State Examination of Surgery

Q u e s t i o n s
First Faculty of Medicine Charles University in Prague

1. a. LOCAL ANAESTHESIA- Local Anestesia Agents

b. NODULAR THYROID DISEASE. Diagnosis, surg. therapy
c. OBSTRUCTION OF THE SMALL INTESTINE , mechanical
obstruction (simple obstruction , strangulation obstruction , intussusception,
volvulus.
d. MAJOR TRAUMA (POLYTRAUMA), MILTIPLE TRAUMA -
definition, primary survey management ABCDE.
e. TETRALOGY OF FALLOT
2. a. INFECTIONS OF THE HAND AND FINGERS
b. PLEURAL EMPYEMA etiology, types, diagnosis, surgical therapy
c. ACUTE ABDOMINAL PAIN
d. FRACTURES AND THEI CLASSIFICATION
e. MYOCARDIAL PROTECTION during open-heart surgery
3. a. ASEPSIS, ANTISEPSIS, STERILISATION,
DESINFECTION
b. NEOPLASMS OF THE THYROPID GLAND,
THYROID LOBECTOMY, Near-total THYROIDECTOMY
indications,complications.

c. ACUTE PANCREATITIS
d. SOFT TISSUE INJURIES SURGICAL WOUND
CLASSIFICATION and NECROTIZING FASCIITIS
e. VENTRICULAR SEPTAL DEFECTS
4. a. ANTIBIOTICS IN SURGERY
b. OPERATIVE PROCEDURES OF THE
THYREOID GLAND
c. PERITONITIS DIFFUSA PURULENTA –
symptoms, investigation.,therapy
d. TRAUMA OF JOINTS
e. EXTRACRANIAL CEREBROVASCULAR
DISEASE
5. a. ANAEROBIS INFERCTIONS diagnosis, treatment.
b. PARATHYROIDAL GLANS – disease, surgical. Therapy
c. ILEUS - types, diagnosis, differential diagnosis
d. DIAPHRAGM TRAUMA – signs, diagnosis,surgery terapy
e. AORTIC VALVE SURGERY
6. a. WOUND INFECTION – CLASSIFICATION,
PREVENTION , THERAPY.
b. PANCREAS NEOPLASMS symptoms, investigation, localization, therapy
c. APPENDICITIS ACUTA
d. DISLOCATION OF SOULDER JOINT
e. TRICUSPIDAL VALVE SURGERY
7. a. FLUID AND ELECTROLYTE MANAGEMENT
b. CARCINOID TUMORS
c. COMPLICATIONS OF APPENDICITIS
d. FRACTURES OF THE SCAPULA AND CLAVICLE
e. VASCULAR INJURIES
8. a. UNCONSCIOUSNESS - types, diagnosis, treatment
b. MULTIPLE ENDOCRINE NEOPLASIA SYSNROME
c. DIVISION OF ACUTE ABDOMEN
d. FRACTURES OF HUMERUS
e. ATRIAL SEPTAL DEFECTS
9. a. FIRST – AID TREATMENT , STRUCTURE AND STEPS ,ROLES
b. MEDIASTINAL TUMORS
c. POSITIONS OF APPENDIX, ATYPICAL APPENDICITIS
d. PNEUMOTHORAX, TRAUMATICUS first aid, diagnosis, treatment
e. PULMONARY EMBOLISM
10. a. DECUBITUS
b. BREST CANCER and CLINICAL BREST EXAMINATION
c. ACUTE APPENDICITIS IN PREGNANCY AND IN CHILDHOOD
d. FRACTURES OF THE DISTAL HUMERUS
e. TRANSPOSITION OF THE GREAT ARTERIES
11. a. TYPES OF WOUND, TRETEMENT
b. BREST CANCER – MAMGRAÚHY, ULTRSONOGRAPHY and MRI ,
SCREANING FOR BREST CANCER - frequency of performing examination
c. ACUTE ABDOMEN – OBJECTIVE SYMPTOMS
d. FRACTURE OF THE OLECRANON
e. TROMBEMBOLIC DISEASE
12. a. HEALING OF THE WOUNDS, timing and technical point of wiew
b. HIATUS HERNIA, ACHALASIA , GASTROOESOPHAGEAL
REFLUX ,SURGICAL TREATMENT OEOPHAGEAL REFLUX DISEASE
c. RUQ – RIGHT UPPER QUADRANT PAIN
d. FOREARM FRACTURES - caassification, treatment options, Monteggi
fracture, Galeazii fracture
e. MECHANICAL AND BIOLOGICAL ARTEFITIAL VALVE PROSTHESES
13. a. SURGICAL. INFECTION – HOST DEFENSE BARRIER , RESIDENT
MICROBIAL FLORA, EXOTOXINS.
b. OESOPHAGEAL NEOPLASM , SYMPTOMS,DIAGNOSIS, SURGICAL
THERAPY
c. SYNDROM OF THE EPIGASTRIUM
d. DISTAL RADIUS FRACTURES – Colles fracture, Smith fracture,
classification, treatment options, complications
e. CONGENITAL MALFORMATION OF THE THORACIC AORTA
14. a. SEPSIS – MOF , SIRS
b. NEOPLASMS OF THE LUNG, symtoms, Preoperative Evaluation of operative
