Surgical Tech ( Appleton And Lange) Part 11

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  • 1/100 Questions

    Circumcision refers to

    • Removal of the foreskin
    • Removal of the glans
    • Widening of the urethral opening
    • Lengthening of the foreskin
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About This Quiz

This quiz, titled 'Surgical Tech (Appleton and Lange) part 11', assesses knowledge in surgical techniques and instruments specific to procedures like breast reconstruction, scar revision, and urological surgeries. It is designed for learners aiming to enhance their surgical technical skills.

Surgical Technology Quizzes & Trivia

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  • 2. 

    Stones removed during surgery should be sent to the laboratory

    • Dry

    • In saline

    • In formalin

    • In distilled water

    Correct Answer
    A. Dry
    Explanation
    When stones are removed during surgery, they should be sent to the laboratory in a dry state. This is because sending them in a dry state helps to preserve their integrity and prevent any potential contamination or damage. Additionally, keeping the stones dry allows for easier examination and analysis in the laboratory, as they will not be affected by any residual fluids or substances.

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  • 3. 

    Continuous irrigation following TURP is accomplished by use of a

    • Suprapubic cystotomy tube

    • 30-cc three-way Foley catheter

    • 5-cc three-way Foley catheter

    • 30-cc two-way Foley catheter

    Correct Answer
    A. 30-cc three-way Foley catheter
    Explanation
    The correct answer is the 30-cc three-way Foley catheter. Following a transurethral resection of the prostate (TURP), continuous irrigation is required to prevent blood clots from obstructing the urinary tract. A three-way Foley catheter is used for this purpose as it allows for continuous irrigation through one lumen while draining urine through another. The 30-cc size refers to the balloon capacity of the catheter, which helps secure it in the bladder.

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  • 4. 

    Why is the table straightened before closing a kidney incision?

    • To facilitate easier respirations

    • To create better approximation of tissues

    • To facilitate better circulation

    • To prevent nerve damage

    Correct Answer
    A. To create better approximation of tissues
    Explanation
    Straightening the table before closing a kidney incision helps to create better approximation of tissues. By straightening the table, the surgeon ensures that the patient's body is in the correct position, allowing for better access to the kidney and surrounding tissues. This positioning helps the surgeon to accurately align and close the incision, resulting in a more precise and effective closure. It also helps to minimize any tension or gaps in the tissue, promoting proper healing and reducing the risk of complications.

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  • 5. 

    Nonmalignant enlargement of the prostate is termed

    • Prostatistis

    • Benign prostatic hypertrophy (BPH)

    • Balanitis

    • Prostatism

    Correct Answer
    A. Benign prostatic hypertrophy (BPH)
    Explanation
    Benign prostatic hypertrophy (BPH) is the correct answer because it accurately describes the nonmalignant enlargement of the prostate. BPH is a common condition in older men where the prostate gland grows in size, causing urinary symptoms such as frequent urination, weak urine flow, and difficulty emptying the bladder. Prostatitis refers to inflammation of the prostate gland, balanitis is inflammation of the head of the penis, and prostatism is a general term for symptoms related to prostate enlargement.

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  • 6. 

    Removal of a testis or the testes is called

    • Orchiopexy

    • Orchiectomy

    • Epididymectomy

    • Vasectomy

    Correct Answer
    A. Orchiectomy
    Explanation
    Orchiectomy is the correct answer because it refers to the surgical removal of one or both testicles. This procedure is commonly performed to treat testicular cancer, prevent the spread of cancer, or as a method of hormone therapy for certain conditions. Orchiopexy, on the other hand, is a surgical procedure to fix an undescended testicle, epididymectomy is the removal of the epididymis, and vasectomy is the surgical sterilization procedure for men.

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  • 7. 

    Kidney stones are sent to the lab in

    • Saline

    • Water

    • Dry state

    • Formalin

    Correct Answer
    A. Dry state
    Explanation
    Kidney stones are sent to the lab in a dry state because this allows for easier examination and analysis. When the stones are dried, any remaining water or moisture is removed, which helps preserve the stone and prevents the growth of bacteria or other microorganisms. Additionally, drying the stones makes it easier to handle and transport them without the risk of damage or contamination.

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  • 8. 

    The most widely used method of scar revision next to scar removal is

    • Chemical peel

    • Sanding

    • Z-plasty

    • Planing

    Correct Answer
    A. Z-plasty
    Explanation
    Z-plasty is a widely used method of scar revision because it is effective in improving the appearance of scars. It involves creating small triangular flaps of skin on both sides of the scar and then rearranging them in a zigzag pattern. This technique helps to break up the scar tissue and redistribute tension, resulting in a more aesthetically pleasing scar. Z-plasty also allows for better alignment of the scar with natural skin tension lines, making it less noticeable. Compared to scar removal or other methods like chemical peel or planing, Z-plasty offers a more comprehensive and long-lasting solution for scar revision.

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  • 9. 

    An anticoagulant given for its antagonistic effect on heparin is

    • Dicumarol

    • Coumadin sodium

    • Protamine sulfate

    • Dipaxin

    Correct Answer
    A. Protamine sulfate
    Explanation
    Protamine sulfate is an anticoagulant that is used to reverse the effects of heparin, which is another anticoagulant. Heparin works by inhibiting the clotting factors in the blood, while protamine sulfate acts as an antagonist to heparin by binding to it and neutralizing its effects. This makes protamine sulfate an effective treatment for patients who have received too much heparin or are experiencing excessive bleeding as a result of heparin therapy. Dicumarol and Coumadin sodium are both anticoagulants themselves, while Dipaxin is not commonly used as an anticoagulant.

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  • 10. 

    The procedure of choice for removal of a foreign body in a child's tracheobronchial tree is

    • Bronchoscopy

    • Mediastinoscopy

    • Fluoroscopy

    • Telemetry

    Correct Answer
    A. Bronchoscopy
    Explanation
    Bronchoscopy is the procedure of choice for removal of a foreign body in a child's tracheobronchial tree. This is because bronchoscopy allows direct visualization of the airway and enables the physician to safely and effectively remove the foreign body using specialized instruments. Mediastinoscopy is a procedure used to examine the mediastinum, not specifically for foreign body removal. Fluoroscopy is a technique that uses X-rays to obtain real-time moving images, which may be helpful in some cases but not as effective as bronchoscopy. Telemetry is a monitoring technique used to measure and transmit data, and is not directly involved in foreign body removal.

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  • 11. 

    The Pereyra needle is used in which specialty area of surgery?

    • Neurology

    • Urology

    • Orthopedics

    • Ophthalmology

    Correct Answer
    A. Urology
    Explanation
    The Pereyra needle is used in urology. This needle is specifically designed for percutaneous nephrolithotomy, a surgical procedure used to remove kidney stones. It is used to access the kidney through a small incision in the back, allowing for the insertion of instruments to break up and remove the stones. Therefore, the correct answer is urology.

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  • 12. 

    The purpose of the kidney elevator is to

    • Increase the space between the lower ribs and iliac crest

    • Increase the space between the ribs

    • Stabilize the patient

    • Support the body in the flexed position

    Correct Answer
    A. Increase the space between the lower ribs and iliac crest
    Explanation
    The kidney elevator is used to increase the space between the lower ribs and iliac crest. This is important in certain medical procedures, such as kidney surgeries or examinations, where it is necessary to have better access to the kidneys. By elevating the kidney, the space between the lower ribs and iliac crest is widened, providing more room for the medical professional to work and reducing the risk of injury to surrounding organs.

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  • 13. 

