II. The Basic level of knowledge.

The discipline	The Nobility	To be able
Normal human physiology Normal human physiology Pathological physiology	Normal exponents of vital functions of organs and systems of the person Functions of organs of an abdominal vacuity The physiology of a wound process	Correctly to interpret exponents of a blood, urine To define volumetric quantity sepa­rated To define aboriginal clinical attributes of an inflammation of a wound

III. The Purposes of occupation:

1. To know definition of a postoperative period and a phase of fluxion

2. To be able to equip a bed to the patient, to lead replacement bed and underwear to the seriously ill patient

3. To be able to look after a skin and a hair of the patient.

4. To be able to look after eyes and ears of the patient

5. To be able to lay a vessel and a urinal to the seriously ill patient, to lead подмывание the laying patient.

6. To be able to spend complex prophylaxis of decubituses at laying patients, to look after patients who have a decubitus.

7. To seize rules of dressings of wounds and wounds with drainages.

8. To be able to impose typical бинтовые bandages on an abdominal, a perineum, and the inferior extremities.

9. To be able to impose шинные bandages (Kramer, Dietrichis splint, etc.).

10. To be able to prepare and impose plaster bandages.

III. Maintenance of a datum level of knowledge-skills

The basic literature:

3. Butyrsky A. General surgery. – Simferopol. 2004.

4. Schevchenko S.I. and others. Surgery. – Kharcov. 2004

The additional literature:

4. Kushnir R. Lectures of General surgery. – 2005.

5. Lyapis M.A. Methods of examination of a surgical patients. – 2004.

6. Methodological recommendations on surgical patients care. – Vinnitsa medical national university. 2006.

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?

Applying of an occlusive bandage (+)

Applying of bandage Desault’s

Artificial ventilation of the lungs

Laying standing and rest

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?

longet - circular (+)

Window

Bridge-like

Gypseous corset

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?

gluing up of wounds formations by a proof fabric with the purpose of making of a hermetic bandage (+)

Applying of an aseptic bandage

Stopping of a bleeding

Immobilization

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?

Four-tailed (+)

"Bridle"

Desault’s bandage

"Protecting cap"

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?

Manipulation is executed in a dressing room

Standing of the patient (+)

The bandaging part was in functionally convenient standing

The dressing was spent by the nurse

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?

Hard applying of a bandage (+)

Bleeding

Incongruous view of a bandage

Affixion of a mephitic gangrene

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:

Circular rounds of bandage on a trunk (+)

Circular rounds of bandage on a right femur

Circular rounds of bandage on the left femur

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

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?

Turtle (+)

Circular

Spiral

Spica

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?

Has not imposed an aseptic bandage (+)

The wrong model operation of the splint

The scarf is not necessary

Is inexpedient to use Kramer's splint

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?

Descending spica

Ascending spica

Cruciate

Bandage Desault’s

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?

Zincum - gelatinous (+)

longet gypseous

Circular gypseous

Window gypseous

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?

longet

Zincum - gelatinous

Gypseous bad (+)

longet - circular

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?

Zincum - gelatinous

longet (+)

Circular

Window

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?

Bandage Volcovich’s

Zincum - gelatinous

Window

Longet- circular

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?

Window

Creeping

spica

Desault’s (+)

Circular

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

Clearing bedsheets after each reception of meal that in a bed there were no crumbs (+)

I Immersion of the patient “solid bed”

Bedding oilcloths under the patient

Change of a standing of the patient in bed each 2 hours (+)

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

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

Forward abdominal wall

Field of a sacrum (+)

Heel (+)

Back surface thigh’s

Field of shoulder joints

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

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

Application of the saccules filled by seeds of millet or flax (+)

Processing of " hazardous fields ” bodies of the patient of 10 % a solution of camphoric alcohol (+)

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

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