19366074
Questão 1
Questão
LAR stands for?
Responda
-
lateral Anterior Resection
-
long Anterior Resection
-
low Anterior Resection
Questão 2
Questão
The removal of the lower sigmoid and rectosigmoid portions of the rectum is kmow as?
Responda
-
medial Anterior Resection
-
anterior Resection
-
LAR
-
GI resection
Questão 3
Questão
What best describes the purpose of a LAR procedure?
Responda
-
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
Questão 4
Questão
In a LAR procedure it is vital to maintain a portion of the colon to keep the function of?
Responda
-
maintain water absorption
-
maintain hemostasis
-
maintain circulatory system
-
maintain fecal function
Questão 5
Questão
LAR procedures are done in what patient position on the O.R. bed?
Responda
-
supine
-
lateral
-
prone
-
lithomtomy
Questão 6
Questão
J-Pouch is known as?
Responda
-
Low Anterior Resection
-
colon resection
-
Ileoanal endorectal pull through
-
lateral endorectal pull through
Questão 7
Questão
Ileoanal Endorectal Pull-Through is the removal of?
Responda
-
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
Questão 8
Questão
What procedure peels away the inner lining of the rectum?
Responda
-
gastroectomy
-
mucosalectomy
-
colongealectomy
-
mucosectomy
Questão 9
Questão
What procedure relieves symptoms of ulcerative colitis and polyosis?
Responda
-
low anterior resection
-
ileonal endorectal pull-through
-
cholangiocarcinoma
-
colon resection
Questão 10
Questão
What procedure is known as a anal sphincter saving operation?
Responda
-
low anterior resection
-
gastrointestinal resection
-
abdominal perineal resection
-
ileoanal endorectal pull-through
Questão 11
Questão
What procedure leaves the patient with a permanent colostomy?
Responda
-
Lower anterior resection
-
abdominal perineal resection
-
ileonal endorectal pull-through
-
colonectomy
Questão 12
Questão
What procedure leaves the anal opening closed for life?
Responda
-
low anterior resection
-
ileonal endorectal pull-through
-
appendectomy
-
abdominal perineal resection
Questão 13
Questão
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?
Responda
-
Pyloroplasty
-
LAR
-
Billroth I
-
J-pouch
Questão 14
Questão
In a LAR what is the diagnostic instrument used to inflate the colon?
Responda
-
Asepto
-
Sigmoidoscope
-
Stentascope
-
Stethoscope
Questão 15
Questão
What medication is injected at the "Dentate" intraoperatively to help separate the layers on a J-Pouch procedure?
Responda
-
thrombin
-
dexamethazone
-
kantrex
-
saline with epinephrine
Questão 16
Questão
What is removed on the J-Pouch procedure?
Responda
-
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
Questão 17
Questão
Gastrostomy is the
Responda
-
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
Questão 18
Questão
Which instrument set/s would be needed for either Billroth procedure?
Responda
-
large self-retaining retractor set
-
Major Lap
-
GI clamps set
-
all of the above
Questão 19
Questão
Which stapler is used (if possible) at the end of the J-Pouch procedure to complete the anastomosis with the rectum?
Responda
-
LDS
-
TA
-
GIA
-
EEA
Questão 20
Questão
During the LAR procedure, how does the surgeon avoid damaging the ureters during the dissection process of the procedure?
Responda
-
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
Questão 21
Questão
What is the position that the patient will be in for the LAR procedure?
Responda
-
Low Lithotomy
-
Left Lateral
-
Supine
-
Prone
Questão 22
Questão
What is the determining factor when a surgeon decides between an Abdominal Perineal or a Low Anterior Resection?
Responda
-
availability of the instruments
-
level of the patient's lesion
-
skill level of the surgeon
-
insurance carrier
Questão 23
Questão
A mucosectomy is best described as:
Responda
-
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
Questão 24
Questão
What is the size of the stomach pouch after the bariatric surgery?
Responda
-
1 liter
-
100 ml
-
15-20 ml
-
50-75 cc
Questão 25
Questão
The term "Dumping Syndrome" relates to which procedure.
Responda
-
LAR
-
Abdominal Perineal Resection
-
J-pouch
-
Roux-en-y
Questão 26
Questão
Which of the Billroth procedures uses TA-30 staplers times 3 for the anastomosis?
Responda
-
I
-
both
-
II
-
neither
Questão 27
Questão
What patient position is used to displace the abdominal contents to enhance the surgeon's view of the lower abdominal/pelvic region?
Responda
-
Fowler's
-
lateral
-
Trendelenburg
-
reverse Trendelenburg
Questão 28
Questão
The identification and resection of two nerves that will interrupt the parasympathetic nerves and reduce gastric acid secretions is called what?
Responda
-
Vagotomy
-
Pyloroplasty
-
LAR
-
Billroth II
Questão 29
Questão
Why is the psychological aspect of the Bariatric patient important to consider before the procedure can be performed?
Responda
-
Obesity can be related to psychological problems
-
Changes in diet are drastic
-
Reasons for their desired weight loss
-
All of the above are possible
Questão 30
Questão
What is the condition the Billroth patient most likely has?
Responda
-
stomach ulcers or cancer
-
rectal polyps
-
colon cancer
-
esophageal atresia
Questão 31
Questão
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?
Responda
-
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
Questão 32
Questão
What stapler is the most important in the creation of the actual J-Pouch (not the anastomosis)?
Responda
-
LDS
-
EEA
-
TA
-
GIA
Questão 33
Questão
The three portions of the small intestine are the
Responda
-
cecum, mesentery, and ileum
-
mesentery, duodenum, and appendix
-
ilium, sigmoid, and jejunum
-
duodenum, ileum, and jejunum
Questão 34
Questão
What is the purpose of the J-Pouch?
Responda
-
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
Questão 35
Questão
Which surgical procedure relieves symptoms of ulcerative colitis and familial polyposis
Responda
-
Ileoanal Endorectal Pull Through
-
Billroth I
-
Pyloroplasty
-
Abdominal Perineal Resection
Questão 36
Questão
What does Bariatric Surgery (Roux-en-y) treat?
Responda
-
Polyps
-
Ulcers
-
Obesity
-
Colitis
Questão 37
Questão
Another name for the Billroth I & II is?
Responda
-
Vagotomy
-
Pyloroplasty
-
J-Pouch
-
Gastrectomy
Questão 38
Questão
What suture is used to close the anus at the start (not the end) on the Abdominal Perineal Resection?
Responda
-
3-0 plain ties
-
4-0 chromic on a general closure
-
2-0 silk on a curved cutting
-
0 nylon on a keith
Questão 39
Questão
What is the purpose of the Surgeon doing a preoperative sigmoidoscopy on the LAR patient?
Responda
-
confirm the level of the lesion
-
to make a mess
-
for insurance coverage
-
to check the effectiveness of the enema
Questão 40
Questão
What are the qualification guidelines for the Bariatric Surgical Patient?
Responda
-
esophageal reflux
-
BMI of 40 or above
-
pelvic pain
-
blood in the stool
Questão 41
Questão
Which stapler combination is used for the bariatric procedure
Responda
-
TA-30 & GIA
-
LDS & EEA
-
GIA & LDS
-
TA-90 & EEA
Questão 42
Questão
The Abdominal Perineal Resection can best be defined as:
Responda
-
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
Questão 43
Questão
In addition to the surgery, what is commonly removed on the Bariatric Surgery patient during their procedure?
Responda
-
rectum
-
meckel's
-
appendix
-
gallbladder
Questão 44
Questão
Which of the following procedures would involve a surgeon working at the rectum?
Responda
-
Abdominal Perineal Resection
-
J-Pouch
-
LAR
-
All of the procedures, in different degrees.
Questão 45
Questão
The flow of food and liquids from the stomach to the small intestine is controlled by the
Responda
-
anal sphincter
-
sphincter of Oddi
-
ileocecal valve
-
pyloric sphincter
Questão 46
Questão
What is the official name for the J-Pouch procedure?
Responda
-
Ileoanal Endorectal Pull Through
-
Abdominal Perineal Resection
-
Billroth II
-
Low Anterior Resection
Questão 47
Questão
Pyloroplasty will result in?
Responda
-
a flat stomach
-
late & early dumping
-
rapid emptying of the stomach
-
reduction of gastric juice formation
Questão 48
Questão
Which stapler is used on the LAR procedure to perform the anastomosis of the colon and rectum?
Responda
-
EEA
-
LDS
-
GIA
-
TA
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