    The procedure to treat organic sexual impotence is

    • Spermatocelectomy

    • Varicocelectomy

    • Testicular implant

    • Penile implant

    Correct Answer
    A. Penile implant
    Explanation
    The correct answer is penile implant. A penile implant is a surgical procedure that involves inserting a device into the penis to help achieve and maintain an erection. This is a treatment option for organic sexual impotence when other methods such as medication or therapy have not been successful. It is typically considered when there is a physical cause for the impotence, such as damage to the nerves or blood vessels in the penis. The penile implant allows for an erection to be achieved on demand, providing a solution for individuals who are unable to achieve or sustain an erection naturally.

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  • 14. 

    A needle biopsy of the prostate may be accomplished with a (n)

    • Butterfly needle

    • Angiocatheter

    • Tru-cut needle

    • Taper needle

    Correct Answer
    A. Tru-cut needle
    Explanation
    A Tru-cut needle is commonly used for needle biopsies of the prostate. It is designed with a cutting edge that allows for the collection of a tissue sample from the prostate gland. This type of needle is preferred because it provides a more accurate and reliable biopsy sample compared to other options like a butterfly needle or angiocatheter, which are not specifically designed for prostate biopsies. A taper needle is also not suitable for this procedure as it does not have the necessary cutting edge.

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  • 15. 

    Orchiopexy can be defined as

    • Fixation of an ovary

    • Uterine suspension

    • Testicle removal

    • Fixation of a testicle

    Correct Answer
    A. Fixation of a testicle
    Explanation
    Orchiopexy is a surgical procedure that involves the fixation of a testicle. It is typically performed to correct undescended testicles, a condition where one or both testicles fail to descend into the scrotum. During orchiopexy, the testicle is carefully repositioned and secured in the scrotum to prevent future complications and promote normal testicular development and function. This procedure is commonly performed in pediatric patients to ensure proper testicular growth and to reduce the risk of infertility and other potential health issues later in life.

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  • 16. 

    The three lumens of a Foley are used for inflation, drainage, and

    • Prevention of urine reflux

    • Access for sterile urine specimens

    • Continuous irrigation

    • Additional hemostasis

    Correct Answer
    A. Continuous irrigation
    Explanation
    The three lumens of a Foley catheter are used for various purposes. One of these purposes is continuous irrigation. Continuous irrigation involves the continuous flow of a sterile solution through the catheter to flush out the bladder and prevent blockages or infections. This can be helpful in cases where there is a need to keep the bladder clean or to remove blood clots or debris. Therefore, continuous irrigation is a valid use of the lumens of a Foley catheter.

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  • 17. 

    Rib removal for surgical exposure of the kidney requires all of the following EXCEPT a (n)

    • Alexander periosteotome

    • Doyen raspatory

    • Heaney clamp

    • Stille shears

    Correct Answer
    A. Heaney clamp
    Explanation
    Rib removal for surgical exposure of the kidney requires various instruments, including an Alexander periosteotome, Doyen raspatory, and Stille shears. These instruments are used to dissect and remove the ribs to provide access to the kidney. However, a Heaney clamp is not necessary for rib removal. Heaney clamps are commonly used in gynecological surgeries for clamping and manipulating tissues, but they are not specifically required for rib removal in kidney surgery.

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  • 18. 

    To prevent thrombi from forming in the walls of the renal vein during transfer from the donor to the recipient, __________ is given just before clamping of the renal vessels.

    • Furosemide

    • Protamine sulfate

    • Heparin

    • Mannitol

    Correct Answer
    A. Heparin
    Explanation
    Heparin is given just before clamping of the renal vessels to prevent thrombi from forming in the walls of the renal vein during transfer from the donor to the recipient. Heparin is an anticoagulant medication that works by inhibiting the formation of blood clots. By administering heparin, the risk of thrombi formation in the renal vein is reduced, ensuring a successful transfer of the kidney without any complications related to blood clotting.

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  • 19. 

    A lumbar or simple flank incision for ureter or kidney surgery may include removal of which ribs?

