Viral hepatitis and alcohol abuse are precursors to which of the following diseases? a. cirrhosis b. cholelithiasis c. diverticulitis d. duodenal ulcer

During cholangiography, bubbles in the contrast media would likely: a. cause a pulmonary embolus. b. give the appearance of a stone on X-ray. c. pass undetected through the biliary system. d. rupture the cystic duct from pressure exerted during injection.

A Whipple procedure is done for treatment of a tumor in which of the following abdominal organs? a. liver b. pancreas c. rectum d. spleen

Another name for a thyroid clamp is a: a. Braun. b. Jacobs. c. Lahey. d. Schroeder.

Which of the following potentially life-threatening diseases or conditions is a complication of untreated thyrotoxicosis? a. Crohn’s disease b. Grave’s disease c. Hashimoto’s disease d. thyroid storm

Tetany is a serious potential post-op complication of which of the following types of surgical interventions? a. appendectomy b. colon resection c. gastrectomy d. thyroidectomy/parathyroidectomy

Which of the following terms describes a benign condition of breast enlargement in men? a. gynecomastia b. hypoplasia c. macromastia d. micromastia

Which of the following stages of breast cancer is characterized by evidence of distal metastasis? a. Stage I b. Stage II c. Stage III-b d. Stage IV

Which of the following anatomical structures is the largest mass of lymphatic tissue in the body? a. axillary sentinel node b. palatine tonsils c. spleen d. thymus

Which of the following portions of of the pancreas adjoins the pylorus? a. body b. neck c. head d. tail

The triangle of Calot is an anatomical space bounded by structures in which of the following surgical procedures? a. appendectomy b. cholecystectomy c. herniorrhaphy d. thyroidectomy

Which of the following conditions is achieved by insufflation of carbon dioxide into the abdominal cavity? a. pneumocephalus b. pneumocystosis c. pneumoperitoneum d. pneumothorax

In relation to the liver, the gallbladder is located in the: a. inferior surface of the left lobe. b. superior surface of the left lobe. c. inferior surface of the right lobe. d. superior surface of the right lobe.

The name of the fibrous and serous capsule that covers the liver is: a. Bowman’s. b. Glisson’s. c. Tenon’s. d. articular.

For which of the following surgical procedures would the Buie pile forceps be used? a. appendectomy b. breast biopsy c. cholecystectomy d. hemorrhoidectomy

A typical end-to-end bowel anastomosis is accomplished with which of the following suturing techniques? a. one-layer, continuous technique for seromuscular approximation with absorbable suture b. one-layer, interrupted technique for mucosal approximation only with silk suture c. two-layer, continuous technique for seromuscular approximation with absorbable; interrupted for mucosa with silk suture d. two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture

In which of the following abdominal incisions would the linea alba be opened down to the peritoneum? a. Kocher subcostal b. McBurney c. median d. transverse

Which of the following incisions is traditionally used for open appendectomy? a. McBurney b. median vertical c. paramedian d. Pfannenstiel

A Maloney bougie dilator is used in which of the following anatomical structures? a. common bile duct b. esophagus c. urethra d. cervix

Doyen, Kocher, Dennis, and Allen are names of which of the following types of instruments? a. abdominal retractors b. intestinal clamps c. laparoscopic graspers d. tissue scissors

What does TEP stand for in general surgery? a. total endoscopic pancreatectomy b. total endoscopic pyloroplasty c. total extraperitoneal patch d. total extraperitoneal prolapse

Which of the following terms is used for surgical opening of the abdominal wall into the peritoneal cavity? a. gastrectomy b. gastrostomy c. laparoscopy d. laparotomy

Which of the following types of hernias occurs below the abdominocrural crease and more frequently in females? a. femoral b. epigastric c. direct inguinal d. indirect inguinal

Which of the following choices is another way of saying “cephalad to caudad”? a. back to front b. front to back c. head to tail d. inside to outside

Which of the following fascial sheets is attached to the iliac crest, linea alba, and pubis? a. innominate b. interparietal c. Scarpa’s d. transversalis

Another name for an acquired ventral hernia through the semilunar lines is: a. epigastric. b. femoral. c. inguinal. d. Spigelian.

A gastrostomy can be created by all of the following methods EXCEPT: a. open. b. endovascular. c. endoscopic. d. percutaneous.

Which of the following suturing techniques is often used on the appendiceal stump? a. interrupted b. horizontal mattress c. vertical mattress d. pursestring

Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which of the following surgical procedures? a. laparoscopic cholecystectomy b. laparoscopic Nissen fundoplication c. modified radical mastectomy d. subtotal gastrectomy

Where are the parathyroid glands located in relation to the thyroid? a. anterior midline b. posterior midline c. dorsal, superior, and inferior d. ventral, superior, and inferior

The parathyroid glands regulate: a. blood calcium concentration. b. growth hormones. c. immune response. d. insulin release.

The skin incision for a thyroidectomy will follow which of the following anatomical lines? a. anterior axillary b. Langer’s c. midclavicular d. semilunar

Which of the following handheld retractors are frequently used to retract tissues during thyroidectomy? a. Green b. Harrington c. malleable d. Weinburg

Which of the following types of hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle? a. direct b. femoral c. indirect d. umbilical

Which of the following types of hernias results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum? a. direct b. femoral c. indirect d. umbilical

The name for the type of hernia in which both direct and indirect defects are present is: a. diaphragmatic. b. epigastric. c. incisional. d. pantaloon.

