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General Surgery Chapter 14 Review

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

The (a)   hernia occurs in Hesselbach’s triangle and has a direct acquired cause, such as heavy lifting.

2.

A (a)   stitch may be used to invert the appendiceal stump during an open appendectomy.

3.

The (a)   is an instrument used for manipulating the bowel, appendix, or other tubular structures.

4.

When surgically treating cancer of the head of the pancreas, the (a)   procedure removes part of the stomach, the duodenum, part of the jejunum, half of the pancreas, and the gallbladder along with the cystic and common bile ducts.

5.

The (a)   incision is used to provide rapid access to the abdomen but is most likely to herniate due to the lack of muscle strength to suture.

6.

Satinsky

a)

Atraumatic clamp used for clamping in pancreatectomy.

b)

Used to manipulate the vagus trunk during vagotomy.

c)

Biopsy needle or Tru-cut for liver biopsy.

d)

Used to decompress an engorged gallbladder.

e)

Premoistened to manipulate the spermatic cord or esophagus.

7.

Nerve hook

a)

Atraumatic clamp used for clamping in pancreatectomy.

b)

Used to manipulate the vagus trunk during vagotomy.

c)

Biopsy needle or Tru-cut for liver biopsy.

d)

Used to decompress an engorged gallbladder.

e)

Premoistened to manipulate the spermatic cord or esophagus.

8.

Franklin Silverman

a)

Atraumatic clamp used for clamping in pancreatectomy.

b)

Used to manipulate the vagus trunk during vagotomy.

c)

Biopsy needle or Tru-cut needle for liver biopsy.

d)

Used to decompress an engorged gallbladder.

e)

Premoistened to manipulate the spermatic cord or esophagus.

9.

Ochsner GB trocar

a)

Atraumatic clamp used for clamping in pancreatectomy.

b)

Used to manipulate the vagus trunk during vagotomy.

c)

Biopsy needle or Tru-cut needle for liver biopsy.

d)

Used to decompress an engorged gallbladder.

e)

Premoistened to manipulate the spermatic cord or esophagus.

10.

Laparoscopic procedure

a)

Requires monitoring of pneumoperitoneum during the procedure.

b)

Care with instruments/tissue to prevent seeding; use water for irrigation at the end of the procedure.

c)

Check balloon; send obturator with patient postoperatively.

d)

Have culture tubes ready; transfer anaerobic samples to medium quickly.

e)

Have extra laps ready and cell-saver available for immediate use.

11.

Premoistened device used to manipulate the spermatic cord or esophagus.

a)

J-shaped guidewire

b)

Cell-saver required

c)

Penrose drain

d)

Bakes dilator

12.

Removal of stones from a duct.

a)

Penrose drain

b)

Allen clamp

c)

Buie Pile forceps

d)

Randall forceps

13.

Guide for fistula incision.

a)

Bakes dilator

b)

Probe/grooved

c)

Potts Smith scissors

d)

J-shaped guidewire

14.

Handle instruments and tissue carefully to prevent seeding; use water for irrigation at the end of the procedure.

a)

Thyroidectomy

b)

Mastectomy

c)

Tracheostomy

d)

Bowel or colon resection

15.

Check the balloon; send the obturator with the patient postoperatively.

a)

Tracheostomy

b)

Cholecystectomy with IOC

c)

Thyroidectomy

d)

Hemorrhoidectomy

16.

No air bubbles should be present in the contrast media when used.

a)

Appendectomy

b)

Laparoscopic procedure

c)

Liver laceration

d)

Cholecystectomy with IOC

17.

Separation of clean and dirty areas; clean closure is necessary.

a)

Appendectomy

b)

Bowel or colon resection

c)

Mastectomy

d)

Hemorrhoidectomy

18.

Have extra laps ready and a cell saver available for immediate use.

a)

Bowel or colon resection

b)

Appendectomy

c)

Liver laceration

d)

Hemorrhoidectomy

19.

Clamps used for occlusion of the intestines

a)

Randall forceps

b)

Buie pile forceps

c)

Satinsky

d)

Allen clamp

20.

Direct visualization placement of the umbilical port.

a)

Hasson trocar

b)

Potts scissors

c)

Ochsner GB trocar

d)

Bakes dilator