OF LAPAROSCOPIC SURGERY EXAM | ALL
QUESTIONS AND CORRECT ANSWERS | GRADED A+
| LATEST EXAM | VERIFIED ANSWERS
When should a check for venous bleeding be performed? ---------
CORRECT ANSWER-----------------During final abdominal inspection, while
releasing abdominal pressure, and during trocar removal
Once the operative procedure is finished, the surgeon should check which
areas before exiting the abdomen? ---------CORRECT ANSWER---------------
--Operative field, dependent portions of the abdomen away from the field of
view at the operative site, abdominal wall at each port site onece the port
has been removed
What is the correct patient position for diagnostic laparoscopy for pelvic
procedure? ---------CORRECT ANSWER-----------------dorsal lithotomy
What is the correct patient position for diagnostic laparoscopy for
appendectomy? ---------CORRECT ANSWER-----------------trendelenburg
Which of the following pathology can be diagnosed laparoscopically? --------
-CORRECT ANSWER-----------------Crohns, traumatic diaphragm injury, and
ovarian cyst
What are of the abomden is best for placement of ports to view kidneys and
adrenal glands? ---------CORRECT ANSWER-----------------Upper abdomen
(epigastric, RUQ, LUQ)
,Retraction of the uterus can be accomplished by? ---------CORRECT
ANSWER-----------------transvaginal manipulator, blunt grasper,
laparoscopic retractor, and suture placed through abdominal wall
In general, if an ovarian cyst is larger than 5cm or has complex internal US
findings, biopsy should be done by? ---------CORRECT ANSWER-------------
----oophorectomy
General principles of successful laparoscopic tissue biopsy include all of
the following EXCEPT: ---------CORRECT ANSWER-----------------remove
biopsy specimen with an energy source to avoid bleeding
(Correct answers include avoid contacting tissue of extraction site with
specimen, excisions biopsy of small lesions is appropriately, generally
avoid biopsy of fluid filled liver lesions)
Which of the following about intracorporeal suturing is not true? ---------
CORRECT ANSWER-----------------grasping the needle is the ideal way to
control it when transporting the suture in and out of the abdomen
true statements include: the ideal suture length is about 6inches, the ideal
orientation for suturing is from 3 o'clock to 9 o'clock, pulling the needling
along its arc through the tissue will minimize damage
If the laparoscopic view of the operative field is reduced in size, thus
compromising proper exposure of the operative field, which of the following
should be immediately checked? ---------CORRECT ANSWER-----------------
check the insufflator control panel to determine the cause of the loss of
working space in the operative field
, All of the following are pre-operative checks except? ---------CORRECT
ANSWER-----------------check for adequate muscle relaxation. Correct
answers include checking that a spare CO2 tank is in the OR, availability of
ancillary equipment, and all power sources are connected and appropriate
units are switched on.
During monopolar electrosurgery, the method of heating tissue quickly,
converting all water to steam and causing the cell to explode is descriptive
of which of the following: ---------CORRECT ANSWER-----------------cutting
mode
Click on the point that is in danger of thermal burn if a monopolar electrode
is applied to the end of the appendiceal stump? ---------CORRECT
ANSWER-----------------the diameter at the ligature is half that at the stump,
so the current density will be 16X greater
The use of all plastic or all metal trocars can avoid which problem during
electrosurgery? ---------CORRECT ANSWER-----------------capacitative
coupling is a result of using a metal tracer with a plastic screw anchor,
which prevents the tracer from draining its charge (instrument can store the
charge and then transmit to tissue next time it touches something)
When using the ultrasonic shears, the entire portion of the active blade is
exposed. In order to avoid inadvertent delivery of energy to tissue in
contact with the bottom portion of the active blade, one should do the
following: ---------CORRECT ANSWER-----------------be aware of the contact
points the blade is engaging, grab the target tissue and elevate it, and keep
the active blade upwards in view of the surgeon