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Stomach disease. Gastritis. Peptic ulcer. Tumors of the stomach.



1. In acute gastritis in the mucous membrane of the stomach develops

1. enterolization

2. coagulation necrosis

3. productive inflammation

4. exudative inflammation

5. proliferation of integumentary epithelium

2. Intestinal metaplasia of the epithelium can develop in chronic gastritis

1. superficial 3. atrophic

2. productive 4. catarrhal

3. Macroscopic characteristics of acute gastric ulcer

1. the edges are soft, even

2. the edges are firm, calloused

3. the bottom is dark brown

4. localization in any part of the stomach

5. located on the lesser curvature of the stomach

4. Precancerous changes in the gastric mucosa

1. severe dysplasia

2. hypertrophy

3. dystrophy

4. atrophy

5. Gastric cancer can metastasize by the lymphogenous route.

1. orthograde

2. retrograde

3. paradoxically

6. In acute gastritis, inflammation may develop in the gastric mucosa

1. purulent

2. catarrhal

3. fibrinous

4. productive

5. surface

7. Changes in the mucous membrane in chronic atrophic gastritis

1. enterolization

2. gland atrophy

3. stromal sclerosis

4. swelling and hemorrhage

5. abscess formation

6. catarrhal inflammation

8. Macroscopic characteristics of chronic gastric ulcer without exacerbation

1. localization on the lesser curvature and in the pylorus

2. located in any part of the stomach

3. in the bottom - hydrochloric acid hematin

4. the edges are firm, calloused

5. the edges are soft, even

9. General changes in stomach cancer

1. exhaustion

2. brown myocardial atrophy

3. hepatic cell failure

4. acute cardiovascular failure

10. Retrograde lymphogenous cancer of the stomach metastasizes to

1. liver

2. ovaries

3. pancreas

4. pararectal lymph nodes

5. left supraclavicular lymph node

11. Microscopic characteristics of acute catarrhal gastritis

1. gland atrophy

2. swelling of the mucosa

3. vascular congestion

4. sclerosis of the submucosal layer

5. neutrophil infiltration

12. Enterolization of the epithelium of the gastric mucosa is a process

1. regeneration 3. metaplasia

2. inflammation 4. atrophy

13. Macroscopically in a chronic ulcer, you can distinguish the edges

1. underfloor 3. gentle

2. tight 4. soft

14. The most common localization of cancer in the stomach

1. bottom 4. large curvature

2. body 5. pyloric department

3. slight curvature

15. Kruckenberg cancer is a metastasis of stomach cancer in

1. liver

2. kidneys

3. ovaries

4. pararectal lymph nodes

5. left supraclavicular lymph node

16. Depending on the prevalence of the process, acute gastritis may be

1. surface 3. diffuse

2. atrophic 4. focal

17. To establish compliance:

FORM OF CHRONIC GASTRITIS ETIOLOGY

1. type A a) autoimmune

2. Type B b) not installed

c) infectious

g) immunocomplex

18. The bottom of chronic gastric ulcer during remission is presented

1. muscle tissue

2. serous membrane

3. purulent-necrotic exudate

4. scar tissue covered with epithelium

19. The nature of the growth of cancer in relation to the lumen of the stomach

1. infiltrating 4. endophytic

2. appositional 5. exophytic

3. expansive

20. Supplement: Krukenberg cancer is a metastasis of gastric cancer in _____________.

21. In chronic gastritis, morphological changes in the mucous membrane are due to

1. caseous necrosis

2. epithelial proliferation

3. hyalinosis of the walls of blood vessels

4. productive inflammation

