Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
347 Cards in this Set
- Front
- Back
|
Room temp for infants and children should be maintained as warm as
|
85 degrees
|
|
|
Areas needing special cleaning attention on a WEEKLY or MONTHLY routine would include
|
Weekly or Monthly: AC grills and walls
Daily: Ceiling and wall mounted fixtures and tracks Between cases/end of day: furniture, kick buckets |
|
|
A glass suction bottle should ideally be
|
cleaned with a disinfectant solution and autoclaved before reuse
|
|
|
Storage shelves must be cleaned with a germicide
|
each week
|
|
|
While a surgical case is in progress, doors should
|
remain closed
|
|
|
When cleaning the floor between cases
|
1. a clean mop head must be used each time
2. a two-bucket system, one detergent and one clear water, is used 3. buckets must be emptied and cleaned between each case |
|
|
A dropped sterile tiem may only be used if the
|
wrapper is impervious and contact area is dry
|
|
|
In the event that a child needs emergency surgery, and the parents cannot be located to sign the permission
|
a written consultation by two physicians other than the surgeon will suffice
|
|
|
The patient is scheduled for an appendectomy. After completing this procedure the surgeon decides to remove a mole from the shoulder while the patient is still under anesthesia. No permisison was obtained for this. The circulating nurse should
|
report it to the supervisor or proper administrative authority
|
|
|
The surgical consent form can be witnessed by each of the following EXCEPT
a. the surgeon b. a nurse c. an authorized hospital employee d. the patient's spouse |
d. the patient's spouse CAN NOT witness the surgical consent
|
|
|
The patient is premedicated and brought to the OR for a cystoscopy and an ORIF of wrist. Upon arrival in the OR, it is observed that the patient has only signed for the cysto. The correct procedure would be to
|
cancel surgery until a valid permission can be obtained
|
|
|
A general consent form is
|
a form authorizing all treatments or procedures, this is NOT another name for a OR permit
|
|
|
The ultimate responsibility for obtaining consent lies with the
|
surgeon
|
|
|
The surgical consent is signed
|
before administration of preoperative medications
|
|
|
An informed consent
|
protects patient from unratified or unwanted procedures AND protects the surgeon and the hospital from claims of an unauthorized operation
|
|
|
Implied consent
|
is allowed by law in emergencies when no other authorized person may be contacted
|
|
|
Which statment regarding the withdrawal of a consent by a patient is NOT true?
a. the surgeon informs the patient of the dangers if the procedure is not carried out b. the surgeon informs the hospital administration of the patient's refusal c. the surgeon obtains a written refusal from the patient d. the surgeon may do the procedure if he docutments that it is necessary as a lifesaving measure |
d. is NOT true because the consent has been WITHDRAWN
|
|
|
Which position would be the most desirable for a pilonidal cystectomy or a hemorrhoidectomy?
|
Kraske
|
|
|
A position often used in cranial procedures is called
|
Fowler's
|
|
|
In positioning for laminectomy, rolls or bolsters are placed
|
longitudinally to support the chest from axilla to hip
|
|
|
The position used for a patient in hypovolemic shock is
|
modified Trendelenburg
|
|
|
A Mayfield table would be used for which type of surgery?
|
neurologic
|
|
|
Good exposure for thyroid surgery is ensured by all of the following EXCEPT
a. modified dorsal recumbent with shoulder roll b. hyperextension of the neck c. utilization of the skin-stay sutures d. firm retraction of the laryngeal nerve and surrounding structures |
d is false because we are careful to preseve the laryngeal nerve
|
|
|
A procedure requiring the patient to be positioned supine in modified lithotimy is
|
APR abdominoperineal resection
|
|
|
In which procedure may the patient be placed in a supine position with the right side slightly elevated by a wedge to tilt the patient to the left?
|
C section
|
|
|
The position for most open bladder surgery would be
|
supine, bolster under pelvis
|
|
|
In which circumstance could the patient sustain injury to the pudendal (mixed somatic and autonomic nerve inthe pelvic region , large branch of sacral plexus) nerve?
|
positioned on the fracture table
|
|
|
Which factor is important to consider when positioning the aging patient?
|
skeletal changes, limited range of motion of joints, tissue fragility
|
|
|
When positioning the patient for a procedure, which of the following provides maximum pt safety and maximum surgical site exposure?
|
patient's body does not touch metal on table, equipment, Mayo stand, or personnel are not resting on the pt, and bony prominences are padded
|
|
|
When preparing a patient for a breast bx a breast scrub is either elminated or done very gently because of
|
dispersal of cancer cells
|
|
|
The ideal place to do the shave prep is the
|
holding area of the OR
|
|
|
Any area that is considered contaminated
|
should be scrubbed last or separately
|
|
|
In preparation for surgery, skin should be washed and painted
|
from the incision site tothe periphery in a circular motion
|
|
|
Preliminary preparation of the patient's skin begins with
|
a preop shower
|
|
|
Suction tubing is attached to the drapes with a
|
nonperforating clamp
|
|
|
All of the following statments regarding sterility are true
|
wrapper edges are unsterile, instruments or sutures hanging over the table edge are discarded, sterile persons pass each other back to back, and a sterile person does NOT face a nonsterile person when passing
|
|
|
When draping a table, the scrub nurse should drape
|
front to back
|
|
|
A seamless, stretchable material often used to cover extremities during draping is
|
stockinette
|
|
|
Drapes are
|
placed on a dry area, NOT passed across the table, NOT adjusted, NOT unfolded
|
|
|
True or false: during the draping process, gloved hands may touch the skin of the patient
|
False
|
|
|
A dead drape consists of
|
medium sheet, towel, towel clip
|
|
|
Gowns are considered sterile only from
|
only in front from chest to sterile field level, and sleves from elbow to cuffs
|
|
|
An acceptable action when drying the hnads and arms after the surgical scrub is to
|
dry thoroughly, CLEANEST area first
|
|
|
All of the following statements regarding gowning another person are true EXCEPT
a. opend the hand towel and lay it on the person's hand b. hand the folded gown the the person at the neckband c. keep hands onthe outside of the gown under a protective cuff d. release the gown once the person touches it |
b. is false because you should unfold the gown first
|
|
|
Which statement regarding the scrub procedure is NOT true?
