WEB WOC Ostomy Care Latest
Complete practice test/Actual Exam
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With complete solution Newest 2025/26
The patient who is NPO for several days is at risk for atrophy of which of the following
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structures in the mucosal surface of the small bowel?
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Select one: Il` Il`
a. Ligament of Treitz. Il` Il` Il`
b. Villi. Il` Il`
c. Ampulla of Vater. Il` Il` Il`
d. Sphincter of Oddi. - CORRECT ANSWER-b. Villi.
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A bowel prep preoperatively for ostomy surgery is routinely utilized to decrease bacteria
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Il`
in the bowel. The section of the bowel with the greatest level of bacteria is:
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Select one: Il` Il`
a. Distal portion of the colon. Il` Il` Il` Il` Il` Il`
b. Proximal portion of the colon. Il` Il` Il` Il` Il`
c. Distal portion of the small bowel. Il` Il` Il` Il` Il` Il`
d. Proximal portion of the small bowel. - CORRECT ANSWER-a. Distal portion of the Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
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colon. Il` Il`
An Ileal pouch anal anastomosis (IPAA) which is also referred to as the ileoanal
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Il`
reservoir is indicated for which of the following disease processes?
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Select one: Il` Il`
a. Irritable bowel syndrome and Crohn's Disease. Il` Il` Il` Il` Il` Il`
b. Colorectal cancer and chronic ulcerative colitis. Il` Il` Il` Il` Il` Il` Il`
c. Crohn's Disease and chronic ulcerative colitis. Il` Il` Il` Il` Il` Il`
d. Ulcerative colitis and familial adenomatous polyposis. - CORRECT ANSWER-d. Il` Il` Il` Il` Il` Il` Il` Il`
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Ulcerative colitis and familial adenomatous polyposis.
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The preferred abdominal location for an ileostomy in the adult is the:
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Select one: Il`
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a. LLQ..
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b. LUQ. Il`
c. RLQ Il`
d. RUQ. - CORRECT ANSWER-c. RLQ.
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Gary is experiencing a recurrence of his Crohn's Disease. Which of the following
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symptoms is Gary most likely experiencing?
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Select one: Il` Il`
a. Obstructive abdominal pain. Il` Il` Il`
b. Absence of perianal disease. Il` Il` Il` Il`
c. Bloody stools with proctitis. Il` Il` Il` Il`
,d. Vomiting. - CORRECT ANSWER-a. Obstructive abdominal pain.
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The patient with ulcerative colitis will commonly exhibit:
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Select one: Il`
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a. Oral ulcerations.
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b. Significant abdominal pain.
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c. Superficial mucosal involvement.
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d. Fistula formation. - CORRECT ANSWER-c. Superficial mucosal involvement.
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When you read in the postoperative surgical report that the stoma was primarily
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matured, you can expect which of the following?
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Select one: Il` Il`
a. The stoma will be opened at the bedside with electrocautery.
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b. The stoma has been present for at least 3 months.
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c. The stoma is ready for sutures at the mucocutaneous junction to be removed.
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d. The bowel was everted and sutured to the dermal surface during surgery. - CORRECT
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ANSWER-d. The bowel was everted and sutured to the dermal surface during surgery.
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Which of the following groups of medications is used in the medical management of
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Crohn's disease?
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Select one: Il` Il`
a. Corticosteroids and immune suppressants. Il` Il` Il` Il` Il`
b. Anticholinergics and anti-emetics. Il` Il` Il`
c. Antidepressants and antibiotics. Il` Il` Il`
d. Immune suppressants and antidepressants. - CORRECT ANSWER-a. Corticosteroids Il` Il` Il` Il` Il` Il` Il`
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and immune suppressants.
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Which of the following statements about Crohn's disease and/or ulcerative colitis is
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true?
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Select one: Il` Il`
a. Both Crohn's Disease and ulcerative colitis are characterized by patchy mucosal
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involvement and skip lesions.
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b. Crohn's Disease is limited to the colon and rectum. Il` Il` Il` Il` Il` Il` Il` Il` Il`
c. Ulcerative colitis is characterized by transmural involvement of the bowel wall. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
d. Ulcerative colitis begins in the rectal area and progresses backward toward the Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
ileocecal valve. - CORRECT ANSWER-d. Ulcerative colitis begins in the rectal area and
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progresses backward toward the ileocecal valve.
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You are consulted to see a patient who has just been diagnosed with low rectal cancer
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located distal to the dentate line. You will prepare teaching materials to cover content
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areas related to which of the following surgical procedures?
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Select one: Il` Il`
a. Low anterior resection (LAR). Il` Il` Il` Il`
b. Abdominoperineal resection (APR). Il` Il` Il` Il`
c. Total proctocolectomy (TPC). Il` Il` Il`
, d. Ileal Pouch Anal Anastomosis (IPAA or IAR). - CORRECT ANSWER-b.
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Abdominoperineal resection (APR).
