SFA - How Much Do You Remember from Surg Tech? Flashcards
(35 cards)
THE SURGICAL INCISION THAT ALLOWS FOR THE BEST VISUALIZATION FOR A BILLROTH I PROCEDURE IS:
A. MCBURNEY’S
B. PFANNENSTIEL
C. MIDLINE
D. SUBCOSTAL
C. MIDLINE
a. A McBurney’s incision is used for an open appendectomy
b. The Pfannenstiel incision is a low abdominal incision used often in GYN procedures
c. The midline incision runs along the linea alba and is used in most abdominal procedures, as it provides visualization to most of the abdominal contents
d. The subcostal incision runs parallel to the ribcage on either side of the abdomen and can be used on procedures involving the gallbladder or liver
CSF IS FORMED IN THE LATERAL VENTRICLES OF A PATIENT AND MAY NOT PROPERLY FLOW INTO THE THIRD VENTRICLE THROUGH THE FORAMEN OF:
A. MAGENDIE INTO THE FOURTH VENTRICLE
B. MONRO INTO THE FOURTH VENTRICLE
C. SYLVIUS INTO THE FOURTH VENTRICLE
D. LUSCHKA INTO THE FOURTH VENTRICLE
C. SYLVIUS INTO THE FOURTH VENTRICLE
a. The foramen of Magendie drains CSF from the fourth to the cisterna magna
b. The foramen of Monro drains is also known as the interventricular foramen connecting the two lateral ventricles
c. The foramen of Sylvius drains CSF from the third to the fourth and is also referred to as the cerebral aqueduct
d. The foramen of Luschka drains CSF from the fourth ventricle and communicates with the subarachnoid
WHEN TRANSFERRING A THORACOTOMY PATIENT TO RECEOVERY, THE CHEST DRAINAGE SYSTEM SHOULD BE:
A. DISCONNECTED
B. PLACED AT THE PATIENT’S SIDE
C. POSITIONED ABOVE THE PATIENT’S HEAD
D. MAINTAINED BELOW THE PATIENT’S CHEST LEVEL
D. MAINTAINED BELOW THE PATIENT’S CHEST LEVEL
a. A disconnected drainage system will cause loss of negative pressure
b. Keeping the drainage system at the patient’s side will not prevent re-entry of air and fluid into the chest cavity
c. Elevating the system above the chest level can cause re-entry of air and fluid into the chest cavity, resulting in a pneumothorax
d. Keeping the drainage system below the patient’s chest level prevents re-entry of air and fluid into the chest cavity
WHICH OF THE FOLLOWING PROCEDURES REQUIRES AN INCISION IN THE SUPRASTERNAL NOTCH?
A. MEDIASTINOSCOPY
B. BRONCHOSCOPY
C. PAROTIDECTOMY
D. PERICARDECTOMY
A. MEDIASTINOSCOPY
a. A mediastinoscopy views the mediastinum through an incision in the suprasternal notch
b. A bronchoscopy views the tracheobronchial tree via the oropharynx
c. A parotidectomy is the surgical excision of the parotid gland, located below the ear and the neck area, and requires an incision in this area
d. A pericardectomy is stripping of the pericardium from the heart and requires a median sternotomy incision or a thoracotomy
T-TUBE DRAIN MAY BE USED FOLLOWING:
A. A SPENENECTOMY
B. A CHOLEDOCHOTOMY
C. AN APPENDECTOMY
D. A HERNIORRHAPY
B. A CHOLEDOCHOTOMY
a. A splenectomy is usually not drained; however, a Hemovac or JP is more commonly used during this procedure if drainage is needed
b. A Tube drain is used to irrigate and to demonstrate patency of the CBD. A T-tube’s unique design fits into the common duct and facilitates drainage outside the body
c. A T-tube would not be used in an appendectomy. A Penrose or JP is more likely to be used during this procedure
d. Hernias are not usually drained
A TYPE OF REGIONAL ANESTHEISA IN WHICH A TOURNIQUET IS APPLIED AND LOCAL ANESTHETIC IS ADMINISTERED INTRAVENOUSLY IS CALLED A:
A. BIER BLOCK
B. PERIPHERAL NERVE BLOCK
C. MAC
D. CAUDAL ANESTHESIA
A. BIER BLOCK
a. A Bier block utilizes a double-cuffed tourniquet to prevent the anesthetic agent from traveling throughout the body
b. A peripheral nerve block is given at a specific site to numb a nerve in the body
c. Monitored anesthesia care (MAC) involves giving IV medication to place the entire body in a depressed state
d. caudal anesthesia is injection of local anesthesia into the epidural space in the spine
DURING A CRANIOTOMY, WHICH OF THE FOLLOWING TYPES OF BONE IS ENTERED?
