WEB WOC WOUND CARE LATEST EXAM ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔ureterosigmoidostomy complications - ✔✔*malodorous stool
*hyperchloremic acidosis
*ureteral obstruction
*pyelonephritis
*frequent UTIs
*frequent incontinence
✔✔vesicostomy/ileovesicostomy/appendicovesicostomy location - ✔✔just above the
pubic bone (vesicostomy/leovesicostomy), or at the umbilicus (appendicovesicostomy)
✔✔vesicostomy/ileovesicostomy/appendicovesicostomy disease and procedure -
✔✔spina bifida, prune belly syndrome, bladder exstrophy
vesicostomy: bladder is brought out to the skin
ileovesicostomy: piece of bowel is used to form a channel from bladder to the skin
appednicovesicostomy (mitrofanoff): appendix is used as the channel between the
bladder and the skin, exiting at the umbilicus, continent stoma results
*pediatric procedures
✔✔vesicostomy/ileovesicostomy/appendicovesicostomy function and management -
✔✔*functions immediately with clear to blood-tinged urine
*diaper, catheterize, or pouching system
✔✔vesicostomy/ileovesicostomy/appendicovesicostomy complications - ✔✔*UTIs
*difficult to pouch given low location
*high rates of wound infections
*incontinence
✔✔3 major surgical procedures for colon and rectal cancer - ✔✔1. colectomy without a
stoma
, 2. low anterior resection with temporary stoma
3. abdominoperineal resection with permanent stoma
✔✔low anterior resection - ✔✔Resection of the lower colon and proximal rectum with an
anastomosis of the remaining colon to the distal rectum
*for tumors classified at the mid to high level of the rectum
*2 stage procedure with temporary loop ileostomy
wide surgical resection done = risk for sexual dysfunction
✔✔abdominoperineal resection - ✔✔removal of the distal colon and rectum through
both abdominal and perineal approaches
*for low rectal tumors
*creates permanent sigmoid or descending colostomy
*wide resection done = risk for sexual dysfunction
✔✔Familial Adenomatous Polyposis (FAP) - ✔✔An autosomal dominant trait resulting in
the development of polyps and benign growths in the colon. Polyps often develop into
malignant growths and cause cancer of the colon and/or rectum.
*polyps begin to appear at puberty
*can develop extra-intsetinal manifestations
*removal of colon removes risk of developing colon cancer - IPAA or total
proctocolectomy
✔✔crohn's disease - ✔✔chronic inflammation of the intestinal tract
*Affects any portion of the GI tract
*Initially develops at terminal ileum, Cramping or steady RLQ pain, fever, malaise,
weight loss, bleeding may be occult, extracolonic manifestations
*Transmural (affects ALL layers of bowel wall) perforation of the bowel or fistula)
mucosal inflammation and ulceration - skip areas a hallmark
*Complications include strictures, FISTULAS, and abscess formation, bowel
obstructions
*Not cured with surgery, but a remission may result. Not generally a candidate for IPAA
or other type of continent diversion
✔✔ulcerative colitis - ✔✔chronic inflammation of the colon with ulcerations
*Confined to the colon
QUESTIONS AND ANSWERS SURE A+
✔✔ureterosigmoidostomy complications - ✔✔*malodorous stool
*hyperchloremic acidosis
*ureteral obstruction
*pyelonephritis
*frequent UTIs
*frequent incontinence
✔✔vesicostomy/ileovesicostomy/appendicovesicostomy location - ✔✔just above the
pubic bone (vesicostomy/leovesicostomy), or at the umbilicus (appendicovesicostomy)
✔✔vesicostomy/ileovesicostomy/appendicovesicostomy disease and procedure -
✔✔spina bifida, prune belly syndrome, bladder exstrophy
vesicostomy: bladder is brought out to the skin
ileovesicostomy: piece of bowel is used to form a channel from bladder to the skin
appednicovesicostomy (mitrofanoff): appendix is used as the channel between the
bladder and the skin, exiting at the umbilicus, continent stoma results
*pediatric procedures
✔✔vesicostomy/ileovesicostomy/appendicovesicostomy function and management -
✔✔*functions immediately with clear to blood-tinged urine
*diaper, catheterize, or pouching system
✔✔vesicostomy/ileovesicostomy/appendicovesicostomy complications - ✔✔*UTIs
*difficult to pouch given low location
*high rates of wound infections
*incontinence
✔✔3 major surgical procedures for colon and rectal cancer - ✔✔1. colectomy without a
stoma
, 2. low anterior resection with temporary stoma
3. abdominoperineal resection with permanent stoma
✔✔low anterior resection - ✔✔Resection of the lower colon and proximal rectum with an
anastomosis of the remaining colon to the distal rectum
*for tumors classified at the mid to high level of the rectum
*2 stage procedure with temporary loop ileostomy
wide surgical resection done = risk for sexual dysfunction
✔✔abdominoperineal resection - ✔✔removal of the distal colon and rectum through
both abdominal and perineal approaches
*for low rectal tumors
*creates permanent sigmoid or descending colostomy
*wide resection done = risk for sexual dysfunction
✔✔Familial Adenomatous Polyposis (FAP) - ✔✔An autosomal dominant trait resulting in
the development of polyps and benign growths in the colon. Polyps often develop into
malignant growths and cause cancer of the colon and/or rectum.
*polyps begin to appear at puberty
*can develop extra-intsetinal manifestations
*removal of colon removes risk of developing colon cancer - IPAA or total
proctocolectomy
✔✔crohn's disease - ✔✔chronic inflammation of the intestinal tract
*Affects any portion of the GI tract
*Initially develops at terminal ileum, Cramping or steady RLQ pain, fever, malaise,
weight loss, bleeding may be occult, extracolonic manifestations
*Transmural (affects ALL layers of bowel wall) perforation of the bowel or fistula)
mucosal inflammation and ulceration - skip areas a hallmark
*Complications include strictures, FISTULAS, and abscess formation, bowel
obstructions
*Not cured with surgery, but a remission may result. Not generally a candidate for IPAA
or other type of continent diversion
✔✔ulcerative colitis - ✔✔chronic inflammation of the colon with ulcerations
*Confined to the colon
