Shared Flashcard Set

Details

CST certfication
For the certfication test
782
Other
Not Applicable
05/21/2018

Additional Other Flashcards

 


 

Cards

Term
Combining form meaning white
Definition
leuk/o
Term
This prefix means between or among
Definition
inter-
Term
This term describes the time and events surrounding birth
Definition
perinatal
Term
In the term otorhinolaryngology, which part means ear
Definition
ot/o
Term
This word part means abnormal softening
Definition
-malacia
Term
The medical term for surgical repair of a muscle
Definition
myoplasty
Term
The abnormal narrowing of an artery or arteries is known as
Definition
arteriostenosis
Term
This means an organ or body part that is not working properly
Definition
dysfunctional
Term
What word part means plaque or fatty substance
Definition
ather/o
Term
This medical term means a surgical incision for removal of a stone
Definition
lithotomy
Term
Inflammation of the appendix
Definition
appendicitis
Term
The condition of unusual deposits of black pigment in body tissues or organs
Definition
melanosis
Term
The condition in which one or more body parts are not functioning normally
Definition
disease
Term
An adjective that means pertaining to the heart
Definition
cardiac
Term
A word part meaning large, abnormal size, or long
Definition
macro-
Term
word part meaning bone marrow or spinal cord
Definition
myel/o
Term
The word part referring to the renal pelvis
Definition
pyel/o
Term
The part of the word that contains the basic meaning of the word
Definition
word root
Term
The suffix that means the process of producing a picture or record
Definition
-grapphy
Term
A word part meaning a surgical puncture to remove fluid for diagnostic purposes
Definition
-centesis
Term
Prefix meaning toward, or in the direction of
Definition
ad-
Term
Word part meaning right side
Definition
dextr/o
Term
Combining form meaning nerve
Definition
neur/o
Term
Surgical repair of a nerve
Definition
neuroplasty
Term
The resulting film created by angiography is known as an
Definition
angiogram
Term
A surgical procedure that does not have to be performed immediately or within a short period of time
Definition
elective
Term
The father of modern anatomy who changed the approach of traditional anatomical studies
Definition
Vesalius
Term
Historical figure who developed the first x-ray machine
Definition
Roentgen
Term
How many phases of surgical case management are there
Definition
3
Term
The surgical team member primarily responsible for maintaining operative records and transport to PACU
Definition
circulating RN
Term
The surgical team member responsible for separating instruments and disassembling the sterile field
Definition
CST
Term
This organization develops national certification exams for surgical technologists and surgical first assistants and confers the appropriate credential to eligible certificants
Definition
NBSTSA
Term
The symbol on the AST logo that represents the surgical technologist performing various roles in surgery
Definition
filled circle
Term
role defined by the 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
Definition
surgical first assistant
Term
A private surgical technologist is usually employed by which of the following
Definition
surgeon or physician group
Term
Type of professional that would have DO DPM after their name
Definition
doctor
Term
A forceful physical or verbal action is known as _____
Definition
aggression
Term
Care that is usually "hands on" is
Definition
direct care
Term
Comorbid disease is a disease or condition that exists simultaneously with another _____ in the same patient.
Definition
unrelated disease
Term
The terms entry-level, proficient, and expert practitioners are applied to what
Definition
AST recommended clinical ladder levels
Term
The term to describe the relationship between the CST and the other surgical team members
Definition
professional
Term
A therapeutic communication skill that urges patients to continue speaking or communicating their needs is _____
Definition
leads and cues
Term
An abnormal return to a former or an earlier state, particularly infantile patterns of thought or behavior, is known as _____
Definition
regression
Term
The term that describes the relationship between the CST and the patient or the family
Definition
therapeutic
Term
In or by which of the four components of communication would "decoding " take place
Definition
receiver
Term
It is the responsibility of all surgical technologists to ensure that each patient is _____
Definition
given the best possible care
Term
In patient-centered care, the surgical team bases assessment, planning and intervention on the unique needs of the _____
Definition
patient
Term
When surgical technologists apply knowledge and experience gained in the past to solve a current problem, they are using a process known as _____
Definition
Critical thinking
Term
An example of nonverbal body language that a patient might perceive as negative
Definition
tightly folded arms
Term
An example of an action that is not workplace violence
Definition
yielding to other's viewpoint
Term
According to the AST, which type of environment contributes most to a safe and efficient surgical experience
Definition
collaborative
Term
The foundational commitment to professional honesty, confidentiality, fair treatment, cost containment, and attention to the highest level of surgical patient care
Definition
surgical conscience
Term
_____ includes activities that usually do not involve the hands-on care of the patient.
Definition
Indirect patient care
Term
Maslow's hierarchy of needs is a model for meeting _____
Definition
human needs
Term
Physiological needs are ___
Definition
the same in all patients
Term
Patient needs are not always defined by their _____
Definition
Chronological age
Term
Pain is demonstrated by _____ changes and by body language.
Definition
physiological
Term
The _____ patient is one who requires surgery but has one or more comorbid diseases that endanger the outcome of the surgery.
Definition
high-risk
Term
The malnourished patient lacks the necessary _____ to support the process of healing.
Definition
nutritional reserves
Term
Because many diabetic patients have compromised vascular systems, their risk of _____ is higher than in patients who are not diabetics.
Definition
surgical site infections
Term
A physician-group owned hospital
Definition
proprietary
Term
An organization that serves as both an insurer and provider of medical services
Definition
HMO
Term
CSTs and other allied health professionals in perioperative services usually work under the direction of who
Definition
director of nursing
Term
Which hospital department would a CSFA submit a request for privileges to work in the OR
Definition
medical staff
Term
What does DRG stand for
Definition
diagnosis related groups
Term
the federal governmental insurance programs under the general heading of CMS including all except
Definition
CHAMPUS
Term
Membership organization for surgical technology with a board of directors elected by a house of delegates
Definition
AST
Term
The patient whose _____ is/are compromised or suppressed is threatened with postoperative infection and delayed wound healing.
Definition
immune system
Term
The patient with AIDS may have multiple _____.
Definition
comorbid diseases
Term
Knowledge of the different _____ of children helps the surgical technologist understand the behaviors exhibited by these patients in the operating room.
Definition
developmental stages
Term
Patients develop trust in the surgical technologist who is helping to care for them when she or he demonstrates care by using _____.
Definition
action and communication
Term
To whome does a ARC/STSA site visitor who verifies and clarifies records report to
Definition
CAAHEP
Term
The membership organization that a circulating RN in the operating room join as a member.
Definition
AORN
Term
The CST and CSFA credentials are registered trademarks of which organization
Definition
NBSTSA
Term
Which of the following is an example of an intentional tort pertaining to surgical patient care.
Definition
Restraints are used on a patient who threatens to leave.
Term
Which of the following legal doctrines would MOST likely apply in the case of a wrong site surgery or retained foreign body?
Definition
res ipsa loquitur
Term
The phrase "departure from the standard of care" BEST describes which of the following legal terms?
Definition
negligence
Term
Which of the following legal terms is BEST described as "professional misconduct that result in harm to another"?
Definition
malpractice
Term
What is the term that describes a method of pretrial discovery in which a surgical team member might answer question under oath?
Definition
deposition
Term
The hospital's infection control nurse would report any suspicion of mysterious illnesses to who
Definition
CDC
Term
Which organization would employees of the central sterile processing department likely join as members
Definition
IAHCSMM
Term
Which federal regulatory agency is dedicated to enforcing workplace safety and preventing worker injuries
Definition
OSHA
Term
An independent, nonprofit national organization that develops standards for and accredits health care organizations in the United States
Definition
the Joint Commission
Term
Which of the following torts would be classified as unintentional?
Definition
foreign bodies left in patient
Term
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?
Definition
implied
Term
A special consent form would be required for which of the following situations during a hospital admission?
Definition
surgical procedure
Term
Which member of the surgical team is ultimately responsible for obtaining a written, informed surgical consent from patient?
Definition
circulating RN
Term
All of the following are components of the surgical patient's medical record EXCEPT _____
Definition
surgeon's preference cards
Term
A medical device or surgical instrument that has failed would be taken out of service and reported to who
Definition
FDA
Term
Pioneer of medicine and surgery who first developed techniques for surgical antisepsis
Definition
Lister
Term
In 2002, which of the following agencies created the "Do Not Use" abbreviation list?
Definition
the Joint Commission (JC)
Term
Which 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 equipment?
Definition
sentinel event
Term
Which of the following would be legally authorized to sign an informed surgical consent, based on medical practice acts and state law?
Definition
an emancipated 16 year-old minor
Term
What term pertains to a patient's wishes about medical treatment and self-determination in the event of incapacitation or inability to communicate?
Definition
advanced directive
Term
Which specialist would have privileges to surgically treat disease of the breast, hepatobiliary, and gastrointestinal systems, and thyroid gland
Definition
general surgeon
Term
After which war did the United States and Great Britain begin to train and employ allied health professionals predominantly in the scrub role
Definition
World War 2
Term
Which national membership organization's House of Delegates proposed the creation of the Association of Operating Room Technicians in 1969
Definition
AORN
Term
What do conscientiousness, problem solving skills competency, teamwork, and commitment to continuing education represent for a CST
Definition
professional traits
Term
The scrub person works from where to supply immediately necessary instrumentation to the surgeon
Definition
Mayo stand
Term
When not in use, the best practice regarding the electrosurgical hand piece is to place it where
Definition
in a holder attached to the field
Term
Raytec are banded in groups of how many
Definition
10
Term
Laparotomy tapes/sponges are packaged in groups of how many
Definition
5
Term
Peanuts and kitners are packaged in quantities of how many
Definition
5
Term
Patties (cottonoids) are packaged in groups of how many
Definition
10
Term
Which instrument is used to create a sponge stick
Definition
Foerster
Term
Which of the following terms best describes the process of keeping thorough, accurate and legal records of a patient's medical care?
Definition
documentation
Term
Which does not carry the force of state or national legal enforcement?
Definition
implementation of the neutral zone
Term
What did the American Hospital Association replace its "Patient's Bill of Rights" with?
Definition
Health Insurance Portability and Accountability Act.
Term
The broad objectives of the HIPAA include the following:
Definition
protect patient privacy
improve patient services
reduce health care fraud
Term
Which term describes a civil wrong that may be intentional or unintentional?
Definition
tort
Term
The most common types of patient-care errors committed by operation room personnel, including negligence and malpractice, are categorized as:
Definition
unintentional torts
Term
In common adage, what is the "best medicine" in health care?
Definition
prevention
Term
According to the Joint Commission's definition regarding consent to surgical interventions, which party has "autonomy"?
Definition
the patient
Term
What term describes the system of principles that become standards of conduct for professionals?
Definition
ethics
Term
Which term describes the principles such as benevolence, trustworthiness, and honesty for the care and well-being of others in society?
Definition
morals
Term
What is NOT an example of a potential ethical dilemma?
Definition
patient privacy
Term
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:
Definition
scope of practice
Term
In medicine, the person who ___ the duty retains accountability for the action of the person to whom it is ___
Definition
delegates, delegated
Term
A set of rules or regulations that hospital employees are required to follow is called what
Definition
hospital policy
Term
Negligence committed by a professional, which may also be committed when a surgical technologist deliberately acts outside of their scope of practice, or while impaired, is known as what
Definition
malpractice
Term
A circulator leaves a patient alone, then returns to the room to find the patient on the floor, what could they be charged with
Definition
abandonment
Term
A derogatory statement concerning other coworkers' skills, character, or reputation is unprofessional and known as what
Definition
defamation
Term
Intentionally lying or falsifying information given during a court testimony after being sworn to tell the truth is known as what
Definition
perjury
Term
A legal document stating the patient's wishes for refusing or limiting care if the patient becomes incompetent is known as what
Definition
living will
Term
What is an unexpected occurrence involving death or serious psychological injury, or risk thereof
Definition
sentinel event
Term
What are three forms of individual professional credentialing that protects the public from unqualified health care providers?
Definition
certification
licensure
registration
Term
Verification that educational programs meet minimum accreditation standards is done by:
Definition
CAAHEP
Term
Graduates of CAAHEP or ABHES programs are eligible to sit for the CST or CSFA examinations administered by:
Definition
NBSTA
Term
The best assurance of safe and individual professional behavior by the CST or CFSA is a well-developed, unyielding:
Definition
surgical conscience
Term
A wrong, independent of contract law violations, perpetrated by one person against another person or person's property that can be compensable by money damages is known as what
Definition
a tort
Term
What is described as personal standards and are adopted by persons to govern their personal conduct
Definition
morals
Term
What are defined as rules that regulate the conduct of specific groups of people
Definition
ethics
Term
CSTs remain directly responsible and may be held ___ for any acts of ___ or criminal wrongdoing, even though they are unlicensed
Definition
liable , negligence
Term
Under the U.S. Constitution, each state has the power to regulate businesses and professions, including the practice of medicine and professional nursing. The laws differ from state to state and are called ___ and ___
Definition
medical practice acts, nurse practice acts
Term
Which legal doctrine would be MOST applicable in a case involving injury to a patient as a result of a hospital employees lack of proper training or credentialing?
Definition
doctrine of corporate negligence
Term
Which type of legal action is MOST likely in cases involving tort law and operating room personnel?
Definition
civil
Term
If a patient suffered a burn a s a result of improper application of the ESU dispersive (grounding) pad, the individual team member responsible may be found guilty in a lawsuit of:
Definition
negligence
Term
Specimen loss, mislabeling and improper preparations are legal examples of:
Definition
negligence
Term
Which term means a voluntary and informed act in which one party gives permission to another party to "touch"?
Definition
consent
Term
What term is defined by the Joint Commission as "agreement or permission accompanied by full notice about what is being consented to"?
Definition
informed
Term
Surgical team members who fail to monitor and protect a medicated patient from falling could be charged with:
Definition
abandonment
Term
Which part of the patient's medical record documentation contains pre-op and post-op diagnoses, positioning, skin prep, start and stop times, counts, and dressings?
Definition
intraoperative record
Term
For what process is the identification and reporting of unsafe conditions and hazards MOST critical?
Definition
risk management
Term
Which was identified in the late 90's as causing more deaths in the United States than car accidents, AIDS, and breast cancer combined?
Definition
medical errors
Term
What are performed by two people during any surgery in which an item can be lost inside of the patient
Definition
surgical counts
Term
A summons differs from a subpoena in that a summons makes its recipient a party to the lawsuit. If a person receives a summons they are being what?
Definition
sued
Term
Because of the legal implications of this document, it is the physician's responsibility to explain the contents and to obtain the patient's signature on what
Definition
informed consent
Term
The Health Insurance Portability and Accountability Act of 1996, created by the U.S. Department of Human Services, outlines federal standards for the protection of what
Definition
a patient's privacy
Term
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(ASPN) nurses, CRNAs (AANA). surgical physician assistants (AASPA), and surgical technologists (AST)?
Definition
Council on Surgical and Perioperative Safety (CSPS)
Term
What is establishing a neutral zone designed to do?
Definition
Prevent sharps injuries during surgical procedures
Term
Which governmental agency has authority as outlined in the Safe Medical Device Act?
Definition
FDA
Term
The first scrub surgical technologist performs intraoperative tasks under the broad delegatory authority of the:
Definition
surgeon
Term
_____ tissue has the specialized ability to contract and relax.
Definition
muscle
Term
The term _____ describes the congenital absence of a normal body opening.
Definition
atresia
Term
This condition is a genetic disorder that causes nerve degeneration with symptoms that most often appear in midlife.
Definition
Huntingdon's disease
Term
A _____ specializes in the study of the organization of tissues at all levels.
Definition
histologist
Term
A physician who specializes in the general medical care of hospitalized patients is known as a/an _____.
Definition
hospitalist
Term
This type of condition is also known as a birth defect.
Definition
developmental disorder
Term
Diseases such as the flu are spread through contact with contaminated respiratory droplets in _____ transmission.
Definition
airborne
Term
The study of the anatomy, physiology, pathology, and chemistry of the cell is known as_____.
Definition
cytology
Term
The area of the abdomen around the belly button is known as the _____ region.
Definition
umbilical
Term
The _____ is the outer layer of the peritoneum that lines the interior of the abdominal wall.
Definition
parietal peritoneum
Term
A _____is the basic structural and functional unit of the body.
Definition
cell
Term
These types of cells are found among differentiated cells in a tissue or organ.
Definition
adult stem cells
Term
Tissues that form glands and a protective covering for all body surfaces are called _____ tissues.
Definition
epithelial
Term
When a _____ is inherited from either parent, the offspring will inherit the genetic characteristics.
Definition
dominant gene
Term
The _____ cavity contains the body organs that sustain homeostasis.
Definition
ventral
Term
This plane is known as the coronal plane.
Definition
frontal plane
Term
A/an _____ is a somewhat independent part of the body that performs a specific function.
Definition
organ
Term
_____ means uppermost, above, or toward the head.
Definition
superior
Term
A specialist in the study of outbreaks of disease within a population group is known as a/an _____
Definition
epidemiologist
Term
The _____ position describes a body standing in the standard position.
Definition
anatomic
Term
This cavity is also known as the chest cavity.
Definition
thoracic
Term
_____ is a genetic variation associated with characteristic facial appearance, learning disability, and physical abnormalities such as heart valve disease.
Definition
Down syndrome
Term
Specialized epithelial tissue that lines blood and lymph vessels is known as _____.
Definition
endothelium
Term
The medical term for abnormal hardening of a gland is _____.
Definition
adenosclerosis
Term
This type of disease is also known as a contagious disease.
Definition
communicable disease
Term
The process whereby a hospital is evaluated by a team of surveyors, based on national guidelines and standards set by healthcare professionals, is called _____.
Definition
JCAHO accreditation
Term
_____ make up the hospital management and operational staff.
Definition
The board of directors, medical staff, and administration
Term
The responsibilities and functions of every member of the surgical department are clearly defined in the _____.
Definition
operating room policy and procedure manual
Term
The _____ is a specialist in perioperative medicine, responsible for the meticulous assessment, monitoring, and adjustment of the patient's physiologic status during surgery.
Definition
anesthesiologist
Term
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is _____.
Definition
the accrediting organization for hospitals and healthcare facilities in the United States
Term
The _____directly assists the surgeon with the operation and is specially trained to handle tissue, to provide exposure using instruments and sutures, and to provide hemostasis.
Definition
CST/CFA
Term
A hospital that provides services to the community and allocates nontaxable profits to the maintenance or improvement of the facility is called a/an _____.
Definition
nonprofit hospital
Term
The _____ is responsible for providing intraoperative diagnostic procedures, such as cholangiograms.
Definition
radiology department
Term
The operating room depends heavily on the _____ department to provide instruments and equipment for each surgical procedure.
Definition
sterile processing
Term
The Occupational Safety and Health Administration does what?
Definition
establishes rules and standards to protect employees in the workplace
Term
a public announcement that communicates the moral or ethical basis on which the hospital was created and its beliefs about how health care should be delivered is called a/an _____.
Definition
mission statement
Term
The process of tracking, evaluating and studying accidents and incidents to protect patients and employees is called
Definition
risk management
Term
The surgeon usually dictates the _____ by telephone directly onto a transcription tape as soon as possible after the surgical procedure where it is then typed and placed in the patient's chart.
Definition
surgical report
Term
The _____ is responsible for orientation and assignments for new employees in the operating room and may also work directly with surgical technology programs assisting with student surgical technologists assigned to her or his facility as a clinical site.
Definition
operating room educator
Term
Blood may be transfused only after _____.
Definition
two licensed personnel have together verified the identification number of the patient and confirmed information on the blood bag unit.
Term
Nuclear medicine procedures use _____ to diagnose and treat diseases.
Definition
radioactive materials or radiopharmaceuticals
Term
The _____ is responsible for overseeing all clinical and professional activities in the operating room.
Definition
operating room director
Term
A _____ is owned by shareholders who receive and pay taxes on the profits made by the institution.
Definition
proprietary hospital
Term
A _____ is commonly assigned to help perform duties such as transferring the patient, cleaning and turning over the operating room, and restocking sterile supplies.
Definition
surgical orderly or aide
Term
Showing _____ ensures that the operating room will maintain good interdepartmental relationships that are depended on for the successful care of the patient.
Definition
patience, respect, and professionalism
Term
Which physiological response to environmental temperature changes is missing or undeveloped in an infant of less than six months of age?
Definition
shivering
Term
Diabetes mellitus is a disorder of which body system?
Definition
endocrine
Term
In what way cant he surgical technologist who is setting up his or her back table and Mayo stand reduce an 18-month-old's anxiety prior to induction of anesthesia?
Definition
Perform normal duties of preparation of the sterile field, keeping as quiet as possible for induction.
Term
What is the MOST common type of shock seen in infants and children?
Definition
septic
Term
An emergency laparotomy would be the indicated treatment for what postoperative bariatric surgery complications?
Definition
abdominal catastrophe
gastric perforation
bowel strangulation
Term
What is a common potential side effect of all forms of antibiotic therapy for major pediatric infections?
Definition
Pseudomembranous enterocolitis
Term
Overgrowth of which microorganism is most likely responsible for pediatric cases of enterocolitis following antibiotic therapy?
Definition
Clostridium difficile
Term
What is the number one cause of death in children ages 1 to 15 in the United States?
Definition
accidents
Term
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?
Definition
adipose (fat)
Term
What is a coping mechanism often seen in children reacting to trauma?
Definition
regression
Term
What is a common response of pediatric patients in injury and may result in gastric dilation?
Definition
hyperventilation
Term
Which organ is responsible for the failure to produce insulin in patients with type I diabetes?
Definition
pancreas
Term
Which classification of antibiotics is contraindicated for use in neonates due to increased incidence of kernicterus?
Definition
sulfonamides
Term
Which position enhances a bariatric patient's total lung volume and aids in ventilation?
Definition
reverse Trendelenburg
Term
Bariatric patients undergoing surgery and in the immediate postoperative period should have sequential compression devices applied to the lower extremities to prevent:
Definition
deep vein thrombosis
Term
What type of physiological measurement method is rarely done in a neonatal patient due to risk of anatomical trauma?
Definition
urethral catheterization for urinary output
Term
What other condition frequently suffered by obese patients and discovered intraoperatively may be treated surgically in conjunction with a bariatric procedure?
Definition
cholelithiasis
