General Surgery

Question 1

A Nissan fundoplication procedure is done to correct:

Answer 1

Antireflux Disease

Question 2

A dissecting sponge that is a small role of heavy cotton tape is a:

Answer 2

Kittner and peanut

Question 3

Peanuts and dissecting sponges are generally:

Answer 3

Moistened with saline

Question 4

Intra-absominally, lap pads are most often used:

Answer 4

Moistened with saline

Question 5

Specimens may be passed off the sterile field by the scrub person on all of the following EXCEPT:

Answer 5

Sponge

Question 6

A catheter commonly used in a gastrostomy is a:

Answer 6

Mushroom

Question 7

Before handing a Penrose drain to the surgeon:

Answer 7

Moisten in saline

Question 8

The disposable intraluminal staple designed to hold two tubular structures together after resection:

Answer 8

EEA, (End to end anastomosis)

Question 9

Transduodenal sphincterotomy refers to the incision made into the:

Answer 9

Sphincter if Oddi

Question 10

In surgery, cancer technique refers to:

Answer 10

Discarding of instruments coming in contact with tumor after each use

Question 11

Why are gowns, gloves, drapes, & instruments changed following a breast biopsy & before incision for a mastectomy?

Answer 11

To protect margins of healthy tissue from tumor cells

Question 12

A postoperative complication attributed to glove powder entering a wound is:

Answer 12

Granulomata

Question 13

The correct procedure for sterile dressing application is:

Answer 13

Apply dressing before drape removal

Question 14

Which bowel technique for an intestinal procedure is utilized:

Answer 14

Contaminated instruments are discarded, and gloves are changed

Question 15

The Sengstaken-Blakemore tube is used for:

Answer 15

Esophageal hemorrhage

Question 16

Dark blood in the operative field may indicate that the patient is:

Answer 16

Hypoxia

Question 17

The term transduodenal sphinctetotomy indicates surgery of the:

Answer 17

Distal end of the common bile duct

Question 18

McBurney is an incision used for:

Answer 18

Appendectomy

Question 19

The simplest abdominal incision offering good exposure to any part of the abdominal cavity:

Answer 19

Vertical Midline

Question 20

During an appendectomy, a purse string suture is placed around the appendix stump to:

Answer 20

Invert the stump of the appendix

Question 21

Gastrointestinal technique is required in all of the following procedures EXCEPT:

Answer 21

Cholecystectomy

Question 22

A hernia occurring in Hesselbach’s triangle is:

Answer 22

Direct

Question 23

Pathologic enlargement of the male breast is called:

Answer 23

Gynecomastia

Question 24

Sutures placed in a wound to prevent wound evisceration are called:

Answer 24

Retention

Question 25

Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is a:

Answer 25

Pyloroplasty

Question 26

A Whipple operation is surgically termed a:

Answer 26

Pancreaticoduodenectomy

Question 27

A left subcoastal incision indicates surgery of the:

Answer 27

Spleen

Question 28

A lower oblique incision is a/an:

Answer 28

Inguinial

Question 29

The curved transverse incision used for pelvic surgery is:

Answer 29

Pfannenstiel

Question 30

Which breast procedure removes the entire breast & axillary contents but preserves the pectoral muscles?

Answer 30

Modified radical mastectomy

Question 31

The breast procedure performed to remove extensive benign disease is a/an:

Answer 31

Simple mastectomy

Question 32

What incision is indicated for an esophagogastrectomy?

Answer 32

Thoracoabdominal

Question 33

In which incision could retention sutures be used?

Answer 33

Vertical midline

Question 34

In which hernia is the blood supply of the trapped sac contents compromised and in danger of necrotizing?

Answer 34

Strangulated

Question 35

In which hernia does the herniation protrude into the inguinial canal but NOT the cord?

Answer 35

Direct

Question 36

Which hernia leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal?

Answer 36

Indirect

Question 37

In a cholecystectomy, which structures are ligated and divided?

Answer 37

Cystic duct & cystic artery

Question 38

All of the following statements refer to pilonidal cyst surgery EXCEPT:

Answer 38

Cyst is removed, but tract remains

Question 39

An important consideration during a cholangiogram is to:

Answer 39

Remove all air bubbles from the cholagiocath

Question 40

The intestinal layers, in order from inside to outside, are:

Answer 40

Mucosa, submucosa, serosa

Question 41

A common postoperative patient complaint following a laparoscopic procedure is:

Answer 41

Shoulder pain

Question 42

A subphrenic abscess occurs in the:

Answer 42

Liver

Question 43

Portal pressure measurement is indicated in:

Answer 43

Hepatic resection

Question 44

Which organ is removed because of trauma, a blood condition, or as a staging procedure for malignancy?

