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WorksheetsGENERAL SURGERY EXAM
Total questions: 75
Worksheet time: 38mins
The upper portion of the stomach is call the :
Body
Antrum
Fundus
Rugae
The gastrointestinal track start at the mouth and ends in what order ?
Esophagus , stomach, duodenum, jejunum, ileum, Colón,rectum
Esophagus, jejunum, colon,ileum, duodenum,rectum
Esophagus, duodenum, jejunum, ileum rectum
Esophagus, duodenum, jejunum,duodeneum,ileum,colon rectum
All of the following are function of the liver EXCEPT:
Produce bile
Detoxification
Produce Insulin
Metabolize fats and proteins
Place in order the layer of the abdominal cavity from dorsal to ventral.
Peritoneum, posterior fascia, muscle, anterior fascia, subcutaneous (adipose ), skin
Skin, subcutaneous ( adipose ), anterior fascia, muscle, posterior fascia, peritoneum
Peritoneum, muscle, posterior fascia. anterior fascia Subcutaneous ( adipose ), skin
Skin, anterior fascia, subcutaneous ( adipose ),muscle, posterior fascia, peritoneum
Which of the following is function of the salivary gland?
Lubrication of food / mechanical digestion
Mechanical digestion/ chemical digestion
Lubrication of food/ chemical digestion
Lubrication of food/ absorption of nutrients
A type of inflammatory bowel disease with chronic inflammation of the intestine is called:
Crohn's disease
Dysentery
irritable bowel syndrome
Duodenal ulcer
Which of the following incisions offers optimal exposure of the abdominal cavity ?
Subcostal
McBurney
Thoracoabdominal
Vertical midline
All of the following are types of oblique incision EXCEPT:
Kocher
McBurney
subcostal
Paramedian
A left subcostal incision would be used to exposed the :
Spleen
Gallbladder
Ovary
Descending colon
Intestinal motility is called:
Digestion
Enteritis
Peristalsis
Stasis
During a ruptured appendectomy, Which bacteria is most common to find?
E. Coli
Staphylococcus aureus
Clostridium perfringens
Streptococcus
The ----------- self retaining retractor provides the best exposure in abdominal perineal resection
Weitlaner
Gelpi
Bookwalter
Finochetti
A twisting of the bowel causing obstruction is called a / an:
Intussusception
Volvulus
Dehiscence
adhesion
During an appendectomy, a blind pouch is discovered. The structure is diagnosed as-------
Meckel's diverticulum
Intestinal volvulus
supplemental appendix
Zenker's diverticulum
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 ?
Penrose
T- tube
Tenckhoff catheter
Levin tube
In anticipation for gastric spillage during a gastrectomy, the surgeon might asked the anesthesiologist to insert a:
Foley catheter
A-line
Red rubber catheter
Salem sump tube
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:
Herniation
Dehiscence
Dead space
Evisceration
For which of the following procedure is a McBurney incision commonly used?
Gastrectomy
Appendectomy
Cholecystectomy
Femoral hernia
What type of incision is used for a open cholecystectomy
McBurney
Pfannenstiel
Lower oblique
Right subcostal
Which of the following procedures may be used to removed a carcinoma of the head of the pancreas
Heller myotomy
Whipple
Shirodkar
Billroth I
What procedure is performed on a lesion in the pylorus of the stomach?
Billroth I
Nissen fundoplication
Gastrostomy
Appendectomy
When a cholecystectomy is performed what anatomical structure must be always be preserved
Cystic duct
Cystic vein
Common duct
Cystic artery
During a herniorrhaphy , the abdominal hernia is bound by the rectus abdominis muscle, the inguinal ligament and the inferior epigastric vessels is the
Visceral peritoneum
Abdominal peritoneum
Subcutaneous tissue
Hesselbach triangle
Which of the following procedures requires and opening into the gallbladder to permit drainage and removal of stones ?
Choledochotomy
Cholecystostomy
Cholecystectomy
Cholecystojejunostomy
A T- tube drain may be used following:
Splenectomy
Appendectomy
Choledochotomy
Herniorrhaphy
A liver laceration is identified during an emergency exploratory laparotomy. The ST will prepare suture attached to which of the following types of needles?
Tapered
Blunt
Reverse cutting
Conventional cutting
When performing a right colectomy, The surgeon most likely remove portions of which of the following
Jejunum and duodenum
Ascending and transverse colon
Transverse and descending colon
Sigmoid and rectum
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?
Malecot
T-tube
Jackson- Pratt
Penrose
During a Whipple procedure which of the following structure of the gastrointestinal track is not involved ?
Distal stomach
Duodenum
spleen
Pancreas
The cyst with a track located in the intergluteal fold is called?
Hemorrhoidal cyst
Pilonidal cyst
anal cyst
Sacral cyst
The patient in room 5 is diagnosed with pyloric stenosis , Which surgical procedure will be perform ?
Total gastrectomy
Pyloromyotomy
Billroth I
Pyloroplasty
The Zenker's diverticulum is found in the:
Jejunum
Ileum
Esophagus
Colon
The ampulla of Vater is the area in the duodenum where the----------- duct and the---------- duct come together
Cystic duct; common bile duct
Cystic duct; hepatic duct
Cystic duct ; pancreatic duct
Common bile duct and pancreatic duct
When both, direct and indirect hernia are present, this is referred to a:
femoral hernia
Volvulus
Indirect hernia
Pantaloon
Which margin does the surgeon follows while making a subcostal incision ?
Margin of the esophagus
Lower costal rib margin
The Hesselbach Triangle
Ampulla of Vater
Is a congenital anomaly in which, the abdominal viscera's develops outside the body contained in a peritoneal sac
Gastroschisis
Omphalocele
Umbilical hernia
Hiatal hernia
Which suture is used during a hemorrhoidectomy ?
