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INTRODUCTION TO THE SUBJECT OF SURGICAL TOOLS. SEPARATION AND CONNECTION OF TISSUES Choose one correct answer 1. The founder of operative surgery and topographical anatomy is 1) N. I. Pirogov 2) V. N. Shevkunenko 3) P. Kocher 4) S. I. Spasokukotsky 5) A. V. Vishnevsky 2. The founder of the science of extremely forms of variability is 1) N. I. Pirogov 2) V. N. Shevkunenko 3) P. Kocher 4) S. I. Spasokukotsky 5) A. V. Vishnevsky 3. The projection of an organ in the topography-anatomic area is called 1) Skeletotopy 2) Holotopy 3) Sintopy 4) Projection of the organ 4. The localization of an organ with reference to the surrounding organs and tissues is called 1) Skeletotopy 2) Holotopy 3) Sintopy 4) Projection of the organ 5. The operation that is done immediately according to the vital indications is 1) An urgent one 2) An emergency 3) A planned one 4) A radical one 6. The operation which completely removes the cause of the disease (pathological area) is 1) The radical 2) The palliative 3) The simultaneous 4) The urgent 7. The operation which is aimed at either making the condition of the patient better or to eliminate any life-threatening symptoms is 1) The radical 2) The palliative 3) The emergency 4) The one-staged 8. The operation, which while involving a specific surgical intervention allows two or more interventions concerned with different diseases is the 1) Combined surgery 2) Simultaneous surgery 3) Palliative surgery 4) Two-stage surgery 9. Cutting off of the peripheral part of any organ or an extremity is called 1) Resection 2) Exarticulation 3) Amputation 4) Cutting 10. The ligature needles are tools 1) For the separation of tissues 2) For the connection of tissues 3) For stopping bleeding 4) For special purposes 11. Trusso’s tracheo-dilator is used 1) For separation of tissues 2) For connection of tissues 3) For stopping bleeding 4) For special purposes 12. The needle used for suturing the skin is 1) The pricking needle 2) The cutting needle 3) The atraumatic needle 4) The straight needle 13. Excision of an organ with the conservation of its peripheral part is called 1) Resection 2) Exarticulation 3) Amputation 4) Section 14. Muscles cut across the course of muscle fibers are sewed with knots of 1) Catgut-suture knots 2) P-shaped catgut sutures 3) Knots of silk sutures 4) Continuous catgut sutures 15. The characteristic feature of monofila suture materials is 1) Capillarity 2) Sawing properties 3) Good handling properties/good manipulatory properties 4) Bad handling properties/bad manipulatory properties 5) Durability of the knot 16. Primary dermal sutures are imposed 1) During operation 2) During operation, but is not fasten immediately 3) 2-3 hours after the operation 4) 24-36 hours after the operation 5) After removal of scar tissues 17. The primary delayed skin sutures are imposed 1) During operation 2) During operation, but fastened within 24-36 hours 3) Within 2-3 days 4) Within 6-7 days 5) Within 20-21 days 18. The temporary (provisor) skin sutures are imposed 1) During operation 2) During operation, but fastened within 2-3 hours 3) During operation, but fastened within 24-36 hours 4) Within 24-36 hours after operation 5) After removal of the formed scars within 20-21 days after operation 19. Secondary early skin sutures are imposed 1) During operation, but fastened within 2-3 hours 2) During operation, but fastened within 24-36 hours 3) Within 24-36 hours after operation 4) Within 6-7 days after operation 5) After removal of the formed scars within 20-21 days after operation 20. Secondary late skin sutures are imposed 1) During operation, but fastened within 2-3 hours 2) During operation, but fastened within 24-36 hours 3) Within 24-36 hours after operation 4) Within 6-7 days after operation 5) After removal of the formed scars in 20-21 days after operation Choose more than one answer 21. To non-invasive methods of studying topographical anatomy are included 1) Dopplerography 2) X-ray-contrast study 3) Computer tomography 4) Ultrasonic study 5) Morphometry 22. Invasive methods of studying topographical anatomy are 1) Dopplerography 2) X-Ray-contrast study 3) Biopsy 4) Computer tomography 5) Puncture 23. To objective (physical) methods of studying topographical anatomy are included 1) Puncture 2) Percussion 3) Auscultation 4) X-Ray 5) Palpation 24. To the methods of studying topographical anatomy on a corpse are included 1) Layer-by-layer preparation 2) Windowed preparation 3) Polychromatic injections 4) Corrosive preparations 5) Cross-section sawing 25. To the group of general-purpose surgical instruments are included 1) For separation of tissues 2) For hemostasis 3) For fixation 4) For accessorial purposes 5) For connection of tissues 26. To the group of instruments for separation of soft tissues belong 1) Scalpel 2) Grooved probe 3) Scissors 4) Kocher’s probe 5) Arc saw 27. To the group of instruments for hemostasis are included 1) Kocher’s forceps 2) Bilroth’s forceps 3) “Mosquito” forceps 4) Deschan’s and Cooper’s ligature needles 5) Suture material 28. To the group of instruments for connection of tissues belongs 1) Gegar’s needle holder 2) Forceps 3) Needles 4) Sutures material 5) Ligature needles 29. To the instruments which are used for ligation of blood vessels along its course belong 1) Bilroth’s forceps for controlling bleeding 2) Kocher’s forceps for controlling bleeding 3) Deschan’s ligature needle 4) Cooper’s ligature needle 5) Kocher’s probe 30. Characteristic features of poly-filament sutures material are 1) Capillarity 2) Sawing properties 3) Good manipulatory properties 4) Bad manipulatory properties 5) Durability of the knot 31. To suture materials which cause significant inflammatory reactions to the surrounding tissues belong 1) “Polysorb” sutures material 2) Capron 3) Silk 4) Catgut 5) Vicryl 32. Types of sutures are 1) Primary 2) Primary delayed 3) Secondary early 4) Secondary late 5) Temporary 33. In surgery, the following types of knots are used 1) River-like 2) Sea-like 3) Simple 4) Difficult 5) Surgical 34. According to N. N. Burdenko an indicator of the substantiality of operations is 1) Technical fulfillment 2) Anatomic accessibility 3) Physiological permissiveness 4) Pathogenetic substantiality 35. To temporarily control bleeding from a wound the following methods are used 1) Pressing of the vessel using a swab 2) Imposing of hemostatic forceps 3) Ligation of the blood vessels 4) Electrocoagulation of blood vessels 36. The following methods are used to stop bleeding from a wound 1) Imposing a vascular suture 2) Vessel ligation along its course 3) Tamponed wounds 4) Electrocoagulation of blood vessels 37. The following are local anesthesia 1) Spinal anesthesia 2) Infiltration anesthesia 3) Inhalation anesthesia 4) Compartment anesthesia 38. The following are the surgical sutures based on the technique of imposition 1) The knot 2) The primary 3) The continuous 4) Mattress 39. To the instruments for connecting tissues includes 1) Needle holders 2) Surgical needles 3) Surgical forceps 4) Ligature needles 40. To the instruments for special purposes includes 1) Rotations 2) Intestinal forceps 3) Tracheostomical cannula 4) Surgical scissors 41. Initial surgical treatment (IST) of a wound is made 1) During the early hours after an injury 2) For the purpose of preventing an infection of the injury 3) For the purpose of elimination 4) On non-granulating wound with no signs of pus II. UPPER EXTREMITY Choose one correct answer 42. Through the trilateral foramen passes 1) The axillary artery 2) The subscapular artery 3) The thoraco-spinal artery 4) The circumflex scapular artery 43. Through the trilateral foramen report among themselves 1) Deltoid and subclavian areas 2) Subclavian and axillary areas 3) Axillary and scapular areas 4) Scapular and subclavian areas 44. In the middle of the clavicle, the neurovascular fascicle that is projected is 1) Ascending cervical artery and vein 2) Subclavian artery and vein, humeral plexus 3) Axillary artery and vein 4) Transverse cervical nerve and superior thoracic artery 45. In the superficial sub-pectoral space is located the 1) Internal thoracic artery 2) Lateral thoracic artery 3) Upper thoracic artery 4) Thoraco-acromial artery 46. The vein that passes through the sub-pectoral space and flows into the subclavian vein is 1) The deep cervical vein 2) The internal thoracic vein 3) The anterior intercostal vein 4) The cephalic vein 47. Suspending ligament of an axillary cavity is formed by the 1) Deltoid fascia 2) Axillary fascia 3) Thoraco-pectoral fascia 4) Thoracic fascia 48. For locating the neurovascular fascicle in the axillary cavity reference point is 1) Long head of the biceps 2) Coraco-humeral muscle 3) Triceps 4) Lesser thoracic muscle 49. Most superficially in the axillary cavity is the 1) Median nerve 2) Axillary artery 3) Axillary vein 4) Ulnar nerve 50. The central position in the neurovascular fascicles in the axillary cavity is occupied by the 1) Median nerve 2) Axillary artery 3) Axillary vein 4) Ulnar nerve 51. In the axillary cavity, anterior to the subscapular artery passes the 1) Median nerve 2) Axillary artery 3) Axillary vein 4) Ulnar nerve 52. From the lateral radix of the brachial plexus branches out 1) Cutaneous nerves of the foreskin 2) Cutaneous nerve of the shoulder 3) Radial nerve 4) Musculocutaneous nerve 53. From the medial radix of the brachial plexus begins the 1) Musculocutaneous nerve 2) Ulnar nerve 3) Radial nerve 4) Median nerve 54. The largest nerve in the axillary cavity is 1) The median 2) The ulnar 3) The radial 4) The musculocutaneous 55. The lateral wall of the quadrilateral foramen is formed by the 1) Anatomic neck of the humeral bone 2) Body of the humeral bone 3) Surgical neck of the humeral bone 4) Head of the humeral bone 56. The medial wall of the quadrilateral foramen is formed by the 1) Subscapular muscle 2) Coracobrachial muscle 3) Long head of the triceps 4) Supraspinal muscle 57. Through the quadrilateral foramen passes 1) The axillary nerve 2) The radial nerve 3) The ulnar nerve 4) The median nerve 58. The main collateral trunk of the axillary artery is 1) The subscapular 2) The superior thoracic 3) The thoraco-acromial 4) The circumflex artery of the scapula 59. The possibility of an injury of the axillary nerve from fracturing of the humor is at the level of 1) Head of the humeral bone 2) Surgical neck 3) Anatomic neck 4) Greater tubercle of the humeral bone 60. In the sub-deltoid adipose space is located the 1) Radial nerve 2) Subscapular nerve 3) Axillary nerve 4) Thoracodorsal nerve 61. The projection of the articular crevice of the humeral joint on the anterior surface is 1) Middle part of the clavicle 2) Acromion 3) Apex of the coracoid process 4) Deltoid and thoracic sulcus 62. To the capsule of the humeral joint adjoins 1) Radial nerve 2) Axillary nerve 3) Ulnar nerve 4) Median nerve 63. Due to the inflammation of the humeral joint there is a possibility of paralysis of the 1) Lesser pectoral muscle 2) Deltoid muscle 3) Greater pectoral muscle 4) Subscapular muscle 64. In the posterior bed of the brachial there is 1) Subscapular muscle 2) Humeral muscle 3) Triceps 4) Brachioradial muscle 65. The relationship of the median nerve with the humeral artery in the lower thirds of the brachium is 1) To the inside 2) To the front 3) To the outside 4) To the back 66. Along the internal head of the triceps of the brachium passes 1) Median nerve 2) Radial nerve 3) Ulnar nerve 4) Musculocutaneous nerve 67. Into the thickness of the coraco-brachial muscles passes 1) Median nerve 2) Ulnar nerve 3) Radial nerve 4) Musculocutaneous nerve 68. The upper ulnar collateral artery passé together 1) With the median nerve 2) With the ulnar nerve 3) With the radial nerve 4) With the musculocutaneous nerve 69. Fractures of the surgical neck of the humeral bone often brings upon the damage of the 1) Median nerve 2) Radial nerve 3) Axillary nerve 4) Ulnar nerve 70. The fracture of the diaphysis of the humeral bone often damages 1) The radial nerve 2) The median nerve 3) The ulnar nerve 4) The axillary nerve 71. The subcutaneous veins of the cubital fossa usually have 1) M-shaped anastomoses 2) N-shaped anastomoses 3) H-shaped anastomoses 4) U-shaped anastomoses 72. The division of the humeral artery into the radial and ulnar arteries in the cubital fossa usually takes place 1) In the upper angle 2) In the lower angle 3) In the lower angle, 3-5 cm below the internal epicondyle 4) In the lower angle, 5-7 cm below the internal epicondyle 73. The ulnar artery in the forearm passes 1) Under the articulatory muscle of the elbow 2) Under the humeral head of the round pronator 3) Under the ulnar head of the round pronator 4) Under the deep flexor of the fingers 74. The median nerve in the forearm passes 1) Over the articular muscle of the elbow 2) Over the humeral head of the round pronator 3) Over the ulnar head of the round pronator 4) Over the deep flexor of the fingers 75. The anterior branch of the ulnar recurrent artery anastomoses with the 1) Middle collateral artery 2) Upper ulnar collateral artery 3) Lower ulnar collateral artery 4) Recurrent interosseous artery 76. The orientation for incision into the skin while accessing the humeral neurovascular fascicle in the cubital fossa is 1) Humeral muscle 2) Biceps 3) Tendon of the biceps 4) Round pronator 77. The radial nerve divides into deep and superficial branches at the level of 1) 5-7 cm above the lateral epicondyle 2) The lateral epicondyle 3) 5-7 cm below the lateral epicondyle 4) 3 cm below the lateral epicondyle 78. The deep branch of the radial nerve in the cubital fossa is accompanied by 1) The radial collateral artery 2) The recurrent interosseous artery 3) The radial recurrent artery 4) The middle collateral artery 79. In the canal of the supinator passes 1) Dorsal branch of the ulnar nerve 2) Superficial branch of the ulnar nerve 3) Deep branch of the radial nerve 4) Superficial branch of the radial nerve 80. The ulnar nerve lies superficially under the proper fascia at the level 1) Below the medial epicondyle 2) Of the medial epicondyle 3) Above the medial epicondyle 4) Behind the ulnar process 81. The ulnar nerve adjoins the capsule of the elbow joint at the level 1) Below the medial epicondyle 2) Of the medial epicondyle 3) Above the medial epicondyle 4) Behind the elbow shoot 82. Pirogov’s space is bordered by the following 1) Deep flexor of fingers 2) Long flexor of the thumb 3) Quadratic pronator 4) All of the above 83. Phlegmon of Pirogov’s adipose tissue space can cause inflammation of the synovial vagina 1) 1 and 2 fingers of the hand 2) 2 and 3 fingers of the hand 3) 1 and 4 fingers of the hand 4) 1 and 5 fingers of the hand 84. The radial neurovascular bunch passes in the upper third of the forearm along the internal edge of 1) Radial flexor of the wrist 2) Long flexor of the thumb 3) Brachioradial muscle 4) Round pronator 85. The radial artery in the region of the radiocarpal joint passes into the fatty tissue of the 1) Long flexors of the thumb 2) Radial flexor of the wrist 3) Quadratic pronator 4) Brachioradial muscle 86. In the upper third of the forearm the ulnar nerve passes along the external edge of the 1) Radial flexor 2) Long palmar muscle 3) Ulnar flexor of the wrist 4) Superficial flexor of the fingers 87. In the upper third of the forearm the ulnar artery is crossed by the 1) Ulnar nerve 2) Median nerve 3) Radial nerve 4) Anterior interosseous nerve 88. The ulnar artery in the lower third of the forearm leaves from under the external edge of 1) Quadratic pronator 2) Deep flexor of the fingers 3) Ulnar flexor of the wrist 4) Long palmar muscle 89. The deep branch of the radial nerve passes onto the back surface of the forearm 1) Through the supinator canal 2) At the lower edge of the supinator 3) At the upper edge of the supinator 4) All of the above 90. The external orientation for the projection of the cross-shaped ligaments of the fingers is 1) Transverse folds of the fingers 2) Interdigital folds 3) Palmo-digital folds 4) All of the above 91. The palmar branch of the median nerve can be found at the level of 1) The pisiforme bone 2) Short palmar muscle 3) Tendon of the long palmar muscle 4) Tendon of the superficial flexor of the hand 92. Through the canal of the wrist passes 1) Superficial branch of the radial nerve 2) Deep branch of the radial nerve 3) Median nerve 4) Back branch of the ulnar nerve 93. The contents of the fibrous intermetacarpal canals are 1) The proper palmar digital arteries 2) Common palmar digital arteries 3) Palmar metacarpal arteries 4) Lumbriciform muscles 94. On the palmar surface of the hand is located 1) 1 fascial bed 2) 2 fascial beds 3) 3 fascial beds 4) 4 fascial beds 95. Muscles of the medial fascio-muscular bed of the palm is innervated by the 1) Radial nerve 2) Ulnar nerve 3) Median nerve 4) Common palmar digital nerves 96. In the sub aponeurotical adipose tissue crevice of the median fascial bed of the palm is located 1) 1 palmar digital nerve 2) 2 palmar digital nerves 3) 3 palmar digital nerves 4) 4 palmar digital nerves 97. The common digital nerves formed on the palm from the median nerve is of the form 1) 1 trunk 2) 2 trunks 3) 3 trunks 4) 4 trunks 98. Palmar interosseous muscles are innervated by the 1) Palmar branch of the ulnar nerve 2) Deep branch of the radial nerve 3) Deep branch of the ulnar nerve 4) Posterior interosseous nerve 99. The deep adipose tissue crevice of the median fascial bed of the palm communicates with the adipose of the back of the fingers 1) No 2) Not always 3) Never 4) Yes 100. Orientation for opening