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Surgical Technology, Procedures, Unit 2, Gastrointestinal pat 2(Proctored Exam practise)

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Surgical Technology, Procedures, Unit 2, Gastrointestinal pat 2(Proctored Exam practise)
hey ohh
Quiz by hey ohh, updated more than 1 year ago
hey ohh
Created by hey ohh over 5 years ago
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Question 1

Question
LAR stands for?
Answer
  • lateral Anterior Resection
  • long Anterior Resection
  • low Anterior Resection

Question 2

Question
The removal of the lower sigmoid and rectosigmoid portions of the rectum is kmow as?
Answer
  • medial Anterior Resection
  • anterior Resection
  • LAR
  • GI resection

Question 3

Question
What best describes the purpose of a LAR procedure?
Answer
  • 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

Question 4

Question
In a LAR procedure it is vital to maintain a portion of the colon to keep the function of?
Answer
  • maintain water absorption
  • maintain hemostasis
  • maintain circulatory system
  • maintain fecal function

Question 5

Question
LAR procedures are done in what patient position on the O.R. bed?
Answer
  • supine
  • lateral
  • prone
  • lithomtomy

Question 6

Question
J-Pouch is known as?
Answer
  • Low Anterior Resection
  • colon resection
  • Ileoanal endorectal pull through
  • lateral endorectal pull through

Question 7

Question
Ileoanal Endorectal Pull-Through is the removal of?
Answer
  • 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

Question 8

Question
What procedure peels away the inner lining of the rectum?
Answer
  • gastroectomy
  • mucosalectomy
  • colongealectomy
  • mucosectomy

Question 9

Question
What procedure relieves symptoms of ulcerative colitis and polyosis?
Answer
  • low anterior resection
  • ileonal endorectal pull-through
  • cholangiocarcinoma
  • colon resection

Question 10

Question
What procedure is known as a anal sphincter saving operation?
Answer
  • low anterior resection
  • gastrointestinal resection
  • abdominal perineal resection
  • ileoanal endorectal pull-through

Question 11

Question
What procedure leaves the patient with a permanent colostomy?
Answer
  • Lower anterior resection
  • abdominal perineal resection
  • ileonal endorectal pull-through
  • colonectomy

Question 12

Question
What procedure leaves the anal opening closed for life?
Answer
  • low anterior resection
  • ileonal endorectal pull-through
  • appendectomy
  • abdominal perineal resection

Question 13

Question
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?
Answer
  • Pyloroplasty
  • LAR
  • Billroth I
  • J-pouch

Question 14

Question
In a LAR what is the diagnostic instrument used to inflate the colon?
Answer
  • Asepto
  • Sigmoidoscope
  • Stentascope
  • Stethoscope

Question 15

Question
What medication is injected at the "Dentate" intraoperatively to help separate the layers on a J-Pouch procedure?
Answer
  • thrombin
  • dexamethazone
  • kantrex
  • saline with epinephrine

Question 16

Question
What is removed on the J-Pouch procedure?
Answer
  • 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

Question 17

Question
Gastrostomy is the
Answer
  • 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

Question 18

Question
Which instrument set/s would be needed for either Billroth procedure?
Answer
  • large self-retaining retractor set
  • Major Lap
  • GI clamps set
  • all of the above

Question 19

Question
Which stapler is used (if possible) at the end of the J-Pouch procedure to complete the anastomosis with the rectum?
Answer
  • LDS
  • TA
  • GIA
  • EEA

Question 20

Question
During the LAR procedure, how does the surgeon avoid damaging the ureters during the dissection process of the procedure?
Answer
  • 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

Question 21

Question
What is the position that the patient will be in for the LAR procedure?
Answer
  • Low Lithotomy
  • Left Lateral
  • Supine
  • Prone

Question 22

Question
What is the determining factor when a surgeon decides between an Abdominal Perineal or a Low Anterior Resection?
Answer
  • availability of the instruments
  • level of the patient's lesion
  • skill level of the surgeon
  • insurance carrier

Question 23

Question
A mucosectomy is best described as:
Answer
  • 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

Question 24

Question
What is the size of the stomach pouch after the bariatric surgery?
Answer
  • 1 liter
  • 100 ml
  • 15-20 ml
  • 50-75 cc

Question 25

Question
The term "Dumping Syndrome" relates to which procedure.
Answer
  • LAR
  • Abdominal Perineal Resection
  • J-pouch
  • Roux-en-y

