# 1.

Indications to upper airway maintenance:

1. 20% blood loss
2. Severe pneumonia
3. Bronchial status
4. Oxygen mask narcosis*
5. Closed pneumothorax

# 2. When aspiration is likely to happen:

1. After premedication
2. During induction
3. During narcosis
4. During extubation *
5. In early postoperative period

# 3. Anesthesiological management of planned surgeries on lower limbs:

1. Infiltration anesthesia
2. Conductive anesthesia
3. Terminal(topical) anesthesia
4. Spinal anesthesia *
5. General anesthesia

# 4. The most common complication of spinal anmesthesia?

1. Hypotony *
2. Hypocapnea
3. Hypertony
4. Hypothermia
5. Hypoxy

# 5. Suddenly a patient developed stridor, loss of consciousness and hypoxy. Supposed diagnosis:
1. Asthma attack
2. Acute stenosing laryngotracheitis
3. Tumour of the larynx or trachea
4. Foreign body of the larynx *
5. Hysterical bout

# 6. What is Sellick maneuver?

1. Pressing on rpigastrium
2. Head tilt before intubation
3. Pressing o cricoid cartilage during induction *
4. Orogastral tube placement for gastric decompression
5. Tracheal intubation in Trendelenburg position

# 7. What is the early symptom of endotracheal tube clogging during mechanical ventilation?
1. Device malfunctioning
2. Pupil dilation
3. Skin and mucous membranes pallour
4. Loss of consciousness
5. Increased inspiration pressure *

# 8. Oxygen therapy in patients with emphysema can result in:

1. Suffocation
2. Skin and mucous membranes cyanosis
3. Inhibition of respiration
4. Tachycardia
5. Arrythmia
# 9. Which kind of anesthesia is commonly used for tooth extraction?
1. Infiltration *
2. Conductive anesthesia
3. Terminal (topical) anesthesia
4. General anesthesia
5. Incubation period

# 10. Which premedication agents prevent negative neurovegetative reactions?

1. Cholinomimectics *
2. Adrenomimetics
3. Cholinolytics
4. Adrenoblockers
5. Antihistamines

# 11. Anesthesiological management of the hard pallete plastic surgery in patients with >2G>W ?0IV:
1. Multicomponent IV GA, orotracheal intubation, mechanical ventilation
2. Multicomponent IV GA
3. Multicomponent IV GA, nasotracheal intubation, mechanical ventilation*
4. Oxygen mask narcosis
5. Local anesthesia

#12. Cheyne-Stokes breathing pattern:

1. Short inspiration, long expiration
2. Long inspiration, short expiration
3. Apnoe changed with hyperpnoea *
4. Apnoe
5. Hyperpnoe

# 13. Paradoxical breathing is observed in pediatric patients with:

1. Pneumosclerosis
2. Laryngospasm *
3. Emphesema
4. Pneumonia
5. Mechanical ventilation

# 14. Which anesthetic agent is used in neuroanesthesia?

1. Thiopental sodium *
2. Thiosulfate sodium
3. Thiotriazoline
4. Ketamine
5. Tramadol

# 15. Mechanical ventilation for brain edema patients:

1. Normoventilation
2. Moderate hyperventilation *
3. Moderate hypoventilation
4. Spontaneous breathing with oxygen inhalation
5. No clinical value

# 16. Hypovolemic shock signs are incorrect:

1. Hypotension (limited BP amplitude)
2. Cold, wet and cyanotic-whitish-marble-like skin
3. Febrile temperature *
4. Oliganuria
5. Tachycardia

# 17. Hemmorrhagic shock first aid:

1. Head and chest up, legs down
2. Central vein line and fluid infusion (colloids, plasma substitutes balanced electrolyte solutions) *
3. Angioconstrictors (adrenaline, noradrenaline)
4. Blood transfusion only for volume replenishment
5. Narcotic analgesics

# 18.Anesthesiological management of surgical intervention on distal finger phalanxes :

1. Spinal anesthesia
2. Infiltration anesthesia
3. Conductive anesthesia *
4. Terminal topical anesthesia
5. Epidural anesthesia

# 19. For BP stabilization after spinal anesthesia administer:

1. Crystalloids
2. Colloids *
3. Sympathomimetic agents
4. 10% albumin solution
5. FFP

# 20. Maneuvre aimed at removing a foreign body (mechanical asphyxia) :

1. Safar
2. Sellick
3. Heimlich (abdominal thrust) *
4. Silvestre
5. Sims

# 21. Which drugs are contraindicated in patients with lung edema due to mitral stenosis?
1. Euphilline
2. Prednisolone
3. Cardiac glycosides *
4. Lasix
5. Trifas

# 22. Which drugs are contraindicated in patients with acute supraventricular tachycardia?
1. Adenosine
2. Verapamile
3. Lidocaine and calcium chloride
4. Cordarone *
5. Novocaineamid

# 23. Treatment of acute ventricular failure:

1. Mechanical ventilation (CPAP)
2. Dopamine infusion *
3. Phosphodiesterase inhibitorts
4. Parenteral morphine administration
5. All the abovemntioned

# 24. Which is potentially dangerous in lung edema treatment:

1. Oxygen-Helium mixture inhalation
2. Mechanical ventilation with NEP *
3. Mechanical ventilation with PEEP
4. High peridural anesthesia
5. Morphine administration

# 25. Lung compliance in RDS (respiratory distress syndrome):

1. Decreases *
2. Increases
3. Increases, then decreases
4. Decreases, then increases
5. Doesnt change

# 26. Pulmonary embolism is least common for:

1. Atrial fibrillation
2. Malignant tumours
3. Deep lower limb vein thrombosis *
4. Long-term immobilization of a patient
5. Older age

# 27. Aerosol therapy is aimed at everything except:

1. Improving bronchial sanation
2. Humidifying
3. Transporting drugs
4. Reducing cough *
5. Facilitating coughing up sputum

# 28. CVP is characterized by everything except:

1. Normal value 80 120 mm H20
2. Criterion of fluid infusion efficacy
3. Used for differential diagnosis of shock
4. Measured by Riva-Rocci device *
5. Increases in patients with heart failure

