Surgical Tech (Appleton & Lange) Part 6

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  • 1/100 Questions

    A forcep used in nasal surgery is a (n)

    • Bayonet
    • Russian
    • Rat-tooth
    • Alligator
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About This Quiz

Part 6 of the book the Surgical Tech Appleton & Lange study book is a critical part of the study and perfect understanding is not negotiable for all surgical students. Try the quiz and see how much you have comprehended.

Surgical Technology Quizzes & Trivia

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  • 2. 

    Complications can occur during endoscopy, such as

    • Infection

    • Bleeding

    • Perforation

    • B and C

    Correct Answer
    A. B and C
    Explanation
    During endoscopy, complications can occur, including infection, bleeding, and perforation. Infection can happen if the instruments used during the procedure are not properly sterilized or if bacteria enter the body through the endoscope. Bleeding can occur if a blood vessel is accidentally damaged during the procedure. Perforation refers to the puncturing or tearing of the gastrointestinal tract, which can happen if the endoscope accidentally punctures the wall of the organ being examined. Therefore, the correct answer is B and C, indicating that both infection and bleeding can occur as complications during endoscopy.

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  • 3. 

    When using a fiberoptic, burns and fires are prevented by

    • Cable is kept away from drapes when disconnected from endoscope

    • Personnel should not lean on cable end that is disconnected but is still on

    • Cable end is kept on a moist towel when disconnected from endoscope

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Burns and fires can be prevented when using a fiberoptic by following all of the mentioned precautions. Keeping the cable away from drapes when disconnected from the endoscope prevents any accidental contact with flammable materials. Personnel should not lean on the cable end that is disconnected but still on, as this can cause damage to the cable and potentially lead to overheating or fires. Additionally, keeping the cable end on a moist towel when disconnected from the endoscope helps to dissipate any heat and prevent any potential fires. Therefore, all of the mentioned precautions contribute to preventing burns and fires when using a fiberoptic.

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  • 4. 

    The Bookwalter is a ____________ instrument.

    • Clamping

    • Holding

    • Suturing

    • Retracting

    Correct Answer
    A. Retracting
    Explanation
    The Bookwalter is a retracting instrument. This means that it is used to hold back or separate tissues or organs during surgical procedures. It helps to provide better visibility and access to the surgical site by keeping the surrounding tissues out of the way. This instrument is commonly used in various surgical specialties, such as general surgery, gynecology, and orthopedics.

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  • 5. 

    Which instrument is a retractor?

    • Harrington

    • Doyen

    • Crile

    • Allen

    Correct Answer
    A. Harrington
    Explanation
    Harrington is the correct answer because it is a type of retractor commonly used in surgical procedures. Retractors are instruments used to hold back tissues or organs during surgery to provide better visibility and access to the surgical site. The Harrington retractor is specifically designed for retracting soft tissues and is commonly used in orthopedic and spinal surgeries.

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  • 6. 

    A regional block that used the tourniquet is a (n)

    • Bier block

    • Intrathecal block

    • Peridural block

    • Field block

    Correct Answer
    A. Bier block
    Explanation
    A Bier block is a regional block that involves the use of a tourniquet. It is a technique used for regional anesthesia in which a tourniquet is applied to a limb, and a local anesthetic is injected into the limb to numb it. The tourniquet helps to restrict blood flow, allowing the anesthetic to stay localized in the limb and provide effective pain relief during procedures such as surgery or fracture reduction. This technique is commonly used in orthopedic surgeries and is named after the German surgeon August Bier, who first described it in 1908.

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  • 7. 

    Stone forceps on a kidney set are

    • Lewkowitz

    • Randall

    • Satinsky

    • Mayo

    Correct Answer
    A. Randall
    Explanation
    Randall forceps are used in kidney sets. These forceps are designed with a curved and serrated tip, allowing for a secure grip on stones during surgical procedures. They are commonly used for removing kidney stones or manipulating them during surgeries. The other options mentioned (Lewkowitz, Satinsky, Mayo) are not specifically associated with stone forceps on a kidney set.

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  • 8. 

