124 terms

CST Review - Micro, Wound Healing, & Infection Control Procedures

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Leeuwenhoek
Who invented the first high-powered microscope?
Lister
The first physician ("the father of modern surgery") to practice aseptic technique was:
Virus
The smallest microbiologic organism is a:
Atenuation
The process of weakening a vaccine is called:
Most resistant to destruction
Bacteria in their sporative stage are:
Osmosis
Passage of fluid through a cell membrane is called:
Aerobic
Oxygen-dependen bacteria are said to be:
Phagocytosis
The destruction of bacteria by white cells during the inflammatory process is called:
Artificially acquiried active immunity
Vaccination against a disease provides:
Staphylococcus aureus
Can be transmitted by the nose and mouth. Commonly present on the skin and mucous membranes. (Gram Positive)
Anaerobe
Clostridium perfringens causes gas gangrene and is classified as a/an:
Antigen
A foreign substance that stimulates the production of antibodies is a/an:
Septicemia
The clinical syndrome characterized by microbial invasion of the bloodstream is:
Toxiods
Inactivated bacterial toxins are called:
Suppurative
Inflammatory exudate that is thick and yellow is termed:
Parasitism
A relationship that benefits the organism at the expense of the host is called:
Binary fussion
Bacteria reproduce most frequently by:
Pathogenicity
The ability of a pathogenic species to produce disease is known as its:
Vectors
The transmitters of pathogenic organisms by mechanical or biologic means are called:
Increase during an epidemic
As pathogens are transmitted again and again, their virulence:
Skin and mucous membrane linings
The body's first line of defense against the invasion of pathogens is:
Surgical Team
Surgical maintenance of asepsis is the responsibility of the:
Respiratory
Which access route is a major source of contamination in the OR environment?
Bacilli
Rodlike shaped bacteria are identified microscopically as:
Operative technique
One of the most important factors influencing wound healing is:
German measles
Rubella is another name for:
Linnaean system
The basis for modern classification of organisms is the:
Bacteria
The simplest form of cell organization is the:
Cold sore
Herpes simplex is commonly called:
Heat, pain, edema
All of the following descriptors refer to the inflammatory process:
Lockjaw
Clostridium tetani causes:
Flagella
Fine, threadlike appendages that provide bacteria with motion are:
Gram stain
A valuable laboratory ally in the identification of bacteria is
Coccus
Spherical-shaped bacteria belong to the genus:
Gas gangrene
A fulminating infection arising from necrotic tissue and spreading rapidly is:
Infected blood-sucking insects
Rickettsiae are transmitted by:
Clostridium tetani
Bacteria commonly found in soil:
Koch
Postulates to prove microbial origin were developed by:
Steptococcus
What bacteria causes rheumatic fever?
Naturally acquired passive
Fetal immunity is:
Staphylococcus aureus
What organism is responsible for a boil?
Pseudomonas aeruginosa
The organism most frequently found in burns is:
Streptococcus
Scarlet fever is caused by:
Endogeny
Having origin within an organism is termed:
Carrier
One who is a "host of infection" but displays no symptoms is termed a:
Endemic
Diseases that are continually present in the community are considered:
Protein that kills viruses
Interferon is a/an
Escherichia coli
Gastroenteritis is caused by:
Staphylococcus aureus
A bacterial pathogen most frequently invading damaged skin is:
Necrotic
Which type of wound would favor the development of gas gangrene?
Rheumatoid arthritis
An example of the autoimmune response is:
Clostridium perfringens
Gas gangrene is caused by:
Fibrinolysin
An enzyme produced by hemolytic streptococcus responsible for dissolving fibrin and delaying localization of a strep infection is:
Mucus-to-mucus contact
Veneral disease is generally transmitted by:
Spores
The bacteria highly resistant to sterilization and disinfection is:
Escherichia coli
If the intestine is perforated or transected during surgery, abdominal sepsis may result from which bacteria?
Halsted
A surgeon known best for his "Principles of Tissue Handling" is
Third
The burn classification that is characterized by dry, pearly white, or charred-appearing surface is:
K
Which vitamin enables the liver to produce clotting factors in the blood?
Incised
Clean cut wounds are called:
Vasodilation bringing more blood to the area
Inflammation is characterized by pain, redness, heat, swelling, and loss of function. The redness can be attributed to:
Debridement
Removal of contaminated debris from a wound is called:
Dead space
The space caused by separation of wound edges is called:
Ischemia
If tissue is approximated too tightly it can cause:
Ability of tissue to resist rupture
Tensile strength of a wound refers to:
Retention sutures
Dehiscence in a poor-risk surgical patient can be reduced by utilization of:
To minimize the tendency of blood to clot in the vessels
The purpose of anticoagulant therapy is:
Proud flesh
Overgrowth of granulation tissue is called:
Collagen
The chief constituent of connective tissue is:
Fibrinogen
What substance unites with thrombin to form fibrin, the basic structural material of blood clots?
