100 Test 2-asepsis, Sterilization, Emergencies & Instrumentation

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1. Sterilization

Explanation

Sterilization refers to the complete destruction of all microorganisms, including spores, on inanimate surfaces or in or around an object. This can be achieved through various methods such as steam, chemical agents, high velocity electron bombardment, or ultraviolet light radiation. It is a process that ensures the elimination of all microorganisms to prevent any potential infections or contamination.

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About This Quiz
Instrumentation Quizzes & Trivia

To be seen as a good medical practitioner he has to have proper knowledge of how to use and sterilize medical equipment in order to have access to... see morethem. Take the quiz below and see just how ready you are to be actively engaged in the medical field. Best of luck out there! see less

2. Every load run through a sterilizing machine should have a chemical sterility monitor included

Explanation

The statement is true because a chemical sterility monitor is necessary to ensure that the sterilizing machine effectively kills all microorganisms. This monitor helps to verify that the sterilization process is working correctly and that the load is indeed sterile. Without this monitor, there is no way to confirm the effectiveness of the sterilization process, which could lead to contaminated loads and potential health risks. Therefore, including a chemical sterility monitor is essential for maintaining proper sterilization practices.

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3. Infection, usually accompanied by fever, that results from the presence of pathogenic microorganisms

Explanation

Sepsis is the correct answer because it is an infection caused by pathogenic microorganisms that typically leads to fever. Sepsis occurs when these microorganisms enter the bloodstream and spread throughout the body, causing a systemic inflammatory response. It is a serious condition that can lead to organ failure and even death if not treated promptly.

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4. Steam sterilization involves

Explanation

Steam sterilization involves using steam under pressure to kill microorganisms and achieve sterilization. The high pressure allows the steam to reach and penetrate all surfaces, ensuring effective sterilization. This method is commonly used in healthcare facilities and laboratories to sterilize medical equipment, surgical instruments, and other heat-resistant materials. The combination of steam and pressure creates a highly effective sterilization process, making it a preferred method in many settings.

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5. EBL stands for

Explanation

EBL stands for estimated blood loss. This term is commonly used in medical settings to estimate the amount of blood lost during a surgical procedure or childbirth. It helps healthcare professionals monitor and manage a patient's blood loss, ensuring appropriate interventions are taken to prevent complications such as anemia or hypovolemic shock.

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6. The contamination of a person or object by another

Explanation

Cross-contamination refers to the transfer of harmful microorganisms or substances from one person or object to another. It occurs when there is contact or mixing between contaminated and non-contaminated sources. This can happen in various settings, such as in healthcare facilities, food preparation areas, or laboratories. Cross-contamination can lead to the spread of infections or the contamination of sterile environments. It is important to practice proper hygiene and sanitation measures to prevent cross-contamination and maintain a safe and clean environment.

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7. Item that have been rendered free of all living microorganisms, including spores.

Explanation

A sterile item is one that has been rendered free of all living microorganisms, including spores. This means that the item has undergone a process of decontamination to eliminate any potential pathogens or microbes that could cause infection or contamination. Sterile items are essential in medical and laboratory settings to ensure a safe and sterile environment for procedures and experiments.

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8. A resistant form of certain types of bacteria, able to survive in adverse conditions

Explanation

Spores are a resistant form of certain types of bacteria that allow them to survive in adverse conditions. Unlike other organisms, spores can withstand extreme temperatures, lack of nutrients, and harsh chemicals. They are essentially protective capsules that encase the genetic material of the bacteria, allowing them to remain dormant until conditions become favorable for growth and reproduction. This ability to form spores is an evolutionary adaptation that enables bacteria to persist in challenging environments and increase their chances of survival.

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9. Non-critial items can safely make contact with

Explanation

Non-critical items can safely make contact with closed skin and environmental surfaces because these areas are considered to be low risk for infection transmission. Closed skin acts as a barrier against pathogens, preventing them from entering the body. Environmental surfaces, when properly cleaned and disinfected, also pose a minimal risk of transmitting infections. On the other hand, the gastrointestinal tract, lymph nodes and tonsils, and deep body cavities are more susceptible to infection transmission and require higher levels of disinfection and sterilization.

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10. Used to clear the surgical sire and aspirate blood and fluids during surgical procedures

Explanation

Suction is the correct answer because it is used to clear the surgical site and aspirate blood and fluids during surgical procedures. Suction devices create negative pressure to remove unwanted substances from the surgical field, ensuring visibility and preventing the accumulation of blood and fluids that could hinder the procedure. Suction is an essential tool in maintaining a clean and clear surgical environment.

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11. Preoperative hair removal, wound classification, vascular change during surgery and the duration of procedure can all effect the patient's likelihood of contracting an SSI- true or false

Explanation

The given statement is true. Preoperative hair removal, wound classification, vascular change during surgery, and the duration of the procedure can all affect the patient's likelihood of contracting a surgical site infection (SSI). Preoperative hair removal is important to reduce the risk of infection, wound classification determines the level of contamination and infection risk, vascular changes during surgery can impact blood flow and the body's immune response, and longer procedures increase the exposure time to potential pathogens. Therefore, all these factors can influence the patient's likelihood of developing an SSI.

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12. When the box locks on instruments are stiff and difficult to open, they are placed in:

Explanation

When the box locks on instruments are stiff and difficult to open, they are placed in a water-soluble lubricant bath. This is because the water-soluble lubricant can help to loosen the locks and make it easier to open the box. It is a safe and effective method to ensure that the instruments can be accessed and used without any complications. The water-soluble lubricant is preferred over sterile saline or mineral oil as it can be easily washed off and does not leave any residue on the instruments. A washer-sterilizer is not necessary in this case as the issue is with the locks and not the sterilization process.

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13. Is often associated with an e-mail address:

Explanation

The symbol "@" is often associated with an e-mail address. It is used to separate the username from the domain name in an email address.

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14. Rating for items that will be used on tissue or within a body cavity; must be sterile prior to use: surgical instruments, implants, hypodermic needles

Explanation

The items mentioned in the question, such as surgical instruments, implants, and hypodermic needles, are used directly on tissues or within body cavities. These items must be sterile prior to use to prevent any risk of infection or contamination. Therefore, they fall under the category of "critical" items, which require the highest level of disinfection and sterilization to ensure patient safety.

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15. Air is suctioned out and then steam is pulsed in

Explanation

The correct answer is prevac sterilization. This method involves suctioning out the air from the sterilization chamber before introducing steam. This process helps to remove any air pockets and ensures better penetration of the steam, resulting in effective sterilization. Ethylene oxide sterilization is a different method that uses a gas to kill microorganisms. Sterrad is a low-temperature hydrogen peroxide gas plasma sterilization system, and flamepulse is a rapid heat transfer sterilization method using a flame.

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16. The power source for fiber optics should:

Explanation

The power source for fiber optics should be turned off before the power cord is disconnected from the wall outlet to ensure the safety of the equipment and prevent any damage or electrical hazards.

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17. The safest, most practical means for sterilizing heat and moisture-stable items is:

Explanation

Saturated steam under pressure is the safest and most practical means for sterilizing heat and moisture-stable items. This method uses steam that is heated to a high temperature and then pressurized, ensuring that the items are exposed to a consistent and effective level of heat. This process is able to penetrate and kill microorganisms, including bacteria, viruses, and spores, making it highly effective for sterilization. Ethylene oxide gas, active glutaraldehyde, and boiling water are not as reliable or efficient in achieving sterilization of heat and moisture-stable items.

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18. An infection acquired within a healthcare setting

Explanation

The term "nosocomial" refers to an infection that is acquired within a healthcare setting, such as a hospital or nursing home. It is commonly used to describe infections that develop as a result of medical procedures, contaminated equipment, or poor hygiene practices. This term is important in the field of healthcare as it helps to differentiate infections acquired in a healthcare setting from those acquired in the community.

