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Disjoining and joining of the tissues. Primary surgical treatment





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Scientific technical progress in surgery. Apparatuses of sew up. Instruments and technique for micro- and endoscope surgery. General peculiarities of layer structure of human’s body, sac structure and fascio-fatty spaces. Principles of local anesthesia.

1. In what position is it necessary to hold the scalpel in the cut of proper fascia:

а) table knife;

b) bow;

c) writing feather;

d) it doesn’t matter

e) in the fist?

2. In what position is it necessary to fix the injection needle in execution the infiltrative anesthesia:

а) cut of the needle upwards;

b) cut of the needle downwards;

c) cut of the needle to the right;

d) cut of the needle to the left;

e) doesn’t have practical meaning?

3. During the operation with local anesthetization infiltrative anesthesia foresees:

а) leading anesthetics into the infiltrate;

b) taut layer infiltration of the tissues;

c) infiltration of the fascial case around the organ;

d) infiltration of the anesthetics of nervous fibers or around it;

e) combination of few methods.

4. In the cut of the skin during the operation surgeon fixed it at the beginning of the cut with:

а) І and ІІ fingers of left hand;

b) ІІ finger of left hand;

c) dressing forceps;

d) stitch which is put on the skin;

e) parted parts of scissors.

5. In what area according to the surface of the body scalpel is localized during the operation of the cut of the skin:

а) which is perpendicular to the surface of the body;

b) which is under the angle of 45о right side according to the surface of the body;

c) which is under the angle of 45о left side according to the surface of the body;

d) it doesn’t matter;

e) as it is comfortable?

6. Choose the angle of leading the scalpel into body at the beginning of the cut and it’s leading out from the tissues at the end of the cut:

а) perpendicular to body’s surface;

b) under the angle of 45о;

c) under the angle of 30о;

d) under the angle of 100о;

e) it doesn’t matter.



7. Choose the angler of slope of the scalpel during the execution the medial part of cut of the skin (during the slit):

а) under the angler of 45о into the side of blade;

b) under the angler of 90о into the side of blade;

c) under the angler of 25-30о into the side of blade;

d) it doesn’t matter;

e) under the angler of 100о into the side of blade;

8. Where do you put clamps for stop bleeding from subcutaneous fat:

а)into the cellular tissue in opposite edge of the wound;

b) into the cellular tissue in the own edge of the wound;

c) into the skin and cellular tissue in opposite edge of the wound;

d) into the skin and cellular tissue in the own edge of the wound;

e) it doesn’t matter?

9. What minimal amount of bleeding points in the cut of the skin and subcutaneous fat:

а) 2;

b) 3;

c) 4;

d) 1;

e) no one?

10. Choose instruments which can be used in the cut of fascia:

а) grooved probe and scalpel;

b) bulb probe and scalpel;

c) anatomical forceps and scalpel;

d) bulb probe and scissors

e) anyone.

11. During sew up of the wound it is necessary to prepare the hold-keeper. How do you do it?

а) step back from the point of the needle one-third of its length;

b) in the middle of the length of the needle;

c) step back from the eye of the needle one-third of its length;

d) it doesn’t have practical meaning;

e) step back from the point of the needle one-forth of its length?

12. During the operation wound is sawn by layers. Choose the most rational kind of the stitch to join dissected muscles:

а) put on common knotted silk stitches;

b) put on P-liked silk stitches;

c) put on P-liked knotted catgut stitches;

d) put on common catgut stitches;

e) put on P-liked continual catgut stitches.

13. During the operation wound is sawn by layers. Choose the most rational method of joining the wide fascia of the thigh:

а) common knotted silk stitch;

b) common knotted, catgut stitches;

c) P-liked catgut stitches;

d) Z-liked silk stitches;

e) continual P-liked silk stitch.

14. Choose rational distance between ligatures of the stitch which are put onto the skin during the operation:

а) 0,5-1,0 сm;

b) 1,5-2,0 сm;

c) 2,0-3,0 сm;

d) in doesn’t have practical meaning;

e) 0,5 сm.

15. How can the surgeon-beginner avoid possible formation of surpluses of tissues of one of the edges of the wound of the skin in it’s sew up:

а) put on continual stitch;

b) use P-liked knotted stitches;

c) use cosmetic stitch;

d) use rules of parts in putting on knotted stitches;

e) put on continual P-liked stitches?

16. What is the main aim of primary surgical treatment of the wound:

а) preserve infection of the wound;

b) transverse wound into aseptic state;

c) recess foreign bodies from the wound;

d) create conditions for healing the wound by primary taut;

e) stop bleeding in the wound?

17. How do you recess hair around the wound before primary surgical treatment of the wound:

а) cut;

b) by wet shaving through spirals from central part to peripheral;

c) by wet shaving through radiuses from the wound to periphery;

d) by dry shaving through radiuses from the wound to periphery;

e) by dry shaving through spirals from central part to peripheral?

18. Definite necessary width of the recession of the edges of cut wound in its primary treatment:

а) 1 сm from the edge of the wound;

b) 1,5 сm from the edge of the wound;

c) 2 сm from the edge of the wound;

d) no use to dissect it;

e) 0,5 сm from the edge of the wound.

19. In what deepness is it necessary to recess the edges of gun wound of the extremity in its primary surgical treatment:

а) in 3 сm;

b) skin and cellular space;

c) to gasp proper fascia;

d) into all deepness of the wound;

e) in 5 сm.

20. Choose stitches after primary surgical treatment of dirty wound:

а) primary stitches;

b) primary outlaid stitches;

c) secondary stitches;

d) lead wound by open method;

e) cosmetically stitches.



21. Use necessary stitches when wound is with purulent process:

а) primary stitches;

b) primary delayed stitches;

c) secondary stitches;

d) lead wound by open method;

e) secondary late stitches.

22. What tissues does surgeon disjoin together with superficial fascia in execution the operative access:

а) skin with cellular space;

b) proper fascia;

c) muscles;

d) inner fascia;

e) serous membranes?

23. What layer of tissues does surgeon disjoin after the proper fascia in execution the operative access:

а) skin;

b) superficial fascia;

c) muscles;

d) cavity of the body;

e) cellular space?

24. What layer does surgeon disjoin after the proper fascia in operative access onto body:

а) skin with cellular space;

b) proper fascia;

c) muscles;

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