Fundamentals Flashcards

1
Q

Traffic patterns in the surgery department are designed to:

A

Aid in preventing surgical site infections

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2
Q

What is the principal goals of suctioning blood and body fluids from the wound

A

Improve wound visibility

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3
Q

Characteristics of drape material

A

Flame-retardant

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4
Q

Principal goal of the SFA during the surgical procedure

A

Provide exposure

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5
Q

Patients at risk for developing a latex sensitivity

A

Child with spina bifida

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6
Q

What should be confirmed before administration of any blood product

A

Date of expiration

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7
Q

Minimum number of air exchange in the OR

A

15 times an hr with 3 exchanges of fresh air

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8
Q

If the SFA places the operative patient’s well-being above all other factors, then the SFA is said to have a strong

A

Surgical conscience

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9
Q

Seepage of skin preparation solution under a patient may result in

A

Chemical burns

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10
Q

The frozen section examination provides the surgeon with a

A

Quick preliminary diagnosis

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11
Q

When assisting the surgeon with the draping where should the SFA stand in relation to the surgeon

A

On the opposite side of the OR table from the surgeon

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12
Q

Studies show that the lowest infection rates have been obtained in surgical cases where patient body hair was

A

Not removed

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13
Q

A hemodynamic complication in the patient could be caused by

A

Myocardial ischemia

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14
Q

Infants are at risk of losing body heat quickly due to their

A

Thin layer of subcutaneous brown fat for insulation

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15
Q

Heat loss from the body occurs by

A

Radiation
Evaporation
Conduction

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16
Q

The earliest sign of MH

A

Increase in end-tidal CO2

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17
Q

Intraoperative fluid and electrolyte imbalance are affected by

A

Blood loos
Fluid shifts and replacement

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18
Q

Vitamin D deficiency can lead to

A

Hypocalcemia

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19
Q

Acid based imbalances reflect

A

Hypoxia, hypothermia and hypovolemia

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20
Q

Platelet concentration is often transfused during the immediate preoperative period for the purpose of

A

Preserving clotting ability

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21
Q

Hemolytic reactions caused by ABO incompatibility are most often caused by

A

Antibodies to the donor foreign proteins

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22
Q

The correct arm placement when positioning a patient supine arms extended on armboard is

A

Armboards extended less than 90 degrees with palms facing up

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23
Q

The force of integumentary injuries that results from the skin remaining stationary while the underlying tissues shift is known as

A

Shearing

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24
Q

What is a potential physiological response when lowering a patient’s legs from the lithotomy position

A

Hypotension

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25
The correct range for the pneumatic tourniquet pressure on an average adult for an upper extremity
250-300 mmHg
26
The setting of the pneumatic tourniquet pressure on an average adult for a lower extremity should be
Higher than the systolic pressure by one-half of the value
27
The most common skin cancer
Basal cell carcinoma
28
In the event that a child needs an emergency procedure and the parents cannot be located to sign the permission
Permission is signed by two consulting physicians
29
The principle of personal liability
Holds everyone legally responsible for their own negligent acts
30
Carcinoma in situ is a malignant neoplasm that has not
Extended beyond the basement membrane
31
The blood component administered to patients with a clotting problem is
Platelets
32
What refers to a civil wrong committed against a person or property, not including a breach of contract
Tort
33
What is the normal value of the BUN for adults
7-18mg/dl
34
The specific gravity of a normal urine sample
1.015-1.025
35
Could sustain an injury to the pudendal nerves
Positioned on the fracture table
36
An imperforation or closure of a normal opening is called:
Atresia
37
A lower oblique incision
Inguinal
38
Normal adult male range for RBC
4.2-6.1
39
The normal adult range of WBC
5,000-10,000
40
Normal adult range for sodium
136-145 mEq/L
41
Normal adult range for potassium
3.5-5.5 mEq/L
42
What type of blood components is the most common source of bacterial infection in a transfusion
Platelets
43
The doctrine of respondeat superior refers to
Employer liability for employee's negligent conduct
44
The legal doctrine that mandates every professional to carry out his/her duties according to national standards of care practiced throughout the country
Doctrine of reasonable man
45
Liability is a legal rule that
Holds each individual responsible for his/her own actions
46
What is a result of potassium imbalance
Cardiac arrhythmias
47
Bradycardia is what type of response
Vagal
48
The normal pH of urine
4.6-8.0
49
A white count of 14,000 indicates
An infection
50
When an immediate confirmation of malignancy is needed, the specimen will be sent to pathology for
Frozen section
51
A method to protect tissue from the CO2 laser is to cover the area with
Wet towels
52
Mechanical, thermal, and chemical are appropriate mechanism to achieve
Hemostasis
53
Significantly decreased volume of circulating blood or plasma in the body may cause the patient to go into
Hypovolemic shock
54
The purpose of hemostasis is to
Prevent blood loss
55
Body fluids and laser plume are what type of hazards
Biological
56
What is the most common change in vital signs that is associated with early hypovolemic shock
Tachycardia
57
Measure to treat atelectasis
Pain control and early ambulation
58
What is the most appropriate device to prevent skin pressure ulcers and deep tissue injury in the OR
Gel Pads
59
What nerve can be injured if the legs are improperly flexed at the hip in the lithotomy position
Obturator
60
Drains are typically passed to the exterior through
Adjacent stab wound incision
61
What dressing is used when moderate to heavy fluid drainage is expected
Three-layer
62
In the lateral chest position, a sandbag or padding is placed under the chest at the axillary level to
Prevent pressure on the lower arm
63
Chvostek's sign can indicate
Hypocalcemia
64
The proper placement of the legs for a patient in the lateral position
Lower leg flexed, upper leg straight
65
Ulnar nerve damage could result from
Placement of an elbow on unpadded table
66
What patients are at the greatest risk for fluid volume deficit
Trauma victim with extensive burns of the body
67
Correct position for placing the needle in the needle holder
1/3 distance from the eye
68
Suture material which is prone to cause inflammatory reactions
catgut
69
Antimicrobial agent used in coated polyglactin
Triclosan
70
Suturing technique useful when the wound is narrow but deep
Buried Horizontal Mattress Suture
71
Identify Suturing Technique
Horizontal Mattress
72
Identify Suturing Technique
Vertical Mattress
73
Suturing technique used to re-create anatomical structures that are naturally inverted
Lembert Suture
74
Complication of steep reverse Trendelenburg position
DVT (Deep vein thrombosis)