№11 Topographical anatomy of large intestine. Operations on large intestine. Feces fistulas and appendectomies.

1. Point how cecum is covered with peritoneum:

а) from one side;

b) from two sides;

c) from three sides;

d) from all sides;

e) it isn’t covered.

2. Point how the ascending part of colon correlates to the peritoneum:

а) it is covered with peritoneum from one side;

b) it is covered with peritoneum from two sides;

c) it is covered with peritoneum from three sides;

d) it is totally covered with peritoneum;

e) it isn’t covered.

3. Point how transverse colon correlates to the peritoneum:

а) it is covered with peritoneum from one side;

b) it is covered with peritoneum from two sides;

c) it is covered with peritoneum from three sides;

d) it is totally covered with peritoneum.

e) it isn’t covered.

4. Point how the descending part of colon correlates to the peritoneum:

а) it is covered with peritoneum from one side;

b) it is covered with peritoneum from two sides;

c) it is covered with peritoneum from three sides;

d) it is totally covered with peritoneum;

e) it isn’t covered.

5. Point how sigmoid colon correlate to the peritoneum:

а) it is covered with peritoneum from one side;

b) it is covered with peritoneum from two sides;

c) it is covered with peritoneum from three sides;

d) it is totally covered with peritoneum.

e) it isn’t covered.

6. Point main source of blood supply of the ascending colon:

а) upper mesenteral artery;

b) lower mesenterial artery;

c) abdominal trunk;

d) upper rectal artery;

e) ileac artery.

7. Point main source of blood supply of transverse colon:

а) medial colon artery;

b) right colon artery;

c) ileac artery;

d) upper rectal artery;

e) sigmoid artery.

8. Point main source of blood supply of the descending colon:

а) ileo-caecal artery;

b) left colon artery;

c) ileac artery;

d) upper rectal artery;

e) ileac artery.

9. Point main source of blood supply of sigmoid colon:

а) upper mesenteral artery;

b) lower mesenteral artery;

c) abdominal trunk;

d) upper rectal artery;

e) ileac artery.

10. Notice point of projection the vermix to anterior-lateral wall of the abdomen:

а) Mack-Burney;

b) Pirogue;

c) Ortner;

d) Dyakonov;

e) Kerr.

11. Notice point which is between medial and lateral third of the line which connects upper spina of ileac bone with umbilicus:

а) Dyakonov;

b) Pirogue;

c) Ortner;

d) Mack-Burney;

e) Kerr.

12. Notice point which is between medial and right third of the line which is between anterior-upper spines of ileac bone:

а) Lance;

b) Pirogue;

c) Ortner;

d) Dyakonov;

e) Kerr.

13. Point peculiarities of longitudinal layer of muscular membrane of large intestine:

а) it forms gaustres;

b) it forms three ribbons;

c) it has none;

d) it is even the perimeter of the intestine;

e) it forms two ribbons.

14. What part of large intestine is covered mesoperitonealy with peritoneum:

а) ascending colon;

b) caecum;

c) sigmoid colon;

d) transverse colon;

e) vermix.

15. What is the difference between colonostomy and annatural anus:

а) execution of colopexia;

b) it is put on sigmoid colon;

c) it is executed with saving feces passage through the intestine lower the aperture;

d) standing out of feces from gap of the intestine;

e) execution the peritonisation of the wound?

16. Point peculiarities of the operation in malignant tumor of descending region of large intestine:

а) execute resection of large intestine 10-15 сm higher and lower than tumour is;

b) execute colostomy;

c) execute left lateral resection of large intestine;

d) use two-rowed stitch in formation the intraintestinal anastomosis;

e) put on artificial anus to the transverse colon.

17. Peculiarities of the operations on large intestine:

а) put on the three-rowed stitch;

b) put on the two-rowed stitch;

c) one-staged resection of the intestine;

d) formation of “end to end” anastomosis;

e) put on the one-rowed stitch.

18. Peculiarities of the operations on small intestine:

а) put on the three-rowed stitch;

b) put on the two-rowed stitch;

c) one-staged resection of the intestine;

d) unloading operations;

e) formation of “end to end” anastomosis.

19. In appendectomy vermix is located in the right mesenteral sinus. How do you call this variant of its locatization:

а) lateral;

b) medial;

c) anterior;

d) pelvic;

e) retro-peritoneal.

20. What rows does stitch consist with in sew up the large intestine:

а) perforating, serous-muscular;

b) perforating, mucous-muscular;

c) serous-muscular, serous-muscular;

d) perforating, serous-muscular, serous-muscular;

e) serous-muscular, perforating?

21. Why it is used hemicoectomy, no economical resection of large intestine in responsible indications:

а) subtle of the wall behind ribbon regions;

b) rough intestinal content;

c) intestinal content is rich by microflore;

d) mesoperitoneal localization of the regions of intestine;

e) presence protrudance?

22. What technical methods prevent penetration of feces into operative wound in put on the unnatural anus:

а) colonopexy ;

b) sew up of the parietal peritoneum to skin;

c) formation of spur;

d) lead out the afferent loop;

e) put on sterile bandage?

23. What technical methods prevent penetration of feces into adductive loop of sigmoid colon in put on the unnatural anus:

а) colonopexy ;

b) sew up of the parietal peritoneum to skin;

c) formation of spur;

d) lead out the afferent loop;

e) put on sterile bandage?

24. During the operation surgeon led out from the abdominal cavity loop of the intestine. What anatomical features point that this is large intestine:

а) pink colour, muscular ribbons, protrudances;

b) pink colour, completed longitudinal muscular layer;

c) muscular ribbons, protrudances, fatty sprouts;

d) grey-blue colour, completed longitudinal muscular layer, protrudances;

e) grey-blue colour, fatty sprouts, little diameter?

25. What would you do after revision in atypical appendectomy:

а) resection of the sprout with formation the stump;

b) put on the tobacco-bag stitch;

c) mobilization of the sprout;

d) put on Z-liked stitch;

e) binding of the vermix?

26. What would you do after revision in retrograde appendectomy:

а) resection of the sprout with formation the stump;

b) put on the tobacco-bag stitch;

c) mobilization of the sprout;

d) put on Z-liked stitch;

e) put on camps and binding of the vermix in its basis?

27. Notice operative access which passes through Mack-Burney’s point:

а) Bergman-Israel;

b) Lenander;

c) Pirogue-Ovtanyan;

d) Dyakonov-Volckovych;

e) Fedorov.

28. Point operative access which is used in appendectomy:

а) left lateral pararectal laparotomy;

b) Lenander’s;

c) Pirogue’s;

d) Fedorov;

e) Outanyan.