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surgical procedures II > exam 1 > Flashcards

exam 1 Flashcards

1
Q

2 reasons cosmetic surgery might be done

A
  • patient was to change appearance

- doctor recommends bc of deformity or appearnce

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2
Q

what is a common prep for ophthalmic

A

betadine

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3
Q

which instrument? used to retract skin, comes in double and single pronged

A

joseph skin hook

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4
Q

Which instrument? scissors with a small hole used to pass suture or disect

A

littler scissors

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5
Q

which instrument? used to evacuate small quantities of accumulated fluids and always comes with stylet to unclog

A

frazier suction top

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6
Q

what instrument is typically used to deliver bone wax to the surgeon?

A

freer periosteal elevator

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7
Q

which forceps are angled and typically used as dressing forceps in cosmetics?

A

bayonet forceps

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8
Q

what is the snellen test

A

visual acuity test, the eye chart

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9
Q

what does a visual field exam test

A

peripheral vision

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10
Q

what is ophthalmoscopy?

A

looking at optic disc with a light source

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11
Q

what is tonometry

A

checks intra-ocular pressure by checking the resistance of the cornea

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12
Q

what is gonioscopy

A

measures the angle of the anterior chamber for glaucoma

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13
Q

what does a muscle function/ coordination test look at?

A

cranial nerves and symmetry of motion

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14
Q

what does fluorescein diagnose

A

corneal epithelium defects

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15
Q

what do you view the eye with after using fluorescein

A

cobalt blue light

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16
Q

should you shave eyebrows?

A

never

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17
Q

what prep should you not use with eyes?

A

chlorhexidine

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18
Q

what kind of drape can be used to isolate the eyes?

A

aperture or eye drapes

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19
Q

what instrument is used to evert the eyelid?

A

chalazion clamp

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20
Q

which retractor is used to hold eyelids open? looks wirey

A

barraquer eye speculum

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21
Q

what is used to lift muscles from around the eye and what makes this instrument unique

A

jameson muscle hook, has a ball at the end

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22
Q

what is used to measure small distances on the eye

A

caliper or castroviejo caliper

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23
Q

what does a tuning fork test

A

patients initial level of hearing

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24
Q

what is audiometry

A

a machine that emits different tones and volumes

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25
Q

what is otoscopy

A

a handheld, lighted instrument to look inside ear

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26
Q

what is electronystagmogram (ENG)

A

tests the balance mechanism in the inner ear. rapid eye movements will occur to indicate funtioning

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27
Q

what is a tympanogram

A

measures the vibrations of the eardrum by placing a probe against the tympanic membrane

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28
Q

what is balance testing?

A

tests stance, gait, and balance for signs of vertigo

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29
Q

what is auditory brainstem response?

A

tests to measure brainstems response to stimuli as it relates to the ear

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30
Q

where is the prep focused for ear surgery?

A

ear canal and behind the ear

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31
Q

what instrument opens the ear canal for exposure of the tympanic membrane?

A

ear speculum

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32
Q

what removes bone, wax and other tissue from the ear?

A

buck ear curette, AKA ring curette

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33
Q

what removes bone from the ear canal and middle ear and is double ended?

A

house ear curette

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34
Q

what is used to manipulate tissue in the middle ear. often used to help seat myringotomy tubes

A

rosen pick

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35
Q

what is used to cut tissue in the ear canal and middle ear. often used to create a tympanic flap

A

sickle knife

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36
Q

which knife has a distinct bend in the handle and used to cut into the tympanic membrane?

A

myringotomy knife

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37
Q

which scissors are use to cut tissue in the middle ear?

A

bellucci scissors

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38
Q

which forcep removes tissue and issicles from the middle ear? the tips have cups on the end

A

bellucci microcup forcep

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39
Q

which forcep is used to manipulate and remove tissue from the ear canal and middle ear?

A

alligator forceps

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40
Q

what suction tips are common is ear surgery?

A

baron suction tip

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41
Q

what is needed when using otologic drill with burrs?

A

constant irrigation

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42
Q

what is the pineapple burr used for in ear surgeru?