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19. Any microbe capable of causing disease

Explanation

A pathogen refers to any microbe that is capable of causing disease. It includes bacteria, viruses, fungi, and parasites. These pathogens can invade the human body and disrupt its normal functioning, leading to illness or infection. They can be transmitted through various means such as direct contact, contaminated food or water, or through vectors like mosquitoes. Understanding pathogens is crucial in preventing and treating diseases, as it helps in developing effective strategies for their control and eradication.

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20. Items must be dry and towels can't be included with plasma gas sterilization methods

Explanation

In plasma gas sterilization methods, items must be dry in order to effectively sterilize them. Towels, being wet, cannot be included in this method as they would not be sterilized properly. Therefore, the statement is true.

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21. Sodium hypochlorite is 

Explanation

Sodium hypochlorite is commonly known as bleach. Bleach is a chemical compound that is widely used as a disinfectant and bleaching agent. It is commonly used for household cleaning purposes and as a laundry detergent. Sodium hypochlorite is effective in killing bacteria, viruses, and fungi, making it a popular choice for sanitizing and disinfecting surfaces. It is important to handle bleach with caution and follow safety guidelines when using it.

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22. Flash sterilization is for items that will be used

Explanation

Flash sterilization is a method used for sterilizing items that will be used immediately within the operating room (OR). It is suitable for items that need to be used on the same day in the OR or for cases scheduled in an adjacent OR. However, flash sterilization should only be performed if the peel pack containing the item has been opened on the sterile field. This ensures that the item remains sterile and safe for immediate use within the OR.

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23. Substance that destroys/kills bacteria

Explanation

Bacteriocidal refers to a substance that is capable of killing bacteria. It is the opposite of bacteristatic, which refers to a substance that inhibits the growth or reproduction of bacteria without necessarily killing them. Antithesis and antimicrobiology are unrelated terms and do not pertain to the destruction or killing of bacteria.

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24. Electrosurgery is the application of ____________ current to coagulate or cut tissue.

Explanation

Electrosurgery involves the use of electrical current to either coagulate or cut tissue. This technique uses a high-frequency electrical current to generate heat, which can be used to cauterize blood vessels or cut through tissue. By applying electrical current, the tissue can be precisely manipulated and controlled during surgical procedures. Therefore, the correct answer is "electrical."

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25. Machine that handles gross decontamination of instruments but does not sterilize them

Explanation

A washer-decontaminator is a machine that is designed to handle the gross decontamination of instruments. It is capable of removing dirt, debris, and organic material from the instruments, but it does not sterilize them. Sterilization is the process of killing all forms of microorganisms, including bacteria, viruses, and spores, whereas decontamination refers to the removal or reduction of microorganisms to a safe level. Therefore, a washer-decontaminator is an appropriate option for a machine that handles gross decontamination but not sterilization.

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26. When assembling instrument sets you will need the

Explanation

The instrument checklist is needed when assembling instrument sets because it ensures that all the necessary instruments are included and ready for use during the surgical procedure. It helps to prevent any missing or misplaced instruments, which could potentially cause delays or complications during surgery. The checklist acts as a guide for the surgical team to ensure that they have everything they need for a successful operation. The surgeon's preference card, surgical schedule, and patient's chart may also be important for other aspects of the surgery, but the instrument checklist specifically focuses on the instruments needed for the procedure.

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27. The most effective and efficient method for sterilizing wrapped instrument sets is a/an:

Explanation

A prevac sterilizer is considered the most effective and efficient method for sterilizing wrapped instrument sets. This type of sterilizer uses a combination of vacuum and pressure to remove air and sterilize the instruments. The vacuum helps to remove air from the wrapped sets, ensuring better penetration of the sterilizing agent. The pressure then aids in forcing the sterilizing agent into the wrapped sets, ensuring thorough sterilization. This method is highly effective in achieving sterilization and is widely used in healthcare settings.

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28. The active electrode is also called the

Explanation

The active electrode is commonly referred to as the electrosurgical pencil. This device is used in surgical procedures to deliver electrical energy to the patient's tissues, allowing for precise cutting, coagulation, and cauterization. The pencil-like shape of the electrode provides a comfortable grip for the surgeon, allowing for easy maneuverability and control during the procedure.

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29. Decontaminatinon means to

Explanation

The correct answer is "to reduce to an irreducible minimum the presence of pathogenic material." Decontamination refers to the process of reducing the presence of harmful pathogens or contaminants to the lowest possible level. It involves various methods such as cleaning, disinfecting, or sterilizing to ensure that the item or area is safe and free from any potential health risks. The goal is to minimize the presence of pathogenic material to a level where it is no longer a threat to human health.

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30. Intermediate level disinfectant useful in scrub and prep solutions (for skin contact)

Explanation

Iodophors (alcohol-based) are a suitable intermediate level disinfectant for scrub and prep solutions for skin contact. Iodophors are a type of disinfectant that contain iodine and are commonly used in healthcare settings. They have broad-spectrum antimicrobial activity and are effective against a wide range of microorganisms. The alcohol component in iodophors helps to enhance their effectiveness and improve their ability to penetrate the skin. Therefore, iodophors (alcohol-based) are a good choice for disinfection in situations where skin contact is involved.

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31. Virucides are

Explanation

Virucides are substances or agents that are specifically designed to kill or inactivate viruses. Unlike bactericides, which target bacteria, virucides specifically target and eliminate viruses. They are commonly used in various settings, such as healthcare facilities, laboratories, and households, to disinfect surfaces, objects, and even air to prevent the spread of viral infections. Virucides play a crucial role in maintaining hygiene and preventing viral outbreaks by effectively destroying viruses and reducing their ability to infect individuals.

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32. whereas speed is not dependent upon direction, velocity involves direction and _____________.

Explanation

Speed is a scalar quantity that represents the rate at which an object moves, regardless of its direction. It is a measure of how fast an object is moving without considering the direction of motion. On the other hand, velocity is a vector quantity that includes both speed and direction. It describes the rate at which an object changes its position in a specific direction. Therefore, velocity involves direction, while speed does not.

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33. The number of microbes or amount of organic debris on an object at any given time; effects how much cleaning should be done on instruments, people, etc.

Explanation

Bioburden refers to the number of microbes or amount of organic debris present on an object at a particular time. It is important to consider the bioburden as it determines the level of cleaning required for instruments, people, or any other surfaces. The higher the bioburden, the more cleaning or decontamination is necessary to ensure proper hygiene and prevent the spread of infections.

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34. Which of the following instruments would NOT be used for suction?

Explanation

The Richardson instrument is not used for suction. It is a type of retractor commonly used in surgical procedures to hold back tissues and organs, providing better visibility and access to the surgical site. Suction instruments, on the other hand, are used to remove fluids, secretions, or debris from the surgical field. The Ferguson-Frazier, Yankauer, and Poole instruments are all commonly used for suction purposes in different surgical settings.

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35. The invasion of the human body or tissue by pathogenic microorganisms that reproduce and multiply, causing disease

Explanation

Infection refers to the invasion of the human body or tissue by pathogenic microorganisms that reproduce and multiply, causing disease. It is the process by which harmful bacteria, viruses, or other pathogens enter the body and start to multiply, leading to the development of an illness or disease. Infections can occur in various parts of the body and can range from mild to severe, depending on the type of pathogen and the individual's immune response. Effective treatment and prevention strategies, such as proper hygiene practices and vaccination, are essential in controlling the spread of infections.

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36. He established the germ theory

Explanation

Louis Pasteur is the correct answer because he is known for establishing the germ theory. Pasteur's experiments and research in the 19th century proved that microorganisms, such as bacteria, are the cause of many diseases. His work revolutionized the understanding of infectious diseases and laid the foundation for modern medicine and sanitation practices. Pasteur's discoveries also led to the development of vaccines and sterilization techniques, greatly improving public health.

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37. Implants can be flashed

Explanation

Implants cannot be "flashed". The term "flashing" typically refers to the process of updating or reprogramming the firmware or software of a device. Implants, on the other hand, are typically small medical devices that are surgically placed inside the body and are not designed to be reprogrammed or updated in this way. Therefore, the statement is false.

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38. Objects that have mass and take up space are referred to as:

Explanation

The correct answer is matter. Matter refers to anything that has mass and occupies space. It includes both living and non-living things, such as solids, liquids, and gases. Aerosols are a type of suspension of fine solid or liquid particles in a gas, molecules are the smallest units of a substance that retain its chemical properties, and bodies of space is an unclear term that does not accurately describe objects with mass and volume.

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39. Rigid endoscope cleaning method

Explanation

The correct answer suggests that in order to clean a rigid endoscope, the channels and holes must be thoroughly cleaned first. This involves washing them under pressure to ensure all debris and contaminants are removed. After cleaning, the channels must be cleared with air to ensure they are completely dry and free from moisture. This method ensures that the endoscope is properly cleaned and ready for use.

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40. A disinfectant is:

Explanation

A disinfectant is a chemical agent that is used to kill most microbes, such as bacteria and viruses. However, it usually does not have the ability to kill spores, which are reproductive structures produced by certain types of microorganisms. Spores have a protective outer coating that makes them more resistant to disinfection. Therefore, disinfectants are effective in reducing the number of harmful microbes in an environment, but they may not completely eliminate all types of microorganisms, especially those in the form of spores.

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41. Also known as household bleach

Explanation

Sodium hypochlorite is commonly known as household bleach. It is a chemical compound that is widely used for its disinfectant properties. It is a strong oxidizing agent and is effective in killing bacteria, viruses, and other microorganisms. Sodium hypochlorite is also used as a bleaching agent in various industries, including textile and paper. Its chemical formula is NaClO, and it is produced by reacting chlorine gas with sodium hydroxide.

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42. The physical removal of blood, body fluids, and/or gross debris (bioburden) from inanimate objects

Explanation

Cleaning refers to the process of physically removing blood, body fluids, and gross debris from inanimate objects. It is an essential step in maintaining cleanliness and hygiene. Cleaning helps to reduce the risk of infection and the spread of pathogens. This process involves the use of cleaning agents, such as detergents or disinfectants, along with mechanical action like scrubbing or wiping, to remove visible dirt and contaminants. Cleaning is different from sterilization, which is a more rigorous process that aims to eliminate all forms of microbial life. Basic handwash refers to the act of washing hands with soap and water to maintain personal hygiene. "What takes place after an Alabama game" is unrelated and does not provide a valid answer.

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43. Microbes which normally reside on or below the skin surface or within the body

Explanation

Resident flora refers to the microbes that naturally live on or below the skin surface or within the body. These microbes are typically harmless or even beneficial to the host, helping to maintain a healthy balance in the body. In the context of the question, resident flora is being contrasted with other terms like communicable disease, passive motites, and resident fauna, which are not directly related to the normal microbial population on or within the body.

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44. Which of the following instruments would be used ot cut bone?

Explanation

Rongeurs would be used to cut bone. Rongeurs are surgical instruments with sharp, scoop-shaped jaws that are specifically designed for cutting and removing bone. They are commonly used in orthopedic and neurosurgical procedures to remove small pieces of bone or to create openings in the bone. Rongeurs provide a precise and controlled cutting action, making them ideal for bone cutting tasks. Allis forceps are used for grasping and holding tissues, the #4 scalpel handle with #10 blade is used for making incisions, and a tenaculum is used for grasping and manipulating tissues.

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45. Scalpel blades are applied with:

Explanation

Scalpel blades are applied with a needle holder. A needle holder is a surgical instrument that is used to hold and manipulate needles during surgical procedures. It has a clamping mechanism that allows for a secure grip on the needle, preventing it from slipping or causing injury to the surgeon or patient. Using a needle holder ensures precise control and accuracy when applying scalpel blades, making it the appropriate instrument for this task.

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46. The bowie-dick test should be run daily in which of the following sterilizers?

Explanation

The Bowie-Dick test should be run daily in prevac sterilizers. The Bowie-Dick test is a type of test that is used to evaluate the air removal efficiency of prevacuum sterilizers. This test is important to ensure that the sterilizer is effectively removing air from the chamber, as the presence of air can hinder the sterilization process. Running this test daily in prevac sterilizers helps to ensure that they are functioning properly and that the sterilization process is effective.

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47. Asepsis

Explanation

Asepsis refers to the absence of microbes and infection. It means that there are no microorganisms present that can cause infection or disease. This can be achieved through various measures such as proper sterilization techniques, use of sterile equipment, and maintaining a clean environment. Asepsis is crucial in medical settings, especially during surgeries or other invasive procedures, to prevent the introduction and spread of harmful microorganisms.

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48. The bowie-dick test ensures that the prevac sterilizer is:

Explanation

The Bowie-Dick test is used to ensure that the prevac sterilizer is properly removing all the air from the sterilizer during cycles. This is important because the presence of air can prevent proper sterilization and can lead to ineffective sterilization of medical instruments and equipment. The Bowie-Dick test involves placing a specific test pack in the sterilizer and running a specific cycle to check for the presence of air leaks. If the test indicates that the sterilizer is properly removing all the air, it ensures that the sterilization process is effective and the instruments are properly sterilized.

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49. In the 1920's, the physicist __________ developed the first spark gap tube generator, which culminated in the electrosurgical generator.

Explanation

In the 1920s, the physicist Bovie developed the first spark gap tube generator, which eventually led to the creation of the electrosurgical generator.

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50. Pharmacological form of coagulation for blood vessels

Explanation

Absorbable gelatin/gelfoam is the correct answer because it is a pharmacological form used for coagulation of blood vessels. Gelatin sponge, also known as gelfoam, is a sterile, absorbable, and water-insoluble gelatin-based sponge that is used in surgery to promote hemostasis. When applied to a bleeding site, it swells and forms a mechanical barrier, aiding in the clotting process and preventing further bleeding. It is commonly used in various surgical procedures to control bleeding and achieve hemostasis.

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51. Intermediate-level disinfection takes how long?

Explanation

Intermediate-level disinfection takes 10-15 minutes. This duration allows enough time for the disinfectant to effectively kill most microorganisms on surfaces. It strikes a balance between the shorter time required for low-level disinfection and the longer time needed for high-level disinfection, which is more thorough and eliminates a wider range of pathogens. The 10-15 minutes timeframe ensures efficient disinfection while also being practical for routine cleaning and maintenance purposes.

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52. Substance commonly used on living tissue to inhibit the growth and reproduction of microbes to prevent infection

Explanation

An antiseptic is a substance commonly used on living tissue to inhibit the growth and reproduction of microbes to prevent infection. Unlike disinfectants, which are used on inanimate objects, antiseptics are specifically designed for use on living tissue. They are used to cleanse wounds, cuts, and other injuries to prevent the entry of harmful microorganisms and reduce the risk of infection. Antiseptics are typically less harsh and less toxic than disinfectants, making them suitable for use on the skin and mucous membranes. They work by killing or inhibiting the growth of bacteria, fungi, and other microorganisms on the surface of the skin.

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53. Item that should be dusted before the first case of the day:

Explanation

The overhead surgical lights should be dusted before the first case of the day to ensure a clean and sterile environment. Dust can accumulate on the lights and potentially contaminate the surgical area, posing a risk to the patient's health. Regularly dusting the lights helps maintain a hygienic operating room and reduces the chances of infection or complications during surgery.

