Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by

Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

TEST BANK Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

Surgical Technology for the Surgical Technologist: A Positive Care Approach 5th Edition by Association of Surgical Technologists

TABLE OF CONTENTS Chapter 01: Orientation to Surgical Technology Chapter 02: Legal Concepts, Risk Management, and Ethical Issues.

Chapter 03: The Surgical Patient.

Chapter 04: Special Populations.

Chapter 05: Physical Environment and Safety Standards.

Chapter 06: Biomedical Science.

Chapter 07: Preventing Perioperative Disease and Transmission.

Chapter 08: Emergency Situations and All-Hazards Preparation.

Chapter 10: Instrumentation, Equipment, and Supplies.

Chapter 11: Hemostasis, Wound Healing, and Wound Closure.

Chapter 12: Surgical Case Management.

Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

Chapter 13: Diagnostic Procedures.

Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

Chapter 14: General Surgery.

Chapter 15: Obstetric and Gynecologic Surgery.

Chapter 16: Ophthalmic Surgery.

Chapter 17: Otorhinolaryngologic Surgery.

Chapter 18: Oral and Maxillofacial Surgery.

Chapter 19: Plastic and Reconstructive Surgery.

Chapter 20: Genitourinary Surgery.

Chapter 21: Orthopedic Surgery.

Chapter 22: Cardiothoracic Surgery.

Chapter 23: Peripheral Vascular Surgery.

Chapter 24: Neurosurgery

Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

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Chapter 01: Orientation to Surgical Technology 1. Which of the following terms is used to describe surgical intervention that does not have to be performed immediately or within a short period of time, for example, a torn meniscus repair? a. elective b. emergent c. optional d. urgent ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 2. Which of the following historical figures is considered the father of modern anatomy and changed the traditional approach to anatomical studies? a. Aristotle b. Homer c. Paré d. Vesalius ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 3. Which of the following historical figures developed the first x-ray machine? a. Celsius b. Jenner c. Lister d. Roentgen ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 4. How many phases of surgical case management are there? a. 2 b. 3 c. 4 d. 5 Copyright Cengage Learning. Powered by Cognero.

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Test Bank Surgical Technology for the Surgical Technologist A Positive Care Approach 5th Edition by Association of Surgical Technologists

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Chapter 01: Orientation to Surgical Technology ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 5. Which of the following surgical team members would be primarily responsible for maintaining the patient’s operative record and transporting the patient to the post-anesthesia care unit (PACU)? a. anesthesia provider b. circulating RN c. surgeon d. surgical technologist ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 6. Which of the following surgical team members would be responsible for separating instruments and disassembling the sterile field in the postoperative phase? a. CRNA b. CRNFA c. CSFA d. CST ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 7. Which organization develops national certification exams for surgical technologists and surgical first assistants and confers the appropriate credential to eligible certificants? a. ARC/STSA b. AST c. CAAHEP d. NBSTSA ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 8. Which of the following symbols on the Association of Surgical Technologists (AST) logo represents the surgical technologist performing various roles in surgery? a. empty circle b. empty rectangle c. black/blue triangle d. filled rectangle ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 11/29/2016 6:50 AM 9. Which of the following roles is defined by the American College of Surgeons (ACS) as providing aid in exposure, hemostasis, and other technical functions that help the surgeon carry out a safe operation with optimal results for the patient? a. assistant circulator b. surgical first assistant c. first scrub d. second scrub ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 10. A private surgical technologist is usually employed by which of the following? a. surgeon or physician group b. ambulatory surgery center c. instrument sales company d. traveling staffing agency ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 11. The terms entry-level, proficient, and expert practitioners are applied to which of the following?

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Chapter 01: Orientation to Surgical Technology a. accreditation status of surgical technology programs b. continuing education (CE) credit categories c. NBSTSA certification titles d. AST recommended clinical ladder levels ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 12. Which term describes the relationship between the certified surgical technologist (CST) and the other members of the surgical team in the OR? a. contractual b. professional c. social d. therapeutic ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 13. Which term describes the relationship between the CST and the patient or the patient’s family? a. medical b. professional c. social d. therapeutic ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 14. In or by which of the four components of communication would “decoding” take place? a. sender b. message c. receiver d. feedback ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 15. Which example of nonverbal body language might a patient perceive as a negative attitude from a team member? a. tightly folded arms b. direct eye contact c. leaning toward patient d. head nodding in agreement ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 16. Which of the following behaviors would NOT be considered an example of “workplace violence”? a. rumors and gossip b. yielding to the other’s viewpoint c. unwanted sexual advances d. demeaning comments or criticisms ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 17. According to the AST position statement on teamwork, which type of environment contributes most to a safe and efficient surgical experience with positive patient outcomes? a. collaborative b. corporate c. fast-paced d. technological ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 18. Which term describes the surgical technologist’s foundational commitment to professional honesty, confidentiality, Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology fair treatment, cost containment, and attention to the highest level of surgical patient care? a. aseptic principles b. job description c. policy and procedure d. surgical conscience ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 19. Which term describes a physician-group-owned hospital? a. community b. nonprofit c. proprietary d. tax supported ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 20. Which acronym represents an organization that serves as both an insurer and provider of medical services? a. CDC b. CEO c. FDA d. HMO ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 21. Surgical technologists and other allied health professionals in perioperative services usually work under the direction of which hospital administrative director? a. chief executive officer b. chief financial officer c. medical director d. director of nursing ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 22. What type of professional would have DO or DPM after his or her name? a. pharmacist b. director c. dentist d. dietitian ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 11/29/2016 9:37 PM 23. Through which hospital department or committee would the certified surgical first assistant (CSFA) submit a request for privileges to work in the operating room? a. risk management b. nursing services c. medical staff d. auxiliary and volunteers ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 24. Which department would provide services for repair of broken equipment or to do routine preventive checks? a. maintenance and biomed b. diagnostic imaging c. environmental services d. risk management ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 11/29/2016 7:10 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology 25. What does the acronym DRG stand for in the hospital setting? a. doctor of gynecology b. department of radiography c. drug reference guide d. diagnosis related groups ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 26. The federal governmental insurance programs under the general heading of CMS include all of the following EXCEPT: a. Medicare Part A b. Medicare Part B c. CHAMPUS d. Medicaid ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 27. Which of the following is the membership organization for surgical technology with a board of directors elected by a house of delegates? a. ARC/STSA b. AST c. CAAHEP d. NBSTSA ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 28. When an ARC/STSA site visitor is sent to a surgical technology program to verify and clarify records and annual reporting information, to whom does he or she submit the findings? a. ACS b. AST c. CAAHEP Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology d. NBSTSA ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 29. Which of the following membership organizations would the circulating RN in the operating room likely join as a member? a. ACS b. AMA c. AAMI d. AORN ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 30. The CST and CSFA credentials are registered trademarks of which organization? a. ARC/STSA b. AST c. CAAHEP d. NBSTSA ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 31. The hospital’s infection control nurse would report any suspicion of rare or mysterious infectious diseases to which governmental agency? a. CDC b. EPA c. FDA d. OSHA ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 32. Which organization would employees of the central sterile processing department likely join as members? a. AMA b. EPA c. IAHCSMM d. NIOSH ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 33. Which federal regulatory agency is dedicated to enforcing workplace safety and preventing worker injuries? a. ANSI b. EPA c. FDA d. OSHA ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 34. Which of the following is an independent, nonprofit national organization that develops standards for and accredits health care organizations in the United States? a. the Joint Commission b. U.S. Department of Health and Human Services c. American National Standards Institute d. Centers for Disease Control and Prevention ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 35. A medical device or surgical piece of equipment that has failed would have to be taken out of service and any patient injury reported to which of the following agencies? a. EPA Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology b. FDA c. OSHA d. WHO ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 36. Which of the following pioneers of medicine and surgery first developed techniques for surgical antisepsis? a. Billroth b. Galen c. Halsted d. Lister ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 37. Which specialist would likely have privileges to surgically treat diseases of the breast, hepatobiliary and gastrointestinal systems, and thyroid gland? a. endocrinologist b. general surgeon c. gynecologist d. urological surgeon ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 38. After which of the following military conflicts did Great Britain and the United States begin to train and employ allied health professionals predominantly in the scrub role in surgery? a. Civil War b. Revolutionary War c. Vietnam War d. World War II ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 39. Which national membership organization’s House of Delegates proposed the creation of the Association of Operating Room Technicians (AORT) in 1969? a. ACS b. AMA c. ANA d. AORN ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 40. What do conscientiousness, problem solving, skills competency, teamwork, and commitment to continuing education represent for a CST? a. college prerequisites b. legal doctrines c. professional traits d. religious philosophies ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 41. A physician who is a contracted provider in a PPO or HMO will receive reimbursement for fees based on a capitated rate of payment. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 42. The ARC/STSA administers the national certification examination for surgical technologists and owns the CST® and CSFA® credentials.

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Chapter 01: Orientation to Surgical Technology a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 43. Professionalism is a lifelong commitment for a surgical technologist who has specific duties and responsibilities for providing the highest quality surgical patient care. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 44. AST’s mission statement is, “Enhancing the profession to ensure quality patient care.” a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 45. Surgical technologists may discuss details of their daily experiences as long as they are not in a public place. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Match each term below with its description. a. Resume b. Surgical assistant Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology c. Job description d. Organizational structure e. Career ladder f. Role g. Allied Health h. Feedback i. Intraoperative case management j. Problem-solving skills QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 46. Set of responsibilities or expected results associated with a job; descriptions are broad in scope ANSWER: f POINTS: 1 47. Prioritizing, considering alternatives, evaluating abilities, working with others to address challenges to patient care ANSWER: j POINTS: 1 48. Maintaining sterile field, passing instruments to surgeon, performing surgical counts, handling medications, preparing specimens and dressings ANSWER: i POINTS: 1 49. Individual with training and credentials to help position, drape, and transfer patient as well as provide visualization of operative site and close body planes ANSWER: b POINTS: 1 50. Title, requirements for employment, nature of position, duties, accountability for actions ANSWER: c POINTS: 1 51. Pathway or program of upward movement to positions of increased responsibility within an organization ANSWER: e POINTS: 1 52. Overview of career objectives, qualifications, experience, education and skills; used as reference in employment search ANSWER: a POINTS: 1 53. Important goal of communication process when the sender knows message was understood by receiver; may be either Copyright Cengage Learning. Powered by Cognero.

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Chapter 01: Orientation to Surgical Technology verbal or nonverbal.

ANSWER: h POINTS: 1 54. Hierarchical layers of hospital administrative departments, services, directors, and trustees ANSWER: d POINTS: 1 55. Classification of cell saver, medical lab, radiology, EEG, and orthopedic technicians, and other hospital employees ANSWER: g POINTS: 1

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues 1. Which of the following is an example of an intentional tort pertaining to surgical patient care? a. A patient suffers a burn due to hot instruments. b. Restraints are used on a patient who threatens to leave. c. A tissue specimen is misplaced by a transporter. d. A retained surgical sponge is discovered in subsequent procedure.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 2. Which of the following legal doctrines would MOST likely apply in the case of a wrong site surgery or retained foreign body? a. aeger primo b. caveat emptor c. primum non nocere d. res ipsa loquitur ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 3. The phrase “departure from the standard of care” BEST describes which of the following legal terms? a. larceny b. liability c. malpractice d. negligence ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 4. Which of the following legal terms is BEST described as “professional misconduct that results in harm to another”? a. allegation b. liability c. malpractice d. negligence ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 5. What is the term that describes a method of pretrial discovery in which a surgical team member might answer questions under oath? a. allegation b. deposition c. indictment d. precedent ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 6. Which of the following torts would be classified as unintentional? a. battery b. defamation c. foreign bodies left in patient d. invasion of patient privacy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 7. Which type of consent applies when emergency circumstances exist when reasonable providers believe that a patient would agree to treatment, even if no form was signed or verbal permission given? a. direct b. implied c. informed d. general ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues 8. A special consent form would be required for which of the following situations during a hospital admission? a. chest x-ray b. phlebotomy c. respiratory therapy d. surgical procedure ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 9. All of the following are components of the surgical patient’s medical record EXCEPT: a. anesthesia record b. history and physical c. interdepartmental communications d. surgeon’s preference card ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 10. Which member of the surgical team is ultimately responsible for obtaining a written, informed surgical consent from a patient? a. anesthesia provider b. circulating RN c. surgeon d. surgical technologist ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 11. In 2004, which of the following agencies created the “Do Not Use” abbreviation list? a. the Joint Commission (JC) b. American Medical Association (AMA) c. Association of periOperative Registered Nurses (AORN) d. Occupational Safety and Health Administration (OSHA) Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 12. What is the name of the type of report sent to risk management in an effort to decrease the chance of harm to patients or staff or damage to hospital property? a. advance directive b. informed consent c. Safe Medical Device Act d. sentinel event ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 13. Which of the following surgical patients would be legally authorized to sign an informed surgical consent, based on medical practice acts and state law? a. premedicated competent adult b. adult in a persistent vegetative state c. an emancipated 16-year-old minor d. a foreign language speaker without an interpreter ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 14. Which of the following pertains to a patient’s wishes about medical treatment and self-determination in the event of incapacitation or inability to communicate? a. advance directive b. deposition c. informed consent d. sentinel event ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 15. Which of the following terms best describes the process of keeping thorough, accurate, and legal records of a patient’s medical care? a. accountability b. consent c. documentation d. liability ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 16. All of the following carry the force of state or national legal enforcement EXCEPT: a. implementation of the neutral zone b. Health Insurance Portability and Accountability Act c. Patient Self-Determination Act d. scope of practice ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 17. The American Hospital Association replaced its “Patient’s Bill of Rights” with which of the following? a. doctrine of personal liability b. Health Insurance Portability and Accountability Act c. Patient Self-Determination Act d. Patient Care Partnership ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 18. The broad objectives of the Health Insurance Portability and Accountability Act (HIPAA) include all of the following EXCEPT: a. eliminate medical errors Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues b. improve patient services c. protect patient privacy d. reduce health care fraud ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 19. Which of the following terms describes a civil wrong that may be intentional or unintentional? a. complaint b. indictment c. liability d. tort ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 20. The most common types of patient-care errors committed by operating room personnel, including negligence and malpractice, are categorized as: a. intentional torts b. corporate liability c. unintentional torts d. standard of care ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 21. In a common adage, what is the “best medicine” in health care? a. conscience b. documentation c. judgment d. prevention ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 22. According to the Joint Commission’s definition regarding consent to surgical intervention, which party has “autonomy”? a. anesthesia provider b. circulating RN c. the patient d. the surgeon ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 23. Which of the following terms describes the system of moral principles and rules that become standards of conduct for professionals? a. doctrines b. ethics c. morals d. precedents ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/9/2016 1:47 PM 24. Which of the following terms describes the principles such as benevolence, trustworthiness, and honesty for the care and well-being of others in society? a. doctrines b. ethics c. morals d. precedents ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues 25. Which of the following would NOT be considered an example of a potential ethical dilemma? a. patient privacy b. genetic engineering c. elective abortion d. right to die, termination of care ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 26. The legal term that identifies the knowledge and skills required for a profession and describes a health care provider’s core accountability, based on education, experience, and credentialing is: a. professional liability b. policies and procedures c. recommended standards of practice d. scope of practice ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 27. Which of the following is NOT a form of individual professional credentialing that protects the public from unqualified health care providers? a. accreditation b. certification c. licensure d. registration ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 28. Verification that educational programs meet minimum accreditation standards is done by: a. AST b. CAAHEP c. HIPAA d. NBSTSA Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 29. Graduates of CAAHEP or ABHES programs are eligible to sit for the CST or CSFA examinations administered by: a. ARC/STSA b. AST c. CSPS d. NBSTSA ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 30. The best assurance of safe and individual professional behavior by the CST or CSFA is a well-developed, unyielding: a. core curriculum b. liability insurance c. scope of practice d. surgical conscience ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 31. Which legal doctrine would be MOST applicable in a case involving failure by the RN and CST to do proper surgical counts resulting in retention of a foreign object and the surgeon being found not liable? a. captain of the ship doctrine b. doctrine of borrowed servant c. doctrine of corporate negligence d. primum non nocere ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues 32. Which legal doctrine would be MOST applicable in a case involving injury to a patient as a result of a hospital employee’s lack of proper training or credentialing? a. captain of the ship doctrine b. doctrine of borrowed servant c. doctrine of corporate negligence d. primum non nocere ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 33. Which type of legal action is MOST likely in cases involving tort law and operating room personnel? a. civil b. criminal c. federal d. statutory ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 34. If a patient suffered a burn as a result of improper application of the ESU dispersive (grounding) pad, the individual team member responsible may be found guilty in a lawsuit of which of the following? a. assault b. battery c. intentional tort d. negligence ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 35. Specimen loss, mislabeling, and improper preparation are examples of which of the following? a. battery b. defamation c. intentional tort Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues d. negligence ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 36. Which of the following terms meets the following definition: a voluntary and informed act in which one party gives permission to another party to “touch”? a. advance directive b. battery c. consent d. time-out ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 37. Which of the following forms of consent is defined by the Joint Commission as “agreement or permission accompanied by full notice about what is being consented to”? a. general b. implied c. informed d. special ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 38. Surgical team members who fail to monitor and protect a medicated patient from falling could be charged with: a. abandonment b. assault c. battery d. larceny ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 39. Which part of the patient’s medical record documentation would contain pre-op and post-op diagnoses, positioning, skin prep, start and stop times, counts, and dressings? a. advance directive b. anesthesia record c. informed consent d. intraoperative record ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 40. For which of the following processes are identification and reporting of unsafe conditions and hazards MOST critical? a. advance directives b. informed consent c. risk management d. unintentional torts ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 41. Which of the following was identified in the late 1990’s as causing more deaths in the United States than car accidents, AIDS, and breast cancer combined? a. equipment manufacturing flaws b. H1N1 influenza c. medical errors d. terrorist attacks ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 42. What is the name of the organization whose focus is on patient and worker safety and is a unique coalition of surgeons (ACS), anesthesiologists (ASA), operating room (AORN) and perianesthesia (ASPAN) nurses, CRNAs (AANA), surgical physician assistants (AASPA), and surgical technologists (AST)?

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues a. American National Standards Institute (ANSI) b. Council on Surgical and Perioperative Safety (CSPS) c. Occupational Safety and Health Administration (OSHA) d. the Joint Commission (TJC) ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 43. What is establishing a neutral zone designed to do? a. diffuse potential violence in high-stress situations b. prevent sharps injuries during surgical procedures c. reduce cross-contamination in the OR suite d. quarantine patients with airborne diseases ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 44. Which governmental agency has authority as outlined in the Safe Medical Device Act? a. EPA b. FDA c. HIPAA d. OSHA ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 45. The first scrub surgical technologist performs intraoperative tasks under the broad delegatory authority of the: a. anesthesiologist b. circulating RN c. OR supervisor d. surgeon ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 46. “Captain of the ship” doctrine holds the surgeon accountable for all actions of the operating room team in lawsuits. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 47. A surgical technology student who photographs a patient and posts the image on the Internet could be sued for invasion of privacy and HIPAA violation. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 48. General consent is obtained by patients admitted to the hospital and covers all routine services and medical treatment in broad terms but not invasive procedures such as surgery. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 49. Living will and durable power of attorney are examples of advance directives in health care. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 50. Errors in chart documentation should be erased to prevent confusion by subsequent caregivers. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Match each term below with its description. a. Plaintiff b. Malpractice insurance c. Defamation d. Aeger primo e. Precedent f. Larceny g. Patient h. Allegation i. Criminal negligence j. Primum non nocere k. Code of conduct l. Iatrogenic injury m. Accreditation n. Time-out o. Medical record p. Credential q. Federal law r. Guardian s. Intentional tort t. Assault QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 51. An injury resulting from the activity of health care professionals ANSWER: l POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues 52. Reckless disregard for the safety of another; willful indifference ANSWER: i POINTS: 1 53. Taking another’s property without consent ANSWER: f POINTS: 1 54. A statement one expects to prove true ANSWER: h POINTS: 1 55. “Above all, do no harm.”

ANSWER: j POINTS: 1 56. Willful, intentional acts that violate the civil rights of a patient ANSWER: s POINTS: 1 57. Slander or libel that damages a person’s reputation or good name ANSWER: c POINTS: 1 58. An act that causes another person to fear that he or she will be touched in an offensive, insulting, or physically injurious manner without consent or authority to do so ANSWER: t POINTS: 1 59. Prior to start of a procedure; all members of surgical team verify correct patient, procedure, site, and side.

ANSWER: n POINTS: 1 60. Court-appointed protector for an individual incapable of making his or her own decisions ANSWER: r POINTS: 1 61. Jurisdiction is given to courts in cases involving the interpretation and application of the U.S. Constitution, acts of Congress, and treaties ANSWER: q POINTS: 1 62. The individual who initiates a lawsuit ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 02: Legal Concepts, Risk Management, and Ethical Issues 63. Legal principle, created by a court decision, that provides an example of authority for judges deciding similar issues later ANSWER: e POINTS: 1 64. “A person who receives health services from a health care provider and who gives consent for the provider to provide those services.”

ANSWER: g POINTS: 1 65. The combined account of the interaction between the patient and the health care providers during a given incidence of illness or treatment.

ANSWER: o POINTS: 1 66. Professional liability coverage to cover discrepancy between hospital and individual policies in negligence lawsuits ANSWER: b POINTS: 1 67. Professional rules and standards of behavior that include principles such as impartiality, objectivity, duty of care, and confidentiality and disclosure ANSWER: k POINTS: 1 68. Title used that establishes a minimum knowledge base for a given health care profession ANSWER: p POINTS: 1 69. Assessment of educational programs for quality and effectiveness and used as a criterion for eligibility to sit for a national certification examination ANSWER: m POINTS: 1 70. The motto used by AST, meaning “The Patient First” ANSWER: d POINTS: 1

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Chapter 03: The Surgical Patient 1. Which of the following diagnoses is currently used in most jurisdictions of the world to define a state of irreversible death? a. higher brain death b. myocardial infarction c. respiratory arrest d. whole brain death ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 2. Which of the following is NOT one of the “Five Stages of Grief”? a. acceptance b. bargaining c. denial d. repression ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 3. What type of procedure or care provides a terminal patient with symptom relief or avoidance and improves quality of the remaining life expectancy? a. definitive b. palliative c. supportive d. therapeutic ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 4. Which of the following terms represents a positive physical and psychological state of a patient? a. distress b. dyspnea c. eustress d. euthanasia Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 5. Under what circumstances would many hospitals rescind (invalidate) a “Do Not Resuscitate/Do Not Intubate” order? a. A patient is admitted to ICU with pneumonia. b. A family member disagrees with patient’s wishes. c. A patient must undergo a therapeutic surgical procedure. d. A perianesthesia nurse discovers an unresponsive patient in the PCU. ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 6. Which of the following is NOT a form of advance directive? a. do not resuscitate (DNR) b. durable power of attorney c. donation after cardiac death d. document of self-actualization ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 7. Maslow’s research produced a hierarchical structure of a. administrative authority b. pathological diseases c. human progression d. insurance reimbursement ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM

.

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Chapter 03: The Surgical Patient 8. For what type of research was Sister Callista Roy best known? a. adaptation model b. hierarchy of needs c. patient care partnership d. five stages of grief ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 9. For what type of research was Elizabeth Kubler-Ross best known? a. adaptation model b. hierarchy of needs c. patient care partnership d. five stages of grief ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 10. Which type of general category of death would most likely generate high emotional trauma for family members and a need to follow protocols for preservation of evidence in the perioperative period? a. accidental b. chronic c. prolonged d. terminal ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 11. Which of the following terms describes a set of therapies that preserve a patient’s life when body systems are not functioning sufficiently? a. advance directives b. hierarchy of needs c. life support d. therapeutic surgery Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 12. Which of the following legislative rulings requires medical facilities to inform patients of their rights to choose the types and extent of medical care available and their legal right to advance directives? a. Omnibus Budget Reconciliation Act b. Patient Self-Determination Act c. Food, Drug, and Cosmetic Act d. Affordable Care Act ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 13. Who would be responsible for seeking consent from family members for organ donation after a patient is determined to have suffered whole-brain death? a. family’s spiritual advisor (pastor, priest, rabbi, etc.) b. facility’s gift of life coordinator c. patient’s durable power of attorney d. surgical department chairperson ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 14. Which of the following needs identified by Maslow would likely be MOST prominent in a surgical patient’s mind? a. esteem b. love and belonging c. safety d. self-actualization ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient DATE MODIFIED: 2/11/2016 9:27 AM 15. Which of the following levels of Maslow’s hierarchy of needs is the pinnacle and can be accomplished only when all other needs are met? a. esteem b. love and belonging c. physiological and safety d. self-actualization ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 16. Which of the following religions typically prohibits its followers from receiving blood transfusions? a. Roman Catholic b. Jehovah’s Witness c. Mormon d. Protestant ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 17. Which organs or tissues can be recovered after death or after a patient has already been removed from life support? a. bone b. heart c. liver d. pancreas ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 18. A person with only basic physiological functions of respiration, blood pressure, and heartbeat intact is categorized as having suffered which kind of death? a. cardiac b. higher brain Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient c. sudden d. whole-brain ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/9/2016 2:17 PM 19. Which of the following religions believes in reincarnation and that the rebirth is influenced by the previous death experience? a. Judaism b. Muslim c. Buddhism d. atheism ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 20. Denial, rationalization, regression, and repression are common forms of what type of mechanisms? a. coping b. diagnostic c. physiological d. treatment ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 21. Which of the following needs of the surgical patient is related to the identification and understanding of an individual’s place in the universe and may include his or her views on theology, philosophy, or mythology? a. physical b. psychological c. social d. spiritual ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 22. Which of the following needs of the surgical patient is related to anatomy and physiology, genetics, and pathology? a. physical b. psychological c. social d. spiritual ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 23. Which of the following procedures would be surgical treatment for an elderly patient’s psychological dissatisfaction with his or her appearance? a. blepharoplasty and rhytidectomy b. laparoscopic cholecystectomy c. transurethral resection of prostate d. extracorporeal shockwave lithotripsy ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 24. What does Sister Callista Roy define as “all conditions, circumstances, and influences that surround and affect the development and behavior of the person”? a. adaptation b. development c. environment d. synchronization ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 25. Which area of concern or fear would most likely be the main focus for a toddler scheduled for surgery?

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Chapter 03: The Surgical Patient a. abandonment b. body image c. mortality d. privacy ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 26. Which area of concern or fear would MOST likely be the main focus for a teenage patient having surgery? a. abandonment b. body image c. insurance coverage d. mortality ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 27. The patient statement " I know I will be in a better place" is part of: a. a coping mechanism b. the hierarchy of needs c. a physiological stressor d. the acceptance stage of grief ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/9/2016 3:00 PM 28. Which of the following conditions was defined by the Harvard School of Medicine and include the following physical signs: flat EEG, unresponsiveness, lowered body temperature, and absent pupil reflexes? a. acute myocardial infarction b. higher brain death c. respiratory arrest d. whole-brain death ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 29. SIDS (formerly known as “crib death”) is categorized as which general category of cause of death? a. accidental b. prolonged c. sudden d. terminal ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 30. What type of life-support treatment would be considered ultimately futile and its benefits far outweighed by the financial and emotional burden suffered by the family and health care system? a. curative b. extraordinary c. ordinary d. palliative ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 31. A terminally ill patient whose advance directive is to refuse any life-saving efforts by health care workers is choosing which type of euthanasia? a. active b. involuntary c. passive d. voluntary ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient 32. What is a normal human emotion that surgical team members may feel for their patients, but must not interfere with their abilities to maintain focus on their jobs, particularly in all-hazards situations? a. empathy b. eustress c. repression d. reconciliation ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 33. A patient may be considered a candidate for donation after cardiac death (DCD) if his or her heart is predicted to cease functioning within what period of time after removal from mechanical support? a. immediately b. 30 minutes c. 90 minutes d. 3 hours ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 34. In recognition of which religion’s death rites would the operating room staff allow the deceased patient’s son or other relative to close the eyes and mouth and wash the body after removal from the surgical suite? a. Catholic b. Jewish c. Jehovah’s Witness d. Mormon ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 35. The death of a patient from complications of asthma or high blood pressure would be categorized as which general category of cause of death? a. accidental b. prolonged Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient c. sudden d. terminal ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/9/2016 2:44 PM 36. In general, a surgical procedure represents a physical, psychological, social, and spiritual event to the patient. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 37. Dr Hans Selye defines stress as a "nonspecific response of the body a demand" (2006) a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/9/2016 2:51 PM 38. Cultural and religious values of patients can conflict with the practice of modern medicine. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 39. Title XI of the Omnibus Budget Reconciliation Act of 1986 requires hospitals to establish protocols for organ procurement or risk losing funding by the Centers for Medicare & Medicaid Services (CMS). a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 03: The Surgical Patient ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 40. Anointing of the sick is a practice of Muslim tradition and includes facing the patient toward the holy city of Mecca. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM

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Chapter 04: Special Populations 1. Which physiological response to environmental temperature changes is missing or undeveloped in an infant of less than 6 months of age? a. fever b. flushing c. shivering d. shock ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 2. Diabetes mellitus is a disorder of which body system? a. cardiovascular b. endocrine c. genitourinary d. integumentary ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 3. In what way can the surgical technologist who is setting up his or her back table and Mayo stand reduce an 18-monthold patient’s anxiety prior to induction of anesthesia? a. Wave to and joke with patient, while maintaining distance from unsterile areas. b. Break scrub and hold patient down on bed during IV placement. c. Leave room when patient enters to reduce number of persons in room, returning after anesthesia induction. d. Perform normal duties of preparation of the sterile field, keeping as quiet as possible for induction.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 4. What is the MOST common type of shock seen in infants and children? a. cardiogenic b. hypervolemic c. hypovolemic d. septic Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 5. An emergency laparotomy would be the indicated treatment for all of the following postoperative bariatric surgery complications EXCEPT: a. abdominal catastrophe b. gastric perforation c. thrombophlebitis d. bowel strangulation ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 6. What is a common potential side effect of all forms of antibiotic therapy for major pediatric infections? a. hypovolemic shock b. kernicterus c. pseudomembranous enterocolitis d. tooth enamel staining and hypoplasia ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 7. Overgrowth of which microorganism is most likely responsible for pediatric cases of enterocolitis following antibiotic therapy? a. Clostridium difficile b. Escherichia coli c. Helicobacter pylori d. Staphylococcus aureus ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations DATE MODIFIED: 2/11/2016 9:27 AM 8. What is the number one cause of death in children ages 1 to 15 in the United States? a. accidents b. carcinoma c. genetic malformations d. metabolic disorders ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 9. A patient undergoing bariatric surgery may require extra time for general anesthetic reversal because anesthetic agents may be accumulated in and slowly eliminated from what type of tissue? a. adipose fat b. hypertrophic liver c. lung alveoli d. smooth muscle ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 10. What is a coping mechanism often seen in children reacting to trauma? a. adaptation b. denial c. regression d. trivializing ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 11. Which of the following is a common response of pediatric patients to injury and may result in gastric dilatation? a. assuming a fetal position b. hyperventilation c. projectile vomiting Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations d. syncope and collapse ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/9/2016 3:36 PM 12. Which organ is responsible for the failure to produce insulin in a patient with type I diabetes? a. kidney b. liver c. pancreas d. spleen ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 13. Which classification of antibiotics is contraindicated for use in neonates due to increased incidence of kernicterus? a. cephalosporins b. penicillins c. sulfonamides d. tetracyclins ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 14. Which position enhances a bariatric patient’s total lung volume and aids in ventilation? a. lateral chest b. low-lithotomy c. Trendelenburg d. reverse Trendelenburg ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations 15. Bariatric patients undergoing surgery and in the immediate postoperative period should have sequential compression devices applied to the lower extremities to prevent: a. congestive heart failure b. deep vein thrombosis c. hypovolemic shock d. respiratory arrest ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 16. What type of physiological measurement method is rarely done in a neonatal patient due to risk of anatomical trauma? a. cut-down intra-arterial catheter placement b. urethral catheterization for urinary output c. esophageal temperature probe placement d. pulse oximetry for blood oxygen saturation ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 17. What other condition frequently suffered by obese patients and discovered intraoperatively may be treated surgically in conjunction with a bariatric procedure? a. cholelithiasis b. degenerative osteoarthritis c. non-insulin-dependent diabetes mellitus d. obstructive sleep apnea ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 18. What is the name of the device used to test the blood of patients with diabetes for metabolic status? a. acetometer b. glucometer c. insulometer Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations d. ketometer ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 19. Which of the following is the major cause of serious trauma suffered by pediatric patients? a. bicycle falls b. birth injuries c. electrical burns d. motor vehicle accidents ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 20. What is the usual cause of a clavicular fracture of a neonate during a vaginal delivery? a. cephalopelvic disproportion b. placenta previa c. shoulder dystocia d. use of surgical forceps ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 21. What is the chemical and physiological classification of insulin? a. carbohydrate b. hormone c. protein d. sugar ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations 22. During which part of pregnancy would an abdominal surgery be considered safest for both mother and fetus? a. first trimester b. second trimester c. third trimester d. concurrent with delivery ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 23. Placement of a rolled sheet or pad to elevate a pregnant patient’s right hip, tilting the operating room table to the left with slight Trendelenburg, or both will shift the weight of the gravid uterus and relieve pressure from the: a. abdominal aorta and vena cava b. bilateral sciatic nerves c. pelvic floor and bladder d. ureters and right kidney ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 24. Multiple sclerosis, lupus erythematosus, and rheumatoid arthritis are examples of: a. autoimmune diseases b. congenital anomalies c. demyelinating processes d. hereditary disorders ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 25. Which patient condition might be characterized by physical appearance of flat nasal bridge and short neck with some impairment of cognitive ability and growth, slower speech, and an affectionate to clingy persona? a. Alzheimer’s disease b. Down syndrome c. juvenile diabetes Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations d. pituitary dwarfism ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 26. For which condition would a patient coming to the operating room likely need an interpreter? a. total blindness b. complete deafness c. Down syndrome d. vegetative state ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/9/2016 3:47 PM 27. For which type of transmission-based disease would health care workers need to be fitted for an N-95 respirator mask? a. airborne b. contact c. droplet d. vector-borne ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 28. All of the following national agencies have regulations or protocols for health care workers who may be exposed to infectious diseases in their work environment EXCEPT: a. CDC b. NIOSH c. NFPA d. OSHA ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations DATE MODIFIED: 2/11/2016 9:27 AM 29. For which special patient population group would the help of a counselor or social worker who could communicate the current state of mind or mood of the patient to the OR staff be of benefit to all parties involved? a. geriatric b. isolation c. pediatric d. substance abuse ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 30. What is the term for the mechanism of injury in a trauma patient that takes into account velocity of the injuring force, flexibility of the tissue, and shape of the injuring force? a. advance directive b. informatics c. kinematics d. trauma designation ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 31. Which level of trauma center designation can meet all the needs required for treating patients on a 24-hour basis? a. Level I b. Level II c. Level III d. Level IV ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 32. Which of the following activities would present no risk of contracting HIV from an infected individual? a. conversation in close proximity b. pregnancy and childbirth Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations c. sharing used hypodermic needles d. unprotected sexual relations ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 33. Kaposi’s sarcoma is sometimes seen in combination with which of the following diseases? a. TB b. HBV c. HPV d. AIDS ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 34. Because of the types of drugs used to prevent rejection of a transplanted organ, the recipient patient is considered to have which of the following? a. autoimmune disorder b. immunodeficiency syndrome c. immunosuppressed status d. T-lymphocyte compromise ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 35. Which organ is MOST often injured in motor vehicle accidents? a. brain b. heart c. liver d. spleen ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 36. The term golden hour refers to reduction of morbidity and mortality of which type of patient population? a. pregnant patients b. trauma victims c. premature neonates d. organ transplant recipients ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 37. Physical forces of deceleration, acceleration, compression, and shearing are factors in which type of injuries? a. blunt b. electrical c. hypothermia d. penetrating ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 38. High- or low-velocity projectiles are factors in which type of injuries? a. blunt b. electrical c. hypothermia d. penetrating ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 39. During a surgical procedure on a pregnant patient, the surgical technologist in the scrub role may be asked to palpate what area to detect possible contractions? a. carotid artery b. gravid uterus Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations c. radial artery d. xiphoid process ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 40. A patient with acquired immunodeficiency virus may have complications of multiple infections from diseases considered to be: a. benign b. opportunistic c. symbiotic d. transient ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 41. In which pediatric age group would all of the craniofacial sinuses be fully developed? a. neonatal b. toddler c. preschooler d. adolescent ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 42. Which anesthetic method helps reduce the anxiety and stress experienced by pediatric surgical patients? a. awake intubation b. Bier block c. rapid induction d. spinal continuous drip ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 43. Morbid obesity refers to patients whose body weight is greater than how many pounds over their ideal weight? a. 15 b. 50 c. 75 d. 100 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 44. Which body system is highly susceptible to injury during positioning of bariatric and geriatric patients? a. cardiovascular b. digestive c. integumentary d. respiratory ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 45. Vomiting from preoperative narcotics can predispose patients with diabetes to fluid and electrolyte imbalances resulting in: a. hypertension b. hypotension c. hyperglycemia d. hypoglycemia ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 46. Which of the following is NOT a potential risk from administration of general anesthesia to a pregnant patient? a. fetal death b. lower birth weight Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations c. placenta previa d. preterm labor ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 47. Which diagnosis could create a social stigma and possible overdramatization of exposure risk by health care workers? a. carcinoma of the lung b. human immunodeficiency virus c. morbid obesity d. type II diabetes mellitus ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 48. Which special patient populations would likely require diagnostic biopsies for verification of cryptosporidiosis, candidiasis, or cytomegalovirus infections? a. HIV/AIDS b. diabetic c. geriatric d. trauma ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 49. Conditions such as severe arthritis, contractures, and tremors are categorized under which type of challenge? a. cognitive b. developmental c. physical d. sensory ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 50. Which broad category of routes of transmission of microorganisms includes food, water, and medical devices and equipment? a. airborne b. droplet c. common vehicle d. vector-borne ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 51. Approximately 80% of which special patient population presents to surgery with one or more comorbid conditions? a. geriatric b. pregnant c. pediatric d. sensory impaired ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 52. Which special patient population group has a 30% to 80% statistical likelihood of coexisting psychiatric illness in addition to the diagnosis for which they are coming to surgery? a. HIV/AIDS b. geriatric c. physically challenged d. substance abuse ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 53. To preserve evidence in a criminal case, what might be done to the patient’s hands if the patient does not require surgery?

