Fundamentals Flashcards

1
Q

Traffic patterns in the surgery department are designed to:

A

Aid in preventing surgical site infections

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2
Q

What is the principal goals of suctioning blood and body fluids from the wound

A

Improve wound visibility

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3
Q

Characteristics of drape material

A

Flame-retardant

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4
Q

Principal goal of the SFA during the surgical procedure

A

Provide exposure

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5
Q

Patients at risk for developing a latex sensitivity

A

Child with spina bifida

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6
Q

What should be confirmed before administration of any blood product

A

Date of expiration

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7
Q

Minimum number of air exchange in the OR

A

15 times an hr with 3 exchanges of fresh air

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8
Q

If the SFA places the operative patient’s well-being above all other factors, then the SFA is said to have a strong

A

Surgical conscience

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9
Q

Seepage of skin preparation solution under a patient may result in

A

Chemical burns

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10
Q

The frozen section examination provides the surgeon with a

A

Quick preliminary diagnosis

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11
Q

When assisting the surgeon with the draping where should the SFA stand in relation to the surgeon

A

On the opposite side of the OR table from the surgeon

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12
Q

Studies show that the lowest infection rates have been obtained in surgical cases where patient body hair was

A

Not removed

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13
Q

A hemodynamic complication in the patient could be caused by

A

Myocardial ischemia

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14
Q

Infants are at risk of losing body heat quickly due to their

A

Thin layer of subcutaneous brown fat for insulation

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15
Q

Heat loss from the body occurs by

A

Radiation
Evaporation
Conduction

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16
Q

The earliest sign of MH

A

Increase in end-tidal CO2

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17
Q

Intraoperative fluid and electrolyte imbalance are affected by

A

Blood loos
Fluid shifts and replacement

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18
Q

Vitamin D deficiency can lead to

A

Hypocalcemia

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19
Q

Acid based imbalances reflect

A

Hypoxia, hypothermia and hypovolemia

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20
Q

Platelet concentration is often transfused during the immediate preoperative period for the purpose of

A

Preserving clotting ability

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21
Q

Hemolytic reactions caused by ABO incompatibility are most often caused by

A

Antibodies to the donor foreign proteins

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22
Q

The correct arm placement when positioning a patient supine arms extended on armboard is

A

Armboards extended less than 90 degrees with palms facing up

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23
Q

The force of integumentary injuries that results from the skin remaining stationary while the underlying tissues shift is known as

A

Shearing

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24
Q

What is a potential physiological response when lowering a patient’s legs from the lithotomy position

A

Hypotension

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25
Q

The correct range for the pneumatic tourniquet pressure on an average adult for an upper extremity

A

250-300 mmHg

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26
Q

The setting of the pneumatic tourniquet pressure on an average adult for a lower extremity should be

A

Higher than the systolic pressure by one-half of the value

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27
Q

The most common skin cancer

A

Basal cell carcinoma

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28
Q

In the event that a child needs an emergency procedure and the parents cannot be located to sign the permission

A

Permission is signed by two consulting physicians

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29
Q

The principle of personal liability

A

Holds everyone legally responsible for their own negligent acts

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30
Q

Carcinoma in situ is a malignant neoplasm that has not

A

Extended beyond the basement membrane

31
Q

The blood component administered to patients with a clotting problem is

A

Platelets

32
Q

What refers to a civil wrong committed against a person or property, not including a breach of contract

A

Tort

33
Q

What is the normal value of the BUN for adults

A

7-18mg/dl

34
Q

The specific gravity of a normal urine sample

A

1.015-1.025

35
Q

Could sustain an injury to the pudendal nerves

A

Positioned on the fracture table

36
Q

An imperforation or closure of a normal opening is called:

A

Atresia

37
Q

A lower oblique incision

A

Inguinal

38
Q

Normal adult male range for RBC

A

4.2-6.1

39
Q

The normal adult range of WBC

A

5,000-10,000

40
Q

Normal adult range for sodium

A

136-145 mEq/L

41
Q

Normal adult range for potassium

A

3.5-5.5 mEq/L

42
Q

What type of blood components is the most common source of bacterial infection in a transfusion

A

Platelets

43
Q

The doctrine of respondeat superior refers to

A

Employer liability for employee’s negligent conduct

44
Q

The legal doctrine that mandates every professional to carry out his/her duties according to national standards of care practiced throughout the country

A

Doctrine of reasonable man

45
Q

Liability is a legal rule that

A

Holds each individual responsible for his/her own actions

46
Q

What is a result of potassium imbalance

A

Cardiac arrhythmias

47
Q

Bradycardia is what type of response

A

Vagal

48
Q

The normal pH of urine

A

4.6-8.0

49
Q

A white count of 14,000 indicates

A

An infection

50
Q

When an immediate confirmation of malignancy is needed, the specimen will be sent to pathology for

A

Frozen section

51
Q

A method to protect tissue from the CO2 laser is to cover the area with

A

Wet towels

52
Q

Mechanical, thermal, and chemical are appropriate mechanism to achieve

A

Hemostasis

53
Q

Significantly decreased volume of circulating blood or plasma in the body may cause the patient to go into

A

Hypovolemic shock

54
Q

The purpose of hemostasis is to

A

Prevent blood loss

55
Q

Body fluids and laser plume are what type of hazards

A

Biological

56
Q

What is the most common change in vital signs that is associated with early hypovolemic shock

A

Tachycardia

57
Q

Measure to treat atelectasis

A

Pain control and early ambulation

58
Q

What is the most appropriate device to prevent skin pressure ulcers and deep tissue injury in the OR

A

Gel Pads

59
Q

What nerve can be injured if the legs are improperly flexed at the hip in the lithotomy position

A

Obturator

60
Q

Drains are typically passed to the exterior through

A

Adjacent stab wound incision

61
Q

What dressing is used when moderate to heavy fluid drainage is expected

A

Three-layer

62
Q

In the lateral chest position, a sandbag or padding is placed under the chest at the axillary level to

A

Prevent pressure on the lower arm

63
Q

Chvostek’s sign can indicate

A

Hypocalcemia

64
Q

The proper placement of the legs for a patient in the lateral position

A

Lower leg flexed, upper leg straight

65
Q

Ulnar nerve damage could result from

A

Placement of an elbow on unpadded table

66
Q

What patients are at the greatest risk for fluid volume deficit

A

Trauma victim with extensive burns of the body

67
Q

Correct position for placing the needle in the needle holder

A

1/3 distance from the eye

68
Q

Suture material which is prone to cause inflammatory reactions

A

catgut

69
Q

Antimicrobial agent used in coated polyglactin

A

Triclosan

70
Q

Suturing technique useful when the wound is narrow but deep

A

Buried Horizontal Mattress Suture

71
Q

Identify Suturing Technique

A

Horizontal Mattress

72
Q

Identify Suturing Technique

A

Vertical Mattress

73
Q

Suturing technique used to re-create anatomical structures that are naturally inverted

A

Lembert Suture