Deck 7: Surgical

Question 1

The Bard-Parker No. 3 scalpel handle uses which detachable scalpel blade?

A)No. 10
B)No. 20
C)No. 30
D)No. 40

Answer 1

No. 10

Question 2

Which instrument should be chosen for dissecting tough tissues?

A)Metzenbaum scissors
B)Forceps
C)Mayo scissors
D)Hemostats

Answer 2

Mayo scissors

Question 3

Which forceps have pointed tips that curve and meet like ice tongs?

A)Babcock Intestinal forceps
B)Rochester-Ochsner forceps
C)Crile forceps
D)Backhaus towel forceps

Answer 3

Backhaus towel forceps

Question 4

Which forceps are used to cut and remove pieces of bone?

A)Babcock forceps
B)Bone-holding forceps
C)Rongeur forceps
D)Allis forceps

Question 5

Which instrument is T-shaped, has a cylindrical cutting blade, and is used for boring holes in bone for grafting or biopsy?

A)Trephine
B)Curette
C)Chisel
D)Osteotome

Question 6

Which sterilizers employ the use of pressurized steam?

A)Oven
B)Cold sterilization
C)Steam sterilizers
D)Autoclave

Question 7

Which type of sterilization indicator identifies materials that have been exposed to steam but does not ensure the materials are sterilized?

A)Autoclave tape
B)Chemical sterilization indicator
C)Label tape
D)None of the above

Question 8

When is a sterile surgical pack considered contaminated?

A)If it becomes wet
B)If the packaging is punctured or torn
C)If it is dropped
D)If its sealing is broken
E)All of the above

Question 9

Inflammatory, Debridement, Repair, and Maturation are the four phases of what process?

A)Parasite infection
B)Culture growing
C)Wound healing
D)None of the above

Question 10

Which factor(s) affect wound healing?

A)Host factors
B)Wound characteristics
C)External factors directly affecting the wound
D)All of the above

Question 11

Which is the most acceptable way to prepare an open wound for aseptic surgery without the introduction of hair and additional debris?

A)Go ahead and clip, followed by a lavage.
B)Cover with a sterile water-soluble lubricant and clip the surrounding hair.
C)The wound is already contaminated so it doesn't matter.
D)None of the above.

Question 12

Why is the use of antiseptic solutions contraindicated in the lavage of wounds?

A)They remove the good bacteria.
B)They are not contraindicated as they prep the wound for closure.
C)They damage already inflamed tissue.
D)None of the above.

Question 13

What is the act of removing all contaminated or necrotic tissue and foreign material from a wound called?

A)Wound debridement
B)Wound lavage
C)Wound bandaging
D)Wound closure

Question 14

Which method of wound closure is achieved by the suturing or grafting of a wound soon after injury?

A)Delayed primary closure
B)Secondary closure
C)Contraction closure
D)Primary closure

Question 15

What is the purpose of a dry/dry bandage?

A)To keep the wound dry from rain or other moisture
B)To absorb exudate and allow debris to adhere
C)To prevent moisture loss from the wound
D)None of the above

Question 16

What is the time frame during which a compression bandage is effective?

A)1 - 2 hours
B)3 - 4 hours
C)5 - 10 minutes
D)30 - 40 minutes

Question 17

Which sling is used to immobilize the hind limb after reduction of a craniodorsal coxofemoral luxation and to prevent weight bearing on the pelvis?

A)Velpeau sling
B)Ehmer sling
C)Carpal flexion sling
D)Hobbles

Question 18

What is the excessive granulation tissue found on open wounds of the distal aspect of equine limbs called?

A)Lumpy disease
B)Massive granulation
C)Proud Flesh
D)None of the above

Question 19

Which hazard(s) should one avoid when handling open hollow organs, such as the stomach or intestine, when assisting with abdominal surgery?

A)Spilling of organ content
B)Foul odors
C)Contaminating the inside of the organ
D)None of the above

Question 20

Which nerve(s) should a surgical assistant be aware of during an orthopedic fracture repair?

A)Radial
B)Ulnar
C)Ischiatic
D)All of the above

Question 21

Which type of instrument would one choose in order to increase visibility, ease manipulation in the incision, and expose desired organs?

A)Forceps
B)Retractors
C)Curettes
D)Hemostats

Question 22

What is the proper motion for using a gauze sponge for hemostasis?

