402 terms

VTNE Surgical Nursing

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If during surgery you notice an item at the edge of a sterile field, you should
Consider it unsterile if you are not absolutely certain
Preparing a patient's skin for surgery
Reduces the bacterial flora to a level that can be controlled by the patient's immune system
Ovariohysterectomy is most commonly performed in
Young female dogs
Which of the following does not have to be sterile during a surgical procedure to maintain aseptic technique?
Mask
Drapes
Instruments
Gloves
Mask
The effectiveness of a surgical scrub of the hands and arms with an antimicrobial soap depends on the
Combination of contact time and scrubbing action
Which statement regarding first-intention wound healing is false?
It occurs without infection
It occurs when the skin edges are held together in apposition
It usually has some degree of suppuration
It occurs with minimal scar formation
It usually has some degree of suppuration
Which of the following statements about electrocautery is false?
If the patient is not properly grounded, the surgeon may get shocked
The intensity of the current passed through the unit is adjustable
Small bleeding blood vessels are sealed with a controlled electrical current that burns the bleeding end
All portions of the electrocautery unit can and should be sterilized
All portions of the electrocautery unit can and should be sterilized
Before staring the surgical procedure, the technician who has scrubbed in with the surgeon should do all of the following except
Count the gauze sponges in the pack
Arrange the instruments to be quickly and easily located
Place the scalpel blade on the handle
Open the suture material
Open the suture material
An ovariohysterectomy may be performed for all of the following reasons except
Prevention of prostate cancer
Prevention of pyometra
Sterilization of the animal
Prevention of estus
Prevention of prostate cancer
Which of the following statements is true?
Female cats over age 3 are too old to be spayed
Female ferrets that are not bred or spayed are likely to develop a life-threatening anemia
All female animals become fat after spaying
It is beneficial to allow a female dog to have one litter before spaying
Female ferrets that are not bred or spayed are likely to develop a life-threatening anemia
If an animal goes home with a bandage, the client should observe the bandage daily and remove it if any of the following are observed except
Skin irritation at the edges of the bandage
All bandages should be removed 24 hours after being applied
The bandage is wet
The position of the bandage has shifted
All bandages should be removed 24 hours after being applied
Which of the following is not true about dogs being spayed before their first estrus cycle?
The hair coat will change and become easier to manage with less shedding
The surgery is generally considered easier to perform if the bitch has not been through an estrus cycle
Mammary cancer is less likely to occur in a bitch that has been spayed before her first estrus cycle
The uterus and ovaries enlarge after the first estrus cycle. This necessitates a larger abdominal incision when the bitch is spayed
The hair coat will change and become easier to manage with less shedding
Which one of the following statements regarding pyometra is false?
The bitch that goes to surgery will have the ovaries and uterus removed
The bitch that goes to surgery will have only her uterus removed
The uterus may have ruptured before surgery begins
The patient represents a high-risk anesthesia case, because other organs in the body may be compromised
The bitch that goes to surgery will have only her uterus removed
All of the following statement regarding cesarean sections are true except
Once the newborns are removed, the mother is out of danger, and most of the technicians attention should be on the newborns
A cesarean section is also known as a hysterotomy
For some breeds of dogs, such as the English Bulldog, it is expected that a cesarean section will need to be performed
Wait to put the mother with the newborns until after she has adequately recovered from anesthesia
Once the newborns are removed, the mother is out of danger, and most of the technicians attention should be on the newborns
Which of the following statements regarding cesarean sections is false?
Bloody vaginal discharge is to be expected following surgery
The newborns delivered by C-section are under the effects of anesthesia
The surgical incision should be observed by the client after 1 week because it is best not to disturb the nursing newborns
The newborn should be be immediately removed from the membranous sac that covers its body when it is removed from the uterus
The surgical incision should be observed by the client after 1 week because it is best not to disturb the nursing newborns
When a male dog is presented to the hospital for a castration procedure, the technician should do all of the following except
Make sure that the dog is a male
Make sure that there are two testicles in the scrotum
Make sure that he is not in heat
Make sure that there is a telephone number to reach the client
Make sure that he is not in heat
When a tomcat is presented to the hospital for a castration procedure, the technician should do all of the following except
Make sure that the cat is a a male
Make sure that he has not been previously castrated
Make sure that there are two testicles
in the scrotum
Make sure that he is not in heat
Make sure that he is not in heat
When a bitch is presented to the hospital for an ovariohysterectomy, the technician should do all of the following except
Make sure that the dog is a female
Get a telephone number where the client can be reached that day
Make sure that she is not in heat, because it would significantly complicate the surgery
Give the dog aspirin, because the surgical procedure will be painful
Give the dog aspirin, because the surgical procedure will be painful
When a queen is presented to the hospital for an ovariohysterectomy, the technician should do all of the following except
Make sure the cat is a female
Get a telephone number where the client can be reached that day
Make sure that the cat is not in heat, because it would significantly complicate the surgery
Get the client or guardian's signature on the consent form
Make sure that the cat is not in heat, because it would significantly complicate the surgery
When a dog is to be castrated, the veterinary technician should prepare the surgical site. The incision is most commonly made in what location?
Prescrotal
When a cat is to be castrated, the veterinary technician should prepare the surgical site. The incision is most commonly made in what location?
Scrotum
When a dog is to be spayed, the veterinary technician should prepare the surgical site. The incision is most commonly made in what location?
Abdominal ventral midline
The hair coat can be most efficiently and gently removed when preparing a dog to be spayed by which method?
Clipping against the grain of the hair with electrical clippers using a No. 40 blade
Which of the following statements would be false after serious oral surgery, such as mandibular fracture repair or oral-nasal tumor resection?
The patient may refuse to eat
The patient may need a gastrotomy tube
The patient may refuse to drink
The patient will no longer be in pain
The patient will no longer be in pain
When feeding the patient through a tube, the technician should
Flush the tube with water
Which of the following statements about GI surgery is false?