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Chapter 04: Special Populations a. A hand sanitizer is rubbed into the skin of the hands. b. Bags are placed around the hands and taped in place. c. Sterile oversized gloves are placed on both hands. d. A surgical scrub brush and water are used to 2 inches above the elbows.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 54. In a surgical procedure on a severely injured trauma patient, which of the following measures is of utmost importance? a. performing accurate sponge, sharps, and instrument counts b. prepping all traumatic wounds with a pulse lavage device c. keeping the patient’s spine in alignment during changes in position d. keeping the patient’s body temperature well below 35°C (95°F).

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 55. A surgical technologist working in a Veteran’s Administration (VA) facility might frequently encounter patients with which of the following conditions? a. COPD b. DCIS c. IDDM d. PTSD ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 56. Pediatric patients require an enhanced team focus on the physiological needs in a more dramatic way than any other age group. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 57. In many cases, for all age populations, pulse oximetry has replaced arterial blood gases (ABGs) as the routine method of monitoring blood oxygenation, due to its low cost, ease, and decreased potential for infection. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 58. Wound healing in bariatric surgery patients is enhanced due to the increased vascularity of adipose tissue. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 59. Surgical site infections (SSIs) are the most common postoperative complication in patients with diabetes due to the increased perfusion of affected tissues. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 60. Patients with developmental delays may suffer cognitive disabilities, but may also exhibit normal intelligence. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Match each term below with its description. a. Torticollis b. Glasgow Coma Scale c. Adolescent d. Septic e. CVP line f. Splenomegaly g. PTSD h. Hypovolemic i. Diabetic retinopathy j. Myocardial hypertrophy QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 61. Classification of patients ranging from 13 to 18 years of age ANSWER: c POINTS: 1 62. Method of continuous ECG monitoring via placement of catheter in the subclavian or internal jugular vessels; may require a cut-down ANSWER: e POINTS: 1 63. Type of shock resulting from gram-negative bacteria leading to UTI, peritonitis, or URI ANSWER: d POINTS: 1 64. Neck contracture due to injury of the sternocleidomastoid muscle ANSWER: a POINTS: 1 65. Enlargement of the heart muscle in morbidly obese patient, which may lead to congestive heart failure ANSWER: j POINTS: 1 66. Progressive blindness due to compromised vascularity of the eye ANSWER: i POINTS: 1 67. Type of shock in which blood pressure is decreased and pulse rate is increased; patient may show signs of cool and Copyright Cengage Learning. Powered by Cognero.

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Chapter 04: Special Populations clammy skin ANSWER: h POINTS: 1 68. Enlargement of the spleen, which may result in debilitating fevers ANSWER: f POINTS: 1 69. Component of the Revised Trauma Score that assesses a patient’s level of responsiveness to pain or other stimuli ANSWER: b POINTS: 1 70. Diagnosis of long-standing emotional, psychological, and social problems; experienced by war veterans and crime victims; may experience anxiety and flashbacks as a result of their experiences ANSWER: g POINTS: 1

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Chapter 05: Physical Environment and Safety Standards 1. The emergency shut-off valve for the supply of oxygen into an operating room is designated by which color? a. black b. blue c. green d. red ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 2. Which characteristic of surgical overhead lights allows the surgeon to differentiate between the colors of arterial and venous blood or subtle color changes in tissues? a. lightbulbs that give fluorescent light b. lightbulbs that approximate sunlight c. adjustable tracks for repositioning lights d. spot focus with dark center to prevent glaring ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 3. Where are surgical instrument “booms” mounted in an operating room? a. ceiling b. door c. floor d. wall ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 4. Which piece of OR furniture is usually the MOST proximal to the operative site? a. back table b. kick bucket c. Mayo stand d. ring stand ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 5. All doors into a restricted area must remain closed during an operation to: a. preserve negative air pressure b. preserve positive air pressure c. reduce air turbulence d. none of the above ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 10:44 AM 6. What is the electrical engineering safety device required for all operating room electrical outlets? a. flip top cover b. red-color designation c. current converter d. grounding system ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 10:58 AM 7. An operating room where a surgical procedure is in progress would be considered what type of area? a. biohazardous b. decontamination c. restricted d. semirestricted ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 8. The Wilson frame is used for positioning a patient in which of the following surgical positions?

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Chapter 05: Physical Environment and Safety Standards a. lateral kidney b. lithotomy c. prone d. sitting ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 9. Which type of procedure would require an operating table with a fluid drain pan attachment? a. cardiac catheterization b. coronary artery bypass c. craniotomy d. cystoscopy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 10. An erasable board is usually hung in the OR that is within easy viewing range of the surgical team to record: a. sponge usage b. sharps c. instrument counts d. all of the above ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 11:25 AM 11. Which type of ventilation system provides a supply of clean air and reduces contaminants and fumes from the OR? a. negative, bidirectional b. negative, unidirectional c. positive, bidirectional d. positive, unidirectional ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 12. What are the Centers for Disease Control and Prevention (CDC) guidelines for OR air exchanges per hour? a. 10–15 with 20% fresh outside air b. 10–15 with 90% filtered recirculated air c. 20–25 with 20% fresh outside air d. 20–25 with 90% filtered recirculated air ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 13. Unless the patient is at risk of hypothermia, the temperature range in the OR should be between: a. 55°F and 60°F b. 63°F and 68°F c. 68°F and 73°F d. 75°F and 80°F ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 14. Which of the following components of personal protective equipment (PPE) are worn for procedures using fluoroscopy? a. laser mask and laser goggles b. arthroscopy boots and impervious apron c. plastic face shield and N-95 respirator mask d. lead apron and thyroid shield ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 15. Frozen section biopsies are sent to which hospital department for analysis? a. CT scan Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards b. nuclear medicine c. pathology d. sterile processing ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 16. What is the term used for the process of cleaning an OR after one procedure and preparing for a subsequent one? a. turnover b. crossover c. passover d. changeover ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 17. Which of the following is NOT a category of hazard for OR personnel or surgical patients? a. biological b. chemical c. physical d. physiological ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 18. Which of the following national agencies is an arm of the CDC and functions under the U.S. Department of Health and Human Services to research and establish permissible exposure limits for chemical vapors and gases? a. AAMI b. ANSI c. NIOSH d. NFPA ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 19. Which of the following terms relates to the potential impact on personnel from the duties of the job description or the handling and use of equipment and supplies encountered within the perioperative environment? a. aerobics b. ergonomics c. mnemonics d. prosthetics ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 20. The visual representation of the components necessary to support a fire is which of the following geometric shapes? a. circle b. ellipse c. square d. triangle ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 21. Which type of electricity is generated primarily by friction between two surfaces? a. alternating b. bipolar c. direct d. static ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 22. Which of the following diagnostic studies emits ionizing radiation? a. fluoroscopy Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards b. MRI scan c. pulse oximetry d. ultrasound ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 23. All of the following are ways to reduce personnel radiological exposure EXCEPT: a. amplification b. distance c. shielding d. time ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 24. A strategy to avoid intraoperative sharps injuries is to establish and use which type of a zone? a. danger b. exposure c. free d. neutral ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 25. Effective surgical smoke evacuator units suction and filter particles as small as: a. 0.1–0.5 µm b. 1.0–5.0 µm c. 0.1–0.5 mm d. 1.0–5.0 mm ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 26. What term is used for the smoke that is generated by use of a laser or electrosurgical unit pencil on tissue? a. emission b. fog c. plume d. scatter ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 27. What is the chemical name of the powder and liquid mixture used as bone cement for placement of prostheses? a. cyanoacrylate b. ethylene oxide c. activated glutaraldehyde d. polymethyl methacrylate ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 28. What is the name of the system attached to all anesthesia machines to remove waste anesthesia gases? a. scavenger b. sequestering c. shunting d. suppression ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 29. Which of the following is a substance that is derived from tropical trees and that patients and health care workers may be highly allergic to? a. chlorhexidine b. iodine Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards c. latex d. polyvinylchloride ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 30. Which type of natural immunoglobulins are responsible for the type I serious allergic reactions to rubber-containing items? a. IgA b. IgE c. IgG d. IgM ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 31. What distance from the impact site of a laser beam on tissue should the smoke evacuator be positioned to capture 98% of the plume? a. 1 cm b. 2 cm c. 5 cm d. 10 cm ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 32. What is the acronym for the treatment administered to a surgical technologist within 2 hours following a needle stick during a procedure on a patient with HIV? a. PASS b. PEP c. PPE d. PMMA ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 33. What distance from the portable x-ray unit should sterile members of the surgical team stand to reduce their exposure while the image is being taken? a. 1 foot b. 2 feet c. 4 feet d. as far as possible ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 8:53 AM 34. Which governmental agency mandates that operating rooms have a biohazard exposure control plan and make personal protective equipment available for personnel at risk? a. EPA b. FDA c. NRC d. OSHA ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 35. The part of the complete ESU circuit that delivers alternating current back from exposed tissue to the ESU generator is the: a. active electrode pencil b. foot control pedal c. patient return electrode (grounding pad) d. third prong of the grounded plug ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 9:45 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards 36. Harvey Cushing, M.D., and William Bovie, Ph.D., collaborated in the 1926 to create the first: a. anesthesia machine b. electrosurgical unit c. heart-lung machine d. portable x-ray generator ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 37. Equipment with the highest potential for serving as ignition sources in surgical fires include all of the following EXCEPT: a. electrosurgical units b. fiber-optic light cables c. laser fibers or beams d. phacoemulsification probes ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 38. Which of the following would be least damaging to and most effective on a fire involving a laser generator or electrosurgical unit? a. Class C halon extinguisher sprayed on unit b. cotton blankets used to smother fire c. sterile saline poured to douse fire d. unplugging power cord to stop flow of electricity ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 9:54 AM 39. Which of the following is the large piece of OR furniture onto which most sterile supplies are opened and organized for use during a case? a. back table b. Mayo stand c. prep table Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards d. ring stand ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 40. The post-anesthesia care unit (PACU) was previously often referred to as: a. holding b. isolation c. outpatient d. recovery ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 41. Which of the following is commonly used as a tissue fixative and preservative for surgical specimens sent to pathology? a. ethylene oxide b. formalin c. glutaraldehyde d. polymethyl methacrylate ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 42. What is the abbreviation for the sets of references that provide information about all potentially hazardous chemicals used in the perioperative setting and must be accessible to health care workers? a. AAMI b. MSDS c. NIOSH d. OSHA ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 43. Which of the following is NOT part of a three-prong plug? a. active (hot) wire/prong b. ground pin/prong c. bipolar wire/prongs d. inactive (neutral) wire/prong ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 44. Which of the following should be used by surgical team members to prevent potential injury from tasks involving heavy lifting, moving of equipment or patients, and long periods of standing or sitting? a. permissible exposure limits b. personal protective equipment c. post-exposure prophylaxis d. proper body mechanics ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 45. Which of the following is the type of head fixation device that attaches to the operating table used frequently for craniotomy procedures? a. C-arm unit b. lithotomy stirrups c. Mayfield brace d. Wilson frame ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 46. According to the American Latex Allergy Association, what percentage of health care workers are allergic to latex? a. 5-10% Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards b. 2-6% c. 10-15% d. 8-17% ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 11:30 AM 47. Which of the following is the mnemonic used to remember the steps for operating a fire extinguisher? a. PASS b. PMMA c. RACE d. RAST ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 48. Which of the following is the mnemonic used to remember the steps to take in the event of a surgical fire? a. PASS b. PMMA c. RACE d. RAST ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 49. All of the following are articulating breakpoints or removable sections of an operating table EXCEPT: a. head b. knee c. side d. waist ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 50. Which of the following organizations sets standards for electrical safety, sterilization, and use of medical devices? a. AAMI b. ANSI c. CSPS d. OSHA ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 51. Locker rooms, administrative offices, and the departmental main desk are examples of semirestricted areas in the OR suite. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 52. Infectious, blood-saturated and dripping, regulated medical waste should be contained and discarded in red bags with a biohazard symbol. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 53. Soiled sponges from the operative field are discarded into low-to-the-floor, rolling, lined kick buckets. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 54. Polymethyl methacrylate is a gas used to sterilize heat-sensitive surgical instruments, but must be aerated from items before use on the patient. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 55. The physical design of an OR suite is designed to control personnel, patient, and supply traffic and may be of a race track, hotel, or specialty grouping type. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Match each term below with its description a. CSPD b. Anesthesia cart c. Hypodermics d. Suction outlets e. Pre-op holding f. Static electricity g. Fluoroscopy h. Substerile i. Laminar flow j. Laser QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 56. Connection points for negative pressure lines that allow for removal of irrigation and body fluids from the surgical site or by the anesthesia provider for management of patient secretions Copyright Cengage Learning. Powered by Cognero.

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Chapter 05: Physical Environment and Safety Standards ANSWER: d POINTS: 1 57. Area of an operating room suite adjacent to an OR, which may contain a scrub sink or immediate-use steam sterilizer ANSWER: h POINTS: 1 58. Positive pressure gradient that prevents airborne contaminants in the corridors from entering the OR when doors are opened ANSWER: i POINTS: 1 59. Equipment used by CRNA or MD for induction, maintenance, monitoring, and reversal of a patient undergoing surgery ANSWER: b POINTS: 1 60. Surgical energy that uses intense focused light beams and is an ignition source for surgical fires if proper precautions not taken ANSWER: j POINTS: 1 61. Real-time intraoperative radiography that emits large amounts of ionizing radiation and requires use of a C-arm image intensifier ANSWER: g POINTS: 1 62. Ignition source caused by friction between two surfaces and electron transfer; resulting in sparks or palpable shocks ANSWER: f POINTS: 1 63. Separate department with direct or indirect connections to OR suite where instrument decontamination, assembly, and sterilization takes place and may include hospital materials storage ANSWER: a POINTS: 1 64. Category of “sharp” that has a beveled point and hollow cannula and either should not be recapped or should involve using the one-handed scoop method if recapping is necessary ANSWER: c POINTS: 1 65. Area of an operating room suite where patients have IV lines started, sign consents, interview with surgeons, anesthesia providers, and nurses prior to transfer to the OR for procedures ANSWER: e POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science 1. Google, Yahoo, and Bing are popular: a. computer processing units b. Internet service providers c. Internet search engines d. word-processing programs ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 2. How much memory does a computer with a gigabyte (GB) capacity hold? a. 1,000 bytes b. 1,000 kilobytes c. 1,000 megabytes d. 1 trillion bytes ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 3. What is the name of the device that has right and left buttons and a roller, and may be a wired or wireless part of a computer used to point and click to items on the monitor? a. keyboard b. mouse c. processor d. scanner ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 4. What term is used to describe the transferring of files and documents to a compact disc (CD)? a. burning b. etching c. flashing d. surfing ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 5. The clarity of a computer monitor screen image is its: a. resignation b. resistance c. resolution d. resonance ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 6. What is the term for the small graphic symbols displayed on a monitor screen that represent computer files or programs that a user “clicks” on to open? a. avatar b. byte c. drive d. icon ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 7. What is the term for the process of starting up when a computer is initially turned on? a. bolding b. booting c. burning d. browsing ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science 8. What is the name of the visual indicator represented by an arrow, blinking line, or hand that appears when the mouse is used to point to something on the screen? a. character b. checker c. clicker d. cursor ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 9. Which of the following is an Internet address within a document or e-mail that is bolded or underlined and will open a Web page when it is clicked on? a. attachment b. hyperlink c. icon d. pixel ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 10. What term for legal right of an author or photographer over the reproduction of original work? a. branding b. copyright c. domain d. trademark ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 11. The original instrument developed in the 1920s that used heat on wounds to accelerate blood clotting was the precursor of which piece of standard OR equipment? a. central processing unit b. electrosurgical unit (ESU) c. extracorporeal circulation machine Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science d. ground circuit interrupter outlet ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 12:10 PM 12. Electricity is dependent upon the free flow of which subatomic particles? a. electrons b. neutrons c. protons d. quarks ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 12:12 PM 13. What term describes an item that enhances or allows for the flow of alternating or direct electrical current? a. conductor b. insulator c. neutralizer d. transmitter ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 14. The opposite charged ends of a magnet are its: a. apertures b. filaments c. gaps d. poles ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science 15. Which of the following terms related to electricity defines electrical potential (electrical charge)? a. amperes b. current c. volts d. watts ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 16. Specialized equipment in the OR, such as portable x-ray units or laser generators, may require which type of wall outlet that can handle the increased load necessary to power the equipment? a. compressed air b. nitrous oxide c. 110 V d. 220 V ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 17. The electromagnetic waves that create radio and television signals are measured in wave cycles per second termed: a. frequency b. resistance c. voltage d. wattage ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 18. What is the term for a single alternating current cycle? a. ampere b. hertz c. volt d. watt Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 19. What is the term for the object in an electrical circuit (e.g., surgical light or ESU) that receives and can modify the amount of power from the source? a. conductor b. field c. load d. terminal ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 20. All of the following are components of a three-prong electrical plug EXCEPT: a. current convertor b. ground pin c. negative (neutral) d. positive (hot) ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 21. Which of the following modes or settings of the electrosurgical unit (ESU) would NOT require use of a patient return electrode (ground pad)? a. bipolar b. blended c. coagulation d. cutting ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science DATE MODIFIED: 2/11/2016 9:27 AM 22. Resonant frequency capacitive coupling and dielectric breakdown are examples of: a. computer program malfunctions b. electrosurgery burns to personnel c. laser energy tissue effects d. robotic operation modes ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 23. Which type of gas is used to enhance the effectiveness of the electrosurgical unit active electrode pencil? a. argon b. CO2 c. helium d. nitrous oxide ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 24. What is the property of the gel portion of the patient return electrode (ground pad) that completes the ESU circuit? a. conductivity b. impedance c. insulated d. resistance ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 25. Which of the following is NOT a type of ESU tip? a. ball b. loop c. needle d. trocar Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 26. Which of the following is a safety mechanism engineered into the ESU that alerts the surgical team that the device is being activated? a. audible tone b. flashing light on pencil c. smoke from generator d. vibration of electrodes ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 27. To prevent inadvertent activation of the ESU resulting in possible ignition of draping materials, the pencil should be placed in which of the following when NOT in use? a. instrument holster b. kidney basin c. rigid holster d. trocar cannula ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 12:31 PM 28. What is the term for the precision of a laser beam and is based on the area exposed, the time activated, and the power setting? a. amplification b. coherence c. collimation d. fluence ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 29. All of the following are examples of tissue interaction with laser light energy EXCEPT: a. absorption b. contraction c. reflection d. transmission ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 30. Ebonized or other specially coated instruments should be used when which surgical device is being used in a narrow space? a. argon beam coagulator b. CO2 laser hand piece c. electrosurgical pencil d. ultrasonic scalpel ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 31. In a laser generator, what is found at both ends that allows for the amplification and stimulated emission of laser light? a. LED lightbulbs b. magnetic poles c. mirror reflectors d. wire filaments ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 32. Solids, gases, liquids, and semiconductor crystals are types of: a. chemical coagulants b. electrical conductors Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science c. robotic power sources d. surgical laser media ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 33. Laser wavelengths determine the color and invisibility of the beam and are categorized from their place along the: a. Bell curve b. table of natural elements c. electromagnetic spectrum d. universal nomenclature ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 34. Which of the following would MOST likely be the cause of a patient burn from alternate exit pathway of ESU current? a. fingernail bed under the pulse oximeter b. placement site of electrocardiogram (ECG) leads c. skin over a bony prominence such as the scapula d. soles of the feet under the sequential pulsing pads ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 35. When using a bayonet bipolar forceps: a. argon gas may be used to enhance the cutting mode b. one side of the forceps collects and returns the current to the generator c. the dispersive patient return electrode returns the current back to the generator d. the surgeon chooses the blended current mode to reduce the thermal damage to adjacent tissue ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 36. All of the following represent a complete AC electrical circuit EXCEPT: a. C battery → C battery → wire → flashlight bulb b. ESU generator → bipolar cord → one prong of bipolar forceps → tissue → other prong of bipolar forceps → bipolar cord → ESU generator c. positive (hot) wire → negative (neutral) wire → ground source d. wall plug → ESU generator → active electrode pencil ? tissues → patient ground pad → ESU generator → wall plug ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 37. Which of the following lasers falls into the invisible part of the electromagnetic spectrum, is absorbed by cellular fluid, and is not dependent on tissue color? a. argon b. CO2 c. Ho:YAG d. Nd:YAG ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 38. Which generation of robots does NOT have any degree of artificial intelligence (AI) and requires consistent oversight? a. first b. second c. third d. fourth ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 39. Which of the following terms is defined as the number of ways that a robotic manipulator can move?

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Chapter 06: Biomedical Science a. degrees of freedom b. resolution c. sensitivity d. telepresence ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 40. Which of the following terms is defined as the extent to which a machine, microscope, human, or robot can differentiate between two objects? a. binaural hearing b. degrees of rotation c. resolution d. telechir ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 41. During routine robotic surgery procedures, where is the surgeon? a. sitting on the contralateral side of the OR table from the surgical site b. standing on the operative side of the OR table c. sitting at the robotic console separate from the OR table d. standing between the patient’s legs, which are in low-lithotomy stirrups ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 42. Which term describes the right and left (side-to-side) movements of a robotic manipulator that has 3-D capability? a. axis b. pitch c. roll d. yaw ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 12/11/2016 1:59 PM 43. What is the name of the complex robotic operating system created and marketed by Intuitive Surgical®? a. Aesop b. Columbus c. da Vinci d. Magellan ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 44. The patient return electrode for a patient undergoing a laparoscopic cholecystectomy would MOST likely be placed: a. on the anterior thigh b. under the buttocks c. on the anterior left chest d. around the right upper arm ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 45. What is the name of the inert gas beam used with invisible light lasers to provide visual aiming to target tissue? a. argon-neon b. argon-helium c. helium-neon d. helium-krypton ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 46. Which of the following laser beams cannot transmit through clear fluid or glass? a. argon Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science b. CO2 c. krypton d. Nd:YAG ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 47. What is the term for the developing technology of performing a surgical procedure in real time but from a distant location? a. Cartesian coordinate geometry b. expert systems c. revolute geometry d. telesurgery ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 48. Which type of laser has a wavelength that creates a bright blue-green visible light within a plasma tube? a. argon b. CO2 c. Ho:YAG d. Nd:YAG ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 49. Which type of laser uses gases that are toxic and potentially fatal, and therefore rarely used in the OR setting? a. argon b. CO2 c. excimer d. krypton ANSWER: POINTS:

c 1

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Chapter 06: Biomedical Science QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 50. Which laser unit has articulated joints with mirrors at the bend points and requires that care must be taken not to disrupt the alignment of those mirrors during transport, because that could result in an unpredictable beam trajectory? a. argon b. CO2 c. krypton d. Nd:YAG ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 51. Robotic manipulators are not sterilized, but are covered with disposable drapes for surgical procedures. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 52. Cartesian coordinate geometry uses the system of graphing mathematical functions and moves the robotic manipulators along the x, y, and z axes. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 53. A patient return electrode (ground pad) may be repositioned to another site if the gel is still “sticky.” a. True b. False ANSWER: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 54. The bipolar mode of the ESU can be used only to cut tissue. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 55. The acronym laser stands for light application by special electromagnetic radiation. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Match each term below with its description. a. Internet b. Modern c. Electrons d. Alternating e. Font f. Insulator g. Resistance h. Software i. Power j. Ground k. Port l. Matter m. Battery n. Hardware o. Scanner QUESTION TYPE: Matching Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 56. Current that requires a wall outlet and reverses direction periodically ANSWER: d POINTS: 1 57. Source of direct current with opposite positive and negative terminals ANSWER: m POINTS: 1 58. The round, third prong of a three-prong plug, which captures excess leakage current to prevent shocks ANSWER: j POINTS: 1 59. The rate at which work is done; measured in watts ANSWER: i POINTS: 1 60. The component of electricity that causes a conductor to glow or heat up ANSWER: g POINTS: 1 61. The subatomic particles that orbit in shells around a nucleus and are responsible for creating electrical current ANSWER: c POINTS: 1 62. Anything that has mass and occupies space ANSWER: l POINTS: 1 63. Materials such as plastic, glass, wood, rubber that inhibit the flow of electrons ANSWER: f POINTS: 1 64. Gigantic international network of millions of computer servers that in turn serve thousands of individual computers each ANSWER: a POINTS: 1 65. Style of letters chosen in a word-processing program to create a document ANSWER: e POINTS: 1 66. Programs that operate a computer system; includes Internet access and word processing Copyright Cengage Learning. Powered by Cognero.

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Chapter 06: Biomedical Science ANSWER: h POINTS: 1 67. Accessory device that converts printed text or graphics into digital format ANSWER: o POINTS: 1 68. Sends computer information over phone or cable lines or satellite systems ANSWER: b POINTS: 1 69. Components of a computer: CPU, monitor, and memory storage ANSWER: n POINTS: 1 70. Attachment points for computer components: keyboard, speakers, printer ANSWER: k POINTS: 1

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Chapter 07: Preventing Perioperative Disease and Transmission 1. Which of the following diseases is NOT a form of transmissible spongiform encephalopathy? a. Creutzfeldt-Jakob b. mad cow c. scrapie d. toxic shock ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 2. Which term means the number of microbes or amount of organic debris on an object at any given time? a. asepsis b. bioburden c. infection d. sepsis ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 3. Which of the following chemicals is a high-level disinfectant when items are immersed for 20 to 30 minutes and a sterilant if items remain immersed for 10 hours? a. glutaraldehyde b. isopropyl alcohol c. quaternary ammonium compounds d. sodium hypochlorite ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 4. Which part of the instrument reprocessing cycle is performed intraoperatively? a. mechanical decontamination b. steam sterilization c. ultrasonic washer d. wiping with sterile water ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 5. What is the type of process the ultrasonic cleaner uses to dislodge minute particles of soil and organic debris? a. cavitation b. chelation c. emulsification d. solubilization ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 6. Which type of packaging system has filters and removable locking devices? a. nonwoven wrapped b. paper-plastic peel packs c. rigid containers d. woven wrapped ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 7. What is the weight that AAMI has recommended instrument sets should NOT exceed? a. 10 pounds b. 15 pounds c. 20 pounds d. 25 pounds ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 8. Which sterilization method is most commonly used, safest, least expensive, and appropriate for the majority of surgical Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission instruments? a. ethylene oxide b. ionizing radiation c. peracetic acid d. saturated steam ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 9. Which of the following is the type of dating system that denotes the number of the calendar day in 1 through 365/366? a. alphanumeric b. Cartesian c. Julian d. military ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 10. The biological indicator (BI) for the steam sterilization method is: a. DART b. Bowie-Dick c. Bacillus atrophaeus d. Geobacillus stearothermophilus ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 11. Contamination caused by passage of microorganisms through a sterilized package by way of moisture wicking is termed: a. saturation b. strike-through c. solubilization d. sequestration ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 12. Which sterilization method presents the greatest exposure risk to CSPD personnel, is expensive, and requires the longest total cycle time? a. ethylene oxide b. hydrogen peroxide gas plasma c. peracetic acid d. saturated steam under pressure ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 13. Cidex™ is the trade name for which of the following methods of sterilization? a. ethylene oxide b. glutaraldehyde c. hydrogen peroxide gas plasma d. peracetic acid ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 14. When opening a wrapped item such as a gown on a Mayo stand, the contents and wrapper are considered sterile up to what distance from the edge of the wrapper? a. all the way to the edge b. 1 inch from the edge c. 2 inches from the edge d. Only the item itself is sterile.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission 15. What term refers to a barrier, such as plastic-backed table cover, that does NOT allow for passage of liquid through it? a. integral b. insoluble c. impervious d. imperceptible ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 16. Which type of wrapper material is compatible with the hydrogen peroxide gas plasma sterilization method? a. cloth b. muslin c. paper d. Tyvek ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 17. How should air hoses of powered instruments or fiber-optic light cords be placed in rigid container trays for sterilization? a. bound tightly with rubber bands b. bound loosely with electrical tape c. coiled loosely in perforated or mesh basket d. coiled tightly in sealed peel-pack inside tray ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 18. What is the relationship of steam pressure to temperature in a steam sterilizer? a. Increased pressure increases temperature. b. Increased temperature increases pressure. c. Decreased pressure increases temperature. d. Decreased temperature increases pressure.

