Surgery Flashcards
Which statement concerning X-ray gowns is correct?
A. Theose worn in the operation theatre must contain lead.
B. Lead gowns are always effective at preventing transmission of X-rays.
C. They may contain antimony (Sb51)
D. They may contain iodine
C. They may contain antimony (Sb51)
The Clavien-Dindo system grades complications in relation to:
A. Severity
B. Time from surgery
C. Individual surgeon’s experience
D. Overall survival
A. Severity
In abdominal wall closure using a monofilament continuous suture, the ration of suture-length to wound-length should be at least:
A. 2:1
B. 4:1
C. 6:1
D. 8:1
B. 4:1
When closing a midline incision, which stragey is best in minimising the risk of surgical site infection or incisional hernia?
A. Large stitches placed more than 1 cm from the wound edge.
B. Small stitches placed 5-8 mm from the wound edge and less than 5 mm apart
C. Alternating small (about 5-8 mm from the wound edge) with large stitches (> 1 cm from the wound edge).
D. The size of the stitches does not matter, as long as the suture length: wound ratio is more than 4:1
B. Small stitches placed 5-8 mm from the wound edge and less than 5 mm apart
When gaining open access to the kidney, subcostal and transcostal approaches are options. Weakness, relaxation or partial paralysis of the flank muscles is a known complication with this approach, caused by damage to which nerve?
A. Subcostal nerve
B. Ilioinguinal nerve
C. Genitofemoral nerve
D. Iliohypogastric nerve
A. Subcostal nerve
When performing a robot-assisted laparoscopic prostatectomy due to prostate cancer, a 10x7 mm defect in the anterior part of the rectum is noticed. What is the next step?
A. Primary repair with meticulous stitching
B. Conversion to open surgery is mandatory
C. Make a colostomy and leave the defect for a secondary closure
D, Prolonged catheter drainage and antibiotics for at least one month is mandatory
A. Primary repair with meticulous stitching
Which vessels will be clamped during a right radical nephrectomy for a level II inferior vena cava (IVC) tumour thrombus (TT) prior to performing the cavatomy?
A. Left renal vein, right renal artery, IVC above and below the TT
B. Lefter renal vein, left renal artery, right renal artery, IVC above and below the TT
C. Suprahepatic veins, left renal vein, right renal artery, IVC above and below the TT
D. Hepatic artery and vein, left renal vein, right renal artery, IVC above and below the TT
A. Left renal vein, right renal artery, IVC above and below the TT
Select the correct surgical step performed during the Pringle’s manoueuvre:
A. The liver is mobilised medially
B. The small bowel is rotated
C. The duodenum is mobilised medially
D The hepatic artery and portal vein are clamped/compressed
D The hepatic artery and portal vein are clamped/compressed
According to the surgical description of the technique of bladder psoas hitch, te bladder will be anchored to:
A. The psoas muscle using 2 stitches at least 5 mm in depth
B. The psoas muscle laterally to distal part of the external iliac artery, using reabsorbable stitches
C. The psoas minor tendon at least 3 cm above the common iliac artery, using reabsorbable stitches
D. The tendon of the psoas muscle laterally to the bifurcation of iliac vessels using non-reabsorbable stitches
C. The psoas minor tendon at least 3 cm above the common iliac artery, using reabsorbable stitches
As far as the technique of urinary diversion according to Bricker is concerned, what is the length of small bowel that is used to create the diversion and how long is the distance between distal portion of bowel loop and ileo-caecal valve?
A. The measurement is tailored to the diameter of the ileum
B. The distance and the length are correlated with body mass index of the patient
C. The loop of ileum is 12-15cm long and it is taken about 15 cm proximally to the ileo-caecal
D. The loop of ileum is 20-25 cm long and it is taken about 5 cm proximally to the ileo-caecal valve
C. The loop of ileum is 12-15cm long and it is taken about 15 cm proximally to the ileo-caecal
The hydrodistension of the bladder during cystoscopy in bladder pain syndrome should be performed with a pressure in the bladder of:
A. 2-10 cm H₂O
B. 0-30 cm H₂O
C. 80-100 cm H₂O
D. 130-140 cm H₂O
C. 80-100 cm H₂O
In Clavien-Dindo classification a pulmonary embolism post-operatively, is complication class:
A. 1
B. 2
C. 3
D. 4
B. 2
Absolute contraindications for laparoscopic surgery include all of the following except:
A. Haemodynamic instability
B. Uncorrectable coagulopathy
C. Prior abdominal or pelvic surgery
D. Significant abdominal wall infection
C. Prior abdominal or pelvic surgery
What is the recommended length of pharmacological thromboembolic prophylazis after surgery?
A. Time spent in hospital
B. One week
C. 15 days
D One month
D One month
