Please enter your name and e-mail address in the space above. Using your mouse or cursor keys, scroll down the page and answer the questions relating to the image. Do not hit the Enter key or the quiz will be submitted incomplete. After answering the questions, click on the Submit button to have the quiz graded and to receive your score. An explanation of the answers will also be provided.
[] (a) True [] (b) False [] (c) Don't Know
Question 2: A needle driver that can hold a needle rock solid is the most effective for suturing
Question 3: Extracorporeal knotting can be used for laparoscopic closure of any structure
Question 4: Introduction of the needle to the laparoscopic field does not require special attention.
Question 6: Which position is the optimal for operating laparoscopically
[] (a) Coaxial alignment of the surgeon, suture line, and TV monitor [] (b) Offset to one side of the patient, with view of work appearing on one side of the screen [] (c) Surgeon standing opposite to the laparoscope [] (d) Don't Know
[] (a) half-circle [] (b) 3/8 circle [] (c) straight [] (d) ski [] (e) Don't Know
[] (a) 1 suture 10 cm in length [] (b) 1 suture 15 cm in length [] (c) 2 sutures, each 15 cm in length [] (d) Don't Know
Question 9: Why is holding the needle in one of the instruments during knot tying an unsafe technique?
[] (a) unless the suture is relatively short, eg. 6 cm, view of the needle will fall outside of the surgeon's attention and an iatrogenic injury could result [] (b) large scale, unrefined movements are involved whereas smaller scaled, more controlled choreographed techniques should be employed [] (c) a. and b. [] (d) none of the above [] (e) Don't Know
Question 10: The best method of adjusting the angle of the needle is to
[] (a) pass the needle to the other instrument and back again, making angle adjustments in the meantime [] (b) pivot the needle by pulling lightly on the thread near the back of the needle [] (c) pivot the needle by hooking the tip of the needle in an avascular area of tissue, then slightly pulling up or pushing down against the tissue [] (d) by brushing the back of the needle against the surface of the tissue [] (e) b, c, or d [] (f) none of the above [] (g) Don't Know
Question 11: The most efficient and secure laparoscopic surgeons knot tied with 2-0 silk is:
[] (a) double wrap on the first throw, followed by two opposing, alternating single throws [] (b) three double throws in the same direction, one on top of the other [] (c) two double throws in opposing directions, followed by a single throw [] (d) Don't Know
Question 12: Gore-tex suture does not hold an intracorporeal knot securely because of its slippery nature
Question 13: The suture easiest to visualize in a bloody field is
[] (a) Silk [] (b) Gore-tex [] (c) Vicryl, Polysorb, etc. [] (d) Don't Know
Question 14: Laparoscopic choledochotomy is best closed with
[] (a) Prolene [] (b) Vicryl [] (c) Clips [] (d) Don't Know
Question 15: Ligature in continuity for vascular structure is
[] (a) single wrap with a surgeons knot [] (b) double wrap with a surgeons knot [] (c) triple wrap with a square knot [] (d) Don't Know
[] (a) requires unraveling the last throw [] (b) cannot be accomplished with silk suture [] (c) cannot be accomplished with monofilament sutures [] (d) all of the above [] (e) none of the above [] (f) Don't Know
Question 18: The best tissue approximation method, after suturing is
[] (a) tissue glued [] (b) laser welding [] (c) clipping or stapling [] (d) Don't Know
Please check your answers. When you are sure you have finished, click on Submit