Surgical Techniques - Intrumentation 3-C

Question 1

unreactive, exhibiting no chemical or biological reaction

Answer 1

inert

Question 2

an abnormal narrowing of a bodily passage

Answer 2

stricture

Question 3

having one or more openings

Answer 3

fenestrated

Question 4

are subjected to greater strain and damage than instruments used for soft tissue; may be ratcheted or have a spring action, locking or non-locking design

Answer 4

needle holders

Question 5

unlikely to cause tissue damage

Answer 5

atraumatic

Question 6

used to view tissue, as a diagnostic tool for tissue sampling, and as curative for removing tissue

Answer 6

endoscope

Question 7

to tie with a ligature

Answer 7

ligate

Question 8

to connect or join

Answer 8

anastomoses

Question 9

provides better visualization of the operative site by washing out a body cavity or wound with fluid

Answer 9

irrigation

Question 10

an agent used to burn, sear, or destroy tissue

Answer 10

cautery

Question 11

makes steel resistant to corrosion

Answer 11

chromium

Question 12

an alloy of cobalt, chromium, and molybdenum that is strong and resists corrosion

Answer 12

vitallium

Question 13

makes steel hard to give the instrument strength

Answer 13

carbon

Question 14

glare proof, more susceptible to corrosion

Answer 14

dulled or satin finish

Question 15

extremely hard, used for laminating cutting blades

Answer 15

tungsten carbide

Question 16

excellent for microsurgical instruments, since it is stronger and harder, lighter in weight, non-magnetic and inert

Answer 16

titanium

Question 17

used for flash plating or coatings

Answer 17

cadmium, silver, copper, and nickel

Question 18

finish resists corrosion and makes it easy to identify defects or contamination

Answer 18

bright, polished finish

Question 19

variable mixture of metals means there are varying grades of metal; only the 400 series grade should be used for surgical instruments since it is highly resistant to corrosion, strong, and produces a fine point

Answer 19

compound

Question 20

a compound of iron, chromium, and carbon

Answer 20

stainless steel

Question 21

used in laser surgery to prevent reflection of the laser beam to collateral tissue

Answer 21

ebonized, black chromium finish

Question 22

a fiberoptic bundle that attaches to a light source to provide lighting in endoscopic surgery

Answer 22

light source

Question 23

each one of these has a retractable safety shield to protect abdominal organs from puncture by the point during insertion

Answer 23

trocars

Question 24

captures image via the endoscope and displays the image on a monitor

Answer 24

video camera

Question 25

comes in a number of sizes measured in millimeters. The most common sizes are 5mm, 10mm, 11mm, and 12mm.

Answer 25

cannulas

Question 26

used for viewing the internal passages and hollow organs through the body's natural openings

Answer 26

flexible endoscope

Question 27

miniaturized instruments passed through or attached to the sheath to accomplish the procedure

Answer 27

instrumentation

Question 28

tubing used to deliver the CO2 gas to the operative area

Answer 28

insufflation tubing

Question 29

Complete the following statement that accurately describes how to properly handle endoscopes. Never bend any of the parts. _____ cords loosely when not in use.

Answer 29

Coil

Question 30

Complete the following statement that accurately describes how to properly handle endoscopes. Avoid rough handling and _____.

Answer 30

jarring

Question 31

Complete the following statement that accurately describes how to properly handle endoscopes. Do not _____ with other instruments,

Answer 31

mix

Question 32

Complete the following statement that accurately describes how to properly handle endoscopes. Never _____ on top of each other,

Answer 32

pile

Question 33

Complete the following statement that accurately describes how to properly handle endoscopes. Check for dents, scratches, or rough edges; this can cause _____ damage or corrosion of the instrument.

Answer 33

tissue

Question 34

Complete the following statement that accurately describes how to properly handle endoscopes. Do not allow the fiberoptic _____ to swing free.

Answer 34

cable

Question 35

Clamps should be closed on the _____ ratchet only. a. tightest b. second c. middle d. first

Answer 35

d. first

Question 36

What should the surgical technologist know about each surgical instrument? a. name and type b. function and composition c. name and use d. length and weight

Answer 36

c. name and use

Question 37

On the instrument table, place forceps _____ instrument like Peans and Ochsners. a. on top of b. under c. next to d. away from

Answer 37

c. next to

Question 38

What should be done with heavy retractors during the preoperative phase? a. Keep them separate from the other instruments. b. Lay them next to the other instruments. c. Handle them carefully to ensure they are not nicked or scratched. d. Avoid dropping or bouncing them on the floor.

Answer 38

a. Keep them separate from the other instruments.

Question 39

Jaws, _____, and _____ should align exactly. a. teeth; serrations b. teeth; ratchets c. ratchets, serrations d. clamps, teeth

Answer 39

a. teeth; serrations

Question 40

Handle loose instruments separately to prevent _____ or _____. a. damage; chipping of the surface b. interlocking; crushing c. them from being mixed in with the sets; interchanged with others d. imperfections; misalignment

Answer 40

b. interlocking; crushing

Question 41

_____ and _____ should all point the same direction for ring-handled instruments. a. Tips; joints b. Curvatures; edges c. Edges; joints d. Curvatures; angles

Answer 41

d. Curvatures; angles

Question 42

Instruments are passed _____ to the surgeon in a _____ manner. a. quickly; calm and gentle b. firmly; decisive c. individually; calm and gentle d. quickly; decisive

Answer 42

b. firmly; decisive

Question 43

Short instruments are usually used for _____. a. superficial wounds b. adjusting surgical drapes c. deep body cavities d. handling surgical specimens

Answer 43

a. superficial wounds

Question 44

Loose instruments on the sterile field should be _____. a. left alone for the surgeon's use b. considered contaminated c. left alone until the final count d. removed immediately after use and placed on the Mayo stand or back table

Answer 44

d. removed immediately after use and placed on the Mayo stand or back table

Question 45

Hold hemostatic clamps by the _____ when passing to another person. a. box lock b. tips c. ring handles or ends d. jaws

Answer 45

a. box lock

Question 46

Keep instruments with lumens patent during the surgical procedure by _____. a. using a probe to remove obstructions b. blowing through the center of the lumen c. using a pipestem cleaner d. irrigating with sterile water

Answer 46

d. irrigating with sterile water

Question 47

A signal for scissors requires the _____ and ____ finger moving together. a. thumb; fore b. index; middle c. thumb; middle d. index; thumb

Answer 47

b. index; middle

Question 48

Select instruments in proportion to the _____ of the surgical site. a. angle b. tissue type c. depth d. difficulty

Answer 48

c. depth

Question 49

Keep the electrosurgical tip surface free of _____ and _____ since buildup can affect conductivity. a. blood and tissue b. debris and necrotic tissue c. eschar and debris d. eschar and tissue

Answer 49

c. eschar and debris

Question 50

For those instruments that are frequently used, a _____ _____ can be placed across the patient. a. sterile towel b. magnetic pad c. sterile tray d. none of the above

Answer 50

b. magnetic pad