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    Minimally Evasive Surgery

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    divine venturo
    This document contains 14 multiple choice questions covering various topics related to laparoscopic surgery procedures. Some of the key points addressed include: 1) Sinus bradycardia is the most common arrhythmia seen during laparoscopy. 2) Capacitive coupling results from energy bleeding from a port sleeve or laparoscope into adjacent bowel. 3) It is safest to perform laparoscopic surgery during pregnancy in the second trimester, in the left lateral position, using an open abdominal access technique rather than direct puncture.

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    Minimally Evasive Surgery

    Uploaded by

    divine venturo
    132 views4 pages
    This document contains 14 multiple choice questions covering various topics related to laparoscopic surgery procedures. Some of the key points addressed include: 1) Sinus bradycardia is the most common arrhythmia seen during laparoscopy. 2) Capacitive coupling results from energy bleeding from a port sleeve or laparoscope into adjacent bowel. 3) It is safest to perform laparoscopic surgery during pregnancy in the second trimester, in the left lateral position, using an open abdominal access technique rather than direct puncture.

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    Minimally invasive surgery MCQS based on Schwartz

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    This document contains 14 multiple choice questions covering various topics related to laparoscopic surgery procedures. Some of the key points addressed include: 1) Sinus bradycardia is the most common arrhythmia seen during laparoscopy. 2) Capacitive coupling results from energy bleeding from a port sleeve or laparoscope into adjacent bowel. 3) It is safest to perform laparoscopic surgery during pregnancy in the second trimester, in the left lateral position, using an open abdominal access technique rather than direct puncture.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    132 views4 pages

    Minimally Evasive Surgery

    Uploaded by

    divine venturo
    This document contains 14 multiple choice questions covering various topics related to laparoscopic surgery procedures. Some of the key points addressed include: 1) Sinus bradycardia is the most common arrhythmia seen during laparoscopy. 2) Capacitive coupling results from energy bleeding from a port sleeve or laparoscope into adjacent bowel. 3) It is safest to perform laparoscopic surgery during pregnancy in the second trimester, in the left lateral position, using an open abdominal access technique rather than direct puncture.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    1.

    The most common arrhythmia seen during laparoscopy is


    a. Atrial brilation
    b. Sinus tachycardia
    c. Premature ventricular contractions
    d. Sinus bradycardia
    answer:d

    2. Capacitive coupling
    a. Results when energy bleeds from a port sleeve or laparoscope into adjacent (but
    not touching) bowel
    b. Is always recognized at the time of surgery
    c. Can result in malfunction of the electrocardiogram monitor
    d. Can result in inaccurate image transmission to the digital monitor

    answer:a

    3. Which of the following are true regarding safety of laparoscopic surgery in pregnancy?
    a. The patient should be position in the left lateral position.
    b. Open abdominal access (Hasson) is recommended versus direct puncture
    laparoscopy (Veress neelde).
    c. The surgery should be performed during the second trimester if possible.
    d. All of the above.
    answer:d

    4. Systemic effects of CO2 from pneumoperitoneum can cause all of the ollowing EXCEPT
    a. Hypercarbia
    b. Increased myocardial oxygen demand
    c. Alterations in preload
    d. Increased after load
    answer b

    5. While performing a laparoscopic Nissen fundoplication during the transhiatal dissection


    the mediastinal pleura is compromised and a CO2 pneumothorax develops. What is the
    initial preferred management of the pneumothorax?
    a. Needle thoracostomy over the second intercostal space, mid-clavicular line.
    b. Enlargement of the defect and placement of an 18-French red rubber catheter
    across the defect.
    c. Abort the procedure and emergent tube thoracostomy with a 28-French chest tube.
    d. No intervention is needed. Continue with the planned procedure.
    answer:b

    6. When compared to traditional laparoscopic surgery, the advantages of computer-


    enhanced surgery are
    a. Natural wrist movements and improved manual dexterity
    b. Ergonomically comfortable workstation with 3-D imaging
    c. Tremor elimination
    d. All of the above
    answer:d

    7. A patient undergoing laparoscopic colon resection is noted to have decreased urine output
    during the last hour of the case. A bolus is given at the end of the case. One hour later,
    there is still very poor urine output. The appropriate treatment is
    a. Repeat bolus
    b. Intravenous (IV) urosemide
    c. Check urine electrolytes
    d. None of the above
    answer:d
    8. The benefits of laparoscopic surgery are except
    a. Cosmetic
    b. Speedier recovery/shorter hospital stay
    c. Fewer preoperative complications
    d. Fewer postoperative complications
    e. none of the above
    answer:c
    9. The advantages of single port access surgery are except
    a. Cosmetic
    b. Less pain
    c. Quicker recovery
    d. Lower Cost
    e. none of the above
    answer:d
    10. The symptoms of minimally invasive hemorrhoids are
    a. Pain
    b. Itching
    c. Bleeding
    d. Protrusion
    e. All of the above
    Answer:e
    11. Non-surgical treatment of hemorrhoids include except
    a) Avoid constipation
    b) Use creams/ointments
    c) Prepare suppositories
    d) Use sitz baths
    e) Strictly do no modify diet.
    answer:e
    12. Surgical treatment of hemorrhoids include except
    a. Rubber band ligation
    b. Stapled hemorrhoidectomy
    c. Hemorrhoidectomy
    d. Unstapled hemorrhoidectomy
    answer:d
    13. True or false
    a) The use of laparoscopy for malignant disease of the colon is being evaluated under a
    prospective, randomized protocol to assess the true incidence of trocar site malignant
    implantation.
    FALSE
    b) The most important operative point in Laparoscopic Cholecystectomy is lateral retraction
    of the infundibulum and cephalic retraction of the fundus to “open up” the triangle of
    Calot to provide optimal visualization and minimize bile duct injury.
    TRUE
    c) Endoluminal balloons are used during endoscopic procedures to dilate strictures.
    TRUE
    d) Single-Site Robotic Surgery has added benefit of being virtually scarless but has low
    patient satisfaction.
    FALSE
    e) Greater than 90% of cholecystectomies are done laparoscopically.
    TRUE

    14. Match the following

    a) Laparoscopic Appendectomy
    b) Inguinal Hernia Repair
    c) Splenectomy
    d) Fundoplication
    e) Diagnostic laparoscopy
    f) Lap inguinal hernia repair
    g) Lap Nissen fundoplication
    h) Lap emergency surgery

    i. Right-sided pelvic pain of uncertain etiology


    ii. Transabdominal preperitoneal approach
    iii. Idiopathic thrombocytopenic purpura
    iv. Gastroesophageal reflux disease
    v. Chronic pain
    vi. Groin hernia
    vii. Anti-reflux
    viii. Ulcer
    ix.

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