumor 3) embryonic carcinoma 4) teratoblastoma О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г correctly 4 О Д nothing of the above
The group of tumors of the stroma of the genital cord includes 1) granulosa cell tumor В 309 2) a tumor cell 3) androblastoma from Leydig’s and Sertoli’s cells 4) ovarian fibroma О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Malignant ovarian tumors, especially epithelial, differ 1) aggressive course В 310 2) extensive metastasis 3) ascites 4) edema of the anterior abdominal wall О А correctly 1, 2,3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Complaints of patients with malignant ovarian tumors 1) fatigue, weakness В 311 2) pain of an indefinite nature 3) an increase in the abdomen in volume 4) polyuria О А correctly 1, 2,3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Granulosa cell ovarian tumor is characteristic 1) menstrual irregularities В 312 2) "rejuvenation" of postmenopausal women 3) endometrial hyperplasia 4) hydrothorax О А correctly 1, 2,3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Diagnostic methods are used to determine the extent of the spread of the ovarian cancer. 1) ultrasound В 313 2) computed tomography 3) laparoscopy 4) diagnostic laparotomy О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Topic N 37. Neuro-endocrine syndromes in gynecology
(menopause, premenstrual, postcastration, etc.). В 314 With a menstrual cycle of 28 days, it should be considered a cycle О А normоponation О Б anteponation О В postponetion
В 315 Features of a normal menstrual cycle are О А all of the above О Б ovulation О В formation of the corpus luteum in the testicle О Г the prevalence of gestagens in the second phase of the cycle О Д none of the above
В 316 Anovulatory menstrual cycle is characteristic О А prolonged persistence of the follicle О Б the prevalence of gestagens in the second phase of the cycle О В the prevalence of gestagens in the first phase of the cycle О Г cyclic changes in the body
В 317 The hypothalamus produces the following hormones О А releasing factors О Б gestagens О В estrogens О Г gonadotropins
В 318 Releasing factors carry out О А transmission of nerve impulses to the endocrine system О Б gonadotropin production О В both О Г neither one nor the other
В 319 Estrogens are secreted О А all of the above О Б corpus luteum О В adrenal cortex О Г cells of the inner lining of the follicle О Д nothing of the above
В 320 In the glomerular zone of the adrenal cortex is formed О А aldosterone О Б norepinephrine О В androgens О Г glucocorticoids О Д all of the above
В 321 FSH stimulates О А follicular growth in the ovary О Б corticosteroid production О В thyroid hormone production О Г all of the above
В 322 Low doses of estrogen О А stimulate FSH production О Б enhance LH production О В suppress FSH production О Г suppress LH production
With a normal menstrual cycle, a high level of estrogen saturation В 323 occurs О А on the 14th day О Б on the 21st day О В both are true О Г neither one nor the other
With premenstrual syndrome, it is usually noted in the second В 324 phase of the menstrual cycle О А all of the above О Б hyperestrogenia О В true Б) and В) О Г increased serotonin О Д increased secretion of ACTH
The mechanism of action of hormones on the cell is due to the В 325 presence of О А receptors О Б prostaglandins О В specific enzymes О Г all of the above О Д nothing of the above
With menopausal syndrome in women in premenopause, the В 326 following clinical symptoms are observed О А all of the above О Б nothing of the above О В exchange-endocrine О Г psycho-emotional О Д vegetative-vascular
The phase of secretion in the endometrium can be complete only В 327 if О А all of the above is true О Б ovulation occurred О В a full yellow body is functioning О Г complete proliferation phase О Д true Б) and В)
The features of the treatment of DMC in menopausal patients is В 328 1) conducting a separate medical diagnostic curettage of the uterus to verify the diagnosis 2) therapy aimed at suppressing ovarian function 3) treatment of concomitant somatic pathology 4) cyclic hormone therapy О А true 1, 2, 3 О Б true 1, 2, 4 О В all of the above О Г nothing of the above
