Question 1
Question
Check the boxes of which are characteristic of a Hiatal Hernia?
Answer
-
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
Question 2
Question
What can be used for diagnostic intervention for a Hiatal Hernia?
Question 3
Question
The best option for treatment of of a Hiatal Hernia is?
Question 4
Answer
-
gastroeshopogus reflux
-
gastroingeal reflux
-
gastroesophageal reflux
Question 5
Question
The Nissen in "Nissen Fundoplication" is?
Question 6
Question
The Funcoplication in "Nissen Funciplication" is?
Answer
-
the name of the Dr who invented the procedure
-
the name of the procedure
-
the name of the hospital it was first performed in
Question 7
Question
Nissen Fundoplication is a hernia procedure that is best described as?
Answer
-
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
Question 8
Question
Nissen Fundoplication is done by?
Answer
-
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
Question 9
Question
During a Nissen Fundoplication procedure precaution needs to be taken not to irritate?
Question 10
Question
What type of incision is used for a Nissen Fundoplication?
Answer
-
inguinal incision
-
paramedian
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oblique
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subcostal incision
Question 11
Question
Which position is a Laparoscopic Nissen Fundoplication procedure performed?
Answer
-
supine
-
prone
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trendelberg
-
lithotomy
Question 12
Question
Fundo in "Nissen Fundoplication" refers to ?
Answer
-
bottom of stomach
-
intestinal tract
-
esophogus
-
top of stomach
Question 13
Question
TIF is a method of using what to treat a hiatal?
Answer
-
antibiotics
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umbilical canal
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costal incision
-
mouth
Question 14
Question
An Appendicitis is usually caused by?
Question 15
Question
A Meckel's diverticulum is found?
Answer
-
esophogus
-
stomach
-
colon
-
small bowel
Question 16
Question
A Zenker's diverticulum is found?
Answer
-
esophogus
-
small bowel
-
colon
-
stomach
Question 17
Question
Diverticuulosis should be treated?
Answer
-
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
Question 18
Question
when we refer to the colon we are referring to?
Answer
-
small bowel
-
intestinal tract
-
large intestine
Question 19
Question
How much of the colon is taken out in a Hemicolectomy procedure?
Answer
-
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
Question 20
Question
Another name for the alimentary canal is the?
Answer
-
reproductive tract
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urinary tract
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respiratory tract
-
digestive tract
Question 21
Question
The inner layer of the wall of the digestive tract is called the?
Answer
-
serosa
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submucosa
-
muscularis
-
mucosa
Question 22
Question
The three portions of the small intestine are the?
Question 23
Question
The outer layer of the wall of the digestive tract is called the
Answer
-
mucosa
-
muscularis
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submucosa
-
serosa
Question 24
Question
In what position is the patient placed when McBurney's incision will be used?
Answer
-
lithotomy
-
lateral
-
prone
-
Supine
Question 25
Question
A diaphragmatic hernia is located?
Question 26
Question
Nissen fundoplication is the procedure performed to correct a/an?
Answer
-
gastric ulcer
-
inguinal hernia
-
hiatal hernia
-
ruptured tubal pregnancy
Question 27
Question
Maloney dilators are used to dilate the ?
Answer
-
esophagus
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urethra
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pyloric sphincter
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cervix
Question 28
Question
A purse string suture is used to?
Question 29
Question
An end ileostomy is created from the
Answer
-
terminal ileum
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sigmoid colon
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descending colon
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transverse colon
Question 30
Question
When the posterior stomach wall is wrapped around the distal esophagus this action is called?
Answer
-
Marsupialization
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Distal Wrapping
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Hot Dogging
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Fundiplication
Question 31
Question
What is used to carefully retract back the distal esophagus during the Nissen Procedure?
Answer
-
surgeons hand
-
harrington
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penrose drain
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lap sponge
Question 32
Question
Where is the incision located for the open Hiatal Hernia procedure?
Answer
-
Midline
-
Flank
-
Pfannenstiel
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Inguinal
Question 33
Question
What are the sutures and needles commonly used to repair the Hernia on the Open Hiatal Hernia procedure?
Answer
-
#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
Question 34
Question
What instrument set(s) are used for the Open Nissen Procedure?
Answer
-
Long Instrument set
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GI Set
-
Major Lap set
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All of the above sets
Question 35
Question
What is the position of the patient in, having the laparoscopic Nissen procedure?
Answer
-
Lateral
-
prone
-
Supine
-
Low-Lithotomy
Question 36
Question
What is the definition of an appendectomy?
Answer
-
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
Question 37
Question
What instrument is used to grasp the appendix?
Answer
-
Babcock
-
Kelly
-
Mayo
-
Kocher
Question 38
Question
Which retractors are commonly used during an appendectomy?
Answer
-
Gelpi
-
Deavers
-
Army Navy
-
Appy rich
Question 39
Question
What suture is used to tie off the blood supply and support structures to the appendix?
Answer
-
#3-0 absorb.
-
#0 absorb
-
#0 nonabs.
-
#3-0 nonabs.
Question 40
Question
Which is the definition of a Volvulus?
Answer
-
finger like pouches on the intestine
-
a twisting of the intestines
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necrosis of the intestines
-
a telescoping of the intestines
Question 41
Question
Which is the definition of Intussusception?
Answer
-
a telescoping of the intestines
-
finger like pouches on the intestines
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a twisting of the intestines
-
necrosis of the intestines
Question 42
Question
What can be used to carefully wall off surrounding structures when gaining exposure during an open bowel procedure?
Question 43
Question
What is done with instruments that have come in contact with the intestinal lumen during a bowel resection?
Answer
-
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
Question 44
Question
How is the segment of bowel on a Scope bowel procedure removed from the patient.
Answer
-
using an end to end anatomists stapler
-
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
-
An endo pouch is used to pull it out through a small incision at the end of the procedure.
Question 45
Question
A portion of the stomach protrudes through the hiatus of the diaphragm is known as?
Question 46
Question
When is surgical treatment for a hiatal hernia appropriate?
Answer
-
when the hernia turns necrotic
-
when the hernia becomes incarcerated
-
when the hernia ruptures
-
when medicines fail to give releif
Question 47
Question
Check the boxes for the instruments used in a Endoscopic Nissen Fundiplication procedure.
Answer
-
laparotomy set
-
long instrument set
-
Laparoscopy set
-
suction tubing
-
trocars
Question 48
Question
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?
Answer
-
tracheostomy
-
appendectomy
-
hiatal hernia
-
Nissen Fundiplication
Question 49
Question
What is the name of the incision on an open appendectomy?
Answer
-
ventral
-
mcBurneys
-
abdominal
-
inguinal
Question 50
Question
Where anatomically is the appendix located and what it is attached to?
Answer
-
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.
Question 51
Question
Which stapler is used to sever the appendix on a Laparascopic Appendectomy?
Question 52
Question
Check the boxes with the three types of intestinal anastomosis that were discussed in class, and include the staplers needed for the job.
Question 53
Question
check the boxes that state a reason why bowel may need to be resected
Answer
-
carcinoma
-
acidosis
-
Adhesions
-
inflamation
-
Ulcerations
Question 54
Question
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?
Answer
-
mucosa
-
mesentary
-
dermal tissue
Question 55
Question
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?
Answer
-
TA stapler
-
EEA stapler
-
GIA stapler
Question 56
Question
Name the stapler that will just staple a row of staples but NOT cut?
Answer
-
TA stapler
-
EEA stapler
-
GIA stapler
Question 57
Question
What stapler is used to anastomose two lumens of bowel together in one firing?
Answer
-
TA stapler
-
GIA stapler
-
EEA stapler
Question 58
Question
What instrument/supplies set could be used in a laparoscopic Bowel Resection?
Answer
-
Major set, Bookwalter, Lap sponges
-
Minor set, manual retractors, peanut sponge
-
minor set, Bookwalter, raytec
Question 59
Question
where can Diverticula can be found?
Answer
-
Esophagus
-
nasal passage
-
larynx
Question 60
Question
How is the specimen removed from the abdomen on the endoscopic bowel resection?
Answer
-
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.