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54. visible punture wounds, inability to move an extremity, body parts misaligned, LOC, or disorientation or confusion are all indications that

Explanation

Visible puncture wounds, inability to move an extremity, body parts misaligned, loss of consciousness (LOC), or disorientation or confusion are all indications that the patient is in an emergent condition (emergency). These symptoms suggest that the patient may be experiencing a severe injury or medical emergency that requires immediate attention and intervention. It is important for healthcare providers to recognize these signs and prioritize the patient's care accordingly to ensure their safety and well-being.

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55. The sterile field is best defined as:

Explanation

The sterile field is the specified area, usually the area immediately around the patient, that is considered free of microorganisms. This area is carefully maintained and protected during surgical procedures to prevent contamination and reduce the risk of surgical site infections. It is important for the surgeon and other sterile team members to adhere to strict protocols and maintain aseptic techniques within the sterile field to ensure patient safety.

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56. Clamp most often used to compress blood vessels to achieve hemostasis

Explanation

A hemostat is a surgical tool commonly used to clamp blood vessels and control bleeding during surgical procedures. It is designed to provide strong and precise compression, allowing for effective hemostasis. The other options mentioned, such as kelly and mosquito clamp, are also surgical instruments, but they may not be as commonly used for achieving hemostasis as the hemostat. Therefore, the correct answer is hemostat.

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57. Lumens and suction devices must be ___________ after a surgical procedure.

Explanation

After a surgical procedure, lumens and suction devices need to be flushed until clear prior to sterilization. This is important to remove any debris, blood, or other contaminants that may be present in the lumens or suction devices. Flushing until clear ensures that the instruments are thoroughly cleaned before they undergo the sterilization process, which helps to prevent the transmission of infections or other complications during future use.

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58. the three basic forms of matter--solids, liquids, and gases--are called ________.

Explanation

The correct answer is "states of matter". This refers to the three basic forms of matter, which are solids, liquids, and gases. These states describe the physical properties and behavior of matter based on factors such as temperature and pressure.

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59. Cidex 

Explanation

Cidex is a noxious high-level disinfectant that can be used as a sterilant if instruments are soaked for 10 hours. It is not a sterility monitoring device, nor is it used in steam sterilizers in the rinse cycle. It is also not a commonplace enzymatic cleaner prior to steam sterilization. Cidex's main use is as a high-level disinfectant for medical instruments, but it can also be used as a sterilant if the instruments are soaked for a longer period of time.

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60. Collagen is 

Explanation

Collagen is a protein found in the body that plays a crucial role in blood clotting. It helps in the formation of a stable blood clot, preventing excessive bleeding. In pharmacology, collagen can be used as a form of coagulation (clotting) agent to promote blood clot formation in certain medical procedures or conditions. Therefore, it is a pharmacological form of coagulation.

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61. Bacillus stearothermophilus

Explanation

Bacillus stearothermophilus is commonly used as a biological sterility monitor. This means that it is used to test the effectiveness of sterilization processes in medical and laboratory settings. It is not the most common cause of surgical site infections or diarrhea in pediatric patients, and it is not commonly used as a chemical sterility monitor.

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62. effects more than 100 people with 10 or more dead--in relation to emergency situations

Explanation

A natural disaster refers to a catastrophic event caused by natural forces, such as hurricanes, earthquakes, floods, or wildfires. These events often result in widespread destruction and can affect a large number of people, causing significant casualties. In the given context, the statement "effects more than 100 people with 10 or more dead" suggests a significant impact, which aligns with the destructive nature of natural disasters. Therefore, the correct answer is natural disaster.

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63. Following anesthesia induction, permission for changing the patient's position must be obtained from the 

Explanation

After anesthesia induction, the anesthesia provider is responsible for monitoring and managing the patient's vital signs and ensuring their safety during the procedure. They are the ones who administer and control the anesthesia, so they need to give permission for any changes in the patient's position to ensure that it does not affect their breathing, blood flow, or overall well-being. The surgeon, circulator, and surgical assistant may have their roles in the procedure, but the anesthesia provider is the one with the expertise to make decisions regarding the patient's position.

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64. What must penetrate wovens, muslin, paper/disposable, genesis cases and peel packs to actually sterilize in steam sterilization?

Explanation

The steam itself must penetrate wovens, muslin, paper/disposable, Genesis cases, and peel packs to actually sterilize in steam sterilization. Steam is a highly effective sterilizing agent that can penetrate various materials and kill microorganisms. It works by denaturing proteins and disrupting the cell membranes of bacteria, viruses, and spores, effectively rendering them inactive. Therefore, the steam itself is responsible for the sterilization process in steam sterilization.

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65. A disinfectant's efficacy is based on all of the following except:

Explanation

The efficacy of a disinfectant is determined by several factors, including the bioburden (the amount of microorganisms present), the type and concentration of the disinfectant used, the contact time, temperature, and exposure. However, whether the patient is a nasal carrier of Staphylococcus aureus does not directly affect the efficacy of the disinfectant. This means that regardless of whether the patient carries the bacteria in their nasal passages, the disinfectant will still work effectively in killing the microorganisms present.

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66. Instruments should be closed when?

Explanation

Instruments should be closed when passed to the surgeon to ensure the safety and sterility of the surgical environment. Closing the instruments prevents any accidental injury to the surgeon or other staff members. It also helps maintain the sterility of the instruments by preventing any contamination from occurring during the transfer process. This is an important step in following proper surgical protocols and ensuring the success of the procedure.

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67. Which of the following endoscopic procedures would be a sterile procedure?

Explanation

Laparoscopy is a sterile procedure because it involves making small incisions in the abdomen to insert a laparoscope, which is a thin tube with a camera attached to it. The incisions are made in a sterile environment and the laparoscope is also sterilized before use. This ensures that the procedure is performed in a sterile manner to minimize the risk of infection. In contrast, gastroscopy, laryngoscopy, and colonoscopy do not require making incisions and are therefore not considered sterile procedures.

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68. Which one of the follwoing is a manual retractor?

Explanation

The correct answer is "harrington". Harrington is a type of manual retractor used in surgical procedures. It is commonly used in orthopedic surgery to hold back tissues and provide better visibility for the surgeon. Unlike other options listed (gelpi, finochetti, and weitlander), harrington is specifically designed as a manual retractor.

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69. which diagnostic study uses electromagnetic radiation to view internal structures?

Explanation

X-rays are a form of electromagnetic radiation that can penetrate the body and create images of internal structures. This diagnostic study is commonly used to view bones and detect abnormalities such as fractures or tumors. X-rays are able to pass through soft tissues, but are absorbed by dense structures like bones, which appear white on the resulting image. This makes x-rays a useful tool for diagnosing a variety of conditions and guiding medical interventions.

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70. The most commonly used electrical instrument in surgery is a/an:

Explanation

The electrosurgery unit is the most commonly used electrical instrument in surgery. This device is used to cut, coagulate, and cauterize tissue during surgical procedures. It works by delivering a high-frequency electrical current to the tissue, which generates heat and causes the tissue to either cut or coagulate. The electrosurgery unit is versatile and can be used in various surgical specialties, making it a widely used instrument in the operating room.

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71. Terminal sterilization means

Explanation

Terminal sterilization refers to a process that completely eliminates all viable microorganisms from an item, making it safe to handle. This is achieved through a sterilization method such as heat, radiation, or chemical agents. By effectively killing or removing all microorganisms, including bacteria, viruses, and spores, terminal sterilization ensures that the item is free from any potential pathogens that could cause infection or harm to individuals. Therefore, the correct answer is "to render an item safe to handle by sterilization."

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72. In the hemostatic process, injury to a vessel triggers _________.

Explanation

In the hemostatic process, injury to a vessel triggers vasoconstriction. Vasoconstriction refers to the narrowing of blood vessels, which helps to reduce blood flow to the injured area. This constriction of blood vessels helps to limit bleeding and prevent further damage. By constricting the vessels, the body can effectively control the flow of blood and initiate the clotting process to promote wound healing.