    • 5 and 6

    • 7 and 8

    • 9 and 10

    • 11 and 12

    Correct Answer
    A. 11 and 12
    Explanation
    In a lumbar or simple flank incision for ureter or kidney surgery, the ribs that may be removed are 11 and 12. This is because these ribs are located in the lower back region, known as the lumbar area. By removing these ribs, surgeons can gain better access to the ureter or kidney, facilitating the surgical procedure.

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  • 20. 

    An abnormal accumulation of fluid in the scrotum is to a (n)

    • Hydrocele

    • Enterocele

    • Varicocele

    • Hydronephrosis

    Correct Answer
    A. Hydrocele
    Explanation
    A hydrocele refers to an abnormal buildup of fluid in the scrotum. This condition occurs when the sac surrounding the testicles fills with fluid, leading to swelling and discomfort. It is a common condition that can affect males of all ages, from newborns to older adults. The accumulation of fluid in the scrotum can be caused by various factors, such as injury, infection, or an underlying medical condition. Treatment options for hydrocele may include observation, medication, or surgery, depending on the severity and symptoms experienced by the individual.

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  • 21. 

    Urethral meatal stenosis is corrected by a (n)

    • Frenulotomy

    • Meatotomy

    • Urethral dilation

    • Extirpation of the penis

    Correct Answer
    A. Meatotomy
    Explanation
    Meatotomy is the correct answer because it is a surgical procedure used to correct urethral meatal stenosis. Urethral meatal stenosis is a condition where the opening of the urethra becomes narrowed or restricted, causing difficulty in urination. A meatotomy involves making an incision or widening the urethral meatus (the external opening of the urethra) to alleviate the obstruction and improve urine flow. This procedure is a common and effective treatment for urethral meatal stenosis.

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  • 22. 

    Plaque removal from a vessel is termed

    • Embolectomy

    • Thrombectomy

    • Shunt

    • Endarterectomy

    Correct Answer
    A. Endarterectomy
    Explanation
    Endarterectomy is the correct answer because it refers to the surgical removal of plaque from the inner lining of an artery. This procedure is commonly performed to treat atherosclerosis, a condition characterized by the buildup of fatty deposits in the arteries. By removing the plaque, endarterectomy helps restore blood flow and prevent further complications such as heart attack or stroke. Embolectomy and thrombectomy are similar procedures that involve the removal of blood clots, while a shunt is a device used to redirect blood flow.

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  • 23. 

    Microscopic reversal of the male sterilization procedure is termed

    • Spermatogenesis

    • Orchiopexy

    • Vasovasostomy

    • Vasectomy

    Correct Answer
    A. Vasovasostomy
    Explanation
    Vasovasostomy is the microscopic reversal of the male sterilization procedure, vasectomy. During vasectomy, the vas deferens is cut and sealed to prevent the passage of sperm. Vasovasostomy reconnects the vas deferens, allowing sperm to once again be present in the ejaculate. Therefore, vasovasostomy is the correct term for the microscopic reversal of male sterilization.

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  • 24. 

    Retraction of fine structures and blood vessels during vascular surgery is accomplished by use of

    • Senn reetractor

    • Penrose drain

    • Malleable ribbon retractor

    • Vessel loops

    Correct Answer
    A. Vessel loops
    Explanation
    Vessel loops are commonly used during vascular surgery to retract fine structures and blood vessels. These loops are made of soft and flexible material, allowing them to be easily placed around delicate structures without causing damage. By gently pulling on the loops, surgeons can retract and hold blood vessels in place, providing better visibility and access to the surgical site. This helps in performing procedures such as vessel anastomosis or grafting. Therefore, vessel loops are an essential tool in vascular surgery for achieving optimal surgical outcomes.

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  • 25. 

