ZAPOROZHYE STATE MEDICAL UNIVERSITY,UKRAINE. ONCOLOGY test for 5th year students.

1. Indicate method of diagnostic cancer in situ. A. Histology; B. Cytology; C. Ultrasonography; D. X-Ray; E. Radiologyc. 2. What is the best method for morphological confirmation of ovarian carcinoma: A Hysteroscopy B Colposcopy C.Laparoscopy with biopsy D. Do puncture through the posterior vaginal vault E Hysterosalpingography 3. Which sort of treatment patient with cancer is the best for convalescence? A. Surgical treatment B. Chemotherapy C. Radiation therapy D. Hormonotherapy E. Immunotherapy 4. What place do malignant tumors occupy in structure of mortality adults? A. First B. Second C. Third D. Fourth E. Fifth 5. What kind of diagnostic methods of malignant tumors is the best? A. Clinical B. Cytology C. X-Ray diagnostic D. Endoscopy E. Gystology 6. Which cancer is number one in structure of male incidence in Ukraine? A. Cancer of stomach B. Lung cancer C. Cancer of skin D. Rectal cancer E. Breast cancer 7. Which cancer is number one in structure of female incidence in Ukraine? A. Cancer of stomach B. Lung cancer C. Cancer of skin D. Rectal cancer E. Breast cancer

8. Which cancer can be completaly erradicated by radiation therapy? A. Cancer of stomash B. Lung cancer C. Cancer of skin D. Rectal cancer E. Breast cancer 9. What is the meaning of relapse of malignant tumor? A. Return of simptoms of disease B. Lessening of symptoms of disease C. Increase of symptoms of disease D. Disappear of symptoms of disease E. Stabilization of symptoms of disease 10. What is the meaning of remission of malignant tumor? A. Return of symptoms of disease B. Lessening of symptoms of disease C. Increase of symptoms of disease D. Disappear of symptoms of disease E. Stabilization of symptoms of disease 11. Which sign do we use for poorly histological differentiation of cancer? A. G1 B. G2 C. G3 D. G4 E. Gx 12. Which sign do we use for high histological differentiation of cancer? A. G1 B. G2 C. G3 D. G4 E. Gx 13. Which sign do we use for undifferentiated cancer? A. G1 B. G2 C. G3 D. G4 E. Gx 14. All of the following medication are cytostatic agents EXCEPT A. 5-Fluorouracil B. Cyclophosphamide C. Metotrexat D. Sandostatine E. Taxoter

15. Which method is distinguished for confirmation of gastric cancer ? A. Clinical method B. Ultrasound Examination C. Barium Enema Radiography D. Gastroscopy with biopsy E. Computerised Tomography 16. Which of the following tests will provide the best evaluation of the patient with colorectal cancer ? A. CA 19 9 B. CA 125 C. CEA (carcinoembryonic antigen) D. AFP (alpha-foetoprotein) E. HCG (human chorionic gonadotropin) 17. Which of the following tests will provide the best evaluation of the patient with liver cancer? A. CA 19 9 B. CA 125 C. CEA (carcinoembryonic antigen) D. AFP (alpha-foetoprotein) E. HCG (human chorionic gonadotropin) 18. Which of the following tests will provide the best evaluation of the patient with cancer of the ovary? A. CA 19 9 B. CA 125 C. CEA (carcinoembryonic antigen) D. AFP (alpha-foetoprotein) E. HCG (human chorionic gonadotropin) 19. Which of the following tests will provide the best evaluation of the patient with cancer of the testes? A. CA 19 9 B. CA 125 C. CEA (carcinoembryonic antigen) D. AFP (alpha-foetoprotein) E. HCG (human chorionic gonadotropin) 20. Which of the following tests will provide the best evaluation of the patient with pancreatic cancer? A. CA 19 9 B. CA 125 C. CEA (carcinoembryonic antigen) D. AFP (alpha-foetoprotein) E. HCG (human chorionic gonadotropin)

21. A 70-year-old woman has undergone radical mastectomy for breast carcinoma pT2N2M0 G3, ER () . The best choice of adjuvant treatment would be? A. Adjuvant chemotherapy

B. Adjuvant radiation therapy C. Hormonotherapy D. Biotherapy E. Follow up 22. Which factor is prominent for the development of breast cancer? A. High level estrogene B. Smoking C. Obesity D. Pollution of environment E. Using of contraception 23. What is the level of incidents of breast cancer in Ukraine ? A. 1 10,0 o/oooo B. 11 - 20,0 o/oooo C. 21 - 30,0 o/oooo D. 31 - 40,0 o/oooo E. 41 - 50,0 o/oooo 24.Which part of breast is malignant tumor the most friquency located? A. Upper external quadrant B. Lower external quadrant C. Upper internal quadrant D. Lower internal quadrant E. Central area (nipple) 25.What does Truasies metastasis mean? A. Metastasis in liver B. Metastasis in ovary C. Tumors deposit in Duglass pouch D. Metastasis in navel E. Metastasis in supraclaviculares lymphatic nodes 26.Which place is breast cancer situated in structure of general incidence malignant tumors in Ukraine? A. First B. Second C. Third D. Fourth E. Fifth 27.Which of the following anatomy structures is target number one for metastasis of breast cancer? A. Lymph nodes B. Lung C. Sceleton D. Liver E. Ovary 28. What does Pagets cancer mean? A. Lobular carcinoma of breast B. Cancer of the nipply C. Intraductal cancer of breast D. Extraductal cancer of breast E. Inflammatory cancer of breast

29. A woman 60-year-old with a breast cancer T1N0M0. The best choice of treathment would be? A. Radical mastectomy B. Radical quadrantectomy C. Ovariectomy D. Amputation of breast E. Sectoral resection 30. The woman 60-year-old, presents with palpable tumor in left breast. Diagnosis unknown. Which method is distinguished for confirmation of breast cancer? A. Mammography B. Ultrasaund examination C. Excision biopsy D. Incision biopsy E. Fine needle biopsy 31. Which country has the highest level of incidence of breast cancer? A.Ukraine B. France C. USA D. Australia E. Japan 32. Which country has the lowest level of incidence of breast cancer? A.Ukraine B. France C. USA D. Australia E. Japan

33. What is the level of incidents of colorectal cancer in Ukraine ? A. 1 10.0 o/oooo B. 11 20.0 o/oooo C. 21 30.0 o/oooo D. 31 40.0 o/oooo E. 41 50.0 o/oooo 34.Which part of colon is malignant tumor the most friquency located? A. Cecum B. Transverse colon C. Ascending colon D. Descending colon E. Sigmoid colon 35.An individual with a colorectal cancer is likely to present with any of the following simptoms EXCEPT. A. Nausea, vomiting B. Decreased appetite C. Asthenia D. Disphagia E. Abdominal pain.

36.

A patient with colorectal cancer pT3N1M1 HEP, after palliative resection of sigmoid colon. The best choice of palliative chemotherapy would be? A. Cyclophosphamide B. 5-Fluorouracil C. Docetaxel D. 5-Fluorouracil+Leucovorin E. 5-Fluorouracil+Levomizol A 57-year-old patient with cancer of cecum T3NxM0 G2. The best choice of surgical treatment would be? A. Resection ileocecal region B. Distal resection of sigmae C. Left-sided hemicolectomy D. Bypass ileotransversoanastomosis E. Right-sided hemicolectomy
37.

A 62-year-old patient with cancer of sigmoid colon T4NxM0 G3, the best choice of surgical treatment would be? A. Colostomy B. Sigmoid resection C. Left-sided hemicolectomy D. Bypass sigmotransversoanastomosis E. Right-sided hemicolectomy
38.

A 56-year-old patient with cancer of hepatic flexura T3NxM0 G3. The best choice of surgical treatment would be? A. Colostomy B. Resection of hepatic flexura C. Left-sided hemicolectomy D. Bypass ileotransversoanastomosis E. Right-sided hemicolectomy
39.

