STUDY GUIDE 1 - add questions from Ch 11, 12, 13, 14 (232 Q) (copy)

Which of the following choices interweaves its fibers during the maturation phase of wound healing and increases its tensile strength?

collagen

Which of the following organizations specifies diameter ranges for sutures?

U.S. Pharmacopeia (USP)

What is the chemical name of Gore-Tex suture?

polytetrafluoroethylene

Incisional, nosocomial, and deep are all types of:

surgical site infections.

Which of the following types of mesh is MOST inert in tissue?

stainless steel

The primary reason bolsters are used with retention sutures is to:

prevent sutures from cutting into the skin.

Ligatures are used to:

tie off blood vessels.

The term that describes the measure of how much a suture strand can be stretched before breaking is:

tensile strength.

Which of the following needles causes the least amount of tissue damage?

swaged

The surgeon manipulates skin edges of a wound before the surgical technologist places an approximating skin staple by:

everting the edges outward.

Which of the following types of tissue is usually separated rather than cut and therefore does not need to be closed?

muscle

Which specialty needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy?

Veress

Which of the following needles has the cutting edge on the outside curvature of the needle body?

reverse

Which of the following suture gauges would be MOST appropriate for ophthalmic surgery?

8-0

Which of the following postoperative wound complications would require immediate surgical intervention?

evisceration

A continuous suturing technique that places sutures in the endothelial layer of the skin in short bites is called a:

subcuticular suture.

Which of the following surgical needles has a straight body?

Keith

Which of the following types of suture ties has an attached needle?

ligature reel

Which of the following types of suture ties has an attached needle?

interrupted

Which of the following sutures is packaged wet? 

chromic

A way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way during a continuous running closure is by: 

controlling

Which of the following sutures is classified as a monofilament suture?

Ethilon

Which of the following absorbable sutures provides for the MOST extended wound support?

PDS Plus

Which of the following suturing techniques would be used to close the stump of the appendix in an open appendectomy?

purse-string

Which of the following sutures is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures?

polypropylene

Which of the following types of sutures is often used to create a vascular anastomosis?

synthetic, nonabsorbable, monofilament with double-armed taper needles

Which of the following phases of healing for wounds closed by first intention begins within minutes of the incision or injury?

inflammatory

Which of the following types of synthetic mesh is absorbable?

polyglactin 910

Which of the following internal stapling devices fires a circular double row of staples to reanastomose the colon?

intraluminal stapler

Which of the following devices is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis?

skin closure tapes

Which of the following types of vessel loops would you expect to use on veins?

blue

What is the chemical name for Dermabond™ or Indermil™?

cyanoacrylate

Which of the following types of sutures is placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure?

traction

Which of the following procedures would require the use of a CT scan or fluoroscopy?

Chiba needle lung biopsy

Which of the following layers of the abdominal wall must be approximated securely, even if the other layers are not?

fascia

In general, a monofilament suture would require _____ knot throws for security than a multifilament suture.

more

The name of a raised, hypertrophic scar due to excessive collagen formation is:

keloid

To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have:

high-tensile strength and small diameter.

The term for tissue that is easily torn or shredded is:

friable

By which of the following intentions would a purulent wound treated by debridement and placement of medicated packing, then sutured after resolution of the infection heal?

third intention

Natural absorbable sutures are broken down in the body by:

enzymatic digestion

An example of acceptable and safe intraoperative autotransfusion blood collection is:

blood collected from sponges into a basin of sterile saline during repair of ruptured abdominal aortic aneurysm.

Which of the following types of suture needles is used on friable tissue such as liver or kidney?

blunt

The term that describes blood products donated by another person is:

homologous

Which of the following choices is NOT a method of achieving hemostasis?

a.

apportional

b.

chemical

c.

mechanical

d.

thermal

apportional

Which of the following terms refers to a genetic clotting deficiency?

hemophilia

Which of the following blood types is considered the universal recipient?

AB+

Elective surgery patients may be asked to discontinue use of which of the following medications to prevent drug-therapy-induced platelet dysfunctions?

aspirin

Kittners, cottonoids, and laps are surgical:

sponges

Which of the following tissue layers of the abdominal wall is the primary supportive tissue and must be closed securely?

fascia

When closing a Class I abdominal wound, which of the following choices is the correct order of suture use?

3-0 Vicryl, 2 Prolene, 3-0 Monocryl

Approximation is bringing two sides of a wound together closely with sutures, wound zippers, or special adhesives so that the wound can heal from side to side.

True

Suture gauge can range from #5 (being the smallest) to 11-0 (being the heaviest) diameter.

False

The tensile strength of suture material should equal the tensile strength of the tissue into which the suture is placed

True

A surgeon’s choice of suture is based on the surgeon’s training, the condition of the patient, the type of wound, and the conditions surrounding the surgical intervention.

True

Monofilament sutures with memory, such as chromic gut and nylon, should be stretched tightly to remove all kinks in the strand before being handed to the surgeon.

False

Tourniquets provide permanent mechanical hemostasis and enhance visualization by creating a bloodless field.

False

Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis.Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis.

False

Two members of the surgical team must perform the checks of identification information including patient armband, blood and Rh type, unit number, and expiration date prior to administration of any blood products to a patient.

True

In preparing a patient for surgery, which of the following items should be removed to facilitate oxygen blood level assessment?

nail polish

Which of the following positions is routinely used for flexible colonoscopy procedures and may be performed on the patient’s stretcher?

Sims (Family guy like pose)

An assistant may be needed to properly perform which of the following types of surgical skin prep?

circumferential extremity

Which of the following term describes the condition of a surgical technologist’s skin following skin prep?

surgically clean

The appropriate method for delivering a sterile item to the back table from a peel package is to:

open package laterally and completely and gently toss item without touching glued edge or going over back table

A surgical technologist scrubs the area of the arms up to:

two inches above the elbows

Which of the following methods would NOT be appropriate when performing a surgical scrub/skin preparation?

medical hand wash

Which of the following gloving methods should be performed by the surgical technologist after donning a sterile gown and before setting up the back table?

closed gloving

Which of the following techniques of counting sponges on the sterile field is an example of a best practice?

Remove paper bands around sponges and separate each sponge into separate piles while counting aloud with the circulator

Which of the following items are NOT considered countable and should not be opened until the end of the procedure?

a.

dressings

b.

instruments

c.

sharps

d.

sponges

dressings

Which of the following methods of gloving is appropriate for placement of a urinary catheter as part of skin prep?

open gloving

The safety belt or strap is placed on a patient in supine position on the OR table:

two inches proximal to the knees.

The likely result of positioning the patient’s arms on armboards at a greater than 90° angle from the torso would be:

hyperextension nerve damage

The sitting position is a modification of which of the following positions?

Fowler’s (Beach seat pose)

For which of the following positions would the head of the OR table be moved to the foot before the patient is placed on the table?

lithotomy (missionary pose)

Which of the following positions requires anesthesia administration and intubation to be performed on the patient’s stretcher prior to final positioning?

prone

Which of the following statements about lateral kidney positioning is INCORRECT?

a.

The lower leg is flexed, the upper leg is straight, and a pill

b.

The lower leg is straight, and the upper leg is flexed with a pillow under the lower leg.

c.

A small roll is placed under the nonoperative side axillary area to facilitate respiration

d.

The patient’s flank is positioned over the kidney lift to provide greater exposure of the operative area

The lower leg is straight, and the upper leg is flexed with a pillow under the lower leg.

Before opening any supplies for delivery to the sterile field, the following must be verified:

that the package integrity is intact and not violated

Which of the following terms is used for the normal resident microbial populations found on human skin?

flora

In preparation for donning after scrubbing, the surgical technologist should:

open gown wrapper on unsterile Mayo stand and open and toss gloves onto gown

Which of the following set of steps is the proper way to open a small, sterilely wrapped item for delivery to the sterile field?

First flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self and secured before tossing item onto field

Which of the following choices describes the configuration of a Mayo stand cover?

cylindrical

Which of the following terms is used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub?

subungual

Which of the following terms is the name of the common disposable surgical gown style?

wraparound

If a pack of sponges is found to have an incorrect number during the count process and the patient is on the OR table:

ask the circulator to record the actual number on the count board for closing count verification, hand off the pack to the circulator, who will bag it, label it as incorrect, and isolate off field until case completion

Which of the following statements regarding instrument counts is CORRECT?

They should be counted while all are still on back table

When transporting a patient on a stretcher through the OR suite corridors, the correct method is to:

push the stretcher with the patient facing feet first in the position most comfortable for the patient

Radiation, convection, conduction, and evaporation are examples of:

mechanisms of intraoperative heat loss.

How many individuals are required to safely transfer a recently anesthetized patient from the OR table to the stretcher?

four

Which of the following members of the surgical team gives permission for the patient to be positioned or transferred?

anesthesia provider

When turning the sterile gown, _____ is handed to the circulator, completing the gowning process.

gown tab or card

To secure the Mayo stand from moving during draping:

step on one leg of the Mayo stand

The purpose of a radiofrequency tracking system in the operating room is to:

reduce the possibility of retained foreign objects

Which of the following members of the surgical team are responsible for performing the counts to prevent retained items?

circulator and surgical technologist

Which of the following descriptions of how to pour liquids into a container on the sterile field is correct?

Hold the bottle twelve inches above and with only the lip of the bottle over the basin.

Before the surgical technologist places the basket of instruments on the back table, the circulator verifies that:

the filters on the bottom of the container are intact and the container is dry

Which of the following statements regarding transfer of an awake, mobile patient from stretcher to OR table is INCORRECT?

a.

Both table and stretcher must be locked to prevent movement during transfer.

b.

One staff member is positioned on table side to receive patient and one on stretcher side to stabilize

c.

Instruct patient to keep the blanket on during transfer, for preventing hypothermia and for privacy

d.

The safety strap is secured tightly across patient’s waist to prevent possible fall due to the narrow OR table

The safety strap is secured tightly across patient’s waist to prevent possible fall due to the narrow OR table

Which of the following measurements is/are NOT included in operative vital sign measurement

a.

pulse

b.

blood pressure

c.

height and weight

d.

All of the above are considered operative vital sign measurements

All of the above are considered operative vital sign measurements

The name of the device used to manually assess blood pressure is:

sphygmomanometer

Trendelenburg, reverse Trendelenburg, Fowler’s, and lithotomy are variations of which of the following basic positions?

supine

Which of the following table attachments is required to safely maintain a patient in the reverse Trendelenburg position?

padded footboard