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General Surgery

Total questions: 45

Worksheet time: 23mins

Name
Class
Date
1.

A hernia that cannot be reduced, but has proper circulation:

a)

reducible

b)

swiss- cheese

c)

incarcerated

d)

strangulated

2.

A hernia through which bowel or omentum becomes entrapped and could eventually become ischemic or necrotic:

a)

Incisional hernia

b)

Indirect hernia

c)

Direct hernia

d)

Strangulated hernia

3.

A hernia with a protrusion of a portion of the stomach through the opening for the esophagus which is though the diaphragm:

a)

epigastric

b)

umbilical

c)

hiatal

d)

inguinal

4.

A hernia with protrusions of fat through defects in the abdominal wall between the xiphoid process and the umbilicus

a)

epigastric

b)

hiatal

c)

umbilical

d)

inguinal

5.

A hernia with small fascial defects around the umbilicus:

a)

hiatal

b)

incisional

c)

inguinal

d)

umbilical

6.

A lower oblique incision is used for which surgical procedure:

a)

inguinal hernia repair

b)

hysterectomy

c)

pancreatectomy

d)

stomach

7.

A McBurney incision is used for a

a)

ovarian cystectomy

b)

cholecystectomy

c)

splenectomy

d)

appendectomy

8.

A Penrose drain is MOST often used in inguinal hernia repairs to:

a)

suture major defects in the inguinal canal.

b)

retract the epididymis to prevent injury.

c)

retract the spermatic cord to prevent injury.

d)

retract the round ligament to prevent injury.

9.

A right hemicolectomy is performed to remove pathology of the:

a)

descending colon

b)

ascending colon

c)

sigmoid colon

d)

mesocolon

10.

Any items that come in contact with the mucosal layer of the gastrointestional tract are considered

a)

sterile

b)

contaminated

c)

clean

d)

surgically clean but not sterile

11.

Diseased part of colon is excised and anastomosis performed

a)

colectomy

b)

colostomy

c)

small intestine resection

d)

colon resection

12.

Excision of entire stomach and anastomosis between a loop of the jejunum and the esophagus:

a)

gastrotomy

b)

percutaneous endoscopic gastrostomy

c)

total gastrectomy

d)

gastric bypass

13.

Excision of the cyst with sinus tracts in the sacrococcygeal region:

a)

fissurectomy

b)

excision of pilonidal cyst and sinus

c)

hemorrhoidectomy

d)

fistulectomy

14.

Externalization through the abdominal wall of the proximal end of the transected ileum:

a)

ileostomy

b)

colostomy

c)

colon resection

d)

small intestine resection

15.

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

a)

Foley catheter

b)

Salem sump tube

c)

T-tube

d)

Red rubber catheter

16.

If you are assigned to scrub a case that will utilize fluoroscopy intraoperatively, you should:

a)

don a lead apron after completing the surgical hand scrub

b)

don a lead apron before starting the surgical hand scrub

c)

only the surgeon wears a lead apron

d)

call the radiology department

17.

In a cholecystectomy, which structures are ligated and divided:

a)

cystic duct and cystic artery

b)

common bile duct and hepatic duct

c)

cystic duct and common bile duct

d)

hepatic duct and cystic artery

18.

Instruments that touch the appendix during an appendectomy should be:

a)

placed in a separate basin

b)

wiped with a saline sponge

c)

returned to the Mayo stand

d)

wiped with an alcohol sponge

19.

Major supporting structure of the posterior inguinal floor:

a)

Hesselbach's triangle

b)

pneumoperitoneum

c)

tetany

d)

transversalis fascia

20.

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:

a)

pancreaticoduodenectomy (Whipple)

b)

pancreaticojejunostomy

c)

pancreas transplant

d)

drainage of intrahepatic, subhepatic or subphrenic abscess

21.

Removal of the diverticulum attached to the distal ileum and establishment of bowel continuity

a)

Meckel's diverticulectomy

b)

ileostomy

c)

small intestine resection

d)

intussusception

22.

Removal of the entire involved breast; all axillary lymph nodes are resected; the major pectoralis muscle is left in place:

a)

simple mastectomy

b)

modified radical mastectomy

c)

radical mastectomy

d)

subcutaneous mastectomy

23.