A 72-year-old patient with cancer of lienalis flexura T3NxM0 G1, the best choice of surgical treatment would be? A. Colostomy B. Resection of lienalis flexura C. Left-sided hemicolectomy D. Bypass transversosigmaeanastomosis E. Right-sided hemicolectomy
40.

A 48-year-old patient with cancer of transverse colon T3NxM0 G1, the best choice of surgical treatment would be? A. Colostomy B. Transverse colectomy C. Left-sided hemicolectomy D. Bypass transosigmoid anastomosis E. Right-sided hemicolectomy
41.

42. A 64-year-old patient with cancer of ascending colon T3NxM0 G2, the best choice of surgical treatment would be? A. Colostomy

Transverse colectomy C. Left-sided hemicolectomy D. Bypass ileotrasverse anastomosis E. Right-sided hemicolectomy 43. A 66-year-old patient with cancer of descending colon T2NxM0 G3, the best choice of surgical treatment would be? A. Colostomy B. Transverse colectomy C. Left-sided hemicolectomy D. Bypass transversesigmoid anastomosis E. Right-sided hemicolectomy
B.

44. The patient 60-year-old, was admitted to the hospital and complains of palpable left hypogastric mass, nausea, vomiting, anhedonia, weight loss, abdominal pain, decreased appetite. After examination the diagnose cancer of sigma T4NXM1 HEP with acute colon obstruction was established. Which place for colostomy is the best? A. Cecum B. Transverse colon C. Ascending colon D. Descending colon E. Sigmoid colon The woman 51-year-old, was admitted to the hospital with advanced, non-resectable cancer ascending colon, T4NxM1 HEP. The best choice of surgical treatment would be? A. Transverse colectomy B. Left-sided hemicolectomy C. Colostomy D. Collateral ileotransverseanastomosis E. Right-sided hemicolectomy
45.

46. The man 59-year-old, was admitted to the hospital with suspect colorectal cancer. Which method of examination is the best? A. Computed tomography scan of abdomen B. Colonoscopy with biopsy C. X-Ray examination of colon with contrast medium D. Laparoscopy with biopsy E. Ultrasonography 47. The man 61-year-old, was admitted to the hospital with suspect of present metastasis in liver colorectal cancer. Which method of examination is the best for confirmation of metastasis in liver? A. Computed tomography scan of abdomen B. Colonoscopy with biopsy C. X-Ray examination of colon with contrast medium D. Laparoscopy with biopsy E. Ultrasonography 48. Which place is colorectal cancer situated in structure of incidence malignant tumors in Ukraine? A. First B. Second C. Third D. Fourth E. Fifth

49. Which of the following anatomy structures is target number one for distant metastasis of colorectal cancer? A. Spleen B. Lung C. Bone D. Liver E. Ovary 50. A 45-year-old woman has undergone radical right-side hemicolectomy for colon carcinoma, pT4N2M0 G3 one month ago. Which folloving treatment are you recomend? A. Adjuvant chemotherapy B. Adjuvant radiation therapy C. Hormonotherapy D. Biotherapy E. Follow up 51. The man 45-year-old with rectal cancer, T3N0M0 G1, is located in 1 cm from anus. Patient hasnt concomitant diseases. The best choice of surgical treatment would be? A. Total mesorectumectomy (Abdominoperineal resection) B. Low anterior resection C. Colostomy D. Hartmanns operation E. Endoscopy excision 52. The man 50-year-old with rectal cancer, T2N0M0 G3, is located in 8 cm from anus. Patient hasnt concomitant diseases. The best choice of surgical treatment would be? A. Total mesorectumectomy (Abdominoperineal resection) B. Low anterior resection C. Colostomy D. Hartmanns operation E. Endoscopy excision 53. The man 54-year-old with rectal cancer, T3N0M0 G1, is located in 15 cm from anus. Patient hasnt concomitant diseases. The best choice of surgical treatment would be? A. Total mesorectumectomy B. Abdominoperineal resection C. Anterior resection D. Colostomy E. Hartmanns operation 54.Which symptom below early one of rectal cancer? A. Change in bowel habits B. Blood in the stool C. Weight loss D. Anorexia E. Pain in abdomen 55. Which country has the highest level of incidence of colorectal cancer? A.Ukraine B. India C. USA

