№14 Topographical of the crosspiece and retroperitoneal space. Paranephral blockade. Operations on kidneys and ureters. Тopographical anatomy of the spine and spinal cord. Operations on them.

1. In projection of lumbar triangle it is found out lumbar hernia. What hernial gates are limited with:

а) muscle lattisimus dorsi, interior oblique muscle and comb of ileac bone;

b) muscle lattisimus dorsi, exterior oblique muscle and comb of ileac bone;

c) muscle lattisimus dorsi, interior oblique muscle and transverse muscle;

d) exterior oblique muscle, comb of ileac bone and transverse muscle;

e) lower dental muscle, interior oblique muscle and extensor of the spine?

2. In projection of lumbar quadrangle it is found out lumbar hernia. What hernial gates are limited with:

а) lower dental muscle, interior oblique muscle, extensor of spine, XII rib;

b) lower dental muscle, interior oblique muscle, extensor of the spine, transverse muscle;

c) exterior oblique muscle, lower dental muscle, interior oblique muscle, extensor of the spine;

d) muscle lattisimus dorsi, exterior oblique muscle, lower dental muscle, interior oblique muscle;

e) muscle lattisimus dorsi, interior oblique muscle and comb of ileac bone?

3. What structure can be injured in the region of bottom of lumbar quadrangle:

а) aponeurosis of exterior oblique muscle of the abdomen ;

b) aponeurosis of lumbar muscle;

c) muscle lattisimus dorsi;

d) pactoral-lumbar fascia;

e) interior oblique muscle?

4. It is diagnoses stone in lower of ureter. It is developing hydronephros. What access and operation are indicated for recession of the stone:

а) by Bergman, pyelotomy;

b) by Fedorov urethrectomy;

c) by Pirogue, uretherectomy;

d) by Izrael, pyelotomy;

e) by Ovtanyanov, cystectomy?

5. In the revision of blunt trauma it is found out rupture in the anterior surface of right kidney. What organs is it necessary to examine in accordance to syntopy of right kidney:

а) liver and descending part of duodenum;

b) liver, right flexute of colon, descending part of duodenum;

c) loops of small intestine, transverse colon, posterior wall of stomach;

d) liver, ascending colon, pylorus;

e) right flexute of colon, pylorus and posterior horizontal part of duodenum?

6. Where vermix is located in retrocecal localization of it:

а) in proper perto-peritoneal;

b) around the kidney;

c) in near-intestinal;

d) in right ileac fossa;

e) in right lateral canal?

7. In palpation patient felt pain in anterior point of kidney from leftside. Where is this poin localized:

а) place of intersection the exterior edge of straight muscle of the abdomen with rib’s arch;

b) place of intersection of the chest with rib’s arch;

c) between xifoid and rib’s arch;

d) V intra-rib through madioclavicular line;

e) place of intersection with line which is led through rib’s arches with lateral edge of straight muscle of the abdomen?

8. In palpation patient felt pain in posterior point of kidney from leftside. Where is this poin localized:

а) point of intersection the XI rib and lateral surface of the spine;

b) VIIІ intra-rib through madioclavicular line;

c) place of intersection of strainghter muscle of back and XII rib;

d) place of intersection of strainghter muscle of back and Х rib;

e) place of intersection of strainghter muscle of back and XI rib?

9. In what department of retroperitoneal space is air led in retro-pneumo-peritoneum:

а) proper retroperitoneal;

b) right round-intestinal;

c) left near-intestinal;

d) aruon kidney;

e) behind rectum?

10. In what point can pain spead in retrocecal localization of the vermix:

а) Mack-Burney;

b) Lants;

c) into posterior kidney rightside;

d) into region of lumbar triangle from rightside;

e) into region of lumbar quadrangle from rightside?

11. What space can purulent process spread into in paracolitis:

а) into proper retroperiytoneal;

b) into paranephral;

c) into sub-diaphragm;

d) behind rectum;

e) in no one?

12.What is spina bifida:

а) fissure between body of the vertebra and its arch;

b) fissure between arches of vertebras;

c) absence of the vertebra;

d) absence of half of the vertebra;

e) ceasing the growth of vertebra in eminence?

13. Patient with kind colic is indicated paranephral blockade. Where is point of it’s execution:

а) place of intersection of XI rib and lateral surface of the spine;

b) VIIІ intra-rib through scapular line;

c) place of intersection of strainghter muscle of back and XII rib;

d) place of intersection of strainghter muscle of back with Х rib;

e) place of intersection of strainghter muscle of back and XI rib?