A)Blotting
B)Rubbing
C)Wiping
D)All of the above

Question 23

During a surgical procedure, at what time(s) are surgical sponges counted?

A)Prior to the incision
B)At any time new sponges are added
C)Prior to closing
D)All of the above

Question 24

Which technique is appropriate for hemostasis?

A)Sponge blotting
B)Hemostatic forceps
C)Suture ligation
D)Electrocoagulation
E)All of the above

Question 25

When using an electrosurgery unit, which antiseptic preparation(s) should be voided?

A)Gasoline-based preparations
B)Alcohol-based preparations
C)Water-based preparations
D)None of the above

Question 26

In general, what time frame is recommended for suture removal if the incision has healed nicely?

A)5 - 7 days
B)8 - 12 days
C)10 - 14 days
D)12 - 15 days

Question 27

Which of the following listed procedures is a nonelective surgery?

A)Tail Docking
B)Hemilaminectomy
C)Onychectomy
D)Ovariohysterectomy

Question 28

At what joint is a dewclaw removed on the front foot?

A)Phalange joint
B)Hip joint
C)Carpometacarpal joint
D)Tarsometatarsal joint

Question 29

For an onychectomy, where is the tourniquet placed prior to surgery?

A)Below the elbow
B)Above the elbow
C)Above the metacarpals
D)A tourniquet is not used.

Question 30

What is another term for celiotomy?

A)Laparotomy
B)Spay
C)Cesarean
D)Declaw

Question 31

Which of the following statements is true about folding and packaging a surgical gown and how that affects its sterility?

A)When the pack is opened, the inside of the gown is exposed.
B)When the pack is opened, the outside of the gown is exposed.
C)When the pack is opened, the outside of the sleeves are exposed.
D)Any method of folding and packaging is acceptable as long as the gown is sterilized.

Question 32

When should oxytocin NOT be given during a dystocia?

A)Dam has weak uterine muscular contractions
B)Placenta is retained
C)A malpositioned pup or kitten is present
D)All of the above

Question 33

In a severe case of sinusitis in an equine patient, what is the term used to describe the surgical creation of a hole into the sinus to allow the drainage of pus?

A)Trephination
B)Boreing
C)Tenonectomy
D)Siphon

Question 34

Which anatomical structures are large, symmetrical dilations of the Eustachian tube of the horse, located just above the larynx?

A)Pharynx
B)Sinus
C)Coffin joint
D)Guttural pouch

Question 35

Which of the following is considered a reason for surgical intervention in colic?

A)Volvulus
B)Impactions
C)Foreign bodies
D)All of the above

Question 36

Proper padding is essential for large animal surgery. Which condition are you trying to prevent?

A)Colic
B)Myositis
C)Arthritis
D)Founder

Question 37

For visualization during arthroscopic procedures, how are the joints distended during surgery?

A)Carbon dioxide
B)Oxygen
C)Sterile saline
D)None of the above

Question 38

The term "clean" in reference to radiographs following an arthroscopic procedure indicate what about the joint?

A)No bone fragments are present.
B)Hardware is in the correct place.
C)No foreign bodies are present.
D)All of the above.

Question 39

What is the term for the collection of bone from another part of the animal's body?

A)Stealing
B)Harvesting
C)Scraping
D)None of the above

Question 40

Closed castration in calves involves the use of which surgical instrument(s)?

A)Emasculator
B)Emasculatome
C)Hemostats
D)All of the above

Question 41

Which instrument is used to dehorn calves when the buds are 1 - 2 cm long?

A)Barnes dehorner
B)Dehorning saw
C)Hot iron dehorner
D)Stiles dehorner

Question 42

A cow is present for rumenotomy. What is the best surgical approach for this procedure?

A)Midline celiotomy
B)Right flank laparotomy
C)Left flank laparotomy
D)Paramedian celiotomy

Question 43

Septic arthritis of the coffin and/or pastern joints in cattle is best surgically treated by which procedure?

A)Arthroscopy
B)Plating
C)Arthrodesis
D)Amputation

Question 44

What is the surgical treatment for obstructive urolithiasis in male ruminants?

A)Urethrostomy
B)Ureterolithotomy
C)Urethrectomy
D)None of the above

Question 45

What is the band used for castration above the scrotum in calves, lambs, and kids called?

A)Emasculator band
B)Elastrator band
C)Rubber band
D)None of the above

Question 46

What size clipper blade is used to remove hair from the surgical site?

