Lesson 1 ANTISEPTICS

ENTRANCE

1. Antiseptics of the oxidizing group are: a) chlorhexidine bigluconate; b) potassium

permanganate; c) hydrogen peroxide; d) dioxidine; e) iodopyrone.
Choose the right combination of answers
1. a, b
2. b, c
3. c, d
4. d, e
5. all right

2. Antiseptics belonging to the group of halogens and halogenated compounds are: a) potassium
permanganate; b) sodium hypochlorite; c) dioxidine; d) povidone iodine; e) iodonate.
Choose the right combination of answers
1. a, b
2. b, c
3. c, d, e
4. b, d, e
5. everything is true.

3. What methods are concern to physical antiseptics?

a) ultrasonic cavitation of the wound; b) antibiotic-novocaine blockade of a purulent-
inflammatory focus; c) vacuum aspiration; d) treatment of wounds with a solution of an effective
antiseptic; e) the use of laser radiation.
Choose the right combination of answers
1. a, d, e
2. a B C
3. c, d, e
4. a, c, d
5. a, c, e.
4. The action of proteolytic enzymes in purulent processes is:
a) lysis of necrotic tissues; b) increased blood clotting; c) fibrinolysis; d) potentiating the action
of antibiotics; e) antibacterial action; f) anti-inflammatory action.
Choose the right combination of answers
1. a B C
2. a, c, d
3. b, e, f
4. d, e, f
5. everything is true.

5. What are the goals of modern antiseptics? What is the correct answer:
a) removal, destruction of microorganisms, creation of unfavorable conditions for their
development;
b) increasing the patient's passive immunity;
c) an increase in the number of erythrocytes;
d) prevention of thrombophlebitis;
e) prevention of thromboembolism.

6. Which of the following manipulations can be attributed to chemical antiseptics? What is the
correct answer:
a) washing the wound with sodium hypochlorite at a concentration of 800 mg / l;
b) evacuation of the granulating wound;
c) washing the abdominal cavity with 0.02% aqueous solution of chlorhexidine;
d) intravenous administration of thienam;
e) local application of trypsin to the wound.

7. What types of therapeutic effects on a purulent wound can be attributed to mechanical

antiseptics? What is the correct answer?
a) treatment with dressings with hydrophilic ointments;
b) necrectomy;
c) washing the wound with a pulsating stream;
d) re-debridement of the wound;
e) cavitation by low-frequency ultrasound.

8. What therapeutic effects on a contaminated wound can be attributed to mechanical

antiseptics? What is the correct answer?
a) wound drainage;
b) primary surgical treatment of the wound;
c) treatment of the wound with ultrasound;
d) washing the wound with a pulsating stream of an antiseptic solution;
e) wound treatment in an abacterial environment.

9. Do immunostimulating drugs belong to antiseptics? If so, what kind of antiseptic? What is the
correct answer:
a) mechanical antiseptic;
b) physical antiseptic;
c) chemical antiseptic;
d) biological antiseptic;
e) do not belong to antiseptics.

10. Which of the chemical antiseptics are prohibited for use by order of the Ministry of Health of
the Russian Federation?
What is the correct answer:
a) 3% boric acid solution;
b) alcohol and water tincture of iodine;
c) brilliant green;
d) 0.5% chlorhexidine solution;
e) mercury oxycyanide solution.

OUT-test

1. Antiseptics of the oxidizing group are: a) chlorhexidine bigluconate; b) potassium

permanganate; c) hydrogen peroxide; d) dioxidine; e) iodopyrone.
Choose the right combination of answers
1. a, b
2. b, c
3. c, d
4. d, e
5. all right

2. Antiseptics belonging to the group of halogens and halogenated compounds are: a) potassium
permanganate; b) sodium hypochlorite; c) dioxidine; d) povidone iodine; e) iodonate.
Choose the right combination of answers
1. a, in
2. b, d
3. c, d, e
4. b, d, e
5. everything is true.

3. What methods are considered physical antiseptics?

a) ultrasonic cavitation of the wound; b) antibiotic-novocaine blockade of a purulent-
inflammatory focus; c) vacuum aspiration; d) treatment of wounds with a solution of an effective
antiseptic; e) the use of laser radiation.
Choose the right combination of answers
1. a, d, e
2. a B C
3. c, d, e
4. a, c, d
5. a, c, e.

4. The action of proteolytic enzymes in purulent processes consists in: a) lysis of necrotic tissues;
b) increased blood clotting; c) fibrinolysis; d) potentiating the action of antibiotics; e)
antibacterial action; f) anti-inflammatory action.
Choose the right combination of answers
1. a B C
2. a, c, d
3. b, d, f
4. b, e, f
5. everything is true.

5. What are the goals of modern antiseptics? What is the correct answer:
a) removal, destruction of microorganisms, creation of unfavorable conditions for their
development;
b) increasing the patient's passive immunity;
c) an increase in the number of erythrocytes;
d) prevention of thrombophlebitis;
e) prevention of thromboembolism.

6. Which of the following manipulations can be attributed to chemical antiseptics? What is the
correct answer:
a) washing the wound with sodium hypochlorite at a concentration of 800 mg / l;
b) evacuation of the granulating wound;
c) washing the abdominal cavity with 0.02% aqueous solution of chlorhexidine;
d) intravenous administration of thienam;
e) local application of trypsin to the wound.

7. What types of therapeutic effects on a purulent wound can be attributed to mechanical

antiseptics? What is the correct answer?
a) treatment with dressings with hydrophilic ointments;
b) necrectomy;
c) washing the wound with a pulsating stream;
d) re-debridement of the wound;
e) cavitation by low-frequency ultrasound.
8. What therapeutic effects on a contaminated wound can be attributed to mechanical
antiseptics? What is the correct answer?
a) wound drainage;
b) primary surgical treatment of the wound;
c) treatment of the wound with ultrasound;
d) washing the wound with a pulsating stream of an antiseptic solution;
e) wound treatment in an abacterial environment.

9. Do immunostimulating drugs belong to antiseptics? If so, what kind of antiseptic? What is the
correct answer:
a) mechanical antiseptic;
b) physical antiseptic;
c) chemical antiseptic;
d) biological antiseptic;
e) do not belong to antiseptics.

10. Which of the chemical antiseptics are prohibited for use by order of the Ministry of Health of
the Russian Federation?
What is the correct answer:
a) 3% boric acid solution;
b) alcohol and water tincture of iodine;
c) brilliant green;
d) 0.5% chlorhexidine solution;
e) mercury oxycyanide solution.

11. What should be considered a biological antiseptic? Choose the correct answer:
a) washing a purulent wound with a solution of antibiotics
b) washing a purulent wound with 3% hydrogen peroxide solution
c) washing a purulent wound with proteolytic enzymes
d) flushing the pleural cavity with a solution of antibiotics for purulent pleurisy
e) the appointment of abundant protein foods.

12. When carrying out what kind of antiseptics can be observed such side effects as allergic
reactions, dysbiosis, candidiasis? Choose the correct answer:
a) mechanical
b) physical
c) chemical
d) biological.

13. What drugs are biological antiseptics? Choose the correct answer:
a) antibiotics and enzymes
b) immune agents, bacteriophages
c) sulfa drugs
d) detergents
e) drugs of group 5 nitromidazole.

14. What are the main components of preparation C - 4? Choose the correct answer:
a) hydrogen peroxide + ethyl alcohol;
b) hydrogen peroxide + formic acid;
c) hydrogen peroxide + ammonia;
d) hydrogen peroxide + methyl alcohol;
e) hydrogen peroxide + mercuric chloride.
15. In order to speed up the cleansing of the wound from necrotic tissue, an enzymatic ointment
was applied. What antiseptic method is used?
a) chemical
b) physical
c) mechanical
d) biological

16. The methods of physical antiseptics include:

a) drainage of the subcutaneous tissue;
b) washing the wound with chlorhexidine solution;
c) necrectomy;
d) ultrasonic cavitation;
e) immunotherapy.
Choose the correct answer.

17. The methods of biological antiseptics include:

a) the use of vaccines and serums;
b) the use of sulfa drugs;
c) the use of nitrofurans;
d) the use of antibiotics;
e) the use of proteolytic enzymes.
Choose the correct answer.

18. Active immunization drugs include: 1) immunoglobulins, 2) immune sera, 3) vaccines, 4)

toxoids, 5) methyluracil, 6) decaris, 7) immune antimicrobial plasma. Choose the correct answer.
a) 1.2.7
b) 3.4
c) 5.6
d) 2,3,4,7
e) all answers.
19. What are the mechanisms underlying the action of chemical antiseptics?
a) oxidation
b) protein folding
c) dehydration
d) saponification.

20. What concentration of boric acid solution is used for washing wounds?
a) 1%
b) 2-3%
c) 4%
d) 5-6%.

TASKS
Task 1.
The patient has a cut wound of the middle third of the left shoulder, measuring 1x3 cm. The wound was
received 2 hours ago. What kind of antiseptic will you use?
Task 2.
A patient was admitted to a surgical hospital with a lacerated wound on the anterior surface of the left
thigh. The doctor on duty excised the edges of the wound, stopped the bleeding, washed the wound with
furacilin and stitched the skin. Is everything done correctly?
Task 3.
For a patient with a purulent wound, the surgeon performed a dressing, while performing the following
measures: 1. smeared the skin around the wound with 5% alcohol tincture of iodine; 2. with a sterile
gauze swab removed the purulent discharge from the wound; 3. washed the wound with a solution of
furacillin 1: 1500; 4. applied a sterile bandage moistened with hypertonic solution. Write, to which
method of surgical treatment does each stage in the surgeon's actions concern?
Task 4.
The patient has a trophic ulcer of the lower third of the right leg. What physical antiseptics can be used to
treat this patient?
Task 5.
During the operation, a patient with a post-injection abscess of the left buttock underwent a wide opening
of the abscess, evacuation of the purulent contents with an electric pump, the cavity was washed with
antiseptic solutions, after which a cotton-gauze sterile bandage was applied. Is the amount of surgery
sufficient? If not, what needs to be done? What antiseptic method should be used?
Task 6.
After appendectomy, the patient suffered from suppuration of the postoperative wound. During the
dressing, a wound with purulent-necrotic edges and purulent discharge was found. How much antiseptic
measures should be performed during dressing?
Task 7.
In a patient with a lacerated wound in the left shoulder region, the surgeon made an incision and excision
of the wound edges, then washed the fresh wound with a solution of furacillin 1: 5000. Finishing the
operation, I stitched the edges of the wound. Indicate the elements of antiseptics and what type do they
belong to?
Task 8.
During surgery for diffuse peritonitis, the surgeon discovered a perforated ulcer of the small intestine.
What kind and method of antiseptics should he use during and after surgery?
Task 9.
The surgeon accidentally used a non-sterile needle during a knee puncture. The result was purulent
arthritis. What types of antiseptics can be used to treat purulent arthritis?
Task 10.
After removing a large tumor in the subcutaneous tissue and suturing the wound, a non-collapsing cavity
remained, in which the accumulation of lymph and blood is possible. What is the method and type of
antiseptic that prevents the development of infection in the subcutaneous tissue?