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WorksheetsGeneral Surgery
Total questions: 45
Worksheet time: 23mins
A hernia that cannot be reduced, but has proper circulation:
reducible
swiss- cheese
incarcerated
strangulated
A hernia through which bowel or omentum becomes entrapped and could eventually become ischemic or necrotic:
Incisional hernia
Indirect hernia
Direct hernia
Strangulated hernia
A hernia with a protrusion of a portion of the stomach through the opening for the esophagus which is though the diaphragm:
epigastric
umbilical
hiatal
inguinal
A hernia with protrusions of fat through defects in the abdominal wall between the xiphoid process and the umbilicus
epigastric
hiatal
umbilical
inguinal
A hernia with small fascial defects around the umbilicus:
hiatal
incisional
inguinal
umbilical
A lower oblique incision is used for which surgical procedure:
inguinal hernia repair
hysterectomy
pancreatectomy
stomach
A McBurney incision is used for a
ovarian cystectomy
cholecystectomy
splenectomy
appendectomy
A Penrose drain is MOST often used in inguinal hernia repairs to:
suture major defects in the inguinal canal.
retract the epididymis to prevent injury.
retract the spermatic cord to prevent injury.
retract the round ligament to prevent injury.
A right hemicolectomy is performed to remove pathology of the:
descending colon
ascending colon
sigmoid colon
mesocolon
Any items that come in contact with the mucosal layer of the gastrointestional tract are considered
sterile
contaminated
clean
surgically clean but not sterile
Diseased part of colon is excised and anastomosis performed
colectomy
colostomy
small intestine resection
colon resection
Excision of entire stomach and anastomosis between a loop of the jejunum and the esophagus:
gastrotomy
percutaneous endoscopic gastrostomy
total gastrectomy
gastric bypass
Excision of the cyst with sinus tracts in the sacrococcygeal region:
fissurectomy
excision of pilonidal cyst and sinus
hemorrhoidectomy
fistulectomy
Externalization through the abdominal wall of the proximal end of the transected ileum:
ileostomy
colostomy
colon resection
small intestine resection
Gastrointestinal decompression during a general surgical procedure can be accomplished by the use of this:
Foley catheter
Salem sump tube
T-tube
Red rubber catheter
If you are assigned to scrub a case that will utilize fluoroscopy intraoperatively, you should:
don a lead apron after completing the surgical hand scrub
don a lead apron before starting the surgical hand scrub
only the surgeon wears a lead apron
call the radiology department
In a cholecystectomy, which structures are ligated and divided:
cystic duct and cystic artery
common bile duct and hepatic duct
cystic duct and common bile duct
hepatic duct and cystic artery
Instruments that touch the appendix during an appendectomy should be:
placed in a separate basin
wiped with a saline sponge
returned to the Mayo stand
wiped with an alcohol sponge
Major supporting structure of the posterior inguinal floor:
Hesselbach's triangle
pneumoperitoneum
tetany
transversalis fascia
Radical removal of the head of the pancreas, the entire duodenum, a portion of the jejunum, the distal third of the stomach and the lower half of the CBD, with the reestabishment of continuity of the biliary, pancreatic and gastrointestinal tract systems:
pancreaticoduodenectomy (Whipple)
pancreaticojejunostomy
pancreas transplant
drainage of intrahepatic, subhepatic or subphrenic abscess
Removal of the diverticulum attached to the distal ileum and establishment of bowel continuity
Meckel's diverticulectomy
ileostomy
small intestine resection
intussusception
Removal of the entire involved breast; all axillary lymph nodes are resected; the major pectoralis muscle is left in place:
simple mastectomy
modified radical mastectomy
radical mastectomy
subcutaneous mastectomy
Small, blind pouches that form in the lining and wall of a canal or organ, especially the colon:
polyp
fistula
diverticula
fissure
Subtotal gastrectomy and gastroduodenostomy in which the remaining portion of the stomach is anastomosed to the duodenum:
percutaneous endoscopic gastrostomy
Billroth I
Billroth II
gastric bypass
The inguinal canal contains these two structures.
1=males and 1=females.
spermatic cord and round ligament
femoral vein and round ligament
spermatic cord and cardinal ligament
spermatic cord and fimbriae
The intestinal layer in order, from inside to outside:
serosa, mucosa, muscle
mucosa, submucosa, serosa
serosa, muscle, mucosa
mucosa, serosa, muscle
The primary function of the parathyroid gland:
regulation and maintenance of blood calcium concentration
regulation and maintenance of blood glucose levels
regulation and maintenance of blood oxygen levels
regulation and maintenance of blood potassium levels
The primary function of the thyroid gland:
iodine production
calcium production
iodine metabolism
calcium metabolism
The primary function of this organ is to reabsorb water and electrolytes:
small intestine
stomach
large intestine
esophagus
The principle hazard encountered intraoperatively during a splenectomy is:
spillage of splenic contents
hemorrhage
rupture of the common bile duct
hypertension
The purpose of the purse-string suture in an open appendectomy is to:
tie off the appendix
invert the appendiceal stump
ligate the appendiceal artery
ligate the mesoappendix
The structure between the two lobes of the thyroid:
mediastinum
middle lobe
isthmus
thyroid cartilage
A severe complication can result if all parathyroid glands are removed:
jaundice
extreme weight loss
metabolic imbalance
tetany
Torsion of a loop of intestine causing obstruction:
diverticula
colon
sphincter
volvulus
Composed of exocrine and endocrine glandular tissue that secretes digestive enzymes:
stomach
liver
pancreas
gallbladder
When the surgeon enters the gastrointestinal tract, the surgical technologist should have the following ready:
prolene suture
suction
counted 4X4's
ethibond suture
Which of the following is used to cross-clamp bowel during resection?
Lahey
Allen
Heaney
Bulldog
A congeintal disease of the colon in which nerve tissue is absent. Often results in absence of meconium bowel in the neonate.
Polyps
Hirschprung disease
Crohn disease
omphalocele
What procedure is commonly performed to treat gastroesophageal reflux disease?
Esophagectomy
Bilroth 1
Whipple
Nissen fundoplication
Which procedure bypasses the distal stomach and re-establishes continuity from the stomach to the jejunum?
Roux-En-Y
Lap Banding
Whipple
Gastrectomy
Which 2 suture types are often used on intestinal resection procedures?
Silk & Vicryl
Chromic gut & Prolene
Ethibond & Ethilon
Silk & Stainless steel
Berean's Skin hooks are often used during a mastectomy.
True
False
During open abdominal procedures the General surgeon will usually stand on the patient's right side. Thus, the Surgical Technologist will usually plan and prepare to stand on the patient's left side.
True
False
Which sterile items listed would be needed for a laparoscopy?
insufflation tubing, verres needle, camera
lens, robotic console, monitors
verres needle, monitor, tourniquet
O2 tank, lens, monitor
Which nerve is the surgeon especially concerned to protect during surgery on the thyroid gland:
recurrent laryngeal
saphenous
II cranial
axillary
