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556 Cards in this Set
- Front
- Back
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In a gastrointestinal closure, the mucosa of the intestinal tract is closed with
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chromic 4-0 or 3-0
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Which type of suture would be used to invert the stump of the appendix
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purse-string
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Why are bumpers or bolsters used on retention sutures?
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to prevent the suture from cutting into the skin surgace
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A Nissen Fundoplication procedure is done to correct
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antireflux disease
- The three most frequently performed procedures are Nissen, Hill, and Belsy Mark IV |
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A dissecting sponge that is a small roll of heavy cotton tape is a
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Kitner
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Peanuts and dissecting sponges are generally
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moistened with saline
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Intraabdominally, lap pads are most often used
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moistened with saline
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A catheter commonly used in a gastrostomy is a
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mushroom
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Before handing a Penrose drain to the surgeon
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moisten it in saline
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A closed-wound suction system works by
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negative-pressure vacuum
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Which condition regarding sterile technique is NOT recommended?
a. sterile tables are set up just before the operation b. sterile tables may be set up and safely covered until time of surgery c. once sterile packs are open, someone must remain in the room to maintain vigilance d. sterile persons pass each other back to back |
b. is NOT recommended
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Which of the following conditions is not an acceptable aseptic technique?
a. scrub nurse standing on a platform or standing stool b. scrub nurse keps hands below shoulder level c. scrub nurse fold arms with hands at axillae d. scrub nurse's hands are at or above waist level |
c. is not acceptable aseptic technique
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The disposable circular staple designed to hold two tubular structures together after resection is known as
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EEA
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When a sterile item is hanging or extending over the sterile table edge, the scrub nurse
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does not touch the part hanging below table level
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In which situation should sterility be questioned?
a. if a sterilized pack is found in an unsterile workroom b. if the surgeon turns away from the sterile field for a brown wipe c. if the scrub drapes a nonsterile table, covering the edge nearest the body first d. if the lip of a pour bottle is held over the basin as close to the edge as possible |
a. sterility should be questioned
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Transduodenal sphincterotomy referes to the incision made into the ________ to relieve stenosis
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sphincter of Oddi
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When handing skin towels to the surgeon, where should the scrubperson stand in relation tothe surgeon?
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On the same side of the table
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Irrigating fluid used to flush the organ between harvest and transplantation of a liver is known as
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Collin's
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Each of the following actions by a scrubperson prevents wounds and punctures, according to CDC guidelines
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1. use an instrument to remove blades
2. account for each needle as surgeon finishes with it 3. protect sharp blades, edges, and tips |
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The following are acceptable technique when draping
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1. hold the drapes high until directly over the proper area
2. protect the gloved hands by cuffing the end of the drape over them 3. place the drapes on a dry area |
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The procedure to follow if a hair is found on the operative field is to
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remove it with a clamp, cover over area
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Cancer technique in surgery refers to
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the discarding of instruments coming in contact with tumor after each use
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Why are gowns, gloves, drapes, and instruments changed following a breast biopsy and before incision for a mastectomy?
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to protect margins of healthy tissue from tumor cells
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A postoperative complication attributed to glove powder entering a wound is
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granulomata
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The correct procedure for sterile dressing application is
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apply dressing before drape removal
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When drop technique for an intestinal procedure is utilized
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contaminated instruments are discarded, floves are changed
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If the floor or wall becomes contaminated with organic debris during a case, the curculator
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decontaminates promptly
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The Sengstaken-Blakemore tube is used for
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esophageal hemorrhage
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A specially treated form of sugical gauze that has a hemostatic effect when buried in tissue is
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Oxycel
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An enzyme extract from bovine blood used as a topical hemostatic agent is
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thrombin
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A common complication of extubation is
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hypoxia
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The desirable position for better visualiation in the loer abdomen or pelvis is
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Trendelenburg
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Another name for the Kraske position is
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jackknife
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All of the following are helpful in keeping accurate account of sponges EXCEPT
a. keep sponges separate fom linen and instruments b. keep needles separate from sponges c. keep all sponges and tapes in a basin or close together on the field d. keep a mental count of the number of sponges on the field at any given time |
c. is NOT helpful
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Dark blood in the operative field may indicate that the patient is
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hypoxia
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In an extreme emergency, a sponge count
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may be omitted
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Cultures obtained during surgery
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are passed off the sterile field into a bag or container held by the circulator
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How is a frozen section sent to the lab?
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dry
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Which of the following specimens is NOT placed in preservative solution?
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stones
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The term transduodenal sphincterotomy indicates surgery of the
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distal end of the common bile duct
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McBurney is an incision used for
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appendectomy
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The simplest abdominal incision offering good exposure to any part of the abdominal cavity is the
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vertical midline
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During an appendectomy, a purse-string suture is placed around the appendix stump to
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invert the stump of the appendix
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Gastrointestinal technique is required in all of the following procedures EXCEPT
a. cholecystectomy b. low anterior colon resection c. appendectomy d. hemicolectomy |
a. NOT required for a cholecystectomy
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A hernia occurring in Hesselback's trangle is called
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direct
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Pathologic enlargement of the male breast is called
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gynecomastia
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Sutures placed in a wound to prevent wound evisceration are called
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retention
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Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is a
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pyloroplasty
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A Whipple operation is surgically termed a
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pancreatoduodenectomy
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A left subcostal incision indicates surgery of the
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spleen
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A lower oblique incision is an
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inguinal
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The curved transverse incision used for pelvic surgery is
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Pfannenstiel
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Which breast procedure removes the entire breast and axillary contents but preserves the pectoral muscles?
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modified radical mastectomy
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The breast procedure performed to remove extensive benign disease is a
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simple mastectomy
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What incision is indicated for an esophagogastrectomy?
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thoracoabdominal
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In which incision could retention sutures be used
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vertical midline
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In which hernia is the blood supply of the trapped sac contents compromised and in danger of necrosing
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strangulated
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In which hernia does the herniation protrude into the inguinal canal but NOT the cord?
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direct
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Which hernia leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal?
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indirect
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An abdominal wall defect may be reconstructed using
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Gore-Tex patch
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Mersilene is
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synthetic mesh
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In a cholecystectomy, which structures are ligated and divided?
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cystic duct and cystic artery
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All of the following statements refer to pilonidal cyst surgery EXCEPT
a. it is performed with an elliptical incision b. the wound frequently heals by granulation c. probes are requires on setup d. the cyst is removed, but the tract remains |
d. is false because the cyst AND sinus tract must be completely removed to prevent recurrence
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An important consideration during cholangiogram is to
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remove all air bubbles form the cholangiocath
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An instrument used to elevate the thyroid lobe during surgical excision is a
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Lahey
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The intestinal layer in order, from inside to outside, is
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mucosa, submucosa, serosa
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A common postoperative patient complaint following a laparoscopic procedure is
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shoulder pain
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A subphrenic abscess occurs in the
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liver
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Portal pressure measurement is indicated in
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hepatic resection
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Which organ is removed either because of trauma, a blood condition, or as a staging procedure for malignancy?
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spleen
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Following a hemorrhoidectomy, a
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petroleum gauze packing is placed in the anal canal
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A benign anal wall "slit" type of lesion requiring excision is an
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anal fissure
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Which gallbladder procedure ALWAYS requires intraoperative x-rays?
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cholangiogram
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In a pilonidal cystectomy, the defect frequently is too large to close and requires use of a
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packing and pressure dressing
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The instrument most commonly used to grasp the mesoappendix during an appendectomy is a
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Babcock
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Vaporization and coagulation of hemorrhoidal tissue can be accomplished with
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CO2 laser
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An entire tumor/mass removal is termed
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excisional biopsy
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A surgical procedure performed to relieve esophageal obstruction caused by cadiospasm is an
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esophagomyotomy
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Thrombosed vessels of the rectum are known surgically as
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hemorrhoids
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A procedure done to give the colon a rest and is then reverse is
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temporary colostomy
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A device that may obviate the need for an abdominoperineal resection because a low anterior anastamosis can be performed is an
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end-to-end anastomosis (EEA)
- stapling device that allows a very low anastomosis and thus avoids a colostomy |
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An advanced inflammation of the bowel could be conservatively treated with which procedure?