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73. current from the esu flows from the surgical site, through the ________, to the dispersive electrode, through the conductor cord, and returns to the generator.

Explanation

The current from the ESU flows from the surgical site, through the patient, to the dispersive electrode, through the conductor cord, and returns to the generator. The patient acts as a pathway for the current to flow through, completing the circuit.

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74. The most reliable means of monitoring the effectiveness of the sterilizer that ensures sterilization parameters have been met is:

Explanation

Biological monitoring is the most reliable means of monitoring the effectiveness of a sterilizer. This method involves using biological indicators, such as spore strips or vials, that contain highly resistant microorganisms. These indicators are placed inside the sterilizer during a sterilization cycle and then incubated to check for any surviving microorganisms. If no growth is observed, it indicates that the sterilization parameters have been met and the sterilizer is effective in killing all microorganisms. This method provides a direct assessment of the sterilization process and is considered the gold standard for monitoring sterilizer effectiveness.

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75. What seeks to extend and enhance human capabilities by using powerful computers?

Explanation

Robots seek to extend and enhance human capabilities by using powerful computers. They are designed to perform tasks that are difficult, dangerous, or impossible for humans to accomplish. With the help of advanced computing systems, robots can analyze data, make decisions, and execute complex actions with precision and efficiency. By leveraging their computational power, robots can augment human abilities and contribute to various fields such as manufacturing, healthcare, exploration, and more.

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76. Sterility determined by how package is handled rather than time elapsed; package is considered sterile until opened or until integrity of packaging material is damaged

Explanation

Event-related sterility refers to the sterility of a package being determined by how it is handled rather than the time elapsed. This means that the package is considered sterile until it is opened or until the integrity of the packaging material is compromised. This concept recognizes that the sterility of a package can be maintained for an indefinite period as long as it is handled properly and not subjected to any damage or contamination. Therefore, event-related sterility ensures that the sterility of a package is not solely dependent on the time elapsed since its packaging.

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77. BONUS: which of the following instruments is a stone forcep? 

Explanation

A stone forcep is a surgical instrument used for grasping and removing stones from the body. Among the given options, the instrument "randall" is a stone forcep.

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78. projectile motion refers to the motion of an object launched into the air at a specific _________

Explanation

Projectile motion refers to the motion of an object launched into the air at a specific angle. The angle at which the object is launched determines the shape of its trajectory, which is the path it follows through the air. The angle affects both the range and the height of the projectile's flight. A higher launch angle will result in a longer flight time and a higher peak height, while a lower launch angle will result in a shorter flight time and a lower peak height. Therefore, the angle is a crucial factor in determining the motion of a projectile.

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79. Treatment for anaphylactic shock may include all but:

Explanation

Anaphylactic shock is a severe allergic reaction that can be life-threatening. The treatment for anaphylactic shock typically involves administering epinephrine, which helps to open up the airways and improve blood circulation. Steroids may also be given to reduce inflammation and swelling. Levophed, a medication used to increase blood pressure, may be used in severe cases. However, icing the patient is not a recommended treatment for anaphylactic shock.

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80. The STSR's role during cardiac arrest is to:

Explanation

During a cardiac arrest, the STSR's role is to protect the sterile field. This means ensuring that the surgical area remains free from contamination and maintaining a clean environment for the surgical team. This is important to prevent any infections or complications that could arise from contamination during the procedure.

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81. characterized by its ability to change the voltage

Explanation

Alternating current (AC) is characterized by its ability to change the voltage continuously and periodically. Unlike direct current (DC), which flows in only one direction, AC changes direction periodically, usually in the form of a sine wave. This characteristic of AC allows it to be easily transmitted over long distances and used in various applications such as powering homes and running electric motors. Therefore, the given answer, alternating current, is the correct choice based on the provided information.

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82. If the temperature of the steam sterilizer reads 270 F, what should the pressure reading be?

Explanation

The pressure reading in a steam sterilizer is directly related to the temperature. The correct pressure reading for a temperature of 270 F is 27 psi. This is because steam at this temperature requires a pressure of 27 psi to maintain its properties and effectively sterilize the contents of the sterilizer.

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83. occurs with rh incompatibility when blood is mismatched; sometimes fatal

Explanation

Rh incompatibility occurs when a pregnant woman with Rh-negative blood is carrying a fetus with Rh-positive blood. If the mother's immune system becomes sensitized to the Rh-positive blood, it can produce antibodies that attack and destroy the red blood cells of the fetus. This condition is known as hemolytic anemia, which can be severe and potentially fatal for the fetus if left untreated.

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84. Used for blood matching

Explanation

The Rh factor is a protein found on the surface of red blood cells. It is used for blood matching in transfusions and organ transplants. The presence or absence of the Rh factor determines whether a person is Rh positive or Rh negative. This information is crucial in determining compatibility between blood donors and recipients.

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85. Gravity displace steam sterilization, no lumens involved

Explanation

This answer is correct because it states the appropriate time and temperature for gravity displacement steam sterilization. The process of gravity displacement steam sterilization involves using steam to sterilize instruments and equipment. In this method, steam is introduced into the sterilization chamber, displacing the air and creating a vacuum. The steam then penetrates the items being sterilized, killing any microorganisms present. The recommended time and temperature for this method is 3 minutes at 270-275 degrees Fahrenheit. This ensures effective sterilization without compromising the integrity of the items being sterilized.

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86. Which of the following knife handles would be needed for a #20 blade?

Explanation

The #4 knife handle would be needed for a #20 blade.

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87. To counteract the heat produce by an electric-powered instrument, the scrub will:

Explanation

The correct answer is to drip sterile saline from a bulb syringe onto the blade of the instrument while it is in action. This method helps to cool down the instrument by dissipating the heat produced during its operation. By continuously dripping sterile saline onto the blade, the heat is absorbed and carried away, preventing the instrument from overheating. This is a safer and more effective approach compared to the other options provided, as disconnecting the instrument, placing it in ice water, or using alcohol may not effectively cool it down or may even damage the instrument.

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88. The most common form of energy is 

Explanation

The most common form of energy is mechanical. Mechanical energy refers to the energy possessed by an object due to its motion or position. It includes both potential energy (energy stored in an object) and kinetic energy (energy of motion). Mechanical energy is commonly encountered in everyday life, such as when objects are in motion or when work is done by machines. Electrical energy, on the other hand, refers to the energy associated with the flow of electric charge and is not as commonly encountered as mechanical energy. Homocidal and surgical are unrelated to the concept of energy.

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89. Which of the following types of equipment would require sterile draping by the scrub?

Explanation

The microscope would require sterile draping by the scrub because it is a delicate and precise instrument used in medical procedures, particularly in surgeries. Sterile draping is necessary to maintain a sterile field and prevent any contamination that could potentially harm the patient or affect the accuracy of the procedure. The other equipment listed, such as the esu unit, bronchoscope, and video tower, may not require sterile draping as they are not directly involved in the surgical procedure or have contact with the patient.

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90. materials that inhibit the flow of electrons are called __________________.

Explanation

Insulators are materials that hinder or prevent the movement of electrons. They have high electrical resistance, which means they do not allow the flow of electric current easily. Unlike conductors, which facilitate the movement of electrons, insulators act as barriers to the flow of electricity. They are commonly used to separate conductors and prevent electrical accidents or short circuits. Insulators are essential in various applications, such as electrical wiring, insulation materials, and protective coatings, where the control or prevention of electron flow is necessary.

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91. Serve as attachments of computer components

Explanation

Ports serve as attachments of computer components such as cables and wires. They are physical connectors on a computer or electronic device that allow for the input and output of data. Different types of ports exist for various purposes, such as USB ports for connecting external devices, HDMI ports for connecting monitors or TVs, and Ethernet ports for network connections. These ports provide the necessary interface for communication between the computer and its peripherals, enabling the transfer of information and signals.

