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Concepts of surgical procedure; Laparotomy, wound healing, laparoscopy, resection

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Surgical Technology, Concepts, Unit One, Surgical Interventions and Resection Concept

Question 1 of 41

1

What is the primary goal of surgical intervention?

Select one of the following:

  • To cure the disease

  • To offer a cure or correction of a disease, condition or illness

  • stop suffering

  • clear up all infections present

Explanation

Question 2 of 41

1

A surgical complication that is acquired during the course of the patients health care and may be due to break in sterile technique is known as?

Select one of the following:

  • Hemorrhage

  • respiratory distress

  • cardiac arrest

  • infection

Explanation

Question 3 of 41

1

Define Dissection?

Select one of the following:

  • to cut across

  • to cut out or cut off a portion or an organ

  • the connection of two tubular structures

  • separation and cutting of tissue

Explanation

Question 4 of 41

1

Define resection?

Select one of the following:

  • separation and cutting of tissue

  • cutting across the skin longitudinally

  • to cut off or cut out a portion or organ

  • to cut diagonally

Explanation

Question 5 of 41

1

Which of the following is cause for surgical intervention?

Select one of the following:

  • trauma

  • psychological state

  • tumors

  • all of the above

Explanation

Question 6 of 41

1

The letters CCCT stand for?

Select one of the following:

  • OR personal conduct

  • imaging machine

  • resection concept

  • cut center carry tie

Explanation

Question 7 of 41

1

With the resection concept, blood vessels may be ligated with all of the following except?

Select one of the following:

  • tie on passer

  • stick tie

  • clips

  • rubber bands

Explanation

Question 8 of 41

1

Irrigation fluids are used during surgery for all of the following reasons except?

Select one of the following:

  • the addition of antibiotics

  • wash away debris

  • reduce the amount of irritants left behind from the gloves

  • kill infections bugs with hot water

Explanation

Question 9 of 41

1

What is the different between a permanent specimen and a frozen section?

Select one or more of the following:

  • permanent specimen is a tissue sample taken that can be sent off the hospital grounds for further analysis

  • frozen section is a tissue sample that needs to be sent off grounds

  • permanent specimen is a tissue sample that needs to be sent to pathology

  • frozen section is a tissue sample taken that needs to be sent to pathology for quick processing

Explanation

Question 10 of 41

1

When resecting an organ what are the three main types of support structures to resect?

Select one or more of the following:

  • ligaments and tendons

  • connective tissue

  • arteries and veins

  • lymphnodes

  • ducts

Explanation

Question 11 of 41

1

What are the two groups of major sources of infection?

Select one or more of the following:

  • patient skin

  • endogenous

  • staff

  • environmental

  • coughing

  • sneezing

Explanation

Question 12 of 41

1

List the three main factors that can increase the risk of SSI?

Select one or more of the following:

  • diabetes

  • obesity

  • blood type

  • general health

  • age

  • appearance

  • intelligence

Explanation

Question 13 of 41

1

The following are three different tissues involved in support systems, name each.
1.connects an organ to the abdominal wall
2,parietal or visceral
3.supports and connects other tissues and organs

Select one or more of the following:

  • connective tissue

  • tendonds

  • paritoneum

  • vascular tissue

  • abdominal wall

  • ligaments

Explanation

Question 14 of 41

1

Fill the blank space to complete the text.

A tumor that is rapidly growing and has spread to distant sites is referred to as

Explanation

Question 15 of 41

1

Define blunt dissection?

Select one of the following:

  • using instruments to resect tissue

  • moving tissue to make room for instruments

  • is used to separate tissue without cutting

  • is used to separate tissue with cutting

Explanation

Question 16 of 41

1

List two items or things that can be used for blunt dissection?

Select one or more of the following:

  • knife

  • fingers

  • scalpel

  • forceps

Explanation

Question 17 of 41

1

List four categories of surgery. Explain each in detail and give 1 example of each

Select one or more of the following:

  • preventative surgery is used to combat disease; hysterectomy

  • laparoscopic surgery is an incision to begin surgery; laparoscopic

  • restorative surgery is to regain a patients health and strength; hip arthroplasty

  • Palliative surgery relives without curing;bowel obstruction from cancer

  • Diagnostic surgery is their to diagnose a problem; diagnostic laparotomy

  • prophylactic is a preventative surgery such as mastectomy

Explanation

Question 18 of 41

1

Why is an Axillary Lymph node dissection performed during an mastectomy?

Select one of the following:

  • The lymph node is dissected to check internals for pathology

  • The lymph node is dissected to see inside better

  • The lymph node is dissected to see if disease has spread

  • The lymph node is dissected to find out if cancer has spread to that lymph node.

Explanation

Question 19 of 41

1

List three specific items/instruments the surgeon can use during sharp dissection?