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Chapter 07: Preventing Perioperative Disease and Transmission ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 19. The physical or chemical process by which all living microorganisms, including spores, are killed is: a. decontamination b. disinfection c. sanitization d. sterilization ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 20. When nested basin sets are being sterilized, how should they be placed in the steam sterilizer? a. fold side down with a towel used to separate them b. fold side down with tape holding them together securely c. facing upright with a towel used to separate them d. facing upright with tape holding them together securely ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 21. Why are large steam sterilizers loaded with space between wrapped items or trays? a. It ensures that the carts are not over-weighted. b. It makes it easier to unload when the cycle is complete. c. It allows adequate circulation and penetration of steam to all surfaces. d. It allows for air to remain inside the packages to facilitate steam penetration.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission 22. What is the term for inanimate objects that harbor microorganisms that contribute to environmental contamination? a. flora b. fomites c. vectors d. viruses ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 23. Which of the following is NOT a classification of patient care items? a. critical b. hypercritical c. noncritical d. semicritical ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 24. Which of the following would be appropriate for use on animate surfaces? a. antiseptic b. decontaminant c. disinfectant d. sterilant ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 25. Which of the following patient care items would be classified as noncritical? a. colonoscopes b. hypodermic needles c. laryngoscopes d. pulse oximeters ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 26. What is the term for the condition of a surgical technologist’s skin after performing a surgical scrub? a. bacteriostatic b. nosocomial c. surgically clean d. terminally sterile ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 27. Which type of chemical solution is made of catalysts that aid in breaking down proteinaceous debris such as blood and fat? a. antiseptic b. disinfectant c. emulsifier d. enzymatic ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 28. What is the common name for the high-level disinfectant sodium hypochlorite? a. ammonia b. bleach c. peroxide d. vinegar ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 29. What is another name for the intermediate-level disinfectant compound phenol?

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Chapter 07: Preventing Perioperative Disease and Transmission a. amino acid b. carbolic acid c. muriatic acid d. peracetic acid ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 30. Which of the following would be appropriate for soaking instruments covered with bioburden during a surgical procedure? a. isopropyl alcohol b. peracetic acid c. sterile saline d. sterile water ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 31. What is the term used to describe the process of removing all soiled linen, waste, and instruments from the room and cleaning of furniture, floors, or other contaminated surfaces in preparation for opening new supplies for a subsequent case? a. changeover b. concurrent cleaning c. terminal cleaning d. turnover ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:27 AM DATE MODIFIED: 2/11/2016 9:27 AM 32. All of the following are environmental specifications for the decontamination room in CSPD EXCEPT: a. air exchange rate, minimum of 10 per hour b. humidity between 35% and 72% c. positive air pressure maintained d. temperature between 64°F and 70°F Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 33. During manual cleaning of surgical instruments, what type of solution should be used? a. cold water, detergent, and enzymatic cleaner with high pH b. lukewarm water, detergent, and enzymatic cleaner with neutral pH c. hot water, detergent, and enzymatic cleaner with high pH d. cold sterile water and enzymatic solution with low pH ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 34. Which types of instruments must be cleaned with bristle-brushes on wires, pipe cleaners, or handheld pressure guns? a. microsurgical scissors b. self-retaining retractors c. suction tip lumens d. tissue forceps ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 35. What is a potential risk of placing surgical instruments of dissimilar metallic type together in a washer sterilizer cycle? a. alarm triggered by washer sterilizer b. bioburden contamination c. electrolytic conduction reaction d. static electrical spark ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission 36. What is the term for the process of lubricating stiffened stainless steel surgical instruments by immersion in a watersoluble solution? a. bathing b. dunking c. greasing d. milking ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 37. Which of the following cleaning methods for surgical instrumentation relies on bubbles imploding, creating a vacuum that dislodges minute particles in crevices of instruments? a. manual soak b. ultrasonic cleaner c. washer decontaminator d. washer sterilizer ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 38. Which type of surgical instrument must NEVER be immersed in any type of mechanical decontaminating equipment? a. powered b. stainless steel c. titanium d. tungsten-carbide ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 39. Why are items disinfected or sterilized in activated glutaraldehyde dried prior to submersion? a. Moisture will prevent sterilant from reaching all surfaces. b. Moisture will create a toxic chemical reaction with sterilant. c. Moisture will cause air bubbles to form and prevent full contact. d. Moisture will eventually dilute the concentration to ineffective levels.

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Chapter 07: Preventing Perioperative Disease and Transmission ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 40. Before opening any sterilely packaged item, what is MOST important to verify about the package? a. date sterilized b. integrity of package c. internal indicator/integrator d. sterilization cycle number ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 41. Which of the following is an acceptable position for placement of a scrubbed, gowned, and gloved surgical technologist’s hands? a. clasped together in front at waist level b. grasping edge of draped back table with fingers coiled under table edge c. hanging down at sides with hands below table level d. tucked into axillary region (armpits) ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 42. Sterilely attired surgical team members should pass one another in any of the following ways EXCEPT: a. back to back b. front to front c. front to back d. rotating 360° around ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission 43. A nonsterile person should approach a sterile area face forward while maintaining a distance of: a. 6 inches b. 12 inches c. 2 feet d. 6 feet ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 44. When a sterilely attired surgical technologist drapes an unsterile table, he or she opens the drape: a. away from him- or herself first b. by shaking out folds first and laying it across table c. toward him- or herself first d. toward sides and pulls drape down well below edge ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 45. Which of the following is the MOST important factor in a surgical technologist’s role in preventing surgical site infections? a. extensive knowledge of anatomy b. high GPA while a student c. participation in the “time out” d. strict surgical conscience ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 46. Which of the following concepts has replaced the previous system of assessing storage conditions and package integrity based on an arbitrary expiration designation? a. double wrapping b. event related c. Julian dating Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission d. time related ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 47. Which method of sterilization uses gamma rays or beta particles and is chiefly used by large manufacturing companies? a. dry heat b. ethylene oxide c. hydrogen peroxide gas plasma d. ionizing radiation ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 48. Which of the following statements regarding peracetic acid sterilized items is CORRECT? a. Paper filters in the top lid and bottom of container must be changed for each cycle. b. Items must be wrapped with Tyvek wrappers instead of cellulose-based wrappers. c. Cassettes are not sealed, due to liquid immersion during the process, so they cannot be stored. d. Aeration times will add hours to the total sterilization cycle time.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 49. The recommended biological indicator (BI) for hydrogen peroxide gas plasma is: a. Bacillus atrophaeus b. Bacillus subtilis c. Geobacillus stearothermophilus d. Staphylococcus aureus ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission DATE MODIFIED: 2/11/2016 9:28 AM 50. The Bowie-Dick test is performed for which sterilization method? a. ethylene oxide gas b. activated glutaraldehyde c. hydrogen peroxide gas plasma d. prevacuum air removal steam ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 51. Which of the following should NEVER be processed by immediate-use (flash) sterilization methods? a. ebonized laser instruments b. implantable devices c. stainless steel suction tips d. titanium microinstrumentation ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 52. What is the name of the outside area of an autoclave where steam is created before injection into the interior compartment? a. aerator b. chamber c. gasket d. jacket ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 53. Which kind of quality control device consists of a paper that has been impregnated with a dye that changes color in the presence of a specified temperature and sterilant? a. Cidex™ test strip b. chemical indicator Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission c. mechanical readout d. vial of spore population ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 54. Where should the biological test pack be placed on the steam sterilization cart for the first run of the day? a. top rack, back of sterilizer, under the injection valve b. bottom rack, back of sterilizer, under the injection valve c. top rack, front of sterilizer, over the drain d. bottom rack, front of sterilizer, over the drain ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 55. How long should the steam biological indicator be incubated before the reading is recorded? a. 1 hour b. 6 hours c. 12 hours d. 24 hours ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 56. Personnel in CSPD who must move instruments from the ethylene oxide sterilizer to an aeration room should do which of the following with the cart to reduce their exposure to vented gases? a. pull it b. push it c. cover it with plastic d. open a window ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 57. What is the advantage of using ethylene oxide gas sterilization? a. It is the safest method of sterilization. b. It has the shortest total cycle time. c. It is the least expensive method. d. It is safe for heat- and moisture-sensitive items.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 58. Which method of chemical sterilization has limitations based on the challenge of diffusion into narrow lumens? a. ethylene oxide gas b. glutaraldehyde c. hydrogen peroxide gas plasma d. peracetic acid ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 59. Why are instruments placed in perforated or mesh-bottom trays for sterilization? a. reduce tray weight b. penetration of sterilant c. easy grouping of instruments d. easy removal of instruments ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 60. What would be the exposure phase time for an unwrapped instrument set with some lumens in a prevacuum/dynamic air removal steam autoclave? a. 3 minutes b. 4 minutes Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission c. 10 minutes d. 30 minutes ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 61. In steam sterilization, thermal destruction of microbes is the result of the denaturation and coagulation of protein within the cells. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 62. Gravity displacement steam sterilizer cycles are much shorter than prevacuum cycles. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 63. Sterilization process monitors include mechanical, chemical, and biological methods to ensure all parameters were met. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 64. Internal chemical indicator/integrators should be placed in the center or most challenging portion of a tray for the sterilant to reach.

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Chapter 07: Preventing Perioperative Disease and Transmission a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 65. The relative humidity in an ethylene oxide sterilizer should be below 30% to aid in the penetration of the gas through bacterial spores’ protective coating. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Match each term below with its description. a. Prions b. Helminths c. Spores d. Prokaryotes e. Helicobacter pylori f. Zygomycosis g. Viruses h. Clostridium perfringens i. Flagella j. Staphylococcus aureus QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 66. Type of organisms whose organelles are not membrane bound; divide by binary fission; includes bacteria ANSWER: d POINTS: 1 67. Nonliving obligate intracellular parasites; contain either DNA or RNA, but not both ANSWER: g POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 07: Preventing Perioperative Disease and Transmission 68. Long, thin structure attached to the outside of a cell; motility achieved by whipping motion ANSWER: i POINTS: 1 69. Organism most commonly associated with surgical site infections ANSWER: j POINTS: 1 70. Nonliving proteinaceous infectious particle; contains no DNA or RNA; responsible for transmissible spongiform encephalopathy ANSWER: a POINTS: 1 71. Classification of parasites such as cysticerci (pork tapeworms) that can create lesions in the brain and soft tissues, which require surgical removal ANSWER: b POINTS: 1 72. Fungal infection caused by bread mold; sometimes seen in immune-suppressed organ transplant patients ANSWER: f POINTS: 1 73. Anaerobic gram-positive bacteria responsible for gas gangrene, cellulitis, and fasciitis ANSWER: h POINTS: 1 74. Aerobic, gram-negative bacilli responsible for many gastric ulcers ANSWER: e POINTS: 1 75. Bacterial species that can survive in environmental extremes and whose genetic material is enclosed within a protein capsule until conditions are favorable for reproduction ANSWER: c POINTS: 1

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Chapter 08: Emergency Situations and All-Hazards Preparation 1. What would be the primary role of the surgical technologist in an intraoperative cardiac arrest? a. Break scrub and dial 911. b. Break scrub and quickly pull an open-heart setup. c. Perform chest compressions on the patient. d. Protect the sterile field unless directed otherwise.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 2. Exposure of the population to anthrax and smallpox would be a result of which of the following? a. bioterrorism b. a chemical release accident c. infrastructure incidents d. natural disasters ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 3. Which member of the U.S. government makes a federal disaster declaration and mobilizes FEMA? a. governor b. president c. secretary of state d. surgeon general ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 4. What would the circulating RN assess by weighing soiled sponges after use in a surgical procedure on a neonate? a. blood loss b. contamination c. irrigation totals d. potential retained object ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 5. What process does the human body use to achieve natural hemostasis? a. coagulation b. compensation c. transfusion d. transmission ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 6. Which type of natural disaster is the traveling of seismic waves outward from an epicenter and is measured by the Richter scale? a. earthquake b. hurricane c. tornado d. volcanic eruption ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 7. The first-line drug used in the treatment of severe anaphylactic reaction is: a. adenosine diphosphate b. epinephrine c. oxidized cellulose d. thrombin ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 8. Which of the following terms describes a life-threatening condition if not immediately treated?

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Chapter 08: Emergency Situations and All-Hazards Preparation a. heat cramps b. heat exhaustion c. heat stroke d. heat wave ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 9. The depth of compressions for adults should be: a. 1 inch b. 1 1/2 inches c. 2 inches d. 3 inches ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 10. What does the letter D stand for in reference to the chain-of-survival concept in cardiopulmonary resuscitation? a. death reduction b. definitive treatment c. depth of compression d. destination planning ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 11. DIC leads to the consumption of coagulation factors and a. plasma b. platelets c. red cells d. white cells ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/13/2016 10:10 AM 12. Which of the following is an emergent pathological process that creates systemic hypercoagulation followed by hypocoagulability and internal hemorrhaging? a. anaphylactic reactions b. coronary heart disease c. disseminated intravascular coagulation (DIC) d. malignant hyperthermia ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 13. What is the clinical term for the lesions that appear on the skin of a patient experiencing an allergic reaction? a. abrasions b. carbuncles c. plaque d. urticaria ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 14. Which term BEST describes the broad response plans in place applicable to any area of the country or any category of disaster? a. all-hazards b. emergency action plan c. hot zoning d. triage systems ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 15. The treatment for DIC includes: Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation a. transfusion of fresh frozen plasma b. cryoprecipitate c. heparin d. all of the above ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/13/2016 10:13 AM 16. The Delayed, Immediate, Minimal, and Expectant (DIME) categories are used in: a. disaster triage b. labor and delivery c. surgical scheduling d. weapons grading ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 17. In which type of disaster would hot, warm, and cold zone triage protocols be used? a. airline crash b. interstate highway pileup c. nuclear plant meltdown d. storm surge flooding ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 18. How long should a person performing disaster triage take to categorize patients for treatment? a. 1 minute or less b. 1–2 minutes c. 2–5 minutes d. 5–10 minutes ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 19. Which natural disasters are classified numerically 1 through 5? a. earthquakes b. floods c. hurricanes d. tsunamis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 20. Which type of man-made disaster would cause the most varied physical trauma requiring surgical treatment? a. bioterrorist attack b. chemical gas spill c. factory explosion d. nuclear plant leak ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 21. The Federal Emergency Management Agency (FEMA) is a division of which governmental group? a. Centers for Disease Control and Prevention b. Food and Drug Administration c. Department of Health and Human Services d. Department of Homeland Security ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 22. The Joint Commission requires health care facilities to twice yearly practice their: a. National Incident Management System (NIMS) b. Emergency Action Plan (EAP) Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation c. Point of Distribution (POD) d. Simple Triage and Rapid Treatment (START) ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 23. Which of the following accounts for up to 90% of contamination and should be removed as soon as possible after exposure to a radiological disaster? a. ash b. clothing c. dust d. hair ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 24. Which medical specialist is probably BEST suited to perform disaster triage? a. surgeon b. radiologist c. ER physician d. anesthesiologist ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 25. Which of the following disaster response units would include surgical technologist volunteer members? a. Disaster Medical Assistance Teams (DMAT) b. Disaster Mortuary Operations Response Team (DMORT) c. Incident Command System (ICS) d. National Pharmacy Response Team (NPRT) ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 26. Health care workers can focus better on their job of patient care in disaster situations if they have done their own personal disaster planning in advance with their family members. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 27. The objectives of emergency care and trauma surgery are: a. to preserve life b. to prevent deterioration of patient condition c. to provide necessary care to restore the patient to his/her previous lifestyle d. all of the above ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 7:08 AM DATE MODIFIED: 12/13/2016 7:10 AM 28. The 20101 AHA Guidelines for CPR stress activation of the ERS and follow: a. CAB (chest compressions, airway, breathing) b. ABC (airway, breathing, chest compressions) c. BCA (breathing, chest compressions, airway) d. none of the above ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 7:18 AM DATE MODIFIED: 12/13/2016 7:34 AM 29. All of the following are examples of man-made disasters EXCEPT: a. chemical or radiation release b. hurricane c. infrastructure incidents d. transportation accidents Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 7:36 AM DATE MODIFIED: 12/13/2016 7:39 AM 30. Injuries associated with an exploded nuclear device include: a. blast injuries b. thermal/flash burns c. retinal injuries d. all of the above ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 7:39 AM DATE MODIFIED: 12/13/2016 7:43 AM 31. Which biological disease poses to be one of the highest risks to nations: a. anthrax b. HIV c. hepatitis d. MRSA (methicillin-resistant Staphylococcus aureus) ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 7:45 AM DATE MODIFIED: 12/13/2016 7:50 AM 32. All of the following are emergency response agencies EXCEPT: a. NIMS b. LEMA c. ICS d. CDC ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 7:52 AM DATE MODIFIED: 12/13/2016 7:53 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation 33. The lead federal agency that coordinates treatment to victims and food and shelter during a nationally declared emergency is called: a. CDC b. NDMS c. FEMA d. EPA ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 7:54 AM DATE MODIFIED: 12/13/2016 7:57 AM 34. DIME triage categories for the "walking wounded" are color coded: a. green b. yellow c. red d. black ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 7:59 AM DATE MODIFIED: 12/13/2016 8:00 AM 35. During triage of a chemical and nuclear disaster, victims are separated in order to contain the contamination. The warm zone a. is 300 feet from the hot zone b. is 50 feet from the hot zone c. is 1000 feet form the hot zone d. is 500 feet from the hot zone ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 8:00 AM DATE MODIFIED: 12/13/2016 8:03 AM 36. All of the following are chemical agents EXCEPT: a. nerve b. mustard gas c. phosgene d. tularemia Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 8:04 AM DATE MODIFIED: 12/13/2016 8:08 AM 37. Clinical death begins how many minutes after the cessation of heart action and breathing: a. 4-6 b. 2-4 c. 3-5 d. 1-3 ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 8:22 AM DATE MODIFIED: 12/13/2016 8:26 AM 38. Which of the following substance is least likely to cause an anaphylactic reaction: a. certain antibiotics b. insulin c. contrast media d. benadryl ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 9:38 AM DATE MODIFIED: 12/13/2016 10:08 AM 39. During an anaphylactic reaction, the surgical team must maintain the airway and provide supplemental oxygen or the patient may die of: a. respiratory failure b. heart attack c. hypovolemia d. stroke ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 10:15 AM DATE MODIFIED: 12/13/2016 10:17 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 08: Emergency Situations and All-Hazards Preparation 40. Which of the following is a mild form of shock, due to the increase in blood flow to the skin, thus causing a reduction of blood flow to vital organs a. heat cramps b. heat exhaustion c. heat stroke d. hyperthermia ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/13/2016 10:19 AM DATE MODIFIED: 12/13/2016 10:22 AM

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Chapter 09: Surgical Pharmacology and Anesthesia 1. During which phase of general anesthesia would the risk of aspiration be the greatest? a. induction b. maintenance c. emergence d. recovery ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 2. Which anesthetic monitoring device registers the brain wave activity of the patient and enables anesthetic titration for optimal level of consciousness during surgical intervention? a. bispectral index b. Doppler device c. electrocardiogram d. pulse oximeter ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 3. Benzodiazepines are classified by the Controlled Substances Act as which class? a. Class II b. Class III c. Class IV d. Class V ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 4. Which type of drug is used to treat possible postoperative nausea and vomiting? a. anti-arrhythmic b. antiemetic c. antihistamine d. antimuscarinic ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 5. Why would a neurosurgeon order mannitol for a patient during a craniotomy for excision of tumor? a. muscle relaxation b. prevent surgical site infection c. reduce vasospasm d. decrease intracranial pressure ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 6. How are most drugs absorbed by the body? a. active transport b. passive transport c. dissolution d. vasoconstriction ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 7. Which of the following is NOT a drug administration route? a. biodegradable b. enteral c. parenteral d. topical ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 8. What is the pharmacological agent administered specifically to treat malignant hyperthermia (MH)?

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Chapter 09: Surgical Pharmacology and Anesthesia a. curare b. dantrolene c. sevoflurane d. succinylcholine ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 9. Which drug is administered intravenously to treat life-threatening cardiac ventricular arrhythmias? a. cimetidine b. diazepam c. naloxone HCl d. lidocaine HCl ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/13/2016 10:58 AM 10. What is the name of the device used to support or modify the curvature of an endotracheal tube during intubation? a. balloon b. circuit c. stylet d. tube ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 11. Which anatomical structure regulates temperature by monitoring processes of heat production and loss in the human body? a. cerebellum b. hypothalamus c. pituitary gland d. thyroid gland ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 12. What would be the scrubbed surgical technologist’s role in the general anesthesia induction phase? a. applies cricoid pressure for intubation b. initates the “time-out” c. maintains absolute quiet d. suctions oral secretions ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 13. During which type of assessment would Korotkoff’s sounds be heard? a. listening for breathing before initiating CPR b. during coughing during the recovery phase c. using a stethoscope for manual blood pressure d. while using sterile Doppler probe to find blockage ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 14. Which type of anesthesia would be considered nontraditional in the United States? a. acupuncture b. Bier block c. monitored d. spinal block ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 15. Which of the following pharmacological agents provides muscle relaxation by preventing acetylcholine from stimulating muscle contraction?

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Chapter 09: Surgical Pharmacology and Anesthesia a. dissociative b. induction c. nondepolarizing d. volatile ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 16. What side effects after the use of the dissociative agent ketamine HCl make it contraindicated for use on adults? a. hangover feeling b. morbid hallucinations c. urinary incontinence d. vomiting and nausea ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 17. Diminished cardiac and urinary output, hypotension, and tachycardia are signs of: a. pseudocholinesterase deficiency syndrome b. disseminated intravascular coagulopathy c. malignant hyperthermia d. shock ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 18. The practice of applying cricoid pressure during endotracheal intubation was named for a British anesthesiologist named: a. Doppler b. Heimlich c. Korotkoff d. Sellick ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 19. The anesthesia provider would assign which physical status classification rating to a patient with severe systemic disease, massive obesity, poorly controlled hypertension, or status postmyocardial infarction? a. ASA 1 b. ASA 2 c. ASA 3 d. ASA 4 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 20. A bovine-derived enzyme used as a chemical method of hemostasis is: a. heparin b. collagen c. thrombin d. epinephrine ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 21. Drugs used for ophthalmological procedures are similar to those for systemic use but must be: a. less concentrated b. less viscoelastic c. more diluted d. more pure ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 22. What is the topical agent used by peripheral vascular and neurosurgeons to dilate blood vessels intraoperatively?

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Chapter 09: Surgical Pharmacology and Anesthesia a. papaverine HCl b. lidocaine HCl c. epinephrine d. heparin ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 23. Which type of ophthalmic medication constricts the pupil? a. cycloplegic b. miotic c. mydriatic d. viscoelastic ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 24. Which classification of drugs is used to induce uterine contractions and reduce bleeding after vaginal or cesarean section delivery? a. adrenergic b. immunoglobulin c. oxytocic d. steroid ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 25. Which drug is an anticoagulant antagonist used to reverse the effects of heparin? a. naloxone HCl b. dantrolene sodium c. sodium bicarbonate d. protamine sulfate ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 26. A widely accepted list of safety measures is entitled the Six " a. Laws b. Points c. Rights d. Standards ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/13/2016 4:05 PM

"_ of Medication Administration.

27. Minums, drams, and drops are volume measurements in which measurement system? a. apothecary b. common c. household d. metric ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 28. Which type of medication container would pose the highest risk of injury to the handler and contamination of the medication by glass particles? a. ampule b. preloaded syringe c. tube d. vial ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 29. The apothecary system of measurement based weight measurement on a grain of: Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia a. bran b. rice c. sand d. wheat ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 30. Which of the following naming categories for pharmaceutical drugs would NOT be used in a health care setting? a. chemical b. generic c. street d. trade ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 31. Cough syrups containing codeine would be placed in which classification of controlled substances? a. Class I b. Class II c. Class IV d. Class V ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 32. Which type of drug preparation both is sweetened and contains alcohol? a. elixir b. emulsion c. solution d. syrup ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 33. In which anatomical organ does biotransformation of drugs most often take place? a. brain b. colon c. kidney d. liver ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 34. Nonsteroidal anti-inflammatory drugs (NSAIDS) are also known as: a. adrenergics b. analgesics c. antibiotics d. antihypertensives ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 35. What is the term for the portion of the endotracheal tube that is inflated to create a closed airway system? a. cuff b. jacket c. neck d. sleeve ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 36. Which measurement method is used to determine end tidal volume of expired carbon dioxide? a. capnography b. oximetry Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia c. spirometry d. tomography ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 37. What is the medical term for normal breathing? a. apnea b. bradypnea c. dyspnea d. eupnea ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 38. Which vitamin is required for activation of the body’s natural clotting mechanism? a. B b. C c. D d. K ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 39. Avitene is the brand name for which type of chemical hemostatic agent? a. absorbable gelatin b. microfibrillar collagen c. oxidized cellulose d. topical thrombin ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia DATE MODIFIED: 2/11/2016 9:28 AM 40. Ancef, Kefzol, and Keflex are brand names for which category of antibiotic/anti-infective agents? a. aminoglycosides b. anti-amebicides c. cephalosporins d. penicillins ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 41. Fentanyl citrate is the generic name for which of the following analgesics? a. Demerol b. morphine c. Sublimaze d. Toradol ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 42. The ratio of a solution’s solute to solvent is its: a. chemical index b. concentration c. conversion rate d. cumulative dose ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 43. By what name is the International System of Units more commonly known? a. apothecary system b. household system c. metric system d. quantitative system Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 44. A patient prescribed sublingual nitroglycerin for angina would: a. instill drops in his eyes b. place it under his tongue c. rub it into his chest d. spray it into his nostrils ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 45. Teratogens fall into which category of medication effects? a. addiction b. adverse c. therapeutic d. toxic ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/13/2016 4:22 PM 46. Magnesium, calcium, and zinc come from which drug source? a. animal b. biotechnology c. mineral d. plant ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia 47. Which governmental regulatory agency has oversight of pharmaceutical companies? a. EPA b. FDA c. NIH d. OSHA ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 48. What is the chemical name for a chemical or drug that causes birth defects? a. agonist b. parenteral c. synergist d. teratogen ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 49. Which category of drug is used to outline hollow or tubular anatomical structures for radiographic visualization? a. contrast media b. dyes c. stains d. vasodilator ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 50. Which type of reaction occurs when a drug potentiates or enhances the effect of another substance? a. additive b. agonistic c. anaphylactic d. antagonistic ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 51. Which type of pharmaceutical agent binds to another agent’s receptor site, preventing the other agent from binding there and causing its desired effect? a. additive b. agonist c. anaphylactic d. antagonist ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 52. What type of irrigating solution is used during placement of synthetic grafts in cardiovascular surgery to prevent clotting? a. antibiotic NaCl b. balanced salt solution c. heparinized saline d. sterile distilled water ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 53. What type of anesthesia nerve block involves injecting local anesthetics with Wydase around the optic nerves? a. Bier b. caudal c. epidural d. retrobulbar ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia 54. Lidocaine, bupivacaine, and ropivicaine are examples of which type of nerve conduction blocking agents? a. adrenergics b. adjunctive c. amino amides d. amino esters ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 55. Extreme caution should be exercised when using which of the following for localized anesthesia of fingers, toes, or the penis, or in neonates? a. bupivacaine b. epinephrine c. hyaluronidase d. mepivacaine ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 56. Which of the following topical anesthetics is used as a “freezing” method to block pain receptors in skin? a. cocaine b. ethyl chloride c. lidocaine d. tetracaine ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 57. What is another term for spinal anesthesia? a. Bier b. intrathecal c. local d. retrobulbar ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 58. What is the term for a spinal anesthetic solution that has the same specific gravity as cerebrospinal fluid? a. antibaric b. hyperbaric c. hypobaric d. isobaric ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 59. What is done to an upper extremity with an Esmarch bandage prior to inflation of the double-cuffed tourniquet used in Bier block anesthesia? a. embolization b. evisceration c. exsanguination d. extravasation ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 60. When a patient undergoes induced hypothermia to a level of 68°F or below, it is termed to be: a. light b. moderate c. deep d. profound ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia 61. Drugs used for prophylaxis relieve pain or other symptoms of a disease process. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 62. A patient taking a medication for a long period may experience tolerance, resulting in the need to increase the dosage to achieve the same benefit as before. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 63. Antibiotics and the anticoagulant heparin are frequently diluted with normal saline to achieve a more powerful dosage than the original strength. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 64. To convert weight in pounds to kilograms for a near estimate in an emergency, divide the pounds in half and then subtract the first digit of the answer from the answer itself to get the conversion total. For example, 160/2 = 80, 80 – 8 = 72. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia 65. The surgical technologist (ST) and circulating RN verify a drug’s name, strength, expiration, and amount together; then the ST labels any container holding it; and states the drug name and strength aloud to the surgeon as it is being passed. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Match each term below with its description. a. Induction agents b. Ringer’s solution c. Volatile agents d. Pharmacokinetics e. Narcotic antagonists f. Histamine antagonists g. Indications h. Calibrations i. Depolarizing agents j. Benzodiazepines k. Over-the-counter l. Inhalation agents m. Pharmacodynamics n. Drug actions o. Fresh frozen plasma QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 66. Category of drugs used to alter pH of gastric secretions, reduce gastric volume, and promote pyloric emptying ANSWER: f POINTS: 1 67. Type of neuromuscular blockade that can cause muscle fasciculations and cannot be pharmacologically reversed ANSWER: i POINTS: 1 68. IV fluid that is a solution of water and serum electrolytes; similar to plasma ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia 69. Category of Class IV controlled drugs with sedative/tranquilizer effects: adjunct to general anesthesia; produces amnesic and muscle relaxation effects ANSWER: j POINTS: 1 70. Reversal agent for opioids that works by competing for CNS receptor sites preventing opioid binding; naloxone HCl (Narcan) is commonly used ANSWER: e POINTS: 1 71. Medications used to permit rapid transition from consciousness to unconsciousness by quickly bypassing the excitement phase of general anesthesia ANSWER: a POINTS: 1 72. Potent liquids inhaled via a vaporizer to produce general anesthesia through CNS depression and decreased EEG activity and muscle tone ANSWER: c POINTS: 1 73. Anesthetic agents delivered through the anesthesia circuit; pass into the bloodstream via the respiratory system to maintain unconsciousness ANSWER: l POINTS: 1 74. Fluid component of blood containing blood clotting factors removed from one unit of whole blood ANSWER: o POINTS: 1 75. Markings on syringes and containers that allow for precise measurement ANSWER: h POINTS: 1 76. Listing of common medical conditions that a particular medication is used to treat ANSWER: g POINTS: 1 77. The effects of a pharmaceutical agent at the target site; includes theories of receptor, enzyme, and nonspecific interactions ANSWER: n POINTS: 1 78. Class of medications that are available without physician authorization ANSWER: k POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 09: Surgical Pharmacology and Anesthesia 79. Metabolic processing of a drug within the body; includes absorption, distribution, biotransformation, and excretion ANSWER: d POINTS: 1 80. Study of the interaction of drug molecules with the target cells of living tissue ANSWER: m POINTS: 1

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Chapter 10: Instrumentation, Equipment, and Supplies 1. What is the technical name for a clamp? a. compressor b. forceps c. hemostat d. stabilizer ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 2. Which scalpel handle would accommodate a #20 disposable knife blade? a. #3 b. #4 c. #7 d. #9 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 3. 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 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 4. Weitlaner, O’Connor-O’Sullivan, and Balfour are examples of: a. bone-holding forceps b. handheld retractors c. noncrushing clamps d. self-retaining retractors ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 5. Which type of instrument alloy is lightweight, durable, and nonmagnetizing? a. chromium b. stainless steel c. titanium d. tungsten carbide ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 6. 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 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 7. 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 8. The joint of a hemostat where one half of the instrument passes through the other is called the: Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies a. articulation b. box lock c. jaw d. ratchets ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 9. Which scissors are often called “suture scissors” and are typically straight and relatively blunt tipped? a. Castroviejo b. Jorgenson c. Mayo d. Westcott ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 10. The #12 blade is used almost exclusively for which surgical procedure? a. arthroscopy b. craniotomy c. laparotomy d. tonsillectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 11. 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 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 12. In medical terminology, which suffix indicates an instrument as a cutting device? a. -graph b. -orrhaphy c. -scope d. -tome ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 13. 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 ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 14. All of the following are examples of types of movement of powered surgical instruments EXCEPT: a. operating b. oscillating c. reciprocating d. rotary ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 15. Which part of the operating microscope is most proximal to the target tissue? a. beam splitter b. hand controls Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies c. objective lens d. ocular lenses ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 16. 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 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 17. 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 ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 18. 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: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 19. 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: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 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 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 21. 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 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 22. What is the term for the opening in a surgical drape that is placed over the operative site? a. fenestration Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies b. orifice c. slot d. window ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 23. The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called: a. Cottonoids b. Kitners c. laps d. Ray-Tecs ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 24. 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 25. 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 26. Which of the following drains works by passive action? a. Hemovac b. Jackson-Pratt c. Penrose d. Stryker ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 27. Which type of syringe has no calibrations? a. Asepto b. bulb/ear c. Luer-Lok d. Luer-Slip ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 28. By what action does a “cigarette” drain remove fluid from a wound? a. active b. capillary c. suction d. wicking ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 29. Bougie, Heaney, Hegar, and Van Buren are types of: a. dilators b. dissectors c. drains Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies d. dressings ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 30. 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 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 31. 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 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 32. Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument? a. hemostats b. retractors c. scissors d. tissue forceps ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies 33. Which of the following is NOT a source of power for surgical powered instruments? a. alternating current b. direct current c. nitrogen d. solar ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 34. Which of the following types of surgical sponges are prepackaged in units of five? a. Cottonoids b. dissecting c. laparotomy d. Ray-Tecs ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/14/2016 10:41 AM 35. 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 ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 36. 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 ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 37. 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 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 38. 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies DATE MODIFIED: 2/11/2016 9:28 AM 40. 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 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 41. All of the following are varieties of draping materials EXCEPT: a. aluminum coated b. latex sheeting c. plastic adhesive d. polyester bonded with cellulose ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 42. 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 43. 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 Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 44. 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 45. 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 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 46. 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 ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies 47. 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 48. 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 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 49. Which of the following self-retaining retractors does NOT require attachment to the OR table? a. Balfour b. Bookwalter c. Greenburg d. Thompson ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 50. 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 Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 51. What is the minimum number of suction systems or units required in an operating room? a. one b. two c. three d. four ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 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 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 53. 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.”