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temporary colostomy
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Blunt dissection of the gall bladder from the sulcus of the liver requires the use of a
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peanut or Kitner
-employed when removing the gallbladder from the infundibulum up to the fundal region |
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Direct visualization of the common bile duct is accomplished with a
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choledochoscipe
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"Scratch" marking is done in surgery of the
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thyroid
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Fogarty biliary catheters are used to
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facilitate stone removal
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In laparoscopy, tubal patency is checked by
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injecting methylene blue into the cervicdal canal
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In a thyroidectomy, a loop retractor retracts the
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sternocleidomastoid muscle
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Which sturcture are identified and preserved in thyroid surgery?
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parathyroid glands
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Bariatric surgery treats
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obesity
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Which incision would require cutting through Scarpa's fascia
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inguinal
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A gastroplasty
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reduces stomach size
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Which item retracts the spermatic cord structure in herniorrhaphy?
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penrose drain
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After utuerus removal in a hysterectomy
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cervical and vaginal instruemtns are isolated from the instruent set in a discard basin
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An irreducible hernia whose abdominal contents have become trapped in the extraabdominal sac is called a
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incarcerated hernia
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Which type of endoscopy camera produces the truest color
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three-chip
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White balancing a video camera in endoscopy requires the scrub person to focus the camera on
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a white sponge, a white wall, a glove wrapper
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Defogging the video camera is usually the responsiblity of the
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camera operator
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A palliative invasive procedure done to prevent malnutrition or starvation is known as
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gastrostomy
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The use of noninvasive high-energy shock waves to pulverize gallstones into small fragments for easy passage through the common bile duct and out of the body is called
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cholelithotripsy
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Intraoperative cholangiograms can be performed either through open abdominal or laparoscopic procedures using a contrast medium directly into the common bile duct through a
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cholangiocath
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Intra-abdominal pressure durging the instilliation of CO2 for creation of pneumoperitoneum is 8-10mm Hg. A pressure reading higher than this may indicate that the needle may be
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buried in fatty tissue, burined in the omentum and/or in a lumen of intestines
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The proper method of removing the gallbadder specimen after complete dissection and irrigation of the operative site in a laparoscopic cholecystectomy is to
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utilize and endobag, pull gallbladder through the largest port, decompress the gallbladder by suctioning the bile before removal
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All of the following are recommendations for actions necessary to support the aseptic principle of "confine and contain" EXCEPT
a. restrict patient contacts to an area 3 feet around the patient b. discard sponges into plastic-lined pails c. clean spills immediately with broad-spectum disinfectant d. all launddry should be discarded into impervious bags |
d. is NOT a recoommendation. The use of fluid-impervious bags eliminates potential contamination from wet linen soaking through. All linens from open packs, whether soiled or not, should be discarded in fluid-impervious bags
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During a laparoscopic cholecystectomy the surgeon generally stands
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at the left side of the patient
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gastrointestinal decompression during a general surgical procedure can be effected by the use of a
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Levine tube and Vari-Dyne
- Both the Levine tube and the Miller-Abbot tube effect gastrointestinal decompression. The Levine tube is placed through the nasal passageway into the stomach, while the Miler-Abbot tube reaches into the small intestines |
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A selected alternative to a conventional ileostomy that denies spontaneous stool exiting from the stome and requires catheterization of the stoma daily to evacuate the contents is a
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Kock pouch
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When both direct and indirect hernias occur in the same inguinal area, the defect is termed
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pantaloon
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An inguinal hernia containing a Meckel's diverticulum is called a
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Littre's
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All of the following are designated options fo laparoscipic hernia repair EXCEPT
a. TAPP b. ERCP c. IPOM d. LEP |
b. ERCP is a view of biliary system
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Which muscles are incised in the midline of the neck once the skin flaps are completed druring a thyroidectomy?
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strap
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Which bone is transected with bone-cutting forceps before removal of a thyroglossal cyst?
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hyoid
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Drainage of an incision following a simple or modified radical mastectomy is accomplished by a
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closed-wound drainage
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During laparoscopic cholecystectomy, the camera operator usually stands
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to the right of the first assistant
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The maximum pressure allowed to preent the possible intraoperative complications of bradycardia, blood pressure changes, or potential gas emboli during a laparoscopic procedure is
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15 mm Hg
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During surgery, towel clips
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may be removed and discarded as long as the area is covered with sterile linen
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As grossly soiled instruemtns are returned to the scrub, they should be
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wiped of with a sponge moistened with water or soaked in a basin of sterile distilled water
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Which of the following actions by the scrub person is NOT an acceptable sterile technique principle?
a. discarding tubing that falls below sterile field edges without touching the contaminated part b. reaching behind sterile team members to retrieve instruments so they do not collect on the patient c. facing sterile areas when passsing them d. stepping away from the sterile field if contaminated |
b. reaching behind is NOT acceptable sterile technique
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When the scrubperson is draping a nonsterile table, he or she must
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cuff the drape over his or her gloved hands
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When covering a Mayo stand, the scrubperson should
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use a side cuff
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If a sterile field becomes moistened during a case
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extra drapes are added to area
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The main purpose of the skin prep is to
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remove dirt, oil, and microbes, and to reduce the microbial count
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Which is the antiseptic solution of choice for a skin prep?
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povidone-iodine
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When are counts done inthe OR?
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before beginning of case, at beginning of wound closure, and at skin closure
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Soiled sponges are
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never touched with bare hands
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Specimens may be passed off the sterile OR table by the scrub person on all of the following items EXCEPT
a. sponge b. towel c. basin d. paper |
a. NEVER a sponge!
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When handling uterine curettings
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keep the endometrial and the endocervical curettings separate
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Labor can be induced using
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Pitocin (oxytocin)
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The needle used to instill the gas during a laparoscopy is a
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Verres
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A Hulka forceps is used in
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gynecologic surgery
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Which drug is given to aid in placental expulsion?
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oxytocin (Pitocin)
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A Humi cannula is used in
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gynecologic surgery
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The aim of stress incontinence operations includes all of the following EXCEPT
a. to improve performance of a dislodged vesical neck b. to restore normal urethral length c. to tighten and resotre the anteriorurethral vesical angle d. to repair a congenital defect |
d. is NOT a reason
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A procedure done on young women who evidence benign uterine tumors but who wish to preserve fertility is a
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myomectomy
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A procedure to prevent cervical dilatation that results in release of uterine contents is a
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Shirodkar
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An endoscopic investigation of the uterus and tubes is a
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hysteroscopy
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Sterility can be accomplished by all of the following procedures EXCEPT
a. laparoscopy b. minilaparotomy c. posterior colpotomy d. culdoscopy |
d. cannot be used for this purpose
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A scheduled procedure whose ultimate surgical goal involves abdominal, perineal, and groin dissection is a
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radical vulvectomy and lymphadenectomy
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An endoscopic approach to pelvic and intraabdominal examination is
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pelviscopy
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The procedure that provides visualization of the internal contour of the uterus is a
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hysteroscopy
- Hysteroscopy is an endoscopic visualization of the uterine cavity and tubal orifices (internal) |
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Extrauterine pregnancies can occur in the
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abdominal cavity and tube
- a salpingostomy done before rupture may preserve the tube |
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What gynecologic setup would include various sizes of sterile cannulas?