14. Flexion of spine with it’s bulging ahead is called:

а) sacralization;

b) kifosis;

c) skoliosis;

d) lordosis;

e) lumbalization.

15. It is found out 6 lumbar vertebras. How do you call this variant of norm:

а) sacralization;

b) lordosis;

c) kifosis;

d) spondilosis;

e) lumbalization.

16. For closer definition the diagnosis of meningitis is indicated lumbar puncture. Between what vertebras is it safely to execute it in adults:

а) І and ІІ lumbar;

b) ІV and V lumbar;

c) ІІ and ІІІ lumbar;

d) ІІІ and ІV lumbar;

e) ХІІ pectoral and І lumbar?

17. It is found out 6 lumbar vertebras. How do you call this variant of norm:

а) sacralization;

b) lordosis;

c) kifosis;

d) spondilosis;

e) lumbalization?

18. For closer definition the diagnosis of meningitis it is indicated lumbal puncture. What layers does needle pass in it’s execution:

а) sub-spinal ligamen;

b) intra-spinal and yellow ligaments;

c) skin with subcutaneous fat;

d) hard and arachnoid medullar membranes;

e) all counted?

19. In the injury of Ptee’ triangle it is injured it’s bottom. What is Ptee’s triangle formed with:

а) external oblique muscle of the abdomen;

b) internal oblique muscle of the abdomen;

c) lumbar muscle of the abdomen;

d) lower posterior dental muscle;

e) quadrant muscle?

20. Patient has perforation of ulcer of the posterior wall of ascending colon. Where can it’s content spread to:

а) near-intestinal cellular space;

b) proper retro-peritoneal space;

c) retro-rectal space;

d) right mesenteric sinus;

e) right lateral canal?

21. In operation of pefrorative retrocecal appendicitis it is drained cellular space of retroperitoneal space. What layers is it compound with:

а) proper retro-peritoneal, round-kidney and round-urethral, near-colon;

b) rount-arotal, near-colon, round-bladder;

c) proper retro-peritoneal, round-urethral, near-colon;

d) round-kidney and round-urethral, near-colon;

e) round-kidney and round-urethral, round-bladder?

22. In blunt injury of proper retro-peritoneal space is it risen hematoma. What are it’s walls formed with:

а) interior peritoneal and retro-peritoneal fascias;

b) interior peritoneal and retro-colon fascias;

c) retro-peritoneal and retro-colon fascias;

d) before-kidney and retro-colon fascias;

e) retrocolom fascia and parietal peritoneum?

23. In blunt injury of near-colon space is it risen hematoma. What are it’s walls formed with:

а) interior peritoneal and retro-peritoneal fascias;

b) interior peritoneal and retro-colon fascias;

c) retro-peritoneal and retro-colon fascias;

d) before-kidney and retro-colon fascias;

e) retrocolom fascia and parietal peritoneum?

24. In blunt injury of round-kidney space is it risen hematoma. What are it’s walls formed with:

а) interior peritoneal and retro-peritoneal fascias;

b) interior peritoneal and retro-colon fascias;

c) retro-peritoneal and retro-colon fascias;

d) before-kidney and retro-colon fascias;

e) retrocolom fascia and parietal peritoneum?

25. Patient with kidney colic from leftside has some pain which spreads into genital organs and medial surface of the thigh. Irritation with stone of what anatomical formation can be explained this irradiation of pain:

а) vagal nerve;

b) genitor-thigh nerve;

c) thigh nerve;

d) ileac vessels;

e) sub-abdominal nerve.

26. It is recessed stone from renal pelvis. How do you call this operation:

а) nephrostomy;

b) pyelotomy;

c) nephrotomy;

d) nephropexia;

e) nephrectomy?

27. Patient with nephroptosis is executed fixation of kidney. How do you call this operation:

а) nephrostomy;

b) pyelotomy;

c) nephrotomy;

d) nephropexia;

e) nephrectomy?

28. Patient is executed unloading nephrostomy. What is it aim of this operation:

а) dissection of kidney;

b) put fistula on the kidney;

c) opening the capsula of the kidney;

d) recession of the kidney?

29. In closed trauma of spine in computer tomography it is found out subdural hematoma. Between what membranes is this space located:

а) between bone and hard membrane of spinal cord;

b) between hard and arachnoid membranes of spinal cord;

c) between павутинною and soft membranes of spinal cord;

d) under soft membrane of spinal cord;

e) between hard and soft membranes of spinal cord?