Contaminated wounds. Suppurative wounds

1. Therapeutic modalities that help remove suppurative contents from the wound are as follows:

1. Drainage.

2. Proteolytic enzymes.

3. Hypertonic solution of sodium chloride.

4. Irrigation with solution of antibiotics.

5. Alhypor.

Choose the right combination of answers:

A. 1, 2, 3, 4. B. 2, 3, 4, 5. C. 1, 3, 4, 5. D. 1, 2, 3, 5. E. 1, 2, 3, 4, 5.

2. The methods of local treatment of suppurative wounds in inflammation stage are as follows:

1. Ointment bandage.

2. Proteolytic enzymes.

3. Bandage with hypertonic solution.

4. Irrigation with antiseptics.

5. Immunization.

Choose the right combination of answers:

A. 1, 2. B. 1, 2, 3. C. 2, 3, 4. D. 1, 5. E. 1, 4, 5.

3. The signs characteristic of wound inflammation stage are as follows:

1. Defective vessel wall permeability.

2. Inflammatory oedema.

3. Tissue granulation.

4. White cell infiltration of tissues.

5. Tissue acidosis.

Choose the right combination of answers:

A. 1, 2, 3, 4. B. 2, 3, 4, 5. C. 1, 2, 5. D. 1, 2, 4, 5. E. 1, 2, 3, 4, 5.

4. The factor that promotes primary wound healing is which of the following:

A. Blood clots in the wound.

B. Tight closure of the wound.

C. Local administration of antibiotics.

D. Drainage in the wound.

E. Infection.

Choose the correct answer.

5. The wound that is more likely to be complicated is which of the following:

A. Inflicted with an axe.

B. Missile wound.

C. Gunshot wound.

D. Inflicted with sharp cutting objects.

E. Inflicted with a blunt object.

Choose the correct answer.

6. The contraindication for primary surgical debridement of forearm wounds is which of the following:

A. Wound contamination.

B. Wound crushing.

C. Crushed wound edges of open fracture of the radius.

D. Degree 3 shock.

E. Injury of tendons.

Choose the correct answer.

7. In patients with severe shock, the primary surgical de-bridement should be performed:

A. Immediately on arrival.

B. Immediately after recovering from shock.

C. Within two hours after admission.

D. The next day.

E. Following blood transfusion.

Choose the correct answer.

8. The primary surgical debridement involves which of the following manipulations:

1. Excision of wound edges.

2. Bleeding control.

3. Removal of foreign bodies from the wound.

4. Irrigation of the wound with antibiotics.

5. Suturing or drainage of the wound.

Choose the right combination of answers:

A. 1, 3, 4, 5. B. 1, 2, 3, 5. C. 2, 3, 4, 5. D. 1, 2, 4, 5. E. 1, 2, 3, 4, 5.

9. The appropriate treatment of the wound with major vessels at the bottom is which of the following:

A. Conservative treatment without primary surgical debridement.

B. Excision of the wound edges, walls and bottom including the vascular bundle with subsequent closure of the wound.

C. Conservative treatment with subsequent secondary suturing.

D. Excision of the wound edges and walls with the vascular bundle left intact, removal of the foreign bodies and necrotic tissues, administration of antibiotics.

E. Excision and drainage of the wound without suturing.

Choose the correct answer.

10. The early primary surgical debridement of the wound is performed within:

A. 24 hours.

B. 36 hours.

C. 48 hours.

D. 72 hours.

E. After 72 hours of antibacterial therapy.

Choose the correct answer.

11. The suture for closing the wound placed in within 14 days after injury is called:

A. Primary.

B. Primary delayed.

C. Early secondary.

D. Late secondary.

E. Provisional (untied).

Choose the correct answer.

12. Factors that make it possible to perform secondary suturing are which of the following:

1. Maximal adjustment of the edges and walls of the wound.

2. Removability of the suture.

3. Non-removability of the suture.

4. Persistence of granulation.

5. Excision of granulation.

Choose the right combination of answers:

A. 1, 2. B. 1, 2, 4. C. 1, 3, 5. D. 1, 2, 5. E. 1, 3, 4.

13. The signs characteristic of staphylococcal infection in wound suppuration are as follows:

1. Rapid progression of inflammation.

2. Slow progression of inflammation.

3. Severe pain in the closed wound.

4. Absence of pain in the wound.

5. Pronounced intoxication.

Choose the right combination of answers:

A. 1, 3, 5. B. 2, 4, 5. C. 2, 3, 5. D. 1, 4, 5. E. 3, 5.

14. The signs of putrid wound infection are as follows:

1. Ichorous smell.

2. Absence of granulation.

3. Grey exudate.

4. Rigors without pain.

5. Pronounced pain without rigors.

Choose the right combination of answers:

A. 1, 2, 3, 5. B. 2, 3, 4. C. 1, 2, 3, 4. D. 1, 2, 5. E. 1, 3, 5.

15. The signs of clostridial panniculitis is which of the following:

1. Rapid progression of disease.

2. Slow progression of disease.

3. Rapid progression of intoxication.

4. Serous and putrid wound exudate with offensive smell.

5. Grey muscles bulging from the wound.

Choose the right combination of answers:

A. 1, 3, 4. B. 1, 5. C. 1, 2. D. 2, 4. E. 2, 5.

16. The early signs of anaerobic infection are as follows:

1. Fever.

2. The patient's inadequate behaviour.

3. Local pain.

4. Increased limb size.

5. Frequent and weak pulse.

Choose the right combination of answers:

A. 1, 2, 3. B. 2, 3, 4, 5. C. 1, 2, 3, 4. D. 1, 3, 4, 5. E. 1, 2, 3, 4, 5.

17. The signs of non-clostridial anaerobic infections are as follows:

1. Bronze skin.

2. Offensive smell.

3. Abundant necrotic tissues in the wound.

4. Pronounced hyperaemia.

5. Grey pus with fatty droplets.

Choose the right combination of answers:

A. 1, 2, 3. B. 2, 4, 5. C. 3, 4, 5. D. 2, 3, 5. E. 1, 2, 3, 4, 5.

18. The appropriate surgical manipulations in progression of clostridial infection are which of the following:

1. Abscess excision and drainage.

2. Extensive wound incision.

3. Incision of the fasciae.

4. Amputation with incision of the stump.

5. Amputation without application of a tourniquet and then suturing the stump.

Choose the right combination of answers:

A. 1, 3, 5. B. 1, 2, 5. C. 2, 3, 5. D. 2, 3, 4. E. 1, 2, 3, 5.

19. Identify the first signs of tetanus:

1. Local tingling pain.

2. Trismus.

3. Local perspiration.

4. Local muscle contraction.

5. Sardonic smile.

Choose the right combination of answers:

A. 1, 3, 5. B. 2, 3, 5. C. 1, 4, 5. D. 1, 3, 4. E. 1, 2, 3, 4.

20. The clinical forms of tetanus are as follows:

1. Mitigated.

2. Subacute.

3. Acute.

4. Chronic.

5. Relapsing.

Choose the right combination of answers:

A. 1, 2, 4. B. 2, 3, 4. C. 3, 4, 5. D. 1, 2, 3. E. 1, 3, 4.

21. The daily dose of antitetanus serum is as follows:

A. 3, 000-5, 000 IU.

B. 10, 000-20, 000 IU.

C. 50, 000 IU.

D.100, 000-150, 000 IU.

E. 200, 000 IU.

Choose the correct answer.

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