General surgery Flashcards

1
Q

a nissen fundoplication procedure is done to correct:
a. repeated attacks of volvulus
b. antireflux disease
c. bladder prolapse
d. gastroesophageal stenosis

A

b. antireflux disease

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2
Q

specimens may be passed off the sterile field by the scrub person on all of the following items EXCEPT:
a. sponge
b. towel
c. basin
d. paper

A

a. sponge

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3
Q

McBurney is an incision used for:
a. appendectomy
b. cholecystectomy
c. herniorrhaphy
d. pilonidal cystectomy

A

a. appendectomy

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4
Q

a hernia occurring is hesselbachl’s triangle is called:
a. indirect
b. spigelian
c. direct
d. femoral

A

c. direct

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5
Q

a whipple operation is surgically termed a:
a. pancreatectomy
b. pancreaticoduodenectomy
c. pancreatic cyst marsupialization
d. transduodenal sphincterotomy

A

b. pancreaticoduodenectomy

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6
Q

what is the correct order of the outermost to the innermost tissue layers that make up the wall of the stomach: (1) stomach, (2) mucosa, (3) muscularis, (4) submucosa

A

a. 1, 2, 3, 4

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7
Q

which organ is removed bc of trauma, blood condition, or as a staging procedure for malignancy?
a. adrenals
b. spleen
c. liver
d. pancreas

A

b. spleen

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8
Q

Direct visualization of the common bile duct is accomplished with a:
a. cholangiocath
b. cholangiogram
c. choledochoscope
d. trocar

A

d. choledochoscope

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9
Q

places tissues layers of the abdominal wall in their correct order from the outside in: (1) fascia, (2) skin, (3) peritoneum, (4) subcutaneous, (5) muscle

A

2, 4,1,5, 3

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10
Q

arrange the large intestine in correct order from proximal to distal: 1) rectum, 2) transverse colon, 3) ascending, 4) sigmoid, 5) descending

A

3, 2, 5, 4, 1

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11
Q

twisting of the bowel is known as:
a. strangulation
b. intussusception
c. volvulus
d. paralytic ileus

A

c. volvulus

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12
Q

the spleen filters:
a. antibodies
b. tissue fluid
c. lymph
d. blood

A

d. blood

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13
Q

the terminal portion of the large intestine is the:
a. sigmoid
b. rectum
c. anus
d. anal canal

A

b. rectum?

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14
Q

the appendix is attached to the:
a. ascending colon
b. transverse colon
c. cecum
d. descending colon

A

c. cecum

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15
Q

the primary function of the gallbladder is:
a. storage of bile
b. production of bile
c. digestion of fats
d. drainage of the liver

A

a. storage of bile

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16
Q

the yellow tinge of the skin symptomatic of obstructive jaundice is caused by the accumulation of what substance in the blood & tissue?
a. cholesterol
b. bile salts
c. enzymes
d. bilirubin

A

d. bilirubin

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17
Q

the large central portion of the stomach is called the:
a. pylorus
b. body
c. fundus
d. cardia

18
Q

the liver has:
a. 2 lobes
b. 3 lobes
c. 4 lobes
d. 5 lobes

A

a. 2 lobes

19
Q

what is the fibrous covering of the liver?
a. glisson’s
b. medulla
c. galea
d. sella turcica

A

a. glisson’s

20
Q

in surgery, cancer technique refers to:
a. the administration of an anticancer drug directly into the cancer site
b. the discarding of instruments coming in contact w/ tumor after each use
c. the use of radiation therapy at the time of surgery
d. the identification of the lesion

A

b. the discarding of instruments coming in contact w/ tumor after each use

21
Q

the postoperative complication attributed to glove powder entering a wound is:
a. granulomata
b. infection
c. inflammation
d. keloid formation

A

a. granulomata

22
Q

when bowel technique for an intestinal procedure is utilized:
a. 2 mayo stands
b. drapes & gloves do not need to be changes
c. contaminated instruments are discarded & gloves are changes
d. a separate setup is used for the closure

