Bowel Procedures
Which arterial vessel supplies the descending colon?
Left colic artery
Label in order from beginning to end...
Lower esophageal sphincter
body
cardia
Esophagus
Pyloric sphincter
Duodenum of small intestine
1. Esophagus
2. Lower esophageal sphincter
3. Cardia
4. Body
5. Pyloric sphincter
6. Duodenum of small intestine
Where do the parathyroid glands lie in the thyroid gland?
A. Superior
B. Dorsal
C. Lateral
D. Supine
B. Dorsal
It is present on the anterior abdominal wall at any point other than the groin area...
ventral hernia
Glandular tissue consists in what kind of glands of the breast?
Mammary glands
From outer to inner, which layer comes after the scapa's fascia?
External oblique muscle
This ligament divides the liver into right and left anatomical lobes on its anterior surface...
Falciform ligament
What 3 regions is the pancreas divided into?
head, body and tail
The sigmoid colon is the most frequent site of what kind of cancer(s)?
Volvulus and colon cancer
Which condition has the symptoms of diffuse erythema, mucosal disruption, nausea, vomiting, and bleeding?
Hypoparathyroidism
A congenital defect is the fascial floor of the inguinal canal...
indirect inguinal hernia
What stage(s) of breast cancer do NOT correlate with edema of the arm?
Stage I, II, IIIa, and IV
Name some indications that would lead to a laparotomy?
Gastrointestinal perforation, abdominal hemorrhage, intestinal obstruction, abdominal trauma,peritonitis, and sepsis.
The surgeon opens a fistulous tract and allows healing by secondary intention rather than closing it...
Fistulotomy
When is a pancreaticoduodenectomy performed?
When pancreatic cancer treatment has not spread.
During an open colon resection, which instrument is included due to large vessels encountered?
Curved Kelly and Pean clamps.
What 3 supplies are unique to gastrostomy surgeries?
Gastrostomy tube, sterile catheter plug and gastrostomy drainage bag
What surgery would a Queen Anns dressing be used for?
Thyroidectomy
Open approach: requires minor tray and radiant overhead heater for patients 2 years and under...
umbilical herniorrhaphy
Is the Isosfulfan blue dye injected prior to or after the breast procedure? What kind of breast procedure is performed?
When going deeper into the periotneum, which suction tip would be used?
Poole suction tip
This self-retaining retractor provides radical exposure of the anal canal during hemorrhoidectomy...
Hill-Ferguson retractor
What should the CST be aware about if this procedure takes up to 6 hours?
Hypothermia is a concern. CST should use warm irrigation, an enforced air-warming device.
Why is bowel prep performed prior to colon resection?
To cleanse the colon of fecal matter and bacteria.
How is gastric ulcers diagnosed? (3 answers)
Upper GI series, endoscopy, and biopsy to rule out malignancy.
During a thyroidectomy would the surgeon require more or less electrocautery during dissection?
LESS
Tissue (such as intestine or flat) pushes through a weak spot in the abdominal wall oat the site of previous incision...
Ventral incisional hernia
A breast biopsy is needed for a patient. Describe the key points for prepping the surgical site.
Skin prep is applied gently, starting at the surgical site, using Betadine paint or chlorprep only. Gentle skin prep is intended to limit disruption of tissue and seeding of cancer.
The patient has not been diagnosed but as seen on CT has significant free fluid in the abdomen, what kind of procedure would be performed?
EXPLORATORY laparotomy.
external anal sphincter
What should the CST confirm is available for this procedure?
Blood
During a two-layer bowel anastomosis, how is the inner mucosal layer typically closed?
Continuous absorbable suture
A 49-year-old patient with a history of gastric outlet obstruction due to pyloric stenosis is scheduled for surgery. The procedure involves removal of the pylorus, followed by anastomosis of the stomach and duodenum to restore normal food passage. What is the correct name for this surgical procedure?
Billroth I
After a thyroidectomy the CST must keep the back table and mayo stand sterile until the patient is transported out of the room in case of what procedure that might have to be performed emergently?
Tracheotomy!
Two different laparoscopic approaches are used to correct direct inguinal hernias...
TAPP (Transabdominal preperitoneal procedure)
TEP (Total Extraperitoneal Procedure)
At the end of a modified radical mastectomy, what kind of solution is NOT used to irrigate, which can cause the spreading of cancer cells?
Normal saline
What incision is most commonly used for emergency abdominal surgery?
Median incision
Surgical removal of a liver segment or lobe is known by this term...
hepatectomy
If the surgeon is performing an open approach, what should the CST have plenty of?
Hemoclips and a large supply of 1-0, 2-0, and 3-0 ties.