Deck 14: General Surgery

Question 1

The ________ hernia occurs in Hesselbach's triangle and has a direct acquired cause, such as heavy lifting.

Answer 1

direct

Question 2

A ________stitch may be used to invert the appendiceal stump for an open appendectomy.

Answer 2

purse-string

Question 3

The ________is an instrument that is used for manipulating the bowel, the appendix, or other tubular structures.

Answer 3

Babcock

Question 4

When surgically treating cancer of the head of the pancreas, the ________ procedure removes part of the stomach, the duodenum, part of the jejunum, half of the pancreas, and the gallbladder along with the cystic and common bile ducts.

Question 5

The ________ incision is used to provide rapid access to the abdomen but is most likely to herniate due to the lack of muscle strength to suture.

Question 6

Match the description.

-Atraumatic clamp used for clamping in a pancreatectomy.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 7

Match the description.

-Manipulates vagus trunk during vagotomy.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 8

Match the description.

-Biopsy needle or Tru-cut for liver biopsy.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 9

Match the description.

-Decompress an engorged gallbladder.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 10

Match the description.

-Premoistened to manipulate spermatic cord/esophagus.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 11

Match the description.

-Removal of stones from duct.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 12

Match the description.

-Fistula incision guide.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 13

Match the description.

-Grasping hemorrhoids.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 14

Match the description.

-Direct visualization placement of umbilical port.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 15

Match the description.

-Extends incision in vessel or duct.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 16

Match the description.

-Enlarges size of cystic duct and CBD.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 17

Match the description.

-Used for insertion of vascular access device.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 18

Match the description.

-Clamps for occlusion of intestines.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 19

Match the description.

-Liver resection or liver laceration-Yankauer tip.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 20

Match the description.

-Maintains or enlarges size of esophagus.

A) Allen clamp
B) Satinsky
C) Bakes dilator
D) Buie Pile forceps
E) Cell-saver required
F) Franklin Silverman
G) Hasson trocar
H) J-shaped guidewire
I) Maloney
J) Nerve hook
K) Ochsner GB trocar
L) Penrose drain
M) Potts Smith scissors
N) Probe/grooved
O) Randall forceps

Question 21

Match the procedure with the scrub precaution.

-Requires monitoring of the pneumoperitoneum during the procedure.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 22

Match the procedure with the scrub precaution.

-Care with instruments/tissue to prevent seeding; use water for irrigation at end of procedure.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 23

Match the procedure with the scrub precaution.

-Check balloon; send obturator with patient postop.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 24

Match the procedure with the scrub precaution.

-Have culture tubes ready; anaerobic to medium quickly.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 25

Match the procedure with the scrub precaution.

-Have extra laps ready and cell-saver for immediate use.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 26

Match the procedure with the scrub precaution.

-Lubrication required for instrumentation entering orifice.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 27

Match the procedure with the scrub precaution.

-No air bubbles in contrast media if used.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 28

Match the procedure with the scrub precaution.

-Pass straight Mayo scissors with T-tube to alter p.r.n.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 29

Match the procedure with the scrub precaution.

-Separation of clean and dirty; clean closure necessary.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 30

Match the procedure with the scrub precaution.

-Trach tray available for possible swelling postoperatively.

A) CBDE
B) Appendectomy sharp blade
C) Mastectomy
D) Thyroidectomy
E) Tracheostomy
F) Cholecystectomy with IOC
G) Hemorrhoidectomy
H) Bowel or colon resection
I) Liver laceration
J) Laparoscopic procedure

Question 31

Identify the usual sequence for the process of dividing the mesentery during a colon resection.

Question 32

Describe the major difference between the two entry techniques for the first laparoscopic umbilical port.