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SGT 110

Chapter 14 - General Surgery

QuestionAnswer
1. HBV, HCV and alcohol abuse are precursors to which of the following diseases? A. Cirrhoisis
2. During cholangiography, bubbles in the contrast media would likely: B. Give the appearance of a stone on x-ray
3. Whipple procedure is done for treatment of a tumor in which abdominal organ? B. Pancreas
4. Another name for a thyroid tenaculum is a: C. Lahey
5. Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis? D. Thyroid storm
6. Tetany is a serious potential post-op complication of which type of surgical intervention? D. Thyroidectomy
7. What term describes a benign condition of breast enlargement in men? A. Gynecomastia
8. Which stage of breast cancer is characterized by evidence of distal metastasis? D. Stage IV
9. Which anatomical structure is the largest mass of lymphatic tissue in the body? C. Spleen
10. Which of the following is NOT a region of the pancreas? B. Capsule
11. The triangle of Calot is an anatomical space bounded by structures in which surgical procedure? B. Cholecystectomy
12. What is achieved by insufflation of carbon dioxide into the abdominal cavity? C. Pneumoperitoneum
13. Where is the gallbladder located in relation to the liver? C. Inferior surface of the right lobe
14. What is the name of the fibrous and serous capsule that covers the liver? B.Glisson's
15. For which surgical procedure would the Buje pile forceps be used? D. Hemorrhoidectomy
16. A typical end-to-end bowel anastomosis is accomplished with which of the following suture techniques? D. Two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture. (CHECK ANSWER)
17. In which of the following abdominal incisions would the linea alba be opened down to the peritoneum? C. Median vertical
18. Which incision is traditionally used for open appendectomy? A. McBurney
19. A Maloney bougie diator is used in which anatomical structure? B. Esophagus
20. Doyen, Kocher, Dennis and Allen are names of which type of instrument? B. Intestinal clamps
21. What does TEP stand for in general surgery? C. Totally extraperitoneal patch
22. What term is used for surgical opening of the abdominal or peritoneal cavity? D. Laparotomy
23. Which type of hernia occurs below the adominocrural crease and more frequently in females? A. Femoral
24. What is another way of saying "cephalad to caudad"? C. Head to tail
25. Which fascial sheet is attached to the iliac crest, linea alba, and pubis? C. Scarpa's
26. What is another name for an acquired ventral hernia through the linea semilunaris? D. Spigelian
27. A gastrostomy can be created by all of the following methods EXCEPT: B. Endovascular
28. Which suturing technique is often used on the appendiceal stump? D. Pursestring
29. Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical procedure? C. Modified radical mastectomy
30. Where are the parathyroid glands located in relation to the thyroid? C. Dorsal, superior and inferior
31. What do the parathyroid glands regulate in the body? A. Blood calcium concentration
32. The skin incision for a thyroidectomy will follow which anatomical lines? B.Langer's
33. Which handheld retractors are frequently used to retract tissues during thyroidectomy? A. Green
34. What is the name of gastric mass of indigestible vegetable fiber and hair that may require surgical excision? A. Bezoar
35. What type of hernia protrudes through the transversalis fascia in the area of Hesselbach's triangle? A. Direct
36. What type of hernia results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum? C. Indirect
37. What is the name for the type of hernia in which both direct and indirect defects are present? D. Pantaloon
38. For which type of hernia repair could a penrose drain be used as a method of gentle traction of the spermatic cord? B. McVay inguinal hemiorrhaphy
39. A vagotomy is a surgical treatment option for: C. Gastric ulcers
40. Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion? C. Int.....sception?
41. Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers? D. Lysis of adhesions
42. End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for: A. Bowel anastomosis
43. In a laparoscopic appendectomy, all of the following methods could be used for dissection of the appendix EXCEPT: C. Intraluminal circular stapler
44. Which statement is correct regarding polyps and diverticula in the colon? C. Polyps protrude inward, and diverticula protrude outward from the intestine.
45. The hepatic and splenic flexures are located proximally and distally in which part of the large intestines? D. Transverse
46. "Bowel technique" refers to steps used by the surgical team to prevent postoperative: D. Surgical Site Infection
47. An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which muscle? D. Transversus abdominus
48. Which of the following is the MOST common permanent colostomy? D. Sigmoid
49. Which surgical position is used exclusively for anorectal surgical procedures? A. Kraske
50. Which type of viewing instrument would be used for surgical treatment of hemorrhoids? A. Anoscope
51. Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle? B. Blunt
52. What is the incision routinely used for open cholecystectomy? D. Right subcostal
53. Which handheld retractor is specifically designed for use in open cholecystectomy to evaluate the liver? C. Harrington
54. What is the reason for injecting saline through the cholangiogram catheter prior to the contrast media? D. The saline will test patency of the cystic duct prior to injfection the contrast.
55. A T-tube or wound drain left in place following laparoscopic cholecystectomy would MOST likely exit through: C. One of the 5mm right port site incisions
56. Which of the following are endocrine-secreting glands of the pancreas that make up only 1% of the organs? C. Islets of Langerhans
57. Pancreaticoduodenectomy is also known as which of the following procedures? D. Whipple
58. A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the: A. Breast
59. What type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous ducts? A. Circumareolar
60. What is the name for the first lymph node in the axillary chain that is frequently biopsied in conjunction with a breast biopsy, lumpectomy, or mastectomy? D. Sentinel
61. The surgeon may request which of the following for irrigation to aid in destroying any residual tumor cells after dissection? D. Sterile water
62. Surgical removal of the entire breast without any lymph nodes is a(n): B. Simple mastectomy
63. If a mastectomy is scheduled to follow a breast biopsy and frozen section results indicate carcinoma, what is done? D. Re-prep, redrape patient, team changes gowns and gloves; and use new instruments.
64. Bifurcated drains and fluffy pressure dressings are used following mastectomy primarily to: B. Prevent formation of hematoma and seroma
65. Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called: C. Hemorrhoid
1. Difficulty swallowing or feeling of food sticking in the esophagus. E. Dysphagia
2. Discomfort or tenderness that occurs with sudden release of pressure; a clinical sign of appendicitis. H. Rebound pain
3. Type of hernia in which tissues are caught within a fascial defect; may become strangulated if no reduced. B. Strangulated
4. Broad sheet of fibrous tissue or expanded tendon that holds muscles together or connects muscle to bone. I. Aponeurosis
5. Being on or affecting the same side of the body. C. Ipsiateral? (CHECK ANSWER)
6. Antrectomy: removal of distal stomach and pylorus with anastomosis to duodenum; preferred approach for treatment of ulcer or neoplasm. J. Billroth I
7. Double-layer membrane of peritoneum attached to back wall of abdominal cavity that supports the small intestine. A. Mesentery
8. Inflammatory bowel disease that causes erosions in the lining of the large intestine. F. Ulcerative colitis
9. Yellowing of the skin and eyes due to buildup of bilirubin; visible sign of certain cancers and diseases of the organs of the biliary system. G. Jaundice
10. Noninvasive electro-generated shock waves used to break up calculi in the urinary or biliary system. D. Lithotripsy
1. The Hasson technique for establishing pneumoperitoneum requires the use of a Veress needle. False
2. The upper-hand and Thompson retractors are complex self-retaining retractors frequently used in major abdominal procedures. True
3. Conversion from a laparoscopic procedure to an open procedure is always a possibility that the surgical technologist should be prepared for. True
4. A surgical technologist may "run" or operate the laparoscopic camera during minimally invasive procedures to free up the hands of the surgeon and surgical first assistant. True
5. Surgical skin preps for breast procedures for carinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients. False
Created by: mdr87
 

 



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