the carpal canal is the 1) Semi-lunar bone 2) Triquetral bone 3) Pisiforme bone 4) Styloid process 101. The radial synovial sac extends to the 1) Base of the metacarpal bones 2) Proximal phalanx 3) Middle phalanx 4) Distal phalanx 102. When operating on the fingers the anesthesia that is usually used is 1) Infiltrate anesthesia 2) Block anesthesia 3) Compartmental anesthesia 4) Surface (chlorethane) anesthesia 103. For tendovaginitis of the fingers the incision is done 1) On the palmar surface of the finger 2) On the back surface of the finger 3) On the palmar and lateral surfaces of the finger 4) On the back and lateral surfaces of the finger 104. The operation of releasing the nerve from the wound is called 1) Neurolysis 2) Neuroraphia 3) Resection of the nerve 4) Transposition of the nerve 105. The first stage of operation of the replantation of an extremity is called 1) Restoration of vessels and nerves 2) Osteosynthesis 3) Primary surgical processing 4) Restoration of muscles 106. Tenotomia is the operation of 1) Sewing together of the tendons 2) Incision of the tendon 3) Releasing of the tendons from the scars tissues 4) Transplantation of the tendons 107. When stitching tendons, the suture commonly used is 1) Karrel’s stitch 2) Bennel’s stitch 3) Morozova’s stitch 4) Donetsky’s stitch 108. When stitching nerves without the use of microsurgical equipment’s the suture commonly used is 1) Perineural stitch 2) Endoneural stitch 3) Epineural stitch 4) Paraneural stitch 109. The ulnar synovial sac extends to the level of the 1) Base of the metacarpal bones 2) Middle of the metacarpal bones 3) Distal phalanx 4) Middle phalanx 110. The radial and ulnar synovial sacs can communicate with each other at the level of 1) Carpal tunnel 2) Middle third of the forearm 3) Upper third of the forearm 4) Carpo-metacarpal joint 111. «The anatomic snuffbox» is boarded by the tendons of 1) The long muscle that abducts the thumb 2) Short extensor of the thumb 3) Long extensor of the thumb 4) All of the above 112. At the bottom of the «anatomic snuffbox» it is possible to palpate the 1) Semi-lunar bone 2) Scaphoid bone 3) Triquetral bone 4) Capitate bone 113. From the radial side, on the dorsal surface of the hand the radial nerve innervates the skin of 1) 1,2,3 fingers 2) 2,3,4 fingers 3) 3,4,5 fingers 4) All of the above 114. The osteal orientation used for the definition of the projection of the superficial branch of the radial nerve is 1) Posterior margin of the radial bone 2) Styloid process of the radial bone 3) Navicular bone 4) Semi-lunar bone 115. The projection of the radiocarpal joint on the back of the hand in relationship with the imaginary line connecting the apex of the styloid process is 1) On the line 2) 1 cm above the line 3) 1 cm below the line 4) 2 cm above the line 116. For exposing the humeral joint an incision is done 1) Over the clavicle 2) In the axillary fossa 3) Along the deltoideopectoral sulcus 4) Over the scapular spine 117. Usually the elbow joint is punctured 1) At the middle epicondyle 2) Over the olecranon 3) In the center of the antecubital fossa 4) In the middle of the elbow bend 118. The combined inflammation of the radial and ulnar synovial sacs of the hand is called 1) Commissural phlegmon 2) Interdigital phlegmon 3) U-shaped phlegmon 4) Synovial phlegmon 119. The purulent inflammation of all the tissues of the finger is called 1) Panaricium 2) Subcutaneous panaricium 3) Tendoviginitis 4) Pandactylitis III. LOWER EXTREMITIES Choose the correct answer 120. 121. 122. 123. The greater ischiadic foramen is formed by the 1) internal obturator muscle 2) piriform muscle 3) superior gemellus muscle 4) inferior gemellus muscle The lesser ischiadic foramen is formed by the 1) internal obturator muscle 2) piriform muscle 3) superior gemellus muscle 4) inferior gemellus muscle The artery that passes through the suprapiriform foramen is the 1) perforating artery 2) obturator artery 3) superior gluteus artery 4) internal pudendal artery The sciatic nerve passes into the gluteal area through the 1) obturator foramen 2) ischiadic foramen 3) suprapiriform foramen 4) infrapiriform foramen 124. The pudendal nerve passes into the gluteal area through the 1) obturator foramen 2) ischiadic foramen 3) suprapiriform foramen 4) infrapiriform foramen 125. The lateral position in the infrapiriform foramen is taken by the 1) pudendal nerve 2) sciatic nerve 3) internal pudendal artery 4) inferior gluteal artery and vein 126. The medical position in the infrapiriform foramen is taken by the 1) pudendal nerve 2) sciatic nerve 3) internal pudendal artery 4) inferior gluteal artery and vein 127. The medial position in the infrapiriform foramen is taken by 1) pudendal nerve 2) sciatic nerve 3) internal pudendal artery, vein and pudendal nerve 4) inferior gluteal artery and vein 128. To stop bleeding in case of injury to the superior gluteal artery, it is necessary to ligate the 1) superior gluteal artery 2) common iliac artery 3) internal iliac artery 4) external iliac artery 129. Patient is unable to extend the thigh due to the damage of 1) superior gluteal nerve 2) inferior gluteal nerve 3) posterior cutaneous nerve 4) sciatic nerve 130. Impairment of the flexion of the leg occurs when there is damage of 1) superior gluteal nerve 2) inferior gluteal nerve 3) posterior cutaneous nerve 4) sciatic nerve 131. The femoral triangle is superiorly bounded by the 1) inguinal ligament 2) sartorius muscle 3) long adductor muscle 4) short adductor muscle 132. The femoral triangle is laterally bounded by the 1) inguinal ligament 2) sartorius muscle 3) long adductor muscle 4) short adductor muscle 133. The femoral triangle is medially bounded by the 1) inguinal ligament 2) sartorius muscle 3) long adductor muscle 4) short adductor muscle 134. Among the elements of the neurovascular fascicle in the femoral triangle, the lateral position is occupied by 1) femoral artery 2) femoral vein 3) femoral nerve 4) great saphenous vein 135. Among the elements of the neurovascular fascicle in the femoral triangle, the medial position is occupied by 1) femoral artery 2) femoral vein 3) femoral nerve 4) great saphenous vein 136. Among the elements of the neurovascular fascicle in the femoral triangle, the central position is occupied by 1) femoral artery 2) femoral vein 3) femoral nerve 4) great saphenous vein 137. The deep ring of the femoral canal in the front is bounded by 1) inguinal ligament 2) pectineal ligament 3) lacunar ligament 4) femoral vein 138. The deep ring of the femoral canal is bounded from behind by 1) inguinal ligament 2) pectineal ligament 3) lacunar ligament 4) femoral vein 139. The deep ring of the femoral canal is medially bounded by 1) inguinal ligament 2) pectineal ligament 3) lacunar ligament 4) femoral vein 140. The deep ring of the femoral canal is laterally bounded by 1) inguinal ligament 2) pectineal ligament 3) lacunar ligament 4) femoral vein 141. ”The death crown” in the area of the deep ring of the femoral canal is formed due to the abnormal location of the 1) femoral artery 2) obturator artery 3) superficial hypogastric artery 4) inferior epigastric artery 142. The opening of the outlet of the obturator canal is covered by 1) sartorius muscle 2) pectineal muscle 3) gracilis muscle 4) semitendinosus muscle 143. Medial location among the elements of the neurovascular fascicle of the obturator canal is occupied by 1) artery 2) vein 3) nerve 4) all of the above 144. The deep artery of the thigh, branches away from the femoral artery at the level of 1) 1-6 cm below the inguinal ligament 2) 7-8 cm below the inguinal ligament 3) 9-10 cm below the inguinal ligament 4) 10-15 cm below the inguinal ligament 145. The adductor canal in the front is bounded by the 1) great adductor muscle (m. adductor magnus) 2) medial venter of the quadriceps muscle (m. vastus medialis) 3) sartorius muscle 4) aponeurotic plate (lamina vasto adductoria) 146. The adductor canal from the behind is bounded by 1) great adductor muscle (m. adductor magnus) 2) medial venter of the quadriceps muscle (m. vastus medialis) 3) sartorius muscle 4) aponeurotic plate (lamina vasto adductoria) 147. The adductor canal from above is bounded by 1) great adductor muscle (m. adductor magnus) 2) medial venter of the quadriceps muscle (m. vastus medialis) 3) sartorius muscle 4) aponeurotic plate (lamina vastoadductoria) 148. Through the upper opening of the adductor canal passes 1) femoral artery and vein 2) femoral artery and vein, and saphenous vein 3) saphenous nerve 4) sciatic nerve 149. From the anterior opening of the adductor canal leaves 1) femoral artery and vein 2) femoral artery and vein, and saphenous vein 3) saphenous nerve and artery, and descending vein of the knee 4) descending vein and artery of the knee 150. From the inferior opening of the adductor canal leaves 1) femoral artery and vein 2) femoral artery and vein, and saphenous vein 3) saphenous nerve and artery, and descending vein of the knee 4) descending vein and artery of the knee 151. The adductor canal from above is covered by the 1) gracilis muscle 2) semitendinosus muscle 3) sartorius muscle 4) long adductor muscle 152. Cellulose of the posterior fascial bed of the thigh, communicates with the cellular tissue space of the gluteal area, along the course of 1) femoral artery 2) femoral vein 3) femoral nerve 4) sciatic nerve 153. Cellulose of the posterior fascial bed of the thigh, communicates with the cellular tissue space of the popliteal, along the course of 1) femoral artery 2) femoral vein 3) femoral nerve 4) sciatic nerve 154. The sciatic nerve in the posterior fascial bed of the thigh lies superficially at the level of 1) middle third of thigh 2) upper third of thigh 3) lower third of thigh 4) all of the above 155. Among the elements of the popliteal neurovascular fascicle, the more superficial one is 1) popliteal artery 2) popliteal vein 3) tibial nerve 4) peroneal nerve 156. Among the elements of the popliteal neurovascular fascicle, the one that lies closer to the femur is 1) popliteal artery 2) popliteal vein 3) tibial nerve 4) peroneal nerve 157. Among the elements of the popliteal neurovascular fascicle, the one that adjoins the inner margin of bicep muscle of thigh is 1) popliteal artery 2) popliteal vein 3) tibial nerve 4) common peroneal nerve 158. Fracture of the supracondyle of the thigh often damages 1) popliteal artery 2) popliteal vein 3) tibial nerve 4) common peroneal nerve 159. The sciatic nerve often branches 1) at a distance of 7-9 cm from the line of the knee joint 2) at a distance of 10-12 cm from the line of the knee joint 3) at a distance of 13-14 cm from the line of the knee joint 4) at a distance of 14-15 cm from the line of the knee joint 160. The nerve that lies in the anterior bed of the leg is 1) tibial nerve 2) common peroneal nerve 3) superficial peroneal nerve 4) deep peroneal nerve 161. The nerve that lies in the lateral fascial bed of the leg is 1) tibial nerve 2) common peroneal nerve 3) superficial peroneal nerve 4) deep peroneal nerve 162. The nerve that lies in the posterior fascial bed of the leg is 1) tibial nerve 2) common peroneal nerve 3) superficial peroneal nerve 4) deep peroneal nerve 163. The cruropopliteal canal in the front is bounded by the 1) soleus muscle 2) posterior tibial muscle 3) gastrocnemius (suralis) muscle 4) long flexor of the first finger 164. The cruropopliteal canal is bounded from behind by the 1) soleus muscle 2) posterior tibial muscle 3) gastrocnemius (suralis) muscle 4) long flexor of the first finger 165. In the musculoperoneus canal (canalis musculoperoneus superior) passes 1) tibial nerve 2) peroneal artery 3) superficial peroneal nerve 4) deep peroneal nerve 166. The vessels that are located in the anterior fascial bed of the leg are 1) peroneal artery and vein 2) anterior tibial artery and vein 3) posterior tibial artery and vein 4) popliteal artery and vein 167. The vessels that are located in the posterior fascial bed of the leg are 1) peroneal artery and vein 2) anterior tibial artery and vein 3) posterior tibial artery and vein 4) popliteal artery and vein 168. The vessels that are located in the lateral fascial bed of the leg are 1) peroneal artery and vein 2) anterior tibial artery and vein 3) posterior tibial artery and vein 4) popliteal artery and vein 169. The leg consists of 1) 2 fascial beds 2) 3 fascial beds 3) 4 fascial beds 4) 5 fascial beds 170. In the region of the medial ankle bone, pulse can be determined on the 1) peroneal artery 2) anterior tibial artery 3) posterior tibial artery 4) dorsal artery of the foot 171. On the dorsal surface of the foot, pulse can be determined on 1) peroneal artery 2) anterior tibial artery 3) posterior tibial artery 4) dorsal artery of the foot 172. The dorsal artery of the foot passes under the tendon of 1) long extensor muscles of fingers 2) long extensor muscle of first finger 3) long peroneal muscle 173. 174. 175. 176. 177. 178. 179. 180. 181. 182. 183. 4) short peroneal muscle Extension of the foot is damaged due to the injury of 1) tibial nerve 2) common peroneal nerve 3) superficial peroneal nerve 4) deep peroneal nerve Flexion of the foot is damaged due to the injury to the 1) tibial nerve 2) common peroneal nerve 3) superficial peroneal nerve 4) deep peroneal nerve The pronation of the foot is disturbed due to the injury of 1) tibial nerve 2) common peroneal nerve 3) superficial peroneal nerve 4) deep peroneal nerve The tibial nerve gets branched 1) above the medial ankle bone 2) at the level of the medal ankle bone 3) below the medial ankle bone 4) laterally to the medial ankle bone The foot has 1) 2 fascial beds 2) 3 fascial beds 3) 4 fascial beds 4) 5 fascial beds Resection of the joint is 1) removable of the joint completely 2) removal of a part of the joint 3) joint immobilization 4) restoration of mobility of the joint Arthrodesis is the process of 1) removable of the joint completely 2) removal of a part of the joint 3) joint immobilization 4) restoration of mobility of the joint Arthrorisis is the process of 1) restriction of mobility of joint 2) removal of a part of the joint 3) joint immobilization 4) restoration of mobility of the joint Arthroplasty is the process of 1) joint transplantation 2) removal of a part of the joint 3) joint immobilization 4) restoration of the mobility of the joint Orientation for the knee joint puncture is 1) medial epicondyle of the thigh 2) lateral epicondyle of the thigh 3) patella 4) head of the fibula Operation of opening of the joint is called as 1) puncture 2) synovectomy 3) arthrotomy 4) joint resection 184. Endoprotesis of a joint is the process of 1) joint replacement with an allograft 2) joint replacement with an autograft 3) replacement of the artificial joint 4) replacement with an synovial joint 185. The sewing technique according to Karrel’s vascular stitch is 1) П shaped suture 2) Z shaped suture 3) “blanket” type 4) interrupted suture 186. A properly imposed vascular stitch should provide 1) tightness 2) atraumatic 3) contacted intima 4) interrupted suture 187. For imposition of a vascular stitch, the needle most often used is 1) pricking 2) cutting 3) atraumatic 4) all of the above 188. Operation of the removal of veins is called 1) resection 2) enucleation 3) phleboectomy 4) devascularization 189. X-ray endovascular surgery can be used to carry out 1) resection of vessel 2) embolization 3) removal of vessel 4) all of the above 190. For the “By Pass” surgery of the vessels 1) venous allograft is used 2) venous autograft is used 3) vascular exgraft (artificial limb) is used 4) all of the above 191. When performing vascular stitches according to Karrel, the sutures are 1) 1 stitch-handle 2) 2 stitch-handles 3) 3 stitch-handles 4) 4 stitch-handles 192. Osteotomy is the technique of 1) bone resection 2) bone section 3) removal of a part of a bone 4) all of the above 193. The operation performed in the case of chronic osteomyelitis is 1) bone resection 2) bone section 3) sequestrectomy 4) all of the above 194. Amputation is 1) bone removal 2) removal of proximal part of an extremity 3) removal of distal part of an extremity 4) removal of the entire extremity 195. Exarticulation is 1) joint removal 2) joint resection 3) plastic of joint 4) removal of an extremity at the joint level 196. The method of amputation of an extremity as per Pirogov is 1) guillotine 2) 3 momented conic-circular 3) aperiosteal 4) transperiosteal 197. The drills for skeletal extension of the foot can be inserted through 1) malleolus 2) talus bone 3) heel bone 4) navicular bone 198. The drills for skeletal extension of the leg can be inserted through 1) malleolus 2) talus bone 3) heel bone 4) navicular bone 199. While performing periosteal osteosynthesis, skeletal fragments can be fixed with the help of 1) pin CYTO 2) Kaplan-Antonova plates 3) G.A. Ilizarov’s device 4) screws 200. While performing intraosteal osteosynthesis, skeletal fragments can be fixed with the help of 1) pin CYTO 2) Kaplan-Antonova plates 3) G.A. Ilizarov’s device 4) screws 201. While performing transosteal osteosynthesis, skeletal fragments can be fixed with the help of 1) pin CYTO 2) Kaplan-Antonova plates 3) G.A. Ilizarov’s device 4) screws 202. The bone sawline usually used while amputating an extremity is 1) periosteal 2) aperiosteal 3) subperiosteal 4) osteoplasty 203. The drill used for the skeletal extension of the thigh can be inserted through the 1) neck of femur 2) diaphysis of femur 3) lesser trochanter of femur 4) greater trochanter of femur 204. The drill used for the skeletal extension of the upper extremity can be inserted through the 1) tubercle of