Surgical Principles Flashcards
Which of the following is NOT considered essential in the surgical suite
A Time management
B Monitoring
C Music
D Communication
C Music
Esmarch bandages and tourniquets are occasionally used in equine surgery. What is the maximum time that a tourniquet may be left in place?
A 1 hour
B 2 hours
C 5 minutes on, 5 minutes off
D 30 minutes
D 30 minutes
The purpose is to help push blood out of a limb by wrapping the bandage from distal to proximal and then applying a tourniquet. The surgeon can minimize the amount of bleeding at the surgical site
Which of the following scenarios are Mayo scissors most practical?
A To cut and dissect delicate tissue
B To cut and dissect tough tissue
C To cut and remove sutures from a healed surgical site
D To cut into the eye in intraocular procedures
B To cut and dissect tough tissue
Which surgical instrument has no gripping teeth and is a self retaining forceps used for delicate tissue?
A Babcock
B Allis
C Ferguson
D Roeder
A Babcock
Which instrument can be sued to cut through bone?
A Wire cutting scissors
B Kern forceps
C Verbrugge
D Osteotome
D Osteotome
Veterinarians often utilize an OVH hook, or spay hook, when performing a spay procedure. Which of the following instrument categories does this tool belong in?
A Needle drivers
B Retractors
C Forceps
D Elevators
B Retractors
What is the term for removing ischemic and necrotic tissue from a wound?
A Skin scraping
B Incising
C Debridement
D Grafting
C Debridement
Which of the following methods is ideal for surgical drapes?
A Accordion folding
B Square folding
C Diagonal folding
D Triangle folding
A Accordion folding
What type of folding method is preferred for cloth drapes that would allow for easy unfolding and placement of the drape?
A Triangular folding
B Bunching method
C Square folding
D Accordion folding
D Accordion folding
The definition of sterile is:
A Without microbes or living spores
B Without pathogenic microbes
C With the presence of commensal organisms only
D Without bacteria or their by-products
A Without microbes or living spores
Which of the following scissors should be used for cutting through dense or thick tissues and fascia?
A Olsen-Hegar
B Metzenbaum
C Mayo
D Iris
C Mayo
What is an elective surgery?
A One that is an emergency and must be done immediately to save the animal
B One that is risk free and ensures survival of the patient
C One that is scheduled in advance and it is non-essential
D One that requires preoperative bloodwork to be performed
C One that is scheduled in advance and it is non-essential
Which method below is required for surgical scrub preparation of an incision site?
A In vertical lines, with the first line being on the incision line
B Spiraling in from the outside edges of the incision site
C As long as the surgical incision site is scrubbed thoroughly, the technique is not important
D Spiraling out from the centre of the incision site to the outer edges
D Spiraling out from the centre of the incision site to the outer edges
Which of the following gauges represents the largest diameter wire?
A 22 gauge
B 20 gauge
C 18 gauge
D 26 gauge
C 18 gauge
Which of the following is true of Huck towels?
A Huck towels are placed after the surgical drape
B Huck towels are only used for cleaning purposes
C Huck towels may be be used in place of the drape
D Huck towels are placed prior to the surgical drape
D Huck towels are placed prior to the surgical drape
The skin of a prepped surgical site is considered:
A Bacteria-free
B Sterile
C Aseptic
D Asepsis
C Aseptic
The forceps with longitudinal grooves and distal transverse grooves are called:
A Rochester-Carmalt
B Rochester-Pean
C Rochester-Ochsner
D Mayo-Hegar
A Rochester-Carmalt
Surgical Preparation/clipping is performed with a no. ___ blade
A 10
B 15
C 25
D 40
D 40
What is the typically recommended time for a patient to return for suture removal?
A 15-20 days after surgery
B 20-24 days after surgery
C 10-14 days after surgery
D 5-7 days after surgery
C 10-14 days after surgery
In what position would you put an equine patient for a colic surgery?
A Dorsal recumbency
B Standing
C Lateral recumbency
D Ventral recumbency
A Dorsal recumbency
Provides best access to the horse’s organs when performing the colic surgery
A spay hook is used for:
A Removal of a mammary gland
B Retracting sutures
C Finding the uterine horns
D Cutting suture material after a spay surgery
C Finding the uterine horns
Which of the following occurs when a bleeding vessel is clamped off?
