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Medicine
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Feb 20, 2024
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Boardvitals test corrections
3. During dilation and curettage (D&C), the surgeon uses which instrument to measure the location of the fundus of the uterus?
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C. Uterine sound ○
The uterine sound is used to probe the fundus of the uterus through the cervix 19. What type of drain is seen below? ●
D. Jackson-Pratt Drain
○
Also called a JP Drain, is used to collect fluids/drains from a post surgical site. They are usually left in place until drainage decreases below a level per day as indicated by the surgeon. They come out flat or round shapes and are available in varying sizes. 20. Which part of the gown is considered sterile?
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C. From 2 inches above the elbow to the cuff seam.
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This is the only part of the gown that is sterile. The sterile team member must be able to view the area for it to be considered sterile. 27. Which of the following is a desire characteristic for cleaning agents ? ●
D. Works against every kind of organic soil
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This is the only correct characteristic 30. The gelpi self-retaining retractor feature in the picture below is commonly used for which procedure? ●
A. Retracting superficial wounds ○
Although the gelpi does possess traumatic tips, because it is a self-retaining retractor, it is typically place when performing spine surgery to allowing visualization and retraction of the soft tissue near the spinal column without causing any injury to important structures. 34. This instrument may be used in OB/GYN and general surgeries. What is it called? ●
B. Tenaculum ○
The tenaculum is a ratcheted finger-ringed instrument. It is commonly used in gynecological procedures that require manipulation of the cervix of uterus, as well as in general surgery as a retracting instrument when performing a mastectomy. 44. Which statement about soaking used instruments is correct? ●
Instruments can be soaked immediately following the procedure. ○
Instruments are soaked at the end of the procedure.
45. What is the minimum exposure time for sterilization in a gravity displacement steam sterilizer set at 121C (250F) mode sterilization wrapped instruments?
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C. 30 minutes ○
The minimum time for sterilization of wrapped healthcare supplies in a gravity displacement sterilizer is 250F is 30 minutes. 48. Which statement is true regarding the correct procedure for using sterile gloves when assisting with a procedure?
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A. After removing gloves, the surgical technologist must wash their hands.
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Following a surgical procedure, washing hands is imperative to eliminate any possibility of contamination. 49. A high-level disinfection that is used as a bactericide, viricide, and sporicidal, often used in endoscopy units is: ●
C. Glutaraldehyde
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Glutaraldehyde is a high-level disinfection used in endoscopy departments to allow for complete immersion, and if kept immersed for a minimum of 20 minutes it kills microbes on instrumentation that could not withstand steam sterilization. 54. What is the use of the instrument pictured below?
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B. Resection and anastomosis ○
This is a gastrointestinal linear anastomosis stapler. It is used for resection and anastomosis in the GI tract. When applied, it places 2 rows of staples and cuts the tissue between the rows. Linear stapling devices may be used in both open and laparoscopic cases. 55. For which of the following is a loop electrode commonly used? ●
D. Cervical excisions ○
A loop electrode is used for procedures when resection and electrocautery are needed. It can support resections of tissue from the prostate and bladder and plays role during a LEEP on the cervix. 56. Which statement is true regarding double gloving? ●
D. The number of perforations to the inner gloves is significantly less when a person double gloves. ○
This is the only true statement 63. What pressure is required for flash sterilization of an unwrapped instrument at 132C for 3-4 minutes?
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C. 27lbs (psi) ○
About 27-30 lbs of pressure per square inch are required for flash sterilization of an instrument at 132C for 3 minutes ima gravity displacement sterilizer. The items to be sterilized is placed in an open tray or specifically designed rigid container with a cover to allow rapid penetration of steam. The time required will vary according to the type of material and type of sterilizer.
69. What is the term for manufactured cylindrical tubes that actively facilitate the drainage of the
fluids from with the organ? ●
A. Active catheters ○
Tubes that are cylindrical in shape are called active catheters.
72. The blade of the harmonic scalpel attaches to the hand piece of a portable generator. This generator converts electrical energy into ultrasonic motion, allowing the blade to cut and coagulate. What is an advantage of the harmonic scalpel? ●
D. Produces deep coagulation ○
The actual continuous action of the scalpel produces heat in tissue, allowing deeper coagulation. 78. The instrument shown below is commonly used in which procedure? ●
B. Orthopedic ○
This is referred to as the Bennett bone retractor.
83. Subsequent to decontamination, the process of instruments preparation begins. This occurs in the following sequence:
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A. Inspection, reassembly, preparation ○
Instruments need to be inspected, reassembled, and prepared for sterilization. 89. After providing the surgeon a right angle while they are ligating a vessel, you would follow that with? ●
D. A tie and suture scissors ○
The right angle is being used in preparation to receive a tie in order to ligate the vessel. 93. Which of the following is true of shoe covers? ●
D. Team members should not wear shoe covers outside of the department. ○
Surgical team members shoes only wear shoe covers within the department.