Select one or more of the following:

  • sissors

  • instruments

  • fingers

  • scalpel

  • cautery

Explanation

Question 20 of 41

1

List two reasons a wound drain is utilized at the end of a procedure?

Select one or more of the following:

  • add fluid to a wound

  • add air into wound for healing

  • prevents necrosis

  • remove bacteria from wound

  • to remove dead space for infection fluids to collect

Explanation

Question 21 of 41

1

Explain how V.A.C therapy works and list two benefits?

Select one of the following:

  • VAC therapy uses negative pressure unlike passive draining that used gravity. It can remove bacteria and promote granulation

  • VAC therapy uses positive pressure unlike passive draining that used gravity. It can remove infection material and promote granulation

  • VAC therapy uses negative pressure unlike passive draining that used gravity. It can remove infection material and promote granulation.

Explanation

Question 22 of 41

1

Pulmonary Embolism is an example of what surgical complication?

Select one of the following:

  • repository distress

  • breathing to heavily

  • lungs converting to much oxygen over saturating the blood

Explanation

Question 23 of 41

1

Give two examples of procedural mishap?

Select one or more of the following:

  • forgetting name of patient

  • burn from cautery machine

  • sponge left in patient

  • patient getting angry with staff

Explanation

Question 24 of 41

1

Fill the blank space to complete the text.

The surgical removal of s small portion of tumor which is studied under a microscope for malignancy is ?

Explanation

Question 25 of 41

1

Fill the blank space to complete the text.

A type of drain used to re-infuse blood back into the patient is ?

Explanation

Question 26 of 41

1

What is the purpose of performing a wide excision?

Select one of the following:

  • a small area of tissue is removed around the cancer to prevent any further spreading of cancerous tissue that may have been left in the area.

  • a large area of tissue is removed around the cancer to remove healthy skin for prevention

  • a large area of cancerous tissue is removed for biopsy

  • a large area of tissue is removed around the cancer to prevent any further spreading of cancerous tissue that may have been left in the area.

Explanation

Question 27 of 41

1

Explain in detail three steps of Lymph Node Protocol?

Select one or more of the following:

  • specimen is to be wrapped in gauze and moistened with sterile saline

  • will be given to sterile processing for further analysis

  • should be placed on the sterile container on sterile field by CST with lid.

  • lymph nodes checked for consistency

  • will be handed of to circulating nurse to be sent for testing

Explanation

Question 28 of 41

1

What are two different categories of drains? Give examples of each.

Select one or more of the following:

  • passive drains; penrose drain

  • active drains; VAC drain

  • contamination drains; disposable MAT drain

  • procedural drains; wilkonson drain

  • active/passive drains; hazmat drain

Explanation

Question 29 of 41

1

what is an indication for the use if Prevena Wound Management System and list two procedures used?

Select one of the following:

  • An indication would be hernias. Used with c-sections and sternotomy.

  • An indication would be labotomies. Used with c-sections and sternotomy.

  • An indication would be hematomas. Used with c-sections and sternotomy.

Explanation

Question 30 of 41

1

Fill the blank space to complete the text.

A type of procedure that would be used with a Pleur-Evac is ?

Explanation

Question 31 of 41

1

How does a Pleur-Evac work and what position should it be maintained?

Select one or more of the following:

  • Is a chest drainage system to add air and fluids in the thoracic cavity. Must be maintained below the thoracic cavity.

  • Is a chest drainage system to evacuate air and fluids in the thoracic cavity. Must be maintained above the thoracic cavity.

  • Is a chest drainage system to evacuate air and fluids in the thoracic cavity. Must be maintained below the thoracic cavity.

Explanation

Question 32 of 41

1

Fill the blank space to complete the text.

When an organ is removed its called an ?

Explanation

Question 33 of 41

1

Fill the blank space to complete the text.

When drooping tissue is returned to its normal position suspension/fixation its called ?

Explanation

Question 34 of 41

1

Fill the blank space to complete the text.

To fuse something together, to make it strong. Bind/fix is called ?

Explanation

Question 35 of 41

1

Fill the blank space to complete the text.

To rid the patient of stones is called ?

Explanation

Question 36 of 41

1

Fill the blank space to complete the text.

Using a lens to see inside a cavity is ?

Explanation

Question 37 of 41

1

Fill the blank space to complete the text.

To surgically reconstruct or redesign is ?

Explanation

Question 38 of 41

1

Fill the blank space to complete the text.

To make a hole or puncture is ?

Explanation

Question 39 of 41

1

Fill the blank space to complete the text.

To repair or fix a weakened defect using suture is ?

Explanation

Question 40 of 41

1

Fill the blank space to complete the text.

To make an opening or incision is ?

Explanation

Question 41 of 41

1

Fill the blank space to complete the text.

To create a new opening for drainage is ?

Explanation

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