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SURGICAL
SURGICAL STUDY QUESTIONS
| Question | Answer |
|---|---|
| In an inguinal herniorrhaphy the spermatic cord is | Retracted with a penrose drain |
| Polyglycolic acid sutures are | absorbed by the process of hydrolysis |
| The pounds of pressure necessary in a flash steam sterilizer set a 270 F is | 27 |
| A pt is having elective surgery. The nurse notes that her white cell count is 14,000 cu mm. This would indicate that | there may be an inflammation or infection present |
| Distal refers to | away from the body |
| Meckel's diverticulum is found in the | ileum |
| In which case would a Frazier suction be used? | ear |
| Airborne contamination is reduced by recirculation of filtered outside air at a rate of | 25 air exchanges per hour |
| The purpose of OSHA is to | ensure safe and healthful working conditions |
| Body heat in pediatric pts is controlled with all the following EXCEPT | wrapping child in plastic,warming blanket,increasing room temp,*hot water bottles |
| If a family is contacted but cannot come in to sign a permission for emergency sugery, the surgeon should | accept permission by phone, telegram, or in written communication |
| Unwrapped instruments are sterilized at 270F for a minimum of | 3 minutes |
| A retention suture passes through all of the following EXCEPT | **MESENTERY TISSUE**,rectus muscle,fascial tissue,subcutaneous |
| A hernia that passes through the inguinal ring into the inguinal canal is termed | Indirect |
| Dead space is the space | caused by seperation of wound edges that have not been closely approximated |
| Wrapped tubing can be sterilized at 250F for a minimum of | 30 minutes |
| Funnel chest is also known as | pectus excavatum |
| Which trm denotes low or decreased blood volume | hypovolemia |
| Injection of contrast media into the brachial, carotid, or vertebral artery to study the intra-cranial vessels is called | angiography |
| Instruments and other items sterilized together in the flash autoclave require | 10 min at 270F |
| Suture material that becomes encapsulated with fibrous tissue during the healing process is | nonabsorbable |
| A right hemicolectomy is performed to remove pathology of the | ascending colon |
| Dacryo refers to | lacrimal gland |
| When transporting a pt, drainage systems should be placed | below stretcher level |
| The maximum size of a linen pack must not exceed | 12X12X20 |
| Another name for a stay suture is a | retention suture |
| Which two anatomic structures are ligated and divided to effect a cholecystectomy? | cystic duct, cystic artery |
| Adeno means | gland |
| When the pt is being transferred from the OR table after surgery, the action should be | gentle and slow in order to prevent circulatory depression |
| In steam sterilization, the function of pressure is to | increase the temperature of the steam |
| Which suture material is not generally used in the presence of infection | silk |
| Radical surgery done for lower sigmoid or rectal malignancy is a(n) | abdominal perineal resection |
| The term for fluid or water in the ventricles of the brain is | hydrocephalus |
| The pt may be left on the transport stretcher unattended | under no circumstances |
| 212F is equivalent to | 100C |
| An anti-inflammatory drug whose effect is useful in reversing early rejection of organ transplants in | Prednisone |
| A congenital abnormality of the musculature between the stomach and the duodenum is called | pyloric stenosis |
| A fossa is a | basin-like depression |
| A procedure performed to treat myasthenia gravis is a(n) | thymectomy |
| The purpose of lidocaine installation during a tracheotomy is to | decrease coughing |
| A procedure that is done to give the bowel a rest when there is advanced inflammation is | temporary colostomy |
| A forceps used to grasp lung tissue is a (n) | Duval |
| Heat-sensitive items that can be completely immersed can be processed via the______in 30 min | STERIS |
| The maximum recommended dosage of local anesthetic drug per hour is | 50 mL of 1% solution |
| Ischemia can be defined as | deficient blood supply to a part |
| The person transporting the pt on a stretcher should | push the stretcher from the head |
| Activated glutaraldehyde | can be reused |
| A Weitlaner is a | retractor |
| Which part of the pancreas is the most common site of malignant tumors | head |
| The purpose of the two-way stopcock on a verres needle is | to control gas flow |
| An abnormal sommunication between two parts occurring in the anorectal area is called | fistula in ano |
| Burn removal of tissue down to fascia where all superficial layers are denuded is called | escharectomy |
| The method of sterilization used for liquids is | slow exhaust |
| Medullary canal reamers are used to insert | kuntschner nails |
| A protrusion of fat through an abdominal wall defect between the xiphoid process and umbilicus is a(n) | epigastric hernia |
| The position frequently utilized in thyroid and dallbladder surgery is | reverse trendelenburg |
| What part of the cell is destroyed in steam sterilization? | cell protein |
| Which scope has a trocar | laparoscope |
| Laminar air flow provides | ultraclean air, controlled filter, dilution, and distribution of air, and unidirectional positive-pressure stream of air |
| A rotator cuff tear would occur in the | shoulder |
| Which position would be chosen for a pneumonectomy? | lateral |
| When preparing tubing or any item with a lumen for gas sterilization | the lumen should be blown out with air to force-dry before packaging |
| A rib raspatory is a | Alexander |
| A right-angled gallbladder forceps is a | Mixter |
| A self-retaining mouth gag is a | Jennings |
| The maximum storage life for a muslin wrapped item on open shelvingis | 30 days |
| How are the legs placed in the lateral position? | the lower leg is flexed with the upper leg straight |
| Which statement regarding the changing of a glove during an operation is TRUE? | open-glove technique is used, another team member assists in regloving |
| Each statement regarding OR room ventilation is true EXCEPT | ventilation provides a minimum of 20-30 air exchanges per hour, scavenger systems prevent buildup of anesthetic gases*humidity is kept at 20-30%*, room temp is 68-76% |
| How many thoracic vertebrae are there? | 12 |
| When moving a pt from lithotomy position | lower legs together slowly |
| If a sterile muslin package drops to the floor | it may never be used |
| A tonsil suction is a | Yankauer |
| The most susceptible organ to laer injury is the | eyes |
| The principal hazard encountered in splenectomy is | Hemorrhage |
| When assisting with a cast application one must | Handle cast with flat open hands |
| The most common postoperative complication of orthopedic surgery is | Thromboembolism |
| Which is an acceptable means of pouring a sterile solution onto a sterile field? | The scrub nurse holds a receptacle away from the table as the circulator pours, the scrub nurse sets the receptacle near the edge of a waterproof-draped table |
| Which nerve is afected by pressure on the lower leg or knee? | Peroneal |
| What advantage is phacoemulsification for cataract removal? | Shortened convalescence, and employs small incision |
| The structure that covers the entrance of the laryx when one swallows, thus preventing food from entering the airway(trachea) is called? | Epiglottis |
| Physiologic salt solution used intravenously when the body needs additional sodium, calcium, and potassium is | Ringers lactate |
| In the lateral chest position, a sandbag or padding is placed under the chest a axillary level to | Prevent pressur on the lower arm |
| A viscous jelly used to occupy space, thus preventing damage, in anterior segment surgery of the eye is | Healon |
| Which of the following is frequently used over an incision following pediatric surgery/ | Collodian |
| An agent used for epidural, spinal, or local providing good relaxation is | Marcaine |
| The instrument used to measure the depth of the uterus during a dilation and curettage is a | Uterine sound |
| Vagotomy is performed for peptic ulcer disease to | Decrease secretion of gastric acid |
| Before surgery, elastic bandages or special stockings are sometimes applied to the lover extremities to | Prevent venous stasis |
| Surgical masks should be changed | After each case |
| Why would benzoin be applied to the skin before dressing application | To increase adhesiveness |
| Closing the internal os of an incompetent cervix with a ligature of tape is called | Shirodkar |
| Pneumoperitioneum is effected by instilling gas into the peritoneal cavity by way of a | Verres needle |
| In addition to providing bladder drainage following a suprapubic prostatectomy, a foley catheter | Exerts pressure to obtain hemostasis |
| Electrical connection of the pt to the conductive floor is assured by | A conductive strap in direct contact with the pts skin, with one end of the strap fastened to the OR table metal frame |
| Safety during use of the defibrillator includes all of the following EXCEPT | **MAINTAINING CONTACT WITH OR TABLE AND THE PT**,keeping hands dry,standing on dry floor,pressing paddle switches simulaneously |
| A drug that may be used as an IV flush or as a flush for a blood vessel lumen is | Heparin |
| Nipple reconstruction can be enhanced by the use of a(n) | Tattoo |
| Where are the adrenal glands located? | Above the kidney |
| The following are all contraindications to vaginal hysterectomy EXCEPT | Large uterus,malignancy,adnexal mass,**PRESENCE OF A CYSTOCELE |
| Instruments used to close the vaginal vault in an abdominal hysterectomy must be | Considered contaminated after use |
| The addition of adrenalin to a local anesthetic provides | Vasoconstriction,prolonged andesthesia,decreased bleeding |
| During laser surgery, each of the following policies must be adhered to EXCEPT | Signs are placed on doors,**PRESCRIPTION GLASSES ARE APPROVED PROTECTION MECHANISMS**,pts eyes are rotected with moistened pads or goggles,all persons within the treatment area wear protective eyewear |
| There are ___ parathyroids | 4 |
| Aconstant closed suction that utilizes a plastic container serving as both a suction and a receptacle for blood is a | Hemovac |
| The sphincter at the junction of the small and large intestine is the | Ileocecal sphincter |
| Which hepatitis poses a threat to health care workers? | Hep B |
| A dye used in gynecology to test tubal patency is | Methylene blue |
| Which stage of wound healing takes place when there is tissue loss with an inability to approximate wound edge? | Second (granulation) |
| An abnormal accumulation of fluid in the tunica vaginalis is referred to as a | Hydrocele |
| Periosteum is lifted from the surface of the bone with a(n) | Elevator |
| Repair of a crainal defect is surgically represented by the term | Cranioplasty |
| For surgery on a known AIDS pt, all of the following precautions should be followed EXCEPT | Wear double gloves,masks and protective eyewear worn,**NEEDLES RESHEATHED**,universal precautions undertaken |
| Health care workers who are potentially exposed to blood, can be vaccinated to prevent | Hep B virus(HBV) |
| An alternative indwelling urinary drainage system diverting urine away from the urethra is a | Suprapubic cystostomy catheterization |
| A common radiopaque contrast medium used in the OR is | Renografin |
| What is the purpose of a chest tube and water-seal drainage? | Evacuate fluid and air |
| Extreme flexion of the thighs in the lithotomy position inpairs | Respiratory function |
| A femoral-popliteal bypass is scheduled. Which self-retaining retractor would be used to facilitate exploration of the femoral artery? | Weitlaner |
| A double-bowl-shaped glass evacuator used to irrigate the bladder during transurethral surgery is called | Ellik |
| An approach to infection control designed to prevent transmission of blood-borne diseases in health care settings is called | Universal precautions |
| An elevated PSA test could be indicative of cancer of the | Prostate |
| In which intention of healing is there a wide, fibrous scar? | Third |
| Which Gram-positive bacteria can cause abscesses? | Staphylococcus Aureus |
| Mannitol is a(n) | Osmotic diuretic |
| The organism causing hepatitis B is a | Virus |
| An example of an anti-inflammatory is | Cortisone |
| Hemorrhage is suspected if | The blood pressure drops and pulse rate rises |
| How many feet above the ground is considered safe for electrical outlets and fixtures that are not explosion-proof? | 5 |
| Carpal tunnel syndrome affects the | Wrist |
| Documenting,tracking,and registering are mandated for | Implants |
| When the foreskin of the penis cannot be retracted over the glans it is called | Phimosis |
| The burn characterized by blister formation,pain, and a moist and mottled red appearance is | Second |
| Microorganisms that grow in the absence of oxygen are? | Anaerobes |
| The islets of Langerhans are located in the | Pancreas |
| The master gland is | Pituitary |
| A condition that can occur as a result of gross bone contamination or improper surgical technique is | Osteomyelitis |
| Oxytocics are used to | Contract the uterus |
| Which of the following instruments would be used to retract the bladder walls during a supra-pubic prostatectomy? | Mason-Judd |
| Maintenance of bony exposure during a lumbar laminectomy is effected by the use of a | Beckman-Adson |
| A common abdominal complication caused by previous abdominal or pelvic surgery is | Adhesions |
| Which of the following shunts would be used surgerically to correct hydrocephalus? | Hakim |
| A spinal fusion is usually effected by auto-genous grafts taken from the pts | ILIUM |
| A complication of orthopedic surgery is | Thromboembolism, fat embolism, infection |
| Nonunion of bone can be treated with | Artificially applied electric current |
| The word which best describes "staging" is | Categorization,Series |
| Nosocomial infection refers to | Hospital-acquired infection |
| During a CPR effort in the OR, the scrub nurse | Remains sterile and keeps tables sterile |
| The edges of a wrapper that enclose sterile contents are considered | Nonsterile |
| A urethral stent catheter is used to | Provide long-term drainage in ureteral obstruction |
| Uterotubal insufflation is a | Rubins test |
| An infants average at rest heart rate is__beats per min | 120 |
| Which of the following inst. is not found in a vaginal procedure? | Goodell dilator,Jacobs tenaculum,Auvard speculum,**HARRINGTON RETRACTOR** |
| The operation to correct prolapse of the anterior vaginal wall is | Colporrhaphy |
| Which nasal sinus can be approached only through an external eyebrow incision? | Frontal |
| Which sinus is surgically opened in a Caldwell-Luc procedure? | Maxillary |
