Surgical Skills: Term 2 Final
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Created by:
clarkmackinnon on April 24, 2012
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156 terms
Terms | Definitions |
|---|---|
 Skin is a ______ membrane. | cutaneous |
| What instrument is used to grab tendon and/or muscle? | kocher |
| Skin graft that is harvested from a cadaver is a ______ | homograft |
| Heterograft AKA? | Xenograft |
| Allograft/Homograft= | from same species |
| Autograft= | from yourself |
| Dupuytren's Disease: | contraction of palmar facia |
| Rhytidectomy: | surgical procedure for facelift |
| Blepharoplasty: | cosmetic procedure on eyelids |
| Forceps: Eye surgery | Bishop-Harmon Iris Tissue Forceps |
| Rhinoplasty: local anesthetic used in nose | Cocaine *** (or Tetracaine) |
| A synovial fluid filled cyst, which arises from a tendon sheath or wrist | ganglion cyst |
| Preparation for a ganglion cyst: | hand and forearm circumfrentially |
| Hypertrophic breast tissue requires a? | reduction mammoplasty |
| Rhyidectomy incision location? | incision along hairline above ear (temporal area) |
| Mesh Grafter= | expands the surface of the skin graft |
| Mineral oil is used with the dermatome to ______ _____ | minimize friction |
| Berry needle holder is not in a plastic surgery set | .... |
| Suture to close skin in Plastic Surgery? | Nylon |
| Retractors for MAJOR orthopedic procedures? (x2) | Bennett Hohmann |
| Orthopedic surgery: Retractors for MINOR procedures? (x2) | Senn Ragnell |
| What is a topical anesthetic that is inserted into the nose prior to a nasal procedure? | Tetracaine |
| Rhinoplasty is not a _____ procedure. | sterile (it's a clean procedure) |
| Cosmetic appearence of the chin is altered (due to micrognathia) by what procedure? | Mentoplasty |
| a ___ flap reconstruction allows transfered tissue to remain attached to its blood supply | Pedicle flap |
| TRAM = | Transverse rectus abdominis musculocutaneous |
| A self retaining ____ ___ is attached to the mayo stand during a cleft palate repair or T & A | mouth gag |
| Mastectomy = | excision of a breast |
| ____ ____ are structures in ventricles that produce CSF | choroid plexuses |
| Order of Ventricles in brain? (x5) -leads to what? | L & R Ventricles Foramen of Monro 3 rd ventricle Aqueduct of Sylvius 4th ventricle -leading to spinal cord |
| Leroy-Raney Clips are applied to what? | the edges of the scalp |
| Bone wax is used on? | bleeding bone |
| Avitine is routinely used in _____ procedures. Also it's purpose? | GYN -coagulant |
| Bi Lateral salpingo-oopherectomy = | removal of both fallopian tubes and both ovaries |
| salpingo = | fallopian tubes |
| oopher= | ovaries |
| Positioning aids for intracranial procedures: -Mayfield pin fixation device -Mayfield horseshoe headrest -______ _____ Tongs | Gardner Wells |
| Wilson frame used for _____ procedures | spinal |
| To control scalp bleeding= (x3) | -digital pressure -scalp clips (raney) -local anesthetic w/ epi |
| Heparine keeps blood from _____ | coagulating |
| Topical steroid for inflammation after eye surgery? | Depo- Medrol |
| Wydase = | prolongs a local anesthetic used in the eye (retrobulbar) |
| Healon AKA? | Viscoat (viscoelastic) |
| Viscoat = | used to expand the anterior chamber and prevent injury to the nearby tissues during cataract extraction. Employed as a vitreous susbstitute |
| Miochol-E | -acetylcholine -miotic drug |
| miotics= | constrict pupil |
| miotics also... | drain vitreous humor from the canal of Schlemm, decreasing IOP -treatment of IOP due to Glaucoma |
| page 582 drugs.... | ... |
| BSS | Balanced SALT solution |
| Temp of irrigation for brain? | body temp |
| Temporary Aneurysm clips can not..... | be used for permanent use |
| Position: Laminectomy (x2) | prone lateral |
| Laminectomy w/ discectomy specimens? (x3) (pg 1061) | BONE DISK LIGAMENT |
| Intra op: A large bore spinal needle is used for what? | proper disk level identification through x-ray |
| Suture to close dura on adult? | 4-0 Neurolon (braided nylon) |
| MAC = | Monitored Anesthesia Care |
| Know difference between sub dural and epidural hematomas | (use anatomy to understand) |
| During a Craniotomy for Aneurysm Repair....what drug prevents vasospasm? | Papaverine |
| Instrument finish (when using with lasers) | black chromium |
| Type of scope used for: cystoscopy laparoscopy thorascopy | = rigid scope |
| (Orthopedics) Driver | drives sharp pins in to reduce bone fracture -guide to drive a nail |
| Reamer= | makes hole |
| ____ protect the operative site from contaminants | Drapes |
| What type of sponges are used on small incisions? | Raytec |
| A _____ _____ is used to infuse gas into the abdomen | veress needle |
| Suction: Angled, has hole to change strength of suction | frazier |
| Blades # ____ and #_____ are commonly used on a #7 KH | 11 12 |
| _____ Hemostats are used to tag suture | straight |
| Supination= | hand is turned so that palm is facing upward |
| Radiopaque contrast medium= (x2) | renografin hypaque |
| Dyes= (x3) | Methylene Blue Indigo Carmine Violet |
| ML = ____ | CC |
| Ephedrine sulfate = | relaxes smooth muscles of the bronchi and stimulates contraction of peripheral blood vessel wall muscles |
| Name 3 types of topical hemostasis used in orthopedics | -Gelfoam -Thrombin -Bonewax |
