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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)
hey ohh
Quiz by hey ohh, updated more than 1 year ago
hey ohh
Created by hey ohh over 4 years ago
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Question 1

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

Question 2

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

Question 3

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

Question 4

Question
GER stands for?
Answer
  • gastroeshopogus reflux
  • gastroingeal reflux
  • gastroesophageal reflux

Question 5

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

Question 6

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

Question 7

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

Question 8

Question
Nissen Fundoplication is done by?
Answer
  • 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

Question 9

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

Question 10

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

Question 11

Question
Which position is a Laparoscopic Nissen Fundoplication procedure performed?
Answer
  • supine
  • prone
  • trendelberg
  • lithotomy

Question 12

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

Question 13

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

Question 14

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

Question 15

Question
A Meckel's diverticulum is found?
Answer
  • esophogus
  • stomach
  • colon
  • small bowel

Question 16

Question
A Zenker's diverticulum is found?
Answer
  • esophogus
  • small bowel
  • colon
  • stomach

Question 17

Question
Diverticuulosis should be treated?
Answer
  • 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

Question 18

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

Question 19

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

Question 20

Question
Another name for the alimentary canal is the?
Answer
  • reproductive tract
  • urinary tract
  • respiratory tract
  • digestive tract

Question 21

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

Question 22

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

Question 23

Question
The outer layer of the wall of the digestive tract is called the
Answer
  • mucosa
  • muscularis
  • submucosa
  • serosa

Question 24

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

Question 25

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

Question 26

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

Question 27

Question
Maloney dilators are used to dilate the ?
Answer
  • esophagus
  • urethra
  • pyloric sphincter
  • cervix

Question 28

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

Question 29

Question
An end ileostomy is created from the
Answer
  • terminal ileum
  • sigmoid colon
  • descending colon
  • transverse colon

Question 30

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

Question 31

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

Question 32

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

Question 33

Question
What are the sutures and needles commonly used to repair the Hernia on the Open Hiatal Hernia procedure?
Answer
  • #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

Question 34

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

Question 35

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

Question 36

Question
What is the definition of an appendectomy?
Answer
  • 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

Question 37

Question
What instrument is used to grasp the appendix?
Answer
  • Babcock
  • Kelly
  • Mayo
  • Kocher

Question 38

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

Question 39

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

Question 40

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

Question 41

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

Question 42

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

Question 43

Question
What is done with instruments that have come in contact with the intestinal lumen during a bowel resection?
Answer
  • 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

Question 44

Question
How is the segment of bowel on a Scope bowel procedure removed from the patient.
Answer
  • 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.

Question 45

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

Question 46

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

Question 47

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

Question 48

Question
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?
Answer
  • tracheostomy
  • appendectomy
  • hiatal hernia
  • Nissen Fundiplication

Question 49

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

Question 50

Question
Where anatomically is the appendix located and what it is attached to?
Answer
  • 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.

Question 51

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

Question 52

Question
Check the boxes with the three types of intestinal anastomosis that were discussed in class, and include the staplers needed for the job.
Answer
  • 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

Question 53

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

Question 54

Question
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?
Answer
  • mucosa
  • mesentary
  • dermal tissue

Question 55

Question
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?
Answer
  • TA stapler
  • EEA stapler
  • GIA stapler

Question 56

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

Question 57

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

Question 58

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

Question 59

Question
where can Diverticula can be found?
Answer
  • Esophagus
  • nasal passage
  • larynx

Question 60

Question
How is the specimen removed from the abdomen on the endoscopic bowel resection?
Answer
  • 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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