Download ID_3890_2-Introduction to surgery

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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? 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 faithful.
What tool can not sterilized in a dry-hot safe?
Clamps.
Farabef’ hooks.
Laparoscope.
Metallic probes.
Vehicle for sewing together of organs.
What types of primary surgical treatment of wound do exist?
Early and late;
Early, late and deferred;
Early, late, deferred and mixed;
Only early;
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 late 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 wound?
In the first day after wounding;
During two days;
After 48 hours;
From 1 to 3 hours;
All of answers are correct.
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.
According urgency there are distinguish next operations:
Emergency, urgent, palliative;
Planned, emergency, multistage;
Emergency, urgent, planned;
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Radical, planned, palliative;
Diagnostic, routine, one-landmark.
Advantage of endotracheal method of anesthesia is:
creation of optimum terms for work of surgeon;
support of patency of airways;
prevention of development of bronchial spasm;
prevention of stop of heart;
providing of good analgesia.
Advantage of intravenous general anesthesia consists in, that:
the compound apparatus is not required;
absent stage of excitation;
rapid introduction to anesthesia;
explosion-safety;
all answers are correct.
An operation on vital indications is conducted at:
bleeding, that proceeds;
benign tumor;
malignant tumor;
obliterative endarteriitis;
varicose dilatation of veins of lower extremities.
An urgent operation was indicated at:
varicose dilatation of veins of lower extremities;
lipoma;
perforated gastric ulcer;
trophic ulcer;
cancer of liver.
Anesthetic properties 0,5 % solution of novocaine at one-time introduction saved:
to 30 minutes;
to 1 hour;
to 1,5 - 2 hours
to 2 -3 hours;
to 4 hours.
Aspiration of content of stomach can lead:
to cyanosis and shortness of breath;
to the asphyxia;
to pneumonia;
to atelectasis of lungs;
all answers are correct.
At what type of analgesia it is necessary artificial ventilation of lungs after an operation?
Intravenous anesthesia.
Neuroleptanalgesia.
Ataralgesia.
Central anesthesia.
Rectal anesthesia.
Choose patients which have a risk of development of atelectasis and pneumonias:
Which is appointing an operation under no inhalation narcosis.
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Which smoke.
At which mobility was reduced after an operation.
With a metabolic disturbance.
Which accepted anticoagulants.
Choose patients which have a risk of origin of thrombosis of deep veins in a postoperative period:
Which is appointing an operation under no-inhalation anesthesia.
At which an operation is executed under endotracheal narcosis.
At which mobility was reduced after an operation.
With a metabolic disturbance.
Which accepted anticoagulants.
Choose the complex of preparations for premedication:
Dimedrolum, chloropyramine, promedol.
Dimedrolum, promedol, atropine sulfate.
Promedol, atropine sulfate, methacin.
Promedol, atropine sulfate, omnopon.
Morphine hydrochloride, promedol, atropine sulfate.
Choose the critical indexes of the state of the cardiac-vessel system:
Frequency of pulse over 120 per 1 min.
Frequency of pulse over 110 per 1 min.
Frequency of pulse over 100 per 1 min.
Frequency of pulse over 90 per 1 min.
Frequency of pulse over 80 per 1 min.
Choose the critical indexes of the state of the central nervous system:
Muttering delirium and psychic excitement.
Presence of paresis of extremities.
Prolapse of inter-vertebral disks.
Origin of nausea.
Dryness of mucous membrane of oral cavity.
Choose the critical indexes of the state of the respiratory system:
Frequency of respiratory motions over 14 per 1 min.
Frequency of respiratory motions over 18 per 1 min.
Frequency of respiratory motions over 20 per 1 min.
Frequency of respiratory motions over 24 per 1 min.
Frequency of respiratory motions over 30 per 1 min.
Choose the maximal critical indexes of the state of heat regulation:
Temperature of body over 38? C.
Temperature of body over 38,5? C.
Temperature of body over 39? C.
Temperature of body over 39,5? C.
Temperature of body over 37? C.
Choose the signs of paralytic intestinal impassability of early postoperative period:
A peristalsis increases with passage of gases.
Constipations appear, but gases depart increased.
Absence of peristalsis, delay passage of gases.
Cramping stomach-ache in default of peristalsis.
Spastic stomach-ache because of delay passage of gases.
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Choose the upper critical indexes of arterial pressure:
The increase of systolic arterial pressure over 170 mm Hg.
The increase of systolic arterial pressure to 180 mm Hg.
The increase of systolic arterial pressure to 190 mm Hg.
The increase of systolic arterial pressure to 200 mm Hg.
The increase of systolic arterial pressure to 210 mm Hg.
Circulatory hypoxia, as complication of general anesthesia, develops as a result:
haemolysis;
blockades of hemoglobin;
to arterial hypotension;
presences are in the trachea of double-lumen tube;
violations of acid-base balance.
Correct position of endotracheal tube is in a trachea:
a tube was entered maximally deeply;
cuff at the level of sub copula space;
cuff at the level of glottis;
cuff at level laryngeal cartilages;
overhead cut of tube on the edge of teeth.
During conducting of general anesthesia in urgent operated patients have problems:
complete stomach;
acute cardiac insufficiency;
expressed violations of hemostasis;
acute respiratory insufficiency;
expressed intoxication.
During fibrillation of ventricles is used:
electric defibrillation;
introduction of salts of potassium; introduction of salts of calcium;
introduction of salts of magnesium;
electrical pacing.
Essence of method of medical anesthesia consists:
in the use of little-toxic preparations;
in good dirigibility by anesthesia;
in the use of artificial ventilation of lungs;
in creation of terms for normalization of interchange of gases and haemodynamics;
in the exception of emotional reaction.
For what time a patient must master the bases of the preoperative teaching in the period of the
planned preparation?
For 1 day.
For 2 days.
For all preoperative period.
For 2-3 hours.
For 4 days.
How does breathing change in an early postoperative period?
Becomes sparse and deep.
Becomes frequent and superficial.
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Becomes sparse and superficial.
Becomes frequent and deep.
Periodically there are delays of breathing on exhalation.
How does the temperature of body change in an early postoperative period?
Goes down to 36? C.
Rises to 38-38,5? C.
Goes down comparatively with preoperative.
Rises to low grade fever with a small increase.
Rises to low grade fever with an insignificant increase in the morning.
How many continued an early postoperative period?
5-6 days.
10-12 days.
Before discharge of patient from a hospital.
Before the removal of stitches.
3-6 months
How many continued late postoperative period?
Before discharge of patient from a hospital.
14-21 days.
Before complete convalescence or translation on disability.
Before the removal of stitches.
3-6 months
How many does proceed the anabolic phase of postoperative period?
3-4 weeks.
The first thing 3-7 days.
9-30 days.
4-9 days.
The first thing two weeks.
How many does proceed the transitional phase of postoperative period?
3-6 months
3-5 days.
9-30 days.
4-9 days.
The first thing two weeks.
How many does the phase of convalescence proceed in a postoperative period?
3-6 weeks.
The first thing 3-7 days.
9-30 days.
4-9 days.
Near one year.
How many times does precede the formation stage in a postoperative period?
3-5 days.
One month.
About 6 month
One year
Before complete convalescence or adaptation to the new operating conditions.
How many times does precede the stage of renewal in a postoperative period?
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3-5 days.
One month.
About 6 month
One year
Before complete convalescence or adaptation to the new operating conditions.
How must behave patient after premedication?
At once to go to the operating-room.
To have the cup of water.
To try fall asleep.
Not to stand up from a bed.
Stay in a ward.
How must behave patient before premedication?
To pass urine.
To lie down on trolley.
To use the little quantity of liquid food.
To have the cup of water.
To go in operating-room.
How to socialize with a patient, if does he badly hears in default of for him hearing device?
Sign language translation.
Loudly to speak.
To write a question on a paper.
To communicate through relatives.
In detail to explain that from him require.
How to socialize with a patient, if does he badly sees in default of for him glasses?
Loudly to speak.
To write a question on a paper.
Sign language translation.
In detail to explain that from him require.
To communicate through relatives.
In what stage of anesthesia the most expedient conducting of most operations at the use of the
combined anesthesia with muscle relaxants?
1 stage;
II stage;
The III stage - a 1st level;
The III stage - a 2nd level;
The III stage - a 3rd level.
In what subsection is it necessary to write sending to conducting of electrocardiography?
In a clinical laboratory.
In the cabinet of functional diagnostics.
In roentgenological room.
In a manipulation cabinet.
In an observational cabinet.
In what time is the result of conducting of tests taken into account through on sensitiveness to
medicinal preparations?
In 10 min.
In 5 min.
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In 30 min.
In 2-3 min.
In 15 min.
Name standard procedure for cleaning of intestine before the planned operation:
Wash a stomach.
To aspirate gastric contents.
Appoint laxatives.
Put of cleansing enemas.
Prescribe hunger.
On what day of postoperative period the temperature of body must be normalized?
On 2nd.
On 2-3rd.
On 3-4th.
On 4-5th.
On 6-7th.
On what does the positive Shchotkin-Blumberg symptom specify?
“Acute abdomen” syndrome.
Acute appendicitis.
Perforated ulcer.
Peritonitis.
Pain in abdomen.
Please, define the lower critical indexes of arterial pressure:
Reduction of systolic arterial pressure to 100 mm Hg.
Reduction of systolic arterial pressure to 90 mm Hg.
Reduction of systolic arterial pressure to 80 mm Hg.
Reduction of systolic arterial pressure to 70 mm Hg.
Reduction of systolic arterial pressure to 60 mm Hg.
Preoperative measures, that diminish the danger of infecting of operating wound, are:
bath;
antibacterial therapy;
shaving of skin covers;
cleaning of gastro-intestinal tract;
all of the above-mentioned.
Preparation of intestine in preoperative period stipulate prescribing:
expectorant preparations;
low-roughage diet;
probe feed;
cleansing enemas;
cold on abdomen.
Prophylaxis of clot-embolic complications after operations includes:
bandaging of lower extremities by elastic bandage;
application of anticoagulants
application of desagregants;
early rising
all of the above-mentioned.
Prophylaxis of suppuration of operating wound:
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frequent stitches on a wound;
resorbtive stitches on a wound;
drainaging of wound;
exercise therapy;
hermetic bandage.
Specify measures, directed on the prophylaxis of pulmonary complications after an operation:
setting of preparations of iron;
breathing in a nitrous oxide;
washing of stomach;
respiratory gymnastics;
cold on abdomen.
Specify reason which the planned operation can be adjourning at:
Arrhythmia.
Active pulmonary tuberculosis.
Appearance of menstruation in women.
An increase of amount of leucocytes is in the general blood analysis.
All answers are correct.
Specify the critical index of pulse pressure:
40-50.
30-38.
25-29.
20-24.
Less as 20.
Specify the features of patient’s nutrition before the planned operation under general narcosis.
Let to use only liquid food not later as for 5 hours before anesthesia.
Does not let to use even liquid food for 6-8 hours before anesthesia.
Break off to feed a patient on a supper in eve an operating day.
Break off to feed a patient in dinner in eve an operating day.
Not later as for 4 hours before anesthesia let to have a drink the cup of not strong tea.
Specify the maximal amount of cleansing enemas, which can put medical sister in the evening before
the planned operation:
One.
Two.
Three.
Four.
Unlimited amount.
That does lie in basis of conducting of the preoperative teaching of patient?
Sedative therapy.
Articles of care.
Sanitary bulletins.
Purposeful conversations.
Medical physical education.
That does take a place in the stage of formation of postoperative period?
Adaptation of organism to the new functioning conditions.
Physiological transition from an operating trauma to the normal functioning of organism.
Activity of all of organs and systems is stabilized.
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The fatty supplies of organism recommence, his resistibility rises.
The synthesis of proteins, fats and carbohydrates is increased.
That does take a place in the stage of resumption in a postoperative period?
Adaptation of organism to the new functioning conditions.
Physiological transition from an operating trauma to the normal functioning of organism.
Reparative processes recommence in a wound due to the own proteins of organism.
Increase of exchange of matters as a result of activation of the sympathoadrenal system.
The volume of circulatory blood diminishes, activation of the systems and clotting of blood
increases.
That does take a place with an intestine in an early postoperative period after an operation on the
organs of abdominal region?
There is paralytic intestinal impassability.
Constipations appear.
Excrement the masses do not appear.
Gases depart increased.
A liquid accumulates in a digestive channel.
That to do, if during examination of patient in admitting department did find out pediculosis?
Refuse to hospitalization.
To execute standard treatment at pediculosis and hospitalize.
To send a patient in a skin-venereal dispensary.
To send a patient in an infectious department.
To execute standard treatment at pediculosis and refuse to hospitalization.
The basic defect of mask anesthesia is:
large aerodynamic resistance;
increase of dead space;
absence of isolation of respiratory tracts;
necessity of warning of falling back of tongue;
bad controllability of anesthesia.
