Question 1

A Veress needle is used to create access into the peritoneal cavity with the closed method.

Accepted Answer

A) True 
 B)False  True

Question 2

What is the intraoperative peritoneal pressure of an adult during a laparoscopic procedure when using CO₂?

Accepted Answer

A) 5 to 7 mm Hg 
B) 7 to 10 mm Hg 
C) 12 to 15 mm Hg 
D) Greater than 18 mm Hg 
A) 5 to 7 mm Hg 
B) 7 to 10 mm Hg 
C) 12 to 15 mm Hg 
D) Greater than 18 mm Hg C

Question 3

Which trocar has an exposed tip shaped like a pyramid or cone?

Accepted Answer

A) Blunt 
B) Sharp 
C) Shielded 
D) Initial 
A) Blunt 
B) Sharp 
C) Shielded 
D) Initial B

Question 4

Which endoscopy procedure is usually not performed sterile?

Accepted Answer

A) Colonoscopy 
B) Cystoscopy 
C) Hysteroscopy 
D) Laparoscopy 
A) Colonoscopy 
B) Cystoscopy 
C) Hysteroscopy 
D) Laparoscopy

Question 5

When using a robotic system to perform a surgical procedure,the surgeon is required to give the robot commands to activate its actions.

Accepted Answer

A) True 
 B)False

Question 6

The open method of gaining access into the body is by placing a trocar and sheath so that the expansion medium may be placed through the port.

Accepted Answer

A) True 
 B)False

Question 7

For what reason may a hand-assisted access sleeve be used in a laparoscopic procedure?

Accepted Answer

A) To keep the surgeon's hands warm during the procedure 
B) To allow insertion of the surgeon's hand to palpate or grasp an organ 
C) To place pressure on a vessel that is bleeding 
D) To lose the peritoneum and convert to an open procedure 
A) To keep the surgeon's hands warm during the procedure 
B) To allow insertion of the surgeon's hand to palpate or grasp an organ 
C) To place pressure on a vessel that is bleeding 
D) To lose the peritoneum and convert to an open procedure

Question 8

Natural Orifice Transluminal Endoscopic Surgery (NOTES)is a newer form of endoscopic surgery in which only two incisions are made on the patient's abdomen to remove an appendix or a gallbladder.

Accepted Answer

A) True 
 B)False

Question 9

Fiberoptic lighting is nonglaring and cool inside the patient.This makes it safe to lay the light source on the drapes.

Accepted Answer

A) True 
 B)False

Question 10

The surgeon may place more than one trocar during puncture endoscopy.

Accepted Answer

A) True 
 B)False

Question 11

A patient may be at risk for hypothermia if the carbon dioxide gas is not passed through a heating and humidifying element.

Accepted Answer

A) True 
 B)False

Question 12

What type of laparoscope has a single telescopic rod-lens with no accessory port?

Accepted Answer

A) Operative 
B) Diagnostic 
C) Bronchoscope 
D) Veress 
A) Operative 
B) Diagnostic 
C) Bronchoscope 
D) Veress

Question 13

After an endoscopic procedure,it is acceptable to evacuate the CO₂ into the room air because the OR staff are wearing masks.

Accepted Answer

A) True 
 B)False

Question 14

Fluid can be used as an expansion media for creating working space while using a scope.

Accepted Answer

A) True 
 B)False

Question 15

What type of gas medium is used to insufflate the peritoneal cavity?

Accepted Answer

A) Nitrous oxide 
B) Oxygen 
C) Carbon dioxide 
D) Argon 
A) Nitrous oxide 
B) Oxygen 
C) Carbon dioxide 
D) Argon

Question 16

What can be attached to the endoscope that enables the surgical team to view the anatomy at the same time?

Accepted Answer

A) Monitor 
B) Computer 
C) Microscope 
D) Camera 
A) Monitor 
B) Computer 
C) Microscope 
D) Camera

Question 17

Which is a hazard associated with endoscopic procedures?

Accepted Answer

A) Increased pain 
B) Increased incision healing time 
C) Increased risk of gas embolism 
D) Increased infection rate 
A) Increased pain 
B) Increased incision healing time 
C) Increased risk of gas embolism 
D) Increased infection rate

Question 18

Lasers are not able to be used with endoscopic or laparoscopic procedures because of the limited vision endoscopy allows.

Accepted Answer

A) True 
 B)False

Question 19

Incisions of 5 mm made in adults for endoscopic procedures do not need to be sutured closed because they are so small.

Accepted Answer

A) True 
 B)False

Question 20

Endoscopes must be cleaned according to manufacturer's recommendations to prevent damaging them and proper removal of debris.

Accepted Answer

A) True 
 B)False

Exam 32: Endoscopy and Robotic-Assisted Surgery

A Veress needle is used to create access into the peritoneal cavity with the closed method.

What is the intraoperative peritoneal pressure of an adult during a laparoscopic procedure when using CO₂?

Which trocar has an exposed tip shaped like a pyramid or cone?

Which endoscopy procedure is usually not performed sterile?

When using a robotic system to perform a surgical procedure,the surgeon is required to give the robot commands to activate its actions.

The open method of gaining access into the body is by placing a trocar and sheath so that the expansion medium may be placed through the port.

For what reason may a hand-assisted access sleeve be used in a laparoscopic procedure?

Natural Orifice Transluminal Endoscopic Surgery (NOTES)is a newer form of endoscopic surgery in which only two incisions are made on the patient's abdomen to remove an appendix or a gallbladder.

Fiberoptic lighting is nonglaring and cool inside the patient.This makes it safe to lay the light source on the drapes.

The surgeon may place more than one trocar during puncture endoscopy.

A patient may be at risk for hypothermia if the carbon dioxide gas is not passed through a heating and humidifying element.

What type of laparoscope has a single telescopic rod-lens with no accessory port?

After an endoscopic procedure,it is acceptable to evacuate the CO₂ into the room air because the OR staff are wearing masks.

Fluid can be used as an expansion media for creating working space while using a scope.

What type of gas medium is used to insufflate the peritoneal cavity?

What can be attached to the endoscope that enables the surgical team to view the anatomy at the same time?

Which is a hazard associated with endoscopic procedures?

Lasers are not able to be used with endoscopic or laparoscopic procedures because of the limited vision endoscopy allows.

Incisions of 5 mm made in adults for endoscopic procedures do not need to be sutured closed because they are so small.

Endoscopes must be cleaned according to manufacturer's recommendations to prevent damaging them and proper removal of debris.

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions implants and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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