Deck 10: Instrumentation, Equipment, and Supplies

Question 1

Which scalpel handle would accommodate a #20 disposable knife blade?

A) #3
B) #4
C) #7
D) #9

Answer 1

B

Question 2

Which device can be used sterilely by an ENT or neurosurgeon or unsterilely by an anesthesia provider to determine location, function, or conduction of certain anatomical structures?

A) bayonet ESU bipolar forceps
B) cryotherapy unit
C) nerve stimulator
D) phaco-emulsifier

Answer 2

C

Question 3

Which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines in a laparotomy?

A) Baron
B) Frazier
C) Poole
D) Yankauer

Answer 3

C

Question 4

Which part of the operating microscope is most proximal to the target tissue?

A) beam splitter
B) hand controls
C) objective lens
D) ocular lenses

Question 5

What term describes an instrument, such as a retractor or uterine probe, that can be bent or modified to accommodate for variances in anatomy?

A) alterable
B) changeable
C) malleable
D) shapable

Question 6

Which scissors are often called "suture scissors" and are typically straight and relatively blunt tipped?

A) Castroviejo
B) Jorgenson
C) Mayo
D) Westcott

Question 7

In medical terminology, which suffix indicates an instrument as a cutting device?

A) -graph
B) -orrhaphy
C) -scope
D) -tome

Question 8

Which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration?

A) cutting and dissecting
B) dilating and probing
C) grasping and holding
D) retracting and exposing

Question 9

The #12 blade is used almost exclusively for which surgical procedure?

A) arthroscopy
B) craniotomy
C) laparotomy
D) tonsillectomy

Question 10

Which type of surgical drape is designed to expose small anatomical structures such as the eyes and ears?

A) aperture
B) incise
C) nonfenestrated
D) stockinette

Question 11

Weitlaner, O'Connor-O'Sullivan, and Balfour are examples of:

A) bone-holding forceps
B) handheld retractors
C) noncrushing clamps
D) self-retaining retractors

Question 12

Which type of endoscope would be appropriate for examination of the renal pelvis via a natural body orifice?

A) flexible ureteroscope
B) flexible colonoscope
C) rigid hysteroscope
D) rigid sigmoidoscope

Question 13

Which suction tip is indicated for use in the nasopharynx and often called a "tonsil" or "oral" suction?

A) Adson
B) Frazier
C) Poole
D) Yankauer

Question 14

All of the following are examples of types of movement of powered surgical instruments EXCEPT:

A) operating
B) oscillating
C) reciprocating
D) rotary

Question 15

Which type of surgical device provides a bloodless surgical field by way of extremity compression?

A) phaco-emulsifier
B) pneumatic tourniquet
C) sequential compression device
D) suction system

Question 16

What is the technical name for a clamp?

A) compressor
B) forceps
C) hemostat
D) stabilizer

Question 17

Which type of instrument alloy is lightweight, durable, and nonmagnetizing?

A) chromium
B) stainless steel
C) titanium
D) tungsten carbide

Question 18

The joint of a hemostat where one half of the instrument passes through the other is called the:

A) articulation
B) box lock
C) jaw
D) ratchets

Question 19

What is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps?

A) secretions
B) serrations
C) striations
D) suppressions

Question 20

Which fine, pointed-tip scalpel blade could be used to incise a blood vessel or create a stab wound for drain placement?

A) #10
B) #11
C) #12
D) #20

Question 21

What is the geometric shape usually achieved by the placement of the first layer of sterile surgical drapes?

A) circle
B) rectangle
C) square
D) triangle

Question 22

Kerlix fluffs, ABD pads, and plain 4 x 4 gauze sponges are examples of which part of a three-layer dressing?

A) absorbent intermediate layer
B) binding outer layer
C) occlusive contact layer
D) permeable contact layer

Question 23

Which of the following is NOT a source of power for surgical powered instruments?

A) alternating current
B) direct current
C) nitrogen
D) solar

Question 24

Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument?

A) hemostats
B) retractors
C) scissors
D) tissue forceps

Question 25

Which of the following types of surgical sponges are prepackaged in units of five?

A) Cottonoids
B) dissectors
C) laparotomy
D) Ray-Tecs

Question 26

Op-site, collodion, adhesive gels, and Steri-strips are examples of which type of surgical dressing?

A) one-layer
B) pressure
C) rigid
D) three-layer

Question 27

What is the term for the opening in a surgical drape that is placed over the operative site?

A) fenestration
B) orifice
C) slot
D) window

Question 28

Normal saline, antibiotic, and Dakin's solution are used to facilitate mechanical debridement in which type of dressing?

A) bolster
B) perineal
C) pressure
D) wet-to-dry

Question 29

The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called:

A) Cottonoids
B) Kitners
C) laps
D) Ray-Tecs

Question 30

What is the name of the paired parts of a hemostat that span between the box lock and the finger rings?

