Northstar - Surgical Specialties: Questions With Step-
by-Step Solutions
What is the next step after the surgeon has drilled the screw hole during an
ORIF of the radius?
Measure the hole with a depth gauge.
Tap the screw hole.
Position the bone-holding forceps.
Insert the screw. Right Ans - Measure the hole with a depth gauge.
During an open reduction internal fixation (ORIF) of the radius, the surgeon
reduces and aligns the fracture with the assistance of a bone-holding forceps.
After positioning the selected plate, the surgeon drills the first screw hole
through the drill guide. The next step is to measure the screw hole with a
depth gauge to ensure the correct length of screw is being inserted. The screw
hole is tapped, if a nontapping screw is used, and the correct length screw is
inserted. The steps are repeated until all screw holes have been filled.
What surgical procedure might be performed on a 40-year-old obese man to
treat sleep apnea?
uvulopalatopharyngoplasty
submucous resection
permanent tracheotomy
indirect laryngoscopy Right Ans - uvulopalatopharyngoplasty
Sleep apnea is a sleep disorder that is characterized by pauses in breathing
during sleep. The most common surgical procedure to treat sleep apnea is the
uvulopalatopharyngoplasty, or UPPP procedure. This procedure is performed
to enlarge the airway by removing or shortening the uvula and removing the
tonsils and adenoids, if present, as well as part of the soft palate or roof of the
mouth.
Which of the following general surgery procedures is performed to remove
the distal portion of the stomach and connect it to the jejunum to treat
stomach cancer?
,Roux-en-Y
Billroth II
Billroth I
pyloroplasty Right Ans - Billroth II
A Billroth II is a surgical procedure that is used for the treatment of stomach
cancer. With the Billroth II, the lower part of the stomach is removed and a
loop of jejunum, the middle portion of the small intestines, is anastomosed in
a side-to-side manner for drainage. A Billroth I is a procedure in which the
pylorus is removed and the distal stomach is anastomosed directly to the
duodenum. A Roux-en-Y is a type of gastric bypass surgery for the treatment
of obesity. A pyloroplasty is a procedure in which the muscle at the lower
portion of the stomach is cut and sutured to relax and widen the pyloric
sphincter to treat patients with gastric or peptic ulcer disease.
What instrument does the surgical technologist pass to the surgeon to assist
with the removal of the frayed edges of a torn medial meniscus during an
arthroscopy of the knee?
hook probe
motorized shaver
Allis tissue forceps
#11 knife blade Right Ans - motorized shaver
The meniscus is a crescent-shaped cartilage that distributes weight across the
knee joint. A tear of the meniscus commonly requires a partial or complete
meniscectomy to be performed to treat the injury. The surgical technologist
would pass a motorized shaver to the surgeon to assist with the removal of
the frayed edges of a torn meniscus during an arthroscopy of the knee. If the
meniscus is torn completely and cannot be repaired, the cartilage will be
removed with the assistance of instruments, such as a meniscus knife and
scissors.
A 28-year-old male patient is complaining of pain, malocclusion of the jaw,
and diplopia after being involved in an automobile accident. He is diagnosed
with a midfacial fracture that extends transversely from the zygomatic arches,
through the orbits, and to the ethmoid bones. Which of the following fractures
best describes this patient's injuries?
parasymphyseal fracture
, LeFort III fracture
LeFort II fracture
frontal sinus fracture Right Ans - LeFort III fracture
A LeFort III fracture is located high on the midface. This fracture extends
transversely from the zygomatic arches, through the orbits, and to the base of
the nose. A LeFort II fracture is a pyramidal fracture that extends from the
nasal bridge at or below the nasofrontal suture through the frontal processes
of the maxilla. A parasymphyseal fracture involves the mandible.
What type of suture is used during a total abdominal hysterectomy to ligate
the uterine ligament?
an absorbable suture, such as chromic gut
a nonabsorbable suture, such as silk
an absorbable suture, such as nylon
a nonabsorbable suture, such as Vicryl Right Ans - an absorbable suture,
such as chromic gut
Absorbable sutures, such as chromic gut or absorbable synthetic on a large-
tapered needle, are used during a total abdominal hysterectomy to ligate the
uterine ligament. Also during the hysterectomy, the round, uterosacral, and
cardinal ligaments are clamped, ligated, and tied with an absorbable synthetic
suture of size 0 or 2-0.
A 26-year-old female has been diagnosed with uterine fibroids. What
procedure would be performed to preserve the uterus and her fertility?
dilation and curettage
myomectomy
colporrhaphy
tubal ligation Right Ans - myomectomy
A myomectomy is a surgical procedure to remove uterine fibroids, also called
myomas, from the uterus. Uterine fibroids can cause abnormal uterine
bleeding, pressure, pain, or problems with fertility. The most common
treatment for uterine fibroids is a hysterectomy, the removal of the entire
uterus. A myomectomy may be performed as an alternative to a hysterectomy
by-Step Solutions
What is the next step after the surgeon has drilled the screw hole during an
ORIF of the radius?
Measure the hole with a depth gauge.
Tap the screw hole.
Position the bone-holding forceps.
Insert the screw. Right Ans - Measure the hole with a depth gauge.
During an open reduction internal fixation (ORIF) of the radius, the surgeon
reduces and aligns the fracture with the assistance of a bone-holding forceps.
After positioning the selected plate, the surgeon drills the first screw hole
through the drill guide. The next step is to measure the screw hole with a
depth gauge to ensure the correct length of screw is being inserted. The screw
hole is tapped, if a nontapping screw is used, and the correct length screw is
inserted. The steps are repeated until all screw holes have been filled.
What surgical procedure might be performed on a 40-year-old obese man to
treat sleep apnea?
uvulopalatopharyngoplasty
submucous resection
permanent tracheotomy
indirect laryngoscopy Right Ans - uvulopalatopharyngoplasty
Sleep apnea is a sleep disorder that is characterized by pauses in breathing
during sleep. The most common surgical procedure to treat sleep apnea is the
uvulopalatopharyngoplasty, or UPPP procedure. This procedure is performed
to enlarge the airway by removing or shortening the uvula and removing the
tonsils and adenoids, if present, as well as part of the soft palate or roof of the
mouth.
Which of the following general surgery procedures is performed to remove
the distal portion of the stomach and connect it to the jejunum to treat
stomach cancer?
,Roux-en-Y
Billroth II
Billroth I
pyloroplasty Right Ans - Billroth II
A Billroth II is a surgical procedure that is used for the treatment of stomach
cancer. With the Billroth II, the lower part of the stomach is removed and a
loop of jejunum, the middle portion of the small intestines, is anastomosed in
a side-to-side manner for drainage. A Billroth I is a procedure in which the
pylorus is removed and the distal stomach is anastomosed directly to the
duodenum. A Roux-en-Y is a type of gastric bypass surgery for the treatment
of obesity. A pyloroplasty is a procedure in which the muscle at the lower
portion of the stomach is cut and sutured to relax and widen the pyloric
sphincter to treat patients with gastric or peptic ulcer disease.
What instrument does the surgical technologist pass to the surgeon to assist
with the removal of the frayed edges of a torn medial meniscus during an
arthroscopy of the knee?
hook probe
motorized shaver
Allis tissue forceps
#11 knife blade Right Ans - motorized shaver
The meniscus is a crescent-shaped cartilage that distributes weight across the
knee joint. A tear of the meniscus commonly requires a partial or complete
meniscectomy to be performed to treat the injury. The surgical technologist
would pass a motorized shaver to the surgeon to assist with the removal of
the frayed edges of a torn meniscus during an arthroscopy of the knee. If the
meniscus is torn completely and cannot be repaired, the cartilage will be
removed with the assistance of instruments, such as a meniscus knife and
scissors.
A 28-year-old male patient is complaining of pain, malocclusion of the jaw,
and diplopia after being involved in an automobile accident. He is diagnosed
with a midfacial fracture that extends transversely from the zygomatic arches,
through the orbits, and to the ethmoid bones. Which of the following fractures
best describes this patient's injuries?
parasymphyseal fracture
, LeFort III fracture
LeFort II fracture
frontal sinus fracture Right Ans - LeFort III fracture
A LeFort III fracture is located high on the midface. This fracture extends
transversely from the zygomatic arches, through the orbits, and to the base of
the nose. A LeFort II fracture is a pyramidal fracture that extends from the
nasal bridge at or below the nasofrontal suture through the frontal processes
of the maxilla. A parasymphyseal fracture involves the mandible.
What type of suture is used during a total abdominal hysterectomy to ligate
the uterine ligament?
an absorbable suture, such as chromic gut
a nonabsorbable suture, such as silk
an absorbable suture, such as nylon
a nonabsorbable suture, such as Vicryl Right Ans - an absorbable suture,
such as chromic gut
Absorbable sutures, such as chromic gut or absorbable synthetic on a large-
tapered needle, are used during a total abdominal hysterectomy to ligate the
uterine ligament. Also during the hysterectomy, the round, uterosacral, and
cardinal ligaments are clamped, ligated, and tied with an absorbable synthetic
suture of size 0 or 2-0.
A 26-year-old female has been diagnosed with uterine fibroids. What
procedure would be performed to preserve the uterus and her fertility?
dilation and curettage
myomectomy
colporrhaphy
tubal ligation Right Ans - myomectomy
A myomectomy is a surgical procedure to remove uterine fibroids, also called
myomas, from the uterus. Uterine fibroids can cause abnormal uterine
bleeding, pressure, pain, or problems with fertility. The most common
treatment for uterine fibroids is a hysterectomy, the removal of the entire
uterus. A myomectomy may be performed as an alternative to a hysterectomy
