WEB WOC OSTOMY CARE Final Exam Newest
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You are consulted to see a patient who has just been diagnosed
with low rectal cancer located distal to the dentate line. You will
prepare teaching materials to cover content areas related to
which of the following surgical procedures?
Select one:
a. Low anterior resection (LAR).
b. Abdominoperineal resection (APR).
c. Total proctocolectomy (TPC).
d. Ileal Pouch Anal Anastomosis (IPAA or IAR). - ANSWER-b.
Abdominoperineal resection (APR).
Pneumatosis is a radiologic finding associated with:
Select one:
a. Hirschsprung's disease.
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b. Gut Malrotation.
c. Diverticulitis.
d. Necrotizing Enterocolitis (NEC). - ANSWER-d. Necrotizing
Enterocolitis (NEC).
When preparing a 35-year-old male for colon resection with a
temporary ileostomy due to refractory Crohn's disease, he asks
about sexual function after surgery. You explain that this
procedure involves:
Select one:
a. Removal of the rectum only.
b. Moderate incidence of premature ejaculation.
c. Do not anticipate any sexual dysfunction.
d. High incidence of erectile dysfunction. - ANSWER-c. Do not
anticipate any sexual dysfunction.
You receive a referral for a patient scheduled for an
abdominoperineal resection. Prior to reviewing the chart and
interviewing the patient you can anticipate his diagnosis to be:
Select one:
a. Transitional cell carcinoma of the bladder.
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b. Adenocarcinoma of the rectum.
c. Familial Adenomatous polyposis. (FAP)
d. Diverticulitis. - ANSWER-b. Adenocarcinoma of the rectum.
Anorectal malformation in the neonate is also known as:
Select one:
a. Hirschsprung's disease.
b. Imperforate anus.
c. Turcot syndrome.
d. Volvulus. - ANSWER-b. Imperforate anus.
Which of the following types of stoma construction methods is
NOT completely diverting?
Select one:
a. End stoma.
b. Loop stoma.
c. Separated double barrel stoma.
d. Brooke ileostomy. - ANSWER-b. Loop stoma.
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A Hartmann's Procedure (Pouch) is constructed when the:
Select one:
a. Proximal edges of the rectal segment are over sewn and left in
the pelvis following colon resection.
b. Entire colon is removed, and an ileal pouch is constructed in
the pelvis.
c. A reservoir is constructed in the abdomen for small bowel
disease.
d. The cecal reservoir is constructed and effluent is emptied with
a catheter. - ANSWER-a. Proximal edges of the rectal segment
are over sewn and left in the pelvis following colon resection.
Which of the following statements is true for the Kock continent
ileostomy?
Select one:
a. It is the preferred surgical procedure for Crohn's Disease.
b. Nipple valve of ileum proximal to the stoma is the continence
mechanism.