Module 11 Flashcards
(30 cards)
The spore-forming organism used to test the proper functioning of steam sterilizer is:
A) Bacillus subtilis
B) Clostridium perfringens
C) Mycobacterium tuberculosis
D) Bacillus stearothermophilus
Bacillus stearothermophilus
Mannitol (Osmitrol) is used in neurosurgical procedures to:
A) prevent bleeding
B) decrease intracranial pressure
C) anesthetize the operative site
D) fight possible post-operative infection
Decrease intracranial pressure
Which of the following types of connective tissue fastens muscle to bone?
A) cartilage
B) ligament
C) synovium
D) tendon
tendon
Which of the following procedures requires an opening into the gallbladder to permit drainage and removal of stones?
A) choledochotomy
B) cholecystostomy
C) cholecystectomy
D) cholecystojejunostomy
Cholecystostomy
Care of a surgical specimen includes placing it:
A) in a biohazard trash bag
B) in a bag or container with formalin
C) on a RAY-TEC sponge and sent to pathology
D) in a trash bag
In a bag or container with formalin
Which of the following is NOT an acceptable technique when placing a patient in the lithotomy position?
A) arms placed on arm boards
B) legs placed in stirrups one at a time
C) both legs placed in stirrups simultaneously
D) hips placed over the lower break of the table
Both legs placed in stirrups one at a time
When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist in the scrub role is placing the staples through which two layers?
A) cuticular and subcuticular
B) subcuticular and subcutaneous
C) subcuticular and subcutaneous
D) subcutaneous and fascia
Cuticular and subcuticular
Which of the following is MOST commonly used for wound closure in the presence of infection?
A) stainless steel
B) polyglactin-910
C) plain gut
D) silk
Stainless steel
Which of the following procedures may require a postauricular incision?
A) myringotomy
B) tympanostomy
C) adenoidectomy
D) mastoidectomy
Mastoidectomy
During a LAPAROSCOPIC appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of bowel content?
A) intraluminal
B) linear
C) skin
D) purse-string
linear
Gravity displacement sterilizers function on the principle that:
A) steam is heavier than air
B) air is heavier than steam
C) water is heavier than air
D) air is heavier than water
Air is heavier than steam
Which of the following is a preferred retractor for a groin incision?
A) Weitlaner
B) Finochietto
C) O’Sullivan-O’Connor
D) Balfour
Weitlaner
When evaluating the patient’s skin for the preoperative prep, which of the following is considered a contaminated area?
A) axilla
B) toes
C) body hair
D) draining sinus
Axilla
Which of the following statements regarding surgical scrubbing is NOT true?
A) Two accepted methods of surgical scrubbing are the timed method and the
counted brush-stroke method.
B) A vigorous 5-minute scrub with a reliable agent may be as effective as a
10-minute scrub done with less mechanical action
C) Prolonging a scrub beyond the standard scrub length is effective in
decreasing microbe counts
D) When gloves are removed at the end of a surgical procedure, the hands are
contaminated and should be immediately washed
Prolonging a scrub beyond the standard scrub length is effective in
decreasing microbe counts
Which of the following examples illustrates UNSAFE technique for disposing of contaminated sharps?
A) Used suture needles and scalpel blades are removed from the needle container and individually placed in the biohazard sharps container
B) Used suture needles and scalpel blades remain in the needle counter and the closed needle counter is placed in the biohazard sharps container
C) The biohazard sharps container is located as close as possible to the area in which the items were used
D) The biohazard sharps container is located as close as possible to the area in which the items were used
Used suture needles and scalpel blades are removed from the needle container and individually placed in the biohazard sharps container
Which of the following is a chemical sterilant?
A) alcohol
B) merthiolate (Thimerosal)
C) glutaraldehyde (Cidex)
D) sodium hypochlorite
Glutaraldehyde (Cidex)
Which of the following positions is MOST often used for vaginal surgery?
A) Kraske
B) lithotomy
C) supine
D) Trendelenburg
Lithotomy
What is the recommended temperature in an operating room?
A) 15-19° C (59-66° F)
B) 20-24° C (68-75° F)
C) 25-29° C (77-84° F)
D) 30-34° C (86-93° F)
20-24° C (68-75° F)
In what position is a patient placed for a right nephrectomy?
A) left lateral position
B) right lateral position
C) left lateral kidney position
D) right lateral kidney position
Left lateral kidney position
In which of the following positions should a patient be placed for a low anterior colon resection?
A) dorsal recumbent
B) prone
C) lateral
D) lithotomy
Lithotomy
Which of the following INCREASES air contamination in the operating room?
A) restricting traffic flow in and out of the room
B) damp-dusting with a germicidal solution
C) maintaining air pressure lower than in the outside hall
D) using pneumatic surgical equipment
Maintaining air pressure lower than in the outside hall
When an anesthetized patient’s position is changed from lithotomy to supine, the patient’s legs should be lowered slowly to prevent which of the following?
A) hypotension
B) laryngospasm
C) respiratory distress
D) peroneal nerve damage
Hypotension
During set-up, if a surgical team member refuses to perform a count, how should the surgical technologist respond?
A) Ask the surgeon if a count is necessary
B) Continue with case set up.
C) Report the refusal to the charge nurse immediately
D) Perform a count with another surgical technologist
Report the refusal to the charge nurse immediately
Once the spinous process is exposed during a laminectomy, the next instrument needed for the removal of the lamina is a:
A) Kerrison rongeur
B) pituitary rongeur
C) Penfield dissector
D) periosteal elevator
Kerrison rongeur
