Quiz
Surgical Technology, Procedures, Unit 2, Gastrointestinal pat 2(Proctored Exam practise)
Questions in this quiz (48)
1LAR stands for?
- Alateral Anterior Resection
- Blong Anterior Resection
- Clow Anterior Resection
2
The removal of the lower sigmoid and rectosigmoid portions of the rectum is kmow as?- Amedial Anterior Resection
- Banterior Resection
- CLAR
- DGI resection
3What best describes the purpose of a LAR procedure?
- Atreat lesions in the bladder
- Btreat hernias in the colon
- Ctreat lesions in the small intestine and rectum
- Dtreat lesions in the sigmoid and rectum
4In a LAR procedure it is vital to maintain a portion of the colon to keep the function of?
- Amaintain water absorption
- Bmaintain hemostasis
- Cmaintain circulatory system
- Dmaintain fecal function
5LAR procedures are done in what patient position on the O.R. bed?
- Asupine
- Blateral
- Cprone
- Dlithomtomy
6J-Pouch is known as?
- ALow Anterior Resection
- Bcolon resection
- CIleoanal endorectal pull through
- Dlateral endorectal pull through
7Ileoanal Endorectal Pull-Through is the removal of?
- Acolon and proximal 2/3 of rectum
- Bsmall intestine and part of rectum
- Csmall intestine and 2/3 of rectum
- Dcolon and 1/3 of rectum
8What procedure peels away the inner lining of the rectum?
- Agastroectomy
- Bmucosalectomy
- Ccolongealectomy
- Dmucosectomy
9What procedure relieves symptoms of ulcerative colitis and polyosis?
- Alow anterior resection
- Bileonal endorectal pull-through
- Ccholangiocarcinoma
- Dcolon resection
10What procedure is known as a anal sphincter saving operation?
- Alow anterior resection
- Bgastrointestinal resection
- Cabdominal perineal resection
- Dileoanal endorectal pull-through
11What procedure leaves the patient with a permanent colostomy?
- ALower anterior resection
- Babdominal perineal resection
- Cileonal endorectal pull-through
- Dcolonectomy
12What procedure leaves the anal opening closed for life?
- Alow anterior resection
- Bileonal endorectal pull-through
- Cappendectomy
- Dabdominal perineal resection
13Which of the following procedures can be done to help an adult patient with stomach ulcers and a newborn with a distal stomach sphincter stenosis?
- APyloroplasty
- BLAR
- CBillroth I
- DJ-pouch
14In a LAR what is the diagnostic instrument used to inflate the colon?
- AAsepto
- BSigmoidoscope
- CStentascope
- DStethoscope
15What medication is injected at the "Dentate" intraoperatively to help separate the layers on a J-Pouch procedure?
- Athrombin
- Bdexamethazone
- Ckantrex
- Dsaline with epinephrine
16What is removed on the J-Pouch procedure?
- Adistal stomach and 1/2 of duodenum
- Bdistal colon, rectum and anus
- Centire colon and proximal 2/3 of the rectum
- Dproximal colon and cecum
17Gastrostomy is the
- Aremoval of a bezoar (intestinal stones)
- Brepair of a stomach ulcer
- Cresection of a portion of the stomach
- Dcreation of an opening from the stomach to the skin
18Which instrument set/s would be needed for either Billroth procedure?
- Alarge self-retaining retractor set
- BMajor Lap
- CGI clamps set
- Dall of the above
19Which stapler is used (if possible) at the end of the J-Pouch procedure to complete the anastomosis with the rectum?
- ALDS
- BTA
- CGIA
- DEEA
20During the LAR procedure, how does the surgeon avoid damaging the ureters during the dissection process of the procedure?
- Athe assistant will place their hands over the ureters for protection
- Bdye is injected to help make the ureters show up.
- CStents are placed to help identify the ureters
- DX-rays are taken during the procedure
21What is the position that the patient will be in for the LAR procedure?
- ALow Lithotomy
- BLeft Lateral
- CSupine
- DProne
22What is the determining factor when a surgeon decides between an Abdominal Perineal or a Low Anterior Resection?
- Aavailability of the instruments
- Blevel of the patient's lesion
- Cskill level of the surgeon
- Dinsurance carrier
23A mucosectomy is best described as:
- Apeeling away the mucosal lining, leaving the underlying muscle layer
- Bwrapping the proximal stomach around the esophagus
- Cthe permanent closing of the rectum
- Dpartial closing of the rectum
24What is the size of the stomach pouch after the bariatric surgery?
