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118 terms

ST Final Exam Review -Gen Surg

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In a gastrointestinal closure, the mucosa of the intestinal tract is closed with..
chromic 4-0 or 3-0
Which type of suture would be used to invert the stump of an appendix?
purse-string
Why are bumpers or bolsters used on retention sutures?
to prevent the suture from cutting into the skin surface
A Nissen Fundoplication procedure is done to correct...
antireflux disease
A dissecting sponge that is a small roll of heavy cotton tape is a...
kitner
Which procedure would not require a pressure dressing?
hysterectomy
Peanuts and dissecting sponges are generally...
moistened with saline
Intraabdominally, lap pads are most often used..
moistened with saline
A catheter commonly used in a gastrostomy is a...
mushroom
Before handing a Penrose drain to the surgeon..
moisten it in saline
A close-wound suction system works by...
negative-pressure vacuum
Which condition regarding sterile technique is NOT recommended?
sterile tables may be set up and safely covered until time of surgery
Which of the following conditions is not an acceptable aseptic technique?
scrub nurse folds arms with hands at axillae
The disposable circular staple designed to hold two tubular structures together after resection is known as..
EEA
When a sterile item is hanging or extending over a sterile table edge, the scrub nurse..
does not touch the part hanging below table level
Which of the following is considered a break in technique?
a sterile person sits or leans against a nonsterile surface
In which situation should sterility be questioned?
if a sterilized pack is found in an unsterile workroom
Transduodenal sphincterotomy refers to the incision made into the _______ to relieve stenosis.
sphincter of Oddi
When handing skin towels to the surgeon, where should the scrubperson stand in relation to the surgeon?
on the same side of the table
Irrigating fluid used to flush the organ between harvest and transplantation of a liver is known as..
Collin's
Each of the following actions by a scrubperson prevents wounds and punctures, according to CDC guidelines EXCEPT
recap injection needles
Which of the following is NOT an acceptable technique when draping a patient?
unfold the drapes before bringing them to the OR table
The procedure to follow if a hair is found on the operate field is to...
remove it with a clamp (hemostat), cover over area
Cancer technique in surgery refers to...
the discarding of instruments coming in contact with tumor after each use
Why are gowns, gloves, drapes, and instruments changed following a breast biopsy and before incision for a mastectomy?
to protect margins of healthy tissue from tumor cells
A postoperative complication attributed to glove powder entering a wound is...
granulomata
The correct procedure for sterile dressing application is...
apply dressing before drape removal
When drop technique for an intestinal procedure is utilized..
contaminated instruments are discarded, gloves are changed
If the floor or wall becomes contaminated with organic debris during a case, the circulator...
decontaminates promptly
The Sengstaken-Blakemore tube is used for...
esophageal hemorrhage
A specially treated form of surgical gauze that has a hemostatic effect when buried in tissue is...
Oxycel
An enzyme extract from bovine blood used as a topical hemostatic agent is..
thrombin
A common complication of extubation is...
hypoxia
The desirable position for better visualization in the lower abdomen or pelvis is...
trendelenburg
Another name for the Kraske position is...
jackknife
All of the following are helpful in keeping accurate account of sponges EXCEPT
keep all sponges and tapes in a basin or close together on the field
Dark blood in the operative field may indicate that the patient is...
hypoxic
In an extreme patient emergency, a sponge count..
may be omitted
Cultures obtained during surgery..
are passed off the sterile field into a bag or container held by the circulator
How is a frozen section sent to the lab?
dry
Which of the following specimens is NOT placed in preservative solution?
stones
The term transduodenal sphincterotomy indicates surgery of the..
distal end of the common bile duct
McBurney is an incision used for...
appendectomy
The simplest abdominal incision offering good exposure to any part of the abdominal cavity is the..
vertical midline
During an appendectomy, a purse-string suture is placed around the appendix stump to...
invert the stump of the appendix
Gastrointestinal technique is required in all of the following procedures EXCEPT
cholecystectomy
A hernia occurring in Hesselbeck's triangle is called..
direct
Pathologic enlargement of the male breast is called..
gynecomastia
Sutures placed in a wound to prevent wound evisceration are called...
retention
Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is a..
pyloroplasty
A Whipple operation is surgically termed a...
pancreatoduodenectomy
A left subcostal incision indicates surgery of the..
spleen
A lower oblique incision is a(n)...
inguinal
The curved transverse incision used for pelvic surgery is...
pfannenstiel
Which breast procedures removes the entire breast and axillary contents but preserves the pectoral muscles?
modified radical mastectomy
The breast procedure performed to remove extensive benign disease is a(n)..
simple mastectomy
What incision is indicated for an esophagogastrectomy?
thoracoabdominal
In which incision could retention sutures be used?
vertical midline
In which hernia is the blood supply of the trapped sac contents compromised an in danger of necrosing?
strangulated
In which hernia does the herniation protrude into the inguinal cancel but NOT the cord?
direct
Which hernia leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal?
indirect
An abdominal wall defect may be reconstructing using..
