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Surgical Procedures > General Test 2 > Flashcards

General Test 2 Flashcards

1
Q

name 3 accessory organs of the GI tract

A

gallbladder, spleen and liver

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2
Q

what is a muscular ring located between the stomach and the small intestine

A

pyloric spincher

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3
Q

when the gallbladder contracts, bile is ejected into the

A

cystic duct

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4
Q

bile is produced in the

and stored in the

A

liver

gallbladder

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5
Q

the union of the cystic duct and the hepatic duct form the

A

common bile duct

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6
Q

bile and pancreatic enzymes are released through this opening into the duodenum

A

ampulla of vater

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7
Q

an incision made for a cholecystectomy would be

A

R subcostal/ R paramedian

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8
Q

what is the name of the x-ray performed during a cholecystectomy to identify any stones in the common bile duct

A

intra operative choliangiogram

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9
Q

name the dye used during a choliangiogram

A

hypaque

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10
Q

if a laparoscopic cholecystectomy is performed, and operative cholangiogram cannot be done

A

false

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11
Q

what is a oschner trocar used for

A

deflate gallbladder

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12
Q

a forcep used to remove stones during biliary surgery is called

A

randall stone forcep

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13
Q

a choledochotomy is a

A

incision to drain common bile duct get stones out

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14
Q

what is the largest organ in the abdominal cavity

A

liver

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15
Q

the main digestive function of the liver is to produce

A

bile

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16
Q

glissons capsule covers what organ

A

liver

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17
Q

name 2 functions of the spleen

A

filter for blood, fight certain kinds of bacteria

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18
Q

name the operation where the spleen is removed

A

splenectomy

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19
Q

name the incision used for splenectomy

A

upper midline

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20
Q

why would a splenectomy be performed

A

trauma, hodgkin, tumor, cyst

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21
Q

what must be readily available when the peritoneum is entered

A

lap sponges

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22
Q

where are the islets of langerhans located and what are their functions

A

pancreas maintain blood sugar level

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23
Q

a whipple procedure includes surgery on what organs

A

head pancreas, distal 1/3 stomach, duodenum, prox 10cm jejunum, gallbladder, cystic duct,

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24
Q

what is the technical name for a whipple procedure

A

pancreaticoduodenectomy

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25
Q

name the procedure done to correct intrahepatic obstruction

A

portacaval shunt

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26
Q

name the biopsy needle used for liver biopsy

A

silverman, tru cut

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27
Q

regarding surgery on the liver

  • what type of suture material is normally used
  • what type of needle is used
A
  • chromic

- keith blunt

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28
Q

define cholelithiasis

A

formation of gallstones

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29
Q

what instrument is usually used to grasp the mass/tumor during a breast biopsy

A

allis

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30
Q

how is a frozen section sent to the lab during a breast biopsy

A

in a dry container

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31
Q

describe the procedure “needle localization”

A

radiology, fine wire in mass

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32
Q

name a type of breast surgery which could be performed for a benign breast tumore

A

lumpectomy/ simple mastectomy

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33
Q

name the breast procedure which removes the entire breast and axillary contents, but preserves the pectoral muscle

A

modified radical mastectomy

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34
Q

why is it important perform the surgical prep gently for a mastectomy

A

decrease spread possible cancer cells

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35
Q

describe the prep parameters for a modified radical mastectomy

A

neck down to umbilicus, axillary to umbilicus

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36
Q

what type of irrigation is used during a mastectomy

A

sterile water

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37
Q

name the 2 nerves which must be identified and preserved

A

thoracodorsal, long thoracic

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38
Q

what type of drain is normally used after a mastectomy

A

JP/ hemovac

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39
Q

name the pathological enlargement of the male breast

A

gynecomatia

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40
Q

what type of set-up pack would you use for a vein stripping to allow for adequate draping of the surgical site

A

universal drape pack

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41
Q

name the large vein which is often removed during a vein stripping

A

greater saphenous

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42
Q

following a vein stripping why are the legs wrapped with elastic wrap

A

for compression dressing

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43
Q

the thyroid gland has how many lobes

A

2

44
Q

the vocal cords are located in the

A

larynx

45
Q

the larynx is located between the

A

pharynx and the trachea

46
Q

what would be used in positioning for a thyroidectomy

A

shoulder roll

47
Q

why is shoulder roll used

A

hyper extend neck for better exposure

48
Q

what wound drainage system is preferred for a radical neck dissection

A

jackson pratt

49
Q

how many parathyroid glands does a person have

A

4

50
Q

name the instrument used during a tracheostomy that is used to pull the trachea close to the surface before inserting the trach tube

A

jackson tracheal hook

51
Q

what must always be sent with the patient to the PACU following a tracheostomy

A

obturator

52
Q

where are the parotid glands located

A

upper neck lateral front of ear

53
Q

define the laryngoscopy

A

direct visual exam of interior of larynx, using rigid largnoscope lighted scope

54
Q

define microlaryngoscopy

A

same as laryngoscopy but with micoscope

55
Q

would you find osteotomes, mallet, rongeurs and elevators on a set up for a total laryngoscopy

