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HERNIA
applied medical quiz
21
Medical
Intermediate
02/01/2016

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Cards

Term
What two products can be used to irrigate the abdominal cavity and cauterize any liver bleeding?
Definition
Monopolar energy, suction irrigation
Term
For dissecting and skeletonizing in the cystic artery and cystic duct, what products could be used?
Definition
Laparoscopic: scissors, dissector, L/J hook
Term
What is the anatomical location of the gallbladder where it attaches to the liver?
Definition
Inferior/Posterior to liver/right lobe
Term
What are the three portions of the gallbladder?
Definition
Fundas, Body, Neck
Term
The Triangle of Calot is the anatomical landmark comprised of which structures?
Definition
Cystic Duct, Cystic Artery, Hepatic Duct
Term
Why is the Triangle of Calot important to identify during a cholecystectomy?
Definition
To ensure there is no damage to the common bile duct
Term
What is the definition of a hernia?
Definition
A protrusion of an organ through a cavity or tissue that held it in place
Term
Types of hernias
Definition
Hiatal, Fimbral, Umbilical, Incisional, Inguinal
Term
Where do hiatal hernias occur?
Definition
Where the upper stomach protrudes the diaphram
Term
Where is the appendix located?
Definition
Attached to the cecum at the beginning of the large intestines
Term
The gallbladder is grasped at the ___ to open up the triangle of Calot?
Definition
Hartmann's pouch
Term
What is the main purpose of irrigating the abdominal cavity at the end of a laparoscope cholecystectomy?
Definition
Wash away bile, ensure there is no bleeding
Term
What position is the patient placed in?
Definition
Supine/Dorsal
Term
What side of the patient does the surgeon stand on?
Definition
Left
Term
What is the peri-umbillical trocar primarily used for?
Definition
Laparoscope and specimen removal
Term
What is the main function of the gallbladder?
Definition
Secrete bile to small intestines and store bile
Term
What is choledocholithiasis?
Definition
Gallstones in the common bile duct
Term
What imaging technique is performed during a lap chole if common bile duct stones are detected?
Definition
cholangiogram
Term
Which 2 vascular and bilary elements are ligated and divided during a lap chole?
Definition
Cystic duct, cystic artery
Term
Why do surgeons place more clips on the patient side?
Definition
(As security) to ensure the vessel is occluded
Term
In a lap chole, what could the lap scissor be used for?
Definition
Dividing the cystic artery and cystic duct
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