Standards of answers

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

Chapter 7. Acute peritonitis

Tests (one answer is correct)

1. Mark incorrect answer. The organs are divided into:

1. intraperitoneal;

2. mesoperitoneal;

3. extraperitoneal;

4. mixed posission.

2. Normally, the amount of peritoneal fluid present is less than:

1. 10 ml;

2. 50 ml;

3. 100 ml;

4. 150 ml.

3. Classification of peritonitis according to origin includes:

1. perforated;

2. serose;

3. primary;

4. reactive phase.

4. Classification of peritonitis according to cause includes:

1. perforated;

2. serose;

3. primary;

4. reactive phase.

5. Classification of peritonitis according to character of exudate includes:

1. perforated;

2. serose;

3. primary;

4. reactive phase.

6. Classification of phases of peritonitis includes:

1. perforated;

2. serose;

3. primary;

4. reactive phase.

7. Classification of phases of peritonitis doesn’t include:

1. initial;

2. reactive;

3. toxic;

4. terminal.

8. Pathophysiology of the reactive phase includes:

1. respiratory distress syndrome;

2. appearance of exudate into abdominal cavity;

3. adynamic ileus when distended bowel wall loses barrier function;

4. all answers are correct.

9. Pathophysiology of the toxic phase includes:

1. respiratory distress syndrome;

2. appearance of exudate into abdominal cavity;

3. adynamic ileus when distended bowel wall loses barrier function;

4. all answers are correct.

10. Pathophysiology of the terminal phase includes:

1. respiratory distress syndrome;

2. appearance of exudate into abdominal cavity;

3. adynamic ileus when distended bowel wall loses barrier function;

4. all answers are correct.

11. General treatment policy of acute peritonitis is:

1. conservative;

2. surgical;

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

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

12. Treatment policy of tuberculous peritonitis is:

1. specific therapy;

2. surgical;

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

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

13. Preoperative preparation in acute peritonitis:

1. is prescribed individually;

2. isn’t indicated;

3. is necessary for all patients with acute peritonitis;

4. is necessary in the terminal phase.

14. Antibacterial therapy in acute peritonitis:

1. isn’t indicated;

2. is starting before the operation;

3. is starting at the operation;

4. is starting after the operation.

15. Contraindication for Ultrasonic- and CT-guided percutaneous drainage of abdominal abscess is:

1. subphrenic abscess;

2. multiple or multiloculated abscesses;

3. subhepatic abscess;

4. parapancreatic abscess.

16. Laparoscopic sanation of the abdominal cavity isn’t effective in:

1. perforated peritonitis;

2. pancreatogenic peritonitis;

3. elderly patients;

4. terminal phase with multiloculated abscesses.

17. In patients with general peritonitis surgeons use:

1. McBurney’s incision of abdominal wall;

2. pararectal incision of abdominal wall;

3. local incisions of abdominal wall;

4. middle line laparotomy.

18. The main reasons of surgical treatment in acute peritonitis are:

1. adequate sanation of abdominal cavity;

2. source control;

3. gastrointestinal decompression;

4. all answers are correct.

19. Required quantity of solutions for adequate sanation of abdominal cavity in patients with total perinonitis is:

1. 5 liters;

2. 10 liters;

3. 15 liters;

4. 20 liters.

20. The inspection method after operation is:

1. open-abdomen technique;

2. scheduled relaparotomy;

3. scheduled relaparoscopy;

4. all answers are correct.