Deck 30: Assisting With Minor Surgery

Question 1

Which of the following is NOT part of the medical asepsis handwashing procedure?

A)Wash hands and wrists.
B)Hold hands up while rinsing. 
C)Wash 1 to 2 minutes.
D)Apply lotion.

Answer 1

Hold hands up while rinsing. 

Question 2

Which of the following instruments is commonly used to clamp blood vessels?

A)Hemostat
B)Towel clamp  
C)Splinter forceps
D)Obturator

Answer 2

Hemostat

Question 3

Which of the following terms best describes a procedure that creates an opening in the skin, such as a surgical incision, or inserting a urinary catheter?

A)Injecting
B)Cautery  
C)Invasive
D)Ligature

Answer 3

Invasive

Question 4

Which of the following best describes practices known as sterile technique?

A)Antibacterial asepsis
B)Surgical asepsis  
C)Medical asepsis
D)Anesthesia and dressings

Question 5

Which of the following is NOT an effective skin cleanser or antiseptic?

A)Betadine®
B)Hibiclens®  
C)Hydrogen peroxide
D)Benzoine tincture

Question 6

Which of the following is NOT considered a way anesthesia can be used?

A)Sprayed
B)Chewed  
C)Inhaled
D)Topically

Question 7

Which of the following instruments is a long, slender instrument used to determine the size and shape of a hidden area or to detect the presence of a foreign body?

A)Obturator
B)Dilator  
C)Sound
D)Retractor

Question 8

Which of the following sterilization techniques cleans but does not sterilize?

A)Gas
B)Dry heat  
C)Chemical
D)Disinfectant

Question 9

Which of the following is the most appropriate action when setting up a surgical tray?

A)Leave the prepared sterile tray in a common area. 
B)Leave the tray uncovered in the exam room. 
C)Set up the tray after the patient is prepped and draped. 
D)Set up the tray just prior to surgery.

Question 10

Which of the following best sterilizes equipment that is delicate or sensitive to heat?

A)Bleach solution
B)Autoclave  
C)Chemical disinfectant
D)Cold sterilization

Question 11

Which of the following terms best describes the result when a non-sterile item or surface comes in contact with a sterile area?

A)Contamination
B)Infection  
C)Stricture
D)Cautery

Question 12

Which of the following instruments is inserted into narrowed or constricted ducts and tubes for the purpose of gradually enlarging the opening?

A)Forceps
B)Scalpel  
C)Dilator
D)Clamp

Question 13

Which of the following is the primary purpose of surgical asepsis?

A)To clean and disinfect contaminated surfaces  
B)To prevent microorganisms from entering the body during invasive procedures  
C)To prevent exposing the body to microorganisms  
D)To sterilize the skin

Question 14

Which of the following would be used when an infected wound needs to remain open for drainage?

A)Wick
B)Sponge  
C)Gauze
D)Dressing

Question 15

Which of the following is NOT true regarding the use of ultrasound sanitization?

A)Sound waves vibrate to loosen debris. 
B)The Medical Assistant still needs to scrub instruments. 
C)It is safe for all instruments. 
D)Instruments with ratchets are left in the open position.

Question 16

Which of the following instruments is NOT a grasping and clamping instrument?

A)Hemostat
B)Forceps  
C)Retractor
D)Needle holder

Question 17

Which of the following best describes sutures made from materials that dissolve when they encounter the tissue enzymes in the body?

A)Non-absorbable
B)Absorbable  
C)Ligature
D)Semi-absorbable

Question 18

Which of the following is NOT a basic rule for the care of instruments?

A)Inspect all surfaces carefully for any nicks, warps, or dulling. 
B)Use hard wire brushes to scrub hinges, ratchets, and serrations. 
C)Soak all soiled instruments immediately after use. 
D)Soak solutions at room temperature with a neutral pH detergent containing a blood solvent.

Question 19

Which of the following is the preferred length for atraumatic sutures?

A)10 inches
B)14 inches  
C)18 inches
D)24 inches

Question 20

Which of the following wound terms best describes an example of a closed wound?

A)Puncture
B)Incision  
C)Avulsion
D)Contusion

Question 21

Which of the following is NOT part of the patient instructions for wound care?

A)Keep the wound clean and dry. 
B)Use warm soak solutions. 
C)Pull the dressing off rapidly to lessen pain when changing dressing. 
D)Use topical antibacterial medications.

Question 22

The recommended temperature for effective sterilization in an autoclave is what?

A)170°F
B)200°F  
C)270° F
D)370°F

Question 23

Which of the following instruments will the physician NOT need for suturing a laceration?

A)Needle holder
B)Iris scissors  
C)Scalpel
D)Hemostat

Question 24

Which of the following should be noted by the patient to observe for infection?

A)Redness, swelling, heat, pain, and drainage  
B)Swelling, pain, drainage, and coolness around wound  
C)Redness and swelling only  
D)Cyanosis and heat

Question 25

Which of the following is NOT considered a purpose of using a bandage?

A)Immobilizes
B)Helps stop bleeding  
C)Helps keep dressing in place
D)Provides padding and protection

Question 26

Which sterilization method is the one most widely used in the medical office?

A)Gas
B)Steam  
C)Dry heat
D)Chemical

Question 27

Which of the following has likely occurred if Mr.King, says his suture area is red, swollen, and has "white stuff" in it?

A)Normal granulation
B)Infection  
C)Exudation
D)Systemic effect

Question 28

Which of the following suture sizes would be used on the face or neck?

A)6-0
B)2-0  
C)4-0
D)0

Question 29

Which of the following is the most appropriate action when applying a sterile adhesive skin closure strip?

A)Do not clean the wound before removing the sutures. 
B)Apply the first strip to the lower end of the incision. 
C)Apply the first strip to the center of the incision. 
D)Apply the first strip in a criss-cross manner over the incision.

Question 30

Which of the following is the most important action of the medical assistant after the physician performs an incision and drainage of an infected surgical wound area, removes the sutures, and applies a dressing?

A)Explain wound care instructions again. 
B)Provide written instructions. 
C)Arrange for a follow-up appointment. 
D)All the above.

Question 31

Which of the following is the most appropriate action when opening sterile packages of instruments and supplies and applying them to a sterile field?

A)You may touch the inside flap. 
B)Gather the loose edges of the package to prevent dragging over the field. 
C)Open peel-apart packages using scissors. 
D)Open the first flap toward you.

Question 32

Which of the following is the most appropriate action to prepare a patient's skin for minor surgery?

A)Place a non-fenestrated drape over the area and begin the procedure. 
B)Shave hair away from the operative site. 
C)Pour antiseptic solution directly on the skin. 
D)Use soap and scrub in an inward circular fashion for 2 to 5 minutes.

Question 33

When loading the autoclave, what is the appropriate amount of space to have between packs and the autoclave wall?

A)1-2 inches
B)1-3 inches  
C)2-3 inches
D)3-4 inches

Question 34

Which of the following is the best description of documenting a laceration?

A)2-inch laceration on arm caused by fall; no bleeding at present  
B)3.5-cm laceration on arm caused by fall on metal object  
C)3.5-cm laceration on posterior surface lower of arm; no active bleeding; fell on metal object in barn  
D)1/4-in deep, 2-inch long laceration of lower arm

Question 35

Fiber-optic endoscopes uses which type of sterilization?

A)Gas
B)Steam  
C)Chemical
D)Dry heat

Question 36

Which of the following is the most appropriate action when setting up and covering a sterile field?

A)Grasp the drape at the top cut corner. 
B)Drag the non-sterile side carefully across the tray or table surface. 
C)Consider all edges of the drape to be sterile. 
D)Keep the drape below the waist and above the table.

Question 37

What type of sterilization technique is used for heat- or moisture-sensitive equipment and takes many hours to process?

A)Gas
B)Dry heat  
C)Chemical
D)Steam

Question 38

Which of the following is considered a cautery method to permanently destroy the toenail growth plate?

A)Cryosurgery
B)Liquid nitrogen  
C)Silver nitrate
D)Sodium hydroxide

Question 39

Which of the following is the most appropriate action when changing a patient's dressing?

A)Pull off the dressing stuck to the wound very quickly. 
B)Loosen the dressing stuck to the wound with sterile water. 
C)Cleanse the wound site with bleach solution. 
D)Loosen the dressing stuck to the wound with antibacterial ointment.

