WEB WOC OSTOMY CARE FINAL EXAM 2024 ACTUAL
EXAM COMPLETE 250 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
Indiana Pouch. Continent diversion - ANSWER: Isolated and detubularized segment
of right colon is used for the reservoir and 10-12 cm of ileum used from the
catheterizable channel. Ileocecal valve is the continence mechanism. The ureters are
connected to the posterior wall of the reservoir. Patient catheterizes to empty
continent diversion.
Reasons for procedure are the same as ileal conduit
Patients need adequate mental capacity and motivation to manage self cath.
Immediately following surgery: Has JP drain. 24F Malecot
16-18F to hold channel open (capped)
MANAGEMENT: Smaller stoma that can be covered by a dressing.
Teach cath on a schedule.
Complications / disadvantages: Deterioration of the renal function.
Cath to empty, carry a cath at all times
Manual dexterity necessary
Emergency: unable to cath
Mucous problems
Ileal Conduit / colon conduit - ANSWER: acolon / use transverse or sigmoid colon if
pre existing small bowel disease and small boel damage by pelvie radiation. LLQ or
RLQ
Loop end stoma may be utilized in the obese patient.
Due to malignancy caused by aggressive high grade urothelial or transitional cell
carcinoma of the bladder.
Ileal or, less frequently seen, colon conduit is used to divert urine in malignant
disease, easy to care for, fewer complications than other diversion.
Management: INCONTINENT STOMA
stents. If a rod or bridge used for support of loop end stoma, it is removed upon
healing in 5 days - 3 weeks.
COMPLICATIONS / DISADVANTAGES
Renal function deterioration
Hyperchloremic hypokalemic metabolic acidosis
Use of a pouching system
A MALIGNANCY CAUSED BY AGGRESSIVE HIGH GRADE UROTHELIAL OR
TRANSITIONAL CELL CARCINOMA OF THE BLADDER.
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 sb? - ANSWER: Villi
The section of the bowel with the greatest bacteria is - ANSWER: distal portion of the
colon
, A patient receiving an ileal pouch likely has what disease? - ANSWER: Colorectal
cancer
for a patient experiencing a recurrence of Crohns what s/s? - ANSWER: Obstructive
abd pain
Ulcerative colitis commonly exhibits s/s? - ANSWER: superficial mucosal involvement
UC s/s is freq bloody stools with fecal urgency and iflammation of the colon limited
to superficial mucosal lining. Fistula formation is typical with Crohns dz, never UC
When a stoma is noted to be primarily matured, what do you expect? - ANSWER:
The bowel was everted and sutured to the dermal surface during surgery.
Primarily matured stoma, Brooke style and everted are all terms to describe the
surgical approach to maturing a stoma. The bowel is verted or cuffed like a sock and
sutured to subcuticular dermal tissue at the end of the operation. Suturing the skin
through the epidermis can result in a complication of the mucosal tissue implants on
the peristomal skin.
Where does ulcerative colitis begin - ANSWER: At the rectal area and prgresses
anteriorly toward the ileocecal valve
A patient has been diagnosed with rectal cancer distal to the dentate line. What type
of surgery should he expect? - ANSWER: Abdominoperineal resection (APR). Low
rectal includes the anus. Removal of that tumor will damage sphincter mechanisms
and result in incontinence. Therefore a permanent colostomy is done.
Pneumatosis intestinalis is a radiologic finding associated with - ANSWER:
Necrotizing enterocolitis (NEC)
Pneumatosis intestinalis means air in the bowel wall and along with portal venous air
is diagnostic for necrotizing enterocolitis. A question on this topic is on almost every
exam
Does a colon resection with a temp ileostomy due to refractory Crohns disease affect
sexual function? - ANSWER: Rare anticipation of any sexual dysfunction.
Diagnosis anticipated to co inside with APR (abdominoperineal resection) - ANSWER:
adenocarcinoma of the rectum
Anorectal malformation in the neonate is - ANSWER: imperforate anus
The kock continent ileostomy is constructed when.. - ANSWER: an alternative to an
end ileostomy for a patient who has undergone a total proctocolectomy.
This is a continent diversion because of the intussusception of the distal ileum
(nipple valve) into the ileal pouch. If the patient wants a continent diversion and the
recturm has been removed, the kock pouch is an option.
