1.

In

postoperating

period

of

patient

T.,conducted

post-natal

metroendometriosis complication appeared with sudden increasing of AP to 80/50 mmHg., breathing rate 42 per min, Pulse is 110 per min. Skin is pale, covered with sticky death-damp. The uterine bleeding absent. What should we begin the first aid from ? A. *artificial ventilation of lungs B. infusion therapy C. Antibacterial therapy D. Support of cardiac extrass E. Laparotomii with next extraction of uterus 2. Patient N., 28 years old. 6 day after the complicated births. The clinical hematological signs of sub acute disseminate intravascular coagulation syndrome developed after skin hemorrhage and uterine bleeding. The state of patient is very bad. blood: Er-2,7 of T/l, Hb-78 of gm/l, thrombocytes88*104 /l, time of blood cloating - 16 min, prothrombin time - 25 sec, ethanol test +, fibrinogen-1,4 gm/l, What preparations should be prescribed ? A. *freezed plasma B. Heparinum C. Reopoliglycin D. Cryoprecipitate E. U-aminokapric acid 3. Patient L is hospitalized in gynecological department with the temperature of 39 degrees C, with complaints of pain in the bottom of stomach, vomit, diarrhea . Criminal abortion have been done 4 days before. AP 80/60, breathing is difficult, psychosomatic excitation. Symptom of SchotkinBlumberg is positive. Uterus is enlarged as on 9 weeks of pregnancy, limitedly mobile, painless. Pus with blood appeared. Your Diagnosis? A. * septic shock B. Perforation of uterus C. Pelvic peritonitis D. Acute appendicitis E. Acute adnexia inflammation 4. . In a clinic a patient with the traumatic tearing of both lower extremities off at the level of knee-joints is delivered. A patient is extremly inert, languid,

pale, pulse 140 b\min, threadlike, AP 50\0. On both lower extremities there are the imposed plaits. Bleeding at the receipt is not present. From the words of doctor of first-aid, lost about 3 litres of blood in place of event. What principal reason of heavy of the state of Patient? A. .* acute hemorrhage. B. . Pain shock. C. . Ishemia of extremities as a result of application of tourniquet D. . Fatty embolism E. . acute kidney insufficiency 5. . Patient 40 years with the acute gastro - intestinal bleeding. A volume of transfused blood is 400 ml after conducting of all tests on compatibility. After hemotransfusion the state of patient became worse, appeared head pains and pains in muscles the temperature of body rose to 38,8 C. What can we explain the state of patient? A. Pirogenic reaction of middle heavy B. *By development of hemotransfusion shock C. Alergic reaction D. By development of bacterial-toxic shock E. By air embolism 6. . Patient C. complain on pain in the heart during 40 min. Pharmacological medicine, that diminish the left ventricle at a patient with the acute heart attack of myocardium, are not included A. nitroglycerine B. fentolamin C. nitroproussid sodium D. *esmolol (brevibloc) E. nifedipinum 7. At a patient, carried to a 2 year ago the heart attack of myocardium, the acute decline of cholecystyties planned cholecystectomy, signs of electric instability of myocardium . Actions of anaesthesiologist must include: A. injection of prednisoloni, lidocaini, hyperventilation, take the ECG B. * injection of dopamini, after stabilisation of BP - nitroglycerine + infusion therapy under the control CVP, conducting of neurovegetative defence, take the ECG C. injection of streptodecasol, stream infusion of reopoliglyocinum, injection of lidocainum, increase of dose of analgetics D. correctly A) and C)

E. all answers are faithful 8. At a patient with the acute heart attack of myocardium in the region of partition on a 5th day after the brief episode of loss of consciousness. Pulse is 32 per minute. BP - 80/40 mm. Consciousness at the level of sopor. He immediately needs : A. to put right a craniotserebral hypothermia, to enter lasics, prednisoloni, tserebrolizin B. to enter an atropine, eoufilin, to begin infouziyo of aloupenta C. * to conduct urgent cardio stimulation D. all answers are faithful E. there is no right answer 9. At a patient with the acute heart attack of myocardium best of all to warn relapsing fibrillation of ventricles with: A. Cordaronum B. Lidocainum C. Ornidinum D. * electrocardiostimulation E. there is no right answer 10.At a patient, that is found under the permanent electrocardioscopic supervision, microwave fibrillation of myocardium and diagnosed clinical death developed. It is necessary to do: A. to inject the solution of calcium in cor B. * to conduct high-voltage electric defibrillation C. to inject solution of atropine in cor D. to inject solution of adrenalin in cor E. there is no right answer 11.A doctor decided to perform the defibrillation to patient with arrhythmia, using a synchronizer. The defibrillator must be synchronized: A. *with wave Q B. with the descending phase of R C. by an T D. consideration of phase of ECG-complex not important E. there is no right answer 12. . At a patient 60 years the third day after an exterpation uterus acute insufficiency of breathing developed suddenly, a skin became at first cyanotic, and then ash-colored color. Tachypnoe, cough with bloody sputum, retrosternal pain. BP 100/70 mm. mercury, HR 120, BR 32 in 1 min., CVP 300 mm wt.col. What most reliable reason of worsening of the state

of patient ? A. *Tromboemboliya of pulmonary artery B. Bleeding C. Pain shock D. Hypostatic pneumonia E. Heart attack of myocardium 13. Persons 48 years, patient by the heart attack of myocardium, suddenly lost consciousness, breathing and palpitation. On ECG of high wave fibrillation of ventricles. Conducted defibrillation. Did not pick up normal cordial activity. What medicine needs to be entered for the rise of sensuality to defibrillation? A. *Amiodaron B. Propranolon C. Lidocain D. Strofantin E. Atropini sulfati 14.A patient entered to the department with a diagnosis: acute intestinal impassability. Complaints: insignificant thirst, dizziness at an attempt to get up from a bed. At a review: patient apathetical, turgor is lowered, eyeballs are soft, tongue is dry with cracks. Pulse 110 min., BP 80 /60 mm of merc. item, diuresis 25 ml /h. Electrolyte composition: Na+ - 142 mmol/l, K+ - 4 mmol/l, glucose 6 mmol/l, urea 7 mmol/l. What variant of infusion is most expedient during operation? A. *Transfusion of crystalloids. B. Transfusion of solution of glucose. C. Transfusion of albumen. D. Transfusion of native plasma. E. Transfusion of poliglucin. 15. Patient L is hospitalized in gynecological department with the temperature of 39 degrees C, with complaints of pain in the bottom of stomach, vomit, diarrhea . Criminal abortion have been done 4 days before. AP 80/60, breathing is difficult, psychosomatic excitation. Symptom of SchotkinBlumberg is positive. Uterus is enlarged as on 9 weeks of pregnancy, limitedly mobile, painless. Pus with blood appeared. Your Diagnosis? A. * septic shock B. Perforation of uterus C. Pelvic peritonitis

D. Acute appendicitis E. Acute adnexia inflammation 16.Patient C. complain on pain in the heart during 40 min. Pharmacological medicine, that diminish the left ventricle at a patient with the acute heart attack of myocardium, are not included A. Nitroglycerine B. fentolamin C. nitroproussid sodium D. *esmolol (brevibloc) E. nifedipinum 17.At a patient, carried to a 2 year ago the heart attack of myocardium, the acute decline of cholecystyties planned cholecystectomy, signs of electric instability of myocardium . Actions of anaesthesiologist must include: A. injection of prednisoloni, lidocaini, hyperventilation, take the ECG B. * injection of dopamini, after stabilisation of BP - nitroglycerine + infusion therapy under the control CVP, conducting of neurovegetative defence, take the ECG C. injection of streptodecasol, stream infusion of reopoliglyocinum, injection of lidocainum, increase of dose of analgetics D. correctly A) and C) E. all answers are faithful 18. . At a patient with the acute heart attack of myocardium in the region of partition on a 5th day after the brief episode of loss of consciousness. Pulse is 32 per minute. BP - 80/40 mm. Consciousness at the level of sopor. He immediately needs : A. to put right a craniotserebral hypothermia, to enter lasics, prednisoloni, tserebrolizin B. to enter an atropine, eoufilin, to begin infouziyo of aloupenta C. * to conduct urgent cardio stimulation D. all answers are faithful E. there is no right answer 19.At a patient with the acute heart attack of myocardium best of all to warn relapsing fibrillation of ventricles with: A. Cordaronum B. Lidocainum C. Ornidinum D. * electrocardiostimulation E. there is no right answer