3-0 chromic gut
0 chromic gut
3-0 polydioxanone ( PDS )
3-0 silk
While performing a cholecystectomy follow's by a cholangiogram, the most common risk or complication is:
Injury to the pancreas
Injury to the common bile duct
Injury to the liver
injury to duodenum
At which abdominal layer is the first closing count perform ?
Skin
Fascia
Peritoneum
Subcutaneous
When a hernia is strangulated , which of the following instrument set is added to a general abdominal set-up?
Rectal
vascular
common duct
Gastrointestinal
Which of the following stapler should be used for end to end intestinal resection?
EEA
Skin
LSD
Purse string
When examining a patient , the surgeon notes an acquired inguinal hernia that present within the Hesselbach triangle. The diagnosis is:
Femoral hernia
Umbilical hernia
Indirect hernia
Direct hernia
Nissen fundoplication is performed to treat
Malignancy
Congenital anomaly of the stomach
Hiatal hernia
Lesions in the pylorus
The gland that is both endocrine and exocrine is the
Spleen
Liver
Pituitary
Pancreas
A liver biopsy would most likely be done with a
Toomey syringe
Silverman needle
Tubex syringe
Jamshidi needle
The surgeon finishes the perineal portion of an abdominal perineal resection and wishes to return to the abdominal portion. What should the ST do ?
Cover the perineum with sterile drapes
Remove the perineal drape
Change her own gown and gloves, and then the teams
Change the team members gown and glove
During a sentinel node biopsy, the surgeon inject
Hypaque
Methylene Blue
Lymphazurin
Isovue
The spleen is located in the
Right hypochondriac region
Right epigastric region
Left hypochondriac region
Left epigastric region
During a laparoscopic appendectomy , the pneumoperitoneum is created with this gas
Carbon monoxide
Nitrous oxide
Carbon dioxide
Oxygen
The incision that is made between two rectus abdominis muscle , continues down the linea alba and curves around the umbilicus is a
Transverse
Midline
Paramedian
Kocher
Intussusception may require
Gastrectomy
Hemicolectomy
Small bowel resection
Pyloroplasty
Another name for a partial gastrectomy:
Billroth I
Whipple
Wertheim
Meckel
A thoracoabdominal incisions is used when performing a /an:
Partial gastrectomy
Open hiatal hernia repair
pancreatic procedure
Cholecystectomy
Which procedure requires two mayo stand to prevent contamination ?
Gastrectomy
Abdominal perineal resection
Cholecystectomy
Bilateral Mastectomy
Which of the following statements concerning abdominal surgical incisions is true?
A right paramedian incision is used for gastrotomy
A left subcostal incision ( Kocher ) is made for an open cholecystectomy
A Pfannenstiel incision is an oblique incision
A thoracoabdominal incision is used for exploratory laparotomy
Placement of a Levin tube would be in the
Ear
Large intestine
Stomach
Bladder
A catheter commonly used in a gastrostomy is a
Mushroom
Rehfus
Cantor
Sengstaken- Blakemore
Either a Foley, Mallecot, Pezzer, or Mushroom catheter can be inserted for
Gastroscopy
Gastrostomy
Vagotomy
Gastric bypass
The ST in room 7 is scheduled to do a peritoneal dialysis, Which catheter would be used for this procedure?
Foley
Sengstaken-Blakemore
Mushroom
Tenckhoff
Which of the following surgical procedure may be used to remove a carcinoma of the head of the pancreas ?
Heller
Whipple
Billroth I
Billroth II
A band of tissue that binds together two anatomical surfaces that are normally separate from each other is called
Keloid
Adhesion
Cicatrix
Dehiscence
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?
Bakes dilator
Maloney dilator
Hank dilator
Van Buren dilator
Retention suture passes through all of the following EXCEPT
Peritoneum
Fascia
Subcutaneous
Mesentery
A protrusion of fat through an abdominal wall defect between the xiphoid process and the umbilicus is a ( n)
Epigastric hernia
Umbilical hernia
Inguinal hernia
Hiatal hernia
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?
Vascular tunneler
EEA
Randal Forceps
Bennet retractor
A procedure that is done to give a bowel a rest when there is advanced inflammation is
Colectomy
Temporary colostomy
Hemicolectomy
Low anterior resection
Pneumoperitoneum is effected by installing gas into the peritoneal cavity by way of a
Silverman needle
Verres needle
Toomey syringe
Luer Lock needle
During a laparoscopic procedure, the camera head needed to be change. What should the ST do ?
Reset the white balance
Remove all instrument from the patient
Disconnect the CO2
Disconnect the light cord
During a jejunostomy the anesthesiologist insert a nasogastric tube. The ST should be aware that this is done to------------
Produce vomiting
Decrease dehydration
Facilitate exposure by decompression
Facilitate patient comfort
Vagotomy is perform for patients with pelvic ulcer disease to?
Decrease peristalsis
Increase gastric emptying
Decrease gastric secretions
Increase hydrochloric acid secretions
An abdominal complication due to previous surgery is ?
Adhesions
Stricture
Fistula
Dehiscence
During a cholecystectomy, what two anatomical structure must be ligated and divided ?
Cystic duct, cystic artery
Cystic duct and common hepatic duct
Common bile duct , common hepatic duct
Cystic duct, portal vein
What organism are likely to be found in a surgical wound adjacent to a colostomy?
Escherichia Coli
Helicobacter pylori
Treponema pallidum
Staphylococcus aureus
All of the following are layers of the stomach EXCEPT
Myometrium
Serosa
Mucosa
Muscularis
A hernia that cannot be reduce, but has proper circulation is called
Telescoped
Eviscerated
Incarcerated
Strangulated
