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General surgery
st430 predictor test ch 14
| Question | Answer |
|---|---|
| A vagotomy is a surgical treatment option for: | gastric ulcers |
| What type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous ducts? | circumareolar |
| End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for: | bowel anastomosis |
| An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which muscle? | rectus abdominus |
| Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called: | hemorrhoid |
| The skin incision for a thyroidectomy will follow which anatomical lines? | Langer's |
| Which anatomical structure is the largest mass of lymphatic tissue in the body? | spleen |
| During cholangiography, bubbles in the contrast media would likely: | give the appearance of a stone on x-ray |
| Which type of hernia occurs below the abdominocrural crease and more frequently in females? | femoral |
| "Bowel technique" refers to steps used by the surgical team to prevent postoperative: | surgical site infection |
| Another name for a thyroid tenaculum is a: | Lahey |
| What is the name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision? | bezoar |
| Which of the following is NOT a region of the pancreas? | capsule |
| Tetany is a serious potential post-op complication of which type of surgical intervention? | thyroidectomy/parathyroidectomy |
| The hepatic and splenic flexures are located proximally and distally in which part of the large intestine? | descending |
| The triangle of Calot is an anatomical space bounded by structures in which surgical procedure? | cholecystectomy |
| What is the reason for injecting saline through the cholangiogram catheter prior to the contrast media? | The saline will test patency of the cystic duct prior to injecting the contrast |
| In which of the following abdominal incisions would the linea alba be opened down to the peritoneum? | median vertical |
| What type of hernia protrudes through the transversalis fascia in the area of Hesselbach's triangle? | direct |
| Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis? | thyroid storm |
| A Maloney bougie dilator is used in which anatomical structure? | esophagus |
| Which stage of breast cancer is characterized by evidence of distal metastasis? | Stage IV |
| Which fascial sheet is attached to the iliac crest, linea alba, and pubis? | Scarpa's |
| A gastrostomy can be created by all of the following methods EXCEPT: | endovascular |
| Where are the parathyroid glands located in relation to the thyroid? | dorsal, superior and inferior |
| Where is the gallbladder located in relation to the liver? | inferior surface of the right lobe |
| What is another way of saying "cephalad to caudad"? | head to tail |
| What is another name for an acquired ventral hernia through the linea semilunaris? | Spigelian |
| What term describes a benign condition of breast enlargement in men? | gynecomastia |
| 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 |
| For which surgical procedure would the Buie pile forceps be used? | hemorrhoidectomy |
| Which incision is traditionally used for open appendectomy? | McBurney |
| The Hasson technique for establishing pneumoperitoneum requires the use of a Verres needle. | false |
| For which type of hernia repair could a Penrose drain be used as a method of gentle traction of the spermatic cord? | McVay inguinal herniorrhaphy |
| What type of hernia results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum? | indirect |
| HBV, HCV, and alcohol abuse are precursors to which of the following diseases? | cirrhosis |
| Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers? | lysis of adhesions |
| Which type of viewing instrument would be used for surgical treatment of hemorrhoids? | anoscope |
| If a mastectomy is scheduled to follow a breast biopsy and frozen section results indicate carcinoma, what is done? | Re-prep, re-drape patient; team changes gowns and gloves; and use new instruments |
| Which of the following is the MOST common permanent colostomy? | sigmoid |
| Which of the following are endocrine-secreting glands of the pancreas that make up only 1% of the organ? | islets of Langerhans |
| The surgeon may request which of the following for irrigation to aid in destroying any residual tumor cells after dissection? | sterile water |
| A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the: | breast |
| What term is used for surgical opening of the abdominal or peritoneal cavity? | laparotomy |
| Bifurcated drains and fluffy pressure dressings are used following mastectomy primarily to: | prevent formation of hematoma and seroma |
| Doyen, Kocher, Dennis, and Allen are names of which type of instrument? | intestinal clamps |
| Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle? | blunt |
| Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients. | false |
| What does TEP stand for in general surgery? | totally extraperitoneal patch |
| What do the parathyroid glands regulate in the body? | blood calcium concentration |
| A surgical technologist may "run" or operate the laparoscopic camera during minimally invasive procedures to free up the hands of the surgeon and surgical first assistant. | true |
| Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical procedure? | modified radical mastectomy |
| The upper-hand and Thompson retractors are complex self-retaining retractors frequently used in major abdominal procedures. | true |
| Which handheld retractors are frequently used to retract tissues during thyroidectomy? | green |
| What is the name for the type of hernia in which both direct and indirect defects are present? | pantaloon |
| What is achieved by insufflation of carbon dioxide into the abdominal cavity? | pneumoperitoneum |
| A Whipple procedure is done for treatment of a tumor in which abdominal organ? | pancreas |
| Which surgical position is used exclusively for anorectal surgical procedures? | kraske |
| Which statement is CORRECT regarding polyps and diverticula in the colon? | polyps protrude inward, and diverticula protrude outward from the intestine |
| What is the name for the first lymph node in the axillary chain that is frequently biopsied in conjunction with a breast biopsy, lumpectomy, or mastectomy? | sentinel |
| What is the name of the fibrous and serous capsule that covers the liver? | glisson's |
| In a laparoscopic appendectomy, all of the following methods could be used for dissection of the appendix EXCEPT: | intraluminal circular stapler |
| What is the incision routinely used for open cholecystectomy? | right subcostal |
| Conversion from a laparoscopic procedure to an open procedure is always a possibility that the surgical technologist should be prepared for. | True |
| Which suturing technique is often used on the appendiceal stump? | pursestring |
| Which handheld retractor is specifically designed for use in open cholecystectomy to elevate the liver? | Harrington |
| Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion? | intussusception |
| Pancreaticoduodenectomy is also known as which of the following procedures? | Whipple |
| A T-tube or wound drain left in place following laparoscopic cholecystectomy would MOST likely exit through: | one of the 5 mm right port site incisions |
| Surgical removal of the entire breast without any lymph nodes is a(n): | simple mastectomy |