Topographical anatomy of chest wall, mammary gland, diaphragm, pleura and lungs. Operations on them. Primary surgical treatment of the wounds of thorax

D) serous membranes?

25. What moment shows primary surgical treatment of the wound:

а) stop bleeding;

b) recession of the edges of the wound;

c) cut of the skin;

d) disjoining of the edges of the wound;

e) disjoining of the muscles?

26. What is the general principle in disjoining tissues:

а) strictly layer slits;

b) parallel to Langer’s lines;

c) taking to account projection of vessels and nerves;

d) all pointed demands;

e) taking to account topography of pathological focus?

27. What surgical needles are used for joining skin:

а) atraumatical;

b) cut (trihedral);

c) prickly (round);

d) mixed;

e) Deshan’s needles?

28. 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 fist?

29. After the cut of cellular space in the wound it is raised bleeding. What stop bleeding clamps are used for stop bleeding:

а) Koher’s clamps;

b) Bilrot’s clamps;

c)Mickulich’s clamps;

d) mosquito clamps;

e) Oxner clamps?

30. After the cut of cellular space it is raised bleeding. Offer method of temporary stop bleeding in the wound:

а) sew up of the edges of the artery;

b) pressing with finger;

c) binding the artery;

d) pressing with napkin;

e) electro-coagulation.

1. What is the optimal cut in intramammary mastitis:

а) radial cut of the skin and superficial fascia of region around nipple and in the periphery of the gland;

b) radial cut of the skin and superficial fascia 1сm from region around nipple to the periphery of the gland;

c) radial cut of the skin 1 сm from region around nipple to the periphery of the gland without injury of superficial fascia;

d) arch-liked cut of the skin and superficial fascia in the projection of abscess;

e) arch-liked cut of the skin in the projection of abscess without injury of superficial fascia?

2. Execute cut in retro-mammary abscess in upper-lateral quadrant of pectoral gland:

а) arch-liked cut parallel to lower polus of the gland;

b) radial cut through all thickness of the gland in accordance to its;

c) arch-liked cut parallel to upper-lateral edge of the gland;

d) transverse cut from the edge of the wound in lateral direction;

e) arch-liked cut of the skin and superficial fascia through the projection of abscess.

3. Choose possible point for puncture the pleural cavity with the aim of recession the exudates:

а) upper edge of VII rib through scapular line;

b) upper edge of IX rib through scapular line;

c) lower edge of IX rib through scapular line;

d) upper edge of X rib through scapular line;

e) lower edge of VIII rib through posterior axillary’s line.

4. How do you fix drain-tube which is led into pleural cavity to the chest:

а) put on skin silk stitch and sew up the tube;

b) put on skin silk stitch and bind edges of ligature on the tube;

c) fix tube to skin with stick plaster;

d) put on skin catgut stitch and sew up the tube;

e) put layer stitches on the pectoral wall and fix tube with them?

5. It is diagnosed osteomielitis of VIII rib through scapular line. Choose method of operative treatment:

а) through-periosteal resection of the rib with its next plasty;

b) sub- periosteal resection of the rib with its next plasty;

c) sub- periosteal resection of the rib without its next plasty;

d) through-periosteal resection of the rib without its next plasty;

e) anyone of suggested methods.

6. What operation is it better to execute when there is jagged injury (3х4 сm) on the anterior-inferior edge of the lung:

а) cut of necrotized tissue of the lung (1,0-1,5 сm) with next sew up of the tissue;

b) marginal resection of the lung;

c) segmented resection of the lung;

Дата добавления: 2014-12-23