Topographical anatomy of anterior-lateral wall of the abdomen. Accesses to the organs of abdominal cavity. Notion about hernias

1. Patient compliance to some pain in right inguinal region of the anterior wall of the abdominal cavity. What organs can be injured:

а) vermix, jejunum, right kidney;

b) vermix, ileac intestine, right kidney;

c) cecum, ileac intestine, right ureter;

d) cecum, right ureter, jejunum intestine

e) vermix, duodenum, right ovarium?

2. Patient compliance to some pain in epigastria in the anterior wall of the abdominal cavity. What organs can be injured:

а) stomach, left lobe of liver, abdominal aorta;

b) left lobe of liver, pancreas, lien;

c) abdominal trunk, abdominal plexus, upper omental artery;

d) pancreas, colon, left lobe of liver;

e) pancreas, lien, left lobe of liver?

3. Patient compliance to some pain in right sub-rib region of the abdominal cavity. What organs can be injured:

а) right lobe of liver, transverse colon, stomach;

b) right lobe of liver, stomach, gall bladder;

c) gall-bladder, duodenum, right epinephros;

d) gall-bladder, right kidney, right flexion of colon;

e) gall-bladder, gates of right kidney, right epinephros?

4. Patient compliance to some pain in left sub-rib region of the abdominal cavity. What organs can be injured:

а) bottom of the stomach, spleen, descending colon;

b) tail of pancreas, cardiac region of the stomach, left epinephros;

c) left kidney,left epinephros, body of the stomach;

d) spleen, body of pancreas, bottom of the stomach;

e) tail and body of pancreas, cardiac region of the stomach?

5. Patient compliance to some pain in right lateral region of the abdominal cavity. What organs can be injured:

а) right kidney, ascending colon, ileum;

b) right kidney, descending colon, loops of ileum;

c) loops of jejunum, right kidney, caecum;

d) right kidney, right ureter, caecum.

e) loops of jejunum, right kidney, ileum?

6. Patient compliance to some pain in umbilical region of the abdominal cavity. What organs can be injured:

а) transverse colon, gates of kidneys, liver;

b) large flexion of the stomach, abdominal aorta, loops of small intestine;

c) loops of small intestine, gates of kidneys, right ureter, pancreas;

d) transverse colon, lower cave vein, bottom of the stomach;

e) loops of small intestine, gates of kidneys, right ureter, ascending colon?

7. Patient compliance to some pain in left lateral region of the abdominal cavity. What organs can be injured:

а) descending colon, left kidney, spleen;

b) descending colon, loops of small intestine, pancreas;

c) left kikney, left ureter, large flexion of the stomach;

d) left ureter, loops of small intestine, left kidney;

e) left ureter, loops of small intestine, spleen?

8. Patient compliance to some pain in pubic region of the abdominal cavity. What organs can be injured:

а) urinary bladder, womb, rectum;

b) marginal regions of ureters, sigmoid colon and small intestine;

c)marginal regions of ureters,caecum;

d) urinary bladder, ureters;

e) sigmoid colon and small intestine, vermix?

9. Patient compliance to some pain in left inguinal region of the anterior wall of the abdominal cavity. What organs can be injured:

а) loops of small intestine, sigmoid colon, left ureter;

b) loops of small intestine,descending colon, left ureter;

c) sigmoid intestine, left ureter, urinary bladder;

d) loops of small intestine,descending colon, womb;

e) descending and sigmoid colon, left ureter?

10. Surgeon executes oblique inguinal access from the leftside. What layers does he pass through after the cut of this region (choose the most rational answer):

а) external oblique, transverse and straight muscles of the abdomen, peritoneum;

b) superficial fascia, proper fascia, external oblique and straight muscles;

c) proper fascia, external and internal oblique muscles of the abdomen, transverse fascia;

d) aponeurosis of the external oblique muscles of the abdomen, internal and transverse muscles, peritoneum;

e) aponeurosis of the external internal and transverse muscles, peritoneum?

11. What tissues does surgeon pass through in execution the cut of the region of umbilical ring (choose the most rational answer):

а) fibrous tissue, umbilical fascia, peritoneum;

b) straight muscle of the abdomen, transverse fascia, peritoneum;

c) external oblique muscle, transverse muscle of the abdomen;

d) subcutaneous fat, superficial fascia, proper fascia, straight muscle;

e) subcutaneous fat, superficial fascia, straight muscle?

12. In protocol doctor wrote down that he used transrectal access to abdominal organs. What does it mean:

а) straight through media line;

b) through straight muscle of the abdomen;

c) through the rectum;

d) through medial inguinal fossa;

e) through medial edge of straight muscle of the abdomen?

13. What layers of tissues does surgeon pass in upper medial laparotomy after cut of the skin:

а) aponeurosis of the external oblique muscle, straight muscle and white line of the abdomen;

b) subcutaneous fat, white line of the abdomen, inner peritoneal fascia;

c)subcutaneous fat, white line of the abdomen,straight muscle of the abdomen;

d) superficial fascia, white line of the abdomen,straight muscle of the abdomen;

e) subcutaneous fat, aponeurosis of the external oblique muscle, straight muscle of the abdomen?

