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Ostomy Management Specialist Practice Test

OMS exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

- Anatomy/Physiology
- Gastrointestinal (GI) system
- Genitourinary (GU) system
- Principles of Wound Healing
- Partial-Full Thickness healing
- Types wound closure
- Moist wound healing
- Systemic factors that influence healing

- Treatment and management of conditions/etiologies/indications for Fecal or Urinary Diversion Surgery
- Bowel obstruction
- Inflammatory bowel disease
- Ulcerative colitis- Crohn’s disease-
- Gastrointestinal cancers
- acute diverticulitis
- Bladder cancer
- Interstitial cystitis
- Neurogenic bladder
- Refractory radiation cystitis
- Pediatric conditions
- Hirschsprung’s disease
- Imperforate anus
- Necrotizing enterocolitis
- Malrotation with midgut volvulus
- Meconium ileus
- Intussusceptions
- Cloacal exstrophy
- Intestinal atresias
- Intestinal pseudoobstruction
- Intestinal transplant

- Assessment- treatment and management of:
- Gastrointestinal Ostomies
- Colostomy
- Ascending colostomy
- Cecostomy
- Transverse colostomy
- Descending colostomy
- Ileostomy
- Brooke ileostomy
- Gastrointestinal continent diversions
- Kock pouch
- Ileoanal reservoir
- Continent colostomy
- Urinary ostomies
- Urostomy
- Ileal conduit
- Colon conduit
- Uretero-sigmoidostomy
- Jejunum conduit
- Incontinent urinary diversions Ureterostomy- Vesicostomy
- Continent urinary diversions
- Indiana pouch
- Mitrofanoff continent urinary diversion
- Neo- bladder
- Fistulas

- Patient Education
- Pre-operative teaching and counseling:
- anatomy and physiology of the GI or GU system
- procedure
- appearance of the stoma
- appliances
- equipment
- modification and alterations of lifestyle after surgery

- Teaching plan specific patient needs and concerns:
- age
- self care ability
- presurgical life style
- barriers to learning
- patient’s support system
- dietary habits
- physical habits
- financial resources
- receptiveness to education
- social and coping skills
- psychosocial development
- environmental challenges

- Post-operative teaching and counseling:
- Apply- manipulate- empty- and remove pouching system
- stoma care
- bathing
- clothing
- activity restrictions
- medication influence
- dietary considerations
- peristomal skin care
- complications to report
- sexual counseling
- colostomy irrigation and discharge resources

- Assessment and management Peristomal complications:
- Peristomal hernia
- Peristomal fistula
- Peristomal candidiasis
- Folliculitis
- Pseudoverrucous lesions
- pyoderma gangrenosum
- Suture granulomas
- Irritant contact dermatitis
- allergic contact dermatitis
- skin trauma
- Psoriasis and Alkaline encrustations
- Carcinoma of the peristomal skin- Pemphigus

- Assessment and management of stoma and stomal complications:
- Categories- types- clinical characteristics
- Peristomal hernia
- stoma prolapse
- stoma necrosis
- stoma stenosis
- stoma retraction
- mucocutaneous separation
- stomal varices
- stoma fistula
- stoma trauma

- Assessment- management- and modifications for appliances and pouching products including:
- One- piece or two-piece systems
- Systems for fecal or urinary diversions
- Flexible or rigid skin barriers
- Flat or convex skin barriers- and pouching accessories

- Psychosocial Effects of Fecal and Urinary Diversion Surgery:
- Phases of adjustment- quality of life- self esteem- body image
- Relationships- spiritual- cultural- and ethnic considerations
- Health care professional’s role and responsibilities

- Procedures and techniques:
- Containment of stoma effluent
- Colostomy irrigation
- Catheterization of an ileal conduit
- Food blockage
- ileostomy lavage
- medication administration drug absorption
- Pouching fistulas
- Stoma site marking
- Tube management:
- nasogastric tubes
- nephrostomy tubes
- long intestinal tubes
- biliary tubes
- tracheostomy tubes

