Chapter 11- Assisting In Surgical Procedures Flashcards
The procedure that corrects the inversion of the lower eyelid is:
a) chalazion removal
b) ptosis correction
c) entropion repair
d) ectropion repair
D- ectropion repair
A sterile tray for a lacrimal evaluation might include:
a) lid speculum, punctal dilator, and lacrimal stint
b) clamp, needle holder, and curette
c) forceps, punctal dilator, curette, and lacrimal cannula
d) medicine glass, punctal dilator, syringe, and lacrimal cannula
D- medicine glass, punctual dilator, syringe and lacrimal cannula
A sterile tray for any growth removal will probably include:
a) lid speculum, forceps, curette, and suture material
b) scalpel, scissors, forceps, needle holder, and sutures
c) curette, chalazion clamp, forceps, and scalpel
d) probe, forceps, scissors, and needle holder
b) scalpel, scissors, forceps, needle holder, and sutures
All of the following can cause stains on surgical instruments except:
a) failure to rinse off detergents
b) residue from sutures
c) minerals in the water source
d) dried blood
B- residue from sutures
Which of the following is true regarding ultrasonic cleaners?
a) They effectively sterilize surgical instruments.
b) Scrub instruments before placing them in the unit.
c) Instruments should not touch while in the unit.
d) Glass cannot be placed in the unit.
C- instruments should not touch while in the unit
In which of the following refractive procedures is a corneal flap created and laser used to sculpt the underlying tissue?
a) intrastromal rings
b) radial keratotomy (RK)
c) laser-assisted in-situ keratomileusis (LASIK)
d) photorefractive keratectomy (PRK)
c) laser-assisted in-situ keratomileusis (LASIK)
Laser refractive surgery is performed with which type of laser?
a) argon
b) excimer
c) YAG
d) krypton
B- excimer
Which of the following allows the surgeon to customize laser refractive surgery during the procedure?
a) wavefront LASIK
b) aberration-free LASIK
c) LASIK IOLMaster (Carl Zeiss, Jena, Germany) software
d) LASIK corneal keratometry
A- wavefront LASIK
Postoperative instructions following LASIK surgery would include all of the following except:
a) do not bend over
b) shower from the neck down
c) wear a shield over the operated eye at bedtime
d) do not rub the eye
A- do not bend over
The sterile field is an area that is considered to be:
a) disinfected
b) free of chemicals
c) free of microbes
d) sanitized
C- free of microbes
The sterile field would include all of the following except:
a) sterile, gloved hands
b) eye drop bottles
c) the drape around the surgical site
d) the instrument tray
B- eye drop bottles
The basic function of any laser is:
a) tissue destruction
b) tissue sculpting
c) creation of an opening
d) to decrease pressure
A-tissue sculpting
The argon laser is commonly used in all of the following disease states except:
a) diabetic retinopathy
b) hypertensive retinopathy
c) cataract
d) glaucoma
C-cataract
In angle-closure glaucoma, a laser is used to create a(n):
a) iridotomy
b) peripheral iridectomy
c) sector iridectomy
d) iris ablation
A- iridotomy
Laser treatment of diabetics might include which of the following?
a) sealing blood vessels
b) opening blood vessels
c) preventing secondary glaucoma
d) preventing retinal detachment
A- sealing blood vessels
Panretinal photocoagulation might be used in the treatment of which of the following?
a) hypertensive retinopathy
b) retinal detachment
c) diabetic retinopathy
d) retinitis pigmentosa
C- diabetic retinopathy
Which of the following is a laser procedure that would be used to treat a specific area of the retina?
a) focal
b) panretinal
C) maculectomy
d) epiretinal
A-focal
The tray set-up for an intraocular injection would include all of the following except:
a) blunt-ended cannula
b) lid speculum
c) fine-toothed forceps
d) calipers
A- blunt-ended cannula
The prep for an intraocular injection involves:
a) vigorous scrubbing of the lids and lashes
b) use of povidone iodine directly on the ocular surface
c) retrobulbar anesthetic injection
d) instillation of miotic eye drops
B- use of providing iodine directly on the ocular surface
The actual intraocular injection takes about:
a) 5 seconds
b) 30 seconds
c) 60 seconds
d) 90 seconds
A- 5 seconds
As soon as the surgeon removes the needle from the eye following an intraocular injection, the assistant must immediately:
a) instill a miotic to reverse pupil dilation
b) check the intraocular pressure
c) apply a cotton-tipped applicator to the site
d) check the patient’s vision with a near card
C- apply a cotton-tipped applicator to the site
Which of the following is a common postoperative occurrence in a patient who has had an intraocular injection? a) floaters
b) hyphema
C) increasing pain
d) marked pressure sensation
A- floaters
The laser procedure to make a hole in the iris to prevent aqueous blockage is called:
a) sector iridectomy
b) peripheral iridectomy
c) iridotomy
d) trabeculectomy
C- iridotomy
The YAG laser might commonly be used for which of the following procedures?
a) Sealing a retinal hole.
b) Sealing a bleeding retinal blood vessel.
c) Opening the trabeculum in glaucoma.
d) Cutting through vitreous adhesions.
D- cutting through vitreous adhesions
The YAG laser is mainly used in which of the following ways?
a) photodisruption
b) photocoagulation
c) heat
d) ultraviolet radiation
A-photodisruption
All of the following are acceptable sterilizing procedures except:
a) boiling
b) moist heat (autoclave)
c) chemical disinfectants (germicides) d) infrared radiation
D- infrared radiation
Prior to sterilization, surgical instruments should be:
a) boiled in water
b) cleaned to remove blood and debris
c) soaked in chemical disinfectant
d) wrapped in linen
B- cleaned to remove blood and debris
Disadvantages of boiling to sterilize include all of the following except:
a) sharp instruments can be dulled
b) some instruments will rust
c) only saline solution should be used d) it may take several hours to kill certain spores
C- only saline solution should be used
The temperature and time required to sterilize instruments with dry heat is: a) 320° F for 60 minutes
b) 320° F for 30 minutes
c) 250° F for 15 minutes
d) 120° F for 60 minutes
A- 320 f for 60 minutes
The minimum time for instrument sterilization in a cold chemical bath is: a) 5 minutes
b) 20 minutes
c) 60 minutes
d) 90 minutes
B- 20 minutes
All of the following are commonly used for chemical sterilization except: a) phenol derivatives
b) ethyl alcohol 70%
c) formaldehyde
d) iodine
D- iodine
The surgical time-out is done:
a) as soon as the patient arrives
b) while the patient is being prepped c) right before the procedure begins
d) right after the procedure has been completed
C- right before the procedure begins
Site identification can be accomplished by all of the following except:
a) performing a surgical time-out
b) asking the patient to confirm
c) consulting the patient’s record
d) marking the skin with a wax pencil
D- marking the skin with a wax pencil
Your practice has installed an observation ocular to the existing laser unit. Which of the following is also necessary?
a) Proper focusing to better direct the laser beam.
b) A filter to prevent laser damage to the observer.
c) A second joystick for dual control.
d) A diffuser for general viewing.
B- a filter to prevent laser damage to the observer
Which of the following is not performed in the OR itself?
a) drying of scrubbed hands
b) donning gown
c) donning gloves
d) donning head cover
D- donning head cover
Which of the following regarding gowning is not true?
a) The gown may be tied by an unscrubbed person.
b) Gown cuffs are stretched over the glove cuffs.
c) The back of the sterile gown is considered unsterile.
d) The sterile gown below the sterile field is considered unsterile.
B- gown cuffs are stretched over the glove cuffs
How should members of the scrubbed surgical team move about the OR?
a) With their backs to the sterile field. b) Passing each other face-to-face.
c) Only the circulator may move around the OR.
d) No particular technique is needed.
C- only the circulator may move around the OR
The technique of using the cuffs of one’s sterile surgical gown to handle sterile gloves while putting them on is: a) no-touch technique
b) open gloving technique
c) closed gloving technique
d) assisted gloving technique
C- closed gloving technique
Which of the following is true regarding draping?
a) The entire drape is considered sterile.
b) A warm blanket may be placed on top of the body drape for patient comfort.
c) Only the circulator may drape the patient.
d) The skin prep is performed prior to draping.
D- the sling prep is performed prior to draping
Hemostasis refers to:
a) placing sutures
b) filtering blood flow
c) stopping blood flow
d) opening blood flow
C- stopping blood flow
A possible complication of a YAG capsulotomy laser procedure is:
a) loss of corneal endothelial cells
b) rise in intraocular pressure
c) decrease in vision
d) corneal scarring
B- rise in intraocular pressure
