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Surgical Technology, Procedures, Unit 2, Gastrointestinal part 1(Proctored Exam practise)

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Surgical Technology, Procedures, Unit 2, Gastrointestinal part 1(Proctored Exam practise)
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Resumo de Recurso

Questão 1

Questão
Check the boxes of which are characteristic of a Hiatal Hernia?
Responda
  • inflamation of the intestinal tract
  • ulceration of the esophogus
  • reflux of gastric juices
  • gastric juices eat the lining of the stomach
  • difficult in swollowing

Questão 2

Questão
What can be used for diagnostic intervention for a Hiatal Hernia?
Responda
  • tissue disection
  • EKG
  • MRI

Questão 3

Questão
The best option for treatment of of a Hiatal Hernia is?
Responda
  • antibiotics
  • anti acid tablets
  • hiatal surgery since its a serious condition

Questão 4

Questão
GER stands for?
Responda
  • gastroeshopogus reflux
  • gastroingeal reflux
  • gastroesophageal reflux

Questão 5

Questão
The Nissen in "Nissen Fundoplication" is?
Responda
  • name of the procedure
  • name of the hospital it was first performed in
  • The Dr's name

Questão 6

Questão
The Funcoplication in "Nissen Funciplication" is?
Responda
  • the name of the Dr who invented the procedure
  • the name of the procedure
  • the name of the hospital it was first performed in

Questão 7

Questão
Nissen Fundoplication is a hernia procedure that is best described as?
Responda
  • prevent ulceration of the stomach
  • prevent ulcers in the nasopharynx
  • prevent puncture of the diaphram
  • prevent acid reflux

Questão 8

Questão
Nissen Fundoplication is done by?
Responda
  • wrapping the interior wall of the stomach around the esophagus
  • wrapping the hiatus around the diaphragm
  • wrapping the posterior wall of the stomach around the esophagus

Questão 9

Questão
During a Nissen Fundoplication procedure precaution needs to be taken not to irritate?
Responda
  • the stomach
  • the lining of the esophagus
  • spleen
  • nasopharnyx

Questão 10

Questão
What type of incision is used for a Nissen Fundoplication?
Responda
  • inguinal incision
  • paramedian
  • oblique
  • subcostal incision

Questão 11

Questão
Which position is a Laparoscopic Nissen Fundoplication procedure performed?
Responda
  • supine
  • prone
  • trendelberg
  • lithotomy

Questão 12

Questão
Fundo in "Nissen Fundoplication" refers to ?
Responda
  • bottom of stomach
  • intestinal tract
  • esophogus
  • top of stomach

Questão 13

Questão
TIF is a method of using what to treat a hiatal?
Responda
  • antibiotics
  • umbilical canal
  • costal incision
  • mouth

Questão 14

Questão
An Appendicitis is usually caused by?
Responda
  • malnutrition
  • inflamation
  • blockage between the cecum and appendix
  • acid reflux

Questão 15

Questão
A Meckel's diverticulum is found?
Responda
  • esophogus
  • stomach
  • colon
  • small bowel

Questão 16

Questão
A Zenker's diverticulum is found?
Responda
  • esophogus
  • small bowel
  • colon
  • stomach

Questão 17

Questão
Diverticuulosis should be treated?
Responda
  • over 90% need to be treated medically with symptoms of bleeding and inflammation
  • usually no intervention is required
  • almost all cases result in rupture
  • most cases can be treated with antibiotics

Questão 18

Questão
when we refer to the colon we are referring to?
Responda
  • small bowel
  • intestinal tract
  • large intestine

Questão 19

Questão
How much of the colon is taken out in a Hemicolectomy procedure?
Responda
  • 3/4 of the colon
  • 1/3 of the colon
  • 1/2 of the colon
  • the entire colon

Questão 20

Questão
Another name for the alimentary canal is the?
Responda
  • reproductive tract
  • urinary tract
  • respiratory tract
  • digestive tract

Questão 21

Questão
The inner layer of the wall of the digestive tract is called the?
Responda
  • serosa
  • submucosa
  • muscularis
  • mucosa

