SURGCOM6 Flashcards
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
Which of the following endotracheal tubes can prevent a fire?
A) stainless steel
B) silicone
C) latex
D) red rubber
A) stainless steel
During ear surgery, pledgets generally used to control bleeding are soaked in
A) saline
B) heparin
C) thrombin
D) epinephrine
D) epinephrine
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
Which of the following can be a supplement to a subcuticular closure?
A) Skin staples
B) Swaged sutures
C) Stent fixation
D) Steri strips
D) Steri strips
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
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
D) Both B and C
During a parotidectomy, what cranial nerve is carefully elevated and retracted in order to preserve it?
A) Vagus
B) Optic
C) Occulomotor
D) Facial
D) Facial
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
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
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
D) provide direct visualization of the bladder
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
Which agent is Not used to inflate a pneumatic tourniquet?
A) Nitrous oxide
B) Air
C) Oxygen
D) Freon
A) Nitrous oxide
An X-ray’s photographic image is called a/an
A) ultrasound wave
B) magnetic image
C) roentgenogram
D) computerized tomography
C) roentgenogram
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
The laser used most commonly for retinal detachment , tear, or hole is
A) krypton
B) Nd-YAG
C) argon
D) CO2
C) argon
Which type of study would be used to diagnose sleep apnea?
A) CT scanning
B) polysomnography
C) videostroboscopy
D) electronystagmography
B) polysomnography
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
D) Yankauer
Another name for the Supine position is:
A) prone
B) anteriolateral
C) dorsal recumbent
D) trendelenberg
C) dorsal recumbent
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
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
All of the following are examples of tissue interaction with laser light energy EXCEPT:
A) absorption
B) contraction
C) reflection
D) transmission
B) contraction
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
Which surgical procedure would be performed for excision of a cholesteatoma?
A) adenoidectomy
B) Caldwell-Luc
C) mastoidectomy
D) radical neck dissection
C) mastoidectomy
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