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Surgical Tech
| Question | Answer |
|---|---|
| A surgical instrument designed to retract Allis/Rankin/Kocher/Gelpi | Gelpi |
| Counted prior to surgery | Sharps, Instruments, and Sponges |
| Sterile item used with an Electrosurgical unit | Electrosurgical Pencil |
| Incision allows quick entry into the abdominal cavity w/ excellent exposure | Paramedian |
| Cutting instrument | Metzenbaum |
| Used for sharp dissection | Curette |
| Instruments that touch the appendix during an appendectomy should be | Placed in a separate basin |
| Method of choice for decontaminating O.R. floors at the end of each case | Wet vacuum w/ a detergent disinfectant solution |
| What practice applies to the wearing of nail polish by O.R. personnel | All nail polish is forbidden |
| Best shielding against gamma ray | Lead/ vest |
| Procedure when Xrays are not used in a the operating room | C- Section/ Cesarean Section |
| Position most commonly used for an abdominal aortic aneurysm Lateral/Sitting/Supine/ Prone | Supine |
| Suture that is most inert in the body tissue Silk/Wire/Nylon/Cotton | Wire |
| The electrosurgical unit is | A coagulation device/ cautery unit |
| The Auvard weighted speculum is used for surgery in the | Vagina |
| If a broken suture needle is returned during the surgery, the scrub person should immediately | Inform the surgeon |
| The best reason to keep traffic to a minimum in the operating room is to | Prevent contamination of the sterile field |
| A procedure in which a microscope is used Tracheostomy/Radical neck/Tonsillectomy/ Stapedectomy | Stapedectomy / inner ear |
| Furniture and equipment should be damp- dusted w/ a disinfectant | disinfect after every case/ no cross contamination |
| a proper position of the hand in the gown when initiating closed glove techniques | Hands to be inside the sleeves |
| During an above the knee amputation (AKA), the femur is severed with a (n) Gigli saw/Electrosurgical Pencil/Bone rongeur/Beaver blade | Gigli saw |
| Heaney clamps are used MOST frequently on a -- surgery Hysterectomy/Lobectomy/Cystectomy/Gastrectomy | Hysterectomy surgery |
| When a hernia is strangulated what of the following instruments is added to the general abdominal set-up Rectal set/Gallbladder set/Common duct set/Gastrointestinal set | Gastrointestinal set |
| The following is a surgical instrument designed for hemostasis Crile/Allis/Babcock/Pennington | Crile |
| The type of incision is made during an abdominal Aortic Aneurysm repair McBurney/Pfannenstiel/Midline/Subcostal | Midline incision |
| When two individuals in sterile attire pass one another in the sterile field, they should | Pass back to back |
| Cancer cells MOST often migrate to other parts of the body through which of the following systems Skeletal/Lymphatic/Endocrine/Respiratory | Lymphatic system |
| What is the MINIMAL exposure time in a flash sterilizer for unwrapped instruments 1min/3min/5min/7min | 3 min |
| What is the MOST common reason for performing a splenectomy Tumor/Trauma/Torsion/Infection | Trauma |
| Wrinkle free padding is applied to an extremity before application of a tourniquet to avoid | Skin injuries |
| What is a safe and comfortable temp for the OR 35 to 40/45 to 50/60 to 75/80 to 85 | 60-75 is safe and comfortable |
| What is recommended practice after pouring sterile solution | Discard any liquid left in the container |
| A myringotomy is an incision into the cochlea/oval window/tympanic membrane/semicircular canals | tympanic membrane |
| The purpose for inserting a three way foley catheter with a 30cc balloon following a transurethral resection of the prostate (TURP) | facilitate bladder irrigation and aid in hemostasis |
| The following chemicals is used to surgically clean the skin Antibiotic/Antiseptic/Aliphatic/Aqueous solution | Antiseptic |
| Which is the instruments has teeth Allis/Mixter/Babcock/Mosquito | Allis |
| Non sterile or examination gloves may be used on surgical procedures including | intraoral mucous membranes |
| If two basins are wrapped together for sterilizing, how should they be packaged | With one basin stacked inside the other and separated by a towel |
| During a craniotomy the periosteum is stripped from the bone with A scalpel/ A rongeur/A bayonet/ An Elevator | An elevator |
| The following procedures is used to visualize the cystic, hepatic, and common ducts | Cholangiography |
| In an emergency, which drug(s) maybe used to raise the patients blood pressure morphine sulfate/procaine (Novocain)/succinylcholine (Anectine)/ epinephrine (Adrenaline) | Epinephrine (Adrenaline) |
| When positioning a patient in the lithotomy position, the stirrup height should be adjusted according to the | length of the patients legs |
