Revision Question Bank Flashcards
Prolene is a trade name for; A)polyamide B)polydioxanone C)polypropylene D)polyglycolic acid
C)polypropylene
The largest diameter suture material from the following list; A)8.0 B)1.5metric C)3.5metric D)6.0
C)3.5metric
Dexon is; A)natural and multifilament B)synthetic and multifilament C)synthetic and monofilament D)natural and monofilament
B)synthetic and multifilament
PDS is a trade name for; A)polyproplene B)polydioxanone C)polyamide D)polyglycolic acid
B)polydioxanone
A suitable disinfectant for mucous membranes is; A)0.05% chlorhexidine surgical scrub B)0.05% chlorhexidine gluconate solution C)5% dextrose saline D)5% povidone iodine surgical scrub
D)5% povidone iodine surgical scrub
Prolene is; A)natural and monofilament B)synthetic and multifilament C)synthetic and monofilament D)natural and multifilament
C)synthetic and monofilament
A suitable skin disinfectant is; A)peroxygen compound B)chlorhexidine C)hypochlorite D)phenol
B)chlorexidine
Surgical instruments should be cleaned with; A)bleach B)soap C)a neutral enzymatic cleaner D)chlorhexidine surgical scrub
C)a neutral enzymatic cleaner
Plain catgut will be absorbed in approximately; A)14days B)3-7days C)21days D)40days
B)3-7days
The solution which is best for treating wounds is; A)hydrogen peroxide B)10% povidone iodine C)0.9%saline D)darkin’s solution
C)0.9% saline
An ideal suture material should have all the following characteristics expect; A)how low memory B)be absorbed by phagocytosis C)be monofilament D)show high initial tensile strength
B)be absorbed by phagocytosis
Battery-operated drills can be sterilised by; A)autoclave B)ethylene oxide C)chemical solutions D)hot air ovens
B)ethylene oxide
Catgut; A)synthetic and monofilament B)synthetic and multifilament C)natural and multifilament D)natural and monofilament
C)natural and multifilament
A swaged on needle;
A)is one where the suture is secured to the needle
B)can be reused
C)is one which causes greater tissue trauma
D)is one where the suture needs to be threaded at the time of surgery
A)is one where the suture is secured to the needle
Silk is; A)Multifilament and non-absorbable B)Monofilament and non-absorbable C)Monofilament and absorbable D)Multifilament and absorbable
A)multifilament and non absorbable
A cutting needle should be used for; A)skin B)repairing drapes C)delicate tissues D)viscera
A)skin
Prolene; A)monofilament and absorbable B)multifilament and non-absorbable C)multifilament and absorbable D)monofilament and non absorbable
D)monofilament and non-absorbable
An example of a non-absorbable suture material is; A)polyglyconate B)polyamide C)polyglactin 910 D)polydioxanone
B)polyamide
The term for the presence of pathogens or their toxic products in the blood or tissues is; A)asepsis B)sepsis C)antisepsis D)sterilisation
B)sepsis
Vicryl is; A)multifilament and absorbable B)multifilament and non-absorbable C)monofilament and absorbable D)monofilament and non-absorbable
A)multifilament and absorbable
The extent to which tissue fluid is attracted along the suture material is known as; A)capillary action B)chatter C)tissue reaction D)knot security
A)capillary action
Steam under pressure cannot be used to sterilise; A)powders B)instruments C)swabs D)drapes
A)powders
Bowie-dick indicator tape;
A)is impregnated with formaldehyde
B)tests for the presence of killed spores
C)changes from orange/brown to green when a certain temperature has been reached
D)does not guarantee sterility
D)does not guarantee sterility
Vicryl is a trade name for; A)polyglyconate B)polydioxanone C)polyamide D)polyglactin 910
D)polyglactin 910
Items to be sterilised should be packed in the autoclave; A)loosely B)on top of each other C)randomly D)tightly
A)loosely
The lack of smoothness as a throw of a knot is tightened down is known as; A)tissue reaction B)knot security C)capillary action D)chatter
D)chatter
The removal of micro-organisms but not their spores can be defined as; A)disinfection B)asepsis C)sterilisation D)sepsis
A)disinfection
A gastrectomy is; A)a hernia of the stomach B)a permanent opening into the stomach C)a temporary opening into the stomach D)the removal of all or part of the stomach
D)the removal of all or part of the stomach
A hysterotomy is performed during; A)spaying B)vasectomy C)castration D)caesarean section
D)caesarean section
A lobectomy involves removal of part of the; A)lung B)ear C)brain D)spleen
A)lung
A surgical incision made through the linea alba is a; A)pararectal celiotomy B)paramedian laparotomy C)flank laparotomy D)midline celiotomy
D)midline celiotomy
A swelling in the groin extending to the vulva is referred to as a; A)perineal hernia B)hiatal hernia C)inguinal hernia D)umbilical al hernia
C)inguinal hernia
A tracheostomy is;
A)a technique for creating a permanent opening into the trachea
B)an infection of the upper respiratory tract
C)a potentially life-saving procedure in the event of acute upper airway obstruction
D)the removal of a tracheal ring
A)a technique for creating a permanent opening into the trachea
A vertical canal ablation is performed in the surgical correction of; A)impacted anal glands B)vaginal polyps C)inguinal hernia D)severe chronic otitis externa
D)severe chronic otitis externa
An anastomosis would be performed following; A)enterectomy B)enterotomy C)gastroscopy D)tracheostomy
A)enterectomy
An arthrotomy is; A)an endoscopic examination B)fusion of the bones of a joint C)a temporary opening into a joint D)inflammation of the synovial fluid in a joint
C)a temporary opening into a joint
An incarcerated hernia is defined as;
A)a hernia that cannot be replaced due to the formation of adhesions
B)a hernia that is caused by violent trauma
C)a hernia that can be replaced to its original anatomical location
D)an entrapment of blood vessels through that defected hernia
A)a hernia that cannot be replaced due to the formation of adhesions
A laparoscopy involves;
A)opening the abdomen via surgery for examination
B)endoscopic examination of the abdominal contents
C)creating an opening in the abdomen
D)opening the stomach via surgery for examination
B)endoscopic examination of the abdominal contents
Laparotomy involves;
A)a temporary surgical opening into a joint
B)a temporary surgical opening into the abdomen
C)a temporary surgical opening into the chest
D)a temporary surgical opening into the trachea
B)a temporary surgical opening into the abdomen
Ostectomy is; A)a pathological fracture B)removal of a portion of bone C)removal of part of the periosteum D)fracture of a long bone
B)removal of the portion of bone
Prior to elective surgery in a healthy adult dog, food should be withheld for; A)0-2hours B)2-6hours C)6-12hours D)12-24hours
C)6-12hours
Prior to surgery to castrate a rabbit, water should be withheld for;
A)water should not be withheld from rabbits
B)4 hours
C)6 hours
D)12 hours
A)water should not be withheld from rabbits
The operation which should be performed last on the operating list is; A)bitch spay B)debride bite wound abscess C)mastectomy D)aural haematoma
B)debride bite wound abscess
The orthopaedic procedure which should be performed first on the operating list is;
A)compound fracture of the femur repair
B)cranial cruciate repair
C)removal of a fibrosarcoma from the forelimb
D)fracture of the mandible repair
B)cranial cruciate repair
The orthopaedic procedure which should be performed last on the operating list is;
A)fracture of the mandible repair
B)osteochondritis dussecans of the elbow correction
C)cranial cruciate repair
D)comminuted fracture of the femur repair
A)fracture of the mandible repair
A pedicle graft is;
A)one which lacks a blood supply on its own and must initially survive by absorbing fluid from the recipient site
B)one that comes from an animal of a different species
C)one where an entire portion of skin and subcutaneous tissue, complete with its blood supply, is moved from one body area to another
D)one that comes from another animal of the same species
C)one where an entire portion of skin subcutaneous tissue, complete with its blood supply, is moved from one body area to another
A xenograft is a graft;
A)that comes from another animal of the same species
B)that comes from an animal of a different species
C)that lacks its own blood supply and relied on absorbing fluid from the recipient site
D)that contains its own blood supply and is moved from one part of the body to another
B)that comes from an animal of a different species
A suitable disinfectant for oral mucous membranes is;
A)0.05% chlorhexidine surgical scrub
B)5% povidone iodine surgical scrub
C)0.05% chlorhexidine gluconate solution
D)5% dextrose saline
A)0.05% chlorhexidine surgical scrub
A suitable skin disinfectant is; A)chlorhexidine B)peroxygen compound C)phenol D)hypochlorite
A)chlorhexidine
An endoscope should be sterilised by; A)hot air oven B)boiling C)autoclaving D)chemical solution
D)chemical solution
Battery-operated drills can be sterilised by; A)chemical solutions B)hot air oven C)ethylene oxide D)autoclave
C)ethylene oxide
Bowie-Dick indicator tape:-
a) Changes from orange/brown to green when a certain temperature has been reached
b) Does not guarantee sterility
c) Is impregnated with formaldehyde
d) Tests for the presence of killed spores
B)does not guarantee sterility
Items to be sterilised should be packed in the autoclave; A)loosely B)on top of each other C)randomly D)tightyly
A)loosely
Steam under pressure cannot be used to sterilise; A)instruments B)swabs C)drapes D)powders
D)powders
Sterile packs should be stored; A)in a dust-free, dry area B)on an open shelf in theatre C)next on the autoclave D)in the consulting room
A)in a dust free, dry area
The absence of infection can be defined as; A)asepsis B)sterilisation C)sepsis D)antisepsis
A)aspsis
The destruction of all micro-organisms and their spores can be defined as; A)asepsis B)sterilisation C)antisepsis D)disinfection
B)sterilisation
The removal of micro-organisms but not their spores can be defined as; A)asepsis B)disinfection C)sterilisation D)sepsis
B)disinfection
The solution that is best for wound lavage is; A)hydrogen peroxide B)0.9%saline C)10%povidone iodine D)5%chlorhexidine scrub
B)0.9%saline
The term that describes the presence of pathogens or their toxic products in the blood or tissues is; A)sterilisation B)sepsis C)antisepsis D)asepsis
B)sepsis
The type of needle holders that incorporate a cutting edge is; A)McPhail B)Bruce Clarke C)Gillies D)Mayo-hegar
C)Gillies
When using an ultrasonic instrument cleaner;
A)different metal types can be mixed
B)initial washing of the instruments is not necessary
C)instruments do not need to be rinsed or dried after cleaning
D)instruments with joints should be left open
D)instruments with joints should be left open
