general rotation from quizlet

The primary function of the gallbladder is:

storage of bile

A fistula provides a passageway to the outside of the body for intestinal contents

false

Which of the following procedures may be used to remove a carcinoma from the head of the pancreas?

whipple

Zenkar's diverticulum is found in the:

espophagus

Bile is produced (synthesized) in the:

liver

A fibrous band or membrane lying deep in the skin supporting muscle is the:

fascia

What is the technique used on a laparoscopic direct inguinal hernia repair where the peritoneal space is inflated with a balloon dissector?

TEP (total endoperitoneal)

A whipple procedure is surgically termed:

pancreaticoduodenectomy

Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a

peanut

The reabsorption of water and electrolytes is the main function of the:

large intestines

The muscle serving as a valve to prevent regurgitation of food from the intestine back into the stomach is known as the:

pyloric sphincter

Place tissue layers of the abdominal wall in their correct order from the outside in: 1(fascia) 2(skin) 3(peritoneum) 4(subcutaneous) 5(muscle)

2, 4, 1, 5, 3

Which hernia does the herniation protrude onto the inguinal canal, but not the cord?

direct

When tissue from within the abdomen pushes out through the defect, it may emerge between the tissue layers. This is called:

A hernia

Which instrument may be used to clamp down on the stomach when performing a gastrectomy?

Payr stomach clamp

The release of breast milk and other secretions from the nipple is controlled by complex hormonal changes.

True

A common staple gun used to transect the stomach is the \__ and the \__ gun is used to transect and anastomose the jejunum during a Bilroth II procedure:

TA, GIA

The common bile duct and the pancreatic duct empty its contents into the duodenum by way of what sphincter?

Sphincter of Oddi

Which organ is removed either because of trauma, or a blood condition?

Spleen

The first portion of the large intestine is the:

Cecum

In hernia repairs, the use of \__ provides a bridge of strong material over the abdominal wall defect:

Mesh

Which of the following drains would be inserted after a CBDE?

T-Tube

A small intestine stoma of the ileum is called an illeostomy, whereas a stoma of the large intestine is called a colostomy.

true

The disposable circular staple designed to hold two tubular structures together after resection is known as:

EEA

The procedure where a hook wire is inserted under fluoroscopy into the suspicious tissue is called:

Wire localization

Many accessory organs contains many ducts and blood vessels, which \__ clamps should be available with all procedures?

Right angle

Which of the following procedures makes an opening into the gallbladder to permit drainage and removal of stones?

Cholecystectomy

Twisting of the bowel is known as:

Volvulus

Hypaque or renografin are examples of

contrast medium

A \__ hernia is a protrusion of a portion of the stomach through the opening in the diaphragm

hiatal

During a laparoscopic cholecystectomy, the \__ and \__ must be ligated and divided

Cystic duct and cystic artery

A subcutaneous mastectomy is a procedure that removes the breast while leaving the skin, nipple, and areola intact

True

What surgical position is used to access the upper abdominal cavity by facilitating gravitational pull of the viscera away from the diaphragm?

Reverse trendelenburg

In which hernia does the blood supply of the trapped sac contents comprised and in danger of necrosing

Strangulated

Hesselbachs triangle is the area bound by the rectus abdominus, inguinal ligament, and the inferior epigastric vessel.

true

Arrange the large intestines in order: 1(cecum) 2(rectum) 3(ascending) 4(descending) 5(transverse)

1,3,6,5,42

In what procedure is a portion of the stomach removed with an anastomosis created between the stomach and the jejunum?

Bilroth II

Another name for the iliac area of the abdomen is the \__ region

inguinal

Another name for the kraske position:

jackknife

Which of the following hormones are secreted by the islet of the langerhans in the pancreas

glucagon and insulin

All of the following instruments can be used to clamp the colon except:

randall

All incisional hernia can be described as a:

weakness in the abdominal wall from the incision

A direct visualization of the common bile duct is done by means of a/an:

endoscopic retrograde cholangiopacreatography (ERCP)

The simplest abdominal incision offering good exposure to any part of the abdominal cavity is the

vertical midline

What type of suture technique would be used to invert the stump of the appendix?

purse string

Bowel technique is also known as

isolation technique

Which item retracts the spermatic cord structure in herniorraphy

penrose drain

When doing a gastrojejunostomy, the mesentery must be mobilized from the stomach. This can be done by using the harmonic scalpel, ligasure, or clamping, cutting, and tying