a. reduces the microbial count b. leaves a antimicrobial residue c. render the skin aseptic d. removes skin oil |
c. is NOT true because the skin can never be sterile (aseptic). It is considered surgically clean
|
|
|
If the scrub nurse needs to change a glove during an operation
|
the circulator pulls the glove off
|
|
|
Which statement regarding the removal of gown and gloves does NOT meet safe criteria?
a. the gloves are removed before the gown b. the gown is pulled off inside-out c. the gown is untied by the circulator d. the gloves are removed inside-out |
a. is NOT safe criteria
|
|
|
An effective surgical scrub procedure is
|
the time method or brush-stroke method
|
|
|
Regarding the surgical scrub, which statment would VIOLATE acceptable practice?
a. fingernails should not reach beyond fingertip b. nail polish may be worn if freshly applied c. anyone iwth a cut, abrasion, or hangnail should not scrub d. a non-oil-based hand lotion may be used to protect the skin |
b. nail polish may NOT be worn
|
|
|
Eyewear, goggles, and/or faceshields should be worn
|
on every case
|
|
|
The surgical scrub is
|
mechanical washing and chemical antisepsis of the skin
|
|
|
Scrub technique ends
|
2 inches above the elbow
|
|
|
Which statement regarding the surgical scrub indicates INAPPROPRIATE preparation by the scrub?
|
NO fingernail polish may be worn!!
|
|
|
Which statement best describes an effective surgical hang scrub?
a. time, no anatomical sequence b. number of strokes, no anatomical sequence c. time or number of strokes, hand to elbow sequence |
c
|
|
|
The brush-stroke method of scrubbing prescribes the number of strokes required. indicate the number for each: nails, fingers, hand (back and palm) and arms
|
30 nails
20 per side of finger (80 times total) 20 per side of hand 20 per side of arms |
|
|
A surgical treatment for scoliosis could employ the use of
|
Harrington rods
|
|
|
What is a Lebsche used for
|
to open the sternum
|
|
|
A rongeur used extensively in surgery of the spine and in neurosurgery is the
|
Kerrison
|
|
|
bakes are
|
common duct dilators
|
|
|
A rib retractor is a
|
Finochietto
|
|
|
A Doyen is a
|
rib raspatory
|
|
|
The instrument used to enlarge the burr hole made during a craniotomy is a
|
ronguer
|
|
|
Wescott scissors are used in
|
ophthalmic surgery
|
|
|
The instrument used in a splenectomy is a
|
pedicle clamp
|
|
|
Bowman probes are used in
|
lacrimal surgery
|
|
|
A Hurd dissector and pillar retractor is used for
|
tonsillectomy
|
|
|
The Lempert elevator is used in surgery of the
|
ear
|
|
|
A Scoville retractor is used in a
|
laminectomy
|
|
|
A Bailey is a
|
rib approximator
|
|
|
A Sauerbruch is a
|
rongeur
|
|
|
An Auvard is a
|
speculum
|
|
|
A Babcock is used to
|
grasp delicate structures
|
|
|
Nasal cartilage is incised with a
|
Ballenger swivel knife
|
|
|
A self-retaining retractor is a
|
Weitlaner
|
|
|
A rectal speculum is a
|
Hill
|
|
|
A small fine needle holder used in plastic surgery is a
|
Webster
|
|
|
A kidney pedicle clamp is a
|
Herrick
|
|
|
Uterine dilators are
|
Hanks
|
|
|
In a tonsillectomy, the mouth is retracted open with a self-retaining retractor such as a
|
Jenning's mouth gag
|
|
|
The instrument used to retrieve a needle bx from either thyroid, liver, kidney or prostate is
|
Silverman
|
|
|
This instrument is used in corrective rhinoplasty to undermine the skin of the nose and free the periosteum and perichondrium
|
Freer elevator
|
|
|
A cholecystOSTOMY is establishment of an opening into the gallbladder to permit drainage of the organ and removal of stones.
