chapter 1,2,5,7,8,9,14 review questions from book

AAHA recommends which distinct areas for a surgical facility?

Preparation area, scrub area, surgical room

Where are procedures that are considered dirty performed?

preparation area

Which item is non movable surgery equipment?

A. surgery table

B. instrument table

C. anesthesia machine

D. blood pressure monitoring

A. surgery table

It is recommended to place a blanket or towel between a patient and a circulating warm-water blanket to:

protect the patient from thermal burns

When warming a surgical patient, which is contraindicated?

A. hard heated pad

B. electric heating pad

C. forced warm air blanket

D. warming controller and blanket

electric heating pad

When using bipolar electrocautery the surgeon is able to

pick up tissue or blood vessels that need to be coagulated

Using a mechanical device to remove fluid or air from an area is called

suction

Which suction tip has two pieces and is designed to suction a large amount of fluid?

Poole

An advantage of using a monopolar electrosurgical unit to make an incision is

better hemostasis

In what instance would a clean abdominal surgery precede a noninfective thoracic surgery on the surgery schedule?

if the abdominal surgery was considered an emergency

Which surgical instrument has both horizontal and vertical serrations of the jaw?

Rochester-Carmalt hemostatic forceps

Which part of a ringed instrument locks an instrument in a closed position?

ratchet

The jaw of which instrument has one raised jaw and one recessed jaw?

Ferguson Angiotribe

Which of these tissue forceps is atraumatic?

Adson dressing thumb tissue forceps

Which is a handheld retractor?

Senn retractor

Which type of towel clamp has penetrating tips and a squeeze handle?

Jones

Which needle holders have scissors included in the jaws?

Olsen Hegar

To properly handle ringed instruments, the digits should be placed in the rings:

Distal to the first knuckle of both the thumb and ring finger.

Which instrument is used to find and exteriorize the uterine horn during an ovariohysterectomy?

Snook hook

Which forceps are vascular clamp?

90-degree Mixter

A bone biopsy may be taken using which instrument?

Michele trephine

Which type of needle would be preferred for an intestinal resection and anastomosis?

Taper

Which of the scalpel blade grips allows for best stabilization and a finer, more precise incision?

pencil

A function of the bone rongeurs is to:

Break up pieces of bone for grafting purposes

During production of suture, wax would be used to coat a suture to:

Decrease capillarity

Which suture diameter is the largest?

0

What is an advantage of using suture on a reel?

inexpensive

Which scissors is designed to be used on delicate tissues?

Metzenbaum

What is an advantage of suture that is dyed?

may make suture removal/identification easier

When would a double-curved needle be used?

Bovine skin closure post-rumenotomy

Define swagged needle.

A needle with the suture directly attached to it.

A central catheter is placed in which vein?

A. Jugular

B. Cephalic

C. Medial saphenous

D. Lateral saphenous

A. Jugular

What is a correct use of a butterfly catheter?

A. Aid in monitoring central venous pressure

B. Placement in the jugular vein for long-term critical care

C. Short-term placement in peripheral vein for IV fluids during a surgical procedure

D. One-time venous access for administration if medication over 1- to 3- minute period

D. One-time venous access for administration if medication over 1- to 3- minute period

A macrodrip IV set should be reversed for patients that are:

A.

B. >7 kg

Which central venous pressure would indicate a patient is over hydrated?

A. 0 cm H2O

B. 6 cm H2O

C. 8 cm H2O

D. 12 cm H2O

D. 12 cm H2O

Which part of the endotracheal tube allows airflow if the end of the tube become occluded?

A. Body

B. Cuff

C. Murphy eye

D. Hose connector

C. Murphy eye

Which laryngoscope blade is commonly used for cats?

A. No. 0

B. No. 1

C. No. 2

D. No. 3

A. No. 0

Which method is used to check that the endotracheal tube has no migrated too far down the trachea?

A. Palpation of neck

B. Check for fogging of tube

C. Watch for movement of flutter valves

D. Auscultation the thorax for bilateral lung sounds

D. Auscultation the thorax for bilateral lung sounds

Intraoperative values should be recorded every:

A. 1-5 minutes

B. 5-10 minutes

C. 10-15 minutes

D. 15-30 minutes

B. 5-10 minutes

Postoperative values recorded in an anesthesia log include:

A. Pulse, RR, level of anesthesia

B. RR, temperature, total volume of fluids administered

C. Pulse, RR, intraoperative medications administered

D. Pulse, temperature, oxygen flow rate

B. RR, temperature, total volume of fluids administered

What is the appropriate area to clip for a spinal surgery?

A. One ventral space cranial and one ventral space caudal to the affected site

B. Two vertebral spaces cranial and two vertebral spaced caudal to the affected site

C. Three vertebral spaces cranial and three vertebral spaces caudal to the affected site

D. Four vertebral spaces cranial and four vertebral spaces caudal to the affected site

B. Two vertebral spaces cranial and two vertebral spaced caudal to the affected site

When expressing the bladder of a patient prior to surgery contraindications or not indicated?

A. Orchiectomy in an adult patient

B. Thoracotomy in a geriatric patient

C. Abdominal exploratory in a hit-by-car patient

D. Routine ovariohysterectomy in a hit-by-car patient

C. Abdominal exploratory in a hit-by-car patient

The use of alcohol as a rinse agent is contraindicated when prepping for:

A. Feline oral surgery

B. Canine orchiectomy

C. Feline spinal surgery

D. Canine tibial plateau leveling osteotomy

A. Feline oral surgery

During the final scrub, what can be used as a rinse agent?

A. Sterile water

B. Chlorhexidine scrub

C. Povidone-iodine solution

D. Chlorhexidine solution

A. Sterile water

A patient would be placed in ventral recumbency for which procedure?

A. Castration

B. Thoracotomy

C. Fracture repair of radius

D. Perianal adenoma removal

D. Perianal adenoma removal

What device is contraindicated for maintaining patient body temperature during surgical procedures?

A. Plastic bubble wrap

B. Thermal heating pad

C. Warm-air convection blanket

D. Circulating warm-water blanket

B. Thermal heating pad

The definition of sterile is

A) absence of all living organisms, including spores

B) maintaning a clean environment in the surgical suite

C) the absence of pathogenic microorganisms that cause infection

D) the commitment of the surgical personnel to adhere strictly to aseptic technique

A

The sterile field is defined as

A) the whole operating room

B) any area covered with a sterile barrier

C) the drape covering the patient

D) the entire area surrounding the surgery table

B

What areas of the scrubbed-in personnel's gown are part of the sterile field?

A) the entire front of the gown

B) the entire gown- front, back, and sides

C) the front from the chest to the level of the sterile field

D) the front and back from the chest to the level of the sterile field

C

When irrigation fluid is used during a surgery, the remaining fluid is

A) considered contaminated and discarded

B) kept to be used for nonsterile procedures

C) left in the bottle with the cap replaced and saved for another patient

D) considered sterile and may be recapped and stored for up to 10 days

A

When unscrubbed personnel move in the surgery room, they should face:

A) toward the surgery field

B) away from the surgery field

C) whichever direction they are walking

D) unscrubbed personnel should not moved about the surgery room

A

The commitment of the surgical personnel to adhere strictly to aseptic technique is called

A) sterility

B) aseptic technique

C) surgical conscience

D) strike-through contamination

C

Sterile drapes are used during surgery to

A) make a waterproof barrier

B) establish a sterile field on the patient

C) allow the surgical field to go unattended

D) ensure sterility of instruments used during surgery

B

A sterile package may be used if

A) the seal is broken

B) there are tears in the package

C) the outside indicator tape is activated

D) the package looks worn from being handled too much

C

AORN considers that an item maintains its sterility until

A) the expiration date on the package

B) one year from the sterilization date

C) an event occurs that causes sterility to be lost

D) one year after the expiration date on the package

C

Which of these areas of a gown are considered sterile?

A) cuffs

B) shoulders

C) neckline

D) forearm

D

An example of endogenous contamination would be

A) a hole in the surgeon's glove

B) the patient's hair on the surgical site

C) the surgeon's hair on the surgical site

D) the anesthetist touching the surgical drape

B

Which of these procedures may be done in the surgical area?

