Test Bank for Surgical Equipment and Supplies, 2nd Edition

Chapter Two: General Surgical Supplies and Post-Operative Splints Multiple Choice 1. Which type of sponge should never be used as a dressing? A. RayTec B. topper C. drain sponge D. abdominal dressing pad (ABD) pad ANS: A 2. All of the following statements are true about sponges except: A. Used sponges should be discarded off the field into a proper receptacle. B. Once initial count is done, you may remove sponges from the room. C. When setting up your back table, like sponges should be kept together. D. Never handle soiled sponges with your bare hands. ANS: B 3. RayTec sponges come in a package containing _______ sponges. A. 5 B. 8 C. 10 D. 12 ANS: C 4. Peanut sponges are also known as: A. Kitners B. dissectors C. cherries D. tonsil sponges ANS: B 5. Cottonoids would most likely be used during which type of surgery? A. gynecological B. neurosurgical C. bowel D. obstetrical ANS: B 6. Which of the following is a hemostatic? A. saline B. collodion C. bone wax D. chlorhexidine ANS: B 7. An insulin syringe is marked in: A. cc (cubic centimeters) B. μg (micrograms) C. mg (milligrams) D. units ANS: D 8. During which of the following surgical procedures would you expect to have a blue bulb syringe on your sterile field? A. bowel resection B. cesarean section C. hysterectomy D. total hip replacement ANS: B 9. Which of the following needles would have the largest diameter? A. 16 B. 18 C. 25 D. 27 ANS: A 10. A needle cannot be placed on the tip of a __________ syringe. A. Luer-Lok B. Toomey C. catheter tip D. glass ANS: B 11.___________ is a type of liquid dressing. A. Coban B. Adaptic C. Collodion D. Tegaderm ANS: C 12. Ioban cannot be used on a patient with a(n) __________ allergy. A. iodine B. latex C. wheat D. sulfa ANS: A 13. DuraPrep contains both iodophor (Betadine) and: A. chlorhexidine B. detergent C. alcohol D. soap ANS: C 14. Specimens for frozen section should be sent to the laboratory in: A. a suction trap B. a specimen container with formalin C. a dry specimen container D. a culture tube ANS: C 15. Another name for a Glassman viscera retainer is a(n): A. isolation bag B. fish C. swab D. blade ANS: B 16. Raney clips are used to hold __________ tissue. A. bowel B. bone C. scalp D. spinal ANS: C 17. The surgeon is performing a transurethral resection of the prostate using a resectoscope. Which of the following solutions will most likely be used for intraoperative irrigation? A. glycine B. sterile water C. sterile saline D. Iodophor ANS: A 18. You are scrubbed on a vascular procedure and intraoperative angiography is anticipated. Which of the following will you most likely have on your sterile field? A. indigo carmine B. methylene blue C. Omnipaque D. gentian violet ANS: C 19. Polymethyl methacrylate is also known as: A. bone wax B. heparin C. thrombin D. bone cement ANS: D 20. Sterile mineral oil would most likely be used during which type of procedure? A. open reduction internal fixation of an ankle B. skin graft C. appendectomy D. cholecystectomy ANS: B Multiple Choice With Image 21. You would most likely find this type of sponge if you were scrubbing which type of case? A. gynecology B. orthopedic C. ophthalmologic D. open heart ANS: C 22. What is the name of this type of syringe? A. Toomey B. Asepto C. bulb D. pressure ANS: B 23. The supply pictured is known as: A. vessel loops B. umbilical tape C. Raney clips D. hemoclips ANS: A 24. You would expect to find this among your supplies if you were scrubbing which type of case? A. open appendectomy B. open cholecystectomy C. colostomy D. laparoscopic cholecystectomy ANS:D 25. What is the name of this basin? A. wash bowl B. soaking basin C. kidney basin D. ring basin ANS: C Short Answer 26. What are two of the three characteristics found in sponges that are intended for use inside the body? ANS: They are lint free, soft (to avoid tissue damage), and have a radiopaque strip sewn into them. 27. Neurosurgical sponges can be moistened with one of two solutions prior to being placed on the tissue. What are those two solutions? ANS: saline and thrombin 28. What is bone wax used for? ANS: to stop bleeding on the surface of the bone 29: Name the four basic components of a syringe. ANS: barrel, plunger, tip, and measurement markings 30. You need to draw up 1 mL of thrombin. Someone hands you an insulin syringe to draw it up in. Why can you NOT use the insulin syringe for this purpose? ANS: It is marked in units of insulin not mL (cc) of volume. 