A. FLAT
B. ROUND
C. LONG
D. SHORT
A. FLAT
a. Several cranial bones are flat bones
b. Round bones are found within tendons, in the patella, or on the head of the first metatarsal
c. Long bones are found in the arms and legs and consist of a shaft and two ends
d. Short bones are foound in the wrist and ankle
WHICH OF THE FOLLOWING IS THE MOST ACCEPTABLE TECHNIQUE WHEN PLACING A PATIENT IN THE LITOTOMY POSITION?
A. ARMS PLACED ON ARM BOARDS PLACED AT 110 DEGREES
B. LEGS PLACED IN STIRRUPS ONE AT A TIME
C. BOTH LEGS PLACED IN STIRRUPS SIMULTANEOUSLY
D. HIPS PLACED ABOVE THE LOWER BREAK OF THE TABLE
C. BOTH LEGS PLACED IN STIRRUPS SIMULTANEOUSLY
a. Arms are placed on arm boards at 90 degree or less
b. Legs should not be placed one at a time due to back, knee, and hip pain; also for pressure injury to skin, nerve, and blood vessels and blood pressures changes
c. Both legs should be placed simultaneous to prevent hip and back pain, blood pressure changes, and pressure injury to the skin, nerves, and blood vessels
d. The hips should be placed at the break in the table so they are in the correct position when the lower portion of the table is removed
A SURGEON ASKS FOR WARM IRRIGATION AFTER A RIGHT HEMICOLECTOMY. WHICH OF THE FOLLOWING BEST DESCRIBES THE REASON FOR IRRIGATING AT THIS POINT IN THE PROCEDURE?
A. TO CLEAN OUT THE AREA OF ANY LOOSE TISSUE
B. TO MAINTAIN THE CORE BODY TEMPERATURE
C. TO ELIMINATE ANY INFECTION-CAUSING MICROBES
D. TO AID VISUAL INSPECTION FOR LEAKAGE
D. TO AID VISUAL INSPECTION FOR LEAKAGE
a. Irrigation would help with removing’s loose tissue, but it is not the main reason this is done
b. Body temperature is maintained by using thermoregulatory devices, not irrigation
c. Irrigation would not completely eliminate infection-causing microbes
d. A watertight seal of all anastomoses is essential to prevent peritonitis. Irrigation aids in visually inspecting the seal
ROD-SHAPED BACTERIA ARE CALLED:
A. BACILLI
B. COCCI
C. VIBRIO
D. SPIRALS
A. BACILLI
a. Rod-shaped bacteria are called bacilli. They can be slightly curved or straight. Bacillus is Latin for “stick”
b. Cocci are round, spherical-shaped bacteria
c. Vibrio are comma-shaped bacteria
d. Spiral-shaped bacteria are called spirochetes
A TYPE OF PASSIVE TRANSPORT WHEN SALT CRYSTALS DISSOVLE IN WATER IS KNOWN AS:
A. PHAGOCYTOSIS
B. ENDOCYTOSIS
C. OSMOSIS
D. DIFFUSION
D. DIFFUSION
a. In phagocytosis, large particles are engulfed and digested by lysosomes within the cell
b. Endocytosis is a type of active transport in which molecules are engulfed and then carried to the cell center
c. Osmosis is when particles cross a permeable membrane such as a cell wall
d. Diffusion is simple movement of particles within a solution. When the salt is added to water, the molecules simply disperse within the solution
WHICH OF THE FOLLOWING TYPES OF LASER IS TYPICALLY USED FOR STONE FRAGMENTATION IN THE URETER?
A. ARGON
B. KRYPTON
C. CARBON DIOXIDE
D. HOLMIUM: YAG
D. HOLMIUM: YAG
a. Argon is used for procedures on the retina
b. Krypton is used to destroy tissue in the retina
c. Carbon dioxide is used for neurosurgical and reconstructive procedures
d. Holmium:YAG is used to fragment stones in the ureter
NECROTIZING FASCIITIS CONFIRMED TO THE PERINEUM AND SCROTUM IS KNOWN AS:
A. CELLULITIS
B. GEROTA’S FASCIITIS
C. BOIL
D. FOURNIER’S GANGRENE
D. FOURNIER’S GANGRENE
a. Cellulitis is inflammation of skin and subcutaneous tissue
b. Gerota’s fascia is located in the abdomen
c. Boil infected hair follicle usually caused by staphylococcus aureus
d. Fournier’s gangrene is necrotizing fasciitis of scrotum and perineum
WHERE IS THE GASTROCNEMIUS MUSCLE LOCATED?
A. ARM
B. CALF
C. BACK
D. THIGH
B. CALF
a. The bicep is the main muscle in the arm
b. The gastrocnemius is a muscle in the posterior portion of the lower leg
c. The latissimus is the main muscle in the back
d. The quadriceps is the main muscle in the thigh
WHICH OF THE FOLLOWING IS THE CORRECT SKIN PREPARATION FOR A FEMALE PATIENT UNDERGOING A RIGHT MASTECTOMY WITH POSSIBLE AXILLARY DISSECTION?
A. SHOULDER, UPPER ARM AND EXTENDING DOWN TO THE ELBOW, AXILLA, CHEST TO THE TABLE LINE, AND TO THE LEFT SHOULDER
B. BASE OF THE NECK, SHOULDER, SCAPULA, CHEST TO MIDLINE, AND CIRCUMFERENCE OF UPPER ARM DOWN TO THE ELBOW
C. ENTIRE ARM, SHOULDER, AXILLA, INCLUDING THE HAND
D. CHIN TO UMBILICUS AND LATERALLY TO THE TABLE LINE
A. SHOULDER, UPPER ARM AND EXTENDING DOWN TO THE ELBOW, AXILLA, CHEST TO THE TABLE LINE, AND TO THE LEFT SHOULDER
a. For procedure in the area of the chest and breast, the areas to be prepped include the shoulder, the upper arm extending down to the elbow, the axilla, and the chest to the table line to the shoulder opposite from the affected side
b. Preparing the base of the neck, shoulder, scapula, chest to midline, and circumference of the up[per arm down to the elbow is recommended for shoulder procedures
c. Preparing the entire arm, shoulder, and axilla, including the hand, is recommended for hand procedures
d. Preparing the chin to umbilicus and laterally to the table line does not prepare for the possible axillary node dissection
WHEN POSITIONING A PATIENT FOR LITHOTOMY, CARE SHOULD BE TAKEN TO AVOID INJURY OF THE PERONEAL NERVE, WHICH CAN CAUSE INJURY TO THE:
A. HIP
B. ANKLE
C. FOOT
D. ELBOW
A. HIP
a. The peroneal nerve is located in the hip
b. The peroneal nerve is not located near the ankle
c. The foot is not the location of the injury but may be the cause of the injury
d. The peroneal nerve is not located near the elbow
WHICH OF THE FOLLOWING REFLEXES INVOLVES PLANTAR FLECION OF THE FOOT?
A. ACHILLES
B. PATELLAR
C. BABINSKI
D. ABDOMINAL
A. ACHILLES
a. This stretch involves plantar flexion of the foot by contraction of the gastrocnemius and soleus muscles in response to tapping the calcaneal (Achilles) tendon
b. This stretch involves extension of the leg at the knee joint
c. This reflex results from gentle stroking of the lateral outer margin of the sole
d. This reflex involves contraction of the muscles that compress the abdominal wall
WHICH OF THE FOLLOWING PROCEDURES MAY BE USED TO REMOVE A CARCINOMA FROM THE HEAD OF THE PANCREAS?
A. HELLER
B. WHIPPLE
C. BANKART
D. BILLROTH I
B. WHIPPLE
a. A Heller is a myotomy procedure
b. A Whipple procedure is performed on a patient with carcinoma of the head of the pancreas
c. A Bankart procedure is done to repair stability of the shoulder
d. A Billroth I is a partial gastrectomy procedure
THE PARATHYROID GLAND REGULATES:
A. INSULIN
B. CALCIUM
C. SODIUM
D. ALDOSTERONE
B. CALCIUM
a. The pancreas regulates insulin
b. The parathyroid releases parathyroid hormone, which acts to increase calcium levels in the blood
c. The kidneys regulate sodium production
d. Aldosterone is released by the adrenal cortex and increases sodium reabsorption by the kidneys
A WOUND THAT HAS REGROWTH OF DAMAGED BLOOD VESSELS AND SYNTHESIZES SCAR TISSUE IS IN WHICH OF THE FOLLOWING WOUND HEALING PHASES?
A. INFLAMMATORY
B. MIGRATORY
C. PROLIFERATIVE
D. MATURATION
B. MIGRATORY
a. The inflammatory phase has a blood clot and the wound is loosely united
b. A clot becomes a scab and epithelial cells migrate during the Migatory phase. Damaged blood vessels begin to regrow
c. Extensive growth of epithelial cells beneath the scab is the Proliferation phase
d. The scab will fall once healing is complete at the Maturation pjhase
A WOUND THAT HAS REGROWTH OF DAMAGED BLOOD VESSELS AND SYNTHESIZES SCAR TISSUE IS IN WHICH OF THE FOLLOWING WOUND HEALING PHASES?
A. INFLAMMATORY
B. MIGRATORY
C. PROLIFERATIVE
D. MATURATION
B. MIGRATORY
a. The inflammatory phase has a blood clot and the wound is loosely united
b. A clot becomes a scab and epithelial cells migrate during the Migatory phase. Damaged blood vessels begin to regrow
c. Extensive growth of epithelial cells beneath the scab is the Proliferation phase
d. The scab will fall once healing is complete at the Maturation phase
WHICH OF THE FOLLOWING IS THE NAME OF THE INCISION MADE IN A SIMPLE OPEN NEPHRECTOMY?
A. GIBSON
B. LOW TRANSVERSE
C. SUBCOSTAL FLANK
D. MCBURNEY’S
C. SUBCOSTAL FLANK
a. A Gibson incision is used for renal transplantation or as an extraperitoneal approach for distal ureters
b. A low transverse or Pfannenstiel incision is used for a C-section or a suprapubic prostatectomy
c. A subcostal flank incision is made in a simple open nephrectomy
d. A McBurney’s incision is used to access the appendix in a open appendectomy
AN EXCISED LIPOIMA WAS FILLED WITH NON-PRULENT SEROSANGUINEOUS FLUID. WHICH FO THE FOLLOWING SHOULD BE DOCUMENTED AS THE WOUND CLASSIFICATION FOR THIS PROCEDURE?
A. CLEAN WOUND
B. DIRTY-INFECTED
C. CLEAN-CONTAMINATED
D. CONTAMINATED
D. CONTAMINATED
WHICH OF THE FOLLOWING CRANIAL NERVES NUCLEI ARE ASSOCAITED WITH THE MEDULLA?
A. TRIGEMINAL
B. ABDUCENS
C. FACIAL
D. VAGUS
D. VAGUS
a. Trigeminal nerves (V) controls the sensation of the face, forehead, and mouth
b. Abducens nerves (VI) controls lateral movement of the eyes
c. Facial nerves (VII) controls the muscles in the face and scalp
d. The medulla contains nuclei associated with vestibulocochlear nerves (VIII), glossopharyngeal nerves (IX) vagus nerves (X), accessory nerves (XI), and hypoglossal nerves (XII)