risk, therapy LEFT LOWER QUADRANT PAIN
 c. FRACTURES OF THE DISTAL ULNA , DIAGNOSIS, THERAPY
d. MECHANICAL HEART SUPPORT
15. a. TREATMENT OF SURGICAL INFLAMATION
b. INGUINAL HERNIA
c. ACUTE GASTROINTESTINAL BLEEDING
d. FRACTURES OF THE CARPUS
e. PARICARDIAL DISEASE
16. a. GENERAL RESPONSES TO INJURY AND ACUTE ILLNESS
b. ACUTE PANCREATITIS symptoms, diagnosis, intensive and surgical therapy
c. BLUNT TRUAMA, HEMOPERITONEUM – DIAGNOSIS AND THERAPY
d. TRACHEAL and TRACHEOBRONCHIAL INJURIES symptoms, diagnosis,
surgical therapy
e. SURGERY OF CEREBROVASCULAR INSUFFICIENTY
ASYMPTOMATIC STENOSIS OF THE CAROTID ARTERY
17. a. NUTRICION IN SURGICAL PATIENTS
b. CHRONIC PANCREATITIS symptoms, diagnosis, surgical therapy
c. STRANGULATED EXTERNAL HERNIA
d. ANKLE SPRAIN - anatomy of ankle, cassification , diagnostic, treatment,
complications
e. SURGERY OF CARDIAC ARRYTHMIAS
18. a. INVESTIGATION IN SURGERY
b. PANCREAS NEOPLASMS symptoms, diagnosis, surgical therapy
c. VASCULAR ILEUS
d. FRACTURES OF THE PELVIS
e. ARTERIOVENOUS FISTULAS
19. a. PREOPERATIVE CARE , RISK ASSESSMENT
b. SPLEEN , INDICATIONS FO SPLENECTOMY
c. ACUTE INTESTINAL OBSTRUCTION
d. FRACTURES OF THEPROXIMAL FEMUR
e. ISCHEMIA OF VISCERAL ARTERIES. symptoms,,diagnosis,therapy
f. DIAGNOSIS,TREATMENT.
20. a. GENERAL ANAESTHESIA
b. LIVER CYSTS AND ABSCESS
c. ACUTE ABDOMEN - SUBJECTIVE SYMPTOMS
d. FRACTURES OF THE SHALF OF THE FEMUR
e. AORTOILIAC ARTEROSCLEROTIC OCCLUSIVE DISEASE
21. a. BASIC OFOPERATING TECHNIQUES –knots, sutures, abdominal and chest
drain
b. PORTAL HYPERTENTSION symptoms, diagnosis, surgical therapy
c. PERITONITIS PURULENTA DIFFUSA -symptoms, investigatins,
diagnosis,therapy
d. INJURIES OF THE KNEE LIGAMENTS
e. VSCULAR ACCESS FOR HEMODIALYSIS (arterial, a-v fistulas ).
22. a. POSTOPERATIVA CARE
b. CHOLELITHIASIS , symptoms, diagnosis, therapy
c. LYMPHADENITIS MESENTERIALIS
d. FRACTURES OF THE PROXIMALL TIBIA
e. CARDIAC TAMPONADE
23. a. TROMBEMBOLIS DISEASE
b. OPERATION ON GALLBLADDER AND BILE DUCTS
 c. ACUTE ABDOMEN – DIFFERENTIAL DIAGNOSIS
d. FRACTURES OF THE SHALF OF TIBIA
e. SURGERY OF THE ISCHEMIC HEART DISEASE
24. a. RESPIRATORY COMPLICATION AFTER OPERATION
b. GASTRIC PEPTIS ULCER symptoms, diagnosis, surgical therapy
c. ILEUS – CLASSIFICATION
d. ANKLE SPRAIN - anatomy of ankle, cassification , diagnostic, treatment,
complications
e. HEARD TUMORS
25. a. TRACHEOSTOMY , indication, complication
b. GASTRIC NEOPLASMS
c. ACUTE CHOLECYSTITIS, HYDROPS and EMPYEMA – symptoms,
investigations, surgical strategy , indication for laparoscopy and laparotomy
operation.
d. FRACTURES OF THE OS CALCIS
e. VASCULAR COMPLICATIONS OF DIABETES MELITUS, SURGICAL
THERAPY
26. a. PULMONARY EMBOLISM symptoms, diagnosis, therapy, prevention
b. OPEATION ON STOMACH ( TYPE I, TYPE II )
c. HAEMATEMESIS, MELENA definition, investigation, therapy
d. ANKLE LIGAMENTS INJURY
e. HEART TRANPLANTATION
27. a. POSOPERATIVE LOCAL COMPLICATION
b. DUODENAL DISEASE
c. ACUTE APPENDICITIS
d. FRACTURES OF THE METATARSALS
e. ARTERIAL ANEURYSM - clinic and treatement
28. a. TRANSUFUSION OF BLOOD , ABO antigens, Rh antigens, pretransfusion
testing, acute transfusion reactions, symptoms, therapy.
b. SMALL INTESTINE -INFLAMATION DISEASES, INJURIES
c. VOLVULUS definition, symptoms, diagnosis , therapy
d. FRACTURE OF SPINE first aid, classification , therapy
e. PATENT DUCTUS ARTERIOSUS
29. a. SHOCK SEPTIC - definition, key points, intensive therapy
