Deck 32: Endoscopy and Robotic-Assisted Surgery

Question 1

Which is a hazard associated with endoscopic procedures?

A) Increased pain
B) Increased incision healing time
C) Increased risk of gas embolism
D) Increased infection rate

Answer 1

C
Serious complications of endoscopy include gas embolism,perforation,bleeding,hypothermia,preperitoneal insufflation,and incidental iatrogenic injury.

Question 2

A duty of the assistant helping with an endoscopy or minimally invasive procedure is to explain the steps of the procedure to the patient before the procedure.

Answer 2

True
It is important that the patient know the reasons for discomfort and be aware of what will be taking place during the procedure.

Question 3

Which trocar has an exposed tip shaped like a pyramid or cone?

A) Blunt
B) Sharp
C) Shielded
D) Initial

Answer 3

B
A sharp trocar has a tip that is exposed and is shaped pyramidal or conical.A blunt trocar has a rounded tip,and a shielded trocar tip is protected by a spring-loaded shield.An initial trocar is one that is inserted first to establish access to instill gases or fluids.

Question 4

After an endoscopic procedure,it is acceptable to evacuate the CO₂ into the room air because the OR staff is wearing masks.

Question 5

The open method of gaining access into the body for placing a trocar and sheath is used so that the expansion medium may be placed through the port.

Question 6

When using a robotic system to perform a surgical procedure,the surgeon is required to give the robot commands to activate its actions.

Question 7

Lasers are not able to be used with endoscopic or laparoscopic procedures due to the limited vision endoscopy allows.

Question 8

Only one monitor is recommended to be used during a laparoscopic procedure so that all team members are looking at the same image at the same time.

Question 9

One advantage of robotic-assisted surgery is the inexpensive equipment needed to perform the procedures.

Question 10

Because the fiberoptic light is cool to the touch,the light can be allowed to rest on the drapes while in use.

Question 11

Which is a type of material used in radiographic-assisted endoscopy?

A) Saline
B) Ho: YAG
C) Argon
D) Contrast media

Question 12

What is the intraoperative peritoneal pressure of an adult during a laparoscopic procedure when using CO₂?

A) 5 to 7 mm Hg
B) 7 to 10 mm Hg
C) 12 to 15 mm Hg
D) Greater than 18 mm Hg

Question 13

Which endoscopy procedure is usually not performed sterile?

A) Colonoscopy
B) Cystoscopy
C) Hysteroscopy
D) Laparoscopy

Question 14

Natural Orifice Transluminal Endoscopic Surgery (NOTES)is a newer form of endoscopic surgery in which only two incisions are made on the patient's abdomen to remove an appendix or a gallbladder.

Question 15

Incisions of 5 mm made in adults for an endoscopic procedure are closed at the fascial level using a heavy suture.

Question 16

Because carbon dioxide gas is colder than body temperature,the patient may experience hypothermia during the procedure.

Question 17

What type of gas medium is used to insufflate the peritoneal cavity?

A) Nitrous oxide
B) Oxygen
C) Carbon dioxide
D) Argon

Question 18

The Veress needle is used to create access into the peritoneal cavity.

Question 19

Robotic surgery can be performed without the surgeon or surgical team members present for the procedure.

Question 20

Which is a type of scope used in endoscopy or laparoscopy procedures?

A) Soft
B) Rigid
C) Plastic
D) Veress

Question 21

For what reason may a hand-assisted access sleeve be used in a laparoscopic procedure?

A) To keep the surgeon's hands warm during the procedure
B) To allow insertion of the surgeon's hand to palpate or grasp an organ
C) To place pressure on a vessel that is bleeding
D) To lose the peritoneum and convert to an open procedure

Question 22

When would a sterile endoscope and accessories be used for performing an endoscopy procedure that is normally aseptic,such as a colonoscopy?

A) If the patient has HIV or has received chemotherapy
B) If the scope has been accidentally sterilized
C) If the scope were contaminated and sterility is compromised
D) If the procedure room has not been properly decontaminated before use