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Z.D. Basic Surgical Techniques > Written > Flashcards

Written Flashcards

1
Q

What are the superficial wound infection types?

A. Cut wound and wounds contaminated with soil

B. Laminal spreading and localized infection

C. Systemic infection and infection spreading along the tissue borders

D. Abrasion and incised wound

A

What are the superficial wound infection types?

B. Laminal spreading and localized infection

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2
Q

What is the late complication of the wound healing?

A. Hypographic scar

B. Erythema

C. Keloid

D. Seroma

A

What is the late complication of the wound healing?

C. Keloid

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3
Q

Which factors increase the surgical risk? Give 3 of them!

A

E.g.:Overweight, anorexia, pregnancy, diabetes mellitus, high blood pressure, alcoholism, smoking, ect.

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4
Q

What is the name of the bite wound in latin?

A

Vulnus morsum

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5
Q

Which kind of indication the following statements are refering to?

  1. The patient can be treated only with an immediate, life-saving operation.
  2. Surgery is a possible choice of treatment. The time of the operation can be delayed.
  3. The disease can be treated with an operation. The time of operation can be chosen between narrow limits.
A

Which kind of indication the following statements are refering to?

  1. vital indication
  2. relative indication
  3. absolute indication
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6
Q

Write the missing words on the dotted line!

For skin closure …….…….- clips are used with the it’s clip applicator and remover. ……………………………. is a circumscribed injury which is due to an external force and can involve any tissue or organ. It can be mild, severe, or even lethal.

A

Michel-clips

A Wound

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7
Q

True or False?

Simple continuous suture is the proper suture type of the stomach, the intestines and the mucosa.

A

True or False?

Simple continuous suture is the proper suture type of the stomach, the intestines and the mucosa.

True

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8
Q

What is the absorption type of natural suture materials?

A

What is the absorption type of natural suture materials?

Enzymatic absorption

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9
Q

Write 4 advantages of laparascopic procedure vs. open surgery

A

Write 4 advantages of laparascopic procedure vs. open surgery

  1. Lower risk for hernias
  2. Less postoperative pain, less analgesics needed
  3. Cosmetically better (unless you think scars are badass)
  4. Shorter hospitalization
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10
Q

To what does the following sentence refer?

It is an early complication of wound healing, due to an ineffective bleeding control, a short period of drainage or anti-coagulation therapy

A

To what does the following sentence refer?

It is an early complication of wound healing, due to an ineffective bleeding control, a short period of drainage or anti-coagulation therapy

hematoma

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11
Q

What type of incision is used for open cholecystectomy?

A. Pfannenstiel incision

B. Muscle-splitting incision

C. Upper median laparotomy

D. Right subcostal incision

E. Right pararectal laparotomy

A

What type of incision is used for open cholecystectomy?

D. Right subcostal incision

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12
Q

What is the name of the bite wound in latin?

A

What is the name of the bite wound in latin?

vulnus morsum

(Just imagine Fredrik Morsund biting you)

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13
Q

Fill in the blank

Use to gauge depth or direction of a sinus or cavity by inserting …………. in there

A

Use to gauge depth or direction of a sinus or cavity by inserting …………. in there

Round-ended probe

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14
Q

What can be used to remove blood and fluid during surgery?

A

What can be used to remove blood and fluid during surgery?

suction apparatus

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15
Q

What is the name of the crush wound in latin?

A

What is the name of the crush wound in latin?

vulnus contusum

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16
Q

What is the name of the shot wound in latin?

A

What is the name of the shot wound in latin?

vulnus sclopetarium

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17
Q

What is the name of the type of wound healing in latin`

A

What is the name of the type of wound healing in latin`

Sanatio per primam intentionem

Sanatio per secundam intentionem

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18
Q

Choose the WRONG answer:

What are the general rules of sepsis:

A. Only sterile instruments can be used to perform surgical procedures

B. A scrubbed-in person can handle only sterile instruments and eqipment

C. The sterile instrument preserves its sterility if only the sterile person touch it

D. Isolation of the operating field is a desinfection procedure

E. The operation field is never considered absolutely sterile but applying aseptic operation techniques …… (rest is missing)

A

Choose the WRONG answer:

What are the general rules of sepsis:

D. Isolation of the operating field is a desinfection procedure

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19
Q

Choose the WRONG answer:

The groups of suture materials should be

A. Natural and synthetic

B. Monofilament and multifilament

C. Rigid and flexible

D. Absorbable and non-absorbable

E. Monofilament and twisted/braided

A

Choose the WRONG answer:

The groups of suture materials should be

C. Rigid and flexible

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20
Q

What is the absorption of the following materials:

Silk

Polypropylene

A

What is the absorption of the following materials:

Silk - Enzymatic

Polypropylene - Hydrolysis

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21
Q

Choose the WRONG answer:

What is true about the operating room?

A. The room is spacious.

B. Natural light source

C. The tiles are up to the ceiling

D. The surgeon must pass through a special room…

E. Artificial ventilation & air conditioning

A

Choose the WRONG answer:

What is true about the operating room?

B. Natural light source

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22
Q

Choose the WRONG answer:

What is true about laparoscopic instruments?

A. Normal size is 5mm/10mm

B. Non insulated & insulated exists

C. Pelican & parrot retractors

D. Hook scissors used to cut tissue

E.

A

What is true about laparoscopic instruments?

I have no idea, i think they use Flamingo and Parrot, though, not Pelican

So C is wrong

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23
Q

List 3 instruments used for hemostasis:

A

List 3 instruments used for hemostasis:

Péan clamp, Mosquito clamp, Abdominal clamp, diathermy knife, CUSA, LASER

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24
Q

Into which category “steri-strip” belong to?

A

Into which category “steri-strip” belong to?

Group 5 (if you remember them by order) Tissue unifying instruments and materials

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25
Q

2 ways of holding the scalpel

A

2 ways of holding the scalpel

Fiddle-bow and pencil

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26
Q

What kind of circular string is used in the GI tract

A

What kind of circular string is used in the GI tract

Purse string suture

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27
Q

True or false

Taper cutting needle is used to suture the sclerotic calcified tissues

A

True or false

Taper cutting needle is used to suture the sclerotic calcified tissues

True

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28
Q

True or false

In the past, we used natural suture materials such as human hair

A

True or false

In the past, we used natural suture materials such as human hair

True

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29
Q

What is the order you prepare for surgery

A

What is the order you prepare for surgery

Masking, Scrubbing, Disinfecting, Gowning, Gloving, Isolation

30
Q

Fill in the blank

……………… is caused by a sharp pointed tool. It is misleading and sometimes seems to be negligible

A

……………… is caused by a sharp pointed tool. It is misleading and sometimes seems to be negligible

Puncture wound (Vulnus Punctum)

31
Q

Fill in the blank

………………… is made from xyphoid process to the syphysis pubis.

A

………………… is made from xyphoid process to the syphysis pubis.

Total median laparotomy

32
Q
A

10 Straight Blunt-Sharp Scissors

11 Laparoscopic camera head

11/A Laparoscopic telescope/optic

33
Q

Which is the right order of wound healing?

A. Remodeling - hemostasis-infiltration – granulation-proliferation

B. Granulation-proliferation - hemostasis-infiltration - Remodeling

C. Hemostasis-infiltration - granulation-proliferation - remodeling

D. Granulation-proliferation – Remodeling - Hemostasis-infiltration

A

Which is the right order of wound healing?

C. Hemostasis-infiltration - granulation-proliferation - remodeling

34
Q

What is the thinnest htread in the USC classification?

A. 11/0

B. 10

C. 0

D. 1/0

A

What is the thinnest htread in the USC classification?

A. 11/0

35
Q

List 6 devices present in the operating room!

A

List 6 devices present in the operating room!

Operating table

Vital signs monitor

operating lamp

Suction device

X-ray device

Sonnenburg table

Air condition

Trash can

36
Q

Mention 3 different wounds (english and latin)

A

Abraded wound (vulnus abrasum)

Punctured wound (vulnus punctum)

Incised wound (vulnus scissum)

Cut wound (vulnus caesum)

Crush wound (vulnus contusum)

Torn wound (vulnus lacerum)

Bite wound (vulnus morsum)

Shot wound (vulnus sclopetarium)

37
Q

What does pneumoperitoneum mean and where do we use it?

A

Air in the peritoneum. During laprascopy gas, most common CO2 is pumped into the abdomen of the patient

38
Q
A

Sharp, sharp-straight scissors

Lister bandage scissors

splinter forceps

amputation knife

Rake retractor

39
Q

How do we distinguish between different types of sutures depending on their characteristics:

_______________ and ______________.

A

How do we distinguish between different types of sutures depending on their characteristics:

Monofilament and multifilament)

40
Q

True or false

Atraumatic needle, disadvantages: re-serialization, harmful for tissue etc

A

Atraumatic needle, disadvantages: re-sterialization, harmful for tissue etc

FALSE

41
Q

Name of instrument in picture: _____________

What is part A?

What part is B?

What part is C?

A

Name of instrument in picture: Telescope

A: Ocular (camera connection)

B: Light cable connection

C: Objective Lens

42
Q

Types of Superficial wound infection (write the type AND an example):

A

Types of Superficial wound infection (write the type AND an example):

  1. A diffuse, erysipelas
  2. Localized ,abscess
43
Q

What do these things mean?

  1. 2-0: .
  2. Coated: .
  3. 75cm: .
  4. 24 mm: .
A

What do these things mean?

  1. Width of the thread in USP units
  2. Prevents tissue from getting into the thread
  3. length of thread
  4. length of needle
44
Q

What are the two ways of starting a laparoscopy?

A

Closed access by Veres needle

Blind technique and most commonly

practiced way of access by surgeons worldwide.

Open access (Hasson-technique)

Direct entry without creating previous pneumoperitoneum

45
Q

What is injured in a simple wound?

(This is a MCQ question, so just look at the answer)

A

Skin, Mucus membrane, Subcutanaeous tissue, superficial follicle, muscle (partially)

46
Q

What gas is used in a pneumoperitoneum?

(also an MCQ)

A

Carbon Dioxide

47
Q

When does granulation take place?

MCQ

A

3-7 days

48
Q

When was ether day?

A

16th October 1846

49
Q

Fill in the blank!

The Payer probe is used to dissect the area which is located beneath the vessel. Following this, it is kept under the vessel and the ……………A……………….. is directed under the vessel and above the probe. Suture material is passed through the hole found at the end of the …………A……………. which is then directed back from under the vessel. In this manner, we can ligate the desired vessel

A

Deschamp ligation needle

50
Q

True or false

Metric system measures the suture in tenth of milimeter

A

True or false

Metric system measures the suture in tenth of milimeter

TRUE

51
Q

What is this?

What can we put on A?

What is B?

What is the outer part?

What is the inner part?

A

What is this? Veres Needle

What can we put on A? Insufflator

What is B? Valves

What is the outer part? Needle part

What is the inner part? Insufflator tube (blunt)

52
Q

True or False

Vertical mattress is used to suture skin, subcutaneous tissue, muscle

A

True or False

Vertical mattress is used to suture skin, subcutaneous tissue, muscle

FALSE (we think)

53
Q

How many times should you disinfect the skin of the patient?

A

3 times

54
Q

True or False:

You shave the patient the day before the operation

A

FALSE: should be the day of the operation

55
Q

Which type of wound has the best healing?

A

Incised wound

56
Q

True or False:

The first attendant ties the gown

A

FALSE

should be the scrub nurse

57
Q

What do you call the instrument closer to the letter A?

And to letter B?

What is the word used to describe their handle?

What other thing might be included in the test with these? (sorry there is no picture, just going off word of mouth)

A

A: Flamingo laparoscopic needle holder

B: Parrot laparoscopic needle holder

They have a linear “coaxial” handle

There is supposedly also a laparoscopic clamp in the picture, but can’t find any clear pictures of these from the department

58
Q

True or False (although I think this question is actually an MCQ, the student could only remember this part of it)

Compared to open surgery, in laparoscopy there are more fluctuations in patient’s blood pressure

A

FALSE

59
Q

6 different types/categories of surgical instruments

A
  1. Dissecting/cutting
  2. Grasping
  3. Hemostatic
  4. Retracting
  5. Tissue unifying
  6. Special
60
Q

Label this diagram

A
61
Q

Hopefully can see this picture.. what is it?

What is A?

What can be attached to B?

What are C and D?

A

Trocar

A: valve

B: insufflator tube/hose

C: reducer

D: tap

62
Q

What is this called?

A

Thread Memory

63
Q

What is this called?

A

Purse String Suture

64
Q

3 thrombosis prophylaxis mechanisms

A
  1. Heparin derivatives
  2. Aspirin
  3. Coumarin

Can also mention compression socks, elevated the legs, etc.

65
Q

What are the main parts of the “trocar-port assembly?”

(not sure if this is a labeled diagram on the test, also from word of mouth. Taking this from e-book.)

A
  1. Spit (or obturator or trocar)
  2. Cannula (or port)
  3. Valve

(picture is from the university in Szeged)

66
Q

One side of the ______ is smooth while the other is spherical. The semicircle of it is a little sharp.

It is useful in the blunt separation of _______ and ________ from the surface of the bone.

A

One side of the raspatory is smooth while the other is spherical. The semicircle of it is a little sharp.

It is useful in the blunt separation of periosteum and connective tissue from the surface of the bone.

67
Q

What are 6 parts of the laparoscopic tower?

A

Monitor

Insufflator

Light source

Electrocautery device

Video device

Irrigation/suction device

68
Q

What word describes this?

The wound cavity is filled with serous fluid, lymph or blood. Signs: fluctuation,
swelling, redness, tenderness and subfebrility. Treatment: sterile puncture ad compression; if repeated, then use a suction drain. It is common after the breast operations.

(straight from e-book but supposedly there is a past-paper fill in the blank question about it)

A

Seroma

69
Q

What word is used to describe this?

Long-handled, ring-ended instrument, which is bended 90° at its distal part. It may or may not have the interlocking teeth. We use them to dissect and prepare the tissues atraumatically (straight from e-book but supposedly there is a past-paper fill in the blank question about it)

A

Dissector

70
Q

What is this machine?

(sorry for the shitty image but it’s the one from e-book and lecture)

A

Suction set and suction tips

Z.D. Basic Surgical Techniques (3 decks)

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