SURGICAL STUDY QUESTIONS
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| In an inguinal herniorrhaphy the spermatic cord is | Retracted with a penrose drain
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| Polyglycolic acid sutures are | absorbed by the process of hydrolysis
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| The pounds of pressure necessary in a flash steam sterilizer set a 270 F is | 27
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| A pt is having elective surgery. The nurse notes that her white cell count is 14,000 cu mm. This would indicate that | there may be an inflammation or infection present
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| Distal refers to | away from the body
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| Meckel's diverticulum is found in the | ileum
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| In which case would a Frazier suction be used? | ear
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| Airborne contamination is reduced by recirculation of filtered outside air at a rate of | 25 air exchanges per hour
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| The purpose of OSHA is to | ensure safe and healthful working conditions
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| Body heat in pediatric pts is controlled with all the following EXCEPT | wrapping child in plastic,warming blanket,increasing room temp,*hot water bottles
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| If a family is contacted but cannot come in to sign a permission for emergency sugery, the surgeon should | accept permission by phone, telegram, or in written communication
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| Unwrapped instruments are sterilized at 270F for a minimum of | 3 minutes
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| A retention suture passes through all of the following EXCEPT | **MESENTERY TISSUE**,rectus muscle,fascial tissue,subcutaneous
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| A hernia that passes through the inguinal ring into the inguinal canal is termed | Indirect
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| Dead space is the space | caused by seperation of wound edges that have not been closely approximated
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| Wrapped tubing can be sterilized at 250F for a minimum of | 30 minutes
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| Funnel chest is also known as | pectus excavatum
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| Which trm denotes low or decreased blood volume | hypovolemia
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| Injection of contrast media into the brachial, carotid, or vertebral artery to study the intra-cranial vessels is called | angiography
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| Instruments and other items sterilized together in the flash autoclave require | 10 min at 270F
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| Suture material that becomes encapsulated with fibrous tissue during the healing process is | nonabsorbable
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| A right hemicolectomy is performed to remove pathology of the | ascending colon
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| Dacryo refers to | lacrimal gland
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| When transporting a pt, drainage systems should be placed | below stretcher level
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| The maximum size of a linen pack must not exceed | 12X12X20
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| Another name for a stay suture is a | retention suture
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| Which two anatomic structures are ligated and divided to effect a cholecystectomy? | cystic duct, cystic artery
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| Adeno means | gland
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| When the pt is being transferred from the OR table after surgery, the action should be | gentle and slow in order to prevent circulatory depression
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| In steam sterilization, the function of pressure is to | increase the temperature of the steam
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| Which suture material is not generally used in the presence of infection | silk
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| Radical surgery done for lower sigmoid or rectal malignancy is a(n) | abdominal perineal resection
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| The term for fluid or water in the ventricles of the brain is | hydrocephalus
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| The pt may be left on the transport stretcher unattended | under no circumstances
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| 212F is equivalent to | 100C
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| An anti-inflammatory drug whose effect is useful in reversing early rejection of organ transplants in | Prednisone
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| A congenital abnormality of the musculature between the stomach and the duodenum is called | pyloric stenosis
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| A fossa is a | basin-like depression
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| A procedure performed to treat myasthenia gravis is a(n) | thymectomy
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| The purpose of lidocaine installation during a tracheotomy is to | decrease coughing
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| A procedure that is done to give the bowel a rest when there is advanced inflammation is | temporary colostomy
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| A forceps used to grasp lung tissue is a (n) | Duval
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| Heat-sensitive items that can be completely immersed can be processed via the______in 30 min | STERIS
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| The maximum recommended dosage of local anesthetic drug per hour is | 50 mL of 1% solution
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| Ischemia can be defined as | deficient blood supply to a part
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| The person transporting the pt on a stretcher should | push the stretcher from the head
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| Activated glutaraldehyde | can be reused
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| A Weitlaner is a | retractor
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| Which part of the pancreas is the most common site of malignant tumors | head
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| The purpose of the two-way stopcock on a verres needle is | to control gas flow
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| An abnormal sommunication between two parts occurring in the anorectal area is called | fistula in ano
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| Burn removal of tissue down to fascia where all superficial layers are denuded is called | escharectomy
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| The method of sterilization used for liquids is | slow exhaust
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| Medullary canal reamers are used to insert | kuntschner nails
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| A protrusion of fat through an abdominal wall defect between the xiphoid process and umbilicus is a(n) | epigastric hernia
