Pregunta 1
Pregunta 2
Pregunta
The removal of the lower sigmoid and rectosigmoid portions of the rectum is kmow as?
Pregunta 3
Pregunta
What best describes the purpose of a LAR procedure?
Respuesta
-
treat lesions in the bladder
-
treat hernias in the colon
-
treat lesions in the small intestine and rectum
-
treat lesions in the sigmoid and rectum
Pregunta 4
Pregunta
In a LAR procedure it is vital to maintain a portion of the colon to keep the function of?
Pregunta 5
Pregunta
LAR procedures are done in what patient position on the O.R. bed?
Respuesta
-
supine
-
lateral
-
prone
-
lithomtomy
Pregunta 6
Pregunta
J-Pouch is known as?
Pregunta 7
Pregunta
Ileoanal Endorectal Pull-Through is the removal of?
Respuesta
-
colon and proximal 2/3 of rectum
-
small intestine and part of rectum
-
small intestine and 2/3 of rectum
-
colon and 1/3 of rectum
Pregunta 8
Pregunta
What procedure peels away the inner lining of the rectum?
Respuesta
-
gastroectomy
-
mucosalectomy
-
colongealectomy
-
mucosectomy
Pregunta 9
Pregunta
What procedure relieves symptoms of ulcerative colitis and polyosis?
Pregunta 10
Pregunta
What procedure is known as a anal sphincter saving operation?
Respuesta
-
low anterior resection
-
gastrointestinal resection
-
abdominal perineal resection
-
ileoanal endorectal pull-through
Pregunta 11
Pregunta
What procedure leaves the patient with a permanent colostomy?
Pregunta 12
Pregunta
What procedure leaves the anal opening closed for life?
Pregunta 13
Pregunta
Which of the following procedures can be done to help an adult patient with stomach ulcers and a newborn with a distal stomach sphincter stenosis?
Respuesta
-
Pyloroplasty
-
LAR
-
Billroth I
-
J-pouch
Pregunta 14
Pregunta
In a LAR what is the diagnostic instrument used to inflate the colon?
Respuesta
-
Asepto
-
Sigmoidoscope
-
Stentascope
-
Stethoscope
Pregunta 15
Pregunta
What medication is injected at the "Dentate" intraoperatively to help separate the layers on a J-Pouch procedure?
Respuesta
-
thrombin
-
dexamethazone
-
kantrex
-
saline with epinephrine
Pregunta 16
Pregunta
What is removed on the J-Pouch procedure?
Respuesta
-
distal stomach and 1/2 of duodenum
-
distal colon, rectum and anus
-
entire colon and proximal 2/3 of the rectum
-
proximal colon and cecum
Pregunta 17
Pregunta
Gastrostomy is the
Respuesta
-
removal of a bezoar (intestinal stones)
-
repair of a stomach ulcer
-
resection of a portion of the stomach
-
creation of an opening from the stomach to the skin
Pregunta 18
Pregunta
Which instrument set/s would be needed for either Billroth procedure?
Pregunta 19
Pregunta
Which stapler is used (if possible) at the end of the J-Pouch procedure to complete the anastomosis with the rectum?
Pregunta 20
Pregunta
During the LAR procedure, how does the surgeon avoid damaging the ureters during the dissection process of the procedure?
Respuesta
-
the assistant will place their hands over the ureters for protection
-
dye is injected to help make the ureters show up.
-
Stents are placed to help identify the ureters
-
X-rays are taken during the procedure
Pregunta 21
Pregunta
What is the position that the patient will be in for the LAR procedure?
Respuesta
-
Low Lithotomy
-
Left Lateral
-
Supine
-
Prone
Pregunta 22
Pregunta
What is the determining factor when a surgeon decides between an Abdominal Perineal or a Low Anterior Resection?
Respuesta
-
availability of the instruments
-
level of the patient's lesion
-
skill level of the surgeon
-
insurance carrier
Pregunta 23
Pregunta
A mucosectomy is best described as:
Respuesta
-
peeling away the mucosal lining, leaving the underlying muscle layer
-
wrapping the proximal stomach around the esophagus
-
the permanent closing of the rectum
-
partial closing of the rectum
Pregunta 24
Pregunta
What is the size of the stomach pouch after the bariatric surgery?
Respuesta
-
1 liter
-
100 ml
-
15-20 ml
-
50-75 cc
Pregunta 25
Pregunta
The term "Dumping Syndrome" relates to which procedure.
Pregunta 26
Pregunta
Which of the Billroth procedures uses TA-30 staplers times 3 for the anastomosis?
Pregunta 27
Pregunta
What patient position is used to displace the abdominal contents to enhance the surgeon's view of the lower abdominal/pelvic region?
Respuesta
-
Fowler's
-
lateral
-
Trendelenburg
-
reverse Trendelenburg
Pregunta 28
Pregunta
The identification and resection of two nerves that will interrupt the parasympathetic nerves and reduce gastric acid secretions is called what?
Respuesta
-
Vagotomy
-
Pyloroplasty
-
LAR
-
Billroth II
Pregunta 29
Pregunta
Why is the psychological aspect of the Bariatric patient important to consider before the procedure can be performed?
Respuesta
-
Obesity can be related to psychological problems
-
Changes in diet are drastic
-
Reasons for their desired weight loss
-
All of the above are possible
Pregunta 30
Pregunta
What is the condition the Billroth patient most likely has?
Respuesta
-
stomach ulcers or cancer
-
rectal polyps
-
colon cancer
-
esophageal atresia
Pregunta 31
Pregunta
At the completion of the LAR, air is instilled into the colon and the abdominal cavity is filled with irrigation solution. This is done for what purpose?
Respuesta
-
To look for bleeding within the bowel
-
To seal the anastomosis
-
To reduce the chance for gas production after surgery
-
To check for leaks in the anastomosis
Pregunta 32
Pregunta
What stapler is the most important in the creation of the actual J-Pouch (not the anastomosis)?
Pregunta 33
Pregunta
The three portions of the small intestine are the
Respuesta
-
cecum, mesentery, and ileum
-
mesentery, duodenum, and appendix
-
ilium, sigmoid, and jejunum
-
duodenum, ileum, and jejunum
Pregunta 34
Pregunta
What is the purpose of the J-Pouch?
Respuesta
-
provide a place for the colostomy to expel waste
-
provide a holding chamber for fecal matter to solidify
-
to give the patient time for water absorption
-
both b & c
Pregunta 35
Pregunta
Which surgical procedure relieves symptoms of ulcerative colitis and familial polyposis
Pregunta 36
Pregunta
What does Bariatric Surgery (Roux-en-y) treat?
Respuesta
-
Polyps
-
Ulcers
-
Obesity
-
Colitis
Pregunta 37
Pregunta
Another name for the Billroth I & II is?
Respuesta
-
Vagotomy
-
Pyloroplasty
-
J-Pouch
-
Gastrectomy
Pregunta 38
Pregunta
What suture is used to close the anus at the start (not the end) on the Abdominal Perineal Resection?
Pregunta 39
Pregunta
What is the purpose of the Surgeon doing a preoperative sigmoidoscopy on the LAR patient?
Pregunta 40
Pregunta
What are the qualification guidelines for the Bariatric Surgical Patient?
Respuesta
-
esophageal reflux
-
BMI of 40 or above
-
pelvic pain
-
blood in the stool
Pregunta 41
Pregunta
Which stapler combination is used for the bariatric procedure
Respuesta
-
TA-30 & GIA
-
LDS & EEA
-
GIA & LDS
-
TA-90 & EEA
Pregunta 42
Pregunta
The Abdominal Perineal Resection can best be defined as:
Respuesta
-
the excision of the distal colon, sigmoid, rectum and anus
-
a permanent colostomy is made with the proximal colon
-
the closing of the rectum for life
-
all of the above
Pregunta 43
Pregunta
In addition to the surgery, what is commonly removed on the Bariatric Surgery patient during their procedure?
Respuesta
-
rectum
-
meckel's
-
appendix
-
gallbladder
Pregunta 44
Pregunta
Which of the following procedures would involve a surgeon working at the rectum?
Pregunta 45
Pregunta
The flow of food and liquids from the stomach to the small intestine is controlled by the
Respuesta
-
anal sphincter
-
sphincter of Oddi
-
ileocecal valve
-
pyloric sphincter
Pregunta 46
Pregunta
What is the official name for the J-Pouch procedure?
Pregunta 47
Pregunta
Pyloroplasty will result in?
Pregunta 48
Pregunta
Which stapler is used on the LAR procedure to perform the anastomosis of the colon and rectum?