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Tests for verification of initial level of knowledge’s theme №5

Sterilization of bandaging material and operating linen. Organization of work in an operating-room. Surgical treatment of hands of surgeon and operating field.

The founders of aseptic method in surgery are:

A. Pirogov

B. Bergman

V. Paster

G. Shimelbush

D. Lister

Methods of control after sterility of bandaging material and operating linen:

A. Fuse rezortsin

B. Bacteriologichniy method

V. Fuse urea

G. Fuse sulphurs

D. Metod Miculicha

Choose the modes which sterilization in an autoclave is at:

And. 2,5 atm, 145оC, 10 hv.

2,0 Atm, 132 оC, 20 hv.

In. 1,5 atm, 125 оC, 30 hv.

G. 1,1 atm, 120 оC, 45 hv.

D. 0,5 atm, 110 оC, 35 hv.

Which from the transferred methods are the methods of conclusion in bics?

A. Universal

B. Layer

V. Materialniy

G. many purpose

D. Aseptic

An exogenous surgical infection is passed by next ways

A. mechanical

B. rotary

V. hospital

G. implantation

D. contact

In an operating block the following areas are distinguished:

A. aseptic mode

B. general mode

V. mode antiseptic

G. implantation

D. unsterile mode

In an operating-room the following types of cleaning up are executed:

A. repeated

B. current

V. mechanical

G. previous

D. evening

The conclusion in drum Shimelbush can be:

A. universal

B. sector

V. base

G. sectional

D. air-tight

In work to the autoclave the following phases are distinguished:

A. slow elimination

B. balancing

V. rise of pressure in chambers

G. pressurization

D. elimination

For the control in quality of sterilization it is possible to apply in an autoclave:

A. bacteriological method

B. termoindicatori (

V. indexes to the barometer to the autoclave

G. study of color of the sterilization of linen

D. chemical microbes method

Treatment of hands to the operation can be executed after the following methods:

A. with the use of solution “Pervomour”

B. after a method Kocher

V. after a method Bilrota-Micoulicha

G. after a method Spasocoucotscogo-Cochergina

D. with the use of a 40% solution of ethyl alcohol

For treatment of the operating field use:

A. solution “Dezactin”

B. solution “Yodobac”

V. solution “Yodonat”

G. solution “Yodopiridol”

D. a 100% solution of ethyl alcohol

During the general cleaning up of operating-room it is possible to apply the following solutions:

A. solution of chloramin 10%

B. solution of hydrogen peroxide 10% from a 0,5% cleanser

V. solution of hydrogen peroxide 6% from a 0,5% cleanser

G. solution of chloramin 1%

D. solution of chloric lime 5%

The general cleaning up is conducted:

A. at the end of working day

B. in the planned order a 1 time per a week

V. in the planned order 2 times per a week

G. not provided for by the plan after the operations, during which contamination of operating-room happened by intestinal maintenance

D. every time before the beginning of operating day

It is necessary to use for preparation of solution of pervomur:

A. a 6% solution of hydrogen peroxide

B. pergidrol

V. a 96% solution of ethyl alcohol

G. a 100% vinegar acid

D. a 100% ant acid

During transporting of patient contamination of sheet and oilcloth happened from an operating-room, that wheel stretcher was covered, by excretions from drainage and operating wound. What appearance it is necessary to prepare wheel stretcher by for transporting of other patient to the operating-room?

Sick D., under local anesthesia by a 0,5% solution of novocaine in an operating-room lipoma is remote in the area of corner of right shoulder-blade. The state of patient during the operation and after her is stable, satisfactory. By What appearance delivery a patient to the chamber from an operating block?

During an operating day at a pelvis with pervomur it is executed treatment of hands a 10 time by surgeons, that took part in the operations. Another operative interference in which three surgeons will take part is to happen. Where must they process hands by solution of disinfection?

During preparation of working solution of pervomur for surgical treatment of hands a medical sister by a chance poured out itself on the left brush the two-bit of initial of solution of this preparation. In an area, where the contact with solution happened, appeared burning character the pain, hyperemia of skin. What must be done in such case?

For preparation of solution of pervomur for surgical treatment of hands an operating sister in a glass retort mixed up to 85,5 ml pergidrol from a 34,5 ml 100% ant acid. Well-educated mixture she led to to 5 l by plumbing water at a pelvis for treatment of hands before the operation. What error was assumed by a medical sister?

During preparation to urgent interference in to the operating-room the distilled water turned out absent. By What appearance to divorce the initial concentrate of pervomur, that to do working solution for surgical treatment of hands?

It is necessary to prepare pervomur for surgical treatment of hands in a quantity 10 to l. What ingredients and in what quantity it is necessary to apply for this purpose?

In an urgently surgical clinic urgent operative interference concerning sharp appendicitis is to happen in the evening. The operating trained nurse for surgical treatment of hands took solution of pervomur 2,4%, that was prepared still in a wound before the beginning of operating day and in which the executed treatment of hands was a 9 time. How did an operating sister act right?

During implementation of operative interference to sick S. concerning sharp intestinal impassability the contamination of operating-room happened by maintenance to the intestine. What is to be executed in an operating-room after the given operation before a next operative interference to other patient?

The general cleaning up is to happen in an operating-room. General area, that is to be subject to treatment is evened 150 m2. What quantity of solution for cleaning up needs to be prepared?

Sick D., 65 years, prepared to the planned operative interference concerning left-side inguinal hernia. A medical sister with the purpose of preparation of the operating field to the operation executed shaving of area of last on eve day of operation in the evening. At the review of patient in the day of operation exposure of area of hyperemia and also infection scratches in the town of the future operating field. Operative interference by a surgeon was abolished. What happened? What error was assumed by a medical sister at preparation of the given patient to operative interference.

Operative interferences is to happen in an operating block. That it is necessary to do in an operating-room at the beginning of operating day with the purpose of preparation of her to work.

During implementation of operative interference muddy blood serviettes and marbles fell down on the floor of operating-room, were outpoured washing water after sanatio of abdominal region. What actions are to be executed by the personnel of operating-room in such case?

An operating medical sister opened bics with operating linen, that to cover table before the operation. Linen is moist, an urea was not melted. It is possible to apply such linen during the operation, why?

During put of stitches on wound a student by a hand in a glove remedied a mask on the face and continued farther to assist. Nobody noticed it. Could student continue to assist? What complications can development at a patient and what type of infection she belongs to.

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ІІІ курс, тема 5

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