A) clipping hair

B) nail trim

C) final surgical scrub of incision

D) surgeon surgical hand scrub

C

A duty of the surgical assistant is

A) managing instruments

B) opening suture material for the surgeon

C) monitoring the patient while it is under anesthesia

D) providing extra packs of instruments when needed

A

A short sleeve scrub top should be worn to

A) prevent overheating of the surgical personnel

B) allow scrubbing of hands and arms

C) prevent staining of sleeves with surgical scrub agents

D) minimize contamination of scrub top at home

B

When surgical personnel who are scrubbed in have to sneeze, they should

A) scrub out of surgery

B) turn their head to the side

C) step back from the sterile field

D) turn their back to the surgery table

C

Which of these are acceptable qualities of a scrub brush?

A) stiff bristles, soft sponge

B) stiff bristles, FDA-approved antiseptic

C) soft bristles, FDA-approved antiseptic

D) soft bristles with alcohol as scrub agent

C

Which of these is quality of Chlorhexidine gluconate 4%?

A) neutralized rapidly in the presence of organic material

B) active against enveloped viruses

C) minimal residual effect

D) may be irritating to skin

B

A disadvantage of using an alcohol-based scrub is

A) flammability

B) removes oils from skin

C) good activity against tubercle bacillus

D) less Bactericidal activity for gram-negative bacteria

A

When applying a rub-based scrub, how should the hands be dried?

A) use a sterile towel to dry the hands

B) rub hands and arms until they are dry

C) air dry after thorough application of scrub

D) use hand and arm motion to decrease drying time

A

Open gloving is used for

A) all routine elective surgeries

B) minor surgical procedures where no gown is worn

C) revolving during surgery due to contamination of a glove

D) when a sterile team member helps another scrubbed-in team member glove

B

Benefits of having a surgical technician scrubbed in to assist in surgery include:

A- decreased surgery and anesthesia time

B- increased surgery and anesthesia time

C- increased charges to the client

D- decreased charges to the client

A

Which instrument is used to attach and remove the scalpel blade from the scalpel handle?

A- Needle holders

B- Thumb forceps

C- Mosquito forceps

D- This is placed without the aid of an instrument

A

Proper passing of a ringed instrument to a surgeon includes which steps?

A- Close the first ratchet of the instrument, and point the tip toward the ceiling

B- Open the ratchet of the instrument, and point the tip toward the ceiling

C- Close the first ratchet of the instrument, and point the tip toward the floor

D- Open the ratchet of the instrument, and point the tip toward the floor

A

The reason to lavage tissue during surgery is to

A- hydrate the patient

B- promote hemostasis

C- retain tissue function

D- promote adhesion formation

C

During surgery, it is best to place the bowl of lavage solution

A- on a separate tray

B- next to the sterile field

C- in the surgical technician's hands

D- at the front of the instrument tray

A

A 3X3-inch sponge gauze holds how approximately much blood?

A- 3 mL

B- 6 mL

C- 10 mL

D- 15 mL

B

A 4x4-inch sponge gauze holds how approximately much blood?

A- 3 ml

B- 6 ml

C- 10 ml

D- 15 ml

C

Which product used for hemostasis acts by swelling to fill the defect?

A- Gelfoam

B- Surgicel

C- Bone wax

D- Hemostat

A

The first duty that the surgical technician should perform is

A- draping the patient

B- counting the instruments

C- blotting the incision site

D- preparing the electrocautery for use

B

What is an advantage of using a paper drape?

A- easy to clean and reuse

B- comes pre-fenestrated

C- conserves patient's body heat

D- provides for easy clean up in messy procedures

D

A subcuticular suture pattern is what type of suture pattern?

A- everting

B- inverting

C- appositional

D- all of the above

C

Which suture pattern is used for areas of tension?

