Instrument & suture material quiz Flashcards

1
Q
A
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2
Q

What kind of grip is this

A

Penholder grip
- very stable
- good contact angle
- allows only short slide cuts

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3
Q

What kind of grip is this

A

Fingertip grip
- less stable
- flatter contact angle
- allows long slide cuts

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4
Q

What kind of grip is this

A

stab cut
- visceral puncture
- difficult to control depth

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5
Q

What kind of grip is

A

push cut
- large animal Sx only
- deep incision

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6
Q

What are these different scalpel blades and what is their purpose

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7
Q
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Name?
Littauer scissors

What am I used for?
Used for removal of tight/small or awkward sutures.

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8
Q
A

Name
Metzenbaum Scissors

How would you hold me?
Held in Tripod grip.
Thumb in one ring & third or ring finger in other ring.
1st & 2nd finger are used to stabilise instrument along blade.

What am I used for?
Good for fine dissection of tissues & more delicate work. Not for cutting suture material.

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9
Q
A

Name
Mayo Scissors

How would you hold me?
Held in tripod grip.
Thumb in one ring & third or ring finger in other ring.
1st & 2nd finger used to stabilise instrument along blade.

What am I used for?
for cutting heavy/tough tissue, such as fascia.

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10
Q
A

Name
Dressing scissors

How would you hold me?
Held in tripod grip.
Thumb in one ring & third or ring finger in other ring.
1st & 2nd finger used to stabilise instrument along blade.

What am I used for?
cutting dressing material & general work.
cutting suture material during surgery.

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11
Q

What instruments do you need for haemostasis

A

artery forceps
swabs
suction
electro-coagulation (Surgical diathermy)

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12
Q
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13
Q

What is the use of artery forceps when they’re curved down?

A
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14
Q

What is the use of artery forceps when they’re curved up?

A
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15
Q

What is the blue line on swabs for?

A

Raytex markers
- Important for cavity surgery….
- Blue line is radiodense.

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16
Q

What are these?

A

Laparotomy sponges
Larger in size
Can be used for packing the abdomen
Tabs attached to help pull out
Radio dense tab inserted

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20
Q
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What is my name?
Treves tissue forceps.

What am I used for?
General purpose rat toothed forceps.
Used in general surgery.
Traumatic to tissues.

21
Q
A

What am I called?
Allis tissue forceps

What am I used for?
Use for grasping and retracting more tough connective tissue for example the linea alba. They can be traumatic so not to be used on skin.

22
Q
A

What is my name?
Babcock Forceps

What would I be used for?
For use in grasping more delicate viscera and retracting.
Less traumatic than Allis tissue forceps.

23
Q

What is palming good for?

A

allows handling of other instruments or tissues at the same time

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32
Q

How do you decide which suture material to use?

A

You need to think about:
- type of tissue you are repairing & nature of wound
- how long it needs support for
- characteristics of suture material
- size of suture material
- type of needle – cutting or atraumatic
- what is available in the practice
- preference or what you are used to using

33
Q

How do you decide what size suture material to use?

A

Smallest size of suture material that provides adequate support

Rule of thumb:
- 3 metric for dogs
- 2 metric for cats
- delicate tissue - reduce by 1 size
- tough tissue - increase by 1 size

34
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35
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36
Q

What other methods of skin closure are available?

A

Skin staples- quick & easy to apply, requires special instrument to remove staples

Tissue adhesive - useful in rabbits & other small animals as it is more acceptable to them instead of skin sutures