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Ostomy Management Specialist
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Question: 712
A patient with significant weight changes post-ostomy surgery is struggling with pouch fit. What is the
most appropriate recommendation?
A. Measure the stoma size frequently and adjust the pouch accordingly
B. Use a larger pouching system regardless of fit
C. Reassure them that weight changes do not affect pouching
D. Recommend they stop any weight changes immediately
Answer: A
Explanation: Regularly measuring the stoma size and adjusting the pouch accordingly is crucial to ensure
a proper fit and prevent leaks, especially with significant weight changes.
Question: 713
A patient with a new transverse colostomy expresses concerns about odor control. What is the most
effective measure to manage this issue?
A. Using a pouching system with an odor control filter
B. Limiting protein intake
C. Increasing fiber intake
D. Applying a deodorizing spray
Answer: A
Explanation: Using a pouching system with an odor control filter is the most effective measure for
managing odor associated with colostomies, providing an ongoing solution rather than temporary fixes.
Question: 714
A patient asks about the best way to care for their peristomal skin to prevent complications. Which of the
following practices should you emphasize?
A. Keep the area dry at all times
B. Use alcohol-based cleansers for cleaning
C. Apply a barrier cream before pouch application
D. Change the pouch only when it leaks
Answer: C
Explanation: Applying a barrier cream is essential to protect the peristomal skin from irritation and
leakage, thereby preventing complications.
Question: 715
In managing a patient with a neobladder, which complication is most important to monitor in the early
postoperative phase?
A. Infection
B. Neobladder capacity
C. Electrolyte imbalance
D. Urinary incontinence
Answer: A
Explanation: Infection is a significant risk in the early postoperative phase, requiring vigilant monitoring
and prompt intervention if symptoms arise.
Question: 716
A patient with acute diverticulitis has experienced recurrent episodes and is now considering surgical
intervention. What is the recommended surgical procedure for a patient with recurrent diverticulitis?
A. Appendectomy
B. Fistula repair
C. Colonic resection with anastomosis
D. Sigmoid colectomy
Answer: D
Explanation: Sigmoid colectomy is recommended for patients with recurrent diverticulitis to prevent
further episodes and complications.
Question: 717
What is the most common cause of peristomal dermatitis in ostomy patients?
A. Allergic reaction to the adhesive
B. Stoma size changes
C. Infection
D. Excessive moisture
Answer: D
Explanation: Excessive moisture from output can lead to skin breakdown and dermatitis, making it the
most common cause of peristomal skin issues.
Question: 718
When discussing modifications to lifestyle post-ostomy, which of the following is a critical point to
address regarding physical activity?
A. Avoid all forms of exercise for six months.
B. Only walking is recommended post-operatively.
C. Strenuous activities can be resumed after one week.
D. Light exercise is encouraged immediately after surgery.
Answer: D
Explanation: Light exercise is encouraged soon after surgery to promote healing and Strengthen overall
well-being, but patients should avoid strenuous activities initially.
Question: 719
Which of the following types of skin barriers for ostomy management provides
flexibility and conforms well to irregular skin surfaces?
A. Flexible skin barriers
B. Rigid skin barriers
C. Flat skin barriers
D. Convex skin barriers
Answer: A
Explanation: Flexible skin barriers provide flexibility and conform well to
irregular skin surfaces. They are designed to move with the body and provide a
comfortable fit. Rigid skin barriers, on the other hand, are more rigid and may
be suitable for individuals with well-formed stomas or to provide additional
support. Flat skin barriers have a flat surface and are suitable for individuals
with flat or flush stomas. Convex skin barriers have a convex shape and are
designed to help manage stomas that are retracted or flush with the skin
surface.
Question: 720
Which healthcare professional plays a role in providing support and education
to patients undergoing fecal and urinary diversion surgery?
A. Surgeon
B. Pharmacist
C. Physical therapist
D. Radiologist
Answer: A
Explanation: The surgeon has a primary role in the surgical management of
fecal and urinary diversion. They are responsible for performing the surgery
and providing post-operative care, including support and education to the
patients.
Question: 721
What is the recommended treatment for food blockage in an ileostomy?
A. Ileostomy lavage
B. Medication administration
C. Pouching fistulas
D. Colostomy irrigation
Answer: A
Explanation: In the case of food blockage in an ileostomy, ileostomy lavage is a
recommended treatment. It involves the gentle instillation of warm water into
the stoma to help dislodge the blockage and facilitate its passage.
Question: 722
Which type of dermatitis is caused by exposure to irritants such as stool, urine,
or adhesive products?
A. Peristomal candidiasis
B. Allergic contact dermatitis
C. Psoriasis
D. Irritant contact dermatitis
Answer: D
Explanation: Irritant contact dermatitis is a common skin condition that occurs
when the skin comes into direct contact with irritant substances. In the context
of ostomy management, it can be caused by exposure to stool, urine, or
adhesive products used to secure the pouching system.
Question: 723
What is the recommended treatment for peristomal candidiasis?
A. Topical antifungal creams
B. Oral antibiotics
C. Surgical intervention
D. Immunosuppressive therapy
Answer: A
Explanation: Peristomal candidiasis is a fungal infection that affects the skin
around the stoma. The recommended treatment is the use of topical antifungal
creams or ointments to control the infection.