    A neuro headrest skull clamp is called a (n)

    • Sachs

    • Frazier

    • Adson

    • Mayfield

    Correct Answer
    A. Mayfield
    Explanation
    A neuro headrest skull clamp is called a Mayfield.

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  • 9. 

    Which graft must be obtained with a dermatome?

    • Split-thickness mesh graft

    • Full-thickness Wolfe graft

    • Free myocutaneous graft

    • Full-thickness pinch graft

    Correct Answer
    A. Split-thickness mesh graft
    Explanation
    A split-thickness mesh graft is obtained with a dermatome. A dermatome is a surgical instrument used to harvest a thin layer of skin from a donor site. In a split-thickness graft, only the epidermis and a portion of the dermis are harvested, leaving behind a deeper layer of skin. This type of graft is often used to cover large areas of skin loss and promote wound healing. The harvested skin is then meshed, meaning it is cut into a pattern of small slits, which allows it to be stretched and cover a larger area when applied to the recipient site.

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  • 10. 

    When suctioning in neurosurgery a precaution taken is to

    • Prepare one reserve canister

    • Separate cells for study

    • Avoid applying vacuum directly on brain or neural tissue

    • Avoid evacuating cerebrospinal fluid

    Correct Answer
    A. Avoid applying vacuum directly on brain or neural tissue
    Explanation
    In neurosurgery, it is important to avoid applying vacuum directly on the brain or neural tissue during suctioning. This precaution is taken to prevent any damage or trauma to the delicate brain and neural structures. Applying vacuum directly on these tissues can lead to complications and adverse effects on the patient's neurological function. Therefore, it is crucial to handle suctioning carefully and avoid direct contact with the brain or neural tissue.

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  • 11. 

    An endoscopy procedure that does not require a sterile set up is

    • Laparoscopy

    • Bronchoscopy

    • Arthroscopy

    • Mediastinoscopy

    Correct Answer
    A. Bronchoscopy
    Explanation
    Bronchoscopy is a type of endoscopy procedure that allows doctors to examine the airways of the lungs. Unlike laparoscopy, arthroscopy, and mediastinoscopy, bronchoscopy does not require a sterile set up. This is because the airways are already exposed to the external environment and are not considered sterile areas. Therefore, bronchoscopy can be performed in a non-sterile environment, making it the correct answer in this case.

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  • 12. 

    All of the following instruments can be found on a nasal setup EXCEPT

    • Freer elevator

    • Bayonet forceps

    • Potts forceps

    • Frazier suction tube

    Correct Answer
    A. Potts forceps
    Explanation
    A nasal setup is a collection of instruments used during nasal surgeries or procedures. The Freer elevator, bayonet forceps, and frazier suction tube are all commonly used instruments in nasal setups. However, Potts forceps are not typically found in a nasal setup. Potts forceps are usually used in ear surgeries, specifically for grasping and manipulating tissue in the ear canal. Therefore, Potts forceps are the only instrument listed that cannot be found on a nasal setup.

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  • 13. 

    At what point should the surgeon be informed of the time of tourniquet application?

    • After 15 minutes, then every 5 minutes

    • After 1 hour, then every 15 minutes

    • After 2 hours, then every hour

    • After 3 hours, then every 15 minutes

    Correct Answer
    A. After 1 hour, then every 15 minutes
    Explanation
    The surgeon should be informed of the time of tourniquet application after 1 hour, then every 15 minutes. This is because after 1 hour, there is a higher risk of complications related to tourniquet use, such as nerve damage or muscle ischemia. By informing the surgeon at this point and providing regular updates every 15 minutes, they can closely monitor the patient's condition and make any necessary adjustments to ensure their safety and well-being during the procedure.

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  • 14. 

    All of the following can be found on a tonsillectomy setup EXCEPT

    • Yankauer suction

    • Hurd dissector and pillar retrator

    • Tongue depressor

    • Jameson hook

    Correct Answer
    A. Jameson hook
    Explanation
    A tonsillectomy setup includes various instruments and tools used during the procedure. The Yankauer suction is used to remove fluids and debris from the surgical site. The Hurd dissector and pillar retractor are used to dissect and retract tissues during the surgery. A tongue depressor is used to hold the patient's tongue down and provide better access to the tonsils. However, a Jameson hook is not typically used in a tonsillectomy setup. It is a dental instrument used for tooth extraction, not specifically for tonsillectomy procedures.

