WEB WOC OSTOMY CARE TEST BANK WITH
400+
QUESTIONS AND CORRECT ANSWERS|
ALREADY GRADED A+
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?
A. ligament of treitz
B. Villi
C. Ampulla of Vater
D. Sphincter of Odds
Villi
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.
distal portion of the colon.
Bacterial concentration increases distally in the bowel
Ms. Kraft is scheduled for an Ileal pouch anal anastomosis (IPAA). Which
of the following diseases is she likely to have?
Select one:
a. Irritable bowel syndrome
b. Colorectal cancer
c. Crohn's disease
d. Ulcerative colitis
Ulcerative colitis
The preferred abdominal location for an ileostomy in the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ.
,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
Obstructive abdominal pain
Abdominal pain is common with Crohn's; the other s/s are
typical of UC.
The patient with ulcerative colitis will commonly exhibit:
Select one:
a. oral ulcerations.
b. significant abdominal pain.
c. superficial mucosal involvement.
d. fistula formation.
superficial mucosal involvement
Features of UC include frequent bloody stools with fecal
urgency and inflammation of the colon limited to superficial mucosal
lining. Fistula formation is typical with Crohn's disease (never
Ulcerative Colitis).
When you read in the postoperative surgical report that the stoma was
primarily matured, you can expect which of the following?
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.
The bowel was everted and sutured to the dermal surface during
surgery.
Primarily matured stoma, Brooke style stoma, and everted are all
terms used to describe the surgical approach to “maturing” a
stoma. The bowel is everted or cuffed like a sock (thus exposing
the mucosal surface) and sutured to subcuticular dermal tissue at
the end of the operation. Suturing of the skin through the epidermis
can result in a complication of mucosal tissue implants on the
peristomal skin.
,Which of the following groups of medications is used in the medical
management of Crohn's disease?
Select one:
a. Corticosteroids and immunosuppressants
b. Anticholinergics and anti-emetics
c. Antidepressants and antibiotics
d. Immunosuppressants and antidepressants
Corticosteroids and immunosuppressants
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 anteriorly
toward the ileocecal valve.
Ulcerative colitis begins in the rectal area and progresses anteriorly
toward the ileocecal valve.
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
preoperative 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).
Abdominoperineal resection (APR).
Pneumatosis intestinalis is a radiologic finding associated with:
Select one:
a. Hirschsprung's disease.
b. gut malrotation.
c. diverticulitis.
d. necrotizing enterocolitis (NEC).
necrotizing enterocolitis (NEC).
Pneumatosis intestinalis means air in the bowel wall and along with
portal venous air is diagnostic for Necrotizing Enterocolitis (NEC). A
, question on this topic is on almost every certification exam.
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. rare anticipation of any sexual dysfunction.
d. high incidence of erectile dysfunction.
rare anticipation of any sexual dysfunction.
You receive a referral for a patient scheduled for an abdominoperineal
resection. Prior to reviewing the chart and interviewing the patient you
can anticipate his diagnosis to be:
Select one:
a. transitional cell carcinoma of the bladder.
b. adenocarcinoma of the rectum.
c. familial adenomatous polyposis (FAP).
d. diverticulitis.
adenocarcinoma of the rectum.
Anorectal malformation in the neonate is also known as:
Select one:
a. Hirschsprung's disease.
b. imperforate anus.
c. Turcot syndrome.
d. volvulus.
imperforate anus.
Which of the following types of stoma construction methods is NOT
completely diverting?
Select one:
a. End stoma.
b. Loop stoma.
c. Separated double barrel stoma.
d. Brooke ileostomy.
Loop stoma
The loop construction maintains the continuity of the posterior
bowel wall and stool can slide across the lumen of a stoma and
down into the distal limb. If your patient reports small amounts of
stool in mucus from the rectum, this is likely the cause.
A Hartmann's Procedure (Pouch) is constructed when the:
Select one:
400+
QUESTIONS AND CORRECT ANSWERS|
ALREADY GRADED A+
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?
A. ligament of treitz
B. Villi
C. Ampulla of Vater
D. Sphincter of Odds
Villi
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.
distal portion of the colon.
Bacterial concentration increases distally in the bowel
Ms. Kraft is scheduled for an Ileal pouch anal anastomosis (IPAA). Which
of the following diseases is she likely to have?
Select one:
a. Irritable bowel syndrome
b. Colorectal cancer
c. Crohn's disease
d. Ulcerative colitis
Ulcerative colitis
The preferred abdominal location for an ileostomy in the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ.
,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
Obstructive abdominal pain
Abdominal pain is common with Crohn's; the other s/s are
typical of UC.
The patient with ulcerative colitis will commonly exhibit:
Select one:
a. oral ulcerations.
b. significant abdominal pain.
c. superficial mucosal involvement.
d. fistula formation.
superficial mucosal involvement
Features of UC include frequent bloody stools with fecal
urgency and inflammation of the colon limited to superficial mucosal
lining. Fistula formation is typical with Crohn's disease (never
Ulcerative Colitis).
When you read in the postoperative surgical report that the stoma was
primarily matured, you can expect which of the following?
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.
The bowel was everted and sutured to the dermal surface during
surgery.
Primarily matured stoma, Brooke style stoma, and everted are all
terms used to describe the surgical approach to “maturing” a
stoma. The bowel is everted or cuffed like a sock (thus exposing
the mucosal surface) and sutured to subcuticular dermal tissue at
the end of the operation. Suturing of the skin through the epidermis
can result in a complication of mucosal tissue implants on the
peristomal skin.
,Which of the following groups of medications is used in the medical
management of Crohn's disease?
Select one:
a. Corticosteroids and immunosuppressants
b. Anticholinergics and anti-emetics
c. Antidepressants and antibiotics
d. Immunosuppressants and antidepressants
Corticosteroids and immunosuppressants
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 anteriorly
toward the ileocecal valve.
Ulcerative colitis begins in the rectal area and progresses anteriorly
toward the ileocecal valve.
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
preoperative 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).
Abdominoperineal resection (APR).
Pneumatosis intestinalis is a radiologic finding associated with:
Select one:
a. Hirschsprung's disease.
b. gut malrotation.
c. diverticulitis.
d. necrotizing enterocolitis (NEC).
necrotizing enterocolitis (NEC).
Pneumatosis intestinalis means air in the bowel wall and along with
portal venous air is diagnostic for Necrotizing Enterocolitis (NEC). A
, question on this topic is on almost every certification exam.
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. rare anticipation of any sexual dysfunction.
d. high incidence of erectile dysfunction.
rare anticipation of any sexual dysfunction.
You receive a referral for a patient scheduled for an abdominoperineal
resection. Prior to reviewing the chart and interviewing the patient you
can anticipate his diagnosis to be:
Select one:
a. transitional cell carcinoma of the bladder.
b. adenocarcinoma of the rectum.
c. familial adenomatous polyposis (FAP).
d. diverticulitis.
adenocarcinoma of the rectum.
Anorectal malformation in the neonate is also known as:
Select one:
a. Hirschsprung's disease.
b. imperforate anus.
c. Turcot syndrome.
d. volvulus.
imperforate anus.
Which of the following types of stoma construction methods is NOT
completely diverting?
Select one:
a. End stoma.
b. Loop stoma.
c. Separated double barrel stoma.
d. Brooke ileostomy.
Loop stoma
The loop construction maintains the continuity of the posterior
bowel wall and stool can slide across the lumen of a stoma and
down into the distal limb. If your patient reports small amounts of
stool in mucus from the rectum, this is likely the cause.
A Hartmann's Procedure (Pouch) is constructed when the:
Select one:
