Cavity Treatment and Vessel Raising

Question 1

Why is cavity treatment necessary?

Answer 1

To stop the decomposition of non-disinfected matter, purge, odors, and an acceleration of putrefactive changes in the body

Question 2

Which area are you hitting by following these directions: direct the trocar point toward a point one-fourth of the distance from the right anterior-superior iliac spine to the pubic symphysis; keep point of trocar well up near abdominal wall until within four inches of right anterior-superior iliac spine; then dip point two inches and insert it forward into colon.

Answer 2

Cecum

Question 3

What kind of cut should be made through the skin to access the superficial fascia?

Answer 3

Shallow

Question 4

Which of the following is NOT a material to be aspirated?

Answer 4

Solids

Question 5

Cavity treatment helps fulfil which embalming objective?

Answer 5

Disinfection and Preservation

Question 6

You have a lower chance of nicking a superficial vein if you use the scalpel to penetrate deep into the fascia.

Answer 6

False

Question 7

Longer pieces of ligature allow for easier organization during the injection.

Answer 7

True

Question 8

Name the Upper Row of the nine region plan from right to left:

Answer 8

Right hypochondriac, epigastric, left hypochondriac

Question 9

Your trocar guide will always have a reference of what?

Answer 9

Two inches to the left and two inches superior to the umbilicus

Question 10

An embalmer should always be mindful of the deceased person’s potential attire when considering where to cut.

Answer 10

True

Question 11

Name the Lower Row of the nine region plan from right to left:

Answer 11

Right iliac, hypogastric, left iliac

Question 12

Anatomical guides you use to locate vessels?

Answer 12

a. Medial and posterior to the SCM
b. Medial to sartorius m.
c. Lateral to the tendon of flexor carpi radialis m.

Question 13

Removing as much fascia as possible without damaging the vessels will make ligation easier.

Answer 13

True

Question 14

You must RESIST the urge to use a scalpel as a blunt dissection instrument.

Answer 14

True

Question 15

Ligature is made out of what of the following?

Answer 15

a. Waxed-Cotton
b. Waxed-Nylon
c. Non waxed- Cotton

Question 16

Longer pieces of ligature provide less leverage for tightening around vessels at the conclusion of injection.

Answer 16

False

Question 17

Conditions necessitating cranial cavity treatment

Answer 17

a. Diseases of the brain
b. Cerebral hemorrhage
c. Gas within the cranium

Question 18

Two systems are used for designating portions of the abdomen, they are the:

Answer 18

4 and 9 region plan

Question 19

What is the most commonly utilized method of incision to open a vessel?

Answer 19

Transverse

Question 20

Name the Middle Row of the nine region plan from right to left:

Answer 20

Right lateral lumbar, umbilical, left lateral lumbar

Question 21

The separation and pushing aside of the superficial fascia surrounding blood vessels is the definition of what?

Answer 21

Blunt dissection

Question 22

The industry standard for ligature is a ____ twist.

Answer 22

5

Question 23

Which technique for instrument usage does NOT give the embalmer the ability to place tension on tissues to aid in blunt dissection?

Answer 23

Aneurysm needle and hook

Question 24

On a heavily-bearded man, in order to access the facial artery, you should completely shave the beard.

Answer 24

False

Question 25

Methods employed to incise

Answer 25

a. Bone separator b. Groove-handle of an instrument c. Scissors

Question 26

Methods of incision

Answer 26

a. Transverse b. Diagonal c. “T” incision d. Double “T” e. Wedge

Question 27

Always secure the line from embalming machine. Use hose holder to keep it level and off the floor.

Answer 27

True

Question 28

Theories of when cavity embalming should happen

Answer 28

a. Immediately after vascular injection to prevent gas formation and putrefication changes
b. An hour after vascular injection to allow arterial injection to take effect
c. A combination of the two

Question 29

Which area are you hitting by following these directions: direct trocar point toward the intersection of the fifth intercostal space and the left mid-axillary line; continue until the trocar enters the _________

Answer 29

Stomach

Question 30

Which area are you hitting by following these directions: direct trocar to intersection of median line and pubic bone, keeping it well up toward abdominal wall until it touches the bone; then withdraw about one-half inch, dip point slightly and enter into ___________

Answer 30

Bladder

Question 31

Which area are you hitting by following these directions: direct trocar point along a line from the left anterior superior iliac spine to the lobe of the right ear; keep point up against cavity wall until it has pierced diaphragm, then dip it downward and enter into the ________

Answer 31

Right side of heart

Question 32

Where should you enter the cranial cavity to aspirate?

Answer 32

Through the cribiform plate of the ethmoid bone

Question 33

Materials to be aspirated

Answer 33

• Gases
• Fluids
• Semi solids

Question 34

Conditions necessitating respiration

Answer 34

• Blood infection
• Advanced decomp
• Ascites
• Pulmonary infections
• Infectious diseases of abdominal organs and tissues
• Obese cases
• When gas formation causes abdominal distention or purge after embalming
• Prior to shipping
• Drowning

Question 35

What to do about purge prior to embalming

Answer 35

• Apply massage cream over lips, cheeks and neck
• Reduce gas pressures in abdomen by careful insertion of trocar