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Vet 255
Midterm
| Question | Answer |
|---|---|
| The primary difference between needle holders is the presence of built-in scissors. The needle holder contains built-in scissors | Olsen- Hegar |
| Gauze sponges (4x4) are the best surgical scrub applicator | True |
| Surgical lights should be finely adjusted to the surgical site | After the patient is draped |
| A patient undergoing an intercostal thoracotomy should be positioned for surgery in | Lateral recumbency |
| is an example of a braided multifilament suture | Polyglycolic acid (Dexon) |
| Electrocautery is equivalent to electrocoagulation | False |
| Surgical patient drapes are sterile and placed on the nonsterile patient | By the sterile surgeon or sterile assistant |
| Questions you should ask an owner checking in their animal for surgery | Any recent illness (within last 24 hours especially) V/D; C/S Have they been fasted properly? Previous or ongoing illness, if so, what treatment was pursued? Are you the owner or do you have authorization to make treatment decisions for the pet? Aller |
| needles have three cutting edges; however, the third edge is on the outer convex curvature of the needle and are designed to resist tissue cutout | Reverse - cutting |
| Surgical gloves should be wet when abdominal organs are touched, particularly the gastrointestinal tract, because dry gloves can | Cause tearing of the serosal layer or drying of the organs |
| Filtering face masks specifically made for lasering should be worn in lieu of conventional surgical masks, because | They protect against the plume (smoke) |
| Synthetic absorbable sutures offer an advantage over natural absorbable sutures because | They are not significantly affected by inflammation |
| What is the safe storage for an autoclaved sterile pack that was double-wrapped in muslin and is being kept in a closed cabinet | 7 weeks |
| As suture diameter decreases, tensile strength increases | False |
| Electrocautery plates | Should be in direct contact with the patient at all times |
| All personnel in the laser OR should wear eye protection goggles made for every possible type wavelength of laser light | False |
| It is better to over clip a patient's fur than not clip enough | True |
| What are the two ways that sutures can be absorbed | Phagocytosis Hydrolysis |
| Different types of surgical laser units get their energized light from any of the following sources except | Liquid nitrogen |
| Lasers are divided into four classes according to their ability to | Inflict damage to skin or eyes |
| lasers create minimal latent and collateral thermal damage and can be used for precise cutting | CO2 |
| Which of the following is not one of the common criteria used to determine if monitoring of the patient in the postoperative period is no longer necessary | The patient can eat and swallow its food |
| BAR stands for | Bright, alert, responsive |
| When would prophylactic antibiotics not be appropriate | The operation takes 30 minutes |
| 25% - 45% of the normal cat's blood will be red blood cells. If the PCV is below 25%, the cat is anemic | True |
| If hemorrhage from a ruptured spleen is suspected, a may be performed | Abdominocentesis |
| Animals being prepared for an exploratory celiotomy should always be clipped widely because | It allows for better postoperative bandaging of the area |
| It is not unusual for packed cell volume (PCV) and total plasma protein (TP) to drop up to % as a result of anesthesia and surgery, even when no major blood loss has occurred | 10 % |
| If an abdominocentesis is performed, the PCV of the fluid when compared to the systemic PCV will be if hemorrhage into the abdominal cavity is actively occurring | Equal to systemic PCV |
| Managing pain will also decrease the amount of additional drugs (induction and maintenance) needed for the patient and ease the transition through the anesthetic planes | True |
| In veterinary terms, signalment means the age, breed, and sex of your patient | True |
| When should a surgical patient be administered pain-relief medication | Prior to any potential pain occurri |
| At what % dehydration does the dehydration become seriously unstable with life | 11 % |
| Ointments and creams applied to a surgical incision can | Can cause irritation and delay healing |
| The three plasma proteins are albumin, globulins, and hemoglobin | False |
| According to standard of care, it is acceptable practice to perform surgery without an IV catheter in place | False |
| The heart beating makes two sounds | Lub - dub |
| Veterinary technicians should advise clients that animals undergoing routine sterilization or simple mass removal usually require of restricted activity, whereas animals undergoing orthopedic surgery will likely require 6 to 8 weeks of confineme | 10 - 14 days |
