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Welcome to the procedure part of the Trocar Placement module. Here the learner will go through a pre-test and interactive case scenario to learn about laparoscopic cholecystectomy

Pre-test[edit | edit source]

Learners will first take a pre-test to assess their baseline knowledge of the topic. This test is available on our interactive platform and gives real-time grading for learners to immediately assess their knowledge coming into the module. It is also copied in appropedia format below. On our platform, answer explanations are not displayed for the pre-test (but are displayed in the post-test).

The answers, with explanations, are available for review in the post-test which is accessible here for download as a pdf.

ALL-SAFE Gallbladder Disease Pre & Post Test PDF

1 Which of the following is the most common cause of cholecystitis??

Infection
Gallstones
Tumor
Radiation

2 Which of the following is the most appropriate initial test in the diagnosis of cholecystitis?

Abdominal computed tomography (CT) scan
Right upper quadrant ultrasound
Complete blood count
Abdominal X-ray

3 How many ports are traditionally used to perform a laparoscopic cholecystectomy?

2
3
4
5

4 How should the patient be positioned during laparoscopic cholecystectomy?

Trendelenburg with right side up, left arm out, right arm tucked
Trendelenburg with left side up, right arm out, left arm tucked
Reverse Trendelenburg with right side up, both arms out.
Reverse Trendelenburg with left side up, both arms tucked

5 In which direction is the gallbladder infundibulum retracted for adequate exposure?

Laterally
Medially
Anteriorly
Posteriorly

6 Which components make up the hepatocystic triangle?

Ligamentum teres medial, cystic duct inferior, gallbladder wall inferior
Common bile duct medial, cystic duct superior, gallbladder infundibulum inferior
Cystic artery medial, cystic duct superior, left hepatic lobe inferior
Common hepatic duct medial, inferior surface of liver superior, cystic duct inferior

7 Which of the following demonstrates the basic steps of a laparoscopic cholecystectomy in order?

Establish the critical view of safety, divide cystic artery, dissect the hepatocystic triangle, divide the cystic duct, separate the gallbladder from the liver
Dissect the hepatocystic triangle, establish the critical view of safety, ligate and divide the cystic artery, ligate and divide the cystic duct, separate the gallbladder from the liver
Separate the gallbladder from the liver, establish the critical view of safety, dissect the hepatocystic triangle, divide the cystic duct, divide cystic artery,
Establish the critical view of safety, dissect the hepatocystic triangle, separate the gallbladder from the liver, divide the cystic artery, divide the cystic duct

8 Which structure is the last to be resected or ligated?

Cystic duct
Cystic artery
Calot's node
Gallbladder

9 Which of the following is appropriate in the case of a suspected injury to the common bile duct in the absence of cholangiography?

Convert to open to investigate injury and complete the operation
Place a drain and terminate procedure
Attempt to repair the injury laparoscopically with suture using a surgeon’s knot followed by two additional throws
Resect the common bile duct at its attachments to the cystic and pancreatic ducts

10 Which of the following is a routine complaint from patients following laparoscopic cholecystectomy?

Right shoulder pain or discomfort
Fever lasting >5 days
New onset anuria
Paresthesia in the lower extremities


Case scenario[edit | edit source]

The psychomotor learning is embedded in the sequence of a full clinical case, allowing the learner to digest pre-, intra-, and operative concepts of trocar placement.

Learners will go through an interactive case scenario with embedded course material. The case scenario is presented in a question / answer format. As learners progress through the case, they will digest information that is presented to them as they answer case questions. It is highly recommended that the learner be familiar with this content before proceeding to the skill pages.

PDF of Gallbladder Disease Case Scenario
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Part of ALL-SAFE
Keywords gallbladder disease, cholecystectomy, laparoscopy
Authors ALL-SAFE Team
License CC-BY-SA-4.0
Organizations Global Surgical Training Challenge
Language English (en)
Related 0 subpages, 3 pages link here
Impact 23 page views (more)
Created August 13, 2024 by ALL-SAFE Team
Modified August 14, 2024 by ALL-SAFE Team
Cite as ALL-SAFE Team (2024). "ALL-SAFE/Gallbladder disease Procedure". Appropedia. Retrieved August 20, 2024.
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