Surgery and Wound Care

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Questions and Answers

What is the most informative position for X-ray examination of thoracic organs?

on the side

vertical (correct)

horizontal

on the back

What is a sign that can be revealed more often in contusion of heart?

effusion in pericardiac bag (correct)

retrosternal pain

arterial hypertension

sinuous tachycardia

What can relieve a patient's condition with cardiac injury before surgery?

respiratory analeptics

inhalation of oxygen (correct)

cardiac glycosides

pericardiac puncture

What is the most probable diagnosis for a patient with severe condition, cyanosis, breathlessness, disorder of phonation, and subcutaneous emphysema on the neck?

abrupture of principle bronchus Signup and view all the answers

What is a characteristic sign of closed thoracic trauma with rupture of lung?

crepitating in subcutaneous fatty tissue Signup and view all the answers

What is not a complication of shock?

intensive GI motility Signup and view all the answers

What type of Novocain blockade is indicated in pleuro-pneumonial shock?

retrosternal Signup and view all the answers

How many degrees of traumatic shock are there?

6 Signup and view all the answers

What is the correct timing for the dilation of pupils after the arrest of cardiac activity?

30 s Signup and view all the answers

Where should the electrodes of the electric defibrillator be positioned?

The red electrode of the electric defibrillator is located at the level of the 2-3 intercostal space on the right along the midclavicular line, the black electrode is below the left nipple Signup and view all the answers

What is a sign of cardiac arrest?

Loss of consciousness Signup and view all the answers

What is a measure of specific prophylaxis of thrombosis?

Usage of anticoagulants Signup and view all the answers

What is not a measure for the stimulation of sputum discharge?

Intaking pills of nitroglycerin Signup and view all the answers

What is a cause of post-operation bleeding?

Suppuration of the wound Signup and view all the answers

What is a symptom of wound suppuration?

Throbbing pain in the wound Signup and view all the answers

What is not a sign of cardiac arrest?

Decrease of body temperature Signup and view all the answers

What is the first step in resuscitation at apnea and the presence of foreign bodies in a mouth cavity during first aid?

Remove the foreign bodies and begin 'mouth to mouth' AVL Signup and view all the answers

In what area of the chest should compression be done at indirect cardiac massage?

Lower third of the breastbone on a median line Signup and view all the answers

What is a sign of clinical death?

Cadaveric rigidity Signup and view all the answers

What is not included in the prevention of bed-sores?

Placement of a patient on a soft mattress Signup and view all the answers

Catheterization of a subclavian vein is contraindicated at:

Pedgett-Shretter syndrome Signup and view all the answers

What is not a pulmonary complication?

Gastritis Signup and view all the answers

What is not included in the treatment of meteorism?

The introduction of proserin Signup and view all the answers

What is not a measure of prophylaxis of postoperative pulmonary complications?

Administration of ferric drugs Signup and view all the answers

Study Notes

Post-Operation Complications

Post-operation bleeding can be caused by suppuration of the wound, not by diabetes mellitus, high patient's activity, high temperature, or low BP.
Symptoms of wound suppuration include throbbing pain in the wound, not a decrease of body temperature, shriveling of wound area, cyanosis of skin, or decrease of local temperature.

Prophylaxis of Thrombosis

Specific prophylaxis of thrombosis includes the usage of anticoagulants, elastic compression of low extremities, and early activation of patients, but not treatment gymnastics, daily massage, or respiratory gymnastics.

Stimulation of Sputum Discharge

Measures for the stimulation of sputum discharge include inhalations with proteolytic enzymes, respiratory gymnastics, and massage of thorax, but not intaking pills of nitroglycerin.

Cardiac Arrest

The dilation of pupils after the arrest of cardiac activity begins in 30 seconds.
The electrodes of the electric defibrillator should be positioned with one electrode on the right parasternal line below the clavicle, and the other laterally from the apex of the heart.
Signs of cardiac arrest include loss of consciousness, apnea, absence of pulsation on the main vessels, and pupil dilation.

Prophylaxis of Postoperative Pulmonary Complications

Prophylaxis of postoperative pulmonary complications includes respiratory gymnastics, not administration of ferric drugs, inhalation of nitrous oxide, or laving of a stomach.

Diagnosis of Pulmonary Embolism

The diagnostic method that helps to diagnose pulmonary embolism is chest X-ray, not biochemical blood test, rheovasography, or urine test.

Prophylaxis of Suppuration of Post-Operative Wound

Prophylaxis of suppuration of post-operative wound includes draining a wound, not respiratory gymnastics, close-set sutures, or catgut sutures.

Treatment of Meteorism

Treatment of meteorism includes the use of spasmolytics, the introduction of a colonic tube, but not the introduction of 10 % calcium chloride solution intravenously, or the introduction of proserin.

Prevention of Bed-Sores

Prevention of bed-sores includes skin massage, regular changing of a patient's bed linens, but not using rubber rings, or placement of a patient on a hard mattress.

Pulmonary Complications

Pulmonary complications include pneumonia, asphyxia, bronchitis, but not gastritis.

Signs of Clinical Death

Signs of clinical death include cadaveric rigidity, livores mortis, loss of consciousness, but not decreased body temperature 1°C per hour.

First Aid

Before resuscitation at apnea and the presence of foreign bodies in a mouth cavity, one should remove the foreign bodies and begin "mouth to mouth" AVL.

Indirect Cardiac Massage

Indirect cardiac massage should be done in the lower third of a breastbone on a median line.

Catheterization of a Subclavian Vein

Catheterization of a subclavian vein is contraindicated at Pedgett-Shretter syndrome, hemorrhagic shock, etc.

Contusion of Heart

The sign most often revealed in contusion of heart is effusion in pericardiac bag, not retrosternal pain, sinuous tachycardia, arterial hypertension, or collapse.

X-ray Examination of Thoracic Organs

The most informative patient's position for X-ray examination of thoracic organs is on the side.

Cardiac Injury

What can relief patient's condition with cardiac injury before surgery is inhalation of oxygen, pericardiac puncture, or blood transfusion, but not cardiac glycosides or respiratory analeptics.

Closed Trauma of the Chest

Signs of closed trauma of the chest include severe condition, cyanosis, breathlessness, disorder of phonation, subcutaneous emphysema on the neck.

Complications of Shock

Complications of shock include immune blockade, respiratory distress-syndrome, hypotension, but not intensive GI motility.

Allgover's Index

In Allgover's index =1 blood loss is 20-30%.

Traumatic Shock

Traumatic shock has 4 degrees.

Novocain Blockade

The type of Novocain blockade indicated in pleuro-pneumonial shock is intercostals.

Crush-Syndrome

The main pathogenic factor of crush-syndrome is not painful irritation, traumatic toxemia, plasma loss, or autohemodilution, but ischemia of tissues.

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Description

This quiz assesses knowledge of post-operation complications, wound care, and thrombosis prevention. It covers symptoms of wound suppuration, causes of post-operation bleeding, and measures for thrombosis prophylaxis.