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Surgical Technology, Procedures, Unit 2, Gastrointestinal pat 2(Proctored Exam practise)

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Surgical Technology, Procedures, Unit 2, Gastrointestinal pat 2(Proctored Exam practise)

Question 1 of 48

1

LAR stands for?

Select one of the following:

  • lateral Anterior Resection

  • long Anterior Resection

  • low Anterior Resection

Explanation

Question 2 of 48

1

The removal of the lower sigmoid and rectosigmoid portions of the rectum is kmow as?

Select one of the following:

  • medial Anterior Resection

  • anterior Resection

  • LAR

  • GI resection

Explanation

Question 3 of 48

1

What best describes the purpose of a LAR procedure?

Select one of the following:

  • treat lesions in the bladder

  • treat hernias in the colon

  • treat lesions in the small intestine and rectum

  • treat lesions in the sigmoid and rectum

Explanation

Question 4 of 48

1

In a LAR procedure it is vital to maintain a portion of the colon to keep the function of?

Select one of the following:

  • maintain water absorption

  • maintain hemostasis

  • maintain circulatory system

  • maintain fecal function

Explanation

Question 5 of 48

1

LAR procedures are done in what patient position on the O.R. bed?

Select one of the following:

  • supine

  • lateral

  • prone

  • lithomtomy

Explanation

Question 6 of 48

1

J-Pouch is known as?

Select one of the following:

  • Low Anterior Resection

  • colon resection

  • Ileoanal endorectal pull through

  • lateral endorectal pull through

Explanation

Question 7 of 48

1

Ileoanal Endorectal Pull-Through is the removal of?

Select one of the following:

  • colon and proximal 2/3 of rectum

  • small intestine and part of rectum

  • small intestine and 2/3 of rectum

  • colon and 1/3 of rectum

Explanation

Question 8 of 48

1

What procedure peels away the inner lining of the rectum?

Select one of the following:

  • gastroectomy

  • mucosalectomy

  • colongealectomy

  • mucosectomy

Explanation

Question 9 of 48

1

What procedure relieves symptoms of ulcerative colitis and polyosis?

Select one of the following:

  • low anterior resection

  • ileonal endorectal pull-through

  • cholangiocarcinoma

  • colon resection

Explanation

Question 10 of 48

1

What procedure is known as a anal sphincter saving operation?

Select one of the following:

  • low anterior resection

  • gastrointestinal resection

  • abdominal perineal resection

  • ileoanal endorectal pull-through

Explanation

Question 11 of 48

1

What procedure leaves the patient with a permanent colostomy?

Select one of the following:

  • Lower anterior resection

  • abdominal perineal resection

  • ileonal endorectal pull-through

  • colonectomy

Explanation

Question 12 of 48

1

What procedure leaves the anal opening closed for life?

Select one of the following:

  • low anterior resection

  • ileonal endorectal pull-through

  • appendectomy

  • abdominal perineal resection

Explanation

Question 13 of 48

1

Which of the following procedures can be done to help an adult patient with stomach ulcers and a newborn with a distal stomach sphincter stenosis?

Select one of the following:

  • Pyloroplasty

  • LAR

  • Billroth I

  • J-pouch

Explanation

Question 14 of 48

1

In a LAR what is the diagnostic instrument used to inflate the colon?

Select one of the following:

  • Asepto

  • Sigmoidoscope

  • Stentascope

  • Stethoscope

Explanation

Question 15 of 48

1

What medication is injected at the "Dentate" intraoperatively to help separate the layers on a J-Pouch procedure?

Select one of the following:

  • thrombin

  • dexamethazone

  • kantrex

  • saline with epinephrine

Explanation

Question 16 of 48

1

What is removed on the J-Pouch procedure?

