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Surgical Techniques > Surgical Techniques - Intrumentation 3-C > Flashcards

Surgical Techniques - Intrumentation 3-C Flashcards

1
Q

unreactive, exhibiting no chemical or biological reaction

A

inert

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2
Q

an abnormal narrowing of a bodily passage

A

stricture

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3
Q

having one or more openings

A

fenestrated

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4
Q

are subjected to greater strain and damage than instruments used for soft tissue; may be ratcheted or have a spring action, locking or non-locking design

A

needle holders

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5
Q

unlikely to cause tissue damage

A

atraumatic

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6
Q

used to view tissue, as a diagnostic tool for tissue sampling, and as curative for removing tissue

A

endoscope

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7
Q

to tie with a ligature

A

ligate

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8
Q

to connect or join

A

anastomoses

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9
Q

provides better visualization of the operative site by washing out a body cavity or wound with fluid

A

irrigation

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10
Q

an agent used to burn, sear, or destroy tissue

A

cautery

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11
Q

makes steel resistant to corrosion

A

chromium

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12
Q

an alloy of cobalt, chromium, and molybdenum that is strong and resists corrosion

A

vitallium

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13
Q

makes steel hard to give the instrument strength

A

carbon

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14
Q

glare proof, more susceptible to corrosion

A

dulled or satin finish

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15
Q

extremely hard, used for laminating cutting blades

A

tungsten carbide

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16
Q

excellent for microsurgical instruments, since it is stronger and harder, lighter in weight, non-magnetic and inert

A

titanium

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17
Q

used for flash plating or coatings

A

cadmium, silver, copper, and nickel

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18
Q

finish resists corrosion and makes it easy to identify defects or contamination

A

bright, polished finish

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19
Q

variable mixture of metals means there are varying grades of metal; only the 400 series grade should be used for surgical instruments since it is highly resistant to corrosion, strong, and produces a fine point

A

compound

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20
Q

a compound of iron, chromium, and carbon

A

stainless steel

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21
Q

used in laser surgery to prevent reflection of the laser beam to collateral tissue

A

ebonized, black chromium finish

22
Q

a fiberoptic bundle that attaches to a light source to provide lighting in endoscopic surgery

A

light source

23
Q

each one of these has a retractable safety shield to protect abdominal organs from puncture by the point during insertion

A

trocars

24
Q

captures image via the endoscope and displays the image on a monitor

A

video camera

25
Q

comes in a number of sizes measured in millimeters. The most common sizes are 5mm, 10mm, 11mm, and 12mm.

A

cannulas

26
Q

used for viewing the internal passages and hollow organs through the body’s natural openings

A

flexible endoscope

27
Q

miniaturized instruments passed through or attached to the sheath to accomplish the procedure

A

instrumentation

28
Q

tubing used to deliver the CO2 gas to the operative area

A

insufflation tubing

29
Q

Complete the following statement that accurately describes how to properly handle endoscopes.
Never bend any of the parts. _____ cords loosely when not in use.

A

Coil

30
Q

Complete the following statement that accurately describes how to properly handle endoscopes.
Avoid rough handling and _____.

A

jarring

31
Q

Complete the following statement that accurately describes how to properly handle endoscopes.
Do not _____ with other instruments,

A

mix

32
Q

Complete the following statement that accurately describes how to properly handle endoscopes.
Never _____ on top of each other,

A

pile

33
Q

Complete the following statement that accurately describes how to properly handle endoscopes.
Check for dents, scratches, or rough edges; this can cause _____ damage or corrosion of the instrument.

A

tissue

34
Q

Complete the following statement that accurately describes how to properly handle endoscopes.
Do not allow the fiberoptic _____ to swing free.

A

cable

35
Q

Clamps should be closed on the _____ ratchet only.

a. tightest
b. second
c. middle
d. first

A

d. first

36
Q

What should the surgical technologist know about each surgical instrument?

a. name and type
b. function and composition
c. name and use
d. length and weight

A

c. name and use

37
Q

On the instrument table, place forceps _____ instrument like Peans and Ochsners.

a. on top of
b. under
c. next to
d. away from

A

c. next to

38
Q

What should be done with heavy retractors during the preoperative phase?

a. Keep them separate from the other instruments.
b. Lay them next to the other instruments.
c. Handle them carefully to ensure they are not nicked or scratched.
d. Avoid dropping or bouncing them on the floor.

A

a. Keep them separate from the other instruments.

39
Q

Jaws, _____, and _____ should align exactly.

a. teeth; serrations
b. teeth; ratchets
c. ratchets, serrations
d. clamps, teeth

A

a. teeth; serrations

40
Q

Handle loose instruments separately to prevent _____ or _____.

a. damage; chipping of the surface
b. interlocking; crushing
c. them from being mixed in with the sets; interchanged with others
d. imperfections; misalignment

A

b. interlocking; crushing

41
Q

_____ and _____ should all point the same direction for ring-handled instruments.

a. Tips; joints
b. Curvatures; edges
c. Edges; joints
d. Curvatures; angles

A

d. Curvatures; angles

42
Q

Instruments are passed _____ to the surgeon in a _____ manner.

a. quickly; calm and gentle
b. firmly; decisive
c. individually; calm and gentle
d. quickly; decisive

A

b. firmly; decisive

43
Q

Short instruments are usually used for _____.

a. superficial wounds
b. adjusting surgical drapes
c. deep body cavities
d. handling surgical specimens

A

a. superficial wounds

44
Q

Loose instruments on the sterile field should be _____.

a. left alone for the surgeon’s use
b. considered contaminated
c. left alone until the final count
d. removed immediately after use and placed on the Mayo stand or back table

A

d. removed immediately after use and placed on the Mayo stand or back table

45
Q

Hold hemostatic clamps by the _____ when passing to another person.

a. box lock
b. tips
c. ring handles or ends
d. jaws

A

a. box lock

46
Q

Keep instruments with lumens patent during the surgical procedure by _____.

a. using a probe to remove obstructions
b. blowing through the center of the lumen
c. using a pipestem cleaner
d. irrigating with sterile water

A

d. irrigating with sterile water

47
Q

A signal for scissors requires the _____ and ____ finger moving together.

a. thumb; fore
b. index; middle
c. thumb; middle
d. index; thumb

A

b. index; middle

48
Q

Select instruments in proportion to the _____ of the surgical site.

a. angle
b. tissue type
c. depth
d. difficulty

A

c. depth

49
Q

Keep the electrosurgical tip surface free of _____ and _____ since buildup can affect conductivity.

a. blood and tissue
b. debris and necrotic tissue
c. eschar and debris
d. eschar and tissue

A

c. eschar and debris

50
Q

For those instruments that are frequently used, a _____ _____ can be placed across the patient.

a. sterile towel
b. magnetic pad
c. sterile tray
d. none of the above

A

b. magnetic pad

Surgical Techniques (16 decks)

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