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surgical skills > surgical skills > Flashcards

surgical skills Flashcards

1
Q

When in surgery, which scissors do you use to cut suture material?

A. Metzenbaum
B. Doyen
C. Mayo
D. Bandage

A

B. Doyen

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2
Q

What is false regarding Hydrogen Peroxide chemical sterilization?
A. Ideal for heat-sensitive items
B. Rapid Sterilization
C. No harmful emissions
D. Choice method of sterilization for single-use items

A

D. Choice method of sterilization for single-use items

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3
Q 
Which are ways to reduce the potential for infection non-surgically ?
A.      Clip surgical area
B.      Maximize hospitalization time
C.      Treat existing infections
D.       A&C
A

D. A & C

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4
Q 
What is the most common source of infection during a surgical procedure?
A. The surgeons gloved hands
B. The air in the surgical suite
C. The patient
D. The surgical instruments
A

C. The patient

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5
Q

All the following apply to third intention would healing, except:
A - Indicated for heavily infected wounds
B - Repair before granulation tissue forms
C - 5-10 days post-wounding
D - Wound closure after development of granulation tissue

A

B - Repair before granulation tissue forms

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6
Q

Which of the following properties of Glutaraldehyde is FALSE:

a) it has a broad spectrum of activity
b) alkylation of microbial proteins is it’s mode of action
c) it is corrosive and therefore not ideal for “cold packs”
d) it is used to disinfect objects that cannot be sterilized by steam

A

c) it is corrosive and therefore not ideal for “cold packs”

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7
Q 
Which of the following forceps is used for the hemostasis of larger blood vessels?
A.      Halsted Mosquito
B.      Rochester Carmalt
C.      Crile-Wood
D.    Kelly
A

D. Kelly

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8
Q

Choose the most accurate statement regarding needles:
A. Compared to the swaged needle, an eyed needle may be more expensive but will cause less tissue damage.
B. A reverse cutting needle may increase the risk of “tear out”.
C. A tapercut needle is indicated for suturing very delicate tissues.
D. A spatula needle is indicated for ophthalmic surgery.
E. Use swaged, cutting needles whenever possible to decrease tissue damage.

A

D. A spatula needle is indicated for ophthalmic surgery.

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9
Q

Which forceps would you use when performing a spay?

 a) Holsted mosquito forceps
 b) Kelly forceps
 c) Crile forceps
 d) Ochsner forceps
 e) Carmalt forceps
A

E) Carmalt forceps

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10
Q

For what purpose would you use Babcock intestinal forceps?

	 a) To control little bleeders
 b) To hold skin and fascia
 c) To hold viscera or hollow organs
   	 d) For use in intestinal resection, occluding intestine w/o crushing it
A

c) To hold viscera or hollow organs

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11
Q

What is one of the disadvantages of suturing hollow viscera?

a. Can usually tear the tissue while suturing
b. Some suture material can be calculogenic
c. Serosa-serosa apposition causes slow healing
d. Always has a poor blood supply post-operation
A

b. Some suture material can be calculogenic

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12
Q

Which of the following answers is most correct?

a. Boiling water is an effective means of sterilization.
b. Radiation is the preferred method of sterilization for pre-sterilizing, single-use items. 
c. Dilute glutaraldehyde is more toxic than formaldehyde
d. all of the above are correct
A

b. Radiation is the preferred method of sterilization for pre-sterilizing, single-use items.

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13
Q

Which of the following is the most reliable means of sterilization?

a. physical sterilization
b. antiseptics
c. disinfectants
d. Steam sterilization
A

d. Steam sterilization

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14
Q

T/F: Is it possible to sterilize a surgical pack in less than ten minutes?

A

TRUE

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15
Q

T/F Boiling water is an effective means of sterilization?

A

FALSE

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16
Q

Which sterilization technique destroys all microbes via alkylation?

a. boiling water
b. autoclave
c. Radiation
d. Ethylene Oxide (ETO)
A

d. Ethylene Oxide (ETO

17
Q

Why is glutaraldehyde considered a disinfectant and not an antiseptic?
A. Because it reduces the microbial load on inanimate objects and not living tissue
B. Because it reduces the microbial load on inanimate and animate objects
C. Because it reduces the microbial load on living tissue and not on inanimate objects
D. Because it has a narrow spectrum of activity only.

A

A. Because it reduces the microbial load on inanimate objects and not living tissue

18
Q

You preformed a bladder surgery on a pothound. There was no spillage or any known contamination during the surgery and everything went according to plan. What degree of contamination occurred, if any, and what would be the follow-up treatment?
A) This was a CLEAN surgery and NO antibiotics are needed
B) This was a CLEAN surgery but place on prophylactic antibiotics
C) This was a CLEAN-CONTAMINATED surgery and place on prophylactic antibiotics
D) This was a CONTAMINATED surgery, place on antibiotics
E) This was an INFECTED surgery, place on antibiotics

A

D) This was a CONTAMINATED surgery, place on antibiotics

19
Q

Which of the following statements about sterilization is true?
A) Putting surgical instruments in boiling water will sufficiently sterilize them for use during surgeries.
B) The efficacy of ETO (ethylene oxide) for sterilization is dependant upon many factors with the most important being able to detect the odor of the chemical during the sterilization process.
C) Chemical agents that reduce the microbial load or inhibit growth on inanimate objects are generally referred to as antiseptics.
D) Autoclaving is the most reliable method of sterilization if done at the correct pressure and temperature for the appropriate duration of time.
E) Cold sterilization can be used in an emergency situation because it only requires instruments to be submerged for 15 minutes in order to achieve sterilization.

