Educational Institution
"Gomel state medical university"
Speciality 1-790101 - "Medicine"
APPROVEDActing head of department surgical diseases № 1 with a course of cardiovascular surgery
Associate professor А.А. Prizentsov
« 04 » April 2017
QUESTIONS
For the exam on surgical diseases
2016/2017 academic year
1. Acute appendicitis. Etiology, pathogenesis, clinical features, differential diagnosis.
2. Surgical tactics in acute appendicitis. Operation methods.
3. Peculiarities of acute appendicitis in cases of atypical location of the appendix.
4. Acute appendicitis in pregnancy. Peculiarities in clinical picture, diagnosis and treatment.
5. Acute appendicitis in childhood. Peculiarities in clinical picture, diagnosis, treatment.
6. Acute appendicitis in elderly age. Peculiarities in clinical picture, diagnosis and treatment.
7. Appendicular mass and abscess. Clinical features, diagnosis, treatment.
8. Wound complications of appendectomy. Clinical features, diagnosis, treatment.
9. Intra-abdominal complications of appendectomy. Clinical features, diagnosis, treatment.
10. Chronic appendicitis. Classification, diagnosis, differential diagnosis, treatment. Tumor of the appendix.
11. Gallstone disease. Prevalence. Risk factors. Clinical forms. Diagnostics.
12. Surgical tactics in gallstone disease. Operation methods.
13. Acute cholecystitis. Classification, clinical features, diagnosis, treatment.
14. Acute cholecystopancreatitis. Pathogenesis, clinical picture, medical tactic.
15. Perivesical mass and abscess. Clinical features, diagnosis, treatment.
16. Gallbladder hydrops and gallbladder empyema. Pathogenesis, clinical features, diagnosis and treatment.
17. Choledocholithiasis. Clinical features, diagnosis, treatment.
18. Obstructive jaundice. Reasons. Clinical features. Laboratory and instrumental diagnostics.
19. Medical tactics in obstructive jaundice. Methods of decompression of the biliary tract. Types of operations.
20. Cholangitis. Clinical features, diagnosis, medical tactics.
21. Bile duct strictures. Clinical features, diagnosis, medical tactics.
22. Drainage of the common bile duct, types and indications.
23. Biliodigestive fistula. Clinical picture, diagnosis, treatment.
24. Complications after cholecystectomy. Clinical features, diagnosis, treatment.
25. Postcholecystectomy syndrome. Classification, diagnosis, medical tactics.
26. Chronic pancreatitis. Etiology, pathogenesis, classification, clinical picture.
27. Complications of chronic pancreatitis. Clinical features, diagnosis.
28. Indications for surgical treatment and types of operations in chronic pancreatitis.
29. Pancreatic cysts. Pathogenesis, classification, clinical picture, diagnosis, treatment.
30. Complications of pancreatic cysts. Clinical features. Medical tactics.
31. Acute bowel obstruction. Etiology, pathogenesis, classification, clinical features, diagnosis.
32. Medical tactics in bowel obstruction. Methods of conservative treatment.
33. Indications and types of operations in bowel obstruction. Postoperative management.
34. Adhesive bowel obstruction: clinical picture, diagnosis and treatment.
35. Obstructive large-bowel obstruction. Etiology, clinical features, diagnosis, medical tactics.
36. Strangulated bowel obstruction. Types, clinical features, diagnosis, medical tactics.
37. Surgical tactics in strangulated hernia. Operation features.
38. Obstruction due to bowel invagination. Etiology, clinical features, diagnosis and treatment.
39. Paralytic ileus. Causes, clinical features, treatment.
40. Acute mesenteric ischemia. Etiology, classification, pathogenesis. Risk factors for thrombosis and embolism.
41. Clinical features and diagnosis of acute mesenteric ischemia. The role of laparoscopy. Lesion volume in different sites of occlusion.
42. Medical tactics in acute mesenteric ischemia. Conservative treatment. Types of operations.
43. Chronic mesenteric ischemia. Etiology, pathogenesis, clinical features, diagnosis and treatment.
44. Peptic ulcer disease. Epidemiology. Pathogenesis. Complications. Concepts of population severity and population surgical activity in peptic ulcer disease.