It is selected for high-risk patients. A purse-string suture encircles the gallbladder fundus and a trocar is placed in it. |
Suction tubing is attached to the trocar sheath and the gallbladder contecnt are aspirated. The contaminated trocar and sheath are discarded. Stone removal may then take place.
|
|
|
This instrument is an adjustable ring-shaped abdominal retractor with two lateral blades permanently attached. There are three detachable blades as well. It is self-retaining.
|
O'Sullivan-O'Connor
|
|
|
This instrument is an intestinal clamping forceps that comes straight or curved.
|
The Doyen
|
|
|
This instrument is also known as a loop retractor. It is used to retract the sternocleidomastoid muscle during thyroidectomy
|
The Green goiter retractor
|
|
|
A _____________ rongeur is part of a major bone setup. It is used to bit off sharp irregular bone edges.
|
Stille-Luer Duckbill
|
|
|
A _________ is a scapula retractor. It is found in a thorocotomy set.
|
Davidson
|
|
|
The ______ is lung-grasping forcep and is included in the instrumentation for lobectomy and pneumonectomy
|
Duval
|
|
|
The ______ and _________ are vascular clamping instruments. The ________ are vascualr scissors.
|
Satinsky
DeBakey Potts Smith |
|
|
A ________ is a cross action clamp, straight or curved. It is used for occlusion of major peripheral arteries. They come in several sized
|
DeBakey bulldog
|
|
|
A _________ is a hysterectomy forceps. It has double serrated jaws with cross grooves
|
Heaney
|
|
|
In an exploration of the common bile druct, a _________ is placed into the common bile duct. It is used to confirm sucesful evactuation and patency of the ducts and stays in place as a drain.
|
drainage T-tube
|
|
|
Stapedectomy requires all of the following items EXCEPT
a. small microsuction b. speculum c. prosthesis d. autograft |
d. autograft is NOT used
- prosthetic devices are of stainless steel and Teflon. Microsuctions are used. A speculum provides view. |
|
|
Cochlear implants utilize an electrode device
|
to restore hearing, the device emits electrical impulses into the cochlea and along the acoustic nerve
|
|
|
All of the following are required for repair of a nasal FRACTURE except
a. boyonet orceps b. Ballenger swivel knife c. splint d. Asch forceps |
b. Ballenger swivel knife is used in nasal surgery but not fracture
**For a fx you would need, anesthesia setup, boyonet forceps, an Asch septum-straightening forceps, a straight hemostat, impregnated gauze, packng, a splint, and adhesive tape |
|
|
A forceps used in nasal surgery is a
|
bayonet
|
|
|
All of the following instruments can be found on a nasal setup EXCEPT
a. Freer elevator b. bayonet forceps c. Potts d. Frazier suction tub |
c. potts are not used
|
|
|
One which setup would bougies (esophageal dilators) be found?
|
esophagoscopy
|
|
|
All of the following can be found on a tonsilectomy setup EXCEPT
a. Yankauer suction b. Hurd dissector and pillar retractor c. tongue depressor d. Jameson hook |
d. a Jameson hook is used in eye surgery
- The Yankauer suction, Hurd dissector and pillar retractor, and tongue depressor are all found in a tonsil set |
|
|
Tissue expanders are used in
|
breast reconstruction
|
|
|
The fracture treated with arch bars is
|
mandibular
|
|
|
Rib removal for surgical exposure of the kidney requires all of the following EXCEPT
a. Alexander periosteotome b. Doyen raspatory c. Heaney clamp d. Stille shears |
Heaney clamp
|
|
|
Sonte forceps on a kidney set are
|
Randall
|
|
|
A Sarot is a
|
bronchus clamp
|
|
|
Which item would NOT be included on a setup for a transvenous (endocardial) pacemaker?
a. tunneling instrument b. intra-aortic balloon pump c. fluoroscopy d. defibrillator |
b. intra-aortic balloon pump would NOT be used
-Fluoroscopy and a defibrillator are required plus vascular dissecting instruments, tunneling instrument, pacemaker and electrodes, introducer set, and an external pacemaker |
|
|
The most frequent conditions requiring the use of a permanent pacemaker are
|
heart block, bradyarrhythmia
- A permanent pacemaker initiates atrial or ventricular contraction or both |
|
|
Which setup would include distraction and compression components
|
Harrington rods
|
|
|
Traction applied directly on bone via pins, wires, or tongs is
|
skeletal
|
|
|
Skeletal traction of the lower leg is accomplished iwth the use of a
|
Kirschner wire
|
|
|
In orthopedic surgery, the viewing of the progression of a procedure on a television screen is known as
|
image intensification
|
|
|
A neurologic study in which a radiopaque substance is injected into the subarachnoid space through a lumbar puncture is called a
|
myelogram
|
|
|
A neuro headrest skull clamp is called a
|
Mayfield
|
|
|
Maintenance of acceptable blood pressure and prevention of the development or air emboli in the neurosurgical patient can be effected by preoperative utilization of
|
an antigravity suit
|
|
|
A ______ is a mouth gag
|
Dingman
|
|
|
Specialized instruments for a cleft lip repair would include
|
Logan's bow
|
|
|
Cloward instrumentation would be included for surgery of the
|
cervical spine
|
|
|
On which setup would a Beaver knife handle be found?
|
eye
|
|
|
Which procedure requires a sterile setup?
a. manual skin traction b. skin traction c. skeletal traction d. closed reduction |
skeletal traction
|
|
|
A craniotomy may employ the use of a _________ for exposure
|
Leyla-Yasargil
|
|
|
On which setup would either a Pereyra or a Stamey needle be found?
|
urologic
|
|
|
Disintegration of kidney stones through a liquid medium is accomplished with a
|
extracorporeal shock wave lithotriptor
|
|
|
A urology perineal retractor system is called
|
Omni-Tract
|
|
|
Which procedure would utilize a Mason-Judd retractor?
|
bladder
|
|
|
A Furlow inserter is used in
|
penile implantation
|
|
|
On which case would a boomerang be found?
|
prostate
|
|
|
A millin is a
|
retropubic bladder retractor
|
|
|
Which setup would include a Gomco clamp?
|
circumcision
|
|
|
In which surgical specialty would a Humi cannula be used?
