№9 Principles of abdominal syrgery. Intestinal stitches. Topographical anatomy of small intestine and sew up the wounds on it.

1. Surgeon used intestinal stitch for sew up the intestine. What feature isn’t natural for intestinal stitches:

а) hermetization;

b) hemostatic;

c) atrombotic;

d) astenization;

e) atraumatization?

2. Surgeon used Albert’s stitch for sew up of the intestine. What is this stitch by its aim:

а) one-rowed serous-muscle Z-liked;

b) one-rowed serous-serous;

c) two-rowed;

d) three-rowed;

e) one-rowed serous-muscle tobacco-bag?

3. Surgeon used Shiden’s stitch for sew up of the intestine. What is this stitch by its aim:

а) one-rowed serous-muscular;

b) continual perforating twined;

c) continual perforating screwing;

d) continual perforating curved;

e) continual perforating flask?

4. Surgeon used Pribram’s stitch for sew up of the intestine. What is this stitch by the aim:

а) continual perforating flask;

b) continual flask with tightening thread from inside;

c) continual perforating screwing;

d) continual perforating twined;

e) one-rowed serous-muscle?

5. Surgeon used perforating stitch for sew up the intestine. What is the most widely used for this stitch:

а) silk;

b) lavsan;

c) catgut;

d) medical glue;

e) capron?

6. Surgeon used tobacco-bag stitch for sew up of the intestine. What function does it ensure:

а) realability;

b) hemostatics;

c) peritonisation;

d) astenotation;

e) atrombotisation?

7. During the operation on the intestine it is necessary to peritonise its wound. What stitch is it used for it:

а) knotted serous-muscle;

b) continual flask with tightening thread from inside;

c) continual perforating screwing;

d) continual perforating twined;

e) continual perforating flask?

8. Surgeon used Z-liked stitch for sew up the intestine. What kind of stitches does this stitch belong to by gasped layers:

а) serous-serous;

b) serous-muscle;

c) mucous-sub-mucous;

d) perforating;

e) serous-muscle-mucous?

9. It is necessary to ensure reliability of the stitch during sew up of the intestine. What layer must be gasped for it:

а) serous membrane;

b) mucous membrane;

c) sub-mucous basic;

d) mucous membrane;

e) serous and muscular membranes?

10. Principle of laparotomization is:

а) dissection of all layers of the abdominal wall;

b) dissection of the peritoneum;

c) covering the operative area with sterile linen;

d) covering of the wound of the abdominal wall with gasping the peritoneum;

e) covering of the wound of the abdominal wall with gasping the skin.

11. Patient has penetrative wound of the abdomen which is done awl. During the revision in large intestine it is found out stab wound. What stitches are used for sew up the wound:

а) one-rowed knotted serous-muscular stitch;

b) three rows of serous-muscular stitches transverse to axis of the intestine;

c) two-rowed: tobacco-bag and knotted serous-muscular stitches;

d) two-rowed: continuous and knotted serous-muscular stitches;

e) one-rowed serous-muscular tobacco-bag stitch?

12. Patient has penetrative wound of the abdomen which is done by awl. During the revision in small intestine it is found out stab wound. What stitches are used for sew up the wound:

а) one-rowed knotted serous-muscular stitch;

b) one-rowed serous-muscular Z-liked stitch;

c) two-rowed: tobacco-bag and knotted serous-muscular stitches;

d) two-rowed: continuous and knotted serous-muscular stitches;

e) one-rowed serous-muscular tobacco-bag stitch?

13. Patient has silt slash wound of small intestine not bigger than 1/2 of its perimeter. How do you sew up this wound:

а) one-rowed knotted serous-muscular stitch;

b) one-rowed serous-muscular Z-liked stitch;

c) two-rowed: tobacco-bag and knotted serous-muscular stitches;

d) two-rowed: continuous and knotted serous-muscular stitches;

e) one-rowed serous-muscular tobacco-bag stitch?