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suction curettage
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A Foley catheter is placed into the presurgical hysterectomy patient to
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avoid injury to the bladder
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What would an anterior and posterior repair accomplish
|
repair of cystocele and rectocele
|
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Reconstruction of the cervical canal is called
|
trachelorrhaphy
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An incision made during normal labor to facilitate delivery with less trauma to the mother is an
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episiotomy
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Cervical carcinoma in situ can be classified as
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limited to the epithelial layer, noninvasive
|
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The fallopian tube is grasped with a
|
Babcock
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Reconstruction of the fallopian tube setup would include
|
Bowman lacrimal probes
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To confirm the diagnosis of ectopic pregnancy, it is sometimes necessary to perform a
|
culdocentesis
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Cervical conization is acomplished using all of the folowwing EXCEPT
a. scalpel b. cautery c. laser d. chemical ablation |
d. can not use chemical ablation
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The most commonly identified ovarian cyst is the
|
follicle
|
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A herniation of the cul-de-sac at the Pouch of Douglas is an
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enterocele
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A vesicourethral abdominal suspension is known as a
|
Mashall-Marchetti
|
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A condition causing leakage of urine into the vagina is a
|
vesicovaginal fistula
|
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What special technique is employed during a hysterectomy?
|
discard intruments used on cervix and vagina
|
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Papanicolaou indicates
|
cytologic study of cervical smear
|
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A technique employed for cervical bx is
|
multiple punches at 3, 6, 9, and 12 o'clock
|
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In a cesarean birth, the uterus is opened with a knife and extended with a
|
bandage scissor
|
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At which point in a cesarean is a bulb syringe used?
|
when the fetal head is delivered
|
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Oxytocics are given in a cesarean after the baby's shoulders are delivered
|
to contract the uterus
|
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When closing a uterus in a cesarean, the edges of the uterine incision are clamped with which of the following?
a. allis b. kocher c. pennington d. babcock |
pennington
|
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Intraoperative chromotubation can be eeffected by all of the following surgical cannulaes EXCEPT
a. Humi b. Rubinc c. Hui d. Hulka |
d. Hulka
|
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What suture would be placed into the wall of a large ovarian cyst before aspiration of its contents and final removal?
|
purse-string
|
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What is the preferred procedure for recurrent or persistent carcinoma of the cervix after radiation therapy has been completed?
|
pelvic exenteration
|
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Which of the following intruments would be used to grasp the anterior cervix of the uterus just before dissection from the baginal vault during a total abdominal hysterectomy?
|
Allis
|
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Laparoscopic tubal occlusion may utilize all of the following methods of effecting sterilization EXCEPT
a. bipolar coagulation b. Silastic bands c. Surgitie ligating loop d. spring clip |
c. is a preknotted suture loop used to ligate pedicle tissues
|
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A holding instrument not found in a vaginal procedure is a
a. jacobs b. lahey c. staude d. skene |
b lahey culsellum clamp is used to elevate the thyroid lobe during dissection
|
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Conization of the cervix may be accomplished by all of the following EXCEPT
a. scalpel b. Thomas uterine curette c. laser d. electrosurgery |
b. Thomas uterine curette is used to remove endocervical and well as endometrial tissue scrapings from the internal lining of the uterus. All other options can be used to remove the endocervical cone to treat diseased tissue and preserve fertility
|
|
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An enterocele differs diagnostically from a rectobcele by its contents and its position in the perineum. Its location is in the
|
Pouch of Douglas
|
|
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Pelviscopy differs from laparoscopy in the
|
utilization of a larger trocar and scope, and utilization of a 30 degree angled scope
|
|
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A Stamey endoscopic procedure is performed to
|
suspend the vesicle neck
|
|
|
What is the name given to a radiacal vaginal hysterectomy?
|
Schauta
|
|
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What surgical procedure provides obliteration of the vagina by denuding and approximating the anterior and posterior walls of the vagina?
|
copocleises
|
|
|
The hysteroscope may be used to identify or remove all of the following EXCEPT
a. fallopian adhesions b. lost IUDs c. intrauterine adhesions d. submucosa fibroids |
a. fallopian adhesions are NOT identified this way
- the hysteroscope can also be used for endometrial ablation |
|
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Needle aspiration of the cul-de-sac is surgically termed
|
culdocentesis
|
|
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An alternative to abdominal hysterectomy utilizating an endoscope is surgically termed a
|
LAVH laparopscopic-assisted vaginal hysterectomy and PAVH pelviscopic-assisted vaginal hysterectomy
|
|
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What procedure cannot be performed through a pelviscope?
a. ovarian cystectomy b. hysterectomy c. oophorectomy d. adhesiolysis |
hysterectomies can not be performed because of the size of the viscus
|
|
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Endometrial ablation is performed to correct
|
menorrhagia
|
|
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Endoscopic visualization of the uterine cavity is called
|
hysteroscopy
|
|
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Marsupialization of a Bartholin cyst involves the
|
suturing the posterior wall of the cyst to the skin edges, removal of anterior wall of cyst
|
|
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What is the self-retaining retractor used in vaginal procedures?
|
Graves
|
|
|
Extrauterine disease of the female reproductive system may utilize any of the following lasers via a colposcope or laparoscope EXCEPT
a. CO2 b. Nd: YAG c. Candela d. argon |
Candela; however, it is valuable to disintegrate stones in the urinary tract because it is tunable, and the wavelength can be adjusted.
- THe CO2, argon, and Nd:YAG are used to treat pelvic endometriosis, cervical dysplasia, condylomata, and premalignant disease of the vulva and the vagina |
|
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A sponge used in brain surgery is a
|
cottonoid patty
|
|
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A sponge that is cotton-filled gauze with a cotton thread attached is a
|
tonsil
|
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In cataract surgery, a vesicoelastic drug sometimes used to occupy space in the posterior cavity of the eye is
|
Healon
|
|
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A miotic drug is
|
pilocarpine
|
|
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What topical anesthetic is used most frequently for preoperative ocular instillation?
|
tetracaine
|
|
|
The drug added to a local ophthalmic anesthetic to increase diffusion is
|
hyaluronidase
|
|
|
A solution used for eye irrigation is
|
BSS, balanced salt solution
|
|
|
A synthetic local anesthetic that is effective on the mucous membrane and is used as a surface agent in ophthalmology is
|
tetracaine
|
|
|
Dilating eye drops are called
|
mydriatics
|
|
|
Which of the following uses ultrasonic energy to fragment the lens in extracapsular cataract extraction?
|
phacoemulsifier
|
|
|
A chalazion is chronic inflammation of the
|
meibomian gland
- Removal of a chalazion is the incision and curettage of a chronic granulomatous inflammation of one or more of the meibomian glands of the eyelid |
|
|
What procedure is done for chronic dacrocystitis?
|
dacrocystorhinostomy
|
|
|
A procedure to treat retinal detachment is
|
scleral buckling
|
|
|
Sagging and eversion of the lower lid is
|
ectropion
|
|
|
Removal of the entire eyeball is
|
enucleation
|
|
|
A noninvasive process to treat glaucoma by means of a slit lamp is an
|
argon or Nd: YAG laser
|
|
|
Removal of a portion of an ocular muscle with reattachment is called
|
resection
|
|
|
Opacity of the vitreous humor is treated by performing
|
vitrectomy
|
|
|
Miocol solution is prepared for a cataract procedure no more than _____ min before actual instillation
|
30 min
|
|
|
Molteno implants are used surgically to reduce intraocular pressure during
|
trabeculectomy
|
|
|
A drug used as a lubricant and as vesicoelastic support to maintain separation of tissues before removal of lens during cataract surgery is
|
sodium hyaluronate
|
|
|
A drug used to contract the sphincter of the iris during an intracapsular cataract extraction is
|
Miocol
|
|
|
What procedure accomplishes correction of myopia?
|
keratophakia and keratotomy
|
|
|
An enzymatic drug commonly used with anesthetic solutions to increase tissue diffusion is
|
Wydase
|
|
|
Injection of anesthetic solution into the base of the eyelids or behind the eyeball to block the ciliary ganglion and nerves is known as
|
retrobulbar
|
|
|
A fleshy, trieangular encroachment onto the cornea is surgically termed a
|
pterygium
|
|
|
A procedure performed wen the cornea is thickened or opacified is called a
|
keratoplasty
|
|
|
What is the procedure used to correct accidental vitreous loss during a cataract extraction?
|
anterior vitrectomy
|
|
|
A surgical treatment for chronic wide angle-closure glaucoma that re-establishes communication between the posterior and anterior chamber of the eye is
|
iridectomy
|
|
|
Which of the following hyperosmotic drugs is given preoperatively solely by oral administration to induce osmotic pressure and thereby reduce intraocular pressure in surgery?
