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115 Cards in this Set
- Front
- Back
In a gastrointestival closure, the mucosa of the intestinal tract is closed with
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chromic 4-0 or 3-0
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What type of suture would be used to invert the stump of an appendix
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purse-string
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Why are bumpers or bolsters used on retention sutures
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to prevent the suture from cutting into the skin surface
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Montgomery straps are used to
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hold in place bulky dressings that require frequent changing
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A dissecting sponge that is a small roll of heavy cotton tape is a
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Kitner
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What procedure would require a pressure dressing
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plastic surgery, knee surgery, and radical mastectomy
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Patties are
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moistened with saline
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Intra-abdominally, lap pads are most often used
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moistened with saline
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Intra-abdominally, lap pads are most often used
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moistened with saline
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A catheter commonly used in a gastrostomy is a
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mushroom
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Before handing a Penrose drain to the surgeon
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moisten it in saline
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A closed-wound suction system works by
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negative-pressure vaccum
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What condition regarding sterile technique is recommended
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Sterile tables may be set up and safely covered util time of surgery
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The following condition is an acceptable aseptic technique
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scrub nurse standing on a platform or standing stool, scrub nurse keeps hands below shoulder level, and scrub nurse's hands are at or above waist level
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If the surgeon sutures on the skin towels, the scrub nurse should
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discard the needle and holder from the field
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When sterile item is hanging or extending over the sterile table edge, the scrub nurse
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does not touch the part hanging below table level
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The following is considered a break in technique
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a sterile person sits or leans against a nonsterile surface
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In what situation should sterility be questioned
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if a sterilized pack is found in an unsterile workroom
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When handing skin towels to the surgeon, where should the scrub stand in relation to the surgeon
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on the same side of the table
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The Mayo stand should
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remain sterile until the patient leaves the room
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The following helps prevent wounds and punctures
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use an instrument to remove blades, account for each needle as surgeon finishes with it, protect sharp blades edges and tips
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The following is an acceptable technique in draping
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hold the drapes high until directly over the porper area, protect the gloved hands by cuffing the end of the drape over them, place the drapes on a dry area
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The procedure to follow if a hair is found on the operative fields is to
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remove it with a clamp, cover over area
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Cancer technique in surgery refers to
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the discarding of instruments coming in contact with tumor after each use
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Why are gowns, gloves, drapes, and instruments changed following a breast biopsy before incision for a mastectomy
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to protect margins of healthy tissue from tumore cells
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A postoperative complication attributed to glove powder entering a wound is
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granulomata
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The correct procedure for sterile dressing application is
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apply dressing before drape removal
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When drop techniue for an intestinal procedure is utilized
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contaminated instruments are discarded, gloves are changed
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If the floor or wall becomes contaminated with organic debris during a case, the circulator
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dons gloves and decontaminates promptly
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The Sengstaken-Blakemore tube is used for
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esophageal hemorrhage
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A specially treated form of surgical gauze that has a hemostatic effect when buried in tissue is
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Oxycel
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An enzyme extract from bovine blood used as a topical hemostatic agent is
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thrombin
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The desirable position for better isualization in the lowere abdomen or pelvis is
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Trendelenburg
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Another name for the Kraske position is
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jackknife
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The following are helpful in keeping accurate account of sponges
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keep sponges separate from linen and instruments, keep needles separate from sponges, keep a mental count of the number of sponges on the field at any given time
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Dark blood in the operative field may indicate that the patient is
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hypoxic
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In an extreme patient emergency, a sponge count
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may be omitted
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Cultures obtained during surgery
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are passed off the sterile field into a bag or container held by the circulator
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How is a frozen section sent to the lab
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dry
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The following specimens are placed in preservative solution
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curettings, tonsils, uterus
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The term transduodenal sphincterotomy indicates srgery of the
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distal end of the common bile duct
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A McBurney is an incision for
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appendectoy
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The simplest abdominal incision offering good exposure to any part of the abdominal cavity is the
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vertical midline
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During an appendectomy, a purse-string suture is placed around the appendix stump in order to
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invert the stump of the appendix
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Gastrointestinal technique is required in all of the following procedures
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low anterior colon resection, appendectomy, hemicolectomy
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A hernia occurring in Hesselback's triangle is called
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direct
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Pathologic enlargement of the male breast is called
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gynecomastia
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Sutures placed in a wound to prevent wound evisceration are called
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retention
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Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is a
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pyloroplasty
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A Whipple operation is surgically termed a
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pancreatoduodenectomy
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A left subcostal incision indicates surgery of the
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spleen
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A lower oblique incision is a
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inguinal
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The curved transverse incision used for pelvic surgery is
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Pfannenstiel
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What breast procedure performed to remove extensive benign disease is a
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simple mastectomy
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What incision is indicated for an esophagogastrectomy
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thoracoabdominal
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In which incision could retention sutures be used
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vertical midline
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In which hernia is the blood supply of the trapped sac contents compromised and in danger of necrosing
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strangulated
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In which hernia does the herniation protrude into the inguinal canal but not the cord
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direct
