Test – surgery KV – SH2

Lenka Katila

Date:

Name of the student:

  1. What is it ERCP?
  1. Endogenous retrograde cholecystolaparoscopy
  2. Endogenous retrograde cholecystopancreatoscopy
  3. Endogenous retrograde cholecystopancreatolaparoscopy
  4. Investigation of the gastrointestinal tract, mainly for pancreas, stomach and choledochus
  1. Thrombosis is
  1. usual complication of the surgery
  2. inflammation of the vessels
  3. always treated by fibrinolysis
  4. hypercoagulation in the vessels
  1. TUR syndrome occurs when
  1. the patient after transurethral prostatectomy is not producing urine
  2. the patient after transurethral prostatectomy is not drinking
  3. the patient after transurethral prostatectomy receives i.v. hypotonic solutions
  4. surgeon is splashing the coagula during transurethral prostatectomy by Ringer lactate solution, which is causing the absorption of the water to the open vessels
  1. The most typical one of the surgical inflectional complications is the wound infection caused by:
  1. Staphylococcus aureus
  2. Streptococcus faecalis
  3. Candida albicans
  4. Streptococcus haemolyticus
  1. Prevention of deep flebothrombose and lung emboli ( among the other procedures) include:
  1. changing of the peripheral venous catheter every 3rd day
  2. early motion of the patient after the surgery
  3. daily exchange of the urinary catheter
  4. bandage of the lower extremities
  1. Typical symptoms of the lung emboli after surgery are:
  1. cold sweat
  2. headache
  3. dyspnoe
  4. chest pain

  1. Acute management of the lung emboli does not include:
  1. antibiotic treatment
  2. thrombolytic treatment
  3. heparin
  4. continual monitoring of SaO2 in the blood
  1. Pain in the epigastrium is typical for those organs ( do not consider atypical position of organs):
  1. appendix
  2. pancreas
  3. stomach
  4. gall bladder
  5. intestines
  1. Hernia in cicatrices is:
  1. rupture of the suture in all layers over the skin
  2. dehiscension of the suture of the abdominal wall and their prolaps under the skin
  3. evisceration of the intestines
  4. Special mechanism of occurring hernia, described by Vul Cicatrices in the 18. Century
  1. What is a sinoscopy?
  1. Endoscopy of cavernous sinus
  2. Endoscopy of paranasal cavities
  3. Endoscopy of sinus arteriosus
  4. Endoscopy of paranasal sinuses
  1. To the monitoring of the patient during and after laparoscopic cholecystectomy belongs:
  1. Pulse, blood pressure, SatO2, control of the drains and regular lavage of peritoneum
  2. Concentration of CO2 in the expired air, Sat 02,puls, blood pressure, EKG, control of the drains
  3. Pulse, Blood pressure, EKG, control of the drains
  4. Sonography of the stomach, pulse, blood pressure, EKG, SatO2, End-tidal CO2, control of the drains

12.Comminutive fracture means, that the bone is broken:

  1. ones in the angle of 90 to the longitudinal axe of the bone
  2. ones , the line of fracture is parallel with the axe of the bone
  3. twice, the axes of the fractures might be in different angles to the longitudinal axe and there is a middle piece, which communicate with neither proximal or distal end of the bone
  4. in many little pieces
  1. Compartment syndrome
  1. Happens always when the extremity is in gyps bandage
  2. Is characterized by absence of circulation under the affected area
  3. Can lead to the necrosis of the whole extremity and amputation
  4. Must be treated by slow infusion of antibiotics
  1. Complication of the fracture of the femur can not be:
  1. hernia inquinalis
  2. lung emboli
  3. ileus
  4. chock
  1. Transplantation between genetically different members of the same species is called:
  1. autologous
  2. syngeneic
  3. allogenic
  4. xenogeneic
  1. The most often donors of the kidneys are:
  1. parents
  2. relatives
  3. cadaverous donors
  4. identical twins
  1. For the matching ( possible exchange) of all organs is important , that the donor andrecipient have :
  1. Same age
  2. As closed as possible match in the HLA system
  3. Weight
  4. Same HLA system

18. Presumed consent (legislative description of possibility of organ donation) means:

  1. Organs donation is automatically considered in patients diagnosed brain dead, unless the relatives do not object that.
  2. Organ donation is automatically considered in patients diagnosed brain dead unless they have specifically registered their wish not to donate.
  3. Organ donation is only considered in the patients diagnosed brain dead if he/she express his wish to donate during his life and this wish is registered at the national register of donors
  4. Organ donation is performed just if the doctor get the permission of the family or the National authorities responsible for organ donation