20. . At a patient, that is found under the permanent electrocardioscopic

supervision, microwave fibrillation of myocardium and diagnosed clinical death developed. It is necessary to do: A. to inject the solution of calcium in cor B. * to conduct high-voltage electric defibrillation C. to inject solution of atropine in cor D. to inject solution of adrenalin in cor E. there is no right answer 21. Persons 48 years, patient by the heart attack of myocardium, suddenly lost consciousness, breathing and palpitation. On ECG of high wave fibrillation of ventricles. Conducted defibrillation. Did not pick up normal cordial activity. What medicine needs to be entered for the rise of sensuality to defibrillation? A. *Amiodaron B. Propranolon C. C. Lidocain D. Strofantin E. Atropini sulfati 22. A patient 36 years with ulcerous of gaster in anamnesis is hospitalized in the surgical department with complaints on vomiting by "coffee-grounds", diarrhea, moderately expressed thirst. Objectively: a skin is pale, covered by a death-damp, a tongue is dry, AP 80/60 mm Hg, Ps 120/min., BF 28/min., diuresis 25 ml/h. Blood test: Er. - 2,8* 1012/l, Hb 98 g/l. What will be most expedient in medical treatment: A. * solutions of colloid B. 5% solution of glucose C. Whole blood D. Red corpuscles mass E. Colloid solutions with red corpuscles mass 23.A patient 25 years is hospitalized in the surgical department with a diagnosis: penetrable wound of abdominal region. Objectively: it is excited, skin covers and visible mucous shells are pale; peripheral pulse of the weak filling, frequent, BP 110/60 mm mercury Positive symptom of desolation of peripheral hypodermic veins. Diuresis is lowered. How to characterize this state? A. *The compensated shock

B. Preagonia C. Circulating shock D. Agony E. Irreversible shock 24. The patient 60 years is delivered in the department of intensive therapy with a diagnosis: bite of bee, anaphylactic shock. Which medicine will be primary and most effective? A. *Adrenalin B. Calcium the chloride C. Prednizolon D. Dimedrol E. Suprastin 25. Patient 20 years for verification of the functional state of kidneys the X- ray examination with v/v injection of cardiotrast is conducted. At the end of injection the state of patient acutely became worse, the shortness of breath, hyperemia of skin, itch appeared. BP 60/20 mm of merc. item, Ps 132/min. A similar research was conducted 3 months ago, such effects were not observed. What most reliable diagnosis? A. *Medicinal anaphylactic shock B. Acute kidney insufficiency C. Tromboembolism of pulmonary artery D. Stress on the conducted manipulation E. Heart attack miocardium 26.Patient 47 years old transferred to the clinic with the diagnosis: acute myocardial infarction. In the first period of observation suddenly lost consciousness. Pulse and blood pressure are not detected. On ECG is sinus rhythm with the transition to ventricular asystole. Your actions regarding the treatment? A. defibrillation B. ganglioblockers C. indirect heart massage D. inderal iv E. *sympatomimetics iv 27.Which of the enumerated psychotropic substances is non acceptable to use in psychomotor excitation in patients? A. droperidol B. oxybutyrat sodium C. diazepam

D. aminasin E. *ditylin