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Topographical anatomy of liver, gallbladder and biliary tract. Operations on them
E) ulcer is complicated with stenosis of pylorus in 35-years-old patient? E) gastro-jejuno-, choledocho-jejuno-, and pancreato-jejuno-anastomosis. 24. Choose operative interference which isn’t used in cysts of pancreas: а) Malle-Gi operation; b) cystogastrostomy; c) marsupialization; d) cholecystocystostomy; e) cystoduodenostomy. 25. In what case in perforative ulcer of the stomach is it expedient the resection of stomach: а) from the moment of the perforation passed 12 hours; b) perforation is complicated with peritonitis; c) patient is 65 years old; d) patient has attendant lung and heart-vessel pathology; 26. Point vessels which can be injured in stomach-pancreas ligament in it’s injury: а) duodeno-pancreal arteries and veins; b) left stomach-omental arteries and veins; c) left stomach arteries and veins; d) pancreal arteries and veins; e) left stomach arteries and veins. 27. Choose method of pyloroplasty in which you have to use longitudinal cut of pylorus with next sew up of it in transverse direction: а) by Heyneke-Mickulich; b) by Finney; c) by Zhabule; d) by Shalimov; e) by Vitcel. 28. Choose method of pyloroplasty in which you have to use transverse cut of stomach and duodenum near the pylorus with next formation of “side by side” anastomosis: а) by Heyneke-Mickulich; b) by Finney; c) by Zhabule; d) by Shalimov; e) by Vitcel. 29. Choose kind of vagotomy in which short sectoral branches are cut, but long are saved: а) trunk; b) proximally selective; c) proximal; d) selective; e) distal. 1. In execution the operation in liver it is necessary to definite boundary between right and left lobes of liver. What ligament is it formed with: а) round; b) semilunar; c) crowned; d) liver-duodenal; e) liver-kidney. 2. During hepatoportography it is bougied umbilical vein. In what ligament of liver this obturative vein is located: а) semilunar; b) round; c) crowned; d) liver-duodenal; e) liver-stomach. 3. In segmentar resection of liver elements which lie in the basis of its devision to segments are recessed and bound. What anatomical formations by Kuino are there: а) liver arteries, veins and lymphatic vessels; b) liver arteries, veins and biliary tract; c) liver arteries and nerves, branches of portal vein; d) liver arteries and biliary tract, branches of portal vein; e) liver and portal veins, liver biliary ducts? 4. In dissection of what ligament branches of right diaphragm nerve can be injured: а) liver-duodenal; b) semilunar; c) crowned; d) round; e) liver-stomach? 5. In cholecystectomy with the aim of recession the gall bladder peritoneum is dissected. How is gall-bladder covered with peritoneum most of all: а) intraperitoneally; b) extrapertoneally; c) mesoperitoneally; d) it doesn’t belong to peritoneum; e) intraliver? 6. During the operation on the liver surgeon must examine it’s gates. What structural elements forms them:
a) proper liver arteries, veins and lymphatic vessels. b) proper liver arteries, veins and biliary tract; c) general liver arteries and nerves, branches of portal vein; d) proper liver arteries and biliary tract, branches of portal vein; e) proper liver and portal veins, liver biliary ducts? 7. In cholecystectomy bladder artery is found out and bound. From what artery does it go: а) right liver artery; b) left liver artery; c) right stomach artery; d) stomach-duodenal arteries; e) proper liver? 8. How do you execute mobilization of the sprout of gall-bladder in cholecystectomy: а) cut peritoneum through the edges of gall bladder and recess it from lagoon in blunt way; b) mesentery is constricted with clamps from the bottom of the bladder, sawn and bound; c) it is simultaneously put clamps on the mesentery and bound it than; d) it is simultaneously put clamps on the mesentery, sew it with tobacco-bag stitch and bound; e) cut peritoneum through the edges of gall bladder and recess it from lagoon together with injured liver in acute way? 9. What structures of liver are constricted in portal hypertension: а) proper liver arteries; b) intraliver biliary ducts; c) liver veins; d) general liver duct; e) general biliary duct? 10. How do you call the system of ramification the vessels and biliary duct which lie in the basis of devision the liver by Kuino: а) caval; b) liver’s; c) portal; d) biliary; e) vessel-ductal? 11. In what region of anterior-lateral wall of the abdomen enlarged spleen is palpated in splenomegalia: а) in epigastrial; b) in left sub-rib; c) in left lateral; d) in umbilical; e) in left sub-rib and lateral? 12. How do you sew up the radial wound of liver: а) P-liked knotted catcut stitch; b) P-liked knotted silk stitch; c) knotted silk stitch; d) knotted catcut stitch; e) catgut stitch by Cuznyetsov-Penskiy? 13. What do you constrict with the aim of temporary stop bleeding fron the liver in it’s injury: а) liver-duodenal ligament during 15 minutes; b) liver-stomach ligament during 15 minutes; c) round ligament of liver during 15 minutes; d) liver-duodenal ligament during 30 minutes; e) round ligament of liver during 30 minutes? 14. Binding of what arteries can cause violation of blood supply and necrose of pancreas: а) upper and lower mesenteral arteries; b) stomach-duodenal and upper mesentery artery; c) stomach-duodenal and lower mesentery artery; d) lower mesentery artery; e) spleen and stomach-duodenal artery? 15. What do you do for final stop bleeding from liver: а) bind liver artery; b) put on Opel’s stitch; c) bind portal vein; d) sew up liver with twined stitch around put terminals of liver; e) conhstrict liver with fingers to final stop bleeding? 16. What operations are used in treatment of portal hypertension: а) right sple-renal “side by side” anastomosis; b) portal “end to side” anastomosis; c) mesenterico-caval anastomosis; d) left spleno-renal “side by side” anastomosis; e) left spleno-renal “end to end” anastomosis? 17. In thickness of what ligament proper liver artery, general biliary duct and portal vein can be palpated: а) semilunar; b) crowned; c) round; d) liver-duodenal; e) liver-stomach?
18. In what veins pressure will be high in portal hypertension: а) upper and lower mesentery and renal; b) spleen, upper and lower mesentery, stomach; c) spleen, upper and lower mesentery and spleen; d) upper mesentery, stomach and liver; e) power cava, renal and ileac? 19. In revision of general biliary duct is it found out it’s typical formation. Junction of what ducts forms general biliary duct: а) right and left liver ducts; b) right liver duct with bladder duct; c) left liver duct with bladder duct; d) general liver duct with bladder duct; e) right, liver with bladder? 20. In cholecystectomy from its column it is found out Callo’s triangle for finding and binding bladder duct: а) bladder duct, portal vein, general liver duct; b) portal vein, right liver artery, bladder duct; c) right liver artery, bladder duct, duodenum; d) bladder duct, general liver duct, bladder and right liver arteries; e) bladder, right and left liver ducts. 21. What part of liver is recessed in atypical resection of liver: а) sector; b) segment; c) lobe; d) half part of liver;
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