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ST > LP 1-4 > Flashcards

LP 1-4 Flashcards

1
Q

diagnostic scope

A

observation only

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2
Q

pennington clamp

A

grasp hemorrhoid

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3
Q

draping for hysterectomy

A

UBD
diagonal towels
litho/gyne sheet and leggings

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4
Q

heaney retractor

A

hold open side walls on hysterectomy

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5
Q

endocatch

A

enclose specimen

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6
Q

heaney clamp

A

clamp uterine ligaments and vessels

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7
Q

what should you provide to establish infra umbilical incision for lap procedure?

A

scalpel, forceps, electrocautery

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8
Q

ferguson moon rectal speculum/retractor

A

retract rectal tissue

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9
Q

reasons for gallbladder removal

A

cholecystitis
gallstones
cancer

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10
Q

skin hooks

A

retract skin edges

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11
Q

deep group

A

internal transverse abdominis muscle

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12
Q

what may the surgeon use to reinforce the floor of the inguinal canal?

A

mesh

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13
Q

hypaque

A

dye used during an operative cholangiogram

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14
Q

what structure passing through the inguinal canal must be protected when an inguinal hernia repair is performed for a female?

A

round ligament

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15
Q

pratt rectal speculum/retractor

A

retract rectal tissue

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16
Q

what should be done once the laparoscope is inserted?

A

examine the peritoneal cavity

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17
Q

why are legs lowered in a slow smooth movement?

A

to prevent severe hypotension

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18
Q

what is a verres needle used for?

A

establishment of orifice into abdominal for endoscopic entry

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19
Q

hegar dilators

A

dilate the cervix

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20
Q

rectocele

A

protrusion of the anterior rectal wall into the vagina

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21
Q

alligator forceps

A

grasp ear tubes

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22
Q

anesthesia for abdominal laparoscopy and why?

A

general, carbon dioxide irritates diaphragm so they need to be ventalated

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23
Q

reducible hernia

A

contents of sac can be returned to the normal intra abd position by manual manipulation

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24
Q

what is a vaginal hysterectomy?

A

removal of the uterus through an incision into the vaginal wall and pelvic cavity

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25
Q

endoscopic ligaclip appliers

A

occlude vessels or tubular structures

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26
Q

foerster ring forceps

A

hemostasis and visualization

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27
Q

how should a fiber optic ligh cord be handled?

A

don’t put on drapes, don’t kink

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28
Q

position for hernia surgery

A

supine

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29
Q

endoscopic suction/irrigator system

A

rinse surgical area and check for bleeding

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30
Q

jacobs chuck

A

attachment for drill bits

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31
Q

senns retractor

A

retract skin edges

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32
Q

factors that contribute to a direct inguinal hernia?

A

poor nutrition, age, COPD

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33
Q

oscillatting blade

A

cut/saw bone

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34
Q

verres needle

A

insufflation of abdomen

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35
Q

fiberoptic light cord

A

transports light to scope

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36
Q

umbilical hernia

A

abdominal wall defect occurring in the linea alba at the umbilical ring

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37
Q

what is attached to a telescope?

A

camera and fiberoptic light cord

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38
Q

fred

A

defog lens of laparoscope

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39
Q

largest internal organ in body

A

liver

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40
Q

arthroscopy pump

A

irrigation when scoping joints

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41
Q

what rubbed on telescope to prevent fogging?

A

FRED

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42
Q

endoprobe

A

move organs as needed

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43
Q

stevens tenotomy scissors

A

fine dissection

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44
Q

osteotomes

A

shave/cut bone

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45
Q

russian tissue forceps

A

grasp dense tissue

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46
Q

trocar

A

used to create working ports

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47
Q

what type of tissue is a hernia sac?

A

peritoneum

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48
Q

what is a hysterectomy contraindicated for?

A

large uterine tumor

pelvic malignancy

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49
Q

weitlander retractor

A

retracting

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50
Q

avuard vaginal speculum

A

posterior vaginal wall retraction

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51
Q

strangulated hernia

A

compromised or absent blood supply

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52
Q

plastic metz scissors

A

plastic procedures

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53
Q

endoscopic fan retractor

A

retract organs during a laparoscopic procedure

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54
Q

what happens after the cystic arty and duct are double clipped and divided?