A

D) Autoclaving is the most reliable method of sterilization if done at the correct pressure and temperature for the appropriate duration of time.

20
Q

Which of the following is the best Antiseptic combination used to surgically prepare an area for surgery?

a) Povodine-Iodine and Alcohol
b) Chlorhexadine and Alcohol
c) Glutaraldehyde and Alcohol
d) Etheylene Oxide and Alcohol
A

b) Chlorhexadine and Alcohol

21
Q 
You are suturing a ruptured bladder of a 10 year old female Irish Setter. Which of the following suture patterns would you appropriately use to penetrate the lumen of the bladder? 
	A. Connel 
	B. Cushing 
	C. Halstead 
	D. Lembert 
	E. Interrupted Lembert
A

A. Connel

22
Q

Which of the following is not true of collagen?
A) Natural, multifilament
B) Made from long flexor tendons of steers
C) Non-absorbable
D) Used primarily for ophthalmic surgery

A

C) Non-absorbable

23
Q

Which of the following is FALSE regarding how to reduce the potential for infection?
A) Minimize pre-operative hospitalization time.
B) Always shave the surgical area.
C) Do not use epinephrine locally.
D) Minimize dead space.
E) Minimize surgical time.

A

B) Always shave the surgical area.

24
Q

Which of the following is NOT considered a sterile zone while in the Operating Room?
A) Draped sterile fields
B) Air space over sterile fields
C) Floor surrounding surgery table
D) Surgical site
E) Surgeon – only sterile from mid-chest to waist and elbow to fingertips

A

C) Floor surrounding surgery table

25
Q

A suture material is considered non-absorbable if it:

a. Never dissolves and it present in the body forever
b. Maintains its breaking strength for over 1 year
c. Maintains is breaking strength for > 60 days
d. Ever looses its breaking strength
e. Dissolves within a year

A

c. Maintains is breaking strength for > 60 days

26
Q

Which of the following statements is true?
A) Contraction always causes functional disability due to a fixed deformity
B) Second degree burns are painful, involves only the epidermis and often scars
C) The bladder is the only organ in the body that regains 100% of its prewound strength
D) The strength of closure is dependent on suture’s grasp of the t. muscularis layer

A

C) The bladder is the only organ in the body that regains 100% of its prewound strength

27
Q

Which of the following Topical Antimicrobials is known for its carcinogenic properties as well as causing delay in epithelialization?

a) Gentamicin
b) Trible Anti-biotic
c) Nitrofurazone
d) Silver Sulfadiazine
e) Preparation H
A

c) Nitrofurazone

28
Q

The following are true regarding suture equipment and techniques EXCEPT:

a) Suture material and it's use can cause undue tissue trauma and prolong 			healing time.
b) The "K needle" is best used for suturing parenchyma, as it lacks a cutting edge.
c) To choose the best needle for a procedure, the needle traits, tissues to be 			sutured and nature of the wound should first be considered.
d) For closing superficial tissues, a straighter (less-curved) needle is 				preferred.	
e) Swaged, tapered needles cause the least trauma to the tissue.
A

b) The “K needle” is best used for suturing parenchyma, as it lacks a cutting edge.

29
Q

All of the following are true about “Absorption of Suture Material” EXCEPT :
a. Loss of tensile strength is independent from absorption
b . Loss of tensile strength is the same as absorption rate
c. Accelerated absorption may predispose to post operative complications
d. Accelerated absorption is associated with fever, infection and protein deficiency

A

b . Loss of tensile strength is the same as absorption rate

30
Q

Which of the following does not constitute one of the cardinal rules of the operating room?
A. non-sterile personnel should never handle sterile items
B. the surgeon is considered completely sterile once in gown and gloves
C. the table is only sterile at table height
D. sterile personnel should pass others back-to-back to avoid contamination
E. one should always face the sterile field when moving to minimize contamination

A

B. the surgeon is considered completely sterile once in gown and gloves

31
Q

Which of the following is recommended ligature technique for a canine spay?
A) Proximal to dog - circumferential suture; surgeon’s knot; transfixing suture; surgeon’s knot
B) Distal to dog- circumferential suture; surgeon’s know; transfixing suture; surgeon’s knot
C) Distal to dog - circumferential suture; transfixing knot
D) Proximal to dog - transfixing suture; surgeon’s knot; circumferential suture; surgeon’s knot
E) All of the above are appropriate

A

A) Proximal to dog - circumferential suture; surgeon’s knot; transfixing suture; surgeon’s knot

32
Q

Which of the following rules Do Not apply when in the operating room
A) The surgeon’s hands are always kept clasped in front and above the waist when not in use.
B) In order to minimize accidental contamination, always face sterile field/zone and pass others back-to-front.
C) Sterile items handled only by sterile personnel.
D )Non-sterile personnel can reach over sterile field.
E) B and D

A

E) B and D
Answer: E because when passing others, one should pass back-to-back and non-sterile personnel should keep a distance of at least 1 foot from the sterile zone to prevent contamination

surgical skills (2 decks)

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