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Surg > General Surgery > Flashcards

General Surgery Flashcards

1
Q

Which stapling device would be used to create an anastomosis during a low anterior resection?

A

EEA

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2
Q

The ligament of Treitz is found between which two structures?

A

duodenum and jejunum

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3
Q

The folds of the lining in the stomach are

A

ruage

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4
Q

Which of the following needles would be used for a liver biopsy?

A

Tru-Cut/ Silverman

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5
Q

The area in the duodenum where the common bile duct and the pancreatic duct empty is called the:

A

Ampulla of Vater

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6
Q

Through which of the following do the common bile duct and the pancreatic duct empty?

A

Ampulla of Vater

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7
Q

Which of the following procedures is performed to decrease gastric secretions?

A

Vagotomy

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8
Q

What organ produces bile?

A

Liver

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9
Q

What 2 structures are identified and ligated during a cholecystectomy?

A

cystic artery and cystic duct

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10
Q

A “twisting” of the bowel causing obstruction is called a/an:

A

volvulus

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11
Q

The divisions of the small intestines in order, beginning at the pyloric sphincter are:

A

duodenum, jejunum, ileum

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12
Q

Femoral hernias occur:

A

below Poupart’s ligament

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13
Q

Choledochotomy is performed to:

A

Drain the common bile duct

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14
Q

The surgical incision commonly used for an open cholecystectomy is the _______ incision.

A

right subcostal

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15
Q

In which surgical procedure would blunt needles be used?

A

liver resection

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16
Q

What type of hernia is a combination of direct and indirect inguinal hernia?

A

Pantaloon

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17
Q

The small intestine begins at the

A

pylorus

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18
Q

Which of the following instruments would be found in a gastrointestinal setup?

A

Doyen forcep

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19
Q

The Heller procedure is performed to correct

A

esophageal obstruction

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20
Q

A hernia that forms due to a defect in the internal inguinal ring is referred to as a ________ hernia.

A

indirect hernia

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21
Q

The abdominal cavity is filled with which gas to create a pneumoperitoneum during minimally invasive surgery (laparoscopy)?

A

carbon dioxide

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22
Q

A vertical incision 3 cm lateral to the midline of the abdomen is a/an __________ incision.

A

Paramedian

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23
Q

The organ that often sustains incidental injury during a transverse colectomy is the:

A

Spleen

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24
Q

When repairing a direct hernia, the surgeon works within the anatomical triangle formed by the inguinal ligament, inferior epigastric vessels and the lateral border of the rectus abdominus called:

A

Hesselbach’s

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25
Q

Which reconstructive procedures must be performed following a pancreaticoduodenectomy?

A

Pancreaticojejunostomy, hepaticojejunostomy (or choledochojejumostomy) and gastrojejunostomy

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26
Q

Which of the following hernias can result in necrosis of the viscera?

A

strangulated

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27
Q

A Meckel’s diverticulum is found in the:

A

ileum

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28
Q

For a pilonidal cystectomy, the patient will be placed in the _________ position.

A

jackknife (Kraske)

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29
Q

The biliary system (also called the biliary tree) drains bile from the gallbladder to the ampulla of Vater. The primary function of the gallbladder is to:

A

store and concentrate bile.

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30
Q

Parasympathetic innervation to the stomach is provided by the ________ nerve.

A

Vagus

30!!!!!!

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31
Q

Glisson’s capsule is the:

A

External covering of the liver

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32
Q

The structure that binds the small intestine to the posterior abdominal wall is called the:

A

mesentary

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33
Q

The organ that lies posterior to the greater curvature of the stomach and is connected by a duct to the duodenum is the:

A

pancreas

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34
Q

Vitamins A, D, E and K are absorbed in the:

A

intestine

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35
Q

Why is a verres needle used during an laparoscopy?

A

instill CO2

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36
Q

What is the function of the small intestine?

A

absorption of nutrients

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37
Q

What type of suture technique is used to invert the stump of the appendix during an appendectomy?

A

Purse-string

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38
Q

What is the primary function of the gallbladder?

A

store bile

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39
Q

A type of deep retractor commonly used during an open cholecystectomy is a/an:

A

Harrington

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40
Q

Which of the following is part of the immune system?

A

Spleen

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41
Q

A modified radical mastectomy involves the removal of ___________.

A

breast and axillary lymph nodes

42
Q

The surgical incision for a Splenectomy could be:

A

left subcostal

43
Q

The function of the sphincter of Oddi is to control the flow of

A

bile in the duodenum

44
Q

Which organ has both exocrine and endocrine functions?

A

pancreas

45
Q

Another name for a partial gastrectomy is:

A

Billroth I

46
Q

A direct or indirect inguinal hernia indicates a tear in

A

transversalis fascia

47
Q

Which of the following is the correct order of the layers of the colon from innermost to outermost?

  1. Serosa
  2. Submucosa
  3. Muscularis
  4. Mucosa
A 
4, 2, 3, 1
Mucosa
Submucosa
Muscularis
Serosa
48
Q

The incision most commonly used for an open appendectomy is:

A

McBurney

49
Q

Which of the following is an abnormal tract between two epithelium-lined surfaces that is open at both ends?

