Surgical Tech (Appleton & Lange) Part 9
Appleton & Lange study guide questions 800 - 899
- 1.A procedure done to give the colon a rest and is then reversed is
- A.
Temporary colectomy
- B.
Temporary colostomy
- C.
Abdominoperineal resection
- D.
McVey procedure
- 2.A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed is a (n)
- A.
End-to-end anastomosis (EEA)
- B.
GIA
- C.
TA 55
- D.
LDS
- 3.An advanced inflammation of the bowel could be conservatively treated with which procedure?
- A.
Temporary colostomy
- B.
Anterior resection
- C.
Hemicolectomy
- D.
Abdominal perineal resection
- 4.Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a
- A.
Metzenbaum
- B.
Kelly
- C.
Tampon
- D.
Peanut
- 5.Direct visualization of the common bile duct is accomplished with a
- A.
Cholangiocath
- B.
Cholangiogram
- C.
Choledochoscope
- D.
Trocar
- 6."Scratch" marking is done in surgery of the
- A.
Chin
- B.
Eye
- C.
Breast
- D.
Thyroid
- 7.Fogarty biliary catheters are used to
- A.
Drain the gallbladder
- B.
Drain the common bile duct
- C.
Instill contrast media
- D.
Facilitate stone removal
- 8.In laparoscopy, tubal patency is checked by
- A.
Irrigating with normal saline
- B.
Injecting renografin into the tube
- C.
Injecting methylene blue into the cervical canal
- D.
Irrigating tube with Lugol's solution
- 9.In a thyroidectomy, a loop retractor retracts the
- A.
Platysma muscle
- B.
Cervical fascia
- C.
Thyroid veins
- D.
Sternocleidomastoid muscle
- 10.Which structure(s) are identified and preserved in thyroid surgery?
- A.
Parathyroid glands
- B.
Hyoid bone
- C.
Thyroglossal duct
- D.
Thyroid bone
- 11.Bariatric surgery treats
- A.
Ulcers
- B.
Obesity
- C.
Thyroid disease
- D.
Carcinoma of the pancreas
- 12.Which incision would require cutting through Scarpa's fascia?
- A.
Subcostal
- B.
Inguinal
- C.
Phannenstiel
- D.
McBurney
- 13.A gastroplasty
- A.
Reduces stomach size
- B.
Corrects gastric junction stenosis
- C.
Releases adhesions
- D.
Provides avenue for hyperalimentation
- 14.Which item retracts the spermatic cord structure in herniorrhaphy?
- A.
Army-navy retractor
- B.
Penrose drain
- C.
Green retractor
- D.
Silk suture
- 15.After uterus removal in a hysterectomy
- A.
Cervical and vaginal instruments are isolated from the instrument set in a discard basin
- B.
The cervix is cauterized
- C.
New instruments are used on the cervical closure
- D.
Cervical instruments are returned to the basket
- 16.An irreducible hernia whose abdominal contents have become trapped in the extraabdominal sac is called a (n)
- A.
Incarcerated hernia
- B.
Sliding hernia
- C.
Spigelean hernia
- D.
Strangulated hernia
- 17.Which type of endoscopy camera procedures the truest color?
- A.
One-chip
- B.
Two-chip
- C.
Three-chip
- D.
Four-chip
- 18.While balancing a video camera in endoscopy requires the scrub person to focus the camera on
- A.
A white sponge
- B.
A white wall
- C.
A glove wrapper
- D.
Any of the above
- 19.Defogging the video camera is usually responsibility of the
- A.
Circulator
- B.
Surgeon
- C.
Scrub person
- D.
Camera operator
- 20.A palliative invasive procedure done to prevent malnutrition or starvation is known as
- A.
Percutaneous endoscopic gastrostomy (PEG) procedure
- B.
Gastrotomy
- C.
Gastrostomy
- D.
Gastrojejunostomy
- 21.The use of noninvasive high-energy shock waves to pulverize gallstones into small fragments for easy passage throught the common bile duct and out of the body is called
- A.
Choledochoscopy
- B.
Cholelithotripsy
- C.
Choledochostomy
- D.
Choledochotomy
- 22.Intraoperative cholangiograms can be performed either through open abdominal or laparoscopic procedures using a contrast medium directly into the common bile duct through a
- A.
Cystocath
- B.
Cholangiocath
- C.
T-tube
- D.
Red rubber catheter
- 23.Intra-abdominal pressure during the instillation of CO2 for creation of pneumoperitoneum is 8-10 mm Hg. A pressure reading higher than this may indicate that the needle may be
- A.
Buried in fatty tissue
- B.
Buried in the omentum
- C.
In a lumen of intestines
- D.
All of the above
- 24.The proper method of removing the gallbladder specimen after complete disscetion and irrigation of the operative site in a laparoscopic cholecystectomy is to
- A.
Utilize an endobag
- B.
Pull gallbladder through the largest port
- C.
Decompress the gallbladder by suctioning bile before removal
- D.
All of the above
- 25.All of the following are recommendations for actions necessary to support the aseptic principle of "confine and contain" EXCEPT
- A.
Restrict patient contacts to an area 3 feet around the patient
- B.
Discard sponges into plastic-lined pails
- C.
Clean spills immediately with broad spectrum disinfectant
- D.
All laundry should be discarded into impervious bags
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