Surgical Tech (Appleton & Lange) Part 9

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Surgical Technology Quizzes & Trivia

Appleton & Lange study guide questions 800 - 899


Questions and Answers
  • 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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