Small, blind pouches that form in the lining and wall of a canal or organ, especially the colon:

a)

polyp

b)

fistula

c)

diverticula

d)

fissure

24.

Subtotal gastrectomy and gastroduodenostomy in which the remaining portion of the stomach is anastomosed to the duodenum:

a)

percutaneous endoscopic gastrostomy

b)

Billroth I

c)

Billroth II

d)

gastric bypass

25.

The inguinal canal contains these two structures.

1=males and 1=females.

a)

spermatic cord and round ligament

b)

femoral vein and round ligament

c)

spermatic cord and cardinal ligament

d)

spermatic cord and fimbriae

26.

The intestinal layer in order, from inside to outside:

a)

serosa, mucosa, muscle

b)

mucosa, submucosa, serosa

c)

serosa, muscle, mucosa

d)

mucosa, serosa, muscle

27.

The primary function of the parathyroid gland:

a)

regulation and maintenance of blood calcium concentration

b)

regulation and maintenance of blood glucose levels

c)

regulation and maintenance of blood oxygen levels

d)

regulation and maintenance of blood potassium levels

28.

The primary function of the thyroid gland:

a)

iodine production

b)

calcium production

c)

iodine metabolism

d)

calcium metabolism

29.

The primary function of this organ is to reabsorb water and electrolytes:

a)

small intestine

b)

stomach

c)

large intestine

d)

esophagus

30.

The principle hazard encountered intraoperatively during a splenectomy is:

a)

spillage of splenic contents

b)

hemorrhage

c)

rupture of the common bile duct

d)

hypertension

31.

The purpose of the purse-string suture in an open appendectomy is to:

a)

tie off the appendix

b)

invert the appendiceal stump

c)

ligate the appendiceal artery

d)

ligate the mesoappendix

32.

The structure between the two lobes of the thyroid:

a)

mediastinum

b)

middle lobe

c)

isthmus

d)

thyroid cartilage

33.

A severe complication can result if all parathyroid glands are removed:

a)

jaundice

b)

extreme weight loss

c)

metabolic imbalance

d)

tetany

34.

Torsion of a loop of intestine causing obstruction:

a)

diverticula

b)

colon

c)

sphincter

d)

volvulus

35.

Composed of exocrine and endocrine glandular tissue that secretes digestive enzymes:

a)

stomach

b)

liver

c)

pancreas

d)

gallbladder

36.

When the surgeon enters the gastrointestinal tract, the surgical technologist should have the following ready:

a)

prolene suture

b)

suction

c)

counted 4X4's

d)

ethibond suture

37.

Which of the following is used to cross-clamp bowel during resection?

a)

Lahey

b)

Allen

c)

Heaney

d)

Bulldog

38.

A congeintal disease of the colon in which nerve tissue is absent. Often results in absence of meconium bowel in the neonate.

a)

Polyps

b)

Hirschprung disease

c)

Crohn disease

d)

omphalocele

39.

What procedure is commonly performed to treat gastroesophageal reflux disease?

a)

Esophagectomy

b)

Bilroth 1

c)

Whipple

d)

Nissen fundoplication

40.

Which procedure bypasses the distal stomach and re-establishes continuity from the stomach to the jejunum?

a)

Roux-En-Y

b)

Lap Banding

c)

Whipple

d)

Gastrectomy

41.

Which 2 suture types are often used on intestinal resection procedures?

a)

Silk & Vicryl

b)

Chromic gut & Prolene

c)

Ethibond & Ethilon

d)

Silk & Stainless steel

42.

Berean's Skin hooks are often used during a mastectomy.

a)

True

b)

False

43.

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.

a)

True

b)

False

44.

Which sterile items listed would be needed for a laparoscopy?

a)

insufflation tubing, verres needle, camera

b)

lens, robotic console, monitors

c)

verres needle, monitor, tourniquet

d)

O2 tank, lens, monitor

45.

Which nerve is the surgeon especially concerned to protect during surgery on the thyroid gland:

a)

recurrent laryngeal

b)

saphenous

c)

II cranial

d)

axillary