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