Select one of the following:

  • distal stomach and 1/2 of duodenum

  • distal colon, rectum and anus

  • entire colon and proximal 2/3 of the rectum

  • proximal colon and cecum

Explanation

Question 17 of 48

1

Gastrostomy is the

Select one of the following:

  • removal of a bezoar (intestinal stones)

  • repair of a stomach ulcer

  • resection of a portion of the stomach

  • creation of an opening from the stomach to the skin

Explanation

Question 18 of 48

1

Which instrument set/s would be needed for either Billroth procedure?

Select one of the following:

  • large self-retaining retractor set

  • Major Lap

  • GI clamps set

  • all of the above

Explanation

Question 19 of 48

1

Which stapler is used (if possible) at the end of the J-Pouch procedure to complete the anastomosis with the rectum?

Select one of the following:

  • LDS

  • TA

  • GIA

  • EEA

Explanation

Question 20 of 48

1

During the LAR procedure, how does the surgeon avoid damaging the ureters during the dissection process of the procedure?

Select one of the following:

  • the assistant will place their hands over the ureters for protection

  • dye is injected to help make the ureters show up.

  • Stents are placed to help identify the ureters

  • X-rays are taken during the procedure

Explanation

Question 21 of 48

1

What is the position that the patient will be in for the LAR procedure?

Select one of the following:

  • Low Lithotomy

  • Left Lateral

  • Supine

  • Prone

Explanation

Question 22 of 48

1

What is the determining factor when a surgeon decides between an Abdominal Perineal or a Low Anterior Resection?

Select one of the following:

  • availability of the instruments

  • level of the patient's lesion

  • skill level of the surgeon

  • insurance carrier

Explanation

Question 23 of 48

1

A mucosectomy is best described as:

Select one of the following:

  • peeling away the mucosal lining, leaving the underlying muscle layer

  • wrapping the proximal stomach around the esophagus

  • the permanent closing of the rectum

  • partial closing of the rectum

Explanation

Question 24 of 48

1

What is the size of the stomach pouch after the bariatric surgery?

Select one of the following:

  • 1 liter

  • 100 ml

  • 15-20 ml

  • 50-75 cc

Explanation

Question 25 of 48

1

The term "Dumping Syndrome" relates to which procedure.

Select one of the following:

  • LAR

  • Abdominal Perineal Resection

  • J-pouch

  • Roux-en-y

Explanation

Question 26 of 48

1

Which of the Billroth procedures uses TA-30 staplers times 3 for the anastomosis?

Select one of the following:

  • I

  • both

  • II

  • neither

Explanation

Question 27 of 48

1

What patient position is used to displace the abdominal contents to enhance the surgeon's view of the lower abdominal/pelvic region?

Select one of the following:

  • Fowler's

  • lateral

  • Trendelenburg

  • reverse Trendelenburg

Explanation

Question 28 of 48

1

The identification and resection of two nerves that will interrupt the parasympathetic nerves and reduce gastric acid secretions is called what?

Select one of the following:

  • Vagotomy

  • Pyloroplasty

  • LAR

  • Billroth II

Explanation

Question 29 of 48

1

Why is the psychological aspect of the Bariatric patient important to consider before the procedure can be performed?

Select one of the following:

  • Obesity can be related to psychological problems

  • Changes in diet are drastic

  • Reasons for their desired weight loss

  • All of the above are possible

Explanation

Question 30 of 48

1

What is the condition the Billroth patient most likely has?

Select one of the following:

  • stomach ulcers or cancer

  • rectal polyps

  • colon cancer

  • esophageal atresia

Explanation

Question 31 of 48

1

At the completion of the LAR, air is instilled into the colon and the abdominal cavity is filled with irrigation solution. This is done for what purpose?

Select one of the following:

  • To look for bleeding within the bowel

  • To seal the anastomosis

  • To reduce the chance for gas production after surgery

  • To check for leaks in the anastomosis

Explanation

Question 32 of 48

1

What stapler is the most important in the creation of the actual J-Pouch (not the anastomosis)?

