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Final Exam > Bariatric/Thoracic Final > Flashcards

Bariatric/Thoracic Final Flashcards

1
Q

A laparoscopic sleeve gastrectomy is considered to be both a restrictive and malabsortive procedure. TRUE OR FALSE

A

FALSE

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2
Q

During a laparoscopic sleeve gastrectomy, the stomach is reduced to what percentage of its original size?

A

15%

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3
Q

The Rawlins study was designed to determine the ______

A

Tissue thickness trends along the staple line and examines what factors might predispose to thicker tissue

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4
Q

The purpose of a surgical anastomosis is to:

A

Join together two hollow organs, usually to restore continuity after resection, or to bypass an unresectable disease process

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5
Q

The pylorus controls the emptying from the stomach into the

A

DUODENUM

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6
Q

An important step during a sleeve gastrectomy process is to mobilize the _____ prior to transecting the stomach

A

GREATER CURVATURE

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7
Q

The liver is almost always retracted to access the operating site during gastric bypass, sleeve gastrectomy or adjustable gastric band procedures. TRUE OR FALSE

A

TRUE

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8
Q

The surgical goals of surgeon when creating the gastric sleeve during a sleeve gastrectomy are to: (select all that apply)

A

Maintain appropriate compression to ensure uniform, leak free, hemostatic staple lines

Achieve good, consistent staple lines in a wide range of tissue thickness

Provide appropriate size gastric sleeve

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9
Q

ETHICON provides a comprehensive portfolio of bariatric resources to support engagement with healthcare professionals and patients at every stage of their journey from sustaining a health lifestyle post-operatively. TRUE OR FALSE

A

TRUE

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10
Q

During a sleeve gastrectomy procedure, surgeons typically encounter the thickest tissue during first firings in the area of the ______

A

PYLORUS

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11
Q

In a gastric bypass procedure, prior to diving the jejunum, the surgeon measures from which landmark to identify where to perform the proximal line or transection?

A

LIGAMENT OF TREITZ

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12
Q

For adults, the World Health Organization (WHO) defines obesity as a BMI greater than or equal to _____

A

30

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13
Q

During a laparoscopic sleeve gastrectomy, some surgeons use buttressing material/staple line reinforcement on the staple line, some oversee the staple line and some don’t use any. TRUE OR FALS

A

TRUE

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14
Q

During a sleeve gastrectomy, what portions of the stomach are removed? Select all that apply

A

ANTRUM, FUNDUS, BODY/GREATER CURVATURE OF THE STOMACH

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15
Q

Select the types of anastomosis performed in a gastric bypass roux-en-Y procedure: select all that apply

A

GASTROJEJUNOSTOMY

JEJUNOJEJUNOSTOMY

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16
Q

In a gastric bypass procedure, either a circular stapler or an Endo cutter can be used to create gastrojejunostomy. TRUE OR FALSE

A

TRUE

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17
Q

BMI stands for Body Mass Index. TRUE OR FALSE

A

TRUE

18
Q

Obesity dramatically increases the risk of:

A

ALL OF THE ABOVE

19
Q

Laparoscopic gastric bypass in the surgical treatment for what condition?

A

Morbid obesity

20
Q

In gastric bypass and sleeve gastrectomy procedures a portion of the stomach is removed. TRUE OR FALSE

A

FALSE

21
Q

What are common comorbidities of morbid obesity? (Select all that apply)

A

HYPERTENSION

TYPE 2 DIABETES

SLEEP APNEA

22
Q

The short gastric arteries supply blood to the upper part of the greater curvature and the fundus of the Stomach. TRUE OR FALSE

A

TRUE

23
Q

Some key features to VATS approach with wedge resection are _______ chance for infection and wound dehiscence, resulting in _______ recovery by the patient.

A

REDUCED, FASTER

24
Q

The trachea divides into one left and one right breathing tube, and these are termed:

A

MAINSTEM BRONCHI

25
Q

The _____ is the largest artery in the body and receives blood from the ______

A

AORTA, LEFT VENTRICLE

26
Q

Which of the following statements about the pleura and the pleura cavity is FALSE?

A

THE LUNGS ARE CONTAINED WITHIN A SINGLE PLEURAL CAVITY

27
Q

Blood is reoxygynated in the _______

A

ALVEOLAR SACS

28
Q

The function of the pulmonary veins is to transport ________

A

OXYGENATED BLOOD FROM THE LUNGS TO THE HEART

29
Q

In a lobectomy, once the portion of the lung with the tumor has been removed, the surgeon removes the ______ that receive drainage from the lung.

A

LYMPH NODES

30
Q

A wedge resection is performed only for diagnostic, never for therapeutic reasons. TRUE OR FALSE

A

FALSE

31
Q

During a wedge resection, the surgeon does not encounter any major vessels. TRUE OR FALSE

A

TRUE

32
Q

The right and left pleural cavities are separated by the ________

A

MEDIASTINUM

33
Q

What are the four structures that enter and leave the hilus or the lung?

A

BRONCHUS, PULMONARY ARTERY, SUPERIOR AND INFERIOR PULMONARY VEIN

34
Q

The leading cause of lung cancer is obesity. TRUE OR FALSE

A

FALSE

35
Q

The pulmonary ________ Cary ________ blood away from the heart to the lungs and the pulmonary _____ take _____ blood from the lungs back to the heart.

A

ARTERIES, DEOXYGENATED, VEINS, OXYGENATED

36
Q

Pneumothorax is the presence of air or gas in the cavity between the lungs and the chest wall, causing collapse of the lung. TRUE OR FALSE

A

TRUE

37
Q

The muscle that separates your chest (thorax or thoracic cavity) from your abdomen:

A

DIAPHRAM

38
Q

The lungs are dived into five separate functional lobes; _____ in the right lung and _____ in the left

A

3; 2

39
Q

The _____ pumps de-oxygenated blood to the lungs and the _____ receives oxygen-rich blood from the lungs.

A

RIGHT VENTRICLE, LEFT ATRIUM

40
Q

Select the correct order of procedure steps for a lobectomy:

A

ADHESION TAKEDOWN, EXPOSE THE HILUS, LIGATE AND TRANSECT PULMONARY VEIN, LIGATE AND TRANSECT PULMONARY ARTERY BRANCHES, LIGATE AND TRANSECT LOBAR BRONCHUS

Final Exam (11 decks)

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