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Procedures 3 Final
Test 1,2,3,and 4- Dj Weigel
| Question | Answer |
|---|---|
| Plain gut, chromic gut, PDS II, and Monocryl are examples of | monofilament absorbable sutures |
| A closed system of blood vessels that transports blood away from the heart to the body's tissues and back to the heart refers to the | peripheral vascular system |
| One of the most important pieces of information the STSR should learn to look for on a box of sutures is the | suture size and material |
| Microscopic vessels designed to exchange nutrients and wastes between blood and tissue fluid around the cells are known as | capillaries |
| Precut ties that are removed as single strands from the package and placed into the open hand of the surgeon for use as ligatures are | free |
| Which of the following accurately describes the layers of an artery from inner to outer layers | tunica intima, tunica media, tunica adventitia |
| A needle that can penetrate tissue without cutting it is a _____ needle | tapered-point |
| Which statement accurately describes the characteristics of a vein | veins have specialized structures called valves |
| Another name given to "rapid-release" needles are | control-release |
| Which statement concerning blood pressure is NOT correct | venous blood pressure is much higher than arterial blood pressure |
| Ties loaded onto a curved clamp to facilitate placement of the tie around a vessel deep in the surgical wound is referred to as a | tie on a passer |
| Which structure supplies the myocardium with oxygenated blood | coronary arteries |
| The outermost layer of the meninges is the | dura |
| Which ligament originates from the anterior intercondylar area of the tibia and extends to the lateral condyle of the femur | anterior cruciate |
| Turning the hand so that the palm is upward is referred to as | supination |
| Masses of gray matter located deep within the cerebral hemispheres are called the | basal ganglia |
| The structures within the ventricles that produce CSF are the | choroid plexuses |
| Extending the foot at the ankle is referred to as | plantar flexion |
| Which needle type is a cutting needle | FS |
| The medulla oblongata controls which visceral activity | cardiac,respiratory,and vasomotor |
| Which artery is one of the three major branches of the aortic arch | brachiocephalic |
| A softening of adult bone due to a disorder in calcium and phosphorus metabolism is called | osteomalacia |
| A fracture at the distal end of the radius in which the smaller fragment is displaced posteriorly is called | Colles' fracture |
| Which needle type is a taper needle | MO |
| The _____ nervous system functions independently and continuously without conscious effort | autonomic |
| Leroy-Raney clips are used on | scalp edges |
| The aorta bifurcates at the level of the fourth lumbar vertebra into the right and left ______ arteries | common iliac |
| The best way to control bleeding on the cut edges of bone is with | bone wax |
| A ventricular shunt can be placed distally in the | atrium or the peritoneal cavity |
| Which bone articulates with the distal tibia and fibula | talus |
| Which suture thread has the smallest diameter | 7-0 |
| Which of the following articulates with the head of the femur | acetabulum |
| A congenital collection of abnormal vessels of the brain that increase in size with time best describes a | arteriovenous malformation |
| Which suture thread has the largest diameter | #5 |
| Which condition results from an obstruction of the flow of CSF, overproduction of CSF, or improper absorption of CSF | hydrocephalus |
| What structure is referred to as the "pacemaker of the heart" | SA node |
| Superficial blood supply to the head and neck is supplied from which arter | external carotid |
| Which portion of the heart recieves the unoxygenated blood | right atrium |
| Which condition results from a failure of the bony structures around the neural tube to close properly during embryonic development | spina bifida |
| Which portion of the heart is responsible for pumping blood into the pulmonary artery | right ventricle |
| During a total hip replacement surgery, which instrument is used to replace the femoral head | intramedullary reamer |
| Which of the following is not a positioning aid for intracranial procedures | wilson frame |
| Which arteries communicate with the basilar artery to form the circle of Willis | internal carotid |
| Which hemostatic agent is NOT used in orthopedics | bovie on bone |
| Which portion of the heart is responsible for pumping blood into the aorta | left ventricle |
| Which veins receive blood from the brain, meninges, and deeper regions of the face and neck | internal jugular |
| Scalp bleeding can be reduced by all of the following EXCEPT | heparinized saline |
| Which is the longest vein in the body | greater saphenous |
| The coronary arteries arise from the | aorta |
| The coronary veins empty into the | coronary sinus |
| Bone grafts are usually taken from the | iliac crest |
| Which of the following correctly outlines the procedure to turn a bone flap | incision, raise muscle flap, perforator, craniotome |
| What is the best temperature for irrigation used on the brain | body temperature |
| Claudication is the term used to refer to | cramping |
| Which of the following could be used to take a bone graft | curettes |
| Which structure is attached to the valvular cusps and prevents valves from swinging back into the atria | chordae tendinease |
| There are _____ pulmonary veins | four |
| Which statement regarding arterial embolisms is NOT correct | the formation of emboli always causes immediate death |
| Which structure prevents the trachea from collapsing | hyaline cartilage |
| Manipulating bone fracture fragments into alignment without incising the skin is called | closed reduction |
| Which statement concerning abdominal aneurysms is correct | most abdominal aneurysms arise below the level of the renal arteries |
| Which of the following is not a correct approach for a transphenoidal hypophysectomy | through a suboccipital craniotomy |
| Which statement regarding an endarterectomy is correct | endarterectomy is performed to alleviate occlusion of an artery |
| Which of the following is a clinical sign and symptoms of carpal tunnel syndrome | numbness of fingers |
| Which graft requires preclotting by the surgical team | porous Dacron grafts |
| Which procedure involves the release of the median nerve from the transverse carpal ligament | carpal tunnel release |
| The right lung is divided into how many lobes | three |
| What is the correct sequence of surgical instruments for the insertion of a bone screw | drill, countersink, depth gauge, tap, screw |
| The heart lies where | slightly to the left within the mediastinum |
| Which statemnt is correct regarding necessary equipment for a craniotomy | the use of a perforator facilitates the making of bur holes |
| The heart is surrounded by the | pericardium |
| Delicate polypropylene sutures can be tagged with a | suture boot |
| When does the fetal heart begin developing | third week |
| Which statement is NOT correct regarding the placement of the bone flap | the bone flap is placed after the muscle layer is closed with an absorbable suture |
| What is the most common congenital chest deformity | pectus excavatum |
| Which procedure includes a prep from midabdomen to toes, with the affected leg prepped circumferentially | femoral-popliteal bypass |
| What medical term refers to the abnormal accumulation of air in the pleural cavity | pneumothorax |
| An abnormal opening in the wall between the right and left ventricles of the heart is known as a | ventricular septal defect |
| Which bone articulates with the glenoid cavity to form the shoulder joint | humerus |
| The sphenoid bone forms | portions of the base of the cranium, sides of the skull, and base and sides for the orbits |
| Which statement regarding drugs handled by the surgical technologist is correct | Heparin in sodium chloride irrigation can be used for intra-arterial irrigation |
| Which procedure could necessitate the use of a Javid shunt | carotid endarterectomy |
| Which surgical instrument is preferred for the removal of a foreign body in the bronchial tree of infants and children | rigid bronchoscope |
| The ventricles contain | protein, lactic acid, glucose |
| Which of the following is NOT considered a sterile procedure | bronchoscopy |
| Which of the following articulates with the distal clavicle and provides attachments for muscles of the arms and chest | acromion process |
| What medical term is used to refer to the first seven rib pairs | true |
| Which is the second largest structure of the brain | cerebellum |
| Which vessel must be clamped during a carotid endarterectomy | external carotid artery |
| Which surgical patient position is used for a lobectomy | posterolateral |
| Which bones are attached to each of the thoracic vertebrae | ribs |
| There are ___ bones in the cervical region | seven |
| With which instrument is an arteroitomy initiated | #11 blade on a #7 handle |
| Which piece of equipment assumes the role of the heart and lungs while undergoing cardiopulmonary bypass | pump oxygenator |
| The initial step in the body's repair of a fracture involves | blood clot |
| Which artery provides the brain with most of its blood | internal carotid artery |
| The surgical excision of a dilated portion of the aortic wall with immediate reconstruction using a synthetic graft is known as an | abdominal aortic aneurysm resection |
| The parts of the sternum from superior to inferior are | manubrium, body, and xiphoid process |
| The primary purpose of a femoral-popliteal bypass is to | restore blood flow to the lower limb |
| Which term describes the organ of smell | olfactory |
| Which malignant tumor of the brain usually cannot be totally excised | gliomas |
| What is the number of true ribs | seven |
| Which type of suture is appropriate for closing an arteriotomy | polypropylene |
| Which type of fracture is complete and results in several bony fragments | comminuted |
