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Семестр: 6
1.Nursing practice
Опис:
3 курс мед 6 сем.
Перелік питань:
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Panaricium as a rule results:
Disorders of blood supply
Diabetes
Avitaminosis
Microtraumas
Frostbite
What microbes the most often couse the panaricium?
Blue-green purulent rode
Proteus
Purulent streptococcus
Enterococcus
Staphylococcus
Main principles of deep forms panaricium treatment the following, except for:
Long conservative treatment
Adequate anesthesia and anti-inflammatory therapy
Immobilization
Antibacterial therapy
Main principles of deep forms panaricium treatment the following, except for:
At what pathology the thesis “The first sleepless night with pain this is absolute indication to
operation ” - is correct:
Erysipelas
Panaricium
Carbuncle
Mastitis
Furuncle
What is obligatory in local treatment of all forms panaricium:
Magnetotherapy.
Application of enzymes
Immobilization;
Early physiotherapy exercises
Electric therapy;
The Phlegmon of Pirogov-Paron space is complication of:
Purulent tendovaginitis of ІІІ- ІV fingers
Purulent tendovaginitis of ІІІ finger
Purulent tendovaginitis of ІІ finger
Purulent tendovaginitis of ІV finger
Purulent tendovaginitis of ІІ and IV fingers
What kind of anesthesia is a method of choice at surgical treatment of hypodermic panaricium:
Peridural anesthesia
Plexus anesthesia;
Anaesthesia by coating
Conducting anesthesia by Oberst-Lukashevich
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Intravenous narcosis
What form of panaricium from listed is most severe:
Bone
Ligaments
Skin
As "cuff link
Subcutaneous
What form of panaricium meets most often:
Joints
Bone
Hypodermic;
Ligament;
Pandactilitis;
Commissural phlegmon is:
Phlegmon of back surface of foot.
Phlegmon of popliteal area
Phlegmon of a brush;
Phlegmon of axillary area
Phlegmon of a forearm;
For the bone panaricium the most typical is:
Purulent tendovaginitis
Complication in the form of a phlegmon of brush
A pulsing pain in brush;
Flexing contracture of finger
Sequestration of bones and occurrence of a fistula;
Surgical treatment of ligaments panaricium should be:
All answers are correct
Radical, with dissection of sinus and early plastic;
Maximal radical with dissection of the damaged sinus
Sparing, without opening of ligamental vaginas
As much early as possible before development of thrombosis of vessels and necrosis signs
Main condition for the successful preventive maintenance of gas gangrene is:
Antibiotic-prophylaxis
An adequate and timely primary surgical treatment of a wound;
Injection of an antitetanic human immunoglobulin;
Injection of antigangrenous Serums;
Hyperbaric oxygenation
Causes of an anaerobic gas infection is more often:
Stool.
Skin;
Soil;
Saliva;
Air;
What kind of wound infections from the listed concerns the most terrible,:
Lymphangitis, adenophlegmon
B. *
An anaerobic gas gangrene
C.
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Pile phlebitis
Sepsis
Diphtheria of wounds
What radiological sign is the most typical for an acute hematogenic osteomyelitis
All answers correct
Presence ostomyelitic cavities and sequesters
disappearance of the bone-brain channel, osteosclerosis
Removing a layer by a layer periosteums, periostitis
Unevenness, porosity of cortical bone layer, osteoporosis;
What is the primary osteal panaritium?
All answers correct.
An osteal panaritium that arises due to infected microtrauma of bone or a periosteum;
An osteal panaritium that arises due to hypodermic complication
An osteal panaritium that arises lymphogenically;
An osteal panaritium that arises hematogenically;
Acute purulent poured(unlimited) inflammation of fat tissue is:
Erysipelas
An abscess;
Adenophlegmon
Phlegmon
Lymphangitis
Carbuncle is:
It is 2 and more furuncules on distance no more than 1 cm one from another.
Acute drain it is purulent- necrotic inflammation several hair follicles and sebaceous glands with
distribution on hypodermic fat and a skin with formation extensive infiltrate and necrosis;
Acute purulent inflammation a hair follicle, apocrine, grease glands and connecting tissues
Acute purulent inflammation several hair follicles, sweat and sebaceous glands;
Acute purulent- necrotic inflammation of hair follicle and surrounding connecting tissues and
sebaceous glands;
What localization of carbuncle is very dangerous for life?
In lumbar area
In the field of nasal-lip triangle;
In inguinal areas;
In the field of a back
In the field of a nape
What mastitis from listed meets more often?
Senile
Juvenile
Mastitis in newborns
Lactationes
Posttraumatic
What paraproctitis is difficult to diagnose, clinical and treat?
Ischiorectal
Rectal
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Hypodermic
Pelviorectal
Submucosal
What heaviest complication of the thorax closed trauma?
Fracture of a chest
Pleura - pulmonal shock
Pneumothorax
Fracture of edges
Haemothorax
What of diagnostics methods the most informative at closed cranial trauma?
Pneumoencephalography.
Lumbar puncture
Electroencephalography
Ultrasound
Computer tomography
Medical aid at closed valve pneumothorax
Thoracotomy
Vago-simpatic blockade
Transformed in opened pneumothorax
Tracheocentasis
To impose the occlusion bandage.
Distinguish following pneumothorax kinds, except for:
Closed
Valve
Opened
Strained
Hypodermic
At a puncture of haemothorax, blood in a syringe is turned off, to what it testifies:
At absence in a syringe heparin.
A syringe unsterile
Bleeding proceeds
Has come fibrinolisis
Bleeding is stopped.
Pathological fracture arises in result of:
Actions force of own muscles reduction.
Innate anomalies of development.
Insignificant effort.
Mechanical force which exceeds durability of a bone.
Mechanical force which is equaled durability of bone.
To main principles of fracture treatment the following concern, except for:
Antibacterial therapy.
Consolidation and recovering of functions.
Fixation
Reposition
Transport immobilization
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What symptom is absolutive in diagnostics of bones fracture?
Pain
Crepitation
Spring ficsation
Disturbances of the limb function
Swelling
For spinal column the most typical fracture is:
Spiral fracture.
Driven fracture
Compressed fracture.
Slanting fracture
Open fracture.
What kind of embolism can arise at massive fracture?
Retrograde emboli.
Emboly by inner body.
Thromboemboli
Fat
Air
At what fracture absolute clinical attributes of fracture are not defined?
Gunshot
Spiral
Compressed
Pathological
Diaphisal.
Distinguish following kinds of displacement bone segments, except for:
By circle.
By periphery
Under a corner
By width.
By length.
Fracture as „green branch” is:
Fracture-dislocation
Pathological fracture.
Innate fracture.
Complete fracture.
Fransversa 1 fracture.
Complication of fracture
All answers are correct.
Damage of internal bodies
Trauma of nervous trunks
Infectioning in a wound at the open fracture.
Infectioning in a wound at the open fracture.
The open fracture is:
Fracture with damage of internal bodies.
Fracture with damage synovial environments
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Fracture without damage synovial environments
Fracture with damage of fascia
Fracture with infringement integrity of skin or a mucous membrane.
The gunshot wound is considered:
Probationary polluted
Necrotic
Purulent
High bacterial polluted
Aseptic
Basic purpose of wound primary surgical processing:
Transformation of a wound from infected to a clean and closing by primary stitches.
The prevention of a suppuration in a wound.
Evacuation of necrotic tissues
Evacuation of necrotic tissues
Control of bleeding
Classical types of wounds’ healing are:
No one of listed is not classical type.
All listed
Healing under a scab.
Healing by a secondary tension.
Healing by a primary tension.
In what site of a body the wound are healed most quickly?
Foot
Hip
Loin
Brush
Head
What wound for occurrence anaerobic infections potentially menacing is:
Gunshot
Stub
Lacerated.
Cut
Slash
Depending on microbic pollution and local clinical signs all wounds are divided on:
All answers are right
Purulent
Infected
Microbe - polluted.
Aseptic
Critical level of microbic pollution in a wound:
108 bacteria in 1 gram of tissue
105 bacteria in 1 gram of tissue
103 bacteria in 1 gram of tissue
107 bacteria in 2 grams of tissue
106 bacteria in 1 gram of tissue
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Rabies is transmitted through
Stub wound
Crushed wounds
Crushed wounds
Bite wounds
Cut wound.
By microbic concentration all wounds are divided on:
All answers are right
Purulent
Aseptic
Microbic - polluted
Infected
According morphological features all wounds are divided on:
All answers are right
Slash
Cut
Stub
Lacerated
The rhesus an accessory is not taken into account at transfusions by the adult of transfusion
environments:
Plasma.
Plateled concentrate
Packed white blood cells.
Washed red blood cells
Packed red blood cells.
The basic antigenes of system AB0:
A, B, 0.
A, B, 0, H.
А1, А2, В1, В2.
А1, А2, and B
A and B
A blood preparation of haemostatic actions, which used localy, is:
Fibrinolysin
Gluconat
Thrombin
Polibiolin.
Haemostatic sponge.
Preparation of blood with haemostatic actions is
Washed erythrocytes
Albumin
Fibrinolysin
Fibrinogen
Polibiolin
A blood preparation of complex action is
Antistaphylococcal donor’s immunoglobulin
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Solutions of albumine and protein
Cryoprecipitate
Frozen red blood cells
Dry plasma
The program of transfusion therapy during operation determines by:
Transfusiologist and surgeon.
Surgeon and anaesthesiologist
Anaesthesiologist
Transfusiologist
Surgeon
Determining of the blood group by system АВ0 and rhesus blood factor is performed:
Doctor of the department of hemotransfusional therapy
Doctor-laboratorian of the hospital clinical laboratory
Laboratoru assistant
Doctor, who responsible for the organization of transfusion therapy in medical department.
An attending doctor
Who has offered for the first time imposing ligature on a vessel.
Vilizy
Galen
Ambruaz Pare
Avitcena
Gippokrat
Named the ІІІ stage of blood coagulation.
Transfer of prothrombokinase to fibrin
Fibrinolithic
Synthesis of prothrombin
Formations of fibrin
Recaltification.
How many factors of curtailed system of blood on this time are known?
14.
12.
13.
10.
9.
During what time to application a tourniquet on in the summer period is possible
2 hours
45 mines
90 mines
1 hour.
30 mines.
To a temporary control of bleedings refers all listed methods except of:
All answers are right
Application of a clump on a vessel.
Pressing of a vessel by a finger.
Application of pressing bandages
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Application of the tourniquet
Disinfection and sterilization is the basic type of prophylaxis of next infectio
Air infectiones
Drop infectiones
Contact infectiones
Implantation| infectiones
All above enumerated way
Complex of measures, directed on elimination of pathogenic and potentially pathogenic for human of
micro organisms on instruments, articles of disintegration is name
Disinfectio
Sterilizatio
Pasteurizatio
Roas
Autoclavin
Method of disinfecting of organic liquids by means of temperatures, at which the only vegetative
forms of microorganisms perish, is name
Dry-hot method
Pasteurisationes
Boiling
Autoclaving
All of answers are correct
The vegetative forms of micro organisms perish at a temperature
10-20 C
20-30 С
30-40 С
40-50 С
60-100 С
During what time is sterilization of metallic instruments by boiling?
5 min.
10 min.
15 min.
20 min.
25 min.
That does designate the term of "antisepsis"
Antisepsis is a complex of measures, directed on elimination of microbes in a wound, pathological
focus or in an organism on the whole
Antisepsis is a complex of measures, directed on elimination of microbes in the patient’s organism
All of answers are correct
Antisepsis is a complex of measures, directed on elimination of microbes on bandaging material and
on surgical instrument
Antisepsis is a complex of measures, directed on elimination of microbes in a wound
What are types of antisepsis
Physical
Mechanical
Biological
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E. *
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Chemical
All of answers are correct
When does conduct early primary surgical treatment of wound?
In the first day after wounding
During two days
After 48 hours
From 1 to 3 hours
All of answers are correct
When does conduct the deferred primary surgical treatment of wounds
In the first day after wounding
During two days
After 48 hours
From 1 to 3 hours
All of answers are correct
When does conduct late primary surgical treatment of wounds
In the first day after wounding
During two days
After 48 hours
From 1 to 3 hours
All of answers are correct
What it is physical antisepsis
Application of physical methods, which form in wound unfavorable conditions for development of
bacteria, suction of toxins and products of disintegration of tissues
Complex of measures, directed on elimination of microbes in a wound, pathological focus or in an
organism on the whole
Application of methods, which form in a wound unfavorable terms for development of bacteria,
suction of toxins and products of disintegration of tissues
Deleting from the wound of necrotic and nonviable tissues, and also microbes and foreign bodies,
this got in a wound
All of answers are correct
What is applied as facilities of physical antisepsis
Tampons from a gauz
Drainages
Drying of wounds
Ultraviolet irradiation (UHF), ultrasound, laser
All of answers are correc
What types of primary surgical treatment of wound do exist
Early and latent
Early, late and deferrent
Early, late, deferred and mixed
Only earle
All of answers are correct
What it is mechanical antisepsis
Deleting from a wound by means of mechanical receptions of necrotic| and nonviable tissues, and
also microbes and foreign bodies, that got in a woun
B.
C.
D.
E.
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78.
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B.
C.
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79.
A. *
Deleting from the wound of necrotic| and nonviable tissues, and also microbes and foreign bodies,
that got in a wound
All of answers are correc
Application of physical methods, which form in a wound| unfavorable conditions and for
development of bacteria and suction of toxins and products of disintegration of tissue
Application of methods, which form in wound unfavorable conditions for development of bacteria
and suction of toxins and products of disintegration of tissue
What it is primary surgical treatment (PST) of wound
Complex of measures, directed on elimination of microbes in a wound, pathological focus or in an
organism on the wholе
All of answers are not correct
It is an operation, which is directed on the prophylaxis of infectious complications in a wound and
consists in surgical excision of edges, bottom of wound within the limits of unharmed tissues with
subsequent it stitching
Deleting from a wound by means of mechanical receptions of necrotic| and viable fabrics, and also
microbes and foreign bodies, that got in a wound
Application of physical methods, which form in wound favorable conditions for development of
bacteria and suction of toxins and products of disintegration of tissue
On what is the late surgical treatment of wound providing directed
Delete of extraneous objects
Delete of necrotic| tissues
Dissecting of pockets, deepening, haematoma
Providing of condition for the outflow of excretions from a wounds
All of answers are correct
What it is chemical antisepsis
Use of different chemical matters, that show bactericidal or bacteriostatic, oxidizing, astringent and
deodorized action
Use of chemical matters, that show oxidizing| and deodorized action on microorganisms
All of answers are not correct
Application of methods, which form in a wound unfavorable terms for development of bacteria and
suction of toxins and products of disintegration of fabrics
Complex of measures, directed on elimination of microbes in a wound, pathological hearth or in an
organism on the whole
What groups of chemical antiseptics are used in surgery
Halogens, oxidants, nitrofuranes
Salts of heavy metals and alcohols
Aldehydes, dyes
Phenols, chemical-therapeutic preparations
All of answers are correct
Name separate preparations of group of halogens
Chloramine B (0,5-2%
Pantothenatecide
Solution of spirit iodine| (3-8%
Iodonat (1 %), iodopiron| (1%)
All of answers are correct
Please, choose sulfanamide preparation
Streptocid, sulfadimine
B.
C.
D.
E.
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B.
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81.
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B.
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B.
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B.
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84.
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B.
C.
D.
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85.
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B.
C.
D.
E.
86.
A. *
Methylene blue (1-3 %)
Solution of spirit iodine| (3-8%
Iodonat (1 %), iodopiron| (1%)
All of answers are correct
Please, choose preparations of group of holoids
Chloramine B (0,5-2%
Methylene blue (1-3 %)
Sulfalen
Iodonat (1 %), iodopiron | (1%)
All of answers are correc
What it is biological antisepsis
Use of different chemical matters, which show a bactericidal, or bacterostatic|, oxidizing, astringent
and deodorized | action
Use of chemical matters, that show an oxidizing and deodorized | action on microorganisms
All of answers are not correct
Use of preparations of biological origin, which influence directly on a microbe| cell or its toxins, and
preparations, which operate mediated through microorganims
Complex of measures, directed on elimination of microbes in a wound, pathological focus or in an
organism on the whole
What methods do to sterilization behave?
Roasing
Pasteurization
Boiling, dry-hot| method
Autoclaving
All of answers are correct
What representatives of group of biological antiseptics do operate directly on microorganisms and
their toxins ?
Antibiotics
Bacteriophages
Antioxidants as wheys (anti-tetanus, anti-diphtherial)
All of answers are incorrect
All of answers are correct
How is antisepsis| divided depending on the methods of its usage
Superficial
Local
General
Deep
All of answers are faithful
How frequency is do the bacteriological fence of sterile material?
1 time per 10 day
1 time per a month
4 times per a year
twice per year
All of answers are faithful
What method of sterilization and saving of stitch material is most reliable
Sterilization of stitch material by gamma-rays
B.
C.
D.
E.
87.
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B.
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88.
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B.
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89.
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90.
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B.
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91.
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B.
C.
D.
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92.
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B.
C.
D.
E.
93.
A.
B.
C.
D.
Sterilization of 1 time per a month
Sterilization of 4 times per a yea
Often
All of answers are faithfu
What does need to be taken into account, appointing to patient of antibiotics
Sensitiveness to them microorganisms (test on a sensitiveness)
Sensitiveness to them of macro organism| (test on a sensitiveness)
Penetrating of antibiotics in the proper tissues and organs
Possibility of indirect action of antibiotic and synergism| of action
All of answers are right
What action of antisepsis is had on microorganism| and macro organism
Bactericidacal
Bacteriostatic
Oxigens
Tanne
All of answers are faithful
What are the basic methods of application of antiseptics
On the surface of wounds
Introduction in the cavity of body
Parenteral (intramuscular, intra-arterial, endolymphatic|)
Introduction to the digestive tract
All of answers are correct
Name two basic sources of hit of infection in a wounds:
Exogenous, endogenous
Combined, endogenous
Air-dropping, implantation|
Contact, lymphogenous;|
All of answers are correct
What stages of preparation of general-surgical| instruments to sterilization do you know?
Wash during 30 sec.
under hot water
Wet in washing solution at the temperature of 50 0 C during 15 minutes
Wash by brush in washing solution during 30 sec.
Wash under running water during 5 min. and dry by hot air
All of answers are right
How does sterilize an optical tools?
In a formalin chamber during 48 hour and in solution of "Saydeks" during 45-180 minutes
In an autoclave during 1 hous
In a dry hot safe during 1 hous
By 70% an alcohol
All of answers are faithful
That is utilized for treatment of the operating field at the allergy of sick to preparations of iodine
1 % solution of brilliant green
5% solution of alcohol-tanning
0,5% solution of Chlorhexidine||
96% a spirit solution of Chlorhexidine |
E. *
All of answers are faithful
94.
A.
What preparations are utilized for disinfection of mucous membranes?
D.
E. *
1 % solution of brilliant green
3% solution of hydrogen peroxide
1 % solution of iodonat and iodopiron
0,5% solution of Chlorhexidine and 0,5% solution of hibitan|
All of answers are faithful
Exogenous way of hit of infection in a wound – it is
Air infection
Drop infection
Contact infection
Implantation infection
All above enumerated way
96.
Hit of infection in a wound from air - it is:
A. *
B.
C.
D.
E.
97.
A.
B. *
C.
D.
Air infection
Drop infection
Contact infection
Implantation infection
All above enumerated ways
B.
C.
D.
E. *
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B.
C.
E.
98.
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B.
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D.
E.
99.
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B.
C.
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E.
100.
A. *
B.
C.
D.
E.
101.
A.
Hit of infection in a wound with saliva at a talk and cough – it is
Air-drop infection
Air-drop infection
Contact infection
Implantation infection
All above enumerated way
Hit of infection in a wound from objects, which has contact with wound – it is
Air infectiones
Drop infectiones
Contact infectiones
Implantation infectiones
All above enumerated way
Hit of infection in a wound from stitches, drainages, alloplastic prosthetic appliances - it is
Air infection
Drop infection
Contact infection
Implantation infection
All above enumerated way
Distribution of infection in an organism on blood vessels – it is
Hematogenous way
Lymphogenous way
Laktogenous way
Contact way
All of answers are correct
Distribution of infection on lymphatic vessels – it is
Hematogenous way
B.
C.
D.
E. *
102.
A.
B.
C. *
D.
E.
103.
A.
B.
C.
D. *
E.
104.
A.
B.
C.
D. *
E.
105.
A. *
B.
C.
D.
E.
106.
A. *
B.
C.
D.
E.
107.
A.
B. *
C.
D.
E.
108.
A.
B. *
C.
D.
Lymphogenous way
Laktogenous way
Contact way
All of answers are correct
Distribution of infection in an organism on mammary duct – it is
Hematogenous way
Lymphogenous way
Laktogenous way
Contact way
All of answers are correct
Distribution of infection in transition from one organ on other – it is:
Hematogenous way
Lymphogenous way
Laktogenous way
Contact way
All of answers are correct
Distribution of infection in an organism on surrounding tissues – it is?
Hematogenous way
Lymphogenous way
Laktogenous way
Contact way
All of answers are correct
Complex of methods, directed on warning of hit of micro organisms in a wound are named:
Asepsis
Antisepsis
Desmurgia
Deontology
Surgery
What percent of micro organisms is detained by a gauze mask from four layers of gauz
90-94
97
85-90
95-98
100
What percent of micro organisms is detained by a gauze mask from six layers of gauz
90-94
97
85-90
95-98
100
During what time is sterilization of rubber objects by boilin
5 minutes
10 minutes
15 minutes
20 minutes
E.
109.
A. *
B.
C.
D.
E.
110.
A.
B.
C. *
D.
E.
111.
A.
B. *
C.
D.
E.
112.
A.
B.
C.
D. *
E.
113.
A.
B.
C.
D.
E. *
114.
A. *
B.
C.
D.
E.
115.
A.
B. *
C.
D.
E.
116.
A.
25 minutes
Sterilization by steam under pressure is conducted
In autoclave
In dry-hot safer
In sterilisatores
In gas sterilizer
In glass dishes
Sterilization by boiling is conducted:
In autoclave
In dry-hot safe
In sterilizer
In gas sterilizer
In glass dishe
Sterilization a dry heat conducted is
In autoclave
In dry-hot safe
In sterilizer
In gas sterilizer
In glass disher
Sterilization of wares from polymeric materials is conducted is
In autoclave
In dry-hot safes
In sterilizer
In gas sterilizer
In glass dishe
Sterilization by means of chemical solvents is conducted
In autoclave
In dry-hot safe
In sterilizer
In gas sterilizer
In glass disheres
Autoclaving - is
Sterilization by steam under pressure
Sterilization by dry healing
Gas sterilization
Sterilization by means of chemical solvents
Radial sterilization
Air sterilization of instruments by means of temperature of 160-2000 С - is
Sterilization by steam under pressure
Sterilization by dry air
Gas sterilization
Sterilization by means of chemical solvent
Radial sterilization
Sterilization of instruments in the pair of chemical matters – it is
Sterilization by steam under pressure
B.
C. *
D.
E.
117.
A.
B.
C. *
D.
E.
118.
A.
B.
C.
D.
E. *
119.
A.
B.
C.
D. *
E.
120.
A.
B.
C.
D. *
E.
121.
A. *
B.
C.
D.
E.
122.
A.
B. *
C.
D.
E.
123.
A.
B.
C.
D.
Sterilization by dry ear
Gas sterilization
Sterilization by means of chemical solvent
Radial sterilization
Sterilization of instruments by means of chemical solutions – it is
Sterilization by steam under pressur
Sterilization by dry hea
Sterilization by means of chemical sobsent substent's
Gaz sterilization
Radial sterilizatio
Sterilization of instruments by gamma-rays - it is
Sterilization by steam under pressur
Sterilization by dry hea
Gas sterilizatio
Sterilization by means of chemical solvent
Radial sterilizatio
What method used to sterilize cutting instrument
Sterilization by steam under pressurе
Sterilization by dry ear
Gas sterilization
Sterilization by means of chemical solvent
Radial sterilizatio
What method is it better to sterilize fibre optic
Sterilization by steam under pressure
Sterilization by dry A i R
Gas sterilization
Sterilization by means of chemical solvent
Radial sterilization
What method is conduct for treatment of the operating field
Grossikh-Filonchikov’ method
Spasokukotcky-Kochergin’ method
Fyurbringer’s methods
Alfeld’ method
By solution of Chlorhexidine
Complex of measures, directed on a fight against an infection in a wound is named
Asepsis
Antisepsis
Desmurgy
Deontology
Surgery
Name the basic types of antisepsis?
Mechanical
Chemical
Physical
Biological
E. *
124.
A. *
B.
C.
D.
E.
125.
A. *
B.
C.
D.
E.
126.
A.
B.
C. *
D.
E.
127.
A.
B.
C. *
D.
E.
128.
A.
B.
C. *
D.
E.
129.
A.
