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Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients.

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Which stage of breast cancer is characterized by evidence of distal metastasis?


A) Stage I
B) Stage II
C) Stage III-b
D) Stage IV

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Which suturing technique is often used on the appendiceal stump?


A) interrupted
B) horizontal mattress
C) vertical mattress
D) pursestring

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Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle?


A) taper
B) blunt
C) spatula
D) cutting

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A T-tube or wound drain left in place following laparoscopic cholecystectomy would MOST likely exit through:


A) a left subcostal stab wound
B) the umbilical port site incision
C) one of the 5 mm right port site incisions
D) the subxiphoid 10 mm port site incision

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What is another name for an acquired ventral hernia through the linea semilunaris?


A) epigastric
B) femoral
C) inguinal
D) Spigelian

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A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the:


A) breast
B) groin
C) liver
D) pancreas

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HBV, HCV, and alcohol abuse are precursors to which of the following diseases?


A) cirrhosis
B) cholelithiasis
C) diverticulitis
D) duodenal ulcer

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Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called:


A) anal fissure
B) fistula-in-ano
C) hemorrhoid
D) pilonidal cyst

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What is the incision routinely used for open cholecystectomy?


A) McBurney
B) Pfannenstiel
C) left subcostal
D) right subcostal

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What type of hernia results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum?


A) direct
B) femoral
C) indirect
D) umbilical

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A typical end-to-end bowel anastomosis is accomplished with which of the following suturing techniques?


A) one-layer, continuous technique for seromuscular approximation with absorbable suture
B) one-layer, interrupted technique for mucosal approximation only with silk suture
C) two-layer, continuous technique for seromuscular approximation with absorbable, interrupted for mucosa with silk suture
D) two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture

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Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers?


A) anastomosis
B) fundoplication
C) herniorrhaphy
D) lysis of adhesions

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For which type of hernia repair could a Penrose drain be used as a method of gentle traction of the spermatic cord?


A) laparoscopic Nissen fundoplication
B) McVay inguinal herniorrhaphy
C) totally extraperitoneal patch (TEP)
D) ventral/incisional herniorrhaphy

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Where are the parathyroid glands located in relation to the thyroid?


A) anterior midline
B) posterior midline
C) dorsal, superior and inferior
D) ventral, superior and inferior

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The Hasson technique for establishing pneumoperitoneum requires the use of a Verres needle.

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What type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous ducts?


A) circumareolar
B) elliptical
C) inframammary
D) paramedian

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Surgical removal of the entire breast without any lymph nodes is a(n) :


A) excisional biopsy
B) simple mastectomy
C) segmental mastectomy
D) modified radical mastectomy

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A Maloney bougie dilator is used in which anatomical structure?


A) common bile duct
B) esophagus
C) urethra
D) cervix

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For which surgical procedure would the Buie pile forceps be used?


A) appendectomy
B) breast biopsy
C) cholecystectomy
D) hemorrhoidectomy

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