№8 Topographical anatomy and revision of upper and lower storeys of the abdominal cavity. Puncture of the abdominal cavity.

1. For visual revision of omental sac access is executed through:

а) liver-duodenal ligament;

b) stomach-spleen ligament;

c) omental foramen;

d) stomach-colon ligament;

e) stomach.

2. What organ can be examined by finger on upper wall of omental foramen:

а) tailor part of liver;

b) caput of pancreas;

c) duodenum;

d) left kidney;

e) spleen?

3. Revision of what organs is used in presence the intestinal content in right omental sinus (choose the most rational answer):

а) ascending, descending and transverse colon;

b) ascending, descending colon and small intestine;

c) descending, sigmoid colon and small intestine;

d) ascending, transverse colon and small intestine;

e) descending, transverse and sigmoid colon?

4. During the revision of before-stomach sac surgeon examined its posterior wall. What is it limited with:

а) diaphragm and pancreas;

b) large omentum and anterior wall of the stomach;

c) small omentum and anterior wall of the stomach;

d) round and crowned ligaments;

e) mesentery of transverse colon and anterior wall of the stomach?

5. For visual revision of omental sac it is cut:

а) large omentum;

b) mesentery of transverse colon;

c) stomach-spleen ligament;

d) diaphragm-colon ligament;

e) stomach.

6. What prient is used for revision loops of small intestine by Gubaryev:

а) duodeno-jejunal ligament;

b) stomach-colon ligament;

c) diaphragm-colon ligament;

d) intrasygmoid pocket;

e) omental foramen?

7. Right lateral canal upwards is connected with:

а) right mesentery sinus;

b) left mesentery sinus;

c) left sub-diaphragm space;

d) right sub-diaphragm space;

e) omental bag.

8. What ligament is dissected in the recession of the tail of pancreas:

а) diaphragm-colon;

b) stomach-colon ligament;

c) stomach-spleen;

d) diaphragm-spleen;

e) piloro-pancreas?

9. What region of the abdominal cavity right sub-liver fissure is connected with:

а) before-stomach fissure;

b) right lateral canal;

c) right mesentery sinus;

d) omental bag;

e) left sub-liver fissure?

10. Finger is led into omental foramen for execution omental sac. What is it limited with:

а) sickle-liked, round, liver-duodenal and liver-kidney ligament;

b) caudal lobe of liver, liver-stomach, sickle-liked and round ligament;

c) liver-duodenal, diaphragm-colon and kidney-duodenal ligaments and right lobe of liver;

d) liver-duodenal, liver-kidney, kidney-duodenal ligaments and tailor lobe of liver;

e) liver-duodenal, kidney-duodenal ligaments, kidney-colon and right lobe of liver?

11. Where is point of laparocentesis located:

а) between medial and upper thirds between umbilicus and pubic connection;

b) on the middle of the distance between umbilicus and pubic connection;

c) between medial and lower thirds between umbilicus and pubic connection;

d) over upper edge of pubic connection;

e) in the region of umbilical ring?

12. How do you pass skin with troacar in laparocentesis:

а) first of all do cut of skin 1,0 – 1,5 сm long and than lead troacar;

b) first of all do cut of skin and white line 1,0 – 1,5 сm long and than lead troacar;

c) first of all do cut of skin and white line 2,0 – 2,5 сm long and than lead troacar;

d) first of all do cut of skin and muscles 1,0 – 1,5 сm long and than lead troacar;

e) puncture skin with some force without its cut?

13. What tissue do you fix napkins to in laparotomy after opening peritoneum:

а) peritoneum;

b) aponeurosis of muscle;

c) skin;

d) transverse fascia;

e) to all pointed?

14. Ensure reliable anesthesia in diagnostic laparotomy:

а) infiltrative anesthesia of visceral peritoneum;

b) іnfiltrative anesthesia of parietal peritoneum;

c) inhalation of venous general anesthesia;

d) infiltrative anesthesia of the roof of mesentery of small intestine;

д) infiltrative anesthesia of all layers of the cut, e.g. peritoneum.

