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General Surgical Techniques; Chapter 14 Exam
- A Whipple procedure is done for treatment of a tumor in which abdominal organ? a. liver b. pancreas c. rectum d. spleen: b. pancreas
- Another name for a thyroid tenaculum is a: a. Braun b. Jacobs c. Lahey d. Schroeder: c. Lahey
- Which stage of breast cancer is characterized by distant metastasis? a. Stage I b. Stage II c. Stage III-b d. Stage IV: d. Stage IV
- What is the name of the fibrous and serous capsule that covers the liver? a. Bowman's b. Glisson's c. Tenon's d. articular: b. Glisson's
- For which surgical procedure would the Buie pile forceps be used? a. appendectomy b. breast biopsy c. cholecystectomy d. hemorrhoidectomy: d. hemorrhoidectomy
- A typical end-to-end bowel anastamosis is accomplished with which of the following suturing techniques? a. one-layer, continuous technique for seromuscular approximation
2 / 17 with ab- sorbable suture b. one-layer, interrupted technique for mucosal approximation only with silk suture c. two-layer, continuous technique for seromuscular approximation with ab- sorbable, interrupted for mucosa with silk suture d. two-layer, interrupted technique for seromuscular approximation with silk, continuous for mucosa with absorbable suture: d. two-layer, interrupted technique for sero- muscular approximation with silk, continuous for mucosa with absorbable suture
- In which of the following abdominal incisions would the linea alba be opened down to the peritoneum? a. Kocher subcostal b. McBurney c. median vertical d. transverse: c. median vertical
- Which incision is traditionally used for open appendectomy? a. McBurney b. median vertical c. paramedian d. pfannenstiel: a. McBurney
- A Maloney bougie dilator is used in which anatomical structure? a. common bile duct b. esophagus c. urethra d. cervix: b. esophagus
- Doyen, Kocher, Dennis, and Allen are names of which type of instrument? a. abdominal retractors b. intestinal clamps c. laparoscopic graspers d. tissue scissors: b. intestinal clamps
- What does TEP stand for in general surgery?
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- What term is use for surgical opening of the abdominal or peritoneal cavity? a. gastrectomy b. gastrostomy c. laparoscopy d. laparotomy: d. laparotomy
- Which type of hernia occurs below the abdominocrural crease and more frequently in females? a. femoral b. epigastric c. direct inguinal d. indirect inguinal: a. femoral
- What is another way of saying "cephalad to caudad" a. back to front b. front to back c. head to tail d. inside to outside: c. head to tail
- Which fascial sheet is attached to the iliac crest, linea alba, and pubis? a. innominate b. interparietal c. Scarpa's d. transversalis: c. Scarpa's
- What is another name for an acquired ventral hernia through the linea semilunaris? a. epigastric b. femoral c. inguinal d. spigelian: d. spigelian
- Which suturing technique is often used on appendiceal stumps? a. interrupted b. horizontal mattress
5 / 17 c. vertical mattress d. pursestring: d. pursestring
7 / 17 as a method of gentle traction of the spermatic cord?
8 / 17 a. laparoscopic nissen fundoplication b. McVay inguinal herniorrhaphy c. totally extraperitoneal patch (TEP) d. ventral/incisional herniorrhaphy: b. McVay inguinal herniorrhaphy
- A Vagotomy is a surgical treatment option for: a. appendicitis b. ductal carcinoma c. gastric ulcers d. pancreatitis: c. gastric ulcers
- Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion? a. adhesive stricture b. fecal impaction c. intussusception d. volvulus: c. intussusception
- Which type of surgical procedure is used to release abnormal tissue connec- tions in the abdominal viscera and layers? a. anastamosis b. fundoplication c. herniorrhaphy d. lysis of adhesions: d. lysis of adhesions
- End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for: a. bowel anastamosis b. mastectomy wound closure c. mesh placement in herniorrhaphy d. surgical skin prep solution application: a. bowel anastamosis
- In a laparoscopic appendectomy all of the following methods could be used for dissection of the appendix EXCEPT: a. endoscopic linear stapler b. ligating loop instrument c. intraluminal circular stapler
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- Which statement is CORRECT regarding polyps and diverticula in the colon? a. Both protrude inward into the lumen of the intestine b. Both protrude outward from the lumen of the intestine c. Polyps protrude inward, and diverticula protrude outward from the intestine d. Diverticula protrude inward, and polyps protrude outward from the intes- tine: c. Polyps protrude inward, and diverticula protrude outward from the intestine
- The hepatic and splenic flexures are located proximally and distally in which part of the large intestine? a. ascending b. descending c. sigmoid d. transverse: d. transverse
- "Bowel Technique" refers to steps used by the surgical team to prevent postoperative: a. adhesion formation b. hemorrhage c. incisional hernia formation d. surgical site infection: d. surgical site infection
- An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which muscle? a. external oblique b. internal oblique c. rectus abdominus d. transversus abdominus: c. rectus abdominus
- Which of the following is the MOST common permanent colostomy? a. end b. loop c. end-loop
11 / 17 d. sigmoid: d. sigmoid
- Which surgical position is used exclusively for anorectal surgical proce- dures? a. Kraske
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- Pancreaticoduodenectomy is also known as which of the following proce- dures? a. Bassini-Shouldice b. McVay c. Nissen d. Whipple: d. Whipple
- A needle-localization procedure may be performed in radiology for assis- tance in locating discrete masses in the: a. breast b. groin c. liver d. pancreas: a. breast
- What is the name for the first lymph node in the axillary chain that is frequently biopsied in conjunction with a breast biopsy, lumpectomy, or mas- tectomy? a. attendant b. guardian c. leader d. sentinel: d. sentinel
- Surgical removal of the entire breast without any lymph nodes is a(n): a. excisional biopsy b. simple mastectomy c. segmental mastectomy d. modified radical mastectomy: b. simple mastectomy
- If a mastectomy is scheduled to follow a breast biopsy and frozen section results indicate carcinoma, what is done? a. Protect the field until the second procedure begins b. Bring up a mayo stand with new instruments for the mastectomy c. Use same instruments, but be sure to change all gloves first d. Re-prep, redrape patient; team changes gowns and gloves and use new instruments: d. Re-prep, redrape patient; team changes gowns and gloves and
14 / 17 use new instruments
16 / 17 f. Ulcerative colitis
17 / 17 g. Jaundice h. rebound pain i. aponeurosis j. Billroth I: i. aponeurosis
- Double-layer membrane of peritoneum attached to back wall of abdominal cavity that supports the small intestine: a. mesentery b. strangulated c. ipsilateral d. lithotripsy e. Dysphagia f. Ulcerative colitis g. Jaundice h. rebound pain i. aponeurosis j. Billroth I: a. mesentery
- Noninvasive electro-generated shock waves used to break up calculi in the urinary and biliary system: a. mesentery b. strangulated c. ipsilateral d. lithotripsy e. Dysphagia f. Ulcerative colitis g. Jaundice h. rebound pain i. aponeurosis j. Billroth I: d. lithotripsy
