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ST cert (whiteBook) chap 5

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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Question
Answer
Which cranial nerve is affected by trigeminal neuralgia   "V"  
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What is used to lubricate the donor site and reduce friction from dermatome?   Mineral oil  
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Which of the following is an example of proper sterile technique when performing the prep for a split-thickness skin graft?   Donor site first  
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What is the recommended range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic procedure?   12-15 mm hg  
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Which of these terms refers to the inability to direct both eyes at the same time.   Strabismus  
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What is used to retract the spermatic cord during an inguinal herniorraphy   Penrose drain  
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Whys is an indwelling Foley caterers placed prior to a hysterectomy?   To avoid bladder injury  
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Which scissor is the best choice for extending an arterial incision?   Potts-smith  
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Which of the following is used to stain the cervix for a Schiller's test?   Lugol's solution  
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Which of the following arises from the left ventricle of the heart?   Ascending aorta  
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What method is used to confirm that items have been exposed to the sterilization process, but sterility is not guaranteed   Chemical  
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Why would the hair of a patient undergoing craniotomy be bagged, labeled and saved?   It is pts. property  
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When preparing a double basin for sterilization, the   Basin should be separated by a porous, absorbent towels  
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Which structure, during a total hip arthroplasty, requires intramedullary reaming prior to placement of the prosthesis   Femoral canal  
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What is least the least restricted form of credentialing?   Registration  
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What drug classification is Demerol?   analgesic  
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What should be transported to the PACU with a patient who under went a thyroidectomy?   Tracheotomy tray  
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What is the abbreviation for Sodium Chloride   NaCl  
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Which organelle is responsible for packaging of proteins?   Golgi complex  
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Which procedure would utilize the instrument shown below   hemorrrhoidectomy  
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What tips of treatment does a patient authorize when signing a general consent form?   All routine treatment s or procedures  
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Which medication can be used as a tropical jelly during cystoscopy procedures?   Xylocaine  
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Which of the following is a primary postoperative complication of carotid Endarterectomy?   Stroke  
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When is it acceptable to open surgical dressing sponges?   After final count  
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What is the correct procedure to follow when a sterilized rigid instrument container is opened and condensation is observed?   Don't use return to Sterile Processing Department  
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Which method of sterilization requires an aeration cycle?   EtO  
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Elevated IOP in a glaucoma patient is a result of excess:   aqueous humor  
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Where should the grounding pad be placed on a patient undergoing a laparoscopic cholecystectomy who has a right prosthesis?   Left anterior thigh  
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The Trendelenburg position is often used for the surgery on the:   Lower abdomen and pelvis  
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The large artery that arises from the left side of the aortic arch and descends into the arm is the:   Subclavian  
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Lesions in which part of the brain may affect balance and coordination?   Cerebellum  
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What utilizes the process of cavitation?   Ultrasonic cleaner  
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What is the name for a dorsally angulated fracture of the dial radius   colles'  
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Which ligament is transected during surgery for De Quervain's disuses?   dorsal carpal  
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In order to minimize mucosal irritation during urinary cauterization, the tip of the caterers is dipped in which of the following?   k-y jelly  
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How often is a medication prescribed as QID to be taken per day?   4 times  
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What type of external dressing would be used to eliminated dead space   Pressure  
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In the prone position, patient are placed on chest rolls to prevent   Compromised ventilation  
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What position is used in a LAVH?   Lithotomy  
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a left subcostal incision would be used to expos the   spleen  
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Intraoperatively, Lidocaine and epiephine may be contraindicated in patients who are:   Hypertensive  
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What approach is used for the removal of a small acoustic neuroma that is located in the internal auditory canal?   Middle fossa  
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What must be obtained from a patient undergoing surgical procedures, fertility treatments, chemotherapy or experimental treatment   Special written consent  
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What drug is used to treat hypotension and shock   Levophed  
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What drug agent used to expand blood plasma volume is   Dextran  
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What does the term chole/ refer to?   Bile  
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When preparing instruments for sterilization, all the following are completed with the exception of:   Lining the tray with a nonwoven disposable wrapper  
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What is an initial incision for a abdominalplasty   Lower transverse  
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When preparing for a rhinoplasty, the exostosis in the nose is removed with a   Chisel  
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What type of sterilization required the use of the Bowie-Dick test?   Pre-vaccum steam  
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What is the first federal act to establish patient privacy standards?   Health insurance Portability and Accountability Act  
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What should the ST wear when transporting a patient with TB from PACU to the isolation patient room?   Surgical mask  
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How is the informed consent signed if a patient is illiterate?   pts. marks with an "X"  
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What agents should not be used to disinfect endoscopes   Isopropyl alcohol  
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What is used to expose the meatus during urethral catheterization?   non-dominate hand  
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What is the following is the second phase of wound healing   Proliferation  
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What muscle is commonly used for TRAM reconstruction is a mammoplasty?   Rectus Abdominis  
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The patient is never positioned until the:   Anesthesia provider gives permission  
