Minimally Invasive Surgery Flashcards
Which of the following best describes steam autoclave sterilization?
A. Exposure of surgical equipment to steam at high temperature between 121C to 134C
B. Exposure of surgical equipment to steam at high temperature between 81C to 94C
C. Exposure of surgical equipment to steam at high temperature between 71C to 84C
D. Exposure of surgical equipment to steam at high temperature between 61C to 74C
A. Exposure of surgical equipment to steam at high temperature between 121C to 134C
Which among the following is the most common cause of insufficient lighting in laparoscopic surgery?
A. Surgeon error of refraction
B. High insufflation rate
C. Glare from the light source
D. Damaged fiber optic cable
D. Damaged fiber optic cable
Which can be caused by placing a patient in the Trendelenburg position?
A. Decreased intraocular pressure
B. Retinal detachment
C. Decreased intracranial pressure
D. All of the above
B. Retinal detachment
What is/are the advantages of diagnostic laparoscopy in equivocal abdominal pain?
A. Reduces the rate of negative laparotomy
B. More accurate placement of incision can be done if conversion to open is needed
C. Both A & B
D. Neither
C. Both A & B
Which among the following describes the importance of video documentation in laparoscopic surgery?
A. Correlated surgical mistakes with clinical results.
B. Makes watching procedures enjoyable.
C. Appreciation of soundtrack compatibility with the procedure.
D. Creation of special effects for better video presentation.
A. Correlated surgical mistakes with clinical results.
In the course of performing laparoscopic cholecystectomy, what is the recommended monopoly output to control bleeding from a minor artery temporarily controlled by grasping with the jaws of a monopoly grasper?
A. Coagulation output
B. Ligate the bleeder
C. Cutting output
D. Convert to open
C. Cutting output
What principle explains the cavitation effect in the use of ultrasonic shears?
A. It cuts by stretching it beyond its elastic limit
B. It destroys tissue
C. It uses water vapor to expand between tissue plans to separate them
D. Produces small transient pressure changes
C. It uses water vapor to expand between tissue plans to separate them
Which of the following best describes the Triangle of Success?
A. The operative site is away from the apex of the triangle
B. The distance of the trocars are approximately 30cm from each other
C. The operative site is at the apex of the triangle
D. The camera is at the apex of the triangle
C. The operative site is at the apex of the triangle
In which of the following situations is extracorporeal suturing an appropriate technique to employ?
A. Dilated cystic duct not amenable to closure with clips/Hemolok
B. To control bleeding from the liver bed
C. In most cases to ligate cystic duct and artery to minimize costs
D. All of the above
A. Dilated cystic duct not amenable to closure with clips/Hemolok
What is the best technique to access the peritoneal cavity in an asthenic patients with a hostile abdomen?
A. Veress needle technique at Palmer’s point
B. Open direct visualisation technique
C. Dilating tip or direct scope/trocar visualization layer by layer technique
D. Blind approach with manual abdominal lifting
C. Dilating tip or direct scope/trocar visualization layer by layer technique
