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Surgical Technology, Procedures, Unit 3, Biliary Rectal(Proctored Exam practise)

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Surgical Technology, Procedures, Unit 3, Biliary Rectal(Proctored Exam practise)

Question 1 of 40

1

Which of the following would not be a reason for a cholecystectomy?

Select one of the following:

  • polyps

  • cholelithiasis

  • gastroesophageal reflux

  • Cholecystitis

Explanation

Question 2 of 40

1

What is the procedure that is the surgical repair of the anal sphincter?

Select one of the following:

  • Whipple

  • Hemorrhoidotomy

  • Sphincteroplasty

  • Fistulectomy

Explanation

Question 3 of 40

1

A wedge resection of the liver may be done for what?

Select one of the following:

  • biopsy for transplant

  • prevent liver cirrhosis

  • resect a tumor

  • relieve pulmonary hypertension

Explanation

Question 4 of 40

1

A splenectomy can be performed for;

Select one of the following:

  • trauma

  • tumors

  • blood conditions

  • all of the above

Explanation

Question 5 of 40

1

In addition to a major general surgical instrumentation set, which of the following will also be needed for a cholecystectomy?

Select one of the following:

  • thoracic instruments

  • gallbladder instruments

  • CBD exploration instruments

  • genitourinary instruments

Explanation

Question 6 of 40

1

What is done if the surgeon can feel stones in the CBD?

Select one of the following:

  • patient comes back at a later date for more surgery

  • gallbladder is removed at a higher place

  • Common Bile Duct is explored

  • patient is put on stone reduction medications

Explanation

Question 7 of 40

1

Whipple pancreaticoduodenectomy involves removal of the?

Select one of the following:

  • tail of the pancreas, proximal stomach, duodenum, and distal jejunum

  • pancreas, stomach, cecum, ileum, bladder, hepatic and cystic ducts, and periaortic lymph nodes

  • islets of Langerhans, spleen, stomach, duodenum, colon, cystic and common bile ducts, and peripancreatic and hepatoduodenal lymph nodes

  • head of the pancreas, distal stomach, duodenum, and distal end of the common bile duct

Explanation

Question 8 of 40

1

After a portion of the liver has been resected how is hemostasis achieved?

Select one of the following:

  • liver is packed with laps

  • #3-0 chromic stick ties

  • hemostatic agents

  • all of the above

Explanation

Question 9 of 40

1

Of the items listed, what instrument is used to maintain a hold on the gallbladder during the dissection process of a laparoscopic gallbladder removal?

Select one of the following:

  • Endo Scissors

  • Bowel Grasper

  • Davis and Geck Grasper

  • Claw Grasper

Explanation

Question 10 of 40

1

Removal of the gallbladder is called ?

Select one of the following:

  • choledochojejunostomy

  • cholecystectomy

  • cholelithiasis

  • colectomy

Explanation

Question 11 of 40

1

Bile is produced by the ?

Select one of the following:

  • common bile duct

  • spleen

  • liver

  • gall bladder

Explanation

Question 12 of 40

1

How are the resection lines created on a liver resection?

Select one of the following:

  • needle scratching

  • marking pen

  • scalpel

  • cautery

Explanation

Question 13 of 40

1

Where is the spleen located?

Select one of the following:

  • lt. upper abdominal quadrant

  • lt. lower abdominal quadrant

  • rt. upper abdominal quadrant

  • rt. lower abdominal quadrant

Explanation

Question 14 of 40

1

What would need to be pulled in addition to a straight cholecystectomy if there is to be cholangiograms?

Select one of the following:

  • Dye, 2 syringes, saline, cholangiocatheter, 3 way stopcock, extension tubing.

  • Dye, 2 syringes, saline, extra raytecs, 2 way stopcock, cholangiocatheter

  • 1 syringe, saline, dye, stopcock, colangiocatheter, extention tubing

  • saline, dye, stopcock, colangiocatheter, extention tubing

Explanation

Question 15 of 40

1

What anatomical structures are doubly ligated or triple clipped and resected free on a cholecystectomy?

Select one of the following:

  • portal artery, vein & duct

  • mesenteric artery, vein & cystic duct

  • cystic artery, vein & duct

  • hepatic artery, vein and portal duct

Explanation

Question 16 of 40

1

Which gland has both exocrine and endocrine functions?

Select one of the following:

  • liver

  • spleen

  • gallbladder

  • pancreas

Explanation

Question 17 of 40

1

The gall bladder is found in the _______abdominal quadrant.

Select one of the following:

  • left upper

  • left lower

  • right upper

  • right lower

Explanation

Question 18 of 40

1

The excision and ligation of dilated veins in the anal region is referred to as a what?

Select one of the following:

  • cholecystectomy

  • Whipple

  • Sphincteroplasty

  • hemorrhoidectomy

Explanation

Question 19 of 40

1

Hemorrhoids are removed with the patient in the _____ position.

