Medical therapy will be effective in cases of bowel

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97. Medical therapy will be effective in cases of bowel obstruction caused by: 1.Volvulus; 2.Cancer of colon; 3.Paralytic ileus; 4.Spastic bowel obstruction; 5.Coprostasis. A. 1, 2, 3; B. 2, 3, 4; C. 3, 4, 5; D. 1, 2, 5; E. 1, 2, 4. 98. The signs of strangulation are: 1.Acute onset of disease; 2.Severe abdominal pain; 3.Slow beginning; 4.Dull pain; 5. Dilated small intestine loops with air/fluid levels on plain abdominal film. 99. The signs of obturation are: 1.Acute onset of disease; 2.Severe abdominal pain; 3.Slow beginning; 4.Dull pain; 5. Dilated air-filled colon on plain abdominal film. 100. Patient with bowel obstruction is complaining for blood in the stool. What is you diagnosis? 101. For low large bowel obstruction are characteristic all signs except: A. Slow beginning; B. Abdominal distension; C. Cloiberg caps on plain abdominal film; D. Absence of stool; E. Acute dehydration. 19
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102. Surgical treatment in case of acute bowel obstruction is indicated in cases: 1. Electrolyte disbalance. 2. Abdominal cramps. 3. Strangulation. 4. Obstruction has not resolved within 24-48 hours of concervative treatment 5. Multiple air-fluid level on plain abdominal film. 103. A 42-year-old woman is admitted to the emergency department with severe colicky pain, vomiting, and abdominal distention. She has not passed stools or flatus for 48 hours. X-rays of the abdomen confirm the presence of smallbowel obstruction. What is the most likely cause of small-bowel obstruction in this patient? 104. Most oftenly small bowel obstruction is caused by (2 right answers): 105. 56 -year-old patient admitted to the surgical department with complaints of abdominal pain, repeated vomiting, which does not bring relief. The pain starts 2 hours before admission, after consumption of large amout of food. Patient anxious, pale skin, acrocyanosis, pulse 120 bpm, BP 90/60 mmHg. Abdomen moderately distended in the epigastric region, in the lower parts – sink in. On palpation: tenderness in the epigastrium. On percussion: tympanic sound in the epigastic region, increased peristalsis. On plain abdominal film dillated small intestinal loops. Make diagnosis? A. Peptic ulcer perforation B. Groin hernia incarceration C. Acute pancreatitis D. Small intestine volvulus E. Bowel obstruction caused by the tumor of large intestine
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  • Winter '18
  • Jane doe
  • acute pancreatitis

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