A

fistula

50
Q

The scissors used to open the common bile duct during exploration is called:

A

Potts

51
Q

A Whipple (pancreaticoduodenectomy) involves the removal of:

A

head of the pancreas, distal one-third of the stomach, duodenum. proximal 10 cm. of jejunum, gallbladder, cystic and common bile ducts, and peripancreatic and hepatoduodenal lymph nodes

52
Q

The procedure for a lower rectal malignancy that requires an abdominal and rectal incision is:

A

Abdominoperineal resection

53
Q

The double-layered, apron-like structure that hangs from the greater curvature of the stomach is the:

A

Omentum

54
Q

Which drain should the ST have available for insertion into the common bile duct during an exploration?

A

T-tube

55
Q

The incision for a resection of the sigmoid colon is a/an

A

paramedian

56
Q

The functional units of the liver are the lobules. The functional cells of the liver are the ______________, and they manufacture _______________.

A

hepatocytes; bile

57
Q

The anatomical triangle when performing a cholecystecomy is called:

A

Calot’s

58
Q

A Sengstaken-Blakemore tube is used when treating:

A

esophageal varices

59
Q

Endoscopic retrograde cholangiopancreatography is perfomed to:

A

Visualize biliary and pancreatic tracts

60
Q

Which procedure would the use of the intraluminal stapler (EEA) be used for?

A

sigmoidectomy

61
Q

The surgical procedure performed in conjunction with a Total Colectomy is a/an:

A

Iieostomy

62
Q

The structures that must be ligated prior to removal of the gallbladder are the:

A

cystic artery, cystic duct

63
Q

Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is called a:

A

Pyloroplasty

64
Q

An instrument used to view the large intestine is a/an:

A

colonoscope

65
Q

Upon completion of a colon anastomosis, the defect in the _____ must be closed to prevent postoperative obstruction.

A

mesentary

66
Q

Which of the following anatomical structures could best be approached through a thoracoabdominal incision?

A

Esophagus

67
Q

The term staging refers to __________.

A

degree of tumor metastasis

68
Q

Which organ shares the same blood supply with the pancreas and must be removed during a Whipple procedure?

A

duodenum

69
Q

The incision for an Exploratory Laparotomy would be the:

A

Midline

70
Q

Which is the correct order of the parts of the stomach starting at the portion that surrounds lower esophageal sphincter?

A

cardia, fundus, body, antrum/pylorus

71
Q

A scheduled gastrectomy in Room 3 is most likely being performed due to:

A

Obesity

72
Q

Intestinal motility is called

A

peristalsis

73
Q

Which of the following is a type of inflammatory bowel disease with chronic inflammation of the intestine?

A

crohns

74
Q

The suture most appropriate for closure of the intestinal mucosa is:

A

4-0 silk

75
Q

The type of needle used on peritoneum and intestines is:

A

Taper

76
Q

Hepatomegaly is

A

enlarged liver

77
Q

In which of the following procedures would the surgeon check for anastomotic leaks by injecting air into the rectum and looking for bubbles in the fluid-filled peritoneal cavity?

A

low anterior resection

78
Q

What does the term hepat/o mean

A

liver

79
Q

Which of the following terms describes a hernia that occurs in the Hesselbach triangle?

A

direct

80
Q

At the completion of the anastomosis of an intestine, the instruments used on the bowel are placed:

A

in a separate basin

81
Q

The most common type of hernia is the:

A

indirect hernia

82
Q

The instrument used for common duct exploration during an open cholecystectomy is:

A

Bakes dilators

83
Q

What is surgical position for a cholecystectomy?

A

Reverse Trendelenburg

84
Q

Which clamp is most often used to grasp the appendix?

A

Babcock

85
Q

What is the recommended range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic procedure?

A

12-15 mm Hg

86
Q

What body system aids in the metastatic spread of cancer cells?

A

Lymphatic

87
Q

A forceps commonly used to remove gallstones from the common bile duct during an open cholecystectomy is:

A

Randall stone forceps

88
Q

Which breast procedure describes a mastectomy?

A

surgical removal

89
Q

Due to increased venous pressure in the rectum, thrombosed vessels can form. What are these called?

A

hemorrhoids

90
Q

Escherichia coli is normally present inside which of the following anatomical structures?

A

colon

91
Q

What is the term used to describe male breast enlargement?

A

gynecomastia

92
Q

Which quadrant is the appendix located?

A

right lower

93
Q

Which of the following is the correct order of the large intestine, starting at the end of small bowel?

A

cecum, ascending, transverse, descending, sigmoid, rectum

94
Q

The islets of Langerhans secrete:

A

insulin

95
Q

The beta cells of the islets of Langerhans are responsible for the production of _________.

A

insulin

96
Q

During a common bile duct exploration, what does the STSR need to remember?

A

Bubbles must be removed from the syringe holding the contrast media

97
Q

All of the following are intestinal instruments EXCEPT:

A

a. Allen forceps
b. Best clamp
c. Heaney forcep
d. Doyen forcep

Answer is c. Heaney forcep

98
Q

Which of the following are abdominal skin prep perimeters for an exploratory laparotomy?

A

nipple line to midthigh

99
Q

A Sentinel Node Biopsy is performed to:

A

remove the first lymph node that drains an area of suspected cancer

100
Q

The suture most appropriate for closure of the intestinal mucosa is:

A

4-0 Silk

Surg (6 decks)

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