A) jaws
B) ratchets
C) shanks
D) tips

Question 31

Bougie, Heaney, Hegar, and Van Buren are types of:

A) dilators
B) dissectors
C) drains
D) dressings

Question 32

By what action does a "cigarette" drain remove fluid from a wound?

A) active
B) capillary
C) suction
D) wicking

Question 33

What type of surgical specialty rooms would be most likely equipped with three or four overhead operating lights?

A) bariatrics
B) open heart
C) plastic reconstructive
D) urology and cystoscopy

Question 34

Which of the following drains works by passive action?

A) Hemovac
B) Jackson-Pratt
C) Penrose
D) Stryker

Question 35

A patient with a major abdominal wound requiring frequent dressing changes might have which type of binding layer to prevent excoriation of the skin by constant removal of adhesive tape?

A) bolster
B) Montgomery straps
C) Minerva jacket
D) Queen Anne collar

Question 36

Into which classification of dressings would body and Minerva jackets and walking and spica casts fall?

A) bulky
B) one-layer
C) pressure
D) rigid

Question 37

Which type of instrument often has a tungsten carbide insert and crosshatch serrations for stabilization?

A) handheld retractor
B) needle holder
C) pneumatic drill
D) vascular clamp

Question 38

A drain dressing is cut into which letter shape to accommodate the drain tube exiting the patient's body?

A) T
B) V
C) X
D) Y

Question 39

What is the term for the tread or tape sewn into a countable sponge that makes it visible on x-rays to prevent a retained item?

A) radiofrequency
B) radiographic
C) radiolucent
D) radiopaque

Question 40

Which type of syringe has no calibrations?

A) Asepto
B) bulb/ear
C) Luer-Lok
D) Luer-Slip

Question 41

What is the minimum number of suction systems or units required in an operating room?

A) one
B) two
C) three
D) four

Question 42

During laparoscopic procedures where carbon dioxide gas is used for insufflation, the intra-abdominal pressure in the average healthy adult patient is kept at:

A) 8 -10 mm Hg
B) 10-12 mm Hg
C) 12-15 mm Hg
D) 15-20 mm Hg

Question 43

Syringes can be made of plastic, glass, metal, rubber, or a combination of any of these.

Question 44

Which of the following catheters is used to drain the kidney and is placed with the aid of a cystoscope?

A) Foley
B) Pezzer
C) ureteral
D) Malecot

Question 45

Which type of surgical supply does NOT come with an option for being impregnated with iodine or other antimicrobial agent?

A) gauze packing strips
B) incise drapes
C) occlusive contact dressing
D) radiopaque surgical sponges

Question 46

All of the following are varieties of draping materials EXCEPT:

A) aluminum coated
B) latex sheeting
C) plastic adhesive
D) polyester bonded with cellulose

Question 47

How are Ray-Tec sponges used during laparotomy procedures when the peritoneum is open?

A) They cannot be used at all.
B) They should be opened to full length.
C) They should have rings attached to them.
D) They should be mounted on a ring forceps as "sponge sticks."

Question 48

Which type of urinary drainage catheter requires an incision and anchoring to the skin to prevent dislodgement?

A) Coude´
B) Foley
C) red Robinson
D) suprapubic

Question 49

Penrose drains are active drains that are connected to a reservoir called a J-P bulb or "grenade."

Question 50

One-layer dressings are used on large draining wounds to facilitate frequent dressing changes.

Question 51

What do Broviac and Hickman catheters do?

A) decompress the bladder
B) instill contrast media into the biliary system
C) monitor central venous pressure changes
D) provide access for peritoneal dialysis

Question 52

In general, after what length of continuous pneumatic tourniquet use should the extremity be allowed to reperfuse before reinflating the tourniquet?

A) 30 minutes
B) one hour
C) 90 minutes
D) two hours

Question 53

GI, chest, and airway are types of:

A) tubes
B) drains
C) catheters
D) instruments

Question 54

Which of the following self-retaining retractors does NOT require attachment to the OR table?

A) Balfour
B) Bookwalter
C) Greenburg
D) Thompson

Question 55

The choice of wound dressing is dependent upon all of the following EXCEPT:

A) location of the incision or wound
B) type and amount of drainage expected
C) ambulatory status of the patient post-op
D) condition of the incision/wound upon closure

Question 56

Why must chest tubes be attached to a water-seal drainage system?

A) to keep the pleural cavity humid
B) to add weight to the drainage device to keep it upright
C) to keep the microbial count in the drainage from reentering
D) to keep air from reentering thoracic space to reestablish negative pressure for respiration

Question 57

Which device is used unsterilely in surgery for deep vein thrombosis (DVT) prophylaxis?

A) intravascular catheter
B) nerve stimulator
C) pneumatic tourniquet
D) sequential compression device

Question 58

When passing suture to the surgeon, the next step should be to pass straight Mayo scissors to the assistant.

Question 59

The three lumens of a three-way Foley catheter are used for balloon inflation, urinary drainage, and:

A) continuous irrigation
B) decompression of the urethra
C) extraction of calculi
D) insufflation of carbon dioxide

Question 60

Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning.