Tests and problems for checkout of a datum level of knowledge:

1. The patient, 55 years, is delivered in a reception of hospital with attributes of the expressed respiratory failure. From the anamnesis it is known, that 1 hour has gained the knife wound back. At survey the wound of which thorax of edge is taped cut are stuck out at an expiration. What first aid should be given the patient in situ?

a.Applying of an occlusive bandage

b.Applying of bandage Desault’s

c.Artificial ventilation of the lungs

d.Laying standing and rest

f.Injection of an analgesics

2. The sick M. Was converted in a fracture clinic with attributes of fracture of a radial bone in a typical place that has been confirmed рентгенологически. What of plaster bandages the surgeon after anesthesia and should apply repositions of osteal spalls?

a.longet - circular

b.Window

c.Bridge-like

d.Gypseous corset

f.Circular

3. On military doctrines the military man has gained the open making through wound of a thorax. With what purpose it is necessary to use the individual dressing-room package which is available it?

a.gluing up of wounds formations by a proof fabric with the purpose of making of a hermetic bandage

b.Applying of an aseptic bandage

c.Stopping of a bleeding

d.Immobilization

f.The individual dressing-room package is not used

4. The patient, 23 years, has entered an ENT - unit with the trauma of a nose caused by a blunt subject with the phenomena of a nasal bleeding and damage of outside soft tissues. What of the numbered bandages the surgeon after a tamponade of nasal courses and primary surgical treatment should apply?

a.Four-tailed

b."Bridle"

c.Desault’s bandage

d."Protecting cap"

f.triangular scarf

5. At applying bandages the patient who was in a hospital in occasion of rubber wounds of the left-hand forearm, had giddiness. Subsequently it is erected, that manipulation was carried out in a dressing room by the nurse; the patient stood; the bandaging part of a body was in functionally convenient standing. What error is admitted?

a.Manipulation is executed in a dressing room

b.Standing of the patient

c.The bandaging part was in functionally convenient standing

d.The dressing was spent by the nurse

f.The giddiness is not bound to a dressing

6. After applying a spiral bandage on a brachium to the patient, that was treated in a hospital in occasion of making through wound of a brachium, there was a blanching, an edema. What reason?

a.Hard applying of a bandage

b.Bleeding

c.Incongruous view of a bandage

d.Affixion of a mephitic gangrene

f.All answers are wrong

7. At the patient, 38 years, a bruise of area of a right femoral joint with damage of outside soft tissues. The necessary descending spica bandage on a field of a joint, which applying begins with:

a.Circular rounds of bandage on a trunk

b.Circular rounds of bandage on a right femur

c.Circular rounds of bandage on the left femur

d.Skew round of bandage on a forward surface of a right femur

f.Skew round of bandage on a forward surface of the left femur

8. The patient, 18 years, was converted in a medical institution with резаной a wound of calcaneal area. The trauma was gained with 1 hour back during bathing in lake. After a surgical treatment it is necessary to impose бинтовую a bandage. What of the numbered bandages is the most expedient?

a.Turtle

b.Circular

c.Spiral

d.Spica

f.Glue

9. The patient, 30 years, are delivered at a fracture clinic of regional hospital with the open fracture of the inferior third of brachium. The doctor's assistant has imposed Kramer's splint, prestressly having simulated on an able-bodied arm which trapped a brachium, a forearm and a brush to metacarper-phalanx joints. The arm is hung on a scarf. What error was admitted by the doctor's assistant?

a.Has not imposed an aseptic bandage

b.The wrong model operation of the splint

c.The scarf is not necessary

d.Is inexpedient to use Kramer's splint

f.The error misses

10. To the patient, 21 year which is treated in surgical unit in occasion of cut wounds of a brachium, the following bandage is imposed: fixative circular rounds of bandage begin with a thorax, and its rounds for fastening a shoulder joint are imposed from a neck up to a brachium. What view of a bandage is used?

a.Descending spica

b.Ascending spica

c.Cruciate

d.Bandage Desault’s

f.Thorax-brachium

11. The patient, 48 years, has entered unit of vascular surgery with the diagnosis „ posttromboflebitis a syndrome of the left-hand inferior extremity, a segment of an anticnemion, the ulcerative shape ”. At the survey on the left-hand anticnemion a canker in the dimension 2 х 3 sm with rough edges and the phenomena of a perifocal inflammation. What of the termed bandages is used at a preoperative stage after sanation of a canker?

a.Zincum - gelatinous

b.longet gypseous

c.Circular gypseous

d.Window gypseous

f.longet - circular gypseous

12. The child, in the age of 1 year, has entered surgical unit with a tubercular spondylitis at level Th₃-Th₄. What of the numbered bandages is used with the purpose of an immobilization?

a.longet

b.Zincum - gelatinous

c.Gypseous bad

d.longet - circular

f.Bandage Volcovich’s

13. The patient, 27 years, was converted to the doctor of a fracture clinic with complaints to pains in a field of the inferior third of forearm, its strain, sharp limitation of motions in a radiocarpal joint. Signs have occurbed after slope suffered on the rectified hand. The occluded fracture of a radial bone in a typical place is diagnosed. What plaster bandage thus should be imposed?