    A staghorn stone is one that lodges and continues to grow in the

    • Renal calyx

    • Space of Retzius

    • Uteter

    • Hilum

    Correct Answer
    A. Renal calyx
    Explanation
    A staghorn stone refers to a type of kidney stone that gets lodged and continues to grow in the renal calyx. The renal calyx is a part of the kidney where urine collects before it flows into the ureter. This type of stone can cause significant obstruction and can be challenging to remove due to its size and location.

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  • 26. 

    What instrument is used to view lymph nodes or masses in the space that medially separates the pleural cavities?

    • Bronchoscope

    • Mediastinoscope

    • Endoscope

    • Colonoscope

    Correct Answer
    A. Mediastinoscope
    Explanation
    A mediastinoscope is used to view lymph nodes or masses in the space that medially separates the pleural cavities. This instrument is specifically designed for examining the mediastinum, which is the area between the lungs. It allows doctors to visualize and biopsy lymph nodes or other abnormal growths in this region. A bronchoscope, endoscope, and colonoscope are not suitable for this purpose as they are used to examine the bronchial tubes, digestive tract, and colon respectively.

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  • 27. 

    Pedal pulses are assessed with a

    • Berman locator

    • Doppler

    • Mobin-Uddin device

    • PTFE

    Correct Answer
    A. Doppler
    Explanation
    Pedal pulses are assessed with a Doppler. A Doppler is a medical device that uses ultrasound technology to detect and measure blood flow in the arteries and veins. It is commonly used to assess peripheral pulses, such as the pedal pulses in the feet. By using the Doppler, healthcare professionals can determine the strength and regularity of the pedal pulses, which can provide important information about the blood circulation in the lower extremities.

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  • 28. 

    Penile condylomata are most successfully removed by

    • Dermabrasion

    • Laser

    • Cautery

    • Ultrasound

    Correct Answer
    A. Laser
    Explanation
    Laser treatment is the most successful method for removing penile condylomata. Laser technology allows for precise and targeted removal of the warts, minimizing damage to surrounding healthy tissue. The high-energy laser beam effectively destroys the abnormal tissue, promoting faster healing and reducing the risk of recurrence. Additionally, laser treatment offers the advantage of being less invasive compared to other methods like dermabrasion or cautery, resulting in minimal pain and scarring. Ultrasound is not a suitable method for removing penile condylomata, as it is primarily used for imaging purposes rather than tissue removal.

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  • 29. 

    In which procedure could a Fogarty catheter be utilized?

    • Embolectomy

    • Gastrectomy

    • Craniotomy

    • Thorocotomy

    Correct Answer
    A. Embolectomy
    Explanation
    A Fogarty catheter could be utilized in an embolectomy procedure. An embolectomy is the surgical removal of an embolus, which is a blood clot or other foreign material that has been transported through the bloodstream and lodged in a blood vessel. The Fogarty catheter is a specialized medical device that can be inserted into the blood vessel to remove the embolus, restoring blood flow and preventing further complications.

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  • 30. 

    Why is a 30-cc bag Foley used after a TURP?

    • Hemostasis

    • Decompression

    • Creation of negative pressure

    • Aspiration

    Correct Answer
    A. Hemostasis
    Explanation
    After a transurethral resection of the prostate (TURP), there may be bleeding in the surgical area. Using a 30-cc bag Foley helps in achieving hemostasis, which means stopping or controlling the bleeding. By inserting the Foley catheter and inflating the balloon with 30-cc of fluid, pressure is applied to the surgical site, helping to stop the bleeding and promote healing. This method ensures that the surgical area remains clean and prevents any further bleeding or complications.

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  • 31. 

    Which drug can be added to saline for irrigation during a vascular procedure?

    • Protamine

    • Epinephrine

    • Sublimaze

    • Heparin

    Correct Answer
    A. Heparin
    Explanation
    Heparin can be added to saline for irrigation during a vascular procedure. Heparin is an anticoagulant that helps prevent blood clotting and is commonly used in vascular procedures to maintain the patency of blood vessels. By adding heparin to saline, it helps to prevent the formation of clots and keeps the blood vessels clear and flowing smoothly during the procedure. This can reduce the risk of complications such as thrombosis or blockage of the blood vessels.