Questão 22

Questão
The three portions of the small intestine are the?
Responda
  • mesentery, duodenum, appendix
  • cecum, mesentery, ileum
  • ileum, sigmoid, jejunum
  • duodenum, ileum, jejunum

Questão 23

Questão
The outer layer of the wall of the digestive tract is called the
Responda
  • mucosa
  • muscularis
  • submucosa
  • serosa

Questão 24

Questão
In what position is the patient placed when McBurney's incision will be used?
Responda
  • lithotomy
  • lateral
  • prone
  • Supine

Questão 25

Questão
A diaphragmatic hernia is located?
Responda
  • on the ventral body surface
  • around the umbilicus
  • in the groin
  • in the diaphragm

Questão 26

Questão
Nissen fundoplication is the procedure performed to correct a/an?
Responda
  • gastric ulcer
  • inguinal hernia
  • hiatal hernia
  • ruptured tubal pregnancy

Questão 27

Questão
Maloney dilators are used to dilate the ?
Responda
  • esophagus
  • urethra
  • pyloric sphincter
  • cervix

Questão 28

Questão
A purse string suture is used to?
Responda
  • to provide traction
  • to tighten or close an opening
  • for ligation
  • as a retention suture

Questão 29

Questão
An end ileostomy is created from the
Responda
  • terminal ileum
  • sigmoid colon
  • descending colon
  • transverse colon

Questão 30

Questão
When the posterior stomach wall is wrapped around the distal esophagus this action is called?
Responda
  • Marsupialization
  • Distal Wrapping
  • Hot Dogging
  • Fundiplication

Questão 31

Questão
What is used to carefully retract back the distal esophagus during the Nissen Procedure?
Responda
  • surgeons hand
  • harrington
  • penrose drain
  • lap sponge

Questão 32

Questão
Where is the incision located for the open Hiatal Hernia procedure?
Responda
  • Midline
  • Flank
  • Pfannenstiel
  • Inguinal

Questão 33

Questão
What are the sutures and needles commonly used to repair the Hernia on the Open Hiatal Hernia procedure?
Responda
  • #0 Non-abs. on a CT-1
  • #0 Abs. on an SH
  • #3-0 Abs. on an SH
  • #2-0 Non-abs. on a Kieth

Questão 34

Questão
What instrument set(s) are used for the Open Nissen Procedure?
Responda
  • Long Instrument set
  • GI Set
  • Major Lap set
  • All of the above sets

Questão 35

Questão
What is the position of the patient in, having the laparoscopic Nissen procedure?
Responda
  • Lateral
  • prone
  • Supine
  • Low-Lithotomy

Questão 36

Questão
What is the definition of an appendectomy?
Responda
  • Anastomosis of the appendix to the small bowel
  • Drainage of an infected appendix
  • Creating a new opening into the appendix
  • The severance and removal of the appendix from its attachment

Questão 37

Questão
What instrument is used to grasp the appendix?
Responda
  • Babcock
  • Kelly
  • Mayo
  • Kocher

Questão 38

Questão
Which retractors are commonly used during an appendectomy?
Responda
  • Gelpi
  • Deavers
  • Army Navy
  • Appy rich

Questão 39

Questão
What suture is used to tie off the blood supply and support structures to the appendix?
Responda
  • #3-0 absorb.
  • #0 absorb
  • #0 nonabs.
  • #3-0 nonabs.

Questão 40

Questão
Which is the definition of a Volvulus?
Responda
  • finger like pouches on the intestine
  • a twisting of the intestines
  • necrosis of the intestines
  • a telescoping of the intestines

Questão 41

Questão
Which is the definition of Intussusception?
Responda
  • a telescoping of the intestines
  • finger like pouches on the intestines
  • a twisting of the intestines
  • necrosis of the intestines

Questão 42

Questão
What can be used to carefully wall off surrounding structures when gaining exposure during an open bowel procedure?
Responda
  • Deaver retractors
  • Fig leaf or visceral retainer
  • Moist lap sponges
  • Gut bag

Questão 43

Questão
What is done with instruments that have come in contact with the intestinal lumen during a bowel resection?
Responda
  • they are returned to the back table with the other instruments
  • they are handed off to the circulator
  • they are wiped clean
  • they are kept separate from the other instruments until the end of the case

Questão 44

Questão
How is the segment of bowel on a Scope bowel procedure removed from the patient.
Responda
  • using an end to end anatomists stapler
  • It is cut into pieces and taken out through the trocars
  • It is left in the intestinal tract to be passed
  • An endo pouch is used to pull it out through a small incision at the end of the procedure.

