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QUIZ Ch. 10 - Instrumentation, Equipment, and Supplies > QUIZ Ch. 10 - Instrumentation, Equipment, and Supplies > Flashcards

QUIZ Ch. 10 - Instrumentation, Equipment, and Supplies Flashcards

1
Q

The #12 blade is used almost exclusively for which surgical procedure?

a.
arthroscopy

b.
craniotomy

c.
tonsillectomy

d.
laparotomy

A

c.
tonsillectomy

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2
Q

All of the following are examples of types of movement of powered surgical instruments EXCEPT:

a.
rotary

b.
oscillating

c.
reciprocating

d.
operating

A

d.
operating

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3
Q

One-layer dressings are used on large draining wounds to facilitate frequent dressing changes.

True
False

A

False

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4
Q

A drain dressing is cut into which letter shape to accommodate the drain tube exiting the patient’s body?

a.
Y

b.
T

c.
V

d.
X

A

a.
Y

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5
Q

Which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines in a laparotomy?

a.
Baron

b.
Poole

c.
Yankauer

d.
Frazier

A

b.
Poole

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6
Q

What is the minimum number of suction systems or units required in an operating room?

a.
four

b.
three

c.
one

d.
two

A

d.
two

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7
Q

The choice of wound dressing is dependent upon all of the following EXCEPT:

a.
ambulatory status of the patient post-op

b.
location of the incision or wound

c.
type and amount of drainage expected

d.
condition of the incision/wound upon closure

A

a.
ambulatory status of the patient post-op

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8
Q

In general, after what length of continuous pneumatic tourniquet use should the extremity be allowed to reperfuse before reinflating the tourniquet?

a.
two hours

b.
90 minutes

c.
30 minutes

d.
one hour

A

d.
one hour

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9
Q

Which scissors are often called “suture scissors” and are typically straight and relatively blunt tipped?

a.
Castroviejo

b.
Westcott

c.
Jorgenson

d.
Mayo

A

d.
Mayo

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10
Q

The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called:

a.
Ray-Tecs

b.
Kitners

c.
Cottonoids

d.
laps

A

c.
Cottonoids

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11
Q

During laparoscopic procedures where carbon dioxide gas is used for insufflation, the intra-abdominal pressure in the average healthy adult patient is kept at:

a.
15-20 mm Hg

b.
8 -10 mm Hg

c.
12-15 mm Hg

d.
10-12 mm Hg

A

c.
12-15 mm Hg

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12
Q

Which of the following drains works by passive action?

a.
Jackson-Pratt

b.
Penrose

c.
Hemovac

d.
Stryker

A

b.
Penrose

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13
Q

Into which classification of dressings would body and Minerva jackets and walking and spica casts fall?

a.
pressure

b.
one-layer

c.
bulky

d.
rigid

A

d.
rigid

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14
Q

Weitlaner, O’Connor-O’Sullivan, and Balfour are examples of:

a.
bone-holding forceps

b.
self-retaining retractors

c.
noncrushing clamps

d.
handheld retractors

A

b.
self-retaining retractors

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15
Q

Syringes can be made of plastic, glass, metal, rubber, or a combination of any of these.

True
False

A

True

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16
Q

How are Ray-Tec sponges used during laparotomy procedures when the peritoneum is open?

a.
They should be mounted on a ring forceps as “sponge sticks.”

b.
They should be opened to full length.

c.
They cannot be used at all.

d.
They should have rings attached to them.

A

a.
They should be mounted on a ring forceps as “sponge sticks.”

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17
Q

Bougie, Heaney, Hegar, and Van Buren are types of:

a.
dissectors

b.
drains

c.
dilators

d.
dressings

A

c.
dilators

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18
Q

All of the following are varieties of draping materials EXCEPT:

a.
aluminum coated

b.
latex sheeting

c.
polyester bonded with cellulose

d.
plastic adhesive

A

b.
latex sheeting

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19
Q

Op-site, collodion, adhesive gels, and Steri-strips are examples of which type of surgical dressing?

a.
three-layer

b.
pressure

c.
one-layer

d.
rigid

A

c.
one-layer

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20
Q

What type of surgical specialty rooms would be most likely equipped with three or four overhead operating lights?