|
gynecologic
|
|
|
An instrument used in laparoscopy to manipulate the uterus for increased structure visibility is the
|
Hulka
|
|
|
A central venous pressure CVP catheter insertion requires
|
a sterile setup
|
|
|
The purpose of a set of Bakes would be
|
common duct dilation
|
|
|
A Steffee plate is a
|
spinal implant
|
|
|
Skeletal traction is accomplished with
|
Crutchfield tongs
|
|
|
The Bookwalter is a
|
retracting instrument
|
|
|
Which instrument is a retractor?
a. Harrington b. Doyen c. Crile d. Allen |
Harrington
|
|
|
A long thoracic forceps is a
|
Schnidt
|
|
|
A bougie is a
|
dilator
|
|
|
Which graft must be obtained with a dermatome?
|
split-thickness mesh graft
|
|
|
A Cavitron unit is used for
|
phacoemulsification
|
|
|
The power source for Hall power equipment is
|
nitrogen
|
|
|
A neurosurgical drill used for precision cuting, shaping, and repair of bone is the
|
Air Drill 100
|
|
|
In what surgery would a small fragment compression set be used
|
olecranon fracture
|
|
|
A premanent pacemaker operates on a pulse generator powered by
|
lithium
|
|
|
The power source for Hall power equipment is
|
nitrogen
|
|
|
Which item is an air drill?
a. Reese b. Padgett-Hood c. Hall d. Brown |
Hall
|
|
|
A neurosurgical drill used for precision cuting, shaping, and repair of bone is the
|
Air Drill 100
|
|
|
Hypothermia is employed in cardiac surgery
|
to reduce oxygen consumption
|
|
|
In what surgery would a small fragment compression set be used
|
olecranon fracture
|
|
|
Which item is NOT a component of a cardiopulmonary bypass system?
a. oxygenator b. heat exchanger c. ventricular fibrillatorr d. pump |
c. ventricular fibrillator is NOT part of a CPB system
|
|
|
A premanent pacemaker operates on a pulse generator powered by
|
lithium
|
|
|
Which movement in a power instrument drills holes or inserts screws, wires, or pins?
a. rotary b. reciprocating c. oscillating d. alternating |
rotary movement
|
|
|
Which item is an air drill?
a. Reese b. Padgett-Hood c. Hall d. Brown |
Hall
|
|
|
The power instrument that is small, lightweigh, free of vibration, and easy to handle for pinpoint accuracy at high speed is
|
air-powered
|
|
|
Hypothermia is employed in cardiac surgery
|
to reduce oxygen consumption
|
|
|
The power source for the Air Drill 100 is
|
compressed nitrogen
|
|
|
Which item is NOT a component of a cardiopulmonary bypass system?
a. oxygenator b. heat exchanger c. ventricular fibrillatorr d. pump |
c. ventricular fibrillator is NOT part of a CPB system
|
|
|
Which movement in a power instrument drills holes or inserts screws, wires, or pins?
a. rotary b. reciprocating c. oscillating d. alternating |
rotary movement
|
|
|
The power instrument that is small, lightweigh, free of vibration, and easy to handle for pinpoint accuracy at high speed is
|
air-powered
|
|
|
The power source for the Air Drill 100 is
|
compressed nitrogen
|
|
|
The power source for Hall power equipment is
|
nitrogen
|
|
|
A neurosurgical drill used for precision cuting, shaping, and repair of bone is the
|
Air Drill 100
|
|
|
In what surgery would a small fragment compression set be used
|
olecranon fracture
|
|
|
A premanent pacemaker operates on a pulse generator powered by
|
lithium
|
|
|
Which item is an air drill?
a. Reese b. Padgett-Hood c. Hall d. Brown |
Hall
|
|
|
Hypothermia is employed in cardiac surgery
|
to reduce oxygen consumption
|
|
|
Which item is NOT a component of a cardiopulmonary bypass system?
a. oxygenator b. heat exchanger c. ventricular fibrillatorr d. pump |
c. ventricular fibrillator is NOT part of a CPB system
|
|
|
Which movement in a power instrument drills holes or inserts screws, wires, or pins?
a. rotary b. reciprocating c. oscillating d. alternating |
rotary movement
|
|
|
The power instrument that is small, lightweigh, free of vibration, and easy to handle for pinpoint accuracy at high speed is
|
air-powered
|
|
|
The power source for the Air Drill 100 is
|
compressed nitrogen
|
|
|
The power source for Hall power equipment is
|
nitrogen
|
|
|
A neurosurgical drill used for precision cuting, shaping, and repair of bone is the
|
Air Drill 100
|
|
|
In what surgery would a small fragment compression set be used
|
olecranon fracture
|
|
|
A premanent pacemaker operates on a pulse generator powered by
|
lithium
|
|
|
Which item is an air drill?
a. Reese b. Padgett-Hood c. Hall d. Brown |
Hall
|
|
|
Hypothermia is employed in cardiac surgery
|
to reduce oxygen consumption
|
|
|
Which item is NOT a component of a cardiopulmonary bypass system?
a. oxygenator b. heat exchanger c. ventricular fibrillatorr d. pump |
c. ventricular fibrillator is NOT part of a CPB system
|
|
|
Which movement in a power instrument drills holes or inserts screws, wires, or pins?