The statement that is false regarding ethylene oxide sterilisation is; A)it is a very flammable gas B)It does not inactivate proteins C)It prevents reproduction of viruses D)it inactivates the DNA of cells
B)it does not inactivate proteins
Backhaus is a type of A)bone holder B)self retaining retractor C)towel clip D)rat toothed forceps
C)towel clip
Gelpi is a type of; A)bone nibbler B)hand held retractor C)bone holder D)self retaining retractor
D)self retaining retractor
A gosset retractor is used in the; A)joints B)eye C)abdomen D)chest
C)abdomen
Hohmann is a type of; A)bone nibbler B)bone holder C)hand held retractor D)self retaining retractor
C)hand held retractor
Mosquito is a type of; A)towel clip B)artery forceps C)scalpel blade remover D)surgical scissors
B)artery forceps
The orthopaedic screw with wide, coarse threads is a; A)cortical screw B)sherman screw C)cancellous screw D)philips screw
C)cancallous screw
A steinmann pin is a type of; A)cerclage wire B)arthrodesis wire C)intramedullary pin D)kirschner pin
C)intramedullary pin
Artery forceps are designed to; A)be used on arteries only B)grasp tissues with minimal trauma C)clamp blood vessels and stop bleeding D)remove scalpel blades
C)clamp blood vessels and stop bleeding
Before packing for autoclaving, new instruments should be;
A)lubricated with water soluble lubricant
B)not lubricated but packed immediately
C)greased at the joints
D)lubricated with oil
A)lubricated with water soluble lubricant
To initially remove blood from soiled surgical instruments, they should be soaked in; A)cold water B)sterile saline C)boiling water D)soapy water
A)cold water
Orthopaedic wire used to supplement other fracture fixation techniques is also known as; A)cerclage wire B)kuntscher wire C)kirschner wire D)intramedullary wire
A)cerclage wire
The statement concerning orthopaedic screws that is correct is;
A)ASIF screws have a cross head screwdriver fitting
B)shermans screws are self tapping
C)ASIF screws cut their own thread once a hole has been drilled
D)shermans screws are more tightly threaded than ASIF
B)sherman screws are self tapping
Strabismus scissors are used in; A)oral surgery B)orthopaedic surgery C)ophthalmic surgery D)aural surgery
C)ophthalmic surgery
Surgical instruments should be cleaned with; A)a neutral enzymatic cleaner B)soap C)chlorhexidine surgical scrub D)bleach
A)a neutral enzymatic cleaner
The instrument used in orthopaedic surgery for nibbling at bone is; A)periosteal elevator B)liston bone cutting forceps C)curette D)rongeurs
D)rongeurs
The orthopaedic implant that is applied using a jacob’s chuck is; A)a plate B)cerclage wire C)an intramedullary pin D)a rush pin
C)an intramedullary pin
The size of scalpel blade that will fit a number 4 handle is; A)11 B)22 C)5 D)10
B)22
The type of bone plate used with ASIF equipment is a; A)venable plate B)dynamic compression plate C)finger plate D)sherman plate
B)dynamic compression plate
Venables plates are used with; A)partially threaded screws B)sherman screws C)non self tapping screws D)ASIF screws
B)sherman screws
A proctoscope is a device for; A)removing a portion of the stomach B)examining the stomach C)examining the rectum D)examining the small intestine
C)examining the rectum
An example of a non absorbable suture material is; A)polyamide B)polyglyconate C)polyglactin 910 D)polydioxanone
A)polyamide
An example of an ASIF screw is; A)2.0mm B)2.5mm C)0.9mm D)1.1mm
A)2.0mm
An ideal suture material should have all the following characteristics except; A)be monofilament B)have low memory C)show high initial tensile strength D)be absorbed by phagocytosis
D)be absorbed by phagocytosis
Vicryl is a trade name for; A)polypropylene B)polyglacin 910 C)polyglycolic acid D)polydioxanone
B)polyglactin 910
Vicryl is; A)multifilament and non absorbable B)monofilament and non absorbable C)multifilament and absorbable D)monofilament and absorbable
C)multifilament and absorbable
PDS is a trade name for; A)polyglycolic acid B)polypropylene C)polyamide D)polydiozanone
D)polydioxanone
PDS is; A)monofilament and absorbable B)multifilament and non absorbable C)multifilament and absorbable D)monofilament and non absorbable
A)monofilament and absorbable
Plain catgut will be absorbed in approximately; A)35-40days B)3-7days C)7-14days D)14-21days
B)3-7days
Prolene is a trade name for; A)polyglycolic acid B)polyamide C)polypropylene D)polydiozanone
C)polypropylene
Prolene is; A)monofilament and non absorbable B)monofilament and absorbable C)multifilament and absorbable D)multifilament and non absorbable
A)monofilament and non absrobable
The statement that is false regarding polydiozanone is;
A)it is absorbed by phagocytosis
B)it is broken down by hydrolysis
C)it only loses about 30% of its strength in 2 weeks
D)tissue reaction is minimal
A)it is absorbed by phagocytosis
Self retaining retractors are used; A)to repair the cruciate ligament B)as an automatic suturing device C)to facilitate exposure of the operating field D)to close surgical wound
C)to facilitate exposure of the operating field
The best instrument for dividing tissues with minimal trauma is; A)artery forceps B)saw C)scalpel blade D)scissors
C)scalpel balde
The extent to which tissue fluid is attracted along the suture material is known as; A)tissue reaction B)knot security C)chatter D)capillary action
D)capillary action
The lack of smoothness as a throw of a knot is tightened down on the suture material is known as; A)tissue reaction B)capillary action C)chatter D)knot security
C)chatter
