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Midterm jones
| Question | Answer |
|---|---|
| Which organ is Most often injured in motor vehicle accidents | Spleen |
| Physical forces of deceleration, acceleration, compression, and shearing are factors in which type of injuries | |
| Who is responsible for patient consent | Surgeon |
| Can you erase in a paper chart | No, one line through the mistake |
| High or low velocity projectiles are factors in which type of injuries | |
| Patient Terminally ill and does not want any life saving measures | Passive |
| Which anesthetic method helps reduce the anxiety and stress. Experienced by pediatric surgical patients | Rapid induction |
| What tissues and organs can we remove after life support | Cornea, skin, bone |
| Palliative care | Comfort care |
| Which diagnosis could create a social stigma and possible over-dramatization of exposure risk by health care workers | Human immunodeficiency virus |
| Surgery decreases calorie need of pediatric patient | False |
| Wound healing in bariatric surgery patients is enhanced due to increased vascularity of adipose tissue | False |
| SSI are the most common complication of school age patients due to their immature immune system | False |
| Aeger primo | The patient first (AST motto) |
| Doctrine of corporate negligence | Health institute can be found negligent Staff screened and trained |
| Doctrine of borrowed servant | One controlling employee greater responsibility than one payin employee |
| Res Ipsa locuitur | The thing speaks for itself |
| Torts | Civil wrong Civil vs criminal Intentionall vs Non-intentions |
| Assault | Act causes fear, no actually contact (threat) |
| Battery | Harmful contact w/o consent |
| Defamation | Damage reputation/name Slander (oral) Libel (written) |
| False imprisonment | Detention, prevent leaving |
| Unintentional torts | Mistakes, most common, negligence |
| Negligence | Failed to perform acting Caused harm, measure against killed competent person |
| A patient misidentification | Unintentional tort negligence |
| Types of consent | Express consent Implied consent |
| Express consent | Statement permission for care |
| Implied consent | Act w/o written consent |
| Two types of informed consent | General consent Special consent |
| General consent | Every patient Routine services |
| Special consent | Any invasive procedure ALL surgery |
| Permission for basic medical care | General consent |
| The activities a healthcare provider is permitted to perform | Scope of practice |
| Severe permanent harm/death to patient or staff | Sentinel event |
| Act without written consent | Implied consent |
| Above all do no harm | Primum non nocere |
| Person who starts a lawsuit | Plaintiff |
| A general consent is the preferred consent for surgical intervention | False |
| A surgical technologist scope of practice is set by the surgeon | False |
| As a CST your professional Code of Conduct is set by the AST code of Ethics | True |
| Errors in chart documentation should be erased to prevent confusion | False |
| Durable power of attorney and living will are examples of proper directives in healthcare | False |
| Willful acts that violate a persons civil rights | Intentional tort |
| All of the following are state or national legally enforced except | Implementation of neutral zone |
| Surgical tech responsibilities include all except | Wound closure |
| Anesthesia responsibilities include all except | Care for specimens |
| Accreditation | Assessment of education programs to ensure quality |
| A patient can not make a formal HIPPA Complaint | False |
| One must follow asepsis or sterile technique is one of the AST code of ethics | True |
| The chief of staff in charge of all medical departments | True |
| When using a PPO health care insurance, a primary care referral is not necessary | True |
| The dark ages were a time of progress and revolution | False |
| Which of the following is NOT a form of individual professional credentialing that protects the public from unqualified health care providers | Clinical ladder |
| Which of the following would not be considered an example of a potential ethical dilemma | Patient privacy |
| Dedicated to improve surgical technologist education and practice | AST |
| Promotes international health and well-being | WHO |
| Group of OR nurses improve patient care by evaluating education/standards | AORN |
| The clinical ladder is a great resource for ST to gain responsibility and recognition | True |
| The board of directors are the highest level of management | True |
| All of the following must be on the surgical consent except: | RN and surg tech name |
| A special consent form would be required for which of the following situations during a hospital admission: | Hernia repair |
| Three weeks after Jenny L was diagnosed with terminally brain cancer she understands she is going to die and just wants to enjoy her last few months of life. This is an example of: | Acceptance |
| Which of the following diagnoses is currently used in most jurisdictions of the world to define a state of irreversible death? | Whole brain death |
| Which of the following describes a set of therapies that preserve a patient's life when body systems aren't functioning sufficiently? | Life support |
| Which of the following is not a form of an advanced directive | Document of self actualization |
| The death of a patient rom asthma or hypertension would be categorized as which category of death: | Prolonged |
| A ST should fully unclothe a 15 y/o patient before anesthesia, to gain quack access to the surgical site | False |
| A type of coping mechanism is terminal | False |
| Assisting a patient with suicide is con spidered involuntary euthanasia | False |