a. rotary b. reciprocating c. oscillating d. alternating |
rotary movement
|
|
|
The power instrument that is small, lightweigh, free of vibration, and easy to handle for pinpoint accuracy at high speed is
|
air-powered
|
|
|
The power source for the Air Drill 100 is
|
compressed nitrogen
|
|
|
The power source for air-powered dermatomes is
|
compressed nitrogen or air
|
|
|
Suction tubing should be processed in the following way
|
residual of distilled water in lumen, steam sterilize, tubing coiled
|
|
|
The suction tip that is right angled and is used for small amounts of fluid such as in brain surgery is
|
Ferguson-Frazier
|
|
|
Which suction tip has an angle and is used in the mouth or throat
|
Yankauer
|
|
|
Each of the following steps can assist inthe immediate determination of intraoperative blood loss
|
1. visual inspection of blood in sponges
2. measurement of blood in sponges by weighing 3. estimation of blood in suction container |
|
|
When using a cellsaver for autologous blood transfusion, the blood is suctioned through a double lumen tubing and is
|
heparinized
|
|
|
During orthopedic surgery the suction tubing should be
|
cleared frequently
|
|
|
Which type of surgery would require several patent suction cannulas and suction often controlled by a foot pedal?
|
ENT
|
|
|
When suctioning in neurosurgery a precausiton taken is to
|
avoid applying vacuum directly on brain or neural tissue
|
|
|
A tourniquet is utilized
|
only when hemorrhage is not controlled by other methods
|
|
|
The proper setting for a tourniquet applied to an arm is
|
250-300mm Hg
|
|
|
Exsanguination of a limb before tourniquet inflation is accomplished with wrapping the elevated extremity with
|
Esmarch
|
|
|
The amount of pressure used to inflate a tourniquet depends on all of the following EXCEPT
a. patient's age b. size of extremity c. depth of incision d. systolic blood pressure |
c. depth has nothing to do with it
|
|
|
A regional block that uses the tourniquet is a
|
Bier block
|
|
|
The tourniquet is contraindicated if
|
patient's circulation to distal part of extremity is poor
|
|
|
Which action drains venous blood during tourniquet application?
|
elevate extremity before tightening tourniquet
|
|
|
At what point should the surgeon be informed of the time of tourniquet application?
|
after 1 hour, then every 15 minutes
|
|
|
When would the use of Esmarch be contraindicated
|
patient has had recent injury, patient has had recent cast
|
|
|
Which is NOT used ot inflate a pneumatic tourniquet
a. nitrous oxide b. air c. oxygen d. freon |
a. nitrous oxide is NOT used
|
|
|
A precaution necessary when using a pneumatic tourniquet is
|
solutions must be prevented from pooling under tourniquet
|
|
|
In which procedure would a tourniquet be contraindicated?
a. tendon repair, child b. arthroscopy, adult c. bunionectomy d. gangrenous toe amputation |
d. gangrenous toe amputation
|
|
|
The following statements regarding a grounding plate for electrosurgery are true EXCEPT
a. the plate must have good contact with the patient's skin b. the plate must be lubricated with electrosurgical gel c. the plate must be placed directly over a body prominence d. the grounded pathway returns the electrical current to the unit after the surgeon delivers it to the operative site |
c. is FALSE, the plate should NEVER be placed directly over a bondy prominence
|
|
|
A grounding pad is not required for the electrocautery in
|
a bipolar unit
|
|
|
The inactive electrode of the cautery is the
|
ground pad
|
|
|
The electrical circuit of the electrocautery is ehn
|
current flows TO the generator TO active electrode, through tissue, and back TO generator via the inactive electrode
|
|
|
Why must the electrocautery tip be kept clean?
|
to ensure electrical contract effectiveness
|
|
|
In electrosurgery, "buzzing" refers to
|
coagulation of vessel via a metal instrument touching the active electrode
|
|
|
Which electrosurgical unit provides precise control of the coagulated area?
|
bipolar
|
|
|
Which condition is MOST acceptable when using electrocautery?
|
ground pad placed close to operative site
|
|
|
The active electrode on the electrocautery is the
|
tip
|
|
|
The cautery would not be used:
a. when Betadine skin prep is used b. in cases requiring irrigation c. in neck or NP surgery if NO is used d. in hernia repair if an epidural is used |
in neck or nasopharynx surgery if nitrous oxide is used
|
|
|
Why are only moist sponges utilized during electrocautery use?
|
to prevent fire
|
|
|
If the electrocautery is used through the collonoscope, carbon dioxide should be available to flush out the colon because
|
gases normally in colon could cause explosion
|
|
|
Fulguration is utilized primarily in __________ surgery.
|
transurethral resection and prostate operations
|
|
|
When working in the bladder why is more or higher electrical current necessary during cautery use?
|
more current is needed when working in solution
|
|
|
Fulguration via the resectoscope is accomplished by the use of an _________ tip
|
electrode
|
|
|
A direct visualization of the common bile duct is done by means of a
|
choledochoscope
|
|
|
Fiberoptic lighting is
|
a cool light
|
|
|
Complications can occur during endoscopy, such as
|
bleeding, and perforation
|
|
|
An endoscopy procedure that does not require a sterile set up is
|
bronchoscopy
|
|
|
All are precautions when handling fiberoptic cable EXCEPT
a. light cables should be dropped or swing free when carried b. cables are coiled loosely, no kining c. heavy items are not laid on calbes d. cables are only gas sterilized |
d. cables are normally autoclaved but only according to manufacturer recommendations
|
|
|
When using a fiberoptic, burns and fires are prevented by
|
1. cable kept away from drapes when disconnected from endoscope
2. peronnel should not lean on cable 3. cable end is kept on a moist towel |
|
|
An economical, practical, and effective way to clean reusable channeled endoscopic instruments initially is with the
|
Endoflush
|
|
|
A sterilant that is used on endoscopes that is bactericidal, fungicidal, and sporicial in 20-30 minutes processing time is
|
peracetic acid
|
|
|
Which statement is TRUE regarding a STERIS system for endoscop sterilization?
