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surgery
ST cert (whiteBook) chap 5
| Question | Answer |
|---|---|
| Which cranial nerve is affected by trigeminal neuralgia | "V" |
| What is used to lubricate the donor site and reduce friction from dermatome? | Mineral oil |
| Which of the following is an example of proper sterile technique when performing the prep for a split-thickness skin graft? | Donor site first |
| What is the recommended range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic procedure? | 12-15 mm hg |
| Which of these terms refers to the inability to direct both eyes at the same time. | Strabismus |
| What is used to retract the spermatic cord during an inguinal herniorraphy | Penrose drain |
| Whys is an indwelling Foley caterers placed prior to a hysterectomy? | To avoid bladder injury |
| Which scissor is the best choice for extending an arterial incision? | Potts-smith |
| Which of the following is used to stain the cervix for a Schiller's test? | Lugol's solution |
| Which of the following arises from the left ventricle of the heart? | Ascending aorta |
| What method is used to confirm that items have been exposed to the sterilization process, but sterility is not guaranteed | Chemical |
| Why would the hair of a patient undergoing craniotomy be bagged, labeled and saved? | It is pts. property |
| When preparing a double basin for sterilization, the | Basin should be separated by a porous, absorbent towels |
| Which structure, during a total hip arthroplasty, requires intramedullary reaming prior to placement of the prosthesis | Femoral canal |
| What is least the least restricted form of credentialing? | Registration |
| What drug classification is Demerol? | analgesic |
| What should be transported to the PACU with a patient who under went a thyroidectomy? | Tracheotomy tray |
| What is the abbreviation for Sodium Chloride | NaCl |
| Which organelle is responsible for packaging of proteins? | Golgi complex |
| Which procedure would utilize the instrument shown below | hemorrrhoidectomy |
| What tips of treatment does a patient authorize when signing a general consent form? | All routine treatment s or procedures |
| Which medication can be used as a tropical jelly during cystoscopy procedures? | Xylocaine |
| Which of the following is a primary postoperative complication of carotid Endarterectomy? | Stroke |
| When is it acceptable to open surgical dressing sponges? | After final count |
| What is the correct procedure to follow when a sterilized rigid instrument container is opened and condensation is observed? | Don't use return to Sterile Processing Department |
| Which method of sterilization requires an aeration cycle? | EtO |
| Elevated IOP in a glaucoma patient is a result of excess: | aqueous humor |
| Where should the grounding pad be placed on a patient undergoing a laparoscopic cholecystectomy who has a right prosthesis? | Left anterior thigh |
| The Trendelenburg position is often used for the surgery on the: | Lower abdomen and pelvis |
| The large artery that arises from the left side of the aortic arch and descends into the arm is the: | Subclavian |
| Lesions in which part of the brain may affect balance and coordination? | Cerebellum |
| What utilizes the process of cavitation? | Ultrasonic cleaner |
| What is the name for a dorsally angulated fracture of the dial radius | colles' |
| Which ligament is transected during surgery for De Quervain's disuses? | dorsal carpal |
| In order to minimize mucosal irritation during urinary cauterization, the tip of the caterers is dipped in which of the following? | k-y jelly |
| How often is a medication prescribed as QID to be taken per day? | 4 times |
| What type of external dressing would be used to eliminated dead space | Pressure |
| In the prone position, patient are placed on chest rolls to prevent | Compromised ventilation |
| What position is used in a LAVH? | Lithotomy |
| a left subcostal incision would be used to expos the | spleen |
| Intraoperatively, Lidocaine and epiephine may be contraindicated in patients who are: | Hypertensive |
| What approach is used for the removal of a small acoustic neuroma that is located in the internal auditory canal? | Middle fossa |
| What must be obtained from a patient undergoing surgical procedures, fertility treatments, chemotherapy or experimental treatment | Special written consent |
| What drug is used to treat hypotension and shock | Levophed |
| What drug agent used to expand blood plasma volume is | Dextran |
| What does the term chole/ refer to? | Bile |
| When preparing instruments for sterilization, all the following are completed with the exception of: | Lining the tray with a nonwoven disposable wrapper |
| What is an initial incision for a abdominalplasty | Lower transverse |
| When preparing for a rhinoplasty, the exostosis in the nose is removed with a | Chisel |
| What type of sterilization required the use of the Bowie-Dick test? | Pre-vaccum steam |
| What is the first federal act to establish patient privacy standards? | Health insurance Portability and Accountability Act |
| What should the ST wear when transporting a patient with TB from PACU to the isolation patient room? | Surgical mask |
| How is the informed consent signed if a patient is illiterate? | pts. marks with an "X" |
| What agents should not be used to disinfect endoscopes | Isopropyl alcohol |
| What is used to expose the meatus during urethral catheterization? | non-dominate hand |
| What is the following is the second phase of wound healing | Proliferation |
| What muscle is commonly used for TRAM reconstruction is a mammoplasty? | Rectus Abdominis |
| The patient is never positioned until the: | Anesthesia provider gives permission |
| What term refers to cell "drinking" | Pinocytosis |
| What does hypertension mean? | High blood pressure |
| What type of fire extinguisher should be available wen using a laser | Halon |
| What is the major side affect of thrombolytics? | Hemorrhage |
| If a sterile glove becomes contaminated during a procedure, what action should the ST take? | Circulator pulls off the glove: regloves using open technique |
| What type of suture technique is used to invert the stump of the appendix during an appendectomy | purse string |
| What is the proper procedure for removing a laparotomy drape? | ST holds the dressing in place: rolls drape head to feet |
| Gerota's fascia is located: | Around the kidney |
| What activity can aggravate the symptoms of trigeminal neuralgia? | Chewing |
| What is the purpose of maintaining 20% to 60% relative humidity in the OR. | Decrease static electricity |
| What is the surgical instrument is used thread the drilled hole for the screw during an ORIF? | Tap |
| Which of the following pathology would be treated by transphenoidal hypophysectomy procedure? | Pituitary neoplasm |
| The muscles that cause strabismus are the | extrinsic |
| What is the minimum required number of people to transfer a patient from the OR table to the stretcher | 4 |
| When used as a skin prep, which of the following should be allowed to thoughly dry if eletrocautery will be used? | Alcohols and tinctures |
| Health care acquired infections are most commonly associated with: | use of urinary catheters |
| What is the technical term for robotic arms | manipulators |
| What procedures would the surgeon check for anastomotic leaks by injecting air into the rectum, looking for bubbles in the flied filled peritoneal cavity | low anterior resection |
| What are varicosities of the rectum and anus | Hemorrhoids |
| Vitamins A D E and K are absorbed in the | Intestines |
| The preoperative exsanguination of an extremity prior to inflating a tourniquet is accomplished with: | Esmarch |
| What vessels are harvested for the use of a CABG? | Internal mammary artery |
| What retractors would be used to retract the muscles during a hip pinning? | Bennett |
| The surgical re-anastomosis of the vas deferens is called a | Vasovasostomy |
| What type of laser is used to remove polymethyl methacrylate from a cemented joint implant during a revision arthroplasty | Carbon dioxide |
| Sound waves travel though the external auditory canal and strike the: | Tympanic membrane |
| In a large abdominal wounds that require frequent dressing changes, which of the following will minimize the skin break-down? | Montgomery straps |
| What position devices would be used for a LAVH | Allen Stirrups |
| The term mentoplasty refers to surgery of the | chin |
| What situation could cause a patient's signature on a surgical informed consent to be challenged in court | Patient received preoperative medications |
| What is the importance of humidity when using a EtO sterilization? | Hydrate spores and bacteria |
| What is the purpose of polymethyl methacrylate during a cranioplasty | filling cranioplasty defects |
| The appropriate location when placing the grounding pad is over a | Fleshy area |
| Which catheter is used for an angioplasty | Fogarty |
| A hernia that presents through Hesselbach's triangle is | direct |
| The medial malleolus is part of which bone | Tibia |
| What is preformed prior to implantation of a Dacron knit polyester graft? | Preclotting |
| What structure articulates with the head of the femur? | Acetabulum |
| An abnormal bending backward of the uterus is called | Retro flexion |
| What type of clip is a raney | Scalp |
| The cillary body is part of which layer of the eye? | Vascular |
| What drug is a miotic | Pilocarpine |
| Which of the following is a violation of Standard Precautions during postoperative case management? | Retrieve reusable trocar from the sharps container |
| What type of monitoring equipment is a noninvasive assessment of oxygen saturation of arterial blood? | pulse oximetry |
| How are femoral shaft fractures in an adult repaired? | Intramedullary nailing |
| What instruments would be used to dilate the male urethra? | Van Buren |
| To determine the process for preparing surgical instruments for use on tissue and within a body cavity, they are classified as | critical |
| The harrington retractor allows for gentle elevation of what anatomical structure | liver |
| What is the term for the division of a reproductive cell into two cells with chromosome cells | meiosis |
| What does the term dys- mean | difficult |
| After the patient is extubated, which device is often used to maintain the airway around the relaxed tongue | oropharyngeal airway |
| Which breast procedure describes a mastectomy | Surgical removal |
| What is done to the common bile duct during a choledochojejunostomy? | anastomosed |
| What procedures would a tourniquet be unnecessary? | hip arthroplasty |
| What anatomical sites would be prepped last when performing a skin prep for a colostomy reversal procedure | Stoma |
| What surgical procedure is preformed to relieve pressure on the median nerve? | Endoscopic carpal tunnel release |
| What is the proper procedure for turning the sterile gown? | Hand tag to circulator , circulator goes around gown |
| What does the term "os" mean | opening |
| What is not a function of the trachea | Amplify speech |
| What condition is characterized by the sudden onset of floating sots before the eyes? | Retinal detachment |
| One of the most effective germicidal for cold sterilization is | 2% glutaraldehyde |