The patient should be fed immediately upon recovery from anesthesia
Before closing the abdomen, the surgical team should check for sponges, instruments, strands of suture material, needles, and other possible foreign objects
During surgery additional sterile instruments, drapes, and gloves should be immediately available for the surgeon to exchange if contamination occurs
GI surgery comes with a high risk of bacterial contamination of the abdomen
The patient should be fed immediately upon recovery from anesthesia
A semipermanent feeding tube may be placed in all of the following ways except
Through the nose
Through a pharyngostomy site
Through a gastrostomy site
Through the mouth
Through the mouth
All of the following statements are true about GI surgery except
It is absolutely essential to fast all patients before GI surgery. The GI tract must be empty before surgery
At no point is the GI tract sterile, therefore it is important to guard against contamination
Irrigation of the peritoneal cavity with a sterile isotonic solution after GI surgery helps reduce the number of microorganisms that remain free in the peritoneum following the procedure
The surgical assistant must be alert to the possibility of intestinal contents contaminating the abdominal cavity and must help the surgeon prevent this from happening
It is absolutely essential to fast all patients before GI surgery. The GI tract must be empty before surgery
It is important that the nursing care provided to paralyzed patients focuses on patient comfort. The prevention of decubital ulcers can be accomplished by all of the following procedures except
Frequent turning or repositioning of the patient's position
Adequate padding in the cage or bed
Appropriate analgesic therapy
Whirlpool bath hydrotherapy
Appropriate analgesic therapy
Proptosis of the globe can be caused by
Overzealous restraint of the animal
An abscess is
A "walled-off" or circumscribed accumulation of pus
All of the following are instructions to give to clients of animals that have Penrose drains placed except
An Elizabethan collar may be needed
Clean the skin around the drain with warm water or dilute chlorhaxadine
The drain will fall out, there is no need to return for removal
Carefully watch the animal and prevent it from licking or chewing at the drain
The drain will fall out, there is no need to return for removal
The client should be instructed to contact the veterinary hospital if any of the following occur with a splint or cast except
The animal chews at the splint or cast
The splint or cast is wet
The leg look swollen above or below the cast
The animal is walking on or using the splinted or casted leg
The animal is walking on or using the splinted or casted leg
Proper splint and bandage care includes all of the following except
Washing the splint or bandage daily
Preventing the bandage or splint from becoming wet
Inspecting the bandage or splint daily for any change, such as swelling above or below the splint or bandage
Inspecting the bandage or splint for any shifting or change in position on the limb
Washing the splint or bandage daily
Which of the following is not true of an aural hematomas?
Must be drained
Is repaired by trimming back the pinna
Is painful and bothersome to the animal
May be drained and bandaged by wrapping the head with the ear folded back across the top of the head
Is repaired by trimming back the pinna
When a dog or cat is spayed, the surgical incision is most commonly made
Midline, caudal to the umbilicus
Suture materials
Are all absorbale
Are nonabsorabable
Can be braided or monofilament
Are only supplied with a needle attached
Can be braided or monofilament
When passing surgical instruments to the surgeon, the technician should do all of the following except
Gently but firmly slap the palm of the surgeon with the instrument
Pass the instrument in the open position
Pass the instrument with the handle placed into the surgeon's hand
Pass the curved instrument so that it is oriented in the surgeon's hand with the concave side up
Pass the instrument in the open position
When assisting the surgeon, the technician should
Attach the scalpel blade using a pair of hemostats or needle holders to hold the blade
Staples and other clips can be
Used in infected wounds
Surgical instruments should be
Lubricated with oil between uses
Cleaned without water to avoid the possibility of rusting
Placed on surfaces, never dropped or thrown
Cleaned with abrasive cleaners
Placed on surfaces, never dropped or thrown
External fixation devices include all of the following except
Cast
Splint
Bone plate
Kirschner-Ehmer apparatus
Bone plate
Overinflation or underinflation of the endotracheal tube cuff can result in all of the following except
Prevention of fluid aspiration into the lungs
Pressure necrosis of the cells lining the trachea
Inability to keep the patient under anesthesia with the expected concentration of gas anesthetic
Increased levels of waste gas anesthesia in the surgical room
Prevention of fluid aspiration into the lungs
A chest tube is placed when an animal has
Pneumonothorax
There is more concern about pulling out the ET tube too soon in what breed of dog
English Bulldog
Dystocia is
Difficult or abnormal birth
Surgical procedures of the ear include all of the following except
Otoplasty
Bullas osteotomy
Aural hematoma drainage
Enucleation
Enucleation
Surgical procedures of the eye and adrenal structures include all of the following except
Entropion repair
Keratectomy
Onychectomy
Enucleation
Onychectomy
The animal is to be prepared for a cystotomy. What part of the body is prepped?
Ventral abdomen
The animal is the be prepared for an ovariohysterectomy. What part of the body s prepped?
Ventral abdomen
The animal is to be prepared for a femoral head ostectomy. What part of the body is prepped?
Hip
The animal is to be prepared for an orchidectomy. What part of the body is prepped?
Scrotal/prescrotal area
The animal is to be prepared for a popliteal lymph node biopsy. What part of the body is prepped?
Caudal aspect of the stifle
A declaw is also known as
Onychectomy
Which of the following is not part of the spermatic cord?
Panpinoform plexus
Vas deferens
Testicular artery
Epididymis
Epididymis
Which of the following is not completely removed in an ovariohysterectomy?
Broad ligament
Ovaries
Uterine horns
Oviducts
Broad ligaments
Enucleation may be required to correct
Proptosis of the eye
Which of the following is a needle driver that is also able to cut suture?
Hegar-Olsen
Mayo-Hegar
Brown-Adson
Rochester-Pean
Hegar-Olsen
Which of the following forceps has the best crushing action?
Rochester-Carmalt
Rochester-Pean
Ochsner
Crile
Rochester-Carmalt
Which of the following does not describe a characteristic of ethylene oxide?
Carcinogenic
Teratogenic
Mutagenic
Mitogenic
Mitogenic
Which of the following suture materials persists in the body for the longest period?
Polydioxanone
Prolene
Chromic catgut
Vicryl
Prolene
Scrotal swelling after orchidectomy is most likely due to a
Hematoma
Which of the following instruments is the only one appropriate for handling tissues during surgery?
Dressing forceps
Standard surgical scissors
Sponge forceps
Rat-tooth forceps
Rat-tooth forceps
What suture pattern is commonly used to close the skin of cattle following a rumenotomy?
Continuous horizontal mattress
Which of the following suture materials is most appropriate to close the muscle layers of a cow following a left-displaced abomasum surgery?
3-0 catgut
3-0 polydioxanone
3 chromic catgut
3 polydioxanone
3 chromic catgut
Which of the following statements regarding pyometra is incorrect?
Ovariohysterectomy is usually curative
A purulent vaginal discharge is always present
Affected females usually have polyuria and polydipsia
It often occurs soon after a heat cycle
A purulent vaginal discharge is always present
Which of the following is not considered an elective procedure?
Orchidectomy
Ovariohysterectomy
Onychecotomy
Enucleation of a proptosed eye
Enucleation of a proptosed eye
Nephrectomy refers to
The removal of a kidney
When preparing for an orthopedic surgery, shaving the surgical site should be done
Just after induction of anesthesia
Fracture apposition refers to
Placing the bones back in to their normal position
A Caslick operation is done in horses to
Improve fertility
Which of the following agents can be used as both an antiseptic as well as a disinfectant?
