№15 Topographical anatomy of pelvis. Accesses to purulent processes, draining of them.

1. Small pelvis is limited with:

а) linea terminalis, promontorium, linea arcuatea;

b) os cocae, os sacrum;

c) os coccigis, V-lumbar vertebra;

d) os coccigis, os sacrum, promontorium.

2. Large pelvis is:

а) upper region of the abdominal cavity;

b) medial region of the abdominal cavity;

c) lower region of the abdominal cavity;

d) upper and medial regions of the abdominal cavity.

3. What are storeys of small pelvis:

а) upper, medial;

b) upper, medial, lower;

c) upper, medial;

d) lower, medial.

4. Point cellular spaces of pelvis:

а) pre-wall, pre-bladder, retro-rectal;

b) retro-rectal;

c) retro-uterine;

d) parietal and visceral.

5. Innervation of small pelvis:

а) upper branches of IVand V lumbar nerves;

b) upper branches of IVта V lumbar nerves, І, ІІ lumbar nerves;

c) І, ІІ, ІІІ, V lumbar nerves;

d) upper branches of IVта V lumbar nerves, І, ІІ, III lumbar nerves.

6. Lymphatic nodes of small pelvis is divided into:

а) 2 groups;

b) 3 groups;

c) groups;

d) 5 groups.

7. Point location of the uterine according to peritoneum:

а) isn’t covered with peritoneum;

b) is covered from all sides;

c) is covered from three sides;

d) is covered from one side.

8. Pelvic fascias:

а) fascia pelvis parietalis;

b) fascia pelvis parietalis et fascia pelvis visceralis;

c) fascia pelvis visceralis;

d) fascia propria, fascia perinea.

9. Pelvic skelet consists of:

а) os coxae;

b) os sacrum, V lumbar vertebra;

c) os coxae, os sacrum, V lumbar vertebra;

d) os coxae, os coggygis, os sacrum and V lumbar vertebra.

10. What muscles form parietal musculature of small pelvis:

а) piriform;

b) inner obturatory;

c) piriform, inner obturatory, m. levator ani;

d) piriform, inner obturatory.

11. What muscles form visceral musculature of small pelvis:

а) m. levator ani;

b) m. levator ani externus;

c) m. levator ani, m. levator ani externus;

d) m. pubococcygeus, m. iliococcygeus.

12. Sub-peritoneal space of pelvis is located:

а) between visceral and parietal leaves of peritoneum;

b) between peritoneum and parietal fascia of pelvis

c) between parietal and visceral fascias of pelvis;

d) between visceral fascia of pelvis and peritoneum.

13. Point for punction the urinary bladder is:

а) over pubic knitting;

b) 1 cm higher the pubic knitting;

c) 2 cm higher the pubic knitting;

d) 3 cm higher the pubic knitting.

14. Patient’s position in punction of urinary bladder:

а) lying on the back with lifted a little pelvis;

b) lying on one side;

c) lying on the abdomen;

d) Trendenburg’s position.

15. Indications for punction the urinary bladder:

а) delay of urination;

b) delay of urination in impossible catheterisation;

c) delay of urination in infectious diseases;

d) delay of urination in acute renal insufficiency.

16. Technique of execution the punction of urinary bladder:

а) through all layers on the depth of 2-4 cm;

b) through all layers on the depth of 6-8 сm;

c) through all layers on the depth of 8-10 сm;

d) through all layers on the depth of 10-12 сm.

17. Indications to cystostomy:

а) acute delay of urination;

b) stone of urinary bladder;

c) injury of urinary bladder;

d) all answers are correct.

18. Patient’s position in cystostomy:

а) lying on the abdomen;

b) lying on left side;

c) lying on right side;

d) lying on the back.

19. What operative access do you execute in cystotomy:

а) cut by Pphnnenshtill;

b) cut by Pirogue;

c) cut by Outanyan;

d) cut by Izrael.

20. Conditions for execution the cystostomy:

а) lower medial;

b) laparotomy;

c) pararectal;

d) horizontal over the pubic knitting..

21. Operative access to uterine:

а) pera-rectal;

b) arch-liked by Fedorov;

c) transrectal;

d) lower medial laparotomy.

22. How to confirm diagnosis of extrauterine pregnancy:

а) puncture of the posterior fornix of vagina;

b) common analysis of blood;

c) finger examination of the vagina;

d) common patient’s condition.

23. Operations in extrauterine pregnancy are:

а) planned;

b) emergent;

c) urgent;

d) paliative.

24. Patient’s position in the operation of extrauterine pregnancy:

а) lying on the abdomen;

b) lying on the side;

c) Trendelenburg’s position;

d) lying on the back.

25. How to recess uteral end of tube in extrauterine pregnancy:

а) clinoid-like 1mm from the horn of uterine;

b) clinoid-like 5mm from the horn of uterine;

c) clinoid-like 0,5mm from the horn of uterine;

d) clinoid-like 25mm from the horn of uterine?

26. How many stitches are put on the uterine in the operation of extrauterine pregnancy:

а) 4 rows of catgut stitches;

b) 2-3 rows of catgut stitches;

c) 1 row of catgut stitches;

d) 3 rows of catgut stitches?

27. Possible complications after the operation of extrauterine pregnancy:

а) after operative bleeding, peritonitis;

b) septic endocarditis;

c) uro-sepsis;

d) congestive pneumonia.

28. uterine neck is consisted of:

а) lower, upper parts;

b) media, lower parts;

c) upper and medial parts;

d) upper amd lower parts.

29. Uterine wall is consisted of such membranes:

а) serous, muscular;

b) mucous, muscular;

c) serous, mucous;

d) serous, mucous, muscular.

30.Uterine fixation is formed with:

а) wide ligament of the womb;

b) wide uterine, coccyx-uterine, round ligaments, vagina;

c) coccyx-uterine ligament, vagina;

d) round, wide uterine ligaments, vagina.