WEB WOC OSTOMY CARE: QUIZ QUESTIONS.
Your shortcut to understanding complex topics.
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.
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.
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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,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.
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.
D. Fistula formation. - Answer: c. Superficial mucosal involvement.
When you read in the postoperative surgical report that the stoma was primarily matured,
you can expect which of the following?
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2
,Select one:
A. The stoma will be opened at the bedside with electrocautery.
B. The stoma has been present for at least 3 months.
C. The stoma is ready for sutures at the mucocutaneous junction to be removed.
D. The bowel was everted and sutured to the dermal surface during surgery. - Answer: d.
The bowel was everted and sutured to the dermal surface during surgery.
Which of the following groups of medications is used in the medical management of
Crohn's disease?
Select one:
A. Corticosteroids and immune suppressants.
B. Anticholinergics and anti-emetics.
C. Antidepressants and antibiotics.
D. Immune suppressants and antidepressants. - Answer: a. Corticosteroids and immune
suppressants.
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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, 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.
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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
Your shortcut to understanding complex topics.
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.
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.
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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,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.
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.
D. Fistula formation. - Answer: c. Superficial mucosal involvement.
When you read in the postoperative surgical report that the stoma was primarily matured,
you can expect which of the following?
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,Select one:
A. The stoma will be opened at the bedside with electrocautery.
B. The stoma has been present for at least 3 months.
C. The stoma is ready for sutures at the mucocutaneous junction to be removed.
D. The bowel was everted and sutured to the dermal surface during surgery. - Answer: d.
The bowel was everted and sutured to the dermal surface during surgery.
Which of the following groups of medications is used in the medical management of
Crohn's disease?
Select one:
A. Corticosteroids and immune suppressants.
B. Anticholinergics and anti-emetics.
C. Antidepressants and antibiotics.
D. Immune suppressants and antidepressants. - Answer: a. Corticosteroids and immune
suppressants.
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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, 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.
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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
