#3 Flashcards
Which statement regarding instrument counts is CORRECT?
They should be counted while all still on back table
Where is a Swan-Ganz catheter placed?
pulmonary artery
Split-thickness skin grafts are used to cover which type of burned tissue?
denuded areas of 4rd degree burns
Chondroma, giant cell, and osteoma are:
benign neoplasms
What type of life-support treatment would be considered ultimately futile and its benefits far outweighed by the financial and emotional burden suffered by the family and health care system?
extraordinary
Which of the following statements is CORRECT regarding anatomical changes following pelvic exenteration?
colostomy will exit on the left and ileostomy on the right side of the abdomen
Which of the following structures is NOT part of the anatomy of the vulva?
cervix
The physical or chemical process by which all living microorganisms, including spores, are killed is:
sterilization
The hepatic and splenic flexures are located proximally and distally in which part of the large intestine?
transverse
What is another name for the innominate artery?
brachiocephalic
What is the name of the structure that is a small depression containing only cones and has the highest visual acuity?
central fovea
Coral would be classified as what type of graft material?
xenograft
The part of the complete ESU circuit that delivers alternating current back from exposed tissue to the ESU generator is the:
patient return electrode (grounding pad)
Which towel is placed first when squaring off the operative site?
same side as person applying towels
In which of the following procedures would sutures most likely NOT be necessary?
extra capsular cataract extraction
Which one of the following is NOT one of the cardiac valves?
septal
What is the term for the process of removing necrotic tissue or eschar prior to skin grafting?
debridement
What are the serrations of DeBakey and Cooley vascular instruments considered to be?
atraumatic
The name of the condition created when pus is not cleared from the pleural cavity and makes a fibrous constrictive layer is:
empyema
Which procedure involves adjusting sutures after the patient has recovered completely from anesthesia, but within 24 hours?
recession/resection
During which crisis should a patients groin and armpits have ice applied?
Disseminated Intravascular Coagulation
Which suturing technique maintains the aortic and venous cannulae?
purse-string
Which diagnostic study is MOST useful for verification of thoracic aortic dissection?
CT scan
Cough syrups containing codeine would be placed in which classification of controlled substances?
Class V
The term C-arm refers to a(n):
fluoroscopic machine
What is done with the edge of the ilium that is brought out through the abdominal wall for stoma creation?
The edges are everted and affixed to the skin.
Weitlaner, O’Connor-O’Sullivan, and Balfour are examples of:
self-retaining retractors
Which of the following names represents an eye speculum that resembles an uncoiled metal paper clip?
Barraquer
Which of the following neurosurgical retractors has attachments for malleable brain spatulas and retractors?
Leyla-Yasargil
Which of the following thoracic procedures would require the patient to be put on cardiopulmonary bypass?
pulmonary thromboendarterectomy
Cryptorchidism is more commonly known as:
undescended testicles q
What is polymethyl methycrylate used for in orthopedic procedures?
bone cement
Which diagnostic study provides the most detailed information for surgical planning in AAA repair?
aortogram
Which sterilization method is most commonly used, safest, least expensive, and appropriate for the majority of surgical instruments?
saturated steam
Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele?
anterior colporrhaphy
In which procedure are the esophagus, carotid artery, and trachea retracted medially for access to the area of pathology?
anterior cervical diskectomy and fusion
Which department would provide services for repair of broken equipment or to do routine preventive checks?
maintenance and biomed
Which instrument is used in TURP or TURBT and includes the sheath, obturator, working element, and ESU loops?
resectoscope
Which of the following is NOT one of the three regions of a tooth?
socket
What does the adrenal medulla secrete?
catecholamines
Bifurcated drains and fluffy pressure dressings are used following mastectomy primarily to:
prevent formation of hematoma and seroma
Which muscle is incised in transverse abdominal approaches for gynecologic procedures?
anterior rectus
which instrument is used frequently in arthroscopies to examine and manipulate internal structures
blunt probe
Hallus valgus is a condition in which there is a turning outward from the midline found in the:
Great toe
In which procedure would the procerus and corrugator muscles be ablated, avulsed, resected, or separated?
endoscopic brow lift
What is the abbreviation for the sets of references that provide information about all potentially hazardous chemicals used in the perioperative setting and must be accessible to health care workers?
MSDS
What is a commonly used rib self-retaining retractor available in adult and pediatric sizes?
Finochietto
Which of the following legislative rulings requires medical facilities to inform patients of their rights to choose the types and extent of medical care available and their legal right to advance directives?
Patient Self-Determination Act
Which instrument is a rib shear?
Bethune
Which term describes a physician-group-owned hospital?
proprietary
Why are items disinfected or sterilized in activated glutaraldehyde dried prior to submersion?
moisture will eventually dilute the concentration to ineffective levels
Which of the following is a weighted vaginal speculum?
Auvard
Which handheld retractor is specifically designed for use in open cholecystectomy to elevate the liver?
Harrington
In normal blood gas ranges, arterial oxygen saturation should be at or near what percentage range of capacity?
96% to 100%
Why would two separate setups be required for an immediate reconstruction following mastectomy?
to prevent seeding of cancer cells if same instruments are used for both
Which type of laser has a wavelength that creates a bright blue-green visible light within a plasma tube?
argon
Which of the following is the mnemonic used to remember the steps for operating a fire extinguisher?
PASS
Aken, Chevron, McKeever, Keller, and McBride are techniques for which lower extremity procedure?
bunionectomy
The term adnexa refers to which gynecologic anatomical structures?
fallopian tubes, ovaries, and infundibulum
What is the name of the set of instruments used for anterior cervical diskectomy and fusion that includes retractors, spreaders, bone dowel cutters, impactors, and others?
Cloward
What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?
myomectomy
Where do most intracranial aneurysms occur?
arterial bifurcation
What color is the abnormal tissue after staining with acetic acid in a cervical biopsy?
white
Which of the following studies is a radiologic procedure in which contrast media is injected through a cystoscope?
retrograde urogram
When turning the sterile gown, what is handed to the circulator that completes the gowning process?
gown tab or card
In general, after what length of continuous pneumatic tourniquet use should the extremity be allowed to reperfuse before reinflating the tourniquet?
one hour
For which special patient population group would the help of a counselor or social worker who could communicate the current state of mind or mood of the patient to the OR staff be of benefit to all parties involved?
substance abuse
Which distention fluid is nonelectrolytic and will lyse malignant tumor cells because of cellular uptake?
water
Which of the following is NOT a compartment of the bony labyrinth of the inner ear?
sphenoid sinus
Which of the following pertains to a patient’s wishes about medical treatment and self-determination in the event of incapacitation or inability to communicate?
advanced directive
Which type of drug is used to treat possible postoperative nausea and vomiting?
antimetic
Which type of sterile drape is commonly used for oral and maxillofacial procedures?
u-drape
Which acute infection appears in bony air cells after approximately 10 to 14 days following an otitis media infection, and if untreated, it may result in meningitis or encephalitis?
mastoiditis
Which governmental agency has authority as outlined in the Safe Medical Device Act?
FDA
In which of the following abdominal incisions would the linea alba be opened down to the peritoneum?
median vertical
What does a mesh graft device do?
It expands the size of the skin graft.
Which patient condition might be characterized by physical appearance of flat nasal bridge and short neck with some impairment of cognitive ability and growth, slower speech, and an affectionate to clingy persona?
Down syndrome
Which of the following terms describes a life-threatening condition if not immediately treated?
heat stoke
Flank, Gibson, inguinal, and scrotal are examples of:
operative approaches
Which of the following diagnoses is currently used in most jurisdictions of the world to define a state of irreversible death?
whole brain death
Which teeth are located in the center front of the mouth?
incisors
Which anatomical structure is the largest mass of lymphatic tissue in the body?
spleen
The pinna, helix, crus, and tragus are all portions of the:
ear
Which organization would employees of the central sterile processing department likely join as members?
IAHCSMM
How long should a person performing disaster triage take to categorize patients for treatment?
1 minute or less
What is the name for the type of hernia in which both direct and indirect defects are present?
pantaloon
A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to:
immunosuppressed status