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies 54. GI, chest, and airway are types of: a. tubes b. drains c. catheters d. instruments ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 55. 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 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 56. When passing suture to the surgeon, the next step should be to pass straight Mayo scissors to the assistant. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 57. Syringes can be made of plastic, glass, metal, rubber, or a combination of any of these. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies DATE MODIFIED: 2/11/2016 9:28 AM 58. Penrose drains are active drains that are connected to a reservoir called a J-P bulb or “grenade.” a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 59. One-layer dressings are used on large draining wounds to facilitate frequent dressing changes. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 60. Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 61. What is the term for the blood products donated by another person? a. hemolytic b. hemostatic c. homeostasis d. homologous ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10: Instrumentation, Equipment, and Supplies DATE MODIFIED: 2/11/2016 9:28 AM

Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure 1. Which of the following interweaves its fibers during the maturation phase of wound healing and increases its tensile strength? a. collagen b. enzymes c. fibrin d. protein ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 2. A wound that is not sutured and that gradually fills in by granulation heals by which intention? a. first b. second c. third d. fourth ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 3. All of the following are techniques for eliminating dead space in a wound EXCEPT: a. careful approximation of tissues b. electrical nerve stimulation c. placement of wound drain d. pressure dressings ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 4. Which postoperative wound complication would require immediate surgical treatment? a. fistula b. adhesions c. infection d. evisceration ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 5. Which phase of healing for wounds closed by first intention begins within minutes of the incision or injury? a. inflammatory b. proliferation c. maturation d. granulation ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 6. What is the name of a raised, hypertrophic scar due to excessive collagen formation in some darker-skinned individuals? a. cicatrix b. granuloma c. keloid d. seroma ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 7. Which type of suture needle is used on friable tissue such as liver or kidney? a. blunt b. cutting c. taper d. trocar ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure 8. Which tissue layer of the abdominal wall provides the greatest strength and support of the wound? a. skin b. fascia c. peritoneum d. subcutaneous fat ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 9. Which historic figure in medicine is credited with creating principles of proper tissue handling and suturing? a. DeBakey b. Cushing c. Halsted d. Kocher ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 10. Tissue trauma is minimized by using which type of suture-needle combination? a. threaded suture on a closed-eye taper needle b. threaded suture on a closed-eye Keith needle c. suture loaded on a French-eyed taper needle d. suture permanently swaged on an eyeless needle ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 11. Another name for a suture ligature is a: a. free tie b. stick tie c. tie-on-a-passer d. ligature reel ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 12. Which type of needle is preferred for suturing of skin? a. blunt b. cutting c. taper d. spatula ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 13. What is the term for removal of foreign material or contaminated debris from a wound? a. debridement b. dehiscence c. denuding d. desiccation ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 14. Evisceration of an abdominal wound is: a. filling in of a wound from bottom up b. excessive scar formation after surgery c. protrusion of viscera through all tissue layers d. single- or multi-layer separation of wound edges ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 15. Which type of healing occurs in an aseptic wound with good approximation and ideal surgical conditions? a. first intention Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure b. second intention c. third intention d. fourth intention ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 16. If tissue is approximated too tightly, it can result in: a. adhesions b. granulation c. ischemia d. keloids ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 17. Primary union wound healing occurs: a. bottom to top b. top to bottom c. end to end d. side to side ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 18. Inflammation can BEST be described as: a. a disease process accompanied by fever b. an exaggerated immune system response c. a normal protective response to tissue injury d. an abnormal physiologic response to tissue injury ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 19. Which of the following wounds would be assigned a Class I? a. compound femoral fracture b. gunshot wound to the abdomen c. appendectomy with no major intestinal spillage d. inguinal hernia repair with no breaks in technique ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 20. What kind of wound is a sacral decubitus ulcer? a. chronic b. clean c. closed d. contusion ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 21. Which wound classification would be assigned to a vaginal hysterectomy with anterior and posterior colporrhaphy? a. Class I b. Class II c. Class III d. Class IV ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 22. A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to: a. Class I, primary union wound b. hyperactive immune response Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure c. immunosuppressed status d. vascular proliferation ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 23. What is the term for a type of suture that has the strand of suture material inserted into the hollowed-out needle end? a. closed eye b. crimped c. French-eye d. swaged ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 24. Which of the following is a natural, multifilament suture classified as nonabsorbable but loses much of its tensile strength in a year and is undetectable in tissues after 2 years? a. polyester b. polypropylene c. surgical silk d. stainless steel ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 25. Some multifilament sutures are coated to: a. provide smooth passage through tissue b. decrease the absorption rate c. increase the capillarity d. prevent knot slippage ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 26. Which of the following sutures has comparatively inconsistent tensile strength and rapid absorption rate in vivo with moderate tissue reaction? a. plain surgical gut b. poliglecaprone c. polyglyconate d. polydioxanone ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 27. Ethicon sutures may be available with a designation of “plus” for some sutures, which means they: a. are longer strands than the original versions b. have more than one needle in the package c. have a heavier gauge needle for thicker tissues d. are impregnated with an antibacterial coating ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 28. Which organization specifies diameter ranges for sutures? a. American National Standards Institute (ANSI) b. Brown and Sharpe (B&S) c. U.S. Pharmacopeia (USP) d. U.S. Food and Drug Administration (FDA) ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 29. What is the chemical name of Gore-Tex suture? a. polybutester b. polypropylene Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure c. polyglactin 910 d. polytetrafluoroethylene ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 30. Which suture is MOST inert in tissue? a. chromic gut b. plain gut c. stainless steel d. surgical silk ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 31. What is the primary reason bolsters are used with retention sutures? a. to facilitate easy postop suture removal b. to prevent sutures from cutting into the skin c. to stabilize heavy dressings without use of tape d. to prevent dressings from touching the suture line ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 32. Ligatures are use to: a. prevent evisceration b. eliminate dead space c. approximate tissue layers d. occlude the lumen of a blood vessel ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure DATE MODIFIED: 2/11/2016 9:28 AM 33. What is the term that describes the measure of how much a suture strand can be stretched before breaking? a. gauge b. capillarity c. tensile strength d. drag coefficient ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 34. Which of the following is NOT correct about the structure/design of suture needles? a. They may be eyed or eyeless. b. They may be straight or curved. c. They are classified according to the eye, point, and body. d. They range from 1/2 circle curvature to 5/8 circle curvature.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 35. How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple? a. evert the edges outward b. invert the edges inward c. overlap the edges tightly d. rotate the edges slightly ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 36. Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed? a. fascia lata b. mesentery c. peritoneum Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure d. subcutaneous fat ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 37. Which nonsuture needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy? a. arterial b. hypodermic c. spinal d. Veress ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 38. Which needle has the cutting edge on the outside curvature of the needle body? a. conventional b. Keith straight c. reverse d. spatula ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 39. Which suture gauge would be MOST appropriate for ophthalmic surgery? a. #5 b. 0 c. 3-0 d. 8-0 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure 40. A continuous suturing technique that places sutures in the endothelial layer of the skin in short, lateral throws is called a: a. mattress suture b. purse-string suture c. traction suture d. subcuticular suture ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 41. Which of the following surgical needles is a solid bore (not hollow) type of needle? a. Dorsey b. heparin c. Keith d. Tru-cut ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 42. Which type of suture ties has an attached needle? a. free tie b. ligature reel c. suture ligature d. tie-on-a-passer ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 43. The suturing technique MOST appropriate for wounds likely to become infected or suffer potential stress is: a. blanket b. interrupted c. purse-string d. simple continuous Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 44. Which of the following statements is TRUE regarding natural absorbable sutures? a. They are packaged dry. b. They are packaged wet. c. They are braided multifilament strands. d. They have less tissue reaction than synthetics.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 45. A way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way during a continuous running closure is by: a. following b. pulling c. tagging d. tracking ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 46. Which statement is CORRECT regarding monofilament sutures? a. They have high capillarity. b. They cause increased tissue drag. c. They are braided, twisted, and coated. d. They may be used in infected wounds.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure 47. Which absorbable suture provides for the MOST extended wound support? a. Vicryl b. Monocryl c. PDS Plus d. Polysorb ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 48. Which suturing technique would be used to close the stump of the appendix in an open appendectomy? a. horizontal mattress b. vertical mattress c. purse-string d. retention ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 49. Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures? a. polybutester b. polypropylene c. polyterephthalate d. polytetrafluoroethylene ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 50. Which type of suture is often used to create a vascular anastomosis? a. synthetic, absorbable, multifilament on a 3/8 circle cutting needle b. synthetic, nonabsorbable, multifilament on a 1/2 circle taper needle c. synthetic, absorbable, monofilament on a Keith straight needle d. synthetic, nonabsorbable, monofilament with double-armed taper needles Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 51. Which type of synthetic mesh is absorbable? a. polyglactin 910 b. polypropylene c. polyester fiber d. PTFE ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 52. Which internal stapling device fires a circular double row of staples to reanastomose the colon? a. intraluminal stapler b. linear cutter c. linear stapler d. ligating clip applier ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 53. What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis? a. suture bridge b. skin closure tapes c. split lead shots d. suture anchors ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure 54. Which of the following types of vessel loops are NOT available for use? a. blue colored for veins b. red colored for arteries c. yellow colored for nerves d. green colored for bile ducts ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 55. What is the chemical name for Dermabond™ or Indermil™? a. cryoprecipitate b. cyanoacrylate c. fibrin glue d. polymethyl methacrylate ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 56. What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure? a. purse-string b. retention c. suture ligature d. traction ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 57. Which suture technique involves making a knot in the suture outside of the body and then pushing it inside through a cannula? a. extracorporeal method b. figure-of-eight stick tie c. intracorporeal method d. secondary suture line Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 58. Which layer of the abdominal wall must be approximated securely, even if the other layers are not? a. skin b. fascia c. peritoneum d. subcutaneous fat ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 59. In general, a monofilament suture would require a. more b. fewer c. the same number of d. more, but only if coated ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM

knot throws for security than a multifilament suture.

60. To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have: a. a large diameter gauge b. an antibacterial coating over it c. tightly braided fibers with capillarity d. high-tensile strength and small diameter ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure 61. What is the term for tissue that is easily torn or shredded? a. adhesive b. dehisced c. eviscerated d. friable ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 62. By which intention would a purulent wound treated by debridement and placement of medicated packing, then sutured after resolution of the infection heal? a. first intention b. second intention c. third intention d. primary union ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 63. Natural absorbable sutures are broken down in the body by: a. capillarity b. enzymatic digestion c. granulation d. metabolic factors ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 64. Approximation is bringing two sides of a wound together closely with sutures, wound zippers, or special adhesives so that the wound can heal from side to side. a. True b. False ANSWER: True POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 65. Suture gauge can range from #5 (being the smallest) to 11-0 (being the heaviest) diameter. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 66. The tensile strength of suture material should equal the tensile strength of the tissue into which suture is placed. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 67. A surgeon’s choice of suture to be used is based on the surgeon’s training, the condition of the patient, the type of wound, and the conditions surrounding the surgical intervention. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 68. Sutures with memory, such as chromic, plain, nylon, or other monofilaments, should be stretched tightly to remove any kinks in the strand before being handed to the surgeon. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Match each term below with its description. a. Laceration b. In-growth mesh c. Abrasion d. Hydrolysis e. Fistula f. Cicatrix g. Contusion h. Sinus i. Incision j. Capillarity QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 69. Small, white, mature surface scar seen in differentiation phase of healing ANSWER: f POINTS: 1 70. Capability of suture material to retain tissue fluids and bacteria that can communicate along the length of a continuous suture line ANSWER: j POINTS: 1 71. Process of breaking down synthetic polymer chains by water from tissues ANSWER: d POINTS: 1 72. Traumatic cut or tearing of skin or soft tissues ANSWER: a POINTS: 1 73. Intentional cut through intact tissue for purposes of exposing underlying tissues ANSWER: i POINTS: 1 74. Traumatic injury from friction forces causing scraping of epidermal layer ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure 75. Closed traumatic wound; also called a bruise ANSWER: g POINTS: 1 76. Abnormal connection between two epithelial surfaces, open at both ends ANSWER: e POINTS: 1 77. Abnormal tract between two epithelial surfaces, open at one end only ANSWER: a POINTS: 1 78. Biological material for tissue repair; made from porcine submucosa; leaves a collagen matrix ANSWER: b POINTS: 1 79. Which of the following is an example of acceptable and safe intraoperative autotransfusion blood collection? a. blood collected during a major abdominal trauma procedure with small bowel perforation b. bloody ascites fluid drained from the peritoneal cavity during surgery for ovarian cancer c. blood collected from sponges into a basin of sterile saline during repair of ruptured abdominal aortic aneurysm d. bloody fluid suctioned during liver resection with use of reconstituted topical thrombin spray on oozing bleeders ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 80. What is the term for the blood products donated by another person? a. hemolytic b. hemostatic c. homeostasis d. homologous ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 81. Which of the following is NOT a method of achieving hemostasis? a. apportional b. chemical Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure c. mechanical d. thermal ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 82. Which of the following is a genetic clotting deficiency? a. anaphylaxis b. aplastic anemia c. hemophilia d. hyperthermia ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 83. Which blood type is considered the universal recipient? a. A b. B c. AB d. O ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 84. Elective surgery patients may be asked to discontinue use of which medication to prevent drug-therapy-induced platelet dysfunctions? a. antibiotics b. anticonvulsants c. antacids d. aspirin ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 85. Kitners, Cottonoids, and laps are surgical: a. clamps b. ligatures c. sponges d. tourniquets ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 86. Tourniquets provide permanent mechanical hemostasis and enhance visualization by creating a bloodless field. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 87. Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 88. Two members of the surgical team must perform the checks of identification information: patient armband, blood and Rh type, unit number, and expiration date prior to administration of any blood products to a patient. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 11: Hemostasis, Wound Healing, and Wound Closure DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM

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Chapter 12: Surgical Case Management 1. In preparing a patient for surgery, which of the following should be removed to facilitate oxygen blood level assessment? a. dentures b. hearing aids c. nail polish d. makeup ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 2. What is the term used when a surgical team member who is on standby must return to the facility to do a case? a. called in b. called up c. pulled in d. pulled up ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 3. Which type of sterile gown uses battery-powered ventilation for the wearer? a. reusable cloth b. impervious backed c. full coverage system d. disposable fluid resistant ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 4. Which component of personal protective equipment (PPE) has shown the ability to decrease disease transmission from needle punctures? a. double gloving b. full coverage system c. lead aprons/shields d. splash guard mask Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 5. Which of the following describes the configuration of a Mayo stand cover? a. flat b. rigid c. cylindrical d. wraparound ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 6. What is the purpose of a radiofrequency tracking system in the operating room? a. Aid in chargeable items being input into system. b. Assist CSPD personnel in locating instrument trays. c. Prevent potential for patient misidentification. d. Reduce possibility of retained foreign objects.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 7. During the process of setting up the sterile field, efficiency and economy of motion recommend that the surgical technologist (ST): a. move items only once if possible b. position back table close to door c. place as many instruments on Mayo stand as possible d. request that circulating RN open all supplies for case after ST is gowned and gloved ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management 8. During the surgical skin prep, areas that are considered contaminated should: a. not be scrubbed at all b. need no special attention c. be scrubbed separately or last d. be scrubbed vigorously and first ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 9. The main purpose of the surgical skin prep is to: a. provide a visible area of paint where the incision will be made b. reduce the microbial count on the skin to an irreducible minimum c. remove all resident and transient flora from the planned incision site d. sterilize the patient’s skin to prevent post-op surgical site infections ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 10. The patient undergoing laparotomy should be prepped: a. in a side-to-side motion from bedside level to bedside level b. in vertical strokes from superior prep margins to inferior prep margins c. from the periphery inward toward the incision site in a circular motion d. from the incision site outward toward the periphery in a circular motion ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 11. Which of the following statements regarding hair removal is INCORRECT? a. Hair must be shaved from every incisional and ECG lead site. b. Hair removal should be performed as close to the time of the procedure as possible. c. Hair removal is dependent upon surgeon’s preference, patient factors, and surgical site. d. Hair removal using a razor can result in microabrasions and increased microbial count.

ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 12. Which position is routinely used for flexible colonoscopy procedures and may be performed on the patient’s stretcher? a. Fowler’s b. Kraske c. lithotomy d. Sims’ ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 13. Which towel is placed first when squaring off the operative site? a. inferior margin b. superior margin c. same side as person applying towels d. opposite side from person applying towels ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 14. An assistant may be needed to properly perform which type of surgical skin prep? a. circumferential extremity b. midline vertical abdominal c. two-step prep with scrub and paint d. vaginal/perineal prep in lithotomy position ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 15. Which term describes the condition of a surgical technologist’s skin following skin prep?

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Chapter 12: Surgical Case Management a. debrided b. medically clean c. surgically clean d. sterile ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 16. What is the appropriate method for delivering a sterile item to the back table from a peel package? a. Open peel pack away from self, using top flap to cover hand and arm; open item over center of back table. b. Open package laterally, and carefully slide item over glued edge onto top of back table. c. Open package toward self; then project item into air, aiming for back table. d. Open package laterally and completely; gently toss item without touching glued edge or going over back table.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 17. Up to what area of the arms does a surgical technologist scrub? a. 1 inch below the elbows b. 2 inches below the elbows c. 1 inch above the elbows d. 2 inches above the elbows ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 18. Which of the following would NOT be an appropriate method of performing a surgical scrub/skin preparation? a. anatomical timed b. brushless/waterless c. counted strokes d. medical hand wash ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 19. Which gloving method should be performed by the surgical technologist after donning a sterile gown and before setting up the back table? a. assisted gloving b. closed gloving c. open gloving d. triple gloving ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 20. Which of the following techniques of counting sponges on the sterile field is an example of best practice? a. Count packages, leaving paper bands around and intact to prevent mixing of sponges before use. b. Count quietly and to yourself, and record totals with a skin marker on the back table cover. c. Remove paper bands around sponges; separate each sponge into separate piles while counting aloud with the circulator d. Remove paper bands around sponges, hold pack in hand and fan out to separate, and then count aloud while touching each sponge.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/18/2016 7:51 PM 21. Which of the following are NOT considered countable items for potential of retained foreign objects? a. dressings b. instruments c. sharps d. sponges ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM

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Chapter 12: Surgical Case Management 22. Which method of gloving is appropriate for placement of a urinary catheter as part of the skin prep? a. closed gloving b. open gloving c. double gloving d. unsterile gloving ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 23. Where is the safety belt or strap placed on a patient in supine position on the OR table? a. 2 inches proximal to the ankles b. 2 inches distal to the knees c. 2 inches proximal to the knees d. 2 inches distal to the perineal region ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 24. What would be the likely result of positioning the patient’s arms on armboards at a greater than 90° angle from the torso? a. hyperextension nerve damage b. foot drop c. hamstring strain d. restriction of respiratory freedom ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/18/2016 7:57 PM 25. What is the temporary position for a female patient for placement of urinary catheter prior to abdominal hysterectomy? a. frog-legged b. jackknife c. low lithotomy d. semi-Fowler’s Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 26. The sitting position is a modification of which position? a. Trendelenburg b. lithotomy c. Fowler’s d. Kraske ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 27. For which position would the head of the OR table be moved to the foot before the patient is placed on the table? a. Trendelenburg b. lithotomy c. lateral kidney d. jackknife ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 28. Which position requires anesthesia administration and intubation to be performed on the patient’s stretcher prior to final positioning? a. lateral b. lithotomy c. prone d. supine ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management 29. Which of the following statements about lateral kidney positioning is INCORRECT? a. The lower leg is flexed, the upper leg is straight, and a pillow is between them. b. The lower leg is straight and the upper leg is flexed, with a pillow under the lower leg. c. A small roll is placed under the nonoperative side axillary area to facilitate respiration. d. The patient’s flank is positioned over the kidney lift to provide greater exposure of the operative area.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 30. Before opening any supplies for delivery to the sterile field, what must be verified? a. Removal of charge sticker b. Initials of person who prepared item c. Length of time item has been in storage d. Package integrity being intact and not violated ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 31. What is the term for the normal resident microbial populations found on human skin? a. bioburden b. flora c. fomites d. biologicals ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 32. What should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing? a. Open and toss gown and gloves into the basin set. b. Open and toss gown and gloves onto the back table. c. Open and toss gown and gloves onto unsterile Mayo stand. d. Open gown wrapper on unsterile Mayo stand, and open and toss gloves onto gown.

ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 33. What is the proper way to open a small, sterilely wrapped item for delivery to the sterile field? a. First flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self and secured before tossing item onto field. b. First flap is pulled and opened toward self, the side flaps are pulled open, and the last flap is pulled and opened away from self; then item is tossed onto field. c. Right flap is pulled and tucked into palm, left flap is pulled and tucked, top flap is pulled and opened toward self, and the bottom flap is opened away from self and secured before tossing onto field. d. Left flap is pulled and tucked into palm, right flap is pulled and tucked, top flap is pulled and opened away from self and tucked, and bottom flap is pulled toward self and secured before tossing item onto field.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 34. What is the term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub? a. subacromial b. subdermal c. sublingual d. subungual ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 35. What is the name of the common disposable surgical gown style? a. cylindrical b. turnaround c. wraparound d. circumferential ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 36. If a pack of sponges is found to have an incorrect number during the count process and the patient is on the OR table, what should be done? a. Discard the sponge pack into a trash hamper. b. Hand off the pack to the circulator who will remove it from the room. c. Ask the circulator to record the actual number on the count board for closing count verification. d. Hand off the pack to the circulator who will bag, label as incorrect, and isolate off field until case completion.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 37. Which statement regarding instrument counts is CORRECT? a. They should be counted while all still on back table. b. They are unnecessary if only one tray is opened for use. c. They are required by state law for every surgical procedure. d. They have been replaced by routine practice of post-op x-ray to verify no retained instruments.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 38. When transporting a patient on a stretcher through the OR suite corridors, which method should be followed? a. Pull the stretcher with the patient facing feet first and the patient flat and restrained. b. Pull the stretcher with the patient facing head first and the patient flat and restrained. c. Push the stretcher with the patient facing feet first in the position most comfortable for the patient. d. Push the stretcher with the patient facing head first in the position most comfortable for the patient.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 39. Radiation, convection, conduction, and evaporation are examples of: a. instrument sterilization methods b. mechanisms of intraoperative heat loss Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management c. methods of thermal hemostasis d. surgical suite ventilation controls ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 40. How many individuals are required to safely transfer a recently anesthetized patient from the OR table to the stretcher? a. None--wait until patient can move him- or herself. b. 2 c. 3 d. 4 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 41. Which of the following is NOT an example of blunt dissection of tissue? a. Gloved finger against tissue. b. Dissection sponge (peanut) c. Surgeon and assistant pull open peritoneum bilaterally. d. Endo Shears are used through laparoscopic trocar to separate tissue.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/18/2016 8:25 PM 42. Best practice states that all of the following items remain sterile until the patient leaves the room, EXCEPT the: a. back table b. basin set c. Mayo stand d. surgical drapes ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 43. Which member of the surgical team gives permission for the patient to be positioned or transferred? a. Anesthesia provider b. Circulator c. CSFA d. CST ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/18/2016 8:32 PM 44. When turning the sterile gown, what is handed to the circulator that completes the gowning process? a. gloved hand b. glove wrapper c. gown tab or card d. gown wrapper ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 45. To secure the Mayo stand from moving during draping, what should be done? a. Push the Mayo stand against the wall. b. Step on one leg of the Mayo stand. c. Have the circulator hold the Mayo stand post. d. Grasp the back side of the tray with one hand.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 46. Which two members of the surgical team are responsible for performing the counts to prevent retained items? a. circulator and surgeon b. circulator and surgical technologist c. surgeon and first assistant Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management d. surgeon and surgical technologist ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 47. Which of the following descriptions of how to pour liquids into a container on the sterile field is correct? a. Hold the bottle 6 inches above and over the basin. b. Hold the bottle 6 inches above but with only the lip of the bottle over the basin. c. Hold the bottle 12 inches above and over the basin. d. Hold the bottle 12 inches above and with only the lip of the bottle over the basin.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 48. What does the circulator verify before the surgical technologist places the basket of instruments on the back table? a. The internal indicator has changed color. b. The filter on the container lid has changed color. c. The filters on the bottom of the container are intact and the container is dry. d. The numbers of instruments in the tray are correct on the count sheet from CSPD. ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/18/2016 8:37 PM 49. Which of the following statements regarding transfer of an awake, mobile patient from stretcher to OR table is INCORRECT? a. Both table and stretcher must be locked to prevent movement during transfer. b. One staff member is positioned on table side to receive patient and one on stretcher side to stabilize. c. Instruct patient to keep the blanket on during transfer, preventing hypothermia and for privacy. d. The safety strap is secured tightly across patient’s waist to prevent possible fall due to narrow OR table.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management DATE MODIFIED: 2/11/2016 9:28 AM 50. Which of the following is/are NOT included in operative vital sign measurements? a. Pulse b. Blood pressure c. Height and weight d. All of the above are considered operative vital sign measurements ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/18/2016 8:48 PM 51. What is the name of the device used to manually assess blood pressure? a. electrocardiograph b. glucometer c. pulse oximeter d. sphygmomanometer ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 52. With what amount and which fluid is a 16 Fr., two-way Foley catheter with 5 cc balloon filled? a. 5 mL of sterile water b. 5 mL of sterile normal saline c. 10 mL of sterile water d. 10 mL of sterile normal saline ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 53. Trendelenburg, reverse Trendelenburg, Fowler’s, and lithotomy are variations of which basic position? a. decubitus b. lateral c. prone d. supine Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 54. Which table attachment is required to safely maintain a patient in the reverse Trendelenburg position? a. anesthesia screen b. kidney braces c. padded footboard d. shoulder braces ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 55. Which position would facilitate exposure of the operative area during a laparoscopic cholecystectomy? a. Trendelenburg with slight tilt to the left b. Trendelenburg with slight tilt to the right c. reverse Trendelenburg with slight tilt to the left d. reverse Trendelenburg with slight tilt to the right ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 56. The purpose of the preoperative skin prep is to sterilize the patient’s skin to prevent surgical site infections. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 57. The legs of a patient being placed in the lithotomy position should be raised and lowered slowly and simultaneously by two unsterile personnel.

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Chapter 12: Surgical Case Management a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 58. The proper sequence for performing intraoperative and closing counts is operative site, Mayo stand, back table, basins, kick bucket or off field. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 59. Suction tubing and ESU cords are attached to the sterile drape with perforating towel clips to prevent contamination. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 60. The ability to anticipate the needs of the surgeon is one of the most important skills for a surgical technologist to develop. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Match each term below with its description. a. Apical Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management b. Lateral recumbent c. Auscultation d. Impervious e. Perineum f. Neutral zone g. Tachypnea h. Perfusion i. Depilatory j. Torsion QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 61. The ability to prevent penetration of fluid through material, resulting in contamination ANSWER: d POINTS: 1 62. Area designated for placement of sharps to prevent intraoperative injury to sterile team members ANSWER: f POINTS: 1 63. Type of cream used as a hair removal method that does not cause microabrasions ANSWER: i POINTS: 1 64. Referring to the apex of the heart; used as a method of reading a pulse rate ANSWER: a POINTS: 1 65. Rapid breaths that rise with body temperature ANSWER: g POINTS: 1 66. The act of listening to sounds within organs or areas of the body ANSWER: c POINTS: 1 67. The act or process of being twisted or rotated around an axis ANSWER: j POINTS: 1 68. The position in which an individual is lying on his or her side; also called decubitus ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 12: Surgical Case Management 69. The passage of fluid through the lymphatic system or blood vessels to an organ or tissues ANSWER: h POINTS: 1 70. The area between the anus and scrotum in males or between the anus and vulva in females ANSWER: e POINTS: 1

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Chapter 13: Diagnostic Procedures 1. Which of the following terms describes the percentage of blood pumped out of a filled ventricle with each heartbeat? a. tidal volume b. ejection fraction c. plethysmography d. prothrombin time ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 2. Which of the following studies combines computed tomography with isotope scanning to highlight chemical or metabolic activity? a. PET b. IOC c. MRI d. EEG ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 3. Which study uses frequencies of 1 to 10 million Hertz through human tissue for diagnostic purposes? a. tomography b. capnography c. ultrasonography d. electromyography ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 4. All of the following studies expose the patient to ionizing radiation EXCEPT: a. CT scan b. MRI scan c. angiogram d. myelogram ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 5. Which of the following is a dye used for identification of bacteria? a. Hypaque b. Cystografin c. Renografin d. crystal violet ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/18/2016 9:02 PM 6. What is a common component of many contrast media that may be a contraindication for use in allergic patients? a. iodine b. sodium c. calcium salts d. radionuclides ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 7. Which diagnostic method requires use of an image intensifier? a. CT scanning b. MRI scanning c. fluoroscopy d. ultrasonography ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 8. For which of the following diagnoses would a myelogram MOST likely be ordered?

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Chapter 13: Diagnostic Procedures a. kidney infection b. carpal tunnel syndrome c. nerve root compression d. chronic obstructive pulmonary disease ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 9. An AP view on a radiograph is taken: a. at a 45° angle b. cross-table c. head to toe d. front to back ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 10. Cholangiography is the diagnostic study that images which anatomical structure? a. common bile duct b. large intestine c. upper GI tract d. urinary system ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 11. Which of the following devices would be used within the sterile field to determine the patency of an arterial anastomosis? a. stethoscope b. Doppler probe c. cholangiogram catheter d. echocardiography transducer ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 12. What is another term used for diagnostic isotope scanning? a. electroencephalography b. nuclear medicine c. capnography d. spirometry ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 13. A neurologist might order an EEG for a patient with which suspected diagnosis? a. herniated disc b. hydrocephalus c. partial paralysis d. seizure disorder ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 14. Which of the following is (are) stained in a Gram stain test? a. cervix b. calculi c. bacteria d. tissue margins ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 15. Thoracentesis is removal of fluid from the: a. amniotic sac Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures b. pleural space c. synovial space d. peritoneal cavity ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 16. Which of the following is a display and recording of the electrical activity of skeletal muscle? a. ECG b. EEG c. EGD d. EMG ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 17. Which study assists a surgeon with determining the MOST effective antibiotic therapy for treatment of an SSI? a. isotope scanning b. plethysmography c. culture and sensitivity d. hemoglobin and hematocrit ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 18. Which artery is MOST commonly accessed with the Seldinger technique during cardiac catheterization? a. axillary b. brachial c. carotid d. femoral ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 19. Rapid serial film changers and pressure injectors are used in which diagnostic imaging study? a. angiogram b. CT scan c. echocardiogram d. MRI scan ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 20. Auscultation involves use of a(n): a. otoscope b. stethoscope c. laparoscope d. bronchoscope ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 21. Which of the following is a flexible, atraumatic device used to facilitate proper placement of catheters into lumens of vessels, ducts, or ureters? a. balloon dilator b. Doppler probe c. J-guidewire d. Swan-Ganz ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 22. A corneal abrasion would be assessed using a(n): a. colposcope b. laryngoscope Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures c. sigmoidoscope d. ophthalmoscope ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 23. Intraoperative fluoroscopy for cholangiography would require which of the following? a. radiolucent OR table b. radiopaque OR table c. x-ray guidewires d. x-ray film cassettes ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 24. Contrast media are routinely introduced: a. rectally b. topically c. sublingually d. intravenously ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 25. Roentgenography, named for the German physicist who discovered it, is better known today as: a. echocardiography b. pulse oximetry c. radiography d. ultrasonography ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures DATE MODIFIED: 2/11/2016 9:28 AM 26. Hypaque, Cystografin, and Renografin are: a. antiseptic prep solutions b. bacterial staining compounds c. contrast media d. tissue preservatives ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 27. When a vessel cannot be accessed percutaneously for angiography, how else could it be done? a. auscultation b. cut-down c. digital subtraction d. palpation ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 28. For which anatomic area is ultrasonography ineffective? a. amniotic sac b. heart c. lungs d. veins ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 29. Which test involves a lumbar puncture for collection and analysis of CSF? a. spinal tap b. urinalysis c. myelogram d. amniocentesis Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 30. A type of organism that dies quickly when exposed to air is called: a. aerophilic b. anaerobic c. neoplastic d. oxidative ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 31. Which of the following is an example of an isotope scan that may show “hot spots” indicating possible pathology? a. arteriogram b. bone scan c. CAT scan d. mammogram ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 32. In a Gram stain study, the bacteria that retains the blue coloration following staining, alcohol rinse, and restaining is: a. gram positive b. gram negative c. gram sensitive d. gram resistant ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures 33. B-cells and T-cells are types of: a. platelets b. hemoglobin c. lymphocytes d. red blood cells ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 34. In normal blood gas ranges, arterial oxygen saturation should be at or near what percentage range of capacity? a. 10% to 20% b. 25% to 40% c. 50% to 79% d. 96% to100% ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 35. Which condition of excess fluid is analyzed by thoracentesis? a. ascites b. hydrocephalus c. hyperhidrosis d. pleural effusion ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 36. What is the name of the 24-hour monitoring device for cardiac dysrhythmias? a. Doppler monitor b. Holter monitor c. electrocardiogram d. electromyogram ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 37. What is the symptom that a patient with myocardial ischemia would experience? a. angina b. eupnea c. flatulence d. itching ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 38. Which wave of the cardiac cycle in an electrocardiogram indicates the ventricular repolarization phase? a. P-wave b. Q-R-S wave c. T-wave d. U-wave ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 39. A deep vein thrombosis can be diagnosed by which diagnostic study? a. capnography b. ejection fraction c. phleborheography d. spirometry ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 40. Which noninvasive study assesses the amount of carbon dioxide in the arterial system of a patient on mechanical ventilation?