D. Australia E. Japan 56. Which country has the lowest level of incidence of colorectal cancer? A.Ukraine B. India C. USA D. Australia E. France

57.Which part of oesophagus is oesophageal cancer the most friquency located? A. Cervical part of oesophagus B. Upper thoracical part of oesophagus C. Abdominal part of oesophagus D. Middle thoracical part of oesophagus E. Lower thoracical part of oesophagus 58. A Patient, 46-year-old, has obtuse pain behind sternum. Pain become stronger during a meal. Furthermore worry feeling passing hard food on esophagus, periodical regurgitation undigested food, loos weight. On X-ray of oesophageal is define widening of esophagus, relief of mucosis is smooth without peristalsis, in abdominal part of esophagus has contraction. Choose the correct diagnosis? . Hernia diaphragms outcome . Oesophagospasm . Oesophageal cancer D. Diverticulosis of oesophagus . Sclerodermia 59. A Patient has feeling burn in epigastric area, that attend of pain. Pain spreading in back, become stronger than patien lies and lies on left side. Pain was stopt after receiving alkaline water. Not rarely observe air regurgitation. Listing complaints worred during last two years, after Garloc outcome operations for the oesophageal cancer. Choose the correct diagnosis? . Achalasia of cardia . Recurrence oesophageal cancer . Reflux-oesophagitis D. Diverticulum of oesophagus . Hernia diaphragms outcome 60. A Patient, 52-year-old, has abnormality passing food on esophagus and pain behind of sternum after meal, nausea, sometimes voming. What method of diagnostic is the best? . X-Ray examination with contrast medium . Computer tomography . Oesophagoscopy with biopsy D. Ultrasound examination . Mediastinoscopy 61. A Patient, 55-year-old, after checkuping in oncology center has diagnosis cancer of lower thoracical part of esophagus. Its necessary surgical treathment. What operation is need? . Torecs operation . Gastroenterostomia . Operation of Lewes D. Dukens operation . Operation of Garloc

10

62. A Patient, 60-year-old has a diphagia, loss weight, anemia. It grows progressively worse during last two month. Choose the correct diagnosis? A. Oesophageal cancer B. Diverticulum of esophagus C. Hernia diaphragms outcome D. Achalasia of cardia E. Foreing body of esophagus 63. What is basic to choice surgical method of treatment oesophageal cancer? A. Stage of desiase B. Localisation of tumor C. General condition of patient D. Heavy concominant diseases E. All factors 64. What is basic of diagnostic for operable cancer of lower part oesophagus? A. Computer tomography B. Ultrasonography C. X-ray D. Laparotomy E. Oesophagoscopy 65. A Patient, 70-year-old, has cancer in lower part of esophgus stage IIIb, ulcerous form, disphagia, sometimes poor pass fluid food. What treathment youll require to patient? A. Simptomatical treathment B. Radiation therapy C. Chemotherapy D. Gastrostomia + Radiation therapy E. Gastrostomia + Chemotherapy 66. What is the level of incidents of oesophageal cancer in Ukraine? A. 1 10.0 o/oooo B. 11 20.0 o/oooo C. 21 30.0 o/oooo D. 31 40.0 o/oooo E. 41 50.0 o/oooo 67. A Patient, 58-year-old, after checkuping in oncology center has diagnosis cancer of cervical part of oesophagus T2N0M0. What method of treatment is the best? . Chemotherapy . Gastrostomia . Operation of Lewes D. Radiation therapy . Operatin of Garloc 68. A Patient, 63-year-old, after checkuping in oncology center has diagnosis cancer of abdominal part of oesophagus T3N0M0. Its necessary surgycal treathment. What operation is need? . Torecs operation . Gastrostomia . Operation of Lewes D. Collateral oesophagogastrostomia