B.
C.
D. *
E.
130.
A.
B.
C.
D. *
E.
All answers are correct
In what type of antisepsis does to primary surgical treatment of wound behav
Mechanical
Chemical
Physical
Biological
All of answers are faithful
What type of antisepsis does to the second surgical treatment of wound belongs to
Mechanical
Chemical
Physical
Biological
All of answers are faithful
In what type of antisepsis do to drainages belong
Mechanical
Chemical
Physical
Biological
All of answers are faithful
In what type of antisepsis does to the irradiation of wounds by ultraviolet lamps belon
Mechanical
Chemical
Physical
Biological
All of answers are faithful
In what type of antisepsis does to an irradiation by laser options belong
Mechanical
Chemical
Physical
Biological
All of answers are faithful
What type of antisepsis applications of protheolytic| enzymes belongs to?
Mechanical
Chemical
Physical
Biological
All of answers are faithful
During conducting of benzidine test a dark blue-green color is expose
On what stage of
sterilization of instruments was violation
Insufficient time of display is in a dry-hot saf
Violation at the laying of instrument
Violation of temperature condition
Insufficient pre-sterilization preparation
Wrong saving of sterile too
131.
A.
B.
C.
D. *
E.
132.
A.
B. *
C.
D.
E.
133.
A.
B. *
C.
D.
E.
134.
A.
B. *
C.
D.
E.
135.
A.
B.
C.
D.
E. *
136.
A.
B. *
C.
D.
E.
137.
A.
Operative interference is conducted on an occasion post-injection abscess. The cavity of abscess is
washed by hydrogen peroxide and solution of Chlorhexidine. For drainage| of wound a scrub nurse
gave to surgeon gauze drainage together with a rubber strip.What is it expedient to moisten gauze
drainage for strengthening of osmotic action of gauz
By hypertonic solution of sodium chloride
By solution of furacillini
By solution of boric acid
By Levosin ointment
By solution of Chlorhexidine
How much time is it necessary to process hands by solution of Chlorhexidine?
7-8 min
2-3 min
4-5 min
5-6 min
6-7 min
In surgical department the sick admit with the anaerobic unclostridial| phlegmon of shoulder. The
surgical treatment of phlegmon is conducted. The surgeon is recommended to process a wound by
antiseptic of oxidizing action.What antiseptic does have an oxidizing action?
Furacillinum
Hydrogen peroxide
Salicylic acid
Chlorhexidinum
Dioxydinum
After examination of sick with a phlegmon shoulder a surgeon and bandaging nurse washed hands
under running water and wiped by towel.What solution it is necessary used to process hands after
bandaging?
Furacillinum
Spirit solution of Chlorhexidinum
Hydrogen peroxide
Physiological solution
Solution of Rivanolum
Drum with sterile gloves was delivered in an operating block. During putting gloves the last do not
fall out. What violations of preparation of gloves to sterilization
Not shifted gauze serviette
Not dried
Not washed by soap
Not poured by talk
Is broken mode of sterilization in autoclave
Which antiseptics are used during bandaging of the purulent wounds?
Alcohol, chloramine, chlorgexidine
Alcohol, chlorgexidine, hydrogene peroxyde
Alcohol, sulema, hydrogene peroxyde
Alcohol, air, chlorgexidine
Alcohol, air, hydrogene peroxyde
At patient with diabetes mellitus the anaerobic unclostridial| phlegmon of foot is detected.
Surgical
treatment is conducted.
Extremity is placed in air-therapeutic installation.What antiseptic is it necessary to
process an isolating chamber?
Dimexid
B.
C.
D. *
E.
138.
A.
B.
C. *
D.
E.
139.
A.
B. *
C.
D.
E.
140.
A.
B.
C. *
D.
E.
141.
A.
B.
C. *
D.
E.
142.
A.
B.
C.
D. *
E.
143.
A.
B.
C.
D.
E. *
144.
A.
B. *
C.
Dioxidin
5% a spirit solution of iodine
6% the hydrogen peroxide and washing solution
Ethanol
What tool can not be sterilized in a dry-hot safe
Clamp
Farabef’ hooks
Scalpel
Metallic probes
Vehicle for sewing together of organs
To what antiseptic the blue pus bacillus is a sensible
25% solution of dimexide
Dioxidin
Iodopiron
Chlorhexidine gluconate
3% solution of hydrogen peroxide
What borders and how many times do need to be processed the operating field till lining sterile line
Two times in an iliac arece
Two times from a belly-button to the inguinal folder
Two times from costal arcs to inguinal folder
Three times from costal arcs to upper third of thigs
Three times from a belly-button to the inguinal folder
What preparations of biological antisepsis is it necessary to utiligites for the acceleration of clearing
of wound
Staphylococcic bacteriophages
Ectericide
Proteolytic enzymes
Collagenous fils
Polymixine
With what purpose is conduct control of pre-sterilization treatment of instruments
Elimination of microorganisms on instruments
Determination of the hidden blood
Determination of microorganisms
Determination of quality of sterilization
Action of antisepsis on microorganism
What matters are utilized for determination of quality of sterilization of instruments
Ascorbic acid
Benzoic acid
Antipyrin
Resorcium
All of answers are faithful
How much time does treatment of hands of surgeon by Chlorhexidine - bigluconate proceed
1minute
2-3 minutes
5 minutes
D.
E.
145.
A.
B.
C.
D.
E. *
146.
A.
B.
C.
D. *
E.
147.
A.
B. *
C.
D.
E.
148.
A.
B.
C. *
D.
E.
149.
A. *
B.
C.
D.
E.
150.
A.
B.
C.
D. *
E.
151.
A.
B.
C.
D.
E. *
10 minutes
15 minutes
What does belong to facilities of cold sterilization ?
Ultraviolet rays
Ionizing radiation
Ultrasonic waves
Fumes of formalin
All of answers are faithful
What is duration of sterilization of surgical linen under pressure 2 atmospheres
2 hours
45 minutes
1 hour
30 minutes
1,5 hours
What is duration of sterilization of surgical linen under pressure 1,5 atmospheres
2 hour
45 minute
1 hour
30 minute
1,5 hour
What is duration of sterilization of surgical instruments in dry-hot safe at the temperature of 180?
2 hour
45 minute
1 hour
30 minute
1,5 hour
What duration of sterilization by gas methode?