False

Which of the following surgical procedures would require the use of an image intensifier (carm)

operative cholangiogram

The function of the small intestine is

absorption of nutrients

The pancreatic duct is also known as the

duct of wirsung

What type of suture technique is used to invert the stump of the appendix during an appendectomy

purse string

A hernia occurring in the hesselbacks triangle is called

direct

When a hernia is strangulated, which of the following instruments are added to the abdominal set up

doyen/dennis clamps

Surgical mesh is used for most hernia repairs

true

When doing an intraoperative cholangiogram (IOC), the supplies needed are:

cholangiocatheter, contrast media, stopcock, syringe, suture, pott scissors

The appendix originates from the:

cecum

The folds on the inside of the stomach and bladder that allow for expansion are known as:

Rugae

An incision that follows a line parallel to the midline of the body is the \________.

paramedian

A lower oblique incision is an

inguinal

A congenital weakness in the inguinal floor is called a/an \__ hernia

femoral

In a gastrointestinal closure, the mucosa of the intestinal tract is closed with:

3-0 chromic SH

Which portion of the stomach surrounds the esophageal during a nissen fundoplication?

fundus

The pancreatic duct (duct of wirsung) and the CBD drain their contents into the \__ section of the small intestine

duodenum

A \__ is a surgical procedure on the breast which removes the entire breast and sentinel nodes are resected, but preserves the major pectoralis muscle

modified radical mastectomy

Which of the following retractors may be used once the peritoneum is open during a cholecystectomy?

harrington

A sentinel node biopsy is performed to:

remove the first lymph node that drains as an area of suspected cancer

What is the correct order from the outermost to the innermost tissue layers that make up the wall of the stomach: 1(serosa) 2(mucosa) 3(submucosa) 4(muscularis)

1,4,3,2

The divisions of the small intestines in order beginning at the pyloric sphincter are:

duodenum, jejunum, ileum

The apron like structure attached to the greater curvature of the stomach is the:

omentum

A pneumoperitoneum in unnecessary during a TAPP approach to an inguinal hernia repair.

false

A \__ provides a passage to the outside of the body for intestinal contents

stoma

The falciform ligament __

separates the lobes of the liver

The muscle serving as a valve to prevent regurgitation of food from the stomach back into the esophagus is known as the __

cardia sphincter

A McBurney incision is used to approach the __

stomach

A whipple procedure consists of:

head of pancreas, duodenum, portion of jejunum, distal stomach, distal portion of CBD, and gallbladder

All are parts of the stomach except:

calyx

When doing a sentinel lymph node biopsy (SLMB), the surgeon can use radioactive material, methylene blue, or a combination of both to locate the affected nodes

Which of the following instruments are used to grasp the base of the of the hemorrhoid during a hemorrhoidectomy?

allis

Which hernia leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal?

Indirect

Which organism is a normal resident flora of the intestinal tract?

Escherichia coli

When both direct and indirect hernias occur in the same inguinal area, the defect is termed

pantaloons

All instruments and supplies that have come in contact with the inside surface of the bowel are considered \__ and should not be used during the abdominal closure

contaminated

In hernia repairs, the use of \__ provides a bridge of strong material over the abdominal wall defect

mesh

The curved transverse incision used for pelvic surgery is:

pfannensteil

Serous membrane lining the walls of the abdominal cavity is known as __

parietal peritoneum

Thrombosed vessels of the rectum and anus are known surgically as

hemorrhoids

What surgical position provides optimal visualization of the lower abdomen or pelvis

trendelenburg

When a cholecystectomy is performed, what anatomical structure must always be preserved

common bile duct

The instrument most commonly used to grasp the appendix during an appendectomy is a:

babcock

During bowel technique, also known as isolation technique, instruments and supplies used while the bowel is open are kept separate from all other sterile items.

true

Before handling a penrose drain to the surgeon:

moisten it with saline

Gastrointestinal technique is required in all of the following procedures except

hernia repair

When the viscera protrudes outside the body, this condition is called:

evisceration

A nissen fundoplication procedure is done to correct:

reflux disease

What procedure involves injection of dye and or a radioactive material into the breast mass to track the lymph nodes?

sentinel node biopsy

The surgical procedure performed in conjunction with a total colectomy is a/an:

ileostomy

Ischemia can be defined as:

a decreased supply of oxygenated blood to a body part or organ

After positioning the surgical mesh, the surgeon (if using suture) will affix the mesh with:

nonabsorbable suture, prolene

Use of an intraluminal (circular) stapler (EEA) would be indicated for which of the following surgical procedures?

sigmoidectomy