For corrective therapy in patients with dysfunctional uterine bleeding of the menopause used 1) methyltestosterone В 329 2) norkolut 3) testosterone propionate 4) estradiol dipropionate О А true 1, 2, 3 О Б all of the above О В true 1, 2, 4 О Г nothing of the above
For the clinical manifestations of a typical form of menopause, the most characteristic 1) dry mucous membranes В 330 2) pain in the heart 3) osteoporosis 4) laryngitis О А true 1, 2, 3 О Б true 1, 2, 4 О В all of the above О Г nothing of the above
For the atypical form of menopause syndrome is characteristic 1) sympatho-adrenal crises В 331 2) transformed premenstrual syndrome 3) severe course of bronchial asthma 4) severe diabetes О А all of the above О Б true 4 О В true 1, 2 О Г true 1, 2, 3 О Д nothing of the above
В 332 In patients with menopausal syndrome in postmenopause, an increase is usually observed 1) ACTH 2) cortisol 3) LH 4) FSH О А all of the above О Б true 1, 2, 3 О В true 1, 2, 4 О Г nothing of the above
In the treatment of patients with menopausal syndrome 1) balneotherapy В 333 2) vitamins A and E 3) cervical-facial galvanization 4) parlodel О А all of the above О Б true 1, 2, 3 О В true 1, 2, 4 О Г nothing of the above
With premenstrual syndrome, the following clinical forms are distinguished 1) neuropsychic В 334 2) edematous 3) crisis 4) cephalgic О А all of the above О Б true 1, 2, 3 О В true 1, 2, 4 О Г nothing of the above
In the treatment of patients with menopausal syndrome use 1) estrogens В 335 2) gestagens 3) combined estrogen-progestogen drugs 4) a combination of estrogens with androgens О А all of the above О Б true 1, 2, 3 О В true 1, 2, 4 О Г nothing of the above
With osteoporosis in patients with menopausal syndrome, it is В 336 recommended to use 1) pure estrogens 2) a combination of estrogens with androgens 3) gestagens 4) androgens О А true 1, 2 О Б all of the above О В true 4 О Г true 1, 2, 3 О Д nothing of the above
Clinical manifestations of premenstrual syndrome (on the eve of menstruation) 1) headache, dizziness В 337 2) depression, sometimes aggressiveness 3) painful engorgement of the mammary glands 4) increase in body weight by 1-2 kg О А all of the above О Б true 1, 2, 3 О В true 1, 2, 4 О Г nothing of the above
Exchange-endocrine disorders in menopausal syndrome 1) obesity В 338 2) atherosclerosis 3) osteoporosis 4) pain in the joints and limbs О А all of the above О Б true 1, 2, 3 О В true 1, 2, 4 О Г nothing of the above
Topic № 38. Incorrect position of the female genital organs.
Causes. Diagnostics. Treatment methods. В 339 The indication for posterior colporaphia is О А lowering and prolapse of the posterior vaginal wall О Б partial uterine prolapse О В urinary incontinence О Г too capacious vagina О Д cervical elongation
В 340 The indication for median colporaphia is О А complete prolapse of the uterus in old age О Б lowering and prolapse of the posterior vaginal wall О В lowering and prolapse of the anterior vaginal wall О Г urinary incontinence О Д cervical elongation
В 341 The indication for the Manchester’s operation is lowering of the walls of the vagina and partial prolapse of the О А uterus О Б too capacious vagina О В cervical deformity О Г complete prolapse of the uterus
The operation of ventrofixation of the uterus is usually performed В 342 only in women О А postmenopausal О Б menopausal age О В reproductive age О Г all of the above is true О Д all of the above is incorrect
Indications for vaginal extirpation of the uterus with simultaneous В 343 extirpation of the vagina are О А true Б) and В) О Б relapse after plastic vaginal surgery complete prolapse of the uterus in older women who are not О В sexually active О Г complete uterine prolapse in women of reproductive age
В 344 Indications for anterior colporaphia are О А true Б) and В) О Б prolapse of the anterior wall of the vagina and bladder О В prolapse of the anterior vaginal wall О Г incomplete uterine prolapse О Д all of the above
The essence of the "Manchester operation" is all of the above, В 345 except О А shortening of the round uterine ligaments О Б fixation of cardinal ligaments to a cervical stump О В colpoperineorephia О Г cervical amputations О Д anterior colporrhaphy
В 346 Contraindications for plastic surgery on the cervix is О А all of the above О Б pregnancy О В suspected malignancy in the cervix О Г acute genital inflammation О Д nothing of the above
В 347 Ventrofixation of the uterus contributes to О А correcting the position of the uterus О Б restoration of the normal size and shape of the vagina О В strengthening the pelvic floor О Г all of the above О Д nothing of the above
Advantages of vaginal extirpation of the uterus before oral В 348 surgery О А more easily tolerated by patients, their outcome is more favorable possibility of performing the operation under light nitrous-oxygen О Б analgesia О В lower risk of injury to the bladder during surgery О Г easier access for viewing pelvic organs
The best long-term results of the operation of creating an artificial В 349 vagina were obtained using the method of colpopoiesis О А from the sigmoid colon О Б from the rectum О В from the fruit shells О Г leather О Д from the small intestine
В 350 Indications for surgery for malformations of the uterus is О А all of the above О Б severe dysmenorrhea О В infertility О Г habitual miscarriage О Д nothing of the above
Preoperative preparation of the patient, as a rule, includes 1) conducting a thorough sanitization of the patient 2) examination of all body systems В 351 3) a thorough study of the condition of the genitals 4) the appointment of antibiotics 3-4 days before surgery (to prevent septic complications) О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г nothing of the above О Д correctly 4
The duration of preoperative preparation depends on 1) depending on the degree of urgency of the operation В 352 2) from the type of concomitant extragenital pathology 3) from the nature of the gynecological disease 4) from the estimated volume of the upcoming operation О А all of the above О Б correctly 1, 2, 4 О В correctly 1, 2, 3 О Г nothing of the above
Activities that are mandatory in preparation for planned gynecological operations 1) washing the patient in the shower before the operation 2) shaving pubic hair В 353 3) prescribing sedatives and sleeping pills to the patient at night before surgery 4) removal of urine with a catheter before sending the patient to the operating room О А all of the above О Б correctly 1, 2, 4 О В correctly 1, 2, 3 О Г nothing of the above
Activities that should be undertaken in preparation for operations on the perineum and the vagina 1) study of the vaginal flora 2) vaginal sanitation in the presence of III-IV degree of purity of the vaginal smear В 354 3) regular washing of the bladder and vagina with antiseptics until the composition of urine is normalized and it acquires an acidic reaction (for urogenital fistulas) 4) transfer a patient with fecal fistula 2-3 days before surgery to a diet of sufficient calories and easy digestibility (without fiber) О А all of the above О Б correctly 1, 2, 4 О В correctly 1, 2, 3 О Г nothing of the above
The operations used for the lowering and prolapse of the walls of the vagina (without violating the position of the uterus) 1) anterior colporaphia В 355 2) posterior colporaphia 3) median colporaphia 4) hysterectomy О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
The main disadvantages of median colporaphia 1) the impossibility of subsequent sexual activity 2) the cervix becomes inaccessible in the future for examination В 356 and treatment 3) low efficiency of the operation 4) the impossibility of occurrence in a subsequent pregnancy О А correctly 1, 2 О Б all of the above О В correctly 4 О Г correctly 1, 2, 3 О Д nothing of the above
Topic № 39. The infertile marriage. Causes. Diagnostics.
Treatment methods. Prevention В 357 The term "infertile marriage" means О А lack of ability to conceive in the couple О Б a woman's lack of gestation ability О В both О Г neither one nor the other
Marriage is considered infertile if, in the presence of regular sex В 358 life without contraceptives, pregnancy does not occur for at least О А 1 year О Б 2.5 years О В 5 years О Г 0.5 years
В 359 The frequency of infertile marriage to all marriages О А 15-20% О Б более 30% О В 2-3% О Г 0.5-1%
Spermatozoa enter the uterine cavity after sexual intercourse В 360 through О А 30-60 min. О Б 2-3 hours О В 10-15 min. О Г 5 min
Spermatozoa enter the fallopian tubes and abdominal cavity after В 361 sexual intercourse through О А 1.5-2 hours О Б 6 hours О В 30-60 min. О Г 5 min
Spermatozoa in the crypts of the cervical canal can retain the В 362 ability to move (deadline) for a period of О А 3-5 days О Б 10 days О В 24-48 hours О Г 6-12 hours
Spermatozoa after penetration into the uterus and tubes retain the В 363 ability to fertilize during О А 24-48 hours О Б 3-5 days О В 10 days О Г 6-12 hours
After ovulation, the egg retains the ability to fertilize for a period В 364 of О А 12-24 hours О Б 3-5 days О В 10 days О Г 6 hours
В 365 A positive sample (small test) with dexamethasone indicates that О А the source of hyperandrogenism is the adrenal glands О Б the source of hyperandrogenism is the ovaries О В hyperandrogenism is associated with pituitary adenoma О Г hyperandrogenism is caused by adrenal corticosteroma
Combined estrogen-progestogen drugs are used for therapeutic В 366 purposes in patients О А with hyperandrogenism due to ovarian sclerocystosis О Б with hyperandrogenism due to ovarian arrenoblastoma О В with adrenogenital syndrome О Г true А) and Б) О Д with all of the above
The therapeutic and diagnostic effect of dexamethasone in В 367 hyperandrogenism is due to О А inhibition of ACTH production О Б accelerated androgen inactivation О В inhibition of FSH and LH production О Г inhibition of adrenal function О Д inhibition of ovarian function
The therapeutic and diagnostic effect of combined estrogen- В 368 progestogen drugs in hyperandrogenism is due to О А inhibition of FSH and LH production by the pituitary gland О Б accelerated androgen inactivation О В inhibition of ACTH production О Г inhibition of adrenal function О Д inhibition of ovarian function
If adrenogenital syndrome (AGS) is detected, treatment should В 369 begin О А since diagnosis О Б after the establishment of menstrual function О В only after childbirth О Г after marriage (depending on the time of the planned pregnancy)
В 370 To restore generative function in gonad dysgenesis, it is necessary О А restoration of generative function, as a rule, is futile О Б wedge-shaped ovarian resection О В ovulation stimulation О Г long-term cyclic therapy with sex hormones
In case of thyroid dysfunction, the development of infertility is В 371 due to О А inhibition of ovulation О Б compaction of the ovary О В constant body hypothermia О Г all of the above О Д severe impaired fat metabolism
В 372 Causes of women infertility in marriage О А all listed reasons О Б true Б) and Г) О В general debilitating diseases and intoxications О Г infantilism and hypoplasia of the genital organs О Д genital inflammatory diseases
В 373 Tubal infertility may be due О А all of the above О Б true Б) and В) О В violation of the reception in the fallopian tube О Г infantilism О Д sclerotic changes in the muscular wall of the fallopian tube
В 374 Ovarian hyperandrogenism is often accompanied О А all of the above О Б moderate hyperprolactinemia О В increase in the LH / FSH index О Г hypersecretion of LH О Д true Б) and В)
A test with dexamethasone is considered positive if, in response to В 375 the use of dexamethasone, the following change in the level of 17- ketosteroids in the daily amount of urine is observed О А 50% decrease or more О Б decrease by 10-20% О В 10-20% increase О Г increase by 50% or more
The cause of gonadal dysgenesis is 1) chromosomal abnormalities in the early stages of ovogenesis and spermatogenesis 2) the impact of adverse factors on the fetal gonads during their В 376 differentiation 3) exposure to radiation in reproductive age 4) the impact of the inflammatory process in the genitals during the formation of menstrual function О А nothing of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г all of the above
Increased prolactin production in patients with infertility may be due to 1) the development of tumors in the hypothalamus В 377 2) the development of pituitary adenoma 3) decreased production in the hypothalamus of the prolactinizing factor 4) prolonged use of antipsychotics О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Hyperprolactinemia is often accompanied by 1) anovulation В 378 2) insufficiency of the luteal phase of the cycle 3) amenorrhea-galactorrhea 4) increase of FSH production О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
In infertility due to adrenogenital syndrome, in patients with signs of genital infantilism is shown 1) the appointment of dexamethasone (prednisone) under the control of 17-ketosteroids in the daily amount of urine 2) conducting two-phase hormonal therapy (estrogens in phase I, progestogens in phase II) in intermittent cycles of 2-3 months with В 379 an interval of 2 months 3) in the interval between hormonal therapy - the appointment of drugs that stimulate ovulation (clomiphene, clostilbegit), vitamins E and C in the second phase of the menstrual cycle 4) in the absence of the effect of previous conservative therapy - a wedge-shaped ovarian resection О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
The methods that help to clarify the diagnosis of ovarian exhaustion syndrome are 1) functional diagnostics tests В 380 2) determination of gonadotropic hormones 3) determination of sex hormones 4) ovarian biopsy О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
In infertility due to sclerocystosis of the ovaries (SCO), and the presence of signs of genital infantilism, it is shown 1) conducting two-phase hormonal therapy (estrogens in phase I, progestogens in phase II), in intermittent cycles of 2-3 months with an interval of 2 months 2) in the interval between hormonal therapy - the appointment of В 381 drugs that stimulate ovulation (clomiphene, clostilbegit), and vitamins E and C in the second phase of the menstrual cycle 3) in the absence of the effect of previous conservative therapy - a wedge-shaped ovarian resection 4) in the absence of the effect of previous therapy - removal of the adrenal glands with subsequent replacement therapy О А correctly 1, 2, 3 О Б correctly 1, 2, 4 О В all of the above О Г nothing of the above
Ovarian depletion syndrome is characterized by 1) cessation of menstruation 2) monophase character of the basal temperature curve (below В 382 37°C) 3) negative test with progesterone 4) positive test with estrogens and прогестероном О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
Methods that help restore reproductive function in ovarian В 383 exhaustion syndrome 1) the appointment of combined estrogen-progestogen drugs for 2- 3 months 2) stimulation of ovulation with clomiphene 3) stimulation of ovulation pergonal 4) biphasic hormone therapy О А nothing of the above О Б correctly 1, 2, 3 О В correctly 1, 2 О Г all of the above О Д correctly 4
Ovarian hyperstimulation may occur 1) when using clomiphene (clostilbegit) В 384 2) when using pergonal 3) with prolonged use of combined estrogen-progestogen drugs 4) when using radon baths О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Ovarian hyperstimulation syndrome is characterized by 1) the appearance of pain in one of the iliac areas В 385 2) an increase in one of the ovaries 3) the possible development of the picture of ovarian apoplexy 4) ovarian hypotrophy О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
If ovarian hyperstimulation syndrome is detected 1) stop the use of a drug that stimulates ovulation В 386 2) provide physical and psycho-emotional peace 3) replace with another drug that stimulates ovulation 4) urgent laparotomy, removal or resection of the altered ovary О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Possible causes of endocrine infertility 1) hypothalamic-pituitary insufficiency В 387 2) hypothalamic-pituitary dysfunction 3) ovarian failure 4) hyperandrogenism О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
With hypothalamic-pituitary dysfunction in patients with infertility, it is often observed 1) FSH hypersecretion В 388 2) LH hypersecretion 3) hyperprolactinemia 4) hyperestrogenism О А all of the above О Б correctly 1, 2, 3 О В correctly 1, 2, 4 О Г nothing of the above
The most common causes of tubal infertility are 1) non-specific recurrent inflammatory diseases of the uterus В 389 2) specific inflammatory diseases of the uterus 3) endometriosis of the fallopian tubes 4) malformations of the fallopian tubes О А correctly 1, 2 О Б correctly 1, 2, 3 О В all of the above О Г correctly 4 О Д nothing of the above
Factors causing tubal infertility in chronic salpingo-oophoritis are 1) narrowing or complete obliteration of the lumen of the fallopian tubes В 390 2) damage to the ciliary epithelium of the mucous membrane of the fallopian tube 3) development of peritubular adhesions 4) local hyperthermia О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
The most informative method for diagnosing small forms of endometriosis is 1) hysterosalpingography В 391 2) hysteroscopy 3) kimopertubation 4) laparoscopy О А correctly 4 О Б correctly 1, 2, 3 О В correctly 1, 2 О Г all of the above О Д nothing of the above
Methods to clarify the diagnosis of immunological infertility are 1) determination of antisperm antibodies in the blood and in cervical mucus В 392 2) postkointalny test (Shuvarsky-Guner test) 3) a penitration test outside the body (Kurzrok-Miller test) 4) determination of the number of leukocytes in the cervical mucus О А correctly 1, 2, 3 О Б correctly 1, 2 О В all of the above О Г correctly 4 О Д nothing of the above
Surgical treatment of tubal infertility is indicated 1) in all cases when mechanical tubal infertility is detected 2) with often recurrent inflammatory processes in the appendages В 393 of the uterus 3) if an obstruction is detected in one of the fallopian tubes 4) in the absence of the effect of conservative therapy and the woman's persistent desire to have children О А correctly 4 О Б correctly 1, 2, 3 О В correctly 1, 2 О Г all of the above О Д nothing of the above
Topic № 40. Ectopic pregnancy.
Tubal abortion (without significant intra-abdominal bleeding) В 394 should be differentiated: О А all answers are correct О Б with spontaneous miscarriage of short term О В with exacerbation of chronic salpingoophoritis О Г with dysfunctional uterine bleeding
Rehabilitation of patients operated on for an ectopic pregnancy В 395 includes: О А all answers are correct О Б electrophoresis of drugs О В ultrasound therapy О Г hormone therapy
In case of a disturbed ectopic pregnancy with severe anemia, the В 396 patient is incised: О А lower middle from the womb to the navel О Б transversal supraorbital anchor О В transversal supraorbital according to Pfannenstiel О Г transversal interiliary to Cherny
Transverse suprapubic access than lower-median has the В 397 advantage, in addition to: the possibility of early rising and more active patient behavior in О А the postoperative period lower risk of eventuation in inflammatory postoperative О Б complications О В better cosmetic effect О Г technical simplicity of execution О Д less likely to develop postoperative hernias
В 398 With progressive tubal pregnancy: О А possibly conservative treatment of the patient О Б immediate operation shown О В the operation can be carried out as planned О Г all of the above is true О Д all of the above is not true
During vaginal examination, the patient revealed the following signs: the external os is closed, the uterus is slightly larger than В 399 normal, softened, a soft, painful formation is detected on the right in the area of the appendages, and there is pain when moving behind the cervix. Possible diagnosis: О А progressive tubal pregnancy О Б right ovarian apoplexy О В exacerbation of chronic salpingooforitis on the right О Г all answers are correct
В 400 The source of ovarian bleeding can be: О А all of the above О Б yellow body О В follicular ovarian cyst О Г corpus luteum cyst О Д nothing of the above
В 401 Ovarian apoplexy is: О А correct answers Б and В О Б acute ovarian bleeding О В ovarian rupture О Г acute ovarian circulatory disturbance О Д all answers are correct
Violation of ectopic pregnancy by the type of fallopian tube В 402 rupture accompanies: О А all answers are correct О Б a sudden attack of pain in one of the iliac regions О В shoulder pain irradiation О Г nausea (or vomiting)