14. What layers does surgeon pass in transrectal access higher than umbilicus:

а) aponeurosis of the interior oblique muscles, straight muscle, white line of the abdomen;

b) aponeurosis of the exterior and interior oblique muscles, straight muscle, aponeurosis of the interior and transverse muscles;

c) subcutaneous fat, white line of the abdomen straight muscle of the abdomen;

d) superficial fascia, white line of the abdomen straight muscle of the abdomen;

e) aponeurosis of the exterior, interior oblique and transverse muscles of the abdomen, inner fascia, peritoneum?

15. What of these accesses is called coulisse:

а) upper medial laparotomy;

b) oblique in right inguinal region;

c) para-rectal;

d) oblique sub-rib;

e) transverse?

16. What of these accesses is called changeable:

а) upper medial laparotomy;

b) oblique in right inguinal region;

c) pararectal with leading out straight muscle of the abdomen;

d) lower medial laparotomy;.

e) transverse?

17. Doctor definites curve, widen formations on the anterior surface of the abdomen, which forms wide net of anastomosis and memorize “caput medusa”. What anatomical precondition of this symptom:

а) stretchening of the skin of the anterior-lateral wall of the abdomen;

b) growth of subcutaneous fat on the abdomen;

c) stretchening of superficial veins of the abdomen;

d) stretchening of superficial arteries of the abdomen;

e) stretchening of the lymphatic vessels of the abdomen?

18. During the operation of herniotomy surgeon recessed hernia. What element isn’t its main element:

а) sac;

b) gates;

c) body;

d) content;

e) peritoneum?

19. During the operation of herniotomy surgeon recessed hernial sac. What is it formed with:

а) inner pectoral fascia;

b) peritoneum;

c) aponeurosis;

d) proper fascia;

e) inner peritoneal fascia?

20. After patient’s examination surgeon diagnosed irreducible hernia. What does it mean:

а) hernial content doesn’t reduce in lying position but it hides it its pressure;

b) hernial content is pressed in the region of hernial gates;

c) hernial content is knitted with hernial sac;

d) wall of hernial sac is partly presented by organ;

e) hernial sac is presented by unmalunioned sprout of the peritoneum?

21. During the operation of herniotomy surgeon recessed hernial sac. What element doesn’t belong to it:

а) bottom;

b) gates;

c) body;

d) column;

e) peritoneum?

22. Surgeon after the patient’s examination diagnosed skidding hernia. What does it mean:

а) hernial content doesn’t tax in lying position but it hides it its pressure;

b) hernial content is pressed in the region of hernial gates;

c) hernial content is knitted with hernial sac;

d) wall of hernial sac is partly presented by organ;

e) hernial sac is presented by unmalunioned sprout of the peritoneum?

23. Surgeon after the patient’s examination diagnosed taxed hernia. What does it mean:

а) hernial content doesn’t tax in lying position but it hides it its pressure;

b) hernial content is pressed in the region of hernial gates;

c) hernial content is knitted with hernial sac;

d) wall of hernial sac is partly presented by organ;

e) hernial sac is presented by unmalunioned sprout of the peritoneum?

24. Surgeon after the patient’s examination diagnosed squeezed hernia. What does it mean:

а) hernial content doesn’t tax in lying position but it hides it its pressure;

b) hernial content is pressed in the region of hernial gates;

c) hernial content is knitted with hernial sac;

d) wall of hernial sac is partly presented by organ;

e) hernial sac is presented by unmalunioned sprout of the peritoneum?

25. During upper transrectal access surgeon cuts vagina of straight muscle of the abdomen. What anatomical elements form the anterior wall of the abdomen:

а) proper fascia of straight muscle of the abdomen;

b) aponeurosis of the exterior oblique muscle of the abdomen;

c) aponeurosis of the exterior and interior oblique muscle of the abdomen;

d) aponeurosis of the exterior, interior oblique and transverse muscle of the abdomen;

e) aponeurosis of straight muscle of the abdomen?

26. During upper transrectal access surgeon cuts vagina of straight muscle of the abdomen. What anatomical elements form the anterior wall of the abdomen:

а) proper fascia of straight muscle of the abdomen;

b) aponeurosis of the exterior oblique muscle of the abdomen;

c) aponeurosis of the exterior and interior oblique muscle of the abdomen;

d) aponeurosis of the exterior, interior oblique and transverse muscle of the abdomen;

e) aponeurosis of straight muscle of the abdomen?

27. During the execution of transrectal slit it is cut medial fold. What anatomical formation can be injured in this manipulation:

а) malunion urinal duct;

b) obliterated umbilical artery;

c) over-abdominal vessel;

d) obliterated umbilical vein;

e) spermatic duct?

28. During the execution of transrectal slit it is cut lateral umbilical fold. What anatomical formation can be injured:

а) malunion urinal duct;

b) obliterated umbilical artery;

c) over-abdominal vessel;

d) obliterated umbilical vein;

e) spermatic duct?

29. During the execution of transrectal slit it is cut medial umbilical fold. What anatomical formation can be injured:

а) malunion urinal duct;

b) obliterated umbilical artery;

c) over-abdominal vessel;

d) obliterated umbilical vein;

e) spermatic duct?

Дата добавления: 2014-12-23