- A1 liter
- B100 ml
- C15-20 ml
- D50-75 cc
25The term "Dumping Syndrome" relates to which procedure.
- ALAR
- BAbdominal Perineal Resection
- CJ-pouch
- DRoux-en-y
26Which of the Billroth procedures uses TA-30 staplers times 3 for the anastomosis?
- AI
- Bboth
- CII
- Dneither
27What patient position is used to displace the abdominal contents to enhance the surgeon's view of the lower abdominal/pelvic region?
- AFowler's
- Blateral
- CTrendelenburg
- Dreverse Trendelenburg
28The identification and resection of two nerves that will interrupt the parasympathetic nerves and reduce gastric acid secretions is called what?
- AVagotomy
- BPyloroplasty
- CLAR
- DBillroth II
29Why is the psychological aspect of the Bariatric patient important to consider before the procedure can be performed?
- AObesity can be related to psychological problems
- BChanges in diet are drastic
- CReasons for their desired weight loss
- DAll of the above are possible
30What is the condition the Billroth patient most likely has?
- Astomach ulcers or cancer
- Brectal polyps
- Ccolon cancer
- Desophageal atresia
31At the completion of the LAR, air is instilled into the colon and the abdominal cavity is filled with irrigation solution. This is done for what purpose?
- ATo look for bleeding within the bowel
- BTo seal the anastomosis
- CTo reduce the chance for gas production after surgery
- DTo check for leaks in the anastomosis
32What stapler is the most important in the creation of the actual J-Pouch (not the anastomosis)?
- ALDS
- BEEA
- CTA
- DGIA
33The three portions of the small intestine are the
- Acecum, mesentery, and ileum
- Bmesentery, duodenum, and appendix
- Cilium, sigmoid, and jejunum
- Dduodenum, ileum, and jejunum
34What is the purpose of the J-Pouch?
- Aprovide a place for the colostomy to expel waste
- Bprovide a holding chamber for fecal matter to solidify
- Cto give the patient time for water absorption
- Dboth b & c
35Which surgical procedure relieves symptoms of ulcerative colitis and familial polyposis
- AIleoanal Endorectal Pull Through
- BBillroth I
- CPyloroplasty
- DAbdominal Perineal Resection
36What does Bariatric Surgery (Roux-en-y) treat?
- APolyps
- BUlcers
- CObesity
- DColitis
37Another name for the Billroth I & II is?
- AVagotomy
- BPyloroplasty
- CJ-Pouch
- DGastrectomy
38What suture is used to close the anus at the start (not the end) on the Abdominal Perineal Resection?
- A3-0 plain ties
- B4-0 chromic on a general closure
- C2-0 silk on a curved cutting
- D0 nylon on a keith
39What is the purpose of the Surgeon doing a preoperative sigmoidoscopy on the LAR patient?
- Aconfirm the level of the lesion
- Bto make a mess
- Cfor insurance coverage
- Dto check the effectiveness of the enema
40What are the qualification guidelines for the Bariatric Surgical Patient?
- Aesophageal reflux
- BBMI of 40 or above
- Cpelvic pain
- Dblood in the stool
41Which stapler combination is used for the bariatric procedure
- ATA-30 & GIA
- BLDS & EEA
- CGIA & LDS
- DTA-90 & EEA
42The Abdominal Perineal Resection can best be defined as:
- Athe excision of the distal colon, sigmoid, rectum and anus
- Ba permanent colostomy is made with the proximal colon
- Cthe closing of the rectum for life
- Dall of the above
43In addition to the surgery, what is commonly removed on the Bariatric Surgery patient during their procedure?
- Arectum
- Bmeckel's
- Cappendix
- Dgallbladder
44Which of the following procedures would involve a surgeon working at the rectum?
- AAbdominal Perineal Resection
- BJ-Pouch
- CLAR
- DAll of the procedures, in different degrees.
45The flow of food and liquids from the stomach to the small intestine is controlled by the
- Aanal sphincter
- Bsphincter of Oddi
- Cileocecal valve
- Dpyloric sphincter
46What is the official name for the J-Pouch procedure?
- AIleoanal Endorectal Pull Through
- BAbdominal Perineal Resection
- CBillroth II
- DLow Anterior Resection
47Pyloroplasty will result in?
- Aa flat stomach
- Blate & early dumping
- Crapid emptying of the stomach
- Dreduction of gastric juice formation
48Which stapler is used on the LAR procedure to perform the anastomosis of the colon and rectum?
- AEEA
- BLDS
- CGIA
- DTA
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