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
2
Q
what is a common prep for ophthalmic
A
betadine
3
Q
which instrument? used to retract skin, comes in double and single pronged
A
joseph skin hook
4
Q
Which instrument? scissors with a small hole used to pass suture or disect
A
littler scissors
5
Q
which instrument? used to evacuate small quantities of accumulated fluids and always comes with stylet to unclog
A
frazier suction top
6
Q
what instrument is typically used to deliver bone wax to the surgeon?
A
freer periosteal elevator
7
Q
which forceps are angled and typically used as dressing forceps in cosmetics?
A
bayonet forceps
8
Q
what is the snellen test
A
visual acuity test, the eye chart
9
Q
what does a visual field exam test
A
peripheral vision
10
Q
what is ophthalmoscopy?
A
looking at optic disc with a light source
11
Q
what is tonometry
A
checks intra-ocular pressure by checking the resistance of the cornea
12
Q
what is gonioscopy
A
measures the angle of the anterior chamber for glaucoma
13
Q
what does a muscle function/ coordination test look at?
A
cranial nerves and symmetry of motion
14
Q
what does fluorescein diagnose
A
corneal epithelium defects
15
Q
what do you view the eye with after using fluorescein
A
cobalt blue light
16
Q
should you shave eyebrows?
A
never
17
Q
what prep should you not use with eyes?
A
chlorhexidine
18
Q
what kind of drape can be used to isolate the eyes?
A
aperture or eye drapes
19
Q
what instrument is used to evert the eyelid?
A
chalazion clamp
20
Q
which retractor is used to hold eyelids open? looks wirey
A
barraquer eye speculum
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
22
Q
what is used to measure small distances on the eye
A
caliper or castroviejo caliper
23
Q
what does a tuning fork test
A
patients initial level of hearing
24
Q
what is audiometry
A
a machine that emits different tones and volumes
25
what is otoscopy
a handheld, lighted instrument to look inside ear
26
what is electronystagmogram (ENG)
tests the balance mechanism in the inner ear. rapid eye movements will occur to indicate funtioning
27
what is a tympanogram
measures the vibrations of the eardrum by placing a probe against the tympanic membrane
28
what is balance testing?
tests stance, gait, and balance for signs of vertigo
29
what is auditory brainstem response?
tests to measure brainstems response to stimuli as it relates to the ear
30
where is the prep focused for ear surgery?
ear canal and behind the ear
31
what instrument opens the ear canal for exposure of the tympanic membrane?
ear speculum
32
what removes bone, wax and other tissue from the ear?
buck ear curette, AKA ring curette
33
what removes bone from the ear canal and middle ear and is double ended?
house ear curette
34
what is used to manipulate tissue in the middle ear. often used to help seat myringotomy tubes
rosen pick
35
what is used to cut tissue in the ear canal and middle ear. often used to create a tympanic flap
sickle knife
36
which knife has a distinct bend in the handle and used to cut into the tympanic membrane?
myringotomy knife
37
which scissors are use to cut tissue in the middle ear?
bellucci scissors
38
which forcep removes tissue and issicles from the middle ear? the tips have cups on the end
bellucci microcup forcep
39
which forcep is used to manipulate and remove tissue from the ear canal and middle ear?
alligator forceps
40
what suction tips are common is ear surgery?
baron suction tip
41
what is needed when using otologic drill with burrs?
constant irrigation
42
what is the pineapple burr used for in ear surgeru?
cutting and drilling of bones
43
what are diamond burrs used for in ear surgery?
control bone bleeding during drilling of mastoid cells
44
what is the typical dressing for ear surgery?
Glasscock (cotton ball, 4x4, place fluffs over ear, kling around,
45
what instrument looks like a wiety but with hinged jaws? used in throat procedures
thyroid beckman
46
with retactor is normally used in the neck area?
green retractor
47
what clamp is used to grab the thyroid or a goiter during a neck surgery?
goiter or lahey clamp
48
What retractor is typical for retracting the tongue down
weider tongue depresser (clover)
49
What instrument is this? side one retracts the soft palate and the other dissects tonsil tissue
hurd pillar
50
with mouth retractor has a blade suspended from the mayo
mcivor mouth gag
51
what instrument is used to remove adenoid tissue using a scraping motion
barnhill adenoid curette
52
what instrument is used in conjunction with a wire loop
lewis tonsil snare
53
what knife is used to cut nasal tissue such as turbinates and can rotates 360 degrees
swivel knife
54
what scissor is angled and used to cut nasal issue and cartilage
cottle angled scissors
55
what instrument is used to remove periosteum from nasal cartilage. it has one rounded end and one tear shaped
cottle septal elevator
56
what instrument looks similar to a pituitary rongeur but is shorter?
takahashi
57
with instrument is used to manipulate the tonsil (2 names)
schidt or tonsil hemostat
58
what is used to grasp and hold tonsil tissue for removaal?
curved allis forceps
59
what is used to view inside the nose
vienna nasal speculum
60
what is used to tap a nasal chisel to break the septum
light mallet
61
what are tonsil sponges used for and what do they look like
used to control bleeding and looks like a cotton ball
62
what is used to help catch anything that may fall down the throat?
throat pack
63
what is enucleation
removing the eyeball
64
what is evisceration
removal of inside contents, scleral shell is left
65
what does a fluorescein angiograph show?
blood flow to retina
66
what prep do you NOT use
chlorhexidine
67
what kind of suture for tagging eye muscles to help retract
silk
68
what eye muscles get sutured the the implant
rectus
69
what suture may be used to close eyelid if preffered
nylon
70
what instrument sits on top of the implant in the eye
conformer
71
what is used to place the eye implant
sphere introducer
72
where is the first incision made in the eye
the limbus, where iris meets whites
73
after incising the limbus what do you do?
remove pupil and clean out its contents
74
after removing the pupil what do you do
muscles are cut and tagged
75
what is cut last in enucleation
optic nerve
76
what is made specifically to cut the optic nerve
enucleation scissors
77
what should you cut the optic nerve closest to
scleral shell
78
before cutting the optic nerve what do you do
hold with hemostat for 60 seconds for hemostasis
79
what is glaucome
increase of pressure in eye
80
which kind of glaucoma is most common
wide (open) angle
81
What are cataracts
clouding of lens, lens gets hard
82
what is affected in macular degeneration?
central vision
83
7 bones of the orbit
```
frontal
zygomatic
maxilla
ethmoid
sphenoid
lacrimal
palatine
```
84
what is used to remove the lens
phacoemulsification machine
85
what knife may be used to incise the cornea
beaver knife
86
what holds the anterior chamber of the eye open during a procedure
viscoelastic agent
87
what is used to insert a new lens in the eye
lens folding forcep
88
what kind of eye drop is used to constrict the pupil
miotic
89
what does an irrdectomy do
increase flow between anterior and posterior chamber of eye, decreases pressure
90
what is a keratoplasty
corneal transplant
91
what is used to hold the donor cornea in the transplant
trephine block
92
what 2 kinds of dressings are used after corneal transplant
pressure dressing and globe shield
93
whats unique about a 12 blade
its hooked
94
whats a queen anne dressing
4x4s open and folded in half, put around neck in an x. tape over the 4x4s
95
what is a glasscock dressing
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
what is a myringotomy
placing of tubes
97
what is used to insert tubes
belucci graspers
98
what is a tympanoplasty
reconstruction of the ossicles
99
what incision is made in a tympanoplasty
post auricle
100
what procedure removed the stapes and places a prosthetic hook
stapedectomy
101
what is the difference between a tracheOTOMY and tracheOSTOMY
otomy is creation of a permanent hole
102
where is a trach put in
2 fingerbreadths above jugular notch
103
what is pericondular material dissected with
peanuts
104
what do you stab and then cut the trach with
11 blade, curved mayos
105
what may be used to pull the trach up
tracheal hook
106
what is crucial after a trach surgery
put the obtruator on the chart
107
how many areas is the neck separated into?
6
108
what is a glossectomy
removal of tongue
109
what is used to manipulate in a glossectomy
perf towel clip
110
what can be used as a bone graft in a mandibulectomy
fibula
111
why is a laryngectomy normally done
cancer
112
in a parotidectomy what needs to be watched for?
the facial nerve, which is located between the superficial and deep parts of the parotid
113
where is the incision for parotidectomy
pre auricular
114
what does FESS stand for
functional endoscopic sinus surgery
115
what are the silver balls that communicate with the camera lenses to make 3D images
fiducials
116
what is a tubinectomy
removal of nasal tubines
117
what is choanal atresia
naso and oropharynx do not connect
118
what "dressing" is used what choanal atresia is fixed
nasal stents
119
what dressing is used with a sepatoplasty
KISS
120
what does KISS stand for
kennedy intra septal sponge
121
what is unique about KISS
it expands when wet
122
what is the splint that goes on top of the nose
denver splint
123
what is nasal antrostomy treating and what is done
treats chronix sinus infections, hole made in maxilla or nose for drainage
124
what are polyps
overgrowth of mucosa
125
what 2 tonsils do we have
palatine and pharyngeal
126
where are the palatine tonsils
masses at each edge of soft palate to base of tongue
127
where are pharyngeal tonsils
posterior wall of nasopharynx
128
what are pharyngeal tonsils also called
adenoids
129
what is used to retract the soft palate
red rubber catheter
130
what is UP3
reconstruction of uvula and soft palate
131
what does UP3 treat most often
sleep apnea
132
what does the superior thyroid connect to
cricoid and thyroid cartilages
133
whats the most common reason for thyroidectomy
cancer
134
what scalpel may be used in a thyroidectomy
harmonic
135
what may be used to close the skin in a thyroidectomy
dermabond, histacryl, steri strips
136
what muscle is incised in a thyroidectomy
platysma
137
what dressing may be used in a thyroidectomy
queen annes
138
what goes with patient to the PACU
tracheotomy tray
139
how long is recovery for thyroidectomy
2-4 weeks
140
what is the biggest complication after a thyroidectomy
hemorrhage