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  • 15. 

    The tourniquet is contraindicated if

    • Patient's circulatin to distal part of extremity is poor

    • Patient is elderly

    • Patient is obese

    • Patient has epidural anesthesia

    Correct Answer
    A. Patient's circulatin to distal part of extremity is poor
    Explanation
    The tourniquet is contraindicated if the patient's circulation to the distal part of the extremity is poor. This means that if the blood flow to the area beyond where the tourniquet would be applied is compromised or inadequate, using a tourniquet could further restrict blood flow and potentially cause harm. It is important to ensure proper blood circulation before considering the use of a tourniquet to avoid any complications or adverse effects.

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  • 16. 

    Why are only moist sponges utilized during electrocautery use?

    • To prevent snagging of sponges on a cautery tip

    • To prevent fire

    • To reflect beam

    • None of the above

    Correct Answer
    A. To prevent fire
    Explanation
    Moist sponges are utilized during electrocautery use to prevent fire. This is because moist sponges act as a barrier between the cautery tip and surrounding tissues, reducing the risk of the tip overheating and causing a fire. Moist sponges also help to dissipate heat and maintain a controlled temperature during the procedure. Additionally, they provide a conductive surface for the electrical current, ensuring efficient and safe cauterization.

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  • 17. 

    A sterilant that is used on endoscopes that is bactericidal, fungicidal, and sporicidal in 20-30 minutes processing time is

    • Metaphen

    • Aspartic acid

    • Peracetic acid

    • Ammonium chloride

    Correct Answer
    A. Peracetic acid
    Explanation
    Peracetic acid is a sterilant that is commonly used on endoscopes due to its ability to kill bacteria, fungi, and spores. It has a fast processing time of 20-30 minutes, making it an efficient option for sterilization. Peracetic acid is effective in destroying a wide range of microorganisms, including those that are resistant to other disinfectants. It is a strong oxidizing agent that disrupts the cell membranes and proteins of microorganisms, leading to their destruction. Therefore, peracetic acid is the correct answer for this question.

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  • 18. 

    A central venous pressure (CVP) catheter insetion requires

    • A sterile setup

    • A crash cart

    • An IV technician

    • None of the above

    Correct Answer
    A. A sterile setup
    Explanation
    A sterile setup is required for a central venous pressure (CVP) catheter insertion to prevent any contamination or infection. This procedure involves inserting a catheter into a large vein near the heart, so maintaining sterility is crucial to minimize the risk of complications. A sterile setup includes wearing gloves, using sterile drapes, and using sterile equipment to ensure a clean and safe procedure. The presence of a crash cart or an IV technician is not necessary for a CVP catheter insertion, making the correct answer "none of the above."

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  • 19. 

    Exsanguination of a limb before tourniquet inflation is accomplished with wrapping the elevated extremity with

    • Kling

    • Esmarch

    • Stockingette

    • Webril

    Correct Answer
    A. Esmarch
    Explanation
    Esmarch is used to exsanguinate a limb before tourniquet inflation. Exsanguination involves removing as much blood as possible from the limb to create a bloodless field for surgery. Esmarch is a rubber bandage that is wrapped tightly around the limb, starting from the distal end and moving towards the body. This helps to push the blood out of the limb and towards the heart. Once the limb is exsanguinated, the tourniquet can be applied to maintain a bloodless field during the procedure.

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  • 20. 

    Fiberoptic cable integrity is questionable when

    • Illumination is bright

    • Dark spots are evident

    • Tubing has been coiled

    • Tubing is scratched

    Correct Answer
    A. Dark spots are evident
    Explanation
    Dark spots on a fiberoptic cable indicate that there is a loss of light signal, which can compromise the integrity of the cable. These dark spots could be caused by damage or defects in the cable, such as breaks or bends, that prevent the light from transmitting properly. Therefore, when dark spots are evident, it suggests that the fiberoptic cable may not be functioning correctly and its integrity is questionable.

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  • 21. 

    When using a cellsaver for autoogous blood transfusion, the blood is suctioned through a double lumen tubing and is

    • Heparinized

    • Homogenized

    • Sterilized

    • Water-bathed

    Correct Answer
    A. Heparinized
    Explanation
    When using a cellsaver for autologous blood transfusion, the blood is suctioned through a double lumen tubing and is heparinized. Heparinization is necessary to prevent clotting of the blood during the transfusion process. This ensures that the blood remains in a liquid state and can be safely transfused back into the patient.

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  • 22. 

    When would the use of Esmarch be contraindicated?

    • Patient has had previous anesthesia

    • Patient has had recent injury

    • Patient has had recent cast

    • B&C

    Correct Answer
    A. B&C
    Explanation
    The use of Esmarch would be contraindicated in a patient who has had a recent injury or a recent cast. Esmarch is a technique used to exsanguinate a limb before surgery, and it involves applying a tourniquet and elevating the limb to drain blood. In patients with recent injuries or casts, there may be underlying tissue damage or compromised blood flow, which could be further exacerbated by the use of Esmarch. Therefore, it is not recommended to use Esmarch in these cases.

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  • 23. 

    Which condition is MOST acceptable when using electrocautery?

    • Ground pad placed on scar or hairy area

    • Ground pad placed on patient's forearm

    • Ground pad placed on skin over metal implant

    • Ground pad placed close to operative site

    Correct Answer
    A. Ground pad placed close to operative site
    Explanation
    The most acceptable condition when using electrocautery is to have the ground pad placed close to the operative site. This is because electrocautery involves the use of electrical current to cut or coagulate tissue, and having the ground pad in close proximity to the operative site helps to ensure that the electrical current flows through the targeted tissue effectively. Placing the ground pad on other areas such as scar or hairy area, patient's forearm, or skin over a metal implant may not provide optimal conduction of the electrical current and may result in less precise or effective use of electrocautery.

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  • 24. 

    A cautery would not be used

    • When Betadine skin prep is used

    • In cases requiring irrigation

    • In neck or nasopharynx surgery if nitrous oxide is used

    • In hernia repair if an epidural is used

    Correct Answer
    A. In neck or nasopharynx surgery if nitrous oxide is used
    Explanation
    A cautery is a device that uses heat or electricity to burn or cut tissue. It is not used in neck or nasopharynx surgery if nitrous oxide is used because nitrous oxide is a flammable gas and can increase the risk of fire or explosion when combined with a cautery. Therefore, alternative methods would be used for hemostasis in these surgeries.

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  • 25. 

    The fracture treated with arch bars is

    • Nasal

    • Mandibular

    • Zygomatic

    • Orbital

    Correct Answer
    A. Mandibular
    Explanation
    The correct answer is mandibular because arch bars are commonly used to treat fractures of the mandible, which is the lower jaw bone. Arch bars are metal bars that are attached to the teeth to stabilize the fractured jaw and allow for proper healing. Fractures of the nasal bone, zygomatic bone, and orbital bone would typically require different treatment methods.

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  • 26. 

    The power source for the Air Drill 100 is

    • Electricity

    • Fiberoptic bundles

    • Ultrasonic power

    • Compressed nitrogen

    Correct Answer
    A. Compressed nitrogen
    Explanation
    The power source for the Air Drill 100 is compressed nitrogen. This means that the drill operates using the force generated by the release of compressed nitrogen gas. This gas is stored in a container and when released, it creates pressure that can be used to power the drill. Compressed nitrogen is commonly used in pneumatic tools as it provides a reliable and consistent source of power.

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  • 27. 

    The power source for air-powered dermatomes is

    • Compressed nitrogen

    • Nitrous oxide

    • Air

    • A or C

    Correct Answer
    A. A or C
    Explanation
    The power source for air-powered dermatomes can be either compressed nitrogen or air. Both compressed nitrogen and air can be used to generate the necessary power for operating the dermatomes. Nitrous oxide, on the other hand, is not mentioned as a suitable power source for air-powered dermatomes. Therefore, the correct answer is either A (compressed nitrogen) or C (air).

