Topography of frontal parietal occipital portion. Primary surgical processing of penetrating and nonpenetrating wounds of the brain icon

Topography of frontal parietal occipital portion. Primary surgical processing of penetrating and nonpenetrating wounds of the brain




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Topography of frontal parietal occipital portion. Primary surgical processing of penetrating and nonpenetrating wounds of the brain.

  1. Choose what portions are identified within the calvarium?

  2. What layers of the calvarium compose scalping flap?

  3. How many layers of adipose tissue are identified in the calvarium?

  4. Which layer of cellular tissue is composed of main vessels and nerves of the calvarium?

  5. What vessels and nerves are identified in the subcutaneous cellular tissue of the frontal portion?

  6. The branch of what nerve is frontal nerve (n. frontalis)?

  7. What vessels and nerves are identified in the subcutaneous cellular tissue of the parietal portion?

  8. What vessels and nerves are identified in the subcutaneous cellular tissue of the occipital portion?

  9. Identify the projection of a. supratrochlearis into the frontal portion:

  10. Identify the projection of a. supraorbitalis into the frontal portion:

  11. Identify the projection of the exit of a. temporalis superficialis where it can be attached to the bone for temporary stop of bleeding:

  12. Identify the projection of exit of the large occipital nerve:

  13. The branch of what nerve is the large occipital nerve (n. occipitalis major)?

  14. The branch of what nerve is the small occipital nerve (n. occipitalis minor)?

  15. What muscles are penetrated by the large occipital nerve?

  16. Lymphatic vessels of frontal parietal occipital portion enter the following lymph nodes:

  17. What are external cranial hematomas classified into?

  18. What layers of the connective tissue of the external calvarium are anatomically suitable for the formation of spread hematomas?

  19. In what layer of the calvarium is the hematoma in a shape of bunion localized?

  20. What are hematomas like in the subcutaneous cellular tissue of the calvarium?

  21. What are hematomas in the subaponeurotic cellular tissue like?

  22. A patient with an injured head is diagnosed with spread hematoma of soft tissues of the calvarium which is overhanging the eyebrows. What layer is it located in?

  23. What are subperiosteum hematomas like?

  24. What incision of the calvarium is the suitable and least traumatic?

  25. The following reasons can cause a profuse bleeding at frontal parietal occipital injury:

  26. What layers is the venous system of frontal parietal occipital portion composed of?

  27. What joins sinus sagittalis with v. temporalis superficialis?

  28. What joins v. emissaria occipitalis?

  29. What joins v. emissaria mastoidea?

  30. How can the infection from the wounds and suppurated lesions of soft tissues of the head spread to the sinuses of dura mater of the brain?

  31. How can the bleeding from the bone vessels be stopped?

  32. Which layer of the bone is more often damaged at broken bones of the calvarium?

  33. How many layers are the bones of the skull composed of?

  34. How can the bleeding from the dura mater of the brain be stopped?

  35. How can the bleeding from the vessels of pia mater of the brain be stopped?

  36. What sinuses of dura mater of the brain are more often damaged when the brain of the skull is injured?

  37. How can the bleeding from the venous sinuses be stopped?

  38. During the operation in the cranial cavity sinuses of the dura mater of the brain are damaged. How can the bleeding from the sinuses of dura mater be stopped by Burdenko method?

  39. When the head injuries are considered to be penetrating?

  40. A surgeon is performing the final stage of the operation. According to the classification of surgical instruments, which of the following instruments refers to needle holders?

! Choose what portions are identified within the calvarium?

Frontal parietal occipital portion, temporal, mastoid process

# frontal, parietal, occipital, calvarium

Temporal, mastoid process portion, parietal

Mastoid process portion, occipital, temporal, calvarium


! What layers of the calvarium compose scalping flap?

Skin, subcutaneous fat, tendinous aponeurosis

#Subcutaneous fat, tendinous aponeurosis, periosteum

Skin, tendinous aponeurosis, periosteal cellular tissue

Skin, subcutaneous fat, subaponeurotic cellular tissue


! How many layers of adipose tissue are identified in the calvarium?

Three

#one

Two

Four


! Which layer of cellular tissue is composed of main vessels and nerves of the calvarium?

