BOARD PREP #3

Which cranial nerve is affected by trigeminal neuralgia?

V

what is used to lubricate the donor site and reduce friction from the dermatome?

Mineral Oil

which of the following is an example o fproper sterile technique when performing the prep for a split thickness skin graft

donor site first

what is the recommneded range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic procedure

12-15mm Hg m

Which of these terms refers to the inability to direct both eyes at the same object

strabismus

what procedure is performed to correct chronic cerebral ischemia

endarterectomy

according to the rule of nines, what percentage is assigned to the front and back of the trunk

18%

which term refers to an abnormal increase in the number of cells

hyperplasia

a second intention wound heals by

granulation

intraoperative ventricular arrhythmias are treated with

lidocaine

how many millimeters equal two ounces

60

covering a sterile backtable for later use is

not permissible under any circumstances

in which position would a patient be placed to counteract hypovelemia

trandelenburg

which of the following types of suture creatte the least tissue trauma and drag

swaged and monofilament

which organization has legal oversigth for the safety of healthcare providers in the work place

OSHA

which level of maslows’s hiearchy of needs is most applicable to the surgical patient

physiological and survival

which of the following would be incorrect technique when removing the sterile gown and gloves

gloves removed first

what type of procedure might require a laparoscopy combination drape

abdominoperineal resection

cell destruction by steam sterilization occurs by

coagulation of protein

which technique is not acceptable when draping

unfold drape before bringing up to the OR table

a patien’ts fingernail polish is removed to

allow for use of pulse oximeter

what is the purpose of maintaining the air exchange rate at 15-20 times per hour in the OR

reduce microbial count

how many mL of water is necessary to inflate a 5ml balloon on the foley indwelling catheter

10

if an opthalmologist orders trimming of eyelashes, how is it safely performed

fine scissors coated with water soluble gel

what is the correct technique for performing the surgical skin prep

incision site to periphery using circular motion

the laboratory test that determines the ratio of erythrocytes to whole blood is

hematocrit

what is the proper proceudre to follow when a pack of psonges contains an incorrect number after the patient has entered the OR

hand off the sterile field and isolate

which of the following types of specimens would not be placed in a preservative solution

calculi

where should the surgical technologist begin when performing closing counts

operative field

which of the following catheter tips is used in a patient with a urethral stricture

coude

which type of procedure would require a stent dressing

neck

which of the following is used in order to ensure preservation of the facial nerve during a partoidectomy

nerve stimulator

which of the following hemostatic agents is contraindicated for use in th epresence of infection

absorbable collagen

during closure of a nephrectomy in the lateral posiiton, the oR table is straightened to facillitate

tissue approximation

which of the following must be tested prior to the use of a fiberoptic bronchopscope

light source

jexcision of a constricted segment of the aorta with reanastomosis is performed to correct

coarctation of the aorta

for which of the following diagnoses would a patient undergo ednoscopic retrograde cholangiopancreatography

choledocholithiasis

the high ligation of the gonadal veins of the testes performed to reduce venous plexus congestion is a

varicocelectomy

trauma to whcih two of the following cranial nerves would result in the loss of smell and vision

I and II

which of the following is performed for suspected ectopic pregnancy

culdocentesis

which of the following is a procedure for treatment of glaucoma

iridectomy

what procedure si performed to immobilize the jaw following a mandibular fracture

arch bar application

which of the following total arthroplasty procedures would require the postoperative use of an abduction splint

hip

untreated cute otitis media result in

mastoiditis

which of the following is used intraoperatively to assess vascular patency

doppler ultrasound

which of the following is the body’s primary source of energy

carbohydrates

what is compressed during rapid sequence induction and intubation

cricoid cartilage

what term refers to the spred of cancerous cells to other parts of the body

metastasis

the shared passageway for food and air is the

pharynx

the structure that lies along the posterior border of the testis is the

epididymis

the valve between the left atrium and the left ventricle is the

bicuspic

which characteristic describes an amphiarthrosis

slightly movable

what is the most abduant ion in the body

calcium

which of the following is he ethod of bacterial survival when environmenta conitions are not conducive to growht and viability

spore formation

what organ detects changes int eh level of insulin and releases chemials to regulate the level of blood glucose

pancreas

what does the term strike through mean

soaking of mosture from unsterile to sterile layers

which of the following monitoring devices woul dbe used within a vessel

swan ganz

lwhen adding 30 mL of 0.5% marcaine, what strength does the drug become

0\.25%

what action should be taken if the patient has withdrawn the surgical informed consent prior to surgery

do not transport patient; inform surgeon

confining and containing instruments with bioburden prevents which of teh following

cross contamination

the unsterile size of the perimeter of the sterile wrap is

1 inch

a substance that inhibits the growth and reproduction of microbes on living tissue is a

antiseptic

what action should be taken by the transporter if a discrepancy occurs in the identification of a patient in the nursing unit

do not transport, inform unit supervisor and OR personnel

a patient may be asked to shower at home with an antimicrobial soap before coming to the hospital for surgery to

achieve a culative antimicrobial effect

what are the sequential steps performed prior to entrance into the sterile field

scrub, gown, glove

which area is prepped last when performing the skinprep for a bartholin’s cystectomy

anus

the sterile surgical technologist should drape a table from

front to back

whcih of the following can be injured if the arm is palced on teh arm board greater than 90 degrees

brachial plexus

what is the purpose of the third lumen in a three way indwelling foley catheter

instill irrigation fluids

which of the following enlarges and illuminates the surgical field during cataract procedures

operating microscope

small radiopaque surgical patties used during cranial procedures are

cottonoids

which of the following hemostatic agents must be applied dry and only handled with dry gloves and instruments

avitene

which surgical specialty would utilize a phacoemulsification machine

opthalmology

which of the following lasers would be contraindicated for use in the posterior chamber of the eye

carbon dioxide

in which structure of the heart are the leads for a permaent pacemaker placed

Right ventricle

for which of the following diagnoses would a patient require pancreaticojejunostomy

alcoholic pancreatitis

in which procedure would a bookwalter retractor be used

retropubic prostatectomy

which cranial nerve is severed as a last resort treatement of meniere’s disease

VIII (vestibulocholear nerve)

brachytherapy is performed to treat

cervical cancer

which procedure is performed to improve the vision of patients with myopia

radial keratomy

the facial fracture that involves the complete separation of teh maxilla from the cranial base is a

leFort I

where is the incision for a caldwell-luc procedue made

canine fossa

the devise used for real time intraopertaive assessment of blood flow is a

doppler

the needle holder shown below would be used during a

craniotomy

a chemical reaction that provides energy by the breakdown of food is

catabolism

which structure of the ear is responsible for equillibrium

semicircular canals

the first step of urine production when fluids and dissolved substances are forced through a memebrane by pressure is called

glomerular filtration

the adipose tissue overlying the symphysis is the

mons pubis

the cranial nerve that regulates secretion of gastric juice is the

X (vagus nerve)

phagocytosis by the white blood cells is an example of which line of defense

second

when opening a sterile wrapper, the unsterile person should open the first corner

away from self

which of the following is the least inert of the synthetic meshes

polyester fiber

what radiopaque contrast medium is used intraopertaively when the patient is allergic to iodine

renografin

which of the following legal terms would apply to a case when a nonenglish speaking patient signs a surgical informed consent in english, but does not fully understand it

assault and batter

which of the following psychosocial factors is important for the surgical tema to address for pediatric patients

separation anxiety

what is the surgical technologists role during the transfer of the patietn from the OR bed to the stretcher

maintain sterilitiy and integrity of backtable

when breaking down the sterile field, the surgical technolgoist should place the grossly contaminated instruments in which of the following

basin with sterile water

how many minutes are unwrapped instruments with no lumens sterilized at 270 degrees F

3

what is the recommended method of hair removal from the operative site

clippers with disposable heads

which of the following must be in the chart prior to the patient being taken to the OR per the joint commission

history and physical