a. only one scope or a few instruments can be processed in a cycle b. it is not sporicidal c. the processing time is lengthy d. it is very costly |
a. is the only TRUE statement
|
|
|
The endoscope that provides a view of the middle of the thorax, betwee, the two pleural sacs is
|
mediastinoscop
|
|
|
Loupes are used for
|
magnification
|
|
|
Resolving power of an operating microscope means
|
the ability to discern detail
|
|
|
Which item in the optical lens system is responsible for magnification?
|
oculars and objective lens
|
|
|
The range of focal length of the objective lenses in the operating microscope is
|
100-400 mm
|
|
|
A continuously variable magnification system is afforded to the eye surgeon by the
|
zoom lens with foot control
|
|
|
The purpose of the "slit" lamp in eye surgery is
|
defining depth perception
|
|
|
The operating microscope that visually employs fiberoptics for its light source is
|
coaxial illuminators
|
|
|
Care of the microscope would include all of the following EXCEPT
a. damp dust external surfaces with detergen-disinfectant before use b. damp dust lenses with detergent-disinfectant before use c. enclose in an antistatic plastic cover when not in use d. clean casters before each use |
b. is false, never wipe the lenses
|
|
|
The purpose of the beam splitter in an operating microscope is to
|
coincide the assistant's field of view withthe surgeon's
|
|
|
The colpomicroscope affords a view of the
|
cervix
|
|
|
The procedure employing the use of a self-retaining layrngoscope and microscope is called a
|
suspension microlaryngoscopy
|
|
|
The binocular microscope provides stereoscopic vision. This refers to
|
the view afforded by double eyepieces
|
|
|
Which magnifying powers are available for the microscope eye pieces?
|
10x, 12.5x, 16x, and 20x
|
|
|
Which procedure is inappropriate when caring for optic lenses?
a. blood, water, and irrigating solutions are removed with cotton tipped applicators and distiled water b. lens is always cleaned in a circular motion, beginning at the center c. oil or fingerprints are removed by soaking in solvent for 10 min and drying with a cotton ball d. lint or dust are removed with a lens brush or rubber bulb syringe |
c. is INAPPROPRIATE, never SOAK!
|
|
|
The OR bed may have a metal crossbar between the two upper section which may be raised to elevate the
|
kidnay and gallbladder
|
|
|
Which item is also known as an "airplane support"?
|
double arm board
|
|
|
Operative accessibility in thyroid sugery may be aided by the use of a
|
shoulder bridge
|
|
|
In which position would shoulder braces be indicated?
|
extreme Trendelenburg
|
|
|
A precaution necessary when using the kidney rests is
|
1. to press firmly but not too tightly against body
2. to pad well 3. to place the longer rest beneath iliac crest |
|
|
Chest rolls (bolsters)
|
facilitate respiration
|
|
|
Bakelite orthopedic table attachments are sometimes used because
|
they do not interfere with radiographic studies
|
|
|
Sponges and towels used near the laser tissue impact site are kept wet in order to
|
prevent ignition of these materials by relected beam
|
|
|
A laser plume is composed of
|
carbonized particles, water, and odor
|
|
|
When using lasers, nonreflective instrumentation decreases
|
accidental direct reflection
|
|
|
Which laser emission is primarily absorbed in tssue by hemoglobin or melanin?
|
argon
|
|
|
The fire extinguisher of choice for a laser fire is a
|
Halon
|
|
|
In a surgical procedure employing the use of the laser, prep solution on the patient's skin should be pat-dried because
|
pooled fluids can retain laser heat and subsequently burn tissue
|
|
|
Laser surgery performed in the rectal aera should be preceded by
|
suctioning of lower bowel to remove methan gas
|
|
|
Ebonization refers to
|
coating of instruments to decrease reflectivity
|
|
|
The use of each of the following items are measures employed to reduce laser-induced injuries EXCEPT
a. ebonized instruments b. anodized instruments c. plastic vaginal and rectal speculums d. reflective drapes |
c. they could melt!
|
|
|
When utilizing the laser, occupational exposure to surgical smoke via the skin, eye, and mucous membranes is best minimized by the use of
|
universal precautions
|
|
|
Which specialty would employ the use of a slit lamp and the laser?
|
ophthalmic
|
|
|
The laser used primarily for port-wine stain lessons of the skin is the
|
ruby
|
|
|
People who are near the CO2 laser impact area can guard against corneal injuries by
|
wearing clear glass or plastic glasses with side guards
|
|
|
Argon and YAG lasers will be absorbed by the
|
retina
|
|
|
Argon requires _____ tinted lens filter
|
amber
|
|
|
CO2 requires ______ glass or plastic with side shields
|
clear
|
|
|
YAG requires _______ tinted lens filter
|
green
|
|
|
CO2 laser is absorbed by the
|
cornea
|
|
|
Each of the following are measures used to control the effects of the laser plum
|
smoke evacuators, suctions, high filtration masks
|
|
|
Which endotracheal tube is contraindicated during laser surgery?
|
polyvinyl chloride (PVC) tube because it can be easily ignited
- acceptable would be: flexible metal tube with external cuff attached, red rubber tube wrapped with reflecting tape, and commercial laser endotracheal |
|
|
What item should be on the scrub person's instrument table while the laser is in use?
