Deck 22: Minimally Invasive Endoscopic and Robotic-Assisted Surgery

Question 1

To prevent damage to a telescope, you should never carry or hold it ________________.

A) without a container
B) with one hand
C) by the head
D) by the shaft

Answer 1

D

Question 2

When the telescope is introduced into the body, the temperature difference creates _______ on the telescope lens.

A) clearness
B) crystals
C) cracks
D) fogging

Answer 2

D

Question 3

A ________ is commonly performed with the patient in the lithotomy position.

A) laparoscopic cholecystectomy
B) laparoscopic hernia repair
C) gynecological procedure
D) thoracic procedure

Answer 3

C

Question 4

MIS requires ________ instruments and an ________ system.

A) long surgical; audio
B) telescopic; imaging
C) short surgical; open drainage
D) no surgical; open drainage

Question 5

The proximal section of a flexible endoscope where the controls are located is called the ___________________.

A) capacitator
B) focus ring
C) trocar
D) control head

Question 6

The __________________ connects the camera to the telescope and is specific to the type of camera and scope in use.

A) hard coupler
B) endocoupler
C) camera coupler
D) duocoupler

Question 7

A ______________ is needed to create a pneumoperitoneum.

A) distractor
B) Veress needle
C) uterine sound
D) dilator

Question 8

A(n) ________ is used to create ports into the abdomen or other body cavities for the insertion of endoscopic instruments.

A) trocar-cannula system
B) insufflator
C) uterine manipulator
D) Veress needle

Question 9

The ____________ viewer provides three-dimensional images of the surgical site when using the da Vinci system.

A) monoscopic
B) stereoscopic
C) eye lens
D) binocular

Question 10

_________ surgery combines the techniques of minimally invasive surgery with computer-guided instruments that are controlled remotely through a nonsterile interface system.

A) Robotic
B) Remote
C) Computer-assisted
D) Technology-enhanced

Question 11

When a fiberoptic cable is in use, it must not be activated until it is attached to the system. The intense light rays can ________.

A) cause serious eye damage to surgical personnel
B) easily ignite the patient's drapes
C) restrict the surgical team member's view
D) cause the longitudinal fibers to break

Question 12

A traditional surgical procedure that includes incision and wide access to the targeted tissue is a(n) ________ procedure.

A) open
B) minimally invasive
C) closed
D) reduced

Question 13

After precleaning, a flexible endoscope must be _______________.

A) flushed with saline
B) sterilized
C) soaked in enzymatic cleaner
D) leak tested

Question 14

While cleaning, look for defects in the surface of the instrument. Look for any signs of instrument housing and ____________ damage that may cause accidental burns to the patient.

A) insulation
B) working tips
C) finger rings
D) grip mechanisms

Question 15

A _______________________ is used to assess the regional anatomy, to obtain tissue biopsies, and to perform minor surgical procedures.

A) laparoscope
B) rigid endoscope
C) flexible endoscope
D) rigid telescope

Question 16

Surgical _________ are used in place of suture ligatures to occlude blood vessels or other types of hollow structures, such as the bile ducts.

A) suture
B) sponges
C) clips
D) clamps

Question 17

The clarity of an image that the camera provides depends on ________.

A) how many pixels or silicon units the camera chip contains
B) the user's knowledge and experience
C) the quality of the video system
D) the quality of overhead lighting

Question 18

During an endoscopic procedure, the room lights are usually ________ for most of the case.

A) left on as brightly as possible
B) dimmed or turned off
C) adjusted per surgeon preference
D) adjusted per circulator preference

Question 19

The flexible tip of the endoscope is operated at the control head to obtain ________.

A) direct views
B) rotational views
C) biopsies
D) washings

Question 20

When endoscopic instruments are passed to the surgeon and the assistant, the working end of the instrument should be pointed __________ toward the opening of the cannula or endoscope.

A) downward
B) upward
C) away from the surgeon and
D) away from the technologist and

Question 21

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
Trocar placement

Question 22

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Minimally invasive surgery
b.Flexible endoscopy
c.Robotics
Primary use is in diagnostic procedures

Question 23

After the leak test, the _________ is cleaned manually.

A) camera
B) endoscope
C) camera lens
D) camera and endoscope case

Question 24

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
Probe

Question 25

_________ and_________ modalities have replaced traditional sutures in many endoscopic procedures.

A) Electrosurgical; ultrasound
B) Electrocardio; static
C) Antistatic; static
D) Septic; adaptive

Question 26

During laparoscopy, the abdominal cavity is filled with carbon dioxide, which balloons the body wall outward. This process is called _________.

A) insufflation
B) arthroscopy
C) inflation
D) filing

Question 27

_________ frequency bipolar electrosurgery is used to coagulate and cut through tissue.

A) High-
B) Low-
C) Moderate-
D) Quick-

Question 28

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
High-resolution monitor

Question 29

_________ systems can be disposable, reusable, or reposable.

A) Trocar-cannula
B) Specimen retrieval
C) Fenestrated lumen
D) Open drainage

Question 30

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Minimally invasive surgery
b.Flexible endoscopy
c.Robotics
Allows computer-aided manipulation of instruments

Question 31

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
Accomplished through a Veress needle

Question 32

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
Introduction of CO₂

Question 33

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
Fiberoptic light cord

Question 34

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Minimally invasive surgery
b.Flexible endoscopy
c.Robotics
Must be leak tested after precleaning

Question 35

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
Tissue expansion

Question 36

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
Suction/irrigator

Question 37

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Minimally invasive surgery
b.Flexible endoscopy
c.Robotics
Procedures would include laparoscopy, pelviscopy, and arthroscopy

Question 38

Each silicon element in the chip represents one _________.

A) dimmer
B) pixel
C) meter
D) resolution

Question 39

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Minimally invasive surgery
b.Flexible endoscopy
c.Robotics
Primary benefits include reduction of hand tremors and enhanced dexterity

Question 40

Among the new skills that surgeons must learn when using robotic surgery is the loss of _________ feedback.

A) haptic
B) septic
C) hepatic
D) aseptic

Question 41

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Instrument
b.Technique
c.Imaging
d.Insufflation
Camera control unit