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Chapter 13: Diagnostic Procedures a. capnography b. pulmonary capillary wedge pressure c. spirometry d. thoracentesis ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 41. EEG leads may be placed directly on the surface of the brain during craniotomy. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 42. MRI scans require shielding of thyroid and gonads because of ionizing radiation emissions. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 43. Oxygen saturation is higher in the venous system than in the arterial system, making blood appear darker red. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 44. Basophils, eosinophils, and neutrophils are types of white blood cells. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 45. Hemoglobin is measured in grams per deciliter, and hematocrit is measured in percentages. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Match each term below with its description. a. Fluoroscopy b. Rad c. Pulse oximeter d. Signs e. Digital subtraction f. Palpation g. Retrograde h. Urinalysis i. CAT scan j. Contrast QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 46. Vascular imaging technique that removes the background structures from view ANSWER: e POINTS: 1 47. Analysis of voided sample by either catheterization or clean catch ANSWER: h POINTS: 1 48. Difference of optical density in a radiograph that results from a difference in radiolucency or penetrability Copyright Cengage Learning. Powered by Cognero.

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Chapter 13: Diagnostic Procedures ANSWER: j POINTS: 1 49. Real-time radiographic imaging that allows the actions of joints or organs to be viewed directly ANSWER: a POINTS: 1 50. Part of a physical examination in which touch is used externally or internally to determine size, shape, or abnormality ANSWER: f POINTS: 1 51. Standard unit of measurement for the absorption of ionizing energy ANSWER: b POINTS: 1 52. Objective, observable evidence or manifestations of a pathological condition ANSWER: d POINTS: 1 53. Type of urography in which contrast media is injected directly into the bladder ANSWER: g POINTS: 1 54. Specialized radiographic machine that produces computer-generated images of the body in “slices” ANSWER: i POINTS: 1 55. Noninvasive device that measures optical density of blood; used on fingers, toes, or earlobes ANSWER: c POINTS: 1

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Chapter 14: General Surgery 1. HBV, HCV, and alcohol abuse are precursors to which of the following diseases? a. cirrhosis b. cholelithiasis c. diverticulitis d. duodenal ulcer ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 2. During cholangiography, bubbles in the contrast media would likely: a. cause a pulmonary embolus b. give the appearance of a stone on x-ray c. pass undetected through the biliary system d. rupture the cystic duct from pressure exerted during injection ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 3. A Whipple procedure is done for treatment of a tumor in which abdominal organ? a. liver b. pancreas c. rectum d. spleen ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 4. Another name for a thyroid tenaculum is a: a. Braun b. Jacobs c. Lahey d. Schroeder ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 5. Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis? a. Crohn’s disease b. Grave’s disease c. Hashimoto’s disease d. thyroid storm ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 6. Tetany is a serious potential post-op complication of which type of surgical intervention? a. appendectomy b. colon resection c. gastrectomy d. thyroidectomy/parathyroidectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/19/2016 9:34 PM 7. What term describes a benign condition of breast enlargement in men? a. gynecomastia b. hypoplasia c. macromastia d. micromastia ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 8. Which stage of breast cancer is characterized by evidence of distal metastasis? a. Stage I Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery b. Stage II c. Stage III-b d. Stage IV ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 9. Which anatomical structure is the largest mass of lymphatic tissue in the body? a. axillary sentinel node b. palatine tonsils c. spleen d. thymus ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 10. Which of the following is NOT a region of the pancreas? a. body b. capsule c. head d. tail ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 11. The triangle of Calot is an anatomical space bounded by structures in which surgical procedure? a. appendectomy b. cholecystectomy c. herniorrhaphy d. thyroidectomy ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 12. What is achieved by insufflation of carbon dioxide into the abdominal cavity? a. pneumocephalus b. pneumocystosis c. pneumoperitoneum d. pneumothorax ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 13. Where is the gallbladder located in relation to the liver? a. inferior surface of the left lobe b. superior surface of the left lobe c. inferior surface of the right lobe d. superior surface of the right lobe ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 14. What is the name of the fibrous and serous capsule that covers the liver? a. Bowman’s b. Glisson’s c. Tenon’s d. articular ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 15. For which surgical procedure would the Buie pile forceps be used? a. appendectomy b. breast biopsy c. cholecystectomy Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery d. hemorrhoidectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 16. A typical end-to-end bowel anastomosis is accomplished with which of the following suturing techniques? a. one-layer, continuous technique for seromuscular approximation with absorbable suture b. one-layer, interrupted technique for mucosal approximation only with silk suture c. two-layer, continuous technique for seromuscular approximation with absorbable, interrupted for mucosa with silk suture d. two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 17. In which of the following abdominal incisions would the linea alba be opened down to the peritoneum? a. Kocher subcostal b. McBurney c. median vertical d. transverse ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 18. Which incision is traditionally used for open appendectomy? a. McBurney b. median vertical c. paramedian d. Pfannenstiel ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 19. A Maloney bougie dilator is used in which anatomical structure? a. common bile duct b. esophagus c. urethra d. cervix ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 20. Doyen, Kocher, Dennis, and Allen are names of which type of instrument? a. abdominal retractors b. intestinal clamps c. laparoscopic graspers d. tissue scissors ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 21. What does TEP stand for in general surgery? a. totally endoscopic pancreatectomy b. totally endoscopic pyloroplasty c. totally extraperitoneal patch d. totally extraperitoneal prolapse ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 22. What term is used for surgical opening of the abdominal or peritoneal cavity? a. gastrectomy b. gastrostomy c. laparoscopy Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery d. laparotomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 23. Which type of hernia occurs below the abdominocrural crease and more frequently in females? a. femoral b. epigastric c. direct inguinal d. indirect inguinal ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 24. What is another way of saying “cephalad to caudad”? a. back to front b. front to back c. head to tail d. inside to outside ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 25. Which fascial sheet is attached to the iliac crest, linea alba, and pubis? a. innominate b. interparietal c. Scarpa’s d. transversalis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery 26. What is another name for an acquired ventral hernia through the linea semilunaris? a. epigastric b. femoral c. inguinal d. Spigelian ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 27. A gastrostomy can be created by all of the following methods EXCEPT: a. open b. endovascular c. laparoscopic d. percutaneous ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 28. Which suturing technique is often used on the appendiceal stump? a. interrupted b. horizontal mattress c. vertical mattress d. pursestring ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 29. Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical procedure? a. laparoscopic cholecystectomy b. laparoscopic Nissen fundoplication c. modified radical mastectomy d. subtotal gastrectomy ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 30. Where are the parathyroid glands located in relation to the thyroid? a. anterior midline b. posterior midline c. dorsal, superior and inferior d. ventral, superior and inferior ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 31. What do the parathyroid glands regulate in the body? a. blood calcium concentration b. growth hormones c. immune response d. insulin release ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 32. The skin incision for a thyroidectomy will follow which anatomical lines? a. anterior axillary b. Langer’s c. midclavicular d. semilunar ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 33. Which handheld retractors are frequently used to retract tissues during thyroidectomy?

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Chapter 14: General Surgery a. Green b. Harrington c. malleable d. Weinberg ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 34. What type of hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle? a. direct b. femoral c. indirect d. umbilical ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 35. What type of hernia results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum? a. direct b. femoral c. indirect d. umbilical ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 36. What is the name for the type of hernia in which both direct and indirect defects are present? a. diaphragmatic b. epigastric c. incisional d. pantaloon ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 37. What is the name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision? a. bezoar b. calculus c. polyp d. ulcer ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 38. For which type of hernia repair could a Penrose drain be used as a method of gentle traction of the spermatic cord? a. laparoscopic Nissen fundoplication b. McVay inguinal herniorrhaphy c. totally extraperitoneal patch (TEP) d. ventral/incisional herniorrhaphy ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 39. A vagotomy is a surgical treatment option for: a. appendicitis b. ductal carcinoma c. gastric ulcers d. pancreatitis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 40. Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion? a. adhesive stricture Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery b. fecal impaction c. intussusception d. volvulus ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 41. Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers? a. anastomosis b. fundoplication c. herniorrhaphy d. lysis of adhesions ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 42. End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for: a. bowel anastomosis b. mastectomy wound closure c. mesh placement in herniorrhaphy d. surgical skin prep solution application ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 43. In a laparoscopic appendectomy, all of the following methods could be used for dissection of the appendix EXCEPT: a. endoscopic linear stapler b. ligating loop instrument c. intraluminal circular stapler d. intracorporeal suturing instrument ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 44. Which statement is CORRECT regarding polyps and diverticula in the colon? a. Both protrude inward into the lumen of the intestine. b. Both protrude outward from the lumen of the intestine. c. Polyps protrude inward, and diverticula protrude outward from the intestine. d. Diverticula protrude inward, and polyps protrude outward from the intestine.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 45. The hepatic and splenic flexures are located proximally and distally in which part of the large intestine? a. ascending b. descending c. sigmoid d. transverse ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 46. “Bowel technique” refers to steps used by the surgical team to prevent postoperative: a. adhesion formation b. hemorrhage c. incisional hernia formation d. surgical site infection ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 47. An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which muscle? a. external oblique b. internal oblique Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery c. rectus abdominus d. transversus abdominus ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 48. Which of the following is the MOST common permanent colostomy? a. end b. loop c. end-loop d. sigmoid ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 49. Which surgical position is used exclusively for anorectal surgical procedures? a. Kraske b. supine c. Trendelenburg d. reverse Trendelenburg ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 50. Which type of viewing instrument would be used for surgical treatment of hemorrhoids? a. anoscope b. colonoscope c. laparoscope d. sigmoidoscope ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery DATE MODIFIED: 2/11/2016 9:28 AM 51. Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle? a. taper b. blunt c. spatula d. cutting ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 52. What is the incision routinely used for open cholecystectomy? a. McBurney b. Pfannenstiel c. left subcostal d. right subcostal ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 53. Which handheld retractor is specifically designed for use in open cholecystectomy to elevate the liver? a. Army-Navy (USA) b. Green c. Harrington d. Parker ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 54. What is the reason for injecting saline through the cholangiogram catheter prior to the contrast media? a. The saline will dilute the contrast dye. b. The saline will dilate the common duct. c. The saline will push any stones in the cystic duct through. d. The saline will test patency of the cystic duct prior to injecting the contrast.

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Chapter 14: General Surgery ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 55. A T-tube or wound drain left in place following laparoscopic cholecystectomy would MOST likely exit through: a. a left subcostal stab wound b. the umbilical port site incision c. one of the 5 mm right port site incisions d. the subxiphoid 10 mm port site incision ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 56. Which of the following are endocrine-secreting glands of the pancreas that make up only 1% of the organ? a. acini b. ampulla of Vater c. islets of Langerhans d. uncinate process ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 57. Pancreaticoduodenectomy is also known as which of the following procedures? a. Bassini-Shouldice b. McVay c. Nissen d. Whipple ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery 58. A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the: a. breast b. groin c. liver d. pancreas ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 59. What type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous ducts? a. circumareolar b. elliptical c. inframammary d. paramedian ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 60. What is the name for the first lymph node in the axillary chain that is frequently biopsied in conjunction with a breast biopsy, lumpectomy, or mastectomy? a. attendant b. guardian c. leader d. sentinel ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 61. The surgeon may request which of the following for irrigation to aid in destroying any residual tumor cells after dissection? a. heparin b. hydrogen peroxide c. normal saline d. sterile water Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 62. Surgical removal of the entire breast without any lymph nodes is a(n): a. excisional biopsy b. simple mastectomy c. segmental mastectomy d. modified radical mastectomy ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 63. If a mastectomy is scheduled to follow a breast biopsy and frozen section results indicate carcinoma, what is done? a. Protect the field until second procedure begins. b. Bring up a Mayo stand with new instruments for the mastectomy. c. Use same instruments, but be sure to change all gloves first. d. Re-prep, redrape patient; team changes gowns and gloves; and use new instruments.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 64. Bifurcated drains and fluffy pressure dressings are used following mastectomy primarily to: a. make the change in chest contour less obvious b. prevent formation of hematoma and seroma c. provide comfort for the patient when she moves d. keep adhesions from forming between the skin and muscle ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery 65. Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called: a. anal fissure b. fistula-in-ano c. hemorrhoid d. pilonidal cyst ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 66. The Hasson technique for establishing pneumoperitoneum requires the use of a Verres needle. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 67. The upper-hand and Thompson retractors are complex self-retaining retractors frequently used in major abdominal procedures. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 68. Conversion from a laparoscopic procedure to an open procedure is always a possibility that the surgical technologist should be prepared for. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery 69. A surgical technologist may “run” or operate the laparoscopic camera during minimally invasive procedures to free up the hands of the surgeon and surgical first assistant. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 70. Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Match each term below with its description. a. Mesentery b. Strangulated c. Ipsilateral d. Lithotripsy e. Dysphagia f. Ulcerative colitis g. Jaundice h. Rebound pain i. Aponeurosis j. Billroth I QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 71. Difficulty swallowing or feeling of food sticking in the esophagus ANSWER: e POINTS: 1 72. Discomfort or tenderness that occurs with sudden release of pressure; a clinical sign of appendicitis ANSWER: h Copyright Cengage Learning. Powered by Cognero.

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Chapter 14: General Surgery POINTS:

1

73. Type of hernia in which tissues are caught within a fascial defect; may become strangulated if not reduced ANSWER: b POINTS: 1 74. Broad sheet of fibrous tissue or expanded tendon that holds muscles together or connects muscle to bone ANSWER: i POINTS: 1 75. Being on or affecting the same side of the body ANSWER: c POINTS: 1 76. Antrectomy: removal of distal stomach and pylorus with anastomosis to duodenum; preferred approach for treatment of ulcer or neoplasm ANSWER: j POINTS: 1 77. Double-layer membrane of peritoneum attached to back wall of abdominal cavity that supports the small intestine ANSWER: a POINTS: 1 78. Inflammatory bowel disease that causes erosions in the lining of the large intestine ANSWER: f POINTS: 1 79. Yellowing of the skin and eyes due to buildup of bilirubin; visible sign of certain cancers and diseases of the organs of the biliary system ANSWER: g POINTS: 1 80. Noninvasive electro-generated shock waves used to break up calculi in the urinary or biliary system ANSWER: d POINTS: 1

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Chapter 15: Obstetric and Gynecologic Surgery 1. How many stages of labor and delivery does the patient go through? a. two b. three c. four d. five ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 2. In which procedure would the surgeon likely request 8-0 or 9-0 suture? a. cervical cerclage b. cesarean section c. tubal ligation d. tuboplasty ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 3. What is the name of the routine surgical treatment of infected Bartholin’s gland cysts? a. cerclage b. episiotomy c. labioplasty d. marsupialization ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 4. For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy? a. cervical dilators, uterine sound, weighted vaginal speculum, tenaculum, endometrial curettes b. tenaculum, uterine sound, weighted vaginal speculum, cervical dilators, endometrial curettes c. weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes d. uterine sound, weighted vaginal speculum, tenaculum, cervical dilators, endometrial curettes ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 5. What color is the abnormal tissue after staining with Lugol’s solution in a cervical biopsy? a. blue b. white c. brown d. no color change ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 6. What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility? a. endometrial ablation b. myomectomy c. oophorectomy d. pelvic exenteration ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 7. What color is the abnormal tissue after staining with acetic acid in a cervical biopsy? a. blue b. white c. brown d. no color change ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 8. Which of the following structures is NOT part of the anatomy of the vulva?

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Chapter 15: Obstetric and Gynecologic Surgery a. cervix b. clitoris c. labia d. mons pubis ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 9. Which incision is MOST frequently used for cesarean sections? a. epigastric b. paramedian c. Pfannenstiel d. vertical midline ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 10. What is the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-section? a. It keeps the epidural catheter from being kinked. b. It prevents sacral decubitus ulcer formation. c. It reduces low back strain while in the supine position. d. It reduces the pressure of the gravid uterus on the vena cava.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 11. Which maneuver might be performed by the surgical technologist during a cesarean section to aid in the delivery as the surgeon gently manipulates the head of the fetus out of the uterus? a. application of external pressure over the bladder b. application of external pressure over the fundus of the uterus c. insertion of the surgical technologist’s hand into the uterus to pull the legs of the fetus out d. use of two Balfour bladder blades to widen the uterine opening ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 12. What is the MOST common surgical intervention for a vaginal delivery? a. cerclage b. episiotomy c. labioplasty d. marsupialization ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 13. All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis, EXCEPT: a. broad b. round c. cardinal d. Cooper’s ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 14. Cervical cerclage is performed to: a. biopsy the areas of dysplasia b. repair a cystocele c. prevent spontaneous abortion d. vaporize vaginal condylomata ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 15. Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery?

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Chapter 15: Obstetric and Gynecologic Surgery a. dystocia b. placenta previa c. preeclampsia d. uterine rupture ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 16. Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section? a. dextran b. Hyskon c. Lugol’s d. oxytocin ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 17. What is the name of the fingerlike projections at the terminal end of the fallopian tube that guides oocytes into the lumen? a. ampulla b. external os c. fimbria d. isthmus ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 18. Which method of tubal ligation (sterilization) is most frequently used? a. Pomeroy b. Irving c. Parkland d. Kroener fimbriectomy ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/20/2016 6:40 AM 19. Which radiological study might be ordered preoperatively for a patient scheduled for tuboplasty? a. angiography b. cholangiogram c. hysterosalpingogram d. retrograde urography ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 20. Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures? a. back table b. ESU c. kick bucket d. Mayo stand ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 21. Delivery of the placenta is the conclusion of which stage of labor? a. first b. second c. third d. fourth ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 22. Which of the following is a weighted vaginal speculum? a. Auvard Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery b. Graves c. Heaney d. Sims ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 23. Which self-retaining retractor has the shape of a figure-of-eight (8) when in the closed position? a. Balfour b. Franz c. Gelpi d. O’Sullivan-O’Connor ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 24. What is the name of a bivalve speculum frequently found in a vaginal procedure tray? a. Goelet b. Graves c. Heaney d. Hegar ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 25. What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy? a. Braun b. Jorgenson c. Metzenbaum d. tenotomy ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 26. Which term means the number of times a woman has been pregnant? a. gravida b. menarche c. parity d. rotation ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 27. What is the preferred method of anesthesia for a cesarean section delivery? a. Bier block b. epidural c. general d. spinal ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 28. When is the first "uterine count" performed in a cesarean section? a. when the umbilical cord is clamped and cord blood is collected b. immediately prior to delivery of the placenta c. when the first suture is given for closure of the uterus d. as the fascial or muscle layer is being sutured ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/20/2016 6:22 AM 29. Bulb syringes are used in obstetrical delivery procedures to: a. collect cord blood gas specimens b. collect pelvic washings for cytology c. suction amniotic fluid from the field Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery d. suction the mouth and nares of the neonate ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 30. What is the name of the anatomical area where the fallopian tubes are attached and enter the uterus? a. cervix b. cornu c. infundibulum d. isthmus ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 31. Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele? a. anterior colporrhaphy b. posterior colporrhaphy c. Shirodkar procedure d. Wertheim’s procedure ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 32. In which of the following procedures would the patient be left without a vagina or any of the female reproductive organs and have a permanent colostomy and ileostomy? a. cerclage b. colporrhaphy c. exenteration d. marsupialization ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery DATE MODIFIED: 2/11/2016 9:28 AM 33. Tubal ligation is performed for: a. blood gas collection b. elective sterilization c. unruptured tubal pregnancy d. urinary incontinence treatment ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 34. Cherney, Maylard, and Pfannenstiel are examples of gynecologic: a. fenestrated drape sheets b. self-retaining retractors c. transverse abdominal incisions d. urinary drainage catheters ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 35. For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps? a. A&P Colporrhaphy b. D&C c. LAVH d. TAH-BSO ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 12/20/2016 6:27 AM 36. Which of the following is routinely done first in a basic gynecologic laparoscopy that may require a small separate setup and glove change before proceeding? a. cervical conization b. pelvic ultrasonography Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery c. insertion of uterine manipulator d. injection of methylene blue into IV ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 37. Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas? a. laparoscopy b. hysteroscopy c. cervical cerclage d. dilation and curettage ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 38. Which of the following procedures would likely be assigned a Class III or Class IV wound and may require aerobic and anaerobic culture tubes? a. dilation and curettage b. radical hysterectomy c. cesarean section delivery d. marsupialization of Bartholin’s cyst ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 39. Which anatomical structure is located anterior to the symphysis pubis and superior to the vaginal opening? a. labia majora b. mons pubis c. perineum d. urethral orifice ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 40. Which anatomical area is located between the posterior vaginal opening and the anus? a. labia majora b. mons pubis c. perineum d. urethral orifice ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 41. What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser? a. ablation b. curettage c. exenteration d. suspension ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 42. Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy? a. Kerrison b. pituitary c. Takahashi d. Tischler ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 43. What is another name for the ovarian suspensory ligament? a. cardinal b. infundibulopelvic Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery c. round d. uterosacral ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 44. Which of the following is the largest supporting ligament in the female pelvis that has anterior and posterior leaves? a. broad b. cardinal c. round d. suspensory ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 45. Which type of needle holder is curved and frequently used for hysterectomy procedures? a. Castroviejo b. Heaney c. Mayo-Hegar d. Webster ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 46. Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are: a. discarded in the trash b. isolated as contaminated c. flash sterilized by the circulator d. used to elevate the fascia during closure ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery DATE MODIFIED: 2/11/2016 9:28 AM 47. Total abdominal hysterectomy is assigned which wound classification? a. Class I b. Class II c. Class III d. Class IV ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 48. Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy? a. cardinal b. infundibulopelvic c. round d. uterosacral ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 49. The fallopian tubes are located bilaterally in the mesosalpinx of which uterine-pelvic ligaments? a. broad b. cardinal c. round d. uterosacral ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 50. The term adnexa refers to which gynecologic anatomical structures? a. labia minora, labia majora, urinary orifice, and clitoris b. isthmus, internal os, cervix, and external os c. fallopian tubes, ovaries, and infundibulum Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery d. endometrium, myometrium, and peritoneum ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 51. Which of the following procedures does NOT require an incision, use of trocars, or distention with gas or fluid? a. colposcopy b. hysteroscopy c. laparoscopy d. pelviscopy ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 52. What is a Veress needle used for? a. amniocentesis b. epidural anesthesia c. laparoscopic insufflation d. suprapubic catheter placement ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 53. Which of the following is used for creating pneumoperitoneum in laparoscopy? a. carbon dioxide b. helium c. nitrogen d. oxygen ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery 54. Which of the following types of stirrups would likely be used for a laparoscopically assisted vaginal hysterectomy (LAVH)? a. Allen low lithotomy b. candy cane hanging c. fiberglass hanging d. posterior knee support ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 55. Radionuclide seeds are used to treat: a. dysmenorrhea/menorrhalgia b. endometriosis c. uterine/cervical carcinoma d. vulvar condylomata ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 56. Which procedure involves an en bloc removal of the uterus, bilateral ovaries and fallopian tubes, supporting ligaments, upper third of the vagina, and pelvic lymph nodes? a. anterior and posterior colporrhaphy b. bilateral laparoscopic tubal ligation c. radical hysterectomy d. suprapubic hysterectomy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 57. Which of the following statements is CORRECT regarding anatomical changes following pelvic exenteration? a. Colostomy and ileostomy will both exit on the right side of the abdomen. b. Colostomy and ileostomy will both exit on the left side of the abdomen. c. Colostomy will exit on the right and ileostomy on the left side of the abdomen.

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Chapter 15: Obstetric and Gynecologic Surgery d. Colostomy will exit on the left and ileostomy on the right side of the abdomen.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 58. Which instrument should the surgical technologist have ready to provide exposure during cesarean section procedures when the uterine incision is made? a. Auvard b. bladder blade c. Gelpi d. Graves ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 59. Which instrument is used to test the patency of the fallopian tube during tuboplasty? a. Hegar dilator b. lacrimal probe c. uterine sound d. Veress needle ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 60. Which instrument is used to manipulate the fallopian tubes without compression or damage? a. Babcock tissue forceps b. Ferris-Smith tissue forceps c. Heaney clamp d. Kocher clamp ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery DATE MODIFIED: 2/11/2016 9:28 AM 61. For which procedure would the gynecologist likely wear surgical loupes? a. cesarean section b. endometrial ablation c. robotically assisted hysterectomy d. tubal reanastomosis ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 62. Which of the following is a serum analysis done to detect ovarian carcinoma? a. CA-125 b. CBC c. FSH d. KUB ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 63. Which muscle is incised in transverse abdominal approaches for gynecologic procedures? a. anterior rectus b. external oblique c. internal oblique d. serratus anterior ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 64. Which instrument is used to grasp the cervix and provide traction during cervical dilation? a. Allis-Adair tissue forceps b. Babcock tissue forceps c. perforating Backhaus clip d. single-tooth tenaculum Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 65. What is used to achieve tissue destruction in an endometrial balloon ablation? a. electrical energy b. hot dextrose water c. laser light energy d. ultrasonic friction ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 66. In a robotically assisted hysterectomy, the surgical technologist may be responsible for removing the specimen from the vagina after the vaginal cuff closure has been completed. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 67. Radionuclide seeds are placed in infected Bartholin’s gland cysts to treat the infected contents. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 68. Laparoscopic linear stapling devices are often used to ligate and cut the uterine ligaments and vessels during LAVH. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 69. Clamp, clamp, cut, tie (CCCT) is a way to anticipate routine dissection steps during hysterectomy procedures. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM 70. Adhesion formation is a normal physiologic inflammatory response to abdominal surgery that cannot be prevented or minimized. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:28 AM DATE MODIFIED: 2/11/2016 9:28 AM Match each term below with its description. a. LEEP b. Fornix c. Resectoscope d. Primipara e. Leiomyoma f. Eclampsia g. Cannulation h. Meconium i. Pouch of Douglas j. Dyspareunia QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 15: Obstetric and Gynecologic Surgery 71. A woman in her first pregnancy or who has delivered only once ANSWER: d POINTS: 1 72. Seizures or coma in a pregnant patient secondary to precursor hypertension and rapid weight gain ANSWER: f POINTS: 1 73. Dark green or black fecal material that may be present in amniotic fluid, putting neonate at risk of pneumonitis from aspiration ANSWER: h POINTS: 1 74. A vaultlike recess in the upper part of the vagina caused by the protrusion of the uterine cervix into the vagina ANSWER: b POINTS: 1 75. Placement of a catheter or probe into a tubular structure to assess patency or treat an obstruction ANSWER: g POINTS: 1 76. Symptom of difficult or painful sexual intercourse in some females ANSWER: j POINTS: 1 77. Benign uterine fibroid tumor that arises from the smooth muscle layer ANSWER: e POINTS: 1 78. Method of biopsy of vulvar or cervical lesions by use of an electrified wire ANSWER: a POINTS: 1 79. Instrument used for cystoscopic or hysteroscopic ablation using wire loops or roller balls and electrical current ANSWER: c POINTS: 1 80. Extension of peritoneal cavity between the back wall of the uterus and the rectum, also called a cul-de-sac ANSWER: i POINTS: 1

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Chapter 16: Ophthalmic Surgery 1. Which retinal structure allows for perception of general shapes and shades of gray in dim light? a. cones b. fovea c. rods d. macula ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. What kind of anesthetic block is used for a vitrectomy procedure? a. Bier b. spinal c. caudal d. retrobulbar ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 3. Perfluoropropane and sulfur hexafluoride are used to: a. anesthetize the eye b. constrict the pupil c. keep pressure on the retina d. prevent post-op infections ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 4. Which of the following is a pharmacologic agent that constricts the pupil of the eye? a. acetylcholine b. atropine c. betamethasone d. viscoelastic ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 5. A trephine is used in which ophthalmologic procedure? a. dacryocystorhinostomy b. enucleation c. keratoplasty d. strabismus correction ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 6. Which sterile irrigation fluid is used for ophthalmic procedures? a. BSS b. D5W c. H2O d. NACL ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 7. The normal condition of the lens of the eye is: a. opaque and biconcave b. opaque and biconvex c. transparent and biconcave d. transparent and biconvex ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 8. What is another name for the traction sutures used to manipulate the globe of the eye?

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Chapter 16: Ophthalmic Surgery a. bridle b. buckle c. retention d. tunic ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 9. Which of the following represents the replacement device for the cataract lens in the eye? a. IOC b. IOL c. IOP d. IUD ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 10. Where is the lacrimal gland located? a. lower lid, inner angle of the orbit b. lower lid, outer angle of the orbit c. upper lid, inner angle of the orbit d. upper lid, outer angle of the orbit ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 11. Into which structures do the lacrimal ducts drain tears? a. ethmoid sinuses b. maxillary sinuses c. nasal cavity d. oropharynx ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 12. Which procedure done on an eye with internal malfunction or loss of contents and no possible recovery of sight provides better mobility and cosmetic result with a prosthetic eye? a. iridectomy b. enucleation c. evisceration d. recession ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 13. Which procedure surgically treats glaucoma? a. enucleation b. iridectomy c. keratoplasty d. scleral buckle ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 14. What is the portion of the eye between the cornea and the iris in which aqueous fluid flows and nourishes tissues? a. anterior chamber b. posterior chamber c. fovea d. macula ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 15. What is another name for a cystic structure caused by an inflammatory response to material trapped in a meibomian gland?

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Chapter 16: Ophthalmic Surgery a. cataract b. chalazion c. ectropian d. entropian ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 16. Which of the following is an inward turning of the eyelid with resulting corneal irritation? a. cataract b. chalazion c. ectropian d. entropian ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 17. Which instrument is used to remove the cataract lens in preparation for intraocular lens placement? a. CUSA b. trephine c. ocutome d. phacoemulsification hand piece ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 18. Which of the following is the name of locking or nonlocking needle holders frequently used in ophthalmology? a. Bishop-Harmon b. Castroviejo c. Colibri d. Desmarres ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 19. Which of the following scissors would NOT be used for ophthalmologic procedures? a. Jorgenson b. McPherson-Vannas c. Stevens tenotomy d. Wescott ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 20. What passes through the canal of Schlemm? a. aqueous humor b. vitreous humor c. lacrimal fluid d. optic nerve ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 21. Misalignment or deviation from coordinated movement of the eyes is: a. astigmatism b. macular degeneration. c. retinal detachment d. strabismus ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 22. If looking at the right eye of a patient and assigning clock positions of 12, 3, 6, and 9 o’clock to the rectus eye muscles, which of the following would be CORRECT? a. 12 = superior; 3 = medial; 6 = inferior; 9 = lateral Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery b. 12 = superior; 3 = lateral; 6 = inferior; 9 = medial c. 12 = inferior; 3 = medial; 6 = lateral; 9 = superior d. 12 = inferior; 3 = lateral; 6 = medial; 9 = superior ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 23. Which of the following is the term for “crossed eyes”? a. amblyopia b. estropia c. myopia d. presbyopia ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 24. Which structure of the eye is colored and its muscles constrict or relax to control the amount of light entering the pupil? a. fovea b. iris c. lens d. macula ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 25. How many tunics comprise the structure of the globe of the eye? a. one b. two c. three d. four ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 26. Which two structures form the external tunic of the globe of the eye? a. pupil and iris b. cornea and sclera c. macula and retina d. ciliary body and choroid coat ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/19/2016 10:26 PM 27. Which procedure involves adjusting sutures after the patient has recovered completely from anesthesia, but within 24 hours? a. chalazion repair b. dacryocystorhinostomy c. entropian repair d. recession/resection ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 28. Which structure of the eye is the thin, transparent lining of the inner surface of the eyelid and covers the sclera? a. conjunctiva b. cornea c. lens d. limbus ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 29. Which of the following is NOT used for visualization in ophthalmologic procedures? a. colposcope Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery b. loupes c. microscope d. ophthalmoscope ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 30. Which of the following names represents an eye speculum that resembles an uncoiled metal paper clip? a. Barraquer b. Castroviejo c. Desmarres d. McPherson ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 31. All of the following are methods of intraocular lens insertion EXCEPT: a. fan-folded through small incision b. flat, original shape through larger incision c. folded in half through medium incision d. rolled up and passed through small tube ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 32. How would a definitive diagnosis of detached retina be obtained if hemorrhage is present in the eye? a. angiography b. CT scan c. direct view with ophthalmoscope d. surgical vitrectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 33. What is the name of the gelatin-like fluid that fills the posterior cavity of the eye? a. aqueous humor b. crystalline lens c. lacrimal fluid d. vitreous humor ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 34. For which surgical procedure would an Fragmatome be used? a. vitrectomy b. enucleation c. keratoplasty d. strabismus correction ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/19/2016 10:32 PM 35. Which substance is used following vitrectomy for long-term support of the retina with fewer restrictions on position? a. BSS b. silicone oil c. hydroxyapatite d. perfluoropropane ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 36. What is the name of the membrane that contains and encloses the vitreous humor in the posterior cavity? a. ciliary body b. conjunctiva c. hyaloid Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery d. sclera ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 37. Where would a Veirs rod be placed to relieve or prevent obstruction? a. canaliculus b. choroid body c. conjunctiva d. crystalline lens ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 38. What is the condition of the lens that is treated by cataract extraction? a. abraded b. detached c. lacerated d. opacified ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 39. In which of the following procedures would sutures most likely NOT be necessary? a. extracapsular cataract extraction b. intracapsular cataract extraction c. recession/resection strabismus correction d. vitrectomy with scleral buckle ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery 40. What is the name of the opening created in the outer tunic for insertion of the infusion cannula for excision of vitreous? a. dacryocystorhinostomy b. iridotomy c. sclerotomy d. vitrectomy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 41. What is the name of the structure that is a small depression containing only cones and has the highest visual acuity? a. ciliary body b. central fovea c. choroid coat d. crystalline lens ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 42. Tetracaine drops are used in ophthalmologic procedures to: a. fill the posterior cavity to prevent retinal detachment b. numb the surface of the eye and surrounding structures c. irrigate the cornea to prevent drying and abrasions d. flush traumatic laceration tissue to prevent post-op SSI ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 43. Which of the following techniques uses a laser to treat retinal tears or proliferative diabetic retinopathy? a. endophotocoagulation b. keratoplasty c. phacoemulsification d. trephination Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 44. Which procedure may be done in conjunction with vitrectomy if the surgeon is unable to gain visualization of the posterior cavity of the eye? a. enucleation b. iridectomy c. keratoplasty d. lensectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 45. What is the term for the six muscles that provide movement of the eye? a. accessory b. extrinsic c. intrinsic d. involuntary ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 46. Which of the following is an intraocular procedure? a. chalazion repair b. entropian repair c. strabismus correction d. vitrectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery 47. What structure is avascular, external, and its function is to refract light rays? a. iris b. sclera c. retina d. cornea ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 48. Which structure has four layers: epithelial cells, substantia propria, elastic lamina, and endothelial cells? a. cornea b. crystalline lens c. macula d. retina ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 49. Which type of needle is frequently used in ophthalmologic procedures? a. 1/2 circle blunt b. 5/8 circle taper c. straight Keith d. spatula ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/19/2016 10:42 PM 50. Cryotherapy uses which of the following to seal retinal tears and holes? a. cold b. heat c. monopolar current d. ultrasonic energy ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 51. Overhead OR spotlights should be placed on highest setting to provide necessary illumination during intraocular procedures. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 52. Donor corneas must be screened for HIV, HBV, and CJD prior to transplant. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 53. The surgical technologist must develop the ability to transfer very small, delicate instruments into the surgeon’s hand in a functional manner so that he or she does not have to look away from the microscope. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 54. Cataracts are categorized as a general condition of aging rather than a disease process. a. True b. False ANSWER: True POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 55. Gas injected into the posterior cavity of the eye following vitrectomy is more stable and requires fewer restrictions of a patient with regard to positioning and altitude than silicone oil. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Match each term below with its description. a. Diopter b. Beaver c. Aperture d. Canthus e. Vitrector f. Split g. Diplopia h. Corneal dystrophy i. Tarsal plate j. Trabecular meshwork QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 56. Type of drape with a rounded fenestration and adhesive backing; used when procedure involves the globe of the eye ANSWER: c POINTS: 1 57. Type of drape sheet with “U” configuration and adhesive edged “legs”; used for procedures requiring broader access to extraocular areas ANSWER: f POINTS: 1 58. Thick connective tissue structure that provides integrity to the shape of the eyelid: may be repositioned in entropian repair ANSWER: i Copyright Cengage Learning. Powered by Cognero.

