WEB WOC EXAMINATION SCRIPT 2026
ACTUAL QUESTIONS AND CORRECT
ANSWERS FULLY VERIFIED
⩥ jejunostomy disease and procedure. Answer: ischemic bowel, crohn's,
trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or
without small bowel resection, loop or end stoma
⩥ jejunostomy function and management. Answer: *function begins in
24-48 hours
*initially gas, then watery clear/green output (fluid and digestive
enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
⩥ jejunostomy complications. Answer: *monitor for electrolyte
imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
⩥ ileostomy location. Answer: RUQ
,⩥ ileostomy disease and procedure. Answer: crohn's, ulcerative colitis,
familial adenomatous polyposis, trauma, necrotizing enterocolitis,
cancer, ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with
continent ileostomy, temporary ileostomy, temporary loop ileostomy for
ileal pouch-anal anastomosis
⩥ ileostomy function and management. Answer: *function begins in 24-
48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum
stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
⩥ ileostomy complications. Answer: *high risk for bowel obstruction-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
⩥ transverse colostomy location. Answer: RUQ or LUQ
, ⩥ transverse colostomy disease and procedure. Answer: diverticulitis,
colon cancer, crohn's, perforated bowel, congenital disease
(Hirschprung's)
diversion of large bowel at the transverse colon, with or without
colectomy, usually temporary loop stoma
⩥ transverse colostomy function and management. Answer: *function
begins within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
⩥ transverse colostomy complications. Answer: *waistline location can
be difficult to manage
⩥ descending colostomy location. Answer: LLQ
⩥ descending colostomy disease and procedure. Answer: colorectal
cancer, trauma, bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or
permanent end colostomy with Hartmann's pouch (sewing shut top of
rectum with ability to reconnect to GI tract later)
ACTUAL QUESTIONS AND CORRECT
ANSWERS FULLY VERIFIED
⩥ jejunostomy disease and procedure. Answer: ischemic bowel, crohn's,
trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or
without small bowel resection, loop or end stoma
⩥ jejunostomy function and management. Answer: *function begins in
24-48 hours
*initially gas, then watery clear/green output (fluid and digestive
enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
⩥ jejunostomy complications. Answer: *monitor for electrolyte
imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
⩥ ileostomy location. Answer: RUQ
,⩥ ileostomy disease and procedure. Answer: crohn's, ulcerative colitis,
familial adenomatous polyposis, trauma, necrotizing enterocolitis,
cancer, ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with
continent ileostomy, temporary ileostomy, temporary loop ileostomy for
ileal pouch-anal anastomosis
⩥ ileostomy function and management. Answer: *function begins in 24-
48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum
stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
⩥ ileostomy complications. Answer: *high risk for bowel obstruction-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
⩥ transverse colostomy location. Answer: RUQ or LUQ
, ⩥ transverse colostomy disease and procedure. Answer: diverticulitis,
colon cancer, crohn's, perforated bowel, congenital disease
(Hirschprung's)
diversion of large bowel at the transverse colon, with or without
colectomy, usually temporary loop stoma
⩥ transverse colostomy function and management. Answer: *function
begins within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
⩥ transverse colostomy complications. Answer: *waistline location can
be difficult to manage
⩥ descending colostomy location. Answer: LLQ
⩥ descending colostomy disease and procedure. Answer: colorectal
cancer, trauma, bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or
permanent end colostomy with Hartmann's pouch (sewing shut top of
rectum with ability to reconnect to GI tract later)