the humeral bone 2) styloid process 3) diaphysis of humeral bone 4) ulnar process 205. The method of amputation suggested by Pirogov is 1) myoplasty 2) osteoplasty 3) fascio-plasty 4) tendoplasty HEAD 206. The main vessels and nerves in the fronto-parieto-occipital region passes 1) Under the periosteum 2) Over the aponeurosis 3) Under the aponeurosis 4) All the above 207. Anatomical landmark for the detection of the facial canal is 1) Mastoid angle of the parietal bone 2) External acoustic opening 3) Suprameatal spine of the zygomatic process 4) Coronoid process of the mandible 208. Anatomical landmark for the detection of the sigmoid sinus is 1) Mastoid incisure (notch) 2) Mastoid tuberosity 3) Styloid process 4) Nuchal line 209. The projection of the supraorbital neurovascular fascicle is 1) Border of the internal and middle one-thirds of the supraorbital margin 2) Border of the middle and external one-thirds of the supraorbital margin 3) Internal one-third of the supraorbital margin 4) Middle one-third of the supraorbital margin 210. Anatomical landmark for the detection of the frontal neurovascular fascicle is 1) Glabella 2) Supraorbital incisures (notch) 3) Frontal incisures 4) Lacrimal fossa 211. The projection of the mastoid venous 1) In the Сhipault’s triangle 2) On the styloid process 3) On the zygomatic process 4) On the posterior part of the mastoid process 212. Arteries of the soft coverings of the fornix of the cranium have 1) Axial direction 2) Radial direction 3) Mixed direction 4) Transverse direction 213. The 4th layer of the soft covering of the fornix of cranium is called 1) Aponeurosis 2) Periosteum 3) Subaponeurosis fat tissue 4) Subperiosteal fat tissue 214. Soft coverings of the fornix of the cranium can be easily separated from the cranium due the presence of 1) Aponeurosis 2) Periosteum 3) Subaponeurotic fat tissue 4) Subperiosteal fat tissue 215. Nasal veins have anastomoses with 1) Superior Sagittal sinus of the dura mater of the brain 2) Inferior sagittal sinus of the dura mater of the brain 3) Cavernous sinus of the dura mater of the brain 4) Rectal sinus of the dura mater of the brain 216. The anterior cranial fossa and the middle cranial fossa are divided by 1) The lesser wing of the sphenoid bone 2) The greater wing of the sphenoid bone 3) Turkish saddle 4) Temporal pyramid 217. The ophthalmic vein passes through the 1) The superior orbital fissure 2) Inferior orbital fissure 3) Round foramen 4) Optic canal 218. The ophthalmic vein passes through the 1) The superior orbital fissure 2) Inferior orbital fissure 3) Round foramen 4) Optic canal 219. The maxillary nerve passes through the 1) Superior orbital fissure 2) Inferior orbital fissure 3) Round foramen 4) Optic Canal 220. The mandibular nerve passes through 1) Oval foramen 2) Inferior orbital foramen 3) Round foramen 4) Optic canal 221. The middle meningeal artery passes through the 1) Superior orbital fissure 2) Inferior orbital fissure 3) Round foramen 4) Spinal foramen 222. In the superior part of the cerebral falx is located 1) Sigmoid sinus 2) Superior sagittal sinus 3) Cavernous sinus 4) Straight sinus 223. Blood from the ophthalmic vein passes into the 1) Sinus drain 2) Sigmoid sinus 3) Inferior petrodollars sinus 4) Cavernous sinus 224. The vein that form anastomoses with the cavernous sinus through the emissary veins is the 1. Deep facial vein 2. Pterygoid venous plexus 3. Angular vein 4. Deep temporal vein 225. Through the cavernous sinus of the dura mater of the brain passes the 1. Internal carotid artery 2. Anterior cerebral artery 3. Medial cerebral artery 4. Posterior cerebral 226. Through the cavernous sinus of the dura mater of the brain passes the 1. Olfactory nerve 2. Oculomotorius nerve 3. Trochlear nerve 4. Abducent nerve 227. The Subaponeurotic fat tissue of the temporal region passes down into the 1) Masticatory-mandibular cellular space 1. Mandibular-pterygoid cellular space 2) Interpterygoid cellular space 3) Parapharyngeal Cellular space 228. According to Krönlein’s scheme, on the internal surface of the temporal and the sphenoid bone the projection observed is the 1) Posterior meningeal artery 2) Medial meningeal artery 3) Anterior meningeal artery 4) Deep temporal artery 229. The temporal region communicates with orbital cavity through the 1) Superior orbital fissure 2) Inferior orbital fissure 3) zygomatic temporal foramen 4) Frontal foramen 230. The mastoid process has numerous well expressed cells at 1) Sclerotic structural forms 2) Spongioid structural forms 3) Pneumospongy structural forms 4) Pneumatic structural form 231. On the anterior inferior quadrant of the mastoid process . . . . . projection is observed 1) Mastoid Antrum 2) Facial canal 3) Posterior cranial fossa 4) Sigmoid sinus 232. On the posterior-superior quadrant of the mastoid process…….. projection is observed 1) Mastoid Antrum 2) Facial canal 3) Posterior cranial fossa 4) Sigmoid sinus 233. On the posterior-inferior quadrant of the mastoid process…….. projection is observed. 1) Mastoid Antrum 2) Facial canal 3) Posterior cranial fossa 4) Sigmoid sinus 234. On the antero-superior quadrant of the mastoid process ………. projection is observed. 1) Mastoid Antrum 2) Facial canal 3) Posterior cranial fossa 4) Sigmoid sinus 235. Chipault's triangle is bordered/ limited on the anterior by the 1) Posterior margin of the external acoustic meats 2) Mastoid crest 3) Suprameatal spine of the temporal bone 4) Mastoid incisure 236. Chipault's triangle is bordered/limited superiorly by 1) Posterior margin of external acoustic meatus 2) Mastoid crest 3) Suprameatal spine of the temporal bone 4) Mastoid incisure 237. Chipault's triangle is bordered/limited posteriorly by the 1) The posterior margin of the external acoustic meatus 2) Mastoid crest 3) Suprameatal spine of the temporal bone 4) Mastoid incisures 238. The mastoid Antrum is ……….deep 1) 0,5 cm 2) 1cm 3) 1,5cm 4) 2cm 239. Epidural hematoma occurs when the…………is damaged 1) The anterior cerebral artery 2) Medial meningeal artery 3) Posterior cerebral artery 4) Anterior communicative artery 240. The layers of soft covering of the calvarium is called 1) Subcutaneus 2) Periosteum 3) Subaponeurotic cellular tissue 4) Epicranial aponeurosis 241. The 5th layer of the integuments of calvarium is called 1) Subcutaneous 2) Periosteum 3) Subaponeurotic cellular tissue 4) Epicranial aponeurosis 242. The 6th layer of the soft covering of the calvarium is called 1) Subperiosteal 2) Periosteum 3) Subaponeurotic cellular tissue 4) Epicranial aponeurosis 243. Hematoma located between the skull and the dura mater of the brain 1) Intracerebral hematoma 2) Subarachnoid Hematoma 3) Epidural Hematoma 4) Subdural Hematoma 244. Hematoma located between the dura mater of the brain arachnoid of the brain is called 1) Intracerebral Hematoma 2) Subarachnoid Hematoma 3) Epidural Hematoma 4) Subdural Hematoma 245. Hematoma located between the arachnoid of the brain and pia mater of the brain is called 1) Intracerebral Hematoma 2) Subarachnoid Hematoma 3) Epidural Hematoma 4) Subdural Hematoma 246. Between the arachnoid of the brain and pia mater of the brain is located the 1) Subarachnoidal space 2) Subdural space 3) Epidural space 4) Vascular space 247. Between the skull and the dura mater of the brain is located the 1) Subarachnoid space 2) Subdural space 3) Epidural space 4) Vascular space 248. Between the arachnoid of the brain and the dura mater is located the 1) Subarachnoid space 2) Subdural space 3) Epidural space 4) Vascular space 249. The extracranial hematoma does not have the tendency to spread, if it located in the 1) Supraponeurotic space 2) Subaponeuric space 3) Subperiosteal space 4) Epidural space 250. The extracranial hematoma spreads over the entire fornix of the skull if the Hematoma is located in the 1) Supraaponeurotic space 2) Subaponeurotic space 3) Subperiosteal space 4) Epidural space 251. The extracranial hematoma spreads along the surface of the skull, if is located in the 1) Supraaponeurotic space 2) Subaponeurotic space 3) Subperiosteal space 4) Epidural space 252. Diploic veins pass 1) In the subcutaneous fat 2) Under the aponeurosis 3) Inside the bones 4) In the cavity of the skull 253. The cavernous sinus is located in the 1) Middle cranial fossa 2) Anterior cranial fossa 3) Posterior cranial fossa 4) All of the above 254. The vagus nerve passes through the 1) Spinous foramen 2) Jugular foramen 3) Oval foramen 4) Occipital foramen 255. Liquor circulates through the 1) Epidural space 2) Subdural space 3) Subarachnoid space 4) In all the spaces 256. Sinus of the dura mater of the brain are connected with the subcutaneous veins through 1) Cerebral veins 2) Emissary vein 3) Diploid veins 4) All the listed veins 257. The veins on the space, that connect the facial nerve with the plexus are located in the 1) Wing of the nose 2) Angle of the mouth 3) Anterior margin of the masticatory muscle 4) Middle of the zygomatic arch 258. The corpus adipose deposition of the cheek has fascial capsule 1) Yes 2) No 3) Partially 4) Not always 259. To the orbital process of the corpus adipose deposition of the cheek adjoins 1) Superior orbital fissure 2) Inferior orbital fissure 3) Canine fossa 4) Maxillary tuber 260. The fascial bed for the parotid gland is formed by the 1) Buccal fascia 2) Masseteric fascia 3) Temporal fascia 4) Lateral sphenoidal fascia 261. The fascial nerve in the parotid gland is located 1) Above the gland 2) Through its depth 3) Below the gland 4) Behind the gland 262. The auriculotemporal nerve in the parotid gland is located 1) Above the gland 2) Through its depth 3) Below the gland 4) Behind the gland 263. Through the depth of the parotid gland passes the 1) External carotid artery 2) Fascial artery 3) Internal carotid artery 4) Ophthalmic artery 264. Through the depth of the parotid gland passes the 1) Deep fascial vein 2) Fascial vein 3) Retromandibular vein 4) Deep temporal vein 265. The width of the facial skeleton is defined by the 1) Upper jaw 2) Lower jaw 3) Zygomatic bone 4) Frontal bone 266. The corpus adipose deposition of the cheek is located on the front border of the 1) Orbicular muscle of the eye 2) Buccal muscle 3) Masticatory muscle 4) Orbicular muscle of the mouth 267. The facial nerve leaves the cranial cavity through the 1) Stylomastoid foramen 2) Round foramen 3) Spinal foramen 4) Oval foramen 268. The pus formed due to purulent parotites leaks in 1) Buccal region 2) Parapharyngeal space 3) Temporal area 4) Orbit 269. Thrombus formation due to the furuncles of the nasal wings is observed in 1) The sigmoid sinus 2) The superior sagittal sinus 3) The cavernous sinus 4) Straight sinus 270. The facial vein is connected to the ophthalmic vein through 1) Deep facial vein 2) Frontal vein 3) Veins of the nose 4) Angular vein 271. Paralysis of the mimic muscles is observed due to damages to the 1) Trigeminal nerve 2) Facial nerve 3) Infraorbital nerve 4) Mandibular nerve 272. On making incisions on the face it is necessary to consider the projection of the branches of 1) Trigeminal nerve 2) Facial nerve 3) Infraorbital nerve 4) Mandibular nerve 273. While making incisions on the face it is necessary to consider the projection of the 1) Trigeminal nerve 2) Transverse facial nerve 3) Excretory duct of the parotid gland 4) Zygomaticoorbital artery 274. Incisions according to Voyno Yansenitsky’s in the case of purulent parotitis is done 1) Parallel of the zygomatic arch 2) Parallel to the mandibular of the angle 3) Parallel to the tragus of the ear 4) Parallel to the auricle 275. Pharyngeal process of the parotid gland is adjoining the 1) Medial pterygoid muscle 2) Lateral pterygoid muscle 3) Styloglossus muscle 4) Stylopharyngeal muscle 276. The masticato- mandibulary adipose space communicates with the 1) Subcutaneous fat 2) Subaponeurotic fat 3) Interaponeurotic adipose 4) Musculoskeletal adipose 277. In the temporo-sphenoidal adipose space is located the 1) Superficial temporal artery 2) Deep temporal artery 3) Maxillary artery 4) Deep fascial artery 278. The sphenoid venous plexus is located in the 1) Parapharyngeal adipose space 2) Temporo-pterygoideal adipose space 3) Interpterygoideal adipose space 4) All of the above 279. The mandibular nerve is located In the 1) Parapharyngeal adipose space 2) Temporo-pterygoideal adipose space 3) Interpterygoideal adipose space 4) All of the above 280. The lingual nerve is located in the 1) Parapharyngeal adipose space 2) Temporo-sphenoidal adipose space 3) Interpterygoidal adipose space 4) All of the above 281. The inferior alveolar nerve is located in the 1) Parapharyngeal adipose space 2) Temporo-sphenoidal adipose space 3) Interpterygoidal adipose space 4) All of the above 282. Which canal is found in the pterygopalatine fossa? 1) Incisive foramen 2) Lesser palatal canal 3) Greater palatal canal 4) The alveolar canal 283. Into the pterygopalatine fossa enters the 1) Maxillary nerve 2) Mandibular nerve 3) Trochlear nerve 4) Facial nerve 284. The anterior part of the parapharyngeal space of the deep areas of the face passes the 1) Superior laryngeal artery, superior laryngeal vein and superior laryngeal nerve 2) Ascending pharyngeal artery 3) Lingual artery 4) Descending pharyngeal artery and descending pharyngeal nerve 285. The internal carotid artery passes in 1) Anterior compartment of the parapharyngeal space 2) Temporo-sphenoidal adipose space 3) Inter sphenoidal space 4) Posterior compartment of the parapharyngeal space 286. The direction of the incision while carrying out the primary operation of the dressing of the wound of the cranial fornix must be 1) Cross-sectional 2) Radial 3) Slanting 4) Has no importance 287. The arresting bleeding from the soft covers of the fornix of the skull can be carried out by 1) Ligation of the vessels at a distance 2) Pressing the soft tissues to the bone 3) Irrigation using hemostatic substance 4) All of the above 288. Arresting of the bleeding of diploe veins can be carried on 1) Ligation 2) Imposing forceps 3) Special paste 4) All of the above 289. Cranial trepan action operation is 1) Cranial opening 2) Plastic of the bones of the skull 3) Imposition of milling cutter holes 4) All of the above 290. Cranioplasty is 1) Cranial opening 2) Plastic of bones of a skull 3) Imposition of milling of cutter holes 4) All of the above 291. The osteoplastic technique of cranial trepanation is 1) A section of soft tissues 2) Imposition of milling cutter holes 3) Filling of defected areas of the skull using extracted bones 4) All of the above 292. Decompressed cranial trepanation provides 1) A section of soft tissues 2) Imposition of milling cutter holes 3) Removal of bone flap 4) All of the above 293. One of the resection technique of cranial trepanation is 1) Wagner-wolf’s method 2) Olivecron’s method 3) Cushing’s method 4) All of the above 294. The basis of the soft tissue flap during cranial trepanation must be directed 1) Forward 2) Downward 3) Upward 4) Backward 295. In the case suppurative mastoiditis operation is carried out 1) Antromastoidotomy 2) Antrotomy 3) Mastoidotomy 4) All of the above 296. During the trepanation of the mastoid process , outside the anterior border of the Chipault's triangle there can be possible damage to 1) Sigmoid sinus 2) Internal carotid artery 3) Facial nerve 4) Middle cranial fossa 297. Duration the trepanation of the mastoid process, outside the posterior border Chipault's triangle , there can be possible damage to 1) Sigmoid sinus 2) Internal carotid artery 3) Facial nerve 4) Middle cranial fossa 298. During the trepanation of the mastoid process, outside the superior border of the Chipault's triangle there can be possible damages to the 1) Sigmoid sinus 2) Internal carotid artery 3) Facial nerve 4) Middle cranial fossa 299. During the trepanation of the mastoid process the reference point used for orientation is the 1) Posterior border of the external acoustic meatus 2) Suprameatal spine 3) Mastoid crest 4) All of the above 300. During the primary surgical dressing of the penetration cranio-cerebral wounds, the brain detritus is removed using 1) Surgical forceps 2) Folkman’s spoon 3) Rubber syringe and physiologic saline 4) The surgeon’s finger 301. Craniotomy is the 1) Opening of the cranium 2) Plastic of the skull bones 3) Imposition of milling cutter holes 4) All of the above 302. The indicator for carrying out de compressive craniotomy is 1) Brain tumor 2) Intracranial hematoma 3) Increase of intracranial pressure 4) All of the above 303. While making the incision in the parotid region, it is possible to damage 1) Facial nerve 2) Maxillary nerve 3) Mandibular nerve 4) Trigeminal nerve 304. In the region of the parotid gland incision must be done 1) Transversely 2) Radially 3) Longitudinal 4) Slant wise 305. Incision according to Voyno-yaseretsky’s in the case of purulent parotitis is done 1) Transversely 2) Radially 3) Longitudinal 4) Along the angle of the mandible NECK 306. Superficial veins of the neck are related with the fascial leaves as they are 1) fixed to the fascia of neck 2) not fixed to the fascia of neck 3) are free 4) partially fixed to the fascia of neck 307. A. carotid communis can be pressed 1) to the 3rd processus transversus of vertebrae cervicalis 2) to the 4th processus transversus of vertebrae cervicalis 3) to the 5th processus transversus of vertebrae cervicalis 4) to the 6th processus transversus of vertebrae cervicalis 308. Subclavian vessels and plexus brachialis are projected 1) on the medial third of clavicle 2) on the lateral third of clavicle 3) on the middle third of clavicle 4) on the border between the lateral and middle thirds of