19284361
Pregunta 1
Pregunta
Check the boxes of which are characteristic of a Hiatal Hernia?
Respuesta
-
inflamation of the intestinal tract
-
ulceration of the esophogus
-
reflux of gastric juices
-
gastric juices eat the lining of the stomach
-
difficult in swollowing
Pregunta 2
Pregunta
What can be used for diagnostic intervention for a Hiatal Hernia?
Respuesta
-
tissue disection
-
EKG
-
MRI
Pregunta 3
Pregunta
The best option for treatment of of a Hiatal Hernia is?
Respuesta
-
antibiotics
-
anti acid tablets
-
hiatal surgery since its a serious condition
Pregunta 4
Pregunta
GER stands for?
Respuesta
-
gastroeshopogus reflux
-
gastroingeal reflux
-
gastroesophageal reflux
Pregunta 5
Pregunta
The Nissen in "Nissen Fundoplication" is?
Respuesta
-
name of the procedure
-
name of the hospital it was first performed in
-
The Dr's name
Pregunta 6
Pregunta
The Funcoplication in "Nissen Funciplication" is?
Respuesta
-
the name of the Dr who invented the procedure
-
the name of the procedure
-
the name of the hospital it was first performed in
Pregunta 7
Pregunta
Nissen Fundoplication is a hernia procedure that is best described as?
Respuesta
-
prevent ulceration of the stomach
-
prevent ulcers in the nasopharynx
-
prevent puncture of the diaphram
-
prevent acid reflux
Pregunta 8
Pregunta
Nissen Fundoplication is done by?
Respuesta
-
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
Pregunta 9
Pregunta
During a Nissen Fundoplication procedure precaution needs to be taken not to irritate?
Respuesta
-
the stomach
-
the lining of the esophagus
-
spleen
-
nasopharnyx
Pregunta 10
Pregunta
What type of incision is used for a Nissen Fundoplication?
Respuesta
-
inguinal incision
-
paramedian
-
oblique
-
subcostal incision
Pregunta 11
Pregunta
Which position is a Laparoscopic Nissen Fundoplication procedure performed?
Respuesta
-
supine
-
prone
-
trendelberg
-
lithotomy
Pregunta 12
Pregunta
Fundo in "Nissen Fundoplication" refers to ?
Respuesta
-
bottom of stomach
-
intestinal tract
-
esophogus
-
top of stomach
Pregunta 13
Pregunta
TIF is a method of using what to treat a hiatal?
Respuesta
-
antibiotics
-
umbilical canal
-
costal incision
-
mouth
Pregunta 14
Pregunta
An Appendicitis is usually caused by?
Respuesta
-
malnutrition
-
inflamation
-
blockage between the cecum and appendix
-
acid reflux
Pregunta 15
Pregunta
A Meckel's diverticulum is found?
Respuesta
-
esophogus
-
stomach
-
colon
-
small bowel
Pregunta 16
Pregunta
A Zenker's diverticulum is found?
Respuesta
-
esophogus
-
small bowel
-
colon
-
stomach
Pregunta 17
Pregunta
Diverticuulosis should be treated?
Respuesta
-
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
Pregunta 18
Pregunta
when we refer to the colon we are referring to?
Respuesta
-
small bowel
-
intestinal tract
-
large intestine
Pregunta 19
Pregunta
How much of the colon is taken out in a Hemicolectomy procedure?
Respuesta
-
3/4 of the colon
-
1/3 of the colon
-
1/2 of the colon
-
the entire colon
Pregunta 20
Pregunta
Another name for the alimentary canal is the?
Respuesta
-
reproductive tract
-
urinary tract
-
respiratory tract
-
digestive tract
Pregunta 21
Pregunta
The inner layer of the wall of the digestive tract is called the?
Respuesta
-
serosa
-
submucosa
-
muscularis
-
mucosa
Pregunta 22
Pregunta
The three portions of the small intestine are the?
Respuesta
-
mesentery, duodenum, appendix
-
cecum, mesentery, ileum
-
ileum, sigmoid, jejunum
-
duodenum, ileum, jejunum
Pregunta 23
Pregunta
The outer layer of the wall of the digestive tract is called the
Respuesta
-
mucosa
-
muscularis
-
submucosa
-
serosa
Pregunta 24
Pregunta
In what position is the patient placed when McBurney's incision will be used?
Respuesta
-
lithotomy
-
lateral
-
prone
-
Supine
Pregunta 25
Pregunta
A diaphragmatic hernia is located?
Respuesta
-
on the ventral body surface
-
around the umbilicus
-
in the groin
-
in the diaphragm
Pregunta 26
Pregunta
Nissen fundoplication is the procedure performed to correct a/an?
Respuesta
-
gastric ulcer
-
inguinal hernia
-
hiatal hernia
-
ruptured tubal pregnancy
Pregunta 27
Pregunta
Maloney dilators are used to dilate the ?
Respuesta
-
esophagus
-
urethra
-
pyloric sphincter
-
cervix
Pregunta 28
Pregunta
A purse string suture is used to?
Respuesta
-
to provide traction
-
to tighten or close an opening
-
for ligation
-
as a retention suture
Pregunta 29
Pregunta
An end ileostomy is created from the
Respuesta
-
terminal ileum
-
sigmoid colon
-
descending colon
-
transverse colon
Pregunta 30
Pregunta
When the posterior stomach wall is wrapped around the distal esophagus this action is called?
Respuesta
-
Marsupialization
-
Distal Wrapping
-
Hot Dogging
-
Fundiplication
Pregunta 31
Pregunta
What is used to carefully retract back the distal esophagus during the Nissen Procedure?
Respuesta
-
surgeons hand
-
harrington
-
penrose drain
-
lap sponge
Pregunta 32
Pregunta
Where is the incision located for the open Hiatal Hernia procedure?
Respuesta
-
Midline
-
Flank
-
Pfannenstiel
-
Inguinal
Pregunta 33
Pregunta
What are the sutures and needles commonly used to repair the Hernia on the Open Hiatal Hernia procedure?
Respuesta
-
#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
Pregunta 34
Pregunta
What instrument set(s) are used for the Open Nissen Procedure?
Respuesta
-
Long Instrument set
-
GI Set
-
Major Lap set
-
All of the above sets
Pregunta 35
Pregunta
What is the position of the patient in, having the laparoscopic Nissen procedure?
Respuesta
-
Lateral
-
prone
-
Supine
-
Low-Lithotomy
Pregunta 36
Pregunta
What is the definition of an appendectomy?
Respuesta
-
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
Pregunta 37
Pregunta
What instrument is used to grasp the appendix?
Respuesta
-
Babcock
-
Kelly
-
Mayo
-
Kocher
Pregunta 38
Pregunta
Which retractors are commonly used during an appendectomy?
Respuesta
-
Gelpi
-
Deavers
-
Army Navy
-
Appy rich
Pregunta 39
Pregunta
What suture is used to tie off the blood supply and support structures to the appendix?
Respuesta
-
#3-0 absorb.
-
#0 absorb
-
#0 nonabs.
-
#3-0 nonabs.
Pregunta 40
Pregunta
Which is the definition of a Volvulus?
Respuesta
-
finger like pouches on the intestine
-
a twisting of the intestines
-
necrosis of the intestines
-
a telescoping of the intestines
Pregunta 41
Pregunta
Which is the definition of Intussusception?
Respuesta
-
a telescoping of the intestines
-
finger like pouches on the intestines
-
a twisting of the intestines
-
necrosis of the intestines
Pregunta 42
Pregunta
What can be used to carefully wall off surrounding structures when gaining exposure during an open bowel procedure?
Respuesta
-
Deaver retractors
-
Fig leaf or visceral retainer
-
Moist lap sponges
-
Gut bag
Pregunta 43
Pregunta
What is done with instruments that have come in contact with the intestinal lumen during a bowel resection?
Respuesta
-
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
Pregunta 44
Pregunta
How is the segment of bowel on a Scope bowel procedure removed from the patient.
Respuesta
-
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.
Pregunta 45
Pregunta
A portion of the stomach protrudes through the hiatus of the diaphragm is known as?
Respuesta
-
incarcerated hernia
-
hiatal hernia
-
hernia that has turned necrotic
-
diseased hernia
Pregunta 46
Pregunta
When is surgical treatment for a hiatal hernia appropriate?
Respuesta
-
when the hernia turns necrotic
-
when the hernia becomes incarcerated
-
when the hernia ruptures
-
when medicines fail to give releif
Pregunta 47
Pregunta
Check the boxes for the instruments used in a Endoscopic Nissen Fundiplication procedure.
Respuesta
-
laparotomy set
-
long instrument set
-
Laparoscopy set
-
suction tubing
-
trocars
Pregunta 48
Pregunta
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?
Respuesta
-
tracheostomy
-
appendectomy
-
hiatal hernia
-
Nissen Fundiplication
Pregunta 49
Pregunta
What is the name of the incision on an open appendectomy?
Respuesta
-
ventral
-
mcBurneys
-
abdominal
-
inguinal
Pregunta 50
Pregunta
Where anatomically is the appendix located and what it is attached to?
Respuesta
-
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.
Pregunta 51
Pregunta
Which stapler is used to sever the appendix on a Laparascopic Appendectomy?
Respuesta
-
Endo GIA
-
TA
-
EEA
Pregunta 52
Pregunta
Check the boxes with the three types of intestinal anastomosis that were discussed in class, and include the staplers needed for the job.
Respuesta
-
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
Pregunta 53
Pregunta
check the boxes that state a reason why bowel may need to be resected
Respuesta
-
carcinoma
-
acidosis
-
Adhesions
-
inflamation
-
Ulcerations
Pregunta 54
Pregunta
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?
Respuesta
-
mucosa
-
mesentary
-
dermal tissue
Pregunta 55
Pregunta
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?
Respuesta
-
TA stapler
-
EEA stapler
-
GIA stapler
Pregunta 56
Pregunta
Name the stapler that will just staple a row of staples but NOT cut?
Respuesta
-
TA stapler
-
EEA stapler
-
GIA stapler
Pregunta 57
Pregunta
What stapler is used to anastomose two lumens of bowel together in one firing?
Respuesta
-
TA stapler
-
GIA stapler
-
EEA stapler
Pregunta 58
Pregunta
What instrument/supplies set could be used in a laparoscopic Bowel Resection?
Respuesta
-
Major set, Bookwalter, Lap sponges
-
Minor set, manual retractors, peanut sponge
-
minor set, Bookwalter, raytec
Pregunta 59
Pregunta
where can Diverticula can be found?
Respuesta
-
Esophagus
-
nasal passage
-
larynx
Pregunta 60
Pregunta
How is the specimen removed from the abdomen on the endoscopic bowel resection?
Respuesta
-
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.
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