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 (B)</p>
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What characterizes a staphylococcal infection in a wound?

<p>Strong hurt in the sewn-up wound (B)</p>
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In the first phase of the injuring process, what is necessary to use in wound treatment?

<p>Antiseptics (B)</p>
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What is the likely diagnosis for a 67-year-old man who experiences pain in both temporomandibular joints while yawning?

<p>Intermittent cramp, lockjaw (A)</p>
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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 (A)</p>
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What is the likely diagnosis for a patient with a sprain in the sternoclavicular joint on the left?

<p>Rhexis of sternoclavicular joint (C)</p>
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What is the diagnosis for a patient with a subdermal hematoma of the left supraclavicular area?

<p>Rhexis of sternoclavicular joint (C)</p>
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What is the diagnosis for a patient with a breakage of the left collar bone?

<p>Opened breakage of left collar bone (D)</p>
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What type of cleaning must be done before the next operation?

<p>postoperative (C)</p>
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What are the basic groups that all ways of stopping bleeding are divided into?

<p>mechanical, biological (D)</p>
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What is the purpose of temporary hemostasis?

<p>digital pressing (A)</p>
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What is the maximum time of applying a tourniquet on lower extremity in winter?

<p>1.5 hours (A)</p>
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What drug stops bleeding in place it is located?

<p>gelatin sponge (B)</p>
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What is the way of physical stop of bleeding?

<p>diatermoelektrokoagulation (D)</p>
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What is the biological method of stopping bleeding?

<p>wound tamponade epiploon (D)</p>
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What is the chemical substance used for breaking bleeding process?

<p>vicasolum (B)</p>
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What is the haemostatic drug with rezorbtiv general activity?

<p>trasylolum, vicasolum (A)</p>
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What is the method of final stop of bleeding?

<p>vascular seam (A)</p>
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What is the correct step to finish a puncture procedure?

<p>Introduce antibiotics and then remove the needle (A)</p>
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What is the recommended surgical treatment for a carbuncle in the interscapular region of a patient with diabetes?

<p>Crucial incision and necrectomy (D)</p>
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What is the preferred method of surgical treatment for tissue-melting gas gangrene?

<p>Guillotine amputation (C)</p>
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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 (C)</p>
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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 (B)</p>
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What is the primary goal of guillotine amputation in tissue-melting gas gangrene?

<p>To remove the infected tissue (B)</p>
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In which intercostal space on the posterior axillary line should the pleural drainage be installed?

<p>7-8 (A)</p>
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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 (A)</p>
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What is the sign of a severe purulent-inflammatory process course in the blood formula?

<p>Increase in the number of band neutrophils (D)</p>
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What is the most likely form of an erysipelatous inflammation when the patient has grave condition and fuzzy contours of inflammation?

<p>Necrotic (D)</p>
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What is the indication for surgical treatment of an acute hematogenous osteomyelitis?

<p>Subperiostal abscess (A)</p>
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What is the early radiological sign of an acute hematogenous osteomyelitis?

<p>Linear periostitis (A)</p>
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What is the sepsis promoted by?

<p>Diabetes mellitus (B)</p>
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What is the late radiographic sign of bone and joint tuberculosis?

<p>Diffuse osteoporosis (D)</p>
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What is the most appropriate to finish the boil surgery with?

<p>Introduction of a rubber drainage (B)</p>
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What is the indication for abscess lancing?

<p>Fluctuation appearance (B)</p>
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