clavicle 309. The first step during the stoppage of bleeding from the veins of the neck is to compress 1) the distal end of the vein 2) the central end of the vein 3) both ends 4) doesn’t matter 310. Sympathetic trunk in neck is located rd 1) under the 3 fascia of the neck 2) under the parietal leaf of 4th fascia of the neck 3) under the visceral leaf of the 4th fascia of the neck 4) under the 5th fascia of the neck 311. For m. sternocleidomastoideus and trapezius of the neck, the motor nerve is 1) n. hypoglossus 2) n. accessories 3) n. vagus 4) n. facialis 312. In the submandibular triangle of the neck passes 1) superior laryngeal artery and vein 2) facial artery and vein 3) superior thyroidal arteries and veins 4) all of the above 313. Through the pre-scalene space of the neck passes 1) accessory nerve 2) phrenic nerve 3) hypoglossal nerve 4) lingual nerve 314. Thyroid capsule is formed by rd 1) the 3 fascia of neck 2) the parietal leaf of 4th fascia of the neck 3) the visceral leaf of the 4th fascia of the neck 4) the 5th fascia of the neck 315. Suprasternal inter-aponeurosis cellulose space of the neck is located nd 1) between 2 and 3rd fascia of the neck 2) between 3rd and parietal leaf of 4th fascia of the neck 3) between parietal and visceral leaves of 4th fascia of the neck 4) between visceral leaf of 4th and 5th fascia of neck 316. The lower border of the larynx is located at the level of 1) 3rd cervical vertebra 2) 4th cervical vertebra 3) 5th cervical vertebra 4) 6th cervical vertebra 317. The top pleura is projected 1) at a distance of 1-2 cm from the medial third of the clavicle 2) at a distance of 2-3 cm from the medial third of the clavicle 3) at a distance of 3-5 cm from the medial third of the clavicle 4) at a distance of 4-6 cm from the medial third of the clavicle 318. Carotid triangle of the neck is inferiorly and internally bounded by 1) omohyoideus muscle 2) anterior venter of digastric muscle 3) sternocleidomastoideus muscle 4) posterior venter of digastric muscle 319. Submandibular triangle of the neck is bounded superiorly by 1) omohyoideus muscle 2) anterior venter of digastric muscle 3) lower margin of the mandible 4) posterior venter of digastric muscle 320. In the omo-trapezoid triangle of the neck is located 1) hypoglossal nerve 2) accessory nerve 3) vagus nerve 4) glossopharyngeal nerve 321. The brachial plexus of the nerve is projected on the 1) carotid triangle of the neck 2) submandibular triangle of the neck 3) omoclavicular triangle of the neck 4) omotrapezoid triangle of the neck 322. Laterally, on the upper part of the trachea lies 1) common carotid artery 2) jugular vein 3) the lateral lobes of thyroid gland 4) m. sternocleidomastoideus 323. Submandibular triangle of the neck is inferiorly and anteriorly bounded by 1) the digastric muscle 2) the anterior venter of digastric muscle 3) the lower margin of the mandible 4) the posterior venter of the digastric muscle 324. Pirogov’s triangle is bounded superiorly by 1) the tendons of digastric muscle 2) hypoglossal nerve 3) m. sternocleidomastoideus 4) the margin of mandible 325. Common carotid artery is located 1) medially to the internal jugular vein 2) laterally to the internal jugular vein 3) anteriorly to the internal jugular vein 4) posteriorly to the internal jugular vein 326. Deep lymphatic nodes of the neck are located 1) along the common carotid artery 2) along the internal carotid artery 3) along the vagus nerve 4) along the internal jugular vein 327. In the submandibular triangle passes 1) hypoglossal nerve 2) accessory nerve 3) vagus nerve 4) facial nerve 328. Phrenic nerve in the neck is located 1) on the m. sternocleidomastoideus 2) on the trapezoid muscle 3) on the anterior scalene muscle 4) on the omohyoideus muscle 329. In the neck the subclavian artery is projected 1) on the carotid triangle of the neck 2) on the submandibular triangle of the neck 3) on the omoclavicular triangle of the neck 4) on the omotrapezoid triangle of the neck 330. In the lower part of pre-scalene space in neck lies 1) subclavian vein 2) inferior thyroid vein 3) lingual vein 4) external jugular vein 331. The distal end of the cervical trachea is located 1) at the level of cricoid cartilage 2) at the level on the upper margin of clavicle 3) at the level on the incisura jugularis of the sternum 4) at the level of manubrium of sternum 332. The distal end of the cervical esophagus is projected 1) at the level of cricoid cartilage 2) at the level on the upper margin of clavicle 3) at the level on the incisura jugularis of the sternum 4) at the level of manubrium of sternum 333. While performing the lower tracheostomy, the isthmus of thyroid gland is 1) moved downwards 2) moved upwards 3) left in its place 4) cut off 334. After completing resection of thyroid gland, the cause of development of tetany is 1) damage of vagus nerve 2) damage of recurrent laryngeal nerve 3) removal of most part of thyroid gland 4) removal of parathyroid gland 335. During the resection of thyroid gland, the damage to the veins of neck may lead to 1) hoarseness 2) asphyxia 3) bleeding 4) air embolism 336. Incision for the exposure of esophagus in neck, with respect to m. sternocleidomastoideus is performed 1) on its frontal border to the left 2) on its frontal border to the right 3) on its posterior border to the left 4) on its posterior border to the right 337. In 12% cases when performing lower tracheostomy in the pretracheal space, the possible damage may be on 1) superior thyroid artery 2) inferior thyroid artery 3) the most inferiorly thyroid artery (a.thyroidea ima) 4) common carotid artery 338. Cervical vago-sympathetic blockade, with respect to the m. sternocleidomastoideus is performed 1) laterally 2) medially 3) along the anterior margin 4) along the posterior margin 339. While performing cervical vago-sympathetic blockade, novocaine is injected nd 1) between 2 and 3rd fascia of neck 2) between 2nd and 5th fascia of neck 3) between 4th and 5th fascia of neck 4) between 3rd and 5th fascia of neck 340. While performing cervical vago-sympathetic blockade, m. sternocleidomastoideus is moved 1) upwards 2) downwards 3) medially 4) laterally 341. While performing cervical vago-sympathetic blockade m. sternocleidomastoideus is moved away along with 1) thyroid gland 2) oesophagus 3) medial neurovascular fascicle of the neck 4) larynx 342. Along the external surface of m. sternocleidomastoideus in the obliqueupward direction is crossed by 1) internal jugular vein 2) facial vein 3) external carotid artery 4) external jugular vein 343. When phlegmon is located in the vagina of medial neurovascular fascicle of neck, the direction of incision should be 1) from the chin to the hyoid bone 2) along the anterior margin of m. sternocleidomastoideus 3) parallel to the margin of mandible 4) along the posterior margin of m. sternocleidomastoideus 344. Fascial case for the subclavian neurovascular fascicle is formed by 1) 3rd fascia of neck 2) parietal leaf of 4th fascia of neck 3) visceral leaf of 4th fascia of neck 4) 5th fascia of neck 345. Pre-visceral cellulose space of neck lies 1) in between 2nd and 3rd fascia of neck 2) in between 3rd and parietal leaf of 4th fascia of neck 3) in between parietal and visceral leaves of 4th fascia of neck 4) in between visceral leaves of 4th and 5th fascia of neck 346. Parathyroid glands are located 1) on the posterior surface of the lateral lobes of thyroid gland 2) on the anterior surface of the lateral lobes of thyroid gland 3) on the lateral surface of the lateral lobes of thyroid gland 4) above the isthmus of thyroid gland 347. Pharynx begins from the level of 1) 1st cervical vertebra 2) the base of the skull 3) 2nd cervical vertebra 4) hyoid bone 348. The flexure of oesophagus in cervix is directed 1) to the front 2) to the left 3) to the back 4) to the right 349. On the left trachea-oesophageal sulcus in neck lies 1) superior thyroid artery 2) parathyroid glands 3) recurrent laryngeal nerve 4) common carotid artery 350. The exit of branches of cervical plexus is projected 1) along the posterior margin of m. sternocleidomastoideus, to its lower third 2) along the posterior margin of m. sternocleidomastoideus, to its middle third 3) along the posterior margin of m. sternocleidomastoideus, to its upper third 4) to the border between upper and middle thirds 351. Carotid triangle of neck is externally bounded by 1) omohyoideus muscle 2) anterior venter of digastric muscle 3) m. sternocleidomastoideus 4) posterior venter of digastric muscle 352. In neck, Pirogov’s triangle is located 1) in the carotid triangle of neck 2) in the lateral triangle of neck 3) in the sub mental triangle of neck 4) in the submandibular triangle of neck 353. Internal jugular vein is located 1) medially to the common carotid artery 2) laterally to the common carotid artery 3) in front of common carotid artery 4) behind common carotid artery 354. Sino-carotid reflex genic zone is located 1) on the external carotid artery 2) on the bifurcation of common carotid artery 3) on the internal carotid artery 4) on common carotid artery 355. Superior thyroid artery in neck is branched out from 1) external carotid artery 2) internal carotid artery 3) common carotid artery 4) all above 356. Pre-vertebral cellulose space of neck is located behind the 1) 2nd fascia of neck 2) 3rd fascia of neck 3) 4th fascia of neck 4) 5th fascia of neck 357. Case for the common carotid artery, vagus nerve and internal jugular vein is formed by 1) 3rd fascia of neck 2) parietal leaf of 4th fascia of neck 3) visceral leaf of 4th fascia of neck 4) 5th fascia of neck 358. Thoracic duct in the neck flows into 1) the right venous angle of Pirogov 2) the left venous angle of Pirogov 3) the subclavian artery 4) the vertebral artery 359. Retro-visceral cellulose spaces lies in between 1) 2nd and 3rd fascia of neck 2) 3rd and parietal leaf of 4th fascia of neck 3) parietal and visceral leaf of 4th fascia of neck 4) visceral leaves of 4th and 5th fascia of neck 360. On the posterior surface of trachea in neck lies 1) vertebra 2) esophagus 3) common carotid artery 4) jugular veins 361. In transverse direction along the external surface of m. sternocleidomastoideus crosses 1) accessory nerve 2) transverse nerve of neck 3) external jugular vein 4) anterior supraclavicular veins 362. When the phlegmon is located in the submandibular triangle, the direction of incision must be 1) from chin to the hyoid bone 2) along the anterior margin of m. sternocleidomastoideus 3) parallel to the margin of mandible 4) along the posterior margin of m. sternocleidomastoideus 363. While performing tracheostomy if mistakenly we cut the posterior wall, then it may damage 1) vertebra 2) common carotid artery 3) esophagus 4) recurrent thyroid nerve 364. While performing subtotal resection of thyroid gland, we may damage 1) vagus nerve 2) superior laryngeal nerve 3) recurrent laryngeal nerve 4) thyroid nerve 365. After performing a tracheostomy, subcutaneous emphysema can develop 1) if there is cut in the posterior wall of trachea 2) if the cut in the trachea is smaller than the diameter of tracheal cannula 3) if the cut in the trachea is bigger than the diameter of tracheal cannula 4) if hemostasis isn’t executed properly 366. For the exposure of esophagus in the neck, the incision is done 1) from hyoid bone to the incisura jugularis of sternum 2) along the anterior margin of m. sternocleidomastoideus 3) from chin to the cricoid cartilage 4) in the form of collar shape 367. The incision for the exposure of common carotid artery in the neck is done 1) from chin to hyoid bone 2) along the anterior margin of m. sternocleidomastoideus 3) parallel to the margin of mandible 4) along the posterior margin of m. sternocleidomastoideus 368. While performing lower tracheostomy, trachea is accessed through 1) pre-visceral and retro-visceral cellulose space 2) suprasternal inter-aponeurosis and pre-visceral cellulose space 3) suprasternal inter-aponeurosis and retro-visceral cellulose space 4) all of the above 369. Air embolism can occur in suprasternal inter-aponeurosis space if damage occurs to 1) unpaired thyroid venous plexus 2) jugular venous arch 3) internal jugular vein 4) external jugular vein 370. The author of the most popular method of subtotal resection of thyroid gland is 1) Pirogov 2) Kocher 3) Bilroth’s 4) Nikolaev 371. During subtotal resection of thyroid gland, the vessels are ligated 1) at a distance 2) subfascially 3) subtotally 4) all of the above 372. Carotid triangle of neck is bounded above by 1) omohyoid muscle 2) anterior venter of digastric muscle 3) m. sternocleidomastoideus 4) posterior venter of digastric muscle 373. Through the Pirogov’s triangle in neck passes 1) common carotid artery 2) lingual arteries 3) hypoglossal nerve 4) vagus nerve 374. Vagus nerve in neck is located 1) in front of common carotid artery 2) medially to common carotid artery 3) outside the internal jugular vein 4) between common carotid artery and internal jugular vein 375. Anza cervicalis is located 1) outside the external carotid artery 2) outside the upper thyroid artery 3) outside the internal carotid artery 4) outside the common carotid artery 376. Fascial bed for the submandibular salivary gland is formed by st 1) 1 fascia of neck 2) 2nd fascia of neck 3) 3rd fascia of neck 4) 4th fascia of neck 377. Pus may spread into mediastinum 1) from retro-visceral cellulose space of neck 2) from pre-visceral cellulose space of neck 3) from cellulose space of main neurovascular fascicle 4) all of the above 378. Linea alba of the neck is formed 1) at the place of adhesion of 1st and 2nd fascia of neck 2) at the place of adhesion of 2nd and 3rd fascia of neck 3) at the place of adhesion of 3rd and parietal leaf of 4th fascia of neck 4) at the place of adhesion of parietal and visceral leaves of 4th fascia of neck 379. Cellulose space of lateral triangle of neck is located in between nd rd 1) 2 and 3 fascia of neck 2) 2nd and 4th fascia of neck 3) 2nd and 5th fascia of neck 4) 4th and 5th fascia of neck 380. The incision for the exposure of external carotid artery in neck, is done 1) from chin to the hyoid bone 2) along the anterior margin of m. sternocleidomastoideus 3) parallel to the margin of mandible 4) along the posterior margin of m. sternocleidomastoideus 381. While performing upper tracheostomy, in order to access trachea, the internal reference is 1) incisura jugularis of sternum 2) anterior margin of m. sternocleidomastoideus 3) medial neurovascular fascicle of neck 4) linea alba of neck 382. In children, the common tracheostomy performed is 1) upper tracheostomy 2) lower tracheostomy 3) middle tracheostomy 4) all of the above 383. While performing tracheostomy, if tracheal mucosa isn’t cut, then may occur 1) bleeding 2) air embolism 3) the entering of cannula in sub-mucosal layer 4) subcutaneous emphysema 384. Cervical vago-sympathetic blockade is done in order to 1) prevent haemorrhagic shock 2) prevent anaphylactic shock 3) prevent pleuro-pulmonary shock 4) prevent combined shock 385. Which part of the thyroid gland is removed while performing subtotal strumectomy 1) large part of thyroid gland 2) small part of thyroid gland 3) isthmus of thyroid gland 4) the whole gland THORAX 386. Which of the following determines the lower border of parietal pleura on mid-axillary line? 1) VII Rib 2) IX Rib 3) X Rib 4) XII Rib 387. The lower border of the lungs on the front of the axillary line is formed by 1) lower side of the V Rib 2) lower side of the VI Rib 3) lower side of the VII Rib 4) lower side of the VIII Rib 388. How are the elements of hilum of the lung positioned in the frontal plane? 