Quaternary ammonium compounds
Mercurial compounds
Isopropyl alcohol
Formaldehyde
Isopropyl alcohol
For which of the following surgeries are stay sutures not normally necessary?
Cystotomy
Gastrotomy
Intestinal anastamosis
Hepatic biopsy
Hepatic biopsy
What is the minimum number of throws required when making a surgical knot?
2
When is it appropriate to use a hand tie instead of an instrument tie?
A hand tie can be used any time an instrument can
What technique can be used to help prevent a suture from slipping off the uterine stump?
Transfixation
Which of the following is an advantage of monofilament material over multifilament material?
Greater knot security
Greater suture strength
Less likely to cause suture reactions
Passes through tissue more easily
Passes through tissue more easily
Which of the following suture sizes is most appropriate for eye surgeries?
0
3-0
6-0
10-0
6-0
Why is it important to minimize the amount of dead space when suturing?
To decrease the chance of seroma formation
Which of the following is an absorbable suture material?
Polydioxanone
Prolene
Silk
Cotton
Polydioxanone
What factor will not influence how rapidly suture materials are absorbed by the body?
Age of the patient
Presence of infection
The location of the suture
The composition of the suture material
Age of the patient
Which of the following is not considered a contaminated surgery?
Anal sac removal
Dental extractions
Intestinal anastamosis
Gastrotomy
Anal sac removal
Which of the following forceps should not be used to hold the edges of the incision open?
Rat tooth
Brown-adson
Crile
Allis tissue
Crile
Which of the following does not describe a type of surgical scissors?
Mayo
Metzanbaum
Iris
Lembert
Lembert
A sponge count should be done
At the beginning of the surgery and before closure
When performing a canine orchidectomy, the location of the incision is usually
Prescrotal
Which of the following clinical sign s would not normally be seen if a dog were suffering from hemorrhage after an ovariohysterectomy?
Decreased HR
Pale MM
Slow recovery time from anesthesia
Slow capillary refill time
Decreased HR
You are monitoring a cat during an exploratory surgery and notice the pupils are central and dilated. The cat is
Impossible to determine without more information
Which of the following does not cause an increase in respiratory rate in an anesthetized animal?
Increased blood CO2
Anesthesia is too light
Increased PaO2
Hyperthermia
Increased PaO2
What is the proper term for trimming the edges of a jagged tear before suturing?
Debridement
Which of the following is not a factor influencing the formation of exuberant granulation tissue?
Presence of infection
Amount of missing tissue
Depth of the wound
Location of the wound
Depth of the wound
If a surgical incision is dehiscing, the discharge, if present, is most likely to be
Serosanguineous
Which of the following agents has been associated with causing neurologic disorders in cats?
Chlorhexadine
Providone iodine
Quaternary ammonium compounds
Hexachlorophene
Hexochlorophene
If a nonsterile person must move to the other side of a sterile person, the nonsterile person should pass
Facing the back of the surgeon
When opening a double-wrapped gown pack, nonscrubbed surgical personnel may touch the
Autoclave tape
Which of the following suture materials is most likely to cause stitch granulomas if left in too long?
Silk
Cotton
Nylon
Prolene
Nylon
When scrubbing, the hands should be held
Above the elbows
When cleaning instruments, the instruments should first be soaked in a surgical soap solution to
Remove blood
Which of the following patterns is not suitable for the closure of an intestinal biopsy incision?
Simple continuous
Simple interrupted
Everting
Inverting
Everting
Which of the following does not need to be included when labeling a surgical pack?
Contents of the pack
Date the pack was made up
Initials or name of the person making up the pack
Date the pack must be used
Date the pack must be used
Which of the following hemostatic forceps has striations different from the others?
Halstead mosquitoes
Crile
Rochester-Pean
Rochester-Carmalt
Rochester-Carmalt
Which of following is not the formal name of a retractor?
Finochietto
Gelpi
Lembert
Balfour
Lembert
Which of the following is not a requirement for fracture healing?
Apposition
Shearing
Fixation
Reduction
Shearing
Using the dissection method, which parts of the distal forelimb are removed in an onychectomy?
Distal phalanx and nail
Anterior drawer movement detects a problem with the
Stifle
An incision into the bladder is known as a
Cystotomy
Which of the following conditions does not require surgical repair?
Gastric dilation and volvulus
Intussusception
Mesenteric torsion
Ileus
Ileus
A laminectomy is used to treat
Intervertebral disk disease
If a fracture is found on the proximal part of the tibia, it is
Distal to the femur
If the testicles are not palpable, and a cryptorchidectomy is performed, the incision would most likely be
Ventral midline
In dogs, the most common location for a thoracotomy incision is
Between the ribs
What is the minimum number of air changes per hour required for adequate ventilation in a surgical suite?
15
Which of the following disinfectants has the weakest virucidal activity?
Glutaraldehyde (2%)
Quaternary ammonium compounds at standard concentrations
Formalin (37%)
Isopropyl alcohol (70%)
Quaternary ammonium compounds at standard concentrations
Which of the following does not describe a type of surgical scissors?
Iris
Metzenbaum
Wire-cutting
Mayo-Hegar
Mayo-hegar
Which of the following instruments is most suitable for the removal of bone to perform spinal surgery?
Rongeurs
Curette
Periosteal elevator
Trephine
Rongeurs
Clear fluid removed from thoracic cavity is known as
Pleural effusion
Where is the most likely place for a rumenotomy incision in a dairy cow?
Left paralumbar fossa
What does a change in color in autoclave tape indicate to a surgical nurse?
During the autoclaving process, steam has reached the tape
Assuming 15 psi, the minimum conditions that must be met to ensure that a pack has been adequately sterilized by autoclaving are
121 degrees C for minutes
Which of the following is not a concern when assisting a surgeon in a canine C-section surgery?
Minimizing anesthetic drugs that may pass on to the puppies
Minimizing the time the bitch is in dorsal recumbency because of the weight of the uterus on the aorta
Suctioning fluid from the puppies' nasal cavities and mouths to stimulate breathing
Intubating the puppies
Intubating the puppies
Which of the following is not a primary concern when assisting a surgeon performing a pyometra surgery?
Providing preoperative and intraoperative antibiotics for the patient
Gentle handling of the friable tissue to prevent rupture and drainage of the contents of the uterus into the abdominal cavity
Fluid therapy to diurese the kidneys
Lidocaine infusion to prevent ventricular arrythmias
Lidocaine infusion to prevent ventricular arrythmias
When assisting a surgeon in a gastric dilation and volvulus surgery, your immediate concern is not with which of the following
Establish IV access to deliver shock doses of fluids
Calculate lidocaine dose for CRI
Monitor for cardiac arrhythmias intraoperatively ans postoperatively
Prepare ultrasound unit to confirm gastric dilation and volvulus status of animal
Prepare ultrasound unit to confirm gastric dilation and volvulus status of animal
What size scalpel blade fits on a No. 3 scalpel handle?
