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Chapter 14
| Question | Answer |
|---|---|
| 1. HBV, HCV and alcohol are precursors to which of the following disease? | Cirrhosis |
| 2. During cholangiography bubbles in the contrast media would likely | Give the appearance of a stone on xray |
| 3. A whipple procedure is done for treatment of a tumor in which abdominal organ | Pancreas |
| 4. Another name for a thyroid tenaculum is a | Lahey |
| 5. Which potentially life threatening disease or condition can result from untreated thyrotoxicosis | Thyroid storm |
| 6. Tetany is a serious potential post op complication of which type of surgical intervention | Thyroidectomy |
| 7. What term describes a benign condition of breast enlargement in men | gynecomastia |
| 8. Which stage of breast cancer is characterized by evidence of distal mestastasis | Stage IV |
| 9. Which anatomical stucture is the largest mass of lymphatic tissue in the body | Spleen |
| 10. Which of the following is not a region of the pancreas | Capsule |
| 11. The triangle of Calot is an anatomical space bounded by structures in which surgical procedure | Cholecystectomy |
| 12. What is achieved by insufflation of carbon dioxide into the abdominal cavity | Pneumoperitomeun |
| 13. Where is the gallbladder located in relation to the liver | inferior surface of the right lobe |
| 14. what is the name of the fibrous and serous capsule that covers the liver | Glisson's |
| 15. For which surgical procedure would the buie pile forceps be used | Hemorrhoidectomy |
| 16. A typical end to end bowel anastomosis is accomplished with which of the following suturing techniques | Two layer interrupted technique for seromuscular approximation with silk. Continuous for mucosa with absorbable surture |
| 17. In which of the following abdominal incisions would the linea alba be opened down to the peritoneum | Median vertical |
| 18. Which incision is traditonally used for open appendectomy | Mcburney |
| 19. A maloney bougie dilator is used in which anatomical structure | Esophagus |
| 20. Doyen, kocker, dennis and allen are names of which type of instrument | Intestinal Clamp |
| 21. What does TEP stand for in general surgery | Totally extraperitoneal patch |
| 22. What term is used for surgical opening of the abdominal or peritoneal cavity | Laparotomy |
| 23. Which type of hernia occurs below the abdominocrural crease and more frequently in females | Femoral |
| 24. What is another way of saying cephalad to caudad | head to tail |
| 25. which fascial sheet is attached to the iliac crest linea alba and pubis | scarpa's |
| 26. What is another name for an acquired ventral hernia through the linea semilunaris | Spigelian |
| 27. A gastrotomy can be created by all of the following methods except | endovascular |
| 28. Which suturing technique is often used on the appendiceal stump | Pursestring |
| 29. Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical procedure | modified radical mastectomy |
| 30. Where are the parathyroid glands located in relation to the thyroid | dorsal, superior and inferior |
| 31. what do the parathyroid glands regulate in the body | blood calcium concentration |
| 32. The skin incision for a thyroidectomy will follow which anatomical lines | Langer's |
| 33. Which handheld retractors are frequently used to retract tissues during thyroidectomy | Green |
| 34. What is the name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision | Bezoar |
| 35. What type of hernia protrudes through the transversalis fascia in the area of hesselback's triangle | 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 | Indirect |
| 37. What is the name for the type of hernia in which both direct and indirect defects are present | Pantaloon |
| 38. For which type of hernia repair could a penrose drain be used as a method of gentle traction of the spermatic cord | McVay inguinal herniorrhaphy` |
| 39. A vegatomy is a surgical treatment option for | Gastric ulcer |
| 40. Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion | Intussusception |
| 41. Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers | Lysis of adhesions |
| 42. End to end, end to side, side to side and roux en Y are techniques for | Bowel anastomosis |
| 43. In a laparascopic appendectomy all of the following methods could be used for dissection of the appendix except | intraluminal circular stapler |
| 44. Which statement is correct regarding polyps and diverticula in the colon | 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 intestine. | Transverse |
| 46. Bowel technique refers to steps used by the surgical team to prevent postoperative | surgical site infections |
| 47. An intestinal stoma is created at a point below the costal margin above the belt line and at the lateral of which muscle | Transverse abdominus |
| 48. Which of the following is the most common permanent colostomy | Sigmoid |
| 49. Which surgical position is used exclusively for anorectal surgical procedures | Kraske |
| 50. Which type of viewing instrument would be used for surgical treatment of hemorrhoids | Anoscope |
| 51. Due to the vascular and friable nature of the liver a surgeon may choose to use suture on which type of needle | blunt |
| 52. what is the incision routinely used for open cholecystectomy | right subcostal |
| 53. which handheld retractor is specifically designed for use in open cholecystectomy to elevate the liver | Harrington |
| 54. what is the reason for injecting saline through the cholangiogram catheter prior to contrast media | The saline will test the patency of the cystic duct prior to injecting contrast |
| 55. A t-tube or wound drain left in place following laparoscopic cholecystectomy would most likely exit through | one of the 5mm right port site incisions |
| 56. Which of the following are endocrine secreting glands of the pancreas that makeup only 1% of the organ | islets of langerhans |
| 57. Pancreaticoduodenectomy is also known as which of the following procedures | Whipple |
| 58. A needle localization procedure may be performed in radiology for assistance in locating discrete masses in the | breast |
| 59. what type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous duct | 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 | Sentinel |
| 61. The surgeon may request which of the following for irrigation to aid in destroying any residual tumor call after dissection | sterile water |
| 62. surgical removal of the entire breast without any lymph nodes is an | simple mastectomy |
| 63. If a mastectomy is scheduled to follow a breast biopsy and frozen section results indicate carcinoma what is done | reprep, redrape patient, team changes gowns and gloves, and use new instruments |
| 64. bifurcated drains and fluffy pressure dressings are used following mastectomies primarily to | prevent formation of hematoma and seroma |
| 65. dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called | hemorrhoid |
| 66. Difficulty swallowing or feeling of food sticking in the esophagus | Dysphagia |
| 67. discomfort or tenderness that occurs with sudden release of pressure, a clinical sign for appendicitis | Rebound pain |
| 68. type of hernia in which tissues are caught within a fascial defect, may become strangulated if not reduced | Strangulated |
| 69. Broad sheet of fibrous tissue or expanded tendon that holds muscles together or connects muscle to bone | Aponeurosis |
| 70. Being on or affecting the same side of the body | ipsilateral |
| 71. Antrectomy removal of distal stomach and pylorus with anastomosis to duodenum preferred approach for treatment of ulcer or neoplasm | Billroth 1 |
| 72. Double layer membrane of peritoneum attached to back wall of abdominal cavity that supports the small intestine | Mesentery |
| 73. Inflammatory bowel disease that causes erosions in the lining of the large intestine | Ulcerative colitis |
| 74. Yellowing of the skin and eyes due to buildup of bilirubin visible sign of certain cancers and diseases of the organs and biliary system | Jaundice |
| 75. Noninvasice electro generated shock waves used to break up calculi in the urinary or biliary system | Lithotripsy |
| True False 1-5 | 1.F 2.T 3.T 4.T 5.F |
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