Ostomy latest exam with correct answers
IPAA - correct answer ✔Ileal pouch anal anastomosis. Entire colon is
x x x x x x x x x x x
removed. Ileum used to create a J pouch, which is then connected to the
x x x x x x x x x x x x x x
anus. Done in stages. Stage 1: loop ileostomy and pouch created. Stool
x x x x x x x x x x x x
diverted through ileostomy while pouch matures (7-10 weeks). Stage 2:
x x x x x x x x x x
reconnected
IPAA is most commonly done to treat which condition? - correct answer
x x x x x x x x x x x x
✔ulcerative colitis x
What is the best surgical procedure for Crohn's affecting the large intestine? -
x x x x x x x x x x x x
correct answer ✔total proctocolectomy and ileostomy
x x x x x x
continent ileostomy, kock pouch - correct answer ✔Reservoir pouch is
x x x x x x x x x x
created inside the abdomen with a portion of the terminal ileum. A valve is
x x x x x x x x x x x x x x
then constructed in the pouch and a stoma is brought through the abdominal
x x x x x x x x x x x x
xwall. A catheter or tube in inserted into the pouch several times a day to
x x x x x x x x x x x x x x x
drain feces from the reservoir
x x x x
Kock pouch post-op care - correct answer ✔pouch connected to cath for 14
x x x x x x x x x x x x x
days, irrigated 3x/day
x x
after 2 weeks start progressive clamping of tube for gradual pouch expansion
x x x x x x x x x x x
cath removed on day 24 post-op, continue to irrigate and intubate
x x x x x x x x x x
BCIR - correct answer ✔Barnett Continent Intestinal Reservoir
x x x x x x x
,improvement upon the Kock continent ileostomy x x x x x
Enteral feeding tube with continuous feedings: how often should it be
x x x x x x x x x x x
flushed, and with how much water? - correct answer ✔every 4 hours with
x x x x x x x x x x x x x
30ml of water, also flush before and after med administration
x x x x x x x x x
Signs of an impending EC fistula - correct answer ✔localized erythema,
x x x x x x x x x x x
induration. local discomfort x x
With a triple lumen GJ tube, which port should be used for feeding? - correct
x x x x x x x x x x x x x x
answer ✔The Jejunal port. Gastric port is used for decompression and meds.
x x x x x x x x x x x x
DC instructions for new nephrostomy tube - correct answer ✔change gauze
x x x x x x x x x x x
dressing daily for first 2 weeks, then change twice weekly and PRN soiling
x x x x x x x x x x x x
How do you keep a hemovac drain patent? - correct answer ✔Milk or strip it
x x x x x x x x x x x x x x x
to remove blood clots and tissue shreds
x x x x x x
ileal conduit stoma site marking - correct answer ✔right lower quadrant
x x x x x x x x x x
ileal conduit stoma site marking for an obese patient - correct answer ✔right
x x x x x x x x x x x x x
upper quadrant x
APR (abdominoperineal resection) - correct answer ✔removal of rectum, anus
x x x x x x x x x
xand sphincter. Permanent end colostomy of sigmoid colon placed through
x x x x x x x x x x
LLQ.
, When does stomal necrosis occur? - correct answer ✔within first 24 hours of
x x x x x x x x x x x x x
creation
treatment of mucocutaneous separation - correct answer ✔fill defect with
x x x x x x x x x x
ostomy powder, fit appliance over the defect
x x x x x x
Which medications should be avoided with an ileostomy or transverse
x x x x x x x x x x
colostomy? - correct answer ✔enteric coated or ER x x x x x x x
After surgical closure of the ileostomy, what happens to the superficial skin? -
x x x x x x x x x x x x
correct answer ✔Left to close by secondary intention
x x x x x x x x
How can gas be managed by an ileostomate? - correct answer ✔eating small,
x x x x x x x x x x x x x
frequent meals x
Pouches should be emptied when how full? - correct answer ✔1/3 to 1/2 full
x x x x x x x x x x x x x
normal ileostomy output - correct answer ✔after creation: 800-1700
x x x x x x x x
levels off to: 500-1800
x x x
IPAA for high risk or acute colitis patients is better to be performed in how
x x x x x x x x x x x x x x x
many stages? - correct answer ✔3 stages:
x x x x x x x
1. subtotal colectomy with double ended ileostomy and sigmoidostomy.
x x x x x x x x x
rectum remains. x
2. IPAA, rectum removed, j pouch attached, diverting ileostomy.
x x x x x x x x
3. ileostomy closed
x x
IPAA - correct answer ✔Ileal pouch anal anastomosis. Entire colon is
x x x x x x x x x x x
removed. Ileum used to create a J pouch, which is then connected to the
x x x x x x x x x x x x x x
anus. Done in stages. Stage 1: loop ileostomy and pouch created. Stool
x x x x x x x x x x x x
diverted through ileostomy while pouch matures (7-10 weeks). Stage 2:
x x x x x x x x x x
reconnected
IPAA is most commonly done to treat which condition? - correct answer
x x x x x x x x x x x x
✔ulcerative colitis x
What is the best surgical procedure for Crohn's affecting the large intestine? -
x x x x x x x x x x x x
correct answer ✔total proctocolectomy and ileostomy
x x x x x x
continent ileostomy, kock pouch - correct answer ✔Reservoir pouch is
x x x x x x x x x x
created inside the abdomen with a portion of the terminal ileum. A valve is
x x x x x x x x x x x x x x
then constructed in the pouch and a stoma is brought through the abdominal
x x x x x x x x x x x x
xwall. A catheter or tube in inserted into the pouch several times a day to
x x x x x x x x x x x x x x x
drain feces from the reservoir
x x x x
Kock pouch post-op care - correct answer ✔pouch connected to cath for 14
x x x x x x x x x x x x x
days, irrigated 3x/day
x x
after 2 weeks start progressive clamping of tube for gradual pouch expansion
x x x x x x x x x x x
cath removed on day 24 post-op, continue to irrigate and intubate
x x x x x x x x x x
BCIR - correct answer ✔Barnett Continent Intestinal Reservoir
x x x x x x x
,improvement upon the Kock continent ileostomy x x x x x
Enteral feeding tube with continuous feedings: how often should it be
x x x x x x x x x x x
flushed, and with how much water? - correct answer ✔every 4 hours with
x x x x x x x x x x x x x
30ml of water, also flush before and after med administration
x x x x x x x x x
Signs of an impending EC fistula - correct answer ✔localized erythema,
x x x x x x x x x x x
induration. local discomfort x x
With a triple lumen GJ tube, which port should be used for feeding? - correct
x x x x x x x x x x x x x x
answer ✔The Jejunal port. Gastric port is used for decompression and meds.
x x x x x x x x x x x x
DC instructions for new nephrostomy tube - correct answer ✔change gauze
x x x x x x x x x x x
dressing daily for first 2 weeks, then change twice weekly and PRN soiling
x x x x x x x x x x x x
How do you keep a hemovac drain patent? - correct answer ✔Milk or strip it
x x x x x x x x x x x x x x x
to remove blood clots and tissue shreds
x x x x x x
ileal conduit stoma site marking - correct answer ✔right lower quadrant
x x x x x x x x x x
ileal conduit stoma site marking for an obese patient - correct answer ✔right
x x x x x x x x x x x x x
upper quadrant x
APR (abdominoperineal resection) - correct answer ✔removal of rectum, anus
x x x x x x x x x
xand sphincter. Permanent end colostomy of sigmoid colon placed through
x x x x x x x x x x
LLQ.
, When does stomal necrosis occur? - correct answer ✔within first 24 hours of
x x x x x x x x x x x x x
creation
treatment of mucocutaneous separation - correct answer ✔fill defect with
x x x x x x x x x x
ostomy powder, fit appliance over the defect
x x x x x x
Which medications should be avoided with an ileostomy or transverse
x x x x x x x x x x
colostomy? - correct answer ✔enteric coated or ER x x x x x x x
After surgical closure of the ileostomy, what happens to the superficial skin? -
x x x x x x x x x x x x
correct answer ✔Left to close by secondary intention
x x x x x x x x
How can gas be managed by an ileostomate? - correct answer ✔eating small,
x x x x x x x x x x x x x
frequent meals x
Pouches should be emptied when how full? - correct answer ✔1/3 to 1/2 full
x x x x x x x x x x x x x
normal ileostomy output - correct answer ✔after creation: 800-1700
x x x x x x x x
levels off to: 500-1800
x x x
IPAA for high risk or acute colitis patients is better to be performed in how
x x x x x x x x x x x x x x x
many stages? - correct answer ✔3 stages:
x x x x x x x
1. subtotal colectomy with double ended ileostomy and sigmoidostomy.
x x x x x x x x x
rectum remains. x
2. IPAA, rectum removed, j pouch attached, diverting ileostomy.
x x x x x x x x
3. ileostomy closed
x x