b. BREST CANCER epidemiology, types of brest cancer, screenuing
c. ULCERATIVE COLITIS symptoms, complications, surgical urgent therapy
d. LUNG CONTUSION patophysiology, classification, diagnosis, therapy
e. CHRONIC VENOUS INSUFFICIENTION patophysiology, symptoms, therapy
30. a. SHOCK –definition, patophysiology, types, intensive therapy
b. COLORECTAL OPERATIONS – hemicolectomy,colectomy, proctocolectomy,
abdominoperineal amputation, colostomy
c. INVAGINATION
d. POLYTRAUMA – definition, rules, strategy and intensive surgical therapy
e. THE CLINICAL EXAMINATION VASCULAR SYSTEM
31. a. LEFT LOWER QUADRANT PAIN
b. INFLAMATORY BOWEL DISEASE
c. FLUID, ELECTROLYTE AND ACID-BASE BALANCE
d. PNEUMOTHORAX types, first aid, diagnosis , therapy
e. ABDOMINAL AORTIC ANEURYSMS. clinics, therapy
32. a. WARFARE INJURIES
 b. COLORECTAL NEOPLASMS
c. *PREOPERATIVE CARE OF HIGH RISK PATIENTS
d. HAMOTHORAX definition, symptoms, diagnosis , therapy (drainage,
thoracotomy, thoracoscopy)
e. THORACIC OUTLET SYNDROM
33. a. BURNS definition, 9 Wallace rule, complication (general and local )
b. HAEMORRHOIDES , types, localization, surgical therapy.
c. PORTAL HYPERTENSION AND VARICEAL BLLEDING - Early Evalution
and treatement
d. FRACTURE OF THE RIBS, MULTIPLE FRACTURES, FLAIL CHEST –
therapy
e. EXTRACORPORAL CIRCULATION ( HEART AND LUNG MACHINE)
34. a. CRUSH SYNDROME patophyiology, investigation, intensive therapy
b. HAEMOPERITONEUM
c. MEDIASTINAL TUMORS anatomy of mediastinum, localization and types of
tumors, diagnosis and surgical therapy
d. ACUTE ARTERIAL OCCLUSIONS ( embolia, thrombosis)
35. a. PRINCIPLES OF SURGICAL ONCOLOGY Contemporary Imaging, Serum
Biochemical Markers, aprpriate Biopsy techniques, Staging-TNM classification
b. MALIGNANNT PLEURAL EFFUSIONS symptoms, diagnosis, surgical
therapy
c. ILEUS symptoms, types ,diagnosis, therapy
d. FRACTURE COMPLICATION OF THE HEALING
e. EVALUATION IN PATIENTS WITH VASCULAR DISEASE
36. a. ENTERORRHAGY , MELENA definition , investigation, initial therapy
b. PANCREATITIS CHRONICA etiology, symptoms , nonsurgical and surgical
therapy
c. EMPHYSEMA BULLOSUM -etiology, types, complications and surgical
therapy
d. FLAIL CHEST - patophysiology, surgical therapy ( stabilization )
e. DISSECTION OF THE THORACIC AORTA
37. a. NASOGASTRIC TUBE, GASTROSTOMY, JEJUNOSTOMY - definition and
indication.
b. CHEST INJURIES – thoracic wall , lung. THORACOTOMY,
THORACOSCOPY
c. PNEUMOPERITONEUM – etiology, diagnosis, therapy
d. INDICATION FOR SPLENECTOMY (traumatic and nontraumatic )
e. SURGERY OF THE MITRAL VALVE
38. a. BACTERAEMIA AND SEPTICAEMIA definition , MICROBIAL
DIAGNOSIS OF INFECTION
b. INGUINAL HERNIA surgical anatomy, direct, indirect, complications,
surgical therapy (classic, laparoscopic)
c. COLITIS ULCEROSA, TOXIC MEGACOLON surg. therapy
d. MASSIVE HAEMOTHORAX definition, FLAIL CHEST diagnosis , therapy
e. PERICARDITIS EXUDATIVA etiology, symptoms, investigations, therapy
39. a. HAEMOPTYSIS definition, investigation , therapy
b. VETRAL HERNIAS
c. MEDIASTINITIS ACUTA etiology, diagnosis, surgical therapy
d. GANSHOT INJURIES patophysiology, surgical strategy
e. BASIC PRINCIPLES IN VASCULAR SURGERY , TYPE OF PROSTEHESE
CREDIT and date of state examination : Professor ZEMAN

MUDr.Rudolf DEMEŠ ,CSc Prof.MUDr. Zdeněk Krška,CSc

English –taught courses Chairman of 1st Department of Surgery
1st Medical Faculty Charles University
Prague