|
glycerol
|
|
|
What eye disease uses the argon slit lamp with a noninvasive procedure, which if successful, prevents the need for more invasive surgery
|
glaucoma
|
|
|
Which dressing is sed after nasal surgery
|
moustache
|
|
|
What combination of lasers are particularly useful in surgery of the larynx and vocal cords
|
CO2 and helium0neon
|
|
|
The most common topical anesthetic agent used in ENT surgery is
|
cocaine
|
|
|
Irrigation is used with the ear drill
|
to minimize transfer of heat from burr to surrounding structures
|
|
|
A surgical schedule would describe the procedure to treat acute otitis media as a
|
myringotomy
|
|
|
In myringotomy, the tube to facilitate drainage is placed into the tympanic membrane with an
|
alligator forceps
|
|
|
A perforated eardrum is corrected by
|
tympanoplasty
|
|
|
Severe vertigo may be relieved by
|
labyrinthectomy
|
|
|
Middle ear ventilation is facilitated by
|
mryingotomy
|
|
|
Cholesteatoma is treated by doing a
|
mastoidectomy
|
|
|
A benign tumor arising from the eighth cranial nerve, which may grow to a size that produces neurologic symptoms is an
|
acoustic neuroma
|
|
|
Facial nerve trauma can be decreased by use of
|
computerized nerve monitor
|
|
|
Another name for submucous resection is
|
septoplasty
|
|
|
Surgical correction of a deviated septum is known as a
|
submucous resection
|
|
|
A forceps used in nasal surgery
|
bayonet
|
|
|
Which sinus is entered during an intranasal antrostomy (antral window)?
|
maxillary
|
|
|
Nasal polyps are removed with either a polyp forceps or a
|
nasal snare
|
|
|
Which of the following medication would be used as a topical anesthetic before nasal surgery?
|
cocaine
|
|
|
Which surgery requires an incision under the upper lip above the teeth?
|
Caldwell-Luc
|
|
|
To establish a tracheostomy, a midline incision is created in the neck, below the
|
cricoid cartilage
|
|
|
Which medication is found on a tracheostomy setup to reduce the coughing reflex at tube insertion?
|
lidocaine 1%
|
|
|
When a tracheostomy tube is inserted, the obturator is quickly removed and the trachea is suctioned with a
|
catheter
|
|
|
The majority of benign salivary gland tumors occur in which gland?
|
parotid
|
|
|
Which position is used following a tonsillectomy
|
on side, horizontally
|
|
|
Total laryngectomy includes all of the following EXCEPT
a. soft palate b. strap muscles c. hyoid bone d. larynx |
soft palate
|
|
|
What mode would be utilized to maintain drainage postoperatively in radical neck surgery?
|
Hemovac
|
|
|
A trifurcate neck incision is done for a
|
radical neck dissection
|
|
|
During ear surgery, pledgets generally used to control bleeding are soaked in
|
epinephrine
|
|
|
In cochlear implantation, the receiver is placed into which bone of the skull to gether impulses and send it along to the cerebral cortex?
|
mastoid
|
|
|
Facial nerve decompression is designed to identify as area of compression often seen in
|
Bell's palsy
|
|
|
Which of the following endotracheal tubes can prevent a fire
|
stainless steel
|
|
|
Lesion of the larynx and vocal cords can be addressed surgically using which laser?
|
CO2
|
|
|
Which degree endoscope is used ONLY in maxillary sinus surgery?
|
120 degrees
|
|
|
What is the instrument used to effect removal of the septal cartilage in a rhinoplasty?
|
Jansen-Middleton forceps
|
|
|
After the anterior pillar of a tonsil is incised with a #12 blade, the tonsil is freed from its attachments with a
|
Hurd dissector
|
|
|
What is the most effective barrier to stop laser energy from penetrating healthy tissue?
|
moist padding of surrounding tissue
|
|
|
A safer alternative laser retardant endotracheal tube used for CO2 laser surgery of the larynx is made of
|
copper and stainles steel
|
|
|
A continuous suture placed beneath the epidermal layer of the skin in short lateral stitches is called a
|
subcuticular suture
|
|
|
An item used for padding that has smooth and clingy layers is called
|
Webril
|
|
|
A temporary biologic dressing is
|
porcine
|
|
|
Which of the following is NOT a reason for a pressure dressing
|
conforms to body contour is not a reason
|
|
|
A dressing that is held in place by long suture ends criss-crossed and tied is called
|
stent
|
|
|
When local anesthetic is passed to the surgeon
|
state kind and percentage of solution
|
|
|
Which procedure is followed if the scrub is pricked with a needle?
|
discard needle, change glove
|
|
|
All of the following statements regarding the preparation for a skin graft are true EXCEPT
a. the dermatome is placed on the recipient table b. the donor site is prepared with a colorless antiseptic agent c. separate setups are necessary for skin preparation of recipient and donor sites d. items used in preparation of the recipient site must not be permitted to contaminate the donor site |
a. the dermatome should always be placed SEPARATELY
|
|
|
When using a sterile syringe, the scrub nurse should
|
never touch the plunger except at the end
|
|
|
Which of the following is the LEAST desirable method for needle accountability?
a. insert needle into original packet b. collect needles in a medicine cup c. place on an adhesive or magnetic board d. return to needle rack |
b. collecting needles in a medicine cup is the least desirable method
|
|
|
Colorless prep solution may be indicated for
|
plastic surgery
|
|
|
A graft containing epidermis and only a portion of the dermis is called a
|
split-thickness graft
|
|
|
A progressive disease of the palmar fascia is termed
|
Dupuytren's contracture
|
|
|
Microtia refers to
|
absence of the external ear
|
|
|
Good contact between a skin graft and the recipient site is facilitated by use of a
|
stent dressing
|
|
|
Syndactyly refers to
|
webbing of the digits
|
|
|
A penile defect in which the urethra ends on the ventral surface of the penile shaft or in the perneum is termed
|
hypospadias
|
|
|
A face lift is termed a
|
rhytidectomy
|
|
|
The intraoperative use of bone allografts requires all of the following responses from the scrub team EXCEPT
a. culture before implant b. wash with an antibiotic solution c. completely thaw |
c. do NOT let the allograft completely thaw
|
|
|
Bulky dressings added to the intermediate layer of a three-layer dressing are used to
|
eliminate dead space, and immobilize a body part
they are NOT used to concentrate pressure in one area |
|
|
All of the following rules cover handling of prosthetic devices during plastic surgery procedures EXCEPT
a. powder must be wiped from gloves before handling b. prosthesis must be dried completely before implant c. gloves must be used to prevent skin oils from causing inflammatory response d. prosthesis must be placed on lint-free surface to sterilize |
b is flase
|
|
|
Adherent occlusive dressigns that are used when slight or no drainage is expected are transparent polyurethan film such as
|
Bioclusive and Opsite
|
|
|
A method of applying dressings to an unstable area, such as the face or neck, utilizing long sutures tied over the dressing for stability is known as
|
stent
|
|
|
Free jejunal tissue transfers are frequently sucessfull as adjunct surgical revisions following
|
laryngoesophagectomy and esophagectomy
|
|
|
What is the most commonly used donor tendon for a free flexor tendon graft?
|
palmaris longus and plantaris tendon
|
|
|
What bandage effects the process of exsanguination of a limb prior to the use of a tourniquet?
|
Eschmarch
|
|
|
Which muscle is utilized to effect a TRAM flap in breast reconstruction?
|
transrectus abdominis
|
|
|
The most widely used method of scar revision next to scar removal is
|
Z-plasty
|
|
|
The Pereyra needle is used in which specialty area of surgery?
|
urology
|
|
|
Which ureteral catheter is used to dilate the ureter?
|
Garceau tapered tip
|
|
|
The used of distilled water during a highly invasive genitourinary procedure such as a TURP is prohibited for irrigation because of the potential for
|
hemolysis of RBC
|
|
|
Why is a 30cc bag Foley used after a TURP?
|
hemostasis
|
|
|
The three lumens of a Foley are used for inflation, drainage, and
|
continuous irrigation
|
|
|
The purpose ofthe kidney elevator is to
|
increase the space between the lower ribs and iliac crest
|
|
|
Why is the table straightened before closing a kidney incision
|
to create better approsimation of tissues
|
|
|
Nonmalignant enlargement o the prostate is termed
|
benign prostatic hypertrophy (BPH)
|
|
|
Urethral strictures can be dilated by use of each of the following EXCEPT
a. Philips filiform and followers b. Van Buren sounds c. Braasch bulb d McCarthy dilators |
c. Braasch builb are NOT used for dilation, it is used to occulde the ureteral orifice during x-ray study.
|
|
|
A staghorn stone is one that lodges and continues to grown in the
|
renal calyx
|
|
|
In cystoscopy, the irrigating solution is
|
distilled water
|
|
|
Which of the following is NOT considered a permanent urinary diversion?
a. ileal conduit b. ureterocystostomy c. cutaneous ureterostomy d. nephrostomy |
d. a nephrostomy is NOT a permenant urinary diversion because it temporarily drains the kidney with a Malecot or Pezzar catheter. In an ileal conduit, the erueter is implanted into the ileum, and an ilial stome is created. The ureter diverted to the skin of the lower abdomen is a cutaneous ureterostomy. Repositioning the ureter is a ureterocystostomy.
|
|
|
Rib removal for surgical expposure of the kidney requires all of the following EXCEPT a
a. Alexander periosteotome b. Doyen raspatory c. Heaney clamp d. Stille shears |
c. the heaney is used in GYN
|
|
|
Penile condylomata are muost successfully removed by
|
laser
|
|
|
Removal of a testis or the testes is called
|
orchiectomy
|
|
|
Which solution is NOT used during a TURP?
|
NORMAL SALINE is not used.
|
|
|
Temporary diversion of urinary drainage by means of an external catheter that drans the renal perlvis is called
|
pyelostomy
|
|
|
The procedure to treat organic sexual impotence is
|
penile implant
|
|
|
Which anomaly is corrected by the MAGPI procedures?
|
chordee specifically PROXIMAL hypospadias with chordee
|
|
|
Microscopic reversal of the male sterilization procedure is termed
|
vasovasostomy
|
|
|
A needle biopsy of the prostate may be accomplished with a
|
Tru-cut needle
|
|
|
When the male penis is curved ventrally with the meatus and the glans in close proximity to each other it is called
|
chordee
|
|
|
An endoscopic procedure to treat stress incontinence is a
|
Stamey procedure
|
|
|
Continuous irrigation following TURP is accomplished by use of a
|
30cc three-way Foley catheter
|
|
|
Bladder drainage that diverts urine away from the urethral vaginal area is a
|
cystostomy
|
|
|
When the prostate gland is removed through an abdominal incision into the anterior prostatic capsule, it is called a ______ prostatectomy
|
retropubic
|
|
|
Kidney stones are sent to the lab in
|
dry state
|
|
|
A Pereyra procedure is done for
|
stress incontinence, a Pereyra procedure is a bladder neck suspension involving urethrovesical suspension with vaginourethroplasty
|
|
|
A percutaneous nephrolithotomy utilizes all of the following EXCEPT
a. ultrasound wand b. flexible nephroscope c. lithotriptor d. lithotriptor tub |
d. does not use lithotriptor tub, it is used in ESWL
|
|
|
Orchiopexy can be defined as
|
fixation of a testicle
|
|
|
Abdominal resection of the prostate gland through an incision into the bladder is known surgically as a
|
suprapubic prostatectomy
|
|
|
A lumbar or simple flank incision for ureter or kidney surgery may include removal of which ribs?
|
11 and 12
|
|
|
An abnormal accumulation of fluid in the scrotum
|
hydrocele
|
|
|
What is the alternative approach to surgical TURP that has resulted from advances in radiologic techniques and balloon catheter technology
|
urethroplasty
|
|
|
Bladders stones are crushed with a
|
lithotrite
|
|
|
Urethral meatal stenosis is corrected by a
|
meatotomy
|
|
|
In a penile implant the inflation pump is located in the
|
scrotum
|
|
|
Exceision of the tunica vaginalis is a
|
hydrocelectomy
|
|
|
Circumcision refers to
|
removal of the foreskin
|
|
|
An alternative approach to surgical TURP utilizing a cystoscopic setup as its base is
|
transcstoscopic urethroplasty
|
|
|
The laser used to destroy small recurrent bladder tumors is the
|
Nd: YAG
|
|
|
In creating a continent urinary diversion post-cystectomy, all of the following procedures are options for diversion EXCEPT
a. Kock pouch b. Indiana pouch c. "Le bag" d. ileal conduit |
d. ileal conduit is NOT used postcystectomy for diversion. Ileal conduit is a cutaneous urinary diversion exteriorizing the urinary tract by creating a stoma.
|
|
|
In creating a continent urinary diversion post-cystectomy, all of the following procedures are options for diversion EXCEPT
a. Kock pouch b. Indiana pouch c. "Le bag" d. ileal conduit |
d. ileal conduit is NOT used postcystectomy for diversion. Ileal conduit is a cutaneous urinary diversion exteriorizing the urinary tract by creating a stoma.
|
|
|
Stones removed during surger should be sent to the laboratory
|
dry
|
|
|
Stones removed during surger should be sent to the laboratory
|
dry
|
|
|
Following anastomosis of a ureter during a ureteral reimplantation procedure, ______ is left in place to ensure free drainage of the kidney postoperatively
|
soft stent
|
|
|
Following anastomosis of a ureter during a ureteral reimplantation procedure, ______ is left in place to ensure free drainage of the kidney postoperatively
|
soft stent
|
|
|
The combined correction of a redundant renal pelvis and resection of a stenotic portion of the ureteropelvic junctions is known as
|
Foley Y-V procedure
|
|
|
The combined correction of a redundant renal pelvis and resection of a stenotic portion of the ureteropelvic junctions is known as
|
Foley Y-V procedure
|
|
|
A reverse sterilization procedure in the amle is called
|
vasovasostomy and epididymovasostomy
|
|
|
A reverse sterilization procedure in the amle is called
|
vasovasostomy and epididymovasostomy
|
|
|
Before insertion of a penile implant, the insertion site, as well as the implant itself, is irrigated with
|
Kanamycin and Bacitracin
|
|
|
Before insertion of a penile implant, the insertion site, as well as the implant itself, is irrigated with
|
Kanamycin and Bacitracin
|
|
|
To prevent thrombi from forming in the walls of the renal vein during transfer from the donor to the recipient, _____ is geven just before clamping of the renal vessels
|
heparin
|
|
|
To prevent thrombi from forming in the walls of the renal vein during transfer from the donor to the recipient, _____ is geven just before clamping of the renal vessels
|
heparin
|
|
|
The drug of choice for adequate duiresis of a living donor before, during, and postremoval of the kidney is
|
mannitol
|
|
|
The drug of choice for adequate duiresis of a living donor before, during, and postremoval of the kidney is
|
mannitol
|
|
|
All of the following are ideal requirements of cadaver donors EXCEPT
a. any age b. free of infection or malignancy c. normotensive up until death d. under ospital observation before death |
a. because the ideal donor should be young
|
|
|
All of the following are ideal requirements of cadaver donors EXCEPT
a. any age b. free of infection or malignancy c. normotensive up until death d. under ospital observation before death |
a. because the ideal donor should be young
|
|
|
Cooling and flushing of pancreas, liver, and kidneys of dadaver donors is accomplished by cannulation of the organ and infusion of large amounts of cold
|
Ringer's lactate solution
|
|
|
Cooling and flushing of pancreas, liver, and kidneys of dadaver donors is accomplished by cannulation of the organ and infusion of large amounts of cold
|
Ringer's lactate solution
|
|
|
Nonconducting, isomotic glycine irrigating soluting must be used in the surgial presence of a
|
resectoscope
|
|
|
All of the following procedures may be completed through a cystoscope EXCEPT
a. biopsy of bladder tumor b. removal of foreign body in bladder c. total removal of bladder tumor d. cystogram for diagnostic studies |
c. total removal of badder is NOT done through a cystoscope
|
|
|
After incision is made into the scrotum, during a vasectomy, the forceps used to grasp the vas and bring it to the surface fore surgery is the
|
Allis
|
|
|
ESWL disintegrates stones by introducting shock waves into the body through the medium of
|
water
|
|
|
Laser lithotripsy utilizes the tunable pulse-dyed laser known as
|
Candela
|
|
|
The tube that collects bronchial washingsis
|
Lukens
|
|
|
The procedure of choice for removal of a foreign body in a child's tracheobronchial tree is
|
bronchoscopy
|
|
|
A cytologic specimen collector used in bronchoscopy is
|
Lukens
|
|
|
All of the following are true regarding disposable chest drainage units EXCEPT
a. provides drainage collection from intrapleural spcae b. maintians 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 because we want NEGATIVE pressure
|
|
|
Compression of the subclavian vessels and the brachial plexis usually caused by the first rib is surgically known as
|
thoracic outlet syndrome
|
|
|
A reduction in negative pressure on one side of the thoracic cavity that causes the negative pressure on the normal side to pull in an effort to equalize pressure is called
|
mediastinal shift
|
|
|
Surgical removal of fibrinous deposits onbthe visceral and parietal pleura is called
|
decortication of the lung
|
|
|
What substance is introduced through a thoracoscope to deal with recurrent pleural effusion attributable to advanced cancer?