A)No. 10
B)No. 15
C)No. 30
D)No. 40

Question 47

Which area of a sterile gown is considered nonsterile?

A)The front above the waist
B)The back
C)The front below the waist
D)Both B and C

Question 48

What is the correct terminology that refers to an opening up; usually thought of as relative to a surgical suture line?

A)Arroyo
B)Dehiscence
C)Delineation
D)Ascerbation

Question 49

A horse that is lying on its back is said to be in what position?

A)Lateral Recumbency
B)Supine
C)Slightly oblique
D)Reclined

Question 50

What is the difference between Kelly forceps and tissue forceps?

A)Kelly forceps are transversely grooved on one half of the jaw and Tissue forceps have various patterns of teeth that bite into tissue.
B)Kelly forceps have various patterns of teeth that bite into tissue, and tissue forceps are transversely grooved on half of the jaw.
C)There is no difference. Both Kelly forceps and tissue forceps are examples of hemostatic forceps.
D)Kelly forceps are smooth with no pattern and Tissue forceps have various patterns of teeth that bite into tissue.

Question 51

Which surgical instrument is appropriate for crushing the body of a uterus during an ovariohysterectomy operation?

A)Crile forceps
B)Metzenbaum scissors
C)Rochester - Carmalt forceps
D)Littaur uterine forceps

Question 52

Which type of forceps would be used when a surgeon needs to grasp intestinal tissue while causing minimal trauma?

A)Rochester - Pean forceps
B)Babcock forceps
C)Roeder clamp
D)Rochester-Ochsner forceps

Question 53

When performing an orthopedic procedure, which instrument would be the best choice for collecting a bone graft or removing articular cartilage?

A)Osteotome
B)Chisel
C)Curette
D)Steinmann pin

Question 54

During an ovariohysterectomy operation, what is the specialized hand held retractor used to bring the uterine horn through the abdominal incision?

A)Balfour Retractor
B)Weitlaner Retractor
C)Gelpi Retractor
D)Snook Hook

Question 55

What general type of lubricant is the most desirable for use on surgical instruments in order to prevent oxidation and keep the parts moving freely?

A)A water-soluble lubricant
B)An oil-based lubricant
C)None. Stainless steel instrumentation does not require lubrication.
D)Any lubricant will work, as long as it is washed off after applying.

Question 56

Which British surgeon was credited as being the "father of antiseptic technique" after demonstrating that carbolic acid could be used as an antiseptic?

A)Louis Pasteur
B)Ernst von Bergmann
C)William Stewart Halsted
D)Joseph Lister

Question 57

Which of the following statements most closely defines the principle of antisepsis?

A)Preventing infection by inhibiting of causative organisms
B)The elimination and destruction of inorganic elements
C)A reduction in the number of circulating free radicals
D)All of the above

Question 58

What is the most widely used and accepted method of instrument sterilization for use in surgeries requiring asepsis?

A)Chemical
B)Filtration
C)Saturated steam under pressure
D)Radiation

Question 59

When steam sterilizing surgical packs, how long should the materials be exposed to steam once an autoclave reaches 121 degrees F in order to ensure sterility?

A)10 - 20 minutes
B)5 - 15 minutes
C)80 - 120 minutes
D)30 - 40 minutes

Question 60

If a team member is scrubbing in for surgery and is performing what is referred to as an "anatomical scrub," what is this team member doing?

A)Counting the number of brush strokes used on each skin surface
B)Timing their scrub
C)Scrubbing a specific body part
D)A quick scrub that is done whenever a team member must enter the surgical area quickly

Question 61

During a surgical procedure, in what manner should instruments be passed to the surgeon?

A)Body first
B)Handle first
C)In any order, so long as asepsis is maintained
D)During a quick scrub that is done whenever a team member must enter the surgical area quickly

Question 62

Of the different types of gloving techniques, which one has the advantage of minimizing the chance of contamination, due to the outside of the gloves never touching the skin?

A)Open Gloving
B)Closed Gloving
C)Double Gloving
D)Operational Gloving

Question 63

The surgical assistant is often responsible for maintaining hemostasis during surgery. Hemostasis can be obtained by:

A)Increasing the drip rate of IV fluids
B)The administration of Acepromazine
C)Applying sustained pressure through gauze sponges
D)Capillary lavage

Question 64

Electrocoagulation uses electrical waves to produce protein coagulation of the blood elements. Which of the following statements is correct regarding electrocoagulation?

A)It can replace the need for ligation in major surgeries.
B)It should only be used on vessels larger than 1.5 mm.
C)Current can be applied directly to the vessel from the hand piece tip, regardless of blood or fluid.
D)It should only be used on vessels smaller than 1.5 mm.

Question 65

Which of the following conditions would be an indication of the need for a penrose drain?

A)Eye enucleation
B)Ear hematoma
C)Any normal surgical incision
D)A wound that has un-obliterated dead space

Question 66

If a patient has a condition that requires permanent suture support, what type of suture would be best suited for this application?

A)Polypropylene
B)Silk
C)Polyglactin (Vicryl)
D)Surgical Gut

Question 67

Aside from the obvious, why is choosing the correct size suture important to a successful surgical outcome?

A)Larger sutures offer a mechanical advantage over smaller sutures.
B)Oversized sutures can lead to over tightening and tissue strangulation.
C)Relative knot security increases as the suture size increases.
D)Oversized sutures will strengthen a wound by ensuring good tissue opposition.

Question 68

What type of suture material is highly susceptible to early resorption caused by the presence of infection or contamination?

A)Polyglactin (Vicryl)
B)Silk
C)Surgical Gut
D)Polypropylene

Question 69

Which type of suture needle is the most preferable for suturing when a watertight seal is desired, such as with closing the bladder?

A)Ellipitron
B)Reverse Cutting
C)Cutting
D)Taper

Question 70

If a patient is scheduled for an onychectomy, what procedure will be performed?

A)Declaw
B)A castration with a retained testicle
C)A spay with cystic ovaries
D)A tail amputation

Question 71

If a patient is diagnosed with an inguinal hernia, what is the preferred remedy for the condition?

A)Hormonal therapy
B)Surgical intervention
C)Antibiotic therapy
D)None. The hernia will spontaneously regress

Question 72

For small animals, such as a dog or cat, in what situation would a Velpeau sling be useful?

A)Shoulder luxation
B)Patellar luxation
C)Femoral head luxation
D)Ulnar luxation

Question 73

What type of temporary support would you use to stabilize a fracture prior to surgical repair?

A)Spica splint
B)Ehmer sling
C)Plaster cast
D)Robert Jones bandage

Question 74

Felix is a four-year-old cat that has had perianal urethrostomy surgery. When is feline perianal urethrostomy performed?

A)In female cats with recurrent urinary tract infections
B)In male cats with recurrent urethral obstruction
C)In female cats that are constipated
D)In male cats that have perianal fistulas

Question 75

Which of the following statements is correct regarding high-energy ionizing radiation sterilization?

A)Commonly used for instruments that can also be sterilized by heat
B)Common sources of sterilization is Ethylene Oxide
C)Common sources of sterilization include electron beam and Cobalt-60
D)All materials can be irradiated successfully

Question 76

When considering proper patient draping for surgery, which of the following statements reflects proper use of the four corner draping technique?

A)The drape should be drug along the patient's body to ensure proper placement.
B)If the drape needs to be repositioned, it should be moved towards the sterile site.
C)The sterile drape should be between the surgeon's sterile gown and the unsterile (undraped) surgical table.
D)Towel clamps should be positioned so that they are lying on the patient's skin.

Question 77

When preparing a patient for surgery, what is an example of a suitable antiseptic for cleaning and preparing the surgical site?

A)Hydrogen Peroxide
B)Alcohol
C)Hexachlorophene
D)Chlorhexidine Gluconate

Question 78

Which of the following statements is true about folding and packaging a surgical gown and how that affects its sterility?

A)When the pack is opened, the inside of the gowns exposed.
B)When the pack is opened, the outside of the gown is exposed.
C)When the pack is opened, the outside of the sleeves are exposed.
D)Any method of folding and packaging is acceptable as long as the gown is sterilized.

Question 79

Which important surgical procedure is performed on a mare in order to prevent air from being aspirated into the vagina?

A)Dusseldorf
B)Vulvar ablation
C)Casslicks
D)Episiotomy

Question 80

Technician Sally's patient is starting to experience hypothermia from a prolonged surgical procedure. How can Sally treat and prevent hypothermia while in the surgical suite?

A)Place a space heater under the surgical table
B)Placing a warm water-circulating blanket under the patient before surgery
C)Placing a blanket for a "forced air warmer" over or around the patient before surgery
D)A and C
E)B and C