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92. Lap sponges are most often used to control bleeding where?

Explanation

Lap sponges are most often used to control bleeding in the belly. They are sterile absorbent pads that are placed in the abdominal cavity during surgery to soak up any blood or fluids that may be present. The use of lap sponges helps to maintain a clear surgical field and prevent excessive bleeding, allowing the surgeon to perform the procedure safely and effectively.

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93. telechir is a name given to ______________

Explanation

Telechir is a name given to remotely controlled robots. This means that the term "telechir" is used to refer to robots that can be operated or controlled from a distance, typically through the use of technology such as teleoperation or telepresence. The other options listed (the da Vinci machine, the noise the ultrasound machine makes, and the noise the ESU device makes) are not accurate descriptions of what telechir refers to.

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94. Contamination of a sterile field that occurs with the passage of fluid through a microbial barrier, i.e., muslim linen becomes saturated

Explanation

Strike-thru contamination refers to the contamination of a sterile field that happens when fluid passes through a microbial barrier, such as when Muslim linen becomes saturated. This can lead to the introduction of microorganisms into the sterile field, compromising its sterility.

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95. Device applied while an extremity is elevated for the purppose of exsangionation of blood prior to inflation of a pneumatic tourniquet of cuff is a/an:

Explanation

The device applied while an extremity is elevated for the purpose of exsanguination of blood prior to inflation of a pneumatic tourniquet or cuff is an Esmarch bandage. This bandage is used to compress and remove blood from the limb, ensuring a bloodless field for surgical procedures. It is typically made of rubber and is wrapped tightly around the limb from distal to proximal, forcing the blood to move towards the heart. This technique helps to minimize bleeding during surgery and improve visualization of the surgical site.

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96. Items without lumens to be flash sterilized should be:

Explanation

not-available-via-ai

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97. many surgical robot arms have __________ geometry and versatility measured in degrees of freedom

Explanation

Surgical robot arms are designed with articulated geometry, allowing them to move and bend in multiple directions. This flexibility provides them with a high degree of freedom, enabling precise and complex movements during surgical procedures. The term "articulated" refers to the joints and segments of the robot arm that can move independently, mimicking the dexterity and range of motion of a human arm. This characteristic is essential for surgeons to perform delicate and intricate tasks with the assistance of the robot arm.

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98. Walling off viscera

Explanation

The given items, including walling off viscera, patties, 4x4 sponges (raytex), and peanut sponges, are all used in surgical procedures to create a sterile environment and prevent contamination. Lap pads, specifically, are large absorbent pads placed on the patient's abdomen to absorb any fluids or blood during the surgery. They are used to keep the surgical site clean and dry, and to protect the underlying organs and tissues.

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99. Fomite:

Explanation

The correct answer is "a piece of jewelry or a hair feather that falls into the sterile field." This answer is supported by the given information that walls, floors, cabinets, furniture, and nonsterile supplies are not included in the category of fomites. A fomite refers to an inanimate object that can transmit infectious organisms, and in this case, a piece of jewelry or a hair feather that falls into a sterile field can potentially introduce contaminants and compromise the sterility.

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100. Blood loss is reported to 

Explanation

The correct answer is anesthesia. In a medical setting, blood loss is typically reported to the anesthesia team. Anesthesiologists are responsible for monitoring vital signs, including blood loss, during surgical procedures. They play a crucial role in managing the patient's anesthesia and ensuring their safety throughout the surgery. By being informed about the amount of blood loss, the anesthesia team can take appropriate measures to maintain the patient's stability and prevent any complications.

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101. Any of the following instruments could be used for hemostasis except:

Explanation

The question is asking for an instrument that is not used for hemostasis. Hemostasis refers to the process of stopping bleeding or controlling blood flow. Out of the given options, babcock is not typically used for hemostasis. Babcock forceps are commonly used for grasping and holding delicate tissues during surgical procedures, but they are not specifically designed for hemostasis. On the other hand, crile, kelly, and schnidt forceps are commonly used for clamping blood vessels to control bleeding and achieve hemostasis.

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102. The minimal temperature required to kill bacterial spores is:

Explanation

Bacterial spores are highly resistant to heat and require high temperatures to be killed. The correct answer is 250 F because this temperature is sufficient to kill bacterial spores. Temperatures below 250 F may not be effective in destroying spores, while temperatures above 250 F may be excessive and unnecessary.

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103. Used for small bleeders in vessel anastomosis

Explanation

Pledgets are small pieces of absorbent material, such as cotton or gauze, that are used to apply pressure to small bleeding vessels during surgical procedures. They are placed over the bleeding site and help to control the bleeding by absorbing the blood and promoting clotting. Pledgets are commonly used in vessel anastomosis, which is the surgical connection of blood vessels, to prevent bleeding at the site of the anastomosis. Therefore, pledgets are the most suitable option for controlling small bleeders in vessel anastomosis.

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104. Most surgical site infections (SSI's) are caused by resident flora on __________.

Explanation

Surgical site infections (SSI's) are primarily caused by the resident flora on the patient's body. This refers to the microorganisms that naturally reside on the patient's skin or mucous membranes. During surgery, these organisms can enter the surgical site and cause an infection if proper precautions are not taken. The patient's resident flora is the most common source of SSI's because it is already present on their body and can easily contaminate the surgical site if not properly managed.

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105. Indications include itching, swelling, dyspnea, hypotension, tachycardia, and low urine output

Explanation

Anaphylactic shock is the correct answer because the given indications such as itching, swelling, dyspnea, hypotension, tachycardia, and low urine output are all symptoms commonly associated with anaphylactic shock. Anaphylactic shock is a severe allergic reaction that occurs when the immune system overreacts to an allergen, causing a release of chemicals that can lead to these symptoms. Hemolysis, malignant hyperthermia, and diabolic kryptonosis do not typically present with these specific indications.

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106. all matter is made up of fundamental elements that cannot be broken down by __________.

Explanation

All matter is made up of fundamental elements that cannot be broken down by chemicals. Chemicals are combinations of different elements, but they themselves cannot break down the fundamental elements that make up matter.

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107. The presence of pathogenic material

Explanation

Contamination refers to the introduction of harmful or unwanted substances into an environment or material. In this context, the presence of pathogenic material can lead to contamination, posing a risk to human health or the integrity of a system. It is important to identify and address contamination to prevent its spread and minimize potential harm.

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108. Newton's third law is also known as the law of 

Explanation

Newton's third law states that for every action, there is an equal and opposite reaction. This means that whenever an object exerts a force on another object, the second object exerts an equal and opposite force back on the first object. The term "conservation" is used to describe this law because it implies that the total amount of momentum in a system remains constant, as momentum is transferred between objects due to their interactions. This law ensures that energy and momentum are conserved in physical interactions, making "conservation" the appropriate term for Newton's third law.

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109. the circuit of the esu consists of the generator, the active electrode, the dispersive electrode and the _____________.

Explanation

The circuit of the ESU (electrosurgical unit) consists of the generator, the active electrode, the dispersive electrode, and the patient. The patient is an essential component of the circuit as they are the one receiving the electrical current during the surgical procedure. The active electrode delivers the electrical current to the patient's tissues, while the dispersive electrode helps to safely disperse the current and prevent burns. The surgeon operates the ESU, but they are not a part of the circuit itself. The generator is responsible for producing the electrical current used in the procedure, but it is also not a part of the circuit. Cautery is not mentioned in the given question and is unrelated to the circuit of the ESU.

