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Instrument cleaning, sterilization
Sutures
Asepsis during surgery
Postoperative complications
Surgical Anatomy/Terminology
100
What surgical instrument should not be routinely steam sterilized?
a.Backhaus towel clamp
b.Halstead mosquito forceps
c.Mayo-Hegar needle holder
d.Metzenbaum scissors
d.Metzenbaum scissors
Steam dulls the sharp edges of scissors.
100
Which of the following is not a consideration in choosing a suture material?
a.The surgeon’s training and experience
b.The part of the body where it will be used
c.The size of the animal on which it will be used
d.The age of the animal on which it will be used
d.The age of the animal on which it will be used
100
What items should personnel wear when entering the operating room?
a.Cap and mask
b.Cap, mask, and booties
c.Cap, mask, booties, and clean scrubs or gown
d.Cap, mask, and sterile gown
c.Cap, mask, booties, and clean scrubs or gown
100
Which of the following is not a likely cause of dehiscence of an abdominal incision?
a.Excessive physical activity
b.Stormy recovery from anesthesia
c.Surgical wound infection
d.Suture material larger than needed
d.Suture material larger than needed
100
The animal is to be prepared for a popliteal lymph node biopsy. What part of the body is prepped?
a.Caudal aspect of the stifle
b.Cranial aspect of the elbow
c.Medial aspect of the thigh
d.Cranial to the shoulder
a.Caudal aspect of the stifle
200
What is the significance of an autoclave that will not properly seal, but steam still rises from it?
a.Because it is the sterilizing agent, it will work fine, but you must be more cautious to prevent burns to personnel.
b.The pressure is what kills the microbes, and thus the autoclave will not work.
c.It will continue to sterilize but will require more water as the steam escapes.
d.The pressure will not increase, which is required to meet the minimum temperature for sterilization.
d.The pressure will not increase, which is required to meet the minimum temperature for sterilization.
200
Which of the following is not a major criterion used to classify suture material?
a.Absorbable versus nonabsorbable
b.Tensile strength versus size
c.Synthetic versus natural
d.Braided versus monofilament
b.Tensile strength versus size
Suture is not classified by tensile strength, but various sizes are graded according to strength, determining the “ought” sizing.
200
When passing surgical instruments to the surgeon, the technician should do all of the following except
a.Gently but firmly slap the palm of the surgeon with the instrument.
b.Pass the instrument in the open position.
c.Pass the instrument with the handle placed into the surgeon’s hand.
d.Pass the curved instrument so that it is oriented in the surgeon’s hand with the concave side up.
b.Pass the instrument in the open position.
200
If a surgical incision is dehiscing, the discharge, if present, is most likely to be
a.Mucopurulent
b.Serosanguineous
c.Serous
d.Purulent
b.Serosanguineous
200
68. Nephrectomy refers to
a.An incision into the kidney
b.The removal of a kidney
c.The removal of a tumor from the kidney
d.The biopsy of a kidney
b.The removal of a kidney
300
How long must instruments be aerated after ethylene oxide gas sterilization before they can be used?
a.12 hours
b.1 to 7 days
c.7 to 14 days
d.1 hour
b.1 to 7 days
300
An advantage of braided suture over monofilament is
a.Knot security
b.Tensile strength
c.Does not hide bacteria in contaminated wounds
d.Tissue reactivity
a.Knot security
300
Which of the following operating room personnel should face the sterile field during a procedure?
a.The surgeon only
b.The scrubbed-in technicians and surgeon only
c.All personnel, both scrubbed in and nonsterile
d.Only the surgeon and nonsterile personnel; the scrubbed-in technician should face the instrument field.
c.All personnel, both scrubbed in and nonsterile
300
The usual significance of a small seroma beneath a skin suture line is
a.Emergency
b.Cosmetic only
c.Major problem
d.Serious but not an emergency
b.Cosmetic only
300
90. What is the proper term for trimming the edges of a jagged tear before suturing?
a.Debridement
b.Decoupage
c.Curettage
d.Cauterization
a.Debridement
400
What does a change in color in autoclave tape indicate to a surgical nurse?
a.The surgical instruments in the pack have been adequately sterilized.
b.During the autoclaving process, steam has reached the tape.
c.Adequate temperature and pressures have been achieved.
d.The pack has been exposed to adequate pressures.
b.During the autoclaving process, steam has reached the tape.
The only piece of information that the autoclave tape provides is that steam has reached the tape and resulted in a color change. It is by no means an indicator that adequate sterilization conditions have been achieved.
400
What suture pattern is commonly used to close the skin of cattle following a rumenotomy?
a.Simple interrupted
b.Simple continuous
c.Interrupted horizontal mattress
d.Continuous horizontal mattress
d.Continuous horizontal mattress
400
If a nonsterile person must move to the other side of a sterile person, the nonsterile person should pass
a.Back to back
b.Front to front
c.Facing the back of the surgeon
d.With his or her side facing the back of the surgeon
c.Facing the back of the surgeon
400
Which of the following clinical signs would not normally be seen if a dog were suffering from hemorrhage after an ovariohysterectomy?
a.Decreased heart rate
b.Pale mucous membranes
c.Slow recovery from anesthesia
d.Slow capillary refill time
a.Decreased heart rate
400
The animal is to be prepared for an orchidectomy. What part of the body is prepped?
a.Ventral abdomen
b.Scrotal/prescrotal area
c.Paw
d.Ear
b.Scrotal/prescrotal area
500
Assuming 15 psi, the minimum conditions that must be met to ensure that a pack has been adequately sterilized by autoclaving are
a.121° C for 15 minutes
b.131° F for 15 minutes
c.121° C for 25 minutes
d.131° F for 30 minutes
a.121° C for 15 minutes
500
Why is it important to minimize the amount of dead space when suturing?
a.To decrease the chance of infection
b.To decrease the chance of seroma formation
c.To improve hemostasis
d.To minimize necrosis
b.To decrease the chance of seroma formation
500
When gloving for surgery, which of the following is not permitted?
a.One gloved thumb touches the other gloved thumb.
b.The outside of the glove is touched by the scrubbed fingers.
c.The outside of the gown cuff is touched by inside of the glove cuff.
d.The scrubbed fingers touch the inside of the glove cuff.
b.The outside of the glove is touched by the scrubbed fingers.
500
You are checking on a recent surgical wound and find that the tissue is slightly warmer and redder than the surrounding tissue. What is the significance of this?
a.It is an indication that the wound is contaminated and requires an emergency intervention.
b.The wound will likely dehisce and should be checked immediately by the veterinarian.
c.It is normal, because the first stage of wound healing is inflammation.
d.It is an indication that the sutures are interfering with blood flow, and necrosis is likely.
c.It is normal, because the first stage of wound healing is inflammation.
500
A laminectomy is used to treat
a.Intervertebral disk disease
b.Fractures of spinous processes
c.Hip dysplasia
d.Foot disorders in horses
a.Intervertebral disk disease