Standards of answers

1 – c; 2 – d; 3 – c; 4 – b; 5 – a; 6 – c; 7 – d; 8 – c; 9 – d; 10 – a; 11 – a; 12 – c; 13 – b; 14 – c; 15 – b; 16 – a; 17 – c; 18 – b; 19 – c; 20 – b.

Chapter 6. Bowel obstruction

Tests (one answer is correct)

1. Small bowel blood supply is (arteries):

1. a. mesenteric superior;

2. a. mesenteric inferior;

3. truncus celiacus;

4. a. gastric dextra.

2. Large bowel blood supply is (arteries):

1. a. mesenteric superior;

2. a. mesenteric inferior;

3. Riolany ark;

4. all answers are correct.

3. Venous bowel outflow is:

1. v. cava superior;

2. v. cava inferior;

3. portal vein;

4. all answers are correct.

4. Mark incorrect answer about clinical classification of bowel obstruction:

1. acute;

2. subacute;

3. chronic;

4. mechanical.

5. Classification of ileus:

1. according abdominal injury;

2. paralytic or spastic;

3. according central nerve system injury;

4. all answers are correct.

6. Classification of large-bowel obstruction:

1. obstructive;

2. strangulated;

3. acute and chronic;

4. all answers are correct.

7. The main sign of bowel obstruction:

1. constant pain;

2. cramp-like pain;

3. hyperthermia;

4. weakness.

8. The main sign of small-bowel obstruction:

1. hyperthermia;

2. vomiting;

3. absence of gas and stool;

4. weakness.

9. The main sign of large-bowel obstruction:

1. hyperthermia;

2. vomiting;

3. absence of gas and stool;

4. weakness.

10. Intensive pain is observed in patients with:

1. obstructive bowel obstruction;

2. strangulated bowel obstruction;

3. acute bowel obstruction;

4. paralytic bowel obstruction.

11. Paralytic bowel obstruction usually occurs after:

1. abdominal injury;

2. laparoscopy;

3. laparotomy;

4. all answers are correct.

12. Obstructive bowel obstruction may be caused by:

1. tumors;

2. gallstones;

3. coproliths;

4. all answers are correct.

13. In elderly patients the most frequent cause of obstructive bowel obstruction is:

1. tumors;

2. gallstones;

3. coproliths;

4. all answers are correct.

14. The most frequent localisation of tumors which are complicated by obstructive bowel obstruction is:

1. cecum;

2. ascendant colon;

3. transversal colon;

4. descendant and sigmoid colon.

15. In diagnostic program for bowel obstruction we use:

1. plain radiography;

2. enteroclisis;

3. ultrasonography;

4. all answers are correct.

16. Treatment policy of bowel obstruction is:

1. conservative;

2. surgical;

3. initial treatment is conservative + surgery for some indications;

4. surgical in young patients, conservative in elderly patients.

17. The main sign of nonviability of bowel:

1. changing of colour;

2. absents of pulsation of mesenteric arteries;

3. decreasing of motor activity;

4. all answers are correct.

18. The limits of resection of small bowel are:

1. nonviability part + 40 cm before + 20 cm after;

2. nonviability part + 20 cm before + 10 cm after;

3. only nonviability part;

4. surgeon has to detect individually.

19. Optimal surgical procedure in patients with tumor of ascendant colon and bowel obstruction:

1. tumor + 40 cm before + 20 cm after;

2. right haemicolectomy + enterostomy;

3. right haemicolectomy + ileotransversostomy;

4. surgeon has to detect individually.

20. Optimal surgical procedure in patients with tumor of descendant colon and bowel obstruction:

1. tumor + 40 cm before + 20 cm after;

2. left haemicolectomy + colostomy;

3. left haemicolectomy + transversosigmosostomy;

4. surgeon has to detect individually.