No. 10
No. 20
No. 21
No. 30
No. 10
What size scalpel blade fits on a No. 4 scalpel handle?
No. 10
No. 12
No. 15
No. 20
No. 20
What is meant by the term pathogenic bacteria?
Bacteria that cause disease
Which of the following need not be considered in the timing of the autoclave cycle?
Time required to heat up the interior of the chamber
Time required to allow the steam to penetrate the interior of the packs
Time required to seal the chamber
Time required to sterilize those items in contact with the steam
Time required to seal the chamber
The definition of sterile is
Without microbes or living spores
What items should personnel wear when entering the operating room?
Cap, mask, booties, and clean scrubs or gown
Which of the following surgical packs would not be considered contaminated and would not need to be reautoclaved?
Single-wrapped paper pack stored on an open shelf for 8 weeks
Pack that was opened for a procedure but not used and needed for the next day's procedure
Double-wrapped paper pack stored in a closed cabinet for 6 weeks
Instrument in an autoclave pouch that has a very small tear near the top of the pack
Double-wrapped paper pack stored in a closed cabinet for 6 weeks
Instruments are autoclaved
With the ratchets closed to prevent tearing the wrap material
With the ratchets open to allow steam exposure to the entire surface
Always in a surgical tray to prevent the instruments form shifting
Without touching any other instruments to prevent corrosion
With the ratchets open to allow steam exposure to the entire surface
An advantage of using a Gelpi retractor over a Senn retractor is
The Gelpi is self-retaining
What three factors determine whether a microbe will cause disease?
Number of pathogens, host resistance, and virulence of the pathogen
What specifically does the strip on the autoclave tape indicate when it turns dark?
The correct temperature has been reached
Metzenbaum scissors are used only for
Cutting tissue
Where is the sterile zone located on scrubbed personnel?
Front, from the neck to the waist, including the arms
Rank the following from greatest tensile strength to least?
00 gut, 3-0 vicryl, 1 chromic gut, 6-0 silk
1 chromic gut, 00 gut, 3-0 vicryl, 6-0 silk
6-0 silk, 3-0 vicryl, 00 gut, 1 chromic gut
6-0 silk, 3-0 vicryl, 1 chromic gut, 00 gut
1 chromic gut, 00 gut, 3-0 vicryl, 6-0 silk
Why must instrument milk be used after ultrasonic cleaning?
To replace lubrication removed by the ultrasonic cleaner
What needle type is reusable?
Swaged-on
Taper point
Trocar tip
Eyed
Eyed
Which of the operating room personnel should face the sterile field during a procedure?
All personnel, both scrubbed in and nonsterile
Which of the following is not a major criterion used to classify suture material?
Absorbable verses nonabsorbable
Tensile strength versus size
Synthetic versus natural
Braided versus monofilament
Tensile strength versus size
An advantage of braided suture over monofilament is
Knot security
When attaching an animal to an ECG, which lead is hooked up to the right foreleg?
White
When attaching an ECG, which leg should have the red lead attached to it?
Left hind leg
A disinfectant labeled to be virucidal
Kills viruses
How often should the instrument milk be changed?
Every 18 days
When autoclaving, the minimum temperature and exposure time for the center of the surgical packs is
250 degrees F for 15 minutes
What is the significance of an autoclave that will not properly seal, but steam still rises from it?
The pressure will not increase, which is required to meet a minimum temperature for sterilization
In general, the difference between a disinfectant and an antiseptic is
Disinfectants are agents used on inanimate objects, and antiseptic agents are used on living tissues
How can you help prevent "strike through" during surgery?
Assist in keeping the surgical drapes and gown from getting wet during surgery
Why is a typical autoclave cycle set for 20 minutes on an instrument?
This allows time for steam penetration to the center of the pack and still provides the minimum time of steam exposure
The agent used in gas sterilization is
Ethylene oxide
Needle holders that have scissors, as well as a needle-holding surface, are named
Olsen-hegar
Rochester-Carmalt forceps have
Longitudinal serrations with a crosshatched pattern at the tips
A buhner needle is used
In repair of bovine vaginal and uterine prolapses
A snook hook is typically used during
An ovariohysterectomy
What does the medical term ovariohysterectomy mean?
Removal of the ovaries and uterus only
An accumulation of purulent discharge within the uterus is called
Pyometra
A pack double wrapped in muslin and kept in a closed cabinet is good for how long?
6-7 weeks
Instruments suitable for cutting suture include
Operating scissors, scissors on Olsen-Hegar needle holders, and Mayo scissors
What is a Steinman IM pin?
An intramedullary pin used in orthopedics
You are checking on a recent surgical wound and find that the tissue is slightly warmer and redder than the surrounding tissue. What is the significance of this?
This is normal because the first stage of wound healing is inflammation
What should you wear when cleaning the surgical suite before and after surgeries?
Cap, mask, booties, and clean scrubs
What should you be wearing when performing as a nonsterile surgical assistant?
Mask, cap, show covers, and clean scrubs
While you are performing as a sterile surgical assistant, your mask slips down below your nose. What should you do?
The nonsterile assistant may secure the mask in position while standing behind you
Which of the following is not an advantage to spaying a bitch?
Eliminates the hemorrhagic discharge associated with the estrus stage of the cycle
Decreases the risk of mammary cancer
Eliminates estrus behavior
Eliminates the risk of pyometra associated with multiple nonpregnant estrus cycles
Eliminates the hemorrhagic discharge associated with the estrus stage of the cycle
Which of the following is not a recommended agent for patient surgical preparation?
Chlorhexadine
Roccal
Alcohol
Providone iodine
Roccal
Abscesses are generally allowed to heal open to provide continuous drainage. This type of wound healing is considered
Second intention
Which of the following best describes the location of an incision through the skin and linea alba, extending from the xiphoid process to the umbilicus?
Flank
Paracostal
Paramedian
Ventral midline
Ventral midline
C-section in cattle are most commonly performed via what surgical approach?
Through the left paralumbar fossa
Emasculators are used
In large animal castrations
You are to assist with a rumenotomy. Where do you prep for the surgery?
Left paralumbar fossa
A disadvantage of tilting the surgical table so the patient's head is lower than its tail is
The increased pressure on the diaphragm interferes with respiration
A visiting relief veterinarian whom you are assisting in surgery asks you to provide a nonabsorbable suture, less than 2-0 in size. Which of the following would meet the request?
3-0 chromic gut
4-0 silk
00 Dermalin nylon
0 polydioxanone
4-0 silk
Hanging preps are
Often used for orthopedic procedures that involve a limb
A surgical prep for feline castration involves
Plucking or pulling the hair from the scrotum before the surgical scrub
Which of these is not a common surgical site for correction of a left-displaced abomasum in cattle?