1) artery, bronchus, vein 2) bronchus, vein, artery 3) bronchus, artery, vein 4) vein, artery, bronchus 389. Puncture of the pleura due to accumulation of air in the pleural cavity for a patient on vertical position is performed 1) On the mediaclavicular line 2) between the mid-axillary line and the scapular 3) on the anterior axillary line 4) on the mid-axillary line 390. Capsule of the mammary glands is formed by 1) superficial fascia 2) deep thoracic fascia 3) subcutaneous fat 4) pectoralis major muscle 391. Which of the following determines the lower border of parietal pleura on the middle clavicular line 1) The VI rib 2) The IX rib 3) The X rib 4) The XII rib 392. The lower border of the right lung on the parasternal line is determined by 1) The V rib 2) The VI rib 3) The VII rib 4) The VIII rib 393. The borders of the lungs and the borders of the pleura are the same at 1) Front and lower 2) Lower and the back 3) Front and back 4) The front and upper 394. The lower border of the lungs on the paravertebral line is determined by 1) At the V rib 2) At the XI rib 3) XII rib 4) X rib 395. How are the elements of the hilum of the left lung positioned on the frontal plane 1) Artery, bronchus, vein 2) Bronchus, vein, artery 3) Bronchus, artery, vein 4) Vein, artery, bronchus 396. Puncture of the pleura due to accumulation air in the pleural cavity for a patient standing on vertical position is performed 1) On the 1-2 intercostal space 2) 4-5 intercostal space 3) 2-3 intercostal space 4) 5-6 intercostal space 397. The largest pericardial sinus is the 1) Transverse sinus 2) The oblique sinus 3) Anterior-inferior sinus 4) Vertical sinus 398. Excretory ducts of the mammary glands have got 1) 2) 3) 4) Transverse direction Radial direction Longitudinal direction Oblique transverse direction 399. In the intercostal space, what is located nearer to the rib? 1) Intercostal artery 2) Intercostal vein 3) Intercostal nerve 4) All of the above 400. The front border of the left parietal pleura at the level of the sternum is determined 1) By medial line 2) By sternal line 3) By parasternal line 4) By the mediaclavicular line 401. The cupola of the pleura in front is projected 1) 1cm above the clavicle 2) At the level of the clavicle 3) 2-3cm above the clavicle 4) 1cm below the clavicle 402. Name the types of the sternotomy 1) Oblique and longitudinal 2) The longitudinal and transverse 3) Partial and total 4) Transverse and oblique 403. Along the sides of the sternum lies 1) Parasternal line 2) Sternal line 3) Anterior medial line 4) Mediaclavicular line 404. The Zorgius lymphatic node is located on 1) The 2nd rib 2) The 3rd rib 3) The 4th rib 4) The 5th rib 405. Most of the front surface of the heart consist of 1) Left and right ventricles 2) Right atrium 3) Right and left atrium 4) Left and right auricle 406. Intercostal nerves pass closer to the endothoracic fascia and pleura 1) On the back portion of the intercostal space 2) On the front portion of the intercostal space 3) On the middle portion of the intercostal space 4) On the front and back portions of the intercostal space 407. The front border of the right parietal pleura at the level of the sternum is defined 1) At the medial line 2) At the sternal line 3) At the parasternal line 4) At the mediaclavicular line 408. Amongst the weakest part of the diaphragm belongs 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) Crus of the diaphragm The bed of the pericardium Lumbocostal triangles (Bochdaleck) The top of the diaphragm 409. The lower of the parietal pleura middle axillar line The VII rib The IX rib The X rib The XII rib 410. Puncture of the pleura due to the collection of fluids in the pleural cavity is done At the 6-7 intercostal space At the 7-8 intercostal space At the 8-9 intercostal space 5-6 intercostal space 411. The maximum depth of the costo-phrenic sinus is 2-6 cm 3-8 cm 4-10 cm 5-12cm 412. The lower border of the right lung on the sternal line is lies at The V rib The VI rib The VII rib The VIII rib 413. The lower border of the lungs on the scapula line lies at The level of the V rib The level of the XI rib The level of the XII rib The level of the X rib 414. Where does the lower border of the heart projects? At the V cartilage rib At the level of the III cartilage rib At the level of the of the IV cartilage rib All of the above 415. The angle of the scapula is On the upper side of the 6th rib On the upper side of the 7th rib On the upper side of the 8th rib On the upper side of the 9th rib 416. The main route for the lymph from the mammary glands is the Subclavian Supraclavicular Transsternal Axillary 417. Deep intercostal vessels and nerves at the level of the intercostal space are located in Intrathoracic fascia The parietal pleura Parapleural space Intercostal muscles 418. Diaphragmatic hernia can penetrate into the posterior mediastinum through 1) 2) 3) 4) The oesophageal opening The aortic opening Lumbocostal triangles (Bochdaleck ) The opening of the inferior vena cava 419. The lower border of the lungs on the mid-axillary line is determined at 1) The V rib 2) The XI rib 3) The VIII rib 4) The X rib 420. Puncture of the pleura due to collection of the fluid in the pleural cavity is done 1) On the medioclavicular line 2) Between the mid-axillary line and the scapula 3) On the anterior axillary line 4) On the mid-axillary line 421. The lower border of the parietal pleura is defined by the scapular line at the level 1) The VII rib 2) IX rib 3) The XI rib 4) The XII rib 422. The biggest pleural sinus is the 1) Costophrenic sinus 2) Costo-mediastinal sinus 3) Diaphragmatic-mediastinal sinus 4) Vertebra-phrenic sinus 423. During the stitching of the penetrating wounds on the thoracic cavity , first stitches 1) Pleura 2) Endothoracic fascia 3) Intercostal muscle 4) All of the above 424. The upper border of the projection of the heart is determined 1) The level of the II rib cartilage 2) The level of the III rib cartilage 3) The level of the IV rib cartilage 4) All of the above 425. During the resection of the lung, which part is removed? 1) The lobe of the lung 2) Segment of the lung 3) Few lobes or segments 4) All of the above 426. On the right of the thoracic aorta lies 1) Sympathetic trunk 2) Oesophagus 3) The trachea 4) Azygos vein 427. Which operation is performed on the mammary glands during breast cancer 1) The sectoral resection 2) Mastectomy 3) Removal of the lymph nodes 4) Puncture 428. The 2nd constriction of the oesophagus is 1) At the level as it goes into the diaphragm 2) At the level of the bifurcation of the trachea 3) At the junction of the pharynx and the oesophagus 4) At the level of the aortic arch 429. Which of the following operations is performed during mitral stenosis? 1) Resection of the valve 2) Commissurotomy 3) A heart transplant 4) All of the above 430. The costal arch is formed by 1) 7-10 rib cartilages 2) 6-9 rib cartilages 3) 8-11 rib cartilages 4) 7-12 rib cartilages 431. On the upper edge of the breast( mammary gland) lies 1) The 2nd rib 2) The 3rd rib 3) The 4th rib 4) The 5th rib 432. What lies on the lower part of the intercostal space? 1) Intercostal artery 2) Intercostal vein 3) Intercostal nerve 4) All of the above 433. Which of the following lies lateral to azygos and hemiazygos veins? 1) Sympathetic trunk 2) The thoracic duct 3) Aorta 4) Oesophagus 434. The 3rd constriction of the oesophagus is located at 1) At the level of the aortic arch 2) At the diaphragm 3) At the bifurcation of the trachea 4) At the site of entrance of the pharynx into the oesophagus 435. The surgery used in the reconstruction of the oesophagus is called 1) Resection 2) Oesophagoplasty 3) Extirpation 4) Gastrostomy 436. Phrenic nerve in the mediastinum passes together with 1) With intercostal vessels 2) With pericardial-diaphragmatic vessels 3) With pulmonary vessels 4) With diaphragmatic vessels 437. Universal access to the heart is 1) Front 2) Side 3) Back 4) Sternotomy 438. Batall’s duct connects 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) Descending aorta and inferior vena cava The aortic arch and the pulmonary trunk The superior and inferior vena cava The ascending aorta and the superior vena cava 439. From the aortic arch (in an anatomical order) first leaves Left subclavian artery Left common carotid artery Brachiocephalic trunk Coronary artery 440. Pulmonary trunk in relation to the ascending aorta is located On the front and left On the front and on the right On the left and back The back and right 441. In the left atrium connects Pulmonary veins Pulmonary artery Coronary vein The superior and inferior vena cava 442. Which operation is performed in ischemic heart disease? Heart transplant Coronary artery bypass grafting Prosthetic valve Mammaro-coronary anastomosis 443. Which radical operation is performed in oesophageal cancer? Resection Oesophagoplasty Extirpation Gastrostomy 444. Coronary artery leaves from The descending aorta The ascending aorta The aortic arch All of the above 445. The first heart transplant was performed by N.I. Pirogov B.V. Petrovsky K. Barnard A.N. Bakulev 446. Operation Bleloka with tetralogy of Fallot evolves anastomosis Pulmonary trunk and aortic arch Between the left subclavian and the left pulmonary artery The aorta and the pulmonary trunk The descending aorta and the left pulmonary artery 447. Oesophagus at the level of the IV thoracic vertebra is located Left Right The front The middle 448. Anatomical feature of the right bronchus in comparison with the left Short and narrow Wide and short 3) Long and wide 4) Long and narrow 449. Circumflex branch of the left coronary artery 1) The left anterior intraventricular sulcus 2) Posterior intraventricular sulcus 3) Intraatrial sulcus 4) Coronal sulcus 450. The first constriction of the oesophagus is located 1) At the level of aortic arch 2) At the level of diaphragm 3) At the level of the bifurcation of trachea 4) At the site of entrance of the pharynx into the oesophagus 451. In relation to the hilum of the lungs the phrenic nerve is located 1) In front 2) At the back 3) Medial 4) Lateral TOPOGRAPHY OF THE ANTERIOR LATERAL WALLOF THE ABDOMEN 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 452. The anterior lateral borders of the abdominal wall from the sides is detected by the line that : 1) connects the ends of the X-th ribs to the iliac crest 2) connects the ends of the IX ribs to the iliac crest 3) connects the ends of the XI ribs to the iliac crest 4) connects the ends of the VIII ribs to the iliac crest. 453. A large portion of the right lobe of the liver projects in the: epigastric region of the anterio- lateral wall of abdomen left subcostal region of the anterio- lateral wall of abdomen right subcostal region of the anterio- lateral wall of abdomen right lateral region of the anterio- lateral wall of abdomen 454. Fundus of the stomach projects on the : epigastric region of the anterio- lateral wall of abdomen left subcostal region of the anterio- lateral wall of abdomen right subcostal region of the anterio- lateral wall of abdomen right lateral region of the anterio- lateral wall of abdomen 455. Gallbladder projects on the : epigastric region of the anterio-lateral wall of abdomen left subcostal region of the anterio- lateral wall of abdomen right subcostal region of the anterio- lateral wall of abdomen right lateral region of the anterio- lateral wall of abdomen 456. Pyloric region of the stomach projects on the : epigastric region of the anterio-lateral wall of abdomen left subcostal region of the anterio- lateral wall of abdomen right subcostal region of the anterio- lateral wall of abdomen right lateral region of the anterio- lateral wall of abdomen 457. The pancreas projects on the: epigastric region of the anterio-lateral wall of abdomen left subcostal region of the anterio- lateral wall of abdomen right subcostal region of the anterio- lateral wall of abdomen right lateral region of the anterio- lateral wall of abdomen 458. Spleen projects on the: 1) epigastric region of the anterio-lateral wall of abdomen 2) left subcostal region of the anterio- lateral wall of abdomen 3) right subcostal region of the anterio- lateral wall of abdomen 4) right lateral region of the anterio- lateral wall of abdomen 459. The urinary bladder projects on the: 1) umbilical region of anterio- lateral wall of abdomen 2) pubic region of anterio- lateral wall of abdomen 3) left ilioinguinal region of anterio- lateral wall of abdomen 4) right ilioinguinal region of anterio- lateral wall of abdomen 460. On the anterio- lateral wall of the abdomen, Thomson's fascia is the : 1) superficial fascia of the abdomen 2) superficial leaf of the deep fascia of the abdomen 3) deep leaf of the superficial fascia of the abdomen 4) deep fascia of the abdomen 461. The inguinal {Poupart's} ligament is formed by the: 1) aponeurosis of transverse muscle of abdomen 2) aponeurosis of external oblique muscle of the abdomen 3) aponeurosis of internal oblique muscle of the abdomen 4) aponeurosis of rectus muscle of abdomen 462. The rectus muscle of the abdomen has 1) 1–2 tendinous intersections 2) 2–3 tendinous intersections 3) 3–4 tendinous intersections 4) 4–5 tendinous intersections 463. The anterior wall of the vagina of rectus muscle of the abdomen, above the navel level, is formed by the : 1) aponeurosis of external oblique muscle and internal oblique muscle of the abdomen 2) aponeurosis of internal oblique muscle and transverse muscle of the abdomen 3) aponeurosis of external oblique muscle and transverse muscle of the abdomen 4) all of the above 464. The posterior wall of the vagina of rectus muscle of the abdomen, above the navel level, is formed by the : 1) aponeurosis of external oblique muscle and internal oblique muscle of the abdomen 2) aponeurosis of internal oblique muscle and transverse muscle of the abdomen 3) aponeurosis of external oblique muscle and transverse muscle of the abdomen 4) all of the above 465. The anterior wall of the vagina of the rectus muscle of the abdomen, below the navel level, is formed by the : 1) aponeurosis of external oblique muscle and internal oblique muscle of the abdomen 2) aponeurosis of internal oblique muscle and transverse muscle of the abdomen 3) aponeurosis of external oblique muscle and transverse muscle of the abdomen 4) all of the above 466. The posterior wall of the vagina of the rectus muscle of the abdomen below the navel level, is formed by the : 1) aponeurosis of external oblique muscle and internal oblique muscle of the abdomen 2) transverse fascia 3) aponeurosis of external oblique muscle and transverse muscle of the abdomen 4) all of the above 467. On the anterio- lateral wall of the abdomen, between the transverse fascia and the peritoneum is located the: 1) rectus muscle of the abdomen 2) preperitoneal cellulose 3) inguinal {Poupart's} ligament 4) linea alba of the abdomen 468. The width of the linea alba, in the middle between the navel and the xiphoid process is 1) 1 cm 2) 1,5 cm 3) 2 cm 4) 2, 5 cm 469. The width of the linea alba of the abdomen at the level of navel is: 1) 1-1,5 cm 2) 1,5-2 cm 3) 2-2, 5 cm 4) 2, 5-3 cm 470. The width of the linea alba of the abdomen below the navel is: 1) 1-1,5 mm 2) 1,5-2 сm 3) 2-2, 5 сm 4) 2-3 mm 471. The round ligament of the liver is formed from the: 1) overgrown urinary duct 2) overgrown umbilical vein 3) overgrown umbilical artery 4) umbilical vein and artery 472. The segmental vessels and nerves on anterior lateral wall of abdomen pass 1) Between the external oblique muscle and l internal oblique muscle of the abdomen 2) Between the internal oblique muscle and transverse muscle of the abdomen 3) Between the external oblique muscle and transverse muscle of the abdomen 4) all of the above. 473. Anterior wall of the inguinal canal is formed by the: 1) inferior border of the internal oblique muscle and transverse muscle of the abdomen 2) aponeurosis of the external oblique muscle of the abdomen 3) transversus fascia 4) inguinal {Poupart's} ligament 474. Posterior wall of the inguinal canal is formed by the : 1) inferior border of the internal oblique muscle and transverse muscle of the abdomen 2) aponeurosis of the external oblique muscle of the abdomen 3) transverse fascia 4) inguinal {Poupart's} ligament 475. Anterior wall of the inguinal canal is formed by the: 1) inferior border of the internal oblique muscle and transverse muscle of the abdomen 2) aponeurosis of the external oblique muscle of the abdomen 3) transverse fascia 4) inguinal {Poupart's} ligament 476. Inferior wall of the inguinal canal is formed by the : 1) inferior border of the internal oblique muscle and transverse muscle of the abdomen 2) aponeurosis of the external oblique muscle of the abdomen 3) transverse fascia 4) inguinal {Poupart's} ligament 477. The inguinal interspace is limited by the: 1) anterior and posterior walls of the inguinal canal 2) superior and inferior walls of the inguinal canal 3) anterior and inferior walls of the inguinal canal 4) posterior and superior walls of the inguinal canal 478. Base of the external opening of the inguinal canal is formed by the: 1) inguinal {Poupart's} ligament 2) rectus muscle of the abdomen 3) pubic bone 4) spermatic cord (round ligament of the uterus) 479. The external inguinal ring is limited by the: 1) aponeurosis of the external oblique muscle of the abdomen 2) aponeurosis of the internal oblique muscle of the abdomen 3) aponeurosis of the transverse muscle of the abdomen 4) aponeurosis of rectus muscle of the abdomen 480. The internal opening of the inguinal canal in projection corresponds to the : 1) suprasvesical fossa 2) lateral inguinal fossa 3) medial inguinal fossa 4) vascular lacuna 481. Through the inguinal canal pass the: 1) Ilioinguinal nerve and the genital ramus of the genitofemoral nerve 2) Ilioinguinal nerve 3) genital ramus of the genitofemoral nerve 4) genitofemoral nerve 482. Median umbilical fold of the peritoneum is formed: 1) over the umbilical artery 2) over the urinary duct 3) over the inferior epigastric artery and vein 4) over the umbilical vein 483. Medial umbilical folds of the peritoneum are formed: 1) over the umbilical artery 2) over the urinary duct 3) over the inferior epigastric artery and vein 4) over the umbilical vein 484. Lateral umbilical folds of the peritoneum are formed: 1) over the umbilical artery 2) over the urinary duct 3) over the inferior epigastric artery and vein 4) over the umbilical vein 485. The supravesical fossa is located: 1) between the median and medial folds of the peritoneum 2) between medial and lateral folds of the peritoneum 3) outwardly from the lateral fold of the peritoneum 4) more medial than the medial fold of the peritoneum 486. Medial inguinal fossa is located: 1) between the median and medial folds of the peritoneum 2) between medial and lateral folds of the peritoneum 3) outwardly from the lateral fold of the peritoneum 4) more medial than the medial fold of the peritoneum 487. Lateral inguinal fossa is located: 1) between the median and medial folds of the peritoneum 2) between medial and lateral folds of the peritoneum 3) outwardly from the lateral fold of the peritoneum 4) more medial than the medial fold of the peritoneum 488. In the case of congenital inguinal hernia, the hernial sac is 1) the parietal peritoneum 2) the vaginal process of peritoneum 3) the visceral peritoneum 4) transverse fascia 489. Congenital inguinal hernia differs from acquired inguinal hernia by presence of: 1) caecum in the hernial sac 2) testicle in the hernial sac 3) small intestine in the hernial sac 4) greater {gastrocolic} omentum 490. When one of the walls of the hernial sac is formed by an hollow organ, the hernia is called: 1) congenital 2) sliding 3) incarcerated 4) strangulated 491. Direct inguinal hernia passes through the 1) lateral inguinal fossa 2) medial inguinal fossa 3) supravesical fossa 4) all of the above 492. Slanting inguinal hernia passes through the : 1) lateral inguinal fossa 2) medial inguinal fossa 3) supravesical fossa 4) all of the above 493. In the case of direct hernia, the plasty that is usually applied is the: 1) plasty of inguinal canal by I. Spasokukotsky 2) plasty of inguinal canal by A.M.Kimbarovsky 3) plasty of inguinal canal by Bassini 4) plasty of inguinal canal by Ru-Krasnobayev 494. The wall of the inguinal canal that becomes stronger in the case of slanting hernia is the : 1) superior wall 2) inferior wall 3) posterior wall 4) anterior wall 495. The wall of the inguinal canal that becomes stronger in the case of the direct hernia is the : 1) superior wall 2) inferior wall 3) posterior wall 4) anterior wall 496. In the case of congenital inguinal hernia, the procedure that is not carried out is the : 1) uncovering and elimination of hernial sac 2) excision and removal of hernial sac 3) opening of hernial sac 4) strengthening of the external abdominal ring 497. For strengthening of the deep ring of the femoral canal, in the case of femoral hernias according to Bassini, we use: 1) suturing of the medial part of the inguinal ligament to the superior wall of the inguinal canal 2) suturing of the medial part of the inguinal ligament to the pectineal ligament 3) corrugated suturing on the anterior wall of the inguinal canal 4) corrugated suturing on the broad fascia of femur 498. In the case of sliding hernia, the procedure that is not carried out is: 1) elimination of hernial sac 2) opening of hernial sac 3) ligation of hernial sac 4) plasty of inguinal canal 499. In the case of umbilical hernias, the plasty that is usually applied is: 1) Martynov’s method 2) Mayo’s method 3) Bassini’s method 4) Kukudzhanov’s method 500. The most modern surgery in the case of external abdominal hernia is: 1) strengthening of inguinal canal by Kimbarovsky 2) endoscopic strengthening of inguinal canal 3) strengthening of inguinal canal with the use of fascia 4) strengthening of inguinal canal by Martynov 501. In the case of small umbilical hernias ( more often in children) , the plasty that is more commonly applied is: 1) Martynov’s method 2) Mayo’s method 3) Lekser’s method 4) Kukudzhanov’s method 502. For dissection of the linea alba of the abdomen, the incision on the anterior abdominal wall is: 1) paramedial incision 2) medial incision 3) pararectal incision 4) transrectal incision 503. For dissection of the medial area of vagina of the rectus muscle of the abdomen, the incision on the anterior abdominal wall is : 1) paramedial incision 2) medial incision 3) pararectal incision 4) transrectal incision 504. For dissection of the lateral area of the vagina of the rectus muscle of the abdomen, the incision carried out on the anterior abdominal wall is : 1) paramedial incision 2) medial incision 3) pararectal incision 4) transrectal incision 505. For dissection of the rectus muscle of the abdomen between its intersection, the incision carried out on the anterior abdominal wall is: 1) paramedial incision 2) medial incision 3) pararectal incision 4) transrectal incision 506. Alternating oblique incision on the abdominal wall is: 1) Lennander’s incision 2) Volkovich – Dyakonov’s incision 3) Fedorov’s incision 4) Rio Branko’s incision 507. The incision carried out commonly on the abdominal wall, while performing operations on the liver and gall bladder is: 1) Lennander’s incision 2) Volkovich – Dyakonov’s incision 3) Fedorov’s incision 4) Rio Branko’s incision 508. The most physiological incision on the abdominal wall is: 1) paramedial incision of anterior abdominal wall 2) medial incision of anterior abdominal wall 3) pararectal incision of anterior abdominal wall 4) alternating oblique incision 509. While performing medial incision on the abdominal wall, the navel is bypassed: 1) on the right 2) on the left 3) from above 4) from below 510. While performing appendectomy on abdominal wall, the incision that is carried out commonly is : 1) Kokher’s incision 2) Volkovich – Dyakonov’s incision 3) Fedorov’s incision 4) Pfannenshtil’s incision 511. During the formation of external hernia on the anterior lateral wall of the abdomen, the contents of hernia is the : 1) hernial sac 2) organ 3) subcutaneous cellulose 4) parietal peritoneum 512. During the formation of hernias, the «weak place» on the abdominal wall is the : 1) hernial sac 2) hernial contents 3) hernial hilum 4) all of the above 513. Internal opening of the inguinal canal projects on the inguinal {Poupart's} ligament: 1) 1 - 1,5 cm below its middle part 2) 1-1,5 cm above its middle part 3) 2-2,5 cm below its middle part 4) 2-2,5 cm above its middle part 514. Inwards from the deep opening of inguinal canal is located the: 1) obliterated urinary duct 2) obliterated umbilical arteries 3) inferior epigastric arteries 4) deferent duct 515. Semilunar line is formed in the place of transition 1) of external oblique muscle of the abdomen into the aponeurosis 2) of internal oblique muscle of the abdomen into the aponeurosis 3) of transverse muscle of the abdomen into the aponeurosis 4) tendinous intersection of rectus muscle of the abdomen 516. Hernias of the linea alba of the abdomen more often occurs 1) above navel 2) below navel 3) near navel 4) above and near navel TOPOGRAPHY OF THE ABDOMINAL CAVITY 517. Internally the abdominal cavity is limited by: 1) endoabdominal fascia 2) visceral peritoneum 3) parietal peritoneum 4) diaphragm and terminal line 518. Internally the peritoneal cavity is limited by: 1) peritoneal fascia 2) visceral peritoneum 3) parietal peritoneum 4) endoabdominal fascia visceral 519. The omental foramen is anteriorly bordered by: 1) hepatoduodenal ligament 2) proximal parts of duodenum 3) caudate process of liver 4) inferior vena cava 520. The omental foramen is limited posteriorly by: 1) hepatoduodenal ligament 2) proximal parts of duodenum 3) caudate process of liver 4) inferior vena cava 521. The omental foramen is limited superiorly by: 1) hepatoduodenal ligament 2) proximal parts of duodenum 3) caudate process of liver 4) inferior vena cava 522. The omental foramen is limited inferiorly by: 1) hepatoduodenal ligament 2) proximal parts of duodenum 3) caudate process of liver 4) inferior vena cava 523. The omental bursa is limited superiorly by: 1) stomach and lesser omentum 2) caudate process of liver and diaphragm 3) transverse mesocolon 4) parietal peritoneum covering the pancreas 524. The omental bursa is limited inferiorly by: 1) stomach and lesser omentum 2) caudate process of liver and diaphragm 3) transverse mesocolon 4) parietal peritoneum covering the pancreas 525. The omental bursa is limited anteriorly by: 1) stomach and lesser omentum 2) caudate process of liver and diaphragm 3) transverse mesocolon 4) parietal peritoneum covering the pancreas 526. The omental bursa is limited posteriorly by: 1) stomach and lesser omentum 2) caudate process of liver and diaphragm 3) transverse mesocolon 4) parietal peritoneum covering the pancreas 527. The organ that lies on the posterior wall of the omental bursa is: 1) liver 2) stomach 3) pancreas 4) transverse colon 528. The organ that lies on the anterior wall of the omental bursa is: 1) liver 2) stomach 3) pancreas 4) transverse colon 529. The middle part of the lesser omental is formed of: 1) gastrophrenic ligament 2) hepatoduodenal ligament 3) hepatogastric ligament 4) triangular ligament 530. The ligament that makes the left part of the lesser omentum is: 1) gastrophrenic right 2) hepatoduodenal 3) hepatogastric 4) triangular 531. The ligament that makes the right part of lesser omentum is: 1) gastrophrenic 2) hepatoduodenal 3) hepatogastric 4) triangular 532. The artery that passes through the hepatogastric ligament: 1) left gastric artery 2) right gastric artery 3) right and left gastric artery 4) hepatic artery 533. To the right side through the hepatoduodenal ligament is located: 1) hepatic artery 2) portal vein 3) common bile duct 4) celiac trunk 534. To the left side through the hepatoduodenal ligament is located: 1) hepatic propria artery 2) portal vein 3) common bile duct 4) celiac trunk 535. In the middle and in the back, through the hepatoduodenal ligament passes the: 1) hepatic artery 2) portal vein 3) common bile duct 4) celiac trunk 536. The ligament through which the short gastric arteries and veins passes is: 1) gastro-phrenic 2) hepatoduodenal 3) gastrosplenic 4) triangular 537. The right mesenteric sinus on the right is limited by the: 1) ascending colon 2) transverse mesocolon 3) mesenteric root 4) descending colon 538. The right mesenteric sinus is bordered inferiorly and on the left by the: 1) ascending colon 2) transverse mesocolon 3) mesenteric root 4) descending colon 539. The right mesenteric sinus is limited superiorly by: 1) ascending colon 2) transverse mesocolon 3) mesenteric root 4) descending colon 540. The left mesenteric sinus on the right is limited by: 1) ascending colon 2) transverse mesocolon 3) mesenteric root 4) descending colon, root of mesentery of sigmoid colon 541. The left mesenteric sinus is superiorly limited by the: 1) ascending colon 2) transverse mesocolon 3) mesenteric root 4) descending colon, mesenteric root of sigmoid colon 542. The left mesenteric sinus is limited on the left by the: 1) ascending colon 2) transverse mesocolon 3) mesenteric root 4) descending colon, mesenteric root of sigmoid colon 543. The peritoneal formation through which pus or blood spreads from top of the abdominal cavity downwards usually is: 1) right lateral canal 2) left lateral canal 3) right mesenteric sinus 4) left mesenteric sinus 544. Pus or blood spreads from the upper part of the abdominal cavity to the lower part, often through the: 1) right lateral canal 2) left lateral canal 3) right mesenteric sinus 4) left mesenteric sinus 545. On the peritoneal floor of the pelvis passes: 1) omental bursa 2) pregastric bursa 3) right mesenteric sinus 4) left mesenteric sinus 546. In the peritoneal floor of the pelvis passes: 1) omental bursa 2) pregastric bursa 3) right mesenteric sinus 4) left lateral canal 547. The highest point of the right lobe of the liver projects at the level of: 1) The IV intercostal space along the right mediaclavicular line 2) The V intercostal space along the right mediaclavicular line 3) The VI intercostal space along the right mediaclavicular line 4) The III intercostal space along the right mediaclavicular line 548. The highest point of the left lobe of the liver projects at the level of: 1) The IV intercostal space along the left parasternal line 2) The V intercostal space along the left parasternal line 3) The VI intercostal space along the left parasternal line 4) The III intercostal space along the left parasternal line 549. Along the middle axillary line, the lower part of the liver projects at the level of: 1) X intercostal space 2) IX intercostal space 3) XI intercostal space 4) XII intercostal space 550. At what level between the navel and the base of the xiphoid process, does the lower part of the liver projected along the medial line? 1) top one-third 2) medial one-third 3) middle one third 4) lower one-third 551. The surface of the liver deprived of peritoneum is: 1) lateral 2) superior 3) medial 4) posterior 552. The stomach lies on the: 1) upper surface of the liver 2) anterior margin of the liver 3) posterior margin of the liver 4) lower surface of the liver 553. Abdominal part of the esophagus lies on the: 1) upper surface of the liver 2) anterior margin of the liver 3) posterior margin of the liver 4) lower surface of the liver 554. The superior horizontal part of the duodenum lies on the: 1) upper surface of the liver 2) anterior margin of the liver 3) posterior margin of the liver 4) lower surface of the liver 555. The aorta lies on the: 1) upper surface of the liver 2) anterior margin of the liver 3) posterior margin of the liver 4) lower surface of the liver 556. The ligament of the liver that intersects with the round ligament with it’s anterior part is: 1) coronary ligament 2) falciform ligament 3) hepatocolic ligament 4) triangular ligament 557. The relation of peritoneum to the liver is: 1) extraperitoneally 2) intraperitoneally 3)mesoperitoneally 4) retroperitoneal 558. Venous blood is brought to the liver by: 1) right hepatic vein 2) left hepatic vein 3) portal vein 4) of the above 559. The segments of the liver according to Quino’s portal system is: 1) 6 2) 7 3) 8 4) 9 560. The projection of the fundus of the gall bladder is at the: 1) crossing of lateral side of the rectus muscle with the costal arch 2) level of the cartilage of the X-th rib 3) crossing of the costal arch with the anterior axillary line 4) crossing of the costal arch with the middle-clavicular line 561. The body of the gall bladder usually lies on the: 1) duodenum 2) transverse colon 3) pyloric part of the stomach 4) right kidney 562. The first part of the common bile duct is called: 1) duodenal 2) supraduodenal 3) retroduodenal 4) pancreatic 563. The fourth part of the common bile duct is called: 1) duodenal 2) supraduodenal 3) retroduodenal 4) pancreatic 564. The second part of the common bile duct is called: 1) duodenal 2) supraduodenal 3) retroduodenal 4) pancreatic 565. The third part of the common bile duct is called 1) duodenal 2) supraduodenal 3) retroduodenal 4) pancreatic 566. Biliary- enteric anastomosis is the anastomosis between the: 1) bile duct and the duodenum 2) bile duct and the jejunum 3) bile duct and the stomach 4) all of the above 567. Cholecystostomy is the: 1) removal of the gall bladder 2) resection of the gall bladder 3) imposition of the fistula of the gall bladder 4) opening of the gall bladder 568. Cholecystectomy is the: 1) removal of the gall bladder 2) resection of the gall bladder 3) imposition of the fistula of the gall bladder 4) opening of the gall bladder 569. Cholecystotomy is the: 1) removal of the gall bladder 2) resection of the gall bladder 3) imposition of the fistula of the gall bladder 4) opening of the gall bladder 570. The distance of the needle from the margin of the liver, while sewing a wound is: 1) 0,5 cm 2) 1 cm 3)0,5 -1 cm 4) 1,5- 2 cm 571. The anastomosis usually executed while surgically treating portal hyper tension is: 1) aortal- venous 2) spleno-renal 3) femuro- mesenteric 4) aortal- mesenteric 572. The highest point of the fundus of the stomach projects at the level of the 1) upper edge of the IVth rib on the mediaclavicular line 2) lower edge of the Vth rib on the mediaclavicular line 3) upper edge of the VIth rib on the anterior axillary line 4) lower edge of the VIth rib on the mediaclavicular line 573. The part of the stomach that is displaced during its filling is the: 1) lesser curvature and the cardiac opening 2) pylorus and the greater curvature 3) fundus 4) cardiac part 574. The anterior wall of the stomach is formed by the: 1) transverse colon 2) duodenum 3) liver 4) all of the above 575. The greater curvature of the stomach is bordered by the: 1) transverse colon 2) duodenum 3) liver 4) spleen 576. The part of the stomach that is bordered by the pancreas, right kidney, spleen, supra renal gland is the: 1) anterior part 2) posterior part 3) greater curvature 4) lesser curvature 577. Lesser curvature of the stomach borders with the: 1) transverse colon 2) duodenum 3) left lobe of the liver 4) right lobe of the liver 578. The part of the stomach that is fixed by the gastro hepatic ligament is: 1) fundus 2) lesser curvature 3) pyloric part 4) greater curvature 579. The part of the stomach connected to the spleen by the gastro-lienal ligament is: 1) fundus 2) lesser curvature 3) pyloric part 4) greater curvature 580. The part of the stomach connected with the transverse colon by the gastrocolic ligament is: 1) fundus 2) lesser curvature 3) pyloric part 4) greater curvature 581. The vessels that reach the fundus of the stomach from the side of the spleen is 1) the gastric artery and the vein 2) the right gastric artery and the vein 3) left gastro epiploic artery and the vein 4) the short gastric artery and the vein 582. The artery that passes along the lesser curvature of the stomach is : 1) the left gastric 2) the right gastro epiploic 3) the left gastro epiploic 4) the short gastric 583. The artery that passes along the greater curvature of the stomach is the: 1) the left gastric 2) the left epiploic 3) the left gastro epiploic 4) the short gastric 584. The venous blood from the stomach flows into the: 1) superior vena cava 2) inferior vena cava 3) portal vein 4) superior and inferior vena cava 585. The trunk of the right vagus nerve passes along the: 1) lesser curvature of the stomach 2) anterior wall of the stomach 3) greater curvature of the stomach 4) posterior wall of the stomach 586. The trunk of the left vagus nerve passes along the : 1) lesser curvature of the stomach 2) anterior wall of the stomach 3) greater curvature of the stomach 4) posterior wall of the stomach 587. Gastrostomy is the: 1) opening of the stomach 2) imposition of the fistula 3) removal of a part of the stomach 4) closing of a wound in the stomach 588. Gastrotomy is the: 1) opening of the stomach 2) imposition of the fistula 3) removal of a part of the stomach 4) closing of a wound in the stomach 589. Stomach resection is the: 1) opening of the stomach 2) imposition of the fistula 3) removal of a part of the stomach 4) closing of a