5. violation of the regeneration of the epithelium

22. To establish compliance:

CHRONIC GASTRITIS FORM LOCALIZATION IN THE STOMACH DEPARTMENT

1. type A a) antrum

2. type B b) fundal

c) along the small curvature

g) on ​​the back of the stomach

23. During remission, the mucous membrane at the bottom of chronic gastric ulcer

1. fully regenerates

2. is replaced by a scar

24. Macroscopic forms of gastric cancer with exophytic expansive growth

1. infiltrative-ulcerative 4. polypous

2. plaque-like 5. diffuse

3. mushroom-shaped

25. Virchow gland is a metastasis of stomach cancer in

1. liver

2. ovaries

3. lymph nodes of the mediastinum

4. pararectal lymph nodes

5. left supraclavicular imphatic node

26. Pathogenetic variants of chronic gastritis

1. Type B 4. Secondary

2. type A 5. reflux gastritis

3. primary

27. Against the background of chronic atrophic gastritis, it often develops

1. chronic ulcer 3. erosion

2. acute ulcer 4. cancer

28. During exacerbation in the bottom of a chronic gastric ulcer, the layers are distinguished

1. serous 4. granulation tissue

2. cicatricial 5. fibrinoid necrosis

3. muscular 6. fibrinous - purulent exudate

29. Ulcerative forms of cancer of the stomach with exophytic expansive growth

1. infiltrative-ulcerative 3. diffuse

2. saucer-shaped 4. cancer - an ulcer

30. Supplement: The Virchow gland is a metastasis of the cancer of the gall in the left

____________________________ lymph node

31. The basis of gastritis type A are processes

1. disregenerative

2. autoimmune

3. infectious

32. To establish compliance:

MORPHOLOGICAL CHARACTERISTIC FORM OF GASTRITIS

1. enterolization of the epithelium a) acute

2. swelling of the mucous membrane b) chronic

3. exudative inflammation

4. sclerosis of the submucosal layer

5. thinning of the mucous membrane

6. vascular congestion and hemorrhage

33. The state of blood vessels in the bottom of a chronic gastric ulcer during remission

1. necrosis 4. inflammation

2. sclerosis 5. plethora

3. thrombosis 6. proliferation

34. Macroscopic characteristics of saucer-shaped stomach cancer

1. located on a wide base

2. roller-raised edges

3. the bottom sinks in the center

4. flat, smooth edges

5. the bottom is smooth

35. In the ovary, stomach cancer metastasizes by the lymphogenous route.

1. orthograde

2. retrograde

3. paradoxically

36. With type A gastritis, antibodies to cells are found in the blood

1. main 4. plus

2. G-cells 5. parietal

3. hepatocytes 6. T-lymphocytes

37. Erosion is called the development in the wall of the stomach

1. epithelial proliferation 4. inflammation

2. superficial necrosis 5. atrophy

3. deep necrosis

38. The walls of blood vessels in the bottom of a chronic gastric ulcer

1. contain amyloid masses

2. sclerosed

3. thinned

39. The most common histological variant of exophytic cancer of the stomach

1. undifferentiated 4. mucous

2. squamous 5. skirr

3. adenocarcinoma

40. In the ovary, stomach cancer metastasizes by

1. orthograde lymphogenous

2. orthograde hematogenous

3. retrograde lymphogenous

4. retrograde hematogenous

5. paradoxical hematogenous

41. Characteristics of gastritis type A

1. damage to the fundus of the stomach

2. damage to the antrum

3. antibodies to parietal cells

4. antibodies to additional cells

5. reduced gastrin

6. hypergastrinemia

42. The bottom of erosion and acute ulcers of the gastric mucosa of black color as a result of the accumulation of pigment

1. melanin 4. hemosiderin

2. bilirubin 5. hematin hydrochloride

3. hematoidin

43. Morphological signs of exacerbation of chronic gastric ulcer

1. fibrinoid necrosis of the walls of blood vessels

2. amputation neuromas

3. sclerosis of the walls of blood vessels

4. the focus of necrosis in the bottom

5. hemorrhage

44. Macroscopic forms of gastric cancer with endophytic growth

1. cancer - an ulcer

2. diffuse

3. polypous

4. plaque-like

5. infiltrative - ulcerative

45. Schnitzler’s metastasis is a metastasis of stomach cancer in

1. left supraclavicular lymph node

2. regional lymph nodes

3. pararectal fiber

4. ovaries

5. liver

46. ​​Type A gastritis is localized in the stomach

1. pyloric 3. fundal

2. cardiac 4. antrum

47. The development of acute ulcers in the wall of the stomach is a pathological process

1. superficial necrosis 3. inflammation

2. deep necrosis 4. atrophy

48. Synonym for perforation

1. penetration 3. bleeding

2. perforation 4. malignancy

49. Macroscopic characterization of diffuse gastric cancer

1. represented by a dense whitish fabric

2. germinates the mucous membrane

3. the stomach is wrinkled, tightened

4. consists of loose fabric

5. grows in the thickness of the wall

50. Retrograde lymphogenous metastases of gastric cancer

1. Paget's cancer

2. Schnitzler

3. Kruckenberg cancer

4. thymus gland

5. virch gland

51. Chronic gastritis type B is caused

1. streptococcus

2. staphylococcus

3. Escherichia coli

4. pyloric helicobacter

52. Erosion of the gastric mucosa from acute ulcers distinguishes

1. sclerosis of the bottom

2. depth of necrosis

3. inflammatory response

4. hypertrophy of the glands in the edges

53. Peptic ulcer - destructive complications of gastric ulcer

1. penetration 4. malignancy

2. perforation 5. pyloric stenosis

3. bleeding 6. gastritis and perigastritis

54. The most common histological variants of endophytic gastric cancer

1. undifferentiated 4. mucous

2. squamous 5. skirr

3. adenocarcinoma

55.
Hematogenous cancer of the stomach most often metastases in

1. liver

2. ovaries

3. adrenal glands

4. regional lymph nodes

5. periportal lymph nodes

56. Characterization of chronic gastritis type B

1. caused by pyloric helicobacter

2. damage to the antrum

3. damage to the fundus of the stomach

4. antibodies to parietal cells

5. the level of g astrin is normal

57. Acute ulcer of the gastric mucosa from chronic (without exacerbation) is different

1. the depth of necrosis

2. lack of sclerosis

3. nature of inflammation

4. the presence of hematin hydrochloride

58. Chronic gastric ulcer during exacerbation may penetrate into

1. kidney 4. left lobe of the liver

2. spleen 5. pancreas

3. colon

59. Early stomach cancer is a tumor that does not grow deeper than the layer of the wall of the stomach.

1. mucous membrane 3. muscle

2. submucosal 4. serous

60. Supplement: Hematogenously, gastric cancer more often metastases in ______________________.

61. Type B gastritis is localized in the stomach

1. antrum 3. cardinal

2. fundal 4. pyloric

62. Morphological expression of gastric ulcer

1. acute ulcer

2. chronic erosion

3. multiple acute erosion

4. chronic recurrent ulcer

63. Cicatricial ulcer complications of gastric ulcer

1. penetration

2. malignancy

3. pyloric stenosis

4. gastritis and perigastritis

5. deformation of the duodenal bulb

64. Histological variants of stomach cancer

1. skirr 4. leiomyoma

2. sarcoma 5. adenocarcinoma

3. fibroma 6. undifferentiated

65. Implantation metastases of gastric cancer are manifested by carcinomatosis

1. lungs 4. pericardium

2. pleura 5. diaphragm

3. peritoneum 6. brain

66. Chronic gastritis can be localized in the stomach.

1. pyloric 3. fundal

2. cardiac 4. antrum

67. Peptic ulcer may develop in the gastrointestinal tract

1. 12 duodenal ulcer 3. rectum

2. colon 4. stomach

68. As a result of cicatricial stenosis, the pylorus may develop

1. perforation 3. malignancy

2. bleeding 4. chlorohydropenic uremia

69. Microscopic characteristics of the bottom of the cancer - stomach ulcers

1. sclerosis of the walls of blood vessels 3. muscle fibers

2. epithelial dysplasia 4. scar tissue

70. Complications of ulcerative forms of stomach cancer

1. pneumonia 4. peritoneal carcinomatosis

2. bleeding 5. perforation of the wall of the stomach

3. metastasis

71. Morphological variants of chronic gastritis

1. hemorrhagic 4. atrophic