| Which of the following pieces of hardware will be used in an intramedullary fication of a fracture of an adult femoral shaft? | Kuntschner nail |
| The second cranial nerve is the | Optic |
| The normal body temp in centigrade measurement is | 37C |
| What is the purpose of doing ABG's intraoperatively? | To assess arterial gases |
| Which tube is used for gastrointestinal decompression? | Levin |
| A tissue expander would be used for | Breast reconstruction |
| Continuous irrigation of the bladder is necessary during cystoscopy to | Distend the bladder walls for visualization |
| The excision and removal of diseased and necrotic tissue is termed | Debridement |
| The excision of loose skin and periorbital fat of the eyelids is called | Blepharoplasty |
| A fleshy encroachment onto the cornea is called | Pterygium |
| Mandibular fractures are treated by occlusion of the teeth effected by the use of a(n) | Arch Bar |
| Which procedure would require the following instruments: Freer evebator,osteotome,Asch Forcep,Ballinger swivel knife,caliper? | Nasal |
| Lacrimal probes are called | Bowman |
| The eardrum is also known as the | Tympanic membrane |
| Which of the following appliances can be used for intramedullary fixation of a femur? | Sampson |
| Bradycardia is | Heartbeat less than 60 beats per min |
| If a needle punctures a sterile team members glove | Discard the needle, Change the glove |
| A Tenckhoff catheter is placed into | Peritoneal cavity |
| The needle used for a liver biopsy is | Silverman |
| Each of the following treats glaucoma EXCEPT | Trephining,laser traveculoplasty,**KERATOPLASTY**,Iridectomy |
| An istrumentused to incise the eardrum to relieve pressure is call a | Myringotomy knife |
| In which surgical specialty would a perfusionist be neccessary? | Cardiac Surgery |
| The preferred method of gloving is__In changing during a case, this method___be used | Closed, Cannot |
| When a pt goes into hypovolemic shock in the OR, and immediate response would be | Restore fluid volume quickly |
| In which surgical wound classification would an appendectomy for ruptured appendix fall? | Contaminated |
| The malleus, incus, and stapes are located in the | Middle Ear |
| Protective goggles are worn during CO2laser surgery to | Prevent corneal damage |
| When gloving a surgeon | Keep the palm of the glove facing the surgeon |
| After hip surgery, immobilization is aided by the use of | Abduction pillow |
| The blue-green wavelength produced by a laser that is capable of treating retinal detachment,diabetic retinopathy, and macular neovascular lesion is | Argon |
| If the pt has a positive breast biopsy, and the surgeon proceeds to do a radical mastectomy | The pt is reprepped, and new drapes and instruments are used |
| At which artery is the blood pressure taken? | Brachial |
| The action of white blood cells is to | Destroy bacteria |
| The function of the endocrine glands is to | Produce hormones |
| Oxygenated blood is returned to the left atrium of the heart from the lungs via the | Pulmonary vein |
| Bile is manufactured in the___and stored in the___ | Liver,Gallbladder |
| Entrapment of the____nerve is relieved by a carpal tunnel release | Median |
| When intraoperative cultures are obtained, each of the following is EXCEPT | **TIP OF SWAB IS PLACED ON BACK TABLE**,cultures should be refrigerated or sent to lab immediatly,circulator handles tube following appropriate precautions,cultures are obtained under sterile conditions |
| During vascular surgery, an arteriotomy is executed with a #11 blade and extended by use of a | Potts-Smith |
| Dehiscence is | Separation of layers of surgical wound |
| The first part of the small intestine is known as the | Duodenum |
| What organisms are likely to found in a surgical wond adjacent to a colostomy | Escherichia Coli |
| During a CPR effort, which drug is given to combat metabolic acidosis? | Sodium Bicarbonate |
| When inserting a Foley catheter, always | Check integrity of balloon by inflating it with the correct amount of sterile water prior to insertion |
| The proper setting for a tourniquet applied to the thigh is about | 350 mm Hg |
| Crushing a urinary calculus in the bladder through the urethra is called | Litholapaxy |
| The surgical procedure performed electively as a permanent method of sterilization is | Vasectomy |
| When doing a skin prep, which includes a draining sinus, the contaminated area is | Done last or separately |
| The portion of the stomach located at the approach to the small intestine is the | Pylorus |
| A commonly used diuretic is | Lasix |
| The normal bladder capacity is | 700-800 mL |
| Rectal surgery preparation is done | Surrounding area first, anus last |
| When changing a gown during a case, the____is(are)removed first,the____second, and a rescrub is____ | Gown,Gloves,Not necessary |
| Which piece of equipment is used to make a shin graft larger? | Mesh Dermatome |