# 29. The choice of peripheral venous catheter is determined by:

1. Diameter of the vein
2. Catheter lumen *
3. Rheologic properties of infusion solution
4. Duration of fluid therapy
5. Catheter price

# 30. Collateral breathing is

1. IV oxygen administration through thin needle
2. Providing high oxygen alveolar concentration without respiratory efforts
3. Mechanical ventilation after Holger-Nilsen
4. Mechanical ventilation with PEEP
5. Gas exchange between alveoli *

# 35. Elevation of blood CO2 makes cerebral circulation:

1. Increase *
2. Decrease
3. Doesn_t affect
4. Increase, then decrease
5. Decrease, then increase

# 36. BP 80/40 mmHg HR 120 bpm, shock index:

1. Cannot be calculated as the amount of blood loss is unknown
2. (80+40)/120 = 1
3. 120/80 = 1,5 *
4. 80/120 = 0,67
5. 120/40 = 3

# 37. Oxygen container:

1. Blue, 40 L *
2. Black, 20 L
3. Grey, 10 L
4. White, 30 L
5. Blue with a printed clue.

# 38. Bronchial asthma causes difficult:

1. Expiration *
2. Inspiration
3. Inspiration and expiration
4. Normal breathing
5. Breathing impossible

# 39. Which is inappropriate for severe asthma attack:

1. Oxygen therapy
2. Bronchodilators
3. High doses of corticosteroids
4. Repetedly and frequently sympathomimetyics*
5. Euphiline

# 40. Causes of circulatory hypoxia:

1. Alveolar hypoventilation
2. Increase of intralung shunt
3. Cardiac contractility failure*
4. CO poisoning
5. Airway foreign bodies

# 41. Ineffective defibrillation requires:

1. Lidocaine
2. Novocainamide
3. Amiodarone *
4. Nifedipine
5. Dopegit

# 42. To transform atonic VF to tonic VF administer:

1. Calcium chloride
2. Atropine sulfate
3. Sodium bicarbonate
4. Epinephrine *
5. Cordarone

# 43. Which is contraindicated in atelectasis:

1. Breathing exercises
2. Sputum aspiration from bronchi
3. PEEP
4. Oxygen therapy
5. Inhibited coughing reflex *

# 44. ABGs in patient with severe pneumonia: CO2 = 52 mmHg, O2 = 66 mmHg. Your algorithm:
1. Oxygen therapy and care
2. Corticosteroids
3. Bronchodilators
4. Endotracheal intubation and mechanical ventilation *
5. Wide spectrum antibiotics

# 45. Endotracheal administration of drugs implies:

1. Double the dosage *
2. The same dosage as for IV administration
3. Dissolove drug in 20 ml of physiological saline
4. Do no tdissolve drugs
5. Reduce the dosage by 2 times

# 46. Adrenaline administration during CPR:

1. 1 mg/kg every 10 min
2. 5 mg/kg every 5 min
3. 1 mg/kg before every defibrillation charge
4. 1 mg/kg every 3-5 min *
5. 1 min before every defibrillation

# 47. CPR should be performed:

1. Up to 30 min if no efficacy was observed
2. Up to 60 min if no efficacy was observed
3. Only by person with medical education
4. Until ambulance arrived *
5. By only 2 resuscitators

# 48. Apnoetic oxygenation test implies weaning from mechanical ventilation device:
1. After previous 100% oxygenation;
2. Without permanent oxygen flow supply
3. Until spontaneous inspiration effeorts start or PaCO2 > 60 mmHg *
4. Until the gain of consciousness
5. No longer than 5 min

# 49. Ketamine:
1. Antishock effect *
2. Highly inflammable
3. Easily evaporates
4. IV only
5. Not used in children

# 50. For spinal anesthesia local anesthetic is inserted to:

1. Central channel of the spinal cord
2. Back muscles
3. Under ligamentum flavum
4. Epidural space
5. Spinal channel of the spinal cord *

# 51. The first stage of postresuscitation disease is accompanied by:

1. Hypodynamic syndrome
2. Hyperdynamic syndrome *
3. Normal blood circulation
4. Gain of consciousness
5. Meningeal symptoms
# 52. Defibrillation may be ineffective if:
1. Ineffective chest compressions
2. Alkalosis
3. Improper electrode placement
4. Irreversible cortex changes*
5. Death due to lightning struck

# 53. Defibrillation in patient with cardiac arrest and pacemaker:

1. Impossible
2. One electrode-on the apex. The other-on the pacemaker
3. One electrode-10 cm from the pacemaker, the other-on the apex
4. Position doesnt matter*
5. One electrode-5cm from the pacemaker, the other-on the apex

# 54. In the preoperative preparation for elective surgery of any :

1. Eating solid food is restricted for 12 h . , Liquids - for 6 hours .*
2. The anesthesiologist determines the size of the operation
3. Anesthesiologist spends invasive BP measurement method.
4. The surgeon that operated shall vykonBPy kBPeteryzatsiyu bladder ( the patient ).
5. Mandatory siphon enema before any anesthesia.

# 55. What about traumatic shock is incorrect ? :

1. Dramatically reduces shock index ;*
2. There is a syndrome of low cardiac output
3. Centralisation of circulation
4. Reduced CVP
5. Sludge syndrome

# 56. When entering any of the listed medicines during cardiopulmonary resuscitation may develop myocardial
contracture (" stone " heart )?
1. Adrenaline hydrochloride
2. Atropinu sulfate
3. Calcium chloride
4. Sodium bicarbonate *
5. CORDARONE

# 57. Patient '52 with acute anterior myocardial infarction were asthma . On examination : diffuse cyanosis.
Auscultation of the lungs - a large number of different-sized moist rales. HR - 100 bpm., BP - 120 /100 mmHg
What complication most reliable in this case?
1. None of the above
2. Cardiogenic shock
3. Pulmonary embolism
4. Rupture of the interventricular membrane
5. pulmonary edema *

