№6 Surgical anatomy and operative treatment of inguinal hernias.

1. What of suggested methods of the operation is used in oblique inguinal hernias:

а) by Bassini;

b) by Rudzhy;

c) by Spasokukotskiy;

d) by Kukudzhanov;

e) by Raych?

2. What of suggested methods of the operation is used in straight inguinal hernias:

а) by Bassini;

b) by Rudzhy;

c) by Spasokukotskiy;

d) by Kukudzhanov;

e) by Raych?

3. What method of the operation is used in hard forms of straight inguinal hernia:

а) by Ru;

b) by Rudzhy;

c) by Kukudzhanov;

d) by Kimbarovskiy;

e) by Raych?

4. What method of plasty is optimal in oblique inguinal hernias:

а) by Bassini;

b) by Rudzhy;

c) by Kukudzhanov;

d) by Kimbarovskiy;

e) by Raych?

5. Patient has straight inguinal hernia. What anatomical structure is a place of its going out from the abdominal cavity:

а) lateral fossa;

b) vessel lagoon;

c) medial fossa;

d) over-bladder fossa;

e) muscle lagoon.?

6. Patient has oblique inguinal hernia. What anatomical structure is a place of its going out from the abdominal cavity:

а) lateral fossa;

b) vessel lagoon;

c) medial fossa;

d) over-bladder fossa;

e) muscle lagoon

7. Point additional stage of herniotomy in untaxed hernia:

а) sew up of hernial gates by tobacco-bag stitch;

b) cut of hernial gates;

c) cut of hernial sac with fixation of hernial content;

d) cut of knitting of the peritoneum and peritonization of organs;

e) recession of organ.

8. Point additional stage of herniotomy in oblique hernia:

а) sew up of hernial gates by tobacco-bag stitch;

b) cut of hernial gates;

c) cut of hernial sac wuth fixation of hernial content;

d) cut of knitting of the peritoneum and peritonization of organs;

e) recession of hernial sac.

9. Point additional stage of herniotomy in squeezed hernia:

а) sew up of hernial gates by tobacco-bag stitch;

b) cut of hernial gates;

c) cut of hernial sac wuth fixation of hernial content;

d) cut of knitting of the peritoneum and peritonization of organs;

e) recession of hernial sac.

10. During the operation of herniotomy it is diagnosed that hernial sac is under the general membrane of spermatic funicle. What hernia is in this case:

а) thigh;

b) straight inguinal;

c) oblique inguinal;

d) over-bladder;

e) obturative?

11. During the operation it is diagnosed that wall of hernial sac is partly recommended by urinary bladder. What hernia is it in this case:

а) inner;

b) nearwall;

c) irreducible;

d) skidding;

e) inborn?

12. What hernial sac is formed in inborn inguinal hernia with:

а) vaginal sprout of peritoneum;

b) transverse fascia;

c) umbilical fascia;

d) visceral peritoneum;

e) interior peritoneal fascia?

13. Where is spermatic funicle located in accordance to hernial sac in straight inguinal hernia:

а) lateral;

b) medial;

c) behind it;

d) over it;

e) before?

14. Where is spermatic funicle located in accordance to hernial sac in oblique inguinal hernia:

а) lateral;

b) medial;

c) behind it;

d) over it;

e) before?

15. In herniotomy in straight inguinal hernia in lateral part of hernial sac it is diagnosed ligament in inguinal canal:

а) wide ligament of the womb;

b) pubico-thigh ligament;

c) round ligament of the womb;

d) main ligament of the womb;

e) lagoon ligament of the womb.

16. During the operation it is diagnosed straight inguinal hernia. What wall of inguinal canal must be strengthened:

а) posterior;

b) anterior;

c) inferior;

d) superior;

e) anterior-superior?

17. Plasty of inguinal canal during the herniotomy by Ru’ method foresees:

а) sew up aponeurosis of the external oblique muscle of the abdomen to inguinal ligament;

b) formation of duplacature of aponeurosis of the external oblique muscle of the abdomen;

c) connection of peduncles of aponeurosis of the external oblique muscle of the abdomen;

d) sew up the internal oblique muscle of the abdomen to inguinal ligament;

e) connection of folias of aponeurosis of the external oblique muscle of the abdomen.