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  • 32. 

    Which solution is NOT used during a transurethral prostatectomy?

    • Normal saline

    • Sorbitol

    • Mannitol

    • Glycine

    Correct Answer
    A. Normal saline
    Explanation
    During a transurethral prostatectomy, various solutions are used to irrigate the surgical field and maintain visibility. These solutions help to flush out blood, debris, and clots. Normal saline, sorbitol, mannitol, and glycine are commonly used solutions. However, normal saline is not used during a transurethral prostatectomy. This is because normal saline lacks the necessary electrolytes and osmolarity to maintain the integrity of the prostate tissue during the procedure. Instead, solutions like sorbitol, mannitol, or glycine are used as they provide the appropriate electrolyte balance and osmolarity needed for the surgery.

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  • 33. 

    Bladder stones are crushed with a

    • Basket catheter

    • Lithotrite

    • Cautery

    • Resectoscope

    Correct Answer
    A. Lithotrite
    Explanation
    A lithotrite is a medical instrument used to crush bladder stones. It is specifically designed for this purpose and is effective in breaking down the stones into smaller fragments, making them easier to remove or pass through the urinary tract. The other options mentioned, such as a basket catheter, cautery, and resectoscope, are not typically used for crushing bladder stones.

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  • 34. 

    Which anomaly is corrected by the MAGPI procedure?

    • Epispadias

    • Hypospadias

    • Phimosis

    • Chordee

    Correct Answer
    A. Chordee
    Explanation
    The correct answer is chordee. Chordee is a condition where the penis curves downward or upward during an erection. The MAGPI (meatal advancement and glanuloplasty) procedure is a surgical technique used to correct chordee. It involves repositioning the urethral opening and reshaping the glans penis to correct the curvature. This procedure helps to improve the appearance and function of the penis, allowing for normal urination and sexual intercourse.

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  • 35. 

    In a penile implant, the inflation pump is located in the

    • Distal penis

    • Proximal penis

    • Scrotum

    • Groin

    Correct Answer
    A. Scrotum
    Explanation
    The correct answer is scrotum. In a penile implant, the inflation pump is typically placed in the scrotum. This allows for easy access and control of the implant, as the scrotum is a convenient and discreet location for the pump. Placing the pump in the scrotum also helps to ensure that it is securely positioned and does not interfere with the functionality or comfort of the implant.

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  • 36. 

    A cytologic specimen collector used in bronchoscopy is

    • Ellik

    • Toomey

    • Jackson

    • Lukens

    Correct Answer
    A. Lukens
    Explanation
    Lukens is the correct answer because it is a type of cytologic specimen collector used in bronchoscopy. The other options (Ellik, Toomey, Jackson) are not specific to bronchoscopy or cytologic specimen collection.

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  • 37. 

    The prime consideration in a ruptured abdominal aortic aneurysmectomy is

    • Shunting blood flow

    • Hemorrhage control

    • Bypassing occlusion

    • Removal of thromboembolic material

    Correct Answer
    A. Hemorrhage control
    Explanation
    In a ruptured abdominal aortic aneurysmectomy, the prime consideration is hemorrhage control. This is because a ruptured abdominal aortic aneurysm leads to severe bleeding, which can be life-threatening. Therefore, the main focus of the procedure is to control the bleeding and prevent further hemorrhage. Shunting blood flow, bypassing occlusion, and removal of thromboembolic material may be important considerations in other situations, but in the case of a ruptured abdominal aortic aneurysmectomy, hemorrhage control takes precedence.

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  • 38. 

