General (1-5)

Question 1

The 3 reliable methods of sterilization.

Answer 1

Steam under pressure (autoclave), dry heat, ethylene oxide gas

Question 2

For sterilizing telescoping instruments, plastic goods, rubber goods, sharp and delicate instruments, electrical cords, and sealed ampules…use this technique.

Answer 2

Ethylene oxide gas sterilization (good for heat sensitive things)

Question 3

How hot is an autoclave?

Answer 3

120 degrees C.

Question 4

What is dry heat sterilization?

Answer 4

Exposure to continuous dry heat at 170 degree C for an hour.

Question 5

A minimum of ____ min hand scrub before the first case is sufficient.

Answer 5

5 min

Question 6

Most attention should be paid to what part of the hands when washing?

Answer 6

Fingertips and NAILS

Question 7

How long should your hand scrub between cases be?

Answer 7

2 min at least

Question 8

Chlorhexidine and iodophors (are/are not) the most affective.

Answer 8

ARE the most affective.

Question 9

T/F Alcohol based hand antiseptics eliminate C. diff.

Answer 9

FALSE

Question 10

A pt presents to surgery for a procedure, you should use what to ensure all germs are killed in the area to be operated on?

Answer 10

Chlorhexidine Gluconate (hibi-clense)

Question 11

When should shaving of the area to operated on be performed?

Answer 11

Immediately before the procedure.

Question 12

Where should iodine not be used?

Answer 12

Perineum, genitals, face, irritated or delicate skin, or on a pt with a history of sensitivity. Use caution with kids (sensitive skin)

Question 13

T/F You should allow iodine to dry before draping.

Answer 13

TRUE

Question 14

What’s another option (other than iodine) for sensitive area?

Answer 14

Iodophor, chlorhexidine, benzalkonium

Question 15

Most common organisms responsible for cross contamination in the surgery setting

Answer 15

Staph A, pseudomonus A, E. coli, C. diff

Question 16

Most common surgical position for pts

Answer 16

Dorsal, supine

Question 17

What position would you put someone in who requires a vaginal or perineal approach?

Answer 17

Lithotomy

Question 18

Legs bent, head raised to 45 degrees

Answer 18

Fowler’s (sitting)

Question 19

What position would you place a pt in who was undergoing a sigmoidoscopy or a lumbar laminectomy?

Answer 19

Knee to chest

Question 20

What position is commonly used for gluteal and anorectal procedures?

Answer 20

Jackknife

Question 21

Position used when the head is lowered below the feet

Answer 21

Trendelenburg

Question 22

These little forceps are toothed and concentrate force on a very tiny area allowing more holding power but doing less damage to tissue

Answer 22

Adson tissue forceps

Question 23

If you don’t have a suture and you need to stop some bleeding…you could use a ____

Answer 23

Clamp

Question 24

T/F Silver handled scissors are used for cutting tissue

Answer 24

FALSE. The handle should be gold

Question 25

What style of hand held retractor has two different sized blades…one at each end?

Answer 25

Army/Navy retractors.

Question 26

A “Richardson” is a (small/large) retractor?

Answer 26

LARGE

Question 27

True electrosurgery is known as ____

Answer 27

BOVIE

Question 28

Sometimes referred to as an RF knife

Answer 28

BOVIE

Question 29

The most ubiquitous power source in surgery

Answer 29

BOVIE

Question 30

What would you use to stop the bleeding of a blood vessel?

Answer 30

Cautery (a clamp could also be used)