|
talc
|
|
|
What instrumetn is used to reapproximate the ribs following an open thoracotomy?
|
Bailey
|
|
|
What cold solution is used to preserve a donor lung before transplant into a recipient?
|
Collin's
|
|
|
How many anastomoses must be completed to effect a single-lung transplant?
|
three
|
|
|
Which of the following would be the suture of choice for a graft-to-tissue anastomosis in vascular surgery?
|
Ti-Cron
|
|
|
Which suture would be used on an aortic valve replacement?
|
polypropylene
|
|
|
In which procedure could a Fogarty catheter be utilized?
|
embolectomy
|
|
|
Amputated extremities are
|
wrapped and refrigerated in the morgue
|
|
|
An anticoagulant given for its antagonistic effect on heparin is
|
Protamine sulfate
|
|
|
The action to be followed if a patient is experiencing a cardiac arrhythmia, specifically a ventricular fibrillation, would to
|
defibrillate
|
|
|
Dextran is used parenterally to
|
expand blood plasma volume
|
|
|
Which drug can be added to saline for irrigation during a vascular procedure?
|
heparin
|
|
|
The intraoperative diagnostic test that measures tissue perfusion is
|
ABG
|
|
|
Passage of a sterile catheter into the heart via the brachial or femoral artery for the purpose of image intensification is called
|
cardiac catheterization
|
|
|
Hypothermia is employed in cardiac surgery
|
to reduce oxygen consumption
|
|
|
Which vessels are harvested for a coronary artery bypass?
|
saphenous vein and internal mammary artery
|
|
|
If a knitted graph is preclotted, it
|
minimizes bleeding
|
|
|
The term used to denote the function accomplished by the cardiopulmonary bypass machine is
|
perfusion
|
|
|
The term used to denote the function accomplished by the cardiopulmonary bypass machine is
|
perfusion
|
|
|
A cardiopulmonary technique that employs the principle of counterpulsation tat increases cardiac output is
|
IAPP
|
|
|
The antagonist to heparin sodium is
|
Protamine sulfate
|
|
|
Pedal pulses are assessed with a
|
Doppler
|
|
|
Heparin is utilized during vascular surgery
|
to prevent thrombosis
|
|
|
The prime consideration in a ruptured abdominal aortic aneurysmectomy is
|
hemorrhage control
|
|
|
In which surgery would a tunneler by used?
a. aaa b angioplasty c. embolectomy d. femoral-popliteal bypass |
d. femora-popliteal bypass
|
|
|
In balloon angioplasty, the dilating balloon is inflated with
|
diluted solution of contrast media
|
|
|
Which piece of equipment would be placed on an embolectomy setup for the purpose of removing clots through an arteriotomy?
|
Fogarty
|
|
|
What instrument is used to reapproximate the ribs following an open thoracotomy?
|
Bailey
|
|
|
The goal of a carotid endarteretomy is to
|
remove plaque
|
|
|
Decompression of the portal circulation can be achieved by all of the following EXCEPT
a. splenorenal shunt b. portocaval anastomosis c. arteriovenous shunt d. mesocaval shunt |
c. arteriovenous shunt is NOT used for portal circulation it is used for dialysis
|
|
|
Plaque removal froma vessel is termed
|
endarterectomy
|
|
|
Placement of a vascular graft proximal to and inclusive of the common iliac vessels will necessitate the use of a
|
bifurcated graft
|
|
|
The most common vessels used for access procedures to facilitate hemodialysis are
|
radial artery and cephalic vein
|
|
|
Migrating clots taht have formed inthe lower extremities can be intercepted onthe way to the heart of lungs be a
|
Greenfield Filter
|
|
|
Retraction of finstructures and blood vessles during vascular surgery is accomplished by use of
|
vessel loop
|
|
|
Fluoroscopy is required for all of the following vascular procedures EXCEPT
a. Greenfield filter b. endocardial pacing electrode c. myocardial pacing electrode d. A-V fistula creation |
c. myocardial pacing electrode requires a thoracotomy and direct visualization
|
|
|
A drug used intraoperatively for its antispasmodic effect on the smooth muscle of the vessel wall is
|
papaverine hydrochloride
|
|
|
Compression of subclavian vessels and brachial plexus at the superior aperture of the thorax is
|
pectus excavatum
|
|
|
In vascular surgery, the term in situ graft references the use of an
|
autogenous graft
|
|
|
The surgery schedules as"Greenfield filter insertion" indicates a diagnosis of
|
emboli formation
|
|
|
The intraoperative endoscopic visualization of internal vessels is known as
|
angioscopy
|
|
|
During a vascular procedure, monitoring the activated clotting time intraoperatively provides useful data for jueging the need for reversal or addition of
|
heparin
|
|
|
A low-molecular-weight protein that, when combined with heparin, causes a loss of anticoagulant activity postoperatively is
|
Protamine sulfate
|
|
|
What is the purpose for the surgical creation of an arteriovenous fistula?
|
hemodialysis
|
|
|
Conservative treatment of occlusive disease involving recanalization to restore the lumen of a vessel is called
|
percutaneous transluminal angioplasty (PTA)
|
|
|
What catheter is used to remove thrombi or emboli from vascular structures?
|
Fogarty
|
|
|
What procedure is used intraoperatively and postoperatively to determine blood flow in a vessel
|
Doppler ultrasound
|
|
|
Removal of artherosclerotic plaque from a major artery is termed
|
endarterectomy
|
|
|
An abnormal localized dilatation of an artery resulting from mechanical pressure of blood on a weakened wall is called
|
aneurysm
|
|
|
What is the treatment of choice for capturing emboli that arise from the pelvis or lower extremities?
|
Greenfield filter
|
|
|
What intraoperative test determines the needed reversal or addition of heparin?
|
ACT activated clotting time
|
|
|
What drug is used intraoperatively in a topical manner for its direct effect on the muscle of the vessel wall?
|
papaverine hydrochloride
|
|
|
The technique applied to the patient who is unable to be weaned from cardiopulmonary bypass is
|
IAPB and VADs
|
|
|
What is the most common acquired valvular lesion?
|
mitral stenosis
|
|
|
What drug is used to effect coronary thrombosis in the cardiac catheterization laboratory?
|
tissue plasminogen activator and streptokinase
|
|
|
The term in situ graft represents the use of an
|
autograft
|
|
|
Which sutre is commonly used to attach tendon to bone?
|
wire
|
|
|
Seamless tubular cotton that stretches to fit a contour and is used for padding is called
|
stockinette
|
|
|
What is the proper wrapping procedure utilizaing an Esmarch bandage?
|
start at the distal end of the extremity
|
|
|
Fracture of the patella may be repaired with all of the following hardware EXCEPT
a. buttress plate b. bone screws c. tension band d. circumferential loop |
a. buttress plate
|
|
|
A variation of bunionectomy, in which the surgeon includes resection of the proximal third of the phalanx and possible silicone implant is called a
|
Keller arthroplasty
|
|
|
Baker's cysts are found in the
|
popliteal fossa
|
|
|
Benign outpouchings of synovium from intercarpal joints are called
|
ganglia
|
|
|
Compression of the median nerve at the volar surface of the wrist is known as
|
carpal tunnel syndrom
|
|
|
A fixation device that provides maximum holding and rigid fixation of a fracture by tightening bone fragments together is called a
|
compression plate and screws
|
|
|
In a total hip replacement, which structure is reamed?
|
acetabulum
|
|
|
A dorsal angulated fracture of the distal radius is commonly called a
|
Colles' fracture
|
|
|
The ideal condidate for a noncemented total hip arthroplasty is
|
young and healthy person
|
|
|
A total hip replacement would be indicated when the patient has
|
degenerative hip joint disease
|
|
|
All of the following are frames used to attain the prone position during orthopedic sureger EXCEPT
a. Alvarado b. Wilson c. Andres d. Hastings |
a. Alvarado is NOT used
|
|
|
Which hardware could not be used to repair a tibial plateau fracture?
