Topographical anatomy of liver, gallbladder and biliary tract. Operations on them

E) ulcer is complicated with stenosis of pylorus in 35-years-old patient?

E) gastro-jejuno-, choledocho-jejuno-, and pancreato-jejuno-anastomosis.

24. Choose operative interference which isn’t used in cysts of pancreas:

а) Malle-Gi operation;

b) cystogastrostomy;

c) marsupialization;

d) cholecystocystostomy;

e) cystoduodenostomy.

25. In what case in perforative ulcer of the stomach is it expedient the resection of stomach:

а) from the moment of the perforation passed 12 hours;

b) perforation is complicated with peritonitis;

c) patient is 65 years old;

d) patient has attendant lung and heart-vessel pathology;

26. Point vessels which can be injured in stomach-pancreas ligament in it’s injury:

а) duodeno-pancreal arteries and veins;

b) left stomach-omental arteries and veins;

c) left stomach arteries and veins;

d) pancreal arteries and veins;

e) left stomach arteries and veins.

27. Choose method of pyloroplasty in which you have to use longitudinal cut of pylorus with next sew up of it in transverse direction:

а) by Heyneke-Mickulich;

b) by Finney;

c) by Zhabule;

d) by Shalimov;

e) by Vitcel.

28. Choose method of pyloroplasty in which you have to use transverse cut of stomach and duodenum near the pylorus with next formation of “side by side” anastomosis:

а) by Heyneke-Mickulich;

b) by Finney;

c) by Zhabule;

d) by Shalimov;

e) by Vitcel.

29. Choose kind of vagotomy in which short sectoral branches are cut, but long are saved:

а) trunk;

b) proximally selective;

c) proximal;

d) selective;

e) distal.

1. In execution the operation in liver it is necessary to definite boundary between right and left lobes of liver. What ligament is it formed with:

а) round;

b) semilunar;

c) crowned;

d) liver-duodenal;

e) liver-kidney.

2. During hepatoportography it is bougied umbilical vein. In what ligament of liver this obturative vein is located:

а) semilunar;

b) round;

c) crowned;

d) liver-duodenal;

e) liver-stomach.

3. In segmentar resection of liver elements which lie in the basis of its devision to segments are recessed and bound. What anatomical formations by Kuino are there:

а) liver arteries, veins and lymphatic vessels;

b) liver arteries, veins and biliary tract;

c) liver arteries and nerves, branches of portal vein;

d) liver arteries and biliary tract, branches of portal vein;

e) liver and portal veins, liver biliary ducts?

4. In dissection of what ligament branches of right diaphragm nerve can be injured:

а) liver-duodenal;

b) semilunar;

c) crowned;

d) round;

e) liver-stomach?

5. In cholecystectomy with the aim of recession the gall bladder peritoneum is dissected. How is gall-bladder covered with peritoneum most of all:

а) intraperitoneally;

b) extrapertoneally;

c) mesoperitoneally;

d) it doesn’t belong to peritoneum;

e) intraliver?

6. During the operation on the liver surgeon must examine it’s gates. What structural elements forms them:

a) proper liver arteries, veins and lymphatic vessels.

b) proper liver arteries, veins and biliary tract;

c) general liver arteries and nerves, branches of portal vein;

d) proper liver arteries and biliary tract, branches of portal vein;

e) proper liver and portal veins, liver biliary ducts?

7. In cholecystectomy bladder artery is found out and bound. From what artery does it go:

а) right liver artery;

b) left liver artery;

c) right stomach artery;

d) stomach-duodenal arteries;

e) proper liver?

8. How do you execute mobilization of the sprout of gall-bladder in cholecystectomy:

а) cut peritoneum through the edges of gall bladder and recess it from lagoon in blunt way;

b) mesentery is constricted with clamps from the bottom of the bladder, sawn and bound;

c) it is simultaneously put clamps on the mesentery and bound it than;

d) it is simultaneously put clamps on the mesentery, sew it with tobacco-bag stitch and bound;

e) cut peritoneum through the edges of gall bladder and recess it from lagoon together with injured liver in acute way?

9. What structures of liver are constricted in portal hypertension:

а) proper liver arteries;

b) intraliver biliary ducts;

c) liver veins;

d) general liver duct;

e) general biliary duct?

10. How do you call the system of ramification the vessels and biliary duct which lie in the basis of devision the liver by Kuino:

а) caval;

b) liver’s;

c) portal;

d) biliary;

e) vessel-ductal?

11. In what region of anterior-lateral wall of the abdomen enlarged spleen is palpated in splenomegalia:

а) in epigastrial;

b) in left sub-rib;

c) in left lateral;

d) in umbilical;

e) in left sub-rib and lateral?

12. How do you sew up the radial wound of liver:

а) P-liked knotted catcut stitch;

b) P-liked knotted silk stitch;

c) knotted silk stitch;

d) knotted catcut stitch;

e) catgut stitch by Cuznyetsov-Penskiy?

13. What do you constrict with the aim of temporary stop bleeding fron the liver in it’s injury:

а) liver-duodenal ligament during 15 minutes;

b) liver-stomach ligament during 15 minutes;

c) round ligament of liver during 15 minutes;

d) liver-duodenal ligament during 30 minutes;

e) round ligament of liver during 30 minutes?

14. Binding of what arteries can cause violation of blood supply and necrose of pancreas:

а) upper and lower mesenteral arteries;

b) stomach-duodenal and upper mesentery artery;

c) stomach-duodenal and lower mesentery artery;

d) lower mesentery artery;

e) spleen and stomach-duodenal artery?

15. What do you do for final stop bleeding from liver:

а) bind liver artery;

b) put on Opel’s stitch;

c) bind portal vein;

d) sew up liver with twined stitch around put terminals of liver;

e) conhstrict liver with fingers to final stop bleeding?

16. What operations are used in treatment of portal hypertension:

а) right sple-renal “side by side” anastomosis;

b) portal “end to side” anastomosis;

c) mesenterico-caval anastomosis;

d) left spleno-renal “side by side” anastomosis;

e) left spleno-renal “end to end” anastomosis?

17. In thickness of what ligament proper liver artery, general biliary duct and portal vein can be palpated:

а) semilunar;

b) crowned;

c) round;

d) liver-duodenal;

e) liver-stomach?

18. In what veins pressure will be high in portal hypertension:

а) upper and lower mesentery and renal;

b) spleen, upper and lower mesentery, stomach;

c) spleen, upper and lower mesentery and spleen;

d) upper mesentery, stomach and liver;

e) power cava, renal and ileac?

19. In revision of general biliary duct is it found out it’s typical formation. Junction of what ducts forms general biliary duct:

а) right and left liver ducts;

b) right liver duct with bladder duct;

c) left liver duct with bladder duct;

d) general liver duct with bladder duct;

e) right, liver with bladder?

20. In cholecystectomy from its column it is found out Callo’s triangle for finding and binding bladder duct:

а) bladder duct, portal vein, general liver duct;

b) portal vein, right liver artery, bladder duct;

c) right liver artery, bladder duct, duodenum;

d) bladder duct, general liver duct, bladder and right liver arteries;

e) bladder, right and left liver ducts.

21. What part of liver is recessed in atypical resection of liver:

а) sector;

b) segment;

c) lobe;

d) half part of liver;

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