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Chapter 16: Ophthalmic Surgery POINTS:

1

59. Angular junction of the eyelids at either corner of the eye ANSWER: d POINTS: 1 60. Porous, circumferential band of tiny canals through which the aqueous humor drains ANSWER: j POINTS: 1 61. Name of line of miniscalpel blades used in ophthalmology and ENT ANSWER: b POINTS: 1 62. Visual defect in which one object is seen in duplicate; treated with adjustable suture technique of strabismus correction ANSWER: g POINTS: 1 63. Variable-rate, reciprocating, and cutting-tip hand piece attached to suction ANSWER: e POINTS: 1 64. Unit of measurement of the optical power of a magnifying lens ANSWER: a POINTS: 1 65. Hereditary, progressive, noninflammatory disease of the anterior surface of the eye; diagnostic indication for keratoplasty ANSWER: h POINTS: 1

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Chapter 17: Otorhinolaryngologic Surgery 1. What is the name of the wax that is normally produced and found within the ear canal? a. cerumen b. septum c. sputum d. tympanum ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. What is the term for creating a surgical opening into the tympanic membrane? a. antrostomy b. myringotomy c. septoplasty d. turbinectomy ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 3. Which of the following is NOT an ossicle found in the middle ear? a. cochlea b. incus c. malleus d. stapes ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 4. Which cranial nerve may be damaged by growth of a cholesteatoma? a. third (III) b. fifth (V) c. seventh (VII) d. tenth (X) ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 5. Waters, Caldwell, lateral, and submental radiographic views are used to establish diagnosis for which anatomical area? a. inner ear canal b. oropharynx c. sinus cavities d. temporomandibular joint ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 6:44 AM 6. What tissue type are the palatine tonsils? a. fascial b. lymphoid c. mucosal d. serosal ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 7. Which of the following is NOT a category of tonsil tissue? a. palatine b. pharyngeal c. laryngeal d. lingual ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 8. Which of the following are classified as tonsils but are routinely referred to as adenoids and tend to atrophy with age? a. palatine Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery b. pharyngeal c. laryngeal d. lingual ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 9. In which of the following procedures would the surgical technologist need to have a spreader and a hook ready for use? a. myringotomy b. septoplasty c. tonsillectomy d. tracheotomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 10. A TMJ decompression procedure is performed in which anatomical area? a. anterior face b. anterior neck c. lateral jaw d. lateral sinus ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 11. Which procedure is performed for treatment of sleep apnea? a. BMT b. FESS c. SMR d. UPPP ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 12. Which structure is often blocked with stones in the parotid gland, possibly necessitating surgical removal of the gland? a. canal of Schlemm b. nasolacrimal duct c. paranasal ostia d. Stensen's duct ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 6:49 AM 13. What is the name of the double-action, cupped, forward-angled forceps used to resect portions of the nasal septum? a. Aufricht b. Cottle c. Jansen-Middleton d. Kerrison ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 14. Topical cocaine 4% is used in nasal surgery for: a. anesthesia b. dilation c. lubrication d. prepping ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 15. Antrostomy rasps would be used in procedures involving which anatomical structure(s)? a. external auditory meatus b. facial sinuses c. lacrimal ducts Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery d. semicircular canals ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 16. Which of the following descriptions and classification of laryngeal cartilage pertains to the epiglottis? a. paired and hyaline b. paired and elastic c. individual and hyaline d. individual and elastic ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 17. Which laryngeal cartilage is commonly known as the “Adam’s apple”? a. cricoid b. thyroid c. arytenoid d. cuneiform ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 18. A procedure sometimes performed in the ICU, ER, or PACU is a(n): a. cochlear implant b. bilateral myringotomy tubes (BMT) c. submucosal resection (SMR) d. tracheotomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery 19. What is the name of the long, thin, cupped, pistol-grip type handled forceps used in many nasal procedures? a. Aufricht b. Cottle c. McIvor d. Takahashi ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 20. Which cranial nerve carries information related to equilibrium to the cerebral cortex? a. third (III) b. fifth (V) c. eighth (VIII) d. tenth (X) ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 21. Which of the following procedures would require use of an operating microscope? a. septoplasty b. stapedectomy c. tracheostomy d. turbinectomy ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 22. How should micro ear instruments be cleaned intraoperatively? a. soaked in sterile saline b. soaked in sterile water c. wiped with a microinstrument wipes d. wiped with a Ray-Tec 4 x 4 sponge ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 6:58 AM 23. Baron, Frazier, House, and Rosen are names of which type of instrument? a. forceps b. knife c. pick d. suction ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 24. Which gas can cause expansion of the middle ear and therefore is contraindicated in tympanic graft cases? a. argon b. carbon dioxide c. nitrous oxide d. oxygen ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 7:00 AM 25. Which of the following is the MOST commonly used autograft in otologic procedures? a. flexible cartilage b. hyaline cartilage c. temporalis fascia d. transversalis fascia ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 26. Which type of study would be used to diagnose sleep apnea?

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Chapter 17: Otorhinolaryngologic Surgery a. CT scanning b. polysomnography c. videostroboscopy d. electronystagmography ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 27. Which surgical procedure would be performed for excision of a cholesteatoma? a. adenoidectomy b. Caldwell-Luc c. mastoidectomy d. radical neck dissection ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 28. Which instrument is used to measure the distance from incus to stapes footplate for selection of a prosthesis in stapedectomy? a. caliper b. depth gauge c. sound d. trial/sizer ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 29. Which name is common to knives, needles, picks, and suction tips used in otologic procedures? a. alligator b. Bellucci c. house d. Rosen ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 30. Which of the following is NOT a compartment of the bony labyrinth of the inner ear? a. cochlea b. semicircular canals c. sphenoid sinus d. vestibule ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 31. In which instrument tray would you find a Ballenger swivel knife, Cottle elevator, Knight scissors, and Takahashi forceps? a. BMT b. FESS c. SMR d. T&A ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 32. What is the name of the sharp-tipped, handheld retractor that can be either single or double and often is found in nasal trays? a. Aufricht b. Joseph c. Senn d. Weitlaner ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery 33. An otorhinolaryngologist is more commonly known as which type of specialist? a. allergist b. ENT c. OB/GYN d. pediatrician ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 34. Which type of laser is useful for procedures involving the stapes and middle ear? a. argon b. carbon dioxide c. holmium: YAG d. Nd:YAG ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 35. Which type of mechanical action of a drill attachment is MOST commonly used in otologic procedures? a. oscillating b. reciprocating c. rotating d. sagittal ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 7:05 AM 36. What is the name of the structure that separates the outer and middle ear canals from one another? a. epiglottis b. external auditory meatus c. turbinates d. tympanic membrane ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 37. Which part of the tympanic membrane is fibrous, largest, and where drainage tubes are inserted? a. annulus b. pars flaccida c. pars tensa d. umbo ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 38. In myringotomy procedures, what does “PE” stand for? a. pus exudate b. partial expulsion c. pressure equalizing d. peripheral examination ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 39. What chronically occurring condition is often the reason for placement of myringotomy tubes in one or both ears? a. otitis media b. rhinitis c. sinusitis d. tracheitis ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 40. Which of the following is all that is necessary for instrument setup for bilateral myringotomy tube (BMT) placement? a. back table Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery b. basin set c. Mayo stand d. kick bucket ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 41. Which acute infection appears in bony air cells after approximately 10 to 14 days following an otitis media infection, and if untreated, it may result in meningitis or encephalitis? a. adenoiditis b. mastoiditis c. rhinitis d. tonsillitis ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 42. What is the term for bony overgrowth of the stapes? a. arteriosclerosis b. atherosclerosis c. multiple sclerosis d. otosclerosis ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 43. What is an important step for the surgical technologist to remember to perform when changing burs on a pneumatic drill? a. place drill in reverse position b. place drill in forward position c. put hand piece on safety d. disconnect hand piece from hose ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 7:09 AM 44. Epistaxis is more commonly known as an acute: a. allergic reaction b. ear infection c. nose bleed d. upper respiratory inflammation ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 45. Which diagnostic study is best at delineating between soft tissue and bony structures for diagnosing sinus conditions? a. angiogram b. audiogram c. CT scan d. MRI scan ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 46. Why is a scapular or shoulder roll used in procedures involving the oropharynx? a. prevent pressure necrosis b. tilt head to increase exposure c. reduce intraoperative bleeding d. provide comfort for awake patient ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 47. What is the term that describes a nasal septum that typically causes obstructed breathing in older patients? a. collateral Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery b. deviated c. ossified d. sclerotic ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 48. What is the surgical technologist often asked to do for the surgeon during septal procedures? a. Insert cocaine-soaked Cottonoids into the nose. b. Extract fragments with the Takahashi. c. Suture the nasal mucosa closed. d. Tap the chisel with the mallet lightly.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 49. What is an alternate name for the bony nasal projections known as turbinates? a. cochlea b. conchae c. ossicles d. ostia ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 50. All of the following are methods of performing a turbinectomy EXCEPT: a. inferior b. laser c. microdebrider d. percutaneous ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 51. Where is the soft palate located in relation to the nasal cavity? a. anterior and superior b. anterior and inferior c. posterior and superior d. posterior and inferior ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 52. What is the MOST common cause of nasal polyps? a. allergic rhinitis b. arid environment c. cocaine use d. smoking ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 53. Which of the paranasal sinuses are numerous, small, and located on either side of the bridge of the nose, between the eyes? a. ethmoid b. frontal c. maxillary d. sphenoid ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 54. Which of the paranasal sinuses are MOST superior and can be singular or divided? a. ethmoid b. frontal Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery c. maxillary d. sphenoid ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 55. Which procedure would require 4 mm or 5 mm, 0°, or angled lenses and a navigation system for intraoperative guidance? a. Caldwell-Luc b. FESS c. radical neck dissection d. SMR ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 56. Davis and McIvor are names of which type of instrument? a. handheld retractor b. micro instruments c. mouth gags d. powered drills ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 57. Which of the following is a curved, serrated tonsil knife? a. Beaver b. Button c. Fisher d. Sexton ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 58. Which objective-power lens is MOST frequently used for microlaryngoscopy? a. 200 mm b. 300 mm c. 350 mm d. 400 mm ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 59. Which of the following statements comparing rigid bronchoscopes and esophagoscopes to rigid laryngoscopes is correct? a. Bronchoscopes are longer than laryngoscopes, and the distal end is straight. b. Bronchoscopes are longer than laryngoscopes, and the distal end is flared. c. Esophagoscopes are shorter than laryngoscopes, and the distal end is flared. d. Esophagoscopes are shorter than laryngoscopes, and the distal end is straight.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 60. Which of the following is frequently used as an autograft to replace the mandible in a radical neck dissection? a. clavicle b. fibula c. humerus d. radius ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 61. A tuning fork is a useful tool during parotidectomy to safely identify branches of the seventh (VII) cranial nerve. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 62. PE tubes placed during myringotomy procedures must be removed following resolution of otitis media. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 63. Powered equipment such as ear drills and irrigation and aspiration units should always be tested prior to use to prevent delay or possible patient injury. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 64. The pinna of the ear is the visible external portion that collects sound waves and channels them into the middle and inner ear. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 65. Rhinoplasty procedures are often considered “plastic surgery” cases rather than otorhinolaryngological. a. True b. False ANSWER: True Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Match each term below with its description. a. Morcellatioin b. Hypertrophy c. Audiography d. Oval window e. Lukens tube f. Electronystagmography g. Organs of Corti h. Hyperextension i. Choanal atresia j. Eustachian tube QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 66. Diagnostic method that assesses the amount of damage to the sound conduction system and determines course of treatment ANSWER: c POINTS: 1 67. Diagnostic method that uses cool and warm water introduced into the ear canal to assess balance function ANSWER: f POINTS: 1 68. The anatomic structure that connects the middle ear to the nasopharynx ANSWER: j POINTS: 1 69. The membranous opening in the wall of the cochlea that receives vibrations from the stapes in the middle ear ANSWER: d POINTS: 1 70. A series of hair cells that directly contact fibers of the cochlear nerve ANSWER: g POINTS: 1 71. The process of cutting up tissue into small pieces to extract it through a small opening Copyright Cengage Learning. Powered by Cognero.

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Chapter 17: Otorhinolaryngologic Surgery ANSWER: a POINTS: 1 72. Congenital defect that results in a bony or membranous occlusion of the passageway between the nose and the pharynx ANSWER: i POINTS: 1 73. A device attached to suction that uses gravity to capture specimens such as washings for laboratory analysis ANSWER: e POINTS: 1 74. Condition of being enlarged due to chronic inflammation; may cause obstruction ANSWER: b POINTS: 1 75. Position achieved by placement of a scapular roll to provide enhanced visualization of the oropharyngeal area ANSWER: h POINTS: 1

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Chapter 18: Oral and Maxillofacial Surgery 1. Which radiographic technique or view shows the alveolar processes, mandible, posterior maxillary sinuses, and the zygomas? a. AP b. basal c. PA d. panoramic ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. The mandible articulates with which part of the temporal bone to form the temporomandibular joint (TMJ)? a. alveolar process b. glenoid fossa c. orbital floor d. symphysis ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 3. Which of the following facial bones is the largest and strongest? a. ethmoid b. frontal c. mandible d. maxilla ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 4. What is the name of the narrow, double-angle retractor frequently used in oral procedures? a. Minnesota b. mouth prop c. plastic cheek d. Senn ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 5. What is the MOST common position for patients undergoing oral and maxillofacial procedures? a. supine with arms on armboards b. supine with arms tucked in at sides c. Trendelenberg with arms on armboards d. Trendelenberg with arms tucked in at sides ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 6. Which countable sponge is used in oral procedures to prevent bone or tooth fragments and other foreign matter from becoming lodged in the pharynx? a. Cottonoids b. lap pads c. throat pack d. Weck-Cel ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 7. Which teeth are located in the center front of the mouth? a. bicuspids b. cuspids c. incisors d. molars ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery 8. Which procedure is performed for removal of impacted wisdom teeth? a. enucleation b. extraction c. mandibulectomy d. odontectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 9. Coral would be classified as what type of graft material? a. autograft b. homograft c. synthetic d. xenograft ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 10. All of the following are configurations of fixation plates for maxillofacial fracture reduction EXCEPT: a. H b. L c. W d. Y ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 11. Strands of wire used to attach arch bars to the upper and lower jaw should be prestretched and cut to which length? a. 5 cm b. 10 cm c. 15 cm d. 20 cm ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 7:22 AM 12. Which of the following statements regarding arch bars is CORRECT? a. They are thin, malleable bars with hooks facing up for maxilla and down for mandible. b. They are thin, malleable bars with hooks facing down for maxilla and up for mandible. c. They are thick, rigid, semicircle bars with hooks facing up for maxilla and down for mandible. d. They are thick, rigid, semicircle bars with hooks facing down for maxilla and up for mandible.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 13. Which sequence of steps for plate fixation is CORRECT? a. Drill all holes, place plate, tap, measure with depth gauge, and insert screws. b. Drill all holes, place plate, measure with depth gauge, tap, and insert screws. c. Place plate, drill one hole at a time, tap, measure with depth gauge, insert screw, and repeat steps for remaining holes. d. Place plate, drill one hole at a time, measure with depth gauge, tap, insert screw, and repeat steps for remaining holes.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 14. Tapping of bone is done in fixation procedures to reduce: a. number of screws needed b. torque pressure on screws c. size of fixation plate used d. need to strip periosteum first ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery 15. How many craniofacial bones make up the orbit? a. three b. five c. seven d. nine ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 16. What is the term that describes the side of teeth closest to the cheek? a. alveolar b. buccal c. labial d. lingual ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 17. Which of the following is NOT one of the three regions of a tooth? a. crown b. neck c. root d. socket ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 18. Irrigation and what other item is used anytime the dental drill is used during odontectomy? a. bone wax b. ESU pencil c. Ray-Tec 4 x 4 d. suction ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 19. A closed ventilation system and special endotracheal tube may be used in maxillofacial procedures to reduce risk of: a. airway fire b. aspiration c. hyperthermia d. obstruction ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 20. Which type of sterile drape is commonly used for oral and maxillofacial procedures? a. plastic incise b. thyroid c. pediatric laparotomy d. U-drape ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 21. Which type of nonabsorbable maxillofacial implant used in fracture fixation is lightweight, noncorrosive, and strong? a. copper b. plastic c. titanium d. tungsten ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 22. Which diameter fixation screw would MOST likely be used for a fracture of the mandible? a. 1.0 mm Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery b. 2.0 mm c. 3.0 mm d. 4.0 mm ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 23. Which muscle attaches to the coronoid process of the ramus? a. frontalis b. platysma c. temporalis d. sternocleidomastoid ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 24. Care must be taken when preauricular and submandibular incisions are made to protect which cranial nerve? a. third (III) b. fifth (V) c. seventh (VII) d. eighth (VIII) ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 25. Which of the following must accompany the patient to the PACU who has undergone maxillomandibular fixation? a. mouth prop b. wire cutters c. throat pack d. dental rolls ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 26. Which of the following may be used as permanent support on top of the orbital floor following fixation of fracture? a. arch bar b. silastic sheeting c. titanium plate d. polymethyl methacrylate ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 27. Which bones of the face form the prominences of the cheeks? a. mandible b. nasal c. vomer d. zygomatic ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 28. Which of the following is the MOST common type of midfacial fracture and is also known as a transmaxillary fracture? a. Le Fort I b. Le Fort II c. Le Fort III d. Le Fort IV ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 29. Which of the following involves the highest portion of the midface and presents the most extensive damage? a. Le Fort I b. Le Fort II Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery c. Le Fort III d. Le Fort IV ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 30. What should the surgical technologist do before handing a retractor to the surgeon for use in orbital floor fracture? a. Bend it to a curved configuration. b. Lubricate it with mineral oil. c. Pad it with a Cottonoid. d. Moisten it with saline.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 31. Which bone contributes to the posterior and inferior portion of the nasal septum? a. mandible b. nasal c. vomer d. zygoma ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 32. Surgical treatment of which anatomical area might result in a postoperative complication of malocclusion? a. jaw b. nose c. orbit d. palate ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery DATE MODIFIED: 2/11/2016 9:29 AM 33. The hard palate is the: a. floor of the mouth b. protrusion of the chin c. roof of the mouth d. separation of the nostrils ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 34. What other role is the surgical technologist often required to fill during oral and maxillofacial procedures? a. anesthesia provider b. assistant c. circulator d. radiology tech ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 35. Dental procedures require thorough cavity prepping due to possibility of surgical site infections. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 36. Which hemostatic agent is used during oral and maxillofacial procedures that requires advising the anesthesia provider of its use? a. absorbable collagen b. bone wax c. epinephrine d. topical thrombin ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 37. Craniofacial disjunction fractures are severe traumatic injuries categorized as Le Fort III fractures. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 38. Patients treated for Le Fort type fractures may have extensive scarring and change in facial characteristics. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 39. Dental drills are always used to cut bone so that teeth can be extracted whole. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 40. Odontectomy procedures are given a wound classification of Class II. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Match each term below with its description. a. Gingiva b. Enophthalmos c. Panoramic d. Pulp e. Alveolar process f. Weider g. Dentin h. Caldwell i. Malocclusion j. Molars QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 41. Type of x-ray that shows on one film: alveolar processes, mandible, posterior maxillary sinuses, and zygomas ANSWER: c POINTS: 1 42. AP projection x-ray that shows the hard palate, nasal septum, orbital floor, and zygoma ANSWER: h POINTS: 1 43. Thickened ridge of bone that contains the sockets that bear the teeth of the upper and lower jaw ANSWER: e POINTS: 1 44. Flat-topped teeth located posteriorly in the jaw, which break up food ANSWER: j POINTS: 1 45. Chief substance of teeth that is covered by enamel on the crown; harder than bone ANSWER: g POINTS: 1 46. Portion of the tooth that contains blood vessels, nerves, and connective tissue ANSWER: d POINTS: 1 47. Soft, fibrous tissue that is continuous with the periodontal ligament and surrounds teeth; also known as the gums ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 18: Oral and Maxillofacial Surgery POINTS:

1

48. Angled retractor used for tongue and cheek retraction; shape is similar to a Harrington retractor ANSWER: f POINTS: 1 49. Any degree of irregular contact between the teeth of the upper and lower jaws; includes overbite or underbite ANSWER: i POINTS: 1 50. Recession of the eyeball within the bony orbit; may be a result of orbital fracture ANSWER: b POINTS: 1

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Chapter 19: Plastic and Reconstructive Surgery 1. The dermis and epidermis are components of which body system? a. cardiovascular b. integumentary c. musculoskeletal d. respiratory ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. Which epidermal stratum is present only on the palms of hands and soles of feet? a. basale b. corneum c. granulosum d. lucidum ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 3. Which epidermal stratum is the outermost layer? a. basale b. corneum c. granulosum d. lucidum ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 4. Which of the following are oil-producing glands? a. apocrine b. ceruminous c. merocrine d. sebaceous ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 5. What is the name of the oil that is secreted from glands in the skin? a. sebum b. septum c. sputum d. stratum ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 6. Which type of gland is found only in the ear canal and is responsible for creation of ear wax? a. apocrine b. ceruminous c. merocrine d. sebaceous ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 7. How many degree classifications of skin burns are there? a. two b. three c. four d. five ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 8. In which degree of skin burn does the tissue appear as pearly white or charred and will likely require debridement of eschar?

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Chapter 19: Plastic and Reconstructive Surgery a. first b. second c. third d. fourth ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 9. Split-thickness skin grafts are used to cover which type of burned tissue? a. erythematous first-degree burns b. denuded areas of third-degree burns c. blistered superficial second-degree burns d. charred necrotic tissue in fourth-degree burns ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 10. The rule of nines is used in burn patients to estimate: a. body surface area burned b. depth of tissue destruction c. length of estimated healing time d. protocols for burn dressing changes ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 11. What is the term for the process of removing necrotic tissue or eschar prior to skin grafting? a. debridement b. defacement c. degradation d. dessication ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 12. Which glands are found only in the external genitalia and axillae? a. apocrine b. ceruminous c. merocrine d. sebaceous ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 13. What does a mesh graft device do? a. It attaches a skin graft to the donor site. b. It expands the size of the skin graft. c. It slices a split thickness of donor skin. d. It smoothes the skin graft to prevent bunching up.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 14. Which of the following statements regarding routine prepping for skin graft procedures is CORRECT? a. Donor site is prepped first and considered clean. b. Donor site is prepped last and considered contaminated. c. Recipient site is prepped first and considered contaminated. d. Recipient site is prepped last and considered clean.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 15. Any of the following may be used topically for hemostasis of the STSG donor site EXCEPT: a. epinephrine b. mineral oil Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery c. phenylephrine d. thrombin ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 16. Relaxation and hypertrophy of the eyelid skin is also known as: a. arthrodesis b. cheiloschisis c. dermachalasis d. micrognathia ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 17. Cheiloplasty and palatoplasty are corrective procedures for which of the following? a. breast prolapse b. cleft lip and palate c. conjoined fingers d. drooping and baggy eyelids ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 18. Which term describes the palmar surface of the hand? a. dorsal b. radial c. volar d. ulnar ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery DATE MODIFIED: 2/11/2016 9:29 AM 19. Which term describes the thumb side of the hand? a. dorsal b. radial c. volar d. ulnar ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 20. Which anatomical area is a TRAM flap used to reconstruct? a. breast b. hand c. lip d. palate ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 21. For which procedure would the surgical technologist prepare a tumescent solution? a. abdominoplasty b. liposuction c. mastopexy d. syndactyly release ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 22. What is the term for webbed digits of the hand or foot? a. contracture b. dermachalasis c. polydactyly d. syndactyly Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 23. Submalar augmentation is performed to address structural deficiency in the: a. breasts b. cheeks c. eyes d. nares ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 24. Which procedure is performed for dermachalasis? a. abdominoplasty b. blepharoplasty c. mentoplasty d. otoplasty ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 25. Which cosmetic procedure is performed for micrognathia? a. abdominoplasty b. blepharoplasty c. mentoplasty d. otoplasty ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery 26. The mandibular symphysis is better known as the: a. chin b. lower lip c. upper lip d. nasal septum ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 27. The pinna, helix, crus, and tragus are all portions of the: a. ear b. eye c. hand d. nose ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 28. For which procedure would the surgical technologist possibly need a second setup for obtaining a costal cartilage graft? a. cleft lip repair b. otoplasty for microtia c. TRAM flap reconstruction d. fasciectomy for Dupuytren’s contracture ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 29. Which type of scissors would most likely be used to trim a full-thickness skin graft (FTSG) to size? a. bandage b. Jorgenson c. reverse Potts d. tenotomy ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 30. Which of the following letters represents the incisional configuration MOST commonly used for scar revision procedures? a. C b. H c. U d. Z ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 31. Which type of incision is MOST frequently used to excise excess skin in a blepharoplasty procedure? a. elliptical b. oblique c. paramedian d. Z-shaped ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 32. Breast ptosis is surgically corrected by: a. malar implants b. mastopexy c. mentoplasty d. marsupialization ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery 33. In which procedure would the procerus and corrugator muscles be ablated, avulsed, resected, or separated? a. augmentation mammoplasty b. tumescent liposuction c. endoscopic brow lift d. mentoplasty ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 34. Which of the following terms is more commonly referred to as a full face lift? a. blepharoplasty b. cheiloplasty c. mentoplasty d. rhytidectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 35. Which method of anesthesia is preferred for rhytidectomy procedures? a. Bier block b. epidural c. monitored (MAC) d. topical ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 36. “Cupid’s bow” is reconstructed in which of the following procedures? a. cleft lip repair b. malar implants c. nipple recreation d. syndactyly release ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 37. For which procedure would the surgeon require a sterile tattoo machine and inks? a. cleft lip repair b. endoscopic brow lift c. nipple reconstruction d. reduction mammoplasty ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 38. A full-thickness skin graft may be taken from the inner thigh or labial fold to re-create which anatomic area? a. areola b. Cupid’s bow c. mammary crease d. umbilicus ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 39. Crescent, Benelli, and Benelli-lollipop lifts are techniques used during: a. mastopexy b. rhinoplasty c. rhytidectomy d. blepharoplasty ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 40. Anchor-shaped incisions with joining of tissue envelope folds are performed in which procedure? a. centralization of radial dysplasia Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery b. cheiloplasty c. mastopexy d. rhinoplasty ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 41. Which of the following might be used for stabilization in a Dupuytren’s contracture release if an assistant is unavailable? a. Derma-carrier b. K-wires c. lead hand d. Senn retractors ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 42. Which cranial nerve must NOT be compromised by retractor placement during rhytidectomy? a. fifth (V) b. sixth (VI) c. seventh (VII) d. eighth (VIII) ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 43. Which position should facial procedure patients maintain postoperatively to minimize edema? a. prone b. lateral c. strict supine d. head elevated ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 44. When would a congenital facial deformity likely occur? a. at conception b. first trimester c. second trimester d. third trimester ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 45. Which type of suture would MOST likely be used during a cleft lip repair? a. fine absorbable b. heavy absorbable c. fine nonabsorbable d. heavy nonabsorbable ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 46. Which of the following bones make up the palm of the hand? a. carpals b. metacarpals c. phalanges d. radii ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 47. Approximately how many muscles and their tendons control movement of the wrist, hand, and fingers? a. 20 b. 30 Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery c. 40 d. 50 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 48. Which nerve passes through the carpal tunnel? a. median b. peroneal c. radial d. ulnar ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 49. Which of the following order of steps for replantation of a digit is CORRECT? a. tendons, vessels, nerves, then bones b. nerves, vessels, bones, then tendons c. vessels, tendons, bones, then nerves d. bones, tendons, vessels, then nerves ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 50. Vessel loops are available in all of the following colors EXCEPT: a. green b. red c. white d. yellow ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery DATE MODIFIED: 2/11/2016 9:29 AM 51. What suturing technique would the surgeon use to attach tendons in a toe-to-thumb transfer procedure? a. horizontal mattress b. figure of eight c. purse-string d. vertical mattress ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 52. Which of the following terms means surgical fixation of joint, eventually resulting in intentional bone fusion? a. anastomosis b. ankylosis c. arthrodesis d. arthroplasty ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 53. What is the medical term for the congenital deformity commonly called “club hand”? a. carpal tunnel syndrome b. Dupuytren’s contracture c. polydactyly d. radial dysplasia ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 54. A patient scheduled for centralization of radial dysplasia would be about what age? a. neonate b. 12 months old c. 10 years old d. 21 years or older Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 55. Which of the following statements describing variations of polydactyly is NOT correct? a. The condition mainly involves the carpal and metacarpal bones. b. The digits of the hands or feet may be involved. c. The fifth finger duplications are the most common. d. The duplication can be a partial digit or a complete additional digit.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 56. Before closure in augmentation mammoplasty, what is done to verify correct size? a. Permanent implants are placed, and the nipple-to-nipple distance is measured for symmetry. b. Permanent implants are placed and filled with measured amount of saline to determine volume. c. Temporary sizers are placed and filled with measured amounts of saline to determine volume. d. Temporary sizers are placed and filled with saline, and the table is raised to sitting position to evaluate appearance.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 57. All of the following are locations for incision in augmentation mammoplasty EXCEPT: a. periareolar b. subclavicular c. axillary crease d. inframammary crease ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery 58. How would a transverse rectus abdominis musculocutaneous flap be classified? a. free-flap graft b. pedicle-flap graft c. full-thickness skin graft d. split-thickness skin graft ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 59. Why would two separate setups be required for an immediate reconstruction following mastectomy? a. to prevent confusion because multiple surgeons will work simultaneously b. to prevent potential for retained foreign objects in the wounds c. to prevent overcrowding of the back table with multiple trays d. to prevent seeding of cancer cells if same instruments are used for both ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 60. Which sterile device will be used during TRAM flap reconstruction to verify the blood supply of the graft remains intact? a. Doppler probe b. manometer c. pulse oximeter d. stethoscope ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 61. Which of the following is NOT a type of liposuction? a. electrosurgery b. laser c. tumescent d. ultrasonic Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 62. Which muscles are tightened in an abdominoplasty procedure? a. transversus abdominis b. rectus abdominis c. latissimus dorsi d. pectoralis major ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 63. Under which muscle is the pocket for breast implant often created for greatest support? a. internal oblique b. latissimus dorsi c. pectoralis major d. serratus anterior ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 64. Which type of specialized retractor enhances visualization in many breast and abdominoplasty procedures? a. Bookwalter b. fiber-optic c. Greenberg d. Weitlaner ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery 65. Which type of grafted tissue would have skin sensation preserved? a. free flap b. full thickness c. pedicle flap d. split thickness ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 66. Plastic and reconstructive surgeries must be done only after an individual has stopped growing, due to potential changes in anatomy of younger patients. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 67. Patients with cleft palates may have difficulty sucking, swallowing, or forming sounds. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 68. Incisions made for endoscopic brow lifts and rhytidectomy are often placed within the hairline for camouflage. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery 69. Abdominoplasty procedures cannot be performed on patients who have undergone cesarean sections, due to excessive adhesions in the lower abdomen. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 70. Severed digits should be kept tightly covered and warm to prevent clot formation and necrosis, preventing replantation. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Match each term below with its description. a. Eschar b. Heterograft c. Turban d. Hypovolemia e. Stratum f. Aesthetic g. Montgomery straps h. Caliper i. Denuded j. Oscillating QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 71. Type of dressing used for frequent dressing changes and wound assessment; prevents excoriation from tape application and removal ANSWER: g POINTS: 1 72. Severe blood and fluid loss, making it difficult for the heart to pump; post-op complication of aggressive Copyright Cengage Learning. Powered by Cognero.

