The Exploratory Laparotomy - QUESTIONS

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Question 1 of 10

1. Question
1). Which of the following organs need NOT be biopsied routinely when performing an ex lap.
- a. Liver
- b. Stomach
- c. Pancreas
- d. Enlarged lymph node
- e. Ileum
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Question 2 of 10

2. Question
2) To readily observe the organs located within the gutters, one can simply; (choose the CORRECT statement)
- a. Cradle the organs within the falciform to view the right gutter
- b. Cradle the organs within the mesocolon to the view the left gutter
- c. Cradle the organs within the mesoduodenum to the view the left gutter
- d. Cradle the organs within the mesocolon to the view the right gutter
- e. It is not necessary to view the organs located within the gutters
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Question 3 of 10

3. Question
3) Which statement is FALSE. When closing the linea alba with a simple continuous pattern:
- a. The initial knot should have 5-6 throws to ensure that it is secure.
- b. The initial knot should be ‘test’ to ensure that it is secure.
- c. The final knot should have 5-6 throws to ensure that it is secure.
- d. Care must be taken to not apply excess tension to the suture line.
- e. Using a suture one gauge larger than for a simple interrupted pattern may be appropriate.
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Question 4 of 10

4. Question
4) Which of the following statements is false:
- a. A liver biopsy must obtained from the left lateral lobe.
- b. A stomach biopsy is obtained from the avascular portion of the body of the stomach.
- c. A liver biopsy can be obtained by crushing the end of the liver lobe with a hemostats.
- d. An intestinal biopsy is obtained from the antimesenteric border.
- e. A lymph node biopsy can be obtained with a #15 blade.
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Question 5 of 10

5. Question
5) Which of the following statements is false. When obtaining an intestinal biopsy:
- a. Spillage from the intestinal lumen can be prevented by making use of an assistant’s fingers.
- b. Spillage from the intestinal lumen can be prevented by making use of Doyen forceps.
- c. The site should be leak tested.
- d. A two layer inverting pattern should be used for the closure.
- e. The biopsy site can be closed using 3-0 or 4-0 suture monofilament material.
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Question 6 of 10

6. Question
6) Which of the following statements if correct in regards to obtaining a lymph node biopsy:
- a. A lymph node should be biopsied when it is enlarged.
- b. The mesenteric lymph node can be biopsied.
- c. The hypogastric lymph node can be biopsied.
- d. A lymph node located within the mesentery close to the bowel can be biopsied.
- e. All or any enlarged lymph node within the abdomen can be biopsied by being completely excised.
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Question 7 of 10

7. Question
7) Which of the following statements is correct:
- a. The patient’s body temperature can drop quickly during an ex lap.
- b. Leak testing biopsy sites is only necessary for the ileum.
- c. It is best to keep the loop of bowel deep into the abdomen when obtaining a biopsy so that it is less likely to become dehydration with exposure to air.
- d. It is not necessary to change gloves or instruments before closing after obtaining intestinal biopsies.
- e. An exploratory laparotomy should be performed only when you know exactly what you will find in the abdomen.
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Question 8 of 10

8. Question
8) Which of the following statements is true:
- a. An exploratory laparotomy precludes the need for an ultra sound.
- b. Abdominal radiographs are obsolete and no longer considered a valuable diagnostic tool.
- c. If the abdominal ultra sound findings are negative then there is no need to perform an Ex Lap as it will be negative also.
- d. If a patient has ongoing GI signs and the ultra sound is negative or not available then an Ex Lap is indicated.
- e. If a patient has ongoing GI signs and the ultra sound is negative or not available then an MRI is indicated.
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Question 9 of 10

9. Question
9) When doing an Ex Lap:
- a. The patient should be shaved and prepped from xiphoid to pubis.
- b. The patient should be shaved and prepped from xiphoid to prepuce.
- c. The incision should be from mid cranial abdomen to mid caudal abdomen.
- d. The incision should be from xiphoid to to mid caudal abdomen.
- e. The surgery can not be performed in a male dog because the prepuce is in the way.
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Question 10 of 10

10. Question
10) You are dealing with a 3 year old dog that has been vomiting frequently for 48 hours. He has a history of chewing/eating his toys. Your radiographs are not conclusive for a foreign body (FB) and the blood work is unremarkable.
- a. The history is conclusive enough to confidently tell the owners that surgery will produce the FB.
- b. Schedule him for an ultra sound of the abdomen knowing that the traveling ultrasonographer can not be at your hospital for at least 1 week.
- c. Recommend an Ex Lap as a diagnostic/therapeutic tool. If there is no FB at least you will have biopsies that will hopefully. lead to a diagnosis.
- d. Recommend an Ex Lap as a diagnostic/therapeutic tool. If there is no FB at least you will have a good look in the abdomen and can biopsy anything that looks suspicious.
- e. Tell the owner to take 2 aspirins and call you in the morning.
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The Exploratory Laparotomy – QUESTIONS

The Exploratory Laparotomy – QUESTIONS

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