Right paralumbar
Left paralumbar
Ventral midline
Right paramedian
Ventral midline
Postoperative care for horses following castration includes
Exercise twice daily to promote drainage
The term that means " surgically opening the abdominal cavity" is
Laparotomy
What parameters does the pulse oximeter measure?
Oxygen saturation of hemoglobin and heart rate
Which of the following is false regarding the ECG?
It measures the electrical impulses of the heart
There can be a normal ECG tracing when there is no cardiac output
There is always a pulse beat with each QRS complex
Alcohol and sterile lubricant will enhance the connection of the skin leads
There is always a pulse beat with each QRS complex
What orthopedic fixation consists of pins that penetrate fractured bones and skin from the outside and are held in place externally by bolts attached to another cross pin?
External fixators
What is a nosocomial infection?
Hospital-acquired infection
Which of the following should not be used to help prevent hypothermia in surgical patients?
Electric heating pad set on low
War-water circulating pad
Warm rice pads
Towel placed between the surgery table and patient
Electrical heating pad set on low
While preparing for what type of surgical procedure would you make sure that Jacob's bone chuck is sterilized and available?
Orthopedic
Which of the following is not an advantage to neutering a male dog?
Decreased risk for perineal hernias
Decreased roaming
It will prevent it from lifting its leg to urinate
Decreased aggression toward other dogs
It will prevent it from lifting its leg to urinate
Which of the following can be used as a surgical scrub on a patient?
Providone iodine solution
Chlorhexadine scrub
Alcohol
Nolvasan solution
Chlorhexadine scrub
Which of the following need not be done before moving a horse into surgery for a general anesthesia procedure?
Remove the shoes
Rinse out the mouth
Clip as much of the surgical area as possible
Perform a complete tail wrap
Perform a complete tail wrap
What is an important measure that can help prevent myostitis during equine surgery?
Provide proper padding
Which of following is not true regarding cyrtorchidism in horses?
One or both of the testicles have not descended into the prepuce
Surgery for removal of the undescended testicle is more involved than a normal castration
It is an inheritable condition
Stallions affected with unilateal crytorchidism will breed mares
One or both of the testicles have not descended into the prepuce
What nerve in the horse's head should be protected from injury during prolonged surgical procedures?
Facial nerve
A gastrotomy refers to
A surgical incision into the stomach
During a surgical scrub, you bump your hand on the facet. What should you do?
You have contaminated yourself and must start the entire scrub over
Why are such elaborate measures taken to maintain aseptic technique during surgery?
To decrease the risk of contamination into the surgical site and interference with wound healing
What is meant by the term iatrogenic?
Induced or caused by the veterinary surgeon or staff
A fenestrated drape
Has a window opening in middle for the surgery to be performed through
What is the pressure that must be reached in a steam autoclave for the temperature to reach 121.5 degrees C?
15 psi
Healing of a properly sutured surgical wound is most appropriately termed
First-intention healing
Which of the following has the poorest potential for healing and return to normal function after drainage and effective surgical repair?
Bone
GI tract
Liver
Nervous tissue
Nervous tissue
What best describes the location of an incision extending from the xiphoid process to the umbilicus of an animal?
Ventral midline
What agent, method, or device is most appropriate for sterilizing an electric drill to be used in an orthopedic surgical procedure?
Ethylene oxide gas
What agent, method, or device is most appropriate for sterilizing a needle holder to be used in a surgical procedure?
Autoclave
What agent, method, or device is most appropriate for sterilizing a pair of dissecting scissors to be used in a surgical procedure?
Liquid chemical disinfectant
Which of the following describes the minimum exposure time and temperature to which all parts of an autoclaved surgical pack should be exposed to achieve sterility?
121 C for 15 min
121 F for 15 min
250 C for 20 min
250 F for 20 min
121 C for 15 min
Which of the following is the most effective and timely indicator that sterilization conditions have been met in an autoclaved surgery pack?
Autoclave tape
Chemical indicator
Culture test
Melting pellet
Chemical indicator
What is the proper term for microorganisms that gain entrance into an incision during a surgical procedure?
Contamination
Which of the following do/does not have to be sterile during a surgical procedure to maintain aseptic technique?
Drapes
Gloves
Gown
Mask
Mask
What is the agent for autoclave sterilization?
Steam
What size of electrical clipper blade is most commonly used for removing the hair form a surgical site?
No. 40
Which of the following is not an effective form of surgical hemostasis?
Crushing
Curettage
Ligation
Pressure
Curettage
Which of the following is not a likely cause of dehiscence of an abdominal incision?
Excessive physical activity
Stormy recovery from anesthesia
Surgical wound infection
Suture material larger than needed
Suture material larger than needed
Which of the following is not an effective aseptic surgical technique?
Consider a sterile item to be nonsterile if it touches a nonsterile item
If the sterility of an item is in doubt, consider it sterile
Nonscrubbed personnel can touch nonsterile items only
Only sterile items can touch other sterile items
If the sterility of an item is in doubt, consider it sterile
Which of the following does not enhance the healing of an open wound?
Debridement
Exuberant granulation tissue
Granulation tissue
Wound flushing
Exuberant granulation tissue
Which of the following is not a characteristic of first-intention wound healing?
Minimal contamination
Minimal tissue damage
No continuous movement of wound edges form body movement
Wound edges not approximated
Wound edges not approximated
What incision is most appropriate for exploratory surgery of the abdomen of a dog in which the precise location of the problem is not known?
Ventral midline
Which of the following is not an early sign of wound dehiscence during the first 24 hours after abdominal surgery?
Body temperature elevation of 1 degree to 2 degrees
Serosangineous discharge from the incision
Swollen incision
Very warm incision
Body temperature elevation of 1 degree to 2 degrees
The main goal of aseptic surgical technique is to prevent contamination of the
Surgical wound
What factor relating to infection of a surgical wound can aseptic technique reasonably expect to significantly influence?
Number of microorganisms entering the wound
The effectiveness of a surgical scrub of the hands and arms with a bactericidal soap depends on
Combination of contact time and scrubbing action
Which of the following is a surgical scrub soap that forms a bacteriostatic film over the skin when it is used exclusively?
Chlorhexidine
Chlorpheniramine
Hexachlorophene
Providone-iodine
Hexachlorophene
Which of the following does not normally need to be sterilized as a part of good aseptic sugical technique?
Cap
Drapes
Gown
Scrub brush
Cap
Liquid chemical sterilization is used primarily for
Instruments with sharp edges
The time necessary to disinfect surgical instruments with liquid chemicals can be shortened by
Warming the solution
What surgical drape material prevents bacteria from penetrating the drape by capillary action when the top surface of the drape becomes wet?