    Migrating clots that have formed in the lower extremities can be intercepted on the way to the heart or lungs by a

    • Greenfield Filter

    • Pudenz shunt

    • Scribner shunt

    • LeVeen shunt

    Correct Answer
    A. Greenfield Filter
    Explanation
    A Greenfield Filter is a medical device used to prevent blood clots from traveling to the heart or lungs. It is specifically designed to intercept migrating clots that have formed in the lower extremities. The filter is inserted into the inferior vena cava, a large vein that carries blood from the lower body to the heart. Its purpose is to catch any clots that break loose and prevent them from causing a pulmonary embolism or other life-threatening complications. The other options mentioned, Pudenz shunt, Scribner shunt, and LeVeen shunt, are not designed for this specific purpose and are used in different medical procedures.

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  • 39. 

    Which muscle is utilized to effect a TRAM flap in breast reconstruction?

    • Latissimus dorsi

    • Transrectus abdominis

    • Pectoralis major

    • Pectoralis minor

    Correct Answer
    A. Transrectus abdominis
    Explanation
    The transrectus abdominis muscle is utilized to effect a TRAM flap in breast reconstruction. The TRAM (transverse rectus abdominis myocutaneous) flap procedure involves taking a section of tissue, including skin, fat, blood vessels, and the transrectus abdominis muscle, from the lower abdomen and using it to reconstruct the breast. This muscle provides the necessary blood supply to the tissue flap and helps in creating a new breast mound.

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  • 40. 

    In cystoscopy, the irrigating solution is

    • Distilled water

    • Glycine

    • Mannitol

    • Sorbitol

    Correct Answer
    A. Distilled water
    Explanation
    Distilled water is the correct answer for the irrigating solution used in cystoscopy. This is because distilled water is free from impurities and minerals, making it safe to use for irrigation purposes without causing any harm or irritation to the patient's bladder. Additionally, distilled water is readily available and cost-effective, making it a suitable choice for this procedure. Glycine, mannitol, and sorbitol are not commonly used as irrigating solutions in cystoscopy.

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  • 41. 

    A Pereyra procedure is done for

    • Stress incontinence

    • Chronic bladder infection

    • Drainage of the bladder

    • Impotence

    Correct Answer
    A. Stress incontinence
    Explanation
    A Pereyra procedure is a surgical technique used to treat stress incontinence, which is the involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercising. This procedure involves repositioning and supporting the urethra and bladder neck to improve their function and prevent urine leakage. It is not performed for chronic bladder infection, drainage of the bladder, or impotence.

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  • 42. 

    All of the following procedures may be completed through a cystoscope EXCEPT

    • Biopsy of bladder tumor

    • Removal of foreign body in bladder

    • Total removal of bladder tumor

    • Cystogram for diagnostic studies

    Correct Answer
    A. Total removal of bladder tumor
    Explanation
    A cystoscope is a medical instrument used to examine the bladder and urinary tract. It is inserted through the urethra and allows for visualization and various procedures to be performed. Biopsy of a bladder tumor, removal of a foreign body in the bladder, and cystogram for diagnostic studies can all be done using a cystoscope. However, total removal of a bladder tumor is not typically performed using a cystoscope. This procedure would require a more invasive surgical approach, such as a transurethral resection of bladder tumor (TURBT) or open surgery.

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  • 43. 

    Dextran is used parenterally to

    • Expand blood plasma volume

    • Renourish vital tissue

    • Carry oxygen through the system

    • Decrease blood viscosity

    Correct Answer
    A. Expand blood plasma volume
    Explanation
    Dextran is a type of polysaccharide that is commonly used in medical settings to expand blood plasma volume. When administered parenterally (through injection), dextran helps increase the volume of plasma in the bloodstream. This can be beneficial in situations where there is a need to increase blood volume, such as in cases of hypovolemia (low blood volume) or shock. By expanding blood plasma volume, dextran helps improve circulation and maintain adequate blood pressure, ensuring that vital organs receive sufficient oxygen and nutrients.

