Resection of small intestine with formation the “end to end” and “side by side” anastomosis. Formation of the stump of the intestine

1. Choose variant of mobilization the intestine for usage it as plastic material:

а) clinoid in vessel-mesenteral peduncle;

b) marginal in vessel-mesenteral peduncle;

c) clinoid without vessel peduncle;

d) method doesn’t have practical meaning;

e) marginal without vessel peduncle.

2. Choose variant of mobilization the intestine in necrotization of the intestine:

а) clinoid in vessel-mesenteral peduncle;

b) marginal in vessel-mesenteral peduncle;

c) clinoid without vessel peduncle;

d) method doesn’t have practical meaning;

e) marginal without vessel peduncle.

3. Choose variant of mobilization the intestine in necrotization of the intestine by malignant process:

а) clinoid in vessel-mesenteral peduncle;

b) marginal in vessel-mesenteral peduncle;

c) clinoid without vessel peduncle;

d) method doesn’t have practical meaning;

e) marginal without vessel peduncle.

4. Choose variant of mobilization of the intestinal loops in slit slash wound 4 сm long:

а) marginal without vessel peduncle;

b) marginal in vessel-mesenteral peduncle;

c) clinoid without vessel peduncle;

d) method doesn’t have practical meaning;

e) clinoid in vessel-mesenteral peduncle.

5. What stitch is put by the first row to posterior lip of anastomosis:

а) continual twined;

b) continual screwing;

c) seruos-muscular knotted;

d) serous-muscular tobacco-bag;

e) continual P-liked?

6. What variant of mobilization the loops of the intestine is used in thrombosis of mesenterial vessels:

а) marginal without vessel peduncle;

b) marginal in vessel-mesenteral peduncle;

c) clinoid without vessel peduncle;

d) method doesn’t have practical meaning;

e) clinoid in vessel-mesenteral peduncle?

7. What varianl of mobilization the loops of the intestine is used in squeezing of small intestine:

а) marginal without vessel peduncle;

b) marginal in vessel-mesenteral peduncle;

c) clinoid without vessel peduncle;

d) method doesn’t have practical meaning;

e) clinoid in vessel-mesenteral peduncle?

8. How second assistant must orient line of anastomosis by fixative stitches:

а) longitudinal accordingly to surgeon;

b) under the angle of 45^о on the left accordingly to surgeon;

c) transverse accordingly to surgeon;

d) direction doesn’t have practical meaning;

e) under the angle of 45^о on the right accordingly to surgeon?

9. Choose method of continual marginal stitch for sew up the anterior lip of intra-intestinal anastomosis:

а) twined silk stitch;

b) twined catgut stitch;

c) screwing silk stitch by Shmiden;

d) screwing catgut stitch by Shmiden;

e) flask catgut stitch.

10. Choose method of continual marginal stitch for sew up the posterior lip of intra-intestinal anastomosis:

а) twined silk stitch;

b) twined catgut stitch;

c) screwing silk stitch by Shmiden;

d) screwing catgut stitch by Shmiden;

e) flask catgut stitch.

11. What stitch is put as the second row to the anterior lip of the anastomosis:

а) Albert’s;

b) Shmiden’s;

c) Lamber’s;

d) Cushing;

e) Pribragm’s?

12. What is the indication to execution resection of some region of small intestine:

а) stab wound of the intestine;

b) slash wound 1-1,5 сm long;

c) thrombosis of mesenterial vessels;

d) deserozation of some region of small intestine;

e) polyp of small intestine on thin puduncle?

13. What kind of anastomosis do you execute if one organ is covered with peritoneum mesoperitoneally:

а) “end to end” isoperitoneal;

b) it doesn’t matter;

c) “end to end”;

d) “end to side”;

e) “side by side” ant-peritoneal?

14. In what cases do you put anastomosis “end to side”:

а) in slash wound of the intestine;

b) in an-accordance of diameters of intestinal connection;

c) in combined wounds of the intestine;

d) in small diameter of the intestine;

e) in large diameter of the intestine?

15. From what side do you put stiff clamps in resection of small intestine:

а) from pathological side;

b) there’s no need to put them there;

c) from unchanged part of the intestine;

d) it doesn’t matter;

e) all answers are wrong?

16. From what side do you put elastic clamps in resection of small intestine:

а) from pathological side;

b) there’s no need to put them there;

c) from unchanged part of the intestine;

d) it doesn’t matter;

e) all answers are wrong?