Plastic
What surgical instrument should not be routinely steam sterilized?
Backhaus towel clamp
Halstead mosquito forceps
Mayo-Hegar needle holder
Metzenbaum scissors
Metzenbaum scissors
What is the most appropriate wound-flushing solution?
Isotonic saline
What incision is the most appropriate for a rumenotomy in a standing cow?
Left flank
What, if any, operating room personnel should always face away from sterile fields during a surgical procedure?
Neither nonscrubbed nor scrubbed personnel
What is the significance of ventral midline surgical wound dehiscence of the muscle, subcutaneous tissue, and skin layers?
Emergency
Why is a recent surgical wound usually slightly warmer than surrounding normal tissues?
Inflammation
When does a sutured surgical wound begin to gain significant strength from production of collagen strands, so that the wound edges are held together by not only the sutures?
5 days
Wound contraction is produced by
Movement of the whole thickness of the skin
As a part of effective aseptic technique, surgical gowns
Are commonly made of cloth or paper
Which of the following is not a sign of hemorrhagic shock in a postsurgical patient?
Deep, slow breathing
Slow capillary refill
Tachycardia
Weakness
Deep, slow breathing
The usual significance of a small seroma beneath a skin suture line is
Cosmetic only
The healing potential for a fractured bone that is properly aligned and kept immobile is
Excellent
What coloration indicates the best blood supply to the edges of a wound in nonpigmented skin?
Bluish-purple
What abdominal incision is most appropriate for a standing C-section on a heifer?
Flank
What portion of a surgical gown is considered sterile during surgery?
Front, from the waist up, including the arms
What bacterial form is most easily destroyed by common sterilization methods?
Vegetative form
The first phase of the wound-healing process is the
Inflammation
In the first 24 hours of primary union wound healing, most of the resistance to opening of the wound is provided by
Sutures
In what type of abdominal incision can the muscle wall be most effectively closed with one layer of sutures?
Ventral midline
Scrubbed surgical personnel become contaminated if they touch
Objects outside of the sterile zone
Nonscrubbed personnel may properly touch anything that is
Contaminated
How should a person scrubbed for surgery and the anesthetist pass each other in the operating room?
Scrubbed person back to anesthetist back
When not otherwise occupied, scrubbed surgical personnel should stand with their
Hands clasped between waist and shoulder level
When is it permissible for nonscrubbed surgical personnel to pass between scrubbed personnel and the patient during surgery?
Never
When aseptically opening a sterile surgical pack on an instrument stand, it is not proper for nonscrubbed surgical personnel to touch the
Contents of the pack
What characteristic is true of ethylene oxide gas?
Flammable
Exposure is not considered a health hazard
Noncombustible
Nontoxic to tissues
Flammable
Which of the following is not a likely contributor to postoperative wound dehiscence?
Chronic postoperative vomiting
Internal suture ends cut too short
Infection
Skin sutures left in too long
Skin sutures left in too long
What type of dressing best helps debride a wound with extensive tissue damage?
Wet saline dressing
Most of the clinical signs seen in an animal in shock from excessive blood loss are attributable to
Redistrubution of blood flow
The main goal of surgery to remove a pus-filled uterus is
To restore the animal to health without restoring normal reproductive function
What tissue must form in a wound that is healing by second intention before wound contraction or epithelial regeneration can occur?
Granulation tissue
When gloving for surgery, which of the following is not permitted?
One gloved thumb touches the other gloved thumb
The outside of the glove is touched by the scrubbed finger
The outside of the gown cuff is touched by inside of the glove cuff
The scrubbed fingers touch the inside of the glove cuff
The outside of the glove is touched by the scrubbed finger
How should a pack be placed in an autoclave for sterilization?
Vertically
Metzenbaum scissors are used for
Soft-tissue dissection
What retractors are not handheld?
Deaver
Senn
Rake
Gelpi
Gelpi
What is the appropriate time to soak an instrument in a cold sterilization solution before adequate sterilization is achieved?
10 minutes
How long does an instrument that is sterilized and wrapped in paper remain sterile?
1 year
A dust cover extends the sterility time of an instrument from 1 month to
6 months
Instrument milk is used for all of the following except
Lubrication
Rust inhibition
Extending the life of the instrument
Cleaning the instrument
Cleaning the instrument
For what bovine surgical procedure are obstetric chains used?
C-section
To flash sterilize an instrument, the autoclave settings should be
270 degrees F, 30-lb pressure, 4 min, fast exhaust
Which of the following does not have to be gas sterilized?
Arthroscope
Plastic pipette tubing
Polyethylene tubing
Plastic spray bottles
Plastic pipette tubing
Ultrasonic cleaners are used for
Removing small particles of blood and tissue from instruments
A laryngeal burr is used in
Sacculectomy
Which of the following is not a consideration when evaluating a surgical pack for sterility?
Sterilization date
Indicator color change
Holes or moisture damage
Incorrect labeling
Incorrect labeling
Mayo-hegar scissors are used in all of the following situations except for cutting
Sutures
Delicate tissue
Paper drapes
Skin or muscle
Delicate tissue
When steam autoclaving bottles of solution, what two preparations should be made to prevent explosion of the bottles?
Vent the bottles and set the autoclave to slow exhaust
How long must instruments be aerated after ethylene oxide gas sterilization before they can be used?
1 to 7 days
What scalpel blade is generally used in an arthroscopy for making the stab incision into the joint because of its pointed, rather than rounded or hooked end?
No. 11
What size scalpel blade is used for making an abdominal skin incision?
No. 10
What type of sterilization technique is not acceptable for instruments in a canine castration?
Gas sterilization
Autoclaving
Chemical sterilization
Boiling
Boiling
All of the following are objectives of the surgical hand scrub except
To remove gross dirt and oil from the hands
To sterilize the hands
To reduce the microorganism count on the hands to as close to zero as possible
To have a prolonged depressant effect on numbers of microflora on the hands and forearms
To sterilize the hands
What type of surgical scrub solution is most effective in reducing numbers of bacteria on the skin?
Chlorhexadine gluconate
When a surgeon encounters bleeding, all of the following can be used to control it except
Electrocautery
A hemostat
Suction
Rat-tooth forceps
Rat-tooth forceps
How long does a sealed item remain sterilized after being sterilized by gamma radiation?
Until it is opened
What instrument would be considered sterile on August 19, 2012?
The instrument wrapped in a double-layered muslin, with moisture on it, dated July 19, 2012
The instrument sterilized with blood still on it dated August 18, 2012
The instrument wrapped in a peel pouch dated August 20, 2011
The instrument wrapped in paper and a dust cover dated August 20,2011
The instrument wrapped in a peel pouch dated August 20, 2011
What retractor is not self-retaining?
