2022-11-27T18:37:25+03:00[Europe/Moscow] en true HBV, HCV, and alcohol abuse are precursors to which of the following diseases?  , During cholangiography, bubbles in the contrast media would likely:  , A Whipple procedure is done for treatment of a tumor in which abdominal organ?  , Another name for a thyroid tenaculum is a:  , Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis?  , Tetany is a serious potential post-op complication of which type of surgical intervention?  , What term describes a benign condition of breast enlargement in men?  , Which stage of breast cancer is characterized by evidence of distal metastasis?  , Which anatomical structure is the largest mass of lymphatic tissue in the body?  , Which of the following is NOT a region of the pancreas?  , The triangle of Calot is an anatomical space bounded by structures in which surgical procedure?  , What is achieved by insufflation of carbon dioxide into the abdominal cavity?  , Where is the gallbladder located in relation to the liver?  , What is the name of the fibrous and serous capsule that covers the liver?  , For which surgical procedure would the Buie pile forceps be used?  , A typical end-to-end bowel anastomosis is accomplished with which of the following suturing techniques?  , In which of the following abdominal incisions would the linea alba be opened down to the peritoneum?  , Which incision is traditionally used for open appendectomy?  , A Maloney bougie dilator is used in which anatomical structure?  , Doyen, Kocher, Dennis, and Allen are names of which type of instrument?  , What does TEP stand for in general surgery?  , What term is used for surgical opening of the abdominal or peritoneal cavity?  , Which type of hernia occurs below the abdominocrural crease and more frequently in females?  , What is another way of saying “cephalad to caudad”?  , Which fascial sheet is attached to the iliac crest, linea alba, and pubis?  , What is another name for an acquired ventral hernia through the linea semilunaris?  , A gastrostomy can be created by all of the following methods EXCEPT:  , Which suturing technique is often used on the appendiceal stump?  , Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical procedure?  , Where are the parathyroid glands located in relation to the thyroid?  , What do the parathyroid glands regulate in the body?  , The skin incision for a thyroidectomy will follow which anatomical lines?  , Which handheld retractors are frequently used to retract tissues during thyroidectomy?  , What type of hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle?  , 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?  , What is the name for the type of hernia in which both direct and indirect defects are present?  , What is the name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision?  , For which type of hernia repair could a Penrose drain be used as a method of gentle traction of the spermatic cord?  , A vagotomy is a surgical treatment option for:  , Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion?  , Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers?  , End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for:  , In a laparoscopic appendectomy, all of the following methods could be used for dissection of the appendix EXCEPT:  , Which statement is CORRECT regarding polyps and diverticula in the colon?  , The hepatic and splenic flexures are located proximally and distally in which part of the large intestine?  , “Bowel technique” refers to steps used by the surgical team to prevent postoperative:  , An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which muscle?  , Which of the following is the MOST common permanent colostomy?  , Which surgical position is used exclusively for anorectal surgical procedures?  , Which type of viewing instrument would be used for surgical treatment of hemorrhoids?  , Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle?  , What is the incision routinely used for open cholecystectomy?  , Which handheld retractor is specifically designed for use in open cholecystectomy to elevate the liver?  , What is the reason for injecting saline through the cholangiogram catheter prior to the contrast media?  , A T-tube or wound drain left in place following laparoscopic cholecystectomy would MOST likely exit through:  , Which of the following are endocrine-secreting glands of the pancreas that make up only 1% of the organ?  , Pancreaticoduodenectomy is also known as which of the following procedures?  , A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the:  , What type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous ducts?  , 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?  , The surgeon may request which of the following for irrigation to aid in destroying any residual tumor cells after dissection?  , Surgical removal of the entire breast without any lymph nodes is a(n):  , If a mastectomy is scheduled to follow a breast biopsy and frozen section results indicate carcinoma, what is done?  , Bifurcated drains and fluffy pressure dressings are used following mastectomy primarily to:  , Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called:  , The Hasson technique for establishing pneumoperitoneum requires the use of a Verres needle.  , The upper-hand and Thompson retractors are complex self-retaining retractors frequently used in major abdominal procedures.  , Conversion from a laparoscopic procedure to an open procedure is always a possibility that the surgical technologist should be prepared for.  , 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.  , Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients.  , Difficulty swallowing or feeling of food sticking in the esophagus  , Discomfort or tenderness that occurs with sudden release of pressure; a clinical sign of appendicitis  , Type of hernia in which tissues are caught within a fascial defect; may become strangulated if not reduced  , Broad sheet of fibrous tissue or expanded tendon that holds muscles together or connects muscle to bone  , Being on or affecting the same side of the body  , Antrectomy: removal of distal stomach and pylorus with anastomosis to duodenum; preferred approach for treatment of ulcer or neoplasm , Double-layer membrane of peritoneum attached to back wall of abdominal cavity that supports the small intestine  , Inflammatory bowel disease that causes erosions in the lining of the large intestine  , Yellowing of the skin and eyes due to buildup of bilirubin; visible sign of certain cancers and diseases of the organs of the biliary system , Noninvasive electro-generated shock waves used to break up calculi in the urinary or biliary system  flashcards

Chapter 14

68D Phase II Chapter 14

  • HBV, HCV, and alcohol abuse are precursors to which of the following diseases? 
    cirrhosis 
  • During cholangiography, bubbles in the contrast media would likely: 
    give the appearance of a stone on x-ray
  • A Whipple procedure is done for treatment of a tumor in which abdominal organ? 
    pancreas 
  • Another name for a thyroid tenaculum is a: 
    Lahey
  • Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis? 
     thyroid storm 
  • Tetany is a serious potential post-op complication of which type of surgical intervention? 
    thyroidectomy/parathyroidectomy 
  • What term describes a benign condition of breast enlargement in men? 
    gynecomastia 
  • Which stage of breast cancer is characterized by evidence of distal metastasis? 
    Stage IV 
  • Which anatomical structure is the largest mass of lymphatic tissue in the body? 
    spleen 
  • Which of the following is NOT a region of the pancreas? 
     capsule 
  • The triangle of Calot is an anatomical space bounded by structures in which surgical procedure? 
    cholecystectomy 
  • What is achieved by insufflation of carbon dioxide into the abdominal cavity? 
    pneumoperitoneum 
  • Where is the gallbladder located in relation to the liver? 
    inferior surface of the right lobe 
  • What is the name of the fibrous and serous capsule that covers the liver? 
    Glisson’s 
  • For which surgical procedure would the Buie pile forceps be used? 
    hemorrhoidectomy 
  • 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 
  • In which of the following abdominal incisions would the linea alba be opened down to the peritoneum? 
    median vertical 
  • Which incision is traditionally used for open appendectomy? 
    McBurney 
  • A Maloney bougie dilator is used in which anatomical structure? 
    esophagus
  • Doyen, Kocher, Dennis, and Allen are names of which type of instrument? 
    intestinal clamps
  • What does TEP stand for in general surgery? 
     totally extraperitoneal patch 
  • What term is used for surgical opening of the abdominal or peritoneal cavity? 
    laparotomy 
  • Which type of hernia occurs below the abdominocrural crease and more frequently in females? 
    femoral 
  • What is another way of saying “cephalad to caudad”? 
    head to tail
  • Which fascial sheet is attached to the iliac crest, linea alba, and pubis? 
    Scarpa’s
  • What is another name for an acquired ventral hernia through the linea semilunaris? 
    Spigelian 
  • A gastrostomy can be created by all of the following methods EXCEPT: 
    endovascular 
  • Which suturing technique is often used on the appendiceal stump? 
    pursestring 
  • Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical procedure? 
    modified radical mastectomy 
  • Where are the parathyroid glands located in relation to the thyroid? 
    dorsal, superior and inferior 
  • What do the parathyroid glands regulate in the body? 
    blood calcium concentration
  • The skin incision for a thyroidectomy will follow which anatomical lines? 
     Langer’s
  • Which handheld retractors are frequently used to retract tissues during thyroidectomy? 
     Green
  • What type of hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle? 
    direct 
  • 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 
  • What is the name for the type of hernia in which both direct and indirect defects are present? 
    pantaloon 
  • What is the name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision? 
    bezoar 
  • 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
  • A vagotomy is a surgical treatment option for: 
    gastric ulcers
  • Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion? 
    intussusception 
  • Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers? 
    lysis of adhesions 
  • End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for: 
    bowel anastomosis
  • In a laparoscopic appendectomy, all of the following methods could be used for dissection of the appendix EXCEPT: 
    intraluminal circular stapler 
  • Which statement is CORRECT regarding polyps and diverticula in the colon? 
    Polyps protrude inward, and diverticula protrude outward from the intestine. 
  • The hepatic and splenic flexures are located proximally and distally in which part of the large intestine? 
    transverse 
  • “Bowel technique” refers to steps used by the surgical team to prevent postoperative: 
    surgical site infection 
  • 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
  • Which of the following is the MOST common permanent colostomy? 
    sigmoid 
  • Which surgical position is used exclusively for anorectal surgical procedures? 
    Kraske 
  • Which type of viewing instrument would be used for surgical treatment of hemorrhoids? 
    anoscope 
  • Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle? 
    blunt 
  • What is the incision routinely used for open cholecystectomy? 
    right subcostal 
  • Which handheld retractor is specifically designed for use in open cholecystectomy to elevate the liver? 
    Harrington 
  • 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. 
  • 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 
  • Which of the following are endocrine-secreting glands of the pancreas that make up only 1% of the organ? 
    islets of Langerhans 
  • Pancreaticoduodenectomy is also known as which of the following procedures? 
    Whipple 
  • A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the: 
    breast 
  • What type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous ducts? 
    circumareolar 
  • 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 
  • The surgeon may request which of the following for irrigation to aid in destroying any residual tumor cells after dissection? 
    sterile water 
  • Surgical removal of the entire breast without any lymph nodes is a(n): 
    simple mastectomy
  • If a mastectomy is scheduled to follow a breast biopsy and frozen section results indicate carcinoma, what is done? 
    Re-prep, redrape patient; team changes gowns and gloves; and use new instruments. 
  • Bifurcated drains and fluffy pressure dressings are used following mastectomy primarily to: 
    prevent formation of hematoma and seroma
  • Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called: 
    hemorrhoid 
  • The Hasson technique for establishing pneumoperitoneum requires the use of a Verres needle. 
    False
  • The upper-hand and Thompson retractors are complex self-retaining retractors frequently used in major abdominal procedures. 
    True
  • Conversion from a laparoscopic procedure to an open procedure is always a possibility that the surgical technologist should be prepared for. 
    True
  • 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
  • Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients. 
    False
  • Difficulty swallowing or feeling of food sticking in the esophagus 
    Dysphagia
  • Discomfort or tenderness that occurs with sudden release of pressure; a clinical sign of appendicitis 
    Rebound pain
  • Type of hernia in which tissues are caught within a fascial defect; may become strangulated if not reduced 
    Strangulated
  • Broad sheet of fibrous tissue or expanded tendon that holds muscles together or connects muscle to bone 
    Aponeurosis
  • Being on or affecting the same side of the body 
    Ipsilateral
  • Antrectomy: removal of distal stomach and pylorus with anastomosis to duodenum; preferred approach for treatment of ulcer or neoplasm
    Billroth I
  • Double-layer membrane of peritoneum attached to back wall of abdominal cavity that supports the small intestine 
    Mesentery
  • Inflammatory bowel disease that causes erosions in the lining of the large intestine 
    Ulcerative colitis
  • Yellowing of the skin and eyes due to buildup of bilirubin; visible sign of certain cancers and diseases of the organs of the biliary system
    Jaundice
  • Noninvasive electro-generated shock waves used to break up calculi in the urinary or biliary system 
    Lithotripsy