|
Ambi compression plate
|
|
|
A flexion deformity at the proximal joint of the four lateral toes is called
|
hammer toe
|
|
|
Joint reconstruction is known as
|
arthroplasty
|
|
|
Wat is the name of a shoulder positioning device used to position a shoulder for surgery?
|
McConnell
|
|
|
Osteaogenesis or bone growth can be induced by
|
electrical stimulation
|
|
|
An infection in bone is termed
|
osteomyelitis
|
|
|
A surgical procedure designed to stiffen or fuse a joint is called `
|
arthrodesis
|
|
|
A lateral curvature of the spine is
|
scoliosis
|
|
|
Harrington rods are used to treat
|
scoliosis
|
|
|
A rotator cuff repair is called a
|
Bankart
|
|
|
The congenital deformity known as clubfoot is surgically referred to as
|
talipes varus (inversion of the forefoot)
|
|
|
The most frequent site of cartilage tears in the knee joint are at the
|
medial meniscus
|
|
|
An abduction pillow would be used to
|
immobilize hip joints after hip surgery
|
|
|
A Free Lock compression screw system is _____ fracture
|
hip
|
|
|
Decreased bone mass results in a condition called
|
osteoporosis
|
|
|
Place the stages of fracture healing in order:
|
1. hemaoma formation
2. fibrin network formation 3. invasion of osteoblasts 4. callus formation 5. remodeling |
|
|
An olecranon fracture occurs in the
|
elbow
|
|
|
All ofthe following are considered good methods of maintaining strict asepsis within an orthopedic surgical suite EXCEPT
a. isolation units b. laminar flow rooms c. charcoal masks d. isolation bubble systems |
c. charcoal masks are not used
|
|
|
Water temperature for paster cast application is
|
70-75 degrees
|
|
|
Orthopedic surgery prepping
|
is done under sterile conditions
|
|
|
Limb exsanguination is accomplished by using
|
Esmarch
|
|
|
In orthopedic surgery, the viewing of the progression of a procedure on a television screen is known as
|
image intensification
|
|
|
Surgery on the medial malleolus would be of the
|
tibia
|
|
|
Plaster is ready for application
|
when air bubbles cease to rise
|
|
|
Which fracture most commonly occurs in childhood?
|
greenstick
|
|
|
Which of the following is added to polymethylmethacrylate (PMMA), chemically siilar to Plexiglas, to it to make it possible to assess distribution and changes at a later time?
|
barium sulfate
|
|
|
Which orthopedic hip procedure is indicated for patients with degenerative joint disease or rheumatoid arthritis?
|
total hip arthroplasty
|
|
|
Which total joint arthroplasty utilizes the Miller-Galante joint replacement prosthesis?
|
knee
|
|
|
Which of teh following is a disadvantage of arthroscopic sugery?
|
scarrring of articular surface
|
|
|
The proper positioning for a patient undergoing arthroscopic knee surgery is
|
degree flexion of foot of table
|
|
|
What skeletal traction requires the use of sterile supplies for application of a traction appliance?
|
Crutchfield
|
|
|
Anterior spinal fusion is accomplished by use of which of the following instrumentations?
|
Isola
|
|
|
An infectious musculoskeletal condition affecting the bone and marrow is
|
osteomyelitis
|
|
|
An immobilization device used after total hip arthroplasty is
|
abduction pillow
|
|
|
Electrical stimulation is artificially applied postoperative electrical current that influences
|
osteogenesis
|
|
|
All of the following are indications for external fixation EXCEPT
a. infected joints b. clean long-bone fractures c. highly comminuted closed fractures d. major alignmentand length deficits |
b. clean long-bone fx are not indications for external fixation
|
|
|
A procedure done to correct recurrent anterior dislocation of the shoulder that involves reattachment of the rim of the glenoid fossa is called a
|
Bankart
|
|
|
The most commonly fractured carpal bone is the
|
scaphoid
|
|
|
All of te following are intramedulallary nails or rods EXCEPT
a. Ender nail b. Sampson rods c. Harrington rods d. Russell-Taylor rods |
c. Harrington rods are for the back
|
|
|
Compression force of the distal femur upon the tibia produces varying types of fractures of the
|
tibia plateau
|
|
|
Fracture of the lateral malleolus can be treated with a
|
Rusch rod
|
|
|
Surgery that requires incision of the long extensor tendon of teh interphalaneal joint of the four lateral toes and subsequent fusion is called
|
hammer toe correction
|
|
|
To maintain hydrostatic pressure against the joint wall during irrigation of an arthroscopic procedure the solution must be kept above the joint
|
3 feet
|
|
|
A prosthetic implant that allows gliding and shifting motions resembling normal range of motion is generally termed a
|
nonconstrained implant
|
|
|
Total wrist replacement indicates use of which of the following implants to replace the radiocarpal joint in the wrist?
|
silicone rubber
|
|
|
The rare use of laser during orthopedic surgery may be seen in the use of the CO2 laser dring a revision arthroplasty to
|
remove a cementeed implant
|
|
|
After surgery on a shoulder, the arm may be bound against the side of the arm for
|
immobilization
|
|
|
To provide decompression of the spinal roots and vertebral alignment following a thoracolumbar spinal fusion, which of the following may be used for fixation?
|
Harrington rods and Luque rods
|
|
|
The most commonly used implants in hand surgery are made of flexible
|
Silastic
|
|
|
The procedure indicated by which of the following named prostheses tells one that a total hip arthroplasty is scheduled?
|
Miller-Galant
|
|
|
Before the insertion of cement into the femoral medually canal during a total hip arthroplasty, which of the following is placed with an inserter to occludethe canal?
|
cement restrictor
|
|
|
Femoral prostheses such as Austin Moore and Thompson are used to correct all of the following dx EXCEPT
a. avascular necrosis b. nonunion fx c. displaced femoral neck fx d. rheumatoid artritis |
d. rheumatoid arthritis
|
|
|
Before sterilizing unsterile Silastic or Teflon implants, they should be
|
washed with mild soap
|
|
|
Orthopedic implants are covered by all of the following rules EXCEPT
a. different metals should not be mixed because they may react chemically b. If the implant is driven by force, a driver with a metal head must be used c. a template must be used for sizing purposes d. handle as little as possible before insertion |
b. if the implant is driven by force, a driver with a metal head must be used
|
|
|
Galvanic corrosion is a process that occurs postoperatively because of
|
mixed use of metals for implant
|
|
|
Raney clips are
|
hemostatic scalp clips
|
|
|
Which of the following are tongs providing skeletal traction for cervical fracture/dislocation?
|
Crutchfield
|
|
|
A surgical procedure used most frequently to control intractable pain of terminal cancer is called a
|
cordotomy
|
|
|
Which operative procedure facilitates the draining of a subdural hematoma?
|
burr holes
|
|
|
Hemostatis in neurosurgery is achieved by using Gelfoam saturated with saline solution or
|
topical thrombin
|
|
|
A tumor arising from the covering of the brain
|
meningioma
|
|
|
Which of the following is used to control bleeding beneath the skull and around the spinal cord?
|
cottonoid
|
|
|
A large encapsulated collection of blood over one or both cerebral hemispheres that produces ICP is known as
|
subdural hematoma
|
|
|
A surgical procedure in which a nerve is freed from binding adhesion for relieft of pain and restoration of function is termed a
|
neurolysis
|
|
|
Surgical creation of a lesion in treatment of a disease such as Parkinson's is called
|
cryosurgery
|
|
|
During neurosurgical procedures, venous stasis in the lower extremities and maintenance of blood pressure may be aided by all of the following EXCEPT
a. Esmarch bandage wrapped groin to toe b. elastic bandages wrapped toe to groinc. sequential compression devices c. sequential compression devices d. TED stockings |
a. esmarch bandage wrapped groin to toe is F
|
|
|
Which of the following diseases CANNOT be treated by a sympathectomy?
