Chapter 16: Quiz - 6th Edition: General Surgery V2

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70 Terms

1
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Viral hepatitis and alcohol abuse are precursors to which of the following diseases?

cirrhosis

2
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Which of the following suturing techniques is often used on the appendiceal stump?

pursestring

3
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Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which of the following surgical procedures?

modified radical mastectomy

4
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A Whipple procedure is done for treatment of a tumor in which of the following abdominal organs?

pancreas

5
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Where are the parathyroid glands located in relation to the thyroid?

dorsal, superior, and inferior

6
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The parathyroid glands regulate:

blood calcium concentration.

7
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The skin incision for a thyroidectomy will follow which of the following anatomical lines?

Langer’s

8
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Which of the following handheld retractors are frequently used to retract tissues during thyroidectomy?

Green

9
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Which of the following types of hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle?

direct

10
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Which of the following types of hernias results from a failure of the deep internal ring to close during fetal
development and allows intestinal protrusion into the scrotum?

indirect

11
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The name for the type of hernia in which both direct and indirect defects are present is:

pantaloon

12
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The name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision is:

bezoar

13
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For which of the following types of hernia repairs could a Penrose drain be used as a method of gentle traction of the spermatic cord?

inguinal herniorrhaphy

14
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A vagotomy is a surgical treatment option for:

gastric ulcers.

15
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Another name for a thyroid clamp is a:

Lahey

16
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Which of the following types of intestinal obstructions involves a telescoping of a portion of the intestine into another portion?

intussusception

17
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Which of the following types of surgical procedures is used to release abnormal tissue connections in the abdominal viscera and layers?

lysis of adhesions

18
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End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for:

bowel anastomosis.

19
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When practicing bowel technique, the surgical technologist would ensure that:

a separate Mayo stand is draped to hold the resection instrument and supplies.

20
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Which of the following types of “ostomy” is described as a temporary stoma for fecal diversion?

loop-ileostomy

21
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Which of the following portions of the colon begins at the hepatic flexure and ends at the splenic flexure?

tranverse

22
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Bowel technique refers to steps used by the surgical team to prevent postoperative:

Surgical site infection

23
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An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which of the following muscles?

rectus abdominus

24
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When a stoma is everted and the mucosal layer is sewn to the outside skin, it is called:

maturing the stoma.

25
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Which of the following surgical positions is used exclusively for anorectal surgical procedures?

Kraske

26
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Which of the following potentially life-threatening diseases or conditions is a complication of untreated thyrotoxicosis?

thyroid storm

27
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Which of the following types of viewing instruments would be used for surgical treatment of hemorrhoids?

anoscope

28
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Which of the following kits is typically an industry-prepared kit surgeons use in place of the traditional gastrostomy?

PEG

29
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The incision routinely used for open cholecystectomy is the:

Right subcostal

30
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Which of the following types of handheld retractors is specifically designed for use in open cholecystectomy to elevate the liver?

Harrington

31
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Saline is injected through the cholangiogram catheter prior to the contrast media because:

the saline will flush the catheter after aspiration of bile.

32
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During a robotic inguinal hernia repair, the mesh would be secured in place with sutures placed through the:

Cooper’s ligament.

33
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Which of the following glands are the endocrine-secreting glands of the pancreas?

islets of Langerhans

34
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Pancreaticoduodenectomy is also known as which of the following procedures?

Whipple

35
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A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the:

breast.

36
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Breast-conserving surgery is possible in _____ of cases.

95%

37
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Tetany is a serious potential post-op complication of which of the following types of surgical interventions?

thyroidectomy/parathyroidectomy

38
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The name for the first lymph node in the axillary chain that is frequently biopsied in conjunction with a breast biopsy, lumpectomy, or mastectomy is:

sentinel.


39
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For irrigation to aid in destroying any residual tumor cells after dissection, the surgeon may request:

sterile water.

40
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Surgical removal of the entire breast including axillary lymph nodes is a(n):

modified radical mastectomy.

41
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If an immediate breast reconstruction is scheduled to follow a mastectomy, the surgical technologist should:

redrape patient, team changes gowns and gloves, and use new instruments.

42
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Bifurcated drains and fluffy pressure dressings are used following a mastectomy primarily to:

prevent formation of hematoma and seroma.

43
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Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called:

hemorrhoid.

44
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Which of the following terms describes a benign condition of breast enlargement in men?

gynecomastia

45
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Which of the following stages of breast cancer is characterized by evidence of distal metastasis?

Stage IV

46
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Which of the following anatomical structures is the largest mass of lymphatic tissue in the body?

spleen

47
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The Hasson technique for establishing pneumoperitoneum requires the use of a Verres needle.

False

48
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While the peritoneum is open, only laparotomy sponges should be on the field.

True

49
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Conversion from a laparoscopic procedure to an open procedure is always a possibility that the surgical technologist should be prepared for.

True

50
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A certified surgical technologist may operate the laparoscopic camera during minimally invasive procedures to free up the hands of the surgeon and surgical first assistant.

True

51
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Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients.

False

52
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Which of the following portions of the pancreas adjoins the pylorus?

neck

53
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The triangle of Calot is an anatomical space bounded by structures in which of the following surgical procedures?

cholecystectomy

54
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Which of the following conditions is achieved by insufflation of carbon dioxide into the abdominal cavity?

pneumoperitoneum

55
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In relation to the liver, the gallbladder is located in the:

inferior surface of the right lobe.

56
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The name of the fibrous and serous capsule that covers the liver is:

Glisson’s.

57
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For which of the following surgical procedures would the Buie pile forceps be used?

hemorrhoidectomy

58
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A typical end-to-end bowel anastomosis is accomplished with which of the following suturing techniques?

two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with
absorbable suture

59
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In which of the following abdominal incisions would the linea alba be opened down to the peritoneum?

median

60
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Which of the following incisions is traditionally used for open appendectomy?

McBurney

61
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A Maloney bougie dilator is used in which of the following anatomical structures?

esophagus

62
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During cholangiography, bubbles in the contrast media would likely:

give the appearance of a stone on X-ray.

63
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Doyen, Kocher, Dennis, and Allen are names of which of the following types of instruments?

intestinal clamps

64
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What does TEP stand for in general surgery?

total extraperitoneal patch

65
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Which of the following terms is used for surgical opening of the abdominal wall into the peritoneal cavity?

laparotomy

66
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Which of the following types of hernias occurs below the abdominocrural crease and more frequently in females?

femoral

67
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Which of the following choices is another way of saying “cephalad to caudad”?

head to tail

68
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Which of the following fascial sheets is attached to the iliac crest, linea alba, and pubis?

Scarpa’s

69
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Another name for an acquired ventral hernia through the semilunar lines is:

Spigelian.

70
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A gastrostomy can be created by all of the following methods EXCEPT:

a.

open.

b.

endovascular.

c.

endoscopic.

d.

percutaneous.

endovascular.