Deck 33: General Surgery

Question 1

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

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

Answer 1

D
In a subtotal gastrectomy procedure,the peritoneal cavity is entered through a right paramedian or upper midline abdominal incision.

Question 2

What open procedure involves creating a McBurney incision?

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

Answer 2

B
The open abdominal approach involves a muscle-splitting incision in the right lower quadrant,over McBurney's point.

Question 3

What term is used when a hernia can be returned to the normal cavity by manipulation?

A)Oblique
B)Thoracoabdominal
C)Reducible
D)Paramedian

Answer 3

C
A hernia is the protrusion of an organ or part of an organ through a defect in the supporting structures that normally contain it.A hernia is reducible when it can be returned to the normal cavity through manipulation.

Question 4

What organ is removed when performing a cholecystectomy?

A)Colon
B)Gallstones
C)Pancreas
D)Gallbladder

Question 5

What is a possible complication after having a mastectomy?

A)Depression
B)Need for reconstruction
C)Disfigurement
D)Lymphedema

Question 6

What type of breast biopsy involves injecting a radioisotope in the radiology department several hours before the procedure and then injecting the tumor with a dye containing isosulfan blue in the OR?

A)Core biopsy
B)Incisional biopsy
C)Sentinel node biopsy
D)Stereotactic breast biopsy

Question 7

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 8

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 9

During a colonoscopy,the surgeon may also perform which procedure depending on the anatomy?

A)Laparotomy
B)Polypectomy
C)Sigmoidoscopy
D)Ileostomy

Question 10

What breast procedure consists of removal of the entire mass along with some nondiseased tissue?

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

Question 11

Which is a function of the liver?

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

Question 12

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 13

Which procedure is performed to treat gastroesophageal reflux?

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

Question 14

Which two structures are ligated with hemostatic clips and divided during gallbladder surgery?

A)Common bile duct and hepatic duct
B)Hepatic duct and cystic artery
C)Cystic duct and cystic artery
D)Pancreatic duct and hepatic duct

Question 15

A ________ breast biopsy is taken when a larger 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 16

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 17

What term is used when the surgeon manually palpates the entire length of the bowel starting at the duodenum and ending at the sigmoid flexure?

A)Stabilization
B)Gastrojejunostomy
C)Running the bowel
D)Exploration

Question 18

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 19

What incision is mainly used for a pancreaticoduodenectomy procedure?

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

Question 20

The _________ is the largest lymphatic organ in the body.

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

Question 21

What procedure removes the entire stomach to eliminate malignant lesions?

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

Question 22

When performing surgery near or on the liver,what precautions need to be taken into consideration?

A)Liver tissue is very friable and can hemorrhage.
B)No precautions are needed because the patient can always have a liver transplant.
C)Have a drain ready for after surgery.
D)Partial lobectomy is acceptable for function.

Question 23

What is the most common cause of postoperative intestinal obstruction?

A)Inguinal hernia
B)Peritonitis
C)Infection
D)Adhesions

Question 24

Any person who wants to lose weight quickly is considered a candidate for bariatric surgery.

Question 25

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

Question 26

A patient's weight is an important piece of information needed before bringing a patient into the OR suite.

Question 27

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 28

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

Question 29

What instrumentation is frequently used to dilate strictures in the esophagus?

A)Bougies
B)Cannula
C)Goodell dilator
D)Endoscope

Question 30

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

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

Question 31

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

Question 32

Zenker's diverticula are pockets or pouches formed at the distal end of the esophagus.

Question 33

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

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

Question 34

Mammography is the only diagnostic technique to diagnose breast cancer.

Question 35

An anastomosis is a surgically created opening in an organ that forms an exit from the body.

Question 36

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