18

Question 1

6 Halstead principles

Answer 1

1. gentle tissue handling2. hemostasis3. aseptic technique4. preserve blood supply5. eliminate dead space6. Appose tissues with minimal tension

Question 2

grips for scalpel handling

Answer 2

pencil–accurate for short, delicate maneuversfingertip–max length with greatest accuracy, stability

Question 3

four motions of cutting with scapel blade

Answer 3

1. slide–precise depth, length and control2. press–stab incisions3. sawing–continuation and cut without removal/reinsertion of blade4. scraping–separate tissue layers

Question 4

three forces used when cutting with scissors

Answer 4

1. close2. shear3. torque

Question 5

grip used with scissors

Answer 5

tri-pod

Question 6

T/FCutting tissue with the portion of the blade near the fulcrum results in greater crushing injury

Answer 6

TRUEUSE TIPS FOR LESS CLOSING FORCE AND MORE SECURE STABILITY OF TISSUE

Question 7

needle hold names for those that cut and don’t cut

Answer 7

Mayo-Hegar—don’t cutOlsen Hegar–cut

Question 8

suture tage recommendations for synthetic material v gut

Answer 8

suture tagessynthetic: 3 mmGut: 6 mm

Question 9

four grips for manipulating a needle holder

Answer 9

1. tri-pod (thumb-ring)2. thenar3. palmed 4. pencil (castro veijos)

Question 10

strongest grip in a ringed instrument

Answer 10

palmed–provides the greatest needle pressure and control in dense tissue and provides maximum wrist rotation

Question 11

3 types of forceps

Answer 11

1. crushing–Allis, Babcock, Kocher2. noncrushing–Doyen, Statinsky3. hemostatic–Halstead, Kelly, Crile, Carmalts

Question 12

list non penetrating instruments

Answer 12

1. lorna2. ednas3. allis

Question 13

types of self retainer retractors

Answer 13

BalfourWeitlanerGelpiFinochiettoLonestar ring retractor

Question 14

list hand held retractors

Answer 14

Sennarmy-navyGreenSpay hookvolkmannmalleable

Question 15

types of suction tips

Answer 15

poolefrasieryankauer

Question 16

the blood supply in the wound edge is inversely proportional to what…

Answer 16

the blood supply in the wound edge is inversely proportional to the wound closure tension

Question 17

benefits of a continuous pattern suture

Answer 17

quickerdistributes tension evenly along entire length of wound

Question 18

inverting continuous patterns

Answer 18

connell (into lumen)cushinglembert

Question 19

T/Fpurse string sutures are inverting

Answer 19

TRUE

Question 20

5 principles of knot tying

Answer 20

1. simplest secure knot for suture used to minimize knot volume2. avoid friction3. use appropriate tension4. pull suture ends in opposite direction, horizontal and with even tension5. never grasp suture with needle holders

Question 21

where is the weakest point in a suture line or ligature

Answer 21

practically always the knot

Question 22

synthetic absorbable relative knot security %

Answer 22

67%