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Chapter 14: general surgery

The gallbladder is found in the _____ abdominal quadrant.

A. Right upper

The linea alba is found _______.

C. Medially where abdominal aponeuroses join

The long, vertical straplike muscle of the abdominal wall is the ______.

D. Rectus Abdominis

Another name for the alimentary canal is the _____ tract.

A. Digestive

The inner layer of the digestive tract wall is called the ________.

D. Mucosa

Parasympathetic innervation to the stomach is provided by the _____ nerve.

C. Vagus

Which of the following is a function of the omenta?

B. Limit peritoneal infection

Which gland has both exocrine and endocrine functions?

C. Pancreas

What is the largest parenchymal organ in the abdominal cavity?

B. Liver

The outer layer of the digestive tract wall is called the _______.

A. Serosa

The beta cells of the islets of Langerhans are responsible for the production of ______.

C. Insulin

Which organ is the single largest mass of lymphatic tissue in the body?

A. Spleen

The biliary tract terminates at the ______.

B. Sphincter of Oddi

A Kocher-type incision is ______.

D. Oblique

A diaphragmatic hernia is located _______.

C. In the diaphragm

Which type of hernia is located within Hesselbach's triangle?

D. Direct

Nissen fundoplication is the procedure performed to correct a(n) ________.

C. Hiatal hernia

Gastroscopy is accomplished by inserting the gastroscope through the ________.

D. Abdomen

The use of a Penrose drain is often employed during inguinal herniorrhaphy to ______.

B. Retract the spermatic cord

The term dysphagia means difficulty ________.

C. Swallowing

Maloney dilators are used to dilate the ________.

D. Esophagus

A purse-string suture is used _______.

D. To tighten or close an opening

An end ileostomy is created from the ______.

C. Terminal ileum

The term chyme refers to ______.

B. A mixture of partially digested food

Removal of the gallbladder is called ________.

A. Cholecystectomy

The condition of gallstones is called _______.

B. Cholelithiasis

What is the function of a T-tube?

C. Drain bile

In addition to a major general surgical instrumentation set, which of the following will also be needed for a cholecystectomy?

C. CBD exploration instruments

Which reconstructive procedures must be performed following pacreaticoduodenectomy?

C. Pancreaticojejunostomy, hepaticojejunostomy (or choledochojejunostomy) and gastrojejunostomy

Removal of all parathyroid glands leads to _______.

A. Tetany

What position will the patient be placed in to facilitate thyroidectomy?

B. Supine with the neck hyperextended

Tracheotomy is the _______.

B. Creation of an opening into the trachea

Insufflation of the abdomen is achieved with the use of ______.

C. Carbon dioxide

Which of the following describes the anatomic area that will be prepped for a laparotomy?

A. Midchest to midthighs and bilaterally

The surgical connection of two hollow or tubular structures is called a(n) _______.

A. Anastomosis

The primary indication for a splenectomy is ______.

D. Trauma

All are true regarding varicose veins EXCEPT that the ______.

D. Indications for treatment include significant leg edema and immobility

Segmental resection of the breast refers to the removal of ________.

C. The tumor and a reasonable margin of healthy tissue

Mastectomy is the removal of the ______.

A. Entire mammary breast

If breast reconstruction is being performed, two setups may be required immediately following to prevent _______.

D. Seeding

Which hormone increases the calcium levels in the blood?

A. Calcitonin

Complications of thryotoxicosis include _______.

B. Thyroid storm

All are symptoms of hypothroidism EXCEPT _________.

C. Dyspnea

During a thyroidectomy, it is important to preserve the ________.

C. Recurrent laryngeal nerve

Which suture technique is applied when closing the indirect hernia sac?

C. Purse-string

When performing an esophagectomy, which instrumentation should be added to the basic instrument set?

A. Thoracotomy tray

A Billroth I or II refers to a(n) ______.

D. Subtotal gastrectomy

Roux-en-Y technique is most commonly used to repair a(n) _______.

A. Total gastrectomy

Which procedure is used to treat cancer of the rectum?

D. Abdominoperineal resection

Which instrument would NOT be included in the intestinal instrument tray?

D. Kelly retractor

The three portions of the small intestine are the _____.

Duodenum, ileum, and jejunum

The appendix is attached to the ______.

Cecum

In what position is the patient placed when a mcburney's incision will be used?

Supine

What incisional approach is the most common for appendectomy?

McBurney's

Whipple pancreaticoduodenectomy involves the removal of the _______.

Head of the pancreas, distal one-third of the stomach, duodenum, proximal 10 cm of jejunum, gallbladder, cystic and common bile ducts, and peripancreatic and hepatoduodenal lymph nodes

Modified radical mastectomy involves removal of ______.

The breast and axillary lymph nodes

Hemorrhoids are removed with the patient in the _____ position.

Kraske

The flow of food and liquids from the stomach to the small intestine is controlled by the _____.

Pyloric sphincter

Indications for cholecystectomy include all EXCEPT ______

Acute pancreatitis

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