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Surg Tech 102 > Surg 102--Review (Chapters 16 and 17) > Flashcards

Surg 102--Review (Chapters 16 and 17) Flashcards

1
Q

Case planning is a _____ skill that develops with experience.

A

learned

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2
Q

_____ combines knowledge of surgical procedure and surgical techniques.

A

Case planning

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3
Q

Surgical procedures can be classified into _____ categories.

A

five

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4
Q

What are the five categories of case planning.

A
  1. Diagnosis
  2. Reconstruction
  3. Repair
  4. Removal
  5. Replacement or Implantation
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5
Q

The results of a diagnostic procedure provide information about the nature of a _____ and the options available for _____.

A

medical problem

treatment

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6
Q

Questions for planning diagnostic procedures includes, “What is the target _____ or _____?”

A

structure or tissue

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7
Q

Questions for planning diagnostic procedures includes, “What _____ will be used to perform the diagnosis?”

A

technique

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8
Q

Questions for planning diagnostic procedures includes, “What _____ is needed for the planned technique?”

A

special equipment

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9
Q

Questions for planning diagnostic procedures includes, “How will the information be _____?”

A

documented

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10
Q

Questions for planning diagnostic procedures includes, “Is the procedure scheduled to take place in a _____ or in the _____?”

A

procedure room

operating room

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11
Q

Questions for planning diagnostic procedures includes, “Will the surgeon need other _____ or _____ during surgery and are those available in the room?”

A

diagnostic films or reports

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12
Q

Questions for planning diagnostic procedures includes, “What kind of _____ will be required?”

A

anesthesia

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13
Q

In _____, tissue is remodeled or replaced for functional or aesthetic reasons.

A

surgical reconstruction

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14
Q

In reconstructive surgery the procedure may be performed in a _____ or may require _____.

A

single operation

multiple surgeries

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15
Q

The goal of _____ is to restore function to a structure, organ, or system.

A

repair

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16
Q

The type of _____ and the _____ involved determine what instruments or special equipment is needed.

A

repair

tissue

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17
Q

Questions for reconstructive surgery includes, “What _____ are needed for the surgery?”

A

specialty instruments

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18
Q

Questions for reconstructive surgery includes, “What _____ will be used?”

A

patient position

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19
Q

Questions for reconstructive surgery includes, “What _____ will be taken? What tissue will be selected?”

A

grafts

tissue

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20
Q

Questions for reconstructive surgery includes, “Does the procedure require more than _____ operative site?”

A

one

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21
Q

Questions for reconstructive surgery includes, “What is the _____ of the patient?”

A

age

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22
Q

Questions for reconstructive surgery includes, “Does the reconstruction require _____, such as special dressings, a rigid cast, or traction?”

A

external support

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23
Q

Questions for reconstructive surgery includes, “If _____ are to be used, are they available?”

A

implants

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24
Q

Questions for repair planning includes, “What will be _____?”

A

repaired

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25
Q

Questions for repair planning includes, “What _____ are needed?”

A

special instruments

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26
Q

Questions for repair planning includes, “What _____ will be used to to make the repair?”

A

materials

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27
Q

Questions for repair planning includes, “How will the repair be _____?”

A

held in place

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28
Q

Questions for repair planning includes, “Does the patient have recent _____ and _____?”

A

injuries

movement limitations

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29
Q

Questions for repair planning includes, “Will _____ be required?”

A

radiographs

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30
Q

Questions for repair planning includes, “Is the repair area particularly _____?

A

vascular

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31
Q

_____ may involve tissue, an organ, or a foreign body?

A

Removal

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32
Q

Questions for removal planning includes, “What will be _____, and what _____ is involved?”

A

removed

tissue

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33
Q

Questions for removal planning includes, “What surgical _____ will be used?”

A

approach

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34
Q

Questions for removal planning includes, “Will a specimen be taken for _____ analysis?”

A

frozen section

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35
Q

Questions for removal planning includes, “is the wound _____?”

A

contaminated

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36
Q

_____ involves implantation of an organ or other anatomical structure that has lost function through disease or trauma.

A

Tissue replacement

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37
Q

An implant is usually a _____ or _____ prosthesis or medical device.

A

metal or synthetic

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38
Q

A _____ is an implant derived from the patient or from another person or an animal, or bio-synthetic material.

A

graft

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39
Q

Questions for replacement or implantation planning includes, “What will be _____ or _____?”

A

replaced or implanted

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40
Q

Questions for replacement or implantation planning includes, “What _____ or tissue is involved?”

A

organ system

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41
Q

Questions for replacement or implantation planning includes, “What is the nature of the _____?”

A

implant

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42
Q

Questions for replacement or implantation planning includes, “If _____ is to be removed, how will this be done?”

A

non-functioning tissue

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43
Q

Questions for replacement or implantation planning includes, “How will the implant be _____?”

A

held in place

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44
Q

Specific instruments sets, equipment, and supplies needed for a procedure are listed on the _____.

A

surgeon’s preference card

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45
Q

The data on the surgeon’s preference card includes:

A
  1. Instruments sets and special instruments required for the case
  2. Special equipment
  3. Suture preferences
  4. Glove and gown size
  5. Skin prep and draping routine
  6. Intraoperative drugs, including dose and strength
  7. Surgeon’s individual techniques
  8. Dressings
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46
Q

Sterile supplies are opened in sequence from _____ to _____.

A

large to small

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47
Q

The _____ containing towels, drapes, and gowns is centered on the back table.

A

basic pack

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48
Q

The basic pack is opened using _____.

A

aseptic technique

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49
Q

Wrapped basins are opened in the _____.

A

ring stand

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50
Q

Anticipate the need for _____ for supplementary instrument trays, and orthopedic components as needed.

A

smaller tables

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51
Q

After the case has been opened, the surgical technologist performs the _____.

A

surgical scrub

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52
Q

After the surgical scrub, the ST re-enters the surgical suite (without contaminating the hands or arms) and proceeds to _____.

A

gown and glove

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53
Q

Immediately after gowning and gloving, the ST must organize the sterile items an the _____ and _____.

A

back table and Mayo stnd

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54
Q

As you first approach the pile of sterile equipment, do not move anything until you have a _____.

A

plan

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55
Q

During sterile setup, increase the size of the _____.

A

sterile working area

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56
Q

Before organizing and preparing supplies, increase the size of the _____.

A

sterile area

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57
Q

To increase the size of the sterile field _____ first.

A

drape the Mayo stand

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58
Q

During sterile setup avoid _____ around from one place to another.

A

shifting items

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59
Q

During sterile setup try to handle an item only _____.

A

once

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60
Q

During sterile setup prepare items that are _____ of the procedure first.

A

needed at the beginning

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61
Q

During sterile setup try avoid doing _____.

A

several things at once

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62
Q

During sterile setup _____ and _____ strategically.

A

think and act

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63
Q

During sterile setup using a _____ to all setups improves efficiency.

A

methodical approach

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64
Q

Instruments should be placed in a _____.

A

specific place

65
Q

If instrument trays must be stacked, place _____.

A

heavier ones on the bottom

66
Q

When organizing instruments make sure you know each instruments _____ or _____ location.

A

specific or general

67
Q

The _____ is used for instruments and supplies that are needed frequently during surgery.

A

Mayo stand

68
Q

Supplies are exchanged from the _____ to the _____ as the case progresses.

A

back table to the Mayo stand

69
Q

The best method to setup the Mayo stand is the method _____.

A

that works best for the individual

70
Q

Some health facilities use a _____ for the Mayo stand so that personnel taking over at shift changes or breaks know the location of all supplies and instruments.

A

standardized setup

71
Q

The Mayo stand should be kept _____ and _____.

A

clean and orderly

72
Q

Irrigation and soaking solutions usually are distributed after _____ or just before _____.

A

the case is underway

the case begins

73
Q

Solution are distributed into _____, _____, or a _____.

A

basins in a ring stand, a solution warmer, or a slush basin

74
Q

Medications are distributed into _____ on the back table.

A

labeled containers

75
Q

_____ are responsible for ensuring that no item is left in a patient.

A

All team members

76
Q

The active responsibility for the surgical count lies with the _____ and _____.

A

scrub and circulating nurse

77
Q

Every surgical sponge is sewn or impregnated with a _____.

A

radiopaque strip

78
Q

Laparotomy sponges are usually moistened with _____ before use.

A

warm saline

79
Q

All instruments are passed in their _____ position unless the surgeon request otherwise.

A

closed (locked)

80
Q

When passing instruments they should be oriented _____ so the the person using the instrument does not have to re-position it or look away from the operative site to receive it.

A

spatially

81
Q

Used laparotomy and Raytec sponges are dropped into the _____.

A

kick bucket

82
Q

_____ are placed on a small container or towel on the back towel or on a separate prep table near the back table.

A

Neurosurgical sponges

83
Q

As additional sponges are needed during surgery, they are counted _____ the scrub receives them.

A

as soon as

84
Q

During surgery, tissue, fluid, or objects often are removed for _____

A

pathological analysis

85
Q

It is the _____ duty to correctly identify, with the surgeon, the tissue of origin, the orientation of margins for malignancy, and the correct side.

A

scrub’s

86
Q

Anything removed from a patient is a _____.

A

specimen

87
Q

_____ is the removal of tissue or cells for analysis by a pathologist.

A

Biopsy

88
Q

_____ biopsy is used when a large, deep section of tissue is required for analysis.

A

Extensional (incisional)

89
Q

_____ uses a long, fine needle to aspirate (suction) small pieces of tissue from a tumor.

A

Fine-needle aspiration (FNA)

90
Q

_____ is similar to FNA, but a large-bore, hollow trocar or needle is used to collect tissue.

A

Needle biopsy

91
Q

_____ is performed during flexible endoscopic procedures.

A

Brush biopsy

92
Q

During a brush biopsy a fine brush is used to collect cells on the surface of _____.

A

mucous membrane tissue

93
Q

Suture materials are used to _____ tissues while healing takes place.

A

approximate

94
Q

Sutures are used to _____ blood vessels or tubal structures.

A

ligate

95
Q

Suture material is made from _____, _____, _____, and _____.

A

synthesized chemicals, animal protein, metal, and natural fibers

96
Q

The _____ the suture is made of is one of the factors that determine how and where the suture is used in the body.

A

material

97
Q

What are the two main structural categories of suture?

A

monofilament and multifilament

98
Q

_____ is a single continuous fiber made of a polymer chemical that is extruded and stretched.

A

Monofilament

99
Q

_____ is many filaments that together form one strand of suture.

A

Multifilament

100
Q

What are the two types of multifilament suture?

A

twisted and braided

101
Q

Multiple fibers twisted in the same direction.

A

Twisted

102
Q

Multiple fibers that are intertwined.

A

Braided

103
Q

Sutures made of multifilament strands moisture and holds body fluids called _____.

A

wicking or capillary action

104
Q

If bacteria are present, suture materials with high capillarity are able to retain and spread infection by means of the _____.

A

suture fibers

105
Q

Suture with _____ is preferred in surgery when the risk of infection is high.

A

low capillarity

106
Q

Some multifilament suture is coated to reduce _____ and _____.

A

tissue drag and wicking

107
Q

The size of the suture is based on its _____.

A

diameter

108
Q

The greater the diameter of suture, the _____ the designated size.

A

larger

109
Q

The _____ indicates the sutures outside diameter.

A

USP numbering system

110
Q

Stainless steel suture historically has used the _____ sizing system.

A

Brown and Sharp (B&S)

111
Q

The _____ of suture refers to the amount of force needed to break the suture.

A

tensile strength

112
Q

Suture material becomes _____ to _____ weaker when knotted.

A

10% to 40%

113
Q

Suture material vary in strength when exposed to _____.

A

body fluids

114
Q

The presence of _____ affects the strength of most suture materials.

A

inflammation

115
Q

Sutures must be _____ to maintain tensile strength.

A

uniform in diameter

116
Q

_____ describes how the suture reacts in the presence of body tissue.

A

Absorption

117
Q

Both _____ and _____ are available in natural and synthetic form.

A

absorbable suture and nonabsorbable suture

118
Q

The ideal suture would be one that retains its _____ throughout the healing period and the _____ when healing is complete.

A

strength

dissolves

119
Q

The ideal suture does _____.

A

not exist

120
Q

Absorbable, protein-based suture is attacked by _____ lysosomes that digest the suture.

A

enzyme-digesting

121
Q

Absorbable synthetic sutures are degraded by _____.

A

hydrolysis

122
Q

_____ is a chemical reaction that occurs in the presence of water.

A

Hydrolysis

123
Q

All sutures, except _____, can degrade if infection is present.

A

stainless steel

124
Q

Polypropylene sutures:

A

Deklene II
Prolene
Pronova
Surgipro

125
Q

_____ is an extremely inert monofilament suture.

A

Polypropylene

126
Q

_____ smooth surface makes it popular for plastic, ophthalmic, and vascular surgery.

A

Polpropylene’s

127
Q

Polypropylene has a high _____ and is used for retention sutures, particularly in abdominal wall closure.

A

tensile strength

128
Q

Polypropylene can be used when _____ is present and can be left in place for _____ periods.

A

infection

extended

129
Q

Polypropylene is _____ or _____ in color and is available in sizes 10-0 to 2.

A

clear or blue

130
Q

Suture manufactured with the suture pre-attached is called a _____ or _____.

A

swaged or atraumatic suture

131
Q

A nearly seamless connection between the needle and the suture and also allows faster suturing with minimal tissue trauma.

A

Swaged (Atraumatic) Suture

132
Q

In _____, the suture can be detached from the needle by pulling it straight back from the swage.

A

control-release

133
Q

A _____ is one with a needle swaged to each end.

A

double-armed suture

134
Q

This type of suture is used for circular tissue, such as in ophthalmic surgery, or for hollow structures, such as blood vessels or the intestine.

A

double-armed suture

135
Q

One suture-needle combination is provided per pack.

A

suture-needle combination

136
Q

One suture package contains multiple pre-cut strands of suture.

A

Multiple suture strands

137
Q

A spool of suture material is wound into a round reels.

A

Suture reel

138
Q

One package contains many suture-needle combinations in detachable format.

A

multiple suture-needle combinations

139
Q

One pack contains a single suture strand with a needle attached at each end.

A

double-armed suture

140
Q

A _____ is a single long suture length that is anchored at one end of the tissues.

A

continuous suture

141
Q

Continuous suture:

A

-Does not allow the surgeon to make adjustments in aligning the wound edges, which tend to pucker when a continuous (running) suture is used

142
Q

Interrupted suture

A

-Easy to place, high tensile strength, less potential for causing wound edema and impaired cutaneous circulation

143
Q

_____ are individually placed, knotted, and cut.

A

Interrupted sutures

144
Q

The _____ is used for cosmetic closure and in pediatric patients.

A

subcuticular suture

145
Q

This technique brings the skin edges together in close approximation and no suture material is visible from the outside.

A

subcuticular suture

146
Q

This technique produces a very fine scar or no scar.

A

subcuticular suture

147
Q

The _____ is a special continuous suture technique for closing the end of a tubular structure, such as the appendix, its most common application.

A

Purse-string suture

148
Q

The _____ provides added strength to a running suture line.

A

locking stitch

149
Q

This technique equalizes the tension between each loop of the suture and provides increased hemostasis on the wound edges

A

locking stitch

150
Q

_____ are a type of interrupted technique used to provide additional support to wound edges in abdominal surgery.

A

Retention sutures

151
Q

Plastic or rubber bolsters, or small length of tubing, are threaded through the suture to prevent it from cutting into the patient’s skin.

A

Retention sutures

152
Q

The cut tissue edges are in direct contact.

A

primary intention

153
Q

A wound that is not sutured must heal by _____.

A

secondary intention

154
Q

_____ is a process in which an infected or a contaminated wound is treated and the wound space is packed to prevent serum accumulation and to protect against its environmental exposure.

A

Third intention

155
Q

Chemical or mechanical removal of necrotic tissue after infection or trauma.

A

debridement

156
Q

Separation of the layers of a surgical wound.

A

dehiscence

157
Q

The protrusion of abdominal viscera through a wound or surgical incision.

A

Evisceration

158
Q

Scar formation, particularly of the abdominal viscera

A

adhesion

Surg Tech 102 (15 decks)

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