Subcutaneous cellular tissue

#subaponeurotic cellular tissue

Tendinous aponeurosis

Periosteum


! What vessels and nerves are identified in the subcutaneous cellular tissue of the frontal portion?

a., v. et n. supratrochlearis, a., v. et n. supraorbitalis, rr. temporales (n. facialis)

#a. et v. temporalis superficialis, n. auriculotemporalis,

a. et v. auricularis posterior, n. auricularis magnus, n. auricularis posterior

a., v. et n. supraorbitalis, rr. temporales (n. facialis)


! The branch of what nerve is frontal nerve (n. frontalis)?

n. ophtalmicus

#n. facialis

n. auriculotemporalis

n. mandibularis


! What vessels and nerves are identified in the subcutaneous cellular tissue of the parietal portion?

a. et v. temporalis superficialis, n. auriculotemporalis

#a. et v. auricularis posterior, n. auricularis magnus, n. auricularis posterior

a., v. et n. supratrochlearis, a., v. et n. supraorbitalis, rr. temporales (n. facialis)

a., v et n. auricularis posterior, a. et v. occipitalis, n. occipitalis minor, n. occipitalis major


! What vessels and nerves are identified in the subcutaneous cellular tissue of the occipital portion?

a., v et n. auricularis posterior, a. et v. occipitalis, n. occipitalis minor, n. occipitalis major

#a. et v. occipitalis, n. occipitalis minor, n. occipitalis major, n. auricularis magnus

a. et v. temporalis superficialis, n. auriculotemporalis

a., v. et n. supratrochlearis, a., v. et n. supraorbitalis, rr. temporales (n. facialis)


! Identify the projection of a. supratrochlearis into the frontal portion:

At the point of crossing of margo supraorbitalis with the vertical line through the premiddle eye angle

# at the border of middle and premiddle third part of margo supraorbitalis

3 cm outside premiddle third part of margo supraorbitalis

1 cm below glabella


! Identify the projection of a. supraorbitalis into the frontal portion:

At the border of middle and premiddle third part of margo supraorbitalis

#at the point of crossing margo supraorbitalis with the vertical line through the premiddle eye angle

Along the lateral margin of the orbit

On the front margin of the chewing muscle


! Identify the projection of the exit of a. temporalis superficialis where it can be attached to the bone for temporary stop of bleeding:

In front of auricle tragus

#along the lateral margin of the orbit

On the front margin of the chewing muscle

Behind the auricle tragus


! Identify the projection of exit of the large occipital nerve:

At the point of the middle distance between mastoid process and external occipital tuber

#at the point of the middle distance between mastoid process and upper cervical vertebrae

In front of the auricle tragus

At the back margin of auricle attachment


! The branch of what nerve is the large occipital nerve (n. occipitalis major)?

Posterior branch of the second cervical nerve

#cervical flexus

n. facialis

n. auricularis magnus


! The branch of what nerve is the small occipital nerve (n. occipitalis minor)?

Cervical flexus

#posterior branch of the second cervical nerve

n. ophtalmicus

n. facialis


! What muscles are penetrated by the large occipital nerve?

Semispinal muscle, trapezius muscle

#sternocleidomastoid muscle

Superior oblique muscle

Inferior oblique muscle


! Lymphatic vessels of frontal parietal occipital portion enter the following lymph nodes:

parotidei superficialis et profundi, retroauricularis, occipitales

#auricularis posterior, retroauricularis, temporalis superfacialis

supraorbitalis, supratrochlearis, occipitales

mandibularis, maxillaris, retroauricularis, occipitales


! What are external cranial hematomas classified into?

Subcutaneous, subaponeurotic, subperiosteum

#epidural, subdural, subarachnoid

Subcutaneous, epidural, subdural

Subaponeurotic, subperiosteum, subarachnoid


! What layers of the connective tissue of the external calvarium are anatomically suitable for the formation of spread hematomas?

Subaponeurotic cellular tissue, subperioteum cellular tissue

#subcutaneous cellular tissue, subarachnoid space

Inside the bone, subdural space

Subcutaneous cellular tissue, subaponeurotic cellular tissue


! In what layer of the calvarium is the hematoma in a shape of bunion localized?

Subcutaneous cellular tissue

#subaponeurotic cellular tissue

Subperiosteum cellular tissue

Inside the bone


! What are hematomas like in the subcutaneous cellular tissue of the calvarium?

In a shape of bunion

#limited swelling

Spread ones, occupying the total surface of the calvarium, limited by the line of attachment to the epicranial muscle

Limited by the line of the attachment of cranial sutures


! What are hematomas in the subaponeurotic cellular tissue like?

Spread ones, occupying the total surface of the calvarium, limited by the line of attachment to the epicranial muscle

#limited swelling

Limited by the line of the attachment of cranial sutures

In a shape of bunion


! A patient with an injured head is diagnosed with spread hematoma of soft tissues of the calvarium which is overhanging the eyebrows. What layer is it located in?

Subaponeurotic cellular tissue

#subperiosteum cellular tissue

Subcutaneous cellular tissue

Periosteum


! What are subperiosteum hematomas like?

Limited by the attachment line of cranial sutures

#occupy the total surface of the calvarium

Limited by the attachment line of epicranial muscle

Limited swelling

! What incision of the calvarium is the suitable and least traumatic?

Radial

#vertical

Transverse

Z-like


! The following reasons can cause a profuse bleeding at frontal parietal occipital injury:

The vessels are located in the subcutaneous cellular tissue above aponeurosis, vascular adventitia is fixed with fibrous membrane

#blood supply is provided by the branches of the external carotid artery, vessels are located beneath the aponeurosis, marked cellular tissue, relatively large lumen of the vessels of this very portion

Fixation of cranial vessels with the other portions of the head and neck, the walls of blood vessels are fixed with the fibrous membranes, vessels are located beneath the aponeurosis, fixation of cranial vessels with the sinuses of dura mater

Blood supply of occipital portion is provided only by the branches of external carotid artery and the other portions are supplied by internal carotid artery


! What layers is the venous system of frontal parietal occipital portion composed of?

Superficial veins, diploic veins, sinuses of dura mater of brain

#diploic veins, emissary veins, superficial cerebral veins

Superficial veins, emissary veins, deep cerebral veins

Diploic veins, venous plexus of oval foramen, sinuses of dura mater of brain


! What joins sinus sagittalis with v. temporalis superficialis?

v. emissaria parietalis

#v. emissaria mastoidea

v. emissaria occipitalis

plexus venosus foraminis ovalis


! What joins v. emissaria occipitalis?

Sinus transversus and vv. occipitales

#sinus sigmoideus and v. auricularis posterior

Sinus sagittalis superior and v. temporalis superficialis

Sinus sigmoideus and vv. occipitales


! What joins v. emissaria mastoidea?

Sinus sigmoideus and v. auricularis posterior

#sinus transversus and v. temporalis superficialis

Sinus sigmoideus and vv. occipitales

Sinus sagittalis superior and v. temporalis superficialis


! How can the infection from the wounds and suppurated lesions of soft tissues of the head spread to the sinuses of dura mater of the brain?

Through vv. emissariae

#through vv. diploicae

Through Trolar’s vein

Through inferior anastomotic vein (Labbe’s vein)


! How can the bleeding from the bone vessels be stopped?

Rubbing-in the wax, nailing, electrocoagulation, pressing by bone rongeur

#electrocoagulation, ligatures, clipping

Moistening by the solution of hydrogen peroxide, electrocoagulation, clipping, tamponade by hemostatic sponge

Tamponade by hemostatic sponge, interrupted sutures, Bruning-Burdenko plasty, ligation


! Which layer of the bone is more often damaged at broken bones of the calvarium?

Internal plate

#external plate

Spongy plate

All the plates


! How many layers are the bones of the skull composed of?

Three

#two

Four

Five


! How can the bleeding from the dura mater of the brain be stopped?

By ligatures, clipping

#by rubbing-in the wax, nailing, electrocoagulation, pressing by bone rongeur

Moistening by the solution of hydrogen peroxide, electrocoagulation, clipping, tamponade by the hemostatic sponge

Tamponade by the hemostatic sponge, interrupted sutures, Bruning-Burdenko plasty, ligation


! How can the bleeding from the vessels of pia mater of the brain be stopped?

Moistening by the solution of hydrogen peroxide, electrocoagulation, clipping, tamponade by the hemostatic sponge

#tamponade by the hemostatic sponge, interrupted sutures, Bruning-Burdenko plasty, ligation

Tamponade by the hemostatic sponge, tamponade by catgut thread, by clamps

By clamps


! What sinuses of dura mater of the brain are more often damaged when the brain of the skull is injured?

Sinus sagittalis superior

#sinus transversus

Sinus rectus

Sinus sigmoideus


! How can the bleeding from the venous sinuses be stopped?

Tamponade by the hemostatic sponge, interrupted sutures, Bruning-Burdenko plasty, ligation

#moistening by the solution of hydrogen peroxide, electrocoagulation, clipping, tamponade by the hemostatic sponge

Tamponade by the hemostatic sponge, tamponade by the catgut thread, by clamps

By clamps


! During the operation in the cranial cavity sinuses of the dura mater of the brain are damaged. How can the bleeding from the sinuses of dura mater be stopped by Burdenko method?

Suturing of P-announcement bit of external leaf of dura mater of brain

#tamponade by a piece of muscle

Tamponing cavity by catgut

Both ends of the sinus should be ligated


! When the head injuries are considered to be penetrating?

When dura mater of the brain is damaged

#when arachnoid mater is damaged

When external plate of the skull is damaged

When pia mater of the brain is damaged


! A surgeon is performing the final stage of the operation. According to the classification of surgical instruments, which of the following instruments refers to needle holders?

Troyanov’s needle holder, Mathieu’s needle holder, Hegar’s needle holder

# Pier’s needle holder, Doyen’s needle holder, Bogush’s needle holder

Farabeff’s needle holder, Olie’s needle holder, Olivekronie’s needle holder

Troyanov’s needle holder, Mathieu’s needle holder, Dullgren’s needle holder, Gigli’s needle holder

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