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Instrument equipment
st430
| Question | Answer |
|---|---|
| By what action does a "cigarette" drain remove fluid from a wound? | wicking |
| Why must chest tubes be attached to a water-seal drainage system? | to keep air from reentering thoracic space to reestablish negative pressure for respiration |
| Which type of instrument alloy is lightweight, durable, and nonmagnetizing? | titanium |
| Which type of surgical device provides a bloodless surgical field by way of extremity compression? | pneumatic tourniquet |
| Which device can be used sterilely by an ENT or neurosurgeon or unsterilely by an anesthesia provider to determine location, function, or conduction of certain anatomical structures? | nerve stimulator |
| Which part of the operating microscope is most proximal to the target tissue? | objective lens |
| One-layer dressings are used on large draining wounds to facilitate frequent dressing changes. | false |
| Which type of urinary drainage catheter requires an incision and anchoring to the skin to prevent dislodgement? | suprapubic |
| Which suction tip is indicated for use in the nasopharynx and often called a "tonsil" or "oral" suction? | yankauer |
| The #12 blade is used almost exclusively for which surgical procedure? | tonsillectomy |
| Which scissors are often called "suture scissors" and are typically straight and relatively blunt tipped? | mayo |
| Which device is used unsterilely in surgery for deep vein thrombosis (DVT) prophylaxis | sequential compression device |
| What is the geometric shape usually achieved by the placement of the first layer of sterile surgical drapes? | square |
| Penrose drains are active drains that are connected to a reservoir called a J-P bulb or "grenade." | false |
| What term describes an instrument, such as a retractor or uterine probe, that can be bent or modified to accommodate for variances in anatomy? | malleable |
| Which type of surgical supply does NOT come with an option for being impregnated with iodine or other antimicrobial agent? | radiopaque surgical sponges |
| Bougie, Heaney, Hegar, and Van Buren are types of: | dilators |
| Which type of syringe has no calibrations? | bulb/ear |
| What is the technical name for a clamp? | hemostat |
| A patient with a major abdominal wound requiring frequent dressing changes might have which type of binding layer to prevent excoriation of the skin by constant removal of adhesive tape? | Montgomery straps |
| Which scalpel handle would accommodate a #20 disposable knife blade? | #4 |
| Which of the following drains works by passive action? | penrose |
| Which of the following is NOT a source of power for surgical powered instruments? | solar |
| Which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration? | grasping and holding |
| All of the following are examples of types of movement of powered surgical instruments EXCEPT: | operating |
| What do Broviac and Hickman catheters do? | monitor central venous pressure changes |
| How are Ray-Tec sponges used during laparotomy procedures when the peritoneum is open? | they should be mounted on a ring forceps as "sponge sticks" |
| Which type of endoscope would be appropriate for examination of the renal pelvis via a natural body orifice? | flexible utereroscope |
| Which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines in a laparotomy? | poole |
| What is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps? | serrations |
| The choice of wound dressing is dependent upon all of the following EXCEPT: | ambulatory status of the patient post-op |
| Weitlaner, O'Connor-O'Sullivan, and Balfour are examples of: | self-retaining retractors |
| What is the name of the paired parts of a hemostat that span between the box lock and the finger rings? | shanks |
| What is the minimum number of suction systems or units required in an operating room? | two |
| The three lumens of a three-way Foley catheter are used for balloon inflation, urinary drainage, and: | continuous irrigation |
| Which of the following catheters is used to drain the kidney and is placed with the aid of a cystoscope? | ureteral |
| Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning. | true |
| In medical terminology, which suffix indicates an instrument as a cutting device? | -tome |
| Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument? | scissors |
| Syringes can be made of plastic, glass, metal, rubber, or a combination of any of these. | True |
| The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called: | Cottonoids |
| Op-site, collodion, adhesive gels, and Steri-strips are examples of which type of surgical dressing? | one-layer |
| Which type of surgical drape is designed to expose small anatomical structures such as the eyes and ears? | aperture |
| Into which classification of dressings would body and Minerva jackets and walking and spica casts fall? | rigid |
| What is the term for the opening in a surgical drape that is placed over the operative site? | fenestration |
| Which of the following self-retaining retractors does NOT require attachment to the OR table? | Balfour |
| When passing suture to the surgeon, the next step should be to pass straight Mayo scissors to the assistant | True |
| Which fine, pointed-tip scalpel blade could be used to incise a blood vessel or create a stab wound for drain placement? | #11 |
| The joint of a hemostat where one half of the instrument passes through the other is called the: | box lock |
| GI, chest, and airway are types of: | tubes |
| What is the term for the tread or tape sewn into a countable sponge that makes it visible on x-rays to prevent a retained item? | radiopaque |
| Which of the following types of surgical sponges are prepackaged in units of five? | laparotomy |
| What is the term for the blood products donated by another person? | homologous |
| Kerlix fluffs, ABD pads, and plain 4 x 4 gauze sponges are examples of which part of a three-layer dressing? | absorbent intermediate layer |
| During laparoscopic procedures where carbon dioxide gas is used for insufflation, the intra-abdominal pressure in the average healthy adult patient is kept at: | 12-15 mm Hg |
| Which type of instrument often has a tungsten carbide insert and crosshatch serrations for stabilization? | needle holder |
| A drain dressing is cut into which letter shape to accommodate the drain tube exiting the patient's body? | Y |
| What type of surgical specialty rooms would be most likely equipped with three or four overhead operating lights? | open heart |
| Normal saline, antibiotic, and Dakin's solution are used to facilitate mechanical debridement in which type of dressing? | wet-to-dry |
| In general, after what length of continuous pneumatic tourniquet use should the extremity be allowed to reperfuse before reinflating the tourniquet? | one hour |
| All of the following are varieties of draping materials EXCEPT: | latex sheeting |