A

cutting and drilling of bones

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43
Q

what are diamond burrs used for in ear surgery?

A

control bone bleeding during drilling of mastoid cells

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44
Q

what is the typical dressing for ear surgery?

A

Glasscock (cotton ball, 4x4, place fluffs over ear, kling around,

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45
Q

what instrument looks like a wiety but with hinged jaws? used in throat procedures

A

thyroid beckman

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46
Q

with retactor is normally used in the neck area?

A

green retractor

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47
Q

what clamp is used to grab the thyroid or a goiter during a neck surgery?

A

goiter or lahey clamp

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48
Q

What retractor is typical for retracting the tongue down

A

weider tongue depresser (clover)

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49
Q

What instrument is this? side one retracts the soft palate and the other dissects tonsil tissue

A

hurd pillar

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50
Q

with mouth retractor has a blade suspended from the mayo

A

mcivor mouth gag

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51
Q

what instrument is used to remove adenoid tissue using a scraping motion

A

barnhill adenoid curette

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52
Q

what instrument is used in conjunction with a wire loop

A

lewis tonsil snare

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53
Q

what knife is used to cut nasal tissue such as turbinates and can rotates 360 degrees

A

swivel knife

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54
Q

what scissor is angled and used to cut nasal issue and cartilage

A

cottle angled scissors

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55
Q

what instrument is used to remove periosteum from nasal cartilage. it has one rounded end and one tear shaped

A

cottle septal elevator

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56
Q

what instrument looks similar to a pituitary rongeur but is shorter?

A

takahashi

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57
Q

with instrument is used to manipulate the tonsil (2 names)

A

schidt or tonsil hemostat

58
Q

what is used to grasp and hold tonsil tissue for removaal?

A

curved allis forceps

59
Q

what is used to view inside the nose

A

vienna nasal speculum

60
Q

what is used to tap a nasal chisel to break the septum

A

light mallet

61
Q

what are tonsil sponges used for and what do they look like

A

used to control bleeding and looks like a cotton ball

62
Q

what is used to help catch anything that may fall down the throat?

A

throat pack

63
Q

what is enucleation

A

removing the eyeball

64
Q

what is evisceration

A

removal of inside contents, scleral shell is left

65
Q

what does a fluorescein angiograph show?

A

blood flow to retina

66
Q

what prep do you NOT use

A

chlorhexidine

67
Q

what kind of suture for tagging eye muscles to help retract

A

silk

68
Q

what eye muscles get sutured the the implant

A

rectus

69
Q

what suture may be used to close eyelid if preffered

A

nylon

70
Q

what instrument sits on top of the implant in the eye

A

conformer

71
Q

what is used to place the eye implant

A

sphere introducer

72
Q

where is the first incision made in the eye

A

the limbus, where iris meets whites

73
Q

after incising the limbus what do you do?

A

remove pupil and clean out its contents

74
Q

after removing the pupil what do you do

A

muscles are cut and tagged

75
Q

what is cut last in enucleation

A

optic nerve

76
Q

what is made specifically to cut the optic nerve

A

enucleation scissors

77
Q

what should you cut the optic nerve closest to

A

scleral shell

78
Q

before cutting the optic nerve what do you do

A

hold with hemostat for 60 seconds for hemostasis

79
Q

what is glaucome

A

increase of pressure in eye

80
Q

which kind of glaucoma is most common

A

wide (open) angle

81
Q

What are cataracts

A

clouding of lens, lens gets hard

82
Q

what is affected in macular degeneration?