95. Which of the following uses a cavitation process? ●
C. Ultrasonic cleaner ○
Ultrasonic cleaners use cavitation bubbles that result from high frequency pressure to agitate a liquid cleaning solution. Agitating removes contaminants by producing of high forces and also penetrates cracks and recesses.
96. Which of the following cannot be used as a sterilization wrap for ETO? ●
C. Polyvinylchloride
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Packaging system for ETO and moisture, proper aeration, and should withstand the physical conditions of ETO sterilization. nonporous wraps cannot be used with gas sterilization, as the sterilant will not reach the instruments.
100. The instrument pictured below would commonly be used in which type of procedure?
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A. Gastrointestinal ○
The EEA stapler is used to anastomose sections of the GI tract. Neurological procedures require very fine instruments. Gynecological procedures would not be
utilizing an intraluminal stapling device. Orthopedic procedures involved bones, ligaments and tendons.
101. The instrument pictured below peers on which type of tray?
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C. Orthopedic tray
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This is a cobra retractor, which is use commonly in orthopedic procedures. It flares and then narrows at the tip, resembling a cobra.
105. Which of the following statements is true?
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B. It is possible for an object wrapped in and impermeable material to maintain sterile. ○
The contents of a package wrapped in impermeable material may be used if the area it is dropped is dry and the wrapping is not compromised by tears or punctures. 108. Which of the following is correct concerning the sterile field and the items when a surgery isBefore starting and the patient has been brought to the OR. ●
B. The sterile field is contaminated when the patient is brought into the OR. ○
If a patient is transported to the OR in the procedure isn’t canceled before the start, the sterile field and items are considered contaminated. The room must be broken down and cleaned.
113. The clamp pictured below has 5x6 teeth. What is it called? ●
B. Allis ○
An Allis clamp is used for grasping tissue. It is important to differentiate between the Alice clamp and the Allis- Adair clamp. An Allis clamp can have 2x3, 3x4, 4x5, or 5x6 teeth, whereas the allis-adair clamp has 9x10 teeth.
114. High-level disinfection is the minimum required disinfection acceptable for the preparation of instruments used in which of the following procedures.
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B. Tracheotomy ○
High level disinfection is a minimum required disinfection for semi critical patient care equipment that touch non-intact skin or mucous membranes.
122. Which scissors has a pronounce it curvature and is used in gynecological and cardio-
valvular surgeries.
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B. Jorgenson ○
Jorgenson scissors have a pronounced curvature and are used on heavy deep tissue.
126. What type of agent in detergents can prevent spotting on instrumentation by combatting surface deposits?
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Chelation agents prevent surface deposits of minerals that could otherwise create spotting. 132. Which of the following disinfectant factors can corrode instruments? ●
A. High concentration of the disinfectant
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Concentration levels must not be too high to avoid corrosive effects.
133. What statement regarding instrument testing devices is correct?
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D. Insulation testers are used to test laparoscopic electrosurgical compatible instrumentation insulation. ○
Insulation testers evaluate the insulation on the instruments with electrosurgical capability. Undetected breaches in insulation can lead to stray currents causing injury and/or internal burns.
135. Which of the following monitoring methods is distinct from a sterilization test?
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C. Bowie-Dick testing
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A Bowie-Dick test checks air removal from the vacuum system of a dynamic air-
removal sterilizer. 139. Which statement accurately describes the dynamic air removal steam sterilization time/temperature relationship?
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C. With dynamic air removal steam sterilization, instruments should be sterilized for either four minutes at 270F or three minutes at 275F.
140. Which statement accurately describes the time/temperature relationship for steam sterilization?
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B. Using gravity air-displacement steam sterilization, textile packets should be sterilized for 25 minutes at 270F. ○
Textile packets can be sterilize using gravity displacement for 30 minutes at 250°F, 25 minutes at 270°F, or 10 minutes at 275°F
143. Which way should instrument sets not exceed?
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C. 25 pounds ○
The weight limit for instrument sets is 25 pounds. 144. Which of the following processes is not used to evaluate whether air has been removed from a sterilizing unit such as a pre-vacuum steam sterilizer?
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D. Process challenge device (PCD)
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A PCD is used to ensure that sterilization is accomplished with every load.
145. When monitoring the sterilization process, which of the following methods verify that an item or items have been exposed to a sterilant?
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C. Chemical
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Internal and external chemical indicators can monitor whether an item has been exposed to sterilization. 148. Bioburden is physically removed from an item by what process? ●
B. Cleaning ○
Cleaning is the act of physically removing fluids and tissue from an item used in surgery.
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