Principles of Gastrointestinal Surgery

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Question 1 of 10

1. Question
1: What is the mortality rate of peritonitis?
- a: 30-40%
- b: 10 %
- c: 5 %
- d: 45 -50%
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Question 2 of 10

2. Question
2: Why does dehiscence occur 3-5 days after surgery?
- a: Peak of debridement phase of tissue healing.
- B: Suture loosing tensile strength
- c: Tissue not viable
- d: Hypoalbuminemia
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Question 3 of 10

3. Question
3: What is the minimal blood pressure that should be maintained during GI surgery?
- a: 40 mm Hg
- b: 60 mm Hg
- c: 80 mm Hg
- d: 50 mm Hg
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Question 4 of 10

4. Question
4: What characteristics do we want in antibiotics used in GI surgery and what antibiotic does Dr. Monnet recommend?
- a: We want broad spectrum antibiotics because the common contaminants of GI surgery are both gram positive and gram negative, Cefoxitin is the antibiotic of choice.
- b: We want an antibiotic with a gram negative spectrum
- c: We want an antibiotic with a gram positive spectrum
- d: We want to use gentamicin
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Question 5 of 10

5. Question
5: What is the best tool for holding back ingesta if you are the only person scrubbed in on an intestinal surgery?
- a: Doyen clamp.
- b: Kelly forceps
- c: Crushing clamp
- d: Debakey forceps
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Question 6 of 10

6. Question
6: What is the greatest amount of tissue you can remove from the stomach and have a favorable outcome?
- a: 60%
- b: 40%
- c: 20%
- d: 80%
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Question 7 of 10

7. Question
7: What is the holding layer of the stomach and intestine?
- a: The submucosa
- b: The muscularis
- c: The serosa
- d: The mucosa
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Question 8 of 10

8. Question
8: What suture pattern is best for healing of the stomach and intestinal walls?
- a: simple apposition
- b: inverting
- c: everting
- d: two layer closure
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Question 9 of 10

9. Question
9: What bite size should be used to make sure you are outside the zone of debridement?
- a: 3mm
- b: 2mm
- c: 4mm
- d: 1mm
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Question 10 of 10

10. Question
10: What suture type is recommended for closure of the stomach and intestine?
- a: An 4-0 absorbable monofilament suture
- b: An 3-0 braided absorbable suture
- c: An 2-0 absorbable monofilament suture
- d: An 4-0 non absorbable monofilament suture
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Principles of Gastrointestinal Surgery

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