5 Written Questions
5 Matching Questions
- minor surgical procedures done in office
- chromic gut vs. plain gut sutures
- topical anesthesia
- atraumatic needles
- Autoclave temperature for sterilization
- a applied to the skin or sprayed on with short duration to allow piercing, lancing or injecting for patient comfort; ex: ethyl chloride spray, Emla patch
- b 250-254 F or 121-123 C. Autoclave requires-heat water and pressure: 15psi, 20 minutes minimum
- c suturing, cyst removal, incision and drainage of an abscess, collection of biopsies, vasectomy, arthroscopy, circumcision, teeth extraction, toenail removal, mole removal, needle biopsy, joint fluid aspiration, spinal tap, bone marrow aspiration
- d "not traumatic needles", no eye, minimizing trauma to skin, called "swaged" needles because the suture is pre-attached, usually curved
- e made from sheep historically, both are absorbable sutures. Chromic gut is treated with chromic salts and will last longer (up to 60 days)
5 Multiple Choice Questions
- requires higher heat 320 F, and longer exposure 3-4 hours; done in an autoclave, for easily corroding instruments like sharp blades or things that should not get wet.
- must be sanitized, disinfected, sterilized for next time or disposed of if they were intended for single use.
- Dilators:used to enlarge openings like uterine cervix.
Retractors: pull wound edges back.
Speculums open things wider: nasal and vaginal.
- to approximate edges (bring edges together) speed healing, reduce scarring
- 2-3 minutes; hands and wrists; hands held down for rinsing; pathogens loosened and carried away from hands and wrists; clean nails with pick; hands together for friction; dry with paper towels; lotion use ok; apply gloves for protection; (removes transient flora)
5 True/False Questions
on the side → an area separate from the sterile field, but should be nearby; can turn your back on it, may have unopened sterile items and all items will at least be clean.
absorbable sutures → silk, nylon, Dacron, cotton, stainless steel staples; used on body surface, must be removed
incisional procedures → invasive, cutting into patient's body; surgical asepsis required
Size of sutures → From largest to smallest 4, 3, 2, 1, 0 "aught", 1-0 or 0 or one-aught, 2-0 or 00 or two-aught, 3-0 or 000 or three-aught, 4-0 or 0000 or four-aught, 5-0 or 00000 or five-aught, 6-0 or 000000 or six-aught, 7-0 or 0000000 or seven-aught. The more zeros, the smaller the gauge.
bandage → to cut into