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Surgical Technology, Procedures, Unit 2, Gastrointestinal part 1(Proctored Exam practise)

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Surgical Technology, Procedures, Unit 2, Gastrointestinal part 1(Proctored Exam practise)

Question 1 of 60

1

Check the boxes of which are characteristic of a Hiatal Hernia?

Select one or more of the following:

  • inflamation of the intestinal tract

  • ulceration of the esophogus

  • reflux of gastric juices

  • gastric juices eat the lining of the stomach

  • difficult in swollowing

Explanation

Question 2 of 60

1

What can be used for diagnostic intervention for a Hiatal Hernia?

Select one of the following:

  • tissue disection

  • EKG

  • MRI

Explanation

Question 3 of 60

1

The best option for treatment of of a Hiatal Hernia is?

Select one of the following:

  • antibiotics

  • anti acid tablets

  • hiatal surgery since its a serious condition

Explanation

Question 4 of 60

1

GER stands for?

Select one of the following:

  • gastroeshopogus reflux

  • gastroingeal reflux

  • gastroesophageal reflux

Explanation

Question 5 of 60

1

The Nissen in "Nissen Fundoplication" is?

Select one of the following:

  • name of the procedure

  • name of the hospital it was first performed in

  • The Dr's name

Explanation

Question 6 of 60

1

The Funcoplication in "Nissen Funciplication" is?

Select one of the following:

  • the name of the Dr who invented the procedure

  • the name of the procedure

  • the name of the hospital it was first performed in

Explanation

Question 7 of 60

1

Nissen Fundoplication is a hernia procedure that is best described as?

Select one of the following:

  • prevent ulceration of the stomach

  • prevent ulcers in the nasopharynx

  • prevent puncture of the diaphram

  • prevent acid reflux

Explanation

Question 8 of 60

1

Nissen Fundoplication is done by?

Select one of the following:

  • wrapping the interior wall of the stomach around the esophagus

  • wrapping the hiatus around the diaphragm

  • wrapping the posterior wall of the stomach around the esophagus

Explanation

Question 9 of 60

1

During a Nissen Fundoplication procedure precaution needs to be taken not to irritate?

Select one of the following:

  • the stomach

  • the lining of the esophagus

  • spleen

  • nasopharnyx

Explanation

Question 10 of 60

1

What type of incision is used for a Nissen Fundoplication?

Select one of the following:

  • inguinal incision

  • paramedian

  • oblique

  • subcostal incision

Explanation

Question 11 of 60

1

Which position is a Laparoscopic Nissen Fundoplication procedure performed?

Select one of the following:

  • supine

  • prone

  • trendelberg

  • lithotomy

Explanation

Question 12 of 60

1

Fundo in "Nissen Fundoplication" refers to ?

Select one of the following:

  • bottom of stomach

  • intestinal tract

  • esophogus

  • top of stomach

Explanation

Question 13 of 60

1

TIF is a method of using what to treat a hiatal?

Select one of the following:

  • antibiotics

  • umbilical canal

  • costal incision

  • mouth

Explanation

Question 14 of 60

1

An Appendicitis is usually caused by?

Select one of the following:

  • malnutrition

  • inflamation

  • blockage between the cecum and appendix

  • acid reflux

Explanation

Question 15 of 60

1

A Meckel's diverticulum is found?

Select one of the following:

  • esophogus

  • stomach

  • colon

  • small bowel

Explanation

Question 16 of 60

1

A Zenker's diverticulum is found?

Select one of the following:

  • esophogus

  • small bowel

  • colon

  • stomach

Explanation

Question 17 of 60

1

Diverticuulosis should be treated?

Select one of the following:

  • over 90% need to be treated medically with symptoms of bleeding and inflammation

  • usually no intervention is required

  • almost all cases result in rupture

  • most cases can be treated with antibiotics

Explanation

Question 18 of 60

1

when we refer to the colon we are referring to?

Select one of the following:

  • small bowel

  • intestinal tract

  • large intestine

Explanation

Question 19 of 60

1

How much of the colon is taken out in a Hemicolectomy procedure?

Select one of the following:

  • 3/4 of the colon

  • 1/3 of the colon

  • 1/2 of the colon

  • the entire colon

Explanation

Question 20 of 60

1

Another name for the alimentary canal is the?

Select one of the following:

  • reproductive tract

  • urinary tract

  • respiratory tract

  • digestive tract

Explanation

Question 21 of 60

1

The inner layer of the wall of the digestive tract is called the?

