Gmi St Chapter 21 Test Review

Front 1

Favorable; noncancerous

Back 1

Benign

Front 2

Removal of a living tissue, cell, or fluid sample from the body and microscopic examination to determine its exact nature and to establish a diagnosis

Back 2

Biopsy

Front 3

An imperfection existing since birthday

Back 3

Congenital Defect

Front 4

Cutting a thin piece of frozen tissue specimen for examination under a microscope

Back 4

Frozen Section

Front 5

Protrusion of an organ or part of an organ through a defect in the supporting structures which normally contain it

Back 5

Hernia

Front 6

Surgical repair of a hernia

Back 6

Hernioplasty or Herniorrhaphy

Front 7

Area of the lower abdomen where direct inguinal hernias occur

Back 7

Hesselbach's triangle

Front 8

In position; localized and noninvasive

Back 8

In situ

Front 9

Surgical opening of the abdomen; an abdominal operation

Back 9

Laparotomy

Front 10

Exploration of the abdominal cavity with the use of an endoscopic instrument

Back 10

Laparoscopy

Front 11

Radiography of the soft tissue of the breast to allow identification of various benign and malignant processes

Back 11

Mammography

Front 12

Inflation of the peritoneal cavity with carbon dioxide gas to prevent injury to abdominal structures during laparoscopic surgery

Back 12

Pneumoperitoneum

Front 13

Purpose of hernia surgery:

Back 13

To repair the defect and to strengthen the supporting structures

Front 14

Direct or indirect hernias which represent attenuations or tears in the transversalis fascia

Back 14

Inguinal hernia

Front 15

Protrudes from the groin, below the inguinal ligament into the thigh

Back 15

Femoral hernia

Front 16

Protrusion of a portion of the stomach through the opening for the esophagus which is through the diaphragm

Back 16

Hiatel hernia

Front 17

Any hernia through the abdominal wall; can appear after previous operations or spontaneously

Back 17

Ventral hernia

Front 18

What are the 3 types of Ventral Hernias?

Back 18

Incisional, Epigastric, and Umbilical

Front 19

What are the 3 parts of Hesselbach's triangle?

Back 19

Deep epigastric vessels laterally, inguinal ligament inferiorly, and rectus abdominis muscle medially

Front 20

What is the purpose of thyroid surgery?

Back 20

To treat various diseases of the thyroid

Front 21

What are the 4 main disorders of the thyroid?

Back 21

Hyperthyroidism, hypothyroidism, enlarged gland (Goiter), and cancer

Front 22

Removal of the thyroid tissue to aid in establishing a diagnosis of the thyroiditis and diferentiate between nodular goiter and carcinoma

Back 22

Thyroid biopsy

Front 23

Removal of a lobe of the thyroid gland

Back 23

Thyroid Lobectomy

Front 24

Excision of enlarging goiters into the substernal and intrathoracic regions which may be causing tracheal and esophageal obstruction

Back 24

Substernal or Intrathoracic Thyroidectomy

Front 25

Excision of all portions of the cyst and duct, as well as a portion of the hyoid bone, to avoid recurrent cystic formation and prevent infections

Back 25

Thyroglossal duct cystectomy

Front 26

Removal of the entire thyroid gland to treat a malignancy

Back 26

Total thyroidectomy

Front 27

THYROIDECTOMY: Patient is positioned, prepped, and draped according to ___'s preference

Back 27

Surgeon

Front 28

THYROIDECTOMY: Surgeon defines the proposed incision line by using a ___ or by ___.

Back 28

Marking pen OR by grasping a length of suture and pressing it against the patient's neck

Front 29

THYROIDECTOMY: Surgeon incises the neck and subcutaneous tissue, exposing the ___ while the assistant retracts with rake retractors

Back 29

Platysma Muscle

Front 30

THYROIDECTOMY: Surgeon continues dissection and deeper retractors are used such as a ___ or ____ rectractor if the wound is very deep

Back 30

Greene or Army-Navy

Front 31

THYROIDECTOMY: When the thyroid is exposed, two small self-retaining retractors such as ___ or ___ are placed in the wound, and surgeon grasps the gland with one or two Lahey tenaculi designed for thyroid procedures

Back 31

Lahey or Gelpi

Front 32

THYROIDECTOMY: Surgeon mobilizes the gland by double-clamping small sections of tissue, dividing between the clamps, and ligating teh stumps. During dissection of the gland, the surgeon identifies and protects the recurrent ___ from damage since it supplies the larynx

Back 32

Laryngeal nerve

Front 33

THYROIDECTOMY: Suture ligatures of ___________ may be used to occlude the large thyroid arteries

Back 33

2-0 or 3-0 silk

Front 34

THYROIDECTOMY: Wound is irrigated. Drainage is usually unnecessary, but a small ___ may be inserted

Back 34

Penrose drain

Front 35

Positioning, prepping, and draping procedures are the ___ as for surgery of the thyroid

Back 35

same

Front 36

Multiple specimens obtained during parathyroid surgery should be ___

Back 36

kept separated

Front 37

What are 3 purposes of breast surgery?

Back 37

Diagnotic, Treatment, and Cosmetic

Front 38

Surgical opening and drainage of an infected area of the breat

Back 38

I&D of an abscess

Front 39

What are the 4 types of biopsies?

Back 39

Needle biopsy, Incisional biopsy, Excisional biopsy, and needle localization & biopsy

Front 40

What are the 5 types of mastectomies?

Back 40

Partial, Subcutaneous, Simple, Modified radical, and Radical

Front 41

What are 2 types of mammoplasties?

Back 41

Augmentation and Reduction

Front 42

BREAST BIOPSY: Patient is placed in the ___ position, prepped, and draped with the affected breast exposed

Back 42

supine

Front 43

BREAST BIOPSY: Technologist or assistant retracts the tissue with small rake retractors, such as ___

Back 43

Senn retractors

Front 44

BREAST BIOPSY: Surgeon grasps the mass with ____

Back 44

Allis or Kocher clamps

Front 45

BREAST BIOPSY: If the mass is benign, the subcutaneous breast tissue is approximated with ___ and the skin edges are closed with fine sutures or skin staples

Back 45

absorbable sutures

Front 46

BREAST BIOPSY: If the mass is malignent, the surgeon will close and may or may not proceed with a ___ at this time

Back 46

mastectomy