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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