The largest diameter suture material from the following list is; A)6.0 B)3.5metric C)8.0 D)1.5metric
B)3.5metric
The most appropriate suture needle to use when suturing viscera and friable tissue is a; A)taper tip needle B)curved cutting needle C)round bodied needle D)reverse cutting needle
C)round bodied needle
The most likely suture pattern that would be used in closure of a hollow is; A)cushing B)horizontal mattress C)cruciate mattress D)vertical mattress
A)cushing
The suture material that will be absorbed earliest is; A)polyglactin 910 B)polydioxanone C)polypropylene D)polyglyconate
A)polyglactin 910
The suture material that will be absorbed latest is; A)catgut B)polydioxanone C)polyglactin 910 D)polyglycolic acid
B)polydioxanone
Tissue forceps are designed to; A)occlude portions of the intestine during enterectomy B)clamp blood vessels and stop bleeding C)grasp tissue with minimal trauma D)force tissues apart easily
C)grasp tissue with minimal trauma
Towel clips are designed to;
A)grasp tissues with minimal trauma
B)attach drapes to the patient
C)attach the tail to the skin in perineal surgery
D)attach sets of swabs together for ease of counting
B)attach drapes to the patient
Monocryl is a trade name for:-
A)Poliglecaprone
B)Polyglyconate
C)Polyglactin 910
D)Polydioxanone
A)poliglecaprone
Monocryl is; A)multifilament and absorbable B)multifilament and non absorbable C)monofilament and non absorbable D)monofilament and absorbable
D)monofilament and absorbable
A cutting needle should be used for; A)viscera B)skin C)hollow organs D)delicate tissues
B)skin
A duty of the circulating nurse in theatre is to;
A)assist with the operation
B)assist in patient draping
C)prepare the instrument trolley
D)open packets of sutures and instruments
D)open packets of sutures and instruments
A duty of the scrubbed assistant in the operating theatre is to; A)tie the gowns of the surgical team B)assist the anaesthetist C)help position the patient on the table D)assist in patient draping
D)assist in patient draping
A swaged needle;
A)causes greater tissue trauma than a non swaged needle
B)is one where the suture needs to be threaded at the time of surgery
C)can be reused
D)is one where the suture is secured to the needle
D)is one where the suture is secured to the needle
A taper cut needle should be used for; A)dense tissues B)skin C)hollow organ closure D)delicate tissues
A)dense tissues
Catgut is; A)natural and monofilament B)synthetic and monofilament C)synthetic and multifilament D)natural and multifilament
D)natural and multifilament
PDS is; A)synthetic and monofilament B)natural and monofilament C)natural and multifilament D)synthetic and multifilament
A)synthetic and monofilament
Polyglactin 910;
A)loses 50% of its strength in 21 days and is totally absorbed in 90days
B)loses 50% of its strength in 14 days and it totally absorbed in 60-90 days
C)loses all of its strength in 14days
D)loses 80% of its strength in 14 days and is totally absorbed in 90 days
B)loses 50% of its strength in 14days and is totally absorbed in 60-90 days
The suture material that is suitable for use in the skin is; A)polyglyconate B)poliglecaprone C)polyamide D)polyglactin 910
C)polyamide
Prolene is; A)natural and multifilament B)natural and monofilament C)synthetic and multifilament D)synthetic and monofilament
D)synthetic and monofilament
A periosteal elevator is designed to be used in; A)abdominal surgery B)opthalmic surgery C)orthopaedic surgery D)thoracic surgery
C)orthopaedic surgery
The method recommended as best practice when putting on surgical gloves is; A)closed gloving B)open gloving C)assisted gloving D)plunge gloving
A)closed gloving
The small fine scalpel handle is called a; A)otter B)bear C)miniature D)beaver
D)beaver
The suture pattern that resembles a cross after placement is; A)vertical mattress B)cruciate mattress C)ford interlocking D)parker-kerr
B)cruciate mattress
The suture pattern that is classified as continuous is; A)ford interlocking B)horizontal mattress C)simple interrupted D)cruciate mattress
A)ford interlocking
The surgical attire that is sterile at the start of an operation is; A)antistatic boots B)hat C)surgical gloves D)mask
C)surgical gloves
The surgical attire that should be changed between operations is; A)mask B)scrub top C)footwear D)surgical hat
A)mask
A backhaus instrument is used to; A)tie suture material B)clamp blood vessels to stop bleeding C)attach the surgical drapes to the patient D)reach into deep cavities
C)attach the surgical drapes to the patient
A purse string suture can be used to;
A)prevent contamination of the abdominal skin
B)secure the drapes to the patient
C)prevent contamination of the perineal area
D)temporarily reduce blood flow to the distal limb
C)prevent contamination of the perineal area
A volkmann spoon is;
A)used to take a core of bone for biopsies
B)an instrument used to dispense powders or granules
C)a curette
D)an indentation of the pelvis
C)a curette
An ambient temperature suitable for the theatre is;
A)20-30 degrees
B)10-15 degrees
C)one that minimises patient hypothermia
D)one that is most comfortable for the surgeon
C)one that minimises patient hypothermia
An example of a self retaining retractor is; A)senn B)hohmann C)travers D)langenbeck
C)travers
Rongeurs are; A)self retaining retractors B)bone holding forceps C)bone nibbling forceps D)hand held retractors
C)bone nibbling forceps
