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Med 229 Chapt. 44
| Question | Answer |
|---|---|
| A small amount of tissue removed from the body for examination under a microscope is a(n) ________ | biopsy specimen |
| A jagged, open wound in the skin that extends down into the underlying tissue is a(n) ________ | laceration |
| Which of the following defines debridement? | The surgical removal of debris or dead tissue from a wound. |
| The first step in preventing a nonsurgical wound from becoming infected is ________ | cleansing |
| Which of the following occurs during the inflammatory phase of healing? | Cytokines cause inflammatory cells to migrate to the wound site. |
| The proliferation phase of healing is characterized by ________ | the development of new tissue |
| Which of the following occurs in the maturation phase of healing? | A continuous layer of skin cells thickens and pushes off the scab, leaving a scar. |
| A wound will heal better if the edges are brought close together or ________ | approximated |
| Edges of an incision that are approximated ________ | protect the area from contamination and minimize scab and scar formation |
| Which of the following are characteristics of absorbable sutures? | They are made of gut and do not require removal after the wound has healed. |
| Which of the following are characteristics of nonabsorbable sutures? | They must be removed after substantial healing has taken place. |
| On which type of wound would staples be used? | a long, deep wound across the leg |
| Which of the following uses an intense beam of light to cut away tissue? | laser surgery |
| An advantage of laser surgery is that ________ | it promotes quick healing and prevents infection |
| Which of the following would you include when preparing a room for laser surgery? | Make sure everyone in the room, including the patient, wears safety goggles. |
| How does a laser cut away tissue? | It vaporizes unwanted tissue. |
| Which method uses extreme cold to destroy unwanted tissue? | cryosurgery |
| A medical assistant should include which of the following in preparing a patient for cryosurgery? | Inform the patient that the initial sensation of cold will be followed by a burning sensation. |
| Which method uses a needle, probe, or loop heated by electric current to destroy target tissue? | electrocauterization |
| Which of the following should you include in preparing a patient for electrocauterization? | .Place a grounding pad somewhere on the patient's body. |
| Which of the following would you include in teaching a patient who has had cryosurgery? | Inform the patient that a large, painful, bloody blister may form. |
| Which of the following would you include in the care of a patient who has had electrocauterization? | Explain to the patient that a scab or crust generally forms over the area. |
| Which condition puts a patient at risk for wound-healing problems? | diabetes mellitus |
| Which type of scissors is used to remove dressings? | bandage scissors |
| The scissor-like instruments used for cutting nails or thick materials are ________ | clippers |
| Which of the following is used for scraping tissue? | curette |
| Instruments that are most often used to grasp or hold objects are ________ | forceps |
| Which surgical instruments are used to close off blood vessels? | hemostats |
| Surgical instruments used to hold back the sides of a wound or incision for greater access are ________ | retractors |
| A slender, pointed surgical instrument used to enlarge a body opening, such as a tear duct, is a ________ | dilator |
| Which surgical instruments are used to explore wounds or body cavities and to locate or clear blockages? | probes |
| Which of the following is a problem related to latex gloves? | There is an increased incidence of latex allergy with latex gloves among healthcare workers. |
| Allergic reactions to latex gloves are ________ | generally caused by the latex protein that mixes with the powder |
| Which step helps prevent a latex glove allergy? | Clean areas contaminated with latex-containing dust frequently. |
| In which surgical procedure would an onychectomy tray be used? | nail removal |
| A Mayo stand is a(n) ________ | movable, stainless steel instrument tray on a stand |
| The medical assistant accidentally touches the inside of the sterile dressing package with no gloves on. The appropriate step for the medical assistant to take now is to ________ | obtain another unopened sterile dressing |
| Which of the following is the correct action for the medical assistant to take when assisting a practitioner during a sterile surgical procedure? | Avoid reaching over the sterile field. |
| Which of the following is the appropriate way to add instruments to a sterile field? | Place the instrument using sterile transfer forceps. |
| What part of the sterile field is considered contaminated? | the outer 1 inch |
| Which of the following is the appropriate way to pour a sterile solution into a sterile bowl that is on a sterile field? | Cover the label on the bottle with the palm of your hand to keep the label dry. |
| Which preoperative instruction is given to a patient who is scheduled for a minor surgical procedure in the medical office? | Tell the patient to bring someone to drive him or her home. |
| Which is the appropriate way to cleanse an area before surgery? | Clean an area at least 2 inches larger than the surgical site. |
| When preparing the patient’s skin for surgery, after applying the antiseptic what is the next step? | Cover the area with a sterile, fenestrated drape, from front to back. |
| The most commonly used antiseptic for minor surgery is ________ | Betadine |
| Which of the following is characteristic of a topical anesthetic? | It is applied directly to the skin. |
| Which of the following are characteristics of epinephrine? | It constricts blood vessels and prolongs the action of the local anesthetic. |
| Which of the following is a duty of the floater in surgery? | Measure the patient's vital signs during surgery and observe for a reaction to the anesthetic. |
| Duties of the sterile scrub assistant include | passing instruments to the practitioner during surgery. |
| Which of the following should be included in a patient’s postoperative wound care instructions? | Change the dressing if it becomes wet, dirty, or soaked with blood. |
| Which of the following is used in processing biopsy specimens for laboratory examination? | 10% formalin solution |
| What is the reason for checking the date and sterilization indicator on an instrument pack prior to opening? | to avoid putting the patient at risk for postoperative infection |
| Carrie is a new medical assistant who is assisting for the first time as a floater for a minor surgical procedure. The physician removes tissue from the incision and asks Carrie for the container in which to place the specimen for laboratory examination. | She should not have reached across the tray. |
| Mr. Benson is back in the office for his follow-up appointment after having a laceration on his right arm sutured eight days ago. The physician examines the wound, tells Mr. Benson that it is healing nicely, and asks you to remove the sutures. You remove | Notify the physician that the number of sutures removed does not match the record. |
| What is the name for the needle that has the suture material permanently attached to it? | swaged |
| Which instrument is used to grasp the scalpel blade when loading it on the scalpel handle? | needle holder |
| When the medical assistant is responsible for cutting the suture for the practitioner, which length of the suture material should be left above the knot? | ⅛ inch |
| Which of the following is not part of the medical assistant’s role in minor surgical procedures? | Administer general anesthesia. |
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