CERTIFICATION (SA-C) EXAM
QUESTIONS WITH CORRECT
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Which gland is vital to the body's immunity mechanism? - ANSWER ✓ Thymus
A test of thyroid function is a ____which measures the ____. - ANSWER ✓
BMR, oxygen consumption at rest
Which statement(s) about surgery of the breast is/are false - ANSWER ✓
Augmentation mammoplasty is done for gynecomastia
Excessive accumulation urie acid in the bloed with disposition of acid crystal in
tissue causes - ANSWER ✓ Gout
Care must damage structures during a thyroidectomy: - ANSWER ✓ Parathyroid,
trachea, reccurent laryngeal nerve
The ___ hormone secreted by the___ gland(s) regulates the metabolism of calcium
and phosphorus - ANSWER ✓ Parathyroid, parathyroid
Which statement(s) about the thyroid is/are true? - ANSWER ✓ Tracheal
compression can occur from postoperative edema
The three main vessels which are legated in thryreidectomy are: - ANSWER ✓
Superior, Middle, Inferior thyroid veins
Complete removal of the___ gland(s) results in severe tetany. - ANSWER ✓
Parathyroid
,A choledochotomy is an: - ANSWER ✓ Incision into the commin bile duct
The characteristic synsptom of perforated peptic ulcer is - ANSWER ✓ Shock
Separation of the congenital hy pertrophied sphincter which prevents emptying of
the stomach in an infant is a: - ANSWER ✓ Pyloromyotomy
In surgical correction of a hiatal hernia, the: - ANSWER ✓ Diaphragm crura is
tightened
Hemorrhage occurring during operation on the biliary tree usually results from
injury to - ANSWER ✓ Cystic artery
Which diagnosis does not require operation? - ANSWER ✓ Paralytic ileus
Longitudinal ulcer in the anal canal is an: - ANSWER ✓ Fissure in ano
Which statement concerning the spleen is false? - ANSWER ✓ The splenic vein
drains into the inferior vena cava
Which is/are postoperative complication (s) of total gastrectomy: - ANSWER ✓
dumping syndrome, anemia, vitamin B12 deficiency, diarrhea
The ____ is attached to the____. - ANSWER ✓ Omentum, stomach
A partial gastrectomy followed by a gastroduodenal anastomesis is a - ANSWER
✓ Billroth 1
Which anastomoses are completed in a Whipple operation: - ANSWER ✓
Pancretojejunostomy, choledochojejunostomy, gastrojejunostomy
In an upper quadrant oblique incision (subcostal), which muscle is retracted of
transversely divided? - ANSWER ✓ Rectus
Care must be taken during ligation of the vena cava for pulmonary embolism to
prevent injury to: - ANSWER ✓ Lumbar veins and right ureter
, Removal of fibrosed palmar aponeurosis is done for: - ANSWER ✓ Dupuytren's
contracture
Removal of fibrinous deposit pleural with pulmonary ventilation is a: - ANSWER
✓ Decortication
Postoperative gastrointestinal bleeding can cause ___ shock while ___ shock is the
result of failure of arterial resistance - ANSWER ✓ Hypovolemic, neurogenic
Carcinoma of the lung may be confirmed by: - ANSWER ✓ Scalene node biopsy,
medianstinoscopy, bronchoscopy
Place these digestive system structures in correct sequence: - ANSWER ✓ pyloric
sphincter, fundus, diaphragm
Place these digestive system structures in correct sequence: - ANSWER ✓
Esophagus, diaphragm, cardiac sphincter, fundus, pyloric sphincter, duodenum,
ampulla of Vater, jejunum, ileum
Which are some hemostatic agent(s) - ANSWER ✓ Bone wax, oxidized cellulose,
styptics, thrombin
Acute cholecystitis usually is associated with: - ANSWER ✓ gallstones, cystic
duct obstruction, bacterial infection, empyema
Which is/are serious postoperative problemis) following parathyroidectemy? -
ANSWER ✓ Tetany, Gout & Renal Stones
A weakness of the fascial margin of the internal ring is a ___ hernia; a weakness
of the faseial floor of the inguinal canal is ___ hernia, - ANSWER ✓ Direct,
Indirect
Portacaval shunt is indicated for: - ANSWER ✓ Esophageal varices, back portal
vein, Laennec's cirrhosis.
Vagotomy for peptic ulcer oftes is accompanied by pyloroplasty because -
ANSWER ✓ Vagotomy may cause gastric atony
, In two-layer bowel anastomosis, the inner ___ layer is closed with ___ and the
outer ___ layer with ___ sutures - ANSWER ✓ Mucosal, absorbable, sersosal,
nonabsorbable
Combined with an antrectomy or gastroenterostomy, ___ is the most common
operative procedure for peptic ulcer - ANSWER ✓ Vagotomy
The pancreas functions as an ___ gland secreting insulin and ___ directly into the
___. - ANSWER ✓ Endocrine, glucagon, blood serum
As a consequence of ligating the inferior mesenteric (Mesozoic) artery and vein, it
is necessary to remove the entire ___ colon and anastomose the ___ colon to the
___ colon. - ANSWER ✓ Left, distal transverse, sigmoid
The operative carcinoma of the head of the pancreas or ampulla of Vater is a ___
procedure. - ANSWER ✓ Whipple
Whichh structures are amenable to stapling: . - ANSWER ✓ bronchus, galea,
bowel, split thickness graft, ankle bones
Small bowel obstruction leads to electrolyte imbalance: first to ___ from loss of
___: then to ___ due to loss of ___ - ANSWER ✓ Alkalosis, hydrochloric acid,
acidosis, water& sodium
In gastric bypass for morbid obesity, stapling the ___ portion of the stomach
provides a small ___ outlet - ANSWER ✓ Proximal, gastrojejunostomy
Which of the following factors can cause intestinal obstruction: - ANSWER ✓
volvulus, hernia, mesenteric infarction, paralytic ileus, intussusception
The causes of peritonitis include which of the following: - ANSWER ✓ ruptured
spleen, puerperal infection, gangrenous obstruction of the bowel, acute
pancreatitis, ulcerative colitis?
The dumping syndrome occurs after gastric resection because of the - ANSWER
✓ Rapid entry of food into the jejunum