Bariatric/Thoracic Final

Question 1

A laparoscopic sleeve gastrectomy is considered to be both a restrictive and malabsortive procedure. TRUE OR FALSE

Answer 1

FALSE

Question 2

During a laparoscopic sleeve gastrectomy, the stomach is reduced to what percentage of its original size?

Answer 2

15%

Question 3

The Rawlins study was designed to determine the ______

Answer 3

Tissue thickness trends along the staple line and examines what factors might predispose to thicker tissue

Question 4

The purpose of a surgical anastomosis is to:

Answer 4

Join together two hollow organs, usually to restore continuity after resection, or to bypass an unresectable disease process

Question 5

The pylorus controls the emptying from the stomach into the

Answer 5

DUODENUM

Question 6

An important step during a sleeve gastrectomy process is to mobilize the _____ prior to transecting the stomach

Answer 6

GREATER CURVATURE

Question 7

The liver is almost always retracted to access the operating site during gastric bypass, sleeve gastrectomy or adjustable gastric band procedures. TRUE OR FALSE

Answer 7

TRUE

Question 8

The surgical goals of surgeon when creating the gastric sleeve during a sleeve gastrectomy are to: (select all that apply)

Answer 8

Maintain appropriate compression to ensure uniform, leak free, hemostatic staple lines

Achieve good, consistent staple lines in a wide range of tissue thickness

Provide appropriate size gastric sleeve

Question 9

ETHICON provides a comprehensive portfolio of bariatric resources to support engagement with healthcare professionals and patients at every stage of their journey from sustaining a health lifestyle post-operatively. TRUE OR FALSE

Answer 9

TRUE

Question 10

During a sleeve gastrectomy procedure, surgeons typically encounter the thickest tissue during first firings in the area of the ______

Answer 10

PYLORUS

Question 11

In a gastric bypass procedure, prior to diving the jejunum, the surgeon measures from which landmark to identify where to perform the proximal line or transection?

Answer 11

LIGAMENT OF TREITZ

Question 12

For adults, the World Health Organization (WHO) defines obesity as a BMI greater than or equal to _____

Answer 12

30

Question 13

During a laparoscopic sleeve gastrectomy, some surgeons use buttressing material/staple line reinforcement on the staple line, some oversee the staple line and some don’t use any. TRUE OR FALS

Answer 13

TRUE

Question 14

During a sleeve gastrectomy, what portions of the stomach are removed? Select all that apply

Answer 14

ANTRUM, FUNDUS, BODY/GREATER CURVATURE OF THE STOMACH

Question 15

Select the types of anastomosis performed in a gastric bypass roux-en-Y procedure: select all that apply

Answer 15

GASTROJEJUNOSTOMY

JEJUNOJEJUNOSTOMY

Question 16

In a gastric bypass procedure, either a circular stapler or an Endo cutter can be used to create gastrojejunostomy. TRUE OR FALSE

Answer 16

TRUE

Question 17

BMI stands for Body Mass Index. TRUE OR FALSE

Answer 17

TRUE

Question 18

Obesity dramatically increases the risk of:

Answer 18

ALL OF THE ABOVE

Question 19

Laparoscopic gastric bypass in the surgical treatment for what condition?

Answer 19

Morbid obesity

Question 20

In gastric bypass and sleeve gastrectomy procedures a portion of the stomach is removed. TRUE OR FALSE

Answer 20

FALSE

Question 21

What are common comorbidities of morbid obesity? (Select all that apply)

Answer 21

HYPERTENSION

TYPE 2 DIABETES

SLEEP APNEA

Question 22

The short gastric arteries supply blood to the upper part of the greater curvature and the fundus of the Stomach. TRUE OR FALSE

Answer 22

TRUE

Question 23

Some key features to VATS approach with wedge resection are _______ chance for infection and wound dehiscence, resulting in _______ recovery by the patient.

Answer 23

REDUCED, FASTER

Question 24

The trachea divides into one left and one right breathing tube, and these are termed:

Answer 24

MAINSTEM BRONCHI

Question 25

The _____ is the largest artery in the body and receives blood from the ______

Answer 25

AORTA, LEFT VENTRICLE

Question 26

Which of the following statements about the pleura and the pleura cavity is FALSE?

Answer 26

THE LUNGS ARE CONTAINED WITHIN A SINGLE PLEURAL CAVITY

Question 27

Blood is reoxygynated in the _______

Answer 27

ALVEOLAR SACS

Question 28

The function of the pulmonary veins is to transport ________

Answer 28

OXYGENATED BLOOD FROM THE LUNGS TO THE HEART

Question 29

In a lobectomy, once the portion of the lung with the tumor has been removed, the surgeon removes the ______ that receive drainage from the lung.

Answer 29

LYMPH NODES

Question 30

A wedge resection is performed only for diagnostic, never for therapeutic reasons. TRUE OR FALSE

Answer 30

FALSE

Question 31

During a wedge resection, the surgeon does not encounter any major vessels. TRUE OR FALSE

Answer 31

TRUE

Question 32

The right and left pleural cavities are separated by the ________

Answer 32

MEDIASTINUM

Question 33

What are the four structures that enter and leave the hilus or the lung?

Answer 33

BRONCHUS, PULMONARY ARTERY, SUPERIOR AND INFERIOR PULMONARY VEIN

Question 34

The leading cause of lung cancer is obesity. TRUE OR FALSE

Answer 34

FALSE

Question 35

The pulmonary ________ Cary ________ blood away from the heart to the lungs and the pulmonary _____ take _____ blood from the lungs back to the heart.

Answer 35

ARTERIES, DEOXYGENATED, VEINS, OXYGENATED

Question 36

Pneumothorax is the presence of air or gas in the cavity between the lungs and the chest wall, causing collapse of the lung. TRUE OR FALSE

Answer 36

TRUE

Question 37

The muscle that separates your chest (thorax or thoracic cavity) from your abdomen:

Answer 37

DIAPHRAM

Question 38

The lungs are dived into five separate functional lobes; _____ in the right lung and _____ in the left

Answer 38

3; 2

Question 39

The _____ pumps de-oxygenated blood to the lungs and the _____ receives oxygen-rich blood from the lungs.

Answer 39

RIGHT VENTRICLE, LEFT ATRIUM

Question 40

Select the correct order of procedure steps for a lobectomy:

Answer 40

ADHESION TAKEDOWN, EXPOSE THE HILUS, LIGATE AND TRANSECT PULMONARY VEIN, LIGATE AND TRANSECT PULMONARY ARTERY BRANCHES, LIGATE AND TRANSECT LOBAR BRONCHUS