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110. All of the following are safety devices for the sponge, sharp and instrument count except:

Explanation

The answer explains that if a sponge pack contains an incorrect number of sponges, the count should be repeated and necessary adjustments should be made on the count sheet. This implies that this action is a safety device for ensuring the accuracy of the sponge count. The other options listed in the question are all safety devices related to the sponge, sharp, and instrument count, such as performing counts before closure of a hollow organ, not placing specimens on a counted sponge, and handing needles to the surgeon on an exchange basis.

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111. Sodium hypochlorite

Explanation

A 1 to 10 solution of sodium hypochlorite is sporicidal in 1 hour. This means that when the solution is diluted with water in a 1 to 10 ratio, it is capable of killing spores within 1 hour of contact. Sodium hypochlorite is also known as Cidex and isopropyl alcohol is a different substance altogether. There is no need to further dilute the 1 to 10 solution as it is already effective in killing spores within 1 hour.

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112. Swabbing superficial tissue

Explanation

The correct answer is raytex (4x4 sponges) because they are commonly used for swabbing superficial tissue. They are small, sterile, and highly absorbent, making them ideal for cleaning and applying medication to small wounds or delicate areas. Cottonoid patties and peanut sponges are typically used in neurosurgery and orthopedic procedures, while lap pads are larger absorbent pads used to cover and protect larger areas during surgery.

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113. Moisture is left in lumens to enhance steam sterilization

Explanation

Moisture is left in lumens to enhance steam sterilization because steam is the most effective method for killing microorganisms. By leaving moisture in lumens, it ensures that the steam can penetrate and reach all areas, effectively sterilizing the equipment or instruments. Without moisture, the steam may not be able to reach certain areas, leading to incomplete sterilization. Therefore, leaving moisture in lumens enhances the effectiveness of steam sterilization.

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114. Neuro sponges used for hemostasis

Explanation

Patties are neuro sponges used for hemostasis. They are absorbent pads made of soft material that are used during surgical procedures to control bleeding and provide a clear surgical field. Patties are placed in the surgical site to absorb excess blood and fluids, preventing them from obstructing the surgeon's view. They are designed to be non-adherent and sterile to minimize the risk of infection. Patties are available in various sizes and shapes to suit different surgical needs and can be easily manipulated by the surgical team.

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115. the study of objects in motion with much concern for the forces that produced the motion is _________

Explanation

Kinematics is the study of objects in motion and the forces that caused that motion. It focuses on describing the motion of objects without considering the causes of the motion. Therefore, kinematics is the correct answer as it aligns with the given explanation.

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116. Good for hemostasis of the liver

Explanation

Pledgets are small pieces of material, usually made of cotton or gauze, that are used in surgical procedures to aid in hemostasis, or the control of bleeding. They are often soaked in medication or a clotting agent and applied directly to the site of bleeding to help stop it. Pledgets are commonly used in liver surgeries where bleeding can be a concern. They are placed on the bleeding vessels or areas to apply pressure and promote clotting, making them a good option for hemostasis of the liver.

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117. Items mechanically cleaned and chemically disinfected but not sterile

Explanation

The term "surgically clean" refers to items that have undergone mechanical cleaning and chemical disinfection processes, but they are not sterile. This means that while they have been thoroughly cleaned and disinfected to reduce the risk of infection during surgery, they are not completely free from all microorganisms. Therefore, they are considered safe for surgical procedures, but additional measures may be required to ensure complete sterility.

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118. Applied the germ thoery guy's principles to surgery, basically coming up with idea of sterile technique in surgical practice

Explanation

Joseph Lister is the correct answer because he applied the germ theory principles to surgery, which led to the development of sterile techniques in surgical practice. Lister introduced antiseptic methods, such as using carbolic acid to clean wounds and sterilizing surgical instruments, which significantly reduced the risk of infections and improved patient outcomes. His contributions revolutionized surgical practices and laid the foundation for modern aseptic techniques in medicine.

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119. Substance that restrains the further development or reproduction of bacteria

Explanation

The term "bacteriostatic" refers to a substance that inhibits the growth or reproduction of bacteria. Unlike bacteriocidal, which kills bacteria, bacteriostatic only slows down their growth. "Antimicrobiology" and "antithesis" are unrelated terms and do not describe the concept of restraining bacterial development.

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120. For blunt dissection of tissue (after being secured on a clamp):

Explanation

Peanut sponges are used for blunt dissection of tissue after it has been secured on a clamp. Blunt dissection involves separating tissues by pushing them apart rather than cutting through them. Peanut sponges are small, sterile, and absorbent sponges that are commonly used in surgical procedures. They are designed to be easily grasped with forceps and are used to gently separate and manipulate tissues during surgery.

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121. Cleaning done between cases most often includes

Explanation

The cleaning done between cases most often includes gross decontamination of instruments, cleaning gross debris from OR furniture, and changing sheets. This is because these tasks are essential for maintaining a clean and sterile environment in the operating room. Gross decontamination of instruments helps to remove any visible contaminants or residue, ensuring that they are ready for the next procedure. Cleaning gross debris from OR furniture helps to eliminate any potential sources of contamination. Changing sheets is important for maintaining hygiene and preventing the spread of infections. Therefore, all of the above tasks are typically included in the cleaning process between cases.

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122. the grounding pad is used only when the esu is operated in the _____________

Explanation

In monopolar mode, the grounding pad is used to complete the electrical circuit between the patient and the electrosurgical unit (ESU). The ESU generates electrical energy that is delivered to the patient's tissue through the active electrode. The grounding pad acts as a return path for the electrical current, ensuring that it safely flows back to the ESU. This helps to prevent any unintended electrical burns or injuries to the patient. In bipolar mode, the electrical current flows between two electrodes on the same instrument, eliminating the need for a grounding pad. Cautery only mode and polar express mode are not recognized modes of operation for an ESU.

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123. Swabbing delicate brain structures:

Explanation

not-available-via-ai

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124. Which of the following is not a factor that increases a petient's risk of SSI?

Explanation

Malignant hyperthermia is not a factor that increases a patient's risk of SSI. Malignant hyperthermia is a rare genetic muscle disorder that is triggered by certain medications used during general anesthesia. It is not directly related to surgical site infections, which are caused by bacteria entering the surgical wound. Factors such as cigarette smoking, concurrent infections, obesity, and diabetes can all impair the body's immune response and increase the risk of developing a surgical site infection.

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125. Airborne infections tend to be spread by _____________

Explanation

Airborne infections tend to be spread by the surgical team because they are in close proximity to the patient during surgery. They can inadvertently release infectious particles into the air through coughing, sneezing, or even talking. These particles can then be inhaled by others in the operating room, leading to the spread of the infection. It is crucial for the surgical team to follow proper infection control protocols, such as wearing masks and maintaining a sterile environment, to minimize the risk of airborne transmission.

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126. During hemostasis, after platelets begin adhering to a blood vessel wall, what happens next?

Explanation

After platelets begin adhering to a blood vessel wall during hemostasis, ADP is released. This release of ADP triggers a positive feedback loop, causing more platelets to adhere to the site of injury. ADP acts as a signaling molecule, attracting and activating additional platelets to form a platelet plug, which helps in the formation of a blood clot to stop bleeding.

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127. Gluteraldehyde

Explanation

The correct answer is "may be used on rubber and lenses". This is because gluteraldehyde is a disinfectant commonly used in healthcare settings to sterilize medical equipment and instruments, including those made of rubber and lenses. It is effective in killing a wide range of microorganisms, including bacteria, viruses, and fungi. It is not commonly known as household bleach, as household bleach typically refers to a different chemical compound called sodium hypochlorite.

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128. which is not an advantage of remote manipulation?

Explanation

Remote manipulation allows surgeons to perform surgeries from a distance, eliminating the need for telesurgery. This means that the surgeon can operate on a patient without physically being present in the operating room. Additionally, remote manipulation enables the surgeon to perform precise movements and procedures with the help of robotic instruments. It also reduces the risk of human error and provides better access to hard-to-reach areas. However, the patient may have to wait longer for the surgery due to logistical arrangements, but this is not considered an advantage of remote manipulation.