Term
What is the name of the device used to test the blood of patients with diabetes for metabolic status?Wha
Definition
glucometer
Term
Which of the following is the major cause of serious trauma suffered by pediatric patients?
Definition
motor vehicle accidents
Term
What is the usual cause of a clavicular fracture of a neonate during a vaginal delivery?
Definition
shoulder dystocia
Term
What is the chemical and physiological classification of insulin?
Definition
hormone
Term
During which part of pregnancy would an abdominal surgery be considered safest for both mother and fetus?
Definition
Second trimester
Term
Placement of a rolled sheet or pad to elevate a pregnant patients 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 ;
Definition
abdominal aorta and vena cava
Term
Multiple sclerosis, lupus erythematosus, and rheumatoid arthritis are examples of:
Definition
autoimmune diseases
Term
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 personality
Definition
Down syndrome
Term
For which condition would a patient coming to the operating room likely need an interpreter?
Definition
Down syndrome
Term
For which type of transmission-based disease would healthcare workers need to be fitted for an N-95 respirator mask?
Definition
airborne
Term
Which national agencies have regulations or protocols for healthcare workers who may be exposed to infectious diseases in their working environment?
Definition
CDC
NIOSH
OSHA
Term
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 a benefit to all parties involved?
Definition
substance abuse
Term
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?
Definition
kinematics
Term
which level of trauma center designation can meet all the needs required for treating patients on a 24 hour basis?
Definition
Level I
Term
What activity would present no risk of contracting HIV from an infected individual?
Definition
Conversation in close proximity.
Term
Kaposi’s sarcoma sometimes seen in combination with which disease?
Definition
AIDS
Term
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?
Definition
immunosuppressed state
Term
Which organ is most often injured in motor vehicle accidents?
Definition
Spleen
Term
The term “golden hour” refers to reduction of morbidity and mortality in which type of patient population?
Definition
trauma
Term
Physical forces of deceleration, acceleration, compression, and shearing are factors in which type of injuries?
Definition
blunt
Term
High- or low- velocity projectiles are factors in which types of injury?
Definition
penetrating
Term
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?
Definition
gravid uterus
Term
A patient with acquired immunodeficiency virus may have complications of multiple infections from disease is considered to be:
Definition
opportunistic
Term
In which pediatric age group would all of the craniofacial sinuses be fully developed?
Definition
adolescent
Term
Which anesthetic method helps reduce anxiety and stress experienced by pediatric surgical patients?
Definition
rapid induction
Term
Morbid obesity refers to patients whose body weight is greater than how many pounds over their ideal weight?
Definition
100
Term
Which body system is highly susceptible to injury during positioning of bariatric and geriatric patients?
Definition
integumentary
Term
Vomiting from preoperative narcotics can predispose patients with diabetes to fluid and electrolyte in balance is resulting in:
Definition
hypoglycemia
Term
Name three potential risks from administration of general anesthesia to a pregnant patient.
Definition
fetal death
lower birthweight
preterm labor
Term
Which diagnosis could create a social stigma and possible overdramatization of exposure risk my health care workers?
Definition
HIV
Term
Which special patient populations would likely require diagnostic biopsies for verification of cryptosporidiosis, candidiasis, or cytomegalovirus infections?
Definition
HIV/AIDS
Term
Conditions such as severe arthritis, contractures, and tremors are categorized under which type of challenge?
Definition
Physical
Term
Which broad category of routes of transmission of microorganisms include food, water, and medical devices and equipment?
Definition
Common vehicle
Term
Approximately 80% of which special patient population presents to surgery with one or more comorbid conditions?
Definition
Geriatric
Term
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?
Definition
substance abuse
Term
To preserve evidence in a criminal case, what might be done to the patient’s hands if the patient does not require surgery?
Definition
Bags are placed around the hands and taped in place.
Term
In a surgical procedure on a severely injured trauma patient, what measure is of utmost importance?
Definition
Keeping the patient’s spine in alignment during changes in position
Term
A surgical technologist working in a veterans administration (VA) facility might frequently encountered patients with which of the following conditions?
Definition
PTSD
Term
The point at which a muscle begins is known as the ____.
Definition
origin
Term
The term _____means to bend a limb at the joint.
Definition
flexion
Term
The term _____ means to bendthe foot down word at the ankle.
Definition
Plantar flexion
Term
Which muscle is formed from three divisions?
Definition
triceps brachii
Term
Which type of muscle tissue forms the muscular wall of the heart?
Definition
Myocardial
Term
Which term describes the act of raising the ribs when breathing in?
Definition
Elevation
Term
A _____ is the surgical repair of a fascia.
Definition
Fascioplasty
Term
A _____ is a narrow band of nonelastic, dense, fibrous connective tissue that attaches a muscle to a bone
Definition
tendon
Term
_____ is the stimulation of a muscle by an impulse transmitted by a motor nerve
Definition
muscle innervation
Term
A physician who specializes in treating the causes of paralysis and similar muscular disorders is known as a/an _____.
Definition
Neurologist
Term
A treatment that utilizes high-frequency sound waves to treat muscle injuries is known as _____.
Definition
therapeutic ultrasound
Term
An injury to the body of a muscle or attachment of a tendon is a/an _____.
Definition
strain
Term
A syndrome involving the compression of nerves and blood vessels due to swelling within the enclosed space created by the fascia that separate groups of muscles is known as _____.
Definition
compartment syndrome
Term
This medication is also known as an anticholinergic.
Definition
Antispasmodic
Term
A strain or tear on any of the muscles that straighten the hip and bend the knee is known as a/an _____.
Definition
hamstring injury
Term
A _____ is a sudden, involuntary contraction of one or more muscles
Definition
Spasm
Term
_____ is inflammation of the tendons caused by excessive or unusual use of the joint
Definition
tendinitis
Term
The term _____ in a muscleman mean slanted or at an angle
Definition
oblique
Term
What condition is the paralysis of the heart muscle?
Definition
Cardioplegia
Term
The overextension of a limb or body part beyond its normal limit is known as _____.
Definition
Hyperextension
Term
The state of balanced muscle tension that makes normal movement possible is known as _____
Definition
Muscle tone
Term
A _____ is a surgical incision through the fascia to relieve tension or pressure.
Definition
fasciotomy
Term
The removal of a plug of tissue for examination is called _____.
Definition
Muscle biopsy
Term
A _____ is a localized painful muscle spasm named for its cause
Definition
cramp
Term
A federal organization that is dedicated to protecting the health of workers by establishing standards that address issues related to safety in the workplace is known as _____.
Definition
Occupational Safety and Health Administration (OSHA)
Term
What is a necessary component of fire?
Definition
oxygen
Term
When not in use, the best practice regarding the electrosurgical handpiece (Bovie pencil) is to place it _____.
Definition
in a holder attached to the field
Term
What are the three most important factors to remember concerning the safety of the team in the presence of ionizing radiation?
Definition
Time, shielding, distance
Term
Name three things to which Standard Precautions apply.
Definition
Blood, mucous membranes and non-intact skin, or body fluids, secretions and excretion except sweat, regardless of whether or not they contain visible blood
Term
Genetic mutation, the environment, and stress are all sources of_____.
Definition
Disease
Term
Bacteria proliferation is referred to as_____.
Definition
Colonization
Term
_____ is the proliferation and growth of any microorganism or virus in any area of the body
Definition
Infection
Term
A/an _____ infection is an infection with a sudden onset, and it may be brief or prolonged for the duration of the infection
Definition
acute
Term
Microbes enter the body through a location called the _____.
Definition
Portal of entry
Term
Not all infections cause disease; an infection is harmful only if it causes a/an _____ .
Definition
illness
Term
When organisms of two different species live together, this is called _____
Definition
symbiosis
Term
Bacteria that survive in physiologic balance are referred to as _____ .
Definition
commensalism
Term
Bacteria and viruses cause most _____ that affect humans
Definition
Infectious diseases
Term
_____ are single-celled organisms that have no nucleus or specific metabolic organelles
Definition
Bacteria
Term
The nature of the bacterial cell membrane determines a bacterium’s _____ and it’s response to antibiotics.
Definition
Gram stain classification
Term
_____ is/are responsible for bacteria motility.
Definition
flagella
Term
Important environmental parameters for _____ include temperature, oxygen level, pH, moisture, and atmospheric pressure
Definition
Bacterial reproduction
Term
_____ are organisms that typically cause suppuration and tissue destruction and may lead to systemic involvement, resulting in death
Definition
pyogenic bacteria
Term
A harmless resident bacterium usually found on the hands is _____.
Definition
staphylococcal albus
Term
_____ is/are referred to as “flesh-eating“bacteria.
Definition
streptococcus pyogenes
Term
Most _____ are spore forming and normally reside in the intestines of a healthy person
Definition
anaerobic bacteria
Term
_____ is a retrovirus that attacks and destroys the immune system T-helper leukocytes
Definition
HIV
Term
_____ is not a separate disease organism but a syndrome that occurs because of infection with the human immunodeficiency virus.
Definition
AIDS
Term
Name three forms of transmissible spongiform encephalopathy.
Definition
Creutzfeldt-Jakob
mad cow
scrapie
Term
A bacterium reproduces through a process known as _____.
Definition
binary fusion
Term
Which term means the number of microbes or amount of organic debris on an object at any given time?
Definition
Bioburden
Term
Which chemical is a high-level disinfectant when items are immersed for 20 to 30 minutes and a sterilant if items remain immersed for 10 hours?
Definition
Glutaraldehyde
Term
Which part of the instrument reprocessing cycle is performed intraoperatively?
Definition
Wiping with sterile water
Term
What is the type of process the ultrasonic cleaner uses to dislodge minute particles of soil and organic debris?
Definition
cavitation
Term
Which type of packaging system has filters and removable locking devices?
Definition
rigid containers
Term
What is the weight that AAMI has recommended instrument sets should not exceed?
Definition
25. pounds
Term
Which of the following is the type of dating system that denotes the number of the calendar day in 1 through 365/366?
Definition
Julian
Term
Which sterilization method is most commonly used, safest, least expensive, and appropriate for the majority of surgical instruments?
Definition
saturated steam
Term
The biological indicator (BI) for the steam sterilization method is:
Definition
geobacillus stearothermophilis
Term
Contamination caused by passage of micro organisms through a sterilized package by way of moisture wicking is termed:
Definition
strike-through
Term
Which sterilization method presents the greatest exposure risk to CSPD personnel, is expensive, and requires the longest total cycle time?
Definition
ethylene oxide
Term
Cidex Is the tradename for which of the following methods of sterilization?
Definition
Glutaraldehyde
Term
When opening a wrapped items such as a gown on on a Mayo stand, the contents and wrapper are considered sterile up to what distance from the edge of the wrapper?
Definition
1 inch from the edge
Term
What term refers to a barrier, such as plastic-backed table cover, that does NOT allow for passage of liquid through it?
Definition
impervious
Term
Which type of wrapper material is compatible with the hydrogen peroxide gas plasma sterilization method?
Definition
Tyvek
Term
How should air hoses of powered instruments or fiber-optic light cords be placed in rigid container trays for sterilization?
Definition
coiled loosely in perforated or mesh basket
Term
What is the relationship of steam pressure to temperature in a steam sterilizer?
Definition
increased pressure increases temperature
Term
The physical or chemical process by which all living microorganisms, including spores, are killed is:
Definition
sterilization
Term
When nested base and sets are being sterilized, how should they be placed in the steam sterilizer
Definition
fold side down with a towel used to separate them
Term
Why are large steam sterilizers loaded with space between wrapped items or trays?
Definition
It allows adequate circulation and penetration of steam to all surfaces
Term
What is the term for in animate objects that harbor microorganisms that contribute to environmental contamination?
Definition
fomites
Term
Which of the following is NOT a classification of patient care items?
critical
hypercritical
noncritical
semicritical
Definition
hypercritical
Term
Which of the following would be appropriate for use on animate surfaces?

antiseptic
decontaminant
disinfectant
sterilant
Definition
antiseptic
Term
Which of the following patient care items would be classified as noncritical?

colonoscopes
hypodermic needles
laryngoscopes
pulse oximeters
Definition
pulse oximeters
Term
What is the term for the condition of the surgical technologist’s skin after performing a surgical scrub?
Definition
surgically clean
Term
Which type of chemical solution is made of catalysts that aid in breaking down proteinaceous debris such as blood and fat?
Definition
enzymatic
Term
What is the common name for the high-level disinfectant sodium hypochlorite?
Definition
bleach
Term
What is another name for the intermediate-level disinfectant compound phenol?
Definition
carbolic acid
Term
Which of the following would be appropriate for soaking instruments covered with bioburden during a surgical procedure?

Isopropyl alcohol
Peracetic acid
Sterile saline
Sterile water
Definition
sterile water
Term
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?
Definition
Turnover
Term
All of the following are environmental specifications for the decontamination room in CSPD except:

Air exchange rate, minimum of 10 per hour
Humidity between 35% and 72%
Temperature between 64°F and 70°F
Positive air pressure maintained
Definition
positive air pressure maintained
Term
During manual cleaning of surgical instruments, what type of solution should be used?
Definition
Lukewarm water, detergent, and enzymatic cleaner with a neutral pH
Term
Which type of instruments must be cleaned with bristle-brushes on wires, pipe cleaners, or handheld pressure guns?
Definition
Suction tip lumens
Term
What is the potential risk of placing surgical instruments of dissimilar metallic type together in a washer sterilizer cycle?
Definition
Electrolytic conduction reaction
Term
What is the term for the process of lubricating stiffened stainless steel surgical instruments by immersion in a water-soluble solution?
Definition
milking
Term
Which is the cleaning method for surgical instrumentation that relies on bubbles imploding, creating a vacuum that dislodges minute particles in crevices of instruments?
Definition
ultrasonic cleaner
Term
Which type of surgical instrument must never be immersed in any type of mechanical decontaminating equipment?
Definition
powered
Term
Why are items disinfected or sterilized in activated glutaraldehyde prior to submersion?
Definition
Moisture will eventually dilute the concentration to ineffective levels
Term
Before opening any steriley packed items, what is most important to verify about the package?
Definition
integrity of package
Term
What is an acceptable position for placement of a scrubbed, gowned, and gloved surgical technologist’s hands?
Definition
clasped together in front at waist level
Term
Steriley attired surgical team member should pass one another in any of the following ways except:

back to back
front to front
front to back
rotating 360° around
Definition
Front to back
Term
A non-sterile person should approach a sterile area face forward while maintaining a distance of:
Definition
12 inches
Term
When a steriley attired surgical technologist drapes an unsterile table, he or she opens the drape:
Definition
toward him- or herself first
Term
What is the most important factor in a surgical technologist’s role in preventing surgical site infections?
Definition
strict surgical conscience
Term
Which concept has replaced the previous system of assessing storage conditions and package integrity-based on an arbitrary expiration designation?
Definition
event related
Term
Which method of sterilization uses gamma rays or beta particles and is chiefly used by large manufacturing companies?
Definition
Ionizing radiation
Term
Which of the following statements regarding peracetic acid sterilized items is correct?

Paper filters in the top lid and bottom of container must be changed for each cycle
Items must be wrapped with Tyvek wrappers instead of cellulose-based wrappers
Cassettes are not sealed, due to liquid immersion during the process, so they cannot be stored.
Aeration times will add hours to the total sterilization cycle time.
Definition
Cassettes are not sealed, due to liquid immersion during the process, so they cannot be stored.
Term
The recommended biological indicator (BI) for hydrogen peroxide gas plasma is:
Definition
bacillus atrophaeus
Term
The Bowie-Dick test is performed for which sterilization method?
Definition
Prevacuum air removal steam
Term
Which of the following should never be processed by immediate-use (flash) sterilization methods?

Ebonized laser instruments
Implantable devices
Stainless steel suction tips
Titanium microinstrumentation
Definition
implantable devices
Term
What is the name of the outside area of an autoclave where steam is created before injection into the interior compartment?
Definition
jacket
Term
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?
Definition
Chemical indicator
Term
Where should the biological test pack be placed on the steam sterilization cart for the first run of the day?
Definition
bottom rack, front of sterilizer, over the drain
Term
How long should the steam biological indicator be incubated before the reading is recorded?
Definition
24 hours
Term
Personnel in CSPD who must move instruments from the ethylene oxide sterilizer to an aeration room to do which of the following with the cart to reduce their exposure to vented gases?

pull it
push it
cover it with plastic
open a window
Definition
Pull it
Term
What is the advantage of using ethylene oxide gas sterilization?
Definition
It is safe for heat-and moisture-sensitive items
Term
Which method of chemical sterilization has limitations based on the challenge of diffusion into narrow lumens?
Definition
hydrogen peroxide gas plasma
Term
Why are instruments placed in perforated or mesh-bottom trays for sterilization?
Definition
Penetration of sterilant
Term
What would be the exposure phase time for an unwrapped instrument set with some lumens in a pre-vacuum/dynamic air removal steam autoclave?
Definition
4 minutes
Term
Which term describes the exchange of gases within the cells of the blood and tissues?
Definition
internal respiration
Term
Which condition is the temporary absence of spontaneous respiration?
Definition
apnea
Term
A/an _____ is the excess accumulation of fluid in the pleural space, which keeps the lungs from fully expanding.
Definition
pleural effusion
Term
_____ is also known as black lung disease.
Definition
Anthracosis
Term
A/an _____ is a mechanical device for artificial respiration that is used to replace or supplement the patients natural breathing function.
Definition
ventilator
Term
Which type of pneumonia occurs when a foreign substance is inhaled into the lungs?
Definition
aspiration
Term
The _____ is the thin fluid-filled space also known as the pleural space.
Definition
pleural cavity
Term
Which are the largest of the paranasal sinuses?
Definition
maxillary sinuses
Term
The _____ is the portion of the pharynx used only for the transport of air.
Definition
nasopharynx
Term
Which part of the respiratory system is commonly known as the windpipe?
Definition
pharynx
Term
A/an _____ is a sudden blockage of a pulmonary artery by foreign matter.
Definition
pulmonary embolism
Term
An inexpensive handheld device used to let patients with asthma measure air flowing out of the lungs is known as a _____.
Definition
peak flow meter
Term
Which term is also known as a runny nose?
Definition
rhinorrhea
Term
Which term is also known as choking?
Definition
airway obstruction
Term
A disease in which the airways have become inflamed due to recurrent exposure to an inhaled irritant is known as_____.
Definition
chronic bronchitis
Term
Which term is also known as acute nasopharyngitis?
Definition
upper respiratory infection
Term
What term means bleeding from the lungs?
Definition
pneumorrhagia
Term
Which term means the permanent dilation of the bronchi caused by chronic infection and inflammation?
Definition
bronchiectasis
Term
_____ is the act of taking air in as the diaphragm contracts and pulls downward.
Definition
inhalation
Term
A/an _____ is a surgery in which a wedge-shaped piece of cancerous lung tissue is removed.
Definition
wedge resection
Term
Which term, also known as abdominal breathing, is a relaxation technique used to relieve anxiety?
Definition
diaphragmatic breathing
Term
A _____ is the surgical repair of parts of the nasal septum.
Definition
septoplasty
Term
_____ involves breathing pure oxygen in a special chamber that allows air pressure to be raised up to three times higher than normal to promote healing and fight infection.
Definition
hyperbaric oxygen therapy
Term
Which type of pneumonia is also known as mycoplasma pneumonia?
Definition
walking
Term
_____ is the leading cause of cancer death in the United States.
Definition
lung cancer
Term
_____ performs the surgical scrub before the rest of the team members to prepare the sterile field with instruments and supplies that have been opened for the case.
Definition
surgical technician
Term
_____ cannot be sterilized, but can be rendered surgically clean.
Definition
living tissue
Term
When employed correctly, _____produce(s) high levels of destruction of both gram-positive and gram-negative bacteria.

