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GENERAL SURGERY EXAM

Total questions: 75

Worksheet time: 38mins

Name
Class
Date
1.

The upper portion of the stomach is call the :

a)

Body

b)

Antrum

c)

Fundus

d)

Rugae

2.

The gastrointestinal track start at the mouth and ends in what order ?

a)

Esophagus , stomach, duodenum, jejunum, ileum, Colón,rectum

b)

Esophagus, jejunum, colon,ileum, duodenum,rectum

c)

Esophagus, duodenum, jejunum, ileum rectum

d)

Esophagus, duodenum, jejunum,duodeneum,ileum,colon rectum

3.

All of the following are function of the liver EXCEPT:

a)

Produce bile

b)

Detoxification

c)

Produce Insulin

d)

Metabolize fats and proteins

4.

Place in order the layer of the abdominal cavity from dorsal to ventral.

a)

Peritoneum, posterior fascia, muscle, anterior fascia, subcutaneous (adipose ), skin

b)

Skin, subcutaneous ( adipose ), anterior fascia, muscle, posterior fascia, peritoneum

c)

Peritoneum, muscle, posterior fascia. anterior fascia Subcutaneous ( adipose ), skin

d)

Skin, anterior fascia, subcutaneous ( adipose ),muscle, posterior fascia, peritoneum

5.

Which of the following is function of the salivary gland?

a)

Lubrication of food / mechanical digestion

b)

Mechanical digestion/ chemical digestion

c)

Lubrication of food/ chemical digestion

d)

Lubrication of food/ absorption of nutrients

6.

A type of inflammatory bowel disease with chronic inflammation of the intestine is called:

a)

Crohn's disease

b)

Dysentery

c)

irritable bowel syndrome

d)

Duodenal ulcer

7.

Which of the following incisions offers optimal exposure of the abdominal cavity ?

a)

Subcostal

b)

McBurney

c)

Thoracoabdominal

d)

Vertical midline

8.

All of the following are types of oblique incision EXCEPT:

a)

Kocher

b)

McBurney

c)

subcostal

d)

Paramedian

9.

A left subcostal incision would be used to exposed the :

a)

Spleen

b)

Gallbladder

c)

Ovary

d)

Descending colon

10.

Intestinal motility is called:

a)

Digestion

b)

Enteritis

c)

Peristalsis

d)

Stasis

11.

During a ruptured appendectomy, Which bacteria is most common to find?

a)

E. Coli

b)

Staphylococcus aureus

c)

Clostridium perfringens

d)

Streptococcus

12.

The ----------- self retaining retractor provides the best exposure in abdominal perineal resection

a)

Weitlaner

b)

Gelpi

c)

Bookwalter

d)

Finochetti

13.

A twisting of the bowel causing obstruction is called a / an:

a)

Intussusception

b)

Volvulus

c)

Dehiscence

d)

adhesion

14.

During an appendectomy, a blind pouch is discovered. The structure is diagnosed as-------

a)

Meckel's diverticulum

b)

Intestinal volvulus

c)

supplemental appendix

d)

Zenker's diverticulum

15.

Dr. Cole is performing a cholecystectomy, He tells the CST that he will need a drain for the common bile duct. The CST should anticipated the need for a ?

a)

Penrose

b)

T- tube

c)

Tenckhoff catheter

d)

Levin tube

16.

In anticipation for gastric spillage during a gastrectomy, the surgeon might asked the anesthesiologist to insert a:

a)

Foley catheter

b)

A-line

c)

Red rubber catheter

d)

Salem sump tube

17.

A patient who recently underwent abdominal surgery present in the emergency department with separation of wound edges and protrusion of his viscera. The diagnosis is:

a)

Herniation

b)

Dehiscence

c)

Dead space

d)

Evisceration

18.

For which of the following procedure is a McBurney incision commonly used?

a)

Gastrectomy

b)

Appendectomy

c)

Cholecystectomy

d)

Femoral hernia

19.

What type of incision is used for a open cholecystectomy

a)

McBurney

b)

Pfannenstiel

c)

Lower oblique

d)

Right subcostal

20.

Which of the following procedures may be used to removed a carcinoma of the head of the pancreas

a)

Heller myotomy

b)

Whipple

c)

Shirodkar

d)

Billroth I

21.

What procedure is performed on a lesion in the pylorus of the stomach?

a)

Billroth I

b)

Nissen fundoplication

c)

Gastrostomy

d)

Appendectomy

22.

When a cholecystectomy is performed what anatomical structure must be always be preserved

a)

Cystic duct

b)

Cystic vein

c)

Common duct

d)

Cystic artery

23.

During a herniorrhaphy , the abdominal hernia is bound by the rectus abdominis muscle, the inguinal ligament and the inferior epigastric vessels is the

a)

Visceral peritoneum

b)

Abdominal peritoneum

c)

Subcutaneous tissue

d)

Hesselbach triangle

24.