Question 26

Question
Which of the Billroth procedures uses TA-30 staplers times 3 for the anastomosis?
Answer
  • I
  • both
  • II
  • neither

Question 27

Question
What patient position is used to displace the abdominal contents to enhance the surgeon's view of the lower abdominal/pelvic region?
Answer
  • Fowler's
  • lateral
  • Trendelenburg
  • reverse Trendelenburg

Question 28

Question
The identification and resection of two nerves that will interrupt the parasympathetic nerves and reduce gastric acid secretions is called what?
Answer
  • Vagotomy
  • Pyloroplasty
  • LAR
  • Billroth II

Question 29

Question
Why is the psychological aspect of the Bariatric patient important to consider before the procedure can be performed?
Answer
  • Obesity can be related to psychological problems
  • Changes in diet are drastic
  • Reasons for their desired weight loss
  • All of the above are possible

Question 30

Question
What is the condition the Billroth patient most likely has?
Answer
  • stomach ulcers or cancer
  • rectal polyps
  • colon cancer
  • esophageal atresia

Question 31

Question
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?
Answer
  • 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

Question 32

Question
What stapler is the most important in the creation of the actual J-Pouch (not the anastomosis)?
Answer
  • LDS
  • EEA
  • TA
  • GIA

Question 33

Question
The three portions of the small intestine are the
Answer
  • cecum, mesentery, and ileum
  • mesentery, duodenum, and appendix
  • ilium, sigmoid, and jejunum
  • duodenum, ileum, and jejunum

Question 34

Question
What is the purpose of the J-Pouch?
Answer
  • 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

Question 35

Question
Which surgical procedure relieves symptoms of ulcerative colitis and familial polyposis
Answer
  • Ileoanal Endorectal Pull Through
  • Billroth I
  • Pyloroplasty
  • Abdominal Perineal Resection

Question 36

Question
What does Bariatric Surgery (Roux-en-y) treat?
Answer
  • Polyps
  • Ulcers
  • Obesity
  • Colitis

Question 37

Question
Another name for the Billroth I & II is?
Answer
  • Vagotomy
  • Pyloroplasty
  • J-Pouch
  • Gastrectomy

Question 38

Question
What suture is used to close the anus at the start (not the end) on the Abdominal Perineal Resection?
Answer
  • 3-0 plain ties
  • 4-0 chromic on a general closure
  • 2-0 silk on a curved cutting
  • 0 nylon on a keith

Question 39

Question
What is the purpose of the Surgeon doing a preoperative sigmoidoscopy on the LAR patient?
Answer
  • confirm the level of the lesion
  • to make a mess
  • for insurance coverage
  • to check the effectiveness of the enema

Question 40

Question
What are the qualification guidelines for the Bariatric Surgical Patient?
Answer
  • esophageal reflux
  • BMI of 40 or above
  • pelvic pain
  • blood in the stool

Question 41

Question
Which stapler combination is used for the bariatric procedure
Answer
  • TA-30 & GIA
  • LDS & EEA
  • GIA & LDS
  • TA-90 & EEA

Question 42

Question
The Abdominal Perineal Resection can best be defined as:
Answer
  • 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

Question 43

Question
In addition to the surgery, what is commonly removed on the Bariatric Surgery patient during their procedure?
Answer
  • rectum
  • meckel's
  • appendix
  • gallbladder

Question 44

Question
Which of the following procedures would involve a surgeon working at the rectum?
Answer
  • Abdominal Perineal Resection
  • J-Pouch
  • LAR
  • All of the procedures, in different degrees.

Question 45

Question
The flow of food and liquids from the stomach to the small intestine is controlled by the
Answer
  • anal sphincter
  • sphincter of Oddi
  • ileocecal valve
  • pyloric sphincter

Question 46

Question
What is the official name for the J-Pouch procedure?
Answer
  • Ileoanal Endorectal Pull Through
  • Abdominal Perineal Resection
  • Billroth II
  • Low Anterior Resection

Question 47

Question
Pyloroplasty will result in?
Answer
  • a flat stomach
  • late & early dumping
  • rapid emptying of the stomach
  • reduction of gastric juice formation

Question 48

Question
Which stapler is used on the LAR procedure to perform the anastomosis of the colon and rectum?
Answer
  • EEA
  • LDS
  • GIA
  • TA
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