The name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision is: a. bezoar. b. calculus. c. polyp. d. ulce

For which of the following types of hernia repairs could a Penrose drain be used as a method of gentle traction of the spermatic cord? a. umbilical herniorrhaphy b. inguinal herniorrhaphy c. totally extraperitoneal patch (TEP) d. ventral/incisional herniorrhaphy

A vagotomy is a surgical treatment option for: a. appendicitis. b. ductal carcinoma. c. gastric ulcers. d. pancreatitis.

Which of the following types of intestinal obstructions involves a telescoping of a portion of the intestine into another portion? a. adhesive stricture. b. fecal impaction. c. intussusception. d. volvulus.

Which of the following types of surgical procedures is used to release abnormal tissue connections in the abdominal viscera and layers? a. anastomosis b. fundoplication c. herniorrhaphy d. lysis of adhesions

End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for: a. bowel anastomosis. b. mastectomy wound closure. c. mesh placement in herniorrhaphy. d. surgical skin prep solution application.

When practicing bowel technique, the surgical technologist would ensure that: a. sponges used on open bowel are rinsed thoroughly with water before reuse. b. straight Mayo scissors are used to cut the suture during the dirty part of the procedure. c. a separate Mayo stand is draped to hold the resection instrument and supplies. d. the Bovie pencil is wiped clean with a wet sponge.

Which of the following types of “ostomy” is described as a temporary stoma for fecal diversion? a. end ileostomy b. urostomy c. loop-ileostomy d. end colostomy

Which of the following portions of the colon begins at the hepatic flexure and ends at the splenic flexure? a. ascending b. descending c. sigmoid d. transverse

Bowel technique refers to steps used by the surgical team to prevent postoperative: a. adhesion formation. b. hemorrhage. c. incisional hernia formation. d. surgical site infection.

An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which of the following muscles? a. external oblique b. internal oblique c. rectus abdominus d. transversus abdominus

When a stoma is everted and the mucosal layer is sewn to the outside skin, it is called: a. flattening the stoma. b. elevating the stoma. c. isolating the stoma. d. maturing the stoma.

Which of the following surgical positions is used exclusively for anorectal surgical procedures? a. Kraske b. supine c. Trendelenburg d. reverse Trendelenburg

Which of the following types of viewing instruments would be used for surgical treatment of hemorrhoids? a. anoscope b. colonoscope c. laparoscope d. sigmoidoscope

Which of the following kits is typically an industry-prepared kit surgeons use in place of the traditional gastrostomy? a. Stamm b. PEG c. Whitzel d. Janeway

The incision routinely used for open cholecystectomy is the: a. McBurney. b. Pfannenstiel. c. left subcostal. d. right subcostal.

Which of the following types of handheld retractors is specifically designed for use in open cholecystectomy to elevate the liver? a. Army-Navy (USA) b. Green c. Harrington d. Parker

Saline is injected through the cholangiogram catheter prior to the contrast media because: a. the saline will dilute the contrast dye. b. the saline will dilate the common duct. c. the saline will push any stones in the cystic duct through. d. the saline will flush the catheter after aspiration of bile.

During a robotic inguinal hernia repair, the mesh would be secured in place with sutures placed through the: a. phrenogastric ligament. b. falciform ligament. c. Cooper’s ligament. d. gastroplenic ligament.

Which of the following glands are the endocrine-secreting glands of the pancreas? a. acini b. ampulla of Vater c. islets of Langerhans d. uncinate process

Pancreaticoduodenectomy is also known as which of the following procedures? a. Bassini-Shouldice b. McVay c. Nissen d. Whipple

A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the: a. breast. b. groin. c. liver. d. pancreas.

Breast-conserving surgery is possible in of cases _____ a. 80% b. 85% c. 90% d. 95%

The name for the first lymph node in the axillary chain that is frequently biopsied in conjunction with a breast biopsy, lumpectomy, or mastectomy is: a. attendant. b. guardian. c. leader. d. sentinel.

For irrigation to aid in destroying any residual tumor cells after dissection, the surgeon may request: a. heparin. b. hydrogen peroxide. c. normal saline. d. sterile water.

Surgical removal of the entire breast including axillary lymph nodes is a(n): a. excisional biopsy. b. simple mastectomy. c. segmental mastectomy. d. modified radical mastectomy.

If an immediate breast reconstruction is scheduled to follow a mastectomy, the surgical technologist should: a. protect the field until second procedure begins. b. exchange the instruments on the Mayo stand with new instruments for the reconstruction. c. use same instruments but be sure to change all gloves first. d. redrape patient; team changes gowns and gloves; and use new instruments.

Bifurcated drains and fluffy pressure dressings are used following a mastectomy primarily to: a. make the change in chest contour less obvious. b. prevent formation of hematoma and seroma. c. provide comfort for the patient when she moves. d. keep adhesions from forming between the skin and muscle.

Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called: a. anal fissure. b. fistula-in-ano. c. hemorrhoid. d. pilonidal cyst.

The Hasson technique for establishing pneumoperitoneum requires the use of a Verres needle True/False

false

While the peritoneum is open, only laparotomy sponges should be on the field. True/False

true

Conversion from a laparoscopic procedure to an open procedure is always a possibility that the surgical technologist should be prepared for. True/False

true

A certified surgical technologist may operate the laparoscopic camera during minimally invasive procedures to free up the hands of the surgeon and surgical first assistant. True/False

true

Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients. True/False

false