Sterile packs should be stored; A)on a shelf in the theatre B)in the consulting room C)in a dust free dry area D)next to the autoclave
C)in a dust free, dry area
The capillarity of a suture material describes;
A)the security of the knot once it is tied
B)the extent to which tissue fluids are attracted along a strand of suture material
C)how the material glides through the tissue
D)the breaking strength per unit area of tissue
B)the extent to which tissue fluids are attracted along a strand of suture material
The colour of instruments with tungsten carbide inserts is; A)blue B)silver C)black D)gold
D)gold
The following are all important actions when cleaning surgical instruments, except;
A)instruments should be cleaned as soon as possible after surgery
B)instruments should be soaked in cold water
C)a brush, soap and running water should be used to wash instruments after soaking
D)instruments should be fully dried before packing
C)a brush, soap and running water should be used to wash instruments after soaking
The function of mosquito forceps is; A)needle holders B)muscle retraction C)haemostasis D)tissue forceps
C)haemostasis
The properties that best describe catgut are; A)absorbable monofilament B)non absorbable multifilament C)absorbable multifilament D)non absorbable monofilament
C)absorbable multifilament
The statement that does not reflect the daily cleaning protocol for an operative theatre is;
A)at the beginning of the day, all surfaces are wiped over with a dry cloth
B)at the end of the day, debris is removed before mopping the floors
C)cleaning utensils specifically for theatre use are used
D)between operations, the operating table and other surfaces are wiped clean of gross contamination
A)at the beginning of the day, all surfaces are wiped over with a dry cloth
The statement that best describes a clean contaminated surgical wound is;
A)no break in aseptic technique has been made and no contamination has occurred
B)there is evidence of infection of the surgical site
C)there is potential for contamination but none has yet occurred
D)contamination has occurred but there is no active infection yet
C)there is potential for contamination but none has yet occurred
The forceps used to aseptically lay out an instrument trolley are: A)Allis B)Cheatle C)Spencer Wells D)Treves
B)cheatle
When scrubbing the hands should be held; A)below the elbows B)parallel to the elbows C)above the elbows D)above the head
C)above the elbows
A fenestrated drape;
A)is folded in accordion style for ease of opening
B)is a cloth drape made of doubled muslin
C)is folded such that the middle of the drape cannot easily be found
D)has a window opening in the middle for surgery to be performed through
D)has a window opening in the middle for surgery to be performed throught
A sterile gown should ideally be picked up by;
A)outside of the gown at the cuffs
B)inside of the gown by the waist
C)inside the gown at the shoulder seams
D)outside of the gown at the shoulder seams
C)inside the gown at the shoulder seams
What colour does a browne’s tube turn? A)blue B)brown C)green D)orange
C)green
What is the active ingredient in hibiscrub? A)cetrimide B)chloehexidine C)hypochlorite D)povidine iodine
B)chloehexidine
Which of the following would be least likely to be found in a theatre? A)wall clock B)scrub sink C)scavenging system D)ventilation system
B)scrub skin
Which of the following would be suitable PPE for a theatre? A)scrub suit B)face mask C)overshoes D)all of the above
D)all of the above
When sterilising instruments, which of the following would you not do?
A)cover sharp points
B)remove excess air from the bag
C)place into the sterilising bag tip first
D)sterilise instrument closed onto the first rachet
D)sterilise instrument closed onto the first rachet
At what temperature do most hot air ovens operate at? A)121-130c B)150-180c C)170-210c D)111-121c
B)150-180c
How long is an autoclave cycle at 121c and 12 psi? A)10min B)3.5min C)7min D)15min
D)15min
Which of the following suture materials can be classified as natural? A)polyglactin 910 B)silk C)polyglycolic acid D)polydioxanone
B)silk
Which of the following suture materials is non absorbable? A)polyglactin 910 B)polyglycolic acid C)polydioxanone D)polyamide
D)polyamide
Chromic catgut has been treated with chromium salts in order to;
A)increase its shelf life
B)make it less irritant to tissues
C)make it less likely to break when knots are tied
D)to slow down the rate of breakdown in the body
D)to slow down the rate of breakdown in the body
What is the function of spencer wells forceps? A)haemostasis B)muscle retraction C)needle holders D)tissue forceps
A)haemostasis
Which one of the follwoing types of forceps is a bowel clamp? A)adsons B)cheatle C)doyen D)gillies
C)doyen
Which one of the following skin preparations should be used prior to surgery around the eye? A)chlorhexidine B)povidine-iodine C)surgical spirit D)either a or b
B)povidine iodine
Cleaning of surgical instruments before sterilisation:
A)Must be performed carefully because many methods of sterilisation do not work in the presence of organic material
B)Is done only if there is time
C)Must only be done to obviously dirty instruments
D)Is not necessary if proper sterilisation techniques are followed
A)must be performed carefully because many methods of sterilisation do not work in the presence of organic material
Which of the following does not need to be included when labelling a surgical pot?
