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(s). 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) lyse the adhesions and terminate the procedure since the adhesions are the likely source of pain.
b) do nothing since there appears to be no definitive source of pain
c) lyse the adhesions and perform appendectomy so the patient won't get appendicitis in the future
d) lyse the adhesions and perform an appendectomy since 15% of normal appearing appendices have pathology
e) Don't Know

2. You are performing a diagnostic laparoscopy for chronic abdominal pain and intermittent rectal bleeding a week after a normal upper endoscopy and colonoscopy in a 19 year old female. The patient had taken NSAIDs for several days for severe menstrual pain. You suspect a Meckel's diverticulum is responsible for this. The following lesion is encountered.

a) You should perform a laparoscopic small bowel resection.
b) If there is no Meckel's diverticulum the procedure should be terminated since this lesion does not cause bleeding.
c) Photograph the lesion, terminate the procedure, and if the bleeding reoccurs off NSAIDs then schedule a small bowel resection.
d) Terminate the procedure and schedule arteriographic immobilization of the lesion.
e) Don't Know

3. You are asked to perform a laparoscopic liver biopsy for persistently elevated liver function studies and two normal percutaneous liver biopsies. The following lesion is encountered

a) You should terminate the procedure and come back for biopsy only if a gated blood pool study is normal.
b) You should perform a true cut liver biopsy of these lesions
c) The lesions should be photo documented only since these lesions are far too dangerous to be biopsied.
d) You should perform a laparoscopic wedge liver biopsy at a convenient site.
e) Don't Know

4. You are about to perform a transbdominal laparoscopic hernia repair in a 28 year old woman. The preoperative urine HCG was negative. The following lesion is noticed. You should

a) smile, make a mental note of the lesion for dictation purposes and proceed with hernia repair.
b) resect the lesion and call a gynecologic consultant while the frozen section is proceeding
c) obtain a STAT serum HCG and proceed with hernia repair if negative
d) photograph the lesion, terminate the procedure, and refer the patient to a gynecologic oncologist for proper staging.
e) Don't Know

5. After performing a laparoscopic cholecystectomy you notice that the patient has a large right inguinal hernia. You should

a) perform a transbdominal laparoscopic hernia repair (TAP)
b) perform a total preperitoneal hernia repair (TEP)
c) photograph the lesion and discuss it with him afterwards
d) perform an open hernia repair
e) Don't Know