General Surgery Flashcards
A Nissan fundoplication procedure is done to correct:
Antireflux Disease
A dissecting sponge that is a small role of heavy cotton tape is a:
Kittner and peanut
Peanuts and dissecting sponges are generally:
Moistened with saline
Intra-absominally, lap pads are most often used:
Moistened with saline
Specimens may be passed off the sterile field by the scrub person on all of the following EXCEPT:
Sponge
A catheter commonly used in a gastrostomy is a:
Mushroom
Before handing a Penrose drain to the surgeon:
Moisten in saline
The disposable intraluminal staple designed to hold two tubular structures together after resection:
EEA, (End to end anastomosis)
Transduodenal sphincterotomy refers to the incision made into the:
Sphincter if Oddi
In surgery, cancer technique refers to:
Discarding of instruments coming in contact with tumor after each use
Why are gowns, gloves, drapes, & instruments changed following a breast biopsy & before incision for a mastectomy?
To protect margins of healthy tissue from tumor cells
A postoperative complication attributed to glove powder entering a wound is:
Granulomata
The correct procedure for sterile dressing application is:
Apply dressing before drape removal
Which bowel technique for an intestinal procedure is utilized:
Contaminated instruments are discarded, and gloves are changed
The Sengstaken-Blakemore tube is used for:
Esophageal hemorrhage
Dark blood in the operative field may indicate that the patient is:
Hypoxia
The term transduodenal sphinctetotomy indicates surgery of the:
Distal end of the common bile duct
McBurney is an incision used for:
Appendectomy
The simplest abdominal incision offering good exposure to any part of the abdominal cavity:
Vertical Midline
During an appendectomy, a purse string suture is placed around the appendix stump to:
Invert the stump of the appendix
Gastrointestinal technique is required in all of the following procedures EXCEPT:
Cholecystectomy
A hernia occurring in Hesselbach’s triangle is:
Direct
Pathologic enlargement of the male breast is called:
Gynecomastia
Sutures placed in a wound to prevent wound evisceration are called:
Retention
Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is a:
Pyloroplasty
A Whipple operation is surgically termed a:
Pancreaticoduodenectomy
A left subcoastal incision indicates surgery of the:
Spleen
A lower oblique incision is a/an:
Inguinial
The curved transverse incision used for pelvic surgery is:
Pfannenstiel
Which breast procedure removes the entire breast & axillary contents but preserves the pectoral muscles?
Modified radical mastectomy
The breast procedure performed to remove extensive benign disease is a/an:
Simple mastectomy
What incision is indicated for an esophagogastrectomy?
Thoracoabdominal
In which incision could retention sutures be used?
Vertical midline
In which hernia is the blood supply of the trapped sac contents compromised and in danger of necrotizing?
Strangulated
In which hernia does the herniation protrude into the inguinial canal but NOT the cord?
Direct
Which hernia leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal?
Indirect
In a cholecystectomy, which structures are ligated and divided?
Cystic duct & cystic artery
All of the following statements refer to pilonidal cyst surgery EXCEPT:
Cyst is removed, but tract remains
An important consideration during a cholangiogram is to:
Remove all air bubbles from the cholagiocath
The intestinal layers, in order from inside to outside, are:
Mucosa, submucosa, serosa
A common postoperative patient complaint following a laparoscopic procedure is:
Shoulder pain
A subphrenic abscess occurs in the:
Liver
Portal pressure measurement is indicated in:
Hepatic resection
Which organ is removed because of trauma, a blood condition, or as a staging procedure for malignancy?
Spleen
Following a hemorrhoidectomy:
Petroleum gauze packing is placed in the anal canal
Which term is used when requiring intraoprative x-rays during a cholecystectomy?
Cholangiogram
In a pilonidal cystectomy, the defect frequently is too large to close and requires use of a/an:
Packing & pressure dressing
The instrument most commonly used to grasp the mesoappendix during an appendectomy is a/an:
Babcock
Vaporization & coagulation of hemorrhoidal tissue can be accomplished with:
CO2 laser
An entire breast tumor/mass removal is termed:
Excisional biopsy
Thrombosed vessels of the rectum are known surgically as:
Hemorrhoids
A procedure done to give the colon a rest & that is then reversed is:
Temporary colostomy
A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed is a/an:
EEA, (End to end anastomosis
Advanced inflammation of the bowel could be conservatively treated with which procedure?
Temporary colostomy
Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a:
Peanut
Direct visualization of the common bile duct is accomplished with a:
Choledochoscope
Fogarty biliary catheters are used to:
Facilitate stone removal
Bariatric surgery treats:
Obesity
Which incision would require cutting through Scarpa’s fascia?
Inguinal
A gastroplasty:
Reduces stomach size
Which item retracts the spermatic cord structure in herniorrhaphy?
Penrose drain
An irreducible hernia whose abdominal contents have become trapped in the extra abdominal sac is called a/an:
Incarcerated hernia
A palliative invasive procedure done to prevent malnutrition or starvation is known as:
Gastrostomy
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:
Cholelithotripsy
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:
Cholangiocath
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:
Buried in fatty tissue, buried in the ommentum, in a lumen of intestines
The proper method of removing the gallbladder specimen after complete dissection & irrigation of the operative site in a laparoscopic cholecystectomy is to:
Utilize an Endobag, pull gallbladder through the largest port, decompress the gallbladder by suctioning bile before removal
During a laparoscopic cholecystectomy, the surgeon generally stands:
At the left side of the patient
Gastrointestinal decompression during a general surgical procedure can be effected by the use of a:
Levine tube & Miller-Abbot tube
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:
Kock pouch
When both direct & indirect hernias occur in the same inguinal area, the defect is termed:
Pantaloon
An inguinal hernia containing a Meckel’s diverticulum is called a:
Littre
Drainage of an incision following simple or modified radical mastectomy is accomplished by a:
Closed wound drainage
During laparoscopic cholecystectomy, the camera operator usually stands
To the right of the first assistant
The maximum pressure allowed to prevent the possible intraoprative complications of bradycardia, blood pressure changes, or potential gas emboli during a laparoscopic procedure is:
15 mm Hg
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
2,4,1,5,3
What is the technique used on a laparoscopic direct inguinal hernia repair where the peritoneal space is inflated with a ballon dissector?
TEP, (Total extraperitoneal)
