Deck 33: General Surgery

Question 1

In the case of hand surgery,it is important to amputate a severely damaged thumb even if salvaging the thumb is a possibility.

Answer 1

False
Keeping the hand as a unit is the optimal goal and every effort is made to save the thumb because even a small stump is better than a prosthesis.

Question 2

What incision is mainly used for a pancreaticoduodenectomy procedure?

A) Longitudinal midline
B) Subcostal
C) Minimal access
D) Long right paramedian

Answer 2

D
Pancreaticoduodenectomy is an extensive procedure performed on patients with carcinoma of the head of the pancreas or the ampulla of Vater.A gastrointestinal setup is used for this procedure.The abdominal cavity is exposed through one of several possible anterior incisions,but a long right paramedian incision is usually made.

Question 3

What type of mastectomy involves a wedge or quadrant of breast tissue being removed?

A) Radical
B) Simple
C) Segmental
D) Modified radical

Answer 3

C
In a segmental mastectomy,a wedge or quadrant of breast tissue is removed;this wedge includes the tumor mass and the lobe in which it is growing.

Question 4

Instruments need to be separated for an abdominoperineal resection.

Question 5

Which type of stoma is created in the opening of the cecum through the lower right side of the abdomen?

A) Ileostomy
B) Cecostomy
C) Colostomy
D) Gastrostomy

Question 6

What procedure involves creating a right paramedic or upper midline abdominal incision?

A) Lung resection
B) Cholecystectomy
C) Appendectomy
D) Subtotal gastrectomy

Question 7

A gastrostomy is a procedure involving the passage of a flexible fiberoptic gastroscope to inspect the mucosal walls of the stomach.

Question 8

What type of procedure uses a T-tube to drain the common bile duct?

A) Choledochoscopy
B) Cholelithotripsy
C) Choledochoduodenostomy
D) Choledochostomy

Question 9

Which is the most common site for a pancreatic tumor?

A) Fundus of pancreas
B) Head of pancreas
C) Islets of Langerhans
D) Acini

Question 10

Colitis is one reason a hemicolectomy or total colectomy may be performed.

Question 11

What open procedure involves creating a McBurney incision?

A) Femoral hernia repair
B) Appendectomy
C) Left upper lobe resection
D) Modified mastectomy

Question 12

A low anterior colon resection requires the creation of a permanent colostomy.

Question 13

What is an obvious sign of gallstones or presence of a neoplasm on or near to the gallbladder?

A) Hypertension
B) Conjunctivitis
C) Jaundice
D) Obesity

Question 14

What type of breast biopsy involves removing the entire mass for pathologic study?

A) Core biopsy
B) Incisional biopsy
C) Excisional biopsy
D) Stereotactic breast biopsy

Question 15

Sterile water is used during laparotomy procedures because of its isotonic properties.

Question 16

Once the abdominal cavity is entered,all free 4×4 sponges should be removed from the field.

Question 17

Which procedure is performed to treat gastroesophageal reflux?

A) Whipple procedure
B) Roux-en-Y
C) Fundoplication
D) Choledochoscopy

Question 18

Sterile water may be used during abdominal procedures to moisten laparotomy packs.

Question 19

A _____ breast biopsy is taken when a biopsy needle is inserted into the mass and tissue is retrieved for histologic examination.

A) fine needle aspiration
B) core biopsy
C) stereotactic breast biopsy
D) excisional

Question 20

The _____ is the largest lymphatic organ in the body.

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

Question 21

Which is a reason peritoneal lavage is performed?

A) To cool down the peritoneal contents
B) To create a pneumoperitoneum
C) To determine presence of active intraabdominal bleeding
D) To decompress the bladder

Question 22

Which is a common instrument needed for a common duct exploration?

A) Richardson retractor
B) Cooley clamp
C) Malleable scoop
D) Mahoney dilator

Question 23

Which is a main function of the stomach?

A) Digestion of proteins
B) Absorption of water
C) Release of gastrin and somatostatin
D) Excretion of chyme

Question 24

Which open procedure can also be performed as a minimally invasive laparoscopic procedure?

A) Liver wedge resection
B) Whipple
C) Cholecystectomy
D) Colonoscopy

Question 25

Which is a type of hernia?

A) Inguinal
B) Thoracic
C) Pelvic
D) External

Question 26

A/an _____ amputation is performed at the lower third of the thigh.

Question 27

Why would a surgeon choose to irrigate a mastectomy wound with sterile water rather than sterile normal saline?

A) Sterile water is less expensive than normal saline.
B) Normal saline shrinks the cancerous cells.
C) Saline is irritating to the skin.
D) Sterile water may be used to crenate the cancerous cells.

Question 28

What procedure removes the entire stomach to eliminate malignant lesions?

A) Subtotal gastrectomy
B) Total gastrectomy
C) Total vagotomy
D) Total pyloroplasty

Question 29

Which is a function of the liver?

A) Forms blood elements
B) Secretes insulin
C) Synthesizes cholesterol
D) Stores white blood cells

Question 30

Which is a consideration in the plan of care of an obese patient during a bariatric procedure?

A) Antiembolic stockings
B) Disposable blood pressure cuff
C) Limited warm blankets and drapes
D) Nutritional supplements

Question 31

Which procedure is most commonly performed to resect a benign pancreatic tumor?

A) Total pancreatectomy
B) Gastrojejunostomy
C) Subtotal distal pancreatectomy
D) Pancreaticoduodenectomy

Question 32

What procedure allows visualization of the rectal lumens via a flexible scope?

A) Colonoscopy
B) Gastroscopy
C) Bronchoscopy
D) Sigmoidoscopy

Question 33

Which is a function of the pancreas?

A) Digests carbohydrates
B) Secretes glucagon
C) Stores blood elements
D) Forms cholesterol

Question 34

For what reason may a subcutaneous mastectomy be performed?

A) Shorter,less painful procedure
B) Removal of the overlying skin and nipple
C) Removal of a noninvasive tumor present under the breast
D) For patients with chronic mastitis

Question 35

What incision is most commonly used for an open inguinal hernia?

A) Oblique inguinal
B) Thoracoabdominal
C) Pfannenstiel
D) Paramedian

Question 36

What type of procedure may be performed in patients with an obstructing pyloric ulcer?

A) Vagoplasty
B) Mammoplasty
C) Vagotomy
D) Pyloroplasty