A

central vision

83
Q

7 bones of the orbit

A 
frontal
zygomatic
maxilla
ethmoid
sphenoid
lacrimal
palatine
84
Q

what is used to remove the lens

A

phacoemulsification machine

85
Q

what knife may be used to incise the cornea

A

beaver knife

86
Q

what holds the anterior chamber of the eye open during a procedure

A

viscoelastic agent

87
Q

what is used to insert a new lens in the eye

A

lens folding forcep

88
Q

what kind of eye drop is used to constrict the pupil

A

miotic

89
Q

what does an irrdectomy do

A

increase flow between anterior and posterior chamber of eye, decreases pressure

90
Q

what is a keratoplasty

A

corneal transplant

91
Q

what is used to hold the donor cornea in the transplant

A

trephine block

92
Q

what 2 kinds of dressings are used after corneal transplant

A

pressure dressing and globe shield

93
Q

whats unique about a 12 blade

A

its hooked

94
Q

whats a queen anne dressing

A

4x4s open and folded in half, put around neck in an x. tape over the 4x4s

95
Q

what is a glasscock dressing

A

cotton ball in ear, 4x4 cut in shape of c around back of ear. open 4x4s and fold all corners to center, take one last 4x4 and open it, put it around all the others poofs.

96
Q

what is a myringotomy

A

placing of tubes

97
Q

what is used to insert tubes

A

belucci graspers

98
Q

what is a tympanoplasty

A

reconstruction of the ossicles

99
Q

what incision is made in a tympanoplasty

A

post auricle

100
Q

what procedure removed the stapes and places a prosthetic hook

A

stapedectomy

101
Q

what is the difference between a tracheOTOMY and tracheOSTOMY

A

otomy is creation of a permanent hole

102
Q

where is a trach put in

A

2 fingerbreadths above jugular notch

103
Q

what is pericondular material dissected with

A

peanuts

104
Q

what do you stab and then cut the trach with

A

11 blade, curved mayos

105
Q

what may be used to pull the trach up

A

tracheal hook

106
Q

what is crucial after a trach surgery

A

put the obtruator on the chart

107
Q

how many areas is the neck separated into?

A

6

108
Q

what is a glossectomy

A

removal of tongue

109
Q

what is used to manipulate in a glossectomy

A

perf towel clip

110
Q

what can be used as a bone graft in a mandibulectomy

A

fibula

111
Q

why is a laryngectomy normally done

A

cancer

112
Q

in a parotidectomy what needs to be watched for?

A

the facial nerve, which is located between the superficial and deep parts of the parotid

113
Q

where is the incision for parotidectomy

A

pre auricular

114
Q

what does FESS stand for

A

functional endoscopic sinus surgery

115
Q

what are the silver balls that communicate with the camera lenses to make 3D images

A

fiducials

116
Q

what is a tubinectomy

A

removal of nasal tubines

117
Q

what is choanal atresia

A

naso and oropharynx do not connect

118
Q

what “dressing” is used what choanal atresia is fixed

A

nasal stents

119
Q

what dressing is used with a sepatoplasty

A

KISS

120
Q

what does KISS stand for

A

kennedy intra septal sponge

121
Q

what is unique about KISS

A

it expands when wet

122
Q

what is the splint that goes on top of the nose

A

denver splint

123
Q

what is nasal antrostomy treating and what is done

A

treats chronix sinus infections, hole made in maxilla or nose for drainage

124
Q

what are polyps

A

overgrowth of mucosa

125
Q

what 2 tonsils do we have

A

palatine and pharyngeal

126
Q

where are the palatine tonsils

A

masses at each edge of soft palate to base of tongue

127
Q

where are pharyngeal tonsils

A

posterior wall of nasopharynx

128
Q

what are pharyngeal tonsils also called

A

adenoids

129
Q

what is used to retract the soft palate

A

red rubber catheter

130
Q

what is UP3

A

reconstruction of uvula and soft palate

131
Q

what does UP3 treat most often

A

sleep apnea

132
Q

what does the superior thyroid connect to

A

cricoid and thyroid cartilages

133
Q

whats the most common reason for thyroidectomy

A

cancer

134
Q

what scalpel may be used in a thyroidectomy

A

harmonic

135
Q

what may be used to close the skin in a thyroidectomy

A

dermabond, histacryl, steri strips

136
Q

what muscle is incised in a thyroidectomy

A

platysma

137
Q

what dressing may be used in a thyroidectomy

A

queen annes

138
Q

what goes with patient to the PACU

A

tracheotomy tray

139
Q

how long is recovery for thyroidectomy

A

2-4 weeks

140
Q

what is the biggest complication after a thyroidectomy

A

hemorrhage

surgical procedures II (3 decks)

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