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Surgical Tech/ Study For Exam > General Surgery > Flashcards

General Surgery Flashcards

1
Q

A Nissan fundoplication procedure is done to correct:

A

Antireflux Disease

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2
Q

A dissecting sponge that is a small role of heavy cotton tape is a:

A

Kittner and peanut

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3
Q

Peanuts and dissecting sponges are generally:

A

Moistened with saline

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4
Q

Intra-absominally, lap pads are most often used:

A

Moistened with saline

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5
Q

Specimens may be passed off the sterile field by the scrub person on all of the following EXCEPT:

A

Sponge

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6
Q

A catheter commonly used in a gastrostomy is a:

A

Mushroom

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7
Q

Before handing a Penrose drain to the surgeon:

A

Moisten in saline

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8
Q

The disposable intraluminal staple designed to hold two tubular structures together after resection:

A

EEA, (End to end anastomosis)

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9
Q

Transduodenal sphincterotomy refers to the incision made into the:

A

Sphincter if Oddi

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10
Q

In surgery, cancer technique refers to:

A

Discarding of instruments coming in contact with tumor after each use

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11
Q

Why are gowns, gloves, drapes, & instruments changed following a breast biopsy & before incision for a mastectomy?

A

To protect margins of healthy tissue from tumor cells

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12
Q

A postoperative complication attributed to glove powder entering a wound is:

A

Granulomata

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13
Q

The correct procedure for sterile dressing application is:

A

Apply dressing before drape removal

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14
Q

Which bowel technique for an intestinal procedure is utilized:

A

Contaminated instruments are discarded, and gloves are changed

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15
Q

The Sengstaken-Blakemore tube is used for:

A

Esophageal hemorrhage

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16
Q

Dark blood in the operative field may indicate that the patient is:

A

Hypoxia

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17
Q

The term transduodenal sphinctetotomy indicates surgery of the:

A

Distal end of the common bile duct

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18
Q

McBurney is an incision used for:

A

Appendectomy

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19
Q

The simplest abdominal incision offering good exposure to any part of the abdominal cavity:

A

Vertical Midline

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20
Q

During an appendectomy, a purse string suture is placed around the appendix stump to:

A

Invert the stump of the appendix

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21
Q

Gastrointestinal technique is required in all of the following procedures EXCEPT:

A

Cholecystectomy

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22
Q

A hernia occurring in Hesselbach’s triangle is:

A

Direct

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23
Q

Pathologic enlargement of the male breast is called:

A

Gynecomastia

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24
Q

Sutures placed in a wound to prevent wound evisceration are called:

A

Retention

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25
Q

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

A

Pyloroplasty

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26
Q

A Whipple operation is surgically termed a:

A

Pancreaticoduodenectomy

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27
Q

A left subcoastal incision indicates surgery of the:

A

Spleen

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28
Q

A lower oblique incision is a/an:

A

Inguinial

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29
Q

The curved transverse incision used for pelvic surgery is:

A

Pfannenstiel

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30
Q

Which breast procedure removes the entire breast & axillary contents but preserves the pectoral muscles?

A

Modified radical mastectomy

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31
Q

The breast procedure performed to remove extensive benign disease is a/an:

A

Simple mastectomy

32
Q

What incision is indicated for an esophagogastrectomy?

A

Thoracoabdominal

33
Q

In which incision could retention sutures be used?

A

Vertical midline

34
Q

In which hernia is the blood supply of the trapped sac contents compromised and in danger of necrotizing?

A

Strangulated

35
Q

In which hernia does the herniation protrude into the inguinial canal but NOT the cord?

A

Direct

36
Q

Which hernia leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal?

A

Indirect

37
Q

In a cholecystectomy, which structures are ligated and divided?

A

Cystic duct & cystic artery

38
Q

All of the following statements refer to pilonidal cyst surgery EXCEPT:

A

Cyst is removed, but tract remains

39
Q

An important consideration during a cholangiogram is to:

A

Remove all air bubbles from the cholagiocath

40
Q

The intestinal layers, in order from inside to outside, are:

A

Mucosa, submucosa, serosa

41
Q

A common postoperative patient complaint following a laparoscopic procedure is:

A

Shoulder pain

42
Q

A subphrenic abscess occurs in the:

A

Liver

43
Q

Portal pressure measurement is indicated in:

A

Hepatic resection

44
Q

Which organ is removed because of trauma, a blood condition, or as a staging procedure for malignancy?

A

Spleen

45
Q

Following a hemorrhoidectomy:

A

Petroleum gauze packing is placed in the anal canal

46
Q

Which term is used when requiring intraoprative x-rays during a cholecystectomy?

A

Cholangiogram

47
Q

In a pilonidal cystectomy, the defect frequently is too large to close and requires use of a/an:

A

Packing & pressure dressing

48
Q

The instrument most commonly used to grasp the mesoappendix during an appendectomy is a/an:

A

Babcock

49
Q

Vaporization & coagulation of hemorrhoidal tissue can be accomplished with:

A

CO2 laser

50
Q

An entire breast tumor/mass removal is termed:

A

Excisional biopsy

51
Q

Thrombosed vessels of the rectum are known surgically as:

A

Hemorrhoids

52
Q

A procedure done to give the colon a rest & that is then reversed is:

A

Temporary colostomy

53
Q

A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed is a/an:

A

EEA, (End to end anastomosis

54
Q

Advanced inflammation of the bowel could be conservatively treated with which procedure?

A

Temporary colostomy

55
Q

Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a:

A

Peanut

56
Q

Direct visualization of the common bile duct is accomplished with a:

A

Choledochoscope

57
Q

Fogarty biliary catheters are used to:

A

Facilitate stone removal

58
Q

Bariatric surgery treats:

A

Obesity

59
Q

Which incision would require cutting through Scarpa’s fascia?

A

Inguinal

60
Q

A gastroplasty:

A

Reduces stomach size

61
Q

Which item retracts the spermatic cord structure in herniorrhaphy?

A

Penrose drain

62
Q

An irreducible hernia whose abdominal contents have become trapped in the extra abdominal sac is called a/an:

A

Incarcerated hernia

63
Q

A palliative invasive procedure done to prevent malnutrition or starvation is known as:

A

Gastrostomy

64
Q

The use of noninvasive high-energy shock waves to pulverized gallstones into small fragments for easy passage through the common bile duct & out of the body is called:

A

Cholelithotripsy

65
Q

Intraoprative cholangiogram 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

Cholangiocath

66
Q

Intra-abdominal pressure during the instillation of CO2 for creation of pneumoperitoneum is 10-15 mm Hg. A pressure reading higher than this may indicate that the needle may be:

A

Buried in fatty tissue, buried in the ommentum, in a lumen of intestines

67
Q

The proper method of removing the gallbladder specimen after complete dissection & irrigation of the operative site in a laparoscopic cholecystectomy is to:

A

Utilize an Endobag, pull gallbladder through the largest port, decompress the gallbladder by suctioning bile before removal

68
Q

During a laparoscopic cholecystectomy, the surgeon generally stands:

A

At the left side of the patient

69
Q

Gastrointestinal decompression during a general surgical procedure can be effected by the use of a:

A

Levine tube & Miller-Abbot tube

70
Q

A selected alternative to a conventional ileostomy that denies spontaneous stool exiting from the stoma and requires catheterization of the stoma daily to evacuate the contents is a/an:

A

Kock pouch

71
Q

When both direct & indirect hernias occur in the same inguinal area, the defect is termed:

A

Pantaloon

72
Q

An inguinal hernia containing a Meckel’s diverticulum is called a:

A

Littre

73
Q

Drainage of an incision following simple or modified radical mastectomy is accomplished by a:

A

Closed wound drainage

74
Q

During laparoscopic cholecystectomy, the camera operator usually stands

A

To the right of the first assistant

75
Q

The maximum pressure allowed to prevent the possible intraoprative complications of bradycardia, blood pressure changes, or potential gas emboli during a laparoscopic procedure is:

A

15 mm Hg

76
Q

Place tissue 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

77
Q

What is the technique used on a laparoscopic direct inguinal hernia repair where the peritoneal space is inflated with a ballon dissector?

A

TEP, (Total extraperitoneal)

Surgical Tech/ Study For Exam (6 decks)

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