Department of General Surgery

Test control of practical lessons on the topic:

"Bleeding and deal with it"

001 patients after gastric bleeding heart rate of 140 bpm. min. weak filling and stress. BP 80/40 mm Hg, HB - 70 g / l, hc - 35%.Transfusion of red blood cells should be performed:

        1) intravenously.

        2) intra-arterially.

        3) intraosseous.

002. What is the system of the body plays a key role in the mechanisms of compensation in the first minutes and hours of acute blood loss?

        1) The Respiratory System.

        2) The organs of hematopoiesis.

        3) Cardiovascular system.

003. What indicators are more reliable in the clinic continued bleeding?

        1) Performance of pulse and blood pressure.

        2) Performance of hemoglobin and red blood cells.

        3) The color of the skin.

004. What are the causes of early secondary bleeding:

        1) Increased blood pressure, removal of vasospasm.

        2) purulent fusion thrombus.

        3) Arrosion of vessel.

005. The patient has bleeding from the groin pulsating jet of red blood (after being stabbed). you came as a doctor "first aid". choose how you want to temporarily stop the bleeding:

        1) a pressure bandage.

        2) the use of a tourniquet.  3) The maximum bending at the hips.

Department of General Surgery

Test control of practical lessons on the topic:

"Bleeding and deal with it"

001. What are the causes of early secondary bleeding:

        1) purulent fusion thrombus

        2) Increased blood pressure, removal of vasospasm

        3) Arrosion of vessel     

002. Which are the common symptoms of blood loss:

        1) drop in blood pressure

        2) tachycardia

        3) pale skin

        4) an increase in hematocrit

        5) hematuria

        6) loss of consciousness

        7) peritoneal symptomatology with hemoperitoneum

        8) black loose bowel movement

Select a combination of answers:

        1) 2,3,4,6

        2) 3,5,7,8

        3) 1,2,3,6

003. The methods of temporary stop bleeding include:

        1) the imposition of a pressure bandage

        2) a tourniquet

        3) introducing into the wound the hemostatic sponge

        4) wound gauze tamponade 5) tamponade wounds muscle tissue   6) electrocoagulation7) ligating the vessel   8) imposition of  hemostat  9) flashing vessel

Select a combination of answers:1 )2 3 4 5  2) 1,2,4,8 3) 2,6,7,8

004. Which of the following types of bleeding related to explicit internal ?

1) bleeding from gastroduodenal ulcers2) uterine bleeding3) pulmonary hemorrhage4) renal bleeding5) The soft tissues hematoma6) hemarthrosises7) gastrointestinal bleeding8) early secondary bleeding from surgical wounds stitched

Select a combination of answers1) 2, 3, 4, 6, 7 2) 1, 2, 5, 7, 8 3) 1, 2, 3, 4, 7

005. The special methods of diagnosis of bleeding include:

          1) ultrasound

          2) plain radiography

          3) palpation

Department of General Surgery

Test control of practical lessons on the topic:

"Bleeding and deal with it"

001. In a patient with rheumatic endocarditis with symptoms of heart failure (edema, ascites) after treatment with prednisolone come profuse gastric bleeding. the patient is unconscious, pale. pulse barely detectable. A / W is not detected. Hemoglobin 100 g / l, er. - 3,9'1012 / l. Specify how transfusion:

1) intravenously.

2) intraosseous.

3) intra-arterially.

002. Which of these figures indicates the severity of blood loss?

1) The pulse 100 / min.

2) collapse.

3) The hemoglobin - 80 g / l.

003. Allows you to detect the source of gastroduodenal bleeding:

1) X-ray examination of the stomach.

2) Laparoscopy.

3) endoscopy

004. The patient as a result of traumatic amputation of the thigh lost 800 ml. blood. In what time frame after stopping the bleeding will be the lowest levels of hemoglobin and red blood cells:

1) After 6-12 hours.

2) 24-48 hours.

3) After 12-24 h

005 patients with arterial bleeding from the middle third of the right forearm. at what level tourniquet?

1) In the lower third of the arm.

2) In the middle third of the shoulder.

3) In the upper third of the forearm.

Department of General Surgery

Test control of practical lessons on the topic:

"Bleeding and deal with it"

001. What are the causes of late secondary bleeding:

        1) slipping from the vessel ligation.

        2) The destruction of the vascular wall

        3) Increased blood pressure, removal of vasospasm.

002. In a patient with a anamnesis of gastric three days ago there was a "tarry" bowel movement. pulse 88 beats. min., BP 130/85 mm Hg the patient came to the clinic to receive. your tactics?

        1) send to the therapy department.

        2) sent to the surgical department.

        3) Will be treated as outpatients.

003. The patient bleeding pulsating scarlet stream from the elbow. you do not have the tourniquet . choose how you want to temporarily stop the bleeding:

        1) The maximum bending arm at the elbow.

        2) The elevated position of the limb.

        3) a pressure bandage.

004. In a patient with chest trauma suspected hemothorax. Wich a method of diagnosis first?

        1) puncture.

        2) X-rays of the chest.

        3) Physical examination.

005. To temporarily stop capillary bleeding in patients with hemophilia apply:

        1) Pressing aseptic bandage.

        2) tourniquet

        3) Finger pressing.

Department of General Surgery

Test control of practical lessons on the topic:

"Bleeding and deal with it"

001The patient with acute gastric bleeding heart rate of 160 bpm. min., 40/20 mm Hg B.P, hemoglobin - 26 g / l, er. - 2,7'1012 / l. Blood loss:

        1) Compensated.

        2) Decompensated.

        3) On the verge of decompensation.

002. In a patient with acute blood loss, with thready pulse and no B.P, which medium for transfusion you start, if you have the following transfusion mediums :

        1) Hydroxyethyl

        2) Physiological saline solution.

        3) red blood cell.

        4) Haemodesum.

003. During the surgery the patient is damaged collarbone subclavian vienna. What is the most dangerous complication for the damage of the above?

        1) Air embolism.

        2) Shock.

        3) acute blood loss.

004. For the clinical picture of acute blood loss is not typical:

        1) Thirst.

        2) bradycardia.

        3) Tachycardia.

005. In view of the available clinical manifestations distinguish bleeding:

         1) external explicit bleeding

         2) external hidden bleeding

         3) internal

Department of General Surgery

Test control of practical lessons on the topic:

"Bleeding and deal with it"

001. At the local hospital a patient is delivered with interrupted ectopic pregnancy (internal bleeding). House observed a collapse. at the moment the pulse 90 beats. min., BP 120/80 mm Hg, hemoglobin - 105 g / l, er. - 3,0'1012 / l. signs of ongoing bleeding not. Your tactic:

        1) Submit to the district hospital.

        2) Call the obstetrician-gynecologist.

        3) be treated conservatively.

002. The bleeding from the carotid artery. To which the transverse process of the cervical vertebra is pressed carotid artery?

       1) Go to the transverse process III cervical vertebra.

       2) The transverse process VI cervical vertebra.

       3) The transverse process IV cervical vertebra.

003. A patient from traumatic amputation tibia lost 1000 ml. blood. In what time frame after stopping the bleeding will be filled plasma volume?

        1) 24-48 hours.

        2) After 6-12 hours

        3) After 12-20 hours.

004. In a patient with rheumatic endocarditis with symptoms of heart failure (edema, ascites) after treatment with prednisolone come profuse gastric bleeding. The patient is unconscious, pale. barely detectable pulse, blood pressure is not defined. Hemoglobin of 78 g / l, er. - 1,9'1012 / l. Displaying transfusion:

        1) saline solution.

        2) aminocaproic acid.

        3) Refortan

005. To estimate the amount of blood loss using the following indicators:

        1) Determination of Platelet

        2) Determination of the number of erythrocytes in peripheral blood hemoglobin content

        3) Determination of prothrombin index clotting time

Department of General Surgery

Test control of practical lessons on the topic:

"Bleeding and deal with it"

001. The patient has internal bleeding (stopped ectopic pregnancy ), there is a collapse, has dizziness. pale, pulse 120 beats per min., blood pressure 70/30 mm Hg you came as a doctor "first aid". specify what remedy should not be given before transporting the patient?

        1) sol. adrenaline 0.1% - 1.0 subcutaneous

        2) sol. 40% glucose.

        3) sol. calcium chloride 10% - 10.0 intravenous

002. To what age group with bleeding more pronounced compensatory mechanisms?

        1) childhood.

        2) The average age.

        3) old age.

003. In patients with traumatic amputation of the thigh tourniquet the bleeding stopped. suffered indifferent to others, pulse 110 beats. min., blood pressure 80/60 mm Hg, hemoglobin - 98 g / l, er. - 3,0'1012 / l. transfusions are indicated: