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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)
hey ohh
Quiz by hey ohh, updated more than 1 year ago
hey ohh
Created by hey ohh about 5 years ago
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Resource summary

Question 1

Question
Which of the following would not be a reason for a cholecystectomy?
Answer
  • polyps
  • cholelithiasis
  • gastroesophageal reflux
  • Cholecystitis

Question 2

Question
What is the procedure that is the surgical repair of the anal sphincter?
Answer
  • Whipple
  • Hemorrhoidotomy
  • Sphincteroplasty
  • Fistulectomy

Question 3

Question
A wedge resection of the liver may be done for what?
Answer
  • biopsy for transplant
  • prevent liver cirrhosis
  • resect a tumor
  • relieve pulmonary hypertension

Question 4

Question
A splenectomy can be performed for;
Answer
  • trauma
  • tumors
  • blood conditions
  • all of the above

Question 5

Question
In addition to a major general surgical instrumentation set, which of the following will also be needed for a cholecystectomy?
Answer
  • thoracic instruments
  • gallbladder instruments
  • CBD exploration instruments
  • genitourinary instruments

Question 6

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

Question 7

Question
Whipple pancreaticoduodenectomy involves removal of the?
Answer
  • 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

Question 8

Question
After a portion of the liver has been resected how is hemostasis achieved?
Answer
  • liver is packed with laps
  • #3-0 chromic stick ties
  • hemostatic agents
  • all of the above

Question 9

Question
Of the items listed, what instrument is used to maintain a hold on the gallbladder during the dissection process of a laparoscopic gallbladder removal?
Answer
  • Endo Scissors
  • Bowel Grasper
  • Davis and Geck Grasper
  • Claw Grasper

Question 10

Question
Removal of the gallbladder is called ?
Answer
  • choledochojejunostomy
  • cholecystectomy
  • cholelithiasis
  • colectomy

Question 11

Question
Bile is produced by the ?
Answer
  • common bile duct
  • spleen
  • liver
  • gall bladder

Question 12

Question
How are the resection lines created on a liver resection?
Answer
  • needle scratching
  • marking pen
  • scalpel
  • cautery

Question 13

Question
Where is the spleen located?
Answer
  • lt. upper abdominal quadrant
  • lt. lower abdominal quadrant
  • rt. upper abdominal quadrant
  • rt. lower abdominal quadrant

Question 14

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

Question 15

Question
What anatomical structures are doubly ligated or triple clipped and resected free on a cholecystectomy?
Answer
  • portal artery, vein & duct
  • mesenteric artery, vein & cystic duct
  • cystic artery, vein & duct
  • hepatic artery, vein and portal duct

Question 16

Question
Which gland has both exocrine and endocrine functions?
Answer
  • liver
  • spleen
  • gallbladder
  • pancreas

Question 17

Question
The gall bladder is found in the _______abdominal quadrant.
Answer
  • left upper
  • left lower
  • right upper
  • right lower

Question 18

Question
The excision and ligation of dilated veins in the anal region is referred to as a what?
Answer
  • cholecystectomy
  • Whipple
  • Sphincteroplasty
  • hemorrhoidectomy

Question 19

Question
Hemorrhoids are removed with the patient in the _____ position.
Answer
  • Kraske
  • sitting
  • supine
  • prone

Question 20

Question
Intraoperative Cholangiogram is performed in conjunction with the removal of ?
Answer
  • liver
  • gall bladder
  • stomach
  • spleen

Question 21

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

Question 22

Question
Which of the following is not a function of the Spleen?
Answer
  • plays a role in immunologic defenses
  • regulates blood sugar levels
  • acts as a reservoir for blood
  • aids in filtration & formation of blood elements

Question 23

Question
What can be used to dissect free a hemorrhoid?
Answer
  • knife
  • PPH stapler
  • cautery
  • all of the above

Question 24

Question
Of the answers listed, what can be used to inspect the anal canal?
Answer
  • penrose drain
  • glasses
  • PPH stapler
  • surgeon's finger

Question 25

Question
What type of diagnostic tray can be pulled and be available for a hemorrhoid procedure?
Answer
  • tracheostomy
  • esophagoscopy
  • bronchoscopy
  • sigmoidoscopy

Question 26

Question
The condition of gallstones is called ?
Answer
  • cystolithiasis
  • cholelithiasis
  • pyelolithiasis
  • ureterolithiasis

Question 27

Question
What would not be the reason a patient may need a sphincteroplasty?
Answer
  • large episiotomy
  • trauma
  • dilated veins in the anal region
  • post-infection damage

Question 28

Question
What instrument set is used along with a minor set for a sphincteroplasty procedure?
Answer
  • biopsy set
  • major set
  • rectal set
  • ABD set

Question 29

Question
A sinus tract that has formed from the rectum to the buttocks is called what?
Answer
  • pilonidal
  • fissure
  • hemorrhoid
  • fistula

Question 30

Question
On a Fistulectomy, what can the surgeon use to scrape out the tract?
Answer
  • knife
  • forceps
  • raytex sponge
  • bone curette

Question 31

Question
Methylene Blue is a dye that can be used in various rectal cases except which?
Answer
  • Sphincteroplasty
  • Rectal fistulectomy
  • Pilonidal cystectomy
  • None of the above procedures used dye

Question 32

Question
What tissue covers the gallbladder and has to be cut before the cystic artery and cystic duct can be identified?
Answer
  • dermal
  • sorosa
  • mucosa
  • Peritoneal Fold

Question 33

Question
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.
Answer
  • True
  • False

Question 34

Question
What diagnostic, unsterile procedure might be performed before rectal procedures?
Answer
  • examination using retractors
  • fingers for rectal examination
  • Colonoscopy or Sigmoidoscopy

Question 35

Question
Check three boxes for reasons of performing a wedge resection?
Answer
  • tumor
  • trauma
  • absess
  • fissure
  • blood clot

Question 36

Question
When doing a splenectomy, what main vessel would be clamped and ligated first, and why?
Answer
  • artery
  • vein

Question 37

Question
Check the boxes of two hormones the Islets of Langerhan secretes?
Answer
  • Insulin
  • Testosterone
  • estrogen
  • Glucagon

Question 38

Question
What is the reason for performing a pancreatoduodenectomy procedure on a patient?
Answer
  • fissure in the pancrease
  • pancreas rupture
  • Cancer in the head of the pancreas
  • blood loss to the pancreas

Question 39

Question
A benign ulcerative lesion occurring in the anal canal is diagnosed as a what?
Answer
  • fistula
  • fissure
  • incarcirated
  • diseased

Question 40

Question
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?
Answer
  • fistula
  • fissure
  • Pilonidal cyst
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