a.Zincum - gelatinous

b.longet

c.Circular

d.Window

f.Gypseous bad

14. The patient, 31 year, has entered a hospital with the diagnosis „ the open fracture of bones of the left-hand anticnemion without shift ”. What bandage is expedient for using for treatment of this view of fracture?

a.Bandage Volcovich’s

b.Zincum - gelatinous

c.Window

d.Longet- circular

f.Longet

15. The patient, 51 year, has entered a hospital with attributes of a dislocation of the left-hand brachium. What bandage is expedient for imposing to the victim after diaplasis of a dislocation?

a.Window

b.Creeping

c.spica

d.Desault’s

f.Circular

16. Before actions on prophylaxis of decubituses it is possible to carry:

a.Clearing bedsheets after each reception of meal that in a bed there were no crumbs

I b.Immersion of the patient “solid bed”

c.Bedding oilcloths under the patient

d.Change of a standing of the patient in bed each 2 hours

f.Change of a standing of the patient in bed each 6 hours

17. Concerning development of decubituses following fields of a body are hazardous:

a.Forward abdominal wall

b.Field of a sacrum

c.Heel

d.Back surface thigh’s

f.Field of shoulder joints

18. On prophylaxis of decubituses it is possible to carry to actions:

a.Processing of " hazardous fields ” bodies sick 5 % a spirituous solution of an iodine

b.Application of the saccules filled by seeds of millet or flax

c.Processing of " hazardous fields ” bodies of the patient of 10 % a solution of camphoric alcohol

d.The application to places of a possible lesion of a spirituous compress

f.Maintenance to the patient of a constant standing on a back{spin}

Situational problems for checkout of a terminating level of knowledge.

1. To the patient, 77 years, operation - ablation of the left-hand inferior extremity in occasion of the wet gangrene day ago has been executed. A state of the patient serious. Self-maintainedly move she cannot. At survey the dermahemia in fields of angles of both scapulas a field of a sacrococcygeal articulation is taped. What complication can educe at the yielded patient? What it is necessary to do in such situation?

2. After a road accident of the patient, 33 years, complain of a pain in a right half of basin. At survey - exponents of a hemodynamic are stable, asymmetry of a basin is not present, the expressed tumescence and a hemorrhage in right inguinal field. Select an optimum expedient of transportation of the patient in a medical institution.

3. The patient, 35 years, has fallen from height of 2,5 meters to the left-hand and a leg. The left-hand brachium and a femur in a medial third is distort ed. In these segments pathological mobility and an osteal crepitation is scored. The occluded fractures of a femur and a brachium are diagnosed. What transport immobilization the most expedient in that case?

4. The patient of 6 weeks was treated in occasion of epicondylic fracture of a right femur. To the patient the skeletal extension which at it was during these 6 weeks is taken out. The subsequent treatment will transit with application of an immobilization plaster bandage. What plaster bandage is necessary for using at the patient?

5. The person of 35 years was converted in a fracture clinic with complaints to a pain in a medial third of right anticnemion from an exterior surface which has arisen after shock by a wooden rod. In the field of an anticnemion the edema, a sharp pain is defined at a palpation on an exterior surface in a medial third of anticnemion, the crepitation in the same place is felt. On a X-ray pattern of a right anticnemion fracture of a fibular bone in a medial third with inappreciable shift of spalls under an angle is certain. What expedient of an immobilization is necessary for applying at this patient?

6. The woman of 43 years has been delivered in a reception of the central regional hospital by a brigade of first aid with complaints to the strong pain in a field of the left-shin anticnemion, impossibility to become to the left foot. A trauma has gained during slope from a ladder. In a medial third of left-hand anticnemion the edema is scored, at a palpation - the strong pain. The load on all extremity causes the appreciable intensifying hurt. On a X-ray pattern of the left-hand anticnemion skew fracture in a medial third of tibial bone without shift of osteal spalls is certain. What expedient of an immobilization is necessary for applying at this patient?

7. The man of 27 years complain of a pain in a mandible. At survey pathological mobility and a crepitation in a field of both branches of a mandible is scored. The ambulance surgeon the diagnosed double fracture of a mandible with shift of spalls. In what first aid to the patient will consist?

8. To the patient of 63 years the executed operation - ablation of a right inferior extremity at a level of a medial third of femur. Operation has been made in occasion of a gangrene of right stack which has arisen on a phon of an obliterating atherosclerosis of receptacles of the inferior extremities. What bandage is necessary for imposing on a stump to anchor a dressing material on a postoperative wound?

9. To the woman of 37 years the regional resection of a nail plate of 1-st dactyl of the left-hand stack in occasion of ingrown a fingernail has been executed. What it is necessary to bandage after operation?

10. To the boy of 12 years operation on excision of a foreign body (a spall of a needle) in a field of the left heel has been executed. What it is necessary to apply a bandage to bracing a napkin with an antiseptic?

11. To the patient the executed operation a cholecystectomia through upper - median laparatomic a slit. What you suggest to apply a bandage at this patient after sew an operational wound on an abdominal wall?

12. Combustion II-III is diagnosed for the suffered woman of 33 years-IV degrees of all right brush. The executed surgical treatment of the burn surface, the imposed bandage with jodopyron. How it is possible to anchor a dressing material on a brush?

13. To the patient of 45 years there was executed a diaplasis of a dislocation of a right brachium. What it is necessary to apply at him a bandage to an immobilization of a right upper extremity for the term of 3-4 weeks?

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