Deck 34: Assisting in Minor Surgery

Question 1

Which solution is typically used to preserve excised tissue for specimens?

A) Silver nitrate (AgNO₃)
B) Ethyl chloride
C) Epinephrine
D) Formalin

Answer 1

Formalin

Question 2

The recommended temperature for sterilization in an autoclave is

A) 121 $\degree$ C to 123 $\degree$ C.
B) 98.6 $\degree$ C.
C) 100.4 $\degree$ F.
D) 37.6 $\degree$ C.

Answer 2

121 $\degree$ C to 123 $\degree$ C.

Question 3

Choose the smallest diameter of a suture strand.

A) 0
B) 5-0
C) 5
D) 1-0

Answer 3

5-0

Question 4

How should instruments be handled after the surgery is complete?

A) Place heavier instruments at the bottom of a collection basin.
B) Keep all instruments locked to prevent accidental injury.
C) Wait until any blood on the instrument has dried before cleaning.
D) Use a detergent with a neutral pH that creates a high level of suds.
E) Both A and D are correct.

Question 5

Which antiseptic is the most effective for a surgical hand scrub or patient skin preparation for surgery?

A) Hydrogen peroxide
B) Hibiclens
C) Isopropyl alcohol
D) Povidone-iodine
E) B and D

Question 6

Which of the following is (are) true about the autoclave process?

A) Steam simultaneously heats and wets the objects being autoclaved.
B) When the cycle is finished and the chamber has cooled, microorganisms have been destroyed.
C) The mechanism of action is steam under pressure.
D) Both A and C are true.
E) All of the above are true.

Question 7

This instrument has a fine tip for retrieval of foreign objects.

A) Nasal speculum
B) Splinter forceps
C) Needle holder
D) Suture scissors

Question 8

The recommended method for cleaning sharp instruments is to

A) use an ultrasonic cleaner.
B) wear appropriate PPE.
C) use the proper concentration of disinfectant.
D) rinse instruments with sterile water before sterilizing.

Question 9

These instruments have very sharp hooks.

A) Tissue forceps
B) Needle holders
C) Splinter forceps
D) Towel forceps (towel clamps)

Question 10

Which of the following forceps are used to grasp tissue and in suturing?

A) Allis tissue forceps
B) Thumb forceps
C) Toothed tissue forceps
D) Both A and C

Question 11

____________ is the complete destruction of organisms on instruments or equipment that will enter the patient's body. This technique is mandatory for any procedure that invades the body's skin or tissues, such as surgery.

A) Medical asepsis
B) Surgical asepsis
C) Sterilization
D) Disinfection

Question 12

Which are the largest hemostat forceps?

A) Mosquito forceps
B) Curved forceps
C) Kelly forceps
D) Straight forceps

Question 13

Which of the following is used as a diluent for medications?

A) Single one-time use vials of sterile water
B) 0.9% Sodium Chloride Injection USP single-dose vial
C) Bacteriostatic 0.9% Sodium Chloride Injection USP multiple-dose vial
D) 0.9% Sodium Chloride Irrigation USP

Question 14

Research indicates that chlorhexidine topical (Hibiclens), Triseptin, gluconate products (Triseptin or Hibiclens), and povidone-iodine (Betadine) are safe and effective antiseptics. Research also shows that the use of an alcohol-based hand rub is not as effective as an extensive surgical scrub done before sterile gloves are applied to limit bacterial contamination of the hands during a surgical procedure.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 15

These instruments have valves that can be spread to facilitate viewing.

A) Splinter forceps
B) Bayonet forceps
C) Nasal specula
D) None of the above

Question 16

Surgical instruments generally are classified according to use. Which is not a classification for instruments?

A) Cutting
B) Grasping
C) Restabilizing
D) Probing and dilating

Question 17

This instrument tip has a groove or hook to slide under sutures.

A) Hemostic forceps
B) Suture scissors
C) Probe tip
D) Needle holders

Question 18

Which of the following are the strongest nonabsorbable sutures?

A) Dacron and Prolene
B) Dexon and Maxon
C) Silk
D) Vicryl
E) Both A and B

Question 19

The jaws of this instrument are shorter and look stronger than hemostat jaws.

A) Needle holder
B) Thumb forceps
C) Splinter forceps
D) Towel forceps (towel clamp)

Question 20

Which of the following gynecologic instruments is used to remove polyps, secretions, and bits of placental tissue?

A) Uterine Curette
B) Tenaculum Forceps
C) Foerster Sponge Forceps

Question 21

Which of the following passes through to a body organ or cavity?

A) Incised wound
B) Lacerated wound
C) Perforated wound
D) Penetrating wound
E) Both C and D

Question 22

After instruments have been immersed in a chemical sterilizing agent, they should be rinsed with sterile water.

Question 23

Hydrogen peroxide is the preferred antiseptic for skin preparation before surgery.

Question 24

Reducing the number of microorganisms to a safe level is called

A) sanitization.
B) disinfection.
C) sterilization.