The indication of necessity of translation of patient on artificial ventilation of lungs is:
tension of oxygen in arterial blood 120 mm Hg;
tension of oxygen in arterial blood 60 mm Hg;
tension of carbonic acid in arterial blood 35 mm Hg;
a vital capacity of lungs is 80% from the proper;
satiation of hemoglobin by oxygen is 90%.
The lack of intravenous general anesthesia is conditioned:
by heavy dirigibility by anesthesia;
saving of tone of skeletal muscles;
by the danger of asphyxia as a result of falling back of tongue and vomiting;
saving of activity of reflexes;
by the short-time of narcosis.
The planned operative treatment is conducted on an occasion:
acute appendicitis;
strangulated hernia;
bleeding from the damaged vessel;
asphyxia;
bile-stones diseases.
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To the diagnostic operations behave:
Appendectomy;
Hernioplasty;
Biopsy of lymph nodes;
Reduction of shoulder’ dislocation;
Opening of whitlow.
To the radical operation behave:
cholecystectomy;
gastrostomy concerning the cancer of esophagus;
roundabout anastomosis at the cancer of bowel;
biopsy;
puncture of pleural cavity.
To what can bring a presence of gastric contents during anesthesia?
Arrhythmia.
Flatulence.
Aspiration.
To intestinal obstruction.
To laryngospasm.
To what can bring frequent application of cleansing enemas?
To destroying of potassium from an organism.
To laryngospasm.
To the decrease of arterial pressure.
To the increase of intercellular liquid.
To destroying of calcium from an organism.
What advantage of intravenous anesthesia?
Protracted anesthesia.
Absent of excitation.
Slow introduction in narcosis.
Oppressing of neurosis reaction.
Suppression of function of vagus nerve.
What advantages of neuroleptanalgesia?
Quick growth of indifference to surroundings.
Absence of motive excitation.
Decline of expressed of vegetative reactions.
Decline of expressed of metabolic reactions.
All of the transferred advantages
What are contra-indications to application 0,15 % water-emulsive solution of karbophos?
Children to 5 years old.
Children to 12 years old.
People of advanced age.
People of senile age.
In the case of a positive intra-skin test.
What characteristic anabolic phase of postoperative period?
By the increased synthesis of proteins, glycogen, fats which was lost during an operation.
An active synthesis at first of proteins begins, glycogen, and then - and fats.
By addition to the fatty supplies, stopping of loss of mass of body, proceeding in a capacity.
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By the use of necessary power and plastic materials due to own proteins, fats and carbohydrates.
The increased selection of hormones of adrenal glands is halted.
What characteristic catabolic phase of postoperative period?
By the increased synthesis of proteins, glycogen, fats which was lost during an operation.
An active synthesis at first of proteins begins, glycogen, and then - and fats.
By addition to the supplies of fats, stopping of loss of mass of body, proceeding in a capacity.
Promoted disintegration of proteins.
The processes of reparative regeneration are completed.
What characteristic phase of convalescence in a postoperative period?
By the increased synthesis of proteins, glycogen, fats which was lost during an operation.
An active synthesis at first of proteins begins, glycogen, and then - and fats.
By addition to the fatty supplies, stopping of loss of mass of body, proceeding in a capacity.
By the grant of necessary power and plastic materials due to own proteins, fats and carbohydrates.
The increased selection of hormones of adrenal glands is halted.
What characteristic transition phase of postoperative period?
By the increased synthesis of proteins, glycogen, fats which was lost during an operation.
An active synthesis at first of proteins begins, glycogen, and then - and fats.
By addition to the fatty supplies, stopping of loss of mass of body, proceeding in a capacity.
By the use necessary power and plastic materials due to own proteins, fats and carbohydrates.
The processes of reparative regeneration are completed.
What concentration of novocaine is used for anesthesia by A.V.Wishnevsky:
1%;
0,5%;
10%
0,25%;
5%;
What feature of individual anti-AIDS protection in the case of work with blood?
Hands disinfect by 3 % solution of chloramines.
Use disposable medical clothes.
Put on a surgical mask, this does not skip moisture.
Put on 2 pair of rubber gloves, face-guard, glasses.
After work with blood take a shower.
What is duration of catabolic phase of postoperative period?
5-7 days.
10-12 days.
7-8 days.
Before the removal of stitches.
3-6 months
What is duration of remote postoperative period (rehabilitations)?
5-7 days.
10-12 days.
7-8 days.
From 3 weeks there are to 3 months
3-6 months
What is must be applied as a solvent of antibiotics in the case of conducting of diagnostic test on
sensitiveness to him?
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0,9 % solution of sodium of chloride.
0,25 % solution of novocaine.
10 % solution of calcium of chloride.
0,5 % solution of novocaine.
2% solution of lidocaini.
What it is «prophylactic premedication»?
Introduction of medicinal preparations for prevention of complications during anesthesia.
Conducting of conversation with a patient about an operation and preparation to it.
Psychological preparation of patient’s family.
Social preparation of patient and his family.
Decision of patient’s problems by means of medicinal therapy.
What it is anorexia?
Hit of foreign body in the respiratory tracts.
Hit of vomit masses in the stomach.
Absence of appetite.
Vomiting.
Absence of air in lungs.
What it is aspiration?
Hit of foreign body in the respiratory tracts.
Hit of vomit masses in the stomach.
Stopping of receipt of air in the lungs.
Stopping of breathings.
Falling back of tongue.
What it is diaphragmatic breathing?
Breathing with detention on inhalation.
Breathing with detention on exhalation.
Breathing, when pectoral and abdominal walls protruded on inhalation.
Breathing, when pectoral wall protruded on inhalation.
Breathing, when an abdominal wall protruded on inhalation.
What it is initial information?
Information with which begins communication with a patient.
Passport information of patient.
Information got during the subjective inspection of patient.
Main purchased problems of patient.
Information, necessary for socializing with a patient, and about possibility of self-service.
What it is pulse pressure?
Difference between frequency of pulse and breathing frequency.
Difference between systolic arterial pressure and pulse.
Difference between systolic and diastolic arterial pressure.
Difference between diastolic arterial pressure and pulse.
Correlation between the temperature of body and by a pulse.
What minimum size of hyperemia in the case of a positive intra-skin test on medicinal preparation?
0,1 cm.
0,5 cm.
0,9 cm.
1,0 cm.
E.
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B. *
C.
D.
E.
97.
A.
B.
C.
D.
E. *
98.
A.
B.
C.
D.
E. *
99.
2,0 mm.
What position of body is correct during conducting of operation under spinal anesthesia solution of
cincoccaine hydrochloride?
with the dropped upper half of body (Trendelenburg’ position);
with the brought upper half of body;
horizontal;
on a side, horizontal;
in position sitting, bowing forward.
What preoperative problem can become reason of the postoperative bleeding?
A presence is in anamnesis of nose-bleeds.
Increase of temperature of body.
Arrhythmia.
Diarrhea.
Appearance of menstruation in women.
What preparations are used at neuroleptanalgesia?
Sodium oxybate and fentanyl.
Seduxen and sodium oxybate.
Fentanyl and droperidol.
Droperidol and sodium oxybate.
Seduxen and droperidol.
What solution of novocaine is applied for introduction to the haematoma at the fracture of bones for
the receipt of anaesthetizing?
1%;
2%;
3%;
5%;
10%.
What stage of anesthesia is expansion of pupils in with saving of reaction on light?
in the first stage;
in the second stage;
in the third stage - a 1st level;
in the third stage - a 2nd level;
in the third stage - a 3rd level.
When does conduct prophylactic premedication?
After 30-40 min. before introduction to anesthesia.
In the morning in the day of operation.
Before sleep in eve an operation.
On an operating table before introduction to anesthesia.
In eve an operation.
When does shave the operating field before the planned operation?
Right before premedication.
In the day of arrival of patient in admitting department.
In the day of arrival of patient in permanent establishment.
In eve an operation.
In the day of operation.
When does the peristalsis of intestine recommence after an operation on a digestive channel?
A.
B. *
C.
D.
E.
100.
A.
B.
C.
D.
E. *
101.
A.
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. *
In 4-5 hours
In 3-4 days.
In 48 hours
In 2-3 days.
In 5th day.
When is the consent of patient for the last time confirmed to the operation?
At once to go in operating-room.
Before application of sleeping-pills in the evening the day before operation.
In the day of operation, in the morning.
Before a patient gave the written consent on an operation.
Direct before premedication.
Which, on your opinion, is the method of anaesthetizing most expedient during an operation
concerning a tendon whitlow?
Infiltration anesthesia;
Anesthesia by cooling;
Conduction anesthesia;
Intubation narcosis;
Intravenous anesthesia.
Who does conduct premedication to a patient?
Nurse on duty.
Nurse-anesthetist.
Doctor-anesthetist.
Manipulation nurse.
Scrub nurse.
With the purpose of prophylaxis of aspiration syndrome in urgent surgery it is necessary:
to give a patient Trendelenburg’ position;
to lay a patient on left side;
to empty a stomach by means of probe;
quickly to enter in the state of anesthesia;
to prevent muscle fibrillation on introduction of muscle relaxants.
With what ill-timed hospitalization of patient can be linked on the planned operation?
With intensifying of basic disease.
With the rejections of indexes in standard analyses.
With the general cleaning up of operating block.
With vacation of managing surgical department.
With the ill-timed handing over of standard necessary analyses.
With what is a preoperative period begun?
From registration of patient in admitting department.
From the receipt of consent of patient on an operation.
With admitting of patient in permanent establishment.
From the first doctor’s prescribing.
From setting of date of operation.
You will define complication, in which can result an unsolved problem - is arrhythmia:
Postoperative trembling.
Postoperative bradycardia.
Stop of heart work during an operation.
D.
E.
107.
A.
B.
C.
D.
E. *
108.
A.
B.
C. *
D.
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.
Decrease of arterial pressure.
Acute myocarditis.
You will define preoperative complication, in which can result an unsolved problem - is tachycardia:
Postoperative trembling.
Postoperative bradycardia.
Decrease of arterial pressure.
Acute myocarditis.
Acute cardiac-vascular insufficiency.
According urgency there are distinguish next operations:
Emergency, urgent, palliative;
Planned, emergency, multistage;
Emergency, urgent, planned;
Radical, planned, palliative;
Diagnostic, routine, one-landmark.
Advantage of endotracheal method of anesthesia is:
creation of optimum terms for work of surgeon;
support of patency of airways;
prevention of development of bronchial spasm;
prevention of stop of heart;
providing of good analgesia.
Advantage of intravenous general anesthesia consists in, that:
the compound apparatus is not required;
absent stage of excitation;
rapid introduction to anesthesia;
explosion-safety;
all answers are correct.
An operation on vital indications is conducted at:
bleeding, that proceeds;
benign tumor;
malignant tumor;
obliterative endarteriitis;
varicose dilatation of veins of lower extremities.
An urgent operation was indicated at:
varicose dilatation of veins of lower extremities;
lipoma;
perforated gastric ulcer;
trophic ulcer;
cancer of liver.
Anesthetic properties 0,5 % solution of novocaine at one-time introduction saved:
to 30 minutes;
to 1 hour;
to 1,5 - 2 hours
to 2 -3 hours;
to 4 hours.
Aspiration of content of stomach can lead:
to cyanosis and shortness of breath;
B.
C.
D.
E. *
115.
A.
B.
C.
D. *
E.
116.
A.
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. *
to the asphyxia;
to pneumonia;
to atelectasis of lungs;
all answers are correct.
At what type of analgesia it is necessary artificial ventilation of lungs after an operation?
Intravenous anesthesia.
Neuroleptanalgesia.
Ataralgesia.
Central anesthesia.
Rectal anesthesia.
Choose patients which have a risk of development of atelectasis and pneumonias:
Which is appointing an operation under no inhalation narcosis.
Which smoke.
At which mobility was reduced after an operation.
With a metabolic disturbance.
Which accepted anticoagulants.
Choose patients which have a risk of origin of thrombosis of deep veins in a postoperative period:
Which is appointing an operation under no-inhalation anesthesia.
At which an operation is executed under endotracheal narcosis.
At which mobility was reduced after an operation.
With a metabolic disturbance.
Which accepted anticoagulants.
Choose the complex of preparations for premedication:
Dimedrolum, chloropyramine, promedol.
Dimedrolum, promedol, atropine sulfate.
Promedol, atropine sulfate, methacin.
Promedol, atropine sulfate, omnopon.
Morphine hydrochloride, promedol, atropine sulfate.
Choose the critical indexes of the state of the cardiac-vessel system:
Frequency of pulse over 120 per 1 min.
Frequency of pulse over 110 per 1 min.
Frequency of pulse over 100 per 1 min.
Frequency of pulse over 90 per 1 min.
Frequency of pulse over 80 per 1 min.
Choose the critical indexes of the state of the central nervous system:
Muttering delirium and psychic excitement.
Presence of paresis of extremities.
Prolapse of inter-vertebral disks.
Origin of nausea.
Dryness of mucous membrane of oral cavity.
Choose the critical indexes of the state of the respiratory system:
Frequency of respiratory motions over 14 per 1 min.
Frequency of respiratory motions over 18 per 1 min.
Frequency of respiratory motions over 20 per 1 min.
Frequency of respiratory motions over 24 per 1 min.
Frequency of respiratory motions over 30 per 1 min.
122.
A.
B.
C.
D. *
E.
123.
A.
B.
C. *
D.
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.
Choose the maximal critical indexes of the state of heat regulation:
Temperature of body over 38? C.
Temperature of body over 38,5? C.
Temperature of body over 39? C.
Temperature of body over 39,5? C.
Temperature of body over 37? C.
Choose the signs of paralytic intestinal impassability of early postoperative period:
A peristalsis increases with passage of gases.
Constipations appear, but gases depart increased.
Absence of peristalsis, delay passage of gases.
Cramping stomach-ache in default of peristalsis.
Spastic stomach-ache because of delay passage of gases.
Choose the upper critical indexes of arterial pressure:
The increase of systolic arterial pressure over 170 mm Hg.
The increase of systolic arterial pressure to 180 mm Hg.
The increase of systolic arterial pressure to 190 mm Hg.
The increase of systolic arterial pressure to 200 mm Hg.
The increase of systolic arterial pressure to 210 mm Hg.
Circulatory hypoxia, as complication of general anesthesia, develops as a result:
haemolysis;
blockades of hemoglobin;
to arterial hypotension;
presences are in the trachea of double-lumen tube;
violations of acid-base balance.
Correct position of endotracheal tube is in a trachea:
a tube was entered maximally deeply;
cuff at the level of sub copula space;
cuff at the level of glottis;
cuff at level laryngeal cartilages;
overhead cut of tube on the edge of teeth.
During conducting of general anesthesia in urgent operated patients have problems:
complete stomach;
acute cardiac insufficiency;
expressed violations of hemostasis;
acute respiratory insufficiency;
expressed intoxication.
During fibrillation of ventricles is used:
electric defibrillation;
introduction of salts of potassium; introduction of salts of calcium;
introduction of salts of magnesium;
electrical pacing.
Essence of method of medical anesthesia consists:
in the use of little-toxic preparations;
in good dirigibility by anesthesia;
in the use of artificial ventilation of lungs;
D.
E. *
130.
A. *
B.
C.
D.
E.
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.
in creation of terms for normalization of interchange of gases and haemodynamics;
in the exception of emotional reaction.
For what time a patient must master the bases of the preoperative teaching in the period of the
planned preparation?
For 1 day.
For 2 days.
For all preoperative period.
For 2-3 hours.
For 4 days.
How does breathing change in an early postoperative period?
Becomes sparse and deep.
Becomes frequent and superficial.
Becomes sparse and superficial.
Becomes frequent and deep.
Periodically there are delays of breathing on exhalation.
How does the temperature of body change in an early postoperative period?
Goes down to 36? C.
Rises to 38-38,5? C.
Goes down comparatively with preoperative.
Rises to low grade fever with a small increase.
Rises to low grade fever with an insignificant increase in the morning.
How many continued an early postoperative period?
5-6 days.
10-12 days.
Before discharge of patient from a hospital.
Before the removal of stitches.
3-6 months
How many continued late postoperative period?
Before discharge of patient from a hospital.
14-21 days.
Before complete convalescence or translation on disability.
Before the removal of stitches.
3-6 months
How many does proceed the anabolic phase of postoperative period?
3-4 weeks.
The first thing 3-7 days.
9-30 days.
4-9 days.
The first thing two weeks.
How many does proceed the transitional phase of postoperative period?
3-6 months
3-5 days.
9-30 days.
4-9 days.
The first thing two weeks.
How many does the phase of convalescence proceed in a postoperative period?
A. *
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. *
3-6 weeks.
The first thing 3-7 days.
9-30 days.
4-9 days.
Near one year.
How many times does precede the formation stage in a postoperative period?
3-5 days.
One month.
About 6 month
One year
Before complete convalescence or adaptation to the new operating conditions.
How many times does precede the stage of renewal in a postoperative period?
3-5 days.
One month.
About 6 month
One year
Before complete convalescence or adaptation to the new operating conditions.
How must behave patient after premedication?
At once to go to the operating-room.
To have the cup of water.
To try fall asleep.
Not to stand up from a bed.
Stay in a ward.
How must behave patient before premedication?
To pass urine.
To lie down on trolley.
To use the little quantity of liquid food.
To have the cup of water.
To go in operating-room.
How to socialize with a patient, if does he badly hears in default of for him hearing device?
Sign language translation.
Loudly to speak.
To write a question on a paper.
To communicate through relatives.
In detail to explain that from him require.
How to socialize with a patient, if does he badly sees in default of for him glasses?
Loudly to speak.
To write a question on a paper.
Sign language translation.
In detail to explain that from him require.
To communicate through relatives.
In what stage of anesthesia the most expedient conducting of most operations at the use of the
combined anesthesia with muscle relaxants?
1 stage;
II stage;
The III stage - a 1st level;
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. *
152.
The III stage - a 2nd level;
The III stage - a 3rd level.
In what subsection is it necessary to write sending to conducting of electrocardiography?
In a clinical laboratory.
In the cabinet of functional diagnostics.
In roentgenological room.
In a manipulation cabinet.
In an observational cabinet.
In what time is the result of conducting of tests taken into account through on sensitiveness to
medicinal preparations?
In 10 min.
In 5 min.
In 30 min.
In 2-3 min.
In 15 min.
Name standard procedure for cleaning of intestine before the planned operation:
Wash a stomach.
To aspirate gastric contents.
Appoint laxatives.
Put of cleansing enemas.
Prescribe hunger.
On what day of postoperative period the temperature of body must be normalized?
On 2nd.
On 2-3rd.
On 3-4th.
On 4-5th.
On 6-7th.
On what does the positive Shchotkin-Blumberg symptom specify?
“Acute abdomen” syndrome.
Acute appendicitis.
Perforated ulcer.
Peritonitis.
Pain in abdomen.
Please, define the lower critical indexes of arterial pressure:
Reduction of systolic arterial pressure to 100 mm Hg.
Reduction of systolic arterial pressure to 90 mm Hg.
Reduction of systolic arterial pressure to 80 mm Hg.
Reduction of systolic arterial pressure to 70 mm Hg.
Reduction of systolic arterial pressure to 60 mm Hg.
Preoperative measures, that diminish the danger of infecting of operating wound, are:
bath;
antibacterial therapy;
shaving of skin covers;
cleaning of gastro-intestinal tract;
all of the above-mentioned.
Preparation of intestine in preoperative period stipulate prescribing:
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.
A.
B.
C.
expectorant preparations;
low-roughage diet;
probe feed;
cleansing enemas;
cold on abdomen.
Prophylaxis of clot-embolic complications after operations includes:
bandaging of lower extremities by elastic bandage;
application of anticoagulants
application of desagregants;
early rising
all of the above-mentioned.
Prophylaxis of suppuration of operating wound:
frequent stitches on a wound;
resorbtive stitches on a wound;
drainaging of wound;
exercise therapy;
hermetic bandage.
Specify measures, directed on the prophylaxis of pulmonary complications after an operation:
setting of preparations of iron;
breathing in a nitrous oxide;
washing of stomach;
respiratory gymnastics;
cold on abdomen.
Specify reason which the planned operation can be adjourning at:
Arrhythmia.
Active pulmonary tuberculosis.
Appearance of menstruation in women.
An increase of amount of leucocytes is in the general blood analysis.
All answers are correct.
Specify the critical index of pulse pressure:
40-50.
30-38.
25-29.
20-24.
Less as 20.
Specify the maximal amount of cleansing enemas, which can put medical sister in the evening before
the planned operation:
One.
Two.
Three.
Four.
Unlimited amount.
That does lie in basis of conducting of the preoperative teaching of patient?
Sedative therapy.
Articles of care.
Sanitary bulletins.
D. *
E.
160.
A.
B. *
C.
D.
E.
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.
B.
C. *
D.
E.
Purposeful conversations.
Medical physical education.
That does take a place in the stage of formation of postoperative period?
Adaptation of organism to the new functioning conditions.
Physiological transition from an operating trauma to the normal functioning of organism.
Activity of all of organs and systems is stabilized.
The fatty supplies of organism recommence, his resistibility rises.
The synthesis of proteins, fats and carbohydrates is increased.
That does take a place in the stage of resumption in a postoperative period?
Adaptation of organism to the new functioning conditions.
Physiological transition from an operating trauma to the normal functioning of organism.
Reparative processes recommence in a wound due to the own proteins of organism.
Increase of exchange of matters as a result of activation of the sympathoadrenal system.
The volume of circulatory blood diminishes, activation of the systems and clotting of blood
increases.
That does take a place with an intestine in an early postoperative period after an operation on the
organs of abdominal region?
There is paralytic intestinal impassability.
Constipations appear.
Excrement the masses do not appear.
Gases depart increased.
A liquid accumulates in a digestive channel.
That to do, if during examination of patient in admitting department did find out pediculosis?
Refuse to hospitalization.
To execute standard treatment at pediculosis and hospitalize.
To send a patient in a skin-venereal dispensary.
To send a patient in an infectious department.
To execute standard treatment at pediculosis and refuse to hospitalization.
The basic defect of mask anesthesia is:
large aerodynamic resistance;
increase of dead space;
absence of isolation of respiratory tracts;
necessity of warning of falling back of tongue;
bad controllability of anesthesia.
The indication of necessity of translation of patient on artificial ventilation of lungs is:
tension of oxygen in arterial blood 120 mm Hg;
tension of oxygen in arterial blood 60 mm Hg;
tension of carbonic acid in arterial blood 35 mm Hg;
a vital capacity of lungs is 80% from the proper;
satiation of hemoglobin by oxygen is 90%.
The lack of intravenous general anesthesia is conditioned:
by heavy dirigibility by anesthesia;
saving of tone of skeletal muscles;
by the danger of asphyxia as a result of falling back of tongue and vomiting;
saving of activity of reflexes;
by the short-time of narcosis.
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.
E. *
174.
A. *
B.
C.
The planned operative treatment is conducted on an occasion:
acute appendicitis;
strangulated hernia;
bleeding from the damaged vessel;
asphyxia;
bile-stones diseases.
To the diagnostic operations behave:
Appendectomy;
Hernioplasty;
Biopsy of lymph nodes;
Reduction of shoulder’ dislocation;
Opening of whitlow.
To the radical operation behave:
cholecystectomy;
gastrostomy concerning the cancer of esophagus;
roundabout anastomosis at the cancer of bowel;
biopsy;
puncture of pleural cavity.
To what can bring a presence of gastric contents during anesthesia?
Arrhythmia.
Flatulence.
Aspiration.
To intestinal obstruction.
To laryngospasm.
To what can bring frequent application of cleansing enemas?
To destroying of potassium from an organism.
To laryngospasm.
To the decrease of arterial pressure.
To the increase of intercellular liquid.
To destroying of calcium from an organism.
What advantage of intravenous anesthesia?
Protracted anesthesia.
Absent of excitation.
Slow introduction in narcosis.
Oppressing of neurosis reaction.
Suppression of function of vagus nerve.
What advantages of neuroleptanalgesia?
Quick growth of indifference to surroundings.
Absence of motive excitation.
Decline of expressed of vegetative reactions.
Decline of expressed of metabolic reactions.
All of the transferred advantages
What are contra-indications to application 0,15 % water-emulsive solution of karbophos?
Children to 5 years old.
Children to 12 years old.
People of advanced age.
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. *
B.
C.
D.
E.
182.
A.
People of senile age.
In the case of a positive intra-skin test.
What characteristic anabolic phase of postoperative period?
By the increased synthesis of proteins, glycogen, fats which was lost during an operation.
An active synthesis at first of proteins begins, glycogen, and then - and fats.
By addition to the fatty supplies, stopping of loss of mass of body, proceeding in a capacity.
By the use of necessary power and plastic materials due to own proteins, fats and carbohydrates.
The increased selection of hormones of adrenal glands is halted.
What characteristic catabolic phase of postoperative period?
By the increased synthesis of proteins, glycogen, fats which was lost during an operation.
An active synthesis at first of proteins begins, glycogen, and then - and fats.
By addition to the supplies of fats, stopping of loss of mass of body, proceeding in a capacity.
Promoted disintegration of proteins.
The processes of reparative regeneration are completed.
What characteristic phase of convalescence in a postoperative period?
By the increased synthesis of proteins, glycogen, fats which was lost during an operation.
An active synthesis at first of proteins begins, glycogen, and then - and fats.
By addition to the fatty supplies, stopping of loss of mass of body, proceeding in a capacity.
By the grant of necessary power and plastic materials due to own proteins, fats and carbohydrates.
The increased selection of hormones of adrenal glands is halted.
What characteristic transition phase of postoperative period?
By the increased synthesis of proteins, glycogen, fats which was lost during an operation.
An active synthesis at first of proteins begins, glycogen, and then - and fats.
By addition to the fatty supplies, stopping of loss of mass of body, proceeding in a capacity.
By the use necessary power and plastic materials due to own proteins, fats and carbohydrates.
The processes of reparative regeneration are completed.
What concentration of novocaine is used for anesthesia by A.V.Wishnevsky:
1%;
0,5%;
10%
0,25%;
5%;
What feature of individual anti-AIDS protection in the case of work with blood?
Hands disinfect by 3 % solution of chloramines.
Use disposable medical clothes.
Put on a surgical mask, this does not skip moisture.
Put on 2 pair of rubber gloves, face-guard, glasses.
After work with blood take a shower.
What is duration of catabolic phase of postoperative period?
5-7 days.
10-12 days.
7-8 days.
Before the removal of stitches.
3-6 months
What is duration of remote postoperative period (rehabilitations)?
5-7 days.
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.
A.
B.
C.
D.
E. *
189.
A.
B.
C. *
D.
10-12 days.
7-8 days.
From 3 weeks there are to 3 months
3-6 months
What is must be applied as a solvent of antibiotics in the case of conducting of diagnostic test on
sensitiveness to him?
0,9 % solution of sodium of chloride.
0,25 % solution of novocaine.
10 % solution of calcium of chloride.
0,5 % solution of novocaine.
2% solution of lidocaini.
What it is «prophylactic premedication»?
Introduction of medicinal preparations for prevention of complications during anesthesia.
Conducting of conversation with a patient about an operation and preparation to it.
Psychological preparation of patient’s family.
Social preparation of patient and his family.
Decision of patient’s problems by means of medicinal therapy.
What it is anorexia?
Hit of foreign body in the respiratory tracts.
Hit of vomit masses in the stomach.
Absence of appetite.
Vomiting.
Absence of air in lungs.
What it is aspiration?
Hit of foreign body in the respiratory tracts.
Hit of vomit masses in the stomach.
Stopping of receipt of air in the lungs.
Stopping of breathings.
Falling back of tongue.
What it is diaphragmatic breathing?
Breathing with detention on inhalation.
Breathing with detention on exhalation.
Breathing, when pectoral and abdominal walls protruded on inhalation.
Breathing, when pectoral wall protruded on inhalation.
Breathing, when an abdominal wall protruded on inhalation.
What it is initial information?
Information with which begins communication with a patient.
Passport information of patient.
Information got during the subjective inspection of patient.
Main purchased problems of patient.
Information, necessary for socializing with a patient, and about possibility of self-service.
What it is pulse pressure?
Difference between frequency of pulse and breathing frequency.
Difference between systolic arterial pressure and pulse.
Difference between systolic and diastolic arterial pressure.
Difference between diastolic arterial pressure and pulse.
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.
D.
E.
196.
A.
B.
C.
D.
E. *
197.
Correlation between the temperature of body and by a pulse.
What minimum size of hyperemia in the case of a positive intra-skin test on medicinal preparation?
0,1 cm.
0,5 cm.
0,9 cm.
1,0 cm.
2,0 mm.
What position of body is correct during conducting of operation under spinal anesthesia solution of
cincoccaine hydrochloride?
with the dropped upper half of body (Trendelenburg’ position);
with the brought upper half of body;
horizontal;
on a side, horizontal;
in position sitting, bowing forward.
What preoperative problem can become reason of the postoperative bleeding?
A presence is in anamnesis of nose-bleeds.
Increase of temperature of body.
Arrhythmia.
Diarrhea.
Appearance of menstruation in women.
What preparations are used at neuroleptanalgesia?
Sodium oxybate and fentanyl.
Seduxen and sodium oxybate.
Fentanyl and droperidol.
Droperidol and sodium oxybate.
Seduxen and droperidol.
What solution of novocaine is applied for introduction to the haematoma at the fracture of bones for
the receipt of anaesthetizing?
1%;
2%;
3%;
5%;
10%.
What stage of anesthesia is expansion of pupils in with saving of reaction on light?
in the first stage;
in the second stage;
in the third stage - a 1st level;
in the third stage - a 2nd level;
in the third stage - a 3rd level.
When does conduct prophylactic premedication?
After 30-40 min. before introduction to anesthesia.
In the morning in the day of operation.
Before sleep in eve an operation.
On an operating table before introduction to anesthesia.
In eve an operation.
When does shave the operating field before the planned operation?
A.
B.
C.
D.
E. *
198.
A.
B. *
C.
D.
E.
199.
A.
B.
C.
D.
E. *
200.
A.
B.
C. *
D.
E.
201.
A.
B. *
C.
D.
E.
202.
A.
B.
C. *
D.
E.
203.
A.
B.
C.
D.
E. *
204.
A.
B. *
C.
Right before premedication.
In the day of arrival of patient in admitting department.
In the day of arrival of patient in permanent establishment.
In eve an operation.
In the day of operation.
When does the peristalsis of intestine recommence after an operation on a digestive channel?
In 4-5 hours
In 3-4 days.
In 48 hours
In 2-3 days.
In 5th day.
When is the consent of patient for the last time confirmed to the operation?
At once to go in operating-room.
Before application of sleeping-pills in the evening the day before operation.
In the day of operation, in the morning.
Before a patient gave the written consent on an operation.
Direct before premedication.
Which, on your opinion, is the method of anaesthetizing most expedient during an operation
concerning a tendon whitlow?
Infiltration anesthesia;
Anesthesia by cooling;
Conduction anesthesia;
Intubation narcosis;
Intravenous anesthesia.
Who does conduct premedication to a patient?
Nurse on duty.
Nurse-anesthetist.
Doctor-anesthetist.
Manipulation nurse.
Scrub nurse.
With the purpose of prophylaxis of aspiration syndrome in urgent surgery it is necessary:
to give a patient Trendelenburg’ position;
to lay a patient on left side;
to empty a stomach by means of probe;
quickly to enter in the state of anesthesia;
to prevent muscle fibrillation on introduction of muscle relaxants.
With what ill-timed hospitalization of patient can be linked on the planned operation?
With intensifying of basic disease.
With the rejections of indexes in standard analyses.
With the general cleaning up of operating block.
With vacation of managing surgical department.
With the ill-timed handing over of standard necessary analyses.
With what is a preoperative period begun?
From registration of patient in admitting department.
From the receipt of consent of patient on an operation.
With admitting of patient in permanent establishment.
D.
E.
205.
A.
B.
C. *
D.
E.
206.
A.
B.
C.
D.
E. *
207.
A. *
B.
C.
D.
E.
208.
A.
B.
C.
D. *
E.
209.
A.
B. *
C.
D.
E.
210.
A.
B.
C. *
D.
E.
211.
A.
B.
C. *
D.
E.
212.
A. *
From the first doctor’s prescribing.
From setting of date of operation.
You will define complication, in which can result an unsolved problem - is arrhythmia:
Postoperative trembling.
Postoperative bradycardia.
Stop of heart work during an operation.
Decrease of arterial pressure.
Acute myocarditis.
You will define preoperative complication, in which can result an unsolved problem - is tachycardia:
Postoperative trembling.
Postoperative bradycardia.
Decrease of arterial pressure.
Acute myocarditis.
Acute cardiac-vascular insufficiency.
Active movement in the joints is
Movement in the joints, which makes the patient
Movement in the joints, which makes a doctor, viewing the patient
Movement in the joints after conductor’s anesthesia
Movement in the joints after general anesthesia
Movement in the joint after local anesthetic
Anatomical limbs shortening occurs
At dislocation of limbs
At contracture of joints
At fractures without shifting of rubble
At fractures of the shifting of rubble
At the turn-dislocation
At a joint overlapped coxed bandage?
Knee
The coxal
Ulnar
Ankle.
Shoulder
By conservative fixation method of treatment include:
Adhesive plaster traction
Skeleton traction
Cast
Intramedular osteosynthesis
Extra focal compression-distraction osteosynthesis
By conservative fixation treatments include
Adhesive plaster traction
Skeleton traction
Cast
Intramedular osteosynthesis
Extrafocal compression-distraction osteosynthesis
By the front range of spine team site include:
The body of the vertebrae, anterior and posterior longitudinal ligament, intervertebral disc
B.
C.
D.
E.
213.
A.
B.
C.
D. *
E.
214.
A.
B.
C.
D. *
E.
215.
A.
B.
C.
D.
E. *
216.
A.
B.
C.
D. *
E.
217.
A.
B.
C.
D. *
E.
218.
A.
B.
C. *
D.
E.
219.
A.
B.
C. *
D.
E.
The body of the vertebrae bearded and transverse processes, posterior longitudinal ligament
Through vertebrae, anterior and posterior longitudinal ligament, leaving the spinous processes
Arc of vertebrae, bearded, joint and the transverse processes
Arc of vertebrae transverse processes
By the medial (intrajoint) turn of the femur include:
Mezhvertluzhny fracture
Chrezvertluzhny fracture
Overfishing large jack
Transcervical fracture
Overfishing small jack
By the operational methods of treatment include
Cast
Overlay tire
Adhesive plaster traction
Osteosynthesis
Skeleton traction
By the operational methods of treatment of fractures include
Cast
Transportation tire
Adhesive plaster traction
Osteosynthesis
There is no right answer
By the turn of isolated pelvic bones belong
Acetabular fracture of the bottom
Overfishing pubis
Overfishing pubis and rump bones
Far fracture iliac bone
The gap
By the turn of lateral femoral include:
Subcapital fracture
Transcervical fracture
Fracture of the femur head
Mezhvertluzhnye fractures
Overfishing diaphysis
By the turn of the bones in violation of continuity pelvic rings true:
Overfishing pubis
Overfishing pubis on one side and the rump with the other
Overfishing pubic and rump bone with one hand
Over-the rear edge of the acetabulum
Far fracture iliac
Central dislocated hip is:
Front-upper dislocation
Rear-cap dislocation
Acetabular fracture of the bottom of protrusion head of the femur pelvis
Rear-cap dislocation
Rear-lower dislocation
220.
A.
B.
C. *
D.
E.
221.
A.
B.
C.
D.
E. *
222.
A.
B. *
C.
D.
E.
223.
A.
B. *
C.
D.
E.
224.
A. *
B.
C.
D.
E.
225.
A.
B.
C.
D. *
E.
226.
A.
B.
C. *
D.
E.
227.
A.
B.
Contracture - is
Lack of patient movement
The lack of movement in the joints
The restriction of the joints movements
False limb mobility
Acute pain in the movements of the joints
Describe the ventilator methods, which is used in the reanimation events
« Mouth in his mouth»
« Mouth in his nose»
Using the S-shaped air
Using masks and Ambu bag
All the methods
First aid in the clavicle fractures without shifting rubble
Placed back gypsum tire of shovels to radial-carpal join
Impose 8-like bandage
Impose skeletal traction
Impose central apparatus
Implementing intramedular osteosynthesis
For a relatively typical injurious shortening of the forearm, deformed of elbow joint, restricting
movement in it?
Elbow fracture process
Rear twist of the forearm
The anterior dislocation of the forearm
Epyprocess fracture of the humerus
Fracture of bones of the forearm
For what terminal condition characteristic pathological type of breathing?
Preagonal condition
Precoma
Clinical death
Biological death
All these states
Gypsum - is
BaSo4
Na2 So4
K 2 So4
CaSo4
No right answer
How long fixation bandages Dezo after reposition fresh dislocation of the shoulder
1 week
2 weeks
3 weeks
4 weeks
5 weeks
How much should inhale when Ventilator «mouth to mouth» or «mouth to nose»?
0,1 - 0,3 liters
0,5 - 1 liters
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.
D.
E.
232.
A.
B. *
C.
D.
E.
233.
A.
B.
C.
D. *
E.
234.
A.
B. *
C.
D.
E.
235.
1,2 - 1,5 liters
1,7 - 2 liters
2,1 - 2,5 liters
In a twist not damaged articular capsule?
Dislocation of lower jaw
Dislocation of shoulder
Dislocation of the forearm
Hip dislocated joints
Dislocated of knee
In typical dislocation is a shortening limb
Anatomical
Relative
Projection
Total
Physiological
Named disease which can cause pathological fracture?
Tumor
Rheumatism
Actinomikosis
Tetanus
Giardiasis
Named I phase of the reparative regeneration of bone tissue?
Catabolism tissue structures, proliferation of cellular elements
Organization and differentiation of tissue structures
Organization of angiogen bone structure
Full resumption of bone anatomic and physiological structure
Phase of scars reorganization
Named the conservative funds, which are used in the process of resumption of circulation?