A- ford interlocking

B- horizontal mattress

C- simple interrupted

D- simple continuous

B

cleaning equipment and agents for the surgery room should be

a. used only in the surgery room

b. disinfected prior to using in the surgery room

c. cleaned and stored in the surgery room

d. used throughout the hospital to save money

a. used only in the surgery room

The Centers for Disease Control and Prevention (CDC) states elimination of microorganisms from the surgery room is best accomplished by

A. a dilute bleach solution

B. physical removal by scrubbing

C. using the strongest disinfectant possible

D. preoperative antibiotics for all surgical patients

b. physical removal by scrubbing

how should the cleaning equipment for the surgery room be handled prior to storage at the end of the day?

a. disassembled, cleaned, and dries

b. dissassembled, sterilized, and dried

c. disinfected and dreid without dissassembling

d. cleaned, sterilized, and dried without disassembling

a. disassembled, cleaned, and dries

Which disinfectants are toxic to cats?

a. Phenol-based

b. Chlorine-based

c. Quaternary amine-based

d. Chlorhexidine disinfectants

a. Phenol-based

Which disinfectant may be inactivated by hard water?

a. Phenol-based

b. Chlorine-based

c. Quaternary amine-based

d. Chlorhexidine disinfectants

c. Quaternary amine-based

Presoaking of surgical instruments involves placing the soiled instrument in

a. tap water

b. distilled water

c. a commercial detergent solution

d. distilled water mixed with a detergent

d. distilled water mixed with a detergent

What product is used in ultrasonic cleaning of instruments to reduce surface tension?

a. Enzyme

b. Phenols

c. Surfactant

d. Iodine disinfectant

c. Surfactant

What product is used in ultrasonic cleaning of instruments to assist in the breakdown of biologic contaminant?

a. Enzyme

b. Surfactant

c. Quaternary amines

d. Iodine disinfectant

a. Enzyme

Which of these items should not be used in the cleaning of surgical instruments?

a. Enzymes

b. Wire brush

c. Soft bristle brush

d. Chlorhexidine disinfectant

b. Wire brush

The scrubbing effect caused by ultrasonic cleaners is called

a. cavitation.

b. surfactant.

c. flash sterilization.

d. gravity airdisplacement.

a. cavitation.

The last step in instrument cleaning, prior to wrapping in a pack, is

a. drying.

b. soaking.

c. lubrication.

d. ultrasonic cleaning.

c. lubrication.

Selective permeability is the quality of a pack wrapping material that

a. makes it resistant to damage when handled.

b. allows the wrap to conform to the shape of the pack.

c. allows the wrap to return to its original flat position.

d. allows steam or gas to penetrate the wrap for sterilization to occur.

d. allows steam or gas to penetrate the wrap for sterilization to occur.

What information should the label of a pack include?

A. Name/initials of preparer, sterilization date, type of pack

B. Clinic name, sterilization date, type of pack

C. Name/initials of preparer, expiration date, type of pack

D. Clinic name, sterilization date, expiration date

A. Name/initials of preparer, sterilization date, type of pack

The process to rid an object of all living microbes is

a. cleaning

b. disinfection

c. sterilization

d. decontamination

c. sterilization

When performing ethylene oxide sterilization, how long should the sterilized instruments be aired out if an aerator is not used?

a. 48 minutes

b. 3 hours

c. 4 hours

d. 24 hours

d. 24 hours

What compound is used to clean a laparoscope and its fiber optic light cables?

a. Alcohol

b. Chlorhexidine

c. Ethylene oxide

d. Iodine compounds

a. alcohol

Which compound is used for cold sterilization and is viricidal?

a. Ethanol

b. Isopropanol

c. Ethylene oxide

d. Glutaraldehyde

d. Glutaraldehyde

What type of disinfectant inhibits the growth of bacteria?

a. Biocide

b. Fungicide

c. Bactericide

d. Bacteriostat

d. Bacteriostat

Which of these is an example of a disposable surgical supply?

a. Cloth drape

b. Paper drape

c. Hand towels

d. Needle holders

b. Paper drape

Which disinfectant kills all microorganisms?

no disinfectant kills all microorganisms; we have to know the pros and cons of each and know our circumstance to choose the appropriate disinfectant

Why are most textile wraps gray, light tones of green, and medium tones of blue?

they result in less eyestrain over time than white

Where should the sterilization indicator strip be placed?

in the middle of the pack, on top of the instruments, and under the gauze