A

gallbladder is removed from the hepatic bed

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55
Q

why would a vaginal hysterectomy be done?

A

benign disease or carcinoma of cervix, uterine prolapse

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56
Q

what gas is utilized for pneumoperitoneum?

A

carbon dioxide, readily available

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57
Q

disadvantages of MIS

A

longer operative time, more expensive

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58
Q

babcock forceps

A

grip

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59
Q

why is bladder drained for hysterectomy?

A

visualization and protect bladder from being knicked

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60
Q

operative scope

A

channeled for irrigating, suctioning

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61
Q

mallet

A

drive osteotomes

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62
Q

double action ronguer

A

bite off tissue

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63
Q

what is caused by weakening of the abdominal wall?

A

inguinal, femoral, incisional

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64
Q

why are SCD’s used for vaginal hysterectomy?

A

hemodynamic changes can occur with the lithomy position

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65
Q

taut cholangiocath

A

inject dye into cystic duct

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66
Q

cystic artery is exposed and ligated with what?

A

3 clips (1 proximal and 2 distal to the gallbladder)

67
Q

graves vaginal speculum

A

retract vaginal walls anterior and posterior

68
Q

incision for laparoscopic procedure

A

infra umbilical

69
Q

insufflator

A

used to expose area by insufflation with CO2 gas

70
Q

endoscopic cautery cord

A

connect cautery to ESu

71
Q

endoscopic l hook cautery

A

coagulation and dissection

72
Q

electrocautery for lap chole

A

remove the gallbladder from the liver

73
Q

necrosis of a portion of the intestine results in what type of hernia?

A

strangulated

74
Q

what may be punctured when introducing trocar blindly?

A

sm intestins, bladder

75
Q

used to retract the spermatic cord in the male

A

penrose drain

76
Q

single action ronguer

A

bite off tissue

77
Q

insufflator tubing

A

deliver co2 gas to insufflate abdomen

78
Q

heaney needle holder

A

suture after ligation of uterine ligaments, hysterectomy

79
Q

freer periosteal elevator

A

free soft tissue

80
Q

specimen with surgeon

A

ask if its okay to hand off

81
Q

where is light source located?

A

tower and off sterile field

82
Q

what is a hernia?

A

protusion of normal abd contents

83
Q

what can cystocele cause?

A

urinary incontinence

84
Q

what happens is abdominal pressure exceeds safe limits what may be the complications?

A

increase risk of pulmonary and circulatory complications

85
Q

endoscope

A

lighted telescopic instrument

86
Q

iris scissors

A

delicate dissection

87
Q

o sullivan o conner retractor

A

hold open abdominal incisions

88
Q

trocar/sheath

A

pass laparoscope and instrumentation into pelvic

89
Q

femoral ring

A

slightly lower than inguinal ring

90
Q

ballentine clamp

A

clamp uterine ligaments and vessels

91
Q

surgical prep for hysterectomy

A

umbilicus to mid thigh, groin and perineal area

92
Q

telescope

A

used to acquire image of abdominal cavity

93
Q

what is the hook scissors used for?

A

divide the cystic duct and artery

94
Q

instrument needed after cystic duct is exposed

A

clip applier

95
Q

briesky vaginal retractor

A

retract vaginal side walls

96
Q

what should you provide after the surgeon separates the spermatic cord?

A

dissecting scissors, penrose drain, forceps

97
Q

what is the CO2 hooked to?

A

verres needle or trocar/cannula

98
Q

what assists with trocar and cannula in cholecystectomy?

A

laparoscope

99
Q

saw with reciprocating blade

A

saw/remove bone

100
Q

complications associated with endoscopic procedures

A

gas embolism

circulatory problems

101
Q

key instrument used to expose cystic duct and artery

A

maryland dissector

102
Q

camera and cord

A

transmits image to monitor

103
Q

endoscopic maryland dissector

A

dissection of fine tissue

104
Q

where is the cervix located?

A

lower narrow end of uterus

105
Q

how does the pt end up for lap chole?

A

reverse trendelenburg

106
Q

cholangiogram set up

A

used to inject radiopaque dye when doing a cholangiogram

107
Q

hurd dissector

A

dissection blade

108
Q

safe intra abdominal pressure

A

14-16mm

109
Q

what instrument is used to clamp the ligaments for hysterectomy?

A

heaney clamp

110
Q

where is the gallbladder located?