Eufilin, calcium chloride, atropine
Adrenalin, calcium chloride, atropine
Eufilin, strofantin, adrenaline
Strofantin, calcium chloride, atropine
Strofantin, atropine, adrenaline
Named the IV phase of bone tissue reparative regeneration.
Catabolism tissue structures, proliferation of cellular elements
Organization and differentiation of tissue structures
Organization angiogenne bone structure
Full resumption of anatomic and physiological structure of bone
Phase reorganization scars
Pelvic bone fractures as a percentage of all fractures are:
1-2%
3-7%
8-10%
10-12%
0,5%
Pelvic fracture Malgenya this type of?
A.
B.
C.
D. *
E.
236.
A.
B.
C. *
D.
E.
237.
A. *
B.
C.
D.
238.
A.
B. *
C.
D.
239.
A. *
B.
C.
D.
240.
A. *
B.
C.
D.
241.
A.
B.
C.
D.
E. *
242.
A. *
B.
C.
D.
E.
243.
A.
The gap iliac sacroiliac joints on the one hand
Overfishing pubic and rump bones on the one hand
Overfishing pubic and rump bones on both sides
The gap iliac sacroiliac joints with one pubic and rump bones on the one hand
The gap iliac sacroiliac joints with one pubic and rump bone on the other hand
Relative to shorten the limb meets
At fractures without shifting rubble
At fractures of the shifting rubble
At dislocation of limbs
At the false limb joints
At bone defects
S. Angle, an open forward
Angle, open outwards
Angle opened inward
Angle, an open back
All answers are correct
S. In ulnar side
In the back of the
In the palm side of
In the beam of the
Do not move
S. Projection
Anatomical
Relative (dislocation)
Total
Physiological
S. Thoracic-brachial cast
Dressing Dezo
Neckerchief bandage
Rear plaster splint from shovels to ray-carpal joint
Ear-like bandage
Select causes violations of road respiratory tract:
Mucus, sputum
Vomit, blood
Foreign matter
Sink of tong
All the listed causes
Signs of the effectiveness of cardio-pulmonary resuscitation:
Narrowing of pupil, reducing cyanosis, the presence of pulse on the mainline vessels
Expanding of pupil, reducing cyanosis, the emergence of reflexes
Narrowing of pupil, swelling of the neck veins, the emergence of reflexes
Expanding of pupil, swelling of the neck veins, reducing cyanosis
Narrowing of pupil, swelling of the neck veins, reducing cyanosis
Tactics of treatment with a closed transverse turn of the femur at the border of upper and middle
thirds of the shifting in the axis
Skeleton traction
B. *
C.
D.
E.
244.
A.
B.
C.
D. *
E.
245.
A.
B.
C.
D. *
E.
246.
A.
B. *
C.
D.
E.
247.
A.
B. *
C.
D.
E.
248.
A.
B. *
C.
D.
E.
249.
A. *
B.
C.
D.
E.
250.
A.
B.
C. *
D.
Metal-osteosynthesis by bone plate
Intramedular osteosynthesis rod
Cast
Overlays external fixation apparatus
Tactics of treatment with open turn of the femur
Primary surgical treatment, skeletal traction
Primary surgical treatment, cast
Intramedular osteosynthesis by rod
Primary surgical treatment, the imposition of external fixation by extrafocal apparatus
Metal-osteosynthesis by plate
Tactics of treatment with shiver intrajoint turn heads radius
Skeleton traction
Cast
Osteosynthesis wreckage
Removing the head radius
Goose bandage
Team site to the rear set of the spine include:
The body of the vertebrae, anterior and posterior longitudinal ligament, intervertebral disc
Arc of vertebrae, bearded, joint and the transverse processes
The body of the vertebrae bearded and transverse processes, posterior longitudinal ligament
Intervertebral disc, anterior and posterior longitudinal ligament
Arc of vertebrae transverse processes
The main cause of neck fractures:
Mood skeletal development
Osteoporosis of bone
Violations of the hormonal state
Chronic diseases
Environmental factors
The main method of treatment between skewer fractures:
Adhesive plaster traction
Skeleton traction
Operating
Imposition of external fixation apparatus
Cast
To move the central piece of humerus cross the turn of dialysis above attachment of large pectoral
muscles?
Central piece dramatically disqualified, declined forward and rotates outwards
The central piece is an
The central piece shifted back
The central piece rotate inward
The central piece shifted back and rotates inward
Treatment of medial subcapital fractures of the femur neck fracture wreckage
Transport immobilization
Skeleton traction
Metal-osteosynthesis
Cast
E.
251.
A.
B.
C.
D. *
E.
252.
A.
B.
C. *
D.
253.
A.
B. *
C.
D.
E.
254.
A.
B.
C. *
D.
E.
255.
A.
B.
C.
D.
E. *
256.
A.
B.
C.
D.
E. *
257.
A.
B.
C.
D.
E. *
258.
A. *
B.
C.
Active rehabilitation: LFC, massage, walking on crutches
Typical triad of symptoms in the medial turn of the neck of the femur fracture:
Pain, swelling, joint hematoma
Hematoma joints, external rotation, contracture
Edema, external rotation, a symptom of «attached heels».
To shorten the limbs, external rotation, a symptom of «attached heels».
To shorten the limbs, hematoma, a symptom of «attached heels».
V. Imposition of aggregate traction in the 1.5 months
Overlay transport immobilization for 2 months
Impose outlet wedge pillow and bandage Dezo for 3-4 weeks
To conduct rapid treatment of
Impose cotton-gauze bandage
Venue of the blockade, with fractures to the pelvis Selivanov-Students
In femoral joint
In the sacroiliac joints iliac
In pubis
In the rump bone
In pubis joint
What additional survey conducted at the tail bones fractures offset
Cytography of bladder
Ultrasound examination of the pelvis
Manual rectal examination
Analysis of faeces on the availability of blood
Rectoromanoscopy
What are a sure sign of clinical death?
The absence of pulse at the carotid and peripheral arteries
Expanding of pupils and the lack of response to light, the absence of corneal reflex
Stop of breathing, and lack of consciousness
Lack of blood pressure and heart tones
All of the signs
What are the possible types of bias in the wreckage of bone fractures:
In width
In length
Angle
Rotating
All answers are correct
What are the signs of brain death note?
The functions of the central nervous system completely and irreversibly lost
Cardiac retained
Blood pressure kept or maintained vasopresors
Respiration is provided ALV
All of the signs
What complication is dislocation in the rear tibia?
Damage of poplitea fossa artery
Damage to the nerve structures
Hemarthrosis of knee
D.
E.
259.
A.
B.
C.
D. *
E.
260.
A.
B.
C. *
D.
E.
261.
A.
B.
C.
D.
E. *
262.
A.
B. *
C.
D.
E.
263.
A.
B.
C. *
D.
E.
264.
A.
B. *
C.
D.
E.
265.
A.
B.
C.
The instability of the knee joint
The gap meniscus
What is a needed first aid victim with fractures of 12 thoracic vertebrae?
Introduction of pain and transportation in semylie position
Transportation abdomen
Transportation to shield the back
Introduction of pain and transportation to shield the back
Transportation to the cabinet on his back in the «frog» position
What is the best way to the introduction of adrenaline in the cardio-pulmonary resuscitation?
Intramuscularly
Subcutaneously
Intravenous
Endotracheal
Intradermal
What is the main type of bone callus?
Periostal
Endostal
Intermedial
Paroossal
All answers are correct
What is the name of Phase II of reparative regeneration of bone tissue?
Catabolism tissue structures, proliferation of cellular elements
Organization and differentiation of tissue structures
Organization of angiogenne bone structure
Full resumption of anatomic and physiological structure of bone
Phase of scars reorganization
What is the name of the third phase of reparative regeneration of bone tissue?
Catabolism of tissue structures, proliferation of cellular elements
Organization and differentiation of tissue structures
Organization of angiogenne bone structure
Full resumption of anatomic and physiological structure of bone
Phase of scars reorganization
What is the name of which fit the patient with pelvic fractures without violating the integrity of pelvis
ring?
Dogs
Frogs
Swallow
Goats
Fishes
What is the sequence of cardio-pulmonary resuscitation?
Massage of the heart, the resumption crosses of respiratory tract, ventilator, medical therapy, cardiac
defibrillation
Massage of heart, defibrillation heart, ventilator, medical therapy
Drug therapy, artificial ventilation of the lungs, heart massage, defibrillation hear and the resumption
of flow of respiratory tract
D. *
E.
266.
A.
B.
C. *
D.
E.
267.
A.
B. *
C.
D.
E.
268.
A. *
B.
C.
D.
E.
269.
A.
B.
C.
D.
E. *
270.
A.
B.
C.
D.
E. *
271.
A.
B.
C.
D. *
E.
272.
A. *
B.
C.
D.
The resumption of passing the respiratory tract, ventilator, heart massage, medical therapy, cardiac
defibrillation
Resumption of passing the respiratory tract, ventilator, medical therapy
What is the tactic of treatment should be at the turn of the humerus with radial nerve traumatic
neuritis?
Skeleton traction
Thoracic - brachial cast
Open reduction of debris, audit nerve, osteosynthesis wreckage
Overlay fixation by extrafocal apparatus
Dressing Dezo
What is the tactic of treatment with the turn of elbow disease without shifting of rubble?
Rear plaster splint from the shoulder to ray-carpal joint at an angle of 900 in the elbow joint
Rear plaster splint from the shoulder to ray-carpal joint angle 1600-1700 in the elbow joint
Surgical treatment of metal-osteosynthesis
Skeleton traction
Compressed fascia
What is the triple reception Safari, which is used for the resumption of cross-respiratory tract?
Throw back of head, bringing forward the lower jaw, open mouth
Turn heads in the party nomination of the lower jaw forward, opening the mouth
Placing a patient on a horizontal surface, bringing forward the lower jaw, open mouth
Placing a patient on a horizontal surface, bringing forward the lower jaw, holding language affected
Laborde's
Placing a patient on a horizontal surface, throw back of head, mouth opening
What kind of cast can put to patients with broken hips?
Longet
Circular
Windows
Bridge-like
All answers are correct
What kind of complication most often happens when intragoint fractures of elbow joint?
Ankylosis
Stiffness
Contracture
Osteomyelitis
Folkman’s contracture
What kind of tactics in an open turn of the humerus?
Skeleton traction
Thoracic - brachial cast
Osteosynthesis plate
Revision of wounds, the primary surgical treatment, external fixation by extrafocus apparatus
Transport immobilization
What mechanogenesis of extension turning of radius in a typical place?
The fall in the reflexible brush-based hand
The drop in the elbow
Falls on the shoulder
Drops bent brush-based rear brush
E.
273.
A.
B. *
C.
D.
E.
274.
A.
B. *
C.
D.
E.
275.
A.
B. *
C.
D.
E.
276.
A.
B.
C. *
D.
E.
277.
A.
B.
C. *
D.
E.
278.
A.
B. *
C.
D.
E.
279.
A. *
B.
C.
D.
E.
280.
A.
B.
Fall back
What method of shoulder dislocation reposition is following up 4 stages?
Hippocrates,
Cooper
Kocher Janelidze
Gudushauri
There is no right answer
What nerve may damage when the humerus fractures at the border of the middle and lower thirds?
Shoulder
Beam
Ulnar
Shoulder and radiotherapy
The second and radiotherapy
What tactics through bone treatment of bone fractures without bias?
Plaster bandage with rupturing in the elbow joint until 1800
Bandage cast by bending in the elbow joint in the 900
Skeleton traction
Surgical treatment
Transport immobilization
What transportat immobilization needs with the turn of the clavicle?
Dressing Velpo
Ear-like bandage
Dressing Dezo
Dressing «neckerchief»
The circular bandage
What type of anesthesia used during reposition hip dislocation?
Local anesthetic
Conductors anesthesia
General anesthesia with miorelaxants
Internally articular introduction of analgetics
Hypothermia
When clavicle fractures without shifting the rubble:
To enter, cast rear tire of shovels to ray-carpal joint
Adhesive plaster establish
Implementing 8 - like bandage
Implementing 8 - like osteosynthesis
To enter, skeletal traction
When clinical death?
After stopping breathing and blood circulation
Pulse in the peripheral arteries not depend
Blood pressure is not determined
After stopping breathing
After stopping blood circulation
When dislocation in the station acromial-clavicular joint lead was a symptom:
Throbbing pain
Crepitation of wreckage
C.
D. *
E.
281.
A.
B.
C.
D. *
E.
282.
A. *
B.
C.
D.
E.
283.
A.
B. *
C.
D.
E.
284.
A.
B.
C.
D.
E. *
285.
A.
B.
C.
D.
E. *
286.
A. *
B.
C.
D.
E.
287.
A.
B. *
C.
D.
E.
288.
Neurological disorders
Symptom «keys»
Injuries receptacles
When the pelvic bone fractures type Malgenya develops shock?