45. Factors for recurrent and complicated course of peptic ulcer disease. Concept of refractory ulcers.
46. Indications for surgical treatment in duodenal ulcer. Choice of operation. Outcomes.
47. Indications for surgical treatment in gastric ulcer. Choice of operation. Outcomes.
48. Resection, organ-saving and organ-sparing surgery in peptic ulcer disease. Indications. Outcomes.
49. Perforated ulcer. Classification, clinical features, diagnosis.
50. Perforated ulcer. Medical tactics. Choice of operation. Results.
51. Peptic ulcer bleeding. Clinical features. Measurement of blood loss. Criteria for relapse.
52. Peptic ulcer bleeding. Endoscopic signs of stable and unstable hemostasis. The early prognosis for relapse.
53. Peptic ulcer bleeding. Principles of conservative treatment. Infusion therapy depending on the severity of blood loss.
54. Peptic ulcer bleeding. Medical tactics. Choice of operation. Results.
55. Duodenal stenosis. Classification, clinical features, diagnosis.
56. Duodenal stenosis. Medical tactics. Choice of operation. Results.
57. Penetration of peptic ulcer. Clinical features, diagnosis. Medical tactics. Choice of operation.
58. Malignant degeneration of gastric ulcer. Clinical features, diagnosis. Medical tactics. Choice of operation.
59. Post-resection syndromes: dumping syndrome, afferent loop syndrome, peptic ulcer of anastomosis. Etiology, pathogenesis, clinical manifestations, diagnosis, treatment.
60. Postvagotomy disorders: recurrent ulcers, gastrostasis, reflux gastritis. Etiology, pathogenesis, clinical manifestations, diagnosis, treatment.
61. Crohn's disease. Clinical features, diagnosis, differential diagnosis. Medical tactics.
62. Nonspecific ulcerative colitis. Clinical features, diagnosis, differential diagnosis. Medical tactics.
63. Complications of Crohn's disease and nonspecific ulcerative colitis. Medical tactics.
64. Diverticulosis. Etiology, pathogenesis, clinical picture. Medical tactics.
65. Complications of diverticulosis. Clinical features, diagnosis. Medical tactics.
66. Colon polyps. Clinical features, diagnosis, medical tactics.
67. Polyposis of the colon. Clinical features, diagnosis, medical tactics.
68. Pyogenic liver abscesses. Clinical features, diagnosis, treatment.
69. Amebic liver abscesses. Clinical features, diagnosis, treatment.
70. Hepatic cysts. Classification, clinical manifestations, diagnosis, treatment.
71. Hepatic hydatid disease. Clinical features, diagnosis, complications, types of operations.
72. Liver alveococcosis. Clinical features, diagnosis, complications, types of operations.
73. Benign focal liver diseases: hemangioma, adenoma, hamartoma. Clinical features, diagnosis, treatment.
74. Malignant focal liver diseases: primary and metastatic tumors. Clinical features, diagnosis, treatment.
75. Portal hypertension. Classification, pathogenesis. The main outflow tract from the portal system.
76. Portal hypertension. Clinical features, diagnosis.
77. Portal hypertension. Medical tactics. Types of operations.
78. Bleeding from esophageal varices and gastric cardia. Clinical features, diagnosis, treatment.
79. Ascites in cases of portal hypertension. Pathogenesis, treatment, tactics.
80. Complications of portal hypertension: hypersplenism, hemorrhoidal bleeding, encephalopathy. Pathogenesis, diagnosis, treatment.
81. Abdominal trauma. General characteristics and classification of abdominal injuries.
82. Clinical picture of abdominal injury.
83. Methods to diagnose the abdominal trauma.
84. Technique of laparocentesis. Trial peritoneal lavage.
85. Surgical tactics and principles of operative treatment in abdominal trauma.
86. Injuries of parenchymal organs of the abdominal cavity. Medical tactics.
87. Injuries of hollow organs of the abdominal cavity. Medical tactics.
88. Etiology, pathogenesis and classification of peritonitis.
89. Clinical features of generalized peritonitis.
90. Laboratory and instrumental diagnosis of peritonitis.
91. Basic principles of treatment of peritonitis. Detoxication methods.
92. Preoperative managment of peritonitis. Main steps of the operation.
93. Postoperative and tertiary peritonitis. Clinical features. Medical tactics.
94. Laparostomy and planned relaparotomy in the treatment of peritonitis. Indications.
95. Complications of peritonitis. Clinical features, diagnosis, treatment.
96. Intra-abdominal abscesses. Causes, clinical features, diagnosis, treatment.
97. "Acute abdomen." Causes, clinical features, diagnosis, medical tactics.
98. Pseudoabdominal syndrome. Classification. Clinical features. Medical tactics.
99. Features of surgical pathology in patients with diabetes. Medical tactics.
100. Diabetic foot syndrome. Pathogenesis. Classification. Clinical features. Treatment.
Associate Professor A.G.Skuratov