Select one of the following:

  • LDS

  • EEA

  • TA

  • GIA

Explanation

Question 33 of 48

1

The three portions of the small intestine are the

Select one of the following:

  • cecum, mesentery, and ileum

  • mesentery, duodenum, and appendix

  • ilium, sigmoid, and jejunum

  • duodenum, ileum, and jejunum

Explanation

Question 34 of 48

1

What is the purpose of the J-Pouch?

Select one of the following:

  • provide a place for the colostomy to expel waste

  • provide a holding chamber for fecal matter to solidify

  • to give the patient time for water absorption

  • both b & c

Explanation

Question 35 of 48

1

Which surgical procedure relieves symptoms of ulcerative colitis and familial polyposis

Select one of the following:

  • Ileoanal Endorectal Pull Through

  • Billroth I

  • Pyloroplasty

  • Abdominal Perineal Resection

Explanation

Question 36 of 48

1

What does Bariatric Surgery (Roux-en-y) treat?

Select one of the following:

  • Polyps

  • Ulcers

  • Obesity

  • Colitis

Explanation

Question 37 of 48

1

Another name for the Billroth I & II is?

Select one of the following:

  • Vagotomy

  • Pyloroplasty

  • J-Pouch

  • Gastrectomy

Explanation

Question 38 of 48

1

What suture is used to close the anus at the start (not the end) on the Abdominal Perineal Resection?

Select one of the following:

  • 3-0 plain ties

  • 4-0 chromic on a general closure

  • 2-0 silk on a curved cutting

  • 0 nylon on a keith

Explanation

Question 39 of 48

1

What is the purpose of the Surgeon doing a preoperative sigmoidoscopy on the LAR patient?

Select one of the following:

  • confirm the level of the lesion

  • to make a mess

  • for insurance coverage

  • to check the effectiveness of the enema

Explanation

Question 40 of 48

1

What are the qualification guidelines for the Bariatric Surgical Patient?

Select one of the following:

  • esophageal reflux

  • BMI of 40 or above

  • pelvic pain

  • blood in the stool

Explanation

Question 41 of 48

1

Which stapler combination is used for the bariatric procedure

Select one of the following:

  • TA-30 & GIA

  • LDS & EEA

  • GIA & LDS

  • TA-90 & EEA

Explanation

Question 42 of 48

1

The Abdominal Perineal Resection can best be defined as:

Select one of the following:

  • the excision of the distal colon, sigmoid, rectum and anus

  • a permanent colostomy is made with the proximal colon

  • the closing of the rectum for life

  • all of the above

Explanation

Question 43 of 48

1

In addition to the surgery, what is commonly removed on the Bariatric Surgery patient during their procedure?

Select one of the following:

  • rectum

  • meckel's

  • appendix

  • gallbladder

Explanation

Question 44 of 48

1

Which of the following procedures would involve a surgeon working at the rectum?

Select one of the following:

  • Abdominal Perineal Resection

  • J-Pouch

  • LAR

  • All of the procedures, in different degrees.

Explanation

Question 45 of 48

1

The flow of food and liquids from the stomach to the small intestine is controlled by the

Select one of the following:

  • anal sphincter

  • sphincter of Oddi

  • ileocecal valve

  • pyloric sphincter

Explanation

Question 46 of 48

1

What is the official name for the J-Pouch procedure?

Select one of the following:

  • Ileoanal Endorectal Pull Through

  • Abdominal Perineal Resection

  • Billroth II

  • Low Anterior Resection

Explanation

Question 47 of 48

1

Pyloroplasty will result in?

Select one of the following:

  • a flat stomach

  • late & early dumping

  • rapid emptying of the stomach

  • reduction of gastric juice formation

Explanation

Question 48 of 48

1

Which stapler is used on the LAR procedure to perform the anastomosis of the colon and rectum?

Select one of the following:

  • EEA

  • LDS

  • GIA

  • TA

Explanation

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