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  • 28. 

    Which suction tip has an angle and is used in the mouth or throat?

    • Ferguson

    • Ferguson-Frazier

    • Poole

    • Yankauer

    Correct Answer
    A. Yankauer
    Explanation
    The Yankauer suction tip is the correct answer because it has an angle and is specifically designed for use in the mouth or throat. This suction tip is commonly used during surgical procedures to remove fluids and debris from the oral cavity and upper airway. Its angled design allows for better access and control during suctioning, making it an ideal choice for oral and throat suctioning procedures.

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  • 29. 

    The proper setting for a tourniquet applied to an arm is

    • 100-200 mm Hh

    • 250-300 mm Hg

    • 350-450 mm Hg

    • 400-500 mm Hg

    Correct Answer
    A. 250-300 mm Hg
    Explanation
    The correct setting for a tourniquet applied to an arm is 250-300 mm Hg. This range of pressure ensures that the tourniquet is tight enough to restrict blood flow, but not so tight that it causes excessive discomfort or damage to the underlying tissues. It strikes a balance between effectively stopping the blood flow and minimizing the risk of complications such as nerve or muscle damage.

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  • 30. 

    The following statements regarding a grounding plate for electrosurgery are true EXCEPT

    • The plate must have good contact with the patient's skin

    • The plate must be lubricated with electrosurgical gel

    • The plate must be placed directly ove a bony prominence

    • The grounded pathway returns the electrical current to the unit after the surgeon delivers it to the operative site

    Correct Answer
    A. The plate must be placed directly ove a bony prominence
    Explanation
    The plate must be placed directly over a bony prominence.

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  • 31. 

    If the electrocautery is used through the colonoscope, carbon dioxide should be available to flush out the colon because

    • Gases normally in colon could cause explosion

    • There is a need for good visability

    • A reduction of heat buildup may be necessary

    • There is a need for carbon dioxide replacement

    Correct Answer
    A. Gases normally in colon could cause explosion
    Explanation
    When electrocautery is used through the colonoscope, there is a risk of gases normally present in the colon causing an explosion. These gases, such as methane and hydrogen, can ignite when exposed to heat from the electrocautery device. To prevent this, carbon dioxide is used to flush out the colon. Carbon dioxide is non-flammable and helps to create a safer environment for the procedure.

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  • 32. 

    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
    The Heaney clamp is not required for rib removal for surgical exposure of the kidney. The Alexander periosteotome is used to cut and lift the periosteum, the Doyen raspatory is used to scrape and remove bone, and the Stille shears are used to cut the ribs. The Heaney clamp, on the other hand, is typically used in gynecological procedures to clamp and control bleeding.

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  • 33. 

    Which procedure requires a sterile setup?

    • Manual skin traction

    • Skin traction

    • Skeletal traction

    • Closed reduction

    Correct Answer
    A. Skeletal traction
    Explanation
    Skeletal traction requires a sterile setup because it involves the insertion of pins or wires into the bone to provide traction and stabilize fractures. This procedure carries a higher risk of infection due to the direct contact with the bone, making it necessary to maintain a sterile environment to minimize the chance of introducing bacteria or other pathogens into the body.

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  • 34. 

    Disintegration of kidney stones through a liquid medium is accomplished with a (n)

    • Nephroscope

    • Extracorporeal shock wave lithotriptor

    • Laser

    • Cystoscope

    Correct Answer
    A. Extracorporeal shock wave lithotriptor
    Explanation
    The correct answer is extracorporeal shock wave lithotriptor. This is a device that uses shock waves to break down kidney stones into smaller pieces, allowing them to pass more easily through the urinary tract. It is a non-invasive procedure that does not require any incisions or surgery. The shock waves are generated outside the body and focused on the kidney stones, causing them to break apart. This method is effective in treating kidney stones of different sizes and locations within the kidney.

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  • 35. 

