Correct Verified Answers. Latest 2026-
2027. Graded A
A patient receiving a contrast enema through a loop ileostomy should be
warned that - ANScontrast may exit from distal limb of stoma as well as
from anus
A peristomal bulge that is usually visualized in the standing or sitting
position is actually a________________________ - ANSperistomal hernia
A sterile urine sample collected from an ileal conduit should be delivered to
the lab within__________ - ANS1 hour
abdominoperineal resection - ANSthe anus, rectum, and sigmoid colon are
removed. This procedure is most often used to treat cancers located very
low in the rectum or in the anus.
After IPAA closure and recovery from postoperative phase, how many
bowel movement should be expected per day? - ANS5-6 bowel movements
per day
After surgical closure of the ileostomy, what happens to the superficial
skin? - ANSLeft to close by secondary intention
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,Amount of fluid to use for irrigation of colostomy - ANS500ml
Anal rectal adenocarcinoma procedure of choice - ANSAPR (rectum, anus,
sphincter removed). End colostomy.
APR (abdominoperineal resection) - ANSremoval of rectum, anus and
sphincter. Permanent end colostomy of sigmoid colon placed through LLQ.
APR leads to what kind of ostomy? - ANSSigmoidostomy
at what age should children be independent with daily ostomy care
(emptying)? - ANSage 6
Autolytic debridement - ANSnatural process by which endogenous
phagocytic cells and proteolytic enzymes break down necrotic tissue. It is a
highly selective process whereby only necrotic tissue will be affected in the
debridement.
BCIR - ANSBarnett Continent Intestinal Reservoir
improvement upon the Kock continent ileostomy
BCIR is a urinary or a fecal diversion? - ANSFecal
Biological debridement - ANSlarval therapy, uses sterile larvae of the
Lucilia sericata species of the green bottle fly. It is an effective mode of
debridement, particularly appropriate in large wounds where a painless
removal of necrotic tissue is needed. The mechanism of action of mega
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, therapy/debridement consists mainly of the release of proteolytic enzymes
containing secretions and excretions that dissolve necrotic tissue from the
wound bed.
Bismuth subgallate - ANSreduces stool odor but also changes stool color,
decreases peristalsis, can cause malaise if taken for a long time, tingling in
extremities, fatigue
bladder exstrophy - ANSexposed bladder, urethra and ureteral orifices
through the suprapubic area, epispadias or vagina/uterus duplication.
vesicoureteral reflux.
Cecum - ANSfirst part of the large intestine
cloacal exstrophy - ANSbivalved bladder with 2 orifices, 2 appendiceal
orifices, bifid penis, undescended testes, imperforate anus, inguinal hernia,
omphalocele, shortened midgut with predisposition to malabsorption, spinal
abnormalities, renal anomalies, NORMAL intelligence.
cloacal exstrophy prognosis - ANSpermanent intestinal stoma and
continent urinary diversion/reconstruction
Coloanal anastomosis - ANSA surgical procedure in which the colon is
attached to the anus after the rectum has been removed, just above the
levator anii muscles.
common postop problem for neobladder patients? - ANSnocturnal enuresis
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