General Flashcards

1
Q

What are the different zones in OT zoning?

A

4 zones

1) protective zone
2) clean zone
3) aseptic zone
4) disposal zone

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2
Q

What all things are there in protective zone?

A

1)changing rooms
2)icu and nicu
3)pre and post operative rooms
And transfer bay

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3
Q

Things included in clean zone?

A

It’s a zone connecting the protective to the aseptic zone
includes
1) equipment store rooms
2)maintenance and workshop

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4
Q

What is aseptic zone

A

OT

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5
Q

Surgeries performed in supine position

A

Majority of abdominal surgery

Breast surgery

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6
Q

Surgeries performed in lithotomy position

A

Gynaecological positions
Fissures
TURP
urological procedure

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7
Q

Name the surgeries done in jack knife position

A

Fissure and haemorrhoids

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8
Q

Surgeries done in lateral position aka kidney position

A

Thoracotomy
Nephrectomy
Pilolithotomy

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9
Q

What position will u keep a patient for spine surgeries

A

Prone

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10
Q

What are the advantages of Fowler’s position

A

Relatively bloodless fields

Better exposure

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11
Q

Which position would you prefer for brain surgeries especially post cranial fossa sx

A

Fowler’s position

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12
Q

What is the position for thyroid surgery

How will you prepare it

A

Barking dog 🐕 or rose 🌹 position
It’s supine with towel roll placed below the shoulder blade
|
Neck extension and head is supported by head ring
|
30 degrees head elavation

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13
Q

What is the most common complication of lap cholecystectomy?

A

Right shoulder tip pain

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14
Q

Pelvic surgeries are performed in which position

A

Trendelenberg position (foot end up )

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15
Q

Which number blade is used to drain incision

A

No 11 aka stab blade

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16
Q

What number of blade is used to remove sutures

A

No 12

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17
Q

What part of bLade is used to make incision and how is it made

A

The belly of the blade is used
The blade should be perpendicular if tilted leads to bevelled edges
The incision should Be made from away to near

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18
Q

True / false

The edges for skin should be everted while for bowel should be inverted

A

True

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19
Q

What type of suture has got the least cut through rate

A

Horizontal mattress suture

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20
Q

Which kind of suture helps in eversion of edges

A

Vertical mattress suture

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21
Q

If the depth of the wound is x cms at what distance should a bite be placed on either side of the wound ?

A

X cms

The distance between the 2 sutures =2X

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22
Q

What is the best suture material for subcuticular sutures what is the specialty of subcuticular sutures

A

Monocryl 3-0

They are cosmetically superior

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23
Q

What is an ideal place to hold a needle ?

A

1/3rd from the swaged end and 2/3rd from pointed end

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24
Q

Round body is used for which all structures

A
Round body is used for delicate structures 
Like 
Bowel and bladder 
CBD 
Ureter
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25
Q

Cutting or reverse cutting needle is used for ?

A

It is used for tougher structures like
Fascia
Skin
Sheath

26
Q

J shaped needle use

A

Vaginal surgery

27
Q

What kind of needle is used for eye surgery

A

1/4 circle needle

28
Q

What kind of needle is used for oral cavity

A

Compound curvature needles

29
Q

1/2 circle needles are used for ?

A

Git surgeries

30
Q

What are monofilaments?

A
Suture with single thread 
Eg 
Monocryl
Catgut
PDS
Nylon(ethylon)
31
Q

Which type of suture (monofilament/braided ) has more memory ?

A

Monofilament has more memory

32
Q

What do u understand by memory of a suture material?

A

It’s the ability to resist a knot

33
Q

What is the disadvantage of using braided suture material?

A

Higher wound infection rates

As the crevices can harbour the microorganisms

34
Q

Give examples of braided suture material

A

Vircryl

Silk

35
Q

What is the tensile strength of catgut ,chromic catgut,vicryl rapid

A

Catgut - 3-5 days
Chromic catgut - 7-9 days
Vicryl rapid - 7-9 days

36
Q

Give an example of absorbable natural suture material ?

A

Catgut (prepared from the submucosa of the gut of sheep )

Chromic catgut

37
Q

Mention an use of catgut ?

A

For subcutaneous sutures

38
Q

Give examples of absorbable synthetic suture material.

A

Monocryl
Vicryl
Barbed vicryl
Vicryl coated with antibiotic (triclosan )

39
Q

What is vicryl made of ?and what is it’s dissolution time?

A

Polygalactin

D.t=60-90 days

40
Q

Uses of vicryl ?and it’s size

A

Bowel and bladder 3.0(round body )
CBD 4.0(R.B)
Ureter 5.0(R.B)

41
Q

Advantage of vicryl rapid (9-1-0)

A

It dissolves faster
Dissolution time -(20-30) days
Tensile strength - (7-9 ) days

42
Q

What type of suture material is pds ?

A

It’s an absorbable synthetic suture material

D.T=180 days

43
Q

What are the uses of pds?

A

Tracheobronchial repair
CBD
Bowel and bladder
Ureter

44
Q

Give examples of non absorbable natural suture material ?

A

Silk

45
Q

Uses of silk

A
Skin closure (2.0/3.0)
Fixing drain(1.0)
2nd layer in bowel anastomoses (3.0)
46
Q

What is Jenkins theory of mass closure ?

A

If length of a wound in rectus sheath is x cms

The length of the suture material required will be 4x

47
Q

Give examples of non absorbable synthetic suture material

A

Prolene
Nylon(ethylon)
Polyester(ethibond)
Surgical steel

48
Q

Which suture material is used for aorta (vascular repair )

A

Prolene (2.0)

49
Q

What are the uses of prolene ?

A

Mesh repair
Vascular repair
Rectus sheath repair

50
Q

Which suture material is used for cataract

A

Ethylon 10.0

51
Q

Suture material used for nerve and tendon repair

A
Nerve repair ethylon 6.0
Tendon repair (4.0)/(5.0)
52
Q
Within how many days is the suture removed of 
1 scalp 
2 face 
3 abdomen 
4 thorax 
5 neck 
6 joint
A
Neck and Scalp (5-7 days )
Face 3 days 
Thorax (10-12 days )
Abdomen 12-14 days )
Joint -min 14 days
53
Q

Give examples of non absorbable natural suture material ?

A

Silk

53
Q

Uses of silk

A
Skin closure (2.0/3.0)
Fixing drain(1.0)
2nd layer in bowel anastomoses (3.0)
53
Q

What is Jenkins theory of mass closure ?

A

If length of a wound in rectus sheath is x cms

The length of the suture material required will be 4x

53
Q

Give examples of non absorbable synthetic suture material

A

Prolene
Nylon(ethylon)
Polyester(ethibond)
Surgical steel

53
Q

Which suture material is used for aorta (vascular repair )

A

Prolene (2.0)

53
Q

What are the uses of prolene ?

A

Mesh repair
Vascular repair
Rectus sheath repair

53
Q

Which suture material is used for cataract

A

Ethylon 10.0

54
Q

Suture material used for nerve and tendon repair

A
Nerve repair ethylon 6.0
Tendon repair (4.0)/(5.0)
55
Q
Within how many days is the suture removed of 
1 scalp 
2 face 
3 abdomen 
4 thorax 
5 neck 
6 joint
A
Neck and Scalp (5-7 days )
Face 3 days 
Thorax (10-12 days )
Abdomen 12-14 days )
Joint -min 14 days