| Oxidized cellulose is NOT used in ORTHOPEDICS | ... |
| Oxidized cellulose AKA | Avitene |
| Avitine is commonly used in what service? | GYN |
| ____ are used to take a bone graft | curettes |
| Closed reduction | manipulating bone fracture fragments without incising skin |
| Open Reduction | incising skin (like closed) |
| External Fixation | External 2 pins |
| Internal Fixation | Plates screws |
| Insertion of a bone screw: Order of instruments? (x4) | 1) Drill 2) Depth Gauge 3) Tap 4) Screw |
| Type of suture used tendon to bone? -material? What brand name? | Polyester (Ethibond) |
| Position of a total hip arthroplasty? | lateral |
| Insuflation tubing is only used during ______ endoscopic cases | abdominal (CO2) |
| A Pneumatic tourniquet is routinely inflated _____ exsanguination | after |
| exsanguination= | restrict blood flow from operative site |
| _____ is used to exsanguinate | Esmarch |
| _____ is used under a tourniquet | Webril |
| Miotic = | drug used to constrict pupils, reducing IOP |
| Mydriatics and cycloplegic drugs = | pupil dilation |
| Pilocarpine hydrochloride = | miotic |
| Chevron McBride (These are 2 types of _________ Procedures) | bunionectomy |
| The Mayfield headrest is NOT used when the patient is in the ______ position | lateral |
| What positioning aids are good for a patient in the lateral position? | -bean bag -blankets between legs arm board |
| Name three types of traction | manual skin skeletal |
| Endometrium - | uterine lining |
| _____ is a local anesthetic for retrobulbar anesthesia during ophthalmic surgery | lidocaine |
| Re-infusion of the patients own blood = (what device does this?) | auto-transfusion (cell saver) |
| What position is the patient in for a D and C? | lithotomy |
| Lower transverse abdominal inscision = | Pfannenstiel incision |
| Ectopic pregnancy occurs where? | fallopian tube |
| _____ suction is used to clear a neonate's airway | De Lee |
| Posterior colporrhaphy = | repair a rectocele |
| What is the purpose of the use of a FOLEY catheter during pelvic procedures? | to decompress the bladder to prevent injury |
| When the patient is in TRENDELENBURG position, the abdominal contents are displaced ______ | superiorly |
| What about reverse trendelenburg? | inferiorly |
| Domelike portion of the uterus | fundus |
| Endometriosis = | abnormal implantation of endometrial tissue |
| TAH= | Total abdominal Hysterectomy |
| A fibroid is a benign tumor found in the _______ | myometrium |
| D and C = | dilation and curettage |
| Procedure when the uterus is taken out through a vaginal incision? | Vaginal Hysterectomy |
| Curette = | removes tissue by scraping |
| The broad ligament = | suspends uterus laterally |
| Oxytocin _____ labor (and what else?) | induces labor -helps with bleeding |
| Insturment used on facia? | Kocher |
| Lister scissors = | cut umbilical cord |
| how many counts?: c-section | 4 counts |
| BSS= | balanced salt solution |
| BSS is used to? | keep the eye and cornea moist |
| Polycystic Kidney disease= | multiple benign cysts |
| PSA test = | tests for prostate cancer |
| Simple orchiectomy | Removal of testis and epididymis (through scrotum) |
| Radical Orchiectomy = | cancer present |
| Orchiopexy = | done for testicular tortion |
| Instrument used to remove tissue fragments from bladder during a TURP = | Ellik evacuator |
| TURP syndrome: a late sign of systemic absorption of irrigationg fluid affecting the neurological system? | seizure |
| If the ureters are difficult to identify when the bladder is opened, intravenous _____ may facilitate locating the orifices | indigo carmine (dye) |
| Term: Behind bulb | retrobulbar |
| Strabismus = | deviation of position of eye |
| Cataract = | clouding of lens |
| Small lump inside eye that is caused by inflamatory response is a ____ (oil gland) | chalazion |
| Glaucoma= | excess pressure of aqueus humor |
| method of removing and opaque lens= | phacoemulsification |
| Vascular clamp that occludes vessels? | bulldog |
| Cryotherapy = | involves use of cold |
| Extracapsular cataract extraction | posterior capsule remains |
| Intracapsular cataract - | entire capsule is removed |
| ____ _____ gloves prevents corneal inflammation | powder free gloves |
| Ocutome = | needed for Vitrectomy |
| What is a synthetic material used for grafts in peripheral vascular procedures requiring preclotting? | Dacron Knit Polyester |
| (Review Page 984-985) | ... |
| Decadron = | common steroid |
| Chromic suture lasts | 10-14 days |
| Scissors used on strabismus and conjunctiva operations | Westcott tenotomy |
| Movement of blood through vessels - | assessed by doppler |
| Congenital = | present at birth |
| What is removed during a tonsilectomy? | Palatine tonsils |
| What is removed during a Adenoidectomy? | Pharyngeal tonsils |
| Adenoids = | pharyngeal tonsils |
| What position is the adult patient in for a tonsilectomy, only requiring local anesthesia? | sitting position |
| The ____ divies the two chambers of the nasal cavity | septum |
| Nasal polyps are growth that originate from the _____ ____ | mucous membrane |
| Tonsillectomy: What instrument is used for tension on the tonsils during dissection? | long Allis |
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