WEB WOC Ostomy Care: Quiz
Questions with complete questions
and fully illustrated answers
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?
Select one:
a. Ligament of Treitz.
b. Villi.
c. Ampulla of Vater.
d. Sphincter of Oddi. - Correct Answer: b. Villi.
A 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. - Correct Answer: a. Distal portion of the colon.
An Ileal pouch anal anastomosis (IPAA) which is also referred to as the ileoanal reservoir is indicated for
which of the following disease processes?
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 polyposis. - Correct Answer: d. Ulcerative colitis and
familial adenomatous polyposis.
The preferred abdominal location for an ileostomy in the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ. - Correct Answer: c. 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. - Correct Answer: a. Obstructive abdominal pain.
The patient with ulcerative colitis will commonly exhibit:
Select one:
a. Oral ulcerations.
b. Significant abdominal pain.
c. Superficial mucosal involvement.
d. Fistula formation. - Correct Answer: c. Superficial mucosal involvement.
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. - Correct Answer: d. The
bowel was everted and sutured to the dermal surface during surgery.
Which of the following groups of medications is used in the medical management of Crohn's disease?
Select one:
a. Corticosteroids and immune suppressants.
b. Anticholinergics and anti-emetics.
c. Antidepressants and antibiotics.
d. Immune suppressants and antidepressants. - Correct Answer: a. Corticosteroids and immune
suppressants.
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 backward toward the ileocecal valve. -
Correct Answer: d. Ulcerative colitis begins in the rectal area and progresses backward 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 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). - Correct Answer: b. Abdominoperineal resection (APR).
Pneumatosis is a radiologic finding associated with:
Select one:
a. Hirschsprung's disease.
b. Gut Malrotation.
c. Diverticulitis.
d. Necrotizing Enterocolitis (NEC). - Correct Answer: d. Necrotizing Enterocolitis (NEC).
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. Do not anticipate any sexual dysfunction.
d. High incidence of erectile dysfunction. - Correct Answer: c. Do not anticipate 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.
Questions with complete questions
and fully illustrated answers
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?
Select one:
a. Ligament of Treitz.
b. Villi.
c. Ampulla of Vater.
d. Sphincter of Oddi. - Correct Answer: b. Villi.
A 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. - Correct Answer: a. Distal portion of the colon.
An Ileal pouch anal anastomosis (IPAA) which is also referred to as the ileoanal reservoir is indicated for
which of the following disease processes?
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 polyposis. - Correct Answer: d. Ulcerative colitis and
familial adenomatous polyposis.
The preferred abdominal location for an ileostomy in the adult is the:
Select one:
a. LLQ.
b. LUQ.
c. RLQ.
d. RUQ. - Correct Answer: c. 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. - Correct Answer: a. Obstructive abdominal pain.
The patient with ulcerative colitis will commonly exhibit:
Select one:
a. Oral ulcerations.
b. Significant abdominal pain.
c. Superficial mucosal involvement.
d. Fistula formation. - Correct Answer: c. Superficial mucosal involvement.
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. - Correct Answer: d. The
bowel was everted and sutured to the dermal surface during surgery.
Which of the following groups of medications is used in the medical management of Crohn's disease?
Select one:
a. Corticosteroids and immune suppressants.
b. Anticholinergics and anti-emetics.
c. Antidepressants and antibiotics.
d. Immune suppressants and antidepressants. - Correct Answer: a. Corticosteroids and immune
suppressants.
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 backward toward the ileocecal valve. -
Correct Answer: d. Ulcerative colitis begins in the rectal area and progresses backward 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 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). - Correct Answer: b. Abdominoperineal resection (APR).
Pneumatosis is a radiologic finding associated with:
Select one:
a. Hirschsprung's disease.
b. Gut Malrotation.
c. Diverticulitis.
d. Necrotizing Enterocolitis (NEC). - Correct Answer: d. Necrotizing Enterocolitis (NEC).
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. Do not anticipate any sexual dysfunction.
d. High incidence of erectile dysfunction. - Correct Answer: c. Do not anticipate 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.
