OMS Ostomy Management Specialist
Certification Exam Questions and Correct
Answers
Question 1
What should be included in an ostomy note?
Correct Answer
1. Type of ostomy
2. Location of stoma on abdominal wall
3. Location of lumen
4, The shape of stoma
5. The color and moisture of stoma
6. The size of stoma after measurement
7. Level of protrusion or retraction
8. Condition of MCJ
9. Effluent description
Question 2
Integrity of bowels in double-barrel stoma?
Correct Answer
Bowels are severed and both ends brought out to surface of abdomen
Two distinct stomas
May or may not be separated by an expanse of skin (can be very close)
Question 3
What pouching considerations must be in place with peristomal hernias?
Correct Answer
Flexible system
No rigid or convex systems
Floating flange or flangeless systems
Page 1 of 124
,Question 4
Symptoms of stoma stenosis
Correct Answer
Change in the effluent-
Stool from fecal diversion may become explosive, stool may be narrow, large
amounts of gas
Urinary diversion-decreased or infrequent urinary output, but with more force; pain
Question 5
How many steps are in the IPAA procedure?
Correct Answer
2-3 surgery steps most common
Question 6
After how many hours after an ileostomy creation with no output should the
surgeon/provider be notified?
Correct Answer
>72 hrs
Question 7
Two types of continent GI diversion
Correct Answer
1. Kock pouch
2. Ileoanal reservoir
Question 8
Peristomal fistula
Correct Answer
An abnormal passage between stoma and intestines and peristomal skin
Page 2 of 124
,Question 9
J-pouch
Correct Answer
Removes the colon and attaches the ileum to the rectum
Question 10
Steps for ileostomy lavage for food blockage
Correct Answer
Manipulate with gloved, lubricated finger to see if blockage may be palpated
Insert 14-16 FR catheter
Slowly instill 30-50 cc NS
Allow fluid to drain
Repeat until resolved
May take 1-2 hours
Question 11
What is diversion surgery?
Correct Answer
Surgical creation of an alternative route for effluent of GI or urinary tracts
Can be described as continent or incontinent
Question 12
Post-op ostomy appliances
Correct Answer
1. Transparent pouch for frequent assessment
2. A standard wear time, cut-to-fit wafer
Question 13
Inner lining of ureters produce what?
Correct Answer
Mucous
Page 3 of 124
, Question 14
What section of colon can an ostomy start producing regulated evacuation?
Correct Answer
Descending and sigmoid colostomy
Question 15
What are extended wear barriers not good for?
Correct Answer
Moisture absorption on skin
Humid environments
Need for frequent change of barriers
Question 16
End stoma
Correct Answer
One stoma with one opening
Question 17
Wound care considerations of Peristomal PG
Correct Answer
Topical anesthetics
Fill lesions- absorptive powder, granules, calcium alginate, hydrofiber
Cover peristomal skin with powder or apply a hydrocolloid dressing with opening
cut to fit stoma
Goal is to manage wounds while maintaining pouching system
Question 18
Retracted stoma
Correct Answer
Below skin level
Page 4 of 124
Certification Exam Questions and Correct
Answers
Question 1
What should be included in an ostomy note?
Correct Answer
1. Type of ostomy
2. Location of stoma on abdominal wall
3. Location of lumen
4, The shape of stoma
5. The color and moisture of stoma
6. The size of stoma after measurement
7. Level of protrusion or retraction
8. Condition of MCJ
9. Effluent description
Question 2
Integrity of bowels in double-barrel stoma?
Correct Answer
Bowels are severed and both ends brought out to surface of abdomen
Two distinct stomas
May or may not be separated by an expanse of skin (can be very close)
Question 3
What pouching considerations must be in place with peristomal hernias?
Correct Answer
Flexible system
No rigid or convex systems
Floating flange or flangeless systems
Page 1 of 124
,Question 4
Symptoms of stoma stenosis
Correct Answer
Change in the effluent-
Stool from fecal diversion may become explosive, stool may be narrow, large
amounts of gas
Urinary diversion-decreased or infrequent urinary output, but with more force; pain
Question 5
How many steps are in the IPAA procedure?
Correct Answer
2-3 surgery steps most common
Question 6
After how many hours after an ileostomy creation with no output should the
surgeon/provider be notified?
Correct Answer
>72 hrs
Question 7
Two types of continent GI diversion
Correct Answer
1. Kock pouch
2. Ileoanal reservoir
Question 8
Peristomal fistula
Correct Answer
An abnormal passage between stoma and intestines and peristomal skin
Page 2 of 124
,Question 9
J-pouch
Correct Answer
Removes the colon and attaches the ileum to the rectum
Question 10
Steps for ileostomy lavage for food blockage
Correct Answer
Manipulate with gloved, lubricated finger to see if blockage may be palpated
Insert 14-16 FR catheter
Slowly instill 30-50 cc NS
Allow fluid to drain
Repeat until resolved
May take 1-2 hours
Question 11
What is diversion surgery?
Correct Answer
Surgical creation of an alternative route for effluent of GI or urinary tracts
Can be described as continent or incontinent
Question 12
Post-op ostomy appliances
Correct Answer
1. Transparent pouch for frequent assessment
2. A standard wear time, cut-to-fit wafer
Question 13
Inner lining of ureters produce what?
Correct Answer
Mucous
Page 3 of 124
, Question 14
What section of colon can an ostomy start producing regulated evacuation?
Correct Answer
Descending and sigmoid colostomy
Question 15
What are extended wear barriers not good for?
Correct Answer
Moisture absorption on skin
Humid environments
Need for frequent change of barriers
Question 16
End stoma
Correct Answer
One stoma with one opening
Question 17
Wound care considerations of Peristomal PG
Correct Answer
Topical anesthetics
Fill lesions- absorptive powder, granules, calcium alginate, hydrofiber
Cover peristomal skin with powder or apply a hydrocolloid dressing with opening
cut to fit stoma
Goal is to manage wounds while maintaining pouching system
Question 18
Retracted stoma
Correct Answer
Below skin level
Page 4 of 124