A Coagulation
B Hemostasis
C Fibrinolysis
D Thrombosis
B Hemostasis
Which of the following is NOT considered appropriate attire for the surgeon or surgical assistant?
A A watch
B Surgical scrubs
C A surgical bonnet
D A mask
A A watch
Which of the following suture and needle combinations are most common in veterinary medicine?
A Swaged, curved needle
B Swaged, straight needle
C Spring-eyed, cutting needle
D Eyed, straight needle
A Swaged, curved needle
Which of the following is a surgical instrument designed to hold stainless steel?
A Doyen forceps
B Halsted mosquito forceps
C Mayo needle holder
D Littauer suture removal scissors
C Mayo needle holder
Which of the following would describe a laceration under the paw of the right forelimb?
A Dorsal aspect
B Palmar aspect
C Plantar aspect
D Anterior aspect
B Palmar aspect
Where is the hypodermic in relation to the dermis?
A immediately below the epidermis
B Immediately below the dermis
C The hypodermis is not related to the dermis
D Immediately above the dermis
B Immediately below the dermis
A suture pack with a cutting needle would be used on which of the following?
A Dermis and epidermis
B Eyes
C Urinary bladder
D Intestinal resection
A Dermis and epidermis
Which of the following is NOT a sign of a potential bandage complication when monitoring a forelimb bandage?
A Swelling of the opposite limb
B Urine soaking into the bandage
C Slippage of the bandage
D Swelling of the paw
A Swelling of the opposite limb
Which of the following is NOT a cause of wound dehiscence?
A Use of reactive sutures
B Failure to place external sutures
C Self-mutilation
D Increased activity after surgery
B Failure to place external sutures
A dog has dislocated his hip joint, and the doctor has reduced the dislocation. What can be used to keep the hip in the appropriate flexed position?
A Ehmer sling
B Strict cage rest
C Prolonged sedation
D Hip brace and support harness system
A Ehmer sling
Which of the following is TRUE when considering postoperative sponge count for abdominal surgeries?
A Short procedures do not require a sponge count
B Only use radiopaque sponges
C Sponge counts should always be performed regardless if the type of abdominal surgery
D Counts only need to occur if there is excessive bleeding
C Sponge counts should always be performed regardless of the type of abdominal surgery
Which of the following is not a suction tip?
A Poole
B Frazier-Ferguson
C Yank Auer
D Bard-Parker
D Bard-Parker
What are the two methods of gloving?
A Open and closed
B Closed and parallel
C Sterile and dirty
D None of these
A Open and Closed
Which dog breed is most likely to require a caesarean section as opposed to natural whelping?
A Chihuahua
B Pug
C English Bulldog
D Komodor
C English Bulldog
More than 90% of brachycephalic breeds need a C-section
For procedures in large animals, which size surgical blade is most commonly used with a no. 4 Bard-Parker scalpel handle?
A 20
B 15
C 11
D 10
A 20
Which of the following correctly describes a “surgeon’s knot” instead of a regular square knot?
A When applied correctly, it results in moderate eversion of the tissue
B It involves passing one strand through the loop twice on the first throw
C It is an alternative term used to describe a half-hitch knot
D It is only used when placing interrupted suture pattern
B It involves passing one strand through the loop twice on the first throw
Which of the following is FALSE regarding an acceptable method of nail care for surgical assistants?
A Acrylic nails can be worn as they are less porous and are acceptable if scrubbed for 5 mins
B Nail polish can harbour bacteria and needs to be removed prior to scrubbing
C Nails should be scrubbed and picked prior to the rest of the hand
D Nails should be kept short
A Acrylic nails can be worn as they are less porous and are acceptable if scrubbed for 5 mins
Which of the following is NOT an elective surgery?
A An ovariohysterectomy for pyometra
B A urethral obstruction
C A bilateral orchidectomy for prostatic hypertrophy
D All of the above
All of the above
Which of the following instruments is best suited for removing the dorsal spinous process of the vertebra during spinal surgery?
A Kern forceps
B Bone curette
C Rongeur
D Rochester
C Rongeur
Has a thin, jaw-shaped tip that can gouge out the bone.
Which of the following scissors are the most heavy-duty and should be used for cutting through dense or thick tissues and fascia?
A Littauer and Spencer
B Metzenbaum
C Mayo
D Iris
C Mayo