Question: 724
Which of the following is a characteristic of pyoderma gangrenosum in the
context of ostomy management?
A. Pseudoverrucous lesions
B. Folliculitis
C. Suture granulomas
D. Skin trauma
Answer: A
Explanation: Pyoderma gangrenosum is a rare inflammatory skin disease that
can occur in the peristomal area. It is characterized by the development of
pseudoverrucous lesions, which are raised, wart-like growths on the skin.
Question: 725
Which of the following is a non-infectious inflammatory skin condition that
can occur around the stoma and is often associated with underlying
inflammatory bowel disease?
A. Pseudoverrucous lesions
B. Pyoderma gangrenosum
C. Suture granulomas
D. Psoriasis
Answer: B
Explanation: Pyoderma gangrenosum is a non-infectious inflammatory skin
condition that can occur around the stoma and is often associated with
underlying inflammatory bowel disease. It is characterized by the development
of painful, necrotic ulcers with undermined borders. Pseudoverrucous lesions
refer to wart-like growths that can occur around the stoma. Suture granulomas
are inflammatory reactions that can occur in response to sutures used during
surgery. Psoriasis is a chronic skin condition characterized by the development
of red, scaly patches on the skin.
Question: 726
Which type of skin barrier is recommended for irregular or uneven peristomal
areas?
A. Flat skin barrier
B. Convex skin barrier
C. Flexible skin barrier
D. Rigid skin barrier
Answer: B
Explanation: A convex skin barrier is recommended for irregular or uneven
peristomal areas. It helps create a secure seal around the stoma, preventing
leakage and protecting the surrounding skin.
Question: 727
Which of the following is a common complication associated with peristomal
hernia?
A. Peristomal candidiasis
B. Folliculitis
C. Suture granulomas
D. Peristomal fistula
Answer: D
Explanation: Peristomal hernia refers to the protrusion of an organ or tissue
through the abdominal wall around the stoma. It can lead to the formation of a
peristomal fistula, which is an abnormal connection between the stoma and
adjacent organs or tissues.
Question: 728
Which type of ostomy system is designed as a single unit combining the skin
barrier and pouch?
A. One-piece system
B. Two-piece system
C. Flexible skin barrier
D. Rigid skin barrier
Answer: A
Explanation: A one-piece system is an ostomy system that combines the skin
barrier and pouch into a single unit. It is convenient and easy to use, as the
entire system is replaced when necessary.
Question: 729
Which of the following is a type of peristomal complication characterized by
the growth of abnormal tissue that resembles a wart or verruca?
A. Peristomal hernia
B. Peristomal fistula
C. Pseudoverrucous lesions
D. Pyoderma gangrenosum
Answer: C
Explanation: Pseudoverrucous lesions are a type of peristomal complication
characterized by the growth of abnormal tissue that resembles a wart or verruca.
They can occur around the stoma and may require treatment to prevent further
complications. Peristomal hernia refers to the protrusion of abdominal contents
through a weak area in the abdominal wall around the stoma. Peristomal fistula
is an abnormal connection between the stoma and adjacent organs or tissues.
Pyoderma gangrenosum is a non-infectious inflammatory skin condition
characterized by the development of painful, necrotic ulcers.
Question: 730
Which of the following factors can impact the psychosocial effects of fecal and
urinary diversion surgery?
A. Stoma site marking
B. Colostomy irrigation
C. Quality of life
D. Nasogastric tube management
Answer: C
Explanation: The psychosocial effects of fecal and urinary diversion surgery
can be influenced by various factors, including the individual's quality of life.
The adjustment to living with a stoma can have a significant impact on a
person's psychological well-being and overall satisfaction with life.
Question: 731
Which complication is characterized by the narrowing or constriction of the
stoma opening?
A. Peristomal hernia
B. Stoma prolapse
C. Stoma necrosis
D. Stoma stenosis
Answer: D
Explanation: Stoma stenosis refers to the narrowing or constriction of the stoma
opening, making it difficult for effluent to pass through. It can be caused by
various factors, including tissue inflammation or scarring.
Question: 732
Which of the following ostomy accessories is used to secure the pouching
system and provide additional support and protection?
A. Stoma cap
B. Skin barrier sealant
C. Stoma paste
D. Ostomy belt
Answer: D
Explanation: Ostomy belts are used to secure the pouching system and provide
additional support and protection. They can help prevent accidental detachment
or movement of the pouching system, especially during physical activities.
Stoma caps are small, lightweight pouches used for temporary use when the
main pouching system is not needed. Skin barrier sealants and stoma paste are
used to fill in gaps or crevices between the skin barrier and the skin surface to
help create a more secure seal.
Question: 733
Which of the following ostomy systems is specifically designed for fecal
diversion?
A. One-piece systems
B. Two-piece systems
C. Closed-end pouches
D. Drainable pouches
Answer: B
Explanation: Two-piece systems are specifically designed for fecal diversion.
They allow for easy attachment and detachment of the pouch, making it
convenient for emptying and changing the pouch as needed. One-piece systems
have the pouch and skin barrier permanently attached to each other and are
suitable for both fecal and urinarydiversions. Closed-end pouches are typically
used for one-time use and are suitable for individuals with predictable bowel
movements. Drainable pouches have an opening at the bottom that can be
opened to empty the contents and are suitable for individuals with
unpredictable bowel movements.
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Ostomy Management Specialist Practice Test

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