EXAM COMPLETE 250 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
Indiana Pouch. Continent diversion - ANSWER: Isolated and detubularized segment
of right colon is used for the reservoir and 10-12 cm of ileum used from the
catheterizable channel. Ileocecal valve is the continence mechanism. The ureters are
connected to the posterior wall of the reservoir. Patient catheterizes to empty
continent diversion.
Reasons for procedure are the same as ileal conduit
Patients need adequate mental capacity and motivation to manage self cath.
Immediately following surgery: Has JP drain. 24F Malecot
16-18F to hold channel open (capped)
MANAGEMENT: Smaller stoma that can be covered by a dressing.
Teach cath on a schedule.
Complications / disadvantages: Deterioration of the renal function.
Cath to empty, carry a cath at all times
Manual dexterity necessary
Emergency: unable to cath
Mucous problems
Ileal Conduit / colon conduit - ANSWER: acolon / use transverse or sigmoid colon if
pre existing small bowel disease and small boel damage by pelvie radiation. LLQ or
RLQ
Loop end stoma may be utilized in the obese patient.
Due to malignancy caused by aggressive high grade urothelial or transitional cell
carcinoma of the bladder.
Ileal or, less frequently seen, colon conduit is used to divert urine in malignant
disease, easy to care for, fewer complications than other diversion.
Management: INCONTINENT STOMA
stents. If a rod or bridge used for support of loop end stoma, it is removed upon
healing in 5 days - 3 weeks.
COMPLICATIONS / DISADVANTAGES
Renal function deterioration
Hyperchloremic hypokalemic metabolic acidosis
Use of a pouching system
A MALIGNANCY CAUSED BY AGGRESSIVE HIGH GRADE UROTHELIAL OR
TRANSITIONAL CELL CARCINOMA OF THE BLADDER.
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 sb? - ANSWER: Villi
The section of the bowel with the greatest bacteria is - ANSWER: distal portion of the
colon
, A patient receiving an ileal pouch likely has what disease? - ANSWER: Colorectal
cancer
for a patient experiencing a recurrence of Crohns what s/s? - ANSWER: Obstructive
abd pain
Ulcerative colitis commonly exhibits s/s? - ANSWER: superficial mucosal involvement
UC s/s is freq bloody stools with fecal urgency and iflammation of the colon limited
to superficial mucosal lining. Fistula formation is typical with Crohns dz, never UC
When a stoma is noted to be primarily matured, what do you expect? - ANSWER:
The bowel was everted and sutured to the dermal surface during surgery.
Primarily matured stoma, Brooke style and everted are all terms to describe the
surgical approach to maturing a stoma. The bowel is verted or cuffed like a sock and
sutured to subcuticular dermal tissue at the end of the operation. Suturing the skin
through the epidermis can result in a complication of the mucosal tissue implants on
the peristomal skin.
Where does ulcerative colitis begin - ANSWER: At the rectal area and prgresses
anteriorly toward the ileocecal valve
A patient has been diagnosed with rectal cancer distal to the dentate line. What type
of surgery should he expect? - ANSWER: Abdominoperineal resection (APR). Low
rectal includes the anus. Removal of that tumor will damage sphincter mechanisms
and result in incontinence. Therefore a permanent colostomy is done.
Pneumatosis intestinalis is a radiologic finding associated with - ANSWER:
Necrotizing enterocolitis (NEC)
Pneumatosis intestinalis means air in the bowel wall and along with portal venous air
is diagnostic for necrotizing enterocolitis. A question on this topic is on almost every
exam
Does a colon resection with a temp ileostomy due to refractory Crohns disease affect
sexual function? - ANSWER: Rare anticipation of any sexual dysfunction.
Diagnosis anticipated to co inside with APR (abdominoperineal resection) - ANSWER:
adenocarcinoma of the rectum
Anorectal malformation in the neonate is - ANSWER: imperforate anus
The kock continent ileostomy is constructed when.. - ANSWER: an alternative to an
end ileostomy for a patient who has undergone a total proctocolectomy.
This is a continent diversion because of the intussusception of the distal ileum
(nipple valve) into the ileal pouch. If the patient wants a continent diversion and the
recturm has been removed, the kock pouch is an option.