a. alcohol-based skin cleaner, foams and creams
b. plain soap, liquid or bar form
c. germicidal soap
d. both a and c
Definition
a. alcohol-based skin cleaner, foams, and creams
Term
Hand washing is the simplest and most important preventive measure for reducing infection in the operating room. Hand washing is _____ related
Definition
event
Term
It is considered poor technique to pry the metal cap off of a medication vial and then to pour the liquid into a sterile container because _____.
Definition
The lip of the vial is not considered sterile
Term
When opening supplies and instruments for a case, for safety reasons _____ should be passed directly to the surgical technologist or placed in an area on the sterile field where they are clearly visible.
Definition
scalpel blades and other sharps
Term
Depending on the complexity of the surgery, the amount of equipment to be prepared, and the emergent nature of the procedure, the surgical technologist and circulator will begin to open the case _____.
Definition
15 to 20 minutes before the start of surgery
Term
Once the case is opened, the sterile field should be constantly protected. The best way to do this is by _____
Definition
having someone physically in the room watching it.
Term
Preliminary preparations must occur before the patient is brought in to the room. The _____ must be checked, along with case-cart supplies, to ensure that all of the instruments, supplies and equipment necessary for the procedure are available.
Definition
surgeon's preference card
Term
To ensure patient safety, the surgical technologist _____ the aseptic technique practices of his or her coworkers, departments or institutions.
Definition
can and should
Term
It is not recommended that sterile supplies be left open prior to a case more than _____.
Definition
2 hours
Term
When water is exposed to a sterile drape or gown, it can cause _____, which occurs when moisture from either side of the drape serves as a vehicle for bacteria to infiltrate the drape from the nonsterile surface.
Definition
strike-through contamination
Term
Sterile personnel must pass other sterile personnel:

a. back to front
b. back to back
c. front to front
d. both b and c
Definition
d. both b and c
Term
Sterile gowns are considered sterile _____
Definition
only in the front, from the nipple line to the waist
Term
The amount of space that should be left between sterile and nonsterile surfaces is _____.
Definition
12 inches or more
Term
All surgical personnel must wear impervious protective eyewear or face shields during all procedures; eyewear must cover the eye area from the brows to the tip of the surgical mask and must extend over the temples. Protective eyewear must be worn _____.
Definition
To protect the eyes from bone chips, liquefied tissue, blood, bodily fluids and other debris.
Term
Identify the correct statement about masks:

a. masks may be worn as long as they don't show visible signs of contamination
b. wearing two masks doubles your protection
c. masks are to be changed after every procedure
d. when tying a mask, the ties should be crossed at the back of the head
Definition
c. masks are to be changed after every procedure
Term
Cloth caps that are reused day after day are considered to be _____.
Definition
a source of gross contamination
Term
The recommended standard for operating room personnel regarding jewelry is to _____.
Definition
remove all jewelry
Term
Aseptic technique is closely associated with one's motivation to _____
Definition
protect the patient
Term
During which phase of general anesthesia would the risk of aspiration be the greatest?
Definition
induction
Term
Which anesthetic monitoring device registers the brain wave activity of the patient and enables anesthetic titration for optimal level of consciousness during surgical intervention?
Definition
bispectral index
Term
Benzodiazepines are classified by the Controlled Substances Acts as which class?
Definition
Class IV
Term
Which type of drug is used to treat possible postoperative nausea and vomiting?
Definition
antiemetic
Term
Why would a neurosurgeon order mannitol for a patient during a craniotomy for excision of tumor?
Definition
decrease intracranial pressure
Term
How are most drugs absorbed by the body?
Definition
Passive transport
Term
Which of the following is not a drug administration route:

a. biodegradable
b. enteral
c. parenteral
d. topical
Definition
a. biodegradable
Term
What is the pharmacological agent administered specifically to treat malignant hyperthermia (MH)?
Definition
dantrolene
Term
Which drug is administered intravenously to treat live-threatening cardiac ventricular arrhythmias?
Definition
naloxone HCl
Term
What is the name of the device used to support or modify the curvature of the endotracheal tube during intubation?
Definition
stylet
Term
Which anatomical structure regulates temperature by monitoring processes of heat production and loss in the human body?
Definition
hypothalamus
Term
What would be the scrubbed surgical technologists role in the general anesthesia induction phase?
Definition
maintain absolute quiet
Term
During which type of assessment would Korotkoff's sound be heard?
Definition
using a stethoscope for manual blood pressure
Term
Which type of anesthesia would be considered nontraditional in the United States?
Definition
acupuncture
Term
Which pharmacological agents provide muscle relaxation by preventing acetylcholine from stimulating muscle contraction?
Definition
nondepolarizing
Term
What side effects after the use of the dissociative agent ketamine HCl make it contraindicated for use on adults?
Definition
morbid hallucinations
Term
Diminished cardiac and urinary output, hypotension and tachycardia are signs of _____.
Definition
shock
Term
The practice of applying cricoid pressure during intubation was named for a British anesthesiologist named _____
Definition
Sellick
Term
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 ?
Definition
ASA 3
Term
A bovine-derived enzyme used as a chemical method of hemostasis is:
Definition
thrombin
Term
Drugs used for ophthalmological procedures are similar to those for systemic use but must be:
Definition
more pure
Term
What is the topical agent used by peripheral vascular and neurosurgeons to dilate blood vessels intraoperatively?
Definition
papaverine HCl
Term
Which type of ophthalmic medication constricts the pupil?
Definition
myotic
Term
Which classification of drugs is used to induce uterine contractions and reduce bleeding after vaginal of cesarean section delivery?
Definition
oxytocic
Term
Which drug is an anticoagulant used to reverse the effects of heparin?
Definition
protamine sulfate
Term
Which type of medication container would pose the highest risk of injury to the handler and contamination of medication with glass particles?
Definition
ampule
Term
A widely accepted list of safety measures in entitled the Six _____ of Medication Administration.
Definition
Rights
Term
Minums, drams and drops are volume measurements in which measurement system?
Definition
apothecary
Term
The apothecary system of measurement based weight measurements on a grain of:
Definition
wheat
Term
Which of the following categories of drugs would not be used in a healthcare setting?


a. chemical
b. generic
c. street
d. trade
Definition
c. street
Term
Cough syrups containing codeine would be in which classification of controlled substances?
Definition
Class IV
Term
Which type of drug preparation is sweetened and contains alcohol?
Definition
elixir
Term
In which organ does biotransformation of drugs most often take place?
Definition
liver
Term
Nonsteroidal anti-inflammatory drugs (NSAIDS) are also known as:
Definition
analgesics
Term
What is the term for the portion of the endotracheal tube that is inflated to create a closed airway system?
Definition
cuff
Term
What is the medical term for normal breathing?
Definition
eupnea
Term
Moving the arms away from the body is called _____.
Definition
abduction
Term
The _____ position is a type of prone position in which the patient lies on his or her abdomen with the hips flexed into an inverted "V" position.
Definition
Jackknife or Kraske
Term
Tissue injury or necrosis that results when two tissue planes are forcefully pulled in opposite directions is called _____.
Definition
shear injury
Term
Injuries are reduced when healthcare providers use _____?
Definition
proper body mechanics
Term
To assist the patient when falling, _____.
Definition
Ease the patient to the floor while protecting his or her head.
Term
_____ must be lower than the patient's body at all times.
Definition
Gravity drainage bags
Term
_____ must be higher than the patient's body.
Definition
IV lines and fluids
Term
When transferring a patient from the operating room table to her or his stretcher, always _____.
Definition
make sure the wheels are locked
Term
Patients often want to "help" during transport. It is important for their safety that they are instructed to _____ when being transported
Definition
keep hands and arms inside of stretcher rails
Term
When passing through manually operated doors while transporting a patient, _____.
Definition
open the doors first and secure them
Term
While transporting a patient and an emergency occurs while you are in the elevator, you should _____.
Definition
activate the emergency alarm
Term
_____ is the best option to use during the transfer of an unconscious patient from the stretcher to the operating room table.
Definition
the transfer board
Term
When moving a patient from the operating room table to a stretcher, _____ is responsible for remaining at the patient's head and protecting the airway.
Definition
the anesthesia care provider
Term
The developmental age of the _____ if critical for communication to be effective.
Definition
child
Term
An important element for the safety of the patient during positioning is _____. It is necessary to provide smooth step-by-step coordination.
Definition
teamwork
Term
When armboards are used on the operating room table for a patient in the supine position, they must be _____.
Definition
abducted less than 90 degrees
Term
Sequential compression devices are used on patients having surgery to prevent.

a. thrombus formation
b. thromboembolus
c. blood clot formation
d. all of the above
Definition
d. all of the above
Term
When removing the patient's legs from stirrups postoperatively, the patient's legs are lowered _____>
Definition
together slowly
Term
The use of a footboard for the patient in the reverse Trendelenburg position may prevent the patient from sliding downward, which can cause _____.
Definition
shearing injury
Term
What is the technical name for a clamp?
Definition
compressor
Term
Which scalpel handle would accommodate a #20 disposable knife blade?
Definition
#4
Term
What term describes an instrument, such as a retractor or uterine probe, that can be bent or modified to accommodate for variances in anatomy?
Definition
malleable
Term
Weitlaner, O'Connor-O'Sullivan, and Balfour are all examples of :
Definition
Bone-holding forceps
Term
Which type of instrument alloy is lightweight, durable and nonmagnetizing?
Definition
titanium
Term
What is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps?
Definition
serrations
Term
Which suction tip is indicated for use in the nasopharynx and often called "tonsil" or "oral" suction?
Definition
Yankaeur
Term
The joint of a hemostat where one half of the instrument passes through the other is called the:
Definition
box lock
Term
Which scissors are often called suture scissors and are typically straight an relatively blunt tipped?
Definition
Mayo
Term
The #12 blade is used almost exclusively for which procedure?
Definition
tonsillectomy
Term
Which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration?
Definition
grasping and holding
Term
In medical terminology, which suffix indicates an instrument as a cutting device?
Definition
-tome
Term
Which type of endoscope would be appropriate for examination of the renal pelvis via a natural body orifice?
Definition
flexile uretoroscope
Term
All of the following are examples of types of movement of powered surgical instruments EXCEPT:

a. operating
b. oscillating
c. reciprocating
d. rotary
Definition
a. operating
Term
Which part of the operating microscope is most proximal to the target tissue?
Definition
objective lens
Term
Which type of surgical device provides a bloodless surgical field by way of extremity compression?
Definition
pneumatic tourniquet
Term
Which type of surgical drape is designed to expose small anatomical structures such as the eyes or ears?
Definition
aperture
Term
Which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines in a laparotomy?
Definition
Poole
Term
Which device can be used sterilely by an ENT or neurosurgeon or unsterilely by and anesthesia provider to determine location, function or conduction of certain anatomical structures?
Definition
nerve stimulator
Term
Which fine, pointed-tip scalpel blade could be used to incise a blood vessel or create a stab wound for drain placement?
Definition
#11
Term
What surgical specialty rooms would be most likely equipped with three or four overhead operating lights?
Definition
open heart
Term
What is the term for the opening in a surgical drape that is placed over the operative site?
Definition
fenestration
Term
The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called:
Definition
Cottonoids
Term
Into which classification of dressings would body and Minerva jackets and walking and spica casts fall?
Definition
rigid
Term
A drain dressing is cut into which letter shape to accommodate the drain tube exiting the patients' body?
Definition
Y
Term
Which of the following drains works by passive action?
Definition
Penrose
Term
Which type of syringe has no calibrations?
Definition
bulb/ear
Term
By what action does a "cigarette" drain remove fluid from a wound?
Definition
wicking
Term
Bougie, Heaney, Hegar and Van Buren are types of:
Definition
dilators
Term
Which type of instrument often has a tungsten carbide insert and crosshatch serrations for stabilization?
Definition
needle holder
Term
What is the name of the paired parts of a hemostat that span between the box lock and the finger rings?
Definition
shanks
Term
Metzenbaum, tenotomy and Potts-Smith are examples of which type of instrument?
Definition
scissors
Term
Which is not a source of power for surgical powered instruments?


a. alternating current
b. direct current
c. nitrogen
d. solar
Definition
d. solar
Term
Which of the following types of surgical sponges are prepackaged in units of five?

a. Cottonoids
b. dissectors
c. laparotomy
d. Ray-Tecs
Definition
c. laparotomy
Term
Op-site, collodion, adhesive gels and Steri-strips are examples of which type of surgical dressing?
Definition
one-layer
Term
Kerlix fluffs, ABD pads and plain 4x4 gauze sponges are examples of which part of a three-layer dressing?
Definition
absorbent intermediate layer
Term
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?
Definition
Montgomery straps
Term
Normal saline, antibiotic and Dakin's solution are used to facilitate mechanical debridement in which type of dressing.
Definition
wet-to-dry
Term
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?
Definition
radiopaque
Term
What is the geometric shape usually achieved by the placement of the first layer of sterile surgical drapes?
Definition
square
Term
All of the following are draping materials EXCEPT:

a. aluminum coated
b. latex sheeting
c. plastic adhesive
d. polyester bonded with cellulose
Definition
b. latex sheeting
Term
Which device is used unsterilely in surgery for deep vein thrombosis?
Definition
sequential compression device
Term
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
Definition
c. ambulatory status of the patient post-op
Term
Which type of surgical supply does NOT come with an option for being impregnated with iodine on other antimicrobial agent.
Definition
radiopaque surgical sponges
Term
Which of the following catheters is used to drain the kidney and is placed with the aid of a cystoscope.
Definition
ureteral
Term
The three lumens of a three-way Foley catheter are used for balloon inflation, urinary drainage and _____?
Definition
continuous irrigation
Term
Which type of urinary drainage catheter requires an incision and anchoring to the skin to prevent dislodgement.
Definition
suprapubic
Term
What do Broviac and Hickman catheters do?
Definition
monitor central venous pressure changes
Term
Which of the following self-retaining retractors does NOT require attachment to the OR table?

a. Balfour
b. Bookwalter
c. Greenburg
d. Thompson
Definition
a. Balfour
Term
During laparoscopic procedures where carbon dioxide gas is used for insufflation, the intra-abdominal pressure in the average healthy adult patient is kept at _____ mm Hg?
Definition
12-15
Term
What is the minimum number of suction systems or units required in an operating room?
Definition
two
Term
In general, after what length of continuous pneumatic tourniquet use should the extremity be allowed to reperfuse before reinflating the tourniquet?
Definition
one hour
Term
How are Ray-Tec sponges used during laparotomy procedures when the peritoneum is open?
Definition
They should be mounted n a ring forceps as "sponge sticks"
Term
GI, chest and airway are types of _____.
Definition
tubes
Term
Why must chest tubes be attached to a water-seal drainage system?
Definition
to keep air from reentering thoracic space to reestablish negative pressure for respiration
Term
Which medication depresses the central nervous system to produce calm and diminished responsiveness without causing sleep?
Definition
sedative
Term
_____ is surgically suturing together the ends of a severed nerve.
Definition
neurorrhaphy
Term
Which part of the brain is responsible for the highest level of thought?
Definition
cerebrum
Term
Which nerves prepare the body for emergencies and stress as part of the fight-or-flight response?
Definition
sympathetic nerves
Term
Which term refers to a physician who specializes in diagnosing and treating chemical dependencies, emotional problems and mental illness?
Definition
psychiatrist
Term
An unresponsive state from which a person can be aroused only briefly despite vigorous, repeated attempts is known as _____.
Definition
stupor
Term
Which term refers to a temporary interruption in the blood supply to the brain>
Definition
transient ischemic attack
Term
Which term refers to the loss of ability to speak, write and/or comprehend the written or spoken word?
Definition
aphasia
Term
Which type of seizure is also known as petit mal seizure?
Definition
absence seizure
Term
Which condition was previously known as multiple personality disorder?
Definition
dissociative identity disorder
Term
A/An _____ is administered to temporarily relieve anxiety and to reduce tension.
Definition
anxiolytic drug
Term
Which term is characterized by the intentional creation of false or grossly exaggerated physical or psychological symptoms in order to gain incentives such as avoiding work?
Definition
malingering
Term
A/An _____ is the accidental or intentional use of an illegal drug or prescription medicine in an amount higher than what is safe or normal.
Definition
drug overdose
Term
A/An _____ is a chronic pattern of inner experience and behavior that causes serious problems with relationships and work.
Definition
personality disorder
Term
Which type of therapy focuses on changing thoughts that are affecting a person's emotions and actions?
Definition
cognitive therapy
Term
A/An _____ works by increasing activity in certain areas of the brain to increase concentration and wakefulness.
Definition
stimulant
Term
Which type of disorder is found in children of normal intelligence who have difficulties learning specific skills?
Definition
learning disabilities
Term
A type of radiation treatment for brain tumors performed without knife or incision is known as _____.
Definition
Gamma knife surgery
Term
Which disorder is characterized by chronic, excessive worrying?
Definition
generalized anxiety disorder
Term
Which condition is also known as a pinched nerve?
Definition
radiculitis
Term
______ is a highly contagious viral infection of the brainstem and spinal cord that sometimes leads to paralysis.
Definition
poliomyelitis
Term
_____ is the prolonged or abnormal inability to sleep.
Definition
insomnia
Term
The 12 pairs of _____ originate from the undersurface of the brain.
Definition
cranial nerves
Term
The two _____ are connected at the lower midpoint by the corpus callosum.
Definition
cerebral hemispheres
Term
The _____ is a protective covering made up of glial cells.
Definition
myelin sheath
Term
_____ have the right to equal treatment, regardless of age, physical attributes, mental state, ethnicity or socioeconomic status.
Definition
All patients
Term
"Aeger primo" is defined as _____?
Definition
the patient first
Term
The doctrine of "respondeat superior" means
Definition
let the master answer
Term
Which bone is known as the kneecap?
Definition
patella
Term
Which bone tissue functions as a fat-storage area and is located in the medullary cavity?
Definition
yellow bone marrow
Term
Which is the only movable bone of the skull?
Definition
mandible
Term
The opening of the bone through which blood vessels, nerves and ligaments pass is known as a _____
Definition
foramen
Term
Which term describes the surgical repair or replacement of a damaged joint?
Definition
arthroplasty
Term
Which form of arthritis is characterized by deposits of uric acid in the joints?
Definition
gouty arthritis
Term
Which procedure is the surgical repair of cartilage?
Definition
chondroplasty
Term
Which bone tissue is hemopoietic?
Definition
red bone marrow
Term
_____ is a relatively rare malignant tumor that originates in the bone.
Definition
primary bone cancer
Term
The attempted realignment of a bone involved in a fracture or joint dislocation is known as _____.
Definition
closed reduction
Term
Which diagnostic technique is most commonly used to visualize a bone fracture?
Definition
radiograph (x-ray)
Term
An inflammation of the synovial membrane is known as _____.
Definition
synovitis
Term
Smooth rubbery connective tissue that makes up the tip of the nose is called _____.
Definition
cartilage
Term
The lower part of the sternum is called the _____.
Definition
xiphoid process
Term
The replacement of a worn or failed implant is known as _____.
Definition
revision surgery
Term
This term means the surgical removal of bone.
Definition
ostectomy
Term
A _____ fracture occurs when a person tries to stop a fall by landing on his or her hands.
Definition
Colles'
Term
The surgical removal of a portion of the skull is known as _____>
Definition
craniectomy
Term
_____ is stiffness of the joints, especially in older adults.
Definition
Arthrosclerosis
Term
This type of fracture is also known as a simple or complete fracture.
Definition
transverse
Term
This medical terms is also known as clubfoot.
Definition
talipes
Term
A transplant using healthy bone marrow cells from a compatible donor is a/an _____?
Definition
allogenic bone marrow transplant
Term
This terms refers to the posterior space behind the knee.
Definition
popliteal
Term
The medical term for inflexible joints, also known as sutures, is _____.
Definition
fibrous joints
Term
The term for the larger bone in the lower leg, also known as the shin bone, is _____.
Definition
tibia
Term
Which term is currently used in most jurisdictions of the world to define a state of irreversible death?
Definition
whole brain death
Term
Which of the following is NOT one of the "Five Stages of Grief"?

a. acceptance
b. bargaining
c. denial
d. repression
Definition
d. repression
Term
Which type of procedure or care provides a terminal patient with symptom relief or avoidance and improves quality of the remaining life expectancy?
Definition
palliative
Term
Which term represents a positive physical and psychological state of a patient?
Definition
eustress
Term
Under what circumstances would many hospitals rescind (invalidate) a "Do Not Resuscitate/Do Not Intubate" order?
Definition
A patient must undergo a therapeutic surgical procedure.
Term
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
Definition
d. document of self-actualization
Term
Maslow's research produced a hierarchical structure of _____.
Definition
human progression
Term
For what type of research was Sister Callista Roy best known?
Definition
adaptation model
Term
For what type of research was Elizabeth Kubler-Ross best known?
Definition
five stages of grief
Term
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?
Definition
accidental
Term
Which describes a set of therapies that preserve a patient's life when body systems are not functioning sufficiently?
Definition
life support
Term
Which legislative ruling 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?
Definition
Patient Self-Determination Act
Term
Who would be responsible for seeking consent from family members for organ donation after a patient is determined to have suffered whole-brain death?
Definition
the facility's gift of life coordinator
Term
Which of the following needs identified by Maslow would likely be MOST prominent in a surgical patients' mind?

a. esteem
b. love and belonging
c. safety
d. self-actualization
Definition
c. safety
Term
Which of the 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
Definition
d. self-actualization
Term
Which of the following religions typically prohibits its followers from receiving blood transfusions?

a. Roman Catholic
b. Jehovah's Witness
c. Mormon
d. Protestant
Definition
b. Jehovah's Witness
Term
Which organs or tissues can be recovered after death or after a patient has already been removed from life support?
Definition
bone
Term
A person in a persistent vegetative state (with only basic physiological functions of respiration, blood pressure and heartbeat intact) is categorized as having suffered which kind of death?
Definition
higher brain
Term
Which religion believes in reincarnation and that the rebirth is influenced by the previous death experience?
Definition
Buddhism
Term
Denial, rationalization, regression and repression are common forms of what type of mechanism?
Definition
coping
Term
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
Definition
d. spiritual
Term
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
Definition
a. physical
Term
Which of the following procedures would be a 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
Definition
a. blepharoplasty and rhytidectomy
Term
What does Sister Callista Roy define as "all conditions, circumstances and influences that surround and affect the development and behavior of the person?
Definition
environment
Term
Which area of concern or fear would most likely be the main focus for a toddler scheduled for surgery?
Definition
abandonment
Term
Which area of concern or fear would most likely be the main focus for a teenager scheduled for surgery?
Definition
body image
Term
Denial, rationalization, regression and repression are all examples of _____.
Definition
coping mechanisms
Term
Which condition was defined by the Harvard School of Medicine and include the following: flat EEG, unresponsiveness, lowered body temperature and absent pupil reflexes?
Definition
whole-brain death
Term
SIDS (also known as crib death) is categorized as which general category of cause of death?
Definition
sudden
Term
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 healthcare system?
Definition
extraordinary
Term
A terminally ill patient whose advance directive is to refuse any life-saving efforts by healthcare workers is choosing which type of euthanasia?
Definition
passive
Term
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 hazardous situations?
Definition
empathy
Term
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?
Definition
90 minutes
Term
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?
Definition
Jewish
Term
The death of a patient from complications of COPD would be categorized as which general category of cause of death?
Definition
prolonged
Term
Which of the following is included in the restricted area?

a. storage areas for sterile supplies used in the operating room
b. preoperative holding area
c. operating room director's office
d. dressing rooms
Definition
a. storage areas for sterile supplies usedin the operating rooms
Term
Which of the following is a consideration for operating room design?

a. controlling traffic patterns
b. located close to patient
c. ability to quickly provide each operating room with the necessary supplies during a case
d. a & c
Definition
d. a & c
Term
The scrub person may set up and work from the _____ to supply immediately necessary instrumentation to the surgeon and first assistant.
Definition
Mayo stand
Term
What is meant by positive-pressure air supply for each operating room?
Definition
air pressure in the operating room is kept at a higher level than that of the surrounding corridors
Term
How many air changes per hour do the guidelines recommend for the operating room?
Definition
15
Term
Temperature and humidity are kept at what levels in the OR?
Definition
68 and 75 degrees F, 50% humidity
Term
What is a characteristic of the unrestricted area?
Definition
often contains dressing rooms for physicians and support staff
Term
The attire for the restricted area is _____.
Definition
scrubs, caps and mask
Term
The scrub person establishes the sterile field by _____.
Definition
gowning and gloving with the closed technique
Term
Terminal cleaning refers to cleaning at which point in the surgical schedule?
Definition
the end of the day
Term
Which vitamin is required for activation of the body's natural clotting mechanism?m
Definition
K
Term
Avitene is the brand name for which type of chemical hemostatic agent?
Definition
topical thrombin
Term
Ancef, Kefzol and Keflex are brand names for which category of antibiotic/anti-infective agents?
Definition
cephalosporins
Term
Fentanyl citrate is the generic name for which of the following analgesics?
Definition
Sublimaze
Term
The ratio of a solution's solute to solvent is its:
Definition
concentration
Term
By what name is the International Systems of Units more commonly known?
Definition
Metric system
Term
How would a patient prescribed sublingual nitroglycerin for angina would take the medicine?
Definition
placing it under the tongue
Term
Magnesium, calcium and zinc come from what drug source?
Definition
mineral
Term
Which governmental regulatory agency has oversight of pharmaceutical companies?
Definition
FDA
Term
What is the chemical name for a chemical or drug that causes birth defects?
Definition
teratogen
Term
Which category of drug is used to outline hollow or tubular anatomical structures for radiographic visualization?
Definition
contrast media
Term
Which type of reaction occurs when a drug potentiates or enhances the effect of another drug?
Definition
agonistic
Term
Which type of pharmaceutical agent bonds to another agent's receptor site, preventing the other agent from binding there and causing the desired effect?
Definition
antagonistic
Term
What type of irrigating solution is used during placement of synthetic grafts in cardiovascular surgery to prevent clotting?
Definition
heparinized saline
Term
What type of anesthesia nerve block involves injecting local anesthetics with Wydase around the optic nerves?
Definition
retrobulbar
Term
Lidocaine, bupivacaine and ropivacaine are examples of what type of nerve conduction blocking agent?
Definition
amino amides
Term
Extreme caution should be exercised when using which of the following for localized anesthesia of fingers, toes or the penis, or in neonates?
Definition
epinephrine
Term
Which of the following topical anesthetics is used as a "freezing" method to block pain receptors in skin?
Definition
ethyl chloride
Term
What is the term for a spinal anesthetic solution that has the same specific gravity as cerebrospinal fluid?
Definition
isobaric
Term
What is another term for spinal anesthesia?
Definition
intrathecal
Term
What is done to an upper extremity with an Esmarch bandage prior to inflation of the double-cuffed tourniquet used in Bier block anesthesia?
Definition
exsanguination
Term
When a patient undergoes induced hypothermia to a level of 68 degrees or below, it is termed to be _____?
Definition
profound
Term
_____ is an inflammation of both the renal pelvis and the kidney.
Definition
pyelonephritis
Term
Which term is known as urge incontinence?
Definition
overactive bladder
Term
Which term describes the outer region of the kidney?
Definition
renal cortex
Term
The term _____ describes difficult or painful urination?
Definition
dysuria
Term
Which radiographic study is also known as a flat-plate of the abdomen?
Definition
KUB
Term
Which term is also known as an ileostomy?
Definition
ileal conduit
Term
Which term refers to excessive fluid collection in body tissues?
Definition
edema
Term
Which type of catheter is made of a flexible tube with a balloon filled with sterile water at the end to hold it in place in the bladder.
Definition
Foley catheter
Term
Urine drains from the ureters into the bladder through the _____
Definition
ureteral orifices
Term
_____ is difficulty in starting a urinary stream.
Definition
Urinary hesitancy
Term
Which term refers to the opening of the urethra?
Definition
urinary meatus
Term
Which term refers to treatment for a nephrolith lodged in the ureter?
Definition
lithotomy
Term
A _____ is a replacement for the missing bladder created by using about 20 inches of the small intestine.
Definition
neobladder
Term
Also known as a nephrorrhaphy, a _____ is the surgical fixation of a floating kidney.
Definition
nephropexy
Term
What term refers to the examination of urine to determine the presence of abnormal elements?
Definition
urinalysis
Term
The _____ returns filtered blood to the bloodstream after passing through the glomerulus.
Definition
renal vein
Term
Which condition can be caused by the kidneys not receiving enough blood to filter due to dehydration or a sudden drop in blood volume or blood pressure?
Definition
acute renal failure
Term
_____ is an acute pain in the kidney area that is caused by blockage during the passage of a nephrolith.
Definition
renal colic
Term
Which term is also known as ischuria?
Definition
urinary retention
Term
Which term refers to behavioral therapy in which the patient learns to urinate on a schedule?
Definition
bladder retraining
Term
Which type of incontinence usually occurs in older men with enlarged prostates?
Definition
overflow incontinence
Term
Which term refers to a radiographic examination of the bladder after a contrast medium in instilled via a urethral catheter?
Definition
cystography
Term
_____ is a surgical incision made to enlarge the opening of the urinary meatus.
Definition
meatotomy
Term
Each nephron contains a cluster of capillaries called a/an _____.
Definition
glomerulus
Term
A/An _____ is the removal of excess tissue from an enlarged prostate with a resectoscope.
Definition
transurethral prostatectomy
Term
A film that causes an abnormal attachment of two internal surfaces or structures is called _____.
Definition
adhesion
Term
The size of the suture is called _____.
Definition
gauge
Term
Surgical silk and surgical cotton are characterized by _____.
Definition
braided structure
Term
Single strands of suture used as ligatures are _____
Definition
free ties
Term
Wound reinforcement sutures are called _____.
Definition
retention sutures
Term
Which is a suture with a commercially attached needle?
Definition
swaged
Term
Plain surgical gut is which of the following?

a. natural absorbable
b. synthetic absorbable
c. synthetic nonabsorbable
d. natural nonabsorbable
Definition
natural nonabsorbable
Term
Surgical steel suture in which of the following?

a. nonreactive, inert
b. corrosive, irritating
c. both of these
d. neither of theses
Definition
a. nonreactive, inert
Term
Sutures placed in tissues for an aesthetic closure are referred to as _____.
Definition
a subcuticular closure
Term
Contact with body fluids through cracks, sores or other lesions can transmit _____ in the healthcare setting.
Definition
blood-borne pathogens
Term
All workers in the health-care setting should be vaccinated against _____.
Definition
hepatitis B
Term
Scalpel blades must be mounted and removed using a _____.
Definition
needle holder
Term
_____ is/are implemented to reduce the risk of infectious disease transmission by large, moist aerosol droplets.
Definition
contact precautions
Term
To promote safety in the operating room, _____ used hypodermic needles
Definition
never recap
Term
_____ is/are not considered safe or adequate eye protection since the sides of the eyes are not shielded.
Definition
prescription glasses
Term
The use of a dispersive electrode is required with _____.

a. a bipolar device
b. an ESU (Bovie) hand piece
c. a monopolar device
d. both b and c
Definition
d. both b and c
Term
Electricity flows through a circuit. When using an ESU, the _____ serves to spread the flow of electricity over a large are to prevent burns to the patient where the electricity leaves the body.
Definition
grounding pad
Term
All hospital personnel must know ______ and know how to turn off the electrical supply in the event of a life-threatening shock.
Definition
CPR
Term
The characteristics of electricity are current, voltage, resistance and grounding. The discharge of electrical current from the source to ground, where it is dispersed and rendered harmless, is _____.
Definition
grounding
Term
Always read the identification label of any _____ before administering it.
Definition
gas cylinders
Term
A plan that elaborates the exact duties of personnel and the actions to be taken to protect patients and staff in a structural fire is called _____.
Definition
RACE
Term
_____ are the most common and frequent sources of fuel in surgical fires.
Definition
prep solutions
Term
The words _____ and _____ are identical in meaning.

a. flammable and inflammable
b. flame resistant and flame retardant
c. inflammable and flame retardant
d. both a and b
Definition
d. both a and b
Term
_____is/are the statistical probability of a harmful event.
Definition
risk
Term
Protective clothing or equipment that prevents the wearer from direct contact with hazardous chemicals or potentially infectious body fluids is called _____.
Definition
personal protective equipment
Term
Many tragic accidents and deaths in the surgical setting could have been avoided had the individual _____.

a. known the risk
b. accepted the real possibility of harm
c. taken precautions to protect him/herself, coworkers and the patient
d. all of the above
Definition
d. all of the above
Term
All fires require three components: fuel, source of ignition and oxygen. _____ makes the operating room a high risk environment.

a. combustible material
b. high concentration of oxygen
c. an energy source capable of producing heat to ignite the fuel
d. both a and c
Definition
d. both a and c
Term
Protection of _____ is the primary concern of the operating room personnel.
Definition
the patient
Term
_____ is created during the use of a laser or an electrosurgical unit.
Definition
A smoke plume
Term
HBV, HCV,and alcohol abuse are precursors to which disease?
Definition
cirrhosis
Term
During cholangiography, bubbles in the contrast medium would most likely _____.
Definition
give the appearance of stones on the x-ray
Term
Whipple procedure is done for treatment of a tumor in which abdominal organ?
Definition
pancreas
Term
Another name for a thyroid tenaculum is a _____.
Definition
Lahey
Term
Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis?
Definition
thyroid storm
Term
Tetany is a serious potential post-op complication of which type of surgical intervention?
Definition
thyroidectomy
Term
What term describes the benign condition of breast enlargement in men?
Definition
gynecomastia
Term
Which stage of breast cancer is characterized by evidence of distal metastasis?
Definition
Stage IV
Term
Which anatomical structure is the largest mass of lymphatic tissue in the body?
Definition
spleen
Term
Which of the following is NOT a region of the pancreas?

a. body
b. capsule
c. head
d. tail
Definition
b. capsule
Term
The triangle of Calet is an anatomical space bounded by structures in which surgical procedure?
Definition
cholecystectomy
Term
What is achieved by insufflation of carbon dioxide into the abdominal cavity?
Definition
pneumoperitoneum
Term
Where is the gallbladder located in relation to the liver?
Definition
inferior surface of the right lobe
Term
For which procedure would the Buie pile forceps be used?
Definition
hemorrhoidectomy
Term
A typical end-to-end bowel anastomosis is accomplished with which suturing technique?
Definition
two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture
Term
In which abdominal incision would the linea alba be opened down to the peritoneum?
Definition
median vertical
Term
Which incision is traditionally used for an open appendectomy?
Definition
McBurney
Term
A Maloney bougie dilator is used in which anatomical structure?
Definition
esophagus
Term
Doyen, Kocher, Dennis and Allen are all names of which type of instrument?
Definition
intestinal clamps
Term
What does TEP stand for in general surgery?
Definition
totally extraperitoneal prolapse
Term
Wat term is used for surgical opening of the abdominal or peritoneal cavity?
Definition
laparotomy
Term
Which type of hernia occurs below the abdominocrural crease and more frequently in females?
Definition
femoral
Term
What is another way of saying "cephalad to caudad"?
Definition
head to tail
Term
Which fascial sheet is attached to the iliac crest, linea alba and pubis?
Definition
Scarpa's
Term
What is another name for an acquired ventral hernia through the linea semilunaris?
Definition
Spigelian
Term
A gastrostomy can be created by all of the following methods EXCEPT:

a. open
b. endovascular
c. laparoscopic
d. percutaneous
Definition
b. endovascular
Term
Which suturing technique is often used on the appendiceal stump?
Definition
pursestring
Term
Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical preocedure?
Definition
modified radical mastectomy
Term
Where are the parathyroid glands in relation to the thyroid?
Definition
dorsal, superior and inferior
Term
What do the parathyroid glands regulate in the body?
Definition
blood calcium concentration
Term
The skin incision for a thyroidectomy will follow which anatomical lines?
Definition
Langer's
Term
Which handheld retractors are frequently used to retract tissues during thyroidectomy?
Definition
Green
Term
What is the name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision?
Definition
bezoar
Term
What type of hernia protrudes through the transversalis fascia in the area of Hesselbach's triangle?
Definition
direct
Term
What is the type of hernia in which both direct and indirect defects are present?
Definition
pantaloon
Term
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?
Definition
indirect
Term
For which type of hernia repair could a Penrose drain be used as a method of gentle retraction of the spermatic cord?
Definition
McVay inguinal herniorrhaphy
Term
A vagotomy is a surgical treatment option for_____.
Definition
gastric ulcers
Term
Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion?
Definition
intussusception
Term
Which type of procedure is used to release abnormal tissue connections in the abdominal viscera and layers?
Definition
lysis of adhesions
Term
End-to-end, end-to-side, side-to-side and Roux-en-Y are techniques for _____.
Definition
bowel anastamosis
Term
In a laparoscopic appendectomy, all of the following 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
Definition
c. intraluminal circular stapler
Term
Which statement is TRUE 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.
Definition
c. Polyps protrude inward, and diverticula protrude outward from the intestine
Term
The hepatic and splenic flexures are located proximally and distally in which part of the large intestine?
Definition
transverse
Term
"Bowel technique" refers to steps used by the surgical team to prevent postoperative _____.
Definition
surgical site infection
Term
An intestinal stoma is created at a point below the costal margin, above the belt line and at the lateral edge of which muscle?
Definition
rectus abdominus
Term
Where is the most common site of permanent colostomy?
Definition
sigmoid
Term
Which surgical position is used exclusively for anorectal procedures?
Definition
Kraske
Term
Which type of viewing instrument would be used for surgical treatment of hemorrhoids?
Definition
anoscope
Term
Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle?
Definition
blunt
Term
What is the incision routinely used for open cholecystectomy?
Definition
right subcostal
Term
Which handheld retractor is specifically designed for use in open cholecystectomy to elevate the liver?
Definition
Harrington
Term
What is the reason for injecting saline through the cholangiogram catheter prior to the contrast media?
Definition
The saline will test patency of the cystic duct prior to injecting the contrast
Term
A T-tube or wound drain left in place following laparoscopic cholecystectomy would MOST likely exit through _____?
Definition
one of the 5 mm right port site incisions
Term
Which of the following are endocrine-secreting glands of the pancreas that make up only 1% of the gland?

a. acini
b. ampulla of Vater
c. islets of Langerhans
d. uncinate process
Definition
c. islets of Langerhans
Term
Pancreaticoduodenectomy is also known as which procedure?
Definition
Whipple
Term
A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the _____.
Definition
breast
Term
What type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous ducts.
Definition
circumareolar
Term
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?
Definition
sentinel
Term
The surgeon may request what for irrigation to aid in destroying any residual tumor cells after dissection?
Definition
sterile water
Term
Surgical removal of the entire breast without any lymph nodes is a(n) _____.
Definition
simple mastectomy
Term
If a mastectomy is scheduled to follow a breast biopsy and frozen section results indicate carcinoma, what is done?

a. Protect the field until the second procedure begins
b. Bring up a Mayo stand with new instruments for the mastectomy
c. Use same instruments, but change gloves
d. Re-prep, redrape patient; team changes gowns and gloves; and use new instruments
Definition
d. Re-prep, redrape patient; team changes gowns and gloves; and use new instruments
Term
Bifurcated drains and fluffy pressure dressings are used following mastectomy primarily to _____.
Definition
prevent hematoma or seroma
Term
Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called _____>
Definition
hemorrhoid
Term
Which term describes the removal of a cone-shaped specimen of tissue from the cervix?
Definition
conization
Term
When the mature ovum leaves the ovary, it is caught by the _____.
Definition
fimbriae
Term
The _____ secretes the thick alkaline fluid that aids the motility of sperm during ejaculation.
Definition
prostate gland
Term
Which sexually transmitted disease is caused by a virus?
Definition
genital herpes
Term
Which is a developmental defect in which one testicle fails to descend into the scrotum?
Definition
cryptorchidism
Term
Inflammation of the fallopian tube is known as _____.
Definition
salpingitis
Term
The _____ is the tough, membranous outer layer of the uterus.
Definition
perimetrium
Term
The condition _____ occurs when the ovaries stop functioning before age 40 due to disease, hormonal disorder or surgical removal.
Definition
premature menopause
Term
A woman who has given birth two or more times is known as ______.
Definition
multiparous
Term
What is the term for removal of the foreskin?
Definition
circumcision
Term
What is also know as menses?
Definition
menstruation
Term
From implantation through the 8th week of pregnancy, the developing child is known as a/an _____.
Definition
embryo
Term
The first movements of the fetus that a mother can feel are called _____.
Definition
quickening
Term
Postpartum vaginal discharge that typically continues for 4 to 6 weeks after childbirth is called _____.
Definition
lochia
Term
Which specialist would diagnose and treat diseases and disorders of the female reproductive system?
Definition
gynecologist
Term
A cosmetic procedure to increase breast size is _____.
Definition
breast augmentation
Term
What term is also known as a complete hysterectomy?
Definition
total hysterectomy
Term
A _____is a measure taken to lessen the likelihood of pregnancy.
Definition
contraceptive
Term
The _____ is a temporary organ that forms in the uterus to allow the exchange of nutrients, oxygen and waste between mother and infant.
Definition
placenta
Term
Which term also means colpitis?
Definition
vaginitis
Term
What term refers to the separation of the placenta from the uterine wall before the birth of the fetus?
Definition
abruption placentae
Term
Which term refers to pain during intercourse?
Definition
dyspareunia
Term
Which term is also known as parturition?
Definition
labor and delivery
Term
A narrowing of the opening of the foreskin so it cannot be retracted to expose the glans penis is known as ______?
Definition
phimosis
Term
Which term refers to a sperm count of less than 20 million/mL?
Definition
oligospermia
Term
The joint of the hemostat where on half of the instrument passes though the other is called the:
Definition
box lock
Term
Which scissors are often called "suture scissors" and are typically straight with a relatively blunt tip?
Definition
Mayo
Term
The #12 blade is used almost exclusively for which procedure?
Definition
tonsillectomy
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