Week 16 Study Guide

Question 1

Which of the following diagnostic tests used to evaluate masses does not usually require sedation or anesthesia, is easy to perform, has minimal morbidity but has a low diagnostic yield?

Answer 1

Fine-needle aspirate

Question 2

Which of the following is considered minimally invasive

Answer 2

laser surgery
laparoscopy
endoscopy

Question 3

What are some of the work place hazards associated with laser surgery?

Answer 3

Eye and skin damage
Smoke plume hazard
Fire hazard

Question 4

What type of endoscope diameter and working length is usually adequate for most feline and canine upper GI examination and colonoscopies?

Answer 4

8-11mm and a working length of 100 cm

Question 5

Which of the following can be diagnosed by gastroscopy

Answer 5

a. Helicobacter infection
b. Foreign bodies in the stomach
c. Gastric ulcers

Question 6

How long should food and water be withheld from a patient before gastroscopy?

Answer 6

Food – 12-24 hours Water – 4 or more hours

Question 7

Colonoscopy refers to endoscopic evaluation of which structures?

Answer 7

rectum, large intestine, and cecum

Question 8

What is the necessary gastrointestinal preparation prior to colonoscopy

Answer 8

patients fasted for 24 to 36 hours
colon cleaned-lavage with an isosmotic solution by gastric or nasoesophageal tube
GoLYTELY clean bowels

Question 9

Benefits of “scope”

Answer 9

less pain, shorter recovery, shorter hospital stay, can save client $, no delay in additional treatment following procedure, minimally invasive, safe, fun, visualization of areas can’t be seen with surgery

Question 10

Limitations of “scope”

Answer 10

cost, specialized training, equipment fragile/repair costly, requires anesthesia, evaluation/intervention limited to specific areas and problems

Question 11

What is necessary to clean the Flexible Equipment?

Answer 11

small brush and enzymatic cleaner, rinse with distilled water, dry with lint free cloth

Question 12

What is necessary to sterilize the Flexible Equipment?

Answer 12

gas sterilization (ethylene oxide) or soak in Cidex

Question 13

Endoscopy

Answer 13

minimally invasive diagnostic procedure performed using an endoscope passed via natural orifices to examine interior surfaces on an organ or tissue, collect biopsies, retrieve foreign objects, remove mass/tissue, dilate strictures

Question 14

Laparoscopy

Answer 14

-the performance of surgical procedures with the assistance of a video camera and several thin instruments within the abdominal cavity

Question 15

Arthroscopy

Answer 15

the performance of surgical procedures with the assistance of a video camera and several thin instruments within the joint capsule

Question 16

Know what is the usual gas used to insufflate the abdomen

Answer 16

carbon dioxide gas (nitrous oxide is an option)

Question 17

Know the maximum pressure for insufflation of the abdomen

Answer 17

50 mm of mercury

Question 18

Why can’t over inflate abdomen

Answer 18

respiratory depression, cardiovascular depression, decreased perfusion of the internal organs

Question 19

Understand what is needed when irrigating a joint via arthroscopy

Answer 19

fluid irrigation pump with ingress needle(fluid in) and egress needle (fluid out), waterproof drape