A scar
A cicatrix is:
Hypoxemia
Insufficient levels of oxygen in the circulation is called:
Vitamin C
Good scar formation requires sufficient doses of:
A raised, thickened scar
Keloids are:
Steroid therapy
The formation of collagen in wound healing is interrupted by the medical administration of:
Secondary intention
A wound that is infected or one in which there is excessive loss of tissue heals by:
Tetanus bacillus
Following contaminated traumatic injury the patient must be preventatively treated for:
Third
Which type of wound healing requires debridement?
Second intention
Wound healing that employs a technique allowing the wound to heal from the bottom up is called:
1 Foot
The minimum distance which a nonsterile person should remain from a sterile field is:
Not considered safe to use routinely
Transfer forceps are:
Only on top
Tables are considered sterile:
Only in front from chest to sterile field level, and sleeves from elbow to cuffs
Gowns are considered sterile only from:
Nonperforating clamp
Suction tubing is attached to the drapes with a/an:
Checked for instruments, rolled off, and placed in a hamper
At the end of the case, drapes should be:
May be removed & discarded as long as the area is covered with sterile linen
During surgery, towel clips:
Wiped off with a moist sponge or soaked in a basin of sterile distilled water
As grossly soiled instruments are returned to the scrub, they should be:
Reach behind sterile team members to retrieve instruments so they do not collect on the patient
Which of the following actions by the scrub nurse is not an acceptable sterile technique principle?
Cuff the drape over his or her gloved hands
When the scrub is draping a nonsterile table, he or she must:
Use a wide cuff
When covering a Mayo stand, the scrub should:
Extra linen is added to area
If a sterile field becomes moistened during a case:
Bony prominence
A grounding plate for electrosurgery should never be placed over a:
Hospital-acquired infections
Nosocomial infection refers to:
Does not touch the part hanging below table level
When a sterile item is hanging or extending over the sterile table edge, scrub nurse:
Wrapper is impervious and contact area is dry
A dropped sterile item may only be used if:
A sterile person sits or leans against a nonsterile surface
The following is considered a break in technique?
If a sterilized pack is found in an unsterile workroom
Would be considered a situation in which sterility should be questioned:
Not recommended
Sitting up sterile tables and covering them until time of surgery is:
Discard the needle and holder from the field
If the surgeon sutures on the skin towels, the scrub nurse should:
On the same side of the table
When handing skin towels to the surgeon, where should the scrub stand in relation to the surgeon?
Remain sterile until the patient leaves the room
The Mayo stand should:
The circulator pulls the glove off
If the scrub nurse needs to change a glove during an operation:
Is not recommended
Recapping needles:
The surgical scrub
Mechanical washing and chemical antisepsis of the skin:
2 inches above the elbow
Scrub technique ends:
Front to back
When draping a table, the scrub nurse should drape:
Remove it with a clamp, cover over area
The procedure to follow if a hair is found on the operative field is to:
State kind kind and percentage of solution
When local anesthetic is passed to the surgeon:
Discard needle, change glove
If the scrub is pricked with a needle:
Done gently
The skin prep for a breast biopsy is:
The discarding of instruments coming in contact with tumor after each use
Cancer technique in surgery:
Film badges
Radiation exposure of the staff is monitored with:
To protect margins of healthy tissue from tumor cells
Why are gowns, gloves, drapes, and instruments changed following a breast biopsy before incision for a mastectomy?
Lead
Ionizing radiation protection is afforded by the use of:
Granulomata
A postoperative complication attributed to glove powder entering a wound is:
Eye injury
A potential safety hazard associated with laser surgery is:
Apply dressing before drape removal
The correct procedure for sterile dressing application is:
Separate setups
When setting up for donor and recipient sites you should have:
Never on recipient table
Always place dermatone separately:
Drop technique
The contaminated instruments are discarded in a single basin, gloves (and possibly gowns) are changed by the surgical team, and the incisional area is redraped with clean towels.
20 minutes
Activated glutaraldehyde is used to disinfect endoscopes for:
With gloves
How are endoscopes removed from disinfecting solution?
Rinse items with sterile distilled water before using
When using a high-level disinfectant, always:
Dons gloves and decontaminates promptly
If the floor or wall becomes contaminated with organic debris during a case, the circulator: