19284361
Frage 1
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Check the boxes of which are characteristic of a Hiatal Hernia?
Antworten
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inflamation of the intestinal tract
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ulceration of the esophogus
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reflux of gastric juices
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gastric juices eat the lining of the stomach
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difficult in swollowing
Frage 2
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What can be used for diagnostic intervention for a Hiatal Hernia?
Antworten
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tissue disection
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EKG
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MRI
Frage 3
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The best option for treatment of of a Hiatal Hernia is?
Antworten
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antibiotics
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anti acid tablets
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hiatal surgery since its a serious condition
Frage 4
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GER stands for?
Antworten
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gastroeshopogus reflux
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gastroingeal reflux
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gastroesophageal reflux
Frage 5
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The Nissen in "Nissen Fundoplication" is?
Antworten
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name of the procedure
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name of the hospital it was first performed in
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The Dr's name
Frage 6
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The Funcoplication in "Nissen Funciplication" is?
Antworten
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the name of the Dr who invented the procedure
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the name of the procedure
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the name of the hospital it was first performed in
Frage 7
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Nissen Fundoplication is a hernia procedure that is best described as?
Antworten
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prevent ulceration of the stomach
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prevent ulcers in the nasopharynx
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prevent puncture of the diaphram
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prevent acid reflux
Frage 8
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Nissen Fundoplication is done by?
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wrapping the interior wall of the stomach around the esophagus
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wrapping the hiatus around the diaphragm
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wrapping the posterior wall of the stomach around the esophagus
Frage 9
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During a Nissen Fundoplication procedure precaution needs to be taken not to irritate?
Antworten
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the stomach
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the lining of the esophagus
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spleen
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nasopharnyx
Frage 10
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What type of incision is used for a Nissen Fundoplication?
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inguinal incision
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paramedian
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oblique
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subcostal incision
Frage 11
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Which position is a Laparoscopic Nissen Fundoplication procedure performed?
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supine
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prone
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trendelberg
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lithotomy
Frage 12
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Fundo in "Nissen Fundoplication" refers to ?
Antworten
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bottom of stomach
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intestinal tract
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esophogus
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top of stomach
Frage 13
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TIF is a method of using what to treat a hiatal?
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antibiotics
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umbilical canal
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costal incision
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mouth
Frage 14
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An Appendicitis is usually caused by?
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malnutrition
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inflamation
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blockage between the cecum and appendix
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acid reflux
Frage 15
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A Meckel's diverticulum is found?
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esophogus
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stomach
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colon
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small bowel
Frage 16
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A Zenker's diverticulum is found?
Antworten
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esophogus
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small bowel
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colon
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stomach
Frage 17
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Diverticuulosis should be treated?
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over 90% need to be treated medically with symptoms of bleeding and inflammation
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usually no intervention is required
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almost all cases result in rupture
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most cases can be treated with antibiotics
Frage 18
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when we refer to the colon we are referring to?
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small bowel
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intestinal tract
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large intestine
Frage 19
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How much of the colon is taken out in a Hemicolectomy procedure?
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3/4 of the colon
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1/3 of the colon
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1/2 of the colon
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the entire colon
Frage 20
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Another name for the alimentary canal is the?
Antworten
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reproductive tract
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urinary tract
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respiratory tract
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digestive tract
Frage 21
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The inner layer of the wall of the digestive tract is called the?
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serosa
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submucosa
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muscularis
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mucosa
Frage 22
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The three portions of the small intestine are the?
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mesentery, duodenum, appendix
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cecum, mesentery, ileum
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ileum, sigmoid, jejunum
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duodenum, ileum, jejunum
Frage 23
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The outer layer of the wall of the digestive tract is called the
Antworten
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mucosa
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muscularis
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submucosa
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serosa
Frage 24
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In what position is the patient placed when McBurney's incision will be used?
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lithotomy
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lateral
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prone
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Supine
Frage 25
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A diaphragmatic hernia is located?
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on the ventral body surface
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around the umbilicus
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in the groin
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in the diaphragm
Frage 26
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Nissen fundoplication is the procedure performed to correct a/an?
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gastric ulcer
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inguinal hernia
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hiatal hernia
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ruptured tubal pregnancy
Frage 27
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Maloney dilators are used to dilate the ?
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esophagus
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urethra
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pyloric sphincter
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cervix
Frage 28
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A purse string suture is used to?
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to provide traction
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to tighten or close an opening
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for ligation
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as a retention suture
Frage 29
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An end ileostomy is created from the
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terminal ileum
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sigmoid colon
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descending colon
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transverse colon
Frage 30
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When the posterior stomach wall is wrapped around the distal esophagus this action is called?
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Marsupialization
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Distal Wrapping
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Hot Dogging
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Fundiplication
Frage 31
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What is used to carefully retract back the distal esophagus during the Nissen Procedure?
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surgeons hand
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harrington
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penrose drain
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lap sponge
Frage 32
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Where is the incision located for the open Hiatal Hernia procedure?
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Midline
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Flank
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Pfannenstiel
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Inguinal
Frage 33
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What are the sutures and needles commonly used to repair the Hernia on the Open Hiatal Hernia procedure?
Antworten
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#0 Non-abs. on a CT-1
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#0 Abs. on an SH
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#3-0 Abs. on an SH
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#2-0 Non-abs. on a Kieth
Frage 34
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What instrument set(s) are used for the Open Nissen Procedure?
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Long Instrument set
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GI Set
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Major Lap set
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All of the above sets
Frage 35
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What is the position of the patient in, having the laparoscopic Nissen procedure?
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Lateral
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prone
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Supine
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Low-Lithotomy
Frage 36
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What is the definition of an appendectomy?
Antworten
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Anastomosis of the appendix to the small bowel
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Drainage of an infected appendix
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Creating a new opening into the appendix
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The severance and removal of the appendix from its attachment
Frage 37
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What instrument is used to grasp the appendix?
Antworten
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Babcock
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Kelly
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Mayo
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Kocher
Frage 38
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Which retractors are commonly used during an appendectomy?
Antworten
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Gelpi
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Deavers
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Army Navy
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Appy rich
Frage 39
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What suture is used to tie off the blood supply and support structures to the appendix?
Antworten
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#3-0 absorb.
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#0 absorb
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#0 nonabs.
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#3-0 nonabs.
Frage 40
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Which is the definition of a Volvulus?
Antworten
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finger like pouches on the intestine
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a twisting of the intestines
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necrosis of the intestines
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a telescoping of the intestines
Frage 41
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Which is the definition of Intussusception?
Antworten
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a telescoping of the intestines
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finger like pouches on the intestines
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a twisting of the intestines
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necrosis of the intestines
Frage 42
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What can be used to carefully wall off surrounding structures when gaining exposure during an open bowel procedure?
Antworten
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Deaver retractors
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Fig leaf or visceral retainer
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Moist lap sponges
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Gut bag
Frage 43
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What is done with instruments that have come in contact with the intestinal lumen during a bowel resection?
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they are returned to the back table with the other instruments
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they are handed off to the circulator
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they are wiped clean
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they are kept separate from the other instruments until the end of the case
Frage 44
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How is the segment of bowel on a Scope bowel procedure removed from the patient.
Antworten
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using an end to end anatomists stapler
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It is cut into pieces and taken out through the trocars
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It is left in the intestinal tract to be passed
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An endo pouch is used to pull it out through a small incision at the end of the procedure.
Frage 45
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A portion of the stomach protrudes through the hiatus of the diaphragm is known as?
Antworten
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incarcerated hernia
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hiatal hernia
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hernia that has turned necrotic
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diseased hernia
Frage 46
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When is surgical treatment for a hiatal hernia appropriate?
Antworten
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when the hernia turns necrotic
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when the hernia becomes incarcerated
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when the hernia ruptures
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when medicines fail to give releif
Frage 47
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Check the boxes for the instruments used in a Endoscopic Nissen Fundiplication procedure.
Antworten
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laparotomy set
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long instrument set
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Laparoscopy set
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suction tubing
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trocars
Frage 48
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When the Surgeon has anesthesia place esophageal dilators down the esophagus to leave them in during the procedure, allowing the esophagus to maintain it's proper opening, this procedure is known as?
Antworten
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tracheostomy
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appendectomy
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hiatal hernia
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Nissen Fundiplication
Frage 49
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What is the name of the incision on an open appendectomy?
Antworten
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ventral
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mcBurneys
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abdominal
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inguinal
Frage 50
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Where anatomically is the appendix located and what it is attached to?
Antworten
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upper abdominals and attached to the gallbladder
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inguinal and it is attached to the liver
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Right lower quadrant of the abdomen and it is attached to the cecum.
Frage 51
Frage
Which stapler is used to sever the appendix on a Laparascopic Appendectomy?
Antworten
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Endo GIA
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TA
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EEA
Frage 52
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Check the boxes with the three types of intestinal anastomosis that were discussed in class, and include the staplers needed for the job.
Antworten
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Functional End to End - Uses GIA stapler
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end to end - metz stapler
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side to end- GIA stapler
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end to end - EEA stapler
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end to end - TA stapler
Frage 53
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check the boxes that state a reason why bowel may need to be resected
Antworten
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carcinoma
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acidosis
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Adhesions
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inflamation
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Ulcerations
Frage 54
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When bowel resection is to be performed, the bowel has to be isolated first before the bowel is stapled and cut. What part of the anatomy is resected before the bowel is stapled and cut?
Antworten
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mucosa
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mesentary
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dermal tissue
Frage 55
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What stapler will leave 2 (or 3 on the newer staplers) rows of staples on both sides and cut between the rows all at the same time?
Antworten
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TA stapler
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EEA stapler
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GIA stapler
Frage 56
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Name the stapler that will just staple a row of staples but NOT cut?
Antworten
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TA stapler
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EEA stapler
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GIA stapler
Frage 57
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What stapler is used to anastomose two lumens of bowel together in one firing?
Antworten
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TA stapler
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GIA stapler
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EEA stapler
Frage 58
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What instrument/supplies set could be used in a laparoscopic Bowel Resection?
Antworten
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Major set, Bookwalter, Lap sponges
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Minor set, manual retractors, peanut sponge
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minor set, Bookwalter, raytec
Frage 59
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where can Diverticula can be found?
Antworten
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Esophagus
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nasal passage
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larynx
Frage 60
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How is the specimen removed from the abdomen on the endoscopic bowel resection?
Antworten
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A McBurney's incision is made and the specimen is cut out from there.
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A McBurney's incision is made and the specimen is disected out from there.
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A McBurney's incision is made and the specimen is pulled out from there.
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