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Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers?


A) anastomosis
B) fundoplication
C) herniorrhaphy
D) lysis of adhesions

Correct Answer

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


A) adhesion formation
B) hemorrhage
C) incisional hernia formation
D) surgical site infection

Correct Answer

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Match each term below with its description.

Premises
Antrectomy: removal of distal stomach and pylorus with anastomosis to duodenum; preferred approach for treatment of ulcer or neoplasm
Inflammatory bowel disease that causes erosions in the lining of the large intestine
Broad sheet of fibrous tissue or expanded tendon that holds muscles together or connects muscle to bone
Type of hernia in which tissues are caught within a fascial defect; may become strangulated if not reduced
Noninvasive electro-generated shock waves used to break up calculi in the urinary or biliary system
Difficulty swallowing or feeling of food sticking in the esophagus
Being on or affecting the same side of the body
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
Discomfort or tenderness that occurs with sudden release of pressure; a clinical sign of appendicitis
Double-layer membrane of peritoneum attached to back wall of abdominal cavity that supports the small intestine
Responses
Billroth I
Dysphagia
Aponeurosis
Rebound pain
Jaundice
Lithotripsy
Ipsilateral
Strangulated
Mesentery
Ulcerative colitis

Correct Answer

Antrectomy: removal of distal stomach and pylorus with anastomosis to duodenum; preferred approach for treatment of ulcer or neoplasm
Inflammatory bowel disease that causes erosions in the lining of the large intestine
Broad sheet of fibrous tissue or expanded tendon that holds muscles together or connects muscle to bone
Type of hernia in which tissues are caught within a fascial defect; may become strangulated if not reduced
Noninvasive electro-generated shock waves used to break up calculi in the urinary or biliary system
Difficulty swallowing or feeling of food sticking in the esophagus
Being on or affecting the same side of the body
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
Discomfort or tenderness that occurs with sudden release of pressure; a clinical sign of appendicitis
Double-layer membrane of peritoneum attached to back wall of abdominal cavity that supports the small intestine

What is achieved by insufflation of carbon dioxide into the abdominal cavity?


A) pneumocephalus
B) pneumocystosis
C) pneumoperitoneum
D) pneumothorax

Correct Answer

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


A) one-layer, continuous technique for seromuscular approximation with absorbable suture
B) one-layer, interrupted technique for mucosal approximation only with silk suture
C) two-layer, continuous technique for seromuscular approximation with absorbable, interrupted for mucosa with silk suture
D) two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture

Correct Answer

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What is the name for the type of hernia in which both direct and indirect defects are present?


A) diaphragmatic
B) epigastric
C) incisional
D) pantaloon

Correct Answer

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Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion?


A) adhesive stricture
B) fecal impaction
C) intussusception
D) volvulus

Correct Answer

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Which type of hernia occurs below the abdominocrural crease and more frequently in females?


A) femoral
B) epigastric
C) direct inguinal
D) indirect inguinal

Correct Answer

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Which suturing technique is often used on the appendiceal stump?


A) interrupted
B) horizontal mattress
C) vertical mattress
D) pursestring

Correct Answer

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Where is the gallbladder located in relation to the liver?


A) inferior surface of the left lobe
B) superior surface of the left lobe
C) inferior surface of the right lobe
D) superior surface of the right lobe

Correct Answer

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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?


A) attendant
B) guardian
C) leader
D) sentinel

Correct Answer

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