18. Plasty of inguinal canal during the herniotomy by Martinov’ method foresees:

а) sew up aponeurosis of the external oblique muscle of the abdomen to inguinal ligament;

b) formation of duplicature of aponeurosis of the external oblique muscle of the abdomen;

c) connection of peduncles of aponeurosis of the external oblique muscle of the abdomen;

d) sew up the internal oblique muscle of the abdomen to inguinal ligament;

e) connection of folias of aponeurosis of the external oblique muscle of the abdomen.

19. Plasty of inguinal canal during the herniotomy by Zhyrar’ method foresees sew up to inguinal ligament with:

а) first row of stitches – interior oblique and transverse muscles, second row- upper flap of aponeurosis of the external oblique muscle;

b) formation of duplicature of the external oblique muscle;

c) sew up upper flap of aponeurosis of the external oblique muscle together with interior oblique and transverse muscles;

d) sew up of interior oblique muscle to inguinal ligament;

e) connection of folias of aponeurosis the external oblique muscle.

20. Plasty of inguinal canal during the herniotomy by Spasokukotskiy’ method foresees sew up to inguinal ligament with:

а) first row of stitches – interior oblique and transverse muscles, second row- upper flap of aponeurosis of the external oblique muscle;

b) formation of duplicature of the external oblique muscle;

c) sew up upper flap of aponeurosis of the external oblique muscle together with interior oblique and transverse muscles;

d) sew up of internal oblique muscle to inguinal ligament;

e) connection of folias of aponeurosis the external oblique muscle.

21. Strengthening of the posterior wall of inguinal canal by Bassini’ method foresees sew up to inguinal ligament with:

а) internal oblique and transverse muscles of the abdominal cavity;

b) internal oblique and vagina of straight muscles of the abdominal cavity;

c) sew up the internal oblique and transverse muscles together with transverse fascia;

d) sew up of internal oblique and transverse muscles;

e) connection of folias of aponeurosis the external oblique muscle.

22. Keep holding rules of binding the column of hernial sac during herniotomy:

а) binding the column of hernial sac with silk without its suturing;

b) binding the column of hernial sac with silk with its suturing;

c) binding the column of hernial sac with catgut with its suturing;

d) binding the column of hernial sac with catgut without its suturing;

e) anyone of pointed methods.

23. Pulsation of what artery is defined medially from hernial gates in examination the posterior wall of inguinal canal in patient who has oblique inguinal hernia:

а) а.epigastrica superior;

b) а.epigastrica inferior;

c) а.circumflexa ilеum profunda;

d) a.cremasterica;

e) a.femoralis?

24. Pulsation of what artery is defined laterally from hernial gates in examination the posterior wall of inguinal canal in patient who has straight inguinal hernia:

а) а.epigastrica superior;

b) а.epigastrica inferior;

c) а.circumflexa ilium profunda;

d) a.cremasterica

e) a.femoralis.

25. In what hernia tobacco-bag stitch is put into hernial sac near abdominal cavity and sulpuses of sac are cut through the edges of spermatic funicle and testis:

а) skidding hernia;

b) straight inguinal hernia;

c) inborn inguinal hernia;

d) oblique inguinal hernia;

e) thigh?

26. Who suggested method of plasty of hernial gates in which upper flap of the aponeurosis of the exterior oblique muscle of the abdomen which cover internal oblique and transverse muscles are sawn to inguinal ligament:

а) Ru;

b) Rudzhy;

c) Cucudzhanov;

d) Kimbarovskiy;

e) Bassini?

27. Who suggested method of plasty in which inguinal sickle with the edge of dissected transverse fascia is sawn up to inguinal ligament and medially deep folium of the vagina of straight muscle of the abdomen is sawn up to comb ligament:

а) Ru;

b) Rudzhy;

c) Cucudzhanov;

d) Kimbarovskiy;

e) Bassini?

28. What features in viability of the intestine doesn’t belong to basic in strangulated hernias:

а) pink color;

b) pulsation of omental vessels;

c) peristaltic motions;

d) reflectory excitability;

e) intestinal tonus?

29. Patient has oblique inguinal hernia from the right. What wall is it necessary to strengthen:

а) anterior;

b) posterior;

c) inferior;

d) superior;

e) anterior-superior?