MIDTERM (OR)

Question 1

Principle 1 of Sterility

Answer 1

Principle Number 1: Only sterile items are used within the sterile field.

Question 2

Principle 2 of Sterility

Answer 2

Principle Number 2: Sterile persons are gowned and gloved

Question 3

Principle 3 of Sterility

Answer 3

Principle Number 3: Tables are only sterile at Table Level

Question 4

Principle 4 of Sterility

Answer 4

Principle Number 4: Sterile Persons Touch ONLY Sterile Items while Unsterile OR Personnel Touch Only Unsterile Items.

Question 5

Principle 5 of Sterility

Answer 5

Principle Number 5: Unsterile persons avoid reaching over sterile fields and sterile persons avoid touching or leaning over an unsterile area.

Question 6

Principle 6 of Sterility

Answer 6

Principle Number 6: Edges of anything that encloses sterile contents are considered
unsterile.

Question 7

Principle 7 of Sterility

Answer 7

Principle Number 7: Sterile field is set-up just before a surgical procedure.

Question 8

Principle 8 of Sterility

Answer 8

Principle Number 8: Sterile areas are continuously kept in view.

Question 9

Principle 9 of Sterility

Answer 9

Principle Number 9: Sterile persons keep well within sterile areas.

Question 10

Principle 10 of Sterility

Answer 10

Principle Number 10: Sterile persons keep in contact with sterile areas to minimum.

Question 11

Principle 11 of Sterility

Answer 11

Principle Number 11: Unsterile persons avoid sterile areas.

Question 12

Principle 12 of Sterility

Answer 12

Principle Number 12: Destruction of integrity of microbial barriers result in contamination

Question 13

Principle 13 of Sterility

Answer 13

Principle Number 13: Microorganisms must be kept to irreducible minimum

Question 14

Layers of the Abdomen

Answer 14

• Skin
• Subcutaneous
• Muscle
• Fascia
• Peritoneum

Question 15

Types of surgical suture

Answer 15

• Absorbable suture
• Non-absorbable suture

Question 16

4 classifications of absorbable sutures

Answer 16

• catgut sutures
• polydioxanone suture
• Poliglecaprone suture
• Polyglactin Suture

Question 17

Sutures that are dissolvable stitches that are made of materials that will disintegrate over time by absorbing into the skin.

Answer 17

Absorbable suture

Question 18

Sutures that require removal
after a specific time. They are usually made of a material that will not break down in the body and will not be digested by the body’s enzymes.

Answer 18

Non-absorbable suture

Question 19

Types of surgical suture techniques

Answer 19

• Continuous Suture
• Interrupted Sutures
• Deep Sutures
• Buried Sutures
• Purse String sutures
• Subcuticular Suture

Question 20

Methods of Anesthesia Administration

Answer 20

• Inhalation
• Intravenous

Question 21

A temporary loss of feeling and a complete loss of awareness that feels like a very deep sleep.

Answer 21

General Anesthesia

Question 22

Stages of general anesthesia

Answer 22

Stage 1 - Induction
Stage 2 - Excitement or delirium
Stage 3 - Surgical anesthesia
Stage 4 - Overdose

Question 23

A temporary loss of feeling or awareness in a part of the body, such as an arm or a leg.

Answer 23

Regional Anesthesia

Question 24

Side effects of General Anesthesia

Answer 24

• Nausea and vomiting
• Low blood pressure
• heart rate changes
• slower breathing
• sore throat from the breathing tube
• grogginess
• delirium

Question 25

Common medications used in regional anesthesia

Answer 25

- lidocaine - bupivacaine - ropivacaine

Question 26

Two forms of regional anesthetics

Answer 26

1.) Spinal anesthetic 2.) Epidural anesthetic

Question 27

An anesthesia given for a short time to stop pain in one part of the body. You stay awake.

Answer 27

Local anesthesia

Question 28

A type of anesthesia that uses IV medications.

Answer 28

Procedural sedation

Question 29

Levels of sedation

Answer 29

- Conscious Sedation - Twilight Anesthesia - Deep Sedation

Question 30

A registered nurse or surgical technologist responsible for maintaining the sterile field during surgery

Answer 30

Scrub nurse

Question 31

A nurse who makes preparations for an operation and continually monitors the patient and staff during surgery outside the sterile field.

Answer 31

Circulating Nurse

Question 32

Scissors used for cutting delicate tissue and blunt dissection

Answer 32

Metzenbaum Scissors (curved)

Question 33

Scissors used for cutting tissue directly in a straight line

Answer 33

Metzenbaum Scissors (straight)

Question 34

Blades with long, thin shanks and blunt tips

Answer 34

Metzenbaum Scissors

Question 35

Scissors with broad, thick blades

Answer 35

Mayo scissors

Question 36

Forceps with inward facing serrated edges

Answer 36

Allis Forceps

Question 37

Forceps with looped, atraumatic tips

Answer 37

Babcock Forceps

Question 38

Forceps with serrations

Answer 38

Kelly Forceps

Question 39

Forceps with heavy serrations and a tooth at the tip

Answer 39

Kocher Forceps

Question 40

Small, fine-pointed forceps

Answer 40

Mosquito Forceps

Question 41

Large forceps with full serrations

Answer 41

Pean Forceps

Question 42

Large, ringed forceps

Answer 42

Sponge/Ovum Forceps

Question 43

Forceps with sharp, pointed hooks

Answer 43

Tenaculum Forceps

Question 44

Small clamp with sharp, pointed tips

Answer 44

Towel clip/clamp

Question 45

Forceps with toothed or serrated edges

Answer 45

Tissue Forceps

Question 46

Small grooves, but no teeth on the tips

Answer 46

Thumb Forceps

Question 47

Double-ended, smooth-edged retractors

Answer 47

Army-Navy Retractors

Question 48

Single ended, hand-held retractor with a flat, curved blade

Answer 48

Richardson Retractor

Question 49

Used to remove blood, fluids, or debris from the surgical site

Answer 49

Suction tip

Question 50

Tubing connected to a suction device

Answer 50

Suction Tube

Question 51

Instrument with a locking mechanism

Answer 51

Needle holder

Question 52

A form of electrosurgery that uses an electric current to cut tissue or create scars

Answer 52

Electrical Cautery