Gastrointestinal Surgery

Question 1

Barrett’s esophagus is:

Answer 1

a premalignant condition

Question 2

The left/right gastric, left/right gastroepiploic, and short gastric arteries supply which structure?

Answer 2

stomach

Question 3

Resection of the sigmoid colon and rectum would be considered a _______________.

Answer 3

proctocolectomy

Question 4

Which nerve is responsible for the diaphragm?

Answer 4

phrenic

Question 5

The right colic artery is a branch of the:

Answer 5

superior mesenteric artery

Question 6

The superior mesenteric and inferior mesenteric arteries anastomose through which of the following vessels? (Refer to Plate 295 in your Atlas of Human Anatomy)

Answer 6

marginal artery

Question 7

Your surgeon has decided to perform the laparoscopic approach, the patient is placed in the supine position on the OR table and anesthetized. A #11 blade is used to make a small incision at the umbilicus. Using a ___________ (open) technique, the abdominal cavity is entered.

Answer 7

hassan

Question 8

Your patient presents with pain first, vomiting next and fever last has been described as the classic presentation of this condition. The pain is at the same level as the umbilicus. What is the likely preop diagnosis?

Answer 8

appendicitis

Question 9

Adenocarcinoma of the small bowel is most commonly associated with:

Answer 9

Familial adenomatous polyposis (FAP)

Question 10

What should surgery for a bleeding gastric ulcer include?

Answer 10

GASTRIC BX TO RULE OUT CA

Question 11

The flexure between the transverse colon and the descending colon is referred to as the:

Answer 11

splenic flexure

Question 12

_____________is a congenital medical condition which affects the alimentary tract. It causes the esophagus to end in a blind-ended pouch rather than connecting normally to the stomach.

Answer 12

Esophageal atresia

Question 13

Your patient is a 53-year-old male who is otherwise fit presents with a 2 cm carcinoma in the gastric antrum, confined to the submucosa of assessment by endoscopic ultrasound. There is no evidence of metastases on CT scan. What is the likely treatment of choice that your MD is most likely to make:

Answer 13

PARTIAL GASTRECTOMY

Question 14

The connection of the superior mesenteric and splenic vein is called:

Answer 14

portal vein

Question 15

What is the term for the tough fibrous white band that extends form the xiphoid process to the pubic symphysis?

Answer 15

Linean alba

Question 16

Where should biopsies for H. pylori testing be taken from?

Answer 16

the gastric antrum

Question 17

Retroperitoneal structures are most at risk of inadvertent damage in which of the following procedures:

Answer 17

sigmoid colectomy

Question 18

The primary difference between the Cushing and Connell suturing techniques for GI anastomosis include which of the following:

Answer 18

The Connell stitch penetrates the mucosal layer, while the Cushing does not

Question 19

From superior end downward, the three parts of the small intestine are:

Answer 19

duodenum, jejunum, ileum

Question 20

What is the name of the structure that binds the small intestine to the posterior abdominal wall?

Answer 20

mesentery

Question 21

26-year-old man is repeatedly having bloody diarrhea. What is the likely diagnosis?

Answer 21

Ulcerative Colitis

Question 22

Potential disadvantages of laparoscopic colectomy include the following EXCEPT:

Inadvertent diathermy injury to small bowel

Gas embolus

Subcutaneous emphysema

A higher incidence of wound infection than with open colectomy

Answer 22

a higher incidence of wound infection that with open colectomy

Question 23

A healthy looking 55-year-old male develops mild progressive dysphagia. He describes a feeling of food being stuck in the throat, with coughing episodes on eating. On occasions, he regurgitates undigested food into the mouth some hours after eating. Oesophageal mobility studies are normal. Your MD orders a barium swallow which would be most likely to reveal:

Answer 23

Pharyngo-esophageal diverticulum

Question 24

Three distinct and visible longitudinal bands of smooth muscle running the length of the colon are referred to as: (Refer to Plate 376 in your Atlas of Human Anatomy)

Answer 24

taenia coli