In a gastrointestinal closure, the mucosa of the intestinal tract is closed with..
chromic 4-0 or 3-0
Why are bumpers or bolsters used on retention sutures?
to prevent the suture from cutting into the skin surface
Which condition regarding sterile technique is NOT recommended?
sterile tables may be set up and safely covered until time of surgery
Which of the following conditions is not an acceptable aseptic technique?
scrub nurse folds arms with hands at axillae
The disposable circular staple designed to hold two tubular structures together after resection is known as..
When a sterile item is hanging or extending over a sterile table edge, the scrub nurse..
does not touch the part hanging below table level
Which of the following is considered a break in technique?
a sterile person sits or leans against a nonsterile surface
In which situation should sterility be questioned?
if a sterilized pack is found in an unsterile workroom
Transduodenal sphincterotomy refers to the incision made into the _______ to relieve stenosis.
sphincter of Oddi
When handing skin towels to the surgeon, where should the scrubperson stand in relation to the surgeon?
on the same side of the table
Irrigating fluid used to flush the organ between harvest and transplantation of a liver is known as..
Each of the following actions by a scrubperson prevents wounds and punctures, according to CDC guidelines EXCEPT
recap injection needles
Which of the following is NOT an acceptable technique when draping a patient?
unfold the drapes before bringing them to the OR table
The procedure to follow if a hair is found on the operate field is to...
remove it with a clamp (hemostat), cover over area
Cancer technique in surgery refers to...
the discarding of instruments coming in contact with tumor after each use
Why are gowns, gloves, drapes, and instruments changed following a breast biopsy and before incision for a mastectomy?
to protect margins of healthy tissue from tumor cells
When drop technique for an intestinal procedure is utilized..
contaminated instruments are discarded, gloves are changed
If the floor or wall becomes contaminated with organic debris during a case, the circulator...
A specially treated form of surgical gauze that has a hemostatic effect when buried in tissue is...
All of the following are helpful in keeping accurate account of sponges EXCEPT
keep all sponges and tapes in a basin or close together on the field
Cultures obtained during surgery..
are passed off the sterile field into a bag or container held by the circulator
The simplest abdominal incision offering good exposure to any part of the abdominal cavity is the..
During an appendectomy, a purse-string suture is placed around the appendix stump to...
invert the stump of the appendix
Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is a..
Which breast procedures removes the entire breast and axillary contents but preserves the pectoral muscles?
modified radical mastectomy
In which hernia is the blood supply of the trapped sac contents compromised an in danger of necrosing?
Which hernia leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal?
All of the following statements refer to pilonidal cyst surgery EXCEPT
the cyst is removed, but the tract remains
An important consideration during cholangiogram is to..
remove all air bubbles from the cholangiocath
Which organ is removed either because of trauma, a blood condition, or as a staging procedure for malignancy?
In a pilonidal cystectomy, the defect frequently is too large to close and requires use of a(n)...
packing and pressure dressing
A surgical procedure performed to relieve esophageal obstruction caused by cardio-spasm is an..
A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed is a(n)...
end-to-end anastomosis (EEA)
An advanced inflammation of the bowel could be conservatively treated with which procedure?
After uterus removal in a hysterectomy...
cervical and vaginal instruments are isolated from the instrument set in a discard basin
An irreducible hernia whose abdominal contents have become trapped in the extra-abdominal sac is called a(n)
While balancing a video camera in endoscopy requires the scrub person to focus the camera on..
a white sponge, a white wall, a glove wrapper
A palliative invasive procedure done to prevent malnutrition or starvation is known as...
The use of noninvasive high-energy shock waves to pulverize gallstones into small fragments for easy passage through the common bile duct and out of the body is called..
Intraoperative cholangiograms can be performed either through open abdominal or laparoscopic procedures using a contract medium directly into the common bile duct through a...
Intra-abdominal pressure during the instillation of CO2 for creation of pneumoperitoneum is 8-10mm Hg. A pressure reading higher than this may indicate that the needle may be...
buried in fatty tissue, buried in the omentum, in a lumen of intestines
The proper method of removing the gallbladder specimen after complete dissection and irrigation of the operative site in a laparoscopic cholecystectomy is to...
utilize an endobag, pull gallbladder through the largest port, decompress the gallbladder by suctioning bile before removal
All of the following are recommendations for actions necessary to support the aseptic principle of "confine and contain" EXCEPT
all laundry should be discarded into impervious bags
All of the following drains are considered active postoperative drains that are attached to an external force EXCEPT
During a laparoscopic cholecystectomy the surgeon generally stands...
at the left side of the patient
Gastrointestinal decompression during a general surgical procedure can be effected by the use of a...
Levine Tube and Miller-Abbot tube
A selected alternative to a conventional ileostomy that denies spontaneous stool exiting from the stoma and requires catheterization of the stoma daily to evacuate the contents is a(n)..
When both direct and indirect hernias occur in the same inguinal area, the defect is termed..
Which muscles are incised in the midline of the neck once the skin laps are completed during a thyroidectomy?
Drainage of an incision following a simple or modified radical mastectomy is accomplished by a...
During laparoscopic cholecystectomy, the camera operator usually stands...
to the right of the first assistant