Midterm Review

Question 1

What is the name is the instrument part located between the boxlock and finger rings?

Answer 1

Shank

Question 2

A ratchet mechanism that holds an instrument in a closed position is called the ___.

Answer 2

Box lock

Question 3

A McPherson ___ lid speculum is used to retract the eyelids.

Answer 3

Self-retaining

Question 4

A ___ is used to cut and extract tissue and is distinguished by having a spring-loaded hinge.

Answer 4

Rongeur

Question 5

The Babcock clamp is a non-occlusive, delicate clamp used to manipulate the intestines and ___ organs.

Answer 5

Reproductive

Question 6

Most ___ are power driven electrically or pneumatically with compressed air or nitrogen.

Answer 6

Saws

Question 7

The ___, which has a T tip with fine serrations at the tip, often is used to clamp or grasp adipose tissue.

Answer 7

Allis clamp

Question 8

___ are available in many widths and sizes that fit a particular specialty.

Answer 8

Chisels

Question 9

The center hinge screw of the ___ can become worn with time.

Answer 9

Scissors

Question 10

___ is a method that imparts color and hardness to the surface of titanium.

Answer 10

Titanium anodizing

Question 11

The ___ is a small cup with a sharpened, serrated, or smooth rim at the end of the handle.

Answer 11

Curette

Question 12

A(n) ___ is used to remodel bone.

Answer 12

Rasp

Question 13

Sterile instruments and supplies are loaded onto the ___ before surgery and transported to the surgical suite.

Answer 13

Case cart

Question 14

___ items must be sterile. These items enter sterile tissue or the vascular system.

Answer 14

Critical

Question 15

The phrase flash sterilization has been replaced by ___ sterilization, in which unwrapped surgical equipment is sterilized by a high-vacuum steam sterilization method just before use.

Answer 15

Immediate-use steam sterilization-IUSS

Question 16

___ is used to sterilize objects that cannot tolerate the heat, moisture, and pressure of steam sterilization.

Answer 16

Ethylene oxide

Question 17

The temperature of the gas directly affects the penetration of items in the chamber. Operating temperatures range from ___ for a “cold” cycle and ___ for a “warm” cycle.

Answer 17

85 degrees F to 100 degrees F and 130 degrees F to 145 degrees F

Question 18

A ___ is a paper strip or specially treated tape that changes color when exposed to a specific temperature.

Answer 18

Chemical indicator

Question 19

The Spaulding classification of reprocessing instruments and patient materials assigns three risk levels based on the specific region of the body where the device will be used. These levels are critical, semi critical, and ___.

Answer 19

Noncritical

Question 20

Which class includes indicators that are the most exacting and accurate of all indicators and that react to all critical values over a specified range in the sterilization process?

Answer 20

5

Question 21

Which class includes indicators that respond to only one critical parameter with an exact value?

Answer 21

3

Question 22

Class ___ indicators are used for internal pack control of each cycle run, not for the overall performance of the sterilizer for all cycles.

Answer 22

6

Question 23

Class ___ indicators measure parameters. Examples include the Bowie-Dick and daily air-removal tests for the presence of pure air (no steam) in the sterilization chamber.

Answer 23

2

Question 24

Class ___ is represented by multivariable indicators that react to two or more parameters. An example is internal chemical indicators printed on a paper strip.

Answer 24

4

Question 25

There are three distinct phases in all types of steam sterilizers, ___ is when air is removed from the chamber and replaced with steam.

Answer 25

Conditioning

Question 26

Two types of steam sterilizers are used in the clinical setting:

Answer 26

Gravity displacement and dynamic

Question 27

The important factor to remember about ___ is that they do not indicate sterility, only that certain conditions for sterility have been met.

Answer 27

Indicators

Question 28

Once the abdominal cavity is opened, the sponges that are passed:

Answer 28

Should be laparotomy
Can be raytecs if mounted on a ring forceps

Question 29

The medical term describing the surgical repair of a hernia is:

Answer 29

Herniorrhaphy

Question 30

One indication for gallbladder removal is inflammation. The medical term for inflammation of the gallbladder is:

Answer 30

Cholecystitis

Question 31

All of the following are other names for the Mixter forceps EXCEPT:

Answer 31

Kocher

Question 32

All of the following instruments are used for hemostasis EXCEPT:

Answer 32

Allis

Question 33

All of the following are suction tips EXCEPT:

Answer 33

Parker

Question 34

Which of the following instruments uses low-temperature cavitation to coagulate and divide tissues?

Answer 34

Harmonic scalpel

Question 35

Which of the following tissue forceps is the most commonly used in all specialties?

Answer 35

DeBakey

Question 36

Which scissors are commonly used to incise the uterus without harming the fetus during a C-section?

Answer 36

Lister

Question 37

The vast majority of instruments are manufactured from which of the following?

Answer 37

Stainless steel

Question 38

Gold plating on an instrument would signify which of the following?

Answer 38

Tugsten carbide

Question 39

Heavy instruments:

Answer 39

Should be placed at the bottom of the pan.

Question 40

Powered instruments may be powered by all of the following EXCEPT:

Answer 40

water

Question 41

An instrument used to compress vessels and other tubular structures would fall into which of the following categories?

Answer 41

Clamping and occluding