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

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

à) 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:

à) 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:

à) 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 ñm long:

à) 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:

à) 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:

à) 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:

à) 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:

à) longitudinal accordingly to surgeon;

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

c) transverse accordingly to surgeon;

d) direction doesn't have practical meaning;

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

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

à) 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:

à) 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:

à) 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:

à) stab wound of the intestine;

b) slash wound 1-1,5 ñm 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:

à) "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":

à) 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:

à) 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:

à) 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":

à) under the angle of 45î;

b) it doesn't matter;

c) under the angle of 90î;

d) under the angle of 120î;

e) under the angle of 60î?

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

à) under the angle of 45î;

b) it doesn't matter;

c) under the angle of 90î;

d) under the angle of 120î;

e) under the angle of 60î?

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

à) "side by side";

b) it doesn't matter;

c) "end to end";

d) "end to side";

e) "Ò-liked"?

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

à) "side by side";

b) it doesn't matter;

c) "end to end";

d) "end to side";

e) "Ò-liked"?

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

à) 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:

à) 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:

à) 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:

à) 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:

à) 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:

à) 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:

à) 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:

à) 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:

à) 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:

à) 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?

 



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