31. Name the three parts of a needle. ANS: bevel, shaft, and hub 32. On what type of incision would you expect to see Montgomery straps used to hold the dressing in place? ANS: a large wound where frequent dressing changes are expected 33. What is the main purpose of suture boots? ANS: to protect the suture from being damaged by the serrated instrument jaws 34. Which size scalpel blade is generally used for making skin incisions? ANS: A #10 (ten) blade is generally used for this purpose. 35. You ask for a Raytec sponge but are accidently handed a dressing sponge instead. Why should you NOT use the dressing sponge inside a body cavity? ANS: It does not have a radiopaque strip sewn into it and it would not be detected by xray if it were left in the patient. Completion 36. An abdominal dressing pad is also known as an ___________________ pad. ANS: ABD 37. Silver nitrate sticks are used to ____________________ small blood vessels. ANS: cauterize 38. Syringes can have either a plain tip or a __________________ tip. ANS: Luer-Lok 39. A ____________________ sponge has a cross shape cut into it. ANS: dressing 40. ______________________ tape is hypoallergenic, leaves very little adhesive residue, and is gentle on the skin. ANS: Paper 41. Before using DuraPrep on a patient, check to make sure he or she is not allergic to _______________________. ANS: iodine 42. Five milliliters (mL) is equal to ____________________ cubic centimeters (cc). ANS: 5 (five) 43. The Toomey syringe is used to irrigate or instill fluids into tubes or ___________________. ANS: catheters 44. Dermabond is a type of liquid _____________________ adhesive. ANS: skin 45. Ioban cannot be used in a patient with an _____________________ sensitivity. ANS: iodine True or False 46. Gloves must be worn when handling used sponges. ANS: True 47. Once the initial count is done, suture needles may be removed from the room if they are not needed. ANS: False Rationale: Once the initial count has been done, never remove a suture needle from the operating room. All of the suture needles are part of the initial count. 48. Attach or remove the needle from a syringe using a clamp or other instrument, NOT your hands. ANS: True 49. If alcohol-based skin prep solutions are still present on the skin or drapes when laser or electrocautery is used, a fire could result. ANS: True 50. Chlorhexidine can be used to prep the skin around the ear prior to surgery. ANS: False Rationale: Chlorhexidine gluconate has been associated with hearing loss when introduced into the middle ear; therefore, it should never be used for preparations around the ear. 51. Raney clips are used to retract scalp tissue out of the way during cranial surgery. ANS: True 52. Jamshidi needle is another name for a Tru-Cut biopsy needle. ANS: False Rationale: Jamshidi needle is another name for a bone marrow needle. 53. A Lone Star retractor is used for vaginal and rectal surgeries. ANS: True 54. Normal saline is a hypotonic solution. ANS: False Rationale: Normal saline is an isotonic solution. 55. A #11 scalpel blade is used to make small puncture incisions. ANS: True 56. Omnipaque is a type of hemostatic. ANS: False Rationale: Omnipaque is a type of contrast media. 57. Pregnant women should not be in the OR during the mixing of bone cement. ANS: True 58. Esmarch is used to exsanguinate the extremity prior to surgery. ANS: True 59. Keep small sponges, such as cherries or dissectors, attached to a clamp or in the holder. ANS: True 60. At the end of the case, discard the sharps holder into a puncture-proof sharps disposal bucket. ANS: True