Chapter 10: Instrumentation, Equipment, and Supplies

Vocabulary flashcards covering surgical instrumentation, equipment types, alloys, blades, and supplies tested in Chapter 10.

Hemostat

What is the technical name for a clamp.

#4

Which scalpel handle would accommodate a #20 disposable knife blade.

Malleable

What term describes an instrument, such as a retractor or uterine probe, that can be bent or modified to accommodate variances in anatomy.

Self-retaining Retractors

A category of retractors that hold tissue back mechanically without manual holding, exemplified by the Weitlaner, O'Connor-O'Sullivan, and Balfour retractors.

Titanium

Which instrument alloy that is lightweight, durable, and nonmagnetizing.

Serrations

What is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps?

Yankauer

Which suction tip is indicated for use in the nasopharynx and often called a "tonsil" or "oral" suction.

Box Lock

The joint of a hemostat where one half of the instrument passes through the other.

Mayo

Scissors that are typically straight and relatively blunt-tipped, often referred to as "suture scissors."

Tonsillectomy

The #12 blade is used almost exclusively for which surgical procedure?

Grasping and Holding

Which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration?

-tome

In medical terminology, which suffix indicates an instrument as a cutting device?

Flexible Ureteroscope

Which type of endoscope would be appropriate for examination of the renal pelvis via a natural body orifice?

Operarting

All of the following are example of types of movement of powered surgical instruments EXCEPT:

Objective Lens

Which part of the operating microscope is most proximal to the target tissue?

Pneumatic Tourniquet

Which type of surgical device provides a bloodless surgical field by way of extremity compression?

Aperture

Which type of surgical drape is designed to expose small anatomical structures such as the eyes and ears?

Poole

Which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines during in a laparotomy.

Nerve Stimulator

Which device can be used sterilely by an ENT or neurosurgeon, or unsterilely by an anesthesia provider, to determine the location, function, or conduction of certain anatomical structures.

#11

Which fine, pointed-tip scalpel blade could be used to incise a blood vessel or create a stab wound for drain placement?

What type of surgical specialty rooms would be most likely equipped with three or four overhead operating lights?

open heart

What is the term for the opening in a surgical drape that is placed over the operative site?

fenestration

The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called:

Cottonoids

Into which classification of dressings would body and Minerva jackets and walking and spica casts fall?

rigid

A drain dressing is cut into which letter shape to accommodate the drain tube exiting the patient’s body?

Y

Which of the following drains works by passive action?

Penrose

Which type of syringe has no calibrations?

bulb/ear

Bougie, Heaney, Hegar, and Van Buren are types of:

dialtors

Which type of instrument often has a tungsten carbide insert and crosshatch serrations for stabilization?

needle holder

What is the name of the paired parts of a hemostat that span between the box lock and the finger rings?

shanks

Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument?

scissors

Which of the following is NOT a source of power for surgical powered instruments?

solar

Which of the following types of surgical sponges are prepackaged in units of five?

laparotomy

Op-site, collodion, adhesive gels, and Steri-strips are examples of which type of surgical dressing?

one-layer

Kerlix fluffs, ABD pads, and plain 4 x 4 gauze sponges are examples of which part of a three-layer dressing?

absorbent intermediate layer

A patient with a major abdominal wound requiring frequent dressing changes might have which type of binding layer to prevent excoriation of the skin by constant removal of adhesive tape?

Montgomery straps

Normal saline, antibiotic, and Dakin’s solution are used to facilitate mechanical debridement in which type of dressing?

wet-to-dry

What is the term for the tread or tape sewn into a countable sponge that makes it visible on x-rays to prevent a retained item?

radiopaque

What is the geometric shape usually achieved by the placement of the first layer of sterile surgical drapes?

square

All of the following are varieties of draping materials EXCEPT:

latex sheeting

Which device is used unsterilely in surgery for deep vein thrombosis (DVT) prophylaxis?

sequential compression device

The choice of wound dressing is dependent upon all of the following EXCEPT:

ambulatory status of the patient post-op

Which type of surgical supply does NOT come with an option for being impregnated with iodine or other antimicrobial agent?

radiopaque surgical sponges

Which of the following catheters is used to drain the kidney and is placed with the aid of a cystoscope?

ureteral

The three lumens of a three-way Foley catheter are used for balloon inflation, urinary drainage, and:

continuous irrigation

Which type of urinary drainage catheter requires an incision and anchoring to the skin to prevent dislodgement?

suprapubic

What do Broviac and Hickman catheters do?

monitor central venous pressure changes

Which of the following self-retaining retractors does NOT require attachment to the OR table?

Balfour

During laparoscopic procedures where carbon dioxide gas is used for insufflation, the intra-abdominal pressure in the average healthy adult patient is kept at:

12–15 mm Hg

What is the minimum number of suction systems or units required in an operating room?

two

In general, after what length of continuous pneumatic tourniquet use should the extremity be allowed to reperfuse before reinflating the tourniquet?

one hour

How are Ray-Tec sponges used during laparotomy procedures when the peritoneum is open?

They should be mounted on a ring forceps as “sponge sticks.”

GI, chest, and airway are types of:

tubes

Why must chest tubes be attached to a water-seal drainage system?

to keep air from reentering thoracic space to reestablish negative pressure for respiration

When passing suture to the surgeon, the next step should be to pass straight Mayo scissors to the assistant.

True

Syringes can be made of plastic, glass, metal, rubber, or a combination of any of these.

True

Penrose drains are active drains that are connected to a reservoir called a J-P bulb or “grenade.”

False

One-layer dressings are used on large draining wounds to facilitate frequent dressing changes.

False

Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning.

True

What is the term for the blood products donated by another person?

homologous