    The suction tip that is right angled and used for small amounts of fluid such as in brain surgery is

    • Poole

    • Fergurson- Frazier

    • Yankauer

    • Tungsten

    Correct Answer
    A. Fergurson- Frazier
    Explanation
    The Fergurson-Frazier suction tip is a right-angled suction tip commonly used in brain surgery for small amounts of fluid. It is designed to effectively remove fluid from delicate areas of the brain without causing damage. The right angle allows for precise control and maneuverability in tight spaces, making it a suitable tool for intricate surgical procedures. Other options such as the Poole, Yankauer, and Tungsten suction tips may not be as suitable for brain surgery or may be designed for different purposes.

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  • 36. 

    Why must the electrocautery tip be kept clean?

    • To ensure electrical contract effectiveness

    • To avoid fire via accidental drape ignition

    • To prevent burn injuries to staff

    • To prevent circuit overload

    Correct Answer
    A. To ensure electrical contract effectiveness
    Explanation
    The electrocautery tip must be kept clean to ensure electrical contact effectiveness. This is because any debris or buildup on the tip can interfere with the flow of electricity, leading to ineffective cauterization. By keeping the tip clean, the electrical current can efficiently pass through the tip, allowing for accurate and precise cauterization during surgical procedures.

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  • 37. 

    A Furlow inserter is used in

    • Penile implantation

    • Femoral-popliteal bypass

    • Total hip replacement

    • Intracular lens (IOL) implant

    Correct Answer
    A. Penile implantation
    Explanation
    A Furlow inserter is a surgical tool specifically designed for use in penile implantation procedures. It is used to create a tunnel in the erectile tissue of the penis, allowing for the placement of a penile prosthesis. This procedure is typically performed to treat erectile dysfunction in men who have not responded to other forms of treatment. The Furlow inserter helps to ensure precise placement of the penile prosthesis, allowing for improved functionality and patient satisfaction.

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  • 38. 

    In what surgery would a small fragment compression set be used?

    • Hip fracture

    • Femoral fracture

    • Pelvic fracture

    • Olecranon fracture

    Correct Answer
    A. Olecranon fracture
    Explanation
    A small fragment compression set is typically used in surgeries to treat fractures in the olecranon, which is the bony prominence at the back of the elbow. This type of fracture occurs when there is a break in the bone of the olecranon. By using a small fragment compression set, surgeons can stabilize the fracture and promote proper healing by compressing the bone fragments together. This type of surgery is commonly performed to restore function and relieve pain in patients with olecranon fractures.

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  • 39. 

    A precaution necessary when using a pneumatic tourniquet is

    • Limb must be continually elevated

    • Tourniquet time must not exceed 20 minutes

    • Solutions must be prevented from pooling under tourniquet

    • Inflation is done before prep and draping

    Correct Answer
    A. Solutions must be prevented from pooling under tourniquet
    Explanation
    When using a pneumatic tourniquet, it is necessary to prevent solutions from pooling under the tourniquet. This is because pooling of solutions can lead to contamination and increase the risk of infection. By ensuring that solutions do not accumulate under the tourniquet, the risk of complications can be minimized, and the procedure can be performed safely.

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  • 40. 

    A ____________ is a mounth gag.

    • Burlisher

    • Blair

    • Dingman

    • Forman

    Correct Answer
    A. Dingman
    Explanation
    A Dingman is a mouth gag.

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  • 41. 

    On which case would a boomerang be found?

    • Prostate

    • Ovary

    • Eye

    • Nose

    Correct Answer
    A. Prostate
  • 42. 

    Which item is an air drill?

    • Reese

    • Padgett-Hood

    • Hall

    • Brown

    Correct Answer
    A. Hall
  • 43. 

    During orthopedic surgery the suction tubing should be

    • Clamped off or kinked until needed

    • Cleared frequently

    • Sterilized with instrument sets

    • Attached to a scavenging system

    Correct Answer
    A. Cleared frequently
    Explanation
    During orthopedic surgery, the suction tubing should be cleared frequently. This is important to ensure that any blood, fluids, or debris that are being suctioned from the surgical site do not accumulate and block the tubing. By clearing the tubing frequently, the surgeon and surgical team can maintain a clear and unobstructed pathway for suction, allowing for effective removal of fluids and maintaining a clear surgical field. This helps to prevent any complications or hindrances during the surgery and ensures the safety and success of the procedure.