A

yes

56
Q

a tracheostomy incision is made

A

below the carotid cartilage

57
Q

the tracheostomy tube is held in place with

A

suture and cloth tape

58
Q

a nerve stimultaor would be found on a set up for what

A

parathyroidectomy, thyroidectomy

59
Q

name 3 structures that would be resected during a radical neck dissection

A

sternoclidomastoid muscle
internal jugular vein
submandibular gland

60
Q

what nerve is identified and preserved ruing a thyroidectomy

A

recurrent laryngeal nerve

61
Q

what is a possible post-op complication following a thyroidectomy

A

swelling

62
Q

bowel obstruction is

A

anything that interrupts flow of contents

63
Q

80% if intestinal obstructions are found in

A

small bowel

64
Q

polyps can be what

A

malignant or non malignant

65
Q

when anastomosis is completed, set aside a back table or hand off do not touch agin

A

bowl technique

66
Q 
wound management and classifications
class ll
class lll
class lv
A

controlled spillage
non controlled spillage
frank pus/infection

67
Q

excision of congenital duct occurring at the umbilicus

A

meckels diverticulectomy .

68
Q

lesions which completely obliterate the intestinal lumen

A

atresia

69
Q

narrowing or partial onliteration

A

stenosis

70
Q

telescopic invagination of a portion of intestine into an adjacent part

A

reduction of itrussusceptiom

71
Q

lack of peristalsis due to absence of ganglion cell in distal bowl-may affect entire colon

A

hirschsprung disease

72
Q

mobilization of a loop of colon thru a right rectus incision to expose the transverse colon

A

colostomy

73
Q

bridge is sutured to the skin with non absorb able sure on a cutting needle
stoma is matured within 24 hours

A

closed bowel loop

74
Q

bowel edge may be clamped for 12 hours or immediately suture to the skin using a absorbabale suture with a tapercut needle

A

open bowel loop

75
Q

rest bowel following colon resections gives suture line time to heal

A

temporary colostomy

76
Q

loop of colon is brought thru insicion made on left side of midline

A

first stage loop colostomy

77
Q

after 48 hours loop of colon is opened with cautery- painless, done in patient room or treatment room

A

second stage loop colostomy

78
Q

most common type of permanent colostomy

A

sigmoid colostomy

79
Q

re-establish internal intestinal continuity with repair of abdominal wall

A

colostomy closure

80
Q

types of large bowel resections

- resection of the right half of the colon with creation of an ileostomy

A

right hemicolectomy and ileocolostomy

81
Q

excision of the transverse colon thru an upper midline or transverse inscsion

A

transverse colectomy

82
Q

removal of lower sigmoid colon and proximal 2/3 ofrectum (end to end anastomosis)

A

low anterior resection of sigmoid colon

83
Q

excision of rectum and portion of sigmoid colon thru both and abdominal and perineal approach

A

abdominoperineal rescetion miles resection

84
Q

incision into common bile duct removes stones

A

choledochtomy

85
Q

terms
-bile
common bile duct
gallbladder

A

chole
choledoch
cholecyst

86
Q

connects gallbladder to duodenum to relieve obstructions in distal end of cbd

A

cholecystoduodenuostomy

87
Q

connects gb to jejunum

A

cholecystojejunostomy

88
Q

connects cbd to duodenum

A

choledochoduodenostomy

89
Q

connects cbd to jejunum

A

choledochojejunosotomy

90
Q

implantation of a donor pancreas for patients with type 1 diabetes

A

pancreatic transplantation

91
Q

blunt of penetrating abdominal trauma

A

repair of liver laceration

92
Q

high blood pressure in the portal vein system

treatment portosystemic shunts

A

portal hypertension

93
Q

done for end stage liver disease

A

liver transplantation

94
Q

done to determine presence of cancer

frozen section usually done

A

breast biopsy

95
Q

done to determine if cancer has spread to any axillary lymph nodes

A

sentinal node biopsy

96
Q

injected 1 hour prior in radiology/ nuclear medicine dept

A

radioactive isotope

97
Q

injected in the operating room (massaged for 5 minutes to allow dye to enter lymph nodes)

A

isosulfan dye

98
Q

removal of axillary noes thru incision to axilla

both thoracic and thorococodrsal nerves are identified and preserved

A

axillary node dissection

99
Q

removal of mass with at least 1 in margin of surrounding tissue done to control spread of breast cancer

A

lumpectomy- segmental

100
Q

removal of all breast tissue only leaving overlying skin and nipple intact some lymph nodes may be removed

A

subcutaneous mastectomy

101
Q

removal of entire breast no lymph dissection

A

simple (total) mastectomy

102
Q

removal of breast and all axillary contents including

axillary lymph nodes, pectoral, superior apical, pectoral muscle is let intact

A

modified radical mastectomy

103
Q

removal of entire breast pectoralis major and minor, fascia, axillary nodes and adjacent tissue

A

radical mastectomy

104
Q

if removal all glands from thyroid what will happen

A

tetany

105
Q

most common congenital cyst found in neck
cystic pouch is attached to hyoid bone
often found in children

A

thyroglossal duct cystectomy

Surgical Procedures (1 decks)

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