Question 1

One advantage of robotic-assisted surgery is the inexpensive equipment needed to perform the procedures.

Accepted Answer

A) True 
 B)False  False

Question 2

Because carbon dioxide gas is colder than body temperature,the patient may experience hypothermia during the procedure.

Accepted Answer

A) True 
 B)False  True

Question 3

Because the fiberoptic light is cool to the touch,the light can be allowed to rest on the drapes while in use.

Accepted Answer

A) True 
 B)False  False

Question 4

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

Question 5

Only one monitor is recommended to be used during a laparoscopic procedure so that all team members are looking at the same image at the same time.

Accepted Answer

A) True 
 B)False

Question 6

Robotic surgery can be performed without the surgeon or surgical team members present for the procedure.

Accepted Answer

A) True 
 B)False

Question 7

When would a sterile endoscope and accessories be used for performing an endoscopy procedure that is normally aseptic,such as a colonoscopy?

Accepted Answer

A)  If the patient has HIV or has received chemotherapy 
B)  If the scope has been accidentally sterilized 
C)  If the scope were contaminated and sterility is compromised 
D)  If the procedure room has not been properly decontaminated before use 
A)  If the patient has HIV or has received chemotherapy 
B)  If the scope has been accidentally sterilized 
C)  If the scope were contaminated and sterility is compromised 
D)  If the procedure room has not been properly decontaminated before use

Question 8

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 9

Incisions of 5 mm made in adults for an endoscopic procedure are closed at the fascial level using a heavy suture.

Accepted Answer

A) True 
 B)False

Question 10

The Veress needle is used to create access into the peritoneal cavity.

Accepted Answer

A) True 
 B)False

Question 11

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

Accepted Answer

A) True 
 B)False

Question 12

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 13

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 14

A duty of the assistant helping with an endoscopy or minimally invasive procedure is to explain the steps of the procedure to the patient before the procedure.

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

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

Accepted Answer

A) True 
 B)False

Question 17

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

Accepted Answer

A) True 
 B)False

Question 18

Which is a type of scope used in endoscopy or laparoscopy procedures?

Accepted Answer

A)  Soft 
B)  Rigid 
C)  Plastic 
D)  Veress 
A)  Soft 
B)  Rigid 
C)  Plastic 
D)  Veress

Question 19

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 20

Which is a type of material used in radiographic-assisted endoscopy?

Accepted Answer

A)  Saline 
B)  Ho: YAG 
C)  Argon 
D)  Contrast media 
A)  Saline 
B)  Ho: YAG 
C)  Argon 
D)  Contrast media

Exam 32: Endoscopy and Robotic-Assisted Surgery

One advantage of robotic-assisted surgery is the inexpensive equipment needed to perform the procedures.

Because carbon dioxide gas is colder than body temperature,the patient may experience hypothermia during the procedure.

Because the fiberoptic light is cool to the touch,the light can be allowed to rest on the drapes while in use.

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

Only one monitor is recommended to be used during a laparoscopic procedure so that all team members are looking at the same image at the same time.

Robotic surgery can be performed without the surgeon or surgical team members present for the procedure.

When would a sterile endoscope and accessories be used for performing an endoscopy procedure that is normally aseptic,such as a colonoscopy?

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

Incisions of 5 mm made in adults for an endoscopic procedure are closed at the fascial level using a heavy suture.

The Veress needle is used to create access into the peritoneal cavity.

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

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

Which is a hazard associated with endoscopic procedures?

A duty of the assistant helping with an endoscopy or minimally invasive procedure is to explain the steps of the procedure to the patient before the procedure.

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

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

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

Which is a type of scope used in endoscopy or laparoscopy procedures?

Which endoscopy procedure is usually not performed sterile?

Which is a type of material used in radiographic-assisted endoscopy?

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

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Thoracic Surgery

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Organ Procurement and Transplantation

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