# 58. Choice for the treatment of ventricular arrhythmia in myocardial infarction is:
1. Lidocaine *
2. Digoxin
3. Verapamil
4. BPF
5. Hinydyn

# 59. Indications for cardioversion:

1. Atrial fibrillation
2. atrial fibrillation
3. Ventricular tachycardia
4. Electromechanical dissociation
5. All of the states *

# 60. The patient is 25 years with a diagnosis of acute infectious myocarditis at heavy displays of stagnant warm
insufficiency.What is necessary for him to appoint nonglycosid inotropic preparation?
1. Neoton
2. BPF
3. Phosphaden
4. dobutamine *
5. strofantin

# 61. Sick '35 complains of pain in the heart, heartbeat irregularity of the heart , shortness of breath with little
physical activity. Ill for two weeks. There was fever , headache , sweating. Ob-no: orthopnea , BH - 26 min.
Acrocyanosis , expanding the boundaries of the heart, atrial fibrillation, gallop rhythm , heart rate - 120 bpm.,
Pulse deficit - 15. Above the lungs - moist rales. Liver 3 cm Swelling of legs. Indicate the most likely diagnosis?
1. Voral-induced myocarditis
2.Rheumatism
3. Infective endocarditis
4. Bilateral pneumonia
5. Dilated cardiomyopathy *

# 62. Cyanosis becomes noticeable when the arterial oxygen saturation is below:
1. 100%
2. 80% *
3. 85%
4. 90%
5. 95%

# 63. Patient developed mechanical asphyxia while eating. Your first steps:
1. Conicotomy
2. Abdominal thrust(Heimlich maneuver)*
3. Call to the ambulance
4. Push foreign body into the trachea
5. Perform tracheostomy

# 64. Patient data on heart rate monitor ventricular fibrillation occurred . Which of the following measures
should be done first?
1. CORDARONE
2. Closed cardiac massage and ventilation
3. Restore airway
4. Enter intravenous adrenaline hydrochloride
5. Defibrillation *

# 65. Atropine :
1. Attached to sedation to hasten sleep stage .
2. M-choline-bloker mixed ( central and peripheral ) type.*
3. Increases peristalsis.
4. Causes miosis( pupillary constriction) .
5. Causes bradycardia

# 66. Pirogov :
1. Is the inventor of a lancet .
2. Finished first in anesthesia in the field. *
3. First used muscle relaxants in clinical practice.
4. He was buried in Moscow.
5. Is the inventor of ether anesthesia

# 67. Implantation of artificial pacemaker is indicated for :

1. Atrioventricular block of III degree
2. Full Atrioventricular block
3. Sinus block
4. All these states *
5. Atrioventricular block II degree

# 68. If ventricular fibrillation one must first perform :

1. Precordial thump
2. Cardioversion *
3. Mechanical ventilation (PEEP)
4. Adrenaline
5. All answers are correct

# 69. Complete AV block :

1. Atropin
2. Adrenomimetics
3. Pacemaker *
4. Inhibitors of phosphodiesterase
5. All answers are correct

# 70. The preoperative preparation of any elective surgery :

1. Eating solid food is restricted for 12 h . , Liquids - for 6 hours .*
2. The anesthesiologist determines the size of the operation
3. Anesthesiologist spends invasive BP measurement method.
4. The surgeon that operated shall vykonBPy kBPeteryzatsiyu bladder ( the patient ).
5. Mandatory siphon enema before any anesthesia.

# 71. What is incorrect about traumatic shock? :

1. Reduced shock index ;*
2. Low cardiac output
3. centralized circulation
4. Reduced CVP
5. There is a " sludge " syndrome

# 72. Improved hemodynamics during aortic balloon contrpulsation includes:

1. Reduction of myocardial work
2. Reduced coronary perfusion
3. Improved systemic perfusion *
4. The increase in diastolic pressure
5. All of these effects

# 73. Reflex stimulation of the vagus nerve is manifested mainly by:

1. ventricular fibrillation
2. anisocoria
3. Increased blood pressure
4. Bradycardia and decreased blood pressure *
5. Electromechanical dissociation of the heart

# 74. Indicate the most important of the transport functions of the cardiovascular system:
1. Transport of hormones and antibodies
2. Transport of heat and participation in the processes of thermoregulation
3. Transport of oxygen *
4. Transportation of waste products to the selection
5. Transportation cytokines

# 75. The maximum positive inotropic effect characteristic of :

1. Glucocorticoid
2. calcium chloride
3. Adrenaline *
4. metabolic acidosis
5. strofantin

# 76. Signs of the efficiency of the complex basic life support are:
1. Recovery heart rate, breathing and consciousness of the victim;
2. Constriction of the pupil , the disappearance of cyanosis and restoring the natural color ;*
3. Recovery rate independent of the victim and the disappearance of cyanosis ;
4. Restoration of natural color .
5. All the answers are not correct

# 77. The main drugs used in the intensive care unit are:
1. Adrenaline, atropine , calcium chloride , lidocaine ;
2. Atropine , adrenaline, calcium gluconate , sodium , lidocaine ;
3. Adrenaline, dopamine, dobutamine , atropin , norepinephrine , soda ;
4. Adrenaline, atropine , mezaton , soda, CORDARONE , lidocaine ;
5. Adrenaline, amiodarone , soda .*

# 78. Initial charge of defibrillator should be:

1. 360 J;
2. 200 J;*
3. 300 W;
4. 200 A;
5. 250 watts.

# 79. The preoperative preparation of any elective surgery :

1. Eating solid food is restricted for 12 h . , Liquids - for 6 hours .*
2. The anesthesiologist determines the size of the operation
3. Anesthesiologist spends invasive BP measurement method.
4. The surgeon that operated shall vykonBPy kBPeteryzatsiyu bladder ( the patient ).
5. Mandatory siphon enema before any anesthesia.

# 80. What is incorrect about traumatic shock ? :

1. Dramatically reduces shock index ;*
2. There is a syndrome of low cardiac output
3. We develop centralized circulation
4. Reduced CVP
5. There is a " sludge " syndrome

# 81. When failure of defibrillation first ...

1. Immediately make a second and if necessary - the third with the same parameters;
2. Intravenous adrenaline , and then repeat the previous defibrillation parameters; *
3. Repeat defibrillation , increasing capacity to 250-300 J;
4. Repeat defibrillation previous settings twice , and then injected i/v amiodarone ;
5. Repeat defibrillation is possible only after 3-4 minutes.

# 82. Circulatory arrest may be of the following types :

1. Asystole , electromechanical dissociation , ventricular fibrillation of the heart , ventricular tachycardia without
a pulse; *
2. Asystole , ventricular fibrillation heart fibrillation or Atrial Fibrillation in combination with ventricular
extrasystoles , electromechanical dissociation ;
3. Asystole , complete AV block , electromechanical dissociation , poor heart , atrial fibrillation and ventricular ;
4. Asystole , complete AV block, ventricular tachycardia without heart rate, cardiac fibrillation.
5. Asystole , AV block II, electromechanical dissociation , ventricular fibrillation

# 83. Boy '17 admitted to hospital following a sudden loss of consciousness while training in the gym.
Consciousness on a scale com Glasgow - 8 points , psychomotor anxiety , meningeal symptoms , signs of injury
on the head there. When lumbar puncture - CSF bloody . On craniogram signs of fracture of the skull bones are
not observed. Set the clinical diagnosis
1. meningitis
2. Brain tumor
3. Spontaneous subarachnoid hemorrhage *
4. Ischemic stroke
5. Bruising of the brain

# 84. In the assessment of the patient's Glasgow coma is typical for deep :
1. 4-5 points*
2. 13-14 points
3. 11-12 points
4. Up to 3 points
5. 9-10 points

# 85. Indication for electric therapy are:

1. Any type of circulatory arrest if there is a possibility of defibrillation within the first minute ;
2. Only the presence of ventricular fibrillation victim ;
3. Fibrillation or asystole ;
4. Absence of breathing and carotid pulse ;
5. Ventricular fibrillation and ventricular tachycardia without a pulse.*

# 86. If you observe asystole...

1. basic life support measures to restore effective heart pumping ;*
2. basic life support measures and medication, iffibrillation resort to defibrillation ;
3. basic life support measures and medication to the emergence of independent heart rate
4. stop resuscitation and state biological death ;
5. increase the frequency of indirect heart massage and inhalation volume blown into the lungs of the victim.

# 87. Children during external cardiac massage compared to older have more common complications:
1. Rib fracture
2. fracture of sternum
3. Breaks large mediastinal vessels
4. Rupture of the liver *
5. pneumothorax

# 88. A patient with acute renal failure should be treated in :

1. resort hospital
2. Hospital
3. therapeutic department
4. At home
5. Intensive Care Unit *

# 89. The upper limit of blood urea:

1. 10 mmol / l
2. 20 mmol / l
3. 8,3 mmol / l *
4. 0,176 mmol / l
5. 50 mmol / l

# 90. Average value of the voltage electrical pulse during defibrillation in children:
1. 0,5 J / kg
2. 1 J / kg
3. 2 J / kg *
4. Since J / kg
5. 4 J / kg

# 91. When using a defibrillator with two thoracic electrodes should be placed :
1. First - in the area of apex of the heart , the second - the right of the sternum at the level of the second
intercostal space *
2. In the area of apex of the heart and the left axillary area
3. In the area of apex of the heart and in the region II intercostal space left of the sternum
4. In section II intercostal space in the right section II intercostal space to the left of the sternum .
5. Left and right of the sternum at the level of 3 edges

# 92. What is common to all forms of shock?

1. Reduced capillary perfusion *
2. tachycardia
3. Pale skin sheets
4. Decrease in peripheral vascular resistance
5. The decrease in cardiac output

# 93. The child is 6 months , amid profuse diarrhea were hoarseness of voice, dryness of mucous membranes and
tongue, marbling and cold extremities , decreased urine output , worsening facial , fever , hypotension . From
what solution should start infusion therapy ?
1. 10% solution of NaCl
2. 10 % glucose
3. 5% glucose solution
4. Reopolihlyukyn
5. Saline or Ringer Locke *

# 94. Cheyne- Stokes Respiration :

1. Short and long exhalation ;
2. Long breath and short exhalation ;*
3. Breathing pauses alternating with frequent deep breathing ;
4. The amplitude of respiratory volume changes smoothly over short pause ;
5. Provides external gas exchange.

# 95. Breathing Biota :

1. Short and long breath exhalation ;
2. Long breath and short breath ;
3. Frequent deep breathing that alternates with breathing pauses ;*
4. The amplitude of respiratory volume changes smoothly ;
5. Provides adequate ventilation.

# 96. In patients 42 years of peptic ulcer vomiting occurred up to 2 liters of " coffee thick " chair - ground, about
one liter . OBJECTIVE : The skin is cold, pale , BP - 80/ 40 mmHg, heart rate - 132/hv . , BH - 24/hv . , CVP - 0
mm of waters. What is the most likely cause of hypotension ?
1. Anaphylaxis
2. Cardiogenic shock
3. Hemorrhagic shock *
4. Perforation of gastric ulcer
5. Acute poisoning

# 97. Male 30 years old got in the car accident . On examination, is determined by pain in the left lower ribs and
signs of hypovolemic shock. Breath of the lungs were normal. What is the most likely cause of the arisen
changes?
1. Rupture of the spleen *
2. Slaughter of the lung with secondary hemothorax
3. Rupture of the colon
4. Stratification of the abdominal aorta
5. Rupture of the liver.

# 98. Patient with acute hemorrhagic syndrome,deficiency of blood volume 15%. At what degree of bleeding
required transfusion of blood components ?
1. More than 20 % of BCC *
2. More than 50 % of BCC
3. More than 10 % of BCC
4. More than 30 % of BCC
5. More than 40 % of BCC

# 99. Enter principles immediate assistance in anaphylactic shock:

1. The head and chest lifted , legs omitted
2. Crystalloid infusion , 5% albumin or human plasma
3. i / v bolus of epinephrine followed by sustaining the infusion *
4. Tracheal intubation and mechanical ventilation
5. Diphenhydramine 25-50 mg / in

# 100. Choose the wrong statement :

1. Venous blood normally contains five times more BV than in the arterial
2. Central venous pressure is normal is 60-120 mm H2
3. Arteriolar tone affects the magnitude of blood pressure
4. Serotonin is a vasoconstrictor
5. Pulmonary edema , due to the accumulation of blood, dramatically reduced central venous pressure. *

# 101. Patient AT - 80/ 40 mmHg, heart rate - 120 bpm, shock index in him
1. Not determined because an unknown amount of blood loss
2. (80 +40) / 120 = 1
3. 120/ 80 = 1.5 *
4. 80/ 120 = 0.67
5. 120/ 40 = 3

# 102. Oxygen cylinders :

1. Blue, a volume of 40 liters. *
2. Black color capacity 20 liters.
3. Gray volume of 10 l.
4. White color , volume 30 liters.
5. Caption blue.

# 103. Cylinder nitrogen dioxide ( nitrous oxide) is characterized by:

1. Gray with 2 cranes.
2. Blue with left thread.
3. Gray with black inscription. *
4. Orange, with integrated pressure gauge.
5. When gas in it is under pressure 40 BPm
# 104. Hypovolemic shock is characterized by:
1. Reduction of hemconstriction
2. Paresis of peripheral vascular
3. Hypoglycemia
4. Elevated CVP
5. Weight loss *

# 105. Choose the wrong statement

1. Of all the shocks only in cardiogenic CVP is increased
2. To increase blood pressure in hypovolemic shock use adrenaline ;
3. All the shocks result in reduced cardiac output
4. Each of the shocks can be completed acute renal failure *
5. When dehydration shock transfusion therapy is contraindicated

# 106. Anesthesiologist occupational hazard includes all, except :

1. Permanent mental overload.
2. Contact with antibacterial agents
3. Standing way to work.
4. Inhalation traces of inhaled anesthetics .
5. Electromagnetic radiation. *

# 107. A solution of 5 % glucose should not be used in patients :

1. In case of injury of the abdominal cavity
2. When the torus radical injury
3. In skeletal trauma
4. With brain trauma *
5. Glucose solution required in all of these injuries

# 108. In case of anaphylactic shock the most effective drug is:

1. Diphenhydramine
2. Suprastin
3. Prednisone
4. Calcium chloride
5. Adrenaline hydrochloride *

# 109. At what reason of death likelihood of full recovery is higher ?

1. Myocardial infarction;
2. Asphyxia ;
3. Head injury ;
4. Electrical shock ;
5. Stroke . *

# 110. Development Anaesthesiology was driven by :

1. An explosion at a chemical plant in Bhopal (India).
2. The development of pharmacology.*
3. Introduction of bronchoscopy in clinical practice
4. Improvement of CPR
5. Polio outbreak in Scandinavia

# 111. Hvedel - ...

1. The city , which was held the first anesthesia.
2. Element gear.
3. One of the authors of the classification stages of ether anesthesia . *
4. Intravenous anesthetic group of synthetic hormones.
5. Inhaled anesthetic

# 112. When you electric shock cardiac arrest:

1. Do not touch the patient
2. Electric wire must be taken away with a metallic object
3. Victim should be covered with humid ground for 30 minutes , followed by hospitalization
4. Cardiopulmonary resuscitation is performed on the general principles *
5. Establish IV infusion of polarizing solution ( GPI )

# 113. The duration of clinical death is higher in the case ...

1. Stop circulation in the frosty air;
2. Drowning in open water with water at below 10 C; *
3. Lightning ;
4. Stop of circulation during general anesthesia ;
5. Primary stop of breathing .

# 114. Puncture of epidural space:

1. After catheterization of spinal space.
2. In the position of the patient on the abdomen.
3. At a level of C5.
4. Anesthesiologists .*
5. Surgeon.

# 115. Patient data on heart rate monitor ventricular fibrillation occurred . Which of the following measures
should performed first?
1. CORDARONE
2. Closed cardiac massage and ventilation
3. Restore airway
4. IV adrenaline hydrochloride
5. Defibrillation *

# 116. Atropine :
1. Attached to sedation to hasten sleep stage .
2. Is the M- choline blocker of mixed ( central and peripheral ) type. *
3. Increases peristalsis.
4. Causes myosis .
5. Causes bradycardia

# 117. General anesthesia monitoring include:

1. Pulse , blood pressure. *
2. Auscultation of the lungs.
3. Pulse oximetry .
4. Intra-abdominal pressure .
5. Intra ocular pressure

# 118. Select the most optimal therapy lightning forms of anaphylaxis :

1. Diphenhydramine, prednisone , kordiamin - all w /
2. Atropine , pipolfen , prednisolone - all w /
3. Albumin , calcium chloride , hydrocortisone - all w /
4. Adrenaline, saline , prednisolone - all i /v *
5. Antihistamines

# 119. The advantages of propofol are:

1. hypertension ( antishock effect).
2. Quick recovery after cessation of administration.*
3. Severe pain relief .
4. Anti-edema effect.
5. Anti arrhythmic effect

# 120. The best indicators of adequate restoration of blood volume after injury are:
1. PCV
2. blood gases
3. The normalization of urine output *
4. Normalization of BP
5. Normalizing the number of red blood cells

# 121. Postpartum women with profuse bleeding and severe blood loss waiting for anesthesia. Use of
whichdrugs for induction of anesthesia is most expedient and safe for the prevention of circulatory arrest ?
1. Ketamine *
2. Diprivan
3. Thiopental sodium
4. Sombrevin
5. hexenal

# 122. Boy '10 hospitalized in the intensive care unit and intensive care unit with a diagnosis of polytrauma,
hemorrhagic shock III degree. Which of vascular access most indicated for administration of drugs to the
patient ?
1. Puncture of the radial artery
2. Puncture and catheterization peripheral vein
3. Percutaneous catheterization central vein *
4. catheterization of the radial artery
5. Venipuncture with needle maximum diameter