| From what laminectomy instrument would intervertebral disc fragments be cleaned | Pituitary |
| What type of suture is used for vascular re-anastomosis? | Absorbable monofilament |
| What molecule is broken down when body cells require energy? | ATP |
| What represents a saddle joint? | Thumb and trapezium |
| During an EtO sterilization cycle, humidity is maintained at | 20-80% |
| An emergency drug given to stabilize ventricular fibrillation is | Isoproterenol |
| Creating a positive pressure air supply for each OR will | minimize airborne bacteria entering the room |
| Which is an acceptable antiseptic solution for a skin prep | Povidone-Iodine |
| During a total hip arthroplasty, which instrument is used after intramedullary reaming to reshape the proximal femoral canal | rasp |
| What assesses the electrical activity of the nervous system? | Electroencephalogram |
| 130. The functional unit of the kidney responsible for removing waste and regulating fluid is the | Nephron |
| Which of the following is an intermediate-level disinfectant? | Isopropyl alcohol |
| Which vein of an infant patient is a central venous catheter inserted? | internal jugular |
| After the patient leave the OR, the reusable items should be taken to the decontamination room: | inside a closed case cart |
| A clamp used for occluding a peripheral vessel is: | Debakey |
| During a total hip arthroplasty, which type of device prevents polymethyl methacrylate from filling the medullary canal distal to the prosthesis | Restrictor |
| Which of the following is proper technique when applying a grounding pad? | Avoid placing pad on buttocks |
| Which of the following sutures are packaged is alcohol to maintain pliability? | Natural absorbable |
| What procedure should be followed for securing consent for surgery for an inconscious patient requiring emergency surgery whose family members or guardian cannot be contacted? | two consulting physicians agree |
| What gynecologic procedure includes removal of the reproductive organs, bladder and rectum? | Pelvic exoneration |
| Isopropl alcohol is bactericidal, which means it: | kills bacteria |
| Use of a one-step applicator with little or no pressure on skin would be indicated in what conditions? | Abdominal aortic aneurysm |
| A postoperative anesthesia complication when intubating a patient is: | laryngospasm |
| The process by which glucose is stored as glycogen is | Glycogenesis |
| The large, leaf-shaped laryngeal cartilage that acts as a "trap door" over the larynx is the: | Epiglottitis |
| Use of the Van Buran sounds might be necessary for urethral catheterization in patients with which of the following | Urethral stricture |
| The four fluid filled spaces of the brain are: | Ventricles |
| For which surgical procedure would bupivacaine with epinephrine be contraindication? | Trigger finger release |
| What term describes an individual who harbors a pathogen but displays no signs or symptoms? | Carrier |
| What procedure is performed before completing an ileal conduit? | Cystectomy |
| What is the recommended postoperative handling of reusable instruments used on a patient with Creutzfelt-Jacob disease? | Place in biohazard bad then destroy |
| In what anatomical structure would a T-tube most likely be placed? | Common bile duct |
| What type of procedure in performed to treat tumors of the pituitary gland? | Transphenoidal hypopysectomy |
| What would be an inappropriate manner for the handling of surgical specimen | Frozen specimen sent to lab on a raytec sponges |
| What instruments would be used during a suprapublic prostatectomy? | Bladder retractor |
| What is a type of non-retaining catheter? | whistle |
| Truescent solution is used in | Suction lipectomy |
| The walls of the vagina are lined with | Mucosa |
| What drug counteracts metabolic acidosis? | Sodium bicarbonate |
| What wound classification would be assigned to a compound fracture? | Contaminated |
| What type of dye is used intravenously to verify patency of the fallopian tubes during a pelvic procedure | Methylene blue |
| Pneumoperitoneum is utilized during a laparoscopy to do a: | Create a safe working space |
| What is required pressure for a steam sterilizer set as a temperature of 250 degrees? | 15-17 |
| What is the most commonly used thermal method of hemostasis a cranial neurosurgery? | Bipolar eletrocautery |
| A patient that has sudden onset of SOB in the PACIU may indicate: | Pulmonary embolism |
| A wrapped instrument set that will be run in the steam prevacuum sterilizer at 270 degrees must be sterilized for a minimum of: | 4 mins |
| Which of the following sutures is a nonabsorbable monofilament frequently used in vascular procedure? | Polypropylene |
| Which of the following defines anaerobic? | Without Oxygen |
| What nerve of the lower leg must be protected from pressure when placing the patient in the lithotomy position? | Peroneal |
| Exophalmos due to Grave's disease is associated with what gland | Thyroid |
| Where should the Foley indwelling catheter drainage bag be positioned after insertion of the catheter? | Lower than the level of the bladder |
| The suture f the adult skull are examples of: | Synarthroses |
| A ventilation system that provides a unidirectional positive-pressure air flow at a high air exchange rate in the OR is: | Laminar air flow |
| Catabolism of fats produces: | Ketone bodies |
| What is the principle reason for performing a preoperative skin prep? | Remove transient flora and produce resident flora |
| What is the part of the brain that is responsible for controlling the body temperature? | Hypothalamus |
| the end |
Created by:
dhardiman
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