GI MIDTERM QUESTIONS & ANSWERS
A patient whose neck has been slashed and has a severed lower trachea may also
have injury to the: - Answer -Esophagus
What best reflects the the functional components of the gastrointestinal (GI) tract -
Answer -The alimentary canal extends from the mouth to the anus
What is a risk factor for adhesions with an appropriate preventative strategy? - Answer
-Patients with endometriosis may be best served with a laparoscopic approach
The general risks associated with gastrointestinal surgery parallel those risks
associated with most abdominal procedures. What is the most typical risk associated
with surgery of the large bowel? - Answer -Peritonitis
As the surgeon prepared to clamp and transect the bowel during a small bowel
resection for tumor, the scrub person transferred instruments from the mayo stand to
the back table and prepared the sterile field for bowel isolation technique. The rationale
for this application involves? - Answer -Risk for infection
During a laparoscopic colectomy, the scrub person carefully placed the endoscopic
electrosurgery instruments on the mayo stand after inspecting the integrity of the
insulation along the shaft. This practice is designed to meet the expectation for the
following outcome: The patient will be free from: - Answer -Thermal burns and
adhesions, and impaired tissue integrity
Triangulation is a term used to describe the method used to provide instrument access
to the anatomy during abdominal surgery. It is uniquely associated with which surgical
incision? - Answer -Laparoscopic port incisions
Two patients are scheduled to have a gastrojejunostomy for obstruction. How will
preoperative planning differ for a patient weighing 280 lb as compared to that for a 150
lb patient? - Answer -Deaver retractors will replace Richardson retractors with the
heavier patient.
Edward Lewis is scheduled for a transthoracic esophagectomy with lymph node
dissection for cancer of the esophagus. Which incisional approach is indicated for this
procedure? - Answer -Left thoracoabdominal incision, right posterior lateral
thoracotomy and midline abdominal incision, three incision (three hole) approach with
cervical, right thoracotomy, and midline laparotomy incisions
Carly Shelmire is a 5-year-old girl with a history of weight loss and stomach upset and
pain after eating; she is also small for her age. Her pediatrician suspects celiac disease.
Carly has arrived at the pediatric endoscopy unit for a procedure that is less invasive
, and will also have the benefit of spending the next few hours in the mall across from the
hospital with her mom until the procedure is over. What is Carly's scheduled procedure?
- Answer -Capsule endoscopy
What pairs the correct surgical diagnosis with the surgical/endoscopic procedure for
diseases of the abdomen. - Answer -Peritoneal cancer/hyperthermic intraperitoneal
chemotherapy and adhesions/lysis of adhesions
Specific positioning considerations for bariatric patients require particular attention to
protecting these patients from inherent risks related to their size and weight. Of
considerable concern is the risk of injury to staff. Protective measures to protect both
patient and staff include those below. Which measure reflects the most safety protection
for both patient and staff? - Answer -Ensure that the OR bed can accommodate the
patient's weight and girth.
What are the 3 portions of the stomach - Answer -Fundus, body, antrum
What is the fibrous tissue that holds the rectus muscles together(white line)? - Answer -
Linea alba
What will never be cut in an GI surgery? - Answer -Umbilicus
Exposure of intra-abdominal anatomy is crucial to safe surgery and employs varied
instruments, applications of highly technical energy sources, patient manipulations,
light, and imaging. What is unique to the laparoscopic approach that promotes
exposure? - Answer -Carbon dioxide pneumoperitoneum
What is true about the McBurney incision? - Answer -It is an oblique inguinal incision in
the right lower quadrant
When setting up for a gastrectomy, the scrub person will ensure that appropriate
instruments are available to clamp and ligate the: - Answer -Splenic vessels
An abdominal perineal resection, or APR, for a patient at high risk for colon cancer
without anal/rectal involvement (e.g., familial adenopolyposis [FAP]) can be
accomplished through an open laparotomy or laparoscopic-assisted ileoanal pull-
through approach, per surgeon preference and appropriate patient selection. Which of
these statements about approaches for APR is correct? - Answer -The laparoscopic-
assisted approach only has an abdominal skin incisions
Select the diagnosis/procedure option that pairs the correct surgical diagnosis with the
surgical/endoscopic procedure for diseases of the esophagus: - Answer -Barrett's
dysplasia of the distal esophagus/endoscopic mucosal resection (EMR)
Select the answer that reflects the correct match between the procedure and the
disease. - Answer -Esophagogastroduodenoscopy (EGD) for gastric ulcer disease