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  • 44. 

    Fulguration is utilized primarily in ___________ surgery.

    • ENT

    • Gynecologic

    • Thoracic

    • Transurethral resection (TUR) and prostate operations

    Correct Answer
    A. Transurethral resection (TUR) and prostate operations
    Explanation
    Fulguration is a surgical technique that involves the use of high-frequency electrical current to destroy or remove tissue. It is commonly used in transurethral resection (TUR) and prostate operations. In TUR, fulguration is used to remove abnormal tissue from the bladder or urethra, while in prostate operations, it is used to treat conditions such as benign prostatic hyperplasia (BPH) by removing excess prostate tissue.

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  • 45. 

    A direct visualization of the common bile duct is done by means of a (n)

    • Cholangiocath

    • Fogarty catheter

    • Choledochoscope

    • Operative microscope

    Correct Answer
    A. Choledochoscope
    Explanation
    A choledochoscope is used for direct visualization of the common bile duct. It is a specialized endoscope that allows the physician to see inside the duct and perform procedures such as removing stones or placing stents. This procedure is often done to diagnose or treat conditions such as gallstones or tumors in the bile duct. The other options, cholangiocath, Fogarty catheter, and operative microscope, are not specifically designed for visualizing the common bile duct.

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  • 46. 

    Tissue expanders are used in

    • Augmentation mammoplasty

    • Reduction for gynecomastia

    • Transrectus myocutaneous flap

    • Breast reconstruction

    Correct Answer
    A. Breast reconstruction
    Explanation
    Tissue expanders are used in breast reconstruction. This procedure involves creating a pocket under the chest muscle and gradually expanding it over time by injecting saline into the expander. This helps to stretch the skin and create space for a breast implant. Once the desired size is achieved, the expander is replaced with a permanent implant. Breast reconstruction is typically performed after a mastectomy or for individuals who have congenital breast abnormalities.

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  • 47. 

    Skeletal traction of a lower leg is accomplished with the use of a (n)

    • Kirschner wire

    • Knowles pin

    • Eggers plate

    • Smith-Peterson nail

    Correct Answer
    A. Kirschner wire
    Explanation
    Skeletal traction is a method used to immobilize and align fractured bones. It involves inserting a device into the bone to provide stability and traction. A Kirschner wire, also known as a K-wire, is a type of pin that is commonly used for skeletal traction. It is a thin, stainless steel wire that is inserted into the bone and secured externally with clamps or other devices. The K-wire allows for controlled traction and helps to align the fractured bone, promoting proper healing. Therefore, the correct answer is Kirschner wire.

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  • 48. 

    In orthopedic surgery, the viewing of the progression of a procedure on a television screen is known as

    • Image intensification

    • Radiography

    • Portable filming

    • X-ray

    Correct Answer
    A. Image intensification
    Explanation
    Image intensification is the correct answer because it refers to the process of viewing the progression of a procedure on a television screen. This technique is commonly used in orthopedic surgery to enhance the visibility of images and provide real-time visualization of the procedure being performed. It involves the use of an image intensifier, which amplifies the brightness of the X-ray image and allows for better visualization on a screen.

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  • 49. 

    A grounding pad is not required for the electrocautery in

    • A cutting current setting

    • A coagulation current setting

    • A monopolar unit

    • A bipolar unit

    Correct Answer
    A. A bipolar unit
    Explanation
    In a bipolar unit, the electrocautery function is performed using two electrodes that are close together, allowing for precise and controlled cauterization. Since the electrodes are in close proximity, there is no need for a grounding pad to complete the electrical circuit. This is different from a monopolar unit, where a grounding pad is required to complete the circuit as the current flows from the active electrode through the patient's body to the grounding pad. Therefore, in a bipolar unit, a grounding pad is not necessary.

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  • Mar 22, 2023
    Quiz Edited by
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  • Oct 15, 2012
    Quiz Created by
    Tigger28384
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