6-48 hours
30 minutes
60 minutes
2 hours
3 hours
What is named wound where quantity microorganism are more 105 1g.tissue and are present sings of
the inflammation
Aseptic
Infection
Bacterial mud
Festering
Conditional aseptic
The pathological mobile of part the pectoral wall is not characteristic fo
Valvular pneumothorax
The Plural break rips
Opened pneumothorax
Fenestrated the break of rips
Closed pneumothorax
152.
A. *
B.
C.
D.
E.
153.
A.
B. *
C.
D.
E.
154.
A.
B. *
C.
D.
E.
155.
A.
B. *
C.
D.
E.
156.
A.
B.
C.
D.
E. *
157.
A.
B. *
C.
D.
E.
158.
A.
B.
C.
D. *
E.
159.
Accordingly classification the wound process by M.I. Kuzin distinguish phases
Inflammation, regenerations, formations of the scar
Aquation, dehydration|, epithelisationes
Vascular reactions, cleaning of wound, epithelisationes
Inflammation, aquation |, formation of scar
Cleaning of wound, dehydration quation
In patient with the trauma of thorax at palpation| determined slight swelling of soft tissue, symptom
of cripitation|, what it testifies?
Haematoma
Hypodermic emphysema
Hemotorax
Opened pneumothorax
Valvular pneumothorax
At what wound the external bleeding is the insignificant at, but haematomas appear after
To cut
To elaughte
To bitte
To lacerate
To chopper
What factors do result in the increase of penetrating the vascular wall in the phase of inflammation?
Macrophages
Biogenic amines
Erythrocytes
Leucocytes
Complement system
At tense pneumothorax there are all the symptoms higher transferred except for
Pain in a thorax
Shortness of breath (difficulty in breathin)
Absence of respiratory noises from one sight
Cyanos
Displacement rhe trachea in the side of pneumothorax
What wound are terms created for development of anaerobic infection?
Incized
Bitted
Crashed
Lacerated
Gunshort
What elements of blood do play a basic role in the period of cleaning wounds from microorganisms
and necrotic tissues
Erythrocytes
Platella
Lymphocytes
Neutrofile leucocytes
Fibroblasts
The symptom of «light interval» is characteristic for
A.
B. *
C.
D.
E.
Concussion of the head brain
Intracranial hematoma
Inflammation of the head brain
Cerebral ischemia
160.
A.
B.
C.
D. *
E.
For what wounds characteristic is removing a layer of skin and hypodermic cellulose?
bite
Chopped
Crash
161.
A. *
B.
C.
D.
E.
162.
A.
B.
C.
D.
E. *
163.
A. *
B.
C.
D.
E.
164.
A. *
B.
C.
D.
E.
165.
A.
B.
C.
D.
E. *
166.
A. *
All
Scalp
Slaughte
In what phase of the wounds process by Kuzin M.I. does osmotic pressure rise in tissue, the delay of
water passes, an edema developing
Phase of inflammation
Phase of regeneration
Phase of formation the scar
Phase of epithelization
Phase of dehydration
A positive test with a drop at the opened cranial-cerebral trauma testifies the
Opened cranial-cerebral trauma
Closed cranial-cerebral trauma
Integrity of hard brain-tun
Stop of bleeding from pia mater
Continuation of bleeding from a pia mater
In what phase of the wound| process by Kuzin M.I. does an edema and leukocytic infiltration of
tissue develop round a wound
Phase of inflammation
Phase of regeneration
Phase of formation the scar
Phase of epithelisation
Phase of dehydration
What heaviest complication of the closed trauma the thorax is
Hemotoraks
Break of ribz
Pneumothorax
Cowed of the soft tissues
Break of the breastbone
What wounds are most infected
Cuted
Sped
Cowed
Bitted
Squashed
From transferred, choose the first phase of the wound process by Kuzin M.
Phase of inflammation
B.
C.
D.
E.
167.
A.
B.
C. *
D.
E.
168.
A.
B.
C.
D.
E. *
169.
A.
B. *
C.
D.
E.
170.
A. *
B.
C.
D.
E.
171.
A.
B.
C. *
D.
E.
172.
A.
B.
C. *
D.
E.
173.
A. *
B.
C.
D.
Phase of regeneration
Phase of formation
Phase of epithelisation
Phase of dehydration
The first medical aid at valvular pnevmothorax is:
To put occlusion bandage
Intercostals blockade
Translate in opened pnevmothorax
Vagosimpatic blockade
Torakotomy
What methods of the improved surgical treatment can be use for treatment of the boil wounds
Treatment a laser
Ultrasonic cavitation
Washing a pulsating stress
Cryodestruction
All answers are faithful
From transferred, choose the second phase of the wound process by Kuzin M.
Phase of inflammation
Phase of regeneration
Phase of formation the scor
Phase of epithelisation
Phase of dehydration
Hypodermic emphysema at the closed trauma of thorax is a sign of:
Break of ribs with the defeat of pulmonary tissues
Break of ribs without the defeat of pulmonary tissues
Hemotorax
Haematoma of the soft tissues
Cowed of the soft tissue of thorax
What wounds can tale develop a
Spread
Cut
Bite
Laceration
Squashe
From transferred, choose the third phase of the wound process by Kuzin M.
Phase of inflammation
Phase of regeneration
Phase of formation the scarm
Phase of epithelisation
Phase of dehydration
What from the methods of diagnostics most informing at the closed cranial-cerebral trauma
Computer tomographia
Sonograp
Elektroentsefalographia
Lumbal puncture
E.
174.
A.
B.
C.
D.
E. *
175.
A.
B. *
C.
D.
E.
176.
A.
B.
C.
D.
E. *
177.
A.
B.
C. *
D.
E.
178.
A.
B. *
C.
D.
E.
179.
A.
B.
C. *
D.
E.
180.
A.
B.
C. *
D.
E.
181.
A.
Pnevmoencefalographie
What wounds have three areas of damage?
Spell
C
Bitt
Lacerat
Gunshort
What elements of blood have proteolitic action in a wounds?
