Surg 102--Review (Chapters 16 and 17) Flashcards Preview

Surg Tech 102 > Surg 102--Review (Chapters 16 and 17) > Flashcards

Flashcards in Surg 102--Review (Chapters 16 and 17) Deck (158):
1

Case planning is a _____ skill that develops with experience.

learned

2

_____ combines knowledge of surgical procedure and surgical techniques.

Case planning

3

Surgical procedures can be classified into _____ categories.

five

4

What are the five categories of case planning.

1. Diagnosis
2. Reconstruction
3. Repair
4. Removal
5. Replacement or Implantation

5

The results of a diagnostic procedure provide information about the nature of a _____ and the options available for _____.

medical problem
treatment

6

Questions for planning diagnostic procedures includes, "What is the target _____ or _____?"

structure or tissue

7

Questions for planning diagnostic procedures includes, "What _____ will be used to perform the diagnosis?"

technique

8

Questions for planning diagnostic procedures includes, "What _____ is needed for the planned technique?"

special equipment

9

Questions for planning diagnostic procedures includes, "How will the information be _____?"

documented

10

Questions for planning diagnostic procedures includes, "Is the procedure scheduled to take place in a _____ or in the _____?"

procedure room
operating room

11

Questions for planning diagnostic procedures includes, "Will the surgeon need other _____ or _____ during surgery and are those available in the room?"

diagnostic films or reports

12

Questions for planning diagnostic procedures includes, "What kind of _____ will be required?"

anesthesia

13

In _____, tissue is remodeled or replaced for functional or aesthetic reasons.

surgical reconstruction

14

In reconstructive surgery the procedure may be performed in a _____ or may require _____.

single operation
multiple surgeries

15

The goal of _____ is to restore function to a structure, organ, or system.

repair

16

The type of _____ and the _____ involved determine what instruments or special equipment is needed.

repair
tissue

17

Questions for reconstructive surgery includes, "What _____ are needed for the surgery?"

specialty instruments

18

Questions for reconstructive surgery includes, "What _____ will be used?"

patient position

19

Questions for reconstructive surgery includes, "What _____ will be taken? What tissue will be selected?"

grafts
tissue

20

Questions for reconstructive surgery includes, "Does the procedure require more than _____ operative site?"

one

21

Questions for reconstructive surgery includes, "What is the _____ of the patient?"

age

22

Questions for reconstructive surgery includes, "Does the reconstruction require _____, such as special dressings, a rigid cast, or traction?"

external support

23

Questions for reconstructive surgery includes, "If _____ are to be used, are they available?"

implants

24

Questions for repair planning includes, "What will be _____?"

repaired

25

Questions for repair planning includes, "What _____ are needed?"

special instruments

26

Questions for repair planning includes, "What _____ will be used to to make the repair?"

materials

27

Questions for repair planning includes, "How will the repair be _____?"

held in place

28

Questions for repair planning includes, "Does the patient have recent _____ and _____?"

injuries
movement limitations

29

Questions for repair planning includes, "Will _____ be required?"

radiographs

30

Questions for repair planning includes, "Is the repair area particularly _____?

vascular

31

_____ may involve tissue, an organ, or a foreign body?

Removal

32

Questions for removal planning includes, "What will be _____, and what _____ is involved?"

removed
tissue

33

Questions for removal planning includes, "What surgical _____ will be used?"

approach

34

Questions for removal planning includes, "Will a specimen be taken for _____ analysis?"

frozen section

35

Questions for removal planning includes, "is the wound _____?"

contaminated

36

_____ involves implantation of an organ or other anatomical structure that has lost function through disease or trauma.

Tissue replacement

37

An implant is usually a _____ or _____ prosthesis or medical device.

metal or synthetic

38

A _____ is an implant derived from the patient or from another person or an animal, or bio-synthetic material.

graft

39

Questions for replacement or implantation planning includes, "What will be _____ or _____?"

replaced or implanted

40

Questions for replacement or implantation planning includes, "What _____ or tissue is involved?"

organ system

41

Questions for replacement or implantation planning includes, "What is the nature of the _____?"

implant

42

Questions for replacement or implantation planning includes, "If _____ is to be removed, how will this be done?"

non-functioning tissue

43

Questions for replacement or implantation planning includes, "How will the implant be _____?"

held in place

44

Specific instruments sets, equipment, and supplies needed for a procedure are listed on the _____.

surgeon's preference card

45

The data on the surgeon's preference card includes:

1. Instruments sets and special instruments required for the case
2. Special equipment
3. Suture preferences
4. Glove and gown size
5. Skin prep and draping routine
6. Intraoperative drugs, including dose and strength
7. Surgeon's individual techniques
8. Dressings

46

Sterile supplies are opened in sequence from _____ to _____.

large to small

47

The _____ containing towels, drapes, and gowns is centered on the back table.