A)contents of the pack
B)date the pack was made up
C)initials of the person who made up the pack
D)date by which the pack must be used by
D)date by which the pack must be used by
When surgical passing instruments to the surgeon, the nurse should do all of the following except;
A)gently but firmly slap the palm of the surgeon with the instrument
B)pass the instrument in the open position
C)pass the instrument with the handle placed into the surgeons hand
D)pass the curved instruments so that is it orientated in the surgeons hand with the concave side up
B)pass the instrument in the open position
Needle holders that have a scissor as well as a needle holding surface are; A)mayo hegar B)olsen hegar C)metzenbaum D)crile wood
B)olsen hegar
Which of the following is an advantage of monofilament material over multifilament? A)greater knot security B)greater suture strength C)less likely to cause suture reactions D)passed through tissue more easily
D)passes through tissue more easily
What is a steinnemann IM pin?
A)an intramedually pin used in orthopaedics
B)an intramuscular pin used in orthopaedics
C)a type of screw used in orthopaedics
D)a staple used to hold muscles together
A)an intramedually pin used in orthopaedics
Which size scalpel blade fits a no 3 scalpel handle? A)10 B)20 C)21 D)30
A)10
Which factor will not influence how rapidly suture materials are absorbed by the body? A)age of the patient B)presence of infection C)the location of the suture D)the composition of the suture material
A)age of the patient
Which needle type is reusable? A)swaged on B)taper point C)trocar tip D)eyed
B)taper point
An advantage of braided suture over monofilament is;
A)knot security
B)it has increased memory
C)does not hide bacteria contaminated wounds
D)reactivity
A)knot security
When attaching an ECG, which leg should have the red lead attached to it? A)right foreleg B)left foreleg C)right hindleg D)left hindleg
A)right foreleg
Ab oesophagotomy is classified as; A)clean contaminated B)contaminated C)clean D)infected
A)clean contaminated
In theatre, scrubbed personnel should pass each other:-
a. Back to back with hands held downwards
b. Front to front with hands help upwards
c. Back to back with hands held upwards
d. Front to front with hands held downwards
C)back to back with hands held upwards
The ideal operating lamp is one with:-
a. One bright bulb only
b. Two bulbs opposite each other
c. Wheels, so it can be moved around
d. Multiple bulbs to avoid shadows
D)multiple bulbs to avoid shadows
Surgical scrubbing brushes should be:-
a. Sterile
b. Multi use for cost-effective reasons
c. Used to scrub the backs of the hands
d. Made with firm bristles to be effective
A)sterile
For best practice, a surgical gown should be:-
a. Reusable with back ties
b. Single use only
c. Linen and cotton mix, for strength
d. Reusable with side ties
B)single use only
When putting on a sterile gown, it is acceptable to:-
a. Touch the outside sleeve of the gown
b. Smooth the front of the gown with the hands
c. Touch the inside of the neck of the gown
d. Tie the ties around the back of the gown securely
C)touch the inside of the neck of the gown
The closed gloving method:-
a. Must be commenced with the fingers of the gloves pointing away from the body
b. Presents more risk of contamination than open gloving
c. Allows the outside of the glove to be touched by the gowned hand
d. Can only be performed when using a short-sleeved gown
C)allows the outside of the glove to be touched by the gowned hand
It is advised that the nails of staff in an operating theatre are a maximum length of:-
a. 2 mm
b. 5 mm
c. 10 mm
d. 1 mm
A)2mm
When drying the hands after a surgical scrub, it is advisable to use:-
a. One sterile towel used to dry the hands only
b. An unsterile cotton towel before using a sterile towel
c. One sterile towel, using a quadrant technique
d. One sterile cotton towel for all personnel involved in the procedure
C)one sterile towel, using a quadrant technique
Nail varnish should not be worn in theatre because:-
a. Fumes may react with monitoring equipment
b. It looks unprofessional
c. Cleanliness cannot be guaranteed
d. Pigment prevents contamination being seen
C)cleanliness cannot be guaranteed
Performing surgical hand preparation using Sterillium is timed for period of:-
a. 1 minute
b. 3 minutes
c. 2 minutes
d. 5 minutes
C)2 minutes
Chlorhexidine gluconate:-
a. Is not effective if organic material is present
b. Is ineffective against fungal spores
c. Has a slow onset of action
d. Has longer residual activity than povidine-iodine
D)has longer residual activity than povidine-iodine
It is most appropriate to transport a 25 kg anaesthetised dog:-
a. With one person carrying it in their arms
b. With two people carrying it in their arms
c. On a stretcher carried by two people
d. On a trolley with two people attending
D)on a trolley with two people attending
For monopolar diathermy, the earth plate is:-
a. Placed between the rubber tabletop and the table
b. Not needed
c. Placed between the patient and the rubber table top
d. Placed between the patient and the drapes
C)placed between the patient and the rubber table top
A kick bowl is designed to hold:-