19.Transplantation of the kidneys is always performed to the patients with:

  1. Diabetes mellitus
  2. Acute renal failure
  3. Chronic renal failure
  4. End-stage of diabetic nephropathy

20. The most problematic part of the transplantation of the kidneys is:

  1. Operation itself
  2. Preoperational dialysis
  3. Immunosuppressive treatment
  4. Transport of the organs

21. Total ischemic time (the time between removal of the organ and transplantation to the recipient) is limited:

  1. 4 hours for all the organs
  2. 4 hours for the heart
  3. 36 hours for the kidneys
  4. 36 hours for all the organs

22. Exchange of the organs, transplantation programs. Scientific research and cooperation in those areas is organized in Europe to the special organizations.

  1. Nordic countries are organized to the organization called Nordtransplant
  2. Nordic countries are organized to the organization called Scandiatransplant
  3. Nordic countries are organized to the organization called Eurotransplant
  4. Nordic countries are organized to the organization called Scanditrans

23. To the most often diagnoses treated by neurosurgeons belongs:

  1. Aneurysm on the branches of ACI
  2. Hydrocephalus
  3. Tumors of the brain
  4. Anencephalia

24. For epidural hematom is typical:

  1. Bleeding is localized under dura mater
  2. Bleeding is localized between pia mater and dura mater
  3. Bleeding is localized between the layers of dura mater
  4. Bleeding leads rapidly to the increase of ICP and the risk of compression of life-important centers

25. Retention testis is a operation of testes, for which is characteristic:

  1. Testes should be amputated after the trauma
  2. Testes did not developed
  3. Testes are developed in the abdominal cavity and stays fixed there
  4. Boys, which would not be operated, develop a big risk for sterility

26. For the post-operational care about the urology patient is important (among the others):

  1. Control of ICP
  2. Control of diuresis
  3. Control of the electrolyte-balance
  4. Control of the MAGPI
  1. As a nurse working on the thoracosurgery, you must be aware of:
  1. High risk of decubitus
  2. High risk of impaired gas exchange
  3. High risk for infection
  4. High risk of hepatitis, transmitted by the ventilators
  1. Acute embolic disease of the artery is characterized by:
  1. Pain in the extremity
  2. Dyspnoe
  3. Disappearing of the pulse under embolisation
  4. Patient can not move with the extremity
  1. The cardiovascular surgery does not give a good effect if:
  1. The patient does not stop smoking or drinking the alcohol
  2. The patient is not cooperating
  3. The patient refuse to give autotransfusion
  4. The patient is allergic to Protamin
  1. Generally, patients undergoing vascular surgery develops a potential higher risk for:
  1. Hypothermia
  2. Thrombosis
  3. Infectional complications
  4. Decubitus
  1. Angina pectoris and acute myocardial infarct are the most often diagnoses, indicated for aortocoronary by-pass. To the modifiable risk factors, leading to those diseases belongs:
  1. Sex
  2. Cholesterol level
  3. Obesity
  4. Diabetes mellitus typ.1
  1. Using “bone cement” in the orthopedic brings certain risk for the patient, because:
  1. The bone can be damaged by the cement
  2. The patient may develop allergic reaction to the cement
  3. Cement can provoke development of the osteoblastic sarcoma of the bpone
  4. The patient may develop hypotension after application of the cement
  1. For the patient, undergoing total arthroplasty of the hip or knee is important:
  1. mobilize as soon as possible, best the 2nd day after surgery
  2. do not get up from the bed one week
  3. mobilize as soon as possible, just if the patient has epidural catheter for pain-control
  4. mobilize as soon as possible, just if the patient gets Fragmin as a prevention of thrombosis
  1. Woman, 65 years old, undergoing total knee arthroplasty, 68kg/170cm, has potential tendention to heal the post-operative trauma compare to the man 100kg/195 in the same age:
  1. quicker, because men have higher risk for AIM and emboli
  2. quicker, the man is heavy and that leads to slower healing
  3. slower, because she is in the age when ostheoporose is typical
  4. slower, because woman have generally tendention to heal the wounds worse
  1. Arthroscopy is a method used for:
  1. Diagnostic and surgical management of the pathologic situations in all the joints
  2. Diagnostic and surgical management of the pathologic situation just in the knee
  3. Orthopedic surgery of the big joints
  4. Just young individuals to prevent a big scarves