Deck 1: Instruments, Care of Instruments, Set-Up Guidelines

Question 1

During the case, instruments should be wiped clean or placed in a soaking basin containing:

A) Saline
B) Tap water
C) Sterile water
D) Hydrogen Peroxide

Answer 1

C

Question 2

Tissue, blood, or debris on instruments is referred to as:

A) Biomolecules
B) Bioburden
C) Biodegradeable
D) Biomess

Answer 2

B

Question 3

Most surgical instruments are made of:

A) Bronze
B) Titanium
C) Stainless Steel
D) Aluminum

Answer 3

C

Question 4

A black finish on an instrument makes it safer to use with:

A) laser
B) electrocautery pencil
C) endoscope
D) camera

Question 5

Instruments that are used to remove fluid, blood and debris from the surgical site are classified as:

A) Probing and Dilating
B) Clamping and Occluding
C) Retracting and Exposing
D) Suctioning and Aspirating

Question 6

When cleaning up after a case, heavy instruments should never be placed:

A) On the bottom of the tray
B) Beside other heavy instruments
C) On top of more delicate instruments
D) In their special containers (if they have one)

Question 7

The most common method of sterilization is:

A) Steam under pressure
B) Immediate use
C) Cold Chemical
D) Radiation

Question 8

When setting up your sterile field, where should you place the basins and medicine cups ?

A) Near the middle of the back table
B) Near the back of the table, away from the circulator
C) Near the edge of the table so the circulator can pour without reaching over the table
D) In the middle of the Mayo stand

Question 9

A camera would fall into which classification of instruments?

A) Retracting and Exposing
B) Accessory
C) Probing and Dilating
D) Viewing

Question 10

You are scrubbed on an exploratory laparotomy. When should you ask for your dressing material?

A) At the beginning of the case
B) In the middle of the case
C) At the end of the case
D) While you are setting up

Question 11

You are scrubbed on a total hip and one of the implants get contaminated. The circulator goes out to look for another one and comes back saying that is the last one of that size that they have available in the OR. What do you do?

A) Tell the surgeon to cancel the surgery and start picking up your instruments
B) Sterilize it using immediate use sterilization with an indicator tape in the pan
C) Sterilize it using immediate use sterilization with a biological monitoring device in the pan
D) Tell the surgeon to use another size implant

Question 12

You are setting up a case and notice the blades on the Metzenbaum scissors are slightly misaligned. What do you do?

A) Keep setting up and hope no one notices- time is of the essence
B) Remove them from the field and ask for a new one
C) Say nothing, it is only a "slight" misalignment
D) Toss them on the floor and tell the Circulator you need a new one

Question 13

A Dynamic Air Removal sterilizer is more commonly known as a:

A) Flash sterilizer
B) Prevacuum sterilizer
C) Gravity displacement sterilizer
D) Immediate Use sterilizer

Question 14

You are scrubbed on a laparoscopic appendectomy. Which instrument would NOT be placed on your Mayo stand to begin the case, due to limited space?

A) Scalpel handle with blade
B) Superficial retractor
C) Trocars
D) Deep retractor

Question 15

When using glutaraldehyde to sterilize an instrument, the instruments must soak in it for ______________ to be deemed sterile.

A) 20 minutes
B) 60 minutes
C) 4 hours
D) 10 hours

Question 16

Which part of the instrument that determines the overall length of the instrument?

A) Screw joint
B) Blade
C) Shank
D) Tip

Question 17

Forceps consist of __________ parts.

A) 3
B) 4
C) 5
D) 6

Question 18

Cold or chemical sterilization is not recommended for instruments with:

A) Tungsten carbide tips
B) Stainless steel shanks
C) Stainless steel tips
D) Supercut blades

Question 19

Another name for the boxlock is:

A) Hinge joint
B) Screw joint
C) Shank
D) Finger ring

Question 20

You are assigned to scrub a laparoscopic cholecystectomy. When should you begin to set up your sterile field?

A) 2 hours prior to the case
B) As close to the start of the case as possible
C) 3 hours prior to the case
D) 2 hours prior to the case and cover it with a sterile sheet

Question 21

Instruments that need nitrogen or batteries to run are classified as _______________________ instruments.

Question 22

What is the function of the joint on a forceps?

Question 23

When can you use immediate use sterilization to sterilize an implant?

Question 24

Which component of stainless steel makes the instrument more resistant to corrosion?

Question 25

What is the most common form of cold chemical sterilization used in the operating room?

Question 26

Prior to the start of the case, rigid scope shafts should be checked to make sure they are _________________________________.

Question 27

In order to kill microbial life, the temperature of the steam in the sterilizer must be:

Question 28

Name three methods of sterilization used for surgical instruments.

Question 29

Glutaraldehyde is used in ___________________ ____________________ sterilization.

Question 30

Along with the tips, the _________________ are considered the working part of a ringed instrument.

Question 31

Instruments that do not fall into any of the other instrument classifications are classified as _______________________________ instruments.

Question 32

Scissors are classification as what type of instruments?

Question 33

At the end of the case, heavy instruments should be placed in the __________________ of the tray.

Question 34

Keep the number of instruments on the Mayo stand to a _____________________.

Question 35

If the ring handles on a scissor are black, generally means what?

Question 36

What happens when dissimilar metals come in contact with each other in a hot, wet environment like an ultrasonic cleaner?

Question 37

_________________________ your motion around the Mayo stand and back table.

Question 38

Check instruments for ___________________ before placing them on the Mayo stand or back table.

Question 39

List four parts of a ringed instrument.

Question 40

Name two ways in which a ringed instrument may function.

Question 41

A scissor that has one short and one long gold-plated ring handle is a Supercut scissors.

Question 42

Prevacuum sterilizers operate at 260F.

Question 43

Ask for your dressings at the mid-point in the surgery.

Question 44

Remove and replace instruments on the Mayo stand as necessary as the surgery progresses.

Question 45

You are inspecting your instruments and find a couple of tiny specks of blood in the jaws of a hemostat. This instrument is OK to use on a patient.

Question 46

When setting up your back table, group all like sponges together.

Question 47

Instruments used to explore a structure are classified as grasping and holding.

Question 48

The Steris sterilization system uses a sterilant containing 35% glutaraldehyde.

Question 49

On a retractor, the blade determines how far into the surgical wound the retractor can be inserted.

Question 50

If you need to use immediate use sterilization, all items must be unwrapped.

Question 51

Microinstruments can be used to cut dressings or drains.

Question 52

The boxlock determines the length of the instrument.

Question 53

Scissors consist of five basic parts.

Question 54

Develop a logical, organized and efficient approach to setting up.

Question 55

The pressure needed to raise the temperature of the steam to 270F is 25 psig.