В 403 When twisting the leg of an ovarian tumor, there is: О А all answers are correct severe pain in the lower abdomen that occurs after physical О Б exertion О В sharply painful tumor in the pelvis during bimanual examination О Г symptoms of peritoneal irritation on the side of the tumor
With slight bleeding from the ovary, detected laparoscopically, it В 404 is produced: diathermocoagulation of the ovary under the control of О А laparoscopy О Б laparotomy and suturing of the ovary О В laparotomy and ovarian resection О Г laparotomy and removal of the uterus on the affected side
В 405 The operation of hysterectomy is different from supravaginal amputation: О А cervical removal О Б removal of parametric fiber О В removal of the iliac lymph nodes removal of the upper third of the vagina and the entire lymphatic О Г collector of the uterus
Interruption of tube pregnancy by type of tube abortion occurs В 406 more often during pregnancy О А 4-6 weeks О Б 11-12 weeks О В 9-10 weeks О Г 7-8 weeks О Д nothing of the above
Pregnancy, localized in the interstitial part of the tube, is В 407 interrupted most often during pregnancy О А 1-2 weeks О Б 3-4 weeks О В 5-6 weeks О Г 7-8 weeks О Д nothing of the above
A patient is diagnosed with a progressing ectopic pregnancy. В 408 Shown О А operation О Б conservative anti-inflammatory treatment О В blood transfusion О Г all of the above О Д nothing of the above
A serious condition of a patient with an interrupted tubal В 409 pregnancy is shown. О А all of the above О Б immediate blood transfusion О В immediate removal of the source of bleeding (pregnant tube) О Г reliable hemostasis О Д nothing of the above
Laparoscopy revealed progressive tubal pregnancy. The patient's В 410 condition is quite satisfactory. Tactics of doctor О А immediate operation О Б the operation can be performed as planned О В conservative treatment of the patient is possible О Г all of the above is true О Д all of the above is incorrect
Rehabilitation of patients operated on for an ectopic pregnancy В 411 includes О А all of the above О Б electrophoresis of drugs О В ultrasound therapy О Г hormone therapy
Topic № 41. Violations of the development of genital organs.
В 412 Frequency of female genital malformations: О А 2-4% О Б 5-6% О В 7-8%
В 413 Uterine agenesis is a complete absence: О А uterine bodies О Б fallopian tubes О В cervix О Г vagina
The most common malformation of a woman’s internal genital В 414 organs: О А two-horned uterus О Б saddle-shaped uterus О В double uterus
В 415 Gonad dysgenesis is: О А improper development О Б lack of ovaries О В ovarian underdevelopment О Г ovarian cyst
The risk group for the occurrence of congenital malformations of В 416 the genital organs include girls born to mothers who during pregnancy: О А all of the above is true О Б exposed to occupational hazards О В after acute viral infections at a gestational age of 8-16 weeks О Г smoked and drank alcohol О Д all of the above is incorrect
Reasons for the development of abnormalities of the internal В 417 genital organs of women: О А all of the above is true О Б hereditary factors inferiority of the cellular material responsible for the formation of О В internal genital organs negative impact on the development of these structures in the О Г embryogenesis of aggressive biological, chemical and physical agents О Д all of the above is incorrect
В 418 Atresia of the vagina is: О А vaginal septum О Б the decrease in the vagina О В the absence of the lumen of the vagina
В 419 Ginatresia is: О А all of the above is true О Б hymen atresia О В vaginal atresia О Г uterine atresia О Д all of the above is incorrect
For the diagnosis of congenital malformations of the female В 420 genital organs, the most informative: О А all of the above О Б Pelvic ultrasound О В Pelvic MRI О Г Hysteroscopy О Д Laparoscopy
В 421 For conservative therapy of vaginal aplasia is used: О А bloodless complex colpopoiesis О Б surgical colpopoiesis О В vaginoplasty О Г all of the above О Д nothing of the above
Topic № 42. Endoscopy in gynecology. Indications and contraindications. Preoperative preparation and management in the postoperative period of gynecological patients.
