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

A

b. body

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
Q

a common postoperative complaint following a laparoscopic procedure is:
a. headache
b. diarrhea
c. gastric upset
d. shoulder pain

A

d. shoulder pain

26
Q

a subphrenic abscess occurs in the:
a. pancreas
b. spleen
c. lung
d. liver

A

d. liver

27
Q

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

a. skin graft

28
Q

thrombosed vessels of the rectum are known surgically as:
a. polyps
b. hemorrhoids
c. fistulas
d. anorectal tumors

A

b. hemorrhoids

29
Q

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

A

b. temporary colostomy

30
Q

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

a. Temporary colostomy

31
Q

Vaporization and coagulation of hemorrhoidal tissue can be accomplished with:
a. Cautery/bipolar
b. Cautery/monopolar
c. CO2 laser
d. cryosurgery

A

c. CO2 laser

32
Q

An entire breast tumor/mass removal is termed:
a. Needle biopsy
b. Staging biopsy
c. Excisional biopsy
d. Incisional biopsy

A

c. Excisional biopsy

33
Q

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

A

c. strong surgical conscience

34
Q

Fogarty biliary catheters are used for:
a. Draining of gallbladder
b. Drain the common bile duct
c. Instill contrast media
d. Facilitate stone removal

A

d. facilitate stone removal

35
Q

Bariatric surgery treats:
a. Ulcers
b. Obesity
c. Thyroid disease
d. Carcinoma of the pancreas

A

b. obesity

36
Q

Which item retracts the spermatic cord structure in herniorrhaphy?
a. Army-navy retractor
b. Penrose drain
c. Green retractor
d. Silk suture

A

b. Penrose drain

37
Q

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

a. incarcerated hernia

38
Q

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

A

b. Cholangiocath

39
Q

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

A

d. All of the above

40
Q

when both direct and indirect hernias occur in the same inguinal area, the defect is termed:
a. Sliding
b. Pantaloon
c. Femoral
d. Spigelian

A

b. Pantaloon

41
Q

An inguinal hernia containing a Meckel’s diverticulum is called a:
a. Richter
b. Littre
c. Maydl
d. Spigelian

A

b. Littre

42
Q

Which breast reconstruction procedure reconstructs the breast without the use of an implant?
a. TRAM
b. TEP
c. PPE
d. Augmentation

A

a. TRAM