15. In recession the liver is it performed dissection of peritoneum and its ligaments. What is the liver correlation to peritoneum:

а) retro-peritoneal;

b) intra-peritoneal;

c) meso-peritoneal;

d) sub-peritoneal;

e) extra-peritoneal?

16. Content of peritoneum doesn’t spread into upper storey of the abdominal cavity through its lateral canal. What structure can be the reason of it:

а) diaphragm-colon ligament;

b) diaphragm-stomach ligament;

c) spleen;

d) left flexion of colon;

e) stomach-spleen ligament?

17. Revision of what organs is executed when intestinal content is in the left mesentery sinus:

а) ascending, descending and transverse colon;

b) ascending, descending colon and small intestine;

c) transverse, descending, sigmoid colon and small intestine;

d) ascending, transverse colon and small intestine;

e) transverse, descending, and sigmoid colon.

18. What organ can be examined on the lower wall of the omental foramen:

а) caudal lobe of liver;

b) caput of pancreas;

c) duodenum;

d) left kidney;

e) spleen?

19. Surgeon can’t find gall bladder during cholecystectomy. What is the location of gall bladder:

а) retro-peritoneal;

b) intra-peritoneal;

c) meso-peritoneal;

d) extra-peritoneal;

e) interior liver?

20. Choose expedient method of fixation the laparotomal napkins in additional covering of operative wound:

а) temporary knotted silk stitches;

b) stop bleeding Kocher’s clamps;

c) stop bleeding Miculich’s clamps;

d) stop bleeding Bilrot’s clamps;

e) anatomical forceps.

21. Guraryev’s method is used in:

а) access to organs of abdominal cavity;

b) put on the intra-intestinal anastomosis;

c) put on of stomach-intestinal anastomosis;

d) opening the retro-peritoneal space.

22. Surgeon cut the anterior wall of omental bag in examination the posterior wall of the stomach. What formation did surgeon cut:

а) lesser omentum;

b) stomach-colon ligament;

c) mesentery of transverse colon;

d) large omentum;

e) stomach-spleen ligament?

23. It is executed the operation because of the perforate ulcer of the posterior surface of the stomach. Point place where you can find out the content:

а) in before-stomach bag;

b) in omental bag;

c) in right lateral canal;

d) in right mesentery sinus;

e) in left sub-diaphragm space.

24. It is executed median laparotomy in patient with blunt injury of the abdomen. Point the orient from which you can do successive descending revision by Gubaryev:

а) mesentery of sigmoid colon;

b) large omentum;

c) mesentery of small intestine;

d) doudeno-jejunal flexion;

e) mesentery of transverse colon.

25. Patient with blunt injury of the abdomen is executed median laparotomy. Point the orient from which you can do successive descending revision by Gubaryev:

а) mesentery of sigmoid colon;

b) large omentum;

c) ileo-caecal angle;

d) doudeno-jejunal flexion;

e) from anyone loop of the intestine which is marked by gauze ribbon.

26. During the revision of the abdominal cavity because of the penetrative injury surgeon used Gubaryev’s method for finding out the adductor loop. What orient did he use for it:

а) mesentery of sigmoid colon;

b) large omentum;

c) ileo-caecal angle;

d) doudeno-jejunal flexion;

e) mesentery of small intestine?

27. What structures can be examined by fingers in the anterior wall of the omental foramen:

а) proper liver artery, portal vein, and general biliary duct;

b) caput of pancreas;

c) lower cave vein;

d) general liver artery, portal vein and general liver duct;

e) stomach-duodenal artery, portal vein and general biliary duct?

28. What structures can be examined by fingers in the posterior wall of the omental foramen:

а) proper liver artery, portal vein, and general biliary duct;

b) caput of pancreas;

c) lower cave vein;

d) general liver artery, portal vein and general liver duct;

e) stomach-duodenal artery, portal vein and general biliary duct?