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SUR 122 MP > General Surgery Study Guide > Flashcards

General Surgery Study Guide Flashcards

1
Q
  1. Removal of the entire breast tumor with surrounding non-diseased tissue is called?
A

LUMPECTOMY

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2
Q
  1. An open incision for appendectomy made just below the umbilicus and 4cm medial from the anterior iliac spine is called?
A

McBurney’s (Similar to Rocky Davis)

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3
Q
  1. Name the incision most commonly used for an inguinal herniorrhaphy.
A

Lower Oblique

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4
Q
  1. Chronic gastric, pyloric, and duodenal ulcers can benefit from the interruption of the vagus nerve. This procedure is called?
A

Vagotomy

1 or more branches of the vagus nerve are cut to reduce secretions into stomach.

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5
Q
  1. Describe the technique used to care for instrumentation and supplies that have been exposed to the inside of the intestinal tract.
A

ISOLATION/BOWEL TECHNIQUE
Removal of gowns/gloves/instruments that have come in contact w/ GI tract.

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6
Q
  1. What instruments and supplies will you need to enter the common bile duct (CBD) for exploration (CBDE)? (8)
A
  1. Two traction sutures
  2. # 11 blade
  3. Potts smith scissors (IF open)
  4. LS instrumentation (to include graspers)
  5. Cameras
  6. ESU
  7. T-Tube Catheter
  8. CBD dilator
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7
Q
  1. The surgeon wants shods on an intestinal clamp. What are shods and what options do you have available?
A

Short lengths of plastic/silastic tubing placed over tips of clamps to protect intestines from serrations of clamp.

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8
Q

You’re scrubbed on a bowel resection and the surgeon asks for an atraumatic clamp. What would you provide? (Hint: 3)

A

Glassman
Doyen
Mayo robson intestinal clamps

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9
Q
  1. The sigmoidoscope does not have a trocar. What is the blunt inner piece called?
A

Obturator

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10
Q
  1. During the case, the surgeon wants a large hemoclip applier (non-disposable). How can you match the applier with the clip?
A

Clip cartridges are color-coded to match the handles of the appliers.

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11
Q
  1. During a cholecystectomy, there is fat around the cystic duct and cystic artery. What type of sponge will the surgeon probably want to use to dissect with (If open, what would you need to pass sponge with)?
A

Endoscopic Kitner (IF closed)
Peanut/Kitner on long Kelly (IF open)

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12
Q
  1. What does GIA mean?
A

Gastro Intestinal Anastomosis

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13
Q
  1. What does LDS mean?
A

Ligating Dividing Stapler

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14
Q
  1. What does EEA mean?
A

End to End Anastomosis

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15
Q
  1. After the surgeon has fired the EEA and removed it from the patient, why does the anvil of the EEA need to be opened and checked?
A

“donuts” to make sure suture line is effective.

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16
Q
  1. The surgeon will not need the Veress needle if the ___________ trocar is used to enter the peritoneum.
A

Hassan

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17
Q
  1. What types of dissectors are available to a surgeon during a laparoscopy?
A

Spatula, (J/L) hook, needle, scissors, Maryland, dolphin nose, graspers, harmonic scalpel

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18
Q
  1. What is used to ligate the cystic duct and cystic artery during a LSGB?
A

Endoscopic hemoclip applier

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19
Q
  1. How can you determine what side the surgeon may stand on when doing a case?
A

The gallbladder is on the right side so the surgeon normally stands opposite of the organ for better visualization.

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20
Q
  1. What degree scope is considered an oblique telescope?
A

30 degrees

21
Q
  1. The surgeon is using a staple gun to close the skin. As the scrub, which forceps are needed to assist?
A

Adsons w/ teeth

22
Q
  1. What is the advantage of a ratcheted vs non-ratcheted forceps during laparoscopic surgery?
A

Non-ratcheted requires one to hold handles in the closed position and can result in hand fatigue over time. The ratcheted grasper allows one to latch the handles and “lock” the grasper in place to free up the hand.

23
Q
  1. What is the name of the dilators commonly used during a CBDE?
A

Bakes

24
Q
  1. Name the organ that is being repaired or removed using the following medical term:
    Hepatectomy
A

Liver

25
Q
  1. Name the organ that is being repaired or removed using the following medical term:
    Splenectomy
A

Spleen

26
Q
  1. Name the organ that is being repaired or removed using the following medical term:
    Appendectomy
A

Appendix

27
Q
  1. Name the organ that is being repaired or removed using the following medical term:
    Mastectomy
A

Breast

28
Q
  1. Name the organ that is being repaired or removed using the following medical term:
    Herniorrhaphy
A

Supporting musculature

29
Q
  1. Name the organ that is being repaired or removed using the following medical term:
    Gastrectomy
A

Stomach

30
Q
  1. Name the organ that is being repaired or removed using the following medical term:
    Cholecystectomy
A

Gallbladder

31
Q
  1. Name the organ that is being repaired or removed using the following medical term:
    Hemorrhoidectomy
A

Hemorrhoids

32
Q

Retracts the abdomen laterally with solid or fenestrated blades. Also comes with a bladder blade.

A

Balfour

33
Q

Commonly called “Sweetheart”.

A

Harrington

34
Q

Can be manipulated into various shapes.

A

Malleable/Ribbon

35
Q

Commonly called an “S” retractor.

A

Hasson

36
Q

The procedure that removes the breast while leaving the skin, nipple, & areola intact:

A

Subcutaneous mastectomy

37
Q

A small intestine stoma of the ileum is called a:

A

Ileostomy

38
Q

Area bound by the rectus abdominis, inguinal ligament, and inferior epigastric vessel:

A

Hesselbach’s triangle

39
Q

This structure appears as an outpouching on the intestines:

A

Haustra

40
Q

A longitudinal ulcer in the canal is called a:

A

Fissue in ano

41
Q

A tubular tract that has its opening beside the anus is called a…

A

Fistula in ano

42
Q

The complete removal of the parathyroid glands results in…

A

Tetany (muscular spasms)

43
Q

Attached to the greater curvature & in appearance is a double fold of peritoneum covering the intestines….

A

Omentum

44
Q

In a 2 layer bowel anastomosis the inner _____
is closed with ______ sutures.

The outer _____ layer with ______.

A

Inner; MUCOSAL
closed with ABSORBABLE

Outer; SEROSAL
closed with NON-ABSORBABLE

45
Q

A saccular dilation leading from the lumen of the bowel is a

A

Diverticulum

46
Q

A gamma ray detecting probe is used during this procedure to identify affected lymph nodes.

A

Sentinel lymph node biopsy

47
Q

This hernia develops from a weakness in the transversalis fascia below the inguinal ligament.

A

Femoral hernia

48
Q

During this hernia procedure, the superior transversalis fascia is secured to the inguinal ligament instead of the inferior portion of the transversal fashion or Cooper’s ligament.

A

Bassini repair

SUR 122 MP (18 decks)

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