Practice Guide with 100% Correct
Answers | Guarantee Pass!
1. The patient who is NPO for several days is at risk for atrophy of which of
the following structures in the mucosal surface of the small bowel?
Select one:
a. Ligament of Treitz.
b. Villi.
c. Ampulla of Vater.
d. Sphincter of Oddi. - ANSWER b. Villi.
2. A bowel prep preoperatively for ostomy surgery is routinely utilized to
decrease bacteria in the bowel. The section of the bowel with the greatest
level of bacteria is:
Select one:
a. Distal portion of the colon.
b. Proximal portion of the colon.
c. Distal portion of the small bowel.
d. Proximal portion of the small bowel. - ANSWER a. Distal portion of
the colon.
3. Which of the following statements about Crohn's disease and/or ulcerative
colitis is true?
Select one:
, a. Both Crohn's Disease and ulcerative colitis are characterized by
patchy mucosal involvement and skip lesions.
b. Crohn's Disease is limited to the colon and rectum.
c. Ulcerative colitis is characterized by transmural involvement of the
bowel wall.
d. Ulcerative colitis begins in the rectal area and progresses backward
toward the ileocecal valve. - ANSWER d. Ulcerative colitis begins in
the rectal area and progresses backward toward the ileocecal valve.
4. 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).
5. Pneumatosis is a radiologic finding associated with:
Select one:
a. Hirschsprung's disease.
b. Gut Malrotation.
c. Diverticulitis.
d. Necrotizing Enterocolitis (NEC). - ANSWER d. Necrotizing
Enterocolitis (NEC).
,6. 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.
7. 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.
b. Adenocarcinoma of the rectum.
c. Familial Adenomatous polyposis. (FAP)
d. Diverticulitis. - ANSWER b. Adenocarcinoma of the rectum.
8. 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.
9. An Ileal pouch anal anastomosis (IPAA) which is also referred to as the
ileoanal reservoir is indicated for which of the following disease processes?
, Select one:
a. Irritable bowel syndrome and Crohn's Disease.
b. Colorectal cancer and chronic ulcerative colitis.
c. Crohn's Disease and chronic ulcerative colitis.
d. Ulcerative colitis and familial adenomatous polyposis. - ANSWER d.
Ulcerative colitis and familial adenomatous polyposis.
10.The preferred abdominal location for an ileostomy in the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ. - ANSWER c. RLQ.
11.Gary is experiencing a recurrence of his Crohn's Disease. Which of the
following symptoms is Gary most likely experiencing?
Select one:
a. Obstructive abdominal pain.
b. Absence of perianal disease.
c. Bloody stools with proctitis.
d. Vomiting. - ANSWER a. Obstructive abdominal pain.
The patient with ulcerative colitis will commonly exhibit:
Select one:
a. Oral ulcerations.
b. Significant abdominal pain.
c. Superficial mucosal involvement.