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| The position frequently utilized in thyroid and dallbladder surgery is | reverse trendelenburg
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| What part of the cell is destroyed in steam sterilization? | cell protein
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| Which scope has a trocar | laparoscope
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| Laminar air flow provides | ultraclean air, controlled filter, dilution, and distribution of air, and unidirectional positive-pressure stream of air
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| A rotator cuff tear would occur in the | shoulder
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| Which position would be chosen for a pneumonectomy? | lateral
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| When preparing tubing or any item with a lumen for gas sterilization | the lumen should be blown out with air to force-dry before packaging
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| A rib raspatory is a | Alexander
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| A right-angled gallbladder forceps is a | Mixter
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| A self-retaining mouth gag is a | Jennings
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| The maximum storage life for a muslin wrapped item on open shelvingis | 30 days
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| How are the legs placed in the lateral position? | the lower leg is flexed with the upper leg straight
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| Which statement regarding the changing of a glove during an operation is TRUE? | open-glove technique is used, another team member assists in regloving
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| Each statement regarding OR room ventilation is true EXCEPT | ventilation provides a minimum of 20-30 air exchanges per hour, scavenger systems prevent buildup of anesthetic gases*humidity is kept at 20-30%*, room temp is 68-76%
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| How many thoracic vertebrae are there? | 12
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| When moving a pt from lithotomy position | lower legs together slowly
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| If a sterile muslin package drops to the floor | it may never be used
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| A tonsil suction is a | Yankauer
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| The most susceptible organ to laer injury is the | eyes
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| The principal hazard encountered in splenectomy is | Hemorrhage
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| When assisting with a cast application one must | Handle cast with flat open hands
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| The most common postoperative complication of orthopedic surgery is | Thromboembolism
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| Which is an acceptable means of pouring a sterile solution onto a sterile field? | The scrub nurse holds a receptacle away from the table as the circulator pours, the scrub nurse sets the receptacle near the edge of a waterproof-draped table
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| Which nerve is afected by pressure on the lower leg or knee? | Peroneal
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| What advantage is phacoemulsification for cataract removal? | Shortened convalescence, and employs small incision
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| The structure that covers the entrance of the laryx when one swallows, thus preventing food from entering the airway(trachea) is called? | Epiglottis
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| Physiologic salt solution used intravenously when the body needs additional sodium, calcium, and potassium is | Ringers lactate
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| In the lateral chest position, a sandbag or padding is placed under the chest a axillary level to | Prevent pressur on the lower arm
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| A viscous jelly used to occupy space, thus preventing damage, in anterior segment surgery of the eye is | Healon
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| Which of the following is frequently used over an incision following pediatric surgery/ | Collodian
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| An agent used for epidural, spinal, or local providing good relaxation is | Marcaine
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| The instrument used to measure the depth of the uterus during a dilation and curettage is a | Uterine sound
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| Vagotomy is performed for peptic ulcer disease to | Decrease secretion of gastric acid
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| Before surgery, elastic bandages or special stockings are sometimes applied to the lover extremities to | Prevent venous stasis
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| Surgical masks should be changed | After each case
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| Why would benzoin be applied to the skin before dressing application | To increase adhesiveness
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| Closing the internal os of an incompetent cervix with a ligature of tape is called | Shirodkar
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| Pneumoperitioneum is effected by instilling gas into the peritoneal cavity by way of a | Verres needle
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| In addition to providing bladder drainage following a suprapubic prostatectomy, a foley catheter | Exerts pressure to obtain hemostasis
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| Electrical connection of the pt to the conductive floor is assured by | A conductive strap in direct contact with the pts skin, with one end of the strap fastened to the OR table metal frame
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| Safety during use of the defibrillator includes all of the following EXCEPT | **MAINTAINING CONTACT WITH OR TABLE AND THE PT**,keeping hands dry,standing on dry floor,pressing paddle switches simulaneously
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| A drug that may be used as an IV flush or as a flush for a blood vessel lumen is | Heparin
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| Nipple reconstruction can be enhanced by the use of a(n) | Tattoo
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| Where are the adrenal glands located? | Above the kidney
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| The following are all contraindications to vaginal hysterectomy EXCEPT | Large uterus,malignancy,adnexal mass,**PRESENCE OF A CYSTOCELE
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| Instruments used to close the vaginal vault in an abdominal hysterectomy must be | Considered contaminated after use
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| The addition of adrenalin to a local anesthetic provides | Vasoconstriction,prolonged andesthesia,decreased bleeding
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| During laser surgery, each of the following policies must be adhered to EXCEPT | Signs are placed on doors,**PRESCRIPTION GLASSES ARE APPROVED PROTECTION MECHANISMS**,pts eyes are rotected with moistened pads or goggles,all persons within the treatment area wear protective eyewear
