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Surgical Technology, Clinical Orientation, Unit7-8(proctored practice)

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1If a frozen section is indicated, the specimen must be
____.
1. Apreserved in a fixative
2. Bsubmerged in formalin
3. Cmoistened with sterile water
4. Dsent to pathology dry
2Proper care of the specimen is the responsibility of whom?
1. AJoint Commission on Accreditation of Hospitals- JCAHO
2. BCST
3. CCirculator
4. DThe Operating Room Team
3When prepping the abdomen for a laparotomy, which of the following areas is prepped first?
1. AIncision Site
2. BBedside
3. CStoma
4. DUmbilicus
4All instruments and items must be removed from a specimen before it is sent to the pathology lab. Which of the following specimens is the exception to this rule, where an item will purposefully be left in the specimen as a reference point?
1. ANeedle Localization
2. BMuscle Biopsy
3. CProducts of Conception
4. DAmputated Limb
5Prepping of the surgical patient occurs right before which of the following tasks?
1. AAnesthesia Administration
2. BUrethral Catheterization
3. CPositioning
4. DDraping
6Which of the following types of specimens CAN be submerged in formalin?
1. AFrozen Section
2. BCulture and Sensitivity
3. CBronchial Washings
4. DPermanent Section
7Breast tissue removed during a breast reduction for breast hypertrophy will be processed as which of the following types of specimens?
1. AAmputation
2. BFrozen Section
3. CPermanent Section
4. DNeedle Localization
8When is the best time for the CST to hand the specimen off the sterile field to the circulating nurse?
1. AWhenever the CST has time
2. BAs soon as all of the specimen is excised and the surgeon gives permission to have the specimen handed off the field
3. CA.S.A.P.
4. DFollowing the completion of the procedure
9Who generally accepts responsibility for prepping traumatic wounds?
1. ACirculator
2. BSurgical Technologist
3. CSurgical Assistant
4. Dsurgeon
10For which of the following prepping agents must the applicator be removed from the operating room following application of the prep?
1. ABetadine Paint Sticks
2. BDuraprep
3. CHibiclense Scrub Sponges
4. DExidine Scrub Sponges

11A surgeon sends a specimen for frozen section and the results come back from the pathologist stating that the “margins are not clear”. What does this mean