Answer 44

Spleen

Question 45

Following a hemorrhoidectomy:

Answer 45

Petroleum gauze packing is placed in the anal canal

Question 46

Which term is used when requiring intraoprative x-rays during a cholecystectomy?

Answer 46

Cholangiogram

Question 47

In a pilonidal cystectomy, the defect frequently is too large to close and requires use of a/an:

Answer 47

Packing & pressure dressing

Question 48

The instrument most commonly used to grasp the mesoappendix during an appendectomy is a/an:

Answer 48

Babcock

Question 49

Vaporization & coagulation of hemorrhoidal tissue can be accomplished with:

Answer 49

CO2 laser

Question 50

An entire breast tumor/mass removal is termed:

Answer 50

Excisional biopsy

Question 51

Thrombosed vessels of the rectum are known surgically as:

Answer 51

Hemorrhoids

Question 52

A procedure done to give the colon a rest & that is then reversed is:

Answer 52

Temporary colostomy

Question 53

A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed is a/an:

Answer 53

EEA, (End to end anastomosis

Question 54

Advanced inflammation of the bowel could be conservatively treated with which procedure?

Answer 54

Temporary colostomy

Question 55

Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a:

Answer 55

Peanut

Question 56

Direct visualization of the common bile duct is accomplished with a:

Answer 56

Choledochoscope

Question 57

Fogarty biliary catheters are used to:

Answer 57

Facilitate stone removal

Question 58

Bariatric surgery treats:

Answer 58

Obesity

Question 59

Which incision would require cutting through Scarpa’s fascia?

Answer 59

Inguinal

Question 60

A gastroplasty:

Answer 60

Reduces stomach size

Question 61

Which item retracts the spermatic cord structure in herniorrhaphy?

Answer 61

Penrose drain

Question 62

An irreducible hernia whose abdominal contents have become trapped in the extra abdominal sac is called a/an:

Answer 62

Incarcerated hernia

Question 63

A palliative invasive procedure done to prevent malnutrition or starvation is known as:

Answer 63

Gastrostomy

Question 64

The use of noninvasive high-energy shock waves to pulverized gallstones into small fragments for easy passage through the common bile duct & out of the body is called:

Answer 64

Cholelithotripsy

Question 65

Intraoprative cholangiogram can be performed either through open abdominal or laparoscopic procedures using administration of a contrast medium directly into the common bile duct through a:

Answer 65

Cholangiocath

Question 66

Intra-abdominal pressure during the instillation of CO2 for creation of pneumoperitoneum is 10-15 mm Hg. A pressure reading higher than this may indicate that the needle may be:

Answer 66

Buried in fatty tissue, buried in the ommentum, in a lumen of intestines

Question 67

The proper method of removing the gallbladder specimen after complete dissection & irrigation of the operative site in a laparoscopic cholecystectomy is to:

Answer 67

Utilize an Endobag, pull gallbladder through the largest port, decompress the gallbladder by suctioning bile before removal

Question 68

During a laparoscopic cholecystectomy, the surgeon generally stands:

Answer 68

At the left side of the patient

Question 69

Gastrointestinal decompression during a general surgical procedure can be effected by the use of a:

Answer 69

Levine tube & Miller-Abbot tube

Question 70

A selected alternative to a conventional ileostomy that denies spontaneous stool exiting from the stoma and requires catheterization of the stoma daily to evacuate the contents is a/an:

Answer 70

Kock pouch

Question 71

When both direct & indirect hernias occur in the same inguinal area, the defect is termed:

Answer 71

Pantaloon

Question 72

An inguinal hernia containing a Meckel’s diverticulum is called a:

Answer 72

Littre

Question 73

Drainage of an incision following simple or modified radical mastectomy is accomplished by a:

Answer 73

Closed wound drainage

Question 74

During laparoscopic cholecystectomy, the camera operator usually stands

Answer 74

To the right of the first assistant

Question 75

The maximum pressure allowed to prevent the possible intraoprative complications of bradycardia, blood pressure changes, or potential gas emboli during a laparoscopic procedure is:

Answer 75

15 mm Hg

Question 76

Place tissue layers of the abdominal wall in their correct order from the outside in: (1) fascia, (2) skin, (3) peritoneum, (4) subcutaneous, (5) muscle

Answer 76

2,4,1,5,3

Question 77

What is the technique used on a laparoscopic direct inguinal hernia repair where the peritoneal space is inflated with a ballon dissector?

Answer 77

TEP, (Total extraperitoneal)