Pain
Hemorrhagic
Traumatic
Hemorrhagic - traumatic
Spinal
When the turn radius in a typical location distal fragment of debris moves (broken wheel)
In the back of the
In the palm side of
In ulnar side
In the beam of the
Do not move
Where to move distal fragment with the turn of the femur in the bottom third:
Forward
Back
Outwards
Inside
Up
Which of the following clinical signs characteristic of dislocation?
The absence of pain
Pathological mobility
Movements crepitation
Increased body temperature
Elastic fixing of limbs
Which of the following signs are not typical for dislocation?
Joint deformation
Edema
Palpation of head bones in atypical place
Elastic fixing limbs
Crepitation while driving
Which of these symptoms indicates a fracture?
Crepitation
Hematoma
Local pain
Edema and strain
The absence of active and passive movements of the joints.
Who first formulated the basic elements of basic cardio-pulmonary resuscitation?
M. I. Pirogov
P. Safar
Le Dran
Ambergris Al Pare
Hippocrates
With fractures of both bones of the forearm in the middle third of the shifting rubble shown
A.
B.
C. *
D.
E.
289.
A.
B.
C. *
D.
E.
290.
A.
B.
C. *
D.
E.
291.
A.
B.
C.
D. *
E.
292.
A.
B.
C.
D. *
E.
293.
A.
B.
C. *
D.
E.
294.
A.
B.
C.
D.
E. *
295.
A. *
B.
Skeleton traction
The circular cast-thirds of the upper arm to brush
Open reduction of debris, intramedular osteosynthesis, cast
Transport immobilization
Closed reduction of debris, cast
With fractures of the clavicle fracture wreckage might wound:
Skin
Esophagus
Vascular nervous beam
Fascial structures
Muscle
With fractures of the clavicle fracture wreckage might wounding
Skin
Upper of lungs
Vascular nervous beam
Fascial structures
Muscle
With the turn of the clavicle in the middle third of a typical, shift the rubble
Distal-up, proximal-down
Distal-back, proximal-ahead
Distal-down proximal-ago
Distal - down and forward, proximal back-up and
Distal - up proximal – up
Diseases (pathological states), which are straight or indirectly related to doctor’s actions is named:
Planned.
Urgent.
Deontological.
Jatrogenic.
Surgical.
Drastic preparations in the department are saved:
In a safe for storage of medications.
In dressing room, in a medical case.
In the cabinet of senior nurse.
In a case in manipulation room.
On the table of doctor-surgeon.
During implementation of bandaging to the medical sister a blood got on the unscreened skin of
hands. What precautionary measures is it necessary to execute?
Take out the blood by a dry sterile serviette.
Washed the hands with soap and to process by a 1% solution of chloramine.
To process the hands by a 3% solution of chloramine, to wipe by the tampon moistened in a 70%
ethyl spirit.
Twice to process the muddy skin of hands by a 5% alcoholic solution of iodine.
Washed the hands with soap, to wipe by a tampon, moistened 70% ethyl spirit.
For bandaging is used:
Gauze.
Cotton wool.
C.
D.
E.
296.
A.
B.
C.
D. *
E.
297.
A.
B.
C.
D.
E. *
298.
A. *
B.
C.
D.
E.
299.
A.
B.
C. *
D.
E.
300.
A. *
B.
C.
D.
E.
301.
A.
B.
C.
D.
E. *
302.
A.
B.
C.
D.
E. *
303.
Gypsum.
Splint.
Starch.
For drying of wound use:
Serviettes.
Turundas.
Tampons.
Gauze beads.
Bandages.
For fixing of bandages apply:
Serviettes.
Turundas.
Tampons.
Gauze beads.
Bandages.
For fixing of glue bandages use:
Cleol.
Glue BF-6.
Plastubol.
Lifuzol.
Tserigel.
For fixing of scrotum after operative interferences use:
Gauze bandages.
Elastic reticulated-tubular bandages.
Suspensory.
Support.
First-aid pack.
For preparation a 0,2% solution of « Dezactin » must be used:
2 grams of « Dezactin » and 998 ml of water.
1 gram of « Dezactin » and 999 ml of water
20 grams of « Dezactin » and 980 ml of water
10 grams of « Dezactin » and 990 ml of water
5 grams of « Dezactin » and 995 ml of water.
For treatment of thorax’ concussion prescribed:
Bed rest.
Oxygen therapy.
Cardiac preparations.
Anesthetic facilities.
All transferred facilities.
From a gauze make:
Napkins (serviettes).
Wads and beads.
Turundas.
Bandages.
All answers are correct.
How is examination of eyeballs, sclera and cornea conducted?
A.
B.
C.
D.
E. *
304.
A.
B. *
C.
D.
E.
305.
A.
B. *
C.
D.
E.
306.
A. *
B.
C.
D.
E.
307.
A.
B.
C.
D. *
E.
308.
A.
B.
C.
D.
E. *
309.
A.
B. *
C.
D.
E.
310.
A.
The doctor by thumbs draws off to the bottom lower eyelids and asks a patient to look in a bottom.
The doctor by thumbs draws off upper eyelids upwards.
By fingers open both eyelids and asks a patient to look to the top.
By two fingers open both eyelids and asks a patient to look to the bottom.
By two fingers (thumb and index) - open eyelids.
How many times a day is it possible to warm up to the necessary temperature wash-liquor, if the
color of solution does not change?
To 8 times.
To 6 times.
To 3 times.
To 10 times.
To 2 times.
How will the nurse of the clean bandaging conduct a V stage of treatment of instruments
(demineralization)?
Washing of instruments during 3 minutes in a 3% of oxygen peroxide.
Washing of instruments during 1 minute in the distilled water.
Washing of instruments during 10 minutes in the distilled water.
Washing of instruments during 5 minutes in the distilled water.
Washing of instruments under the stream of running water during 3 minutes
Impose a «bridle» at:
Damage of the lower jaw.
Damage of the nose.
Damage of the neck.
Damage of the maxilla.
Damage of the stomach.
In the complement of induction centre enter:
Common apartments, dressing-room.
Common apartments, sanitary inspection room.
Diagnostic and medical apartments, sanitary inspection room.
Common apartments, diagnostic and medical apartments, sanitary inspection room.
Dressing-room, sanitary inspection room.
In the complement of surgical department include:
Admitting department, patient’s wards.
Operational block, patient’s wards.
Dressing rooms, operational block, auxiliary apartments.
Admitting department, operational block, and patient’s wards.
Admitting department, patient’s wards, operational block, dressing rooms, manipulation, auxiliary
apartments.
In what position must be a patient in for the improvement of sputum discharge at the lung’ abscess?
Indifferent.
In position «postural drainage».
In recumbency, to the healthy side.
In recumbency to the sick side.
In position on his back.
Instruments in dressing room take from a table and give with the help:
Hands.
B.
C.
D. *
E.
311.
A.
B. *
C.
D.
E.
312.
A.
B.
C.
D.
E. *
313.
A.
B.
C.
D.
E. *
314.
A.
B.
C. *
D.
E.
315.
A.
B.
C. *
D.
E.
316.
A.
B.
C.
D. *
E.
317.
A.
B. *
C.
Clamp.
Scalpel.
Dressing forceps.
Retractor.
It is necessary to use for applying of occlusal bandage:
Adhesive plaster.
First-aid pack.
Wax paper.
Oilcloth gasket.
All above enumerated facilities.
Itof two wadding-gauzes pillows of fastened on a bandage consists:
Gauze bandage.
Reticulated-tubular bandages.
Suspensory.
Support.
First-aid pack.
Narcotic preparations can be entered for premedication:
After prescription their by doctor.
After registration of list of narcotic preparations’ prescription and in presence a doctor.
After prescription their by doctor, registration of medical document by the trained nurse
independently.
By the nurse independently.
After prescription their by doctor, registrations of medical document in presence a doctor.
Narcotic preparations in the department are saved:
In a safe for storage of medications.
In dressing room, in a medical case.
In the cabinet of senior nurse.
In a case in manipulation room.
On the table of doctor-surgeon.
On the fourth stage of pre-sterilization treatment of instruments must be washed under running water
till liquidation of smell of disinfective solution during:
1 hour.
5 min
3 min
0,5-1 min
2 hours.
On the front surface of thorax is imposed:
Desault’s bandage.
Velpeau’s bandage.
Spica bandage.
Cross bandage.
Spiral bandage.
On the second stage of pre-sterilization preparation of instruments is needed:
Washed their by 0,2% solution of « Dezactin ».
Soak in a 0,2% solution of « Dezactin » on 1 hour.
Washed instruments by running water.
D.
E.
318.
A.
B.
C.
D. *
E.
319.
A.
B.
C.
D.
E. *
320.
A.
B.
C.
D. *
E.
321.
A.
B.
C.
D. *
E.
322.
A.
B.
C. *
D.
E.
323.
A. *
B.
C.
D.
E.
324.
A. *
B.
C.
D.
E.
Carry out test on quality of the pre-sterilization cleaning.
Washed instruments in the distilled water.
Puncture of pleural cavity with the purpose of diminishing of intra-pleural pressure it is necessary to
conduct at:
Open pneumothorax.
Closed pneumothorax.
Hemothorax.
Valvular pneumothorax.
Pleural empyema.
Scarf bandages during first medical aid it is possible to impose on:
Head.
Shoulder.
Foot.
Forearm.
Anyone part of body.
Science about moral and ethics problems, which arise during the process of treatment of patient and
methods of their optimum decision, is named:
Therapy.
Surgery.
Psychology.
Deontology.
Ethics.
Small pieces of gauze, convolute in a kind three- or quadrangular plates are named:
Serviettes.
Turundas.
Tampons.
Gauze beads.
Bandages.
Specify the special sign of gauze, which is taken into account at bandaging of purulent wounds:
Light.
Elastic.
Hygroscopic.
Easy is added to sterilization.
Cheap.
Specify, what medical document in the department a medical sister fills only.
Log of patients, which admit to the department.
List of destination in the case report.
Outpatient's card.
Record from the case report.
Case report.
Spica bandage is imposed:
On humeral joint.
On shoulder.
On elbow joint.
On forearm.
On fingers.
325.
A. *
B.
C.
D.
E.
326.
A.
B. *
C.
D.
E.
327.
A.
B. *
C.
D.
E.
328.
A.
B.
C.
D.
E. *
329.
A. *
B.
C.
D.
E.
330.
A. *
B.
C.
D.
E.
331.
A.
B. *
C.
D.
E.
332.
A. *
B.
C.
Square pieces of gauze of different size, made in a few layers with edges convolute inward is named:
Serviettes.
Turundas.
Tampons.
Gauze beads.
Bandages.
Sterilization of instruments in the clean dressing room is carried out in:
Sterilizer.
Dry-hot safe.
Autoclave.
Burning above flame.
Doesn’t carry out.
Strips of gauze with the edges wrapped up inward, small sizes are named:
Serviettes.
Turundas.
Tampons.
Gauze beads.
Bandages.
Studies about bandages, indications to their application and the rules of imposition have name:
Deontology.
Ethics.
Surgery.
Manual therapy.
Desmurgy.
Subbotin-Pertes’ system consists of:
Three vessels united between cohere.
Two vessels united between cohere.
Five vessels united between cohere.
Four vessels united between cohere.
Six vessels united between cohere.
The «father of medicine» has name:
Hippocrates.
Homer.
Galen.
Scellse.
Pirogov.
The anatomic period of history of surgery lasted:
From 6-7 millennium to B.C. the end XVII ages A.D.
From the end a XVII century to the end of XIX century;
From the end of XIX century to beginning of a XX century;
During of a XX century;
Lasts in our time.
The area of ward on one surgical patient must be:
6.5-7,5 m2
3,5-4,5 m2
4,5-5,5 m2
D.
E.
333.
A.
B.
C.
D. *
E.
334.
A.
B. *
C.
D.
E.
335.
A.
B. *
C.
D.
E.
336.
A.
B. *
C.
D.
E.
337.
A. *
B.
C.
D.
E.
338.
A.
B.
C. *
D.
E.
339.
A.
B. *
C.
D.
E.
340.
A.
5,5-6,5 m2
7,5-8,5 m2
The bacteriological control of muddiness of air in the clean dressing room conduct one time in:
1 month.
3 months.
6 months.
15-20 days.
1 week.
The control at work of technical personnel in the department carries out:
Internship doctor.
Duty nurse.
Head nurse.
Hospital doctor.
Assistant of chair.
The control of quality of disinfection in the clean dressing room is conducted with frequency:
1-2 times a week.
1-2 times a month.
1-2 times a quarter.
1-2 times in a half-year.
1-2 times a year.
The damage of recurrent nerve during operation on a thyroid gland in a postoperative period causes:
Strain voice.
Aphonia.
Raise voice.
Low voice.
Limitation of motions of lower jaw.
The empiric period of surgery’ history lasted:
From VI-VII millennium B.C. to the end of XVII century A.D.
From the end of XVII century to the end of XIX century.
From the end of XVII century to the beginning of XX century.
During XX century.
Lasts in our time.
The laws of blood circulation were opened by:
Vesalius.
Ambroise Pare.
Harvey.
Van Leeuwenhoek.
Malpigi.
The most prominent representative of ancient East medicine was:
Hippocrates.
Avicenne.
Pirogov.
Scellse.
Galen.
The physiological period of history of surgery lasted:
From 6-7 millennium to B.C. the end XVII ages A.D.;
B.
C.
D. *
E.
341.
A. *
B.
C.
D.
E.
342.
A. *
B.
C.
D.
E.
343.
A.
B.
C.
D.
E. *
344.
A.
B.
C.
D.
E. *
345.
A.
B.
C. *
D.
E.
346.
A.
B. *
C.
D.
E.
347.
A.
B.
C.
D.
E. *
From the end a XVII century to the end of XIX century;
From the end of XIX century to beginning of a XX century;
During of a XX century;
Lasts in our time.
The signs of basal skull fracture are:
Bleeding and liquor discharge from an ear and nose.
Bleeding and liquor discharge from the wound of vault.
Bleeding and liquor discharge from the wound of occipital bone.
Glasses’ symptom.
Bleeding from a frontal sinus.
To the patients with crania-cerebral traumas does not prescribed:
Narcotic analgesics.
Non-narcotic analgesics.
Non-steroid anti-inflammatory facilities.
Steroid hormones.
Cardiac glycosides.
To the regime of treatment in surgical department include:
Diet and motive regime.
Patient’s examination and doctor’s round.
Examination and conservative treatment.
Diet, operations, bandaging.
Diet, motive regime, doctor’s round, inspection, conservative and surgical treatment, bandaging.
Treatment of panels in a surgical separation is conducted by:
Solution of permanganate of potassium.
Hydrogen of peroxide.
Lugol's iodine solution.
Brilliant green.
Solution of chloramine.
Ultraviolet irradiation in the clean dressing room is conducts:
In the morning.
In the evening.
Two times a day.
Three times a day.
Not conducts in general.
What bandage is imposed at the damage of auricles?
Sling.
«Neapolitan».
Spica.
«Bridle».
Desault’s.
What bandage is used for the trauma of humeral joint?
Circular.
Spiral.
Creeping.
Cruciform.
Spica.
348.
A.
B. *
C.
D.
E.
349.
A.
B.
C.
D. *
E.
350.
A.
B.
C.
D.
E. *
351.
A. *
B.
C.
D.
E.
352.
A.
B.
C.
D.
E. *
353.
A. *
B.
C.
D.
E.
354.
A. *
B.
C.
D.
E.
355.
A. *
B.
What bandage must be imposed at dislocation of humeral bone?
Spica bandage.
Velpeau’s bandage.
Spiral bandage.
Sling bandage.
T-bandage.
What bandage must be imposed at opened pneumothorax?
Spiral.
Circular.
Desault’s.
Occlusive.
Glue.
What characteristics have a disinfectant with the washing effect «Dezactin»
Bactericidal.
Tubecculocidal.
Virucidal.
Sporocidal.
All answers are correct.
What complication from the side of the respiratory system in a postoperative period can develop at a
patient after operations on a head?
Aspiration pneumonia.
Bronchitis.
Bronchial asthma.
Hemothorax.
Pneumothorax.
What complications from the side of the respiratory system can arise up after thoracic operations?
Pleural-pulmonary shock.
Breathing insufficiency.
Pneumonia.
Pulmonary edema.
All answers are correct.
What patients will be bandaged in the clean dressing room?
Patients after appendectomy, cholecystectomy, saphenectomy.
Patients after appendectomy, opening of shoulder’ phlegmon.
Patients with the total purulent peritonitis, saphenectomy.
Patient after the delete of suppuration ateroma of parotid area.
Patients after liquidation of mechanical jaundice, abscess of buttock.
What position the patient operated on a thorax must be?
Semi sitting position.
Tredelenburg’ position.
On side of operative interference.
On side opposite to operative interference.
In position, like «postural drainage».
What preparation must be first of all conducted to the patient with the pulmonary edema?
Lasix.
Penicillin.
C.
D.
E.
356.
A.
B. *
C.
D.
E.
357.
A.
B.
C.
D.
E. *
358.
A.
B.
C.
D. *
E.
359.
A.
B.
C. *
D.
E.
360.
A. *
B.
C.
D.
E.
361.
A.
B.
C. *
D.
E.
362.
A.
B.
C.
D. *
E.
Promedol.
Prednisolone.
Aminophylline.
What pressure must be in the Subbotin-Pertes’ system?
10-20 mm of water column;
20-30 mm of water column;
30-40 mm of water column;
40-50 mm of water column;
50-60 mm of water column.
What requirements the bandaging material must answer to?
Good capillarity.
Hygroscopic, elasticity.
Chemical and mechanical sluggishness.
Sterilization without violation of its quality.
All answers are correct.
What tactic of medical sister in the case of origin at the patient gastric bleeding?
Carry out of siphon enema.
Bad regime, hot-water bottle on a forward abdominal wall.
Washed the stomach.
Bad regime mode, cold on a forward abdominal wall, swallowing of pieces of ice.
Carry out of cleansing enema.
What type of drainage must be put to the patient with valvular pneumothorax?
Passive.
Redone drain.
Bjulau drain.
Running- stripping drainage.
Raising of drainage is not indicated.
What type of novocaine blockade must be carrying out to the patients with pneumothorax?
Vagosympathetic block.
Intercostals.
Paranephric.
Blockade of brachial plexus.
Paravertebral block.
What will the pupils of eyes be, if a patient is in the comatose state?
Pupils are extended.
Pupils are without changes.
Pupils are narrowed.
One pupil is extended.
One pupil is narrowed.
Who of medical personnel must establish death of patient in a ward?
Head nurse.
Nurse.
Pathologist.
Duty doctor.
Head doctor.
363.
A. *
B.
C.
D.
E.
364.
A. *
B.
C.
D.
E.
365.
A.
B.
C.
D. *
E.
366.
A.
B. *
C.
D.
E.
367.
A.
B. *
C.
D.
E.
368.
A. *
B.
C.
D.
E.
369.
A. *
B.
C.
D.
E.
370.
Who of prominent surgeons offered application of ether narcosis during operations in the military
field conditions?
N.I. Pirogov.
Fransua Shopar.
Pjer Desault.
P.P.Pelechin.
M. B. Sclifasofsky.
Who of prominent surgeons spread the usage of plaster of Paris for treatment of fractures?
N.I. Pirogov.
Fransua Shopar.
Pjer Desault.
P.P.Pelechin.
M. B. Sclifasofsky.
With a crania-cerebral trauma in the comatose state carry out the artificial feeding of patient with the
help:
Spoon.
Cups.
Drinking vessel.
Gastric tube.
All answers are correct.
With the purpose of prophylaxis of infection by AIDS and viral hepatitis the instruments are disinfect
by:
1% solution of chloride lime.
3% solution of chloramine.
5% solution of chloride lime.
3% solution of chloride lime.
0,5% solution of chloramine.
Air sterilization of instruments by means of temperature of 160-200? С – it is:
Sterilization by steam under pressure.
Sterilization by dry heat.
Gas sterilization.
Sterilization by means of chemical solvents.
Radial sterilization.
At what temperature is sterilization of surgical instruments conducted at in dry-hot safe?
180? C;
120? C;
100? C;
90? C;
80? C.
Autoclaving – it is:
Sterilization by steam under pressure.
Sterilization by dry heat.
Gas sterilization.
Sterilization by means of chemical solvents.
Radial sterilization.
Complex of measures, directed on a fight against an infection in a wound is named:
A.
B. *
C.
D.
E.
371.
A. *
B.
C.
D.
E.
372.
A. *
B.
C.
D.
E.
373.
A.
B.
C. *
D.
E.
374.
A. *
B.
C.
D.
E.
375.
A.
B.
C. *
D.
E.
376.
A.
B.
C.
D. *
E.
377.
A.
B.
C.
Asepsis.
Antisepsis.
Desmurgy.
Deontology.
Surgery.
Complex of measures, directed on elimination of pathogenic and potentially pathogenic for human of
micro organisms on instruments, articles of disintegration is named:
Disinfection;
Sterilization;
Pasteurization;
Roast;
Autoclaving.
Complex of methods, directed on warning of hit of micro organisms in a wound are named:
Asepsis.
Antisepsis.
Desmurgy.
Deontology.
Surgery.
Disinfection and sterilization is the basic type of prophylaxis of next infection:
Air infection;
Drop infection;
Contact infection;
Implantation infection;
All above enumerated ways.
Distribution of infection in an organism on blood vessels – it is:
Hematogenous way.
Lymphogenous way.
Laktigenous way.
Contact way.
All of answers are correct.
Distribution of infection in an organism on mammary duct – it is:
Hematogenous way.
Lymphogenous way.
Laktigenous way.
Contact way.
All of answers are correct.
Distribution of infection in an organism on surrounding tissues – it is:
Hematogenous way.
Lymphogenous way.
Laktigenous way.
Contact way.
All of answers are correct.
Distribution of infection in transition from one organ on other – it is:
Hematogenous way.
Lymphogenous way.
Laktigenous way.
D. *
E.
378.
A.
B.
C.
D.
E. *
379.
A.
B.
C.
D.
E. *
380.
A.
B.
C.
D. *
E.
381.
A.
B.
C.
D. *
E.
382.
A.
B. *
C.
D.
E.
383.
A.
B.
C.
D.
E. *
384.
A.
B.
C.
D.
E. *
Contact way.
All of answers are correct.
Distribution of infection on lymphatic vessels – it is:
Hematogenous way.
Lymphogenous way.
Laktigenous way.
Contact way.
All of answers are correct.
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 serviettes.
Not dried up.
Not washed by soap.
Not poured by talc.
Is broken mode of sterilization in autoclave.
During conducting of benzidine test a dark blue-green color is exposed.On what stage of sterilization
of instruments was violation?
Insufficient time of display is in a dry-hot safe.
Violation at the laying of instruments.
Violation of temperature condition.
Insufficient pre-sterilization preparation.
Wrong saving of sterile tool.
During what time is sterilization of metallic instruments by boiling?
5 min.
10 min.
15 min.
20 min.
25 min.
During what time is sterilization of rubber objects by boiling?
5 min.
10 min.
15 min.
20 min.
25 min.
Endogenous way of hit of infection in a wound – it is:
Hematogenous way.
Lymphogenous way.
Laktigenous way.
Contact way.
All of answers are correct.
Exogenous way of hit of infection in a wound – it is:
Air infection.
Drop infection.
Contact infection.
Implantation infection.
All above enumerated ways.
385.
A. *
B.
C.
D.
E.
386.
A.
B.
C. *
D.
E.
387.
A.
B.
C.
D. *
E.
388.
A.
B. *
C.
D.
E.
389.
A. *
B.
C.
D.
E.
390.
A. *
B.
C.
D.
E.
391.
A.
B.
C.
D.
E. *
392.
A.
B.
C.
Hit of infection in a wound from air - it is:
Air infection;
Drop infection;
Contact infection;
Implantation infection;
All above enumerated ways.
Hit of infection in a wound from objects, which has contact with wound – it is:
Air infection;
Drop infection;
Contact infection;
Implantation infection;
All above enumerated ways.
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 ways.
Hit of infection in a wound with saliva at a talk and cough – it is:
Air infection;
Drop infection;
Contact infection;
Implantation infection;
All above enumerated ways.
How does sterilize an optical tool?
In a formalin chamber during 48 hour and in solution of "Saydeks" during 45-180 minutes;
In an autoclave during 1 hour;
In a dry hot safe during 1 hour;
By 70% an alcohol;
All of answers are faithful.
How frequency is do the bacteriological fence of sterile material?
1 time per 10 days;
1 time per a month;
4 times per a year;
Often;
All of answers are faithful.
How is antisepsis divided depending on the methods of its usage?
Superficial;
Local;
General;
Deep;
All of answers are faithful.
How is the cystoscope sterilized?
To wash by furacillin.
To process by 5% solution of iodine.
To wash by solution of Rivanol.
D.
E. *
393.
A.
B. *
C.
D.
E.
394.
A.
B. *
C.
D.
E.
395.
A.
B.
C.
D.
E. *
396.
A.
B. *
C.
D.
E.
397.
A.
B. *
C.
D.
E.
398.
A.
B.
C.
D. *
E.
399.
A.
B.
C. *
D.
To process by solution of sublimate.
To wash by spirit solution of Chlorhexidine.
How much time does treatment of hands of surgeon by Chlorhexidine - bigluconate proceeds?
1minute;
2-3 minutes;
5 minutes;
10 minutes;
15 minutes.
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.
How to utilize bandaging material, which was used for bandaging of purulent patient?
To soak in chloramine, then to destroy.
To soak in solution of chloride lime, then to destroy.
To wash, sterilized and to utilize repeatedly.
Autoclaving and to destroy.
To burn in the special stove.
In a ward is patient with an anaerobic gangrene of foot. How often, during day, and what is it
necessary to conduct cleaning up?
Two times by soapy water.
Two times by 6% by the hydrogen peroxide with washing solution.
Three times by solution of chloride lime.
Three times by solution of chloramine and washing solution.
Three times by washing solution and chloride lime.
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?
Furacillin.
Hydrogen peroxide.
Salicylic acid.
Chlorhexidine.
Dioxyde.
In what type of antisepsis do to applications of protheolytic enzymes behave?
Mechanical.
Chemical.
Physical.
Biological.
All of answers are faithful.
In what type of antisepsis do to drainages belong?
Mechanical.
Chemical.
Physical.
Biological.
E.
400.
A.
B.
C. *
D.
E.
401.
A. *
B.
C.
D.
E.
402.
A.
B.
C. *
D.
E.
403.
A. *
B.
C.
D.
E.
404.
A.
B.
C. *
D.
E.
405.
A.
B. *
C.
D.
E.
406.
A.
B.
C.
D.
E. *
407.
A.
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.
In what type of antisepsis does to primary surgical treatment of wound behave?
Mechanical.
Chemical.
Physical.
Biological.
All of answers are faithful.
In what type of antisepsis does to the irradiation of wounds by ultraviolet lamps belong?
Mechanical.
Chemical.
Physical.
Biological.
All of answers are faithful.
In what type of antisepsis does to the second surgical treatment of wound behave?
Mechanical.
Chemical.
Physical.
Biological.
All of answers are faithful.
In what type of antisepsis does to the ultrasonic irradiation of wounds belong?
Mechanical.
Chemical.
Physical.
Biological.
All of answers are faithful.
Method of disinfecting of organic liquids by means of temperatures, at which the only vegetative
forms of microorganisms perish, is named:
Roast.
Pasteurization.
Boiling, dry-hot method.
Autoclaving.
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.
Name the basic types of antisepsis.
Mechanical.
B.
C.
D.
E. *
408.
A. *
B.
C.
D.
E.
409.
A.
B.
C.
D.
E. *
410.
A.
B.
C.
D.
E. *
411.
A.
B.
C.
D. *
E.
412.
A. *
B.
C.
D.
E.
413.
A.
B. *
C.
D.
E.
414.
A. *
B.
Chemical.
Physical.
Biological.
All answers are correct.
Name two basic sources of hit of infection in a wound?
Exogenous, endogenous;
Combined, endogenous;
Air-dropping, implantation;
Contact, lymphogenous;
All of answers are correct.
On what is the late surgical treatment of wound providing directed?
Delete of extraneous objects;
Delete of necrotic tissues;
Dissecting of pockets, deepening, haematomas;
Providing of condition for the outflow of excretions from a wound;
All of answers are correct.
On what the physical antisepsis is based?
On the laws of capillarity;
On the laws of osmosis;
On the laws of diffusion;
On principle of siphon;
All of answers are correct.
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 gauze?
By hypertonic solution of sodium chloride.
By solution of furacillini.
By solution of boric acid.
By Levosin ointment.
By solution of Chlorhexidine.
Pasteurization is applied for:
Making of albuminous preparations.
Pre-sterilization treatment of instruments.
Autoclaving.
Control of pre-sterilization treatment of instruments.
Control of quality of sterilization.
Please, choose preparations of group of dyes.
Chloramine B (0,5-2%);
Methylene blue (1-3 %);
Sulfalene;
Iodonat (1 %), iodopiron (1%).
All of answers are correct.
Please, choose sulfanamide preparations.
Streptocid, sulfadimine;
Methylene blue (1-3 %);
C.
D.
E.
415.
A.
B. *
C.
D.
E.
416.
A.
B.
C. *
D.
E.
417.
A.
B.
C.
D.
E. *
418.
A. *
B.
C.
D.
E.
419.
A.
B.
C.
D. *
E.
420.
A.
B.
C.
D.
E. *
421.
A.
B.
C. *
D.
E.
422.
Solution of spirit iodine (3-8%);
Iodonat (1 %), iodopiron (1%).
All of answers are correct.
Sterilization a dry heat is conducted in:
In autoclaves.
In dry-hot safes.
In sterilizers.
In gas sterilizers.
In glass dishes.
Sterilization by boiling is conducted:
In autoclaves.
In dry-hot safes.
In sterilizers.
In gas sterilizers.
In glass dishes.
Sterilization by means of chemical solvents is conducted:
In autoclaves.
In dry-hot safes.
In sterilizers.
In gas sterilizers.
In glass dishes.
Sterilization by steam under pressure is conducted:
In autoclaves.
In dry-hot safes.
In sterilizers.
In gas sterilizers.
In glass dishes.
Sterilization of instruments by means of chemical solutions – it is:
Sterilization by steam under pressure.
Sterilization by dry heat.
Gas sterilization.
Sterilization by means of chemical solvents.
Radial sterilization.
Sterilization of instruments by means of gamma-rays – it is:
Sterilization by steam under pressure.
Sterilization by dry heat.
Gas sterilization.
Sterilization by means of chemical solvents.
Radial sterilization.
Sterilization of instruments in the pair of chemical matters – it is:
Sterilization by steam under pressure.
Sterilization by dry heat.
Gas sterilization.
Sterilization by means of chemical solvents.
Radial sterilization.
Sterilization of wares from polymeric materials is conducted in:
A.
B.
C.
D. *
E.
423.
A. *
B.
C.
D.
E.
424.
A.
B.
C.
D.
E. *
425.
A.
B.
C. *
D.
E.
426.
A.
B.
C.
D.
E. *
427.
A.
B. *
C.
D.
E.
428.
A.
B.
C.
D.
E. *
429.
A.
B.
In autoclaves.
In dry-hot safes.
In sterilizers.
In gas sterilizers.
In glass dishes.
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;
Antisepsis is a complex of measures, directed on elimination of microbes on bandaging material and
on surgical instruments;
Antisepsis is a complex of measures, directed on elimination of microbes in a wound;
All of answers are correct.
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-tannin;
0,5% solution of Chlorhexidine;
96% a spirit solution of Chlorhexidine;
All of answers are faithful.
The method after Grossikh-Filonchikov of treatment of the operating field foresees the use:
3% of hydrogen peroxide.
1% solution of brilliant green.
5% solution of iodine.
70% ethyl spirit.
96% ethyl spirit.
The vegetative forms of micro organisms perish at a temperature:
10-20o C;
20-30o С;
30-40o С;
40-50o С;
60-100o С.
To what antiseptic the blue pus bacillus is a sensible?
25% solution of dimexid.
Dioxidin.
Iodopiron.
Chlorhexidine gluconate.
3% solution of hydrogen peroxide.
To what type of sterilization does an ionizing irradiation and gamma-rays behave?
Gas;
Physical;
Combined;
Extracorporal;
Ray.
What action of antisepsis is had on microorganism and macro organism ?
Bactericidal;
Bacteriostatic;
C.
D.
E. *
430.
A.
B.
C.
D. *
E.
431.
A.
B.
C.
D.
E. *
432.
A.
B.
C.
D.
E. *
433.
Oxidizing;
Tanned;
All of answers are faithful.
What antiseptic is it necessary to process an isolating chamber?
Dimexid.
Dioxidin.
5% a spirit solution of iodine.
6% the hydrogen peroxide and washing solution.
Ethanol.
What are the basic methods of application of antiseptics?
On the surface of wound;
Introduction in the cavity of body;
Parenteral (intramuscular, intra-arterial, endolymphatic);
Introduction to the digestive tract.
All of answers are correct.
What are types of antisepsis?
Physical;
Mechanical;
Biological;
Chemical;
All of answers are correct.
What borders and how many times do need to be processed the operating field till lining sterile linen?
A.
B.
C. *
D.
E.
434.
A.
B.
C.
D.
E. *
435.
A.
B.
C.
D.
E. *
436.
A. *
B.
C.
D.
E.
Two times in an iliac area.
Two times from a belly-button to the inguinal folds.
Two times from costal arcs to inguinal folds.
Three times from costal arcs to upper third of thigh.
Three times from a belly-button to the inguinal folds.
What does belong to facilities of cold sterilization?
Ultraviolet rays;
Ionizing radiation;
Ultrasonic waves;
Fumes of formalin;
All of answers are faithful.
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 faithful.
What duration of sterilization by gas method?
6-48 hours;
30 minutes;
60 minutes;
2 hours;
3 hours.
437.
A.
B.
C.
D.
E. *
438.
A.
B.
C.
D.
E. *
439.
A.
B.
C. *
D.
E.
440.
A.
B.
C.
D. *
E.
441.
A.
B. *
C.
D.
E.
442.
A.
B.
C. *
D.
E.
443.
A.
B.
C. *
D.
E.
444.
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.
What is applied as facilities of physical antisepsis?
Tampons from a gauze;
Drainages;
Drying of wound;
Ultraviolet irradiation (UHF), ultrasound, laser;
All of answers are correct.
What is duration of sterilization of surgical instruments in dry-hot safe at the temperature of 180? C?
2 hours;
45 minutes;
1 hour;
30 minutes;
1,5 hours.
What is duration of sterilization of surgical linen under pressure 2 аatmospheres?
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 hours;
45 minutes;
1 hour;
30 minutes;
1,5 hours.
What is duration of sterilization of surgical linen under pressure 1,1 atmospheres?
2 hours;
45 minutes;
60 minutes;
30 minutes;
1,5 hours.
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;
Use of preparations of biological origin, which influence directly on a microbe cell or its toxins, and
preparations, which operate mediated through microorganism;
Complex of measures, directed on elimination of microbes in a wound, pathological focus or in an
organism on the whole;
All of answers are not correct.
What it is chemical antisepsis?
A. *
B.
C.
D.
E.
445.
A. *
B.
C.
D.
E.
446.
A. *
B.
C.
D.
E.
447.
A. *
B.
C.
D.
E.
448.
A.
B.
C.
D.
E. *
449.
A. *
B.
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;
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;
All of answers are not 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 wound;
Deleting from the wound of necrotic and nonviable tissues, and also microbes and foreign bodies,
that got in a wound;
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 tissues;
Application of methods, which form in wound unfavorable conditions for development of bacteria
and suction of toxins and products of disintegration of tissues;
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 it is primary surgical treatment (PST) of wound?
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;
Complex of measures, directed on elimination of microbes in a wound, pathological focus or in an
organism on the whole;
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 tissues;
All of answers are not correct.
What matters are utilized for determination of quality of pre-sterilization treatment of instruments?
Ascorbic acid;
Benzoic acid;
Antipyrine;
Resorcin;
All of answers are faithful.
What method is conduct for treatment of the operating field?
Grossikh-Filonchikov’ method.
Spasokukockiy-Kochergin’ method.
C.
D.
E.
450.
A.
B.
C.
D. *
E.
451.
A. *
B.
C.
D.
E.
452.
A.
B.
C.
D. *
E.
453.
A.
B.
C.
D.
E. *
454.
A. *
B.
C.
D.
E.
455.
A.
B. *
C.
D.
E.
456.
A.
B.
C.
D.
E. *
Fyurbringer’s method.
Alfeld’ method.
By solution of Chlorhexidine.
What method is it better to sterilize fibre optics?
Sterilization by steam under pressure.
Sterilization by dry heat.
Gas sterilization.
Sterilization by means of chemical solvents.
Radial sterilization.
What method of sterilization and saving of stitch material is most reliable?
Sterilization of stitch material by gamma-rays;
Sterilization of 1 time per a month;
Sterilization of 4 times per a year;
Often;
All of answers are faithful.
What method used to sterilize cutting instruments?
Sterilization by steam under pressure.
Sterilization by dry heat.
Gas sterilization.
Sterilization by means of chemical solvents.
Radial sterilization.
What methods do to sterilization behave?
Roast.
Pasteurization.
Boiling, dry-hot method.
Autoclaving.
All of answers are correct.
What percent of micro organisms is detained by a gauze mask from four layers of gauze?
90-94%.
97%.
85-90%.
95-98%.
100%.
What percent of micro organisms is detained by a gauze mask from six layers of gauze?
90-94%.
97%.
85-90%.
95-98%.
100%.
What preparations are utilized for disinfection of mucous membranes?
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.
457.
A.
B.
C. *
D.
E.
458.
A.
B.
C. *
D.
E.
What preparations of biological antisepsis is it necessary to utilize for the acceleration of clearing of
wound?
Staphylococcic bacteriophage.
Ectericide.
Proteolytic enzymes.
Collagenous film.
Polymixin G.
What representatives of group of biological antiseptics do operate directly on micro organisms and
their toxins?
Antioxidants as wheys (anti-tetanus, anti-diphtherial).
All of answers are incorrect;
All of answers are correct.
Antibiotics;
Bacteriophages;