Exam: #6

Question 0

Which gas is used for insufflation of the abdomen?

Answer 0

CO2

Question 1

What is another name for the digestive tract?

Answer 1

Alimentary canal

Question 2

What is dysphagia?

Answer 2

Difficulty swallowing

Question 3

What is used for auscultation?

Answer 3

Stethoscope

Question 4

What needs to be counted on a Bookwalter retractor set?

Answer 4

Everything!!

Question 5

What are the 3 portions of the small intestine?

Answer 5

Duodenum, jejunum, ilium

Question 6

What is another name for the iliac region of the abdomen?

Answer 6

inguinal

Question 7

What is GERD?

Answer 7

Stomach acid comes in contact with esophageal lining

Question 8

What are the prep perimeters for a laparotomy?

Answer 8

Mid chest to mid thighs and bilaterally as far as possible

Question 9

What can be used to make passing a specimen to the circulator easier?

Answer 9

Put it on a piece of telfa and pass to circulator

Question 10

What is a vagotomy?

Answer 10

Create a partial split in the nerve trunks in the stomach

Question 11

What does a nissen fundoplication correct?

Answer 11

hiatal hernia

Question 12

What is the appendix attached to?

Answer 12

Secum

Question 13

What is anastomosis?

Answer 13

A surgical connection of 2 hollow or tubular structures

Question 14

What is volvulus?

Answer 14

Twisting of the bowel

Question 15

What’s the incision for an open appendectomy?

Answer 15

Mcburney

Question 16

What can happen to gallstones if they are placed in formalin?

Answer 16

they can be altered

Question 17

What is intussusception?

Answer 17

Telescoping of the bowel

Question 18

What gland is endocrine and exocrine?

Answer 18

pancreas

Question 19

What is removed in a modified radical mastectomy?

Answer 19

The entire breasts including lymph nodes as well as axillary

Question 20

If an excision of a hemorrhoidal elliptical is larger than 1.5 cm, will the wound be left open or close and what intention will it heal by?

Answer 20

Left opened with second intention healing

Question 21

What is diverticulum?

Answer 21

Abnormal out pouching of the bowel

Question 22

What should you do to lap sponges once the peritoneum is entered?

Answer 22

Moisten with warm saline

Question 23

Why is there 2 setups for a mastectomy followed by a breast reconstruction?

Answer 23

Prevents tumor seeding

Question 24

What are the steps for transecting the mesoappendix during an open appendectomy?

Answer 24

1. a proximal clamp is applied 2. the distal clamp is applied 3. vessel is cut w/metz scissors 4. ligate proximal end, cut suture 5. then ligate distal end and cut suture 6. then remove clamps

Question 25

What produces bile?

Answer 25

Liver

Question 26

Where is the xiphoid process located?

Answer 26

Distal portion of the sternum

Question 27

List and describe 5 stapling devices.

Answer 27

* Linear stapler- To insert 2 straight, staggered, evenly spaced, parallel rows of staples into tissue * Intraluminal stapler: circular staples are used to anastomose tubular structures * Skin stapler: to approximate skin edges during skin closure * Linear Dissecting stapler-ejects 2 ligating clips side by side and then divides the tissue between the clips w/a single activation * Linear cutters- to staple and transect the tissue, contains a knife.

Question 28

What is the most common injured organ in blunt and penetrating abdominal trauma?

Answer 28

Liver

Question 29

What is a Billroth I or II?

Answer 29

A Subtotal gastrectomy

Question 30

Where does the biliary tract terminate?

Answer 30

Sphincter of Oddi

Question 31

What is the difference between a Billroth I and II?(Both are removing the pylorus of the stomach)

Answer 31

- -B. I-the remaining portion of the stomach is anastomosed to the the duodenum - -B.II- the remaining of the stomach is anastomosed to the jejunum

Question 32

How many cholecystectomy’s are performed every year in the United States?

Answer 32

600,000-700,000

Question 33

In what quadrant is the gallbladder located?

Answer 33

RUQ (Right upper quadrant)

Question 34

What are gallstones classified as?

Answer 34

Cholesterol and pigmented

Question 35

What procedure treats rectal cancer?

Answer 35

Abdominoperineal resection

Question 36

Why is a splenectomy performed?

Answer 36

if the spleen is bleeding

Question 37

What is the purse-string suture used for?

Answer 37

Tighten or close and opening

Question 38

What are the functions of the liver?

Answer 38

Produces bile

Question 39

What size are tumors in stage IIIb?

Answer 39

larger than 5 cms

Question 40

What does the gram stain identify?

Answer 40

Bacteria

Question 41

What kind of –ostomy is created from the terminal ileum?

Answer 41

endiliostomy

Question 42

What is the objective of a simple I&D?

Answer 42

Open an abscess to allow drainage to relieve pain and reduce the risk of spreading infection

Question 43

What is the location of a diaphragmatic hernia?

Answer 43

esophageal hiatus

Question 44

What is thoracentesis?

Answer 44

removal of fluid from the plural cavity

Question 45

Where is a direct hernia located?

Answer 45

Hasselbach’s triangle

Question 46

Does the patency of the balloon on a tracheotomy tube need to be checked before the procedure begins?

Answer 46

YES

Question 47

What is removed in a whipple pancreaticduodenectomy?

Answer 47

* Head of the pancreas * distal 1/3 of the stomach * entire duodenum * proximal 10 cms of the jejunum * gallbladder * cystic and bile ducts * peripancreatic hepatoduodenal lymph nodes

Question 48

What is electroencephalography?

Answer 48

Recording of electrical activity of the brain

Question 49

What is the purpose of the Hasson trocar?

Answer 49

allows trocar to be anchored into the fascia to create an air tight seal with sutures.

Question 50

Why is a penrose used for an inguinal herniorrhaphy?

Answer 50

Retract the spermatic chord

Question 51

What instrument is typically used to grasp bowel?

Answer 51

Babcock