A

c. contaminated instruments are discarded & gloves are changes

23
Q

which breast procedure removes the entire breast & axillary contents but preserves the pectoral muscles?
a. lumpectomy
b. wedge resection
c. modified radial muscle mastectomy
d. radical mastectomy

A

c. modified radial muscle mastectomy

24
Q

pathologic enlargement of the male breast is called:
a. subcutaneous adenoma
b. gynecomastia
c. hypoplasia
d. cystic mastitis

A

b. gynecomastia

25
a common postoperative complaint following a laparoscopic procedure is: a. headache b. diarrhea c. gastric upset d. shoulder pain
d. shoulder pain
26
a subphrenic abscess occurs in the: a. pancreas b. spleen c. lung d. liver
d. liver
27
in a pilonidal cystectomy, if the defect is too large to close on its own, it may require use of a/an: a. skin graft b. traction suture c. implant d. packing and pressure dressing
a. skin graft
28
thrombosed vessels of the rectum are known surgically as: a. polyps b. hemorrhoids c. fistulas d. anorectal tumors
b. hemorrhoids
29
a procedure done to give the colon a rest and that is even reversed is : a. temporary colectomy b. temporary colostomy c. abdominoperineal resection d. McVay procedure
b. temporary colostomy
30
advanced inflammation of the bowl could be conservatively treated with which procedure? a. Temporary colostomy b. Anterior resection c. Hemicolectomy d. Abdominal perineal resection
a. Temporary colostomy
31
Vaporization and coagulation of hemorrhoidal tissue can be accomplished with: a. Cautery/bipolar b. Cautery/monopolar c. CO2 laser d. cryosurgery
c. CO2 laser
32
An entire breast tumor/mass removal is termed: a. Needle biopsy b. Staging biopsy c. Excisional biopsy d. Incisional biopsy
c. Excisional biopsy
33
The most important thing every surgical technician should have when setting up a case in the operating room is: a. Extra set of gloves for the surgeon b. Labels for the fluids/specimens c. Strong surgical conscience d. Emergency stitch loaded and ready
c. strong surgical conscience
34
Fogarty biliary catheters are used for: a. Draining of gallbladder b. Drain the common bile duct c. Instill contrast media d. Facilitate stone removal
d. facilitate stone removal
35
Bariatric surgery treats: a. Ulcers b. Obesity c. Thyroid disease d. Carcinoma of the pancreas
b. obesity
36
Which item retracts the spermatic cord structure in herniorrhaphy? a. Army-navy retractor b. Penrose drain c. Green retractor d. Silk suture
b. Penrose drain
37
An irreducible hernia whose abdominal contents have become trapped in the extra abdominal sac is called a/an? a. Incarcerated hernia b. Sliding hernia c. Spigelian hernia d. Strangulated hernia
a. incarcerated hernia
38
Intraoperative cholangiograms can be performed either through open abdominal or laparoscopic procedures using administration of a contrast medium directly into the common bile duct through a: a. Cystocath b. Cholangiocath c. T-tube d. Red rubber catheter
b. Cholangiocath
39
The proper method of removing the gallbladder specimen after complete dissection and irrigation of the operative site in a laparoscopic cholecystectomy is to: a. Utilize an End bag b. Pull gallbladder through the largest port c. Decompress the gallbladder by suctioning bile before removal d. All of the above
d. All of the above
40
when both direct and indirect hernias occur in the same inguinal area, the defect is termed: a. Sliding b. Pantaloon c. Femoral d. Spigelian
b. Pantaloon
41
An inguinal hernia containing a Meckel's diverticulum is called a: a. Richter b. Littre c. Maydl d. Spigelian
b. Littre
42
Which breast reconstruction procedure reconstructs the breast without the use of an implant? a. TRAM b. TEP c. PPE d. Augmentation
a. TRAM