Final Test #1

Which organ is the single largest mass of lymphatic tissue in the body? a. spleen b. liver c. thymus d. thalamus

A spleen.

Another name for the alimentary canal is the ____ tract. a. digestive b. respiratory c. urinary d. reproductive

A. Digestive

Gastroscopy is accomplished by inserting the gastroscope through the ___ a. mouth b. nasopharyngeal passage c. anal canal d. abdomen

A. Mouth

The gallbladder is found in the ___ abdominal quadrant a. right upper b. left upper c. left lower d. right lower

A. Right upper

The outer layer of the wall of the digestive tract is called? a. serosa b. submucosa c. muscularis d. mucosa

A. Serosa

Removal of all parathyroid glands leads to ___ a. tetany b. tic douloureux c. hyperparathyroidism d. Graves' disease

A. Tetany

Removal of gallbladder is called ____ a. cholecystectomy b. choledochojejunostomy c. cholelithiasis d. colectomy

A. cholecystectomy

Which of the following describes the anatomic area that will be prepped for laparotomy? a. midchest to midthighs and bilaterally b. chin to knees and bilaterally c. shoulders to hips an bilaterally d. midchest to iliac crests and bilaterally

A. michest to midthighs and bilaterally

Which of the following are functions of the liver? a. produces bile b stores macrophages c produces insulin d. produces glucagon

A. produces bile

In what position is the patient placed when Mcburney's incision will be used? a. supine b. prone c. lateral d. lithotomy

A. supine

The appendix is attached to the _____ a. duodenum b. cecum c. ascending colon d. spleen

B Cecum

The Xiphoid process is the ___ portion of the sternum a.proximal b. distal c. medial d. middle

B. Distal

What is the largest parenchymal organ in the abdominal cavity? a. spleen b. liver c. stomach d. kidney

B. Liver

Modified radical mastectomy involves removal of ___ a. breast, axillary lymph nodes, and pectoral muscles b. breast and axillary lymph nodes c. a wedge of breast tissue d. breast

B. breast and axillary lymph nodes

Tracheotomy is __ a. creation of a tracheal stoma b. creation of an opening into the trachea c. removal of the trachea d repair of crushed trachea

B. creation of an opening into the trachea

Which of the following is a function of the omenta? a. synthesize vitamins b. limit peritoneal infection c. aid in digestion d synthesize blood-clotting factors.

B. limit peritoneal infections

The term chyme refers to __ a bile b mixture of partially digested food c lymphatic fluid d. sac or bladder

B. mixture of partially digested food

The biliary tract terminates at the a. bladder b. sphincter of Oddi c. common hepatic duct d. cystic duct

B. sphincter of Oddi

What position will the patient be placed in to facilitate thyroidectomy? a. fowlers b supine with neck hyperextended c. lateral kidney d. modified recumbent

B. supine with neck hyperextended

What is the function of the T-tube a. drain urine b. draine chyme c. drain bile d. drain blood

C drain bile

In addition to a major general surgical instrument set, which of the following will also be needed for a cholecystectomy? A. rib resection instruments b. thoracic instruments c. CBD exploration instruments d. genitourinary instruments

C. CBD instruments

Insufflation of the abdomen is achieved with the use of __ a. nitrous oxide b. oxygen c. carbon dioxide d. nitrogen

C. Carbon dioxide

Nissen fundoplication is the procedure performed to correct a/an ___ a. gastric ulcer b. inguinal hernia c. hiatal hernia d ruptured tubal pregnancy

C. Hiatal hernia

The beta cells of the islets of Langerhans are responsible for the production of? a. vitamin k b. glucagon c. insulin d. somatostatin

C. Insulin

The linea alba is found ______. a. at the inguinal crease b. between the third and fourth lumbar vertebrae c. medially where abdominal aponeuroses join d. at lateral margins of the rectus abdominis muscles

C. Medially where abdominal aponeuroses join

Which gland has both exocrine and endocrine functions? a. liver b. spleen c. pancreas d. gallbladder

C. Pancreas

Which of the following is a function of the colon? a. production of lympocytes b. production of iron c. production of vitamin K d. production of osteocytes

C. Production of vitamin K

The term dysphagia means difficulty ____ a. speaking b. breathing c. swallowing d. speaking

C. Swallowing

Parasympathetic innervation to the stomach is provided by the _____ nerve. a.gastric b. splenic c. vagus d. inferior esophageal

C. Vagus

A diaphragmatic hernia is located ___ a. on the ventral body surface b. around the umbilicus c. in the diaphgram d. in the groin

C. in the diaphragm

Which reconstructive procedures must be performed following pancreaticduodenectomy?

C. pancreaticjejunostomy, hepaticjejunostomy (or choledochojejunostomy) and gastrojejunostomy

An end ileostomy is created from the _____ a. transverse colon b. descending colon c. terminal ileum d. sigmoid colon

C. terminal ileum

Hemorrhoids are removed with the patient in the ___ position a supine b sitting c prone d kraske

D Kraske

Bile is produces by the a. gallbladder b. spleen c. Common bile duct d. liver

D Liver

Which type of hernia is located with the Hesselbach's triangle? a. indirect b. congenital c. epigastric d.direct

D. Direct

The three portions of the small intestine are the _____ a.mesentary, duodenum, appendix b. cecum, mesentary, ileum c. ilium, sigmoid, jejunum d.dudodenum, ileum, jejunum

D. Duodenum, ileum, jejunum

Another name for the iliac region of the abdomen is ____. a. epigastric b. lumbar c. hypochondriac d. inguinal.

D. Inguinal

The inner layer of the wall of the digestive tract is called the ______. a. serosa b.submucosa c. muscularis d. mucosa

D. Mucosa

A Kocher-type incision is.. a. vertical b. transverse c. paramedian d. oblique

D. Oblique

The long, vertical, straplike muscle of the abdominal wall is the _______. a. external oblique b. internal oblique c. transverse abdominis d. rectus abdominis

D. Rectus Abdominis

Gastrostomy is the ____ a. resection of a portion of the stomach b. repair of a stomach ulcer c. removal of a bezoar d. creating an opening from stomach to skin

D. creating an opening from stomach to skin

Maloney dilators are used to dilate the ___ a. cervix b. pyloric sphincter c. urethra d. esophagus

D. esophagus

A pursestring suture is used _____ a. as a retention suture b. for ligation c. to provide traction d. to tighten or close an opening

D. to tighten or close an opening

Which incisional approach is most common for appendectomy?

Mcburneys

What position is used to displace the abdominal contents to enhance the surgeon's view of the lower abdominal region?

Trendelenburg

The use of a penrose drain is often employed during inguinal herniorrhaphy to ___ a. remove purulent drainage b. retract the spermatic cord c. provide hemostasis d. support the repair

b. retract spermatic cord

The condition of gallstones is called?

cholelithiasis

Whipple pancreaticduodenectomy involves removal of?

head of the pancreas, distal one-third of the stomach, duodenum, proximal 10 cm of jejunum, gallbladder, cystic and common bile ducts, and peripancreatic and heapatoduodenal lymph nodes