Select one of the following:

  • serosa

  • submucosa

  • muscularis

  • mucosa

Explanation

Question 22 of 60

1

The three portions of the small intestine are the?

Select one of the following:

  • mesentery, duodenum, appendix

  • cecum, mesentery, ileum

  • ileum, sigmoid, jejunum

  • duodenum, ileum, jejunum

Explanation

Question 23 of 60

1

The outer layer of the wall of the digestive tract is called the

Select one of the following:

  • mucosa

  • muscularis

  • submucosa

  • serosa

Explanation

Question 24 of 60

1

In what position is the patient placed when McBurney's incision will be used?

Select one of the following:

  • lithotomy

  • lateral

  • prone

  • Supine

Explanation

Question 25 of 60

1

A diaphragmatic hernia is located?

Select one of the following:

  • on the ventral body surface

  • around the umbilicus

  • in the groin

  • in the diaphragm

Explanation

Question 26 of 60

1

Nissen fundoplication is the procedure performed to correct a/an?

Select one of the following:

  • gastric ulcer

  • inguinal hernia

  • hiatal hernia

  • ruptured tubal pregnancy

Explanation

Question 27 of 60

1

Maloney dilators are used to dilate the ?

Select one of the following:

  • esophagus

  • urethra

  • pyloric sphincter

  • cervix

Explanation

Question 28 of 60

1

A purse string suture is used to?

Select one of the following:

  • to provide traction

  • to tighten or close an opening

  • for ligation

  • as a retention suture

Explanation

Question 29 of 60

1

An end ileostomy is created from the

Select one of the following:

  • terminal ileum

  • sigmoid colon

  • descending colon

  • transverse colon

Explanation

Question 30 of 60

1

When the posterior stomach wall is wrapped around the distal esophagus this action is called?

Select one of the following:

  • Marsupialization

  • Distal Wrapping

  • Hot Dogging

  • Fundiplication

Explanation

Question 31 of 60

1

What is used to carefully retract back the distal esophagus during the Nissen Procedure?

Select one of the following:

  • surgeons hand

  • harrington

  • penrose drain

  • lap sponge

Explanation

Question 32 of 60

1

Where is the incision located for the open Hiatal Hernia procedure?

Select one of the following:

  • Midline

  • Flank

  • Pfannenstiel

  • Inguinal

Explanation

Question 33 of 60

1

What are the sutures and needles commonly used to repair the Hernia on the Open Hiatal Hernia procedure?

Select one of the following:

  • #0 Non-abs. on a CT-1

  • #0 Abs. on an SH

  • #3-0 Abs. on an SH

  • #2-0 Non-abs. on a Kieth

Explanation

Question 34 of 60

1

What instrument set(s) are used for the Open Nissen Procedure?

Select one of the following:

  • Long Instrument set

  • GI Set

  • Major Lap set

  • All of the above sets

Explanation

Question 35 of 60

1

What is the position of the patient in, having the laparoscopic Nissen procedure?

Select one of the following:

  • Lateral

  • prone

  • Supine

  • Low-Lithotomy

Explanation

Question 36 of 60

1

What is the definition of an appendectomy?

Select one of the following:

  • Anastomosis of the appendix to the small bowel

  • Drainage of an infected appendix

  • Creating a new opening into the appendix

  • The severance and removal of the appendix from its attachment

Explanation

Question 37 of 60

1

What instrument is used to grasp the appendix?

Select one of the following:

  • Babcock

  • Kelly

  • Mayo

  • Kocher

Explanation

Question 38 of 60

1

Which retractors are commonly used during an appendectomy?

Select one of the following:

  • Gelpi

  • Deavers

  • Army Navy

  • Appy rich

Explanation

Question 39 of 60

1

What suture is used to tie off the blood supply and support structures to the appendix?

Select one of the following:

  • #3-0 absorb.

  • #0 absorb

  • #0 nonabs.

  • #3-0 nonabs.

Explanation

Question 40 of 60

1

Which is the definition of a Volvulus?

Select one of the following:

  • finger like pouches on the intestine

  • a twisting of the intestines

  • necrosis of the intestines

  • a telescoping of the intestines

Explanation

Question 41 of 60

1

Which is the definition of Intussusception?

Select one of the following:

  • a telescoping of the intestines

  • finger like pouches on the intestines

  • a twisting of the intestines

  • necrosis of the intestines

Explanation

Question 42 of 60

1

What can be used to carefully wall off surrounding structures when gaining exposure during an open bowel procedure?

Select one of the following:

  • Deaver retractors

  • Fig leaf or visceral retainer

  • Moist lap sponges

  • Gut bag

Explanation

Question 43 of 60

1

What is done with instruments that have come in contact with the intestinal lumen during a bowel resection?

Select one of the following:

  • they are returned to the back table with the other instruments

  • they are handed off to the circulator

  • they are wiped clean

  • they are kept separate from the other instruments until the end of the case

Explanation

Question 44 of 60

1

How is the segment of bowel on a Scope bowel procedure removed from the patient.

Select one of the following:

  • using an end to end anatomists stapler

  • It is cut into pieces and taken out through the trocars

  • It is left in the intestinal tract to be passed

  • An endo pouch is used to pull it out through a small incision at the end of the procedure.

Explanation

Question 45 of 60

1

A portion of the stomach protrudes through the hiatus of the diaphragm is known as?

Select one of the following:

  • incarcerated hernia

  • hiatal hernia

  • hernia that has turned necrotic

  • diseased hernia

Explanation

Question 46 of 60

1

When is surgical treatment for a hiatal hernia appropriate?

Select one of the following:

  • when the hernia turns necrotic

  • when the hernia becomes incarcerated

  • when the hernia ruptures

  • when medicines fail to give releif

Explanation

Question 47 of 60

1

Check the boxes for the instruments used in a Endoscopic Nissen Fundiplication procedure.

Select one or more of the following:

  • laparotomy set

  • long instrument set

  • Laparoscopy set

  • suction tubing

  • trocars

Explanation

Question 48 of 60

1

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?

Select one of the following:

  • tracheostomy

  • appendectomy

  • hiatal hernia

  • Nissen Fundiplication

Explanation

Question 49 of 60

1

What is the name of the incision on an open appendectomy?

Select one of the following:

  • ventral

  • mcBurneys

  • abdominal

  • inguinal

Explanation

Question 50 of 60

1

Where anatomically is the appendix located and what it is attached to?

Select one of the following:

  • upper abdominals and attached to the gallbladder

  • inguinal and it is attached to the liver

  • Right lower quadrant of the abdomen and it is attached to the cecum.

Explanation

Question 51 of 60

1

Which stapler is used to sever the appendix on a Laparascopic Appendectomy?

Select one of the following:

  • Endo GIA

  • TA

  • EEA

Explanation

Question 52 of 60

1

Check the boxes with the three types of intestinal anastomosis that were discussed in class, and include the staplers needed for the job.

Select one or more of the following:

  • Functional End to End - Uses GIA stapler

  • end to end - metz stapler

  • side to end- GIA stapler

  • end to end - EEA stapler

  • end to end - TA stapler

Explanation

Question 53 of 60

1

check the boxes that state a reason why bowel may need to be resected

Select one or more of the following:

  • carcinoma

  • acidosis

  • Adhesions

  • inflamation

  • Ulcerations

Explanation

Question 54 of 60

1

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?

Select one of the following:

  • mucosa

  • mesentary

  • dermal tissue

Explanation

Question 55 of 60

1

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?

Select one of the following:

  • TA stapler

  • EEA stapler

  • GIA stapler

Explanation

Question 56 of 60

1

Name the stapler that will just staple a row of staples but NOT cut?

Select one of the following:

  • TA stapler

  • EEA stapler

  • GIA stapler

Explanation

Question 57 of 60

1

What stapler is used to anastomose two lumens of bowel together in one firing?

Select one of the following:

  • TA stapler

  • GIA stapler

  • EEA stapler

Explanation

Question 58 of 60

1

What instrument/supplies set could be used in a laparoscopic Bowel Resection?

Select one of the following:

  • Major set, Bookwalter, Lap sponges

  • Minor set, manual retractors, peanut sponge

  • minor set, Bookwalter, raytec

Explanation

Question 59 of 60

1

where can Diverticula can be found?

Select one of the following:

  • Esophagus

  • nasal passage

  • larynx

Explanation

Question 60 of 60

1

How is the specimen removed from the abdomen on the endoscopic bowel resection?

Select one of the following:

  • A McBurney's incision is made and the specimen is cut out from there.

  • A McBurney's incision is made and the specimen is disected out from there.

  • A McBurney's incision is made and the specimen is pulled out from there.

Explanation

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