11

. Operatin of Garloc 69. An individual has advanced cancer middle part of oesophagus T4NxM1 HEP. He worries feeling passing hard food on oesophagus, periodical regurgitation undigested food, loss weight. Choice the best method of palliative cure? . Using of endoprosthesis . Gastrostomia . Radiologyc therapy D. Chemotherapy . Operatin of Garloc 70. Which of the following structures is target number one for distant metastasis of cancer upper thoracical part of oesophageus? A. Spleen B. Lung C. Bone D. Liver E. Ovary 71. Which of the following structures is target number one for distant metastasis of cancer lower thoracical part of oesophageus? A. Spleen B. Lung C. Bone D. Liver E. Ovary 72. Which country has the highest level of incidence of oesophageus cancer? A.Ukraine B. Iran C. USA D. Australia E. Poland 73. Which country has the lowest level of incidence of oesophageus cancer? A.Ukraine B. Iran C. China D. Kazakhstan E. Japan

74. What is the level of incidents of lung cancer in Ukraine ? A. 1 10,0 o/oooo B. 11 - 20,0 o/oooo C. 21 - 30,0 o/oooo D. 31 - 40,0 o/oooo E. 41 - 50,0 o/oooo 75. Which place is lung cancer situated in structure of incidence malignant tumors in Ukraine? A. First B. Second C. Third

12

D. Fourth E. Fifth 76. Choose more high risk factor of development of lung cancer? A. Heredity B. Chronic obstructive pulmonary disease C. Smoking D. Scars in the lung E. Tuberculosis 77. If cancer developed in the lobular bronchus. Choose the correct diagnosis. A. Pencosts cancer B. Pagets cancer C. Central bronchogenic carcinoma D. Peripheral bronchogenic carcinoma E. Mediastinal form of lung cancer 78. All of the following signs are Horners syndrome EXCEPT A. Ptosis B. Miosis C. Enophtalmus D. Sympathetic nerve paralysis E. Shoulders pain 79. A Patient 66-year-old compliance on pain in right supraclaviculares region, cough, shoulder pain, parasthesia, weakness of arm. Ptosis, miosis, enophtalmus was revealed at on time examination. Choose the correct diagnosis. A. Pencosts cancer B. Pagets cancer C. Central bronchogenic carcinoma D. Peripheral bronchogenic carcinoma E. Mediastinal form of lung cancer 80. The man 67-year-old, was admitted with reccurent obstructive pneumonia. He complained of persistent cough, hemoptysis, expectoration of sputum, exertional dyspnea, decreased appetite. Choose the most probable diagnosis? A. Chronic obstructive pulmonary disease B. Chronic fibrosis of the lung C. Peripheral bronchogenic carcinoma D. Central bronchogenic carcinoma E. Pencosts cancer 81. The man 63-year-old, was admitted to the hospital. He complained of persistent cough, hemoptysis, expectoration of sputum, exertional dyspnea, decreased appetite. The most appropriate test for confirmation central bronchogenic carcinoma would be? A. Computed tomography scan of thorax cavity B. Bronchoscopy with biopsy C. X-Ray examination of thorax cavity D. Bronchography with contrast medium E. Cytologyc examination of the sputum 82. Choose the most probable test for diagnostic peripheral bronchogenic carcinoma? A. Spirography B. Bronchoscopy with biopsy