a.
open heart

b.
urology and cystoscopy

c.
bariatrics

d.
plastic reconstructive

A

a.
open heart

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21
Q

What is the term for the tread or tape sewn into a countable sponge that makes it visible on x-rays to prevent a retained item?

a.
radiofrequency

b.
radiopaque

c.
radiographic

d.
radiolucent

A

b.
radiopaque

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22
Q

By what action does a “cigarette” drain remove fluid from a wound?

a.
capillary

b.
suction

c.
active

d.
wicking

A

d.
wicking

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23
Q

Which type of urinary drainage catheter requires an incision and anchoring to the skin to prevent dislodgement?

a.
red Robinson

b.
Foley

c.
Coude´

d.
suprapubic

A

d.
suprapubic

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24
Q

Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning.

True
False

A

True

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25
Q

Which fine, pointed-tip scalpel blade could be used to incise a blood vessel or create a stab wound for drain placement?

a.
#20

b.
#10

c.
#12

d.
#11

A

d.
#11

26
Q

GI, chest, and airway are types of:

a.
catheters

b.
drains

c.
instruments

d.
tubes

A

d.
tubes

27
Q

What is the geometric shape usually achieved by the placement of the first layer of sterile surgical drapes?

a.
rectangle

b.
triangle

c.
circle

d.
square

A

d.
square

28
Q

Normal saline, antibiotic, and Dakin’s solution are used to facilitate mechanical debridement in which type of dressing?

a.
perineal

b.
pressure

c.
wet-to-dry

d.
bolster

A

c.
wet-to-dry

29
Q

A patient with a major abdominal wound requiring frequent dressing changes might have which type of binding layer to prevent excoriation of the skin by constant removal of adhesive tape?

a.
Minerva jacket

b.
Queen Anne collar

c.
bolster

d.
Montgomery straps

A

d.
Montgomery straps

30
Q

Which type of surgical device provides a bloodless surgical field by way of extremity compression?

a.
sequential compression device

b.
suction system

c.
phaco-emulsifier

d.
pneumatic tournique

A

d.
pneumatic tournique

31
Q

Which of the following self-retaining retractors does NOT require attachment to the OR table?

a.
Bookwalter

b.
Balfour

c.
Greenburg

d.
Thompson

A

b.
Balfour

32
Q

Penrose drains are active drains that are connected to a reservoir called a J-P bulb or “grenade.”

True
False

A

False

33
Q

Kerlix fluffs, ABD pads, and plain 4 x 4 gauze sponges are examples of which part of a three-layer dressing?

a.
permeable contact layer

b.
binding outer layer

c.
occlusive contact layer

d.
absorbent intermediate layer

A

d.
absorbent intermediate layer

34
Q

What is the name of the paired parts of a hemostat that span between the box lock and the finger rings?

a.
ratchets

b.
tips

c.
jaws

d.
shanks

A

d.
shanks

35
Q

What is the term for the blood products donated by another person?

a.
homeostasis

b.
homologous

c.
hemostatic

d.
hemolytic

A

b.
homologous

36
Q

Which type of endoscope would be appropriate for examination of the renal pelvis via a natural body orifice?

a.
rigid sigmoidoscope

b.
flexible ureteroscope

c.
rigid hysteroscope

d.
flexible colonoscope

A

b.
flexible ureteroscope

37
Q

Which suction tip is indicated for use in the nasopharynx and often called a “tonsil” or “oral” suction?

a.
Adson

b.
Frazier

c.
Yankauer

d.
Poole

A

c.
Yankauer

38
Q

Which type of surgical drape is designed to expose small anatomical structures such as the eyes and ears?

a.
aperture

b.
nonfenestrated

c.
stockinette

d.
incise

A

a.
aperture

39
Q

Which of the following catheters is used to drain the kidney and is placed with the aid of a cystoscope?

a.
ureteral

b.
Pezzer

c.
Malecot

d.
Foley

A

a.
ureteral

40
Q

Which type of syringe has no calibrations?

a.
bulb/ear

b.
Asepto

c.
Luer-Slip

d.
Luer-Lok

A

a.
bulb/ear

41
Q

Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument?

a.
scissors

b.
retractors

c.
tissue forceps

d.
hemostats

A

a.
scissors

42
Q

Which of the following is NOT a source of power for surgical powered instruments?

