D) it is totally covered with peritoneum

D) it is totally covered with peritoneum.

Topographical anatomy of large intestine. Operations on large intestine. Feces fistulas and appendectomies.

1. Point how cecum is covered with peritoneum:

а) from one side;

b) from two sides;

c) from three sides;

d) from all sides;

e) it isn’t covered.

2. Point how the ascending part of colon correlates to the peritoneum:

а) it is covered with peritoneum from one side;

b) it is covered with peritoneum from two sides;

c) it is covered with peritoneum from three sides;

d) it is totally covered with peritoneum;

e) it isn’t covered.

3. Point how transverse colon correlates to the peritoneum:

а) it is covered with peritoneum from one side;

b) it is covered with peritoneum from two sides;

c) it is covered with peritoneum from three sides;

e) it isn’t covered.

4. Point how the descending part of colon correlates to the peritoneum:

а) it is covered with peritoneum from one side;

b) it is covered with peritoneum from two sides;

c) it is covered with peritoneum from three sides;

d) it is totally covered with peritoneum;

e) it isn’t covered.

5. Point how sigmoid colon correlate to the peritoneum:

а) it is covered with peritoneum from one side;

b) it is covered with peritoneum from two sides;

c) it is covered with peritoneum from three sides;

e) it isn’t covered.

6. Point main source of blood supply of the ascending colon:

а) upper mesenteral artery;

b) lower mesenterial artery;

c) abdominal trunk;

d) upper rectal artery;

e) ileac artery.

7. Point main source of blood supply of transverse colon:

а) medial colon artery;

b) right colon artery;

c) ileac artery;

d) upper rectal artery;

e) sigmoid artery.

8. Point main source of blood supply of the descending colon:

а) ileo-caecal artery;

b) left colon artery;

c) ileac artery;

d) upper rectal artery;

e) ileac artery.

9. Point main source of blood supply of sigmoid colon:

а) upper mesenteral artery;

b) lower mesenteral artery;

c) abdominal trunk;

d) upper rectal artery;

e) ileac artery.

10. Notice point of projection the vermix to anterior-lateral wall of the abdomen:

а) Mack-Burney;

b) Pirogue;

c) Ortner;

d) Dyakonov;

e) Kerr.

11. Notice point which is between medial and lateral third of the line which connects upper spina of ileac bone with umbilicus:

а) Dyakonov;

b) Pirogue;

c) Ortner;

d) Mack-Burney;

e) Kerr.

12. Notice point which is between medial and right third of the line which is between anterior-upper spines of ileac bone:

а) Lance;

b) Pirogue;

c) Ortner;

d) Dyakonov;

e) Kerr.

13. Point peculiarities of longitudinal layer of muscular membrane of large intestine:

а) it forms gaustres;

b) it forms three ribbons;

c) it has none;

d) it is even the perimeter of the intestine;

e) it forms two ribbons.

14. What part of large intestine is covered mesoperitonealy with peritoneum:

а) ascending colon;

b) caecum;

c) sigmoid colon;

d) transverse colon;

e) vermix.

15. What is the difference between colonostomy and annatural anus:

а) execution of colopexia;

b) it is put on sigmoid colon;

c) it is executed with saving feces passage through the intestine lower the aperture;

d) standing out of feces from gap of the intestine;

e) execution the peritonisation of the wound?

16. Point peculiarities of the operation in malignant tumor of descending region of large intestine:

а) execute resection of large intestine 10-15 сm higher and lower than tumour is;

b) execute colostomy;

c) execute left lateral resection of large intestine;

d) use two-rowed stitch in formation the intraintestinal anastomosis;

e) put on artificial anus to the transverse colon.

17. Peculiarities of the operations on large intestine:

а) put on the three-rowed stitch;

b) put on the two-rowed stitch;

c) one-staged resection of the intestine;

d) formation of “end to end” anastomosis;

e) put on the one-rowed stitch.

18. Peculiarities of the operations on small intestine:

а) put on the three-rowed stitch;

b) put on the two-rowed stitch;

c) one-staged resection of the intestine;

d) unloading operations;

e) formation of “end to end” anastomosis.

19. In appendectomy vermix is located in the right mesenteral sinus. How do you call this variant of its locatization:

а) lateral;

b) medial;

c) anterior;

d) pelvic;

e) retro-peritoneal.

20. What rows does stitch consist with in sew up the large intestine:

а) perforating, serous-muscular;

b) perforating, mucous-muscular;

c) serous-muscular, serous-muscular;

d) perforating, serous-muscular, serous-muscular;

e) serous-muscular, perforating?

21. Why it is used hemicoectomy, no economical resection of large intestine in responsible indications:

а) subtle of the wall behind ribbon regions;

b) rough intestinal content;

c) intestinal content is rich by microflore;

d) mesoperitoneal localization of the regions of intestine;

e) presence protrudance?

22. What technical methods prevent penetration of feces into operative wound in put on the unnatural anus:

а) colonopexy;

b) sew up of the parietal peritoneum to skin;

c) formation of spur;

d) lead out the afferent loop;

e) put on sterile bandage?

23. What technical methods prevent penetration of feces into adductive loop of sigmoid colon in put on the unnatural anus:

а) colonopexy;

b) sew up of the parietal peritoneum to skin;

c) formation of spur;

d) lead out the afferent loop;

e) put on sterile bandage?

24. During the operation surgeon led out from the abdominal cavity loop of the intestine. What anatomical features point that this is large intestine:

а) pink colour, muscular ribbons, protrudances;

b) pink colour, completed longitudinal muscular layer;

c) muscular ribbons, protrudances, fatty sprouts;

d) grey-blue colour, completed longitudinal muscular layer, protrudances;

e) grey-blue colour, fatty sprouts, little diameter?

25. What would you do after revision in atypical appendectomy:

а) resection of the sprout with formation the stump;

b) put on the tobacco-bag stitch;

c) mobilization of the sprout;

d) put on Z-liked stitch;

e) binding of the vermix?

26. What would you do after revision in retrograde appendectomy:

а) resection of the sprout with formation the stump;

b) put on the tobacco-bag stitch;

c) mobilization of the sprout;

d) put on Z-liked stitch;

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