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Pneumatosis is a radiologic finding associated with:
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Select one: Il` Il`
a. Hirschsprung's disease. Il` Il`
b. Gut Malrotation. Il` Il`
c. Diverticulitis. Il`
d. Necrotizing Enterocolitis (NEC). - CORRECT ANSWER-d. Necrotizing Enterocolitis Il` Il` Il` Il` Il` Il` Il`
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(NEC). Il` Il`
When preparing a 35-year-old male for colon resection with a temporary ileostomy due
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to refractory Crohn's disease, he asks about sexual function after surgery. You explain
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that this procedure involves:
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Select one: Il`
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a. Removal of the rectum only.
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b. Moderate incidence of premature ejaculation.
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c. Do not anticipate any sexual dysfunction.
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d. High incidence of erectile dysfunction. - CORRECT ANSWER-c. Do not anticipate
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any sexual dysfunction.
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You receive a referral for a patient scheduled for an abdominoperineal resection. Prior to
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reviewing the chart and interviewing the patient you can anticipate his diagnosis to be:
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Select one: Il`
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a. Transitional cell carcinoma of the bladder.
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b. Adenocarcinoma of the rectum.
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c. Familial Adenomatous polyposis. (FAP)
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d. Diverticulitis. - CORRECT ANSWER-b. Adenocarcinoma of the rectum.
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Anorectal malformation in the neonate is also known as:
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Select one: Il` Il`
a. Hirschsprung's disease. Il` Il`
b. Imperforate anus. Il` Il` Il`
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c. Turcot syndrome.
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d. Volvulus. - CORRECT ANSWER-b. Imperforate anus.
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Which of the following types of stoma construction methods is NOT completely
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diverting?
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Select one: Il` Il`
a. End stoma. Il` Il`
b. Loop stoma. Il` Il`
c. Separated double barrel stoma. Il` Il` Il` Il` Il`
d. Brooke ileostomy. - CORRECT ANSWER-b. Loop stoma.
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A Hartmann's Procedure (Pouch) is constructed when the:
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Select one: Il` Il`
Complete practice test/Actual Exam
Il`
With complete solution Newest 2025/26
The patient who is NPO for several days is at risk for atrophy of which of the following
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
Il` Il` Il` Il` Il` Il`
structures in the mucosal surface of the small bowel?
Il`
Il` Il` Il` Il` Il` Il` Il` Il`
Select one: Il` Il`
a. Ligament of Treitz. Il` Il` Il`
b. Villi. Il` Il`
c. Ampulla of Vater. Il` Il` Il`
d. Sphincter of Oddi. - CORRECT ANSWER-b. Villi.
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A bowel prep preoperatively for ostomy surgery is routinely utilized to decrease bacteria
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
in the bowel. The section of the bowel with the greatest level of bacteria is:
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Select one: Il` Il`
a. Distal portion of the colon. Il` Il` Il` Il` Il` Il`
b. Proximal portion of the colon. Il` Il` Il` Il` Il`
c. Distal portion of the small bowel. Il` Il` Il` Il` Il` Il`
d. Proximal portion of the small bowel. - CORRECT ANSWER-a. Distal portion of the Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
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colon. Il` Il`
An Ileal pouch anal anastomosis (IPAA) which is also referred to as the ileoanal
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
reservoir is indicated for which of the following disease processes?
Il`
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Select one: Il` Il`
a. Irritable bowel syndrome and Crohn's Disease. Il` Il` Il` Il` Il` Il`
b. Colorectal cancer and chronic ulcerative colitis. Il` Il` Il` Il` Il` Il` Il`
c. Crohn's Disease and chronic ulcerative colitis. Il` Il` Il` Il` Il` Il`
d. Ulcerative colitis and familial adenomatous polyposis. - CORRECT ANSWER-d. Il` Il` Il` Il` Il` Il` Il` Il`
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Ulcerative colitis and familial adenomatous polyposis.
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The preferred abdominal location for an ileostomy in the adult is the:
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Select one: Il`
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a. LLQ..
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b. LUQ. Il`
c. RLQ Il`
d. RUQ. - CORRECT ANSWER-c. RLQ.
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Gary is experiencing a recurrence of his Crohn's Disease. Which of the following
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
symptoms is Gary most likely experiencing?
Il`
Il` Il` Il` Il` Il`
Select one: Il` Il`
a. Obstructive abdominal pain. Il` Il` Il`
b. Absence of perianal disease. Il` Il` Il` Il`
c. Bloody stools with proctitis. Il` Il` Il` Il`
,d. Vomiting. - CORRECT ANSWER-a. Obstructive abdominal pain.
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Il` Il` Il` Il` Il` Il` Il`
The patient with ulcerative colitis will commonly exhibit:
Il`
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
Select one: Il`
Il`
a. Oral ulcerations.
Il` Il`
Il`
b. Significant abdominal pain.
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Il`
c. Superficial mucosal involvement.
Il` Il` Il`
d. Fistula formation. - CORRECT ANSWER-c. Superficial mucosal involvement.
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Il` Il` Il` Il` Il` Il` Il` Il`
When you read in the postoperative surgical report that the stoma was primarily
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
matured, you can expect which of the following?
Il`
Il` Il` Il` Il` Il` Il` Il`
Select one: Il` Il`
a. The stoma will be opened at the bedside with electrocautery.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. The stoma has been present for at least 3 months.
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c. The stoma is ready for sutures at the mucocutaneous junction to be removed.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
d. The bowel was everted and sutured to the dermal surface during surgery. - CORRECT
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
ANSWER-d. The bowel was everted and sutured to the dermal surface during surgery.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Which of the following groups of medications is used in the medical management of
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Il`
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Crohn's disease?
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Il`
Select one: Il` Il`
a. Corticosteroids and immune suppressants. Il` Il` Il` Il` Il`
b. Anticholinergics and anti-emetics. Il` Il` Il`
c. Antidepressants and antibiotics. Il` Il` Il`
d. Immune suppressants and antidepressants. - CORRECT ANSWER-a. Corticosteroids Il` Il` Il` Il` Il` Il` Il`
Il`
and immune suppressants.
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Which of the following statements about Crohn's disease and/or ulcerative colitis is
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Il`
true?
Il`
Select one: Il` Il`
a. Both Crohn's Disease and ulcerative colitis are characterized by patchy mucosal
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
involvement and skip lesions.
Il` Il` Il` Il` Il`
b. Crohn's Disease is limited to the colon and rectum. Il` Il` Il` Il` Il` Il` Il` Il` Il`
c. Ulcerative colitis is characterized by transmural involvement of the bowel wall. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
d. Ulcerative colitis begins in the rectal area and progresses backward toward the Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
ileocecal valve. - CORRECT ANSWER-d. Ulcerative colitis begins in the rectal area and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
progresses backward toward the ileocecal valve.
Il` Il` Il` Il` Il` Il` Il`
You are consulted to see a patient who has just been diagnosed with low rectal cancer
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
located distal to the dentate line. You will prepare teaching materials to cover content
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
areas related to which of the following surgical procedures?
Il`
Il`
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Select one: Il` Il`
a. Low anterior resection (LAR). Il` Il` Il` Il`
b. Abdominoperineal resection (APR). Il` Il` Il` Il`
c. Total proctocolectomy (TPC). Il` Il` Il`
, d. Ileal Pouch Anal Anastomosis (IPAA or IAR). - CORRECT ANSWER-b.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
Abdominoperineal resection (APR).
Il` Il` Il` Il`
Pneumatosis is a radiologic finding associated with:
Il`
Il` Il` Il` Il` Il` Il` Il`
Select one: Il` Il`
a. Hirschsprung's disease. Il` Il`
b. Gut Malrotation. Il` Il`
c. Diverticulitis. Il`
d. Necrotizing Enterocolitis (NEC). - CORRECT ANSWER-d. Necrotizing Enterocolitis Il` Il` Il` Il` Il` Il` Il`
Il`
(NEC). Il` Il`
When preparing a 35-year-old male for colon resection with a temporary ileostomy due
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
to refractory Crohn's disease, he asks about sexual function after surgery. You explain
Il` Il` Il`
Il`
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
that this procedure involves:
Il` Il` Il`
Il`
Select one: Il`
Il`
a. Removal of the rectum only.
Il` Il` Il` Il` Il`
Il`
b. Moderate incidence of premature ejaculation.
Il` Il` Il` Il` Il`
Il` Il`
c. Do not anticipate any sexual dysfunction.
Il` Il` Il` Il` Il` Il`
Il`
d. High incidence of erectile dysfunction. - CORRECT ANSWER-c. Do not anticipate
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
any sexual dysfunction.
Il`
Il` Il`
You receive a referral for a patient scheduled for an abdominoperineal resection. Prior to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
reviewing the chart and interviewing the patient you can anticipate his diagnosis to be:
Il`
Il`
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
Select one: Il`
Il`
a. Transitional cell carcinoma of the bladder.
Il` Il` Il` Il` Il`
Il` Il`
Il`
b. Adenocarcinoma of the rectum.
Il` Il` Il` Il`
Il`
c. Familial Adenomatous polyposis. (FAP)
Il` Il` Il` Il`
d. Diverticulitis. - CORRECT ANSWER-b. Adenocarcinoma of the rectum.
Il`
Il` Il` Il` Il` Il` Il` Il` Il`
Anorectal malformation in the neonate is also known as:
Il`
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Select one: Il` Il`
a. Hirschsprung's disease. Il` Il`
b. Imperforate anus. Il` Il` Il`
Il`
c. Turcot syndrome.
Il` Il`
d. Volvulus. - CORRECT ANSWER-b. Imperforate anus.
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Which of the following types of stoma construction methods is NOT completely
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Il`
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
diverting?
Il`
Select one: Il` Il`
a. End stoma. Il` Il`
b. Loop stoma. Il` Il`
c. Separated double barrel stoma. Il` Il` Il` Il` Il`
d. Brooke ileostomy. - CORRECT ANSWER-b. Loop stoma.
Il`
Il` Il` Il` Il` Il` Il` Il`
A Hartmann's Procedure (Pouch) is constructed when the:
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Select one: Il` Il`