Hysteroscopy is an endoscopy method that allows you to В 422 examine: О А uterine cavity О Б bladder lumen О В abdominal cavity О Г all of the above О Д nothing of the above
В 423 Indication for hysteroscopy is: О А all of the above О Б menopause blood-spotting suspected submucous uterine fibroids, endometrial cancer, О В adenomyosis О Г clarification of the location of the intrauterine device О Д assessment of the effectiveness of homonotherapy
В 424 The advantages of laparoscopy: О А all of the above provides a better view of the abdominal organs compared to О Б laparotomy allows you to visualize all floors of the abdominal cavity, О В retroperitoneal space О Г allows for surgical intervention used for the diagnosis and treatment of gynecological diseases, as О Д well as for differential diagnosis between surgical and gynecological pathologies О Е nothing of the above
В 425 Indications for emergency laparoscopy: О А ectopic pregnancy О Б tumors and tumor formations of the ovaries О В uterine fibroids О Г genital endometriosis О Д malformations of the internal genital organs О Е pain in the lower abdomen of unknown etiology
В 426 Indications for planned laparoscopy: О А sterilization О Б ectopic pregnancy О В ovarian apoplexy О Г inflammatory diseases of the pelvic organs suspected torsion of the leg or rupture of tumor formation of the О Д ovary, as well as torsion of subserous fibroids differential diagnosis between acute surgical and gynecological О Е pathologies
В 427 Possible complications of laparoscopy: О А all of the above О Б damage to the vessels of the anterior abdominal wall О В damage to the digestive tract О Г gas embolism О Д damage to the main retroperitoneal vessels О Е pneumorax
В 428 A contraindication for laparoscopy is: О А all of the above secondary abdominal pregnancy with implantation on the wall of О Б the intestine or in the region of large vessels О В interstitial localization of tubal pregnancy О Г localization of the ovum in the accessory uterus О Д unstable hemodynamics О Е general contraindications to laparoscopy
An indication for laparoscopy in acute inflammatory diseases of В 429 the pelvic organs is: О А all of the above О Б lack of a positive effect from antibiotic treatment for 24 hours clarification of the diagnosis in patients with acute inflammatory О В diseases of the pelvic organs to determine further treatment tactics and type of surgical intervention the need for differential diagnosis of acute surgical and О Г gynecological pathology О Д nothing of the above
Endosurgery for tumors and tumor-like formations of the ovaries В 430 perform: О А all of the above О Б ovarian biopsy О В ovarian resection О Г cystectomy О Д oophorectomy О Е adnexectomy, hysterectomy
В 431 The benefits of laparoscopic hysterectomy: О А all of the above О Б minimal invasiveness О В atraumatic and minimal blood loss О Г great visualization О Д early rehabilitation, cosmetic effect О Е great visual learning opportunities
В 432 Contraindication to laparoscopy is: О А all of the above О Б large uterus size (more than 18–20 weeks of gestation) О В general contraindications to laparoscopy О Г common malignant process in the genitals О Д nothing of the above
В 433 The patient's examination before the operation includes: О А all of the above О Б electrocardiography and ultrasound of the pelvic organs О В the patient is examined by a therapist and dentist to exclude gastrointestinal pathology, if necessary, О Г fibrogastroduodenoscopy, colonoscopy, rectoromanoscopy, and irrigoscopy are performed laboratory examination (general blood test, general analysis, О Д coagulogram, blood biochemistry) О Е nothing of the above
В 434 Preparation for elective laparoscopy includes: О А all of the above О Б light meals no later than 12 hours before the intervention О В cleansing enemas, taking laxatives according to indications О Г nothing of the above
В 435 For hysteroscopy, optical media are used: О А all of the above О Б CO2 О В 0.9% sodium chloride solution О Г Hartman's solution О Д 5% glucose solution О Е 1.5% glycine solution
В 436 Absolute contraindications for laparoscopy are: О А all of the above О Б hemorrhagic shock diseases of the cardiovascular and respiratory systems in the stage О В of decompensation О Г uncorrectable coagulopathy О Д acute and chronic liver and / or renal failure ovarian cancer and cancer of the fallopian tubes (with the О Е exception of laparoscopic monitoring during therapy)