Deck 23: General Surgery

Question 1

A rare hernia occurring between the transverse abdominis and rectus muscles is a(n) __________.

A) umbilical hernia
B) direct inguinal hernia
C) Spigelian hernia
D) femoral hernia

Answer 1

C

Question 2

A subcostal incision is used for surgical procedures of the _____________.

A) spleen
B) pancreas
C) appendix
D) uterus

Answer 2

A

Question 3

A hernia arising from a weakness in the transverse fascia below the inguinal ligament is a(n) __________.

A) umbilical hernia
B) direct inguinal hernia
C) Spigelian hernia
D) femoral hernia

Answer 3

D

Question 4

The organs and organ systems that are included in general surgery are the following EXCEPT __________.

A) spleen
B) pancreas
C) femur
D) breast

Question 5

An inguinal (oblique) incision is made for surgical procedures of the _____________.

A) appendix
B) spleen
C) liver
D) spermatic cord

Question 6

RLQ refers to what part of the abdominal section?

A) Right lower quality
B) Right lower quadrant
C) Right labile quality
D) Right labile quadrant

Question 7

The spermatic cord in the male follows the inguinal canal and contains the following structures, EXCEPT __________.

A) spermatic fascia
B) lymph nodes
C) lymph vessels
D) cremaster muscle

Question 8

An abdominal wall defect occurring in the linea alba at the umbilical ring is a(n) __________.

A) umbilical hernia
B) direct inguinal hernia
C) Spigelian hernia
D) femoral hernia

Question 9

The abdomen is divided into nine regions; the organ located in the inguinal area is in the __________.

A) left and right lumbar regions
B) left and right iliac regions
C) umbilical region
D) left and right hypochondriac regions

Question 10

Protrusion of abdominal tissue through one or more abdominal layers is a(n) __________.

A) strangulated hernia
B) direct inguinal hernia
C) Spigelian hernia
D) incisional hernia

Question 11

A McBurney incision is used for surgical procedures of the ____________.

A) spleen
B) pancreas
C) appendix
D) uterus

Question 12

The abdomen is divided into nine regions; the organs located in the rib area is in the __________.

A) left and right lumbar regions
B) left and right iliac regions
C) umbilical region
D) left and right hypochondriac regions

Question 13

All of the following are distinct tissue layers that support the viscera, EXCEPT __________.

A) fascia
B) skin
C) subcutaneous
D) umbilicus

Question 14

LLQ refers to what part of the abdominal section?

A) Left labile quadrant
B) Left lower quadrant
C) Left labile quality
D) Left lower quality

Question 15

Protrusion of abdominal or inguinal tissue directly through the transversalis fascia is a(n) __________.

A) strangulated hernia
B) direct inguinal hernia
C) indirect hernia
D) incisional hernia

Question 16

A lower transverse abdominal incision is made for surgical procedures of the __________.

A) spleen
B) pancreas
C) appendix
D) uterus

Question 17

In a(n) _____________ hernia, tissue protruding from the hernia may be swollen and squeezed.

A) strangulated
B) direct inguinal
C) Spigelian
D) incisional

Question 18

A midline incision is used for surgical procedures of the ___________.

A) liver
B) sigmoid colon
C) appendix
D) uterus

Question 19

The abdomen is divided into nine regions; the organ located in the umbilicus area is in the __________.

A) left and right lumbar regions
B) left and right iliac regions
C) umbilical region
D) left and right hypochondriac regions

Question 20

A hernia in which abdominal viscera slides into the inguinal canal from the deep inguinal ring is a(n) __________.

A) strangulated hernia
B) direct inguinal hernia
C) indirect hernia
D) incisional hernia

Question 21

This occurs most often as a postoperative complication or a result of pelvic or back injury and peritonitis __________.

A) paralytic ileus
B) volvulus
C) strangulation
D) intussusception

Question 22

During a laparoscopic cholecystectomy, which two structures are occluded?

A) Cystic duct and common bile duct
B) Common bile duct and artery
C) Cystic duct and cystic artery
D) Cystic artery and common bile duct

Question 23

A procedure in which two hollow organs are joined surgically is __________.

A) to cross-clamp
B) anastomosis
C) to double-clamp
D) resection

Question 24

The freeing up of tissue from its attachments before anastomosis or resection is __________.

A) division
B) mobilization
C) to cross-clamp
D) to clamp and divide

Question 25

The spermatic cord is retracted with a small _________________.

A) red robinson
B) JP drain
C) ortho drain
D) Penrose drain

Question 26

Approximately 400,000 people die annually as a result of __________.

A) SSI
B) wrong surgical site
C) HAI
D) obesity

Question 27

A procedure in which one section of tissue is cut away from another is __________.

A) division
B) mobilization
C) cross-clamp
D) clamp and divide

Question 28

To place two clamps over a section of tissue to prevent bleeding when the tissue is severed is __________.

A) to cross-clamp
B) to double-clamp
C) resection
D) anastomosis

Question 29

A procedure in which a section of an organ is cut apart or removed is __________.

A) to cross-clamp
B) anastomosis
C) to double-clamp
D) resection

Question 30

All of the following are supplies needed for a GI surgery, EXCEPT __________.

A) bowel bag
B) vessel loops
C) raney clips
D) ultrasound scalpel

Question 31

Telescoping of the intestines, occurring mainly in children and resulting in ischemia and necrosis of the bowel is __________.

A) paralytic ileus
B) volvulus
C) strangulation
D) intussusception

Question 32

Twisting of the bowel on itself is __________.

A) paralytic ileus
B) volvulus
C) strangulation
D) intussusception

Question 33

What type of stitch will be placed around the base of the appendix?

A) Interrupted
B) Horizontal
C) Purse string
D) None of the above

Question 34

A range of procedures are available for surgical management of a breast tumor. All of the following are available, EXCEPT __________.

A) needle aspiration biopsy
B) fine-needle insertion
C) sentinel node detection
D) lumpectomy

Question 35

To place one or more clamps at a right angle to a tube or vessel is __________.

A) to cross-clamp
B) to double-clamp
C) resection
D) anastomosis

Question 36

During a splenectomy, what four major requirements must be met to stop bleeding?

A) Access, visualization, good lighting, retractors
B) Access, visualization, temperature, clamps
C) Access, visualization, time, clamps
D) Access, visualization, good lighting, clamps

Question 37

During this procedure, a gamma ray detecting probe is used to determine which lymph nodes are affected.

A) excisional biopsy
B) wire localization
C) sentinel lymph node biopsy
D) none of the above