Weitlaner
Alms
Sauerbruch
Balfour
Sauerbruch
Sterilization is the process of killing microorganisms by physical or chemical means. What is the most reliable form of sterilization?
Steam under pressure
Instruments wrapped in a single linen wrap can become contaminated with microbes within 2 to 3 days. How long does double wrapping an instrument extend the sterility period?
4 weeks
What is the best type of cleaner to use when hand washing surgical instruments?
Low-sudsing detergents
Which of the following is an absorbable suture?
Prolene
Vicryl
Mersilene
Silk
Vicryl
All of the following are considered benefits of using skin staples except
Skin is more resistant to abscess formation than when sutures are used
Staples provide excellent wound healing
Staples are more cost effective
Staples save time
Staples are more cost effective
If skin edges are under extreme tension, what is the suture pattern of choice?
Interrupted horizontal mattress
What suture pattern is most commonly used in large-animal surgery?
Simple interrupted
What suture is not recommended for skin closure?
Polydioxanone
Nylon
Chromic gut
Stainless steel
Chromic gut
What is the purpose of using a subcuticular suture pattern for final closure?
To eliminate small scars produced around suture holes of more common patterns
What suture pattern would not be used to close skin?
Cushing
Horizontal mattress
Simple interrupted
Ford interlocking
Cushing
Which one of the following suture patterns is an inverting stitch?
Cruciate
Cushing
Horizontal mattress
Vertical mattress
Cushing
In what way is a surgeon's knot different from a square knot?
A surgeon's knot has two throws on the first pass and one throw on the second pass; a square knot has one throw on each pass
Why is is better to ligate many small vessels rather than one mass ligation of tissues?
Mass ligation of tissue is more likely to fail
What is the purpose of transfixation ligature?
To prevent slippage of the suture
All of the following are good reasons for using an instrument tie except
It is economical; small pieces of suture can be used, and therefore suture material is not wasted
It saves time
It is more accurate than a one- or two- handed tie
It is readily adaptable to any type of closure
It is more accurate than a one- or two- handed tie
Which of the following is not a consideration when choosing a needle for use in a surgical procedure?
Type of tissue to be sutured
Location of the tissue to be sutured
Size of suture material
Strength of suture material
Strength of suture material
When suturing the skin, the needle of choice is
Cutting
What is the most significant advantage of using a swaged-on needle as opposed to a closed-eye needle?
Tissue is subjected to less trauma, because a single strand is pulled through the tissue
Suture patterns can be classified into three types: appositional, inverting, and tension. What tissue is most appropriately sutured in an appositional pattern?
Skin
Which of these sequences correctly list suture material diameter, from largest to smallest?
3-0, 2-0, 0, 1, 2, 3
000, 00, 00, 1, 2, 3
3, 2, 1, 1-0, 2-0, 3-0
7-0, 5-0, 3-0, 1
3, 2, 1, 1-0, 2-0, 3-0
For suturing a uterine incision in a cow, the proper suture size is
2
Which one of the following is a disadvantage of multifilament suture material?
Less knot security than monofilament suture material
Tears tissue more easily than monofilament suture material
Has a greater tendency for wicking bacteria than monofilament suture material
Has less strength than monofilament suture material
Has a greater tendency for wicking bacteria than monofilament suture material
Which of the following is a monofilament suture material?
Polyglactin 910 (Vicryl)
Polyester (Mersilene)
Polyethylene (Dermalene)
Cotton
Polyethylene
Which of the following has the poorest handling ease?
Silk
Braided polyglycolic acid
Chromic catgut
Monofilament stainless steel wire
Monofilament stainless steel wire
Characteristics of an ideal suture material include all of the following except
Minimal tissue reaction
Favorable for bacteria growth
Comfortable to work with
Economical to use
Favorable for bacteria growth
An example of an inverting suture pattern is the
Purse-string
After what time does synthetic absorbable suture lose its tensile strength?
60 days
What suture material is absorbed most rapidly form an infected wound through increased local phagocytic activity?
Catgut
Which of the following is not a consideration in choosing suture material?
The surgeon's training and experience
The part of the body where it will be used
The size of the animal on which it will be used
The age of the animal on which it will be used
The age of the animal on which it will be used
In regard to wound healing, it is better to
Increase the number of sutures rather than the size of the suture material
Which of these statements concerning surgical catgut is false?
It can be used for ligating superficial blood vessels
It is recommended for epidermal use
It is recommended for internal use
It is fast absorbing
It is recommended for internal use
Chromic catgut is produced by exposure to basic chromium salts. How does this process affect it?
Increases intermolecular bonding
Memory is defined as a suture material's ability to resist bending forces and to return to its original configuration. This can cause what problem when suturing?
The suture is difficult to knot securely
Strike through refers to
Wicking of bacteria through a surgical drape that has become wet, allowing bacteria to contaminate the sterile area
Perioperative antibiotics are
Indicated in surgical procedures longer than 5 hours
What type of instrument is an Adson?
Periosteal elevator
What is the primary function of a Balfour?
Retractor
What is the primary function of a Lempert?
Rongeur
What is the primary function of a Brown-Adson?
Thumb forceps
Chlorhaxedine gluconate surgical scrub is
Effective against Pseudomonas species
A gauze sponge that is being used for the surgical scrub inadvertently touches the patient's hair. It
Should be thrown out and replaced with a new sponge
Surgical scrubs are applied to the surgically prepared site in
A target fashion, starting with the incision site and spiraling outward to the edge of the clipped area
Why is an anal purse-string suture placed before perianal surgery?
To prevent fecal contamination during surgery
In male dog, the prepuce is
Flushed with a weak providone-iodine and saline solution before an abdominal surgery
What structure is commonly emptied before abdominal surgery?
Urinary bladder
What type of instrument is a Metzenbaum?
Scissors
What type of instrument is a Mayo-hegar?
Needle-holder
What type of instrument is a Kelly?
Hemostatic forceps
What type of instrument is a Backhaus?
Towel clamp
The most effective use for a rongeur is to
Remove small pieces of bone
Talking in the surgery room should be kept to a minimum to
Prevent unnecessary injection of bacteria into the operating theater
An instrument suitable for cutting a paper drape is a/an
Mayo-Hegar scissors
What instrument is not a self-retaining tissue retractor?
Finchietto
Army-Navy
Balfour
Gelpi
Army-Navy
A surgical scrub with residual antibacterial activity is important because
Bacteria below the superficial dermal area are constantly rising to the surface
The most effective sterilizing method for an object that could be damaged by heat is
Gas sterilization
What term best describes freedom from infection as it applies to surgical technique?
Asepsis
What surgical materials are sterilized by filtration?
Nutrient solutions
Irrigation solutions
Surgical solutions
Pharmaceutical solutions
Pharmaceutical solutions
What piece of equipment delivers saturated steam under pressure?
