Assisting The Surgeon

Front 1

What is the first thing the nurse must evaluate when a patient with poor vision on arrives to the hospital?

Back 1

The degree of acceptance to vision loss in terms of physical and psychologically

Front 2

How should the assistant orient the blind?

Back 2

Give description of surroundings while walking and have the blind touch the furniture and equipment in the room.

Front 3

What should the nurse do before a patients surgery?

Back 3

Go over the type of surgery that is about to be performed and what is expected of the patient.

Front 4

What does a nurse need to watch out for in patients that just had eye surgery and needs to notify the dr?

Back 4

Hemorrhage in the ac, unusual pain, white material in the ac especially if there is pain with it(infection), swelling

Front 5

Aa

Back 5

Of each

Front 6

Ac

Back 6

Before meals

Front 7

Ad lib

Back 7

As desired

Front 8

Amp

Back 8

Ampule

Front 9

C or cum

Back 9

With

Front 10

Caps

Back 10

Capsule

Front 11

Cc

Back 11

Cubic centimeter

Front 12

Collyr

Back 12

Eyewash

Front 13

Dr

Back 13

Dram

Front 14

Gr

Back 14

Gram

Front 15

Hs

Back 15

Bedtime

Front 16

Ic

Back 16

Between meals

Front 17

Lot

Back 17

Lotion

Front 18

Non rep

Back 18

Do not repeat

Front 19

Ocul

Back 19

Eye

Front 20

Pc

Back 20

After meals

Front 21

Qs

Back 21

Sufficient quantity

Front 22

Ss

Back 22

Half

Front 23

Stat

Back 23

Immediately

Front 24

Tab

Back 24

Tablet

Front 25

How many brush strokes per area of skin when scrubbing?

Back 25

20-30

Front 26

Water should run down what when scrubbing?

Back 26

Elbows

Front 27

Whats the best method of gloving for a scrub assistant?

Back 27

Closed glove technique

Front 28

What is placed on the back table ?

Back 28

Additional items like gauze, gowns, instruments that aren't primary.

Front 29

How is the mayo stand arranged?

Back 29

Instruments are sectioned off with their fellow instruments

Front 30

How to take care of a diamond knife?

Back 30

1. extend the blade and rinse with distilled water.

2.Examine under microscope for possible debris

3. Rinse and reevaluate under microscope if still present repeat steps, repeat if needed

4. Retract blade

5. Autoclave at 275 degrees for 3-5 minutes

6. If film on blade put an enzyme in distilled water and rinse with distilled water , repeat cleaning procedure

Front 31

Disadvantages of the diamond and sapphire blade?

Back 31

Chips easily

Front 32

How to clean sapphire blade?

Back 32

If film put into wet sponge or fiberglass packing material. Sterilize by steam, ethylene oxide gas, or dry heat.

Front 33

Diamond and ruby blades should be cleaned with an ultrasonic cleaner and?

Back 33

Hydrogen peroxide

Front 34

When is drying of blades avoided?

Back 34

Only if followed with steam sterilization.

Front 35

Since most sutures have preservatives what must be done before use?

Back 35

Rinsed

Front 36

What sutures are commonly used in anterior segment surgery?

Back 36

Nylon

Front 37

What is the strongest suture and is best for knot tying?

Back 37

Silk

Front 38

What suture is good for intraocular lenses, iris repair surgery, anterior segment wound closure

Back 38

Prolene

Front 39

If an instrument has some rust on it what needs to be done?

Back 39

It must be refinished by the manufacturer

Front 40

What is the most common cause of rust?

Back 40

Other instruments are rusting

Front 41

What water should be used an a autoclave?

Back 41

Deionized Distilled

Front 42

What are the best detergents for instrument washing?

Back 42

Neutral detergents of a ph 7

Front 43

How to check if the water source is the cause of instrument staining?

Back 43

Take two clean instruments wash one with tap water and the other with the deionized distilled water, and put it through a sterilization cycle. If both instruments are stained check the autoclave.

Front 44

What causes light and dark spots on instrument?

Back 44

Slow evaporation condensation on instruments.

Front 45

What causes black stains on instruments?

Back 45

Acid reaction like using a low ph.

Front 46

What causes bluish black stains on instruments?

Back 46

Autoclaving dissimilar metals.

Front 47

What is the main cause of corrosion or pitting of instruments?

Back 47

Blood or saline

Front 48

What does an extreme alkaline detergent do to an instrument?

Back 48

Stain and cause breaks

Front 49

What does an extreme acid detergent do to instruments?

Back 49

Causes pitting.

Front 50

When should instrument be bathed in instrument milk?

Back 50

After ultrasonic cleaning and needing to be lubricated

Front 51

How often should instruments be lubricated?

Back 51

After every cleaning process or after every 5 procedures

Front 52

When autoclaving instruments should be?

Back 52

Unlocked and open, and tips should not touch eachother

Front 53

What kind of sterilization method is autoclaving?

Back 53

Moist heat

Front 54

What the minimal time for chemical sterilization?

Back 54

20 minutes

Front 55

How long is dry heating sterilization for?

Back 55

60 minutes at 320 degrees

Front 56

What is acetone sterilization?

Back 56

One minute dip practical solution for instruments that are non intraocular

Front 57

If an instrument needs to be cleaned what is used?

Back 57

Alcohol

Front 58

What gas is used for sterilization?

Back 58

Ethylene oxide

Front 59

What is an advantage of zeiss microscope?

Back 59

They are interchangeable

Front 60

Whats the most common failure of microscopes?

Back 60

Jamming of power focus in the downward position

Front 61

What is the apecular microscope for?

Back 61

Examing the endothelial layer of the cornea.

Front 62

What is the average Endothelium cell count?

Back 62

1800-4000 cells/mm squared

Front 63

What cause endothelial cell to decrease?

Back 63

Age

Front 64

How much in a percentage does cell loss occur?

Back 64

8%

Front 65

How much is cell loss in anterior chamber iol placement?

Back 65

24%-62%

Front 66

What frequency is used in ocular imaging ?

Back 66

10 hz

Front 67

The spike on an a scan relates to what?

Back 67

The intensity of the returned echo

Front 68

What is a transducer?

Back 68

It converts electric impulses to sound.

Front 69

On a b scan the return of the sound is represented in ____instead of height.

Back 69

Brightness

Front 70

Spike 1 on an a scan shows?

Back 70

Anterior

Front 71

Spike 2 on an a scan shows

Back 71

Posterior

Front 72

Spike 3 on an a scan shows

Back 72

Lens surface

Front 73

Spike 4 on an a scan shows

Back 73

The retina

Front 74

What is the axial length of an eye?

Back 74

Distance between the cornea and retinal surface

Front 75

What is the best way to hold the bscan probe?

Back 75

Horizontal or vertical

Front 76

What is the first thing you want to identify during b scan?

Back 76

Optic nerve

Front 77

What would a melanoma look like during a b scan?

Back 77

Medium to low reflectivity and collar button or dome shaped.

Front 78

How does one measure the size of the melanoma?

Back 78

Get the greatest height of the tumor with a b scan and freeze the image and use the vector a scan for the actual measurement.

Front 79

What limit does an orbital ultrasound present with?

Back 79

Unable to penetrate the bony walls therefore a ct or mri should be done

Front 80

What is ubm stand for?

Back 80

Ultrasound biomicroscopy