13

C. X-Ray examination of thorax cavity D. Bronchography with contrast medium E. Cytologyc examination of the sputum 83. Lung cancer is less then 3 cm in diameter. Which one of the following signs is corresponding this? A. T1 B. T2 C. T3 D. T4 E. T0 84. The tumor of lung cancer invades visceral pleura. Which one of the following signs is corresponding this? A. T1 B. T2 C. T3 D. T4 E. T0 85. The tumor of lung cancer invades oesophageus. Which one of the following signs is corresponding this? A. T1 B. T2 C. T3 D. T4 E. T0 86. The malignant cells determinated in sputum or bronchial washings, but tumour cannot be visualized by imaging or bronchoscopy. Which one of the following signs is corresponding this? A. T1 B. T2 C. T3 D. T4 E. Tx 87. The patient 58-year-old with good general conditions has peripheral bronchogenic carcinoma in upper loube right lung T2N0M0. The best choice of surgical treatment would be? A. Lobectomy (resection of a loube) B. Segmentectomy C. Pneumonectomy D. Pneumonectomy with limphodissection E. Wedge resection of the lobe 88. A patient 62-year-old with good general conditions has peripheral bronchogenic carcinoma in upper loube right lung T2N0M0. The best choice of treatment would be? A. Surgery treatment B. Radiologic therapy C. Chemotherapy D. Biotherapy E. Immunotherapy 89. A Smoker 66-year-old with good general conditions has central bronchogenic carcinoma in lower loube left lung T3N0M0. The best choice of surgical treatment would be?

14

A. Lobectomy (resection of a loube) B. Segmentectomy C. Pneumonectomy D. Pneumonectomy with limphodissection E. Wedge resection of the lobe 90. A Smoker 58-year-old with good general conditions has central bronchogenic carcinoma in lower loube left lung T3N1M0. The best choice of surgical treatment would be? A. Lobectomy (resection of a loube) B. Segmentectomy C. Pneumonectomy D. Pneumonectomy with limphodissection E. Wedge resection of the lobe 91. A Smoker 63-year-old with good general conditions has central bronchogenic carcinoma in lower loube left lung T3N3M0. The best choice of treatment would be? A. Surgery treatment B. Radiologic therapy C. Chemotherapy D. Biotherapy E. Immunotherapy 92. Choose the necessary chemotherapeutic medicine for chemotherapy lung cancer? A. Platin containing agent B. Antitumours antibiotic C. Antimetabolits agent D. Alkylating agent E. Hormonotherapy

93. What is the level of incidents of skin cancer in Ukraine ? A. 1 10.0 o/oooo B. 11 20.0 o/oooo C. 21 30.0 o/oooo D. 31 40.0 o/oooo E. 41 50.0 o/oooo 94. Which place is skin cancer situated in structure of incidence malignant tumors in Ukraine? A. First B. Second C. Third D. Fourth E. Fifth 95. Choose more high risk factor of development skin cancer? A. Heredity B. Ultraviolet radiation (sunlight) C. Smoking D. Mechanical injury E. Chronic inflammatory processes 96.Which place of body is the most friquency skin cancer located? A. Abdomen B. Head and neck

15

C. Foots D. Arms E. Back 97. Which place of body is the most rarely melanoma located? A. Abdomen B. Head and neck C. Foots D. Arms E. Back 98. Which country has the most highest level of incidence of melanoma? Ukraine Malaysia USA Australia Japan 99. Which method of treatment is the best for skin cancer of face? A. Surgecal excision B. Radiation therapy C. Chemotherapy D. Biotherapy E. Immunotherapy 100. Wich method of treatment is the best for melanoma of trunk T2N0M0? A. Wide excision B. Radiation therapy C. Chemotherapy D. Biotherapy E. Immunotherapy 101. A Patient has a cutaneous melanoma. After excision of primary tumour was determined thickness equal less 0.75 mm. Which one of the following signs is corresponding this ? A. T1 B. T2 C. T3 D. T4 E. T0 102. Patient has a cutaneous melanoma. After excision of primary tumour was determined it thickness equal 1 mm. Which one of the following signs is corresponding this ? A. T1 B. T2 C. T3 D. T4 E. T0

103. A patient has a cutaneous melanoma. After excision of primary tumour was determined it thickness equal less 3 mm. Which one of the following signs is corresponding this ? A. T1

16

B. T2 C. T3 D. T4 E. T0 104. A. patient has a cutaneous melanoma with satellite metastases Which one of the following signs is corresponding this ? A. T1 B. T2 C. T3 D. T4 E. T0