Lymphocytes
Neitrofil leucocytes
Macrophages
Erythrocytes
Trombocytes
What blockade is used in complex treatment of the closed trauma of the thorax
Casual
Plexus
Round ligament of the liver
Paranefrol
Vagosimpatic
How is named the third area of damage the gunchot| woun
Wound chann
Area of traumatic necros
Area of molecular concussi
Area of primary necros
Area of direct traumatic necrosi
A basic role of the fibroblasts in a wound process is
Cleaning of wound
Synthesis the components of young tissuel
Selection of the protheolitic enzymе
Phagocytosis of | the necrotic tissuel
Takes part in immune reaction
At the closed cranial-cerebral trauma showed
Hypothermia of the chairm
Hypothermia of the nech
Craniogipotermia
UHF therapy
Ultrasonic cavition
The penetrable wound of stomach accompanied a damage
Skar
Skin, fascial
Skin, fascia|, muscle|, peritoneum
Skin, fascia|, muscles
Only fatty cellulose
What basic cellular elements do take part in the phase regeneration of the wound proces
Lymphocytes
B.
C. *
D.
E.
182.
A.
B.
C. *
D.
E.
183.
A.
B.
C. *
D.
E.
184.
A.
B.
C. *
D.
E.
185.
A.
B.
C. *
D.
E.
186.
A. *
B.
C.
D.
E.
187.
A.
B. *
C.
D.
E.
188.
Neitrofil leucocytes
Macrophages
Erythrocytes
Trombocytes
Specify the most informing method of diagnostics the damages of parenchymal organs at the closed
trauma of stomac
Survey X-ray research
Positive symptom by Schotkin-Blyumberg
Laparocentesis
Determination the indexes of homodynamic
Ultrasound research
Specify the most informing method of diagnostics the damages of hollow organs at the closed trauma
of stomac
Survey X-ray research
Positive symptom by Schotkin-Blyumber
Laparocentesis
Determination the indexes of haemodynamics
Ultrasonic research
Specify the most informing method of diagnostics the damages of parenchymal organs at the closed
trauma of stomach at the grant of skilled surgical heell
Survey X-ray research
Positive symptom by Schotkin-Blyumberg
Laparosentesis
Determination the indexes of homodynamia
Ultrasonic research
Specify the most informing method of diagnostics the damages of hollow organs at the closed trauma
of stomach at the grant of skilled surgical manipulationes
Survey X-ray research
Positive symptom by Schotkin-Blyumber
Laparocentesis
Determination the indexes of hemodynamic
Ultrasonic researc
At gunshot| wounds of the intraperitoneum department of rectum imposition of artificial
Binding
Do not binding
For indication
For relative indication
All of answers are faithful
Injured person with the symptoms of the internal bleeding in an abdominal region send
In a antishok| separation
In an operating-room in the urgent order
In a surgical department
In an operating-room urgent
All answers are correct
At damages of the parenchymatoses organs, which are accompanied the protracted bleeding in an
abdominal region, symptoms of irritation of peritoneum
A. *
B.
C.
D.
E.
189.
A.
B.
C. *
D.
E.
190.
A.
B.
C.
D. *
E.
191.
A.
B.
C. *
D.
E.
192.
A. *
B.
C.
D.
E.
193.
A.
B.
C. *
D.
E.
194.
A.
B.
C.
D. *
E.
195.
A. *
B.
C.
Absent or insignificantly expresses
Show up poorl
Show up strong
Show up moderatel
All of answers are faithful
Injured person with the penetrable wound of stomach at the general satisfactory state send
In a antishok separation
In an operating-room in the planned order
In a surgical department
In an operating-room urgently
All answers are correct
Small hemothorax it is:
To 850 ml| blood in a pleura cavity
750 ml|| of blood in a pleura cavity
500 ml|| blood in a pleura cavity
100 ml| blood in a pleura cavity
50 ml| blood in a pleura cavity
Middle hemothorax it
To 850 ml blood in a pleura cavites
750 ml of blood in a pleura cavites
600 ml blood in a pleura cavites
100 ml blood in a pleura cavites
50 ml blood in a pleura cavites
Large hemothorax it is
1550 ml| blood in a pleura cavity
750 ml|| of blood in a pleura cavity
500 ml|| blood in a pleura cavity
100 ml| blood in a pleura cavity
50 ml| blood in a pleura cavity
At tense pneumothorax indication
Traheostomy
Artificial ventilation of lung
Drainage of the pleura cavity
Intubation of trach
All of answers are faithful
For tense pneumothorax characteristic
Asphyxia
Anaemia
Cardiac insufficientsis
Respiratory insufficientsis
All of answers are faithful
At the penetrable sper-cut wound of thorax the operation of choice
Urgent thoracotomi
Drainage of the pleura cavity
Sewing of the all layers the wound
D.
E.
196.
A.
B.
C. *
D.
E.
197.
Carving the edges of wound, imposition the stitch
All answers are faithful
At the closed trauma of breasts a grave general condition, cyanosys, shortness of breath, hypodermic
emphysema on a neck. Diagnosis?
Breaking lungs
Damage of skull
Breaking main bronchial tube
Damage of head
Damage of neck
A.
What is the place conducting diagnostic pleura punction when the presence of gas in a pleura cavity
of is suspected?
In a projection pleura
In 6th intercostals gap| along axilar posterior line
In 7th intercostals gap| along a shovel line
In 2th along along a middling clavicular line
In the place of most dullness, certain at percusion
Medical measures at the plural breaks of the ribs:
Intercostals novocaine blockade
Tight bandaging of the breast
Model plaster| in the places of the damage
Artificial ventilation of lungs
Statute the suffering on a side damage
First medical aid at penetrate damages| of breasts and opened pnevmothorax
Imposition of occlusive bandage
Imposition of aseptic| bandage
Neck vagosimpatic| blockade
Introduction of narcotic analgesia
Artificial ventilation of lighte
Treatment the penetrable wound of thorax with the damage of pulmonary tissue at the grant of skilled
surgical help is
Antishock therapy
Derange of the pleura cavity
Urgent thoracotomy
Primary surgical treatment the wound soft tissue of the pectoral way
All of answers are faithful
A place of pleura punction at presence of pleura exudation is
IX-X intercostals gap| along a shovel linea
B. *
C.
D.
E.
202.
A.
B. *
C.
VI-VII intercostals gap| along a shovel linea
VI-VII intercostals gap along axilar posterior| linea
II-III intercostals gap along axilar posterior linea
All answers are faithful
What is it possible to facilitate the state the patient with a wound heart to the operatio
Application of cardiac medicine
Puncture of the pericardium
Application of artificial ventilation of light
A.
B.
C.
D. *
E.
198.
A. *
B.
C.
D.
E.
199.
A. *
B.
C.
D.
E.
200.
A.
B. *
C.
D.
E.
201.
D.
E.
