Ostomy Exam Prep Questions and All
Correct Answers 2026 Updated.
IPAA - Answer Ileal pouch anal anastomosis. Entire colon is removed. Ileum used to create a J
pouch, which is then connected to the anus. Done in stages. Stage 1: loop ileostomy and pouch
created. Stool diverted through ileostomy while pouch matures (7-10 weeks). Stage 2:
reconnected
IPAA is most commonly done to treat which condition? - Answer ulcerative colitis
What is the best surgical procedure for Crohn's affecting the large intestine? - Answer total
proctocolectomy and ileostomy
continent ileostomy, kock pouch - Answer Reservoir pouch is created inside the abdomen
with a portion of the terminal ileum. A valve is then constructed in the pouch and a stoma is
brought through the abdominal wall. A catheter or tube in inserted into the pouch several times
a day to drain feces from the reservoir
Kock pouch post-op care - Answer pouch connected to cath for 14 days, irrigated 3x/day
after 2 weeks start progressive clamping of tube for gradual pouch expansion
cath removed on day 24 post-op, continue to irrigate and intubate
BCIR - Answer Barnett Continent Intestinal Reservoir
improvement upon the Kock continent ileostomy
Enteral feeding tube with continuous feedings: how often should it be flushed, and with how
much water? - Answer every 4 hours with 30ml of water, also flush before and after med
administration
Signs of an impending EC fistula - Answer localized erythema, induration. local discomfort
With a triple lumen GJ tube, which port should be used for feeding? - Answer The Jejunal
port. Gastric port is used for decompression and meds.
DC instructions for new nephrostomy tube - Answer change gauze dressing daily for first 2
weeks, then change twice weekly and PRN soiling
, How do you keep a hemovac drain patent? - Answer Milk or strip it to remove blood clots
and tissue shreds
ileal conduit stoma site marking - Answer right lower quadrant
ileal conduit stoma site marking for an obese patient - Answer right upper quadrant
APR (abdominoperineal resection) - Answer removal of rectum, anus and sphincter.
Permanent end colostomy of sigmoid colon placed through LLQ.
When does stomal necrosis occur? - Answer within first 24 hours of creation
treatment of mucocutaneous separation - Answer fill defect with ostomy powder, fit
appliance over the defect
Which medications should be avoided with an ileostomy or transverse colostomy? - Answer
enteric coated or ER
After surgical closure of the ileostomy, what happens to the superficial skin? - Answer Left to
close by secondary intention
How can gas be managed by an ileostomate? - Answer eating small, frequent meals
Pouches should be emptied when how full? - Answer 1/3 to 1/2 full
normal ileostomy output - Answer after creation: 800-1700
levels off to: 500-1800
IPAA for high risk or acute colitis patients is better to be performed in how many stages? -
Answer 3 stages:
1. subtotal colectomy with double ended ileostomy and sigmoidostomy. rectum remains.
2. IPAA, rectum removed, j pouch attached, diverting ileostomy.
3. ileostomy closed
When collecting a sterile urine sample from an ileal conduit, how much urine do you need? -
Answer 5-10 ml
Correct Answers 2026 Updated.
IPAA - Answer Ileal pouch anal anastomosis. Entire colon is removed. Ileum used to create a J
pouch, which is then connected to the anus. Done in stages. Stage 1: loop ileostomy and pouch
created. Stool diverted through ileostomy while pouch matures (7-10 weeks). Stage 2:
reconnected
IPAA is most commonly done to treat which condition? - Answer ulcerative colitis
What is the best surgical procedure for Crohn's affecting the large intestine? - Answer total
proctocolectomy and ileostomy
continent ileostomy, kock pouch - Answer Reservoir pouch is created inside the abdomen
with a portion of the terminal ileum. A valve is then constructed in the pouch and a stoma is
brought through the abdominal wall. A catheter or tube in inserted into the pouch several times
a day to drain feces from the reservoir
Kock pouch post-op care - Answer pouch connected to cath for 14 days, irrigated 3x/day
after 2 weeks start progressive clamping of tube for gradual pouch expansion
cath removed on day 24 post-op, continue to irrigate and intubate
BCIR - Answer Barnett Continent Intestinal Reservoir
improvement upon the Kock continent ileostomy
Enteral feeding tube with continuous feedings: how often should it be flushed, and with how
much water? - Answer every 4 hours with 30ml of water, also flush before and after med
administration
Signs of an impending EC fistula - Answer localized erythema, induration. local discomfort
With a triple lumen GJ tube, which port should be used for feeding? - Answer The Jejunal
port. Gastric port is used for decompression and meds.
DC instructions for new nephrostomy tube - Answer change gauze dressing daily for first 2
weeks, then change twice weekly and PRN soiling
, How do you keep a hemovac drain patent? - Answer Milk or strip it to remove blood clots
and tissue shreds
ileal conduit stoma site marking - Answer right lower quadrant
ileal conduit stoma site marking for an obese patient - Answer right upper quadrant
APR (abdominoperineal resection) - Answer removal of rectum, anus and sphincter.
Permanent end colostomy of sigmoid colon placed through LLQ.
When does stomal necrosis occur? - Answer within first 24 hours of creation
treatment of mucocutaneous separation - Answer fill defect with ostomy powder, fit
appliance over the defect
Which medications should be avoided with an ileostomy or transverse colostomy? - Answer
enteric coated or ER
After surgical closure of the ileostomy, what happens to the superficial skin? - Answer Left to
close by secondary intention
How can gas be managed by an ileostomate? - Answer eating small, frequent meals
Pouches should be emptied when how full? - Answer 1/3 to 1/2 full
normal ileostomy output - Answer after creation: 800-1700
levels off to: 500-1800
IPAA for high risk or acute colitis patients is better to be performed in how many stages? -
Answer 3 stages:
1. subtotal colectomy with double ended ileostomy and sigmoidostomy. rectum remains.
2. IPAA, rectum removed, j pouch attached, diverting ileostomy.
3. ileostomy closed
When collecting a sterile urine sample from an ileal conduit, how much urine do you need? -
Answer 5-10 ml