basic pack

48

The basic pack is opened using _____.

aseptic technique

49

Wrapped basins are opened in the _____.

ring stand

50

Anticipate the need for _____ for supplementary instrument trays, and orthopedic components as needed.

smaller tables

51

After the case has been opened, the surgical technologist performs the _____.

surgical scrub

52

After the surgical scrub, the ST re-enters the surgical suite (without contaminating the hands or arms) and proceeds to _____.

gown and glove

53

Immediately after gowning and gloving, the ST must organize the sterile items an the _____ and _____.

back table and Mayo stnd

54

As you first approach the pile of sterile equipment, do not move anything until you have a _____.

plan

55

During sterile setup, increase the size of the _____.

sterile working area

56

Before organizing and preparing supplies, increase the size of the _____.

sterile area

57

To increase the size of the sterile field _____ first.

drape the Mayo stand

58

During sterile setup avoid _____ around from one place to another.

shifting items

59

During sterile setup try to handle an item only _____.

once

60

During sterile setup prepare items that are _____ of the procedure first.

needed at the beginning

61

During sterile setup try avoid doing _____.

several things at once

62

During sterile setup _____ and _____ strategically.

think and act

63

During sterile setup using a _____ to all setups improves efficiency.

methodical approach

64

Instruments should be placed in a _____.

specific place

65

If instrument trays must be stacked, place _____.

heavier ones on the bottom

66

When organizing instruments make sure you know each instruments _____ or _____ location.

specific or general

67

The _____ is used for instruments and supplies that are needed frequently during surgery.

Mayo stand

68

Supplies are exchanged from the _____ to the _____ as the case progresses.

back table to the Mayo stand

69

The best method to setup the Mayo stand is the method _____.

that works best for the individual

70

Some health facilities use a _____ for the Mayo stand so that personnel taking over at shift changes or breaks know the location of all supplies and instruments.

standardized setup

71

The Mayo stand should be kept _____ and _____.

clean and orderly

72

Irrigation and soaking solutions usually are distributed after _____ or just before _____.

the case is underway
the case begins

73

Solution are distributed into _____, _____, or a _____.

basins in a ring stand, a solution warmer, or a slush basin

74

Medications are distributed into _____ on the back table.

labeled containers

75

_____ are responsible for ensuring that no item is left in a patient.

All team members

76

The active responsibility for the surgical count lies with the _____ and _____.

scrub and circulating nurse

77

Every surgical sponge is sewn or impregnated with a _____.

radiopaque strip

78

Laparotomy sponges are usually moistened with _____ before use.

warm saline

79

All instruments are passed in their _____ position unless the surgeon request otherwise.

closed (locked)

80

When passing instruments they should be oriented _____ so the the person using the instrument does not have to re-position it or look away from the operative site to receive it.

spatially

81

Used laparotomy and Raytec sponges are dropped into the _____.

kick bucket

82

_____ are placed on a small container or towel on the back towel or on a separate prep table near the back table.

Neurosurgical sponges

83

As additional sponges are needed during surgery, they are counted _____ the scrub receives them.

as soon as

84

During surgery, tissue, fluid, or objects often are removed for _____

pathological analysis

85

It is the _____ duty to correctly identify, with the surgeon, the tissue of origin, the orientation of margins for malignancy, and the correct side.

scrub's

86

Anything removed from a patient is a _____.

specimen

87

_____ is the removal of tissue or cells for analysis by a pathologist.

Biopsy

88

_____ biopsy is used when a large, deep section of tissue is required for analysis.

Extensional (incisional)

89

_____ uses a long, fine needle to aspirate (suction) small pieces of tissue from a tumor.

Fine-needle aspiration (FNA)

90

_____ is similar to FNA, but a large-bore, hollow trocar or needle is used to collect tissue.

Needle biopsy

91

_____ is performed during flexible endoscopic procedures.

Brush biopsy

92

During a brush biopsy a fine brush is used to collect cells on the surface of _____.

mucous membrane tissue

93

Suture materials are used to _____ tissues while healing takes place.

approximate

94

Sutures are used to _____ blood vessels or tubal structures.

ligate

95

Suture material is made from _____, _____, _____, and _____.

synthesized chemicals, animal protein, metal, and natural fibers

96

The _____ the suture is made of is one of the factors that determine how and where the suture is used in the body.

material

97

What are the two main structural categories of suture?

monofilament and multifilament

98

_____ is a single continuous fiber made of a polymer chemical that is extruded and stretched.

Monofilament

99

_____ is many filaments that together form one strand of suture.

Multifilament

100

What are the two types of multifilament suture?

twisted and braided

101

Multiple fibers twisted in the same direction.

Twisted

102

Multiple fibers that are intertwined.

