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1. The patient who is NPO for several days is at risk for b. Villi.
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.
2. A bowel prep preoperatively for ostomy surgery is a. Distal portion of the
routinely utilized to decrease bacteria in the bowel. colon.
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.
3. An Ileal pouch anal anastomosis (IPAA) which is also d. Ulcerative colitis and fa-
referred to as the ileoanal reservoir is indicated for milial adenomatous poly-
which of the following disease processes? posis.
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 polypo-
sis.
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4. The preferred abdominal location for an ileostomy in c. RLQ.
the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ.
5. Gary is experiencing a recurrence of his Crohn's Dis- a. Obstructive abdominal
ease. Which of the following symptoms is Gary most pain.
likely experiencing?
Select one:
a. Obstructive abdominal pain.
b. Absence of perianal disease.
c. Bloody stools with proctitis.
d. Vomiting.
6. The patient with ulcerative colitis will commonly ex- c. Superficial mucosal in-
hibit: volvement.
Select one:
a. Oral ulcerations.
b. Significant abdominal pain.
c. Superficial mucosal involvement.
d. Fistula formation.
7. When you read in the postoperative surgical report
that the stoma was primarily matured, you can expect
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which of the following? d. The bowel was everted
and sutured to the dermal
Select one: surface during surgery.
a. The stoma will be opened at the bedside with elec-
trocautery.
b. The stoma has been present for at least 3 months.
c. The stoma is ready for sutures at the mucocuta-
neous junction to be removed.
d. The bowel was everted and sutured to the dermal
surface during surgery.
8. Which of the following groups of medications is used a. Corticosteroids and im-
in the medical management of Crohn's disease? mune suppressants.
Select one:
a. Corticosteroids and immune suppressants.
b. Anticholinergics and anti-emetics.
c. Antidepressants and antibiotics.
d. Immune suppressants and antidepressants.
9. Which of the following statements about Crohn's dis- d. Ulcerative colitis begins
ease and/or ulcerative colitis is true? in the rectal area and pro-
gresses backward toward
Select one: the ileocecal valve.
a. Both Crohn's Disease and ulcerative colitis are char-
acterized by patchy mucosal involvement and skip le-
sions.
b. Crohn's Disease is limited to the colon and rectum.
c. Ulcerative colitis is characterized by transmural in-
volvement of the bowel wall.
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d. Ulcerative colitis begins in the rectal area and pro-
gresses backward toward the ileocecal valve.
10. You are consulted to see a patient who has just been b. Abdominoperineal re-
diagnosed with low rectal cancer located distal to the section (APR).
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).
11. Pneumatosis is a radiologic finding associated with: d. Necrotizing Enterocoli-
tis (NEC).
Select one:
a. Hirschsprung's disease.
b. Gut Malrotation.
c. Diverticulitis.
d. Necrotizing Enterocolitis (NEC).
12. When preparing a 35-year-old male for colon resec- c. Do not anticipate any
tion with a temporary ileostomy due to refractory sexual dysfunction.
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.