Autoclave
A safeguard to ensure that a pack is sterilized adequately
Is a sterilization indicator strip
An autoclave must
Not be overloaded because this decreases its effectiveness
Electrocautery
Is an effective way to sterilize skin
Is used to coagulate blood flow from a cut vessel
Cannot be used for most surgical procedures
Is atraumatic and can be used liberally
Is used to coagulate blood flow from a cut vessel
After donning sterile latex surgical gloves and before beginning the procedure, powder is wiped from the gloves with a wet sponge to
Prevent postoperative starch granulomas in the patient's tissues
The main goal of aseptic surgical technique is to prevent contamination of the
Surgical wound
When preparing a cat for a routine spay, administration of antibiotics prior to surgery
Should be given is your employer does not wear a cap or mask
Is not indicated for short, uncomplicated procedures
Should always be given as a precaution to prevent infection
Is never useful in conjunction with surgery
Is not indicated for short, uncomplicated procedures
The main function of bactericidal disinfectants is to
Kill bacteria
Keeping the environment clean throughout your clinic is
Mandatory to prevent cross-contamination into the surgery area
The type of disinfectant used in your clinic should
Be chosen for its broad spectrum of bacteristatic or bactericidal
The sterile field in the surgery room consists of
The draped field and instrument table
The surgical nurse circulating for the scrubbed-in surgeons
Must constantly be concerned with maintaining aseptic technique
Assuming that good aseptic technique is being followed, the most common source of contamination in a surgical wound is
The patient's skin or internal organs
The clothing worn in the surgical room
Should be a scrub suit dedicated to surgery only
Surgical masks
Prevent unpleasant odors from reaching the surgeon's nose
Lose their effectiveness when saturated with moisture
Are used for orthopedic procedures only
Can be tied loosely so that they are not as confining
Lose their effectiveness when saturated with moisture
When folding surgical gowns for sterilization
Place the inside of the shoulder seams on top and fold all outer areas of the gown to the inside
During surgery, the back outside aspect of a surgeon's gown should be considered
Unsterile
If a gowned and gloved person at the surgery table is not participating in the surgery at some point
His or her hands should be folded at chest level or placed on the instrument table
An anatomic scrub
Refers to scrubbing the arms and hands in a methodical, consistent manner
A timed scrub should last at least
5 min
The preferred method for gloving is
Closed
When scrubbing for a surgical procedure, the position of the arms
Should always be with the hands higher than the elbows
Iodophors, such as povidone-iodine scrub
Are the ideal surgical preparation
Have been replaced by newer, more effective scrubbing agents
Are effective when used with alcohol only
Are bactericidal against all common contaminants
Have been replaced by newer, more effective scrubbing agents
The number of personnel in the operating theater
Should be kept to a minimum to keep air borne bacteria levels low
Cleaning instruments before sterilization
Must be performed carefully by hand
Ethyl and isopropyl alcohols
Have characteristics that make them ideal for sterilizing instruments
At lower concentrations are bacteristatic rather than bactericidal
Have an excellent residual effect because of their rapid evaporation
Have no place in veterinary surgery
At lower concentrations are bacteristatic rather than bactericidal
An effective disinfectant to clean a cage after an animal that has had a Pseudomonas contaminated wound would is
Quaternary ammonium
A good solution to instill in the conjuntival sac before surgery is
1:25 providone-iodine solution
Clean-contaminated surgery refers to
Incisions made in contaminated areas
In terms of surgical contamination, endogenous organisms are those that
Originate from the patient's own body
When a break in aseptic technique occurs,
Steps must be taken to immediately remedy the situation to the best of everyone's ability
A good time to clean the surgery room is
On the night before surgery to allow air borne dust to settle before surgery
If during surgery you notice an items close to the edge of the sterile field, you should
Consider it unsterile if you are not absolutely certain
Preparing the patient's skin for surgery
Reduces the bacterial flora to a level that can be controlled by the patient's defense mechanisms
Lavaging a body cavity with warm, sterile saline after a surgical procedure is completed and before closing the incision
Decreases the amount of bacteria left behind and warms the patient
An example of an elective procedure is
Ovariohysterectomy
A tapered needle is
The least traumatic and most often used in deep tissue layers
A thoracotomy is an incision into the
Chest
The suffix -ectomy refers to
Surgical removal
Which orthopedic fixation consists of pins that penetrate fractured bones and are held in place externally by bolts?
Kerschner-Ehmer fixation
The term arthrotomy refers to an incison into a/an
Joint
Arresting the flow of blood from a vessel or to a part is called
Hemostasis
Peritonitis refers to
Inflammation of the lining of the abdominal cavity
Cryptorchidectomy is performed on male dogs when
One or both testicles have not descended into the scrotal sac
Fenestration refers to
Creating a window in tissue
Ovariohysterectomy is routinely performed
In young female dogs that the owners wish rendered sterile
Hepatic refers to
Liver
Blood vessels are ligated when
Blood flow needs to be stopped
Chemical cauterization is
Traumatic to adjacent tissues and therefore is not used in surgical cases
Keeping tissues moist during a surgical procedure
Is important because dry tissues are less resistant to bacterial infection
Plating a fractured bone is
An internal method of fracture fixation involving stainless steel plates and screws
The distal portion of the long bone is
The one farthest away form the trunk of the body
Perineal urethrostomies are performed only on
Male cats with urethral obstruction
Torsion of an organ or part refers to
Twisting or rotation
What surgical procedure is least likely to combat canine hip dysplasia's debilitating complications?
Triple pelvic osteotomy
Total hip replacement
Intramedullary pinning
Pectineal myotomy
Intramedullary pinning
Ear canal ablation refers to
Surgical removal and closure of the external ear canal
Perioperatively refers to
Around the time of surgery
A proptosed eye is one that is
Displaced rostrally from the socket
Onychectomy is
Is the procedure used to remove a cat's claws and associated phalanges
Postoperative complications
Do not occur if the surgeon is skilled
Should never be discussed with a client
Can occur even if the surgery went well
Are almost always attributable to poor assistance in surgery
Can occur even if the surgery went well
Fracture reduction involves
Apposing the fractured bone ends
A diaphragmatic hernia
Is a diaphragm that is in continuous spasm
Is displacement of the heart and part of the lungs into the abdomen
Cannot be corrected and is considered fatal
Should be suspected if the animal is dyspneic following a traumatic experience
Should be suspected if the animal is dyspneic following a traumatic experience
When an animal is sent home after surgery
The client should be given written detailed home care instructions
Absorbable gelatin sponges
Are typically soaked or sutured into a bleeding
Exteriorizing a body part or organ during surgery
Is a routine practice when the part or organ contains contaminants
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