|
basin of sterile water or saline
|
|
|
The following statements regarding lasers are true EXCEPT
a. laser unit is protected from bumping against walls during movement b. flammable materials should not be used near laser impact site c. water or other solutions should not be placed on laser unit d. laser unit is in "on" position during entire case |
d. is false, the laser should be placed in standby mode
|
|
|
The laser used most commonly for retinal detachment, tear, or hole is
|
argon
|
|
|
The tunable dye laser used to disintegrate kidney stones is the
|
candela - tunable pulse-dyed system that has the ability to disintegrate stones without damaging soft tissue
Gas lasers are: CO2, Argon Solid laser: Nd:YAG Semiconductor crystal is a dioxide |
|
|
A device used to correct and counteract internal bleeding conditions and hypovolemia is a
|
MAST - The medical antishock trouser is a garment designed to correct an counteract internal bleeding conditions and hypovolema. It creates an encircling pressure around both legs and abdomen. It slows or stops arterial bleeding, forces any available blood from the lower body to the heart, brain, and other vital organs, and it prevents the return of available circulating blood volume to the lower extremities
|
|
|
Placement of a Levin tube would be in the
|
stomach
- A Levin tube is a #16 French, plastic catheter used in gastric intubation that has a closed weghted tip and an opening on the side |
|
|
A sponge used in brain surger is a
|
cottonoid patty
- cottonoid patties are compressed rayon or cotton sponges that are used moist on delicate structures such as nerves, brain, and spinal cord |
|
|
The dressing used after nasal surgery is
|
a moustache
|
|
|
Seamless tubular cotton that stretches to fit a contour and is used for padding is called a
|
stockinette
|
|
|
Which case would require the use of cottonoid strips?
|
laminectomy
|
|
|
An item used for padding that has smooth and clingy layers is called
|
Webril
|
|
|
Rectal packing is made of
|
petroleum-treated gauze
|
|
|
An elastic adhesive bandage is
|
elastoplast
|
|
|
A dissecting sponge that is a small roll of heavy cotton tape is a
|
Kitner
- hold these in forceps |
|
|
A dissecting sponge made of gauze that is used to dissect or absorb fluid is called a
|
peanut
|
|
|
A temporary boilogic dressing is
|
porcine
- "pigskin" is used as a temporary biologic dressing to cover large body surfaces denuded of skin |
|
|
Which procedure would not require a pressure dressing?
a. plastic surgery b. knee surgery c. radical masterectomy d. hysterectomy |
hysterectomy
|
|
|
A sponge that is cotton-filled gauze with a cotton thread attached is a
|
tonsil
|
|
|
Patties are
|
moistened with saline
|
|
|
Which of the following can be a supplement to a subcuticular closure?
|
skin closure tapes
|
|
|
A protective skin coating is accomplished with
|
tincture of benzoin - a protective coating substance frequently applied to the skin before adhesive dressings are used
|
|
|
A dressing that is held in place by long suture ends crisscrossed and tied is called a
|
stent
|
|
|
The smallest diameter on a French scale is a
|
3
- Instruments and catheters are measured on a French scale; the diameter (in mm) is multiplied by 3. The smallest is 1 mm in diameter times 3, or 3 French |
|
|
A stab wound is a separate small incision
|
close to operative site
|
|
|
A tube placed into the tympanic membrane to facilitate aeration is the
|
myringotomy tube
|
|
|
A common size chest tube is a
|
30 Fr.
|
|
|
What type of catheter would facilitate the removal of small gallstones?
|
Fogarty
- It can also demonstrate patency of the common bile duct to the duodenum |
|
|
A catheter commonly used in a gastrostomy is a
|
mushroom
-Mushroom, Malecot, or Foley catherters are frequently used in the anterior gastric wall and are held in place by a purse-string suture |
|
|
Which of the following is NOT a type of ureteral cather tip?
a. whistle b. olive c. Braasch bulb d. Pezzar |
d. is NOT a type of ureteral catheter tip
- A Pezzar or mushroom catheter is for drainage of body cavities. The others are commonly used ureteral catheter tips |
|
|
The drain that has a reservoir creating negative pressure to facilitate drainage is a
|
hemovac
|
|
|
All of the following statements are true of ureteral catheters EXCEPT that they:
a. are made of flexible woven nylon or plastic b. range in caliber from size 3 - 14 Fr c. have graduated markings in centimeters d. provide direct visualization of the bladder |
D. they do not provide direct visualization of the bladder
|
|
|
Long-term or temporary ureteral drainage can be accomplished with a
|
stent
|
|
|
A central venous catheter is usually inserted into the
|
external jugular vein
|
|
|
An indwelling catheter used for chemotherapy administration is a
|
Tenckhoff
|
|
|
Which of the following is NOT used for urethral dilation?
a. McCarthy dilator b. VanBuren sound c. Hegar dilator d. Phillips filliform and followers |
Hegar dilators are cervical dilators, the rest are urethral dilators
|
|
|
A closed-wound suction system works by
|
negative-pressure vacuum
|
|
|
Why is a 30cc bag Foley used after a transurethral resection (TUR) of the prostate?
|
hemostasis
|
|
|
The tube that collects bronchial washing is
|
Lukens
|
|
|
Balloon angioplasty is accomplished with the use of a
|
Gruntzig catheter
- It is used for balloon angioplasty to dilate occluded vessels |
|
|
A Pezzer is a
|
mushroom catheter
- A Pezzar or mushroom is a self-retaining catheter and is straight or angulated with a large single channel with the tip in the shape of a mushroom. This catheter is used primarily to drain the bladder suprapubically. |
|
|
The three lumens of a Foley are used for inflation, drainage, and
|
continuous irrigation
|
|
|
An image intensifier
|
converts the x-ray beam into a fluoroscopic optical image
|
|
|
Extracorporeal circulation refers to circulation
|
of blood outside of the body
|
|
|
The scoring system that assesses an infant's condition after birth is called
|
Apgar
|
|
|
Which procedure records the electrical activaity of the brain?
|
electroencephalogram EEG
|
|
|
An x-ray's photographic image is called a
|
roentgenogram
|
|
|
Immobilization of the hip joints after surgery is accomplished by the use of
|
abduction pillow
|
|
|
All of the following are true of disposable chest drainage units EXCEPT:
a. provides drainage collection from intrapleural space b. maintains a seal to prevent air from entering the pleural cavity c. provides suction control determined by water level d. aids in re-establishing positive pressure in the intrapleural space |
d. is false
|
|
|
Which factor is not accomplished by chest drainage?
a. drains fluid and air from pleural cavity b. provides water seal for gravity drainage c. suction controlled by level of water d. positive pressure re-establishment |
d. positive pressure is NOT accomplished by chest drainage
|
|
|
A cast applied from the hips to the head, which is used to immobilized cervical fractures is a
|
Minerva jacket
|
|
|
A motorized device whose action prevents venous stasis and reduces risk of deep-vein clotting in high risk patients is
|
sequential pneumatic compression boots
|
|
|
Which synthetic mesh may be used in the presence of infection?
|
Prolene
|
|
|
Mersilene mesh
|
can be steam sterilized once, if unused but not soiled
|
|
|
A common donor site for an autogenous bone graft is
|
ilium
|
|
|
The patient coming to the OR with rupture of esophageal varices may have a __________ in place to control bleeding.
|
Sengstaken-Blakemore
|
|
|
Either a Foley, Mallecot, Pezzer, or Mushroom catheter can be inserted for
|
gastrostomy
- A temporary or permanent opening in the stomach for decompression or alimentation is accomplished with either a Foley, Mallecot, Pezzer, or Mushroom catheter |
|
|
The risks of cone biopsy are minimized by using the
|
CO2 laser
|
|
|
Stereotactic surgery takes place in the
|
brain
|
|
|
A blood flow detector is a
|
Doppler
|
|
|
A secondary video monitor is referred to as a
|
"slave"
|
|
|
Which catheter facilitates the infusion chemotherapeutic drugs?
a. Hickman b. Dorsey c. Silverman d. Huber |
Hickman
|
|
|
TPN
|
maintains patient's nutrition
|
|
|
An Ambu bag is a
|
breathing bad
|
|
|
A blood warmer is used
|
to maintain 89-105F temperature
|
|
|
Which is the most necessary item for a blood transfusion?
|
blood filter
|
|
|
Each are measures to prevent heat loss in newborn, infant, or children in the OR EXCEPT;
a. hypothermia blanket is prepared b. water mattress is warmed c. webril is wrapped on extremities d. solutions for skin prep and intraoperative use are warmed |
a. is false bc a HYPERthermia blanket is prepared
|
|
|
A setupthat would include a 1000cc bag of normal saline, sterile IV tubing, an IV pole, and a pressure bag
|
choledochoscopy
- Choledochoscopy is direct visualiation of the common bile duct requiring distention of the common bile duct for better visualization. This is done by irrigation the ducts with saline via a pressure bad (300Hg) around an IV (saline) bag. Sterile tubing is passed off-field and attached to saline. Scrub nurses attach the distal end of IV tubing to irrigating stopcock on choledochoscope. |
|
|
A laminaria tent is used to
|
dilate cervix
|
|
|
In which procedure would be a radiant warmer be found?
|
cesarean section
|
|
|
The C-arm employs the use of
|
fluoroscope
|
|
|
Equate the radiation exposure in fluoroscopy as comparaed to that of a single x-ray
|
10:1
|
|
|
The PCA pump affords
|
patient-controlled pain relief
|
|
|
The intial count requires
|
that the count be done aloud by circulator and scrub
|
|
|
If a sponge pack contains an incorrect number of sponges, the circulating nurse should
|
isolate the pack, do not use it
|
|
|
In an instrument count
|
all instruments and parts must be counted
|
|
|
Which of the following statements concerning sponges are true
|
1. only radiopague sponges should be used on the sterile field
2. sponges should be counted from the folded edge 3. a pack containing an incorrect number of sponges is discarded |
|
|
The following statements regarding counts are true
|
1. all counts are verified before person being relieved leaves room
2. persons taking final count are held accountable 3. persons taking final count must sign the count record |
|
|
During the closure count a discrepancy
|
is reported to surgeon
|
|
|
If a sponge is intentionally left in the patient
|
a notation is placed on the operative record
|
|
|
The following statements regarding counting sponges are true
|
1. sponges are counted at folded edge
2. shake pack to separate sponges 3. separate each sponge and number aloud while placing it in a pile on table |
|
|
During the sponge count procedures, which action would constitute an UNACCEPTABLE technique?
a. soiled sponges are separated, stacked, and counted in multiples b. soiled sponges used for prep remain in kick bucket and are not part of count c. sponges are not added or removed from operative field during count d. sponges are counted before being moistened or used |
b. is false
|