a. Bags of intravenous fluids
b. Discarded instruments
c. Surgical waste
d. Spare swabs and dressings
C)surgical waste
A Poole suction tip would be used during:-
a. Ophthalmic surgery
b. Aural ablation
c. Dental surgery
d. Exploratory laparotomy
D)exploratory laparotomy
Bowie-Dick tape can be used in the packaging of items for sterilisation as an indicator that:-
a. There are no fungal spores present within the pack
b. Items have been sterilised for the correct length of time
c. Steam has penetrated to the middle of the pack
d. The correct temperature has been reached during sterilisation
D)the correct temperature has been reached during sterilisation
After sterilization using ethylene oxide, a surgical drape may be used:-
a. Immediately
b. After 18 hours
c. After 12 hours
d. After 24 hours
D)after 24hours
A Steri-Dot indicator disc changes colour after exposure to ethylene oxide gas from:-
a. Blue to yellow
b. Green to brown
c. Yellow to blue
d. Brown to green
C)yellow to blue
A reusable surgical gown should be folded before sterilisation so the part of the gown that is uppermost when the pack is opened is the:-
a. Outside of the gown waist seam
b. Cuffs of the gown sleeves
c. Inside of the gown shoulder seams
d. Inside of the gown waist seam
C)inside of the gown shoulder seams
When sterilising instruments in an autoclave at 121°C, sterilisation time will be:-
a. 5 minutes
b. 15 minutes
c. 3 minutes
d. 10 minutes
B)15 minutes
When folding a drape for sterilisation, a TST strip should be placed:-
a. Half in and half out of the drape
b. On the outside of the packet
c. On the outside of the drape
d. Inside the drape
D)inside the drape
When cleaning a soiled surgical kit it is important to:-
a. Soak instruments in hot water after surgery
b. Use a scouring pad for dried blood
c. Clean instruments as soon after surgery as possible
d. Scrub instruments with soap and cold running water
C)clean instruments as soon after surgery as possible
A purse string suture is commonly used to:-
a. Avoid contamination of the perineal area
b. Close the wound after tail amputation
c. Control haemorrhage in small vessels
d. Close the skin after dew claw removal
A)avoid contamination of the perineal area
Strike-through is least likely to occur when using:-
a. Paper drapes
b. Cotton drapes
c. Linen drapes
d. Incise drapes
D)incise drapes
The forceps that may be used to hold sterile swabs for the final skin preparation prior to surgery are called:-
a. Rampley
b. Mosquito
c. Cheatle
d. Treves
A)rampley
The patient that may need to have a urinary catheter placed prior to surgery is a:-
a. Bitch for ovariohysterectomy
b. Cat for eye enucleation
c. Labrador for stabilisation of the elbow joint
d. Collie for femoral fracture repair
D)collie for femoral fracture repair
The suture pattern that is an inverting pattern is:-
a. Cushing
b. Vertical mattress
c. Cruciate mattress
d. Ford interlocking
A)cushing
The properties that best describe polydioxanone are:-
a. Absorbable multifilament
b. Absorbable monofilament
c. Non-absorbable monofilament
d. Non-absorbable multifilament
B)absorbable monofilament
The benefit of a simple interrupted suture pattern compared to a continuous pattern is:-
a. There is less chance of tissue reaction
b. A more even wound tension is produced
c. If one suture fails the rest of the line will remain intact
d. Interrupted sutures can be placed quicker than a continuous suture
C)if one suture fails the rest of the line will remain intact
Halstead mosquito forceps are:-
a. Dressing forceps
b. Bone holding forceps
c. Artery forceps
d. Tissue forceps
C)artery forceps
Polyglactin 910 is-
a. Non-absorbable monofilament
b. Absorbable monofilament
c. Non-absorbable multifilament
d. Absorbable multifilament
D)absorbable multifilament
Polyamide is:-
a. Suitable for suturing intestine
b. A type of nylon
c. A non-synthetic type of suture material
d. Suitable for suturing intestine
B)a type of nylon
In relation to the surgical wound, a Penrose drain is placed:-
a. Proximal
b. Central
c. Lateral
d. Distal
D)distal
A periosteal elevator is most likely to be used during:-
a. Orthopaedic surgery
b. Ophthalmic surgery
c. Abdominal surgery
d. Thoracic surgery
A)orthopaedic surgery
The number of turns on the initial throw of a surgeon’s knot is:-
a. Four
b. Two
c. One
d. Three
B)two
An example of a handheld retractor is:-
a. West
b. Hohman
c. Gelpi
d. Travers
B)hohman
The properties that best describe catgut are:-
a. Non-absorbable monofilament
b. Absorbable monofilament
c. Absorbable multifilament
d. Non-absorbable multifilament
C)absorbable multifilament
When passing a scalpel handle to the surgeon, it is:-
a. Slapped into the palm, blade pointing downwards
b. Passed into the finger grip, blade pointing upwards
c. Passed into the finger grip, blade pointing downwards
d. Slapped into the palm, blade pointing upwards
C)passed into the finger grip, blade pointing downwards
Finochietto retractors are used in:-
a. Abdominal surgery
b. Thoracic surgery
c. Ophthalmic surgery
d. Orthopaedic limb surgery
B)thoracic surgery
The capillarity of a suture material describes:-
a. The extent to which tissue fluids are attracted along a strand of material
b. The breaking strength per unit area of tissue
c. How the material glides through the tissue
d. The security of the knot once it is tied
A)the extent to which tissue fluids are attracted along a stand of material
The statement that is FALSE concerning periodontal probes is that they:-
a. Are used to probe periodontal pockets around teeth
b. Are marked with graduations
c. Have a sharp tip
d. Should not be used to probe lesions on the teeth themselves
C)have a sharp tip
A tourniquet applied to the proximal forelimb will occlude the:-
a. Brachial artery
b. Femoral artery
c. Coccygeal artery
d. Iliac artery
A)brachial artery
Blood replacement is generally needed when:-
a. 5% blood volume has been lost
b. 10% blood volume has been lost
c. 15% blood volume has been lost
d. 20% blood volume has been lost
D)20% blood volume has been lost
The rubber tourniquet used to exsanguinate an area is called a/an:-
a. Ehmer sling
b. Robert Jones bandage
c. Esmarch bandage
d. Velpeau sling
C)esmarch bandage
When measuring urine output under anaesthesia for a 20 kg Labrador receiving intravenous fluids at surgical rate, the minimum acceptable volume of urine after 3 hours is:-
a. 30 ml
b. 6 ml
c. 1200 ml
d. 60 ml
D)60ml
The reason that “boiling” is not a true method of sterilisation is because:
a) Items remain wet at the end of the cycle
b) The pressure is insufficient to kill bacteria
c) The temperature is insufficient to kill bacteria
d) The temperature is insufficient to kill bacterial spores
D)the temperature is insufficient to kill bacterial spores
Which of the following is the MOST EFFICIENT indicator for checking steam sterilisation processes?
a) TST strip
b) Spore strip
c) Browne’s tube
d) Bowie Dick tape
B)spores strip
A nosocomial infection is acquired:
a) At birth
b) Via the nasal cavity
c) By sick patients only
d) During hospitalisation
D)during hospitalisation
Immediately after use, surgical instruments should be:
a) Placed in hot water to kill all micro-organisms
b) Placed into cold soapy water to kill all micro-organisms
c) Placed into hot water to minimise corrosive effects of blood
d) Placed into cold water to minimise corrosive effects of blood
D)placed into cold water to minimise corrosive effects of blood
What is a Kirschner-Ehmer splint?
a) A system of transverse pins inserted through the skin, soft tissue and bone, either side of a fracture as a method of external fixation
b) A foam covered plastic splint used to immobilise distal limb fractures
c) A sling used to transport paraplegic animals
d) A splint moulded to the shape of the limb requiring support, made from Plaster of Paris
A)a system of transverse pins inserted through the skin, soft tissue and bone, either side of a fracture of external fixation
For what reason may a veterinary surgeon perform a cystotomy?
a) To unblock the urethra if urinary calculi causing a blocking
b) To remove bladder stones
c) To dissect a portion of the bladder due to a tumour
d) None of the above
B)to remove bladder stones
How quickly does regeneration of bacteria on the skin of the hands occur following a surgical scrub?
a) 25% by 24 hours
b) 50% by 24 hours
c) 60% within 24 hours
d) 100% within 24 hours
A)25% by 24 hours
What is the purpose of a surgical mask?
a) Filters expired air from the mouth and nose
b) Filters inspired air to prevent surgeon becoming contaminated
c) Becomes more efficient as it takes up moisture from the breath
d) Should be changed between every operation
A)filter expired air from the mouth and nose
Instruments made of martensic steel are different from those made of austenitic steel because martensitic steel is:
a) Composed mainly of chromium and steel
b) Not magnetic
c) More susceptible to corrosion
d) Not as strong
B)not magnetic
The mechanism of cleaning surgical instruments by sound is called:
a) Cavilation
b) Auditation
c) Passivation
d) Ultrasound
D)ultrasound
How does heat kill bacteria?
a) Oxidation of vital proteins
b) Acceleration of biochemical processes
c) Deactivation of DNA
d) Denatures proteins and nucleic acids in bacteria
D)denatures proteins and nucleic acids in bacteria
Which of the following is not a factor in the time period of sterilisation in an autoclave?
a) Nature and type of material being sterilised
b) The spatial distribution of bacteria
c) Particular method of sterilisation
d) Load size
B)the spatial distribution of bacteria
Which of the following routine materials is mostly likely to be used to anchor the graft in an anterior cruciate ligament repair?
a) Cat gut
b) Silk
c) PDS
d) Vicryl
C)PDS
Which is not an example of a plate used for fracture fixation?
a) Venables
b) West
c) Sherman
d) Dynamic compress
B)west
Which of the following statements is incorrect, ASIF plates are superior to other designs as they have the following advantages:
a) Stronger
b) Application of the static compression
c) Fewer screw holes per unit area
d) Come in a wide range of sizes
C)fewer screw holes per unit area
During fracture fixation, a previously tapped hole is used with a:
a) Compression plate and screws
b) Venables plate and screws
c) Rush plate and screws
d) Sherman plate and screws
A)compression plate and screws
