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Finalpt13&14
Final
Question | Answer |
---|---|
Which of the following studies combines computed tomography with isotope scanning to highlight chemical or metabolic activity? | PET |
Which of the following terms describes the percentage of blood pumped out of a filled ventricle with each heartbeat? | ejection fraction |
All of the following studies expose the patient to ionizing radiation EXCEPT | MRI scan |
What is a common component of many contrast media that may be a contraindication for use in allergic patients? | iodine |
Which diagnostic method requires use of an image intensifier? | fluoroscopy |
An AP view on a radiograph is taken | front to back |
Cholangiography is the diagnostic study that images which anatomical structure? | Doppler probe |
What is another term used for diagnostic isotope scanning? | nuclear medicine |
Which of the following is (are) stained in a Gram stain test? | bacteria |
Thoracentesis is removal of fluid from the: | pleural space |
Which of the following is a display and recording of the electrical activity of skeletal muscle? | EMG |
Which study assists a surgeon with determining the MOST effective antibiotic therapy for treatment of an SSI? | culture and sensitivity |
Which artery is MOST commonly accessed with the Seldinger technique during cardiac catheterization? | femoral |
Rapid serial film changers and pressure injectors are used in which diagnostic imaging study? | angiogram |
When a vessel cannot be accessed percutaneously for angiography, how else could it be done? | cut-down |
Which test involves a lumbar puncture for collection and analysis of CSF? | spinal tap |
A type of organism that dies quickly when exposed to air is called: | anaerobic |
In a Gram stain study, the bacteria that retains the blue coloration following staining, alcohol rinse, and restaining is: | gram positive |
In normal blood gas ranges, arterial oxygen saturation should be at or near what percentage range of capacity? | 96% to100% |
What is the name of the 24-hour monitoring device for cardiac dysrhythmias? | Holter monitor |
Which noninvasive study assesses the amount of carbon dioxide in the arterial system of a patient on mechanical ventilation? | capnography |
EEG leads may be placed directly on the surface of the brain during craniotomy. | True |
MRI scans require shielding of thyroid and gonads because of ionizing radiation emissions. | False |
Basophils, eosinophils, and neutrophils are types of white blood cells. | True |
Hemoglobin is measured in grams per deciliter, and hematocrit is measured in percentages. | True |
Analysis of voided sample by either catheterization or clean catch | Urinalysis |
Difference of optical density in a radiograph that results from a difference in radiolucency or penetrability | Contrast |
Real-time radiographic imaging that allows the actions of joints or organs to be viewed directly | Fluoroscopy |
Part of a physical examination in which touch is used externally or internally to determine size, shape, or abnormality | Palpation |
Standard unit of measurement for the absorption of ionizing energy | Rad |
Objective, observable evidence or manifestations of a pathological condition | Signs |
Specialized radiographic machine that produces computer-generated images of the body in “slices” | CAT scan |
Noninvasive device that measures optical density of blood; used on fingers, toes, or earlobes | Pulse oximeter |
HBV, HCV, and alcohol abuse are precursors to which of the following diseases? | cirrhosis |
During cholangiography, bubbles in the contrast media would likely: | give the appearance of a stone on x-ray |
A Whipple procedure is done for treatment of a tumor in which abdominal organ? | pancreas |
Another name for a thyroid tenaculum is a: | Lahey |
Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis? | thyroid storm |
What term describes a benign condition of breast enlargement in men? | gynecomastia |
Which stage of breast cancer is characterized by evidence of distal metastasis? | Stage IV |
Which anatomical structure is the largest mass of lymphatic tissue in the body? | spleen |
What is achieved by insufflation of carbon dioxide into the abdominal cavity? | pneumoperitoneum |
For which surgical procedure would the Buie pile forceps be used? | hemorrhoidectomy |
A typical end-to-end bowel anastomosis is accomplished with which of the following suturing techniques? | two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture |
In which of the following abdominal incisions would the linea alba be opened down to the peritoneum? | median vertical |
Which incision is traditionally used for open appendectomy? | McBurney |
Doyen, Kocher, Dennis, and Allen are names of which type of instrument? | intestinal clamps |
What term is used for surgical opening of the abdominal or peritoneal cavity? | laparotomy |
Which type of hernia occurs below the abdominocrural crease and more frequently in females? | femoral |
What is another way of saying “cephalad to caudad”? | head to tail |
Which fascial sheet is attached to the iliac crest, linea alba, and pubis? | Scarpa’s |
What is another name for an acquired ventral hernia through the linea semilunaris? | Spigelian |
Which suturing technique is often used on the appendiceal stump? | pursestring |
What do the parathyroid glands regulate in the body? | blood calcium concentration |
The skin incision for a thyroidectomy will follow which anatomical lines? | Langer’s |
Which handheld retractors are frequently used to retract tissues during thyroidectomy? | Green |
What type of hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle | direct |
What type of hernia results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum? | indirect |
What is the name for the type of hernia in which both direct and indirect defects are present? | pantaloon |
For which type of hernia repair could a Penrose drain be used as a method of gentle traction of the spermatic cord? | McVay inguinal herniorrhaphy |
Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers? | lysis of adhesions |
End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for: | bowel anastomosis |
In a laparoscopic appendectomy, all of the following methods could be used for dissection of the appendix EXCEPT: | intraluminal circular stapler |
The hepatic and splenic flexures are located proximally and distally in which part of the large intestine? | transverse |
“Bowel technique” refers to steps used by the surgical team to prevent postoperative: | surgical site infection |
Which surgical position is used exclusively for anorectal surgical procedures? | Kraske |
Which type of viewing instrument would be used for surgical treatment of hemorrhoids? | anoscope |
#10 blade/#3 knife handle | skin |
Bovie/forceps with teeth1 | Subcutaneous Fat |
Bovie/forceps with teeth2 | Scarpa's Fascia |
medium retractor/wet lap sponge | muscles |
curved Mayo or Bovie/forceps with teeth and medium or long retractor | transversalis fascia |
Metzenbaum scissors/smooth forceps | peritoneum |
clean lap sponges/suction and deep retractors | abdominal cavity |
4-0 Monocryl/PS-2 and short needle holder with Adson forceps | skin |
2-0 chromic or Vicryl and regular needle holder with toothed-forceps | subcutaneous fat |
2-0 chromic or Vicryl and regular needle holder with toothed-forceps | scarpas facsia |
clean lap sponges and Bovie | muscles |
0 or #1 PDS and medium needle holder with toothed-forceps | transversalis fascia |
2-0 Monocryl or chromic and long needle holder with smooth forceps | peritoneum |
clean lap sponges and Bovie with pitcher of irrigation and suction | abdom cavity |
Verres needle and insufflation tubing | Midline Umbilicus - no cutdown (Step 1) |
10mm trocar and insufflation tubing | Midline Umbilicus - no cutdown (Step 2) |
endoscope attached to light cord | Midline Umbilicus - no cutdown (Step 3) |
local anesthetic in 10ml syringe with 22g hypo | Midline Umbilicus - cutdown (Step 1) |
#11 blade on #3 knife handle | Midline Umbilicus - cutdown (Step 2) |
Bovie and forceps with teeth | Midline Umbilicus - cutdown (Step 3) |
2-0 Vicryl on a regular needle holder and forceps with teeth | Midline Umbilicus - cutdown (Step 4) |
12mm Hassan trocar and insufflation tubing | Midline Umbilicus - cutdown (Step 5) |
endoscope attached to light cord | Midline Umbilicus - cutdown (Step 6) |
local anesthetic in 10ml syringe with 22g hypo | subcostal skin (step 1) |
#11 blade on #3 knife handle | subcostal skin (step 2) |
5mm trocars | subcostal skin (step 3) |
atraumatic graspers | abdominal cavity |
irrigation and suction with cautery | abdominal cavity (step 1) |
remove instrumentation and trocars | abdominal cavity (step 2) |
4-0 Monocryl/PS-2 and short needle holder with Adson forceps | subcostal skin |
Endostitch | periumbilical fascia - if Verres used |
S retractors x2 and 2-0 Vicryl on a regular needle holder with toothed forceps | periumbilical fascia - if Hassan used |
4-0 Monocryl/PS-2 and short needle holder with Adson forceps | midline umbilicus skin |