A patient whose neck has been slashed and has a severed lower trachea may also
have injury to the: - Answer -Esophagus
What best reflects the the functional components of the gastrointestinal (GI) tract -
Answer -The alimentary canal extends from the mouth to the anus
What is a risk factor for adhesions with an appropriate preventative strategy? - Answer
-Patients with endometriosis may be best served with a laparoscopic approach
The general risks associated with gastrointestinal surgery parallel those risks
associated with most abdominal procedures. What is the most typical risk associated
with surgery of the large bowel? - Answer -Peritonitis
As the surgeon prepared to clamp and transect the bowel during a small bowel
resection for tumor, the scrub person transferred instruments from the mayo stand to
the back table and prepared the sterile field for bowel isolation technique. The rationale
for this application involves? - Answer -Risk for infection
During a laparoscopic colectomy, the scrub person carefully placed the endoscopic
electrosurgery instruments on the mayo stand after inspecting the integrity of the
insulation along the shaft. This practice is designed to meet the expectation for the
following outcome: The patient will be free from: - Answer -Thermal burns and
adhesions, and impaired tissue integrity
Triangulation is a term used to describe the method used to provide instrument access
to the anatomy during abdominal surgery. It is uniquely associated with which surgical
incision? - Answer -Laparoscopic port incisions
Two patients are scheduled to have a gastrojejunostomy for obstruction. How will
preoperative planning differ for a patient weighing 280 lb as compared to that for a 150
lb patient? - Answer -Deaver retractors will replace Richardson retractors with the
heavier patient.
Edward Lewis is scheduled for a transthoracic esophagectomy with lymph node
dissection for cancer of the esophagus. Which incisional approach is indicated for this
procedure? - Answer -Left thoracoabdominal incision, right posterior lateral
thoracotomy and midline abdominal incision, three incision (three hole) approach with
cervical, right thoracotomy, and midline laparotomy incisions
Carly Shelmire is a 5-year-old girl with a history of weight loss and stomach upset and
pain after eating; she is also small for her age. Her pediatrician suspects celiac disease.
Carly has arrived at the pediatric endoscopy unit for a procedure that is less invasive
, and will also have the benefit of spending the next few hours in the mall across from the
hospital with her mom until the procedure is over. What is Carly's scheduled procedure?
- Answer -Capsule endoscopy
What pairs the correct surgical diagnosis with the surgical/endoscopic procedure for
diseases of the abdomen. - Answer -Peritoneal cancer/hyperthermic intraperitoneal
chemotherapy and adhesions/lysis of adhesions
Specific positioning considerations for bariatric patients require particular attention to
protecting these patients from inherent risks related to their size and weight. Of
considerable concern is the risk of injury to staff. Protective measures to protect both
patient and staff include those below. Which measure reflects the most safety protection
for both patient and staff? - Answer -Ensure that the OR bed can accommodate the
patient's weight and girth.
What are the 3 portions of the stomach - Answer -Fundus, body, antrum
What is the fibrous tissue that holds the rectus muscles together(white line)? - Answer -
Linea alba
What will never be cut in an GI surgery? - Answer -Umbilicus
Exposure of intra-abdominal anatomy is crucial to safe surgery and employs varied
instruments, applications of highly technical energy sources, patient manipulations,
light, and imaging. What is unique to the laparoscopic approach that promotes
exposure? - Answer -Carbon dioxide pneumoperitoneum
What is true about the McBurney incision? - Answer -It is an oblique inguinal incision in
the right lower quadrant
When setting up for a gastrectomy, the scrub person will ensure that appropriate
instruments are available to clamp and ligate the: - Answer -Splenic vessels
An abdominal perineal resection, or APR, for a patient at high risk for colon cancer
without anal/rectal involvement (e.g., familial adenopolyposis [FAP]) can be
accomplished through an open laparotomy or laparoscopic-assisted ileoanal pull-
through approach, per surgeon preference and appropriate patient selection. Which of
these statements about approaches for APR is correct? - Answer -The laparoscopic-
assisted approach only has an abdominal skin incisions
Select the diagnosis/procedure option that pairs the correct surgical diagnosis with the
surgical/endoscopic procedure for diseases of the esophagus: - Answer -Barrett's
dysplasia of the distal esophagus/endoscopic mucosal resection (EMR)
Select the answer that reflects the correct match between the procedure and the
disease. - Answer -Esophagogastroduodenoscopy (EGD) for gastric ulcer disease