a.
direct current

b.
solar

c.
alternating current

d.
nitrogen

A

b.
solar

43
Q

Which type of surgical supply does NOT come with an option for being impregnated with iodine or other antimicrobial agent?

a.
radiopaque surgical sponges

b.
occlusive contact dressing

c.
gauze packing strips

d.
incise drapes

A

a.
radiopaque surgical sponges

44
Q

The three lumens of a three-way Foley catheter are used for balloon inflation, urinary drainage, and:

a.
extraction of calculi

b.
continuous irrigation

c.
insufflation of carbon dioxide

d.
decompression of the urethr

A

b.
continuous irrigation

45
Q

Which scalpel handle would accommodate a #20 disposable knife blade?

a.
#7

b.
#4

c.
#9

d.
#3

A

b.
#4

46
Q

Which device is used unsterilely in surgery for deep vein thrombosis (DVT) prophylaxis?

a.
intravascular catheter

b.
sequential compression device

c.
pneumatic tourniquet

d.
nerve stimulator

A

c.
pneumatic tourniquet

47
Q

What do Broviac and Hickman catheters do?

a.
decompress the bladder

b.
instill contrast media into the biliary system

c.
monitor central venous pressure changes

d.
provide access for peritoneal dialysis

A

c.
monitor central venous pressure changes

48
Q

Which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration?

a.
retracting and exposing

b.
grasping and holding

c.
dilating and probing

d.
cutting and dissecting

A

b.
grasping and holding

49
Q

Which part of the operating microscope is most proximal to the target tissue?

a.
beam splitter

b.
hand controls

c.
ocular lenses

d.
objective lens

A

d.
objective lens

50
Q

What is the technical name for a clamp?

a.
compressor

b.
hemostat

c.
stabilizer

d.
forceps

A

b.
hemostat

51
Q

Which type of instrument often has a tungsten carbide insert and crosshatch serrations for stabilization?

a.
vascular clamp

b.
pneumatic drill

c.
needle holder

d.
handheld retractor

A

c.
needle holder

51
Q

Which of the following types of surgical sponges are prepackaged in units of five?

a.
laparotomy

b.
Ray-Tecs

c.
Cottonoids

d.
dissecting

A

a.
laparotomy

52
Q

When passing suture to the surgeon, the next step should be to pass straight Mayo scissors to the assistant.

True
False

A

True

53
Q

What term describes an instrument, such as a retractor or uterine probe, that can be bent or modified to accommodate for variances in anatomy?

a.
shapable

b.
malleable

c.
changeable

d.
alterable

A

b.
malleable

54
Q

Which type of instrument alloy is lightweight, durable, and nonmagnetizing?
a.
tungsten carbide

b.
titanium

c.
chromium

d.
stainless steel

A

b.
titanium

55
Q

Why must chest tubes be attached to a water-seal drainage system?

a.
to add weight to the drainage device to keep it upright

b.
to keep the microbial count in the drainage from reentering

c.
to keep air from reentering thoracic space to reestablish negative pressure for respiration

d.
to keep the pleural cavity humid

A

c.
to keep air from reentering thoracic space to reestablish negative pressure for respiration

56
Q

What is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps?
a.
striations

b.
suppressions

c.
serrations

d.
secretions

A

c.
serrations

57
Q

In medical terminology, which suffix indicates an instrument as a cutting device?

a.
-scope

b.
-graph

c.
-tome

d.
-orrhaphy

A

c.
-tome

58
Q

Which device can be used sterilely by an ENT or neurosurgeon or unsterilely by an anesthesia provider to determine location, function, or conduction of certain anatomical structures?

a.
phaco-emulsifier

b.
cryotherapy unit

c.
bayonet ESU bipolar forceps

d.
nerve stimulator

A

d.
nerve stimulator

59
Q

What is the term for the opening in a surgical drape that is placed over the operative site?

a.
orifice

b.
slot

c.
fenestration

d.
window

A

c.
fenestration

60
Q

The joint of a hemostat where one half of the instrument passes through the other is called the:

a.
jaw

b.
ratchets

c.
box lock

d.
articulation

A

c.
box lock

QUIZ Ch. 10 - Instrumentation, Equipment, and Supplies (1 decks)

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