Questão 45

Questão
A portion of the stomach protrudes through the hiatus of the diaphragm is known as?
Responda
  • incarcerated hernia
  • hiatal hernia
  • hernia that has turned necrotic
  • diseased hernia

Questão 46

Questão
When is surgical treatment for a hiatal hernia appropriate?
Responda
  • when the hernia turns necrotic
  • when the hernia becomes incarcerated
  • when the hernia ruptures
  • when medicines fail to give releif

Questão 47

Questão
Check the boxes for the instruments used in a Endoscopic Nissen Fundiplication procedure.
Responda
  • laparotomy set
  • long instrument set
  • Laparoscopy set
  • suction tubing
  • trocars

Questão 48

Questão
When the Surgeon has anesthesia place esophageal dilators down the esophagus to leave them in during the procedure, allowing the esophagus to maintain it's proper opening, this procedure is known as?
Responda
  • tracheostomy
  • appendectomy
  • hiatal hernia
  • Nissen Fundiplication

Questão 49

Questão
What is the name of the incision on an open appendectomy?
Responda
  • ventral
  • mcBurneys
  • abdominal
  • inguinal

Questão 50

Questão
Where anatomically is the appendix located and what it is attached to?
Responda
  • upper abdominals and attached to the gallbladder
  • inguinal and it is attached to the liver
  • Right lower quadrant of the abdomen and it is attached to the cecum.

Questão 51

Questão
Which stapler is used to sever the appendix on a Laparascopic Appendectomy?
Responda
  • Endo GIA
  • TA
  • EEA

Questão 52

Questão
Check the boxes with the three types of intestinal anastomosis that were discussed in class, and include the staplers needed for the job.
Responda
  • Functional End to End - Uses GIA stapler
  • end to end - metz stapler
  • side to end- GIA stapler
  • end to end - EEA stapler
  • end to end - TA stapler

Questão 53

Questão
check the boxes that state a reason why bowel may need to be resected
Responda
  • carcinoma
  • acidosis
  • Adhesions
  • inflamation
  • Ulcerations

Questão 54

Questão
When bowel resection is to be performed, the bowel has to be isolated first before the bowel is stapled and cut. What part of the anatomy is resected before the bowel is stapled and cut?
Responda
  • mucosa
  • mesentary
  • dermal tissue

Questão 55

Questão
What stapler will leave 2 (or 3 on the newer staplers) rows of staples on both sides and cut between the rows all at the same time?
Responda
  • TA stapler
  • EEA stapler
  • GIA stapler

Questão 56

Questão
Name the stapler that will just staple a row of staples but NOT cut?
Responda
  • TA stapler
  • EEA stapler
  • GIA stapler

Questão 57

Questão
What stapler is used to anastomose two lumens of bowel together in one firing?
Responda
  • TA stapler
  • GIA stapler
  • EEA stapler

Questão 58

Questão
What instrument/supplies set could be used in a laparoscopic Bowel Resection?
Responda
  • Major set, Bookwalter, Lap sponges
  • Minor set, manual retractors, peanut sponge
  • minor set, Bookwalter, raytec

Questão 59

Questão
where can Diverticula can be found?
Responda
  • Esophagus
  • nasal passage
  • larynx

Questão 60

Questão
How is the specimen removed from the abdomen on the endoscopic bowel resection?
Responda
  • A McBurney's incision is made and the specimen is cut out from there.
  • A McBurney's incision is made and the specimen is disected out from there.
  • A McBurney's incision is made and the specimen is pulled out from there.

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