A

RUQ

111
Q

anoscope

A

dilate anal canal

112
Q

direct hernia

A

through area of muscle weakness in the abdomen, is acquired

113
Q

incision for inguinal hernia

A

oblique

114
Q

MIS

A

eliminates the need to cut through tissue/muscle

115
Q

endoscopic procedures

A

hysteroscopy
cystoscopy
knee arthroscopy

116
Q

probe/groove director

A

following sinus or fistula tract

117
Q

key

A

used to tighten chuck attachments

118
Q

cystocele

A

bulging of the anterior vaginal wall beneath the floor of the bladder

119
Q

incisional hernia

A

occurs along the incision of a previous abdominal surgery

120
Q

endoscopic mets scissors

A

cut/ligate structures

121
Q

disposable instruments at end of surgery

A

need to be counted if the laparoscopy was successful

122
Q

where is the uterus located?

A

between the rectum and bladder

123
Q

ENT bovie/suction

A

remove adenoids

124
Q

pneumoperitoneum

A

presence of gas/air in the peritoneal cavity

125
Q

what should be passed after dissection of the gallbladder?

A

endoscopic alligator or claw forceps

126
Q

regnell/finger retractor

A

retract

127
Q

disadvantage of lap chole?

A

trauma to the liver when it is dissected from the gallbladder

128
Q

camera

A

visualization of anatomy, takes pictures

129
Q

anterior/posterior repair

A

posterior repair follows anterior

130
Q

why do legs need to padded with stirrups?

A

prevent saphenous nerve and vessel damage

131
Q

endoscopic grasping forceps

A

hold or stabilize organs

132
Q

wire driver

A

inserting pins, wires into bones

133
Q

bone currette

A

shape and scrape bone

134
Q

why is a glove used with a weighted speculum?

A

contain blood

135
Q

when should bowel instruments be variable for hernia surgery?

A

strangulated

136
Q

burrs

A

remove uneven or unwanted bones

137
Q

why is the verres needle injected with a syringe filled with saline?

A

to make sure you aren’t in any organs

138
Q

4 advantages of laparoscopic/endoscopic surgery

A

short hospital stay
decrease post op pain
less tissue damage
shorter recovery time

139
Q

ferris smith tissue forceps

A

grasp heavy tissue

140
Q

what structure passing through the inguinal canal must be protected when an inguinal hernia repair is performed for a male?

A

spermatic cord

141
Q

who is positioned on the patients left side during lap chole?

A

main surgeon

142
Q

robinson red rubber catheter

A

drain bladder

143
Q

nibbler

A

bite off tissue

144
Q

what can cause a direct inguinal hernia?

A

chronic cough, ascites, straining to void

145
Q

cystic duct

A

tubular canal that carries bile from gallbladder to common bile duct

146
Q

superficial group

A

external and internal oblique muscles

147
Q

bone rasp

A

used to smooth rough edges

148
Q

indirect hernia

A

viscera slides into inguinal canal at the deep inguinal ring

149
Q

ear tubes

A

allow equalization of pressure in ear

150
Q

Jacobs vulsellum forceps

A

grasp cervix

151
Q

single tooth tenaculum

A

grasp and manipulate tissue

152
Q

major supporting structure of the inguinal floor

A

transversalis fascia

153
Q

reciprocating blade

A

cut/saw bone

154
Q

ligaments for a vaginal hysterectomy and in order

A

uterosacral, cardinal, broad, round

155
Q

incarcerated hernia

A

herniated tissue that is trapped outside its normal location, tissue is still viable

156
Q

endoscopic spatula cautery

A

thermal coagulation of bleeders

157
Q

laparoscope

A

viewing of the abdominal organs

158
Q

endoscopic hook scissors

A

divide cystic artery and duct

159
Q

why is a cystocele repaired before a rectocele?

A

contamination

160
Q

irreducible hernia

A

contents of sac are trapped in an extra abd sac, and can’t be manually reduced

161
Q

endoscopic claw grasping forceps

A

penetrating hold and extraction of tissue

162
Q

puncture sites for lap chole

A

subxiphoid area and 2 in the right subcostal area

163
Q

layers of the uterus

A

outer peritoneal
myometrium
endometrium

164
Q

common laparoscopic surgeries

A

hernia repair, bowel resection

ST (35 decks)

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