19636842
Pregunta 1
Pregunta
Which of the following would not be a reason for a cholecystectomy?
Respuesta
-
polyps
-
cholelithiasis
-
gastroesophageal reflux
-
Cholecystitis
Pregunta 2
Pregunta
What is the procedure that is the surgical repair of the anal sphincter?
Respuesta
-
Whipple
-
Hemorrhoidotomy
-
Sphincteroplasty
-
Fistulectomy
Pregunta 3
Pregunta
A wedge resection of the liver may be done for what?
Respuesta
-
biopsy for transplant
-
prevent liver cirrhosis
-
resect a tumor
-
relieve pulmonary hypertension
Pregunta 4
Pregunta
A splenectomy can be performed for;
Respuesta
-
trauma
-
tumors
-
blood conditions
-
all of the above
Pregunta 5
Pregunta
In addition to a major general surgical instrumentation set, which of the following will also be needed for a cholecystectomy?
Respuesta
-
thoracic instruments
-
gallbladder instruments
-
CBD exploration instruments
-
genitourinary instruments
Pregunta 6
Pregunta
What is done if the surgeon can feel stones in the CBD?
Respuesta
-
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
Pregunta 7
Pregunta
Whipple pancreaticoduodenectomy involves removal of the?
Respuesta
-
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
Pregunta 8
Pregunta
After a portion of the liver has been resected how is hemostasis achieved?
Respuesta
-
liver is packed with laps
-
#3-0 chromic stick ties
-
hemostatic agents
-
all of the above
Pregunta 9
Pregunta
Of the items listed, what instrument is used to maintain a hold on the gallbladder during the dissection process of a laparoscopic gallbladder removal?
Respuesta
-
Endo Scissors
-
Bowel Grasper
-
Davis and Geck Grasper
-
Claw Grasper
Pregunta 10
Pregunta
Removal of the gallbladder is called ?
Respuesta
-
choledochojejunostomy
-
cholecystectomy
-
cholelithiasis
-
colectomy
Pregunta 11
Pregunta
Bile is produced by the ?
Respuesta
-
common bile duct
-
spleen
-
liver
-
gall bladder
Pregunta 12
Pregunta
How are the resection lines created on a liver resection?
Respuesta
-
needle scratching
-
marking pen
-
scalpel
-
cautery
Pregunta 13
Pregunta
Where is the spleen located?
Respuesta
-
lt. upper abdominal quadrant
-
lt. lower abdominal quadrant
-
rt. upper abdominal quadrant
-
rt. lower abdominal quadrant
Pregunta 14
Pregunta
What would need to be pulled in addition to a straight cholecystectomy if there is to be cholangiograms?
Respuesta
-
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
Pregunta 15
Pregunta
What anatomical structures are doubly ligated or triple clipped and resected free on a cholecystectomy?
Respuesta
-
portal artery, vein & duct
-
mesenteric artery, vein & cystic duct
-
cystic artery, vein & duct
-
hepatic artery, vein and portal duct
Pregunta 16
Pregunta
Which gland has both exocrine and endocrine functions?
Respuesta
-
liver
-
spleen
-
gallbladder
-
pancreas
Pregunta 17
Pregunta
The gall bladder is found in the _______abdominal quadrant.
Respuesta
-
left upper
-
left lower
-
right upper
-
right lower
Pregunta 18
Pregunta
The excision and ligation of dilated veins in the anal region is referred to as a what?
Respuesta
-
cholecystectomy
-
Whipple
-
Sphincteroplasty
-
hemorrhoidectomy
Pregunta 19
Pregunta
Hemorrhoids are removed with the patient in the _____ position.
Respuesta
-
Kraske
-
sitting
-
supine
-
prone
Pregunta 20
Pregunta
Intraoperative Cholangiogram is performed in conjunction with the removal of ?
Respuesta
-
liver
-
gall bladder
-
stomach
-
spleen
Pregunta 21
Pregunta
What suture and needle is used most often to ligate hemorrhoids?
Respuesta
-
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
Pregunta 22
Pregunta
Which of the following is not a function of the Spleen?
Respuesta
-
plays a role in immunologic defenses
-
regulates blood sugar levels
-
acts as a reservoir for blood
-
aids in filtration & formation of blood elements
Pregunta 23
Pregunta
What can be used to dissect free a hemorrhoid?
Respuesta
-
knife
-
PPH stapler
-
cautery
-
all of the above
Pregunta 24
Pregunta
Of the answers listed, what can be used to inspect the anal canal?
Respuesta
-
penrose drain
-
glasses
-
PPH stapler
-
surgeon's finger
Pregunta 25
Pregunta
What type of diagnostic tray can be pulled and be available for a hemorrhoid procedure?
Respuesta
-
tracheostomy
-
esophagoscopy
-
bronchoscopy
-
sigmoidoscopy
Pregunta 26
Pregunta
The condition of gallstones is called ?
Respuesta
-
cystolithiasis
-
cholelithiasis
-
pyelolithiasis
-
ureterolithiasis
Pregunta 27
Pregunta
What would not be the reason a patient may need a sphincteroplasty?
Respuesta
-
large episiotomy
-
trauma
-
dilated veins in the anal region
-
post-infection damage
Pregunta 28
Pregunta
What instrument set is used along with a minor set for a sphincteroplasty procedure?
Respuesta
-
biopsy set
-
major set
-
rectal set
-
ABD set
Pregunta 29
Pregunta
A sinus tract that has formed from the rectum to the buttocks is called what?
Respuesta
-
pilonidal
-
fissure
-
hemorrhoid
-
fistula
Pregunta 30
Pregunta
On a Fistulectomy, what can the surgeon use to scrape out the tract?
Respuesta
-
knife
-
forceps
-
raytex sponge
-
bone curette
Pregunta 31
Pregunta
Methylene Blue is a dye that can be used in various rectal cases except which?
Respuesta
-
Sphincteroplasty
-
Rectal fistulectomy
-
Pilonidal cystectomy
-
None of the above procedures used dye
Pregunta 32
Pregunta
What tissue covers the gallbladder and has to be cut before the cystic artery and cystic duct can be identified?
Respuesta
-
dermal
-
sorosa
-
mucosa
-
Peritoneal Fold
Pregunta 33
Pregunta
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.
Respuesta
- True
- False
Pregunta 34
Pregunta
What diagnostic, unsterile procedure might be performed before rectal procedures?
Respuesta
-
examination using retractors
-
fingers for rectal examination
-
Colonoscopy or Sigmoidoscopy
Pregunta 35
Pregunta
Check three boxes for reasons of performing a wedge resection?
Respuesta
-
tumor
-
trauma
-
absess
-
fissure
-
blood clot
Pregunta 36
Pregunta
When doing a splenectomy, what main vessel would be clamped and ligated first, and why?
Respuesta
-
artery
-
vein
Pregunta 37
Pregunta
Check the boxes of two hormones the Islets of Langerhan secretes?
Respuesta
-
Insulin
-
Testosterone
-
estrogen
-
Glucagon
Pregunta 38
Pregunta
What is the reason for performing a pancreatoduodenectomy procedure on a patient?
Respuesta
-
fissure in the pancrease
-
pancreas rupture
-
Cancer in the head of the pancreas
-
blood loss to the pancreas
Pregunta 39
Pregunta
A benign ulcerative lesion occurring in the anal canal is diagnosed as a what?
Respuesta
-
fistula
-
fissure
-
incarcirated
-
diseased
Pregunta 40
Pregunta
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?
Respuesta
-
fistula
-
fissure
-
Pilonidal cyst
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