Question 40

Which of the following is considered a factor that could influence the effectiveness of chemical sterilization?

A)Wet items were added. 
B)The lid was loose. 
C)The exposure time was limited. 
D)All of the above.

Question 41

Identify each description as dressing or bandage.

used to keep the sterile covering underneath in place

A) dressing
B) bandage

Question 42

What type of drape has an opening on it allowing access to the surgery site?

A)Sterile
B)Poly-lined  
C)Fenestrated
D)Non-fenestrated

Question 43

Which of the following is NOT a way suture needles are categorized?

A)Size
B)Length  
C)Shape
D)Type of point

Question 44

What type of material is commonly used to wrap instruments when using an autoclave?

A)Muslin
B)Polyester  
C)Nylon
D)Cotton

Question 45

Identify each description as dressing or bandage.

used to provide padding and protection

A) dressing
B) bandage

Question 46

How should articles for sterilization in the autoclave be wrapped?

A)Single wrapped
B)Double wrapped  
C)Triple wrapped
D)No wrapping

Question 47

Identify each description as dressing or bandage.

is a supportive material wrapped around the wound

A) dressing
B) bandage

Question 48

Identify each description as dressing or bandage.

is applied directly to the wound

A) dressing
B) bandage

Question 49

Identify each description as dressing or bandage.

must be adequately absorbent

A) dressing
B) bandage

Question 50

Which item of PPE should be worn by the provider, MAS, and patient when laser surgery is being performed?

A)Gowns
B)Safety glasses  
C)Masks
D)Gloves

Question 51

Locking mechanisms located between the rings of the handles that are used for locking the instrument closed are known as which of the following?

A)Ratchets
B)Lockets  
C)Serrations
D)Teeth

Question 52

Identify each description as dressing or bandage.

should be handled with care to avoid contamination

A) dressing
B) bandage

Question 53

What is considered to be the main advantage of electrosurgery?

A)Minimal scarring
B)Controlled bleeding  
C)Pain free
D)Minimal healing time

Question 54

Cryosurgery destroys tissues by what means?

A)Melting
B)Burning  
C)Freezing
D)Excising

Question 55

Identify each description as dressing or bandage.

All sterile objects must be held in front of and away from body.

A) dressing
B) bandage

Question 56

Which of the following is NOT considered a common chemical used to destroy tissue and stop bleeding?

A)Formalin
B)Silver nitrate  
C)Liquid nitrogen
D)Sodium hydroxide

Question 57

Which of the following is the smallest suture size?

A)0
B)1  
C)1-0
D)6-0

Question 58

Handles on instruments designed to be squeezed between the thumb and finger are called what?

A)Ring handles
B)Ratchet handles  
C)Thumb handles
D)Finger handles

Question 59

What bandage wrapping technique is used on a joint that requires movement?

A)Circular
B)Figure-eight  
C)Spiral
D)Spiral reverse

Question 60

Which of the following is required when labeling packages for autoclaving?

A)Provider's name
B)Name of the article  
C)Date of sterilization
D)All of the above

Question 61

Match the instrument with its use.

used in nose and ear procedures

A) scopes
B) scalpel
C) bayonet forceps
D) retractors
E) probes

Question 62

Identify each statement as true or false

If a sterile field that is not poly-lined gets wet, it is still considered sterile.

Question 63

Match the instrument with its use.

lighted instrument used for viewing

A) scopes
B) scalpel
C) bayonet forceps
D) retractors
E) probes

Question 64

Identify each statement as true or false

An acceptable border between a sterile and non-sterile area is 1 1/2 inches.

Question 65

Identify each statement as true or false

Do not cough, talk, or sneeze over a sterile field.

Question 66

Identify each statement as true or false

Reach slowly and carefully over the sterile field.

Question 67

Match the instrument with its use.

used to probe into a body cavity or wound

A) scopes
B) scalpel
C) bayonet forceps
D) retractors
E) probes

Question 68

Match the instrument with its use.

pulls back edges of a wound

A) scopes
B) scalpel
C) bayonet forceps
D) retractors
E) probes

Question 69

Match the instrument with its use.

device used to cut the skin

A) scopes
B) scalpel
C) bayonet forceps
D) retractors
E) probes

Question 70

Identify each statement as true or false

All sterile items are to be at waist level.