Final Exam

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1

RLQ refers to what part of the abdominal section?

right lower quadrant

2

The abdomen is divided into nine regions; the organ located in the umbilicus area is in the

umbilicus region

3

All of the following are distinct tissue layers that support the viscera, EXCEPT

umbilicus

4

What is achieved by insufflation of carbon dioxide into the abdominal cavity?

pnueoperitneum

5

End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for:

bowel anastomosis

6

A McBurney incision is used for surgical procedures of the

appendix

7

The freeing up of tissue from its attachments before anastomosis or resection is

mobilization

8

Protrusion of abdominal or inguinal tissue directly through the transversalis fascia is a(n)

direct inguinal hernia

9

A hernia arising from a weakness in the transverse fascia below the inguinal ligament is a(n)

femoral hernia

10

An abdominal wall defect occurring in the linea alba at the umbilical ring is a(n)

umbilical hernia

11

What term is used for surgical opening of the abdominal or peritoneal cavity?

laparotomy

12

The spermatic cord is retracted with a small

penrose drain

13

All of the following are supplies needed for a GI surgery, EXCEPT

rainey clips

14

A procedure in which two hollow organs are joined surgically is

anastimosis

15

When setting up the Mayo Stand for an Exploratory Laparotomy, which of the following instruments would NOT be placed there?

#11 on #3

16

During a laparoscopic cholecystectomy, which two structures are occluded?

cystic duct and cystic artery

17

During a splenectomy, what four major requirements must be met to stop bleeding?

access, visualization, good lighting, clamps

18

During this procedure, a gamma ray detecting probe is used to determine which lymph nodes are affected.

sentinel lymph node biopsy

19

give the appearance of a stone on x-ray

During cholangiography, bubbles in the contrast media would likely:

20

The most common type of hernia is the:

indirect inguinal

21

A Whipple procedure is done for treatment of a tumor in which abdominal organ?

Whipple

22

Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis?

thyroid storm

23

When checking gastrointestinal anastamoses for leaks, the surgeon will look for ____________ which would indicate that there is not a water tight seal present.

bubbles

24

What term describes a benign condition of breast enlargement in men?

gynecomastia

25

Parathyroid glands regulate the blood calcium concentration.

true

26

In a(n) _____________ hernia, tissue protruding from the hernia may be swollen and squeezed.

strangulated

27

The Harrington Sweetheart retractor is commonly used in the Thyroidectomy procedure.

false

28

A direct hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle.

true

29

“Bowel technique” refers to steps used by the surgical team to prevent postoperative:

SSI

30

Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle?

blunt

31

Kate is setting up for an open exploratory laparotomy. When the surgeon asks for warm irrigation fluid, she knows she must change the suction tip. Which suction tip will be the safest to use to avoid tissue damage while in use?

Poole

32

A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the:

breast

33

The most common incision used for an Exploratory Laparotomy would be the:

midline

34

The tube used to drain bile from the common bile duct following exploration is a:

t-tube

35

Relief of symptoms without curing a disease is referred to as a/an _________ procedure.

pallative

36

Fine dissecting scissors used during abdominal surgery are:

metz

37

While manipulating the gall bladder, the liver is torn and begins to bleed. Which of the following technologies will the surgeon use to cauterie the liver bed using a “no-touch” technique?

argon beam coagulator

38

A Nissen Fundoplication procedure is done to correct:

anti reflux disease

39

The Ligating and Dividing Stapler (LDS) must be rinsed off in a “dirty” basin in after each use to avoid future misfire or damage to the anastamosis.

true

40

the four functions of the GI tract are: ingestion, secretion, digestion, and absorption.

true

41

What type of stitch will be placed around the base of the appendix?

purse string

42

The primary function(s) of the large intestine are:

all the above

43

_________ is often used in hernia repairs and is very expensive. Therefore, it must be kept in the room and only opened once the surgeon confirms that is what they want.

mesh

44

The surgical technologist knows that the surgeon may request Trendeleburg or Reverse Trendelenburg position to provide ______________.

displacement of abdominal contents for better visualization

45

Pro’s to Minimally Invasive Surgery include:

all the above

46

When scrubbing minimally invasive surgical procedures, the CST must always be prepared to convert to an open approach rapidly.

true

47

Wound evisceration is the partial or complete disrupture of the suture line. The organ does not come out of the opening.

false

48

Nerve damage near the incision site can be from poor instrument handling during the surgical procedure.

true

49

The organs and organ systems that are included in general surgery are the following EXCEPT

femur

50

Paralytic ileus is the post-operative complication that presents as painful, distension of the abdomen and lack of peristalsis.

true

51

Excessive bleeding during menses is ____________.

menorrhagia

52

The ________ is/are small projection(s) that extend from the end of the tube.

fimbriae

53

When there is a large abdominal mass, the pelvic organs are pushed out of their normal positions. __________ may be inserted prior to the procedure in order to permit easy identification of the ureters that are near or within the dissecting area.

ureteral catheters/stents

54

The structures that together make up the external genitalia are called the

vulva

55

The ________ glands lie on both sides of the vestibule and secrete mucus during sexual intercourse.

bartholin

56

Which instrument is used to manipulate the fallopian tubes without compression or damage?

babcocks

57

Most ______________ procedures are performed with the patient in the supine or lithotomy position.

gynecoligical

58

_____________ pelvic procedures require vaginal speculums and long instruments, including uterine clamps and heavy dissecting scissors.

transvaginal

59

surgical blockage prevents implantation (pregnancy) and development of a ________.

fetus

60

Continuous irrigation may be used to locate microscopic _________.

bleeders

61

LAVH is the removal of the uterus by a combined ________ and vaginal approach.

laparascopic

62

In total abdominal hysterectomy, the surgeon uses _____ scissors and long tissue forceps to separate the bladder and the uterus.

metz

63

A _________ hysterectomy is performed to treat pelvic malignancy.

radical

64

During _________ a fiberoptic hysteroscope is inserted through the cervix and into the uterus.

hysteroscopy

65

_________ is absorption of fluid into the vascular system, leading to increased blood pressure and possible death related to fluid overload.

extravasation

66

The hysteroscope is inserted into the uterus with the _________ in place.

sheath

67

The ________ is a thick organ that adheres to the uterus on the maternal side.

placenta

68

How many stages of labor and delivery does the patient go through?

four

69

The anatomical area between the posterior vestibule and the anus is the ____________.

pernieum

70

In which procedure would the surgeon likely request 8-0 or 9-0 suture?

tuboplasty

71

For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy?

weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes

72

What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?

myomectomy

73

What color is the abnormal tissue after staining with acetic acid in a cervical biopsy?

white

74

What is the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-section?

It reduces the pressure of the gravid uterus on the vena cava.

75

All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis, EXCEPT:

cooper

76

Cervical cerclage is performed to:

prevent spontaneous abortion

77

Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section?

pitocin

78

Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures?

mayo stand

79

What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy?

jorgenson

80

When is the first "uterine count" performed in a cesarean section?

when the first suture is given for closure of the uterus

81

Bulb syringes are used in obstetrical delivery procedures to:

suction the mouth and nares of the neonate

82

In which of the following procedures would the patient be left without a vagina or any of the female reproductive organs and have a permanent colostomy and ileostomy?

pelvic exenteration

83

Cherney, Maylard, and Pfannenstiel are examples of gynecologic:

transverse abdominal incisions

84

For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps?

A&P Colporrhaphy

85

Which of the following is routinely done first in a basic gynecologic laparoscopy that may require a small separate setup and glove change before proceeding?

insertion of uterine manipulator

86

Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas?

hysteroscopy

87

Which type of needle holder is curved and frequently used for hysterectomy procedures?

heaney

88

________ is a nearly sterile fecal waste that accumulates while the fetus is in the uterus.

meconium

89

Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are:

isolated as contaminated

90

Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy?

uterosacral

91

Which procedure involves an en bloc removal of the uterus, bilateral ovaries and fallopian tubes, supporting ligaments, upper third of the vagina, and pelvic lymph nodes?

radical hysterectomy

92

Which instrument should the surgical technologist have ready to provide exposure during cesarean section procedures when the uterine incision is made?

bladder blade

93

The cervix is the lower neck of the ______________.

uterus

94

Which instrument is used to grasp the cervix and provide traction during cervical dilation?

single tooth tenaculum

95

What is used to achieve tissue destruction in an endometrial balloon ablation?

hot dextrose water

96

in a robotically assisted hysterectomy, the surgical technologist may be responsible for removing the specimen from the vagina after the vaginal cuff closure has been completed.

true

97

Clamp, clamp, cut, tie (CCCT) is a way to anticipate routine dissection steps during hysterectomy procedures.

true

98

Which of the following procedures surgically removes an ovary?

oopherectomy

99

Methods to reduce adhesion formation following a Myomectomy include:

all of these

100

Benefits to having a Vaginal Hysterectomy include:

all of these

101

Which of the following is a long bone that is the largest in the human body?