wound in the stomach 590. Gastrectomy is the: 1) opening of the stomach 2) imposition of the fistula 3) removal of a part of the stomach 4) removal of the stomach 591. The first stage in the resection of the stomach is: 1) stomach transection 2) stomach mobilization 3) anastomosis between the gastric stump and the small intestine 4) making an opening in the stomach 592. The second stage in the resection of the stomach is: 1) stomach transection 2) stomach mobilization 3) anastomosis between the gastric stump and the small intestine 4) making an opening in the stomach 593. During the resection of the stomach, the gastric stump is connected to the duodenal by: 1) Goffmeyer-Finsterer's method 2) Rachel- Polia's method 3) Bilroth 1 method 4) all of the above 594. During the resection of the stomach, the gastric stump is connected to the jejunal stump by: 1) Goffmeyer-Finsterer's method 2) Rachel- Polia's method 3) Bilroth 2 method 4) all of the above 595. The most physiological method of the resection of the stomach is: 1) Goffmeyer-Finsterer's method 2) Rachel- Polia's method 3) Bilroth 1 method 4) all of the above 596. The proximal segment of the duodenum is: 1) horizontal 2) descending 3) superior 4) inferior 597. The reference point that marks the transition of the duodenum into the jejunum is: 1) bulb of duodenum 2) gastroduodenal artery 3) Tretiz's ligament 4) pancreatic duct 598. The caput of the pancreas projects on the lumbar vertebra: 1) L 1 2) L 2 3) L 3 4) L 4 599. The tail of the pancreas projects on the lumbar vertebra: 1) L 1 2) L 2 3) L 3 4) L 4 600. The pancreas in relation to the peritoneum is located: 1) intraperitoneally 2) mesoperitoneally 3) extraperitoneally 4) different parts are differently related 601. The pancreas lies in the: 1) pregastric bursa of the abdominal cavity 2) omental bursa of the abdominal cavity 3) hepatic bursa of the abdominal cavity 4) all of the above 602. To the anterior surface of the pancreas adjoins: 1) stomach 2) spleen 3) left lobe of the liver 4) duodenum 603. The upped pole of the spleen on the scapular line projects to the left of the: 1) IX rib 2) X rib 3) XI rib 4) XII rib 604. The lower pole of the spleen on the anterior axillary line projects to the left of the: 1) IX rib 2) X rib 3) XI rib 4) XII rib 605. The internal surface of the spleen is adjoined by the: 1) left lobe of a liver 2) splenic curvature of colon 3) stomach 4) caput of the pancreas 606. To the external surface of the spleen lies the: 1) left lobe of the liver 2) splenic curvature of the colon 3) costal part of the diaphragm 4) lateral part of abdominal wall 607. The part of a spleen that is not covered by peritoneum is: 1) upper pole 2) lower pole 3) hilum 4) posterior surface 608. The largest branch of the coeliac trunk is the: 1) common hepatic artery 2) splenic artery 3) the left gastric artery 4) superior mesenteric artery 609. In relation to the median line, the loops of jejunum are located 1) to the right 2) to the front and to the right 3) to the left 4) behind and to the left 610. In relation to the median line, the loops of ileum are located: 1) to the right 2) to the front and to the right 3) to the left 4) behind and to the left 611. The loops of small intestine are bordered superiorly by the: 1) caecum 2) transverse colon 3) sigmoid and rectum 4) descending and sigmoid colon 612. The loops of small intestine are bordered on the right by the: 1) greater omentum and anterior wall of abdomen 2) cecum and ascending colon 3) sigmoid and rectum 4) descending and sigmoid colon 613. The root of mesentery is attached: 1) to the left of Ist lumbar vertebra 2) to the right of the II nd lumbar vertebra 3) to the left of the II rd lumbar vertebra 4) to the right of the I st lumbar vertebra 614. The less mobile part of the small intestine is: 1) the proximal part 2) the distal part 3) the proximal and middle parts 4) the proximal and the distal parts 615. The small intestine is covered by the peritoneum: 1) extraperitoneally 2) mesoperitoneally 3) intraperitoneally 4) different departments are differently 616. The blood supply to the small intestine is through the: 1) celiac trunk 2) enteric arteries 3) superior mesenteric artery 4) inferior mesenteric artery 617. The innervation of the small intestine is through the branches of the: 1) celiac plexus 2) superior mesenteric plexus 3) inferior mesenteric plexus 4) all of the above 618. The longitudinal muscles are located in the form of muscular tapes in: 1) small intestine 2) iliac 3) large intestine 4) spleen 619. The swelling alternates with circular sulci in: 1) small intestine 2) only transverse colon 3) large intestine 4)only sigmoid colon 620. Epiploic appendages are found in: 1) the small intestine 2) only transverse colon 3) large intestine 4)only sigmoid colon 621. Mac Burney's point is : 1) the middle of spinoumbilical line 2) border between the external and middle one-third of the spinoumbilical line 3) border between the internal and middle one-third of the spinoumbilical line 4) external one-third of the spinoumbilicas line 622. Lants's point is the: 1) middle of bispinal line 2) border between the external and middle one-third of the bispinal line 3) border between the internal and middle one-third of the bispinal line 4) external one-third of the bispinal line 623. The relation of caecum to peritoneum? 1) intraperitoneally 2) mesoperitoneally 3) extraperitoneally 4) in different ways 624. How with a peritoneum the vermiform appendix more often is covered? 1) intraperitoneally 2) mesoperitoneally 3) extraperitoneally 4) differently 625. At what provision of a vermiform appendix it has no mesentery? 1) subhepatic 2) the pelvic 3) the medial 4) retroperitoneal 626. From what segment of a caecum the vermiform appendix more often begins? 1) bottom 2) the forward 3) interposterior 4) the back 627. On what reference point it is possible to find the basis of a vermiform appendix? 1) bottom of a caecum 2) longitudinal tapes (tenia libera) 3) epiploic appendages 4) ileum 628. What sign allows to distinguish a caecum from transverse colon and sigmoid intestinal? 1) absence of muscular tapes 2) absence of bloating 3) absence of epiploic appendages 4) all listed 629. Where in the field of an ileocaecal angle there are peritoneum pockets? 1) from above ileum 2) below a ileum 3) behind a ileum 4) all listed 630. What artery ileocaecal angle supplied with blood? 1) artery of an ascending colon 2) average colon artery 3) iliocolic artery 4) all listed 631. How the ascending colon is covered with a peritoneum? 1) mesoperitoneally 2) extraperitoneally 3) intraperitoneally 4) different sites are differently 632. At what level the highest point of hepatic curvature of an colon is projected? 1) cartilage of the IX rib on the right 2) cartilage of the X-th rib on the right 3) cartilage of the XI rib on the right 4) cartilage of the VIII rib on the right 633. At what level the highest point of curvature of spleen an colon is projected? 1) cartilage of the IX rib at the left 2) cartilage of the X-th rib at the left 3) cartilage of the XI rib at the left 4) cartilage of the VIII rib at the left 634. How relatively each other are located right and left curvature of an colon? 1) right above the left 2) left above the right 3) at one level 4) right it is more straight 635. How transverse colon is covered with a peritoneum? 1) mesoperitoneally 2) extraperitoneally 3) intraperitoneally 4) different sites are differently 636. What departments of a thick intestine have a mesentery? 1) ascending and descending colon 2) transverse colon and sigmoid 3) the sigmoid and descending colon 4) the caecum and ascending colon 637. Where there is recessus intersigmoideus? 1) at the beginning of a sigmoid intestine 2) place of transition of a sigmoid intestine in a straight line 3) between a fold of a peritoneum and a mesentery of sigmoid colon 4) in the center of a mesentery of a sigmoid intestine 638. What suture of bodies carry to category of the intestinal? 1) esophagus 2) stomach 3) intestine 4) all listed 639. At what performance from the listed intestinal suture the needle is carried out only through muscular and serous covers? 1) Cherney 2) Albert 3) Shmiden 4) Lambert 640. At what performance from the listed intestinal suture the needle is carried out through all layers of an intestinal wall? 1) Cherney 2) Albert 3) Shmiden 4) Lambert 641. At what performance from the listed intestinal suture the needle is carried out only through muscular, serous and sub mucosal layers? 1) Pirogov 2) Albert 3) Shmiden 4) Lambert 642. What of the listed intestinal suture the one-layer? 1) Cherney 2) Albert 3) Lambert 4) all listed 643. What of the listed intestinal suture the two-layer? 1) by Pirogov-Bir 2) by Albert 3) by Lambert 4) all listed 644. What layer of an intestinal wall the strongest? 1) the serous 2) the muscular 3) sub mucosal 4) the mucous 645. At what type of inter intestinal anastomosis narrowing of anastomosis is more probable? 1) side to side 2) end to end 3) end to side 4) side to end 646. At what type of inter intestinal anastomosis it is difficult to connect guts of different diameter? 1) side to side 2) end to end 3) end to side 647. What authors has offered one of widespread types of a gastrostomy? 1) Velfler 2) Gakker 3) Vittsel 4) Billroth 648. What is gastroenteroanastomosis according to Velfleru-Brown? 1) forward retrocolon 2) forward anterocolon 3) back retrocolon 4) back anterocolon 649. What is gastroenteroanastomosis according to Gakkeru-Petersen? 1) forward retrocolon 2) forward anterocolon 3) back retrocolon 4) back anterocolon 650. What is the enterostomy? 1) opening of a small intestine 2) imposing of fistula of a small intestine 3) opening of a thick intestine 4) imposing anastomosis of small intestine 651. What is the enterotomy? 1) opening of a small intestine 2) imposing of fistula of a small intestine 3) opening of a thick intestine 4) imposing anastomosis of small intestine 652. What stage of an appendectomy is carried out after removal of a caecum in an incisional wound? 1) cutting off of a vermiform appendix 2) mobilization of a vermiform appendix 3) immersion a appendicular stump in a dome of a caecum 4) imposing round the basis of a appendix of a purse-string suture 653. Name organ is used for formation of artificial anus by Maydl 1) caecum 2) descending colon 3) sigmoid colon 4) ascending colon 654. Name hemostatic suture of a liver 1) by Pirogov 2) by Bilrot 3) by Kuznetsov-Pensky 4) by Mikulich 655. When accessing the pancreas after opening the abdominal cavity is performed 1) section of a lesser omentum 2) section of a mesenterium 3) section of gastrocolic ligament 4) section of gastropancreatic ligament 656. While performing the retro colic gastro enteral anastomosis , the loop of the small intestine are passed through: 1) lesser omentum 2) colic mesocolon 3) gastro colic ligament 4) gastro pancreatic ligament 657. The pyloroplasty (operation draining the stomach) is 1) transplantation of the antrum 2) sectioning and suturing the antrum 3) connecting the greater omentum to the antrum 4) closure of the antrum 658. Pyloroplasty carried out without opening the gastric mucosa is by: 1) Jabuley’s method 2) Heineke-mikulicz’s method 3) Finely’s method 4) Toprover’s method 659. According to Quino’s portal system, the liver is divided into: 1) 5 lobes 2) 4 lobes 3) 3 lobes 4) 2 lobes 660. Common hepatic artery branches into: 1)proper hepatic and gastrointestinal 2) proper hepatic and gastro-duodenal 3) proper hepatic and biliary 4) proper hepatic and right gastric 661. Glisson’s triad of the liver is: 1) the branch of the portal vein, hepatic artery and bile duct 2) the branch of the hepatic vein, hepatic artery and bile duct 3) the branch of the portal vein, hepatic artery and lymphatic duct 4) the branch of the hepatic vein, hepatic artery and lymphatic duct 662. Traub’s space corresponds to the: 1) pyloric segment of the stomach 2) body of the stomach 3) fundus of the stomach 4) greater curvature of the stomach 663. Branches of the Ladarshe’s vagal nerves pass near to the: 1) pyloro-antral party of the stomach 2) body of the stomach 3) fundus of the stomach 4) greater curvature of the stomach 664. The artery of a vermiform appendix branches from the: 1) a. colica media 2) a. iliocolica 3) a. colica dextra 4) a. colica sinistra 665. Riolan's arch is formed between: 1) a. colica media and a. colica dextra 2) a. colica dextra and a. colica sinistra 3) a. colica sinistra and a. g colica media 4) a. colica media and a. iliocolica LUMBAR AREA. RETROPERITONEAL SPACE 666. Lumbar region is laterally bounded by 1) inferior posterior serratus muscle 2) iliac crest 3) 12th rib 4) Lesgaft’s line 667. Lesgaft’s line extends 1) from ending of 10th rib to iliac crest 2) from ending of 11th rib to iliac crest 3) from ending of 12th rib to iliac crest 4) from ending of 10th rib to iliac spine 668. Cases for the muscles of first and second layers of lumbar region form 1) fascia thoracospinalis 2) fascia thoracolumbalis 3) fascia intra-abdominalis 4) fascia quadratus 669. In lumbar region genito-femoralis nerve goes 1) under fascia m. psoas major 2) under fascia m. quadratus lumborum 3) under fascia m. psoas minor 4) under fascia m. transversus 670. Retro-peritoneal space is frontally bounded by 1) visceral peritoneum 2) fascia intra-abdominalis 3) parietal peritoneum 4) ascending and descending colon 671. Floor of lumbar triangle is formed by 1) m. latissimus dorsi 2) m. obliqus abdominalis externa 3) m. obliqus abdominalis interna 4) iliac crest 672. Retro-peritoneal space is bounded behind by 1) fascia endoabdominalis 2) fascia retro-renalis 3) fascia retro-intestinalis 4) fascia prerenalis and retro-renalis 673. The kidneys have 1) 2 capsules 2) 3 capsules 3) 4 capsules 4) 1 capsule 674. Renal bed is formed by 1) m. quadratus and m. isichi 2) m. quadratus and m. psoas 3) m. psoas and diaphragm 4) m. psoas and crista osis iliaci 675. In the right renal vein opens 1) supra renal veins 2) upper polar renal vein 3) supra renal and left testicular (ovarian) veins 4) testicular (ovarian) veins 676. Ureter is divided into 1) upper and lower parts 2) abdominal and retro-peritoneal parts 3) abdominal and pelvic parts 4) abdominal, retro-peritoneal and pelvic parts 677. Behind the hilum of kidney lies 1) renal artery 2) renal pelvis 3) renal vein 4) renal nerve 678. With respect to the vertebra, the abdominal aorta lies 1) in the front 2) on the left 3) on the right 4) different parts are differently located 679. Pielotomy is 1) removal of kidney 2) dissection of renal pelvis 3) dissection of kidney 4) imposition of kidney fistula 680. Nephropexia is 1) fixation of the kidney 2) dissection of renal pelvis 3) dissection of kidney 4) imposition of kidney fistula 681. The world’s first kidney transplantation was carried out by 1) D. Murrey 2) Petrovski 3) Y.Y. Voronoi 4) M. Servell 682. At the intercrossing of the outer margin of rectus muscle of abdomen and costal arch, projects 1) upper pole of the kidney 2) hilum of the kidney 3) lower pole of the kidney 4) external margin of the kidney 683. Into the left renal vein flows 1) suprarenal veins 2) veins on the upper pole of the kidney 3) suprarenal and left testicular (ovarian) vein 4) testicular (ovarian) veins 684. The first constriction of the ureter is located 1) nearby its opening into urinary bladder 2) in the transition of pelvis into ureter 3) in its intercrossing with testicular (ovarian) vessel 4) in its intercrossing with iliac vessels 685. The difference between right and left renal veins is that 1) right is much wider than left 2) left is shorter than right 3) left is much narrower than right 4) left is longer than right 686. Ureter, above its intercrossing with iliac vessels lies near to the 1) ilioinguinal nerve 2) iliohypogastric nerve 3) genital-femoral nerve 4) all of the above 687. The difference between right and left renal arteries is that 1) right is much wider than left 2) left is shorter than right 3) left is much narrower than right 4) right is shorter and narrower than right 688. In the lumbar region, along the bisector angle formed by the margin go the erector muscle of the spine and the iliac crest, the incision begins in accordance to 1) Bergman 2) Fedorova 3) Israel 4) Bergman-Israel 689. Nephrectomy is 1) the removal of kidney 2) the dissection of renal pelvis 3) the dissection of kidney 4) the imposition of kidney fistula 690. Bottom of Lesgaft-Grunfeld’s lumbar rhomb is formed by 1) internal oblique muscle of abdomen 2) erector muscle of spine 3) posterior inferior serratus muscle 4) aponeurosis of transverse muscle of abdomen 691. In lumbar region, subcostal nerves pass 1) under fascia of m. psoas major 2) under fascia of m. quadratus lumborum 3) under fascia of m. psoas minor 4) under fascia of transverse muscle of abdomen 692. Retro-peritoneal space is bounded posteriorly by 1) visceral peritoneum 2) endoabdominal fascia 3) parietal peritoneum 4) ascending and descending colons 693. Lesgaft-Grunfeld’s lumbar rhomb is bounded below by 1) internal oblique muscle of abdomen 2) erector muscle of the spine 3) posterior inferior serratus muscle 4) 12th rib 694. Retro-peritoneal fascia divides into 1) the fascia of m. quadratus and m. psoas major 2) intra-abdominal fascia and retro-peritoneal fascia 3) pre-renal and retro-renal fascia 4) pre-renal and intra-abdominal fascia 695. Extra-peritoneal parts of ascending and descending colons are covered by 1) visceral peritoneum 2) intra-abdominal fascia 3) parietal peritoneum 4) retro-colic fascia 696. Lumbar triangle is bounded below by 1) dorsal latissimus muscle 2) external oblique muscle of abdomen 3) internal oblique muscle of abdomen 4) iliac crest 697. Para-renal cellulose space is anteriorly bounded by 1) intra-abdominal fascia 2) retro-renal fascia 3) retro-intestinally fascia 4) pre-renal fascia 698. Right lobe of liver adjoins 1) the anterior-external margin of left kidney 2) internal margin of right kidney 3) anterior surface of left kidney 4) anterior surface of right kidney 699. First capsule of kidney is called 1) fatty capsule 2) fibrous capsule 3) outer capsule 4) peritoneal capsule 700. What is projected in the angle between external margin of erector muscle of spine and 12th rib. 1) upper pole of kidney 2) hilum of kidney 3) lower pole of kidney 4) external margin of kidney 701. Accessory renal arteries often pass 1) to the hilum of kidney 2) to the lower pole of kidney 3) to the upper pole of kidney 4) to the external margin of kidney 702. Second constriction of ureter lies 1) nearby its entry into urinary bladder 2) on the transition of pelvis into ureter 3) on its intercrossing with testicular (ovarian) vessels 4) on its intercrossing with iliac vessels 703. With respect to peritoneum, kidney is located 1) intraperitoneally 2) mesoperitoneally 3) extraperitoneally 4) different parts are differently located 704. Outwardly from right ureter lies 1) internal margin of ascending colon 2) inferior vena cava 3) aorta 4) duodenum 705. The main reference for performing the paranephral blockade is th 1) 12 rib 2) vertebra 3) angle formed by the margin of erector muscle of spine and 12th rib. 4) all of the above 706. The term “ortho-topic kidney transplant” means 1) kidney transplant in the pelvic area 2) experimental transplant of kidney 3) transplant of kidney in retro-peritoneal space 4) transplant of kidney in thigh (in experiment) 707. Renal artery at the hilum of kidney divides into 1) inferior and superior arteries 2) anterior and posterior arteries 3) superior and anterior arteries 4) posterior and inferior arteries 708. Third constriction of ureter lies 1) nearby its entry into urinary bladder 2) on the transition of pelvis into ureter 3) on its intercrossing with testicular (ovarian) vessels 4) on its intercrossing with iliac vessels 709. In the middle of the hilum of kidney lies 1) renal artery 2) renal pelvis 3) renal vein 4) renal nerve 710. On the level of celiac trunk lies 1) renal nerve plexus 2) celiac nerve plexus 3) superior mesenteric nerve plexus 4) all of the above 711. In the lumbar region from the angle formed by the margin of erector muscle of pine along the direction of navel, incision begins as per 1) Bergman 2) Fedorov 3) Israel 4) Bergman-Israel 712. For the inferior vena cava, doesn’t include the inflow from 1) testicular (ovarian) vein 2) renal vein 3) portal vein 4) inferior phrenic vein 713. While performing paranephral blockade Novocain is injected 1) sub cutaneous cellulose 2) para-colon cellulose space 3) retro-peritoneal cellulose layer 4) para-renal cellulose space 714. Nephrotomy is 1) removal of the kidney 2) dissection of the renal pelvis 3) kidney dissection 4) imposition of kidney fistula 715. While sewing the ureter, the layer that isn’t sewed is 1) the outer layer 2) the inner layer 3) the middle layer 4) the outer and the middle layers 716. Ilio-hypogastric nerves on the lumbar region passes under 1) the fascia of m. psoas major 2) the fascia of m. quadratus lumborum 3) the fascia of m. psoas minor 4) 3) the fascia of m. transversus abdominis 717. Lesgaft-Grunfeld’s lumbar rhomb is bounded above by 1) internal oblique muscle 2) erector muscle of the spine 3) posterior inferior serratus muscle 4) the 12th rib 718. The first layer of the retro-peritoneal fat is 1) para-nephron 2) para-colon 3) textus cellulous retro-peritonealis 4) para-uretron 719. Para--colon cellulose space is bounded posteriorly by 1) intra-abdominal fascia 2) retro-renal fascia 3) retro-intestinal fascia 4) pre-renal fascia 720. Kidneys are located on the level of 1) Th11 – L3-4 vertebra 2) Th12 – L3-4 vertebra 3) Th11 – L1-2 vertebra 4) Th12 – L1-2 vertebra 721. To the anterio-external margin of left kidney adjoins 1) spleen 2) liver 3) adrenal gland 4) gastric 722. Second capsule of liver is called 1) fatty 2) fibrous 3) outer 4) peritoneal 723. Closer to hilum of right kidney lies 1) aorta 2) adrenal gland 3) inferior vena cava 4) colon 724. Lumbar region is bounded below by 1) posterior inferior serratus muscle 2) iliac crest 3) 12th rib 4) Lesgraft’s line 725. Lumbar triangle is laterally bounded by 1) dorsal latissimus muscle 2) external oblique abdominal muscle 3) internal oblique abdominal muscle 4) iliac crest 726. Lesgraft Grunfeld’s lumbar rhomb is bounded above and below by 1) internal oblique abdominal muscle 2) erector muscle of spine 3) posterior inferior serratus muscle 4) 12th rib 727. Para--colon cellulose space is frontally bounded by 1) intra-abdominal fascia 2) retro-renal fascia 3) retro-colic fascia 4) pre-renal fascia 728. Upper margin of right kidney lies on the level th 1) of 11 rib 2) of 11th intercostal space 3) of 12th rib 4) below 12th rib 729. To the upper pole of kidney adjoins 1) diaphragm 2) liver 3) adrenal gland 4) gastric 730. Third capsule of kidney is called 1) fatty 2) fibrous 3) external 4) peritoneal 731. Anterior branch of renal artery supplies blood 1) to small part of renal parenchyma 2) only to the region of hilum of kidney 3) to large part of renal parenchyma 4) only to the lower pole 732. Left renal vein, while going to the hilum of left kidney lies 1) in front of the duodenum 2) behind aorta 3) in front of the inferior vena cava 4) in front of the aorta 733. In front of the hilum of kidney lies 1) renal artery 2) renal pelvis 3) renal vein 4) renal nerve 734. Bifurcation of aorta lies on the level of 1) 2nd and 3rd lumbar vertebra 2) 3rd and 4th lumbar vertebra 3) 4th and 5th lumbar vertebra 4) 2nd sacral vertebra 735. Beginning of inferior vena cava lies on the level of nd rd 1) 2 and 3 lumbar vertebra 2) 3rd and 4th lumbar vertebra 3) 4th and 5th lumbar vertebra 4) 2nd sacral vertebra 736. Nephrostomy is 1) removal of the kidney 2) dissection of renal pelvis 3) dissection of kidney 4) imposition of kidney fistula 737. During nephrectomy, the first element to be resected among the renal pedicles is 1) renal artery 2) ureter 3) renal vein 4) has no value 738. The term “hetero-tropic kidney transplant” means 1) kidney transplant in the pelvic area 2) transplant of foreign kidney 3) transplant of kidney in retro-peritoneal space 4) transplant of kidney in thigh (in experiment) 739. First visceral branch of abdominal aorta is 1) diaphragmatic 2) superior mesenteric 3) celiac trunk 4) inferior mesenteric 740. Lumbar region is bounded above by 1) posterior inferior serratus muscle 2) 11th rib 3) 12th rib 4) Lesgaft’s line 741. Lumbar triangle is bounded medially by 1) dorsal latissimus muscle 2) external oblique abdominal muscle 3) internal oblique abdominal muscle 4) iliac crest 742. The third layer of renal cellulose is 1) para--nephron 2) para--colon 3) textus cellulous retro-peritonealis 4) para-ureteric 743. Retro-peritoneal cellulose space is bounded frontally by 1) intra-abdominal fascia 2) retro-renal fascia 3) retro-intestinal fascia 4) prerenal and retro-renal fascia 744. Para-renal cellulose space is bounded form behind by 1) intra-abdominal fascia 2) retro-renal fascia 3) retro-intestinal fascia 4) prerenal fascia 745. The upper margin of the left kidney is on the level 1) of 11th rib 2) of 11th intercostal space 3) of 12th rib 4) below 12th rib 746. Gastric adjoins 1) to the upper pole of the left kidney 2) to the lower pole of the left kidney 3) to the anterior surface of the left kidney 4) to the hilum of the left kidney 747. Closer to the hilum of the left kidney lies 1) aorta 2) adrenal gland 3) inferior vena cava 4) colon 748. External capsule of kidney is formed by 1) parietal peritoneum 2) visceral peritoneum 3) intra-abdominal fascia 4) retro-peritoneal fascia 749. Lesgaft-Grunfeld’s lumbar rhomb is bounded from inside by 1) internal oblique abdominal muscle 2) erector muscle of spine 3) posterior inferior serratus muscle 4) 12th rib 750. Ilio-inguinal nerves in the lumbar region lies 1) under the fascia of m. psoas major 2) under the fascia of m. quadratus lumborum 3) under the fascia of m. psoas minor 4) under the fascia of m. transversus abdominalis 751. The second layer of retro-peritoneal cellulose is 1) para-nephron 2) para-intestinal 3) textus cellulous retro-peritonealis 4) para-ureteric 752. The difference between the right and left renal arteries is 1) right is much wider than the left 2) left is shorter than the right 3) left is much narrower than the right 4) right is shorter and narrower than the left. 753. Medially from the right ureter lies 1) the inner margin of the ascending colon 2) inferior vena cava 3) aorta 4) duodenum 754. Medially from left ureter lies 1) the inner margin of the descending colon 2) inferior vena cava 3) aorta 4) spleen 755. Paired visceral branches of the abdominal aorta are 1) renal 2) medial suprarenal 3) testicular (ovarian) 4) all of the above 756. PELVIS Preperitoneal and prevesical cellular spaces are separated from each other by 1) Peritoneal-perineal aponeurosis 2) Prevesical fascia 3) Transverse fascia 4) All of the above 757. The unpaired artery of the rectum is 1) Inferior rectal artery 2) Superior rectal artery 3) Middle rectal artery 4) Internal pudendal artery 758. Urovesical triangle is located 1) In the body of the urinal bladder 2) At the bottom of the urinal bladder 3) At the cervix of the bladder 4) At the apex of the urinal bladder 759. In males the Retzii`s space consist of 1) Urinal bladder 2) Prostate gland 3) Seminal vesicles and vas deferens ampoules 4) All of the above 760. How is the urinary bladder covered by the peritoneum? 1) Intraperitoneally 2) Mesoperitoneally 3) Extraperitoneally 4) Each part is covered in a different way 761. The front lower aperture of the pelvis is limited by 1) Sacroiliac ligament 2) The ischia bone 3) The lower branches of the pubic bone 4) The pubic symphysis 762. The distal part of the rectum is called 1) Perineal 2) Top 3) Pelvic 4) Initial 763. The fascial capsule of Amusa is called 1) Capsule of the urinal bladder 2) Prostate capsule 3) Capsule of the rectum 4) Capsule of the vagina 764. What is located in front of the urinal bladder? 1) Paravesical cellular spaces 2) Prevesical cellular spaces 3) Preperitonial cellular spaces 4) Preperitonial and prevesical cellular spaces 765. How is an empty urinal cavity covered by the peritoneum? 1) Intraperitoneally 2) Mesoperitoneally 3) Extraperitoneally 4) Different parts are covered in different ways 766. Voluntary sphincter of the rectum is 1) External 2) 1st internal 3) 2nd internal 4) External and 1st internal 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 767. The proximal part of the rectum is called Perineal Top Pelvic Rectosigmoid 768. Prostate ducts open into the Vas deferens Urinal bladder Ureter Seminal vesicles 769. The internal iliac artery in men passes on Lateral pelvic cellular spaces Rectrorectalis pelvic cellular spaces Paravesicalis pelvic cellular spaces Prostate capsule 770. The lateral pelvic cellular spaces are connected with the fiber bed of the adductor muscles through Obturator canal Supra- and Subpiriforme holes Fiber iliac fossae Pudendal neurovascular bundle 771. Which are the paired cellular spaces of the pelvis Prevesical cellular spaces Lateral cellular spaces Retro rectal cellular spaces Paravesical cellular spaces 772. The upper aperture of the pelvis is formed by The iliac crest The wings of the ilium The terminal’s line The ischial tuberose 773. The lower level of the pelvis is called Subperitoneal Peritoneal Subcutaneous Retropubic space 774. The lateral pelvic cellular spaces connect with the fiber in the gluteal region through Obturatorius canal Upper and Subpiriforme holes Fiber of the iliac fossae Pudendal neurovascular bundle 775. The Peritoneum with the bladder in the female pelvis passes On the rectum On the cervix and posterior vaginal fornix On the urethra On the ovary 776. The pelvic part of the rectum is divided into The ampoule The supra ampoule The peritoneal and infra peritoneal parts 4) The ampoule and supra ampoule parts 777. The bend of the rectum in the sagittal plane in its distal part is directed 1) From back to front 2) From front to back 3) From left to right 4) From right to left 778. The Douglas space is called 1) Uterine recess 2) Utero-rectal recess 3) The ischio-rectal fossa 4) The fossa in front of the bladder 779. The upper level of the pelvis is called 1) Sup peritoneal 2) Peritoneal 3) Subcutaneous 4) Retropubic space 780. The peritoneum of the upper third of the rectum is 1) Covered mesoperitoneally 2) Covered intraperitoneally 3) Covered in front 4) Not covered 781. The location of the uterus in relation to the main longitudinal axis 1) Is inclined posteriorly 2) Is inclined to the right 3) Is inclined anteriorly 4) Is inclined to the left 782. The operation of removing part of the rectum is called 1) Resection of the rectum 2) Amputation of the rectum 3) Extirpate on of the rectum 4) The imposition of the preternatural anus 783. The capillary puncture of the bladder is 1) On the upper side of the pubic symphysis 2) 2 cm above the pubic symphysis 3) 1 cm below the pubic symphysis 4) 7 cm above the pubic symphysis 784. The ovaries are located 1) In the peritoneal level of the pelvis 2) In the sub peritoneal level of the pelvis 3) In subcutaneous level of the pelvis 4) In all the levels of the pelvis 785. The cervix of the uterus is divided into 1) The bottom and the body 2) The vaginal and supra vaginal parts 3) The body and neck 4) The vaginal and subvaginal parts 786. The incision for operations performed on the pelvic organs in women is 1) By McWhorther-Buyalsky 2) By Kupriyanov 3) By Pfannenstiel 4) By Volkovich-Diakonov 787. The middle (second) pelvic level is called 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) 1) 2) 3) 4) Sub peritoneal Peritoneal Subcutaneous Retropubic space 788. The operation of removing the rectum with a closing device without restoring it continuity is called Resection of the rectum Amputation of the rectum Extirpation of the rectum Imposition of the preternatural anus 789. The internal iliac artery in women passes through The lateral pelvic cellular spaces The retro rectalis cellular spaces of the pelvis The pararectales cellular spaces of the pelvis The parauterine cellular spaces of the pelvis 790. The point where the sigmoid colon becomes the rectum is determined At the level of the V lumbar vertebra At the level of the I sacral vertebra At the level of the III sacral vertebra At the terminal line 791. In women between the rectum and the vagina in the sub peritoneal level of the pelvis there is Utero-vesico recess Douglas space Peritoneal-perineal aponeurosis The urethra 792. The prostate gland is located In the peritoneal level of the pelvis In the sub peritoneal level of the pelvis In the subcutaneous level of the pelvis On all the levels 793. On all the pelvic levels lies The bladder The rectum The prostate gland The vagina 794. The lowest part located on the peritoneal level of the pelvis in women is Prevesical deepening of the peritoneum Vesico-rectal deepening of the peritoneum Retro rectal deepening of the peritoneum Utero-rectal recess 795. For the diagnosis of intraperitoneal bleeding of the peritoneal floor in women we puncture Prevesical deepening of the peritoneum Vesico-rectal deepening of the peritoneum Retrorectal deepening of the peritoneum Utero-rectal recess 796. The pelvic fascia is divided Into the deep and superficial layers Into the parietal and visceral layers Into the deep and parietal layers Into the superficial and visceral layers 797. Venous blood from the rectum to the portal vein flows through 1) The lower rectal vein 2) The upper rectal vein 3) The middle rectal vein 4) The inner pudendal vein 798. Morganie’s columns of the rectum are called 1) Transverse folds of mucous in the starting section 2) Longitudinal folds of mucous in the starting section 3) Transverse folds of mucous close to the anus 4) Longitudinal folds of mucous close to the anus 799. Folds and the sub mucosal layer of the bladder are absent 1) On the body of the bladder 2) At the bottom of the bladder 3) On the neck of the bladder 4) At the apex of the bladder 800. In front of the rectum in men lies 1) The prostate gland 2) The iliac artery 3) The vial vas deferens 4) The seminal vesicles 801. At the back wall of the bladder in the sub peritoneal level in women lies 1) The urethra 2) The vagina 3) The rectum 4) The uterus 802. The lowest part of the peritoneal level of the pelvis in men is 1) Pre bladder deepening of the peritoneum 2) Vesico-rectal deepening of the peritoneum 3) Post rectal deepening of the peritoneum 4) Pre peritoneal deepening of the peritoneum 803. In relation to the neck of the uterus the uterus is 1) Inclined posteriorly 2) Inclined to the right 3) Inclined anteriorly 4) Inclined to the left 804. The Fallopian tubes are covered with the peritoneum 1) Intraperitoneally 2) Mesoperitoneally 3) Extraperitoneally 4) Not covered by the peritoneum 805. Between the rectum and the uterus of the peritoneal level in women there is 1) Utero-vesico recess 2) Douglas space 3) Peritoneal-perinea aponeurosis 4) The vagina 806. The operation of removing the distal portion of the rectum is called 1) Resection of the rectum 2) Amputation of the rectum 3) Extirpation of the rectum 4) Imposition of the preternatural anus