203.
A.
B.
C.
D.
E. *
204.
A.
B.
C.
D.
E. *
205.
A.
B.
C.
D.
E. *
206.
A.
B.
C.
D.
E. *
207.
Hemotransfuzion
Inhalation of the oxygen
What factors are determine manifest of the pain syndrome in a wounds
Localization of the wound
Damage of the large nervous barre
Character of scotching object and speed of causing the wound
Neuro-mental state of organism
All answers are faithful
What factors do determine bleeding intensity at a wounds
Presence of damage the large vessel
Localization of the wounds
Character of scotching object
State of local hemodinamic and coagulation system
All answers are faithful
What factors do influence on heal of the wounds
Age
Mass of body
Immune status of organism
State of local and general circulation of bload
All answers are faithful
What are types of heal the wounds?
Primary tension
Second tension
Heal under a scar
Heal through infiltration
All answers are faithful
E.
For traumatic asphyxia most characteristical
Hypodermic emphysema
Opened pneumothorax
Subconuctival hemorrhage
Motive and psychical excitati
Disorders of langs
What type of healing is named "Sanotio of per primam intentionem" ?
Healing primary tension
Healing second tensionn
Healing under a scaz
Healing through infiltration
All answers are faithful
209.
A.
B.
C.
D. *
E.
210.
What cases an operation in at the closed trauma of skull is indication
External bleeding
Bleeding which proceede
At the break of basis of skul
At intracranial haematoma
All answers are faithful
At a damage middling of envelope artery arises
A.
B.
C. *
D.
E.
208.
A. *
B.
C.
D.
A. *
B.
C.
D.
E.
211.
A.
B. *
C.
D.
E.
212.
A. *
B.
C.
D.
E.
213.
A.
B. *
C.
D.
E.
214.
A. *
B.
C.
D.
E.
Epidural haematoma
Subdural haematoma
Inwardly cerebral haematoma
Intravenyricular haematoma
All answers are faithful
Acute subdural| haematoma arise up throught
12-24 hours after a trauma
hoursafter a trauma At 12-48
48-72 hours after a trauma
7-10 days after a trauma
12-18 days after a trauma
Likvorodinamic tests do research with a purpose
Degree of communicating under spider web spac
Level of violation the conductivines
Determination of admixtures of blood in licvore
Determination of extraneous body in licvore
All of answers are faithful
For injured with the trauma of the spine observed tetraplegia| with violation of functions the pelvic
organs, violation of breathing. What department spinal cord is damaged
In a breast
In neck
In reins
In a «horse tai
In a sacrum
Patients with the trauma of spine has a lower paraplegia with violation the functions of pelvic organs
on a central type. What department spinal cord is damaged?
In a breast
In neck
In rein
In a «horse tai
In a sacrum
215.
A.
B. *
What type of healing is named Sonatio of per secundom intentionem:
Healing primary tensin
C.
D.
E.
216.
A.
Healing under a scar
Healing through infiltration
All answers are faithful
Healing secondary tension
B. *
Medical tactic at the closed trauma of breasts with a damage lungs and tense pneumothorax
Conservative treatment
Drainage of pleura cavity
C.
D.
E.
Urgent thoracotomy
Use of artificial ventilation of lung
All answers are faithful
217.
A. *
What phase of the wounds process by M. I. Kuzin consists of two periods?
Phase of inflammation
B.
C.
D.
E.
218.
A.
B.
C.
D.
E. *
219.
A.
B.
C.
D.
E. *
220.
A.
B.
C.
D.
E. *
221.
A.
B.
C.
D.
E. *
222.
A.
B.
C. *
D.
E.
223.
Phase of regeneration
Phase of formation the scar
Phase of epithelisation
Phase of dehydration
What one the objective methods of estimation of the wound process healing
Area and speed of healing
Cytogram
Bacteriological determination of amount the microbes in a 1 gr of tissue or in 1 ml of exudat
Indexes tissue hemostasis
All answers are faithful
What principles of surgical treatment of the purulent wound
Surgical treatment of wound
Prain
Treatment in the guided antibacterial environment
Closing of the pus wound
All answers are right
Improved surgical treatment of wound it is
Treatment a pulsating stream
Treatment a vacuum
Treatment of the last
Treatment an ultrasound
All answers are faithful
What does behave to principles of the antibacterial therapy?
Determination of sensitiveness the microorganisms to the antibiotics
Use antibiotics of wide spectr action
Change of antibiotics in 7-10 days
Different ways of introduction
All answers are faithful
What are types of tests on an allergy to the antibiotics?
On glas
On animal
On skin
Hypodermic
All answers are faithful
A.
To mediators of inflammatory reaction belong:
All answers are faithful
Amines
Proteases
Cytokines
Polipeptides
To the additional objective methods of estimation flowing the wound process belong
Morphology of wounds
B.
C. *
D.
Wound electro-potential
All answers are right
Termography the wounds
A. *
B.
C.
D.
E.
224.
E.
D.
E.
Polyarography
How many types of the cytograms are?
One
Ten
Six
Three
Four
Transfer the ways of introduction the antibioti
All of answers are right
Intramuscularis
Intravenous
Intraarterialis
Endolyphatics
In the phase the wound process ephythelization| wound takes a plase
Inflammation
Regeneration
Reorganization of sc
Dehydratation
Rehydratayion
What phase of the wound process a synthesis of collagen is presen
Inflammation
Regeneration
Reorganization of structures
Dehydratation
Rehydratayion
What phase of the wound process prolipheration of cells is prease
Inflammationes
Regenerationes
Reorganization of scar
Dehydratationes
Rehydratationes
What phase of the wound process a wound contraction| is presen
Inflammation
Regeneration
Reorganization of scar
Dehydratation
Rehydratayion
What phase of wound process by M.I.Kuzin a selection the mediators of inflammation is present
Inflammatin
Regeneration
Reorganization of scar
Dehydratation
Rehydratation
232.
A. *
What classification the phases of wound process use on the modern stage?
By Kuzin
225.
A.
B.
C. *
D.
E.
226.
A. *
B.
C.
D.
E.
227.
A.
B. *
C.
D.
E.
228.
A.
B. *
C.
D.
E.
229.
A.
B. *
C.
D.
E.
230.
A.
B. *
C.
D.
E.
231.
A. *
B.
C.
B.
C.
D.
E.
By Rufanv
By Leguminov
By Vishnevsky
By Dacenko