Week 2- General Surgery Quiz
12- 18 mm hgb maximum with the usual setting at 15 mm hgb - ANS-What should the
pneumoperitoneum setting be set on?
2 -4 - ANS-The suture is pulled __________inches through an eyed needle.
20 - ANS-How many air changes per hour do the CDC guidelines recommend for the operating
room?
300-600 ft2 - ANS-The standard size of an operating room has traditionally been at least ____.
65 F and 75 F; 50% and 55% humidity - ANS-Temperature and humidity are maintained at what
levels in the OR?
abdominis rectus - ANS-Which muscle may be transected in executing an upper oblique incision
absorbable - ANS-When this suture is utilized, suture is not removed later.
adhesion - ANS-An abnormal attachment of two surfaces or structures that are normally
separate is called ____.
Air pressure in the operating room is kept at a higher level than that of the surrounding
corridors. - ANS-What is meant by positive-pressure air supply for each operating room?
an ____ stapler. /intraluminal circular - ANS-A stapler commonly used during resection and
reanastomosis of the distal colon or rectum is a
an ____ stapler./linear - ANS-A stapler used to insert two straight, evenly spaced, side-by-side
rows of staples into tissue is a
arterial embolectomy - ANS-A Fogarty balloon catheter is used for ____.
arterial embolectomy - ANS-A Fogarty balloon catheter is used for ____.
at least two - ANS-How many suction outlets are required for each operating room?
Before tying polypropylene sutures, the surgeon's hands should be wet. - ANS-Which statement
is correct regarding the suture for peripheral vascular surgery?
Blood volume - ANS-Hypovolemia is a low:
breast and axillary lymph nodes - ANS-Modified radical mastectomy involves removal of ____.
capnography - ANS-An estimation of the arterial levels of carbon dioxide is determined with the
use of ____.
clean wound - ANS-A wound expected to heal by first intention is a(n) ____.
coil gently, check to be sure it will attach to scope; check light fibers; use fire precautions -
ANS-When handling light cords, always
collagen - ANS-In the proliferation phase, which of the following forms into fibers that give the a
wound approximately 25-30% of its original tensile strength?
congenital - ANS-An indirect inguinal hernia is ____.
continuous - ANS-A primary suture line consisting of a single strand of suture placed as a series
of stitches is called ____.
continuous suture has greater strength than interrupted - ANS-The Halstead Suture Technique
states all the following except:
Cooper's Ligament - ANS-An important anatomical structure utilized in laparoscopic hernia
surgery to identify key structures includes:
creation of an opening into the trachea - ANS-Tracheotomy is ____.
cutting - ANS-The needle used for tough tissue that is difficult to penetrate is called ____.
debridement - ANS-Which of the following involves irrigation to wash out contaminants and
removal of devitalized tissue?
dehiscence - ANS-The partial or total separation of a layer or layers of tissue after closure is
called __________.
Dexon - ANS-Which of the following sutures is absorbable?
direct - ANS-Which type of hernia is located within Hesselbach's triangle?
eye - ANS-The suture is attached to the needle at the ____.
False - ANS-A patient undergoing an endoscopic procedure has more tissue trauma, higher
postoperative pain, longer healing, and is more at risk for postoperative infections than a patient
undergoing an open procedure.
False - ANS-All open surgical procedures can be performed endoscopically.
false - ANS-The free end of the suture is placed in the surgeon's hand.
fascia - ANS-The area of tough connective tissue just beneath the skin and just above the
subcutaneous layer is called ____.
fistula - ANS-A tract between two epithelium-lined surfaces that is open at both ends is called
____.
formalin - ANS-Permanent surgical specimens are usually sent to the pathologist in____.
four - ANS-When moving a patient to the lateral position, how many individuals should be used
to turn the patient?
free-ties - ANS-Precut ties that are removed as single strands from the package and placed into
the opened hand of the surgeon for use as ligatures are ____.
gauge - ANS-The suture diameter is referred to as the ____ of the suture.
gentle tissue handling - ANS-According to halstead, the most important aspect is
gynecomastia - ANS-Male enlargement of the breast tissue is called
Halon - ANS-What type of fire extinguisher is recommended to extinguish a laser fire?
heparin - ANS-Which medication is always added to injectable saline for intra-arterial irrigation?
Heparin in sodium chloride irrigation can be used for intra-arterial irrigation. - ANS-Which of the
following statements regarding drugs handled by the STSR is correct?
hernia - ANS-The scarpia fascia would be encountered for surgery of
hiatal hernia - ANS-Nissen fundoplication is the procedure performed to correct a-an ____.
hypoxic - ANS-Dark blood in the field may indicate
incision - ANS-An intentional cut through intact tissue for the purpose of exposing or excising
underlying structures is called a(n) ____.
inflammation - ANS-Pain, heat, redness, swelling, and loss of function are classic local signs of
____.
inguinal herniorraphy - ANS-If you encounter the cremaster muscle, which procedure are you
most likely to be doing?
intermediate - ANS-Which dressing layer is considered the absorbent layer?
intestinal walls of sheep - ANS-By the early twentieth century, most suture materials used for
surgical procedures were made from ____.
IV - ANS-Class ____ surgical wounds have the highest rate of infection.
keith needle - ANS-Another name for a straight cutting needle usually used on the skin is
keloid - ANS-Raised, thickened scar due to excessive collagen formation is called ____.
lag - ANS-Which phase of wound healing begins within minutes of injury?
lag - ANS-Which phase of wound healing begins within minutes of injury?
leak testing - ANS-An important part of flexible endoscopy includes
Lidocaine {Xylocaine} - ANS-The most widely used local anesthetic is:
ligaclips usually used in threes and always made of stainless steel - ANS-Internal mechanical
means of hemostasis include all except
maturation - ANS-In which phase of healing does a wound undergo a slow, sustained increase
in tissue tensile strength?
may be omitted - ANS-In an extreme emergency, a sponge count
medial - ANS-The incision most likely to be used during an emergency is a
______________because it allows for adequate and fast access.
medially in a groove created by the joining of the abdominal aponeuroses - ANS-The linea alba
is found ____.
moistened with saline - ANS-If a frozen section is indicated, the specimen must be ____.
monofilament absorbable sutures - ANS-Plain gut, chromic gut, PDS II, and Monocryl are
examples of ____.
Montgomery strap - ANS-Which of the following is used for wounds that require frequent
dressing changes?
morcelization - ANS-Tissue that is cut into smaller pieces is called
multifilament nonabsorbable sutures - ANS-Surgical silk and surgical cotton are characteristics
of ____.
must produce a light five times greater than normal outdoor sunlight - ANS-Which of the
following is not a characteristic of surgical light design?
needles - ANS-Eye, point, body, and shape are characteristics of ____.
Nitrous oxide and oxygen can build up beneath the surgical drapes. - ANS-What special
consideration is required for laser surgery in the head and neck area?
nonocclusive - ANS-Which contact layer of a dressing draws fluids from the wound surface and
allows for the passage of air?
oblique incision - ANS-A Kocher-type incision is a(n) ____.
Occupational Safety and Health Administration (OSHA) - ANS-The federal organization that is
dedicated to protecting the health of workers by establishing standards that address issues
related to safety in the work place is known as ____.
one-layer dressing - ANS-Which of the following is used on a wound that has been primarily
closed and from which little or no drainage is expected?
one-layer dressings - ANS-Occlusive adherent polyurethane, liquid collodion, and aerosol
adhesive sprays are examples of ____.
outer layers - ANS-Elastic bandages, Montgomery straps, and tape are examples of ____.
oxygen - ANS-Which of the following is a necessary component of a fire or explosion?
Pantaloon - ANS-What type of hernia is a combination of direct and indirect inguinal hernia?
peritoneum - ANS-A fast-healing, thin membrane lining the abdominal cavity is called ____.
pilonidal cyst - ANS-The probe and director may be used this type of procedure
point - ANS-Which of the following determines the shape of the needle body?
polyglactin 910 - ANS-An absorbable mesh that provides temporary support during healing is
____.
polypropylene - ANS-Which suture type is appropriate for closing an arteriotomy?
precision - ANS-Which of the following is a disadvantage of staple use?
pulse oxymetry - ANS-Arterial saturation of hemoglobin with oxygen is measured with the use of
____.
rectus abdominis - ANS-The long vertical straplike muscle of the abdominal wall is the ____.
Recurrent laryngeal - ANS-Which nerve is carefully preserved with a thyroidectomy?
retention - ANS-Large-gauged, interrupted, nonabsorbable sutures placed lateral to a primary
suture line for wound reinforcement are called ____.
retract the spermatic cord - ANS-The use of a Penrose drain is often employed during inguinal
herniorrhaphy to ____.
retract the spermatic cord - ANS-The use of a Penrose drain is often employed during inguinal
herniorrhaphy to ____.
retraction devices for vessels, nerves, or ducts?/vessel loops - ANS-For the most part, which of
the following have replaced umbilical tape as isolation
salem sump - ANS-The drain used for gastric decompression is called a
Shrodkar - ANS-Identify which method is not applicable to inguinal hernia repairs:
smoking, age, and radiation exposure - ANS-A physical factor influencing wound healing is
____.
stainless steel - ANS-Which mesh application may result in discomfort for the patient?
stainless steel - ANS-Which of the following is commonly used for abdominal wound closure,
hernia repair, tendon repair, and bone repair?
Sterile Water - ANS-During a mastectomy, which hypotonic solution is used on the muscle
layer?
strangulated hernia - ANS-An irreducible hernia whose abdominal contents have become
ischemic or necrotic:
subcutaneous mastectomy - ANS-The type of mastectomy which leaves the nipple intact
includes
supine with the neck hyperextended - ANS-What position will the patient be placed in to
facilitate thyroidectomy?
suture size and material - ANS-One of the most important pieces of information the STSR
should learn to look for on a box of sutures is ____.
swaged - ANS-Needles manufactured with suture strands inserted into one end are ____.
taper - ANS-Which type of needle is appropriate for closing a vessel?
the condition of the patient's tissue, cost, the surgeon's preference - ANS-One factor that must
be considered when choosing suture material is ____.
the discarding of instruments coming in contact with tumor after each use - ANS-Cancer
technique in surgery refers to
the procedure is finished - ANS-The final wound classification is assigned when ____.
thighs - ANS-In the prone position, the safety belt should be over the ____.
third intention - ANS-Healing where the wound is left open and allowed to heal from the inner
layer to the outside surface is _________.
thorax and abdomen - ANS-A thoracoabdominal incision provides access to the ____.
thyroidectomy - ANS-Tetany is a possible postoperative complication following
to prevent tipping under uneven weight distribution - ANS-What is the purpose of the wide base
of the operating room table?
traction - ANS-Sutures placed into an anatomical structure to retract to the side are called ____.
traction sutures - ANS-Sutures placed into the sclera of the eye, the myocardium of the heart, or
the tongue are examples of ____.
True - ANS-Certain endoscopic procedures do not require an incision; the endoscope is placed
through a natural opening on the body.
true - ANS-Specimens are labeled on the container not the lid.
True - ANS-The success of endoscopic procedures is highly dependent on the proper
functioning of equipment and instruments.
under iliac crest - ANS-When utilizing the lateral kidney position, where should the kidney rest
be positioned?
use dry in an asepto syringe - ANS-To utilize avitene:
use of an interrupted swaged monofilialment stitch such as nylon - ANS-The Halstead technique
includes:
