Table 5 Multiple choice knowledge test
1. Which ligament should be dissected as a first step of a laparoscopic Roux-en-Y gastric bypass (RYGB)? | |
A) Gastro-colic | C) Gastro-phrenic |
B) Spleno-renal | D) Gastro-splenic |
2. For the gastric pouch, dissection should begin at the lesser curvature of the stomach _____ cm from the gastro-esophageal junction. | |
A) 7 cm | C) 4 cm |
B) 10 cm | D) 12 cm |
3. For the gastric pouch, a posterior tunnel has to be dissected towards the _________. | |
A) Incisura angularis | C) Angle of His |
B) Pylorus | D) Spleen |
4. For the Roux limb creation, which ligament should be found? | |
A) Round ligament | C) Hepato-duodenal |
B) Treitz | D) Gastro-colic |
5. For the Roux limb creation, what gastrointestinal segment needs to be measured? | |
A) Duodenum | C) Jejunum |
B) Ileum | D) Colon |
6. What is the approximate length of the Roux limb? | |
A) 25–35 cm | C) 100 cm |
B) 70–90 cm | D) 40–60 cm |
7. For the gastro-jejunal anastomosis, what is the location for the jejunum’s enterotomy? | |
A) Anterior location | C) Mesenteric location |
B) Antimesenteric location | D) Posterior location |
8. Which instrument is mainly used for the creation of enterotomies? | |
A) Dissector/Maryland | C) Scissors |
B) Harmonic scalpel | D) Grasper |
9. For the creation of the biliopancreatic limb, does the surgeon measure the alimentary limb? | |
A) Yes | B) No |
10. How many staple fires are usually required for a jejuno-jejunal anastomosis? | |
A) 1 staple | C) 2 staples |
B) 3 staples | D) 4 staples |