a. intractable nerve pain b. vascular extremity disorders c. hyperhydrosis d. neuroma |
d. neuroma CANNOT be treated by a sympathectomy
|
|
|
All of the following are used for hemostsis in neurosurgical procedure EXCEPT
a. bone wax b. compressed cotton strips c. bipolar coagulation d. monopolar coagulation |
d. monopolar is NOT used
|
|
|
All of the following are permanent aneurysm clips EXCEPT
a. Scoville b. McFadden c. Heifitz d. Olivecrona |
b
|
|
|
Upon craniotomy closure, the bone flap is sutured on with
|
stainless steel suture
|
|
|
Removal of an anterior cervical disc with accompanying spinal fusion is termed a
|
Cloward procedure
|
|
|
In a laminectomy, herniated disc fragments are removed with a
|
pituitary ronguer
|
|
|
When using the perforator to create burr holes, heat is counteracted by
|
irrigating drill site as hole is drilled
|
|
|
A ventriculoperitoneal shunt treats
|
hydrocephalus
|
|
|
The advantage of using a Javid Shunt during a carotid endartherctomy is
|
continuous cerebral blood flow
|
|
|
Metal suction tips used during neurosurgery are used continuously to keep the field dry. They may be all of the following EXCEPT
a. Cone b. Sacks c. Frazier d. Yankeur |
d. Yankeur
|
|
|
Neurosurgical sponges soaked in solution are placed within the reach of the surgeon and displayed on a
|
inverted emesis basin and plastic drape
|
|
|
All of the following statements are true about knee-chest positioning for laminectomy EXCEPT
a. decreased bleeding b. better exposure of laminae c. increased operating time d. increased ease of ventilation |
c. increased operating time is F
|
|
|
What is the most common congenital lesion encountered, requiring neurosurgical intervention?
|
meningomyelocele
|
|
|
To effect hemostasis during a neuro surgical procedure, small pieces of Gelfoam are cut into several different sizes and soaked in
|
topical thrombin
|
|
|
What instrument is used to excise the laminae overlying the herniated disc during its removal in a laminectomy procedure?
|
Schwartz-Kerrison
|
|
|
Malabsorption of cerebrospinal fluid (CSF) and resultant hydrocephalus are corrected by a neurosurgical
|
VP shunt and VA shunt
|
|
|
Neurosurgical procedures done for the purpose of locating and destroying target structures in the brain are called
|
stereotactic
|
|
|
What is the incisional approach use to effect a transsphenoidal hyphysectomy?
|
middle of the upper gum
|
|
|
Dorsal sympathectomy entails removal of which of following chains of the sympathetic division of the autonomic nervous system?
|
cervicothoracic
|
|
|
A Hakim shunt is used to
|
treat hydrocephalus
|
|
|
The invagination of the proximal intestine into the lumen of the distal intestine is called
|
intussusception
|
|
|
An imperforation or closure of a normal opening is called an
|
atresia
|
|
|
Failure of the intestines to encapsulate within the peritoneal cavity of the newborn is called
|
omphalocele
|
|
|
A congential malformation of the chest wall with a pronounced funnel-shaped depression is called
|
pectus excavatum
|
|
|
Newborn vomiting, free of bile and projectile in nature, is indicative of
|
pyloric stenosis
|
|
|
The increased metabolic rate of a surgical pediatric patient establishes the need for all of the following EXCEPT
a. oxygen b. caloric intake c. blood transfusion d. fluids |
c. blood transfusions
|
|
|
Hirschsprung's disease is synonymous with
|
congenital aganglionosis
|
|
|
The condition evidenced by incomplete closure of the verteral arches in newborns is
|
spina bifida
|
|
|
The condition involving premature closure of infant cranial suture lines is referred to as
|
transsphenoidal hypophysectomy
|
|
|
An imperforate anus means
|
anal opening is absent
|
|
|
Geriatric patients aremore prone to each of the following EXCEPT
a. infection b. poor wound healing c. cardiovascular problems d. gallbladder disease |
b. NOT more prone to ppor wound healing
|
|
|
A Wilms' tumor, the most common intraabdominal childhood tumor is known as a
|
nephroblastoma
|
|
|
Incomplete closure of paired vertebral arches that can be treated surgically is known as
|
spina bifida
|
|
|
Nonclosure at birth of the duct that carries blood from the pulmonary artery directly to the aorta is termed
|
patent dutus arteriosus
|
|
|
The most common congenital cardiac anomaly in the cyanotic group is
|
tetralogy of Fallot
|
|
|
The mechanical strength of a weak eye muscle due to strabismus in a pediatric patient can be corrected by all of teh following EXCEPT
a. tucking b. advancement c. recession d. resection |
c. recession
|
|
|
A cardiac procedure used primarily for anomalies associated with excessive pulmonary flow due to large intracardiac left-to-right shunt is called
|
pulmonary bonding
|
|
|
An abnormal communication between the aorta and the pulmonary artery of an infant is termed
|
patent ductus arteriosus
|
|
|
Failure of the abdominal viscera to become encapsulated within the peritoneal cavity during fetal development is known as an
|
omphalocele
|
|
|
What surgery is performed to treat otitis media?
|
myringotomy
|
|
|
What problem is most commonly seen in the pediatric postoperative patient?
|
airway impairment
|
|
|
Which of the following is the primary indication for total joint arthroplasty of the hip and knee in elderly persons?
|
osteoARTHRITIS (degenerative) and rheumatoid arthritis (long-term disease)
|
|
|
What is the predominant reason for urological surgery in elderly men?
|
BPH (benign prostatic hypertrophy
|
|
|
An emergency drug useful in ventricular fibrillation or tachycardia is
|
Inderal
|
|
|
An emergency drug that increases myocardial contractility is
|
calcium chloride
|
|
|
The action of sodium bicarbonate in an advanced life support effort is to
|
counteract metabolic acidosis
|
|
|
Xylocaine is used intravenously for
|
treatment of cardiac arrhythmias
|
|
|
If cardiac arrest occurs in the OR, who is responsible for handling artificial ventilation?
|
the anesthesiologist
|
|
|
Sudden shortness of breath in a postoperative patient may be indicative of
|
pulmonary embolism
|
|
|
Which pulse is checked during a cardiac arrest effort?
|
carotid
|
|
|
Airways should be
|
left in place until the patient breathes normally
|
|
|
An anesthetic complication characterized by progressive elevation of body temperature is known as malignant
|
hyperthermia
|
|
|
ALl of the following are results from aspiration of gastric contents during anesthesia EXCEPT
a. impeded blood gas exchange b. impaired lung function c. gastric decompression d. chemical pneumonitis |
c.
|
|
|
A telethermometer monitors the body temperature during surgery. It can be placed in all of the following areas EXCEPT the
a. rectum b. esophagus c. axilla d. tympanic area |
c. axilla
|
|
|
Dark blood in the operative field may indicated that the patient is
|
hypoxic
|
|
|
The first and most important step for successful resuscitation in cardiac arrest is
|
immediate opening of the airway
|
|
|
The responsibiliyty of the scrub nurse in cardiopulmonary resuscitation (CPR) is to
|
give attention to the sterile field and the surgeon's needs
|
|
|
A safety precaution used when a patient is being shocked with the defibrillator is
|
no one is to touch the patient or anything metallic in contact with the patient
|
|
|
When handing a sytinge of medication to the surgeon for a local anesthetic, the scrub nurse should
|
state the kind and percentage of the solution
|
|
|
When cardiac arrest occurs, resuscitative measures must begin within
|
3-5 minutes
|
|
|
Who is responsible for recording all medications given during CPR in the OR?
|
the circulating nurse
|
|
|
CPR is instituted if
|
there is no pulse, respiration, or blood pressure, and the pupils are fixed and dilated
|
|
|
The first action to be taken in the event of a cardiac arrest in teh OR is to
|
alert the OR supervisor and personnel
|
|
|
Intraoperative and postoperative emergency procedures require the scrub person to
|
maintain sterile Mayo with instruments
|
|
|
The following rules apply to needle use at the field EXCEPT
a. give needles to surgeon on an exchange basis b. use needles and needleholders as a unit c. keep needles away from sponges and laps d. keep used needles in a medicine cup |
d. NO!
|
|
|
What is the disposition of all sharps that have been passed off the field intraoperatively?
|
keep off the field for rinal resolution of count
|
|
|
A washer-decontaminator, used after instruments are presoaked, uses which of the following processes to remove blood and protein?
|
impingement
|
|
|
What is the first step in handling the used and unused instruments after a case is completed?
|
presoaking in a basin
|
