Topic 12. Arteries of Lower Extremity. 1. a Patient Has the Ischemia of Tissues Below the Knee-Joint Accompanied by Intermittent Claudication
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Topic 12. Arteries of lower extremity. 1. A patient has the ischemia of tissues below the knee-joint accompanied by intermittent claudication. Which artery occlusion is meant? A. Popliteal. B. Femoral. C. Posterior tibial. D. Anterior tibial. E. Proximal part of femoral artery. 2. While examining a patient, a surgeon detects artery pulsation behind medial malleolus. Which artery is meant? A. Posterior tibial. B. Fibular. C. Anterior tibial. D. Posterior recurrent tibial. E. Anterior recurrent tibial. 3. A 45-year-old patient's skin of the right foot and leg is pale; there is pulsations of the dorsal artery of foot and posterior tibial artery. Pulsation of the femoral artery is preserved. Which artery is damaged? A. Descending genicular. B. External iliac. C. Fibular. D. Deep artery of thigh. E. Popliteal. 4. Examining blood supply a doctor detects pulsation of a large artery, which passes ahead of the talocrural joint between the tendons of the long extensor of the big toe and the long extensor of fingers in a separate fibrous canal. Which artery is this? A. A. tarsea lateralis. B. A. tibialis posterior. C. A. tarsea medialis. D. A. dorsalis pedis. E. A. fibularis. 5. Examining blood supply of a foot a doctor detects pulsation of a large artery behind the malleolus medialis in a separate fibrous canal. Which artery is this? A. A. dorsalis pedis. B. A. tibialis posterior. C. A. tibialis anterior. D. A. fibularis. E. A. malleolaris medialis. 6. After resection of the middle third of a femoral artery, obstructed by a clot, a lower extremity is supplied with blood due to collateral anastomoses. Which artery is the most important for bloodstream restoration? A. External pudendal artery. B. Superficial circumflex iliac artery. C. Descending artery of knee joint. D. Superficial epigastric artery. E. Deep artery of thigh. 7. After resection of the middle third of femoral artery, obliterated by a thromb the lower extremity is supplied with blood due to the surgical bypass. Name an artery that plays the main role in reestablishment of blood flow: A. Deep femoral artery B. Superficial circumflex artery of hip bone C. Descending genicular artery D. Superficial epigastric artery E. Deep external pudendal artery 8. Specify parts of the aorta. A. The cerebral part B. The cervical, the petrous, the cavernous and cerebral parts C. The prevertebral, the cervical, the atlantic and intracranial parts D. The cervical, the atlantic and intracranial parts E. The ascending, the arch and the descending parts 9. Specify parts of the descending aorta. A. The thoracic and abdominal parts B. The cervical, the petrous, the cavernous and cerebral parts C. The prevertebral, the cervical, the atlantic and intracranial parts D. The cervical, the atlantic and intracranial parts E. The ascending, the arch and the descending part 10. The narrowing of large vessel caused worsening of outflow of blood from the left ventricle. Which vessel has undergone pathological changes? A. Pulmonary vein B. Pulmonary trunk C. Aorta D. Superior vena cava E. Inferior vena cava Topic 13. General characteristic of venous system. System of vena cava superior. Veins of head and neck. 1. An injury of skin in the medial region of the sternocleidomastoid muscle caused air embolism. Which cervical vein was damaged? A. Posterior auricular. B. Anterior jugular. C. Internal jugular. D. External jugular. E. Transverse cervical. 2. A patient with a thymus tumor has cyanosis, extension of subcutaneous venous network, edema of soft tissues of the face, neck, upper half of the body, upper limbs. Which venous trunk is blocked? A. Superior vena cava. B. External jugular vein. C. Subclavian vein. D. Internal jugular vein. E. Anterior jugular vein. 3. A patient was admitted to an intensive therapy department with heavy poisoning. To provide infection it is necessary to catheterize the patient and inject medicines into subclavian vein. In what topographical place is it localized? A. Spatium interscalenum. B. Spatium retrosternocleidomastoideus. C. Spatium anterscalenum. D. Spatium interaponeuroticum suprasternale. E. Trigonum ornotrapezoideum. 4. A 70-y.o. man has cut an abscess off in the area of mastoid process during shaving. Two days later, he was admitted to the hospital with inflammation of arachnoid membranes. How did the infection penetrate into the cavity of skull? A. Vv. emissariaе mastoideaе B. Vv. labyrinthi C. Vv. tympanicae D. Vv. facialis E. Vv. auriculares 5. Surgical approach to the thyroid gland from the transverse (collar) approach involves opening of interaponeurotic suprasternal space. What anatomic structure localized in this space is dangerous to be damaged? A. Jugular venous arch B. External jugular vein C. Subclavicular vein D. Inferior thyroid artery E. Superior thyroid artery 6. Specify origins of the superior vena cava. A. Pulmonary veins B. Internal jugular veins C. Azygos vein and hemiazygos vein D. Brachiocephalic veins E. Subclavian veins 7. Specify chamber of the heart which the superior vena cava flows into. A. Left atrium B. Right atrium C. The right ventricle D. The left ventricle E. The left auricle 8. Specify chamber of the heart which the inferior vena cava flows into. A. Left atrium B. Right atrium C. The right ventricle D. The left ventricle E. The left auricle 9. Specify tributaries of the superior vena cava. A. Mediastinal veins B. Hemiazygos vein and azygos vein C. Subclavian veins D. Brachiocephalic veins. E. Internal jugular veins. 10. Specify tributaries of the brachiocephalic vein. A. Mediastinal veins B. Hemiazygos vein and azygos vein C. Subclavian veins and internal jugular veins D. Vertebral veins E. Internal thoracic veins. Topic 14. System of vena cava superior. Veins of upper extremities and chest. 1. Specify origins of the superior vena cava. A. Pulmonary veins B. Internal jugular veins C. Azygos vein and hemiazygos vein D. Brachiocephalic veins E. Subclavian veins 2. Specify chamber of the heart which the superior vena cava flows into. A. Left atrium B. Right atrium C. The right ventricle D. The left ventricle E. The left auricle 3. Specify chamber of the heart which the inferior vena cava flows into. A. Left atrium B. Right atrium C. The right ventricle D. The left ventricle E. The left auricle 4. Specify tributaries of the superior vena cava. A. Mediastinal veins B. Hemiazygos vein and azygos vein C. Subclavian veins D. Brachiocephalic veins. E. Internal jugular veins. 5. Specify tributaries of the brachiocephalic vein. A. Mediastinal veins B. Hemiazygos vein and azygos vein C. Subclavian veins and internal jugular veins D. Vertebral veins E. Internal thoracic veins. 6. Which triangle of the neck is situated internal jugular vein? A. Omotrapezoid B. Omoclavicular C. Submental D. Submandibular E. Carotid 7. What are the boundaries of the carotid triangle? A. Anterior belly of digastric, superior belly of omohyoid, sternocleidomastoid B. Posterior belly of digastric, inferior belly of omohyoid, sternocleidomastoid C. Posterior belly of digastric, sternocleidomastoid D. Posterior belly of digastric, superior belly of omohyoid, sternocleidomastoid E. Anterior belly of digastric, thyrohyoid, sternocleidomastoid 8. Specify the length of the superior vena cava. A. 3-4 cm B. 5-6 cm C. 9- 12 cm D. 13-16 cm B. 17-20 cm 9. Specify the width of the superior vena cava. A. 3-4 cm B. 5-6 cm C. 9- 12 cm D. 2-3 cm B. 17-20 cm 10. Specify anatomical structure that reside on the left of the superior vena cava: A. The ascending aorta B. The thymus C. The mediastinal pleura D. The root of the right lung E. Phrenic nerve Topic 15. System of vena cava inferior. Veins of lower extremities, pelvis and abdominal cavity. 1. A patient has varicose veins and thrombophlebitis on the posterolateral surface of the leg. Which vein is damaged? A. V. saphena magna. B. V. saphena parva. C. V. tibialis posterior. D. V. peronea. E. V. tibialis anterior. 2. A patient complains of pain and spasms along the posteromedial surface of the shin. Which vein is damaged? A. V. femoralis. B. V. saphena magna. C. V. epigastrica supert'icialis. D.V. poplitea. E. V. saphena parva. 3. Examination of a patient has shown ail edema on the medial surface of the femur, enlargement of veins, and nodulation. Which vein has pathology? A. V. poplitea. B. V. saphena parva. C. V. femoralis. D. V. saphena magna. E. V. iliaca externa. 4. A patient has vessel dilation on the anteromedial surface of the shin. Which vessel dilation caused this process? A. V. saphena parva. B. A. tibialis anterior. C. V. saphena magna. D.A. tibialis posterior. E. V. poplitea. 5. A patient complains of pain and edema of her lower extremities. Examination has shown edema of tissues, noticeable varicose veins, and nodulation on the medial surface of the thigh. Which vein damage might have caused such changes? A. V. saphena magna. B. V. saphena parva. C. V. femoralis. D. V. profunda femoris. E. Vv. tibiales. 6. A woman appealed to a doctor with complaints of pain and edema of the lower extremity, veins swelling, and varicose nodes formation on the medial surface of the thigh. Which vein is damaged? A. Popliteal. B. Small saphenous. C. Femoral. D. Large saphenous. E. Posterior tibial. 7. A patient complains about edemata of legs, skin cyanosis, small ulcers on one side of the lateral condyle. Examination revealed a swelling, enlarged veins, formation of nodes. The pathological process has started in the following vein: A. V. saphena parva B. V. saphena magna C. V. femoralis D. V. profunda femoris E. V. iliaca externa 8. A patient has left-side varicocele. Blood outflow disorder has taken place in: A. V. testicularis dextra. B. V. testicularis sinistra. C. V. renalis sinistra. D.V. renalis dextra. E. V. ovarica.