| Plasma is a pale-yellowish, watery solution that suspends all of the other parts of the blood. It makes up about 55% of the total volume of the blood | True |
| What is the best method to treat pressure sores caused by bandaging | Prevent them by using proper padding |
| A(n) is a nonweight-bearing sling applied to the pelvic limb to protect the hip joint after injury | Ehmer |
| Healthy granulation tissue is in appearance | Pink |
| What must occur in order for a wound to be considered closed by primary closure | Closure must precede granulation tissue formation |
| develop over bony prominences as the result of skin compression on hard surfaces during long periods of recumbency | Decubitus ulcers |
| -degree burns are full-thickness injuries characterized by a thick, leathery, often black layer of dead dermis | Third |
| What is the main advantage of a fiberglass cast over its plaster counterpart | Fiberglass is strong yet lightweight |
| is marked by fibroblasts and endothelial cells entering the wound | Proliferate phase |
| Open wounds on the distal aspect of the limb (below the carpus or tarsus) of the horse are notorious for developing exuberant granulation tissue, commonly referred to as | Proud flesh |
| Angiogenesis refers to | New blood vessels |
| The , the first phase of wound healing, begins immediately | Inflammatory phase |
| migrate across healthy granulation tissue to reestablish a barrier between the wound and the environment | Epithelial cells |
| What is the proper way to remove a cast from an equine limb | Cut both the medial and lateral surfaces of the cast |
| Corticosteroids, especially with long-term use | All are correct |
| It is imperative to use a(n) primary layer once granulation tissue has formed or epithelialization has begun, to protect and promote second intention wound healing | Non - adherent |
| What type of sling is used to immobilize all of the joints on a forelimb | Velpeau sling |
| Which of the following wounds are most predictable in their healing pattern | Incision from a mass removal |
| This bandage relies on an extremely thick secondary layer such as cast padding or cotton, which is tightly compressed to cause uniform compression of the distal limb | Robert - Jones |
| are fine, straight, or curved scissors used for cutting delicate tissue, such as fat or thin muscle | Metzenbaum scissors |
| Chlorhexidine gluconate has the best residual activity of all the available products | True |
| A biocide is defined as; only kills fungi | False |
| Open the pack by the folded tip of wrap only. Unwrap the closest flap first, sides next, flap farthest last - to decrease risk of contamination | False |
| Operating scissors are classified by multiple features, including all of the following except | Their designation to cut tissue or non-tissue |
| The most used scalpel handles include the Bard-Parker No. 3 and No. 4. Which size blades fit the No. 3 handle | #10, #11, #12, #15 |
| Hemostatic forceps are classified according to all the following criteria except | Whether they include a scissor in the handle |
| Sterilization is defined as the absence of pathogenic microorganisms that cause infection in the surgical area; it is surgically clean | False |
| Autoclave steam sterilization of packs | Pack cycle: 121 C, 13-15 min at 15 psi |
| Once the patient is draped, and the pack is opened and the scrubbed personnel are bellied up to the table, the entire sterile zone is established | True |
| Surgical masks only prevent you from breathing in microbes from the surgical field | False |
| High-quality needle holders often contain within their jaws tungsten carbide inserts that | Provide a tighter grip and better wear Are resistant to wear Can be replaced when worn down |
| Sterile Storage: - Wrapped/Drape packs sterilize for 30 days - Sterile sleeves sterilize for 6 months | True |
| tissue forceps are "traumatic forceps" and should be used only on tissues that are being removed from the patient (e.g., tumors, damaged bowel, etc.) | Allis |
| Concerning scrubbing the patient; you can go back towards areas already scrubbed.Alternate scrubbing between disinfectant scrub and rinsing agent 1 time, but if still dirty continue additional scrubbing 1 more time | False |
| After it has been rinsed in cold water or soaked in detergent, each surgical instrument should be inspected and scrubbed with a soft brush in warm water using an instrument detergent with a pH of | 7 |
| Which size blades are most often used in large animal surgeries | #20, #21, #22 |
| Surgical conscience - commitment of surgical personnel to NOT adhere to aseptic technique - if no one sees it, forget it, regardless of possible harm to the patient of staff | False |
Created by:
Scoots223