femur

102

Which mineral is stored in the bones and constantly being removed to maintain necessary blood levels?

calcium

103

Which of the following is the hard, dense bone that surrounds the marrow cavity?

cortical

104

What type of bone is the patella?

sesamoid

105

What is the medical term for spongy bone?

cancellous

106

What is the outside covering of bones that provides some nourishment and protection from infection?

periosteum

107

Hallus valgus is a condition in which there is a turning outward from the midline found in the

great toe

108

What is the medical term for a bony prominence projecting from a bone, as in a bunion?

exostosis

109

Which of the following is an acute, emergent condition of compression of neural and vascular structures, usually occurring in the upper and lower extremities following traumatic fractures?

compartmental syndrome

110

The term C-arm refers to a(n):

fluoroscopic machine

111

Which device is sometimes used for achieving and maintaining the lateral position?

vacuum beanbag

112

Which positioning device is frequently used for femoral nailing with leg traction and allows for placement of the C-arm?

fracture table

113

Which of the following devices helps to achieve limb exsanguination?

esmarch

114

Which of the following statements regarding generally safe continuous tourniquet inflation time is CORRECT?

lower extremity = 1 1/2 hours; upper extremity = 1 hour

115

What is polymethyl methycrylate used for in orthopedic procedures?

bone cement

116

Which of the following is the longest bone in the upper extremity?

humerus

117

Which instrument is used frequently in arthroscopies to examine and manipulate internal structures?

blunt probe

118

A fracture of the neck of the femur would require a/an:

cannulated screw

119

When should the CST scrubbing in Orthopedics plan to change their gloves due to high incidence of contamination?

after draping the limb

120

Which of the following surgical procedures requires the use of x-ray?

ORIF radius

121

Which surgical instrument determines the length of the screws to be implanted into bone?

depth gauge

122

Examples of bone implants include all of the following except:

fiberglass cast

123

The proper order for the steps for screw insertion is:

drill measure tap screw

124

The cancellous screw has threads about two-thirds of the way up the screw (called the shank), and a nonthreaded area of shaft. Cortical screws have threads all the way up the shank to the head of the screw.

true

125

Bone plates are not used to stabilize bone or repair fractures.

false

126

If implants of differing alloys are used, they can corrode and cause implant breakdown.

true

127

Any implant that is used must be documented in the patient’s anesthesia record.

false

128

The CST should always measure any screws prior to handing them to the surgeon.

true

129

Reusing an implant could weaken them.

true

130

Patients diagnosed with shoulder impingement syndrome would likely undergo:

acromioplasty

131

What should the surgical technologist do while the surgeon is using the oscillating saw during open acromioplasty?

drip small amounts of irrigation onto blade to prevent overheating

132

All of the following are indications for total shoulder arthroplasty EXCEPT:

moderate impingement syndrome

133

Which instrument is used to remove marrow from the canal of long bones for placement of prostheses?

intramedullary reamer

134

Which bone is involved in a Colles’ fracture?

radius

135

Which method of reducing a fracture carries the highest potential for surgical site infection?

ORIF for compound comminuted fracture

136

What is the name of the deep, round fossa of the hip joint?

acetabulum

137

Which positioning device will be used for ORIF of intertrochanteric femoral fracture?

fracture table

138

Which additional PPE is frequently worn by sterile team members during total joint procedures to prevent possible SSI?

space suit or body exhaust suits

139

What should the surgical technologist have ready to clean bone or tissue from a rongeur?

lap sponges

140

Cannulated screws and nails are designed to follow the path created by a:

guide pin

141

Which ligament of the knee keeps the femur from sliding posteriorly on the tibia and prevents hyperextension of the knee?

anterior cruciate

142

Patellar tendon, iliotibial band, and semitendinosus tendon are examples of:

autografts for ACL repair

143

Liston knife and Gigli saw are examples of instruments used for which type of procedure?

amputation

144

The Achilles Tendon is the thickest and strongest in the body.

true

145

Bone wax may be loaded onto the end of a Cobb Elevator to spread onto the tendon for excess bleeding.

false

146

Arthroscopic procedures require only one small incision through which all the instruments are passed.

false

147

There are limited choices of total joint systems available, making standardization routine and uncomplicated.

false

148

Double gloving should be done as a routine in orthopedic cases due to exposure to various sharp instruments and potentially jagged bones.

true

149

Which of the following demonstrates the correct order of steps for femoral canal preparation during total hip arthroplasty?

reamer, rasp, pulse lavage

150

What is a serious bone infection that may result from a compound fracture and become chronic later?

osteomyelitis