17. What is the direction of localization the “sponges” of clamps accordingly to direction of the intestine in formation the anastomosis “end to end”:

а) under the angle of 45^о;

b) it doesn’t matter;

c) under the angle of 90^о;

d) under the angle of 120^о;

e) under the angle of 60^о?

18. What is the direction of localization the “sponges” of clamps accordingly to direction of the intestine in formation the anastomosis “side by side”:

а) under the angle of 45^о;

b) it doesn’t matter;

c) under the angle of 90^о;

d) under the angle of 120^о;

e) under the angle of 60^о?

19. What method of formation the anastomosis is the most optimal for young surgeon:

а) “side by side”;

b) it doesn’t matter;

c) “end to end”;

d) “end to side”;

e) “Т-liked”?

20. What method of formation the anastomosis isn’t used for children:

а) “side by side”;

b) it doesn’t matter;

c) “end to end”;

d) “end to side”;

e) “Т-liked”?

21. What is the main advantage of entero-enteral “end to end” anastomosis:

а) its physiology;

b) possibility to regulate width hemiostiums;

c) formation of hemiostiums of enough width;

d) absence of critical points of anastomosis;

e) connection of different by diameter intestines?

22. What is the main advantage of entero-enteral “side by side” anastomosis:

а) its physiology;

b) possibility to regulate width hemiostiums;

c) absence of caecal pockets;

d) absence of violations hemiostiums;

e) simplicity of technique of put it on?

23. What is the main advantage of entero-enteral “end to side” anastomosis:

а) its physiology;

b) possibility to regulate width hemiostiums;

c) absence of caecal pockets;

d) connection of different by diameter intestines;

e) simplicity of technique of put it on?

24. Point main defect in formation “side by side” anastomosis:

а) presence of critical points of anastomosis;

b) constriction of gap of the intestine in the region of anastomosis;

c) violation of peristaltic in the region of anastomosis;

d) impossibility to regulate width hemiostiums;

e) formation of spur of anastomosis.

25. Point main defect in formation “end to end” anastomosis:

а) constriction of gap of the intestine in the region of anastomosis;

b) violation of peristaltic in the region of anastomosis;

c) formation of cecal pockets;

d) impossibility to form isoperistaltic anastomosis;

e) formation of spur of anastomosis.

26. Region of stitch passes through that part of the intestine which isn’t covered with peritoneum. How do you call it:

а) shaft;

b) lip;

c) critical point;

d) free edge;

e) stoma.

27. In what method of formation the stump in the place of putting stiff intestinal clamp intestine is strengthenly bound with ligature:

а) Duayen;

b) Moynigen;

c) Shmiden;

d) Shalimov;

e) Yudin?

28. How can you form stump of small intestine by Moynigen after putting on it stiff intestinal clamps and recession of the intestine:

а) continual serous-muscular P-liked stitch and silk serous-muscular knotted stitches;

b) in the place of clamps intestine is bound by catgut ligature and stump is dipped into silk tobacco-bag stitch;

c) continual twined catgut stitch and silk serous-muscular knotted stitches;

d) continual screwing stitch by Shmiden silk serous-muscular knotted stitches;

e) continual P-liked stitch and silk serous-muscular knotted stitches?

29. How can you form stump of small intestine by Cushing after putting on it stiff intestinal clamps and recession of the intestine:

а) continual serous-muscular P-liked stitch and silk serous-muscular knotted stitches;

b) in the place of clamps intestine in bound by catgut ligature and stump is dipped into silk tobacco-bag stitch;

c) continual twined catgut stitch and silk serous-muscular knotted stitches;

d) continual screwing stitch by Shmiden silk serous-muscular knotted stitches;

e) continual P-liked stitch and silk serous-muscular knotted stitches?

30. How can you form stump of small intestine by Duayen after putting on it stiff intestinal clamps:

а) cut the intestine and dip it into silk tobacco-bag stitch;

b) in the place of clamps intestine is bound by catgut ligature and stump is dipped into silk tobacco-bag stitch;

c) in the place of clamps intestine is bound by catgut ligature, recessed and stump is dipped into silk tobacco-bag stitch;

d) in the place of clamps intestine is bound by silk ligature, recessed and stump is dipped into silk tobacco-bag stitch;

e) in the place of clamps intestine is bound by catgut ligature, recessed and stump is dipped into silk tobacco-bag stitch?

Дата добавления: 2014-12-23