Chapter 10: Instrumentation Equipment and Supplies (TEST QUESTIONS)

hemostat

What is the technical name for a clamp?

stainless steel

Most modern surgical instruments are made of ____.

#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 for variances in anatomy?

self-retaining retractors

Weitlaner, O'Connor-O'Sullivan, and Balfour are examples of:

titanium

Which type of instrument alloy 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 is called the:

Mayo

Which scissors are often called "suture scissors" and are typically straight and relatively blunt tipped?

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?

operating

All of the following are examples 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 in a laparotomy?

nerve stimulator

Which device can be used sterilely by an ENT or neurosurgeon or unsterilely by an anesthesia provider to determine 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?

open heart

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

fenestration

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

Cottonoids

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

rigid

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

Y

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

Penrose

Which of the following drains works by passive action?

bulb/ear

Which type of syringe has no calibrations?

wicking

By what action does a "cigarette" drain remove fluid from a wound?

dilators

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

needle holder

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

shanks

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

scissors

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

solar

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

dissecting

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

one-layer

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

absorbent intermediate layer

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

Montgomery straps

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?

wet-to-dry

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

radiopaque

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?

square

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

latex sheeting

All of the following are varieties of draping materials EXCEPT:

sequential compression device

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

ambulatory status of the patient post-op

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

radiopaque surgical sponges

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

antimicrobial agent?

ureteral

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

continuous irrigation

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

suprapubic

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

monitor central venous pressure changes

What do Broviac and Hickman catheters do?

Balfour

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

12-15 mm Hg

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

two 1)Anesthesia 2)Surgeon

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

one hour

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

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

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

tubes

GI, chest, and airway are types of:

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

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

true

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

true

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

T\F

false

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

T\F

false

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

T\F

true

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

repositioning.

T\F

homologous

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

hemostasis

to stop or control bleeding

homeostasis

process by which organisms maintain a relatively stable internal environment

scalpel

the term knife is used interchangeably with the term

sponges

sharp

instruments

Items are counted in which order for every procedure?

allis

which of the following is not a common tissue forceps?

five

Tonsil sponges are assembled in packages of ____.

delicate

Curved iris and Potts-Smith scissors are frequently used to dissect ____ tissue.

raytec

Sponges used for procedures requiring smaller incisions are called ____.

don the gown first

When self gowning and gloving, the STSR should

timed

the method in which hands and arms are scrubbed for a prescribed length of time is called

retractors

Instruments designed for the exposure of the operative site are called

seven (7)

Blades #11 and #12 fit onto a # ____ handle

cutting

Knives, scalpels, and scissors are classified as ____ instruments.

tagging suture

Straight hemostats are frequently used for ____.

procedure

While the STSR is passing instruments, the surgeon is focused on the ____.

black chromium

which instrument finish is useful for procedures involving a laser?

needle holders

instruments used to hold a curved suture needle for suturing are called

surgeon

Placement of the tourniquet cuff is determined by the ____.

straight mayo

the most frequently used scissors for cutting sutures are the

1. decrease the need for postoperative analgesic medication

2. alleviate anxiexty

3. promote better postoperative outcomes

preoperative patient education is intended to

jorgenson

the most commonly used scissors during a hysterectomy is a

head

the anesthesia machine should be set up at the_______ of the operating table

aspration of fluids

yankauer and poole suction tips are commonly used for