| Which tumor is marked by loss of hearing, headache, vertigo, and facial pain | acoustic neuroma |
| All of the following are true regarding subdural hematomas EXCEPT that | the pressure of blood from arterial bleeding strips teh dura away from the skull, causing more bleeding as the tiny veins from the dura to the skull are torn |
| Which type of needle is appropriate for closing a blood vessel | taper |
| Oxygenated blood leaves the lungs through the | pulmonary veins |
| Another name for the mitral valve is the | bicuspid |
| Which statement is correct regarding the suture for peripheral vascular surgery | before tying polypropylene sutures, the surgeon's hands should be wet |
| Cerebral aneurysms are typically found | at points of bifurcation in the arteries of the circle of Willis |
| Which statement is NOT correct regarding supplies required for peripheral vascular procedures | a doppler probe is used to dilate vessels |
| It is most important that while handling the lens with light cord, the STSR should not | allow the lens with light cord to touch the drape |
| A fogarty balloon catheter is used for a | arterial embolectomy |
| _____ are the most common of the slow-growing intracranial neoplasms | meningiomas |
| The distal and proximal ends of long bones are called | epiphyses |
| During a craniotomy for aneurysm repair,____ may be necessary to prevent vasospasm | papaverine |
| Which medication is always added to injectable saline for the use of intra-arterial irrigation | heparin |
| Which bone is posterior to the mandible and anterior to the trachea | hyoid |
| All of the following statements are false EXCEPT that the surgical | implant information, including number used, type, and size, is recorded on a surgical chart |
| Which suture can be used to attach tendon to bone | polyester |
| The generalized disease that involves the formation of an atheroma within the lumen of an artery causing restricted blood flow is known as | arteriosclerosis obliterans |
| Which procedure requires two Mayo stands to prevent contamination | transphenoidal hypophysectomy |
| Which muscle is part of the rotator cuff | infraspinatus |
| What is the primary reason for performing a total joint arthroplasty | degenerative joint disease |
| Which supplies are commonly used during vascular surgery to retract blood vessels | vessel loops |
| Which scapel blade is used to open a blood vessel during vascular surgery | #11 |
| Which type of rongeur is used to excise bone during a laminectomy | Adson, Stille-leur, Leksell |
| Why is a cranioplasty performed | repair defect in skull resulting from previous procedure, trauma, congenital deformity |
| The external iliac arteries branch in the ____ arteries | femoral |
| Which artery supplies blood to the brain | internal carotid |
| Which instrument is used to prepare the acetabulum | reamer |
| A bulldog is used in vascular surgery to | clamp a blood vessel |
| Which drug is used to suppress arterial vasospasm | papaverine |
| How many components are implanted during a total knee arthroplasty | three |
| Which of the following is NOT a factor that affects blood pressure | blood strength |
| A patient is scheduled for an anterior cruciate ligament repair. the surgeon plans to use the patient's patellar tendon. This is an example of which type of graft | autograft |
| Blood pumped from the left ventricle of the heart enters the | aorta |
| What is the correct patient surgical position for a total hip arthroplasty | lateral |
| Which of the following best describes the skin preparation for a rotator cuff repair | entire arm and shoulder to the border of the neck |
| Which piece of equipment would not typically be used during a knee arthroscopy | insufflator |
| Which of the following can be used as an allograft for an ACL reconstruction | tibialis anterior |
| Which procedure is performed to correct impingement syndrome | acromioplasty |
| The teres minor is one of the four muscles of what body structure | rotator cuff |
| Which muscle contributes to the stability of the shoulder joint | subscapularis |
| Femoral shaft fractures are immediately treated by | surgical intervention |
| An ACL reconstruction is performed to repair the ____ stability of the knee | anterior |
| The primary purpose of meniscus surgery is to | save as much of the torn meniscus as possible |
| The broach is used to | remove cancellous bone |
| The concave indentation that serves as the socket for the head of the femur is the | acetabulum |
| An example of an irregular bone is the | vertebrae |
| The pneumatic tourniquet is routinely inflated | after exsanguination |
| Which of the following is used to reduce a fracture | traction |
| This chemical is also referred to as bone cement | methyl methacrylate |
| ACL graft material that is taken from a cadaver is known as a | allograft |
| Which two of the following muscles are used for an autograft ACL reconstruction | semitendinosus, gracilis |
| What two bones are involved in a patella tendon harvest for an ACL reconstruction | tibia, patella |