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An Ileal pouch anal anastomosis (IPAA) which is also referred to as
the ileoanal reservoir is indicated for which of the following disease
processes?
Select one:
a. Irritable bowel syndrome and Crohn's Disease.
b. Colorectal cancer and chronic ulcerative colitis.
c. Crohn's Disease and chronic ulcerative colitis.
d. Ulcerative colitis and familial adenomatous polyposis.
ANS: d. Ulcerative colitis and familial adenomatous polyposis.
The preferred abdominal location for an ileostomy in the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ.
ANS: c. RLQ.
The patient who is NPO for several days is at risk for atrophy of
which of the following structures in the mucosal surface of the small
,bowel?
Select one:
a. Ligament of Treitz.
b. Villi.
c. Ampulla of Vater.
d. Sphincter of Oddi.
ANS: b. Villi.
A bowel prep preoperatively for ostomy surgery is routinely utilized
to decrease bacteria in the bowel. The section of the bowel with the
greatest level of bacteria is:
Select one:
a. Distal portion of the colon.
b. Proximal portion of the colon.
c. Distal portion of the small bowel.
d. Proximal portion of the small bowel.
ANS: a. Distal portion of the colon.
Gary is experiencing a recurrence of his Crohn's Disease. Which of
the following symptoms is Gary most likely experiencing?
Select one:
a. Obstructive abdominal pain.
b. Absence of perianal disease.
c. Bloody stools with proctitis.
d. Vomiting.
ANS: a. Obstructive abdominal pain.
Which of the following groups of medications is used in the medical
management of Crohn's disease?
Select one:
a. Corticosteroids and immune suppressants.
,b. Anticholinergics and anti-emetics.
c. Antidepressants and antibiotics.
d. Immune suppressants and antidepressants.
ANS: a. Corticosteroids and immune suppressants.
The patient with ulcerative colitis will commonly exhibit:
Select one:
a. Oral ulcerations.
b. Significant abdominal pain.
c. Superficial mucosal involvement.
d. Fistula formation.
ANS: c. Superficial mucosal involvement.
When you read in the postoperative surgical report that the stoma
was primarily matured, you can expect which of the following?
Select one:
a. The stoma will be opened at the bedside with electrocautery.
b. The stoma has been present for at least 3 months.
c. The stoma is ready for sutures at the mucocutaneous junction to
be removed.
d. The bowel was everted and sutured to the dermal surface during
surgery.
ANS: d. The bowel was everted and sutured to the dermal surface
during surgery.
Which of the following groups of medications is used in the medical
management of Crohn's disease?
Select one:
a. Corticosteroids and immune suppressants.
b. Anticholinergics and anti-emetics.
, c. Antidepressants and antibiotics.
d. Immune suppressants and antidepressants.
ANS: a. Corticosteroids and immune suppressants.
Which of the following statements about Crohn's disease and/or
ulcerative colitis is true?
Select one:
a. Both Crohn's Disease and ulcerative colitis are characterized by
patchy mucosal involvement and skip lesions.
b. Crohn's Disease is limited to the colon and rectum.
c. Ulcerative colitis is characterized by transmural involvement of
the bowel wall.
d. Ulcerative colitis begins in the rectal area and progresses
backward toward the ileocecal valve.
ANS: d. Ulcerative colitis begins in the rectal area and progresses
backward toward the ileocecal valve.
You are consulted to see a patient who has just been diagnosed with
low rectal cancer located distal to the dentate line. You will prepare
teaching materials to cover content areas related to which of the
following surgical procedures?
Select one:
a. Low anterior resection (LAR).
b. Abdominoperineal resection (APR).
c. Total proctocolectomy (TPC).
d. Ileal Pouch Anal Anastomosis (IPAA or IAR).
ANS: b. Abdominoperineal resection (APR).
Pneumatosis is a radiologic finding associated with:
Select one:
a. Hirschsprung's disease.
b. Gut Malrotation.