| Denial allows a patient to accept their medical condition | False |
| Giving a cancer patient chemo-therapy is considered palliative care | False |
| Dr. Hans Selye defines stress as a "nonspecific response of a body demand" | True |
| Maslow's hierarchy has 6 levels with self- actualization at the top | False |
| Which organ is MOST often injured in motor vehicle accidents? | Spleen |
| The term golden hour refers to a time frame to reduce morbidity and mortality of which type of patient population? | Trauma victim’s |
| A patient which acquired immunodeficiency virus may have complications of multiple infections from disease considered to be: | Opportunistic |
| Which diagnosis could create a social stigma and possible over dramatization of exposure risk by health care workers? | Human immunodeficiency virus |
| Which special patient populations would likely require diagnostic biopsies for verification of infections? | HIV/AIDS |
| Which special patient population group has a high likelihood of coexisting psychiatric illness in addition to the diagnosis for which they are coming to surgery? | Substance abuse |
| A surgical technologist working in a veteran's administration (VA) facility might frequently encounter patients with which of the following conditions? | PTSD |
| Postoperative recovery time for the patient who is obese is increased because _________. | Adipose tissue retains anesthetic agents longer |
| In the pregnant patient, what trimester is the ideal time to perform abdominal surgery? | Second |
| IV placement in the patient with AIDS may be difficult due to _____. | Lack of a suitable vein |
| These all apply to geriatric patients except: | These all apply to geriatric patients except |
| Different ways to monitor a pediatric patient's temperature includes all except: | calcaneus |
| Which of the following activities would present no risk of contracting HIV from an infected patient? | Conversation in close proximity |
| For a 2 day old infant cardiac function is best evaluated with a BP cuff and stethoscope | False |
| Wound healing in bariatric surgery patients is enhanced due to increased vascularity of adipose tissue | False |
| Patients with developmental delays may suffer cognitive disabilities or may exhibit normal intelligence | True |
| A car accident patient with life threatening injuries should be transported to a Level II trauma center | False |
| SSI are the most common complication of school age patients due to their immature immune system | False |
| Which of the following is NOT a category of hazard for OR personnel or surgical patients? | Physiological |
| All of the following are ways to reduce personnel radiological exposure EXCEPT: | Amplification |
| What is the chemical name of the powder and liquid mixture used as a bone cement for placement of prostheses? | Polymethyl methacrylate |
| Which of the following is a substance that is commonly found in exam glove and other medical items and can be a cause of an allergic reaction? | Latex |
| The part of the complete ESU circuit that delivers current back from exposed tissue to the ESU generator is the: | Patient return electrode |
| Which of the following is commonly used as a tissue fixative and preservative for surgical specimens sent to pathology? | Formalin |
| Which of the following is the large piece of OR furniture onto which most sterile supplies are opened and organized for use during a case? | Back table |
| Which is the abbreviation for the sets of references that provide information about all potentially hazardous chemicals used in the preoperative setting and must be accessible to health care workers? | MSDS Material safety data sheets |
| The acronym PASS stands for | Pull, aim,squeeze,spray |
| The acronym RACE stands for | Rescue, alarm, contain,extinguish/evacuate |
| The small trash container that is lined with a red bag, often kicked with the foot for use near the OR table is called | Kick bucket |
| The three components of surgical fire (fire triangle) are | Oxygen, ignition, fuel |
| Which item will you not find in the Operating Room? | CT scanner |
| Radiation does all of the following except | Cures arthritis |
| You should take all the following precautions for a laser surgery except: | Wear a lead apron |
| Which of the following is the Menominee used to remember the streps to take in the event of a surgical fire? | RACE |
| What is the name of the system attached to all anesthesia machines to remove waste anesthesia gases? | Scavenger |
| A car accident patient with life threatening injuries should be transported to a Level II trauma center | False |
| Patients with developmental delays may suffer cognitive disabilities or may exhibit normal intelligence | False |
| For a 2 day old infant cardiac function is best evaluated with a BP cuff and stethoscope | False |
| Which of the following activities would present no risk of contracting HIV from an infected patient? | Conversation in close proximity |
| Which special patient population group has a high likelihood of coexisting psychiatric illness in addition to the diagnosis for which they are coming to surgery? | Substance abuse |
| Morbid obesity refers to patients whose body weight is greater than how many pounds over their ideal weight? | Morbid obesity refers to patients whose body weight is greater than how many pounds over their ideal weight? |
| A patient may be considered a candidate for donation after cardiac death if their heart is predicted to cease functioning within what period of time after removal from mechanical support? | 90 mins |
| Which of these would the OR team generally not do after a death in the OR? | Remove liver for donation |