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intra&post procedure
| Question | Answer |
|---|---|
| in a gastointestinal closure, the mucosa of the intestinal tract is closed with? | Chromic 4-0 or 3-0 |
| which type of suture would be used to invert the stump of an appendix | Purse-string |
| why are bumpers or bolsters used on retention suture? | to prevent the suture from cutting into the skin surface |
| A nissen fundoplication procedure is done to correct? | Antireflux disease |
| A dissecting sponge that is a small roll of heavy cotton tape is | kitner |
| which procedure would not require a pressure dressing? | hysterectomy |
| peanuts and dissecting sponges are generally | moistened with saline |
| Intra-abdominally, lap pads are most often | moistened with saline |
| specimen may be passed off the sterile OR table by the scrub person on all of the following items except | sponge |
| a catheter commonly used in a gastrotomy is a ? | mushroom |
| before handing a penrose drain to the surgeon | moisten it in saline |
| a closed-wound suction system works by? | negative pressure |
| which condition regarding sterile technique is NOT recommended? | sterile tables may be set up and safely coverd until time of surgery |
| which of the following conditions is NOT an acceptable aseptic technique? | scrub nurse folds arms with hands at axille |
| the disposable circular staple designed to hold two tubular structures together after resection is known as | EEA |
| when a sterile item is hanging or extending over the sterile table edge, the scrub nurse | does NOT touch the part hanging below the table |
| which of the following is considered a break in technique? | a sterile person sits or leans against a nosterile surface |
| in which situation should sterility be questioned | If a sterilized pack is found in an unsterile workroom |
| transduodenal sphinectomy refers to the incision made into the _______ to relieve stenosis | sphinter of oddi |
| when handing skin towels to the surgeon, where should the scrub person stand in relation to the surgeon? | on the same side of the table |
| according to CDC guidlelines, each of the following actions by a scrubperson prevents wounds and punctures EXCEPT | do not recap needles |
| which of the following is NOT an acceptable technique when draping a patient | NEVER unfold the drapes before bringing them to the OR table |
| the procedure to follow if a hair is found on the operative field is to | remove it with a clamp, cover over area |
| in surgery, cancer technique refers to | the discarding of instruemnts coming in contact with tumor after each use |
| why are gowns, gloves, drapes, and instruments chaged following a breast biopsy and before incision for a mastectomy | to protect margins of healthy tissue from tumor cells |
| a postoperative complication attrributed to glove powder entering a wound is | granulomata |
| the correct procedure for sterile dressing application is | apply dressing BEFORE drape removal |
| When bowel technique for an intestinal procedure is utilized | contaminated instruments are discarded, gloves are changed |
| if the floor or wall becomes contaminated with organic debris during a case, the circulator | decontaminates promptly |
| the sengstaken-blakemore tube is used for | esophageal hemorrhage |
| a specialy treated form of surgical gauze that has a hemostatic effect when buried in tissue is | Oxycel |
| An enzme extract from bovine blood used as a topical hemostatic agent is | thrombin |
| a common complication of extubation is | hypoxia |
| the desirable position for better visualization in the lower abdomen or pelvis is | trendelenburg |
| Another name for the Kraske position is | jackknife |
| all of the following are helpful in keeping accurate account of sponges EXCEPT | keep all sponges and tapes in a basin or close together on the field |
| dark blood in the operative field may indicate that the patient is | hypoxic |
| in an extreme patient emergency, a sponge count | may be omitted |
| cultures obtained during surgery | are passed off the sterile field into a bag or container held by the circulator |
| hos is a frozen section sent to the laboratory | dry |
| which of the follwing specimens is NOT placed in preservative solution? | stones |
| the term transduodenal sphincterotomy indicates surgery of the | distal end of the common bile duct |
| Mcburney is an incision used for | appendectomy |
| the simplest abdominal incision offecring good exposure to any part of the abdominal cavity is the | vertical midline |
| during an appendectomy, a purse-string suture is placed around the appendix stump to | invert the stump of the appendix |
| gastrointestinal technique is required in all of the following procedures EXCEPT | cholecystectomy |
| a hernia occuring in hesselback's triangle is called | direct |
| pathologic enlargement of the male breast is called | gynecomastia |
| suture placed in a wound to prevent wound evisceration are called | retention |
| surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is a | pyloroplasty |
| a whipple operation is surgically termed a | pancreatoduodenectomy |
| a lower oblique incision is a | inguinal |
| a left subcostal incision indicates surgery of the | spleen |
| the curved transverse incision used for pelvic surgery is | pfannenstiel |
| which breast procedure removes the entire breast and axillary contents but preserves the pectoral muscle | modified readical mastectomy |
| the breast procedure performed to remove extensive benign disease is a | simple mastectomy |
| what incision is indicated for an esophagogastrectomy | thoracoabdominal |
| in which incision could retention sutures be used | verticle midline |
| in which hernia is the blood supply of the trapped sac contents compromised and in dager necrosing | strangulated |
| in which hernia does the herniation protude into the inguinal canal but NOT the cord? | direct |
| which hernia leaves the abdominal cavity at the internal ring and passes with the cord structures down the inguinal cancal? | indirect |
| An abdominal wall defect may be reconstructed using | Gore-Tex patch |
| Mersilene is a | synthetic mesh |
| in a cholecystectomy, which structures are ligated and divided | cystic duct and cystic artery |
| All of the following statements refer to pilonidal cyst surgery EXCEPT | the cyst is removed, but the tract remains |
| An important consideration during cholangiogram is to | remove all air bubbles from the cholangiocath |
| an instrument used to elevate the thyroid lobe during surgical excision is a | lahey |
| the intestinal layer in order, from inside to ouside, is | serosa, musculature, mucosa |
| a common postoperative patient complaint following a laparoscopic procedure is | shoulder pain |
| a subphrenic abscess occurs in the | liver |
| Portal pressure measurement is indicated in | hepatic resection |
| which organ is removed either because of trauma, a blood condition, or as a staging procedure for malignancy | spleen |
| following a hemorrhoidectomy | petroleum gauze packing is placed in the anal canal |
| a benign anal wall "slit" type of lesion requiring excision is a | anal fissure |
| which gallbladder procedure ALWAYS requires intraoperative x-rays? | Cholangiogram |
| in a pilonidal cystectomy, the defect frequently is too large to close and require use of a | packing and pressure dressing |
| the instrument most commonly used to grasp the mesoappendix during an appendectomy is a | babcock |
| al tissue can be accomplished with | CO2 laser |
| An entire tumor/mass removal is termed | excisional biopsy |
| thrombosed vessels of the rectum are known surgically as | hemorrhoids |
| a procedure done to give the colon a rest and is the reversed is | temporary colostomy |
| a device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be perfomed is a | end to end anastomosis (EEA) |
| an advanced inflammation of the bowel could be consecatively treated with which procedure? | temporary colostomy |
| blunt dissection of the gallbladder from the sulcus of the liver requires the use of a | peanut |
| dirrect visualization of the common bile duct is accomplished with a | choledochoscope |
| "scratch" marking is done in surgery of the | thyroid |
| fogarty biliary catheters are used to | facilitate stone removal |
| in laparoscopy, tubal patency is checked by | injecting methylene blue into the cervical canal |
| in a thyroidectomy, a loop reractor retracts the | sternocleidomastoid muscle |
| which structures are identified and preserved in thyroid surgery? | parathyroid glands |
| bariatric surgery treats | obesity |
| which incision would require cutting through scarpa's facia? | inguinal |
| a gastoplasty | reduces stomach size |
| which item retracts the spermatic cord structure in herniorrhaphy | penrose drain |
| after removal of uterus in a hysterectomy | cervical and vaginal instruments are isolated from the instruement set in a discard basin |
| an irreducible hernia whose abdominal contents have become trapped in the extra abdominal sac is called a | incarcerated hernia |
| which type of endoscopy camera produces the truest color? | three-chip |
| white balacing a video camera in endoscopy requires the scrub person to focus the camera on | white sponge, a white wall, a glove wrapper (Any of the above) |
| defogging the video camera is usually the responsibility of the | camera operator |
| a palliative invasive procedure done to prevent malnutrition or starvationis known as | gastrostomy |
| the use of noninvasice 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 | cholelithotripsy |
| intraoperative cholangiograms can be performed either through openabdominal or laparoscopic procedures using a contrast medium directly into the common bile duct through a | cholangiocath |
| intra-abdominal pressure during the instillation of CO2 for creation of pneumoperitoneum is 10-15 mm HG. A pressure reading higher than this may indicate that the needkle may be | buried in fatty tissue, buried in the omentum, in a lumen of intestines (All of the above) |