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What term refers to cell "drinking"   Pinocytosis  
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What does hypertension mean?   High blood pressure  
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What type of fire extinguisher should be available wen using a laser   Halon  
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What is the major side affect of thrombolytics?   Hemorrhage  
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If a sterile glove becomes contaminated during a procedure, what action should the ST take?   Circulator pulls off the glove: regloves using open technique  
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What type of suture technique is used to invert the stump of the appendix during an appendectomy   purse string  
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What is the proper procedure for removing a laparotomy drape?   ST holds the dressing in place: rolls drape head to feet  
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Gerota's fascia is located:   Around the kidney  
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What activity can aggravate the symptoms of trigeminal neuralgia?   Chewing  
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What is the purpose of maintaining 20% to 60% relative humidity in the OR.   Decrease static electricity  
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What is the surgical instrument is used thread the drilled hole for the screw during an ORIF?   Tap  
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Which of the following pathology would be treated by transphenoidal hypophysectomy procedure?   Pituitary neoplasm  
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The muscles that cause strabismus are the   extrinsic  
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What is the minimum required number of people to transfer a patient from the OR table to the stretcher   4  
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When used as a skin prep, which of the following should be allowed to thoughly dry if eletrocautery will be used?   Alcohols and tinctures  
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Health care acquired infections are most commonly associated with:   use of urinary catheters  
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What is the technical term for robotic arms   manipulators  
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What procedures would the surgeon check for anastomotic leaks by injecting air into the rectum, looking for bubbles in the flied filled peritoneal cavity   low anterior resection  
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What are varicosities of the rectum and anus   Hemorrhoids  
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Vitamins A D E and K are absorbed in the   Intestines  
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The preoperative exsanguination of an extremity prior to inflating a tourniquet is accomplished with:   Esmarch  
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What vessels are harvested for the use of a CABG?   Internal mammary artery  
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What retractors would be used to retract the muscles during a hip pinning?   Bennett  
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The surgical re-anastomosis of the vas deferens is called a   Vasovasostomy  
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What type of laser is used to remove polymethyl methacrylate from a cemented joint implant during a revision arthroplasty   Carbon dioxide  
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Sound waves travel though the external auditory canal and strike the:   Tympanic membrane  
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In a large abdominal wounds that require frequent dressing changes, which of the following will minimize the skin break-down?   Montgomery straps  
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What position devices would be used for a LAVH   Allen Stirrups  
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The term mentoplasty refers to surgery of the   chin  
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What situation could cause a patient's signature on a surgical informed consent to be challenged in court   Patient received preoperative medications  
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What is the importance of humidity when using a EtO sterilization?   Hydrate spores and bacteria  
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What is the purpose of polymethyl methacrylate during a cranioplasty   filling cranioplasty defects  
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The appropriate location when placing the grounding pad is over a   Fleshy area  
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Which catheter is used for an angioplasty   Fogarty  
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A hernia that presents through Hesselbach's triangle is   direct  
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The medial malleolus is part of which bone   Tibia  
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What is preformed prior to implantation of a Dacron knit polyester graft?   Preclotting  
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What structure articulates with the head of the femur?   Acetabulum  
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An abnormal bending backward of the uterus is called   Retro flexion  
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What type of clip is a raney   Scalp  
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The cillary body is part of which layer of the eye?   Vascular  
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What drug is a miotic   Pilocarpine  
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Which of the following is a violation of Standard Precautions during postoperative case management?   Retrieve reusable trocar from the sharps container  
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What type of monitoring equipment is a noninvasive assessment of oxygen saturation of arterial blood?   pulse oximetry  
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How are femoral shaft fractures in an adult repaired?   Intramedullary nailing  
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What instruments would be used to dilate the male urethra?   Van Buren  
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To determine the process for preparing surgical instruments for use on tissue and within a body cavity, they are classified as   critical  
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The harrington retractor allows for gentle elevation of what anatomical structure   liver  
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What is the term for the division of a reproductive cell into two cells with chromosome cells   meiosis  
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What does the term dys- mean   difficult  
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After the patient is extubated, which device is often used to maintain the airway around the relaxed tongue   oropharyngeal airway  
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Which breast procedure describes a mastectomy   Surgical removal  
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What is done to the common bile duct during a choledochojejunostomy?   anastomosed  
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What procedures would a tourniquet be unnecessary?   hip arthroplasty  
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What anatomical sites would be prepped last when performing a skin prep for a colostomy reversal procedure   Stoma  
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What surgical procedure is preformed to relieve pressure on the median nerve?   Endoscopic carpal tunnel release  
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What is the proper procedure for turning the sterile gown?   Hand tag to circulator , circulator goes around gown  
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What does the term "os" mean   opening  
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What is not a function of the trachea   Amplify speech  
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What condition is characterized by the sudden onset of floating sots before the eyes?   Retinal detachment  
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One of the most effective germicidal for cold sterilization is   2% glutaraldehyde  
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From what laminectomy instrument would intervertebral disc fragments be cleaned   Pituitary  
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What type of suture is used for vascular re-anastomosis?   Absorbable monofilament  
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What molecule is broken down when body cells require energy?   ATP  
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What represents a saddle joint?   Thumb and trapezium  
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During an EtO sterilization cycle, humidity is maintained at   20-80%  
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An emergency drug given to stabilize ventricular fibrillation is   Isoproterenol  
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Creating a positive pressure air supply for each OR will   minimize airborne bacteria entering the room  
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Which is an acceptable antiseptic solution for a skin prep   Povidone-Iodine  
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During a total hip arthroplasty, which instrument is used after intramedullary reaming to reshape the proximal femoral canal   rasp  
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What assesses the electrical activity of the nervous system?   Electroencephalogram  
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130. The functional unit of the kidney responsible for removing waste and regulating fluid is the   Nephron  
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Which of the following is an intermediate-level disinfectant?   Isopropyl alcohol  
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Which vein of an infant patient is a central venous catheter inserted?   internal jugular  
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After the patient leave the OR, the reusable items should be taken to the decontamination room:   inside a closed case cart  
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A clamp used for occluding a peripheral vessel is:   Debakey  
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During a total hip arthroplasty, which type of device prevents polymethyl methacrylate from filling the medullary canal distal to the prosthesis   Restrictor  
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Which of the following is proper technique when applying a grounding pad?   Avoid placing pad on buttocks  
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Which of the following sutures are packaged is alcohol to maintain pliability?   Natural absorbable  
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What procedure should be followed for securing consent for surgery for an inconscious patient requiring emergency surgery whose family members or guardian cannot be contacted?   two consulting physicians agree  
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What gynecologic procedure includes removal of the reproductive organs, bladder and rectum?   Pelvic exoneration  
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Isopropl alcohol is bactericidal, which means it:   kills bacteria  
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Use of a one-step applicator with little or no pressure on skin would be indicated in what conditions?   Abdominal aortic aneurysm  
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A postoperative anesthesia complication when intubating a patient is:   laryngospasm  
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The process by which glucose is stored as glycogen is   Glycogenesis  
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The large, leaf-shaped laryngeal cartilage that acts as a "trap door" over the larynx is the:   Epiglottitis  
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Use of the Van Buran sounds might be necessary for urethral catheterization in patients with which of the following   Urethral stricture  
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The four fluid filled spaces of the brain are:   Ventricles  
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For which surgical procedure would bupivacaine with epinephrine be contraindication?   Trigger finger release  
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What term describes an individual who harbors a pathogen but displays no signs or symptoms?   Carrier  
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What procedure is performed before completing an ileal conduit?   Cystectomy  
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What is the recommended postoperative handling of reusable instruments used on a patient with Creutzfelt-Jacob disease?   Place in biohazard bad then destroy  
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In what anatomical structure would a T-tube most likely be placed?   Common bile duct  
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What type of procedure in performed to treat tumors of the pituitary gland?   Transphenoidal hypopysectomy  
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What would be an inappropriate manner for the handling of surgical specimen   Frozen specimen sent to lab on a raytec sponges  
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What instruments would be used during a suprapublic prostatectomy?   Bladder retractor  
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What is a type of non-retaining catheter?   whistle  
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Truescent solution is used in   Suction lipectomy  
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The walls of the vagina are lined with   Mucosa  
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What drug counteracts metabolic acidosis?   Sodium bicarbonate  
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What wound classification would be assigned to a compound fracture?   Contaminated  
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What type of dye is used intravenously to verify patency of the fallopian tubes during a pelvic procedure   Methylene blue  
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Pneumoperitoneum is utilized during a laparoscopy to do a:   Create a safe working space  
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What is required pressure for a steam sterilizer set as a temperature of 250 degrees?   15-17  
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What is the most commonly used thermal method of hemostasis a cranial neurosurgery?   Bipolar eletrocautery  
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A patient that has sudden onset of SOB in the PACIU may indicate:   Pulmonary embolism  
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A wrapped instrument set that will be run in the steam prevacuum sterilizer at 270 degrees must be sterilized for a minimum of:   4 mins  
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Which of the following sutures is a nonabsorbable monofilament frequently used in vascular procedure?   Polypropylene  
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Which of the following defines anaerobic?   Without Oxygen  
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What nerve of the lower leg must be protected from pressure when placing the patient in the lithotomy position?   Peroneal  
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Exophalmos due to Grave's disease is associated with what gland   Thyroid  
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Where should the Foley indwelling catheter drainage bag be positioned after insertion of the catheter?   Lower than the level of the bladder  
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The suture f the adult skull are examples of:   Synarthroses  
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A ventilation system that provides a unidirectional positive-pressure air flow at a high air exchange rate in the OR is:   Laminar air flow  
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Catabolism of fats produces:   Ketone bodies  
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What is the principle reason for performing a preoperative skin prep?   Remove transient flora and produce resident flora  
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What is the part of the brain that is responsible for controlling the body temperature?   Hypothalamus  
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the end    
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