Question

1- When preparing for a LEEP procedure, the surgical technologist should have which of these items available?

a- Betadine solution.
Lugolâ s solution.

Genzyme media.

2- One reason the laparoscopic cholecystectomy patient may feel pain postoperatively may be:
       Referred pain to the lower back.
       Retained carbon dioxide in the abdomen.
       Strain from the lithotomy position.
       Peritoneal irritation due to bile spillage.

Anaerobic cultures.

3- Scarring of the fallopian tube and adhesions in the abdominal and pelvic cavity may be caused by:
       Fibroma
       Carcinoma of the cervix
       Pelvic inflammatory disease
       Eclampsia

4- Which positional considerations should the surgery team utilize for a subtotal thyroid lobectomy?
       A sandbag or rolled sheet should be placed under the left shoulder to prevent tracheal compression
       Anticipate reverse Trendelenburg, a shoulder roll and a gently hyperextended neck.
       Hypovolemic shock from reverse Trendelenburg positioning
       Have available, extra padding behind the head and knees for fowlerâ s position.

5-An irreducible hernia with intestinal contents trapped in the extra-abdominal sac is called a(n) :
       Incarcerated hernia.
       Sliding hernia.
       spigelian hernia
       Direct hernia.

Answer 1

QUESTION 1

- option A and C are the correct options as betadine is used to clean the genital region to avoid infection whereas Lugol's solution is applied to the cervix to make abnormal cell visible.

- Option B is incorrect as it is not used in the LEEP procedure.

QUESTION 2

- Option B is correct as peritoneal insufflation of CO₂ is the main cause for pain and the main reason for morbidity in this surgery.

- Option A, C and D are the incorrect options as these pains subside easily either with the change of position or use of analgesics.

QUESTION 3

- Option C is the correct answer as abdominal surgery and pelvic inflammatory diseases which are caused due to leaving of foreign material in the abdomen causes adhesion in the abdominal and pelvic cavity.

- Option A, B and D are the incorrect options as fibroma and carcinoma are the abnormal growth of the tissues whereas eclampsia causes scarring in the pelvic cavity but not in the abdominal cavity.

QUESTION 4

- Option B is the correct option as a reverse Trendelenburg position reduces the blood flow in the head and neck surgery and is also helpful in reducing nausea and vomiting postoperatively.

- Option A, C and D are the incorrect option as they usually complicate the surgery either by excessive blood loss or by increasing the discomfort for the patient and the surgeons.

QUESTION 5

- Option A is the correct option as the incarcerated hernia is the protrusion of an abdominal organ outside the skin by leaving the normal abdominal site.

- Option B, C and D are incorrect as none of these herniae leaves the abdominal cavity.