| One factor affecting ethylene oxide sterilization is pressure/gravity displacement/humidity/saturated steam | Humidity |
| An incision used for gynecological surgery? McBurney/Subcostal/Pfannenstiel/ Thoracoabdominal | pfannenstiel |
| What is the local tissue reaction of the body to injury? fever/infection/inflammation/immune reaction | Inflammation |
| What vein is removed in a vein stripping? Iliac/femoral/saphenous/tibial | Saphenous vein |
| Which substance is used as a general anesthetic agent? Halothane (fluothane)/cocaine/lidocaine (xylocaine)/bupivacaine (Marcaine) | Halothane (fluothane) Inhalant |
| Ligaments that provide uterine support are: | round |
| The structure that is resected during antrectomy? | stomach |
| Autoclaving destroys microorganisms by: | coagulation of cellular protein |
| Condition that results in an unusually high fever in the Pt. after the injection of succinylcholine (Anectine)? | Malignant hyperthermia |
| Which of the following items would be used for sponging around the spinal cord? | cottonoids |
| The sterile back flap of the wraparound- style gown should be fastened: | after gloving |
| The following specimens should be placed in formalin? | Thyroid nodule |
| If a patient has been draped for an abdominal incision and there is too much skin exposed, the scrub person should: | redrape over the initial towels |
| Bumpers or guards are used on retention sutures to | prevent the sutures from cutting into the skin |
| What is the first step for resuscitation of a cardiac arrest patient under local anesthetic? | Immediate opening of the airway |
| The lower leg of a patient in the lateral position for kidney surgery should be: | flexed |
| In which of the following types of surgery are the eyeball and its muscles completely removed? | Enucleation |
| If open cardiac massage is ineffective, what items should be used in the sterile field? | Internal defibrillator paddles |
| The purpose of the purse-string suture in an appendectomy is to: | Invert the appendiceal stump |
| In an autoclaved pack an internal indicator is used to | confirm that the pack has been exposed to the sterilization process |
| What instruments should be on a set up for a TURP? | Resectoscope |
| An unjustifiable attempt to touch another person or the threat to do so is: | Assault |
| The Endocrine Glands: | The system regulates and influences other body systems by hormone production |
| During a craniotomy, the brain surface is protected with: | moist cottonoid strips |
| Augmentation mammoplasty can be done through which of the following incisions? | Areolar |
| What does the scrub person do in a cardiac emergency? | Remains sterile and keeps the table sterile |
| What action should be taken first if a countable item is lost? | A count is repeated immediately |
| Ureteral catheters are graduated so the urologist can detect: | the exact distance into the ureter |
| Which procedure would indicate the use of a tourniquet? | Patellectomy |
| Which of the following substance is an antiseptic? | Iodine Compound |
| Which is a DISADVANTAGE of a stainless steel suture? | The suture is hard to handle |
| In surgery of the middle ear, which of the following retractors would be part of the basic instrument set up? | Mastoid |
| Which of the following positions reduces venous stasis in the lower extremities? | Trendelenburg's |
| Which item may be used in positioning a patient for a total hip replacement? | Bean bag |
| Which of the following layers of surgical dressing is the most innermost? | Nonadherent |
| The gastrocnemius is located in the | calf |
| Which staining solution may be used to identify incision lines on the skin? | Gentian violet |
| With which of the following incisions is the O' Sullivan- O' Connor retractor MOST commonly used? | Pfannenstiel |
| Which of the following retractors is self- retaining? | Weitlaner |
| What procedure should be followed when dealing with counts in a true emergency situtai | Omit counts, but document on the operative record |
| Which of the following instruments is most likely used for taking a biopsy of the uterine cervix? | Gaylord punch |
| What type of cast covers the trunk of the body and one or more extremities? | Spica |
| a pilonidal sinus forms at the: | Sacrococcygeal region |
| Where should the pneumatic tourniquet be placed for ankle surgery? calf/knee/ankle/thigh | Thigh |
| When a cholecystectomy is performed, what anatomical structure must always be preserved? | Common duct |
| Which of the following cocci forms chains? | Streptococci |
| During cataract surgery, which of the following medications is used to dissolve the zonular fibers. | Alpha-chymotrypsin (Zolyse) |
| Which of the following is normally present in urine? | Urea |