Gore-Tex patch
Mersilene is a(n)..
synthetic mesh
In a cholecystectomy, which structures are ligated and divided?
cystic duct and cystic artery
All of the following statements refer to pilonidal cyst surgery EXCEPT
the cyst is removed, but the tract remains
An important consideration during cholangiogram is to..
remove all air bubbles from the cholangiocath
An instrument used to elevate the thyroid love during surgical excision is a..
Lahey
The intestinal layer in order, from inside to outside, is...
mucosa, submucosa, serosa
A common postoperative patient complaint following a laparoscopic procedure is..
shoulder pain
A subphrenic abscess occurs in the...
liver
Portal pressure measurement is indicated in...
hepatic resection
Which organ is removed either because of trauma, a blood condition, or as a staging procedure for malignancy?
spleen
Following a hemorrhoidectomy, a...
petroleum gauze packing is placed in the anal canal
A benign anal wall "slit" type of lesion requiring excision is a(n)...
anal fissure
Which gallbladder procedure ALWAYS requires intraoperative x-rays?
cholangiogram
In a pilonidal cystectomy, the defect frequently is too large to close and requires use of a(n)...
packing and pressure dressing
The instrument most commonly used to grasp the mesoappendix during an appendectomy is a...
babcock
Vaporization and coagulation of hemorrhoidal tissue can be acoomplished with...
CO2 laser
An entire tumor/mass removal is termed...
excisional biopsy
A surgical procedure performed to relieve esophageal obstruction caused by cardio-spasm is an..
esophagomyotomy
Thrombosed vessels of the rectum are known surgically as...
hemorrhoids
A procedure done to give the colon a rest and is then reversed is...
temporary colostomy
A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed is a(n)...
end-to-end anastomosis (EEA)
An advanced inflammation of the bowel could be conservatively treated with which procedure?
temporary colostomy
Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a...
peanut
Direct visualization of the common bile duct is accomplished with a...
choledochoscope
"Scratch" marking is done in surgery of the...
thyroid
Fogarty biliary catheters are use to...
facilitate stone removal
In laparoscopy, tubal patency is checked by...
injecting methylene blue into the cervical canal
In a thyroidectomy, a loop retractor retracts the...
sternocleidomastoid muscle
Which structure(s) are identified and preserved in thyroid surgery?
parathyroid glands
Bariatric surgery treats...
obesity
Which incision would require cutting through Scarpa's fascia?
inguinal
A gastroplasty...
reduces stomach size
Which item retracts the spermatic cord structure in herniorrhaphy?
penrose drain
After uterus removal in a hysterectomy...
cervical and vaginal instruments are isolated from the instrument set in a discard basin
An irreducible hernia whose abdominal contents have become trapped in the extra-abdominal sac is called a(n)
incarcerated hernia
Which type of endoscopy camera produces the truest color?
three-chip
While balancing a video camera in endoscopy requires the scrub person to focus the camera on..
a white sponge, a white wall, a glove wrapper
Defogging the video camera is usually the responsibility of the...
camera operator
A palliative invasive procedure done to prevent malnutrition or starvation is known as...
gastrostomy
The use of noninvasive high-energy shock waves to pulverize gallstones into small fragments for easy passage through the common bile duct and out of the body is called..
cholelithotripsy
Intraoperative cholangiograms can be performed either through open abdominal or laparoscopic procedures using a contract medium directly into the common bile duct through a...
cholangiocath
Intra-abdominal pressure during the instillation of CO2 for creation of pneumoperitoneum is 8-10mm Hg. A pressure reading higher than this may indicate that the needle may be...
buried in fatty tissue, buried in the omentum, in a lumen of intestines
The proper method of removing the gallbladder specimen after complete dissection and irrigation of the operative site in a laparoscopic cholecystectomy is to...
utilize an endobag, pull gallbladder through the largest port, decompress the gallbladder by suctioning bile before removal
All of the following are recommendations for actions necessary to support the aseptic principle of "confine and contain" EXCEPT
all laundry should be discarded into impervious bags
All of the following drains are considered active postoperative drains that are attached to an external force EXCEPT
Penrose
During a laparoscopic cholecystectomy the surgeon generally stands...
at the left side of the patient
Gastrointestinal decompression during a general surgical procedure can be effected by the use of a...
Levine Tube and Miller-Abbot tube
A selected alternative to a conventional ileostomy that denies spontaneous stool exiting from the stoma and requires catheterization of the stoma daily to evacuate the contents is a(n)..
Kock pouch
When both direct and indirect hernias occur in the same inguinal area, the defect is termed..
pantaloon
An inguinal hernia containing a Meckel's diverticulum is called a...
Littre's
All of the following are designated options of laparoscopic hernia repair EXCEPT
ERCP
Which muscles are incised in the midline of the neck once the skin laps are completed during a thyroidectomy?
strap
Which bone is transected with bone-cutting forceps before removal of a thyroglossal cyst?
hyoid
Drainage of an incision following a simple or modified radical mastectomy is accomplished by a...
close-wound drainage
During laparoscopic cholecystectomy, the camera operator usually stands...
to the right of the first assistant
The maximum pressure allowed to prevent the possible intraoperative complications of bradycardia, blood pressure changes, or potential gas emboli during a laparoscopic procedure is...
15mm Hg