Jump to content

SELF/Colostomy/Pre-procedure Quiz

From Appropedia
▼Created by the West African College of Surgeons for the Surgical Education Learners Forum.Please see the Terms of Use and do not edit without permission.
Instructions

Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.

1

A patient presents with obstructing rectosigmoid carcinoma and peritonitis requiring resection. Which intraoperative decision best reflects appropriate use of a loop colostomy?

Proceed with loop colostomy to relieve obstruction
Avoid loop colostomy and perform resection with exteriorization
Delay surgery and consider nonoperative management
Create a primary anastomosis without diversion

2

During informed consent, a patient asks if their loop colostomy will definitely be reversed. What is the most accurate response?

“No, once created, a colostomy cannot be reversed.”
“Reversal will occur after three months automatically.”
“Reversal is planned but depends on your recovery and safety.”
“Yes, reversal is routine after healing.”

3

During consent for a loop colostomy, the patient repeats back that the operation “will fix the blockage,” but insists it will “leave everything working normally again without any bag.” The patient is alert and oriented. What is the most appropriate next step for the surgeon?

Proceed with surgery but plan to clarify details postoperatively
Document consent as complete since the patient agreed to surgery
Ask a relative to provide substituted consent immediately
Reassess the patient’s understanding and determine if they have capacity to consent

4

A patient with severe chronic lung disease requires fecal diversion for rectal injury. Which plan aligns best with preoperative consideration?

Consider spinal anesthesia and explain its rationale
Cancel surgery due to comorbidity
Proceed under general anesthesia as usual
Opt for local anesthesia only

5

A junior surgeon proposes creating a loop colostomy in a patient with advanced metastatic cancer and minimal life expectancy. What is the most appropriate next step?

Offer palliative colostomy without discussion
Proceed urgently to prevent obstruction
Reassess if the stoma will meaningfully improve quality of life
Proceed, since diversion always improves comfort


Page data
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors Ian-laurel, SELF Tiger Team
License CC-BY-SA-4.0
Organizations WACS, SELF
Language English (en)
Related 0 subpages, 0 pages link here
Redirects WACS Training Modules/Colostomy/Pre-procedure Quiz
Views 2 page views (analytics)
Created November 12, 2025 by KatKor
Last edit March 9, 2026 by Ian-laurel
Cite as KatKor (2025–2026). "SELF/Colostomy/Pre-procedure Quiz". Appropedia. Retrieved June 4, 2026.
API queries basic, semantic, html, files, more
Cookies help us deliver our services. By using our services, you agree to our use of cookies.