WOCN OSTOMY CERTIFICATION UPDATED
EXAM; QUESTIONS WITH 100% VERIFIED
ANSWERS
APR - ✔✔permanent end colostomy
rectum removed
perianal surgical incision
Hartmann's Pouch - ✔✔ temporary colostomy or ileostomy
rectum is retained
IPAA - ✔✔stage 1- temporary end ileostomy
stage 2- temporary loop ileostomy
stage 3- ileostomy takedown
proctocolectomy - ✔✔surgical removal of the large intestine and rectum
permanent end ileostomy
LAR - ✔✔temporary loop ileostomy
subtotal colectomy - ✔✔ removal of part of the colon, and reanastomosis
temporary end or loop ileostomy
sigmoid colectomy - ✔✔ temporary loop ileostomy
Kock pouch - ✔✔type of continent ileal reservoir created surgically by making an internal
pouch with a portion of the ileum and placing a nipple valve flush with the stoma
, cystectomy (ileal or colon conduit) - ✔✔urostomy
Indiana pouch - ✔✔continent urinary diversion
high output fistula - ✔✔ > 500 mL/ day
moderate output fistula - ✔✔200-500 mL/ day
low output fistula - ✔✔< 200 mL/ day
amount of bowel length required to create a neobladder - ✔✔50-60cm
amount of bowel length require to create and ileal conduit - ✔✔10-12cm
indications for surgical treatment of crohn's - ✔✔ unresponsive to meds
perforation
obstruction d/t fibrotic stricture
unmanaged hemorrhage
cancer
colonic inflammation with UC - ✔✔always appears in the rectum, occasionally in the R
colon
IPAA not recommended for - ✔✔Crohn's patients- high incidence of pouch failure and
pouch- related fistulas
endoscopic appearance crohn's vs uc - ✔✔crohn's patchy
uc continuous
EXAM; QUESTIONS WITH 100% VERIFIED
ANSWERS
APR - ✔✔permanent end colostomy
rectum removed
perianal surgical incision
Hartmann's Pouch - ✔✔ temporary colostomy or ileostomy
rectum is retained
IPAA - ✔✔stage 1- temporary end ileostomy
stage 2- temporary loop ileostomy
stage 3- ileostomy takedown
proctocolectomy - ✔✔surgical removal of the large intestine and rectum
permanent end ileostomy
LAR - ✔✔temporary loop ileostomy
subtotal colectomy - ✔✔ removal of part of the colon, and reanastomosis
temporary end or loop ileostomy
sigmoid colectomy - ✔✔ temporary loop ileostomy
Kock pouch - ✔✔type of continent ileal reservoir created surgically by making an internal
pouch with a portion of the ileum and placing a nipple valve flush with the stoma
, cystectomy (ileal or colon conduit) - ✔✔urostomy
Indiana pouch - ✔✔continent urinary diversion
high output fistula - ✔✔ > 500 mL/ day
moderate output fistula - ✔✔200-500 mL/ day
low output fistula - ✔✔< 200 mL/ day
amount of bowel length required to create a neobladder - ✔✔50-60cm
amount of bowel length require to create and ileal conduit - ✔✔10-12cm
indications for surgical treatment of crohn's - ✔✔ unresponsive to meds
perforation
obstruction d/t fibrotic stricture
unmanaged hemorrhage
cancer
colonic inflammation with UC - ✔✔always appears in the rectum, occasionally in the R
colon
IPAA not recommended for - ✔✔Crohn's patients- high incidence of pouch failure and
pouch- related fistulas
endoscopic appearance crohn's vs uc - ✔✔crohn's patchy
uc continuous
