Surgery and Bleeding Control
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Questions and Answers

What is the most likely outcome of a wound that has not undergone primary surgical processing in the first 2 days?

  • Primary suture
  • Secondary early suture
  • Deep burn
  • Provisional stitch (correct)

    • After 5 days of receiving a cut wound, what type of stitches should the surgeon use to finish debridement?

  • Secondary early stitch
  • Primary suture
  • Primary delayed sutures (correct)
  • Provisional stitch

    • What is included in late surgical processing of a wound?

  • Removal of debride
  • Excision of a bottom of a wound
  • Removal of necrotic tissue
  • All of the above (correct)

    • When can clinical symptoms of pyogenesis in a wound be identified?

    <p>2-3 days</p> Signup and view all the answers

    What characterizes a staphylococcal infection in a wound?

    <p>Strong hurt in the sewn-up wound</p> Signup and view all the answers

    In the first phase of the injuring process, what is necessary to use in wound treatment?

    <p>Antiseptics</p> Signup and view all the answers

    What is the likely diagnosis for a 67-year-old man who experiences pain in both temporomandibular joints while yawning?

    <p>Intermittent cramp, lockjaw</p> Signup and view all the answers

    What is the diagnosis for a 45-year-old woman with closed multiple fragmental breakage of the ribs on the right side?

    <p>Closed multiple fragmental breakage of the ribs on the right side with pulmonary rhexis</p> Signup and view all the answers

    What is the likely diagnosis for a patient with a sprain in the sternoclavicular joint on the left?

    <p>Rhexis of sternoclavicular joint</p> Signup and view all the answers

    What is the diagnosis for a patient with a subdermal hematoma of the left supraclavicular area?

    <p>Rhexis of sternoclavicular joint</p> Signup and view all the answers

    What is the diagnosis for a patient with a breakage of the left collar bone?

    <p>Opened breakage of left collar bone</p> Signup and view all the answers

    What type of cleaning must be done before the next operation?

    <p>postoperative</p> Signup and view all the answers

    What are the basic groups that all ways of stopping bleeding are divided into?

    <p>mechanical, biological</p> Signup and view all the answers

    What is the purpose of temporary hemostasis?

    <p>digital pressing</p> Signup and view all the answers

    What is the maximum time of applying a tourniquet on lower extremity in winter?

    <p>1.5 hours</p> Signup and view all the answers

    What drug stops bleeding in place it is located?

    <p>gelatin sponge</p> Signup and view all the answers

    What is the way of physical stop of bleeding?

    <p>diatermoelektrokoagulation</p> Signup and view all the answers

    What is the biological method of stopping bleeding?

    <p>wound tamponade epiploon</p> Signup and view all the answers

    What is the chemical substance used for breaking bleeding process?

    <p>vicasolum</p> Signup and view all the answers

    What is the haemostatic drug with rezorbtiv general activity?

    <p>trasylolum, vicasolum</p> Signup and view all the answers

    What is the method of final stop of bleeding?

    <p>vascular seam</p> Signup and view all the answers

    What is the correct step to finish a puncture procedure?

    <p>Introduce antibiotics and then remove the needle</p> Signup and view all the answers

    What is the recommended surgical treatment for a carbuncle in the interscapular region of a patient with diabetes?

    <p>Crucial incision and necrectomy</p> Signup and view all the answers

    What is the preferred method of surgical treatment for tissue-melting gas gangrene?

    <p>Guillotine amputation</p> Signup and view all the answers

    What is the most appropriate action for a surgeon to take after phlegmon lancing, if the patient's body temperature decreases, but copious purulent discharge from the wound persists?

    <p>Make counterincisions</p> Signup and view all the answers

    What is the most likely surgical procedure performed on a 65-year-old patient with diabetes who had an amputation of the middle one-third of the right thigh?

    <p>Amputation with stump formation</p> Signup and view all the answers

    What is the primary goal of guillotine amputation in tissue-melting gas gangrene?

    <p>To remove the infected tissue</p> Signup and view all the answers

    In which intercostal space on the posterior axillary line should the pleural drainage be installed?

    <p>7-8</p> Signup and view all the answers

    What is the most likely nature of the infection when a liquid level and gas accumulation are present on the X-ray film?

    <p>Putrefactive</p> Signup and view all the answers

    What is the sign of a severe purulent-inflammatory process course in the blood formula?

    <p>Increase in the number of band neutrophils</p> Signup and view all the answers

    What is the most likely form of an erysipelatous inflammation when the patient has grave condition and fuzzy contours of inflammation?

    <p>Necrotic</p> Signup and view all the answers

    What is the indication for surgical treatment of an acute hematogenous osteomyelitis?

    <p>Subperiostal abscess</p> Signup and view all the answers

    What is the early radiological sign of an acute hematogenous osteomyelitis?

    <p>Linear periostitis</p> Signup and view all the answers

    What is the sepsis promoted by?

    <p>Diabetes mellitus</p> Signup and view all the answers

    What is the late radiographic sign of bone and joint tuberculosis?

    <p>Diffuse osteoporosis</p> Signup and view all the answers

    What is the most appropriate to finish the boil surgery with?

    <p>Introduction of a rubber drainage</p> Signup and view all the answers

    What is the indication for abscess lancing?

    <p>Fluctuation appearance</p> Signup and view all the answers

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