2. superficial 5. catarrhal

3. productive

72. Local factors in the pathogenesis of gastric ulcer include disorders

1. acid-peptic balance 4. mucosal barrier

2. endocrine regulation 5. immune responses

3. nervous regulation

73. Precancerous diseases of the stomach

1. acute ulcer 4. adenomatous polyp

2. stomach stump 5. multiple erosion

3. chronic ulcer 6. chronic atrophic gastritis

74. The preferred way to metastasize stomach cancer

1. implantation 3. lymphogenous

2. perineural 4. hematogenous

75. Germination of gastric cancer in the head of the pancreas is manifested

1. peritonitis 4. peritoneal carcinomatosis

2. bleeding 5. hemorrhagic pleurisy

3. obstructive jaundice

76. Acute gastritis is a disease of the gastric mucosa

1. degenerative

2. inflammatory

3. infectious

4. precancerous

77. Acute gastritis is a disease of the gastric mucosa

1. inflammatory

2. degenerative

78. Etiological factors of acute gastritis

1. vascular

2. microbial

3. Toxic

4. endocrine

79. In acute gastritis, inflammation may develop in the gastric mucosa.

1. purulent

2. catarrhal

3. fibrinous

4. productive

5. surface

80. Types of acute fibrinous gastritis

1. erosive 4. hemorrhagic

2. mucous 5. diphtheria

3. croupous

81. The level of gastrin in gastritis type A

1. lowered

2. upgraded

3. not changed

82. Chronic gastritis type B is caused

1. streptococcus

2. staphylococcus

3. Escherichia coli

4. pyloric helicobacter

83. Chronic gastritis type B is caused

1. staphylococcus

2. Helicobacter

3. Escherichia coli

84. To establish compliance:

CHRONIC LEVEL OF GASTRIN IN BLOOD

GASTRITA

1. type A a) reduced

2. Type B b) not changed

c) increased

85. Supplement: Erosion of the gastric mucosa from an acute ulcer differs only in ____________________________ necrosis.

86. Common factors in the pathogenesis of gastric ulcer include impaired

1. acid-peptic balance

2. endocrine regulation

3. nervous regulation

4. mucous barrier

5. immune responses

87. The level of secretion of hydrochloric acid and gastrin in chronic gastric ulcer may be

1. increased

2. not changed

3. lowered

88. Morphogenesis of chronic gastric ulcer and duodenal ulcer fundamentally

1. different

2. not different

89. Groups of complications of gastric ulcer and duodenal ulcer

1. toxic

2. infectious

3. malignancy

4. inflammatory

5. ulcerative and cicatricial

6. ulcerative destructive

90. Inflammatory complications of gastric ulcer and duodenal ulcer

1. malignancy

2. cicatricial stenosis

3. gastritis and perigastritis

4. chronic inflammation

5. duodenitis and periododenitis

91. Malignancy of a chronic ulcer is

1. necrosis

2. atrophy

3. inflammation

4. malignancy

92. Supplement: Cancer is a malignant tumor of _______________________.

93. Total cancer is a lesion in the stomach.

1. cardiac and pyloric departments

2. pyloric department and body

3. small and large curvature

4. all departments

5. bottom and body

94. Macroscopic forms of gastric cancer with exophytic expansive growth

1. polypous

2. saucer-shaped

3. infiltrative

4. primary ulcerative

95. Adenocarcinoma is distinguished by the degree of differentiation

1. papillary

2. mucinous

3. cystadenoma

4. highly differentiated

5. low grade

6. moderately differentiated

96. The first metastases of gastric cancer are detected in

1. liver

2. lungs

3. ovaries

4. regional lymph nodes

5. periportal lymph nodes

ANSWERS



No. the answers No. the answers No. the answers
4 33. 2 65. 2, 3, 4, 5
3 34. 2, 3 66. 14
1, 3, 4 35. 2 67. 14
1 36. 5 68. 4
12 37. 2 69. 3
1, 2, 3 38. 2 70. 2, 5
1, 2, 3 39. 3 71. 2, 4
14 40. 3 72. 14
12 41. 1, 3, 6 73. 2, 3, 4, 6
2, 4, 5 42. 5 74. 3
2, 3, 5 43. 14 75. 3
3 44. 2, 5 76. 2
thirteen 45. 3 77. 1
3, 5 46. 3 78. 2, 3
3 47. 2 79. 1, 2, 3
3, 4 48. 2 80. 3, 5
1a, 2c 49. 1, 3, 5 81. 1
4 fifty. 2, 3, 5 82. 4
4, 5 51. 4 83. 2
Ovaries 52. 2 84. 1a, 2b
4 53. 1, 2, 3 85. Depth
1b, 2a 54. 1, 4, 5 86. 2, 3
1 55. 1 87. 2, 3
2, 3, 4 56. 1, 2, 5 88. 2
25. 5 57. 2, 4 89. 3, 4, 5, 6
26. 1, 2, 5 58. 3, 4, 5 90. 3, 5
27. 4 59. 12 91. 4
28. 2, 4, 5, 6 60. Liver 92. Epithelium
29. 2, 4 61. 1 93. 4
thirty. Supraclavicular 62. 4 94. 1, 2, 4
31. 2 63. 3, 5 95. 4, 5, 6
32. 1b, 2a, 3a, 4b, 5b, 6a 64. 1, 5, 6 96. 4
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Stomach disease. Gastritis. Peptic ulcer. Tumors of the stomach.

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