General Flashcards

1
Q

What are the different zones in OT zoning?

A

4 zones

1) protective zone
2) clean zone
3) aseptic zone
4) disposal zone

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2
Q

What all things are there in protective zone?

A

1)changing rooms
2)icu and nicu
3)pre and post operative rooms
And transfer bay

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3
Q

Things included in clean zone?

A

It’s a zone connecting the protective to the aseptic zone
includes
1) equipment store rooms
2)maintenance and workshop

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4
Q

What is aseptic zone

A

OT

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5
Q

Surgeries performed in supine position

A

Majority of abdominal surgery

Breast surgery

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6
Q

Surgeries performed in lithotomy position

A

Gynaecological positions
Fissures
TURP
urological procedure

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7
Q

Name the surgeries done in jack knife position

A

Fissure and haemorrhoids

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8
Q

Surgeries done in lateral position aka kidney position

A

Thoracotomy
Nephrectomy
Pilolithotomy

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9
Q

What position will u keep a patient for spine surgeries

A

Prone

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10
Q

What are the advantages of Fowler’s position

A

Relatively bloodless fields

Better exposure

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11
Q

Which position would you prefer for brain surgeries especially post cranial fossa sx

A

Fowler’s position

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12
Q

What is the position for thyroid surgery

How will you prepare it

A

Barking dog 🐕 or rose 🌹 position
It’s supine with towel roll placed below the shoulder blade
|
Neck extension and head is supported by head ring
|
30 degrees head elavation

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13
Q

What is the most common complication of lap cholecystectomy?

A

Right shoulder tip pain

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14
Q

Pelvic surgeries are performed in which position

A

Trendelenberg position (foot end up )

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15
Q

Which number blade is used to drain incision

A

No 11 aka stab blade

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16
Q

What number of blade is used to remove sutures

A

No 12

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17
Q

What part of bLade is used to make incision and how is it made

A

The belly of the blade is used
The blade should be perpendicular if tilted leads to bevelled edges
The incision should Be made from away to near

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18
Q

True / false

The edges for skin should be everted while for bowel should be inverted

A

True

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19
Q

What type of suture has got the least cut through rate

A

Horizontal mattress suture

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20
Q

Which kind of suture helps in eversion of edges

A

Vertical mattress suture

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21
Q

If the depth of the wound is x cms at what distance should a bite be placed on either side of the wound ?

A

X cms

The distance between the 2 sutures =2X

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22
Q

What is the best suture material for subcuticular sutures what is the specialty of subcuticular sutures

A

Monocryl 3-0

They are cosmetically superior

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23
Q

What is an ideal place to hold a needle ?

A

1/3rd from the swaged end and 2/3rd from pointed end

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24
Q

Round body is used for which all structures

A
Round body is used for delicate structures 
Like 
Bowel and bladder 
CBD 
Ureter
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25
Cutting or reverse cutting needle is used for ?
It is used for tougher structures like Fascia Skin Sheath
26
J shaped needle use
Vaginal surgery
27
What kind of needle is used for eye surgery
1/4 circle needle
28
What kind of needle is used for oral cavity
Compound curvature needles
29
1/2 circle needles are used for ?
Git surgeries
30
What are monofilaments?
``` Suture with single thread Eg Monocryl Catgut PDS Nylon(ethylon) ```
31
Which type of suture (monofilament/braided ) has more memory ?
Monofilament has more memory
32
What do u understand by memory of a suture material?
It’s the ability to resist a knot
33
What is the disadvantage of using braided suture material?
Higher wound infection rates | As the crevices can harbour the microorganisms
34
Give examples of braided suture material
Vircryl | Silk
35
What is the tensile strength of catgut ,chromic catgut,vicryl rapid
Catgut - 3-5 days Chromic catgut - 7-9 days Vicryl rapid - 7-9 days
36
Give an example of absorbable natural suture material ?
Catgut (prepared from the submucosa of the gut of sheep ) | Chromic catgut
37
Mention an use of catgut ?
For subcutaneous sutures
38
Give examples of absorbable synthetic suture material.
Monocryl Vicryl Barbed vicryl Vicryl coated with antibiotic (triclosan )
39
What is vicryl made of ?and what is it’s dissolution time?
Polygalactin | D.t=60-90 days
40
Uses of vicryl ?and it’s size
Bowel and bladder 3.0(round body ) CBD 4.0(R.B) Ureter 5.0(R.B)
41
Advantage of vicryl rapid (9-1-0)
It dissolves faster Dissolution time -(20-30) days Tensile strength - (7-9 ) days
42
What type of suture material is pds ?
It’s an absorbable synthetic suture material | D.T=180 days
43
What are the uses of pds?
Tracheobronchial repair CBD Bowel and bladder Ureter
44
Give examples of non absorbable natural suture material ?
Silk
45
Uses of silk
``` Skin closure (2.0/3.0) Fixing drain(1.0) 2nd layer in bowel anastomoses (3.0) ```
46
What is Jenkins theory of mass closure ?
If length of a wound in rectus sheath is x cms | The length of the suture material required will be 4x
47
Give examples of non absorbable synthetic suture material
Prolene Nylon(ethylon) Polyester(ethibond) Surgical steel
48
Which suture material is used for aorta (vascular repair )
Prolene (2.0)
49
What are the uses of prolene ?
Mesh repair Vascular repair Rectus sheath repair
50
Which suture material is used for cataract
Ethylon 10.0
51
Suture material used for nerve and tendon repair
``` Nerve repair ethylon 6.0 Tendon repair (4.0)/(5.0) ```
52
``` Within how many days is the suture removed of 1 scalp 2 face 3 abdomen 4 thorax 5 neck 6 joint ```
``` Neck and Scalp (5-7 days ) Face 3 days Thorax (10-12 days ) Abdomen 12-14 days ) Joint -min 14 days ```
53
Give examples of non absorbable natural suture material ?
Silk
53
Uses of silk
``` Skin closure (2.0/3.0) Fixing drain(1.0) 2nd layer in bowel anastomoses (3.0) ```
53
What is Jenkins theory of mass closure ?
If length of a wound in rectus sheath is x cms | The length of the suture material required will be 4x
53
Give examples of non absorbable synthetic suture material
Prolene Nylon(ethylon) Polyester(ethibond) Surgical steel
53
Which suture material is used for aorta (vascular repair )
Prolene (2.0)
53
What are the uses of prolene ?
Mesh repair Vascular repair Rectus sheath repair
53
Which suture material is used for cataract
Ethylon 10.0
54
Suture material used for nerve and tendon repair
``` Nerve repair ethylon 6.0 Tendon repair (4.0)/(5.0) ```
55
``` Within how many days is the suture removed of 1 scalp 2 face 3 abdomen 4 thorax 5 neck 6 joint ```
``` Neck and Scalp (5-7 days ) Face 3 days Thorax (10-12 days ) Abdomen 12-14 days ) Joint -min 14 days ```