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Which hernia leaves the abdominal cavity at the iternal inguinal ring and passes with the cord structures down the inguinal canal
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indirect
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An abdominal wall defect may be reconstructed using
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Goretex patch
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Mersilene is a
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synthetic mesh
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In a choleystectomy, which structures are ligated and divided
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cystic duct and cystic artery
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The following statements refer to pilonidal cyst surgery
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it is performed with an elliptical incision, the wound frequently heals by granulation, probes are required on setup
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An important consideration during cholangiogram is to
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remove all air bubbles from the cholangiocath
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An instrument used to elevate the thyroid lobe during surgical excision is a
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Lahey
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The intestinal layer in order, from inside to outside, is
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mucosa, submucosa, serosa
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A common postoperative patient complaint following a laparoscopic procedure is
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shoulder pain
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A subphrenic abscess occurs in the
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liver
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Portal pressure measurement is indicated in
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hepatic resection
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Which organ is removed due to either trauma or a blood condition
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spleen
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Following a hemorrhoidectomy a
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petroleum gauze packing is placed in the anal canal
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A benign anal wall "slit" type of lesion requiringexcision is a
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anal fissure
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Which gallbladder procedure requires intraoperative x-rays
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cholangiogram
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In a pilonidal cystectomy, the defect somtimes too large to close necessitates a
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packing and pressure dressing
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The instrument most commonly used to grasp the mesoappendix during an appendectomy is a
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Babcock
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Vaporization and coagulation of hemorrhoidal tissue can be acomplished with
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CO2 laser
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An entire tumore / mass removal is termed
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excisional biopsy
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A surgical procedure performed to relieve esophageal obsruction due to cardiospasm is an
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esophagomyotomy
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Thrombosed vessels of the retum are known surgically as
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hemorrhoids
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A procedure done to give the colon a rest and is then reversed is
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colostomy
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A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed is a
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end-to-end anastomosis (EEA)
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An advanced inflammation of the bowel could be conservatively treated with what procedure
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temporary colostomy
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Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a
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peanut
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Direct visualization of the common bile duct is accoomplished with a
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choledochoscope
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"Scratch" marking is done in surgery of the
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thyroid
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Fogarty biliary catheters are used to
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facilitate stone removal
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In laparoscopy, tubal patency is checked by
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injecting methylene blue into the cervical canal
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In a thyroidectomy, a loop retractor retracts
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sternocleidomastoid muscle
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What structure(s) are identified and preserved in thyroid surgery
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parathyroid glands
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Bariatric surgery treats
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obesity
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Which incision would require cutting through Scarpa's fascia
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inguinal
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A gastroplasty
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reduces stomach size
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Which item retracts the spermatic cord structure in herniorrhaphy
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Penrose drain
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After uterus removal in a hysterectomy
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cervical and vaginal instruments are placed in a discard basin
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An irreducible hernia whose abdominal contents have become trapped in the extra-abdominal sac is called
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incarcerated hernia
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Which type of endoscopy camera produces the truest color
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three-chip
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White balancing a video camera in endoscopy requires the scrub person to focus the camera on
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a white sponge, a white wall, a glove wrapper
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Defogging the video camera is usually the responsibility of the
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camera operator
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A palliative invasive procedure done to prevent malnutrition or starvationis known as
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gastrostomy
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The use of noninvasive high-energy shock waves to pulverize gallstones into small fragments for easy passage through the common bile duct and out of the body is called
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cholelithotripsy
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Intraoperative cholangiograms can be performed through either open abdominal or laparoscopic procedures using a contrast medium directly into the common bile duct through a
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cholangiocath
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Intra-abdominal pressure during the instillation of CO2 for creation of neumoperitoneum is 8 to 10 mm Hg. A pressure reading higher than this may indicate that the needle may be
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against fat, buried in the omentum, in a lumen of intestives
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The proper method of removing the gallbladder specimen after complete dissection and irrigation of the operative site in a laparoscopic cholecystectomy is to
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utilize an endobag, pull gallbladder through the largest port, and decompress the gallbladder by suctioning bile prior to removal
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The following drains are considered active postoperative drains
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sump, chest, and Hemovac
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During a laparoscopic cholecystectomy the surgeon generally stands
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at the left side of the patient
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Gastrointestinal decompression during a general surgical procedure can be effected by the use of a
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Levine tube and Vari-Dyne
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A selected alternative to a conventional ileostomy that denies spontaneous stool exiting from the stoma and requires catheterization of the stoma daily to evacuate the contents is a
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Kock pouch
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When both direct and indirect hernias occur in the same inguinal area, the defect is termed
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pantaloon
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An inguinal hernia containing a Meckel's diverticulum is called a
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Littre's
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The following are designated options of laparoscopic hernia repain
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TAPP, IPOM, and LEP
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Which muscles are incised in the midline of the neck once the skin flaps are completed during a thyroidectomy
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strap
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Which bone is transected with bone-cutting forceps prior to removal of a thyroglossal cyst
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hyoid
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Drainage of an incision following a simple or modified radical mastectomy is accomplished by a
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closed-wound suction
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During laparoscopic cholecystectomy, the camera operator usually stands
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to the right of the first assistant
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The maximum pressure allowed to prevent the possible intraoperative complications of bradycardia, blood pressure changes, or potential gas emoli during a laparoscopic procedure is
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15mm Hg
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