105. An individual with a gastric carcinoma is likely to present with any of the following simptoms EXCEPT. A. Nausea, vomiting B. Decreased appetite C. Asthenia D. Increasing (put on) weight E. Abdominal pain. 106. The patient with gastric cancer pT3N1M0 G3, after gasterectomy. The best choice of adjuvant chemotherapy would be? A. Tamoxifen B. 5-Fluorouracil C. Levomizol D. Cerucal E. Bonefos 107. A 56-year-old patient with gastric cancer T3NxM0 G4, the best choose of surgical treatment would be? A. Proximal resection of stomach B. Distal resection of stomach C. Gastrectomy D. Bypass gastroenteroanastomosis E. Gastrostomia 108. The patient 60-year-old, was admitted to the hospital and complains of palpable epigastric mass, nausea, vomiting, anhedonia, weight loss, abdominal pain, decreased appetite. What is the most likely diagnosis in this case? A. Chronic gastritis B. Cancer of stomach C. Pancreatitis D. Stomach ulcer E. Colitis

109. The woman 63-year-old, was admitted to the hospital and complains of palpable epigastric mass, nausea, vomiting, anhedonia, weight loss, abdominal pain, decreased appetite. The most appropriate test would be? A. Computed tomography scan of abdomen

17

B. Gastroscopy with biopsy C. X-Ray examination of stomach with contrast medium D. Laparoscopy with biopsy E. Examination of the stomach juices 110. A patient presents with advanced gastric cancer. Which of the following sings may be elicited on physical examination EXCEPT? A. Virhovs metastasis B. Shniclers metastasis C. Ascites D. Metastasis in lung E. Djozefins metastasis

111. What does Virchows metastasis mean? A. Metastasis in liver B. Metastasis in ovary C. Tumors deposits in Duglass pouch D. Metastasis in navel E. Metastasis in left supraclaviculares lymphatic nodes 112. What does Shniclers metastasis mean? A. Metastasis in liver B. Metastasis in ovary C. Tumor deposits in Duglass pouch D. Metastasis in navel E. Metastasis in left supraclaviculares lymphatic node 113. What does Djozefins metastasis mean? A. Metastasis in liver B. Metastasis in ovary C. Tumor deposits in Duglass pouch D. Metastasis in navel E. Metastasis in left supraclaviculares lymphatic node 114. What does Krucenbergs metastasis mean? A. Metastasis in liver B. Metastasis in ovary C. Tumor deposits in Duglass pouch D. Metastasis in navel E. Metastasis in left supraclaviculares lymphatic node 115. What place is stomash cancer situated in structure of incidence malignant tumors in Ukraine? A. First B. Second C. Third D. Fourth E. Fifth 116. If a tumors marcer CA 19-9 has hight level, it means that? A. Cancer ovary B. Cancer liver C. Gastric cancer

18

D. Pancreatic cancer E. Colorectal cancer 117. Which of the following tests will provide the best evaluation of the patient with colorectal cancer ? A. CA 19 9 B. CA 125 C. CEA (carcinoembryonic antigen) D. AFP (alpha-foetoprotein) E. HCG (human chorionic gonadotropin) 118. What is the level of incidents of gastric cancer in Ukraine ? A. 1 10,0 o/oooo B. 11 - 20,0 o/oooo C. 21 - 30,0 o/oooo D. 31 - 40,0 o/oooo E. 41 - 50,0 o/oooo 119.Which of the following structures is target number one for distant metastasis of gastric cancer? A. Spleen B. Lung C. Bone D. Liver E. Ovary 120. A 45-year-old woman has undergone radical gastrectomy for gastric carcinoma. Three years later she started complain about the pain in right upper region of abdomen, loss weight, decriase appetite. Which of diagnosis may you think? A. Cholecystitis B. Hepatitis C. Cholangitis D. Metastasis in liver E. Metastasis in ovary 121. A 45-old woman has undergone radical gastrectomy for gastric carcinoma. Three years later she starts complain about the pain in right upper region of abdomen, loss weight, decriase appetite. Which of methods is the most useful in this case? A. Gastroscopy B. Colonoscopy C. X-Ray examination with contrast substance D. Computer tomography E. Ultra saund examination 122. Does II stage cancer of stomach mean? A. Tis N0 M0 B. T1-2 N0 M0 C. T3-4 N0 M0 D. Any T Any N M1 E. Any T N1 M0 123. Does 0 stage cancer of stomach means? A. Tis N0 M0