# 123. In the hospital brought the victim with multiple fractures of the pelvic bones. The skin is pale , cool and
moist. Pulse 120 bpm., Threadlike . Systolic BP 60 mmHg in the vein entered kBPeter . What is the solution
first?
1. 7.5% solution of potassium chloride
2. 0.9% saline solution *
3. A solution of dobutamine
4. A solution of dopamine
5. 10% solution of calcium chloride

# 124. Signs of the efficiency of the complex basic life support are:
1. Recovery heart rate, breathing and consciousness of the victim;
2. Constriction of the pupil , the disappearance of cyanosis and restore the natural color ;
3. Recovery rate independent of the victim and the disappearance of cyanosis ; *
4. Restoration of natural color .
5. The appearance BP> 80 mmHg

# 125. The responsibilities of the anesthesiologist does not include:

1. Evaluation of preoperative condition of the patient and his preparation for the operation planned .*
2. Purpose of sedation .
3. Life support systems and organs of the patient during surgery and afterwards.
4. Blood transfusion if bleeding
5. monitoring indicators of respiration and circulation during anesthesia.

# 126. To replenish blood volume is not used:

1. Helofusin
2. 0.9% NaCl solution
3. 3% solution of KCl *
4. Refortan
5. 5% NaCl district

# 127. Possible causes of the stomach bloating during breathing by mouth to mouth :
1. Improper head position *
2. Excessive frequency ventilation
3. Hypersthenic constitution
4. Overweight patients
5. Failure of cardiac sphincter

# 128. Replacement therapy during forced diuresis :

1. colloidal solution
2. Parenteral nutrition
3. Blood products
4. Native plasma
5. Crystalloid solutions *

# 129. Frozen red cells are stored :

1. 180 days
2. 1 year
3. 2 years*
4. 5 years
5. Undefined term

# 130. In the case of a very dangerous infection or poisoning WCF in a patient with absence of spontaneous
breathing zastosuvBPy a method of mechanical ventilation :
1. Mouth to mouth
2. Rhythmic compression of the chest
3. metod Sylvester
4. Holger Nielsen method *
5. With Ambu bag

# 131. During mechanical ventilation by mouth to horn swelled dramatically nadchrevna area , indicating that
the stretching of the stomach. Actions:
1. press hand in the epigastric area.
2. Use intake when hyper inflate stomach can not inspiration.
3. Use action point 2. but the patient's side.*
4. Press in epigastrium knee
5. Follow ventilation

# 132. Solution for parenteral nutrition does not include:

1. Intralipid
2. A solution of 5% glucose *
3. Lipofundin
4. Infezol
5. Aminoplasmal

# 133. Sudden coma state in a healthy young man most often can be caused by :
1. Acute exogenous poisoning *
2. meningoencephalitis
3. ischemic stroke
4. ketoacidosis
5. brain tumor

# 134. Assessment of coma by Glasgow Scale is based on:

1. Motor activity , the possibility of contact with the patient, eye opening *
2. Estimates of the knee reflex
3. Evaluation of pupil size and reaction to light
4. Assessment of respiratory function
5. Reactions responses to painful stimuli

# 135. In case of severe bronchiolospasm most effective method is as urgent ventilation :

1. Mouth to mouth
2. Rhythmic compression of the chest at the time of exhalation of the patient *
3. method of Sylvester
4. Holger Nielsen method
5. Ambu bags

# 136. The most effective method of maintaining the upper airway patency if intubation is impossible :
1. head tilt
2. jaw thrust
3. The use of air ducts
4. Use of laryngeal mask *
5. Conicotomy

# 137. Pirogov :
1. Is the inventor of a lancet .
2. Finished first in anesthesia in the field.*
3. First used muscle relaxants in clinical practice.
4. He was buried in Moscow.
5. Is the inventor of ether anesthesia

# 138. Crossing of spine and an imaginary line that connects spina iliaca posterior superior dextra et sinistra
corresponds:
1. The lower edge of the spinal cord in women.
2. The lower edge of the cauda equina in men.
3. In adults, the same level L4-L5.
4. The maximum thickness of perirenal tissue.
5. In adults, the same level L2 - L3 *

# 140. Patient developed mechanical asphyxia during his meal. Your first steps:
1. Conicotomy *
2. Abdominal thrust
3. Call an ambulance
4. Push foreign body into the trachea
5. Perform tracheostomy

# 141. Signs of inadequate anesthesia during general anesthesia are:

1. Tachycardia .*
2. Constriction of the pupil .
3. Bradypnoe .
4. Extrasystole .
5. Lowering BP.

# 142. The degree of relaxation of the muscles of the anterior abdominal wall during surgery depends on:
1. Blood pressure.
2. Duration of the operation .
3. The composition of the infusion solution.
4. Depth of anesthesia.*
5. Anesthetics used
# 143. In addition to muscle relaxants, skeletal muscle tone is lowered by :
1. Narcotic analgesics.*
2. Antihistamines .
3. Calcium Chloride .
4. Prednisone .
5. Atropine

# 144. In the intensive care of acute left ventricular failure should be managed with :
1. colloidal solution
2. crystalloid solutions
3. Colloids and crystalloids in the ratio 2:1
4. 10 % glucose
5. Infusion therapy is not indicated *

# 145. When laryngospasm administer :

1. Dytylin . *
2. Eufilin .
3. Pilocarpine .
4. Ranitidine .
5. Proserinum

# 146. Which of the following most effectively stabilizes BP:

1. 5% glucose solution
2. 0.9% NaCl solution
3. 10 % glucose
4. 10% solution of NaCl + HES *
5. Reopoliglucine + 40 % glucose

# 147. With the development of anaphylactic reaction to novocaine is also a major risk of anaphylaxis when
administered :
1. Lidocaine.
2. Bupivacaine
3. Dicaine *
4. Ropivacaine
5. Marcaine

# 148. Central venous pressure describes the following parameters , except for:
1. Right ventricular contractile ability
2. Venous tone
3. Blood volume
4. State of microcirculation *
5. The effectiveness of infusion therapy

# 149. For the treatment of patients with hemorrhagic shock following provisions are correct , except:
1. Crystalloid infusion adds extracellular volume rather than the infusion of colloids.
2. Colloids and crystalloids should be administered to replenish BV loss if > 10% of BV
3. Infusion of colloids increases faster BV than crystalloids .
4. The massive infusion of colloids does not affect hemostasis.*
5. If loss > 35 % of BV in infusion therapy include red cell mass.