| The item that provides internal drainage of an obstructed ureter is a(n) | Stent |
| A way to alleviate a resurgical pts anxiety is via | Preoperative visit |
| The kidneys are held in place by the | Renal fascia and fat |
| A culture and sensitivity is done to | Determine nature of organism and the susceptibility of that organism |
| Which of the following is considered the most effective agent for scrubbing? | PROVIDONE-IODINE |
| All of the following would be on the setup for an open thoracotomyEXCEPT | Alexanders periosteotome,Duval forceps,**JOSEPHS SAW**,Levsche knife |
| Transcutaneous electric nerve stimulation(TENS)would be utilized for | Urinary calculi |
| During basic femoral head fixation, the length and position of the implant is determined by the use of | Guide wire |
| Which of the following grafts is not a synthetic vascular graft? | Biologic vascular |
| Fingerlike projections at the end of the fallopian tubes are called | Fimbriae |
| All of the following are true of self-adhering plastic incision drapes EXCEPT | **SCRUBBED AREA MUST BE MOIST AT APPLICATION**,alcohol may be used after iodophor to hasted drying of skin,drape is smoothed away from incision,usual skin prep precedes its application |
| An abnormal deposition of collagen that occurs during the healing process is known as | KELOID |
| All of the following statements are true during deep vaginal procedures EXCEPT | Suction is part of the setup,sponges are secured on long forceps,vaginal packing may be inserted at case end,**COUNT IS ELIMINATED** |
| The gas introduced into the peritoneum during laparoscopy to create a pneumoperitoneum is | CARBON DIOXIDE |
| Crutchfield tongs produce skeletal traction to reduce fractures of the | CERVICAL SPINE |
| Which disease could be transmitted via blood transfusion? | HEP B |
| Staphylococcus is usually transmitted by | UPPER RESPIRATORY TRACT |
| A bacteria with a thick coat that protects it from temperature extremes or strong chemicals is a | SPORE |
| When a three-way Foley catheter is used, the third lumen is for | CONTINUOUS IRRIGATION |
| If a towel clip must be removed during a procedute | Discard it from the field and cover the area with another sterile drape |
| Constant monitoring of cardiac function, a requirement for vascular surgery is effected by the use of a | SWAN-GANZ |
| What procedure is accomplished to relieve myasthenia gravis? | THYMECTOMY |
| Which specimen would be placed in formalin? | TONSILS |
| Alegal wrong committed by one person involving injury to another person is called? | TORT |
| Scoliosis is surgically treated by the implantation of | HARRINGTON RODS |
| An intravenous agent used for anesthesia induction is | SODIUM PENTOTHAL |
| A prosthetic implant that requires nonadherence to tissue for the sake of creating normal flexion and extension is | NONCONSTRAINED |
| Unauthorized discussion of a pts surgery outside of the OR constitutes a lawsuit for | Invasion of privacy |
| When applying a sterile sheet on the pt | Protect the gloved hands by cuffing the end of the sheet over them |
| A chronic granulomatous inflammation of a meibomian gland in the eyelid is a(n) | CHALAZION |
| A drug given preoperatively that enables the liver to prouce clotting factors in blood is | VITAMIN K |
| When is a bowel technique necessary? | When a contaminated area of the intestinal tract is entered |
| A slowly progressive contracture of the palmar fascia is called | DUPUYTREN'S CONTRACTURE |
| If rubber suction tubing is to be reused | The lumen must be flushed with a detergent-disinfectant befor tubing is terminally sterilized |
| Who is responsible for the final count when reliefs have taken place during the case? | Scrub person andcirculator who do final count |
| Which of the following statements is a contraindication to intraocular lens(IOL) implant? | Children with congenital cataracts |
| Neo-Synephrine is | MYDRIATIC |
| The legal doctrine res ipsa loquitor applies to | Injuries sustained by the pt in the OR due to negligence |
| After a case is completed, the sterile team members | Discard gown,gloves,caps,masks,and shoe covers before leaving OR suite |
| Pilocarpine is used to | Constrict the pupil |
| a neuro headrest skull clamp is called | Mayfield skull clamp |
| A _______ is a mouth gag | Dingman |
| Specialized instruments for a cleft lip repair would include | Logan's bow |
| The comercial name for glutaraldehyde is | cydex |
| A 30 min, single use, sterilization system useful for endoscopes is | Steris |
| What is the shelf life of Cidex | between 14 and 28 days |
| Packages wrapped in musulin must have | four thicknesses |
| When using a pour solution | the contents must be used or discareded after the bottle is opened |
| What is the standard safety margin on package wrappers | 1 inch or more |
| The room temperature in the OR should be | between 68 and 76oF |
Created by:
sunkiss1973
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