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  • 44. 

    Which piece of equipment would be placed on an embolectomy setup for the purpose of removing clots through an arteriotomy?

    • Wishard

    • Swan-Ganz

    • Fogarty

    • Garceau

    Correct Answer
    A. Fogarty
    Explanation
    The Fogarty catheter is a piece of equipment commonly used in embolectomy procedures to remove blood clots through an arteriotomy. It is a flexible tube with an inflatable balloon at the tip. The catheter is inserted into the artery, and the balloon is inflated to trap the clot. The catheter is then gently pulled out, bringing the clot with it. This technique allows for the safe and effective removal of clots from the arteries.

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  • 45. 

    The use of distilled water during a highly invasive genitourinary procedure such as a transurethral resection of the prostate (TURP)  is prohibited for irrigation because of the potential for

    • Hemolysis of RBC

    • Electrolytic dissipation of current

    • Increase of blood pressure

    • Body fluid shift

    Correct Answer
    A. Hemolysis of RBC
    Explanation
    Distilled water is pure water with no minerals or ions. When used for irrigation during TURP, it can cause hemolysis of red blood cells (RBC). This is because the distilled water lacks the necessary electrolytes and minerals to maintain the osmotic balance of the RBCs. The sudden change in osmolarity can cause the RBCs to burst, leading to hemolysis. Therefore, the use of distilled water for irrigation in TURP is prohibited to prevent this potential complication.

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  • 46. 

    The tube that collects bronchial washings is

    • Broyles

    • Lukens

    • Ellik

    • Toomey

    Correct Answer
    A. Lukens
  • 47. 

    The antagonist to heparin sodium is

    • Epinephrine

    • Mannitol

    • Sodium bicarbonate

    • Protamine sulfate

    Correct Answer
    A. Protamine sulfate
    Explanation
    Protamine sulfate is the correct answer because it acts as an antagonist to heparin sodium. Heparin sodium is an anticoagulant medication used to prevent blood clotting, and protamine sulfate is its specific antidote. When administered together, protamine sulfate binds to heparin and neutralizes its anticoagulant effects, thereby reversing its action. This makes protamine sulfate an essential medication in cases of heparin overdose or when immediate reversal of heparin's effects is required. Epinephrine, mannitol, and sodium bicarbonate are not antagonists to heparin sodium and do not reverse its anticoagulant effects.

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  • 48. 

    Heparin is utilized during vascular surgery

    • To coagulate blood

    • To correct acidosis

    • To constrict arteries

    • To prevent thrombosis

    Correct Answer
    A. To prevent thrombosis
    Explanation
    Heparin is utilized during vascular surgery to prevent thrombosis. Thrombosis refers to the formation of blood clots within blood vessels, which can be dangerous during surgery as it can block blood flow and cause complications. Heparin is an anticoagulant medication that helps prevent the formation of blood clots by inhibiting the clotting factors in the blood. By administering heparin during vascular surgery, the risk of thrombosis is reduced, ensuring proper blood flow and minimizing the chances of post-operative complications.

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  • 49. 

    An endoscopic procedure to treat stress incontinence is a

    • Y-V- plasty

    • Stent procedure

    • Stamey procedure

    • Colocystoplasty

    Correct Answer
    A. Stamey procedure
    Explanation
    The Stamey procedure is an endoscopic procedure used to treat stress incontinence. It involves the placement of sutures to provide support to the urethra and bladder neck, helping to prevent urine leakage during physical activities or stress. This procedure is minimally invasive and can be performed using a cystoscope, allowing for a quicker recovery time compared to traditional open surgeries. The Y-V-plasty and colocystoplasty are not specifically related to treating stress incontinence, and a stent procedure may not be as effective in providing long-term relief for this condition.

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  • Mar 21, 2023
    Quiz Edited by
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  • Nov 16, 2012
    Quiz Created by
    Tigger28384
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