# 150. Dextran can cause coagulation disorders when administered at doses of at least:
1. 500 ml
2. 750 ml
3. 5 ml / kg
4. 10ml/kg
5. 15 ml / kg *

# 151. Massive transfusion :

1. Requires uncontrolled entry of calcium chloride
2. It increases the risk of developing ARDS*
3. Increase the risk of toxic nephritis
4. Creates no problem
5. Leads to lower CVP

# 152. The most common infection that is transmitted by blood transfusions are:
1. Syphilis
2. hepatitis B *
3. E hepatitis
4. AIDS
5. Cytomegalovirus

# 153. How will the cardiopulmonary resuscitation be performed in ongoing operations:

1. On hand horizontally
2. On the back of the upraised head end
3. On the back in a horizontal position
4. On the back of the lowered head end *
5. The patient does not matter

# 154. Sudden coma state in a healthy young man most often can be caused by :
1. ketoacidosis
2. meningoencephalitis
3. epileptic status
4. Acute exogenous poisoning *
5. hemorrhagic stroke

# 155. In real exchange blood transfusion should be replaced at least:

1. 500 ml of blood
2. 1 liter of blood
3. Total CBV
4. Half BCC *
5. 300 ml of blood

# 156. Hemolytic reactions require administration of all except:

1. A solution of crystalloids
2. furosemide
3. Atropini sulfat *
4. Sodium bicarbonate
5. Manit

# 157. Reanimation of the full functional recovery CNS possible for the duration of clinical death :
1. 3-4 min at hyperthermia
2. 3-4 min at normothermia *
3. 6-8 min at normothermia
4. 12-15 min at hyperthermia
5. 8-10 minutes. at normothermia

# 158. After the initial cardiac arrest spontaneous breathing usually stops after :
1. 20 seconds
2. 30 sec
3. 60 sec *
4. 5 min
5. 2 min.

# 159. To ensure a free airway in unconscious patient should :

1. Tilt your head to the left
2. Place the patient on his stomach
3. Bend his head to his chest
4. triple airway maneuver *
5. Tilt your head to the right

# 160. For ketoacidosis(diabetic) coma is typical :

1. Respiratory acidosis
2. Overhydration
3. Hypoventilation
4. Hypoglycemia
5. Metabolic acidosis *

# 161. After primary cardiac arrest consciousness disappears in :

1. 10 s*
2. 30 s
3. 60 s
4. 5 min
5. 2 min.

# 162. For the diagnosis of respiratory arrest crucial are following features except :
1. Lack of chest excursion
2. Lack of air flow from the respiratory tract
3. Lack of movement epigastric area *
4. The pale -bluish color of the skin and visible mucous
5. The absence of respiratory sounds on auscultation of the lungs

# 163. Most informative for timely diagnosis of heart failure are:

1. Myosis .
2. The absence of pulsations in the carotid arteries *
3. Cyanosis of the skin
4. The absence of pulsations in the peripheral arteries
5. Lowering BP

# 164. The immediate (first) phase of cardiopulmonary resuscitation includes the following measures:
1. Diagnosis type of circulatory arrest
2. drug therapy
3. Restoring airway *
4. defibrillation
5. Electric cardiac stimulation

# 165. Advantages of mechanical ventilation by " mouth to mouth "

1. Can be used in any environment
2. Nerve reflex stimulation of the respiratory center *
3. Nerve reflex stimulation of the cardiovascular center
4. Provide respiratory volume of a 2-3 times better than normal
5. No infection transmission

# 166. Methods for enhancing natural detoxification pathways include:

1. gastric lavage
2. siphon enema
3. Purpose of cardiac glycosides
4. Forced alkaline diuresis osmotic *
5. Introduction antidotes

# 167. Early symptoms of incompatible blood transfusion following except:

1. Low back pain
2. jaundice *
3. nausea
4. Paresthesia of extremities
5. Difficult breathing

# 168. Terminal states are:

1. Preagony , agony , clinical death
2. Agony , terminal pause , clinical death
3. Preagony , term . pause, agony , clinical death *
4. Preagony , term . pause, agony, clinical death, natural death
5. Clinical death

# 169. If preserved blood stored for more than 10 days , then:

1. Clotting factors are normal
2. Survives for about 98% of red blood cells
3. Increases the total content of potassium
4. Increases plasma potassium levels *
5. Increases pH

# 170. Complications associated with infusion therapy infringement writing speed of infusion solutions include
the following , except:
1. Increased preload
2. hypervolemia
3. Partial hemolysis of erythrocytes*
4. pulmonary edema
5. Swelling of the brain

# 171. Possible etiological factors that contribute to the development of ketoacidosis:

1. Acute purulent infection *
2. Heart failure
3. Unreasonable increase insulin doses
4. Head injury
5. Receiving the means antacid

# 172. The renal artery is normally branches :

1. celiac trunk
2. The aorta *
3. Inferior vena cava
4. The pulmonary artery
5. femoral artery

# 173. The duration of clinical death is determined by the life:

1. myocardial cells
2. Structures of the brain stem
3. Cortex *
4. Hypothalamic- pituitary system
5. The spinal cord
# 174. " Lethal synthesis" - is:
1. The accumulation of toxins in the liver
2. The formation of a body of toxic substances in the metabolism *
3. Violation of redox processes
4. Inhibition of the cardiovascular system
5. Central respiratory failure

# 175. The natural ways to detox include:

1. hemosorbtion
2. hemodialysis
3. Plasmapheresis
4. The withdrawal of toxic substances in the urine *
5. Lymph