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Chapter 19: Plastic and Reconstructive Surgery liposuctioning ANSWER: d POINTS: 1 73. Rapid side-to-side movement used for sharp dissection ANSWER: j POINTS: 1 74. Tissue transplanted from another person or cadaver ANSWER: b POINTS: 1 75. Distinct individual tissue layer ANSWER: e POINTS: 1 76. Dead tissue that sloughs off of healthy skin ANSWER: a POINTS: 1 77. Excoriated tissue; loss of intact coverings ANSWER: i POINTS: 1 78. Type of procedure performed to improve appearance rather than to strictly treat a pathological condition ANSWER: f POINTS: 1 79. Type of drape designed to encase and cover the hair of the head ANSWER: c POINTS: 1 80. Device used to measure distance between two opposite sides ANSWER: h POINTS: 1

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Chapter 20: Genitourinary Surgery 1. Which of the following studies is a radiologic procedure in which contrast media is injected through a cystoscope? a. KUB b. PSA c. IV urogram d. retrograde urogram ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. Which incisional approach is used for access to the lower ureter and may be used for donor kidney implantation? a. flank b. Gibson c. inguinal d. scrotal ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 3. Flank, Gibson, inguinal, and scrotal are examples of: a. drape sheets b. operative approaches c. post-op dressings d. wound drains ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 4. Cryptorchidism is more commonly known as: a. kidney stones b. nocturnal bedwetting c. undescended testicles d. urinary tract infection ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 5. Which component of the rigid endoscopic system for cystoscopy is blunt ended and minimizes mucosal trauma during insertion? a. deflecting mechanism b. obturator c. sheath d. telescoping bridge ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 6. In which surgical approach would the latissimus dorsi, internal and external oblique muscles be transected for access to the operative site? a. inguinal oblique b. suprapubic c. subcostal flank d. transverse abdominal ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 7. Suprarenal glands are more commonly known as: a. adrenal b. parotid c. prostate d. thymus ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 8:45 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery 8. Which of the following structures encloses the kidneys and suprarenal glands? a. Gerota’s fascia b. tunica vaginalis c. peritoneal sac d. costal periosteum ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 9. What does the adrenal medulla secrete? a. catecholamines b. testosterone c. insulin d. urine ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 10. At approximately what age or period would a patient MOST likely be diagnosed with a Wilms’ tumor? a. second trimester of gestation b. between ages 3 and 8 years c. onset of puberty d. over age 60 ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 11. Radical nephrectomy is usually performed with the patient in which position? a. lateral b. low-lithotomy c. prone d. supine ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 12. Which structure is ligated and transsected first in a radical nephrectomy or laparoscopic simple nephrectomy, following isolation of the vessels and ureter? a. renal artery b. renal vein c. proximal ureter d. Gerota’s fascia ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 8:53 AM 13. Which of the following comparisons of normal or typical kidney anatomy is CORRECT? a. The left kidney is smaller and slightly lower than the right. b. The right kidney is larger and slightly lower than the left. c. The left kidney is larger and slightly higher than the right. d. The right kidney is smaller and slightly higher than the left.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 14. Where is the hilum of the kidney located? a. superior pole b. inferior pole c. lateral midsection d. medial midsection ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 15. Which part of the kidney becomes the proximal ureter?

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Chapter 20: Genitourinary Surgery a. Bowman’s capsule b. cortex c. medulla d. renal pelvis ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 16. What is the name of the basic structure composed of renal corpuscles and tubules and numbers over a million? a. adrenal b. hilum c. nephron d. psoas ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 17. Adenocarcinoma has a direct correlation to each of the following EXCEPT: a. genetic predisposition b. end-stage renal disease c. liver cirrhosis d. tobacco use ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 18. Simple nephrectomy is routinely performed in which position? a. lateral b. low-lithotomy c. prone d. supine ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 19. What measure is taken to reduce the metabolic needs and prevents tubular necrosis of a kidney removed for transplant? a. cooling with Collins solution or ice slush b. spraying with reconstituted topical thrombin c. warming with sterile isotonic saline solution d. infusion with warmed lactated Ringer’s solution ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 20. How many suture ligatures or free ties should the surgical technologist have prepared for ligation of the renal artery and vein prior to transsection and removal? a. one b. three c. five d. seven ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 21. What is the morcellator used for in a laparoscopic simple nephrectomy? a. excising Gerota’s fascia from around the kidney b. cutting between the ligaclips placed on the renal vessels c. insufflating the peritoneal cavity after initial port placement d. chopping the kidney and ureter into small pieces for suctioning ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 22. Which of the following items would likely be needed if the pleural cavity is unintentionally entered during Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery nephrectomy? a. chest tube with drainage system b. flexible bronchoscope c. 1-inch Penrose drain d. fibrin glue ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 23. Which of the following is NOT a form of polycystic kidney disease? a. autosomal dominant b. autosomal recessive c. acquired d. traumatic ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 24. Dialysis and kidney transplant are the only two treatments for which of the following? a. end-stage renal disease b. testicular carcinoma c. type I diabetes mellitus d. Wilms’ tumor ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 25. When is a patient classified as being in end-stage renal failure? a. when both kidneys are functioning at or below 25% of normal b. when both kidneys are functioning at or below 10% of normal c. when one kidney is normal and the other is functioning at or below 25% of normal d. when one kidney is normal and the other if functioning at or below 10% of normal ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 26. Just before the surgeon clamps the renal vessels of the donor’s kidney, what does the anesthesia provider put in the IV? a. heparin and mannitol b. protamine sulfate c. Ringer’s lactate d. furosemide ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 27. Which of the following is given IV after the donor kidney is removed to reverse the heparinization? a. thrombin b. furosemide c. protamine sulfate d. Ringer’s lactate ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 28. What might the donor kidney be placed into to reduce possibility of injury during handling and transplantation? a. laparoscopic entrapment sack b. Lahey intestinal bag c. plastic incise drape d. woven stockinette ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 29. Into which anatomical area of the abdomen will a transplated donor kidney be implanted?

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Chapter 20: Genitourinary Surgery a. left lower quadrant b. left upper quadrant c. right lower quadrant d. right upper quadrant ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 30. Which cutting instruments should the surgical technologist have ready for anastomosis of the renal vessels into the recipient? a. #15 blade and Knight scissors b. #10 blade and curved Mayo scissors c. #11 blade and 45° angle Potts scissors d. #12 blade and straight tenotomy scissors ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 31. Which suture configuration is used to anastomose vessels in transplants? a. fine, absorbable, single-armed b. fine, nonabsorbable, double-armed c. heavy, absorbable, single-armed d. heavy, nonabsorbable, double-armed ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 32. What is the medical term for the procedure of connecting a donor ureter to a recipient bladder? a. ureteroscopy b. reimplantation c. suprapubic cystostomy d. ureteroneocystostomy ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 33. Cystoscopy and ureteroscopy procedures are performed in which position? a. lateral b. low-lithotomy c. supine d. Trendelenburg ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 34. Which of the following is used to ensure patency of the ureters or allow for drainage of urine from the kidneys? a. Foley catheter b. suprapubic catheter c. Jackson-Pratt drain d. double-J or pigtail stent ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 35. Where in the genitourinary system do calculi originate? a. kidney b. bladder c. prostate d. testicles ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 36. What device is used through the ureteroscope to capture an intact calculus or fragments if fractured by laser? a. Babcock forceps Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery b. basket stone forceps c. entrapment sack d. vessel loops ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 37. What procedure is performed to remove a calculus lodged in the area of the hilum? a. cystoscopy b. orchiectomy c. pyelolithotomy d. urethrotomy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 38. In what position is the patient placed for proximal pyelolithotomy? a. lateral b. lithotomy c. prone d. Trendelenburg ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 39. What anatomical structure is the bladder attached to in males? a. rectum b. prostate c. scrotum d. symphysis pubis ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 40. Which of the following is responsible for emptying of the bladder and closure of the bladder orifice? a. detrusor muscle b. external sphincter c. urogenital diaphragm d. vesical trigone ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 41. The vesical arteries that supply the bladder arise from the: a. ascending aorta b. external iliac artery c. internal iliac artery d. renal arteries ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 42. Which irrigation or distention fluid would be contraindicated during cystoscopy for fulguration of bladder tumor? a. glycine b. saline c. sorbitol d. water ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 43. How is the anesthetic jelly that is inserted into the male urethra prior to cystoscopy kept from leaking out? a. A cotton-tipped applicator is inserted into the external meatus. b. A sterile tight-fitting condom is applied to the penis. c. A flexible penile clamp is applied to the head of the penis.

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Chapter 20: Genitourinary Surgery d. A gloved finger is held firmly against the head of the penis.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 44. What is a unique feature of the OR table in a cystoscopy suite? a. It is radiolucent. b. Stirrups can be attached to rails. c. It has a mesh drain attachment. d. It can be adjusted for fluoroscopic exams.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 45. An elevated serum PSA exam might prompt the additional investigation of a(n): a. intravenous urogram b. prostate biopsy c. PAP smear d. urinalysis ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 46. Which of the following procedures could be done in either a male or female patient? a. hydrocelectomy b. orchiectomy c. TURBT d. TURP ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery 47. Which of the following is a glass or plastic evacuator used to remove tissue and debris during TURP? a. Ellik b. Malecot c. Pezzer d. Toomey ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 48. Omnipaque, Renografin, and Isovue are used in cystoscopy as: a. antibiotics b. contrast media c. distention fluids d. topical analgesics ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 49. Which instrument is used in TURP or TURBT and includes the sheath, obturator, working element, and ESU loops? a. cystoscope b. nephroscope c. resectoscope d. ureteroscope ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 50. Which distention fluid is nonelectrolytic and will lyse malignant tumor cells because of cellular uptake? a. glycine b. saline c. sorbitol d. water ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 51. What type of light is used for illumination in endoscopic equipment? a. fiber-optic b. fluorescent c. incandescent d. ultraviolet ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 52. What is the medical term for excision of the urinary bladder? a. colporrhaphy b. corpectomy c. cystectomy d. cystostomy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 53. What is the more common name for ureteroileocutaneous diversion? a. colostomy b. ileal conduit c. bladder prolapse d. pubovaginal sling ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 54. What is the name of a continent urinary reservoir that may be performed following cystectomy?

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Chapter 20: Genitourinary Surgery a. hydrocele b. ileal conduit c. Koch pouch d. orchiopexy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 55. What is the name of the connective tissue that forms the umbilical ligament and is used for traction in radical cystectomy? a. urachus b. symphysis c. vas deferens d. diastasis recti ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 56. In radical cystectomy with ileal conduit on a male patient, what tissue will be sent for frozen section to verify clear margins? a. sections of both testicles b. segments of bilateral ureters c. lateral edges of the tunica vaginalis d. distal segments of the seminal vesicles ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 57. What is done with the edge of the ilium that is brought out through the abdominal wall for stoma creation? a. The edges are everted and affixed to the skin. b. A purse-string suture is placed to cinch it shut. c. It is cut into four sections and tacked to the skin. d. A Penrose drain is inserted and pulled over the edge.

ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 58. Marshall-Marchetti-Krantz (MMK) is a traditional version of which general type of procedure? a. inguinal hernia repair b. repair of cystocele and rectocele c. shock wave destruction of calculi d. suprapubic vesicourethral suspension ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 59. Vesicourethral suspension and pubovaginal slings are performed to mainly treat moderate to severe: a. vaginal dryness b. uterine prolapse c. stress incontinence d. urinary tract infections ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 60. What is one of the main objectives of procedures for female stress incontinence? a. increase overall bladder capacity b. reduce bladder spasms and irritability c. restore the posterior urethrovesical angle d. tighten and enhance bladder sphincter tone ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 61. Which of the following is NOT a type of pubovaginal or suburethral sling?

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Chapter 20: Genitourinary Surgery a. allograft fascia lata b. autograft fascia lata c. polypropylene mesh tape d. radiopaque vaginal packing ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 62. What structure of male anatomy is divided into three sections: prostatic, membranous, and spongy? a. ejaculatory duct b. spermatic cord c. urethra d. ureter ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 63. Approximately how many lobules comprise the average prostate gland? a. 2 b. 4 c. 20 d. 50 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 64. What is the common diagnosis of a patient undergoing transurethral resection of the prostate? a. benign prostatic hypertrophy b. carcinoma of the prostate c. erectile dysfunction d. stress incontinence ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 65. Which of the following are male urethral dilators or sounds? a. Hanks b. Pratt c. Van Buren d. Walther ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 66. Baumrucker, Iglesias, Stern-McCarthy, and Nesbit are types of: a. catheters b. resectoscopes c. evacuators d. incisions ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 67. Which signal should alert the surgical team that prostate capsule perforation is imminent and may conclude the procedure? a. coughing b. flatulence c. groaning d. leg jerking ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 68. What is used to resect the prostate gland tissue through the resectoscope? a. endoshears Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery b. wire loop snare c. ESU loop electrode d. #11 blade on #7 handle ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 69. Which type of catheter is placed postoperatively following TURP? a. 2-way 16 Fr. Foley with 5 mL balloon b. 2-way 22 Fr. Foley with 30 mL balloon c. 3-way 16 Fr. Foley with 5 mL balloon d. 3-way 22 Fr. Foley with 30 mL balloon ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 70. Which self-retaining retractor is used for open suprapubic prostatectomy? a. Gelpi b. Judd-Mason c. Adson-Beckman d. O’Sullivan-O’Connor ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 71. Bonanno, Malecot, and Pezzer are types of : a. suprapubic catheters b. urethral catheters c. active wound drains d. passive wound drains ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 72. What does specialized tissue within the seminiferous tubules produce? a. mucus b. sperm c. testosterone d. urine ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 73. What is the term for an abnormal accumulation of serous fluid around the testis contained within the tunica vaginalis? a. cystocele b. hydrocele c. omphalocele d. rectocele ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 74. Which procedure is performed for testicular cancer, trauma, or necrosis secondary to torsion? a. circumcision b. hydrocelectomy c. orchiectomy d. penectomy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 75. What is the medical term for the free fold of skin that covers the glans penis? a. epididymis b. prepuce c. scrotum Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery d. tunica ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 76. Which of the following is the term for the inability to retract the foreskin of the penis? a. balanitis b. hypospadias c. phimosis d. sclerosis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 77. Diabetes, vascular disorder, nerve damage, and trauma are all possible causes of: a. epispadias b. hypospadias c. impotence d. prostate cancer ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 78. What is the MOST serious post-op complication of penile implant surgery? a. edema b. impotence c. premature ejaculation d. surgical site infection ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery 79. Which dilating instrument is used to dilate the corpora for placement of penile prosthesis? a. Bougie b. Hegar c. Van Buren d. Walther ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 80. What procedure is performed for penile carcinoma resistant to chemotherapy or radiation? a. hydrocelectomy b. orchiectomy c. penectomy d. vasectomy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 81. Many hospitals allow use of only sterile gloves to set up the back table for cystoscopy procedures. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 82. The anatomical structures excised during radical cystectomy are different between male and female patients. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery DATE MODIFIED: 2/11/2016 9:29 AM 83. Surgical technologists are not required to be proficient in endoscopic genitourinary procedures, only open cases because there are cystoscopy specialists who will do them. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 84. Procedures for female urinary incontinence may be performed by gynecologists, urologists, or urogynocologists. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 85. Every instrument or catheter placed into the urethra should be lubricated to minimize mucosal injury or irritation. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Match each term below with its description. a. Epididymis b. Balanitis c. Hyperplasia d. Palladium e. Torsion f. Hypospadias g. Robotic h. Geiger counter i. Chordee Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery j. Tunica vaginalis QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 86. Congenital condition in which the urethral opening is located on the ventral surface of the penis ANSWER: f POINTS: 1 87. Congenital downward bowing of the penis caused by fibrous bands ANSWER: i POINTS: 1 88. Inflammation of the glans penis due to poor hygiene ANSWER: b POINTS: 1 89. Twisting of the spermatic cord, resulting in pain, ischemia, and eventual necrosis; failure of immediate correction may require orchiectomy ANSWER: e POINTS: 1 90. Coiled segment of the spermatic ducts that stores sperm and is attached to the superior surface of the testis ANSWER: a POINTS: 1 91. Serous sac that covers most of the testis, epididymis, and lower spermatic cord ANSWER: j POINTS: 1 92. Particle detector that measures ionizing radiation levels ANSWER: h POINTS: 1 93. Radioactive seed implants used to treat aggressive prostate cancers in situ; stronger effect, so lower doses can be used ANSWER: d POINTS: 1 94. Minimally invasive surgical approach for removal of prostate with fewest post-op complications and quickest recovery time ANSWER: g POINTS: 1 95. Condition of abnormal increase in number of cells in tissues or organs ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 20: Genitourinary Surgery POINTS:

1

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Chapter 21: Orthopedic Surgery 1. Which mineral is stored in the bones and constantly being removed to maintain necessary blood levels? a. calcium b. iron c. magnesium d. zinc ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. Which of the following is a long bone that is the largest in the human body? a. cranium b. femur c. ilium d. scapula ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 3. Which bone is the largest found in the foot and is commonly called the heel? a. acetabulum b. calcaneus c. patella d. talus ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 4. What is a serious bone infection that may result from a compound fracture and become chronic later? a. osteoarthritis b. osteoclasts c. osteomyelitis d. osteophytes ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 5. Which of the following is the hard, dense bone that surrounds the marrow cavity? a. cancellous b. cortical c. cranial d. cuboid ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 6. Where is the area of active bone growth? a. cortex b. diaphysis c. epiphyseal plate d. medullary canal ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 7. What is the name of a nonpathological small sac that contains synovial fluid? a. bursa b. canaliculi c. ganglion d. osteocytes ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 8. What type of bone is the patella? a. flat Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery b. irregular c. long d. sesamoid ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 9. What is the medical term for spongy bone? a. cancellous b. cortical c. cranial d. cuboid ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 10. What is the outside covering of bones that provides some nourishment and protection from infection? a. articular cartilage b. enosteum c. periosteum d. synovial membrane ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 11. Carpal and tarsal bones are classified as which type of bone? a. flat b. irregular c. long d. short ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 12. In adults, red bone marrow that produces red blood cells is mainly found in which type(s) of bone? a. flat and irregular b. long and short c. sesamoid only d. irregular only ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 13. The elbow is categorized as which type of joint? a. amphiarthrosis b. coxarthrosis c. diarthrosis d. synarthrosis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 14. The connections between the large bones of the skull are categorized as which type of joint? a. amphiarthrosis b. coxarthrosis c. diarthrosis d. synarthrosis ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 15. Which joint is an example of a condyloid joint? a. acromioclavicular b. femoroacetabular c. patellofemoral Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery d. temporomandibular ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 16. The proximal end of the radius and C1 on C2 vertebrae are examples of which type of diarthrosis? a. gliding b. hinge c. pivot d. saddle ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 17. Which joint is an example of a ball-and-socket joint? a. atlantoaxial b. femoroacetabular c. patellofemoral d. temporomandibular ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 18. Which hormone stimulates osteoclasts to break down bone and increase reabsorption of calcium when serum levels are low? a. estrogen b. follicle stimulating c. human growth d. parathyroid ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery DATE MODIFIED: 2/11/2016 9:29 AM 19. What is the term for small, loose bodies in the knee that are constant irritants and may cause excess synovial production, pain, and locking up? a. ganglion cysts b. genu valgum c. joint mice d. bunions ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 20. In which joint would a bucket handle tear be found? a. ankle b. hip c. knee d. wrist ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 21. Hallus valgus is a condition in which there is a turning outward from the midline found in the: a. great toe b. wrist c. foot d. hip ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 22. Which condition is commonly known as “bowlegged”? a. coxa valga b. genu varum c. hallus valgus Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery d. tallipes varus ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 23. Which of the following means a partial separation or dislocation of a joint without any break in the skin? a. complex b. greenstick c. luxation d. subluxation ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 24. What is the MOST common cause of bone fractures? a. poor nutrition b. osteoporosis c. osteosarcoma d. trauma ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 25. Which type of fracture is characterized as partial and may result from activities such as jumping or jogging? a. avulsion b. comminuted c. greenstick d. oblique ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery 26. Which of the following describes the appearance of a stellate bone fracture? a. asterisk ( * ) b. back slash ( / ) c. spiral ( S ) d. transverse ( ˜ ) ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 27. Which medical term means moving a body part away from the midline? a. flexion b. abduction c. adduction d. supination ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 28. The action of pointing and putting a toe in the water to check the temperature would be an example of which movement? a. circumduction b. eversion c. plantar flexion d. supination ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 29. Which of the following factors related to bone growth and maintenance is responsible for mineral storage and utilization? a. exercise b. heredity c. hormonal Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery d. nutrition ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 30. Which of the following pathologies is related to a specific autoimmune process that attacks the joints in the body? a. arthralgia b. derangement c. osteoarthritis d. rheumatoid arthritis ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 31. What is the medical term for a bony prominence projecting from a bone, as in a bunion? a. arthrosis b. exostosis c. osteoclast d. varum ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 32. What is the term for the softening of bone in children that is commonly called rickets? a. osteoarthritis b. osteochondrosis c. osteomalacia d. osteomyelitis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery 33. Chondroma, giant cell, and osteoma are: a. benign neoplasms b. congenital deformities c. malignant neoplasms d. structural osteocyte components ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 34. How many stages are involved in normal osteogenesis? a. two b. three c. five d. eight ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 35. In which stage of normal bone healing is there bridging of the fracture site, and cartilage and immature bone provide support? a. inflammation b. cellular proliferation c. callus formation d. remodeling ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 36. Which of the following is an acute, emergent condition of compression of neural and vascular structures, usually occurring in the upper and lower extremities following traumatic fractures? a. avascular necrosis b. compartmental syndrome c. delayed union Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery d. malunion ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 37. The term C-arm refers to a(n): a. casting technique b. extremity deformity c. fluoroscopic machine d. OR table positioning device ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 38. Which type of cast is applied often to children and immobilizes unilateral or bilateral hips and femurs? a. spica b. cylinder c. long leg d. short leg ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 39. Which of the following would be increased on a serum analysis and indicative of a malignant neoplasm of bone marrow? a. overproduction of immunoglobulins b. human leukocyte antigen c. serum phosphorus d. serum urate ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery DATE MODIFIED: 12/20/2016 1:13 PM 40. Which of the following diagnostic procedures does NOT use ionizing radiation? a. arthrography b. bone scan c. CT scan d. MRI scan ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 41. Which orthopedic instrument has the appearance of a turkey foot or eagle’s talon? a. beaver knife handle b. Bennett retractor c. Lowman bone holder d. Lambotte osteotome ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 42. Which device is sometimes used for achieving and maintaining the lateral position? a. Andrews table b. beach chair positioner c. vacuum beanbag d. Wilson frame ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 43. Surgeons may call both Bennett and Hohmann retractors by which other name because of their shapes? a. alligator b. cobra c. duck bill d. rat tooth Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 44. Which positioning device is frequently used for femoral nailing with leg traction and allows for placement of the Carm? a. Andrews table b. fracture table c. vacuum beanbag d. Wilson frame ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 45. What is achieved by wrapping an extremity with an Esmarch bandage prior to inflation of pneumatic tourniquet? a. anesthesia b. antisepsis c. extension d. exsanguinations ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 46. Which of the following statements regarding generally safe continuous tourniquet inflation time is CORRECT? a. both upper and lower extremity = 1 hour b. both upper and lower extremity = 1 1/2 hours c. lower extremity = 1 hour; upper extremity = 1 1/2 hours d. lower extremity = 1 1/2 hours; upper extremity = 1 hour ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery 47. All of the following are examples of equipment used postoperatively on the patient for pain reduction or stimulation of healing factors EXCEPT: a. body exhaust suit b. CPM machine c. electric stimulator d. TNS unit ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 48. Whose instructions for cleaning, lubricating, and sterilizing powered orthopedic instrumentation must be followed? a. AAMI b. facility policies c. manufacturer d. OSHA ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 49. Which component of an arthroscopy system is specific to orthopedics and differs from most laparoscopy/MIS systems? a. camera unit b. video monitor/screen c. fiber-optic light source d. powered shaving system ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 50. Which agency requires the documentation and tracking of implantable orthopedic devices? a. AAMI b. CDC c. EPA Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery d. FDA ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 51. Which type of suture would be contraindicated for attaching tendon to bone? a. nylon (Nurolon) b. polyglactin 910 (Vicryl) c. polyester (Ethibond) d. stainless steel ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 52. What is polymethyl methycrylate used for in orthopedic procedures? a. antibiotic irrigation b. bone cement c. cast immobilization d. external fixation ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 53. Which bone is commonly referred to as the collarbone? a. clavicle b. humerus c. scapula d. sternum ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery 54. The acromion process involved in the acromioclavicular joint is part of which of the following bones? a. clavicle b. humerus c. scapula d. sternum ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 55. The infraspinatus, teres minor, subscapularis, and supraspinatus muscles collectively comprise the: a. pelvic girdle b. rotator cuff c. sternal notch d. thoracic cage ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 56. Which of the following joints has the greatest range of motion? a. acromioclavicular b. coracoclavicular c. glenohumeral d. sternoclavicular ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 57. Which of the following is the longest bone in the upper extremity? a. femur b. humerus c. radius d. ulna ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 58. What is the name of a small protuberance of a bone that is an attachment point for muscles or tendons? a. condyle b. groove c. fossa d. tubercle ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 59. Which medium is frequently used in arthroscopies where the ESU may be used for hemostasis? a. carbon dioxide b. lactated Ringer’s c. nitrous oxide d. normal saline ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 60. Which piece of equipment is NOT attached to the arthroscope? a. camera head b. inflow and outflow tubing c. light cord d. powered shaver ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 61. Which instrument is used frequently in arthroscopies to examine and manipulate internal structures?

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Chapter 21: Orthopedic Surgery a. blunt probe b. powered shaver c. spinal needle d. trocar cannula ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 62. A Bankart avulsion lesion involves which anatomical structure(s)? a. labrum (cartilage) b. rotator cuff (muscles) c. bicipital groove (tendon) d. acromioclavicular (bone spur) ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 63. Surgical repair for recurrent anterior shoulder dislocation include all of the following EXCEPT: a. Bankart b. Bristow c. Colles’ d. Putti-Platt ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 64. Patients diagnosed with shoulder impingement syndrome would likely undergo: a. acromioplasty b. external fixation c. open reduction, internal fixation d. total shoulder arthroplasty ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 65. What should the surgical technologist do while the surgeon is using the oscillating saw during open acromioplasty? a. Blot any bleeding bone surfaces carefully with sponge stick. b. Collect bone chips in wound carefully with cupped tissue forceps. c. Drip small amounts of irrigation onto blade to prevent overheating. d. Suction smoke from operative site created by heated tissues.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 66. Axillary nerve injury or detachment of the deltoid from the acromion are: a. indications for Bankart repair b. normal outcomes of total shoulder repair c. serious post-op complications of open acromioplasty d. treated conservatively with steroids and physical therapy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 67. All of the following are indications for total shoulder arthroplasty EXCEPT: a. chronic arthritis pain b. humeral shaft fracture c. osteonecrosis of humeral head d. moderate impingement syndrome ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 68. Which instrument is used to remove marrow from the canal of long bones for placement of prostheses? a. Brun curette b. Gigli saw Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery c. intramedullary reamer d. suction brush attachment ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 69. Which bone is involved in a Colles’ fracture? a. ulna b. radius c. scapula d. humerus ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 70. What is a common surgical approach for Colles’ fracture? a. arthroscopy b. carpal tunnel release c. external fixation d. open reduction internal fixation ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 71. Which method of reducing a fracture carries the highest potential for surgical site infection? a. percutaneous pinning of simple fracture b. external fixator application for Colles’ fracture c. closed with cast application for greenstick fracture d. open reduction, internal fixation for compound comminuted fracture ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery DATE MODIFIED: 2/11/2016 9:29 AM 72. Which of the following is NOT a bone of the pelvis? a. ilium b. pubis c. femur d. ischium ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 73. What is the name of the deep, round fossa of the hip joint? a. acromium b. acetabulum c. tuberosity d. trochanter ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 74. Which portion of the femur articulates with the acetabulum? a. head b. neck c. greater trochanter d. lesser trochanter ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 75. A common system of instrumentation for open reduction of hip fractures is DHS, which stands for: a. dislocated hip surgery b. definitive hip support c. dynamic hip screw d. derotational hip stabilizer Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 76. Which positioning device will be used for ORIF of intertrochanteric femoral fracture? a. Andrews table b. fracture table c. vacuum beanbag d. Wilson frame ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 77. Patients in which age group are MOST commonly candidates for total hip arthroplasty? a. neonates b. school-aged c. ages 30 to 50 d. over 65 years ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 78. Which additional PPE is frequently worn by sterile team members during total joint procedures to prevent possible SSI? a. impervious apron under gown b. additional sterile sleeves c. space suit or body exhaust suits d. high-efficiency particulate air masks ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery 79. Which of the following is a commonly used self-retaining retractor used in total hip arthroplasty procedures? a. Adson-Beckman b. Charnley c. Gelpi d. Weitlaner ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 80. What tissue does the acetabular reamer remove? a. cartilage b. fascia c. marrow d. periosteum ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 81. What should the surgical technologist have ready to clean bone or tissue from a rongeur? a. antibiotic irrigation b. Freer elevator c. lap sponges d. pulse lavage ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 82. Which of the following demonstrates the correct order of steps for femoral canal preparation during total hip arthroplasty? a. reamer, rasp, pulse lavage, implant trial b. rasp, implant trial, pulse lavage, reamer c. pulse lavage, reamer, implant trial, rasp d. implant trial, rasp, reamer, pulse lavage Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 83. Rush, Ender, Russell-Taylor, Trigen, and Kuntscher are examples of flexible, standard, or titanium femoral: a. rods b. nails c. plates d. screws ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 84. Cannulated screws and nails are designed to follow the path created by a: a. depth gauge b. guide pin c. pilot drill d. reamer ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 85. In which anatomical structure is the patella contained? a. anterior cruciate ligament b. patellar tendon c. posterior cruciate ligament d. quadriceps tendon ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery 86. Which ligament of the knee keeps the femur from sliding posteriorly on the tibia and prevents hyperextension of the knee? a. anterior cruciate b. posterior cruciate c. medial collateral d. lateral collateral ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 87. What is the purpose of the medial and lateral menisci of the knee? a. cushioning b. lubrication c. nutrition d. stability ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 88. Which bone of the lower extremity is commonly known as the shin bone? a. femur b. fibula c. patella d. tibia ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 89. Patellar tendon, iliotibial band, and semitendinosus tendon are examples of: a. autografts for ACL repair b. connections for hip movement c. insertion sites for arthroscopic instrumentation d. radiographic landmarks for knee x-ray studies ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 90. All of the following are examples of devices used to anchor both ends of the ACL graft EXCEPT: a. bone screws with spiked washers b. bioabsorbable screws c. Steinman pins d. staples ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 91. Liston knife, Gigli saw, and Satterlee saw are examples of instruments used for which type of procedure? a. ACL repair b. amputation c. arthroplasty d. arthroscopy ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 92. Amputated limbs may be placed in which of the following for transport to pathology? a. C-arm cover b. cassette cover c. impervious stockinette d. Mayo stand cover ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 93. Total knee arthroplasty implant are categorized in all of the following EXCEPT: Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery a. unicompartmental b. bicompartmental c. tricompartmental d. quadricompartmental ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 94. Aken, Chevron, McKeever, Keller, and McBride are techniques for which lower extremity procedure? a. above knee amputation (AKA) b. below knee amputation (BKA) c. bunionectomy d. triple arthrodesis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 95. Which tendon is the thickest and strongest in the body? a. Achilles b. tibialis anterior c. extensor hallucis longus d. extensor digitorum longus ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 96. Implantable devices made of different alloys can cause breakdown of the device and may cause wound infection. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery DATE MODIFIED: 2/11/2016 9:29 AM 97. Arthroscopic procedures require only one small incision through which all the instruments are passed. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 98. There are limited choices of total joint systems available, making standardization routine and uncomplicated. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 99. Care must be taken during skin prepping for gangrenous lower extremities prior to amputation to prevent inadvertent dislodging of toes. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 100. Double gloving should be done as a routine in orthopedic cases due to exposure to various sharp instruments and potentially jagged bones. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 21: Orthopedic Surgery

Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery 1. Which instrument has the appearance of a misshapen pancake spatula? a. Allison lung retractor b. Bailey rib contractor c. Davidson scapula retractor d. Lovelace lung grasping forceps ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. How many ribs are considered “true” ribs with direct connection to the sternum with costal cartilage? a. three b. seven c. nine d. twelve ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 3. For which of the following procedures would the rigid bronchoscope be preferred? a. visualization of the upper lobe bronchi b. removal of foreign body in children c. transbronchial lung biopsy d. bronchial washings ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 4. Lung tissue has what kind of consistency? a. friable b. slimy c. calcified d. elastic ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 5. Which nerve could be damaged during lung decortication resulting in paralysis or partial paralysis of the diaphragm? a. accessory b. hypoglossal c. phrenic d. vagus ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 6. In which procedure would an incision NOT be required for insertion of the endoscope? a. bronchoscopy b. mediastinoscopy c. pectus excavatum via VATS d. video-assisted thoracic surgery ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 7. Which structure within the respiratory tract is the proximal and superior? a. bronchus b. diaphragm c. larynx d. trachea ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 8. Which of the following are the final branchings of the respiratory tree? a. alveoli Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery b. bronchi c. bronchioles d. lobes of the lung ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 9. The manubrium, body, and xiphoid process are portions of the: a. ribs b. lungs c. sternum d. bronchial tree ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 10. All of the following structures are found within the mediastinum EXCEPT: a. heart b. thymus c. esophagus d. diaphragm ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 11. Which membrane covers the surface of the lungs? a. ciliated mucosa b. pericardium c. parietal pleura d. visceral pleura ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 12. What is the medical term for coughing up blood? a. asthma b. bronchitis c. hemoptysis d. pneumonitis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 13. How many lobes are there in the right lung? a. two b. three c. four d. five ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 14. In which part of the respiratory system does the exchange of oxygen and carbon dioxide take place? a. alveoli b. bronchi c. bronchioles d. pulmonary vein ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 15. Which of the following regarding blood flow is correct? a. right atrium, pulmonary vein, lungs, pulmonary artery, left ventricle b. right ventricle, pulmonary vein, lungs, pulmonary artery, left atrium c. right atrium, pulmonary artery, lungs, pulmonary vein, left ventricle Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery d. right ventricle, pulmonary artery, lungs, pulmonary vein, left atrium ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 16. What is the name of the device that is attached to suction for collection of mucous or bronchial washing specimens? a. aerobic culture tube b. insufflation tubing c. myringotomy tube d. Lukens tube ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 17. What is the medical term for visible changes in density on chest x-ray that indicates pulmonary pathology? a. hemoptysis b. hilum c. infiltrate d. inspiration ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 18. Thymomas, neurogenic tumors, and pleuropericardial cysts can be biopsied during which procedure? a. bronchoscopy b. laryngoscopy c. mediastinoscopy d. thoracoscopy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery 19. Where is the insertion point for the mediastinoscope? a. suprasternal notch b. oropharynx c. subxiphoid d. umbilicus ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 20. What is the name of an air-filled sac that has the appearance of a blister on the surface of lung tissue? a. alveolar sac b. bleb c. bronchiole d. germ cell ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 21. In the event that a VATS procedure had to be converted to an open procedure, which open case would be performed? a. coronary artery bypass b. laparoscopy c. thoracotomy d. tracheotomy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 22. Which of the following will be required upon completion of any procedure in which the pleural cavity has been opened? a. passive wound drain such as a Penrose b. chest tube attached to a Pleur-evac system c. active wound drain such as a Jackson-Pratt d. compression dressing with Ace or tensor bandages Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 23. Which additional pain control measure is taken for patients undergoing pectus excavatum repair by VATS? a. Bier block b. epidural c. local with epinephrine d. topical Lidocaine jelly ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 24. What is the name of the procedure performed to release constriction of the lungs by fibrin layers? a. pectus excavatum b. upper lobectomy c. pneumonectomy d. lung decortication ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 25. The name of the condition created when pus is not cleared from the pleural cavity and makes a fibrous constrictive layer is: a. COPD b. pleurisy c. empyema d. pneumonia ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery 26. Prior to the closure of a lobectomy procedure, the anesthesia provider performs a Valsalva maneuver to check for: a. air leakage from bronchial closure b. bleeding from the dissection bed c. functionality of the diaphragm d. perfusion of the unaffected lobes ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 27. What is the term for a collapsed lung? a. atelectasis b. decortication c. emphysema d. pneumonitis ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 28. Which type of incision is made for a pneumonectomy? a. Chevron b. McBurney c. epigastric d. posterolateral ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 29. Which of the following is a crushing clamp with sharp spikes in the jaw used on the bronchus? a. Bailey b. Doyen c. Mixter d. Sarot ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 30. Which instrument is a rib shear? a. Alexander b. Bethune c. Davidson d. Satinsky ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 31. What is a commonly used rib self-retaining retractor available in adult and pediatric sizes? a. Balfour b. Bookwalter c. Finochietto d. Greenburg ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 32. Which instrument is a lung-grasping forceps that resembles a very large Pennington? a. Doyen b. Duckbill c. Lovelace d. Langenbeck ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 33. Which of the following thoracic procedures would require the patient to be put on cardiopulmonary bypass?

