№13 Topographical anatomy of liver, gallbladder and biliary tract. Operations on them.

1. In execution the operation in liver it is necessary to definite boundary between right and left lobes of liver. What ligament is it formed with:

а) round;

b) semilunar;

c) crowned;

d) liver-duodenal;

e) liver-kidney.

2. During hepatoportography it is bougied umbilical vein. In what ligament of liver this obturative vein is located:

а) semilunar;

b) round;

c) crowned;

d) liver-duodenal;

e) liver-stomach.

3. In segmentar resection of liver elements which lie in the basis of its devision to segments are recessed and bound. What anatomical formations by Kuino are there:

а) liver arteries, veins and lymphatic vessels;

b) liver arteries, veins and biliary tract;

c) liver arteries and nerves, branches of portal vein;

d) liver arteries and biliary tract, branches of portal vein;

e) liver and portal veins, liver biliary ducts?

4. In dissection of what ligament branches of right diaphragm nerve can be injured:

а) liver-duodenal;

b) semilunar;

c) crowned;

d) round;

e) liver-stomach?

5. In cholecystectomy with the aim of recession the gall bladder peritoneum is dissected. How is gall-bladder covered with peritoneum most of all:

а) intraperitoneally;

b) extrapertoneally;

c) mesoperitoneally;

d) it doesn’t belong to peritoneum;

e) intraliver?

6. During the operation on the liver surgeon must examine it’s gates. What structural elements forms them:

a) proper liver arteries, veins and lymphatic vessels.

b) proper liver arteries, veins and biliary tract;

c) general liver arteries and nerves, branches of portal vein;

d) proper liver arteries and biliary tract, branches of portal vein;

e) proper liver and portal veins, liver biliary ducts?

7. In cholecystectomy bladder artery is found out and bound. From what artery does it go:

а) right liver artery;

b) left liver artery;

c) right stomach artery;

d) stomach-duodenal arteries;

e) proper liver?

8. How do you execute mobilization of the sprout of gall-bladder in cholecystectomy:

а) cut peritoneum through the edges of gall bladder and recess it from lagoon in blunt way;

b) mesentery is constricted with clamps from the bottom of the bladder, sawn and bound;

c) it is simultaneously put clamps on the mesentery and bound it than;

d) it is simultaneously put clamps on the mesentery, sew it with tobacco-bag stitch and bound;

e) cut peritoneum through the edges of gall bladder and recess it from lagoon together with injured liver in acute way?

9. What structures of liver are constricted in portal hypertension:

а) proper liver arteries;

b) intraliver biliary ducts;

c) liver veins;

d) general liver duct;

e) general biliary duct?

10. How do you call the system of ramification the vessels and biliary duct which lie in the basis of devision the liver by Kuino:

а) caval;

b) liver’s;

c) portal;

d) biliary;

e) vessel-ductal?

11. In what region of anterior-lateral wall of the abdomen enlarged spleen is palpated in splenomegalia:

а) in epigastrial;

b) in left sub-rib;

c) in left lateral;

d) in umbilical;

e) in left sub-rib and lateral?

12. How do you sew up the radial wound of liver:

а) P-liked knotted catcut stitch;

b) P-liked knotted silk stitch;

c) knotted silk stitch;

d) knotted catcut stitch;

e) catgut stitch by Cuznyetsov-Penskiy?

13. What do you constrict with the aim of temporary stop bleeding fron the liver in it’s injury:

а) liver-duodenal ligament during 15 minutes;

b) liver-stomach ligament during 15 minutes;

c) round ligament of liver during 15 minutes;

d) liver-duodenal ligament during 30 minutes;

e) round ligament of liver during 30 minutes?

14. Binding of what arteries can cause violation of blood supply and necrose of pancreas:

а) upper and lower mesenteral arteries;

b) stomach-duodenal and upper mesentery artery;

c) stomach-duodenal and lower mesentery artery;

d) lower mesentery artery;

e) spleen and stomach-duodenal artery?

15. What do you do for final stop bleeding from liver:

а) bind liver artery;

b) put on Opel’s stitch;

c) bind portal vein;

d) sew up liver with twined stitch around put terminals of liver;

e) conhstrict liver with fingers to final stop bleeding?

16. What operations are used in treatment of portal hypertension:

а) right sple-renal “side by side” anastomosis;

b) portal “end to side” anastomosis;

c) mesenterico-caval anastomosis;

d) left spleno-renal “side by side” anastomosis;

e) left spleno-renal “end to end” anastomosis?

17. In thickness of what ligament proper liver artery, general biliary duct and portal vein can be palpated:

а) semilunar;

b) crowned;

c) round;

d) liver-duodenal;

e) liver-stomach?

18. In what veins pressure will be high in portal hypertension:

а) upper and lower mesentery and renal;

b) spleen, upper and lower mesentery, stomach;

c) spleen, upper and lower mesentery and spleen;

d) upper mesentery, stomach and liver;

e) power cava, renal and ileac?

19. In revision of general biliary duct is it found out it’s typical formation. Junction of what ducts forms general biliary duct:

а) right and left liver ducts;

b) right liver duct with bladder duct;

c) left liver duct with bladder duct;

d) general liver duct with bladder duct;

e) right, liver with bladder?

20. In cholecystectomy from its column it is found out Callo’s triangle for finding and binding bladder duct:

а) bladder duct, portal vein, general liver duct;

b) portal vein, right liver artery, bladder duct;

c) right liver artery, bladder duct, duodenum;

d) bladder duct, general liver duct, bladder and right liver arteries;

e) bladder, right and left liver ducts.

21. What part of liver is recessed in atypical resection of liver:

а) sector;

b) segment;

c) lobe;

d) half part of liver;

e) some part of liver without ramification of vessels?

22. How do you call exterior joining of apparatus of artificient liver:

а) оrtotopical;

b) heterotopical;

c) ectopical;

d) explanration;

e) autoplasty?

23. How do you do transplantation of donor liver into place of recessed kidney:

а) оrtotopical;

b) heterotopical;

c) ectopical;

d) explanration;

e) autoplasty?

24. In what vein do contrast substances and medicines get through umbilical vein:

а) spleen vein;

b) portal vein;

c) liver vein;

d) prepyloric vein;

e) right stomach?

25. Spleen artery is branch of :

а) left stomach artery;

b) abdominal trunk;

c) right stomach artery;

d) abdominal region of aorta;

e) upper mesenteral artery?

26. How do you do transplantation of donor liver into place of recessed own liver:

а) оrtotopical;

b) heterotopical;

c) ectopical;

d) explanration;

e) autoplasty?

27. How do you execute marginal resection of liver:

а) cut liver outside of the line of Cusnetsov-Penskiy stitches;

b) cut liver outside from Opell’s stitches which are put thorugh all parenchime of liver but are limited by segments by Cuino;

c) cut liver outside from the line of changed color, after binding and dissection of liver branches of artery, biliary duct and portal vein;

d) recession of liver through the line of changed color after the constriction of liver branches of artery, biliary duct and portal vein;

e) recess liver in clinoid form outside from Opell’s stitches?

28. How do you execute resection of liver by “east“ method:

а) cut liver outside of the line of Cusnetsov-Penskiy stitches;

b) cut liver outside from Opell’s stitches which are put through all parenchime of liver but are limited by segments by Cuino;

c) cut liver outside from the line of changed color, after binding and dissection of liver branches of artery, biliary duct and portal vein;

d) recession of liver through the line of changed color after the constriction of liver branches of artery, biliary duct and portal vein;

e) recess liver in clinoid form outside from Opell’s stitches?

29. How do you execute resection of liver by “west“ method:

а) cut liver outside of the line of Cusnetsov-Penskiy stitches;

b) cut liver outside from Opell’s stitches which are put through all parenchime of liver but are limited by segments by Cuino;

c) cut liver outside from the line of changed color, after binding and dissection of liver branches of artery, biliary duct and portal vein;

d) recession of liver through the line of changed color after the constriction of liver branches of artery, biliary duct and portal vein;

e) recess liver in clinoid form outside from Opell’s stitches?