# 176. In a sick child who is in coma state respiratory uncompensated acidosis is observed( pCO2 = 70 mmHg).
What is a medical measure should be performed first?
1. Drip 4% solution of sodium bicarbon
2. Breathing pure oxygen
3. Introduction cordiamin
4. Introduction 3 % solution of trisamine
5. Transfer to mechanical ventilation *

# 177. The upper limit of the norm potassium levels are:

1. 18 mmol / l
2. 5,3 mmol / l*
3. 28 mmol / l
4. 2 mmol / l
5. 0.5 mmol /

# 178. Gastric lavage tube method is required :

1. In elderly victims
2. If poisoning toxins are corrosives *
3. If concomitant cardiac failure
4. In patients with excessive body weight
5. If concomitant respiratory failure

# 179. Complications associated with the technique violation while vein catheterisation include:
1. Fat embolism
2. Thromboembolism
3. Anaphylaxis
4. bruise formation *
5. pulmonary edema

# 180. The main pathogenetic link of diabetic ketoacidosis is:

1. Progressive hypoglycemia
2. Deficiency of insulin activation of lipolysis *
3. Severe electrolyte imbalance
4. Dehydration
5. Hypervolemia

# 181. Acute Oral Chemical poisoning,patient in a coma:

1. Normalise breathing *
2. Do not start treatment until the toxicant is identified
3. Enter the intravenous 40 % glucose
4. Start forced diuresis
5. Rinse the stomach tube-free method

# 182. Treatment of acute chemical poisoning starts:

1. After identification of toxic substances
2. After quantification of toxicants in biological media body
3. After identifying origin of poisoning
4. With immediate restoration of vital functions *
5. After a detailed elucidation of historical information

# 183. For polyuria stage is characterized by:

1. The relative density of urine > 1010
2. Hyperhydration
1. Pulmonary edema coma
3. hyperosmolar coma
4. Hypokalemia *
5. None of the above

# 184. If hypertensive dehydration:

1. Sodium level higher than normal *
2. Sodium level below normal
3. Level of sodium is normal
4. Osmoltic plasma pressure in normal
5. All answers are correct

# 185. The patient complains of '67 asthma . A year ago after myocardial infarction. During the attack takes
sitting position. Appears peripheral cyanosis. Pulse - 105 bpm .. left heart size increased by 2 cm Cardiac deaf. In
the lower regions of the lungs abundance of moist rales. Cough with frothy sputum pink. What type of
suffocation occurs ?
1. The attack of bronchospasm
2. Asthma
3. Cardiac asthma *
4. Neurogenic ( hysterical ) asthma
5. Mixed asthma

# 186. At admission of the patient suspected poisoning by ingestion of unknown substance:

1. Assign soothing means
2. Establish oxygen inhalation
3. Rinse stomach with big volume of water
4. Atropine
5. chromosmon *

# 187. Solutions of hydroxyethylstarches :

1. Often the cause of acute renal failure
2. Longer held in the bloodstream than crystalloid *
3. You can not combine with glucose
4. Volume infusion has no effect on the incidence of complications
5. Volume infusion does not affect clotting potential of the blood

# 188. Mean values of oxygen tension in arterial blood in a person over 60 years old when breathing air :
1. 20-30 mm. mmHg ;
2. 40-50 mm Hg;
3. 50-60 mm Hg;
4. 60-80 mm Hg;
5. 80-90 mm Hg *
# 189. Sick '48 brought an ambulance with complaints of severe headache , nausea, vomiting, dizziness, blurred
vision ( reduced visual , languishing , flashing "flies " to the eyes) , the court appearance , instant loss of
consciousness. BP - 200-250/120-150 mmHg. These complaints increased gradually over 48-72 hours. Which
drugs are advisable to appoint ?
1. strofantin
2. Nitroprussyd sodium *
3. Novokainamid in
4. Lidocaine
5. Eufilin

# 190. Tanned blood contains adequate number of:

1. Factor V
2. Platelet
3. Factor VIII
4. Prothrombin *
5. Not bound Ca + + ions

# 191. Signs of hyperosmolar coma are:

1. Uncompensated metabolic acidosis
2. Hyperhydration
3. High hyperglycemia *
4. Azotemia
5. High lactate

# 192. Kidney damage , resulting in acute renal failure, occurs in the stage of:
1. recovery of diuresis
2. oligoanuria
3. shock *
4. recovery
5. polyuria

# 193. Mannit can refer to:

1. osmotic diuretics *
2. Keton bodies
3. Parenteral nutrition
4. Plasma replacement agents
5. Antibiotics

# 194. The main symptom of hyperglycemic coma:

1. vomiting
2. anuria
3. Polyuria
4. Hypotension
5. Glucosuria *

# 195. The cause of hepatic coma are:

1. Swelling of the brain as a result of violations of water- electrolyte balance
2. High levels of glucose utilization due to violation of
3. Portal hypertension
4. Increased ammonia pseudotransmitters as a result of metabolism of some amino acids *
5. Increased transaminase activity

# 196. Specify the formula for mean arterial pressure:

1. ( BPsyst BPdiast + ) / 2
2. ( BPsyst BPdiast + ) / 3 + BPdiast / 2
3. ( BPsyst - BPdiast ) / 3 + BPdiast *
4. Pulse pressure + BP syst
5. Diast BP + BP syst / 2

# 197. Signs of uremic coma are:

1. Diarrhea
2. Ammonia breath
3. polyserositis
4. All of the above *
5. Acute gastrointestinal ulcers

# 198. Acid strength is determined by:

1. The degree of solubility
2. dissociation constant*
3. Abilityy to donate electrons
4. acid residues
5. There is no correct answer

# 199. When treating a patient with acute renal failure weight of his body must:
1. remain unchanged
2. All answers are wrong
3. decrease *
4. increase
5. This figure does not matter

# 200. In case of overdose of acetaminophen , there is the risk of :

1. Malignant hyperthermia
2. Acute urinary retention
3. Acute liver failure *
4. Acute left ventriculary failure
5. Loss of vision