Select one of the following:

  • Kraske

  • sitting

  • supine

  • prone

Explanation

Question 20 of 40

1

Intraoperative Cholangiogram is performed in conjunction with the removal of ?

Select one of the following:

  • liver

  • gall bladder

  • stomach

  • spleen

Explanation

Question 21 of 40

1

What suture and needle is used most often to ligate hemorrhoids?

Select one of the following:

  • 1 prolene on a CT-1 needle

  • 2-0 chromic on a keith needle

  • 4-0 silk curved cutting needle

  • 2-0 chromic on an SH needle

Explanation

Question 22 of 40

1

Which of the following is not a function of the Spleen?

Select one of the following:

  • plays a role in immunologic defenses

  • regulates blood sugar levels

  • acts as a reservoir for blood

  • aids in filtration & formation of blood elements

Explanation

Question 23 of 40

1

What can be used to dissect free a hemorrhoid?

Select one of the following:

  • knife

  • PPH stapler

  • cautery

  • all of the above

Explanation

Question 24 of 40

1

Of the answers listed, what can be used to inspect the anal canal?

Select one of the following:

  • penrose drain

  • glasses

  • PPH stapler

  • surgeon's finger

Explanation

Question 25 of 40

1

What type of diagnostic tray can be pulled and be available for a hemorrhoid procedure?

Select one of the following:

  • tracheostomy

  • esophagoscopy

  • bronchoscopy

  • sigmoidoscopy

Explanation

Question 26 of 40

1

The condition of gallstones is called ?

Select one of the following:

  • cystolithiasis

  • cholelithiasis

  • pyelolithiasis

  • ureterolithiasis

Explanation

Question 27 of 40

1

What would not be the reason a patient may need a sphincteroplasty?

Select one of the following:

  • large episiotomy

  • trauma

  • dilated veins in the anal region

  • post-infection damage

Explanation

Question 28 of 40

1

What instrument set is used along with a minor set for a sphincteroplasty procedure?

Select one of the following:

  • biopsy set

  • major set

  • rectal set

  • ABD set

Explanation

Question 29 of 40

1

A sinus tract that has formed from the rectum to the buttocks is called what?

Select one of the following:

  • pilonidal

  • fissure

  • hemorrhoid

  • fistula

Explanation

Question 30 of 40

1

On a Fistulectomy, what can the surgeon use to scrape out the tract?

Select one of the following:

  • knife

  • forceps

  • raytex sponge

  • bone curette

Explanation

Question 31 of 40

1

Methylene Blue is a dye that can be used in various rectal cases except which?

Select one of the following:

  • Sphincteroplasty

  • Rectal fistulectomy

  • Pilonidal cystectomy

  • None of the above procedures used dye

Explanation

Question 32 of 40

1

What tissue covers the gallbladder and has to be cut before the cystic artery and cystic duct can be identified?

Select one of the following:

  • dermal

  • sorosa

  • mucosa

  • Peritoneal Fold

Explanation

Question 33 of 40

1

A 2-0 silk ties, or endoscopic lig-a-clip applier can be used to ligate the cystic artery during a cholecystectomy? Name one for an open procedure and one for a laparoscopic procedure.

Select one of the following:

  • True
  • False

Explanation

Question 34 of 40

1

What diagnostic, unsterile procedure might be performed before rectal procedures?

Select one of the following:

  • examination using retractors

  • fingers for rectal examination

  • Colonoscopy or Sigmoidoscopy

Explanation

Question 35 of 40

1

Check three boxes for reasons of performing a wedge resection?

Select one or more of the following:

  • tumor

  • trauma

  • absess

  • fissure

  • blood clot

Explanation

Question 36 of 40

1

When doing a splenectomy, what main vessel would be clamped and ligated first, and why?

Select one of the following:

  • artery

  • vein

Explanation

Question 37 of 40

1

Check the boxes of two hormones the Islets of Langerhan secretes?

Select one or more of the following:

  • Insulin

  • Testosterone

  • estrogen

  • Glucagon

Explanation

Question 38 of 40

1

What is the reason for performing a pancreatoduodenectomy procedure on a patient?

Select one of the following:

  • fissure in the pancrease

  • pancreas rupture

  • Cancer in the head of the pancreas

  • blood loss to the pancreas

Explanation

Question 39 of 40

1

A benign ulcerative lesion occurring in the anal canal is diagnosed as a what?

Select one of the following:

  • fistula

  • fissure

  • incarcirated

  • diseased

Explanation

Question 40 of 40

1

An infected ingrown hair tract that was present at birth that leads to the sacral bone. It is repaired by finding the tract, and then opening and cleaning out the tract using bone currettes and packing the wound is know as?

Select one of the following:

  • fistula

  • fissure

  • Pilonidal cyst

Explanation

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