Which of the following procedures requires and opening into the gallbladder to permit drainage and removal of stones ?

a)

Choledochotomy

b)

Cholecystostomy

c)

Cholecystectomy

d)

Cholecystojejunostomy

25.

A T- tube drain may be used following:

a)

Splenectomy

b)

Appendectomy

c)

Choledochotomy

d)

Herniorrhaphy

26.

A liver laceration is identified during an emergency exploratory laparotomy. The ST will prepare suture attached to which of the following types of needles?

a)

Tapered

b)

Blunt

c)

Reverse cutting

d)

Conventional cutting

27.

When performing a right colectomy, The surgeon most likely remove portions of which of the following

a)

Jejunum and duodenum

b)

Ascending and transverse colon

c)

Transverse and descending colon

d)

Sigmoid and rectum

28.

During a open repair of an indirect hernia, Which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected?

a)

Malecot

b)

T-tube

c)

Jackson- Pratt

d)

Penrose

29.

During a Whipple procedure which of the following structure of the gastrointestinal track is not involved ?

a)

Distal stomach

b)

Duodenum

c)

spleen

d)

Pancreas

30.

The cyst with a track located in the intergluteal fold is called?

a)

Hemorrhoidal cyst

b)

Pilonidal cyst

c)

anal cyst

d)

Sacral cyst

31.

The patient in room 5 is diagnosed with pyloric stenosis , Which surgical procedure will be perform ?

a)

Total gastrectomy

b)

Pyloromyotomy

c)

Billroth I

d)

Pyloroplasty

32.

The Zenker's diverticulum is found in the:

a)

Jejunum

b)

Ileum

c)

Esophagus

d)

Colon

33.

The ampulla of Vater is the area in the duodenum where the----------- duct and the---------- duct come together

a)

Cystic duct; common bile duct

b)

Cystic duct; hepatic duct

c)

Cystic duct ; pancreatic duct

d)

Common bile duct and pancreatic duct

34.

When both, direct and indirect hernia are present, this is referred to a:

a)

femoral hernia

b)

Volvulus

c)

Indirect hernia

d)

Pantaloon

35.

Which margin does the surgeon follows while making a subcostal incision ?

a)

Margin of the esophagus

b)

Lower costal rib margin

c)

The Hesselbach Triangle

d)

Ampulla of Vater

36.

Is a congenital anomaly in which, the abdominal viscera's develops outside the body contained in a peritoneal sac

a)

Gastroschisis

b)

Omphalocele

c)

Umbilical hernia

d)

Hiatal hernia

37.

Which suture is used during a hemorrhoidectomy ?

a)

3-0 chromic gut

b)

0 chromic gut

c)

3-0 polydioxanone ( PDS )

d)

3-0 silk

38.

While performing a cholecystectomy follow's by a cholangiogram, the most common risk or complication is:

a)

Injury to the pancreas

b)

Injury to the common bile duct

c)

Injury to the liver

d)

injury to duodenum

39.

At which abdominal layer is the first closing count perform ?

a)

Skin

b)

Fascia

c)

Peritoneum

d)

Subcutaneous

40.

When a hernia is strangulated , which of the following instrument set is added to a general abdominal set-up?

a)

Rectal

b)

vascular

c)

common duct

d)

Gastrointestinal

41.

Which of the following stapler should be used for end to end intestinal resection?

a)

EEA

b)

Skin

c)

LSD

d)

Purse string

42.

When examining a patient , the surgeon notes an acquired inguinal hernia that present within the Hesselbach triangle. The diagnosis is:

a)

Femoral hernia

b)

Umbilical hernia

c)

Indirect hernia

d)

Direct hernia

43.

Nissen fundoplication is performed to treat

a)

Malignancy

b)

Congenital anomaly of the stomach

c)

Hiatal hernia

d)

Lesions in the pylorus

44.

The gland that is both endocrine and exocrine is the

a)

Spleen

b)

Liver

c)

Pituitary

d)

Pancreas

45.

A liver biopsy would most likely be done with a

a)

Toomey syringe

b)

Silverman needle

c)

Tubex syringe

d)

Jamshidi needle

46.

The surgeon finishes the perineal portion of an abdominal perineal resection and wishes to return to the abdominal portion. What should the ST do ?

a)

Cover the perineum with sterile drapes

b)

Remove the perineal drape

c)

Change her own gown and gloves, and then the teams

d)

Change the team members gown and glove

47.

During a sentinel node biopsy, the surgeon inject

a)

Hypaque

b)

Methylene Blue

c)

Lymphazurin

d)

Isovue

48.

The spleen is located in the

a)

Right hypochondriac region

b)

Right epigastric region

c)

Left hypochondriac region

d)

Left epigastric region

49.

During a laparoscopic appendectomy , the pneumoperitoneum is created with this gas

a)

Carbon monoxide

b)

Nitrous oxide

c)

Carbon dioxide

d)

Oxygen

50.

The incision that is made between two rectus abdominis muscle , continues down the linea alba and curves around the umbilicus is a

a)

Transverse

b)

Midline

c)

Paramedian

d)

Kocher

51.