Braided

103

Sutures made of multifilament strands moisture and holds body fluids called _____.

wicking or capillary action

104

If bacteria are present, suture materials with high capillarity are able to retain and spread infection by means of the _____.

suture fibers

105

Suture with _____ is preferred in surgery when the risk of infection is high.

low capillarity

106

Some multifilament suture is coated to reduce _____ and _____.

tissue drag and wicking

107

The size of the suture is based on its _____.

diameter

108

The greater the diameter of suture, the _____ the designated size.

larger

109

The _____ indicates the sutures outside diameter.

USP numbering system

110

Stainless steel suture historically has used the _____ sizing system.

Brown and Sharp (B&S)

111

The _____ of suture refers to the amount of force needed to break the suture.

tensile strength

112

Suture material becomes _____ to _____ weaker when knotted.

10% to 40%

113

Suture material vary in strength when exposed to _____.

body fluids

114

The presence of _____ affects the strength of most suture materials.

inflammation

115

Sutures must be _____ to maintain tensile strength.

uniform in diameter

116

_____ describes how the suture reacts in the presence of body tissue.

Absorption

117

Both _____ and _____ are available in natural and synthetic form.

absorbable suture and nonabsorbable suture

118

The ideal suture would be one that retains its _____ throughout the healing period and the _____ when healing is complete.

strength
dissolves

119

The ideal suture does _____.

not exist

120

Absorbable, protein-based suture is attacked by _____ lysosomes that digest the suture.

enzyme-digesting

121

Absorbable synthetic sutures are degraded by _____.

hydrolysis

122

_____ is a chemical reaction that occurs in the presence of water.

Hydrolysis

123

All sutures, except _____, can degrade if infection is present.

stainless steel

124

Polypropylene sutures:

Deklene II
Prolene
Pronova
Surgipro

125

_____ is an extremely inert monofilament suture.

Polypropylene

126

_____ smooth surface makes it popular for plastic, ophthalmic, and vascular surgery.

Polpropylene's

127

Polypropylene has a high _____ and is used for retention sutures, particularly in abdominal wall closure.

tensile strength

128

Polypropylene can be used when _____ is present and can be left in place for _____ periods.

infection
extended

129

Polypropylene is _____ or _____ in color and is available in sizes 10-0 to 2.

clear or blue

130

Suture manufactured with the suture pre-attached is called a _____ or _____.

swaged or atraumatic suture

131

A nearly seamless connection between the needle and the suture and also allows faster suturing with minimal tissue trauma.

Swaged (Atraumatic) Suture

132

In _____, the suture can be detached from the needle by pulling it straight back from the swage.

control-release

133

A _____ is one with a needle swaged to each end.

double-armed suture

134

This type of suture is used for circular tissue, such as in ophthalmic surgery, or for hollow structures, such as blood vessels or the intestine.

double-armed suture

135

One suture-needle combination is provided per pack.

suture-needle combination

136

One suture package contains multiple pre-cut strands of suture.

Multiple suture strands

137

A spool of suture material is wound into a round reels.

Suture reel

138

One package contains many suture-needle combinations in detachable format.

multiple suture-needle combinations

139

One pack contains a single suture strand with a needle attached at each end.

double-armed suture

140

A _____ is a single long suture length that is anchored at one end of the tissues.

continuous suture

141

Continuous suture:

-Does not allow the surgeon to make adjustments in aligning the wound edges, which tend to pucker when a continuous (running) suture is used

142

Interrupted suture

-Easy to place, high tensile strength, less potential for causing wound edema and impaired cutaneous circulation

143

_____ are individually placed, knotted, and cut.

Interrupted sutures

144

The _____ is used for cosmetic closure and in pediatric patients.

subcuticular suture

145

This technique brings the skin edges together in close approximation and no suture material is visible from the outside.

subcuticular suture

146

This technique produces a very fine scar or no scar.

subcuticular suture

147

The _____ is a special continuous suture technique for closing the end of a tubular structure, such as the appendix, its most common application.

Purse-string suture

148

The _____ provides added strength to a running suture line.

locking stitch

149

This technique equalizes the tension between each loop of the suture and provides increased hemostasis on the wound edges

locking stitch

150

_____ are a type of interrupted technique used to provide additional support to wound edges in abdominal surgery.

Retention sutures

151

Plastic or rubber bolsters, or small length of tubing, are threaded through the suture to prevent it from cutting into the patient's skin.

Retention sutures

152

The cut tissue edges are in direct contact.

primary intention

153

A wound that is not sutured must heal by _____.

secondary intention

154

_____ is a process in which an infected or a contaminated wound is treated and the wound space is packed to prevent serum accumulation and to protect against its environmental exposure.

Third intention

155

Chemical or mechanical removal of necrotic tissue after infection or trauma.

debridement

156

Separation of the layers of a surgical wound.

dehiscence

157

The protrusion of abdominal viscera through a wound or surgical incision.

Evisceration

158

Scar formation, particularly of the abdominal viscera

adhesion