14. Patient has multiple stab wounds of small intestine which are located on distance of 5 cm. How do you sew up this wound:

а) it isn’t sawn up but recessed together with some part of the intestine;

b) one-rowed serous-muscular Z-liked stitch;

c) two-rowed: tobacco-bag and knotted serous-muscular stitches;

d) three-rowed stitch: tobacco-bag and two rows of knotted serous-muscular stitches.

e) one-rowed serous-muscular tobacco-bag stitch?

15. Patient has silt slash wound of small intestine not bigger than 1/2 of its perimeter. How do you sew up this wound:

а) one-rowed knotted serous-muscular stitch;

b) it isn’t sawn up but recessed together with some part of the intestine;

c) two-rowed: tobacco-bag and knotted serous-muscular stitches;

d) three-rowed stitch: tobacco-bag and two rows of knotted serous-muscular stitches;

e) one-rowed serous-muscular tobacco-bag stitch?

16. Patient has silt slash wound of small intestine 1,2 сm long. How do you sew up the wound to avoid violation of passage the intestine:

а) in longitudinal direction with knotted stitches;

b) in transverse direction with knotted stitches;

c) in longitudinal direction with tobacco-bag stitches;

d) in transverse direction with three-rowed stitch;

e) in transverse direction with two-rowed stitch?

17. In penetrative injury of the wound it is found out injured region of the intestine and led it out from the wound. What is your tactic in this situation:

а) liquidate injury;

b) isolate with napkin and temporary dip it back;

c) temporary isolate and continue the revision;

d) point place of injury and temporary dipping into the wound;

e) anyone method is correct?

18. In impassability of small intestine it is necessary to put ileostomy. What does surgeon must do:

а) form external fissure jejunum;

b) recess ileum;

c) recess some part of small intestine;

d) form anastomosis between loops of jejunum;

e) form external fissure of ileum?

19. In mobilization of small intestine surgeon cuts vessels of the mesentery in the resection of it. How many levels of arcades does mesentery have:

а) 1;

b) 2;

c) 3;

d) 4;

e) 5?

20. In mobilization of small intestine surgeon cuts vessels of the mesentery in the resection of it. How many levels of arcades does small intestine have:

а) 1;

b) 2;

c) 3;

d) no one;

e) 5?

21. During the operation it is necessary to peritonize its wound. What tissue is it necessary to sew up:

а) interior-peritoneal fascia;

b) visceral folium of peritoneum;

c) all layers of the intestine;

d) all layers of the anterior intestinal wall;

e) mucous membrane of the intestine?

22. Venous outflow from small intestine takes place in:

а) lower cave vein;

b) upper cave vein;

c) upper mesentery vein;

d) ileac vein;

e) lower mesentery vein.

23. Innervations of small intestine is done for account of:

а) upper mesentery plexus;

b) lower mesentery plexus;

c) spleen plexus;

d) abdominal plexus;

e) sacral plexus.

24. Surgeon used Lamber’s stitch for sew up the intestine. What is this stitch by the aim:

а) one-rowed mucous-muscular;

b) one-rowed mucous -muscular Z-liked;

c) two-rowed;

d) three-rowed;

e) one-rowed mucous-muscular tobacco-bag?

25. Surgeon used knotted mucous-muscular stitch for peritonization the wound. What material isn’t used for it:

а) silk;

b) lavsan;

c) catgut;

d) medical glue;

e) capron?

26. For supporting what stitch it is used Z-liked one:

а) tobacco-bag;

b) continual flask;

c) continual twined;

d) row of knotted stitches;

e) row of P-liked knotted stitches.

27. It is possible the selection of the intestinal content. How to avoid it:

а) put on elastic intestinal clamps;

b) put on stiff intestinal clamps;

c) bind the intestine with catgut;

d) put on the intestine elastic rubber loops;

e) put on the intestine anatomical forceps?

28. It is necessary to put on ileostomy in the operation of cancer of small intestine. What do you do for with:

а) dissection;

b) recession of its part;

c) formation of the external fistula;

d) sew up;

e) translocation?

29. It is indicated unloading of ileum in the intestinal impassability. What operation do you execute for this:

а) jejunostomy;

b) jejunotomy;

c) jejunorrhaphy;

d) resection of the intestine;

e) jejunoplasty?