Question 25

Which of the following instruments would be damaged by the high temperature and steam under pressure of autoclaves and must be disinfected after each procedure?

A) Electrode tip used in electrosurgery
B) Laser tip used in laser surgery
C) Microscope used in microsurgery
D) Endoscope used in endoscopy
E) Both C and D

Question 26

What is the cleansing process that removes organic material and reduces the number of microorganisms to a safe level?

A) Disinfection
B) Germicide
C) Sanitization
D) Sterilization

Question 27

Venipunctures or injections must be performed using which of the following protocols?

A) Asepsis
B) Medical asepsis
C) Surgical asepsis
D) Sterile technique

Question 28

Sterile technique does not have to be followed in the preparation of a site for surgery.

Question 29

The LEEP excisional procedure is considered which of the following?

A) Electrosurgery
B) Laser surgery
C) Microsurgery
D) Endoscopy
E) Cryosurgery

Question 30

Nylon suture material is nonabsorbent and strong and has a high degree of elasticity.

Question 31

Which of the following endoscopes is rigid?

A) Laparoscope
B) Colonoscope
C) Bronchoscope
D) Gastroscope

Question 32

Which of the following aseptic procedures is performed on blood pressure cuffs and stethoscopes after each use?

A) Sanitization
B) Disinfection
C) Sterilization
D) Either A or B

Question 33

The physician may spray a topical anesthetic on a surgical site before injecting a local anesthetic.

Question 34

In which phase of wound healing is fibrin most involved?

A) First phase
B) Second phase
C) Third phase
D) All phases

Question 35

Each instrument should always be locked before it is immersed in the chemical decontaminant so that the entire surface area can be cleansed.

Question 36

Local anesthesia can last as long as 5 hours.

Question 37

Under which of the following post-operative conditions should a patient call the office immediately?

A) Redness around the operative site
B) Bleeding from the wound
C) Fever or swelling
D) Increasing or severe pain
E) All of the above

Question 38

Which of the following may cause incomplete autoclave sterilization?

A) Wet steam
B) Residual air
C) Fast exhaust
D) Both A and B
E) All of the above

Question 39

Which of the following bandage materials is superior for covering round narrow surfaces such as fingers or toes?

A) Plain roller gauze
B) Wrinkled crepe-type roller bandage
C) Elastic bandage
D) Seamless tubular gauze bandage
E) All of the above

Question 40

Which statement is not true about informed consent for surgery?

A) The medical assistant is responsible for obtaining the patient's consent to treatment.
B) The patient must understand the potential risks and benefits of the surgery.
C) The patient must understand the possible risks of any alternative treatment.
D) The patient cannot give consent if he or she has received preoperative medication.

Question 41

Bandage scissors have a pointy, sharp probe tip that is inserted under the bandage to aid removal.

Question 42

Ethyl chloride is an effective local anesthetic that can be used when the physician performs minor surgery with electrical cauterizing equipment.

Question 43

Air currents carry bacteria, so body movements and talking over a sterile field should be kept to a minimum.

Question 44

Epinephrine may be included in local anesthetics because of its vasodilating effect.

Question 45

One method of controlling epistaxis is to apply silver nitrate sticks to the bleeder site.

Question 46

When using sterilizing bags, insert the grasping end of the instrument first.

Question 47

Ratchets are used to lock an instrument into position.

Question 48

Proper preparation of a surgical site removes all organisms from the area.

Question 49

Infection can cause death in some circumstances.

Question 50

Suture scissors have a beak or hook tip that can slide under the suture for removal.

Question 51

Nonsterile individuals should never reach over a sterile field.

Question 52

No harm is done if a sterile field gets wet.

Question 53

The medical assistant should always keep the sterile field in view.

Question 54

Local anesthetics with epinephrine are not recommended for use in suturing a finger laceration.

Question 55

The medical assistant must never turn his or her back on a sterile field or wander away from it.

Question 56

Ethyl chloride is a topical anesthetic spray that acts as a vapocoolant to control pain associated with minor surgical procedures.

Question 57

A probe is used to search for foreign objects in a wound.

Question 58

Surgical sponges used to absorb blood and drainage during a surgical procedure do not have to be sterile.

Question 59

All hinged instruments are wrapped in the open position to allow full steam penetration of the joint.

Question 60

When autoclaving, place a gauze square around the tips of sharp instruments to prevent them from piercing the wrapping material.

Question 61

A wet instrument pack is not automatically considered contaminated.

Question 62

Suppuration can cause problems with wound healing.

Question 63

Techniques for medical asepsis create a sterile environment.

Question 64

Unwrapped items in an autoclave require more time for sterilization than wrapped items.

Question 65

Wet steam in an autoclave can be caused by the placement of cold instruments in a hot chamber.

Question 66

Sterile technique should be used for venipuncture.

Question 67

After autoclaving, a change in the color of the dye of the autoclave tape indicates that the pack is sterile.