Abdominal Surgery - Deciding When, What and How to Biopsy

a) Bile can be safely aspirated by placing a needle through medial lobe parenchyma into the gall bladder

b) Kidneys can be biopsied with a Tru-cut biopsy needle aimed from pole to pole

c) Biopsies can be submitted in a single formalin container as long as they don’t clump together

d) Normal intestinal intraluminal pressure is between 2 and 4cm H2O

a) 4-0 monofilament absorbable with appositional suture pattern

b) 2-0 catgut simple interrupted sutures

c) 3-0 monofilament absorbable suture inverting layer

d) 4-0 monofilament absorbable everting pattern

a) Liver biopsies are best avoided

b) A peripheral solid liver mass may be removed using a crushing / guillotine suture

c) Multiple small liver samples can often be safely acquired using skin biopsy punches

d) Gelatin sponge can be used to stop bleeding after small punch biopsy defects

a) Every organ should be examined for every exploratory laparotomy

b) If there are no visually detectable abnormalities then biopsies are not likely to add any benefit

c) A long linea alba incision is essential to allow competent and thorough abdominal exploration

d) Falciform ligament removal improves visualisation and reduces risk of infection and necrosis

e) all of the above

a) Stomach

b) duodenum

c) ileum

d) jejunum

e) all of the above