Deck 3 Flashcards

(15 cards)

1
Q

Definition of asepsis.

A

Absence of pathogenic microbes on living tissues.

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2
Q

Ethylene oxide for sterilizing at what temperature?

A

25-55°C.
Lower temperature need longer exposure time.
(Or 37-63°C ??)

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3
Q

3 types of haemostatic forceps.

A
  1. Mosquito.
  2. Kelly.
  3. Crile.
    Haemostatic forceps: Crushing instruments used to temporarily clamp and occlude bleeding vessels. Equipped with ratchet mechanisms to keep clamped even without hands. Straight or curved.
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4
Q

Contra-indication of capillary suture material.

A

Should NOT be used in contaminated or infected sites.
- Capillarity is a process by which fluid and bacteria are drained into the interstices of multifilament fibres → bacteria’s get stuck in the fibres.

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5
Q

Classification of sutures according to apposition of tissue.
(How the 2 ends of the wound will meet)

A

Appositional - End to end.
Everting - Protruding upwards.
Inverting - Protruding inwards.

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6
Q

Phases of wound healing.

A

Inflammation and debridement.
Proliferation.
Maturation and remodeling.

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7
Q

Types of open wound (name7).
(SLAADSP)

A

Surgical incision.
Laceration.
Abrasion.
Avulsion.
Degloving.
Shearing.
Puncture: Bite.

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8
Q

Number of days of proliferation.

A

4-12.

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9
Q

All persons entering the OP room must be appropriately clothed. Name the correct option.

A

Hair covering, masks, shoe covers, gowns and gloves.

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10
Q

What is the recommended method for sterilization for endoscopic and arthroscopic equipment?

A

Ethylene oxid.

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11
Q

Which option is NOT correct?

A

Aseptic surgical techniques describe several types of surgical wound contamination.
Correct options:
- Antisepsis is process of removal of pathogenic organism from skin or mucous membranes but with some resident flora remaining.
- Antiseptics are agents used in the process of antisepsis: Any inhibits bacterial growth.
- Biocide and germicidal agents kill bacteria and other microorganisms outright.

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12
Q

Which type of injections are indicated in emergency situations?

A
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13
Q

According to the physical status rating the patient with pneumonia, fever belongs to the category:

A

Severe systemic disease.

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14
Q

Suture selection for different tissue types can be classified as:

A

Their behaviour in tissue:
- Absorbable: Surgical gut, loose most of their tensile Strength within 60 days.
- Non-absorbable: Split into organic, silk and metallic.
Their structure:
- Monofilament: Single strand of material.
- Multifilament: Several strands of suture, braided/twisted together → More flexible but may harbor bacteria.
Their origin:
- Synthetic: Strong, minimal tissue reaction.
- Organic: SiIk - used in vascular grafts.
Metallic: Knot ends evoke an inflammatory reaction, can cut tissue and migrate.

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15
Q

Ideal ventilation and temperature for operating theatre is?

A

Ventilation producing 20 air changes/hour.
Temperature 20-21°C, for pediatric patients 24°C.

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