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Chapter 22: Cardiothoracic Surgery a. pneumonectomy b. upper lobectomy c. decortication of the lung d. pulmonary thromboendarterectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 34. Following lung transplantation, the surgeon will perform which procedure to aspirate secretions and check for leaks? a. bronchoscopy b. laryngoscopy c. mediastinoscopy d. video-assisted thoracoscopy ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 35. The main bronchi, pulmonary arteries, veins, and lymphatic vessels enter the lung on the medial surface through the: a. hilum b. trachea c. diaphragm d. mediastinum ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 36. How many pulmonary veins are there? a. one b. two c. three d. four ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 37. Which diagnostic study is MOST useful for verification of thoracic aortic dissection? a. AP chest x-ray b. CT scan c. MRI scan d. stress test ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 38. Which statement regarding the anatomical placement of the heart is CORRECT? a. It is positioned exactly midline in the thoracic cavity. b. It is positioned in the thoracic cavity with nearly its entirety on the left side. c. It is positioned in the mediastinum with approximately 2/3 of the heart on the left side. d. It is positioned in the mediastinum with approximately 2/3 of the heart on the right side.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 39. Which structure is considered the “pacemaker” of the heart? a. AV node b. SA node c. bundle of His d. Purkinje fibers ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 40. Which chamber of the heart is responsible for pumping blood into the pulmonary artery? a. left atrium b. right atrium Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery c. left ventricle d. right ventricle ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 41. Which portion of the heart is responsible for pumping blood into the ascending aorta? a. left atrium b. right atrium c. left ventricle d. right ventricle ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 42. The coronary arteries originate from the: a. ascending aorta b. descending aorta c. pulmonary artery d. subclavian artery ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 43. What is the name of the area between the visceral and parietal pleura that contains serous fluid to prevent friction? a. hilum b. mediastinum c. pleural space d. pericardial window ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery DATE MODIFIED: 2/11/2016 9:29 AM 44. What is the thickest part of the heart? a. epicardium b. endocardium c. myocardium d. pericardium ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 45. Where is the apex of the heart located within the mediastinum? a. superiorly on the right side b. inferiorly on the right side c. superiorly on the left side d. inferiorly on the left side ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 46. Which one of the following is NOT one of the cardiac valves? a. aortic b. mitral c. septal d. tricuspid ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 47. Which heart valve is also known as the bicuspid valve? a. aortic b. mitral c. pulmonary d. tricuspid Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 48. The apex of the lung is located: a. inferiorly and laterally b. medially where the bronchus enters c. medially just above the diaphragm d. superiorly and just above the clavicle ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 49. All of the following are components of the “heart-lung” machine EXCEPT: a. pump b. oxygenator c. defibrillator d. heat exchanger ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 50. Where are the cannulae MOST commonly placed for cardiopulmonary bypass procedures? a. carotid artery and subclavian vein b. right atrium and ascending aorta c. right ventricle and descending aorta d. femoral artery and brachiocephalic vein ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery 51. Which of the following is a commonly used method of preserving the heart by reducing its metabolic needs? a. hypothermia b. lung deflation c. left ventricular venting d. warming with heat exchanger ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 52. Which suturing technique maintains the aortic and venous cannulae? a. figure of eight b. purse-string c. horizontal mattress d. vertical mattress ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 53. The force and rate of contraction of the heart is controlled by which part of the central nervous system (CNS)? a. phrenic nerve b. vagus nerve c. Purkinje system d. medulla oblongata ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 54. What is the first step in the formation of an atheroma? a. accumulation of cholesterol and lipids b. collagen deposition and scar tissue formation c. growth of new smooth muscle tissue d. injury to endothelial lining ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 55. Which of the following is the main underlying pathogenic cause of coronary atherosclerosis and clinical manifestations? a. age b. diet c. ischemia d. hypertension ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 56. Which artery accounts for approximately 50% of occlusive coronary lesions? a. circumflex branch b. left anterior descending c. mammary d. right coronary ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 57. What is the name of the acute condition in which heart muscle dies from ischemia and may lead to sudden cardiac death? a. heart block b. atherosclerosis c. cardiac tamponade d. myocardial infarction ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery 58. Where is a Swan-Ganz catheter placed? a. ascending aorta b. coronary artery c. pulmonary artery d. vena cava ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 59. Which suture is frequently used for anastomosis of the saphenous vein or internal mammary artery in CABG? a. 6-0 or 7-0 polypropylene b. 2-0 or 3-0 polyester c. 6-0 or 7-0 polyglactin d. 2-0 or 3-0 poliglecaprone ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 60. Which instrument is used to make a small opening into the ascending aorta after the Satinsky partial occlusion clamp is placed? a. aortic punch b. Potts-Smith scissors c. #11 blade d. 5 mm trocar ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 61. With what is the median sternotomy closed? a. fine gauge polypropylene b. fine gauge surgical silk c. heavy gauge stainless steel wire d. heavy gauge chromic gut ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 62. Medtronic OCTOPUS® and Guidant Ultima OPCAB® are what type of devices for coronary artery bypass done offpump? a. retractors b. stabilizers c. cannulae d. grafts ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 63. What is the name of the device used for patients who are unable to be weaned off of cardiopulmonary bypass? a. intra-aortic balloon pump b. left ventricular vent c. cardiac pacemaker d. vena cava filter ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 64. Which device is used for patients awaiting heart transplant that allows them to be ambulatory and has both internal and external components to the system? a. ventricular assist device b. left ventricular vent c. cardiac pacemaker d. vena cava filter ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery 65. What is the general term for incurable diseases of the heart for which the only treatment would be heart transplantation? a. atherosclerosis b. arrhythmias c. cardioplegia d. cardiomyopathies ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 66. Aortic valve stenosis and aortic regurgitation are often as a result of : a. rheumatic fever b. tuberculosis c. heart block d. angina ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 67. Which diagnostic method provides the MOST extensive details regarding valvular disorders? a. cardiac catheterization b. CT scanning c. electromyography d. MRI scanning ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 68. A heart murmur is often heard with auscultation and indicative of involvement of which structure? a. aortic valve b. mitral valve c. right ventricle d. left ventricle Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 69. What is the average lifespan of biologic and mechanical heart valve replacements? a. 1 to 5 years b. 5 to 10 years c. 10 to 15 years d. indefinite ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 70. What is the term for a localized stricture of the aorta found in a pediatric patient? a. coarctation b. stenosis c. prolapsed d. arteriosis ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 71. Which singular congenital defect involves failure of closure of the connection between the pulmonary artery and aorta? a. atrial septal defect b. ventriculo septal defect c. patent ductus arteriosus d. tetralogy of Fallot ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery 72. What is frequently used to repair atrial and ventricular septal defects in pediatric patients? a. Dacron patch b. porcine valve c. fascia lata d. fibrin glue ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 73. Which congenital defect has four components and is characterized by cyanosis causing appearance of “blue babies”? a. coarctation of the aorta b. patent ductus arteriosus c. ventricular septal defect d. tetralogy of Fallot ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 74. Which surgical approach is used for repair of coarctation of the aorta and patent ductus arteriosus? a. supine b. prone c. frog-legged d. posterolateral ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 75. Commissurotomy is a surgical separation of the flaps of the: a. mitral valve b. left ventricle c. pulmonary valve d. right atrium ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 76. The saphenous vein used for coronary artery grafting must be reversed before anastomosis due to the presence of valves in the vein. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 77. Video-assisted thoracic surgery procedures use carbon dioxide for distention. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 78. The ventricles of the heart have thicker myocardium than the atria. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 79. Lung reduction surgery is performed for patients with emphysema. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 80. The drainage and collection device attached to chest tubes relies on a water seal to reestablish negative pressure in the pleural cavity. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Match each term below with its description. a. Asystole b. Electrocardiograph c. Perfusion d. Ventricular fibrillation e. Bradycardia f. Heart block g. Echocardiography h. Ventricular tachycardia i. Atrial fibrillation j. Ejection fraction QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 81. A heart rate that exceeds 100 beats per minute ANSWER: h POINTS: 1 82. Chaotic and disorganized stimulation of the ventricle, making it unable to effectively pump blood ANSWER: d POINTS: 1 83. Abnormally slow electrical impulses and heartbeat below 40 to 60 beats per minute ANSWER: e POINTS: 1 84. Disorganized stimulation of the atria that prevents atrial contraction and does not allow for ventricular filling Copyright Cengage Learning. Powered by Cognero.

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Chapter 22: Cardiothoracic Surgery ANSWER: i POINTS: 1 85. Absence of a heartbeat; cardiac standstill ANSWER: a POINTS: 1 86. Percentage of blood volume pumped out of the heart into the systemic circulation; indicator of ventricular function ANSWER: j POINTS: 1 87. Noninvasive study used to diagnose mitral valve stenosis or other valvular disorders ANSWER: g POINTS: 1 88. Monitoring procedure that records electrical activity of the heart ANSWER: b POINTS: 1 89. Electrical conduction disorder requiring permanent pacemaker ANSWER: f POINTS: 1 90. The function accomplished by the cardiopulmonary bypass machine ANSWER: c POINTS: 1

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Chapter 23: Peripheral Vascular Surgery 1. What is another name for the innominate artery? a. aorta b. brachiocephalic c. left subclavian d. left common carotid ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. Which of the following tunica is NOT part of the structure of an artery? a. adventitia b. media c. intima d. vaginalis ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 3. Which is the largest artery in the body? a. aorta b. carotid c. renal d. subclavian ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 4. Which vessels are responsible for the exchange of oxygen and metabolic waste? a. arteries b. capillaries c. venules d. veins ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 5. Which part of the artery is responsible for vasoconstriction and vasodilation? a. tunica adventitia b. tunica intima c. tunica media d. vasa vasorum ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 6. Which of the following is found only in veins? a. tunica adventitia b. tunica intima c. tunica media d. valves ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 7. Which diagnostic study is considered the gold standard for evaluation of vascular disease? a. angiography b. CT scan c. radiography d. PET scan ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 8. What are the serrations of DeBakey and Cooley vascular instruments considered to be? a. atraumatic Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery b. traumatic c. smooth d. toothed ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 9. How far beyond the atherosclerotic lesion should a balloon in angioplasty reach? a. 1–2 mm b. 3–5 mm c. 1–2 cm d. 3–5 cm ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 10. Where is the balloon dilator inserted percutaneously in coronary artery angioplasty? a. radial artery b. carotid artery c. femoral artery d. subclavian artery ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 11. Into which vessel is a double-lumen Groshong catheter routinely inserted? a. right carotid artery b. right femoral artery c. right jugular vein d. right subclavian vein ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 12. What are urokinase and streptokinase used for in vascular pathology? a. lysis of embolus b. vasoconstriction c. vasodilation d. hemostasis ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 13. What is the name of the frequently used balloon embolectomy catheter? a. Robinson b. Groshong c. Fogarty d. Foley ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 14. Transient cerebral ischemic episodes are treated surgically by: a. angioplasty b. atriovenous fistula and shunt c. carotid endarterectomy d. coronary artery bypass ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 15. Javid and Argyle are examples of which type of device used in select vascular procedures? a. catheters b. shunts c. guidewires Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery d. peel-away sheaths ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 16. The CORRECT sequence of steps for an arteriotomy for embolectomy or thrombectomy is: a. #15 blade, Metzenbaum scissors, Yankauer suction, insertion of Fogarty catheter b. #10 blade, Metzenbaum scissors, insertion of Fogarty catheter c. #11 blade, Potts-Smith scissors, insertion of Fogarty catheter d. #12 blade, 14 g angiocath insertion, removal of stylet, insertion of Fogarty catheter ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 6:10 PM 17. Which of the following would be the suture technique and type used to anastomose a bifurcated graft limb to an artery? a. interrupted 5-0 or 6-0 nonabsorbable suture b. running 5-0 or 6-0 absorbable suture c. interrupted 5-0 or 6-0 absorbable suture d. running 5-0 or 6-0 nonabsorbable suture ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 18. A newly diagnosed patient in need of vascular access long-term hemodialysis would undergo which procedure? a. embolectomy b. endarterectomy c. arteriovenous fistula and shunt d. inferior vena cava filter placement ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery DATE MODIFIED: 2/11/2016 9:29 AM 19. What is the name of the condition that involves plaque or clots escaping from the femoral or iliac veins? a. deep vein thrombosis b. carotid stenosis c. atherosclerosis d. claudication ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 20. If a DVT from deep veins of the legs enters the cardiopulmonary system, what life-threatening condition will likely occur? a. aortic dissection b. cardiac tamponade c. pulmonary embolus d. myocardial infarction ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 21. Dermal atrophy, hemorrhage, ulceration, and cellulitis are complications of: a. abdominal aortic aneurysm b. carotid stenosis c. pulmonary embolus d. varicose veins ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 22. What are the prep borders for a unilateral vein stripping procedure? a. toes to groin circumferentially b. ankle to knee circumferentially c. knee to groin circumferentially Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery d. ankle to mid-thigh circumferentially ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 23. What is the configuration of the saphenous vein when stripped from the leg? a. cut into small sections and left in situ b. only the intimal layer removed c. valves only dissected and vein left in situ d. vein avulsed and turned completely inside out ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 24. Balloon angioplasty performed in the cardiac catheterization lab is used to treat: a. atherosclerotic thickening b. stenotic dissection c. venous insufficiency d. valvular regurgitation ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 25. Peripheral vessel angioplasty stents may be made of all of the following EXCEPT: a. titanium b. fascia lata c. polypropylene d. stainless steel mesh ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery 26. Use of an angioscope larger than the diameter of the vessel being scoped will most likely result in which of the following? a. aneurysm b. dissection c. vasodilation d. vasospasm ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 5:38 PM 27. What is the main obstacle of performing angioscopy? a. light b. valves c. strictures d. clear visibility ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 28. What are vessel loops and umbilical tapes commonly used for in vascular cases? a. anastomosis b. ligation c. retraction d. suturing ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 29. Which of the following are used on tips of hemostats to prevent breaking of delicate monofilament suture when tagged? a. suture aid booties b. hemoclips c. peel-away sheaths Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery d. vessel loops ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 12/20/2016 6:17 PM 30. What is the name of the condition that manifests by deep aching pain in the lower extremity during rest periods? a. capitation b. coarctation c. claudication d. contraction ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 31. Which of the following is the BEST choice for distal bypass graft in the lower extremity? a. Dacron b. Gore-Tex c. PTFE d. saphenous vein ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 32. Which vascular device is double-lumened for administration of chemotherapy, antibiotic therapy, and IV fluids? a. Argyle b. Fogarty c. Groshong d. Javid ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery 33. A #11 blade and forward angle or reverse angle Potts-Smith scissors are frequently used for: a. arteriotomy b. embolectomy c. skin incisions d. suture cutting ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 34. The atheromatous core removed from the carotid artery during endarterectomy is more commonly known as: a. adventitia b. marrow c. plaque d. thrombus ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 35. Which arterial aneurysm is more likely to rupture due to lack of detection over time? a. femoral b. iliac c. popliteal d. radial ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 36. What are the operative mortality rates of patients with ruptured abdominal aortic aneurysm (AAA) and shock? a. 10% to 20% b. 20% to 40% c. 50% to 60% d. > 80% ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 37. What are the operative mortality rates of patients with unruptured AAA scheduled for elective repair? a. 1% to 2% b. 2% to 3% c. 3% to 5% d. 5% to 10% ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 38. Which diagnostic study provides the most detailed information for surgical planning in AAA repair? a. angiogram b. aortogram c. CT scan d. ultrasound ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 39. What is the specimen in an AAA procedure? a. blood clot b. vessel wall c. thrombus d. aneurysm sac ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 40. What is done with the aneurysm sac in AAA repair?

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Chapter 23: Peripheral Vascular Surgery a. excised and discarded b. excised and sent as specimen c. inverted and tacked to back of graft d. anterior wall sutured over the proximal graft ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 41. The lumens of veins are larger than the lumens of arteries. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 42. Suture pledgets are used to bolster anastomosis sites when tissue is friable. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 43. Glass syringes are preferred in drawing up contrast media for angiography because of less accumulation of bubbles. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 44. Knowledge of the peripheral vascular system is required of the first assistant, but not of the surgical technologist. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 45. Names frequently associated with vascular instrumentation include DeBakey and Cooley, both of whom were cardiothoracic surgeons and pioneers of cardiothoracic and peripheral vascular surgery. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM Match each term below with its description. a. Aortic bodies b. Superior mesenteric c. Left common carotid d. Thoracic e. Vascular clamp f. Inferior mesenteric g. Vasa vasorum h. Abdominal i. Vena cava j. External iliac QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 46. Atraumatic instrument designed to gently occlude blood flow without causing permanent damage ANSWER: e POINTS: 1 47. Tiny vessels that nourish the cells of arterial walls ANSWER: g POINTS: 1 48. Specialized receptors in certain epithelial arterial tissue that function to control blood pressure, oxygen, and carbon Copyright Cengage Learning. Powered by Cognero.

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Chapter 23: Peripheral Vascular Surgery dioxide concentrations ANSWER: a POINTS: 1 49. Portion of the aorta that descends but is above the diaphragm ANSWER: d POINTS: 1 50. Portion of the aorta that runs between level of diaphragm and bifurcation of iliac arteries ANSWER: h POINTS: 1 51. Unpaired artery arising anteriorly from aorta just below celiac trunk; supplies upper abdominal organs ANSWER: b POINTS: 1 52. Unpaired artery arising anteriorly from aorta just above the bifurcation; supplies lower abdominal organs ANSWER: f POINTS: 1 53. Arteries that become the femoral arteries as they exit the pelvis ANSWER: j POINTS: 1 54. Artery that serves the head and neck and arises directly from the aortic arch ANSWER: c POINTS: 1 55. The largest vein in the body; runs alongside the aorta ANSWER: i POINTS: 1

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Chapter 24: Neurosurgery 1. How many pairs of cranial nerves are there? a. 6 b. 8 c. 10 d. 12 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:29 AM DATE MODIFIED: 2/11/2016 9:29 AM 2. Penfield #1 through #5 are: a. aneurysm clips b. dissectors c. drill bits d. scalp clips ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 3. The circle of Willis is a: a. network of connected arteries at the base of the brain b. structure of supporting connective tissue for the brain c. complex neural network that connects the two hemispheres of the brain d. series of channels and foramina within the cerebrospinal fluid network of the brain ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 4. Which of the following is a primary benign tumor that arises from the protective coverings of the brain? a. astrocytoma b. ependymoma c. glioma d. meningioma ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 5. Which of the following results most often from skull trauma over the middle meningeal artery with symptoms progressing to brain-stem herniation if not treated? a. arteriovenous malformation b. intracranial aneurysm c. epidural hematoma d. subdural hematoma ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 6. Which facial sinus is used for surgical approach to a pituitary adenoma rather than traditional craniotomy? a. ethmoid b. frontal c. maxillary d. sphenoid ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 7. Which anatomical structure is the tough band that encases the intervertebral disc material? a. annulus fibrosis b. circle of Willis c. intervertebral foramina d. nucleus pulposus ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 8. Which approach is MOST desirable for treatment of herniated cervical disc with subsequent intervertebral fusion?

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Chapter 24: Neurosurgery a. anterior midline b. anterior medial c. posterior midline d. posterior medial ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 9. How many vertebrae are there in the normal adult spine? a. 12 b. 23 c. 30 d. 33 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 10. The instrument called a Kerrison is a(n): a. clamp b. rongeur c. elevator d. retractor ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 11. Which surgical procedure treats compression of the median nerve by a transverse ligament? a. anterior cervical diskectomy b. carpal tunnel release c. lumbar laminectomy d. rhizotomy ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 12. Which portion of the spinal column consists of five fused vertebrae in the average adult? a. cervical b. thoracic c. lumbar d. sacrum ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 13. What is another name for the first cervical vertebra (C-1)? a. atlas b. axis c. cauda equine d. odontoid ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 14. What is the name of the structure on which the pituitary gland sits? a. atlas b. foramen magnum c. odontoid process d. sella turcica ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 15. What is the name of the structure that produces cerebrospinal fluid (CSF)? a. cauda equina b. cavernous sinus Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery c. choroid plexus d. corpus callosum ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 16. Monro, Sylvius, Magendie, and Luschka are: a. aqueducts and foramina b. cranial nerves c. cranial base fossae d. neural plexuses ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 17. Which instrument could be used for burr-hole cranial perforation if no powered equipment is available? a. Cloward bit b. Gigli saw c. Hudson brace d. Penfield dissector ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 18. Which of the following is used for scalp hemostasis and resembles a Crile or Kelly hemostat except the curve is to the side? a. Cushing b. Dandy c. Leksell d. Raney ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 19. What is the distal-most area of the spinal cord or spinal nerves called? a. corpus callosum b. filum terminale c. nucleus pulposus d. sella turcica ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 20. For which surgical procedure would petroleum gauze nasal packing be used as part of the dressing? a. burr holes for evacuation of subdural hematoma b. carpal tunnel release c. lumbar microdiskectomy d. transsphenoidal hypophysectomy ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 21. Into which anatomical structure or area is the distal catheter most often inserted in a V-P shunt procedure? a. peritoneal cavity b. pleural cavity c. pulmonary vein d. pyloric sphincter ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 22. What is the name of the horseshoe or pin fixation device for neurosurgical cranial positioning? a. Dandy b. Layla c. Mayfield Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery d. Penfield ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 23. What is the anatomical area where cerebrospinal fluid circulates over all parts of the central nervous system? a. circle of Willis b. epidural space c. pericranium d. subarachnoid space ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 24. What is the largest part of the human brain? a. brain stem b. cerebellum c. cerebrum d. diencephalon ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 25. Which of the following are countable surgical sponges used in neurosurgical procedures to protect delicate tissues? a. compressed Gelfoam b. Cottonoid patties c. Kittner dissectors d. Weck-Cel spears ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery 26. Which of the following is a radiographic diagnostic procedure performed for suspected aneurysm near the circle of Willis? a. cerebral angiogram b. electroencephalogram c. lumbar myelography d. pneumoencephalography ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 27. Craniosynostosis is a congenital defect involving: a. blocked ventricular passages b. failure of neural tube closure c. pituitary hormone imbalances d. premature cranial suture closure ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 28. Fiducials placed on bony landmarks are used in which type of neurosurgical procedure? a. transsphenoidal hypophysectomy b. insertion of ventriculo-peritoneal shunt c. stereotactic guided-imagery biopsy d. selective facet rhizotomy ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 29. Posterior fossa craniectomy is performed for pathology involving the: a. cerebellum b. frontal lobe c. parietal lobe d. lateral ventricles Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 30. Which diagnostic study demonstrates a herniated disc causing spinal compression and radiographic filling defect? a. angiography b. electromyogram c. myelogram d. cross-table x-ray ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 31. Which part of the vertebra projects most posteriorly and is often palpable through the skin in the convex areas of the spine? a. body b. lamina c. spinous process d. transverse process ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 32. Which anatomical structure is the soft, gelatinous part of the intervertebral disc, which is sent as specimen after diskectomy? a. annulus fibrosis b. intervertebral foramina c. nucleus pulposus d. posterior longitudinal ligament ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery DATE MODIFIED: 2/11/2016 9:30 AM 33. Osteophytes are: a. bony spurs b. hardened discs c. liament attachment points d. malignant spinal tumors ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 34. Which of the following is a result of torn bridging veins between the cerebral cortex and venous sinuses? a. CSF fistula b. epidural hematoma c. subarachnoid hemorrhage d. subdural hematoma ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 35. Which of the following is the lowest part of the brain stem and contiguous with the spinal cord? a. hypothalamus b. medulla oblongata c. midbrain d. pons ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 36. All of the following are examples of congenital anomalies EXCEPT: a. arteriovenous malformation b. craniosynostosis c. herniated nucleus pulposus d. intracranial aneurysm Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 37. What is the term for a deep groove in the cerebrum that separates the brain into lobes? a. gyrus b. fissure c. sinus d. sulcus ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 38. What is the name of the dural fold that separates the right and left hemispheres of the cerebrum? a. corpus callosum b. choroid plexus c. falx cerebri d. falx cerebelli ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 39. What is the name of the dural fold that separates the cerebrum from the cerebellum and may be used to delineate surgical approach in reference to it? a. corpus callosum b. falx cerebri c. falx cerebella d. tentorium ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery 40. Wilson, Andrews, and Hall frames are examples of positioning devices used for: a. anterior cervical diskectomy and fusion b. craniectomy for craniosynostosis c. lumbar hemilaminotomy d. ulnar nerve transposition ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 41. Which portion of the normal spinal column has five (5) vertebrae? a. cervical b. thoracic c. lumbar d. coccygeal ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 42. Which instrument is used to extract pieces of the nucleus pulposus in a diskectomy? a. Kerrison rongeur b. nerve root retractor c. Penfield dissector d. pituitary rongeur ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 43. Which position is usually used for microdecompression endoscopic diskectomy? a. lateral b. lithotomy c. prone d. supine ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 44. In which procedure are the esophagus, carotid artery, and trachea retracted medially for access to the area of pathology? a. anterior cervical diskectomy and fusion b. fronto-temporal craniotomy for aneurysm c. placement of ventriculo-atrial shunt d. rhizotomy for intractable trigeminal neuralgia ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 45. From which area is an autologous bone graft usually procured for anterior cervical fusion procedures? a. fibula b. cervical spinous process c. iliac crest d. lumbar spinous process ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 46. What is the name of the measuring device used to assess intraventricular pressure? a. capnometer b. manometer c. oximeter d. tonometer ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery 47. What part of the body is prepped for ulnar nerve decompression or transposition? a. anterior neck b. lower extremity c. posterior back d. upper extremity ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 48. Carpal tunnel syndrome is treated by: a. incising the transverse carpal ligament to decompress the nerve b. placing Gelfoam between nerve and ligament for padding c. removing or reshaping the surrounding carpal bones d. transposing the median nerve out of the bony tunnel ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 49. The visual cortex of the brain is located in which region? a. frontal b. occipital c. parietal d. temporal ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 50. Which of the following layered structures has the closest and most intimate contact with the brain? a. arachnoid b. dura c. galea d. pia ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 51. What is the name of the outfolding convolutions of the brain? a. fissures b. foramina c. gyri d. sulci ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 52. Which of the following neurosurgical retractors has attachments for malleable brain spatulas and retractors? a. Adson-Beckman b. Leyla-Yasargil c. Scoville d. Taylor ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 53. When incising the cranium between burr holes, what attachment to the powered craniotome is necessary to prevent injury of underlying tissues? a. #3 Penfield dissector b. dural guard with footplate c. smoke evacuator d. wire-pass drill bit ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 54. Which instrument is used to strip and separate the galea and pericranium from the skull before placement of burr Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery holes? a. #11 scalpel blade b. #1 Penfield dissector c. Gigli saw malleable guide d. Langenbeck periosteal elevator ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 55. Papaverine is used in craniotomy for aneurysm clipping to prevent: a. clotting b. hemorrhage c. infection d. vasospasm ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 56. Where do most intracranial aneurysms occur? a. arterial bifurcations b. tunica media c. venous sinus d. venous valves ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 57. What is the name of the group of spinal nerves that continue from the distal spinal cord at about L-2 in the average adult? a. cauda equina b. corpus callosum c. filum terminale d. foramen magnum ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 58. Which of the following bilateral paired nerves are the largest in the body and innervate the buttocks and lower extremities? a. peroneal b. sciatic c. trigeminal d. vagus ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 59. Which retractor has a proximal hook placed in the wound and a distal hook for attachment of a weight or sandbag using a sterile Kerlix roll for suspension? a. Cloward b. Greenburg c. Love d. Taylor ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 60. What is the name of the set of instruments used for anterior cervical diskectomy and fusion that includes retractors, spreaders, bone dowel cutters, impactors, and others? a. Cloward b. Greenburg c. Mayfield d. Yasargil ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery DATE MODIFIED: 2/11/2016 9:30 AM 61. Special attention must be taken during application and removal of the Mayfield cranial fixation device due to the removal of the OR table head piece. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 62. The surgical technologist may have up to three separate setups in a transsphenoidal hypophysectomy procedure: nasal access, tumor excision, and fascial graft. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 63. Herniated nucleus pulposus is a congenital disorder that must be treated surgically in the neonate to prevent quadriplegia. a. True b. False ANSWER: False POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 64. The skull flap can be reattached to the cranium by small titanium plates and screws or with stainless steel wire. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery DATE MODIFIED: 2/11/2016 9:30 AM 65. The foramen magnum is the large opening at the base of the skull and site of irreversible brain stem herniation due to increased intracranial pressure. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM Match each term below with its description. a. Paraplegia b. Brain stem c. Exothermic d. Radiculopathy e. Collateral flow f. CUSA g. Bipolar h. Tunneler i. Brain abscess j. Stereotaxis QUESTION TYPE: Matching HAS VARIABLES: False DATE CREATED: 2/11/2016 9:30 AM DATE MODIFIED: 2/11/2016 9:30 AM 66. Disease of the spinal nerve roots that results in pain, numbness, tingling, or weakness of the extremities ANSWER: d POINTS: 1 67. Irrigation and aspiration instrument that uses variable ultrasonic energy to remove tumor tissue without disrupting normal structures ANSWER: f POINTS: 1 68. Mode of electrosurgical energy frequently used for thermal hemostasis in and around delicate neural structures ANSWER: g POINTS: 1 69. Surgical method of using three-dimensional plotting for guidance to biopsy or excise pathology with least amount of collateral damage Copyright Cengage Learning. Powered by Cognero.

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Chapter 24: Neurosurgery ANSWER: j POINTS: 1 70. Most primitive part of the central nervous system; responsible for basic vital life functions ANSWER: b POINTS: 1 71. Infection of central nervous system tissue via direct injury or remote circulatory transfer; may require surgical excision ANSWER: i POINTS: 1 72. Mechanism of supplying of oxygen to an area of an organ when the normal perfusion has been interrupted; example is circle of Willis ANSWER: e POINTS: 1 73. Inability to move the lower part of the body due to spinal trauma, disease, or disorder ANSWER: a POINTS: 1 74. Generation of heat during a chemical reaction; example is result of mixing powder and liquid to create polymethyl methacrylate ANSWER: c POINTS: 1 75. Cannulated instrument designed to provide passage for distal catheter in V-P or V-A shunt procedures ANSWER: h POINTS: 1

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