What is the principle of sublay technic of the hernioplasty of postoperative hernia (стр. 1 )

What is the principle of sublay technic of the hernioplasty of postoperative hernia:

A. All are transferred methods

B. Fixation of graft for the edges of defect

C. Fixation of graft between peritoneum and aponeurosis layer

D. Fixation of graft above autoplasty

E. Fixation of graft under autoplasty

ANSWER: E

What is the principle of onlay technic of the hernioplasty of postoperative hernia:

A. All are transferred methods

B. Fixation of graft for the edges of defect

C. Fixation of graft between peritoneum and aponeurosis layer

D. Fixation of graft under autoplasty

E. Fixation of graft above autoplasty

ANSWER: E

The methods of hernioplasty with using of synthetic materials:

A. Fixation of graft for the edges of defect

B. Fixation of graft between peritoneum and aponeurosis layer (inlay technic)

C. Fixation of graft under autoplasty (sublay technic)

D. Fixation of graft above autoplasty (onlay technic)

E. All listed methods

ANSWER: E

What is Lihtenshtein method?

A. Hernioplasty with painter net

B. Hernioplasty with metallic net

C. Hernioplasty with arachnoidite net

D. Hernioplasty with polyethylene net

E. Hernioplasty with mesh material “Ethicon”

ANSWER: E

What hernioplasty is indicated in case of phlegmon of hernia sack:

A. Meyo hernioplasty

B. Bassini hernioplasty

C. Hernioplasty with draining of wound

D. Performed by any methods

E. Contra-indicated

ANSWER: E

What complications can be at incarceration of omentum:

A. Peritonitis

B. Necrosis of hernia sack

C. Intestinal obstruction

D. Phlegmon of hernia sack

E. A thrombosis of vessels of omentum and embolism of portal vein

ANSWER: E

If a bowel is jammed in a hernia sack, the diameter will increase in:

A. None of the listed part

B. Remote loop of bowel

C. Loop in a hernia sack

D. Distal loop of bowel

E. Proximal loop of bowel

ANSWER: E

At incarceration hernia microcirculation disorders could be:

A. In abdominal cavity

B. In a hernia gate

C. In a hernia sack

D. In a distal bowel

E. In a proximal bowel

ANSWER: E

What is the time of disability after treatment of incarcerated hernia?:

A. 14 days

B. 1 week

C. 4-6 days

D. 12 weeks

E. 4-6 weeks

ANSWER: E

What hernia tissue can be the tumors origin?

A. Never arise

B. Hernia sack

C. Membrane of hernia

D. Hernia content

E. All listed elements of hernia

ANSWER: E

What is not characteristic for determination of viability of incarcerated bowel:

A. Presence of peristalsis

B. Presence of pulsation of mesentery vessels

C. Absence of strangulation furrow

D. Renewing of the natural color of organ

E. Presence of strangulation furrow

ANSWER: E

Acquire hernia could be all, except:

A. Neurological

B. Traumatic

C. Recurrent

D. Postoperative

E. Post-natal

ANSWER: E

At incarceration of hernia the most deep changes arise up in:

A. In all simultaneously

B. In the peritoneum

C. In the serosa

D. In the muscular tunic

E. In the mucus tunic

ANSWER: E

Incarcerated hernia does not complicated by:

A. Acute ileus

B. Peritonitis

C. Necrosis of hernia sack

D. Phlegmon of hernia sack

E. Lymphadenitis

ANSWER: E

What is contra-indicated for patients with coprostasis?

A. Enemas

B. Antispastic

C. Anaesthetic

D. Easy local massage

E. Purgative drugs

ANSWER: E

What is the first step of operation at the incarcerated hernia?

A. Estimation of viability of jammed organ

B. Conservative treatment

C. Dissecting of jamming ring

D. Puncture of hernia sack.

E. Quick opening of hernia sack and fixing of jammed organ.

ANSWER: E

The Richter incarceration arises up, when in a hernia sack located:

A. Part of urinary bladder

B. Loop of bowel

C. Lateral wall of bowel

D. Part of mesentery

E. Part of wall of bowel

ANSWER: E

The retrograde incarceration looks like :

A. Letters of F

B. Letters of R

C. Letters of B

D. Letters of G

E. Letters of W

ANSWER: E

The excrement incarceration develops:

A. Too slowly

ddenly

C. With high speed

D. Languidly

E. Gradually

ANSWER: E

The elastic incarceration develops:

A. Languidly

B. With high speed

C. Too slowly

D. Gradually

ddenly

ANSWER: E

Acute ileus arises up at presence in the hernia sac:

A. Urinary bladder

B. Salpinx

C. Omentum

bcutaneous fatty tissue

E. Loops of bowel

ANSWER: E

Auscultative sign of presence in the hernia sack of omentum is:

A. Drum shot

B. Noise of falling drop

C. Clang

D. Presence of peristaltic waves

E. Absence of peristaltic waves

ANSWER: E

Auscultative sign of presence in the hernia sack of loop of bowel:

A. Drum shot

B. Noise of falling drop

C. Clang

D. Absence of peristaltic waves

E. Presence of peristaltic waves

ANSWER: E

The best method for differential diagnostics of acute hydropsy of testicle with the incarcerated inguinal hernia is:

A. Colonoscopy

B. Endoscopy

C. CT

D. Sonography

E. Diaphanoscopy

ANSWER: E

In the case of incarceration of omentum above the hernia sack will be:

A. Absence of sounds

B. Clang

C. Sonorous sound

D. Tympanit

E. Dull sound

ANSWER: E

In case of incarceration of loop of bowel, above the hernia sack will be:

A. Absence of sounds

B. Clang

C. Sonorous sound

D. Dull sound

E. Tympanit

ANSWER: E

The resection of the loop of incarcerated bowel in hernia gate is indicated:

A. At presence of all of the listed signs

B. In default of pulsation of mesentery vessels

C. In default of discoloration

D. In default of peristalsis

E. At presence of any of the listed signs

ANSWER: E

What additional symptom, which will arise up at incarceration of sliding inguinal hernia, the wall of which is an urinary bladder:

A. Absence of other symptoms

B. Bleeding

C. Symptom of sexual weakness

D. Intoxication symptom

E. Disuria

ANSWER: E

Tactic of surgeon during replacing of the incarcerated hernia during operation:

A. Finishing of operation

B. Draining of abdominal cavity

C. Laparotomy

D. Hernioplasty without revision of nearest organs

E. Operative treatment with the revision of nearest organs

ANSWER: E

Incarcerated hernia must be treated:

A. Conservative treatment

B. Dynamic supervision

reducing of hernia

D. Planned operation

E. Urgent operation

ANSWER: E

Differential diagnostics of femoral hernia is performed with:

A. Lymphadenitis

B. Inguinal hernia

C. Varicosity

D. Cold abscess

E. All listed

ANSWER: E

The effective method of prophylaxis of incarceration of hernia is:

A. Changing of job

B. Diet

C. Anti-spastic drugs

D. Antibiotics

E. The planned operations

ANSWER: E

What signs of viability of the jammed loop of bowel is used?:

a tint

a color

the presence of pulsation of vessels

the presence of peristalsis

E. Used all signs

ANSWER: E

Duration of dynamic supervision if incarcerated hernia is replaced:

A. 2 hours

B. 1 hour

C. 12 hours

D. 6 hours

E. 24 hours

ANSWER: E

Tactic of doctor, if during hospitalization incarcerated hernia is replaced:

A. Nothing to do

B. Conservative treatment

C. To discharge patient

D. Urgent surgical treatment

E. Hospitalization, supervision

ANSWER: E

The retrograde incarceration arises up at presence of:

A. Adhesion in a hernia sack

B. Wrong form of hernia gate

C. Narrow hernia gate

D. Negative pressure in a hernia sack

E. Wide hernia gate

ANSWER: E

When could be false incarceration of hernia?

A. At incarceration of diverticul of Mekkel

B. At inflammation of hernia

C. At jamming of the organ in a hernia sack

D. At the partial incarceration of wall of organ

E. At the acute diseases of organs of abdominal cavity

ANSWER: E

What is more frequent forms wall at sliding right-side inguinal hernia?:

A. Stomach

B. Transverse colon

C. Urinary bladder

D. Small intestine

E. Urinary bladder

ANSWER: E

What is more frequent forms wall at sliding left-side inguinal hernia?

A. Stomach

B. Transverse colon

C. Urinary bladder

D. Small intestine

E. Sigmoid colon

ANSWER: E

What name of the symptoms of the incarcerated hernia:

A. Nausea and vomit

B. Pain in the hernia swelling

C. Negative cough sign

D. Nonreducible swelling

E. All are transferred signs

ANSWER: E

In the case of the incarcerated hernia a main symptom is:

A. Nausea and vomit

B. Bleeding

C. Negative cough sign

D. High temperature

E. Pain in the hernia swelling

ANSWER: E

What is incarcerated hernia:

A. Jamming of content of hernia is from the side of abdominal cavity

B. Inflammation of hernia

C. Jamming of content of hernia by the wall of hernia sack

D. Jamming of content of hernia by surrounding tissue

E. A jamming of content of hernia in its gate

ANSWER: E

What is external hernia of abdomen:

A. An output of organs through the damaged abdominal wall

B. Jamming of organs

C. Inflammations of organs

D. An output of organs outside of peritoneum

E. Output of organs, covered by peritoneum under a skin

ANSWER: E

For diaphragmatic hernia a typical symptom is:

A. Negative cough sign

B. Nausea

C. Pain

D. Positive cough sign

E. Feeling of grumbling in a thorax on the side of hernia

ANSWER: E

Objective sign of the incarcerated hernia:

A. Bleeding

B. Positive cough sign

C. Vomit

D. Pain

E. Negative cough sign

ANSWER: E

What hernia has mesoperitoneal organ as part of hernia sack wall:

A. Umbilical hernia

B. Oblique inguinal hernia

C. Femoral hernia

D. Direct inguinal hernia

E. Sliding hernia

ANSWER: E

Swelling in the area of lateral fossa is means:

A. Umbilical hernia

B. Epigastroceles

C. Direct inguinal hernia

D. Femoral hernia

E. Oblique inguinal hernia

ANSWER: E

Swelling in the area of medial fossa is means: