SURGCOM6 Flashcards by Taylor Arciola

When a tracheotomy tube is inserted, the obturator is quickly removed and the trachea is suctioned with a

A) catheter

B) Frazier

C) Poole

D) Yankauer

A) catheter

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Which of the following endotracheal tubes can prevent a fire?

A) stainless steel

B) silicone

C) latex

D) red rubber

A) stainless steel

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During ear surgery, pledgets generally used to control bleeding are soaked in

A) saline

B) heparin

C) thrombin

D) epinephrine

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

A) absorbent intermediate layer

B) binding outer layer

C) occlusive contact layer

D) permeable contact layer

A) absorbent intermediate layer

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Which of the following can be a supplement to a subcuticular closure?

A) Skin staples

B) Swaged sutures

C) Stent fixation

D) Steri strips

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What is the name of the sharp-tipped, handheld retractor that can be either single or double and often is found in nasal trays?

A) Aufricht

B) Joseph

C) Senn

D) Weitlaner

B) Joseph

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Thoracic outlet syndrome can occur when there is pressure on

A) the thoracic artery

B) the brachial plexus

C) subclavian artery

D) Both B and C

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During a parotidectomy, what cranial nerve is carefully elevated and retracted in order to preserve it?

A) Vagus

B) Optic

C) Occulomotor

D) Facial

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A PCA pump affords

A) patient-controlled pain relief

B) vital sign monitoring

C) infusion of antibiotics intravenously

D) heparinized solution intravenously

A) patient-controlled pain relief

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In which circumstance could the patient sustain injury to the pudendal nerves?

A) Positioned on the fracture table

B) positioned in the lateral chest

C) positioned in lithotomy

D) positioned on the urological table

A) Positioned on the fracture table

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All of the following statements are true of ureteral catheters Except that they

A) are made of flexible woven nylon or plastic

B) range in caliber from size 3 to 14 Fr

C) have graduated markings in centimeters

D) provide direct visualization of the bladder

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The operating microscope that visually employs fiberoptics for its light source is

A) halogen

B) tungsten

C) coaxial illumination

D) paraxial illumination

C) coaxial illumination

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Which agent is Not used to inflate a pneumatic tourniquet?

A) Nitrous oxide

B) Air

C) Oxygen

D) Freon

A) Nitrous oxide

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An X-ray’s photographic image is called a/an

A) ultrasound wave

B) magnetic image

C) roentgenogram

D) computerized tomography

C) roentgenogram

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What combination of lasers are particularly useful in surgery of the larynx and vocal cords?

A) CO2 and argon

B) CO2 and helium-neon

C) CO2 and Nd:YAG

D) Argon and helium-neon

B) CO2 and helium-neon

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The laser used most commonly for retinal detachment , tear, or hole is

A) krypton

B) Nd-YAG

C) argon

D) CO2

C) argon

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Which type of study would be used to diagnose sleep apnea?

A) CT scanning

B) polysomnography

C) videostroboscopy

D) electronystagmography

B) polysomnography

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

A) Adson

B) Frazier

C) Poole

D) Yankauer

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Another name for the Supine position is:

A) prone

B) anteriolateral

C) dorsal recumbent

D) trendelenberg

C) dorsal recumbent

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Intravenous (IV) lines and fluids should be

A) lower than the patient’s body

B) level with the patient’s arm

C) higher than the patient’s body

D) it really does not matter

C) higher than the patient’s body

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What is the name of the double-action, cupped, forward-angled forceps used to resect portions of the nasal septum?

A) Aufricht

B) Cottle

C) Jansen-Middleton

D) Kerrison

C) Jansen-Middleton

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All of the following are examples of tissue interaction with laser light energy EXCEPT:

A) absorption

B) contraction

C) reflection

D) transmission

B) contraction

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Antrostomy rasps would be used in procedures involving which anatomical structure(s)?

A) external auditory meatus

B) facial sinuses

C) lacrimal ducts

D) semicircular canals

B) facial sinuses

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Which surgical procedure would be performed for excision of a cholesteatoma?

A) adenoidectomy

B) Caldwell-Luc

C) mastoidectomy

D) radical neck dissection

C) mastoidectomy

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Which action drains venous blood during tourniquet application? A) Elevate extremity after tightening tourniquet B) Ascertain extremity remains at body level as tourniquet is tightened C) Elevate extremity before tightening tourniquet D) Lower the extremity to below body level as tourniquet is tightened

C) Elevate extremity before tightening tourniquet

The patient return electrode for a patient undergoing a laparoscopic cholecystectomy would MOST likely be placed: A) on the anterior thigh B) under the buttocks C) on the anterior left chest D) around the right upper arm

A) on the anterior thigh

Where is the soft palate located in relation to the nasal cavity? A) anterior and superior B) anterior and inferior C) posterior and superior D) posterior and inferior

D) posterior and inferior

A precaution necessary when using a pneumatic tourniquet is A) limb must be continually elevated B) tourniquet time must not exceed 20 minutes C) solutions must be prevented from pooling under tourniquet D) inflation is done before prep and draping

C) solutions must be prevented from pooling under tourniquet

The active electrode on the electrocautery is the A) dispersive electrode B) power unit C) grounding pad D) tip

D) tip

When would the use of an Esmarch be contraindicated? A) Patient has had previous anesthesia B) Patient has had recent injury C) patient has had recent cast D) Both B and C

D) Both B and C

How are Ray-Tec sponges used during laparotomy procedures when the peritoneum is open? A) They cannot be used at all. B) They should be opened to full length. C) They should have rings attached to them. D) They should be mounted on a ring forceps as “sponge sticks.”

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

Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument? A) hemostats B) retractors C) scissors D) tissue forceps

C) scissors

Which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration? A) cutting and dissecting B) dilating and probing C) grasping and holding D) retracting and exposing

C) grasping and holding

The power source for the drill is A) electricity B) fiberoptic bundles C) ultrasonic power D) compressed nitrogen

D) compressed nitrogen

To assist a falling patient, you should A) support the patient’s weight with your body B) ease the patient to the floor while protecting their head C) once the patient is down, run and get assistance D) none of the above

B) ease the patient to the floor while protecting their head

A common size chest tube is a A) 3Fr B) 10 Fr C) 30 Fr D) 60 Fr

C) 30 Fr

What is the term for creating a surgical opening into the tympanic membrane? A) antrostomy B) myringotomy C) septoplasty D) turbinectomy

B) myringotomy

All are true in preparing nonsterile equipment except: A) make sure the OR table is positioned directly under surgical lights B) arrange the room according to how the surgical tech likes it C) place furniture so that draped sterile tables are no closer than 12-18 inches to a nonsterile surface D) pretest suction lines for adequate pressure

B) arrange the room according to how the surgical tech likes it

A dropped sterile item can only be used if the A) wrapper is muslin B) wrapper is impervious and the contact area is dry C) wrapper is impervious with the contact area wet or dry D) wrapper is dusted off thoroughly

B) wrapper is impervious and the contact area is dry

Fiberoptic lighting is A) a cool light B) made of plastic fibers C) of low intensity D) powered by battery

A) a cool light

Which graft must be obtained with a dermatome? A) Split-thickness skin graft B) Full-thickness Wolfe graft C) Free myocutanious graft D) Full- thickness pinch graft

A) Split-thickness skin graft

What type of catheter would facilitate the removal of small gall stones? A) T-tube B) Robinson C) Fogarty D) Rehfus

C) Fogarty

Ionizing radiation protection is afforded by the use of A) iron B) ebonizing coating C) zinc D) lead

D) lead

Which item in a optical lens system is responsible for magnification? A) Oculars B) Paraxial illuminators C) Objective lens D) Both A and C

D) Both A and C

When using a bayonet bipolar forceps: A) argon gas may be used to enhance the cutting mode B) one side of the forceps collects and returns the current to the generator C) the dispersive patient return electrode returns the current back to the generator D) the surgeon chooses the blended current mode to reduce the thermal damage to adjacent tissue

B) one side of the forceps collects and returns the current to the generator

The smallest diameter on a French scale is? A) 3 B) 5 C) 7 D) 9

A) 3

Which of the following descriptions and classification of laryngeal cartilage pertains to the epiglottis? A) paired and hyaline B) paired and elastic C) individual and hyaline D) individual and elastic

D) individual and elastic

In cochlear implantation, the receiver is placed into which bone of the skullto gather impulsesand send it along to the cerebral cortex? A) Parietal B) Mastoid C) Occipital D) Frontal

B) Mastoid

Which of the following is NOT a source of power for surgical powered instruments? A) alternating current B) direct current C) nitrogen D) solar

D) solar

Complications can occur during endoscopy, such as A) infection B) bleeding C) perforation D) both B and C

D) both B and C

What is the term for the object in an electrical circuit (e.g., surgical light or ESU) that receives and can modify the amount of power from the source? A) conductor B) field C) load D) terminal

C) load

While using this mixture, a scavenging system is used to collect and exhaust or absorb its vapors. It is called A) gluteraldehyde B) polypropylene C) methyl methacrylate D) halon

C) methyl methacrylate

Which of the following is a safety mechanism engineered into the ESU that alerts the surgical team that the device is being activated? A) audible tone B) flashing light on pencil C) smoke from generator D) vibration of electrodes

A) audible tone

All of the following are components of a three-prong electrical plug EXCEPT: A) current convertor B) ground pin C) negative (neutral) D) positive (hot)

A) current convertor

Which of the following procedures would require use of an operating microscope? A) septoplasty B) stapedectomy C) tracheostomy D) turbinectomy

B) stapedectomy

A common donor site for autogenous bone graft is A) femur B) pelvis C) ilium D) ischium

C) ilium

What is an important step for the surgical technologist to remember to perform when changing burs on a pneumatic drill? A) place drill in reverse position B) place drill in forward position C) put hand piece on safety D) disconnect hand piece from hose

C) put hand piece on safety

If the patient is in the supine position, the circulator must always A) place a pillow between the knees B) place a pillow under the knees C) see that the ankles and legs are not crossed D) see that the thoracic area is padded adequately

C) see that the ankles and legs are not crossed

A blood warmer is used A) to induce hypothermia B) to aid in hemolysis C) to maintain 89* F-105* F temperature D) to eliminate microorganisms

C) to maintain 89* F-105* F temperature

Into which classification of dressings would body and Minerva jackets and walking and spica casts fall? A) bulky B) one-layer C) pressure D) rigid

D) rigid

If an OR staff member wears eyeglasses A) the glasses should be wiped with an antiseptic solution before each operation B) the glasses should be soaked for 5 minutes in an antiseptic solution before the day begins C) the glasses should be wiped with an antiseptic solution daily D) no special care is necessary

A) the glasses should be wiped with an antiseptic solution before each operation

The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called: A) Cottonoids B) Kitners C) laps D) Ray-Tecs

A) Cottonoids

The amount of pressure used to inflate a tourniquet depends on all of the following Except A) patients age B) size of extremity C) depth of surgical incision D) systolic blood pressure

C) depth of surgical incision

Changing of a patient’s position can cause severe A) hypotension B) ischemia C) elevated cerebral pressure D) Both A and C

D) Both A and C

Universal precautions is a previous policy, it is now called A) recommended precautions B) evidence based practice C) occupational precautions D) standard precautions

D) standard precautions

In which instrument tray would you find a Ballenger swivel knife, Cottle elevator, Knight scissors, and Takahashi forceps? A) BMT B) FESS C) SMR D) T&A

C) SMR

Which medication is found on a tracheostomy setup to reduce the coughing reflex at tube insertion? A) Covaine 4% B) Lidocaine 1% C) Cocaine 10% D) Lidocaine 10%

B) Lidocaine 1%

Which item is also known as a “airplane support”? A) Shoulder braces B) Arch bar C) Cranial headrest D) Double arm board

D) Double arm board

Which magnifying powers are available for the microscope eyepeices? A) 1x,2x,3x,and 4x B) 10x, 20x, 30x, and 40x C) 10x, 12.5x, 16x, and 20x D) 300mm, 400mm, 500mm, and 600mm

C) 10x, 12.5x, 16x, and 20x

A Pezzer is a A) Foley Catheter B) bat-wing catheter C) ureteral catheter D) mushroom catheter

D) mushroom catheter

Op-site, collodion, adhesive gels, and Steri-strips are examples of which type of surgical dressing? A) one-layer B) pressure C) rigid D) three-layer

A) one-layer

What position is occassionally used for facial, cranial, or reconstructive breast surgery? A) Sims B) Fowler’s position C) Reverse Trendelenberg D) Anteriolateral

B) Fowler’s position

What is the primary reason for performing a thyroplasty? A) facial nerve paralysis B) Unilateral vocal cord paralysis C) Goiter D) Tumor in the lymph nodes

B) Unilateral vocal cord paralysis

The proper setting for a tourniquet applied to an arm is A) 100-200 mm Hg B) 250-300 mm Hg C) 350-450 mm Hg D) 400-500 mm Hg

B) 250-300 mm Hg

The position for most open bladder surgeries would be A) lithotomy B) supine, bolster under the pelvis C) reverse trendelenberg D) Fowler’s, modified

B) supine, bolster under the pelvis

Which sinus is entered during an intranasal antrostomy (antral window)? A) ethmoid B) sphenoid C) maxillary D) frontal

C) maxillary

Which of the following drains works by passive action? A) Hemovac B) Jackson-Pratt C) Penrose D) Stryker

C) Penrose

Weitlaner, O’Connor-O’Sullivan, and Balfour are examples of: A) bone-holding forceps B) handheld retractors C) noncrushing clamps D) self-retaining retractors

D) self-retaining retractors

Which type of surgical supply does NOT come with an option for being impregnated with iodine or other antimicrobial agent? A) gauze packing strips B) incise drapes C) occlusive contact dressing D) radiopaque surgical sponges

D) radiopaque surgical sponges

This part of the laser contains the active laser medium and the mirrors and is also known as the optical resonator. A) Energy pump B) Delivery system C) Laser Head D) Control Panel

C) Laser Head

An OR hazard that has been linked to increased risk of spontaneous abortion in female OR employees is exposure to A) x-ray control B) radium C) sterilization agents D) waste anesthetic gas

D) waste anesthetic gas

Which of the following is NOT a compartment of the bony labyrinth of the inner ear? A) cochlea B) semicircular canals C) sphenoid sinus D) vestibule

C) sphenoid sinus

What is the term for the opening in a surgical drape that is placed over the operative site? A) fenestration B) orifice C) slot D) window

A) fenestration

Which of the following is NOT a category of tonsil tissue? A) palatine B) pharyngeal C) laryngeal D) lingual

C) laryngeal

The clarity of a computer monitor screen image is its: A) resignation B) resistance C) resolution D) resonance

C) resolution

The following is a risk when positioning the patient on the OR table A) hyperextension of limbs B) pressure of bony prominences C) improper padding D) all of the above

D) all of the above

In which procedure would a tourniquet be contraindicated? A) Tendon repair, child B) Arthroscopy, adult C) Bunionectomy D) Gangrenous toe amputation

D) Gangrenous toe amputation

A closed wound suction system works by A) positive pressure B) negative-pressure vacuum C) air displacement D) constant gravity drainage

B) negative-pressure vacuum

A precaution always taken when the patient is in the supine position is to A) place the pillows under the knees for support B) place the safety strap 3-4 inches below the knee C) place the head in the headrest D) protect the heels from pressure on the OR table

D) protect the heels from pressure on the OR table

Stereotactic surgery takes place in the A) ear B) eye C) brain D) nose

C) brain

When moving a patient with a fracture in the OR, all of the following are true except? A) extra personnel are necessary B) support of the extremity should always be from below the site of the fracture C) lifters on the affected side support the fracture D) the surgeon should be present

B) support of the extremity should always be from below the site of the fracture

The most common topical anesthetic agent used in ENT surgery is? A) Xylocaine B) procaine C) cocaine D) surfacaine

C) cocaine

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) bolster B) Montgomery straps C) Minerva jacket D) Queen Anne collar

B) Montgomery straps

The use of each of the following items are measures employed to reduce laser-induced injuries EXCEPT A) ebonized instruments B) anodized instruments C) plastic vaginal and rectal speculums D) reflective drapes

C) plastic vaginal and rectal speculums

The power source for Hall’s power equipment is A) carbon dioxide B) nitrous oxide C) nitrogen D) electricity

C) nitrogen

The OR bed may have a metal crossbar between the two upper sections which may be raised to elevate the A) kidney B) breast C) gallbladder D) Both A and C

D) Both A and C

Which part of the operating microscope is most proximal to the target tissue? A) beam splitter B) hand controls C) objective lens D) ocular lenses

C) objective lens

During a thyroidectomy, the surgeon identifies and preserves which of the following structure(s)? A) recurrent laryngeal B) parathyroid glands C) superior laryngeal D) all of the above

D) all of the above

What is the instrument used to effect removal of the septal cartilage in a rhinoplasty? A) knight nasal scissor B) joseph nasal scissor C) Jansen Middleton forceps D) Freer septum knife

C) Jansen Middleton forceps

Which drain is specifically used for drainage of bile? A) Foley B) T-tube C) Jackson pratt D) Cigarette drain

B) T-tube

Placement of a Levin tube would be in the A) ear B) large intestine C) stomach D) bladder

C) stomach

A temporary biologic dressing is A) porcine B) telfa C) collagen D) mesh

A) porcine

Davis and McIvor are names of which type of instrument? A) handheld retractor B) micro instruments C) mouth gags D) powered drills

C) mouth gags

A blood flow detector is a A) Doppler B) Gruntzig C) Moretz D) Warren

A) Doppler

The power source for air-powered dermatomes is A) compressed nitrogen B) nitrous oxide C) air D) Either A or C

D) Either A or C

Solids, gases, liquids, and semiconductor crystals are types of: A) chemical coagulants B) electrical conductors C) robotic power sources D) surgical laser media

D) surgical laser media

Surgical correction of a deviated septum is known as a/n? A) antrostomy B) submucous resection C) rhinoplasty D) turbinectomy

B) submucous resection

A safer alternative laser retardant endotracheal tube used for CO2 laser surgery of the larynx is made of A) copper B) stainless steel C) silicone D) both A and B

D) both A and B

A procedure requiring the patient to be positioned supine in modified lithotomy is A) colonoscopy B) abdominoperineal resection (APR) C) marsupilization of pilonidal cyst D) ileostomy

B) abdominoperineal resection (APR)

Which position is used following a tonsillectomy? A) Dorsal Recumbent B) On side, horizontally C) Reverse Trendelenberg D) Supine

B) On side, horizontally

What is the facial bone that makes up the chin? A) Frontal B) Zygomatic C) Maxilla D) Mandible

D) Mandible

A laminaria tent is used to A) suction uterine contents B) close cervix C) dilate cervix D) visualize uterus

C) dilate cervix

Good exposure for thyroid surgery is ensured by all of the following except A) modified dorsal recumbent with shoulder roll B) hyperextension of the neck C) utilization of skin-stay sutures D) firm retraction of the laryngeal nerve and surrounding structures

D) firm retraction of the laryngeal nerve and surrounding structures

Which scissors are often called “suture scissors” and are typically straight and relatively blunt tipped? A) Castroviejo B) Jorgenson C) Mayo D) Westcott

C) Mayo

What chronically occurring condition is often the reason for placement of myringotomy tubes in one or both ears? A) otitis media B) rhinitis C) sinusitis D) tracheitis

A) otitis media

What is the MOST common cause of nasal polyps? A) allergic rhinitis B) arid environment C) cocaine use D) smoking

A) allergic rhinitis

Which of the following self-retaining retractors does NOT require attachment to the OR table? A) Balfour B) Bookwalter C) Greenburg D) Thompson

A) Balfour

When using a patient roller, how many people are necessary to move the patient safely and efficiently? A) Two B) Three C) Four D) Five

C) Four

Which type of surgery would require several patent suction cannulas and suction often controlled by a foot pedal? A) Gynecologic B) Thoracic C) Urologic D) Ear, Nose, and Throat (ENT)

D) Ear, Nose, and Throat (ENT)

What is the name of the long, thin, cupped, pistol-grip type handled forceps used in many nasal procedures? A) Aufricht B) Cottle C) McIvor D) Takahashi

D) Takahashi

A potential safety hazard associated with laser surgery A) eye injury B) electical shock C) carcinogenic activity D) ionizing radiation exposure

A) eye injury

What is the term for a single alternating current cycle? A) ampere B) hertz C) volt D) watt

B) hertz

Ulnar neuropathy results from A) improper padding B) continuous oressure from the edge of the OR table C) when the elbow is tightly flexed D) all of the above

D) all of the above

When working in the bladder, why is more or higher electrical current necessary during cautery use? A) More current is needed when working in solution B) Bladder tissue is tougher C) High voltage arcing requires it D) Eschar formation is to be avoided

A) More current is needed when working in solution

The spark-gap tube generator developed in the 1920s was the precursor of which piece of standard OR equipment? A) central processing unit B) electrosurgical unit C) extracorporeal circulation machine D) ground circuit interrupter outlet

B) electrosurgical unit

What is the most effective barrier to stop laser energy from penetrating healthy tissue A) proper use of goggles B) Covering reflective windows C) Checking laser equipment after each use D) Moist padding of surrounding tissue

D) Moist padding of surrounding tissue

The joint of a hemostat where one half of the instrument passes through the other is called the: A) articulation B) box lock C) jaw D) ratchets

B) box lock

A protective skin coating is accomplished with A) tincture of benzoin B) merthiolate C) iodoform D) Lugol’s solution

A) tincture of benzoin

What is the position called when the OR bed is tilted with feet down? A) trendelenberg B) low- lithotomy C) hyperflexion D) reverse trendelenberg

D) reverse trendelenberg

Which electrosurgical unit provides precise control of the coagulated area? A) Monopolar B) Blended C) Bipolar D) Bovie

C) Bipolar

A cast applied from the hips to the head, which is used to immobilize cervical fractures is a A) Minerva jacket B) body jacket C) shoulder spica D) cylinder

A) Minerva jacket

Areas needing special cleaning attention on a weekly or monthly routine would include A) furniture B) air-conditioning grills and walls C) ceiling and wall mounted fixtures and tracks D) kick buckets

B) air-conditioning grills and walls

When a patient is positioned in supine position, the armboard must not be __________ more than _______ degrees. A) flexed. 90 B) there is no specific criteria C) adducted, 90 D) abducted, 90

D) abducted, 90

A device used to correct and counteract internal bleeding conditions and hypovolemia is a /an A) CT B) IPB C) CVP D) MAST

D) MAST

Nasal polyps are removed with either a polyp forceps or a/n? A) antrum rasp B) coakley curette C) freer elevator D) nasal snare

D) nasal snare

Which of the following terms is defined as the extent to which a machine, microscope, human, or robot can differentiate between two objects? A) binaural hearing B) degrees of rotation C) resolution D) telechir

C) resolution

A dissecting sponge made of gauze that is used to dissect or absorb fluid is called a A) patty B) tonsil C) cottonoid D) peanut

D) peanut

To avoid compromising the venous circulation, the restraint or safety strap should be placed A) at knee level B) at the mid thigh area C) 2 inches above the knee D) 2 inches below the knee

C) 2 inches above the knee

Which item is Not a component of a cardiopulmonary bypass system? A) Oxygenator B) Heat exchanger C) Ventricular fibrillator D) Pump

C) Ventricular fibrillator

Severe vertigo may be relieved by A) stapedectomy B) myringotomy C) labyrinthectomy D) endolymphatic shunt

C) labyrinthectomy

Each of the following would need to be present for an explosion to occur EXCEPT A) oxygen B) a source of ignition C) carbon dioxide D) a flammable gas,vapor, or liquid

C) carbon dioxide

A perforated eardrum is corrected by A) myringotomy B) stapedectomy C) stapedotomy D) tympanoplasty

D) tympanoplasty

Fulguration is utilized primarily in ________surgery. A) ENT B) gynecologic C) thoracic D) transurethral resection (TUR) and prostate operations

D) transurethral resection (TUR) and prostate operations

The scoring system that assessess an infant’s condition after birth is called a/an A) Roentgen B) Romberg C) Apgar D) colostrum

C) Apgar

When using a water seal drainage system, the collection unit must remain: A) below the level of chest tube B) equal to level of chest tube C) above the level of chest tube D) no protocol applies

A) below the level of chest tube

Which statement is true regarding a Steris system for endoscope sterilization? A) Only one scope or a few instruments can be processed in a cycle. B) It is not sporicidal C) The processing time is lengthy D) It is very costly

A) Only one scope or a few instruments can be processed in a cycle.

A safer alternative laser retardant endotracheal tube used for CO2 laser surgery of the larynx is made of A) copper B) stainless steel C) silicone D) Both A and B

D) Both A and B

Cholesteatoma is treated by doing a A) tympanoplasty B) myringotomy C) stapedectomy D) mastoidectomy

D) mastoidectomy

Each of the following steps can assist in the immediate determination of intraoperative blood loss Except A) visual inspection of blood in sponges B) measurement of blood in sponges by weighing C) estimation of blood in suction container D) complete blood count

D) complete blood count

Fuel sources found at the surgical site include A) dry sponges and drapes B) endotracheal tube C) prep solutions D) All of the above

D) All of the above

While a surgical case is in progress A) doors remain open so that staff can easily move in or out B) doors should remain closed C) doors remain open to circulate the air D) doors may be open or closed

B) doors should remain closed

When suctioning in neurosurgery a precaution taken is to A) prepare one reserve canister B) separate cells for study C) avoid applying vacuum directly on brain or neural tissue D) avoid evacuating cerebrospinal fluid

C) avoid applying vacuum directly on brain or neural tissue

Which of the following is frequently used as an autograft to replace the mandible in a radical neck dissection? A) clavicle B) fibula C) humerus D) radius

B) fibula

A setup that would include a 1000-cc bag of normal saline, sterile IV tubing, an IV pole, and a pressure bag is A) Splenectomy B) choledochoscopy C) thyroidectomy D) ovarian cystectomy

B) choledochoscopy

At what point should the surgeon be informed of the time of tourniquet application? A) After 15 minutes, then every 5 minutes B) After 1 hour, then every 15 minutes C) After 2 hours, then every hour D) After 3 hours, then every 15 minutes

B) After 1 hour, then every 15 minutes

The #12 blade is used almost exclusively for which surgical procedure? A) arthroscopy B) craniotomy C) laparotomy D) tonsillectomy

D) tonsillectomy

An otorhinolaryngologist is more commonly known as which type of specialist? A) allergist B) ENT C) OB/GYN D) pediatrician

B) ENT

What is the minimum number of suction systems or units required in an operating room? A) one B) two C) three D) four

B) two

Which laser unit has articulated joints with mirrors at the bend points and requires that care must be taken not to disrupt the alignment of those mirrors during transport, because that could result in an unpredictable beam trajectory? A) argon B) CO2 C) krypton D) Nd:YAG

B) CO2

What is the term for the precision of a laser beam and is based on the spot size, watts, joules and the time activated ? A) amplification B) coherence C) collimation D) fluence

D) fluence

Which of the following is not a type of ureteral catheter tip? A) Whistle B) Olive C) Braasch bulb D) Pezzar

D) Pezzar

Which of the paranasal sinuses are MOST superior and can be singular or divided? A) ethmoid B) frontal C) maxillary D) sphenoid

B) frontal

Google, Yahoo, and Bing are popular: A) computer processing units B) Internet service providers C) Internet search engines D) word-processing programs

C) Internet search engines

In myringotomy procedures, what does “PE” stand for? A) pus exudate B) partial expulsion C) pressure equalizing D) peripheral examination

C) pressure equalizing

Which of the following statements comparing rigid bronchoscopes and esophagoscopes to rigid laryngoscopes is correct? A) Bronchoscopes are longer than laryngoscopes, and the distal end is straight. B) Bronchoscopes are longer than laryngoscopes, and the distal end is flared. C) Esophagoscopes are shorter than laryngoscopes, and the distal end is flared. D) Esophagoscopes are shorter than laryngoscopes, and the distal end is straight.

A) Bronchoscopes are longer than laryngoscopes, and the distal end is straight.

A glass suction bottle should ideally be A) rinsed with tap water between each case B) cleaned with disinfectant solution and autoclaved before reuse C) rinsed with sterile distilled water between each case D) autoclaved daily

B) cleaned with disinfectant solution and autoclaved before reuse

Which of the following is a curved, serrated tonsil knife? A) Beaver B) Button C) Fisher D) Sexton

C) Fisher

Seamless tubular cotton that stretches to fit a contour and is used for padding is called a/an A) Ace bandage B) Webril C) sheet wadding D) stockinette

D) stockinette

Temporal Mandibular Joiunt (TMJ) arthroplasty is performed for all of these disorders EXCEPT? A) grinding of teeth B) trauma C) wisdom teeth D) arthritis

C) wisdom teeth

Which type of surgical device provides a bloodless surgical field by way of extremity compression? A) phaco-emulsifier B) pneumatic tourniquet C) sequential compression device D) suction system

B) pneumatic tourniquet

The C-arm employs the use of A) flouroscope B) carbon dioxide C) cesium D) creatine

A) flouroscope

Why must chest tubes be attached to a water-seal drainage system? A) to keep the pleural cavity humid B) to add weight to the drainage device to keep it upright C) to keep the microbial count in the drainage from reentering D) to keep air from reentering thoracic space to reestablish negative pressure for respiration

D) to keep air from reentering thoracic space to reestablish negative pressure for respiration

A cautery would not be used A) when Betadine skin prep is used B) in cases requiring irrigation C) in neck or nasopharynx surgery if nitrous oxide is used D) in hernia repair if an epidural is used

C) in neck or nasopharynx surgery if nitrous oxide is used

The following statements regarding lasers are true EXCEPT A) laser unit is protected from bumping against walls during movement B) flammable materials should not be used near laser impact site C) water or other solutions should not be placed on laser unit D) laser unit is in “on “ position during entire case

D) laser unit is in “on “ position during entire case

The three lumens of a Foley are used for inflation, drainage, and A) prevention of urine reflux B) access for sterile urine specimens C) continuous irrigation D) additional hemostasis

C) continuous irrigation

A dressing that is held in place by long suture ends crisscrossed and tied is called a A) passive B) strip closure C) proxi-strip D) stent

D) stent

What is the name of the device that has right and left buttons and a roller, and may be a wired or wireless part of a computer used to point and click to items on the monitor? A) keyboard B) mouse C) processor D) scanner

B) mouse

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) radiographic C) radiolucent D) radiopaque

D) radiopaque

When positioning the patient for a procedure which of the following provides maximum patient dafety and maximum surgical site exposure? A) patient’s body does not touch metal on table B) Equipment, Mayo Stand, or personnel are not resting on the patient C) Bony prominences are padded D) all of the above

D) all of the above

Which diagnostic study is best at delineating between soft tissue and bony structures for diagnosing sinus conditions? A) angiogram B) audiogram C) CT scan D) MRI scan

C) CT scan

Which dressing is used after nasal surgery? A) Collodian B) Moustache C) Pressure D) Telfa

B) Moustache

The binolcular microscope provides stereoscopic vision. This refers to A) the view afforded by double eyepieces B) the color projected on the field C) the magnification capability D) the illumination process

A) the view afforded by double eyepieces

Exsanguination of a limb before tourniquet inflation is accomplished with wrapping the elevated extrimity with A) Kling B) Esmarch C) Stockingette D) Webril

B) Esmarch

Excessive exposure to radiation can affect the A) integumentary system B) brain C) reproductive organs D) stomach

C) reproductive organs

Topical cocaine 4% is used in nasal surgery for: A) anesthesia B) dilation C) lubrication D) prepping

A) anesthesia

Which instrument is used to measure the distance from incus to stapes footplate for selection of a prosthesis in stapedectomy? A) caliper B) depth gauge C) sound D) trial/sizer

B) depth gauge

Epistaxis is more commonly known as an acute: A) allergic reaction B) ear infection C) nose bleed D) upper respiratory inflammation

C) nose bleed

Rectal packing is made of A) petroleum-treated gauze B) heparin treated gauze C) antibiotic treated gauze D) telfa-treated gauze

A) petroleum-treated gauze

In general, after what length of continuous pneumatic tourniquet use should the upper extremity be allowed to reperfuse before reinflating the tourniquet? A) 30 minutes B) one hour C) 90 minutes D) two hours

B) one hour

Which procedure records the electrical activity of the brain? A) Electrocardiogram B) Brain scan C) Electromyogram D) Electroencephalogram

D) Electroencephalogram

Crossing the patients arms across his or her chest may cause A) pressure on the ulnar nerve B) interference with circulation C) postoperative discomfort D) interference with respiration

D) interference with respiration

Specialized equipment in the OR, such as portable x-ray units or laser generators, may require which type of wall outlet that can handle the increased load necessary to power the equipment? A) compressed air B) nitrous oxide C) 110 V D) 220 V

D) 220 V

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) 8 –10 mm Hg B) 10–12 mm Hg C) 12–15 mm Hg D) 15–20 mm Hg

C) 12–15 mm Hg

Radiation exposure of the staff is monitored with A) a homing device B) a Holter monitor C) film badges D) a notation on each operative record

C) film badges

A continuously variable magnification system is afforded to the eye of the surgeon by the A) broadview viewing lens B) microadaptor C) zoom lens with foot control D) couplings

C) zoom lens with foot control

During lateral positioning, a A) pillow is placed between the legs B) sandbag is placed between the knees C) rolled towel is placed under the bottom leg D) sheet is folded flat between the legs

A) pillow is placed between the legs

What is the name of the structure that separates the outer and middle ear canals from one another? A) epiglottis B) external auditory meatus C) turbinates D) tympanic membrane

D) tympanic membrane

Which surgery requires an inciaion under the upper lip above the teeth? A) Caldwell-Luc B) Submucous resection C) Frontal sinus operation D) Frontal sinus Trephination

A) Caldwell-Luc

What drain would commonly be used following a total hip arthroplasty? A) Hemovac B) Jackson pratt C) Penrose D) Water seal drainage system

A) Hemovac

After the anterior pillar of a tonsil in incised with a #12 blade, the tonsil is freed from the attachments with... A) sluder guillotine B) LaForce guillotine C) Hurd Dissector D) Boettcher scissors

C) Hurd Dissector