Intussusception may require

a)

Gastrectomy

b)

Hemicolectomy

c)

Small bowel resection

d)

Pyloroplasty

52.

Another name for a partial gastrectomy:

a)

Billroth I

b)

Whipple

c)

Wertheim

d)

Meckel

53.

A thoracoabdominal incisions is used when performing a /an:

a)

Partial gastrectomy

b)

Open hiatal hernia repair

c)

pancreatic procedure

d)

Cholecystectomy

54.

Which procedure requires two mayo stand to prevent contamination ?

a)

Gastrectomy

b)

Abdominal perineal resection

c)

Cholecystectomy

d)

Bilateral Mastectomy

55.

Which of the following statements concerning abdominal surgical incisions is true?

a)

A right paramedian incision is used for gastrotomy

b)

A left subcostal incision ( Kocher ) is made for an open cholecystectomy

c)

A Pfannenstiel incision is an oblique incision

d)

A thoracoabdominal incision is used for exploratory laparotomy

56.

Placement of a Levin tube would be in the

a)

Ear

b)

Large intestine

c)

Stomach

d)

Bladder

57.

A catheter commonly used in a gastrostomy is a

a)

Mushroom

b)

Rehfus

c)

Cantor

d)

Sengstaken- Blakemore

58.

Either a Foley, Mallecot, Pezzer, or Mushroom catheter can be inserted for

a)

Gastroscopy

b)

Gastrostomy

c)

Vagotomy

d)

Gastric bypass

59.

The ST in room 7 is scheduled to do a peritoneal dialysis, Which catheter would be used for this procedure?

a)

Foley

b)

Sengstaken-Blakemore

c)

Mushroom

d)

Tenckhoff

60.

Which of the following surgical procedure may be used to remove a carcinoma of the head of the pancreas ?

a)

Heller

b)

Whipple

c)

Billroth I

d)

Billroth II

61.

A band of tissue that binds together two anatomical surfaces that are normally separate from each other is called

a)

Keloid

b)

Adhesion

c)

Cicatrix

d)

Dehiscence

62.

The patient in room 6 is scheduled for a common bile duct exploration. The surgeon anticipates that there is a stricture of the common bile duct. Which dilator would the ST need to have available in the room?

a)

Bakes dilator

b)

Maloney dilator

c)

Hank dilator

d)

Van Buren dilator

63.

Retention suture passes through all of the following EXCEPT

a)

Peritoneum

b)

Fascia

c)

Subcutaneous

d)

Mesentery

64.

A protrusion of fat through an abdominal wall defect between the xiphoid process and the umbilicus is a ( n)

a)

Epigastric hernia

b)

Umbilical hernia

c)

Inguinal hernia

d)

Hiatal hernia

65.

In a abdominal perineal resection. The CST should anticipate the need for patient positioning in the lithotomy position and two separate sterile fields, what else will be needed?

a)

Vascular tunneler

b)

EEA

c)

Randal Forceps

d)

Bennet retractor

66.

A procedure that is done to give a bowel a rest when there is advanced inflammation is

a)

Colectomy

b)

Temporary colostomy

c)

Hemicolectomy

d)

Low anterior resection

67.

Pneumoperitoneum is effected by installing gas into the peritoneal cavity by way of a

a)

Silverman needle

b)

Verres needle

c)

Toomey syringe

d)

Luer Lock needle

68.

During a laparoscopic procedure, the camera head needed to be change. What should the ST do ?

a)

Reset the white balance

b)

Remove all instrument from the patient

c)

Disconnect the CO2

d)

Disconnect the light cord

69.

During a jejunostomy the anesthesiologist insert a nasogastric tube. The ST should be aware that this is done to------------

a)

Produce vomiting

b)

Decrease dehydration

c)

Facilitate exposure by decompression

d)

Facilitate patient comfort

70.

Vagotomy is perform for patients with pelvic ulcer disease to?

a)

Decrease peristalsis

b)

Increase gastric emptying

c)

Decrease gastric secretions

d)

Increase hydrochloric acid secretions

71.

An abdominal complication due to previous surgery is ?

a)

Adhesions

b)

Stricture

c)

Fistula

d)

Dehiscence

72.

During a cholecystectomy, what two anatomical structure must be ligated and divided ?

a)

Cystic duct, cystic artery

b)

Cystic duct and common hepatic duct

c)

Common bile duct , common hepatic duct

d)

Cystic duct, portal vein

73.

What organism are likely to be found in a surgical wound adjacent to a colostomy?

a)

Escherichia Coli

b)

Helicobacter pylori

c)

Treponema pallidum

d)

Staphylococcus aureus

74.

All of the following are layers of the stomach EXCEPT

a)

Myometrium

b)

Serosa

c)

Mucosa

d)

Muscularis

75.

A hernia that cannot be reduce, but has proper circulation is called

a)

Telescoped

b)

Eviscerated

c)

Incarcerated

d)

Strangulated