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| There are ___ parathyroids | 4
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| Aconstant closed suction that utilizes a plastic container serving as both a suction and a receptacle for blood is a | Hemovac
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| The sphincter at the junction of the small and large intestine is the | Ileocecal sphincter
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| Which hepatitis poses a threat to health care workers? | Hep B
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| A dye used in gynecology to test tubal patency is | Methylene blue
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| Which stage of wound healing takes place when there is tissue loss with an inability to approximate wound edge? | Second (granulation)
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| An abnormal accumulation of fluid in the tunica vaginalis is referred to as a | Hydrocele
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| Periosteum is lifted from the surface of the bone with a(n) | Elevator
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| Repair of a crainal defect is surgically represented by the term | Cranioplasty
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| For surgery on a known AIDS pt, all of the following precautions should be followed EXCEPT | Wear double gloves,masks and protective eyewear worn,**NEEDLES RESHEATHED**,universal precautions undertaken
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| Health care workers who are potentially exposed to blood, can be vaccinated to prevent | Hep B virus(HBV)
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| An alternative indwelling urinary drainage system diverting urine away from the urethra is a | Suprapubic cystostomy catheterization
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| A common radiopaque contrast medium used in the OR is | Renografin
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| What is the purpose of a chest tube and water-seal drainage? | Evacuate fluid and air
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| Extreme flexion of the thighs in the lithotomy position inpairs | Respiratory function
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| A femoral-popliteal bypass is scheduled. Which self-retaining retractor would be used to facilitate exploration of the femoral artery? | Weitlaner
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| A double-bowl-shaped glass evacuator used to irrigate the bladder during transurethral surgery is called | Ellik
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| An approach to infection control designed to prevent transmission of blood-borne diseases in health care settings is called | Universal precautions
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| An elevated PSA test could be indicative of cancer of the | Prostate
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| In which intention of healing is there a wide, fibrous scar? | Third
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| Which Gram-positive bacteria can cause abscesses? | Staphylococcus Aureus
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| Mannitol is a(n) | Osmotic diuretic
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| The organism causing hepatitis B is a | Virus
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| An example of an anti-inflammatory is | Cortisone
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| Hemorrhage is suspected if | The blood pressure drops and pulse rate rises
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| How many feet above the ground is considered safe for electrical outlets and fixtures that are not explosion-proof? | 5
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| Carpal tunnel syndrome affects the | Wrist
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| Documenting,tracking,and registering are mandated for | Implants
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| When the foreskin of the penis cannot be retracted over the glans it is called | Phimosis
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| The burn characterized by blister formation,pain, and a moist and mottled red appearance is | Second
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| Microorganisms that grow in the absence of oxygen are? | Anaerobes
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| The islets of Langerhans are located in the | Pancreas
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| The master gland is | Pituitary
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| A condition that can occur as a result of gross bone contamination or improper surgical technique is | Osteomyelitis
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| Oxytocics are used to | Contract the uterus
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| Which of the following instruments would be used to retract the bladder walls during a supra-pubic prostatectomy? | Mason-Judd
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| Maintenance of bony exposure during a lumbar laminectomy is effected by the use of a | Beckman-Adson
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| A common abdominal complication caused by previous abdominal or pelvic surgery is | Adhesions
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| Which of the following shunts would be used surgerically to correct hydrocephalus? | Hakim
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| A spinal fusion is usually effected by auto-genous grafts taken from the pts | ILIUM
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| A complication of orthopedic surgery is | Thromboembolism, fat embolism, infection
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| Nonunion of bone can be treated with | Artificially applied electric current
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| The word which best describes "staging" is | Categorization,Series
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| Nosocomial infection refers to | Hospital-acquired infection
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| During a CPR effort in the OR, the scrub nurse | Remains sterile and keeps tables sterile
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| The edges of a wrapper that enclose sterile contents are considered | Nonsterile
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| A urethral stent catheter is used to | Provide long-term drainage in ureteral obstruction
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| Uterotubal insufflation is a | Rubins test
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| An infants average at rest heart rate is__beats per min | 120
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| Which of the following inst. is not found in a vaginal procedure? | Goodell dilator,Jacobs tenaculum,Auvard speculum,**HARRINGTON RETRACTOR**
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| The operation to correct prolapse of the anterior vaginal wall is | Colporrhaphy
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| Which nasal sinus can be approached only through an external eyebrow incision? | Frontal
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| Which sinus is surgically opened in a Caldwell-Luc procedure? | Maxillary
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| Which of the following pieces of hardware will be used in an intramedullary fication of a fracture of an adult femoral shaft? | Kuntschner nail
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| The second cranial nerve is the | Optic
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| The normal body temp in centigrade measurement is | 37C
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| What is the purpose of doing ABG's intraoperatively? | To assess arterial gases
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| Which tube is used for gastrointestinal decompression? | Levin
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| A tissue expander would be used for | Breast reconstruction
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| Continuous irrigation of the bladder is necessary during cystoscopy to | Distend the bladder walls for visualization
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| The excision and removal of diseased and necrotic tissue is termed | Debridement
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| The excision of loose skin and periorbital fat of the eyelids is called | Blepharoplasty
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| A fleshy encroachment onto the cornea is called | Pterygium
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| Mandibular fractures are treated by occlusion of the teeth effected by the use of a(n) | Arch Bar
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| Which procedure would require the following instruments: Freer evebator,osteotome,Asch Forcep,Ballinger swivel knife,caliper? | Nasal
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| Lacrimal probes are called | Bowman
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| The eardrum is also known as the | Tympanic membrane
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| Which of the following appliances can be used for intramedullary fixation of a femur? | Sampson
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| Bradycardia is | Heartbeat less than 60 beats per min
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| If a needle punctures a sterile team members glove | Discard the needle, Change the glove
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| A Tenckhoff catheter is placed into | Peritoneal cavity
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| The needle used for a liver biopsy is | Silverman
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| Each of the following treats glaucoma EXCEPT | Trephining,laser traveculoplasty,**KERATOPLASTY**,Iridectomy
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| An istrumentused to incise the eardrum to relieve pressure is call a | Myringotomy knife
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| In which surgical specialty would a perfusionist be neccessary? | Cardiac Surgery
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| The preferred method of gloving is__In changing during a case, this method___be used | Closed, Cannot
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| When a pt goes into hypovolemic shock in the OR, and immediate response would be | Restore fluid volume quickly
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| In which surgical wound classification would an appendectomy for ruptured appendix fall? | Contaminated
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| The malleus, incus, and stapes are located in the | Middle Ear
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| Protective goggles are worn during CO2laser surgery to | Prevent corneal damage
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| When gloving a surgeon | Keep the palm of the glove facing the surgeon
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| After hip surgery, immobilization is aided by the use of | Abduction pillow
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| The blue-green wavelength produced by a laser that is capable of treating retinal detachment,diabetic retinopathy, and macular neovascular lesion is | Argon
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| If the pt has a positive breast biopsy, and the surgeon proceeds to do a radical mastectomy | The pt is reprepped, and new drapes and instruments are used
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| At which artery is the blood pressure taken? | Brachial
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| The action of white blood cells is to | Destroy bacteria
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| The function of the endocrine glands is to | Produce hormones
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| Oxygenated blood is returned to the left atrium of the heart from the lungs via the | Pulmonary vein
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| Bile is manufactured in the___and stored in the___ | Liver,Gallbladder
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| Entrapment of the____nerve is relieved by a carpal tunnel release | Median
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| When intraoperative cultures are obtained, each of the following is EXCEPT | **TIP OF SWAB IS PLACED ON BACK TABLE**,cultures should be refrigerated or sent to lab immediatly,circulator handles tube following appropriate precautions,cultures are obtained under sterile conditions
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| During vascular surgery, an arteriotomy is executed with a #11 blade and extended by use of a | Potts-Smith
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| Dehiscence is | Separation of layers of surgical wound
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| The first part of the small intestine is known as the | Duodenum
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| What organisms are likely to found in a surgical wond adjacent to a colostomy | Escherichia Coli
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| During a CPR effort, which drug is given to combat metabolic acidosis? | Sodium Bicarbonate
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| When inserting a Foley catheter, always | Check integrity of balloon by inflating it with the correct amount of sterile water prior to insertion
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| The proper setting for a tourniquet applied to the thigh is about | 350 mm Hg
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| Crushing a urinary calculus in the bladder through the urethra is called | Litholapaxy
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| The surgical procedure performed electively as a permanent method of sterilization is | Vasectomy
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| When doing a skin prep, which includes a draining sinus, the contaminated area is | Done last or separately
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| The portion of the stomach located at the approach to the small intestine is the | Pylorus
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| A commonly used diuretic is | Lasix
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| The normal bladder capacity is | 700-800 mL
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| Rectal surgery preparation is done | Surrounding area first, anus last
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| When changing a gown during a case, the____is(are)removed first,the____second, and a rescrub is____ | Gown,Gloves,Not necessary
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| Which piece of equipment is used to make a shin graft larger? | Mesh Dermatome
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| The item that provides internal drainage of an obstructed ureter is a(n) | Stent
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| A way to alleviate a resurgical pts anxiety is via | Preoperative visit
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| The kidneys are held in place by the | Renal fascia and fat
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| A culture and sensitivity is done to | Determine nature of organism and the susceptibility of that organism
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| Which of the following is considered the most effective agent for scrubbing? | PROVIDONE-IODINE
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| All of the following would be on the setup for an open thoracotomyEXCEPT | Alexanders periosteotome,Duval forceps,**JOSEPHS SAW**,Levsche knife
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| Transcutaneous electric nerve stimulation(TENS)would be utilized for | Urinary calculi
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| During basic femoral head fixation, the length and position of the implant is determined by the use of | Guide wire
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| Which of the following grafts is not a synthetic vascular graft? | Biologic vascular
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| Fingerlike projections at the end of the fallopian tubes are called | Fimbriae
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| All of the following are true of self-adhering plastic incision drapes EXCEPT | **SCRUBBED AREA MUST BE MOIST AT APPLICATION**,alcohol may be used after iodophor to hasted drying of skin,drape is smoothed away from incision,usual skin prep precedes its application
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| An abnormal deposition of collagen that occurs during the healing process is known as | KELOID
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| All of the following statements are true during deep vaginal procedures EXCEPT | Suction is part of the setup,sponges are secured on long forceps,vaginal packing may be inserted at case end,**COUNT IS ELIMINATED**
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| The gas introduced into the peritoneum during laparoscopy to create a pneumoperitoneum is | CARBON DIOXIDE
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| Crutchfield tongs produce skeletal traction to reduce fractures of the | CERVICAL SPINE
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| Which disease could be transmitted via blood transfusion? | HEP B
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| Staphylococcus is usually transmitted by | UPPER RESPIRATORY TRACT
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| A bacteria with a thick coat that protects it from temperature extremes or strong chemicals is a | SPORE
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| When a three-way Foley catheter is used, the third lumen is for | CONTINUOUS IRRIGATION
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| If a towel clip must be removed during a procedute | Discard it from the field and cover the area with another sterile drape
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| Constant monitoring of cardiac function, a requirement for vascular surgery is effected by the use of a | SWAN-GANZ
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| What procedure is accomplished to relieve myasthenia gravis? | THYMECTOMY
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| Which specimen would be placed in formalin? | TONSILS
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| Alegal wrong committed by one person involving injury to another person is called? | TORT
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| Scoliosis is surgically treated by the implantation of | HARRINGTON RODS
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| An intravenous agent used for anesthesia induction is | SODIUM PENTOTHAL
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| A prosthetic implant that requires nonadherence to tissue for the sake of creating normal flexion and extension is | NONCONSTRAINED
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| Unauthorized discussion of a pts surgery outside of the OR constitutes a lawsuit for | Invasion of privacy
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| When applying a sterile sheet on the pt | Protect the gloved hands by cuffing the end of the sheet over them
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| A chronic granulomatous inflammation of a meibomian gland in the eyelid is a(n) | CHALAZION
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| A drug given preoperatively that enables the liver to prouce clotting factors in blood is | VITAMIN K
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| When is a bowel technique necessary? | When a contaminated area of the intestinal tract is entered
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| A slowly progressive contracture of the palmar fascia is called | DUPUYTREN'S CONTRACTURE
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| If rubber suction tubing is to be reused | The lumen must be flushed with a detergent-disinfectant befor tubing is terminally sterilized
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| Who is responsible for the final count when reliefs have taken place during the case? | Scrub person andcirculator who do final count
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| Which of the following statements is a contraindication to intraocular lens(IOL) implant? | Children with congenital cataracts
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| Neo-Synephrine is | MYDRIATIC
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| The legal doctrine res ipsa loquitor applies to | Injuries sustained by the pt in the OR due to negligence
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| After a case is completed, the sterile team members | Discard gown,gloves,caps,masks,and shoe covers before leaving OR suite
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| Pilocarpine is used to | Constrict the pupil
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| a neuro headrest skull clamp is called | Mayfield skull clamp
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| A _______ is a mouth gag | Dingman
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| Specialized instruments for a cleft lip repair would include | Logan's bow
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| The comercial name for glutaraldehyde is | cydex
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| A 30 min, single use, sterilization system useful for endoscopes is | Steris
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| What is the shelf life of Cidex | between 14 and 28 days
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| Packages wrapped in musulin must have | four thicknesses
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| When using a pour solution | the contents must be used or discareded after the bottle is opened
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| What is the standard safety margin on package wrappers | 1 inch or more
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| The room temperature in the OR should be | between 68 and 76oF
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