T or F Surgical Principles

Question 1

T or F: Rat tooth forceps have large, interlocking teeth and are used to grasp skin and place sutures

Answer 1

True

Question 2

T or F: Babcock and Doyen forceps are self retaining, while Adson and Brown Adson forceps are not

Answer 2

Babcock (without teeth, used on delicate tissues) and Doyen (long, gentle tips are used for holding bowel) are self retaining forceps, while Adson (thumb forceps with several fine teeth in a single row) and Brown-Adson (teeth on edges of tips) forces are not

Question 3

T o F: Periosteal elevators ratchet to reduce bone fractures

Answer 3

False
Kern and Richards forceps rachet to manipulate bone fractures to reductionwhile periosteal elevators remove muscle from bone. Both are orthopedic instruments

Question 4

T or F: Needle holders are used to give intramuscular injections

Answer 4

False
Needle holders are used to hold suture needles and assist with tying sutures

Question 5

T or F: Kelly forceps have distal transverse grooves, Crile forceps have complete transverse grooves, and Rochester-Carmalt forceps have both longitudinal and complete transverse grooves

Answer 5

True

Question 6

T or F: Balfour and Gelpi are OVH (spay) hooks

Answer 6

False
Snook and covault are OVH hooks

Question 7

T or F: The most common scalpel handle and blade combination is a #10 handle and #3 blade

Answer 7

False
Most common scalpel handle is #3 and the basic blade is #10

Question 8

T or F: Metzenbaum scissors have one blade that is flat with a thich edge and blunted tip to cut bandage material from the underside

Answer 8

False

Question 9

Yankauer suction tips remove abdominal fluid and are unable to be plugged by the omentum

Answer 9

False
Yankauer suction tips remove fluids other than blood. Poole tips remove abdominal fluid and are unable to be plugged by the omentum.

Question 10

T or F: Edges of a wound must be dry before using a cyanoacrylate tissue adhesive

Answer 10

True
Tissue glue must be applied to dry edges that must be held together for about 15 seconds after application

Question 10

T or F: In some cases, a skin stapler can be used to close a wound

Answer 10

True

Question 11

T or F: A suture needle with an eye and threaded suture material is less traumatic than a swaged needle

Answer 11

False
When suture material is swaged onto the suture needle, the suture is less traumatic. When there is an eye, the suture needle is more traumatic to tissues

Question 12

T or F: Chromic gut suture maintains its tensile strength longer than silk suture

Answer 12

False
Chromic gut suture is natural and absorbable, silk is natural and non-absorbable

Question 13

T or F: A simple interrupted suture pattern is when each individual suture is placed separately with its own knot so failure of one suture does not result in failure of the entire line

Answer 13

True

Question 14

T or F: Tap water is preferable when manually cleaning medical and surgical instruments

Answer 14

False
Recommended to clean instruments with distilled water when possible

Question 15

T or F: Sterilized packs that are double wrapped with muslin have a longer shelf life than those double wrapped with a non-woven barrier such as paper

Answer 15

False
Non-woven material such as paper has a longer shelf life than woven material like muslin. Double wrapped packs have a longer shelf life than singe wrapped packs.

Question 16

T or F: Basic cleaning of surgical instruments occurs in this order: presoaking –> decontaminating –> ultrasonic cleaning

Answer 16

True

Question 17

T or F: Manual cleaning, ultrasonic cleaning, and the use of washer disinfectors are all ways to sterilize surgical instruments

Answer 17

False
Once they are thoroughly cleaned/disinfected then they go through sterilization

Question 18

T or F: When cleaning instruments the box locks should be closed and locked to take up less space in the cleaning area

Answer 18

False

Question 19

T or F: If you suspect a sterile item has touched a non-sterile item, everything should be considered unsterile and replaced

Answer 19

True

Question 20

T or F: When opening sterile packages, ensure the sterility of the contents by opening the package away from you and not reaching over the sterile field

Answer 20

True

Question 21

T or F: Isopropyl alcohol is the ideal surgical scrub to prepare an incision site for surgery

Answer 21

False

Question 22

T or F: Open-gloving is when an individual puts on sterile gloves over the cuffs of a sterile gown

Answer 22

False

Question 23

T or F: Orchidectomy is the surgical removal of the uterus; ovariohysterectomy is the surgical removal of the testicles

Answer 23

False

Question 24

T or F: A laparotomy is performed for multiple reasons, including feline castration

Answer 24

False

Question 25

T or F: Reduced appetite, a hematoma, and a lowered heart rate are all normal post-operative signs

Answer 25

False

Question 26

Signs of post-operative infection include swelling, redness, heat and pain

Answer 26

True

Question 27

T or F: A disinfectant that is labelled as virucidal kills viruses

Answer 27

True
“cidal” = killed

Question 27

T or F: Medical items that come into contact with internal fluids through blood vessel walls (like IV catheters) must be sterile

Answer 27

True

Question 28

T or F: Disinfectants that are bacteriostatic will kill bacteria

Answer 28

False
“static” = growth will be inhibited

Question 29

T or F: When performing steam sterilization, as many packs should be loaded into the autoclave as possible to improve efficiency

Answer 29

False

Question 30

T or F: An antiseptic is an antimicrobial agent kills or inhibits the growth of microorganisms on external surfaces of the body

Answer 30

True

Question 31

T or F: The external indicator tape indicates that the pack has been exposed to the sterilization process and ensures that the instruments inside the pack as safe to use

Answer 31

False

Question 32

T or F: Gravity displacement and high vacuum are two methods of sterilization that rely on ionizing radiation

Answer 32

False
They rely on moist heat (steam) at a certain pressure

Question 32

T or F: Sterilization is the elimination or destruction of all living organisms excluding viruses and spores

Answer 32

False

Question 33

T or F: Gas sterilization with ethylene oxide is an appropriate method of sterilization for heat sensitive items that cannot be sterilized with steam, like rubber and plastic

Answer 33

True

Question 34

T or F: The disadvantage of biological indicators over chemical indicators when determining if sterilization was effective is that biological indicators do not provide an immediate answer and chemical indiators do

Answer 34

True

Question 35

T or F: It is not necessary to clean surfaces prior to disinfecting

Answer 35

False

Question 36

T or F: bacteria and bacterial spores can be killed by most commercial disinfectants

Answer 36

False

Question 37

T or F: An antiseptic is an antimicrobial agent that kills or inhibits the growth of microorganisms on external surfaces of the body

Answer 37

True

Question 38

T or F: Gravity displacement and high vacuum are two methods of sterilization that rely on ionizing radiation

Answer 38

False

Question 39

T or F: Medical items that come in contact with internal fluids through blood vessel walls (like IV catheters) must be sterile

Answer 39

True

Question 40

T or F: Bacteria and bacterial spores can be killed by most commercial disinfectants

Answer 40

False

Question 40

T or F: The disadvantage of biological indicators over chemical indicators when determining of sterilization was effective is that biological indicators do not provide an immediate answer and chemical indicators do

Answer 40

True

Question 41

T or F: When performing steam sterilization, as many packs should be loaded into the autoclave as possible to improve efficiency

Answer 41

False

Question 42

T or F: Sterilization is the elimination or destruction of all living organisms excluding viruses and spores

Answer 42

False

Question 43

T or F: The external indicator tape indicates that the pack has been exposed to the sterilization process and ensures that the instruments inside the pack are safe to use

Answer 43

False

Question 44

T or F: Gas sterilization with ethylene oxide is an appropriate method of sterilization for heat-sensitive items that cannot be sterilized, like rubber and plastic

Answer 44

True