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ST230 > Exam: #6 > Flashcards

Exam: #6 Flashcards

0
Q

Which gas is used for insufflation of the abdomen?

A

CO2

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1
Q

What is another name for the digestive tract?

A

Alimentary canal

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2
Q

What is dysphagia?

A

Difficulty swallowing

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3
Q

What is used for auscultation?

A

Stethoscope

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4
Q

What needs to be counted on a Bookwalter retractor set?

A

Everything!!

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5
Q

What are the 3 portions of the small intestine?

A

Duodenum, jejunum, ilium

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6
Q

What is another name for the iliac region of the abdomen?

A

inguinal

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7
Q

What is GERD?

A

Stomach acid comes in contact with esophageal lining

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8
Q

What are the prep perimeters for a laparotomy?

A

Mid chest to mid thighs and bilaterally as far as possible

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9
Q

What can be used to make passing a specimen to the circulator easier?

A

Put it on a piece of telfa and pass to circulator

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10
Q

What is a vagotomy?

A

Create a partial split in the nerve trunks in the stomach

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11
Q

What does a nissen fundoplication correct?

A

hiatal hernia

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12
Q

What is the appendix attached to?

A

Secum

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13
Q

What is anastomosis?

A

A surgical connection of 2 hollow or tubular structures

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14
Q

What is volvulus?

A

Twisting of the bowel

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15
Q

What’s the incision for an open appendectomy?

A

Mcburney

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16
Q

What can happen to gallstones if they are placed in formalin?

A

they can be altered

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17
Q

What is intussusception?

A

Telescoping of the bowel

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18
Q

What gland is endocrine and exocrine?

A

pancreas

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19
Q

What is removed in a modified radical mastectomy?

A

The entire breasts including lymph nodes as well as axillary

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20
Q

If an excision of a hemorrhoidal elliptical is larger than 1.5 cm, will the wound be left open or close and what intention will it heal by?

A

Left opened with second intention healing

21
Q

What is diverticulum?

A

Abnormal out pouching of the bowel

22
Q

What should you do to lap sponges once the peritoneum is entered?

A

Moisten with warm saline

23
Q

Why is there 2 setups for a mastectomy followed by a breast reconstruction?

A

Prevents tumor seeding

24
Q

What are the steps for transecting the mesoappendix during an open appendectomy?

A
  1. a proximal clamp is applied
  2. the distal clamp is applied
  3. vessel is cut w/metz scissors
  4. ligate proximal end, cut suture
  5. then ligate distal end and cut suture
  6. then remove clamps
25
Q

What produces bile?

A

Liver

26
Q

Where is the xiphoid process located?

A

Distal portion of the sternum

27
Q

List and describe 5 stapling devices.

A
  • Linear stapler- To insert 2 straight, staggered, evenly spaced, parallel rows of staples into tissue
  • Intraluminal stapler: circular staples are used to anastomose tubular structures
  • Skin stapler: to approximate skin edges during skin closure
  • Linear Dissecting stapler-ejects 2 ligating clips side by side and then divides the tissue between the clips w/a single activation
  • Linear cutters- to staple and transect the tissue, contains a knife.
28
Q

What is the most common injured organ in blunt and penetrating abdominal trauma?

A

Liver

29
Q

What is a Billroth I or II?

A

A Subtotal gastrectomy

30
Q

Where does the biliary tract terminate?

A

Sphincter of Oddi

31
Q

What is the difference between a Billroth I and II?(Both are removing the pylorus of the stomach)

A
  • -B. I-the remaining portion of the stomach is anastomosed to the the duodenum
  • -B.II- the remaining of the stomach is anastomosed to the jejunum
32
Q

How many cholecystectomy’s are performed every year in the United States?

A

600,000-700,000

33
Q

In what quadrant is the gallbladder located?

A

RUQ (Right upper quadrant)

34
Q

What are gallstones classified as?

A

Cholesterol and pigmented

35
Q

What procedure treats rectal cancer?

A

Abdominoperineal resection

36
Q

Why is a splenectomy performed?

A

if the spleen is bleeding

37
Q

What is the purse-string suture used for?

A

Tighten or close and opening

38
Q

What are the functions of the liver?

A

Produces bile

39
Q

What size are tumors in stage IIIb?

A

larger than 5 cms

40
Q

What does the gram stain identify?

A

Bacteria

41
Q

What kind of –ostomy is created from the terminal ileum?

A

endiliostomy

42
Q

What is the objective of a simple I&D?

A

Open an abscess to allow drainage to relieve pain and reduce the risk of spreading infection

43
Q

What is the location of a diaphragmatic hernia?

A

esophageal hiatus

44
Q

What is thoracentesis?

A

removal of fluid from the plural cavity

45
Q

Where is a direct hernia located?

A

Hasselbach’s triangle

46
Q

Does the patency of the balloon on a tracheotomy tube need to be checked before the procedure begins?

A

YES

47
Q

What is removed in a whipple pancreaticduodenectomy?

A
  • Head of the pancreas
  • distal 1/3 of the stomach
  • entire duodenum
  • proximal 10 cms of the jejunum
  • gallbladder
  • cystic and bile ducts
  • peripancreatic hepatoduodenal lymph nodes
48
Q

What is electroencephalography?

A

Recording of electrical activity of the brain

49
Q

What is the purpose of the Hasson trocar?

A

allows trocar to be anchored into the fascia to create an air tight seal with sutures.

50
Q

Why is a penrose used for an inguinal herniorrhaphy?

A

Retract the spermatic chord

51
Q

What instrument is typically used to grasp bowel?

A

Babcock

ST230 (8 decks)

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