WEB WOC Ostomy Latest 2025 - Exam Questions Answered Correctly Graded A+
Indiana Pouch. Continent diversion - Answers 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 - Answers 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? - Answers Villi
The section of the bowel with the greatest bacteria is - Answers distal portion of the colon
A patient receiving an ileal pouch likely has what disease? - Answers Colorectal cancer
for a patient experiencing a recurrence of Crohns what s/s? - Answers Obstructive abd pain
Ulcerative colitis commonly exhibits s/s? - Answers 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? - Answers 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 - Answers 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? - Answers 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 - Answers 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? -
Answers Rare anticipation of any sexual dysfunction.
Diagnosis anticipated to co inside with APR (abdominoperineal resection) - Answers adenocarcinoma of
the rectum
Indiana Pouch. Continent diversion - Answers 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 - Answers 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? - Answers Villi
The section of the bowel with the greatest bacteria is - Answers distal portion of the colon
A patient receiving an ileal pouch likely has what disease? - Answers Colorectal cancer
for a patient experiencing a recurrence of Crohns what s/s? - Answers Obstructive abd pain
Ulcerative colitis commonly exhibits s/s? - Answers 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? - Answers 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 - Answers 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? - Answers 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 - Answers 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? -
Answers Rare anticipation of any sexual dysfunction.
Diagnosis anticipated to co inside with APR (abdominoperineal resection) - Answers adenocarcinoma of
the rectum
