QUIZ Ch. 10 - Instrumentation, Equipment, and Supplies

Question 1

The #12 blade is used almost exclusively for which surgical procedure?

a.
arthroscopy

b.
craniotomy

c.
tonsillectomy

d.
laparotomy

Answer 1

c.
tonsillectomy

Question 2

All of the following are examples of types of movement of powered surgical instruments EXCEPT:

a.
rotary

b.
oscillating

c.
reciprocating

d.
operating

Answer 2

d.
operating

Question 3

One-layer dressings are used on large draining wounds to facilitate frequent dressing changes.

True
False

Answer 3

False

Question 4

A drain dressing is cut into which letter shape to accommodate the drain tube exiting the patient’s body?

a.
Y

b.
T

c.
V

d.
X

Answer 4

a.
Y

Question 5

Which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines in a laparotomy?

a.
Baron

b.
Poole

c.
Yankauer

d.
Frazier

Answer 5

b.
Poole

Question 6

What is the minimum number of suction systems or units required in an operating room?

a.
four

b.
three

c.
one

d.
two

Answer 6

d.
two

Question 7

The choice of wound dressing is dependent upon all of the following EXCEPT:

a.
ambulatory status of the patient post-op

b.
location of the incision or wound

c.
type and amount of drainage expected

d.
condition of the incision/wound upon closure

Answer 7

a.
ambulatory status of the patient post-op

Question 8

In general, after what length of continuous pneumatic tourniquet use should the extremity be allowed to reperfuse before reinflating the tourniquet?

a.
two hours

b.
90 minutes

c.
30 minutes

d.
one hour

Answer 8

d.
one hour

Question 9

Which scissors are often called “suture scissors” and are typically straight and relatively blunt tipped?

a.
Castroviejo

b.
Westcott

c.
Jorgenson

d.
Mayo

Answer 9

d.
Mayo

Question 10

The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called:

a.
Ray-Tecs

b.
Kitners

c.
Cottonoids

d.
laps

Answer 10

c.
Cottonoids

Question 11

During laparoscopic procedures where carbon dioxide gas is used for insufflation, the intra-abdominal pressure in the average healthy adult patient is kept at:

a.
15-20 mm Hg

b.
8 -10 mm Hg

c.
12-15 mm Hg

d.
10-12 mm Hg

Answer 11

c.
12-15 mm Hg

Question 12

Which of the following drains works by passive action?

a.
Jackson-Pratt

b.
Penrose

c.
Hemovac

d.
Stryker

Answer 12

b.
Penrose

Question 13

Into which classification of dressings would body and Minerva jackets and walking and spica casts fall?

a.
pressure

b.
one-layer

c.
bulky

d.
rigid

Answer 13

d.
rigid

Question 14

Weitlaner, O’Connor-O’Sullivan, and Balfour are examples of:

a.
bone-holding forceps

b.
self-retaining retractors

c.
noncrushing clamps

d.
handheld retractors

Answer 14

b.
self-retaining retractors

Question 15

Syringes can be made of plastic, glass, metal, rubber, or a combination of any of these.

True
False

Answer 15

True

Question 16

How are Ray-Tec sponges used during laparotomy procedures when the peritoneum is open?

a.
They should be mounted on a ring forceps as “sponge sticks.”

b.
They should be opened to full length.

c.
They cannot be used at all.

d.
They should have rings attached to them.

Answer 16

a.
They should be mounted on a ring forceps as “sponge sticks.”

Question 17

Bougie, Heaney, Hegar, and Van Buren are types of:

a.
dissectors

b.
drains

c.
dilators

d.
dressings

Answer 17

c.
dilators

Question 18

All of the following are varieties of draping materials EXCEPT:

a.
aluminum coated

b.
latex sheeting

c.
polyester bonded with cellulose

d.
plastic adhesive

Answer 18

b.
latex sheeting

Question 19

Op-site, collodion, adhesive gels, and Steri-strips are examples of which type of surgical dressing?

a.
three-layer

b.
pressure

c.
one-layer

d.
rigid

Answer 19

c.
one-layer

Question 20

What type of surgical specialty rooms would be most likely equipped with three or four overhead operating lights?

a.
open heart

b.
urology and cystoscopy

c.
bariatrics

d.
plastic reconstructive

Answer 20

a.
open heart

Question 21

What is the term for the tread or tape sewn into a countable sponge that makes it visible on x-rays to prevent a retained item?

a.
radiofrequency

b.
radiopaque

c.
radiographic

d.
radiolucent

Answer 21

b.
radiopaque

Question 22

By what action does a “cigarette” drain remove fluid from a wound?

a.
capillary

b.
suction

c.
active

d.
wicking

Answer 22

d.
wicking

Question 23

Which type of urinary drainage catheter requires an incision and anchoring to the skin to prevent dislodgement?

a.
red Robinson

b.
Foley

c.
Coude´

d.
suprapubic

Answer 23

d.
suprapubic

Question 24

Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning.

True
False

Answer 24

True

Question 25

Which fine, pointed-tip scalpel blade could be used to incise a blood vessel or create a stab wound for drain placement? a. #20 b. #10 c. #12 d. #11

Answer 25

d. #11

Question 26

GI, chest, and airway are types of: a. catheters b. drains c. instruments d. tubes

Answer 26

d. tubes

Question 27

What is the geometric shape usually achieved by the placement of the first layer of sterile surgical drapes? a. rectangle b. triangle c. circle d. square

Answer 27

d. square

Question 28

Normal saline, antibiotic, and Dakin's solution are used to facilitate mechanical debridement in which type of dressing? a. perineal b. pressure c. wet-to-dry d. bolster

Answer 28

c. wet-to-dry

Question 29

A patient with a major abdominal wound requiring frequent dressing changes might have which type of binding layer to prevent excoriation of the skin by constant removal of adhesive tape? a. Minerva jacket b. Queen Anne collar c. bolster d. Montgomery straps

Answer 29

d. Montgomery straps

Question 30

Which type of surgical device provides a bloodless surgical field by way of extremity compression? a. sequential compression device b. suction system c. phaco-emulsifier d. pneumatic tournique

Answer 30

d. pneumatic tournique

Question 31

Which of the following self-retaining retractors does NOT require attachment to the OR table? a. Bookwalter b. Balfour c. Greenburg d. Thompson

Answer 31

b. Balfour

Question 32

Penrose drains are active drains that are connected to a reservoir called a J-P bulb or "grenade." True False

Answer 32

False

Question 33

Kerlix fluffs, ABD pads, and plain 4 x 4 gauze sponges are examples of which part of a three-layer dressing? a. permeable contact layer b. binding outer layer c. occlusive contact layer d. absorbent intermediate layer

Answer 33

d. absorbent intermediate layer

Question 34

What is the name of the paired parts of a hemostat that span between the box lock and the finger rings? a. ratchets b. tips c. jaws d. shanks

Answer 34

d. shanks

Question 35

What is the term for the blood products donated by another person? a. homeostasis b. homologous c. hemostatic d. hemolytic

Answer 35

b. homologous

Question 36

Which type of endoscope would be appropriate for examination of the renal pelvis via a natural body orifice? a. rigid sigmoidoscope b. flexible ureteroscope c. rigid hysteroscope d. flexible colonoscope

Answer 36

b. flexible ureteroscope

Question 37

Which suction tip is indicated for use in the nasopharynx and often called a "tonsil" or "oral" suction? a. Adson b. Frazier c. Yankauer d. Poole

Answer 37

c. Yankauer

Question 38

Which type of surgical drape is designed to expose small anatomical structures such as the eyes and ears? a. aperture b. nonfenestrated c. stockinette d. incise

Answer 38

a. aperture

Question 39

Which of the following catheters is used to drain the kidney and is placed with the aid of a cystoscope? a. ureteral b. Pezzer c. Malecot d. Foley

Answer 39

a. ureteral

Question 40

Which type of syringe has no calibrations? a. bulb/ear b. Asepto c. Luer-Slip d. Luer-Lok

Answer 40

a. bulb/ear

Question 41

Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument? a. scissors b. retractors c. tissue forceps d. hemostats

Answer 41

a. scissors

Question 42

Which of the following is NOT a source of power for surgical powered instruments? a. direct current b. solar c. alternating current d. nitrogen

Answer 42

b. solar

Question 43

Which type of surgical supply does NOT come with an option for being impregnated with iodine or other antimicrobial agent? a. radiopaque surgical sponges b. occlusive contact dressing c. gauze packing strips d. incise drapes

Answer 43

a. radiopaque surgical sponges

Question 44

The three lumens of a three-way Foley catheter are used for balloon inflation, urinary drainage, and: a. extraction of calculi b. continuous irrigation c. insufflation of carbon dioxide d. decompression of the urethr

Answer 44

b. continuous irrigation

Question 45

Which scalpel handle would accommodate a #20 disposable knife blade? a. #7 b. #4 c. #9 d. #3

Answer 45

b. #4

Question 46

Which device is used unsterilely in surgery for deep vein thrombosis (DVT) prophylaxis? a. intravascular catheter b. sequential compression device c. pneumatic tourniquet d. nerve stimulator

Answer 46

c. pneumatic tourniquet

Question 47

What do Broviac and Hickman catheters do? a. decompress the bladder b. instill contrast media into the biliary system c. monitor central venous pressure changes d. provide access for peritoneal dialysis

Answer 47

c. monitor central venous pressure changes

Question 48

Which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration? a. retracting and exposing b. grasping and holding c. dilating and probing d. cutting and dissecting

Answer 48

b. grasping and holding

Question 49

Which part of the operating microscope is most proximal to the target tissue? a. beam splitter b. hand controls c. ocular lenses d. objective lens

Answer 49

d. objective lens

Question 50

What is the technical name for a clamp? a. compressor b. hemostat c. stabilizer d. forceps

Answer 50

b. hemostat

Question 51

Which type of instrument often has a tungsten carbide insert and crosshatch serrations for stabilization? a. vascular clamp b. pneumatic drill c. needle holder d. handheld retractor

Answer 51

c. needle holder

Question 51

Which of the following types of surgical sponges are prepackaged in units of five? a. laparotomy b. Ray-Tecs c. Cottonoids d. dissecting

Answer 51

a. laparotomy

Question 52

When passing suture to the surgeon, the next step should be to pass straight Mayo scissors to the assistant. True False

Answer 52

True

Question 53

What term describes an instrument, such as a retractor or uterine probe, that can be bent or modified to accommodate for variances in anatomy? a. shapable b. malleable c. changeable d. alterable

Answer 53

b. malleable

Question 54

Which type of instrument alloy is lightweight, durable, and nonmagnetizing? a. tungsten carbide b. titanium c. chromium d. stainless steel

Answer 54

b. titanium

Question 55

Why must chest tubes be attached to a water-seal drainage system? a. to add weight to the drainage device to keep it upright b. to keep the microbial count in the drainage from reentering c. to keep air from reentering thoracic space to reestablish negative pressure for respiration d. to keep the pleural cavity humid

Answer 55

c. to keep air from reentering thoracic space to reestablish negative pressure for respiration

Question 56

What is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps? a. striations b. suppressions c. serrations d. secretions

Answer 56

c. serrations

Question 57

In medical terminology, which suffix indicates an instrument as a cutting device? a. -scope b. -graph c. -tome d. -orrhaphy

Answer 57

c. -tome

Question 58

Which device can be used sterilely by an ENT or neurosurgeon or unsterilely by an anesthesia provider to determine location, function, or conduction of certain anatomical structures? a. phaco-emulsifier b. cryotherapy unit c. bayonet ESU bipolar forceps d. nerve stimulator

Answer 58

d. nerve stimulator

Question 59

What is the term for the opening in a surgical drape that is placed over the operative site? a. orifice b. slot c. fenestration d. window

Answer 59

c. fenestration

Question 60

The joint of a hemostat where one half of the instrument passes through the other is called the: a. jaw b. ratchets c. box lock d. articulation

Answer 60

c. box lock