«APPROVED»
Head of the Dept. of Surgery № 3
_____________________
Prof. V.I. LUPALTSOV
March 26, 2012
LIST OF THE CREDIT MODULE QUESTIONS
FOR THE 2nd YEAR STUDENTS OF STOMATOLOGICAL FACULTY
1.
2.
3.
4.
History of the Department Of Surgery N3 of KhNMU.
O.O. Shalimov’s contribution in development of Surgery in Ukraine.
M.I. Amosov’s contribution in development of Surgery in Ukraine.
Hemorrhage and blood loss. Terminology. Etiology of bleeding. Classification of
bleeding.
5. Pathophysiological reactions in acute bleeding (compensatory and protective
reactions).
6. Hemorrhagic shock. Classification, pathogenesis, clinic, diagnostics, principles of
treatment.
7. First aid in patients with signs of bleeding. Methods of temporary hemostasis.
Tourniquet application rules.
8. Qualified medical care in patients with bleeding. Methods of final hemostasis.
(mechanical, chemical, physical, biological).
9. Coagulation system of blood. Spontaneous hemostasis.
10.Inherited defects in hemocoagulation system and its clinical features in bleeding.
11.Inner hemorrhage. Terminology, etiology, clinical features, diagnostics,
treatment.
12.Transfusion of blood and blood components. Defenition. Common principles of
transfusiology in Ukraine today.
13.Consequence of blood transfusions and necessary documents.
14.Blood types in humans. Definitions. ABO system (agglutinins, agglutinogens,
distribution of different blood types in populatiom).
15.Identification of blood type according to ABO system. Practical principles of the
identification. Application of standard isohemagglutination sera.
16.Identification of blood type according to ABO system. Practical principles of the
identification. Application of standard red blood cells.
17.Identification of blood type according to ABO system. Practical principles of the
identification. Cross-method of blood type identification.
18.Identification of blood type according to ABO system. Practical principles of the
identification. Application of coliclones.
19.Rhesus-factor and its importance in blood transfusion. Methods of rhesus factor
identification.
20.Compatibility tests for donors and recipients. The necessity of such tests.
Consequence of compatibility tests.
21.Practical aspects of biological compatibility test.
22.Practical aspects of individual compatibility test.
23.Benefits of application of separate blood components. Transfusion of plateletcontaining components.
24.Benefits of application of separate blood components. Transfusion of leukocytecontaining components.
25.Benefits of application of separate blood components. Blood plasma compounds.
Methods of preparation, conservation and period of validity. Indication for
transfusion of separate blood plasma compounds. Rules of transfusion of blood
plasma compounds.
26.Technique of transfusion of blood and blood components. Direct and indirect
blood transfusion.
27.Autohemotransfusion and reinfusion. Intraoperative hemodilution.
28.Technical mistakes during transfusion of blood and blood components (air
embolism, thromboembolism). Etiology, pathogenesis, clinics, diagnostics,
treatment.
29.Side reactions and complications in transfusion of blood and blood components
(definition, classification).
30.Complications after ABO-incompatible transfusion blood and blood components.
Hemotransfusion shock (etiology, pathogenesis, clinic, diagnostics, principles of
treatment).
31.Complications after Rhesus-factor-incompatible transfusion blood and blood
components. Etiology, pathogenesis, clinic, diagnostics, treatment. Relativity of
definitions of “universal donor and universal recipient”.
32.Posttransfusion reactions and non-hemolytic complications.
33.Posttransfusion reactions and connected with blood conservation and storage.
34.“Massive transfusion” syndrome (syndrome of homologic blood). Etiology,
pathogenesis, clinics, diagnostics, treatment, prevention. Blood substitution
solutions. Oxygen transporters (hemoglobin solution, fluorocarbohydrates).
35.Non-blood derivative infusion compounds. Classification. Main (electrolyte and
saline solutions)
36. Compounds for enteral and pareneteral feeding of surgical patients. Detoxication
infusion solution.
37.Features of transfusion therapy in critical state patients. Differential application of
infusion compounds in hypovolemic shock.
38.Injury. Definition. Classification. Polytrauma. Combined trauma.
39.Structure of natural history of surgical patient.
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40.Technique of examination of surgical patient (subjective examination).
41.Technique of examination of surgical patient (objective examination).
42.Contemporary laboratory and instrumental methods of examination of surgical
patient.
43.Technique of establishment and formulation of diagnosis in surgical patient.
44.Traumatism: Types, features, social importance. Prevention of trauma.
45.Faintness: pathogenesis, clinic, first aid.
46.Collapse: pathogenesis, clinic, first aid.
47.Traumatic shock: phases, stages, first aid.
48.Blunt injuries of soft tissues: concussion, sprain, dilacerations.
49.Compression syndrome. Pathogenesis. Periods and clinical features.
50.Blunt cranio-cerebral injury: commotion, concussion.
51.Chest injury: classification, clinic, first aid and patient care.
52.Bone fracture: definition, classification, first aid (frame of Kramer, frame of
Diterichs, pneumoframe, plastic frame, etc.) principles of treatment.
53.Luxation: etiology, classification, clinic, diagnostics, first aid and principles of
treatment.
54.Burns. Classification. Identification of square of lesion. First aid. Patients care.
Burn disease and its course: burn shock, toxemia, septicotoxemia.
55.Freezing injury: etiology, pathogenesis, classification. First aid in patients with
freezing injury. Treatment and patient care. Definition of freezing and
hypothermia.
56.Electric injury: Definition, pathophysiology. Local and systemic symptoms. First
aid treatment and patient care.
57.Wounds. Definition, classification. Types of heeling of wounds.
58.Principles of treatment of non-infected wounds ( Suture: primary, primarytardive, secondary (early and late). Patient care.
59.Principles of treatment of infected wounds ( Suture: primary, primary-tardive,
secondary (early and late). Patient care.
60.Methods of local management of purulent infected wounds ( physical, chemical,
biological). Care after the patients with purulent wounds.
61.Premalignant diseases. Diagnostics, treatment. Benign tumors.
62.Malignant tumors. Basic information. Theory of pathogenesis. Stages of
oncological disease and clinical groups of patients. International classification.
Basic principles of cancer patient care.
63.Antiseptics and its development. Types of antiseptics: mechanical, physical,
chemical, biological, combined. Groups of antiseptics, antibiotics, their action
and application.
64.Aseptics. Source and types of infection. Endogenous and exogenous infection.
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65.Prevention of contact and implantation infection. Surgical instruments:
disinfection and sterilization.
66.Pretreatment of surgical field and surgeon’s hands for operation. Preoperative
patients care.
67.Acute purulent infection ( specific and non-specific). Etiology, pathogenesis.
Local tissue reaction.
68.Desmurgy: definition. Development of desmurgy. Materials used in desmurgy.
69.Basic types of bandage.
70.Furuncle: Clinics, diagnostics, complication, principles of treatment.
71.Carbuncle: Clinics, diagnostics, complication, principles of treatment.
72.Hydrodenitis: Clinics, diagnostics, complication, principles of treatment.
73.Lymphadenetis. Lympangitis. Etiology, clinic, diagnostics, principles of
treatment.
74.Erysipelas. Classification, clinic, diagnostics, principles of treatment.
75.Soft tissues phlegmon: clinic, diagnostics, principles of treatment.
76.Soft tissues abscess: clinic, diagnostics, principles of treatment.
77.Acute lactation mastitis. Etiology, pathogenesis, diagnostics, treatment,
prevention.
78.Acute paraproctitis. Etiology, pathogenesis, diagnostics, treatment, prevention.
79.Tetanus: etiology, classification, clinic, diagnostics, treatment. Specific and non
specific prevention of tetanus.
80.Acute hematogenous osteomyelitis: etiology, classification, clinic, diagnostics,
treatment.
81.Primary surgical forms of osteomyelitis (Oilier, Brodi, Gare): clinic, diagnostics,
treatment.
82.Acute purulent infection. Sepsis. Symptoms, diagnostics, principles of treatment.
83.Anaerobic infection. Gas gangrene: Microbial pathogen, other contributing
factors.
84.Reasons and types of tissue necrosis.
85.Dry and wet gangrene: clinic, diagnostics, treatment.
86.Trophic ulcers: etiology, clinical course, diagnostics, treatment, patients care.
87.Fistula: etiology, classification, diagnostics, treatment.
88.Decubitus: etiology, pathogenesis, clinic, patients care.
89.Acute purulent infection of fingers: classification, etiology, pathogenesis.
90.Panaritium: clinical signs, classification, principles of treatment, complication.
91.Purulent infection of serous cavities. Peritonitis: pathogenesis, classification.
Principles of treatment.
92.Peritonitis: clinical signs, diagnostics. Basic principles of care of patients in
severe condition.
93.Synovitis, bursitis: etiology, pathogenesis, clinic, treatment.
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94.Organization and structure of surgical department. Patient care on admission.
95.Concept of activity of general surgery and specialized department and operation
block. Basis of diagnostics and treatment strategy in acute appendicitis.
96.Sterility zones in operation room. Methods of aseptics in operation room.
97.Structure of surgical department in out-patient care clinic. Basis of diagnostics
and treatment strategy in perforation of duodenal ulcer.
98.Surgical operation. Classification of surgical interventions.
99.Investigation and preoperative management of patient in preoperative period in
planned abdominal surgery.
100.
Investigation and preoperative management of patient in preoperative
period in urgent abdominal surgery.
101.
Pretreatment of operation field.
102.
Preoperative management of patient in planned and urgent abdominal
surgery. Basis of diagnostics and treatment strategy in acute cholecystitis.
103.
Surgical operation. Minimal-invasive surgery. Pretreatment of surgeon’s
hands. Patient care in operation room.
104.
Methods of temporary and final hemostasis during surgical operation.
Basis of diagnostics and treatment strategy in incarceration of abdominal hernia.
105.
Early, late and long-term morbidity in postoperative period. Basic
principles of care of patients in early postoperative period.
106.
Inborn anatomical defects. Surgical correction. Loxia.
107.
Plastic and reconstructive surgery: basic comprehension. Methods of
translocation of tissue defect, types of skin flaps.
108.
Methods and types of anesthesia (superficial, infiltration, conduction,
intravenous, intraossal, general). Indications. Principles of performance.
109.
Endotracheal narcosis: Technique and instruments.
110.
Basic complication of tracheal intubation.
111.
Critical and terminal state: shock, preagony. Pathogenesis. Clinical
features.
112.
Critical and terminal state: agony? Clinical death. Definition. Pathogenesis.
Clinic features.
113.
Cardio-pulmonary resuscitation: basic principles.
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PRACTICAL SKILLS
1. Application of “galea” bandage.
2. Application of Hypocrate bandage.
3. Application of bandage on the occipital area.
4. Application of bandage on both eyes.
5. Application of “halter” bandage.
6. Application of “fundiform” bandage.
7. Application of Deso bandage.
8. Application of Velpo bandage.
9. Application of bandage on the mammary gland.
10.Application of occlusive bandage in case of penetrating wound of the thorax.
11.Application of bandage on the shoulder-joint.
12.Application of the testudinate bandage on the elbow joint.
13.Application of “The knight’s glove” bandage.
14.Application of glove-bandage on the wrist and fingers.
15.Identification of blood type and Rh - factor.
16.Identification of individual and Rh- compatibility.
17.Macroscopic evaluation of donor’s blood validity.
18.Control of arterial bleeding by finger pressing (acupressure).
19.Control of arterial bleeding of the forearm using the tourniquet.
20.Control of arterial bleeding of the forearm and shoulder using the garrot.
21.Choose instruments for the ligation of blood vessels.
22.X-ray diagnostics of fractures.
23.X-ray diagnostics of osteomyelitis and bone tuberculosis.
24.Perform CPR (compalsory pulmonary resuscitation ) on the manikin.
25.Transport immobilization of upper and lower limbs.
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