| The proper method of removing the gallblader specimen after complete dissection andirrigation of the operative site in a laparoscopic chlecystectomy is to | utilize an endobag, pull gallbladder through the largest port, decompress the gallbladder by suctioning bile before removal (ALL OF THE ABOVE) |
| All of the following are recommendations for actions necessary to support the aseptic principle of "cofine and contain" EXCEPT | all laundry should be discarded into impervious bags |
| drains that are attached to an external force EXCEPT | Penrose |
| During a laparoscopic cholecystectomy, the surgeon generally stands | at the left side of the patient |
| gastrointestinal decompression during a general surgical procedure can be effected by the use of a | Levine tube and Miller-abbot tube |
| a selected alternative to a conventional ileostomy that denies spontaneous stool exiting from the stoma and requires catheterization of the stoma daily to evacuate contents is | kock pouch |
| when both direct and indirect hernias occur in the same inguinal area, the defect is termed | pantaloon |
| an inguinal hernia containing a Meckel's diverticulum is called | Litre's |
| which muscle are incised in the midline of the neck once the skin flaps are completed during a thyroidectomy | strap |
| which bone is transected with bone-cutting forceps before removal of a thyroglossal cyst | hyoid |
| drainage of an incision following a simple or modified radical mastectomy is accomplished by a | closed-wound drainage |
| during laparoscoic cholecystectomy, the camera operator usually stands | to the right of the first assistant |
| the maximum pressure allowed to prevent the possible intraoperative complications of bradycardia, blood pressure changes, or potential gas emboli during a laparoscopic procedure is | SKIN-SUBCUTANEOUS-FASCIA-MUSCLE-PERITONEUM |
| what is the technique used on a laparoscopic direct inguinal hernia repair where the peritoneal space is inflated with a balloon dissectior? | TEP (total estraperitoneal) |
| when viscera has protruded outside of the body, this condition is called | evisceration |
| the position which facilitates a symmetrical outcome during a mastopexy is | Fowler's |
| which breast reconstruction procedure reconstructs the breast without the use of implants? | TRAM |
| The procedure where a hooked wire is inserted under fluoroscopy into the suspicious tissue is called | wire localizaiton |
| what procedure involves injection of dye and/or radioactive material into the breast mass to track the lymph nodes | sentinel node biopsy |
| what is the correct order from the outermost to the innermost tissue layers that make up the wall of the stomach | serosa-mucosa-muscularis-submucosa |
| the pancreatic duct (the duct of wirsung) and the common bile duct from the liver drain their contents into this section of the intestine | duodenum |
| a sheet of vascular tissue that supplies blood and lymph to the lower section of the small intestines is | mesentery |
| arrange the large intestine in correct order form proximal to distal is | ascending-transverse colon-descending-sigmoid-rectum |
| a condition that causes bowel obtruction when one section of intestine telescopes over another and mostly occurs in children is | intussusceptions |
| a congenita defect where the abdominal contents are outside the body at birth is | omphalocele |
| bowel is also known as | isolation technique |
| what kind of tube is used to decompress the stomach or as a means of feeding the patient? | gastrostomy tube (g-tube) |
| during a laparotomy, the surgeon packs the abdominal contents away from the diseased are with | Moist laps |
| during a laparotomy procedure, the duties of the STSR include | 4x4s and needles must be mounted on appropriate clamps on mayo stand-keep the ESU free of debris and in its holster-keep surgical field free of instruments not in use (ALL OF THE ABOVE) |
| an esophageal diverticulum is also known as | Zenker diverticulum |
| in what procedure is a portion of the stomach removed with an anastamosis created between the stomach and a jejunum | Bilroth II |
| the procedure traditionally performed to treat gastric ulcers and gastric carcinoma and is currently used to treat morbid obesity is | Roux en y |
| morbid obesity is defined as BMI (body mass index) greater than | 40 |
| a common staple gun used to transect the stomach is_____ and the ____gun is used to transect and anastamose the jejunum during a Bilroth II procedure | TA, GIA |
| The protion of the small intestine where a meckles diverticulum arises is the | distal ileum |
| twisting of the bowel is known as | volvulus |
| the procedure to treat venous distention causing pain, bledding, and prolapse outside the anal canal is know as | hemorrhoidectomy |
| the pancreatic duct is also known as | duct of wirsung |
| which tube may be inserted to produce a continuous postoperative drainage of the common bile duct? | T-tube |
| a choledochoduodenostomy is an anastamsis between the | common bile duct and duodenum |
| a whipple procedure consist of removal of | portion of pancreas, duodenum, portion of jejunum, distal stomach, and distal portion of common bile duct |
Created by:
acortez87