19

B. T1-2 N0 M0 C. T3-4 N0 M0 D. Any T Any N M1 E. Any T N1 M0 124. Does III stage cancer of stomach means? A. Tis N0 M0 B. T1-2 N0 M0 C. T3-4 N0 M0 D. Any T Any N M1 E. Any T N1 M0 125. Does I stage cancer of stomach means? A. Tis N0 M0 B. T1-2 N0 M0 C. T3-4 N0 M0 D. Any T Any N M1 E. Any T N1 M0 126. Does IV stage cancer of stomach means? A. Tis N0 M0 B. T1-2 N0 M0 C. T3-4 N0 M0 D. Any T Any N M1 E. Any T N1 M0 127. Tumor of stomach invades lamina propria or submucosa. Which one of the following signs is corresponding this ? A. T1 B. T2 C. T3 D. T4 E. T0 128. Tumor of stomach invades muscularis propria or subserosa. Which one of the following signs is corresponding this ? A. T1 B. T2 C. T3 D. T4 E. T0 129. Tumor of stomach penetrates serosa (visceral peritoneum) without invasion of adjacent structures. Which one of the following signs is corresponding this ? A. T1 B. T2 C. T3 D. T4 E. T0 130. Tumor of stomach penetrates serosa (visceral peritoneum) with invasion of adjacent structures. Which one of the following signs is corresponding this? A. T1 B. T2

20

C. T3 D. T4 E. T0 131. Primary tumor cannot be assessed. Which one of the following signs is corresponding this? A. T1 B. T2 C. T3 D. T4 E. Tx 132. No evidence of primary tumor. Which one of the following signs is corresponding this ? A. T1 B. T2 C. T3 D. T4 E. T0 133. Which patient with gastric cancer has the best chance of cure? A. Tis N0 M0 B. T1-2 N0 M0 C. T3-4 N0 M0 D. Any T Any N M1 E. Any T N1 M0 134. Which part of stomach is the most frequency gastric cancer located? A. Antral part of the stomach B. Cardinal part of the stomach C. Fundus of the stomach D. Body of stomash E. Greated curvature of the stomash 135. Which country has the highest level of incidence of gastric cancer? A.Ukraine B. Malaysia C. USA D. Australia E. Japan 136. Which country has the lowest level of incidence of gastric cancer? A.Ukraine B. Malaysia C. USA D. Australia E. Japan

137. The patient 70-year-old with gastric cancer, stage IV, is located in antral region was admitted to the hospital and complains of palpable epigastric mass, nausea, vomiting, anhedonia, weight loss, abdominal pain, decreased appetite. The best choice of surgical treatment would be? A. Proximal resection of stomach B. Distal resection of stomach

21

C. Gastrectomy D. Bypass gastroenteroanastomosis E. Gastrostomia 138. The man 45-year-old with gastric cancer, T2N0M0 G1, is located in antral region. Patient hasnt concomitant diseases. The best choice of surgical treatment would be? A. Proximal resection of stomach B. Distal resection of stomach C. Gastrectomy D. Bypass gastroenteroanastomosis E. Gastrostomia 139. The woman 50-year-old with gastric cancer, T3N0M0 G1, is located in cardinal region. Her general condition is good. The best choice of surgical treatment would be? A. Proximal resection of stomach B. Distal resection of stomach C. Gastrectomy D. Bypass gastroenteroanastomosis E. Gastrostomia 140. The patient, 55 years old, after checkuping in oncology center has diagnosis cardioesophageal cancer T3N0M0. Its necessary surgical treatment. What operation is need? . Torecs operation . Gastroenterostomia . Operation of Lewes D. Gasterectomia . Operation of Garloc