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129. The grounding pad which connects the patient to the electrosurgical generator is called a/an:

Explanation

The inactive dispersive electrode is the grounding pad that connects the patient to the electrosurgical generator. It is called "inactive" because it does not actively deliver electrical energy, but rather serves to disperse any electrical current that may flow through the patient's body during the procedure. This helps to prevent burns or other complications that could arise from the electrical energy.

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130. in physics, work is defined as a force acting upon an object causing _____________.

Explanation

In physics, work is defined as the product of the force applied to an object and the displacement of the object in the direction of the force. This means that work is done when a force causes an object to move or change its position. Therefore, the correct answer is "displacement" as it accurately represents the relationship between work and the effect of a force on an object's position.

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131. Which is an acquired hemostatic disorder

Explanation

Drug-therapy induced platelet dysfunction is an acquired hemostatic disorder caused by certain medications. It occurs when drugs interfere with the normal functioning of platelets, leading to impaired blood clotting. This condition is not present from birth, but rather develops as a result of drug therapy. Hemophilia, AIDS, and thrombinosis are not acquired hemostatic disorders caused by drug therapy, making them incorrect options.

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132. Subsequent counts are taken for all of the following except:

Explanation

Subsequent counts are taken to ensure that no surgical instruments or sponges are left inside the patient's body after surgery. The counts are done before the closure of a body cavity, after the closure of any body cavity, and at the time of permanent relief of scrub and/or circulator. However, counts are not taken after the dressing sponges are opened because they are not used for counting purposes.

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133. in a simple electrical circuit, the device that transforms the electrical energy into a useful function, such as heat or light, is power

Explanation

The statement is incorrect because the device that transforms electrical energy into a useful function, such as heat or light, is not power itself. Power is the rate at which energy is transferred or converted. The device that actually transforms electrical energy into a useful function is called a load or an appliance, such as a light bulb or a heater.

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Sterilization
Every load run through a sterilizing machine should have a chemical...
Infection, usually accompanied by fever, that results from the...
Steam sterilization involves
EBL stands for
The contamination of a person or object by another
Item that have been rendered free of all living microorganisms,...
A resistant form of certain types of bacteria, able to survive in...
Non-critial items can safely make contact with
Used to clear the surgical sire and aspirate blood and fluids during...
Preoperative hair removal, wound classification, vascular change...
When the box locks on instruments are stiff and difficult to open,...
Is often associated with an e-mail address:
Rating for items that will be used on tissue or within a body cavity;...
Air is suctioned out and then steam is pulsed in
The power source for fiber optics should:
The safest, most practical means for sterilizing heat and...
An infection acquired within a healthcare setting
Any microbe capable of causing disease
Items must be dry and towels can't be included with plasma gas...
Sodium hypochlorite is 
Flash sterilization is for items that will be used
Substance that destroys/kills bacteria
Electrosurgery is the application of ____________ current to coagulate...
Machine that handles gross decontamination of instruments but does not...
When assembling instrument sets you will need the
The most effective and efficient method for sterilizing wrapped...
The active electrode is also called the
Decontaminatinon means to
Intermediate level disinfectant useful in scrub and prep solutions...
Virucides are
Whereas speed is not dependent upon direction, velocity involves...
The number of microbes or amount of organic debris on an object at any...
Which of the following instruments would NOT be used for suction?
The invasion of the human body or tissue by pathogenic microorganisms...
He established the germ theory
Implants can be flashed
Objects that have mass and take up space are referred to as:
Rigid endoscope cleaning method
A disinfectant is:
Also known as household bleach
The physical removal of blood, body fluids, and/or gross debris...
Microbes which normally reside on or below the skin surface or within...
Which of the following instruments would be used ot cut bone?
Scalpel blades are applied with:
The bowie-dick test should be run daily in which of the following...
Asepsis
The bowie-dick test ensures that the prevac sterilizer is:
In the 1920's, the physicist __________ developed the first spark...
Pharmacological form of coagulation for blood vessels
Intermediate-level disinfection takes how long?
Substance commonly used on living tissue to inhibit the growth and...
Item that should be dusted before the first case of the day:
Visible punture wounds, inability to move an extremity, body parts...
The sterile field is best defined as:
Clamp most often used to compress blood vessels to achieve hemostasis
Lumens and suction devices must be ___________ after a surgical...
The three basic forms of matter--solids, liquids, and gases--are...
Cidex 
Collagen is 
Bacillus stearothermophilus
Effects more than 100 people with 10 or more dead--in relation to...
Following anesthesia induction, permission for changing the...
What must penetrate wovens, muslin, paper/disposable, genesis cases...
A disinfectant's efficacy is based on all of the following except:
Instruments should be closed when?
Which of the following endoscopic procedures would be a sterile...
Which one of the follwoing is a manual retractor?
Which diagnostic study uses electromagnetic radiation to view internal...
The most commonly used electrical instrument in surgery is a/an:
Terminal sterilization means
In the hemostatic process, injury to a vessel triggers _________.
Current from the esu flows from the surgical site, through the...
The most reliable means of monitoring the effectiveness of the...
What seeks to extend and enhance human capabilities by using powerful...
Sterility determined by how package is handled rather than time...
BONUS: which of the following instruments is a stone forcep? 
Projectile motion refers to the motion of an object launched into the...
Treatment for anaphylactic shock may include all but:
The STSR's role during cardiac arrest is to:
Characterized by its ability to change the voltage
If the temperature of the steam sterilizer reads 270 F, what should...
Occurs with rh incompatibility when blood is mismatched; sometimes...
Used for blood matching
Gravity displace steam sterilization, no lumens involved
Which of the following knife handles would be needed for a #20 blade?
To counteract the heat produce by an electric-powered instrument, the...
The most common form of energy is 
Which of the following types of equipment would require sterile...
Materials that inhibit the flow of electrons are called...
Serve as attachments of computer components
Lap sponges are most often used to control bleeding where?
Telechir is a name given to ______________
Contamination of a sterile field that occurs with the passage of fluid...
Device applied while an extremity is elevated for the purppose of...
Items without lumens to be flash sterilized should be:
Many surgical robot arms have __________ geometry and versatility...
Walling off viscera
Fomite:
Blood loss is reported to 
Any of the following instruments could be used for hemostasis except:
The minimal temperature required to kill bacterial spores is:
Used for small bleeders in vessel anastomosis
Most surgical site infections (SSI's) are caused by resident flora...
Indications include itching, swelling, dyspnea, hypotension,...
All matter is made up of fundamental elements that cannot be broken...
The presence of pathogenic material
Newton's third law is also known as the law of 
The circuit of the esu consists of the generator, the active...
All of the following are safety devices for the sponge, sharp and...
Sodium hypochlorite
Swabbing superficial tissue
Moisture is left in lumens to enhance steam sterilization
Neuro sponges used for hemostasis
The study of objects in motion with much concern for the forces that...
Good for hemostasis of the liver
Items mechanically cleaned and chemically disinfected but not sterile
Applied the germ thoery guy's principles to surgery, basically...
Substance that restrains the further development or reproduction of...
For blunt dissection of tissue (after being secured on a clamp):
Cleaning done between cases most often includes
The grounding pad is used only when the esu is operated in the...
Swabbing delicate brain structures:
Which of the following is not a factor that increases a petient's...
Airborne infections tend to be spread by _____________
During hemostasis, after platelets begin adhering to a blood vessel...
Gluteraldehyde
Which is not an advantage of remote manipulation?
The grounding pad which connects the patient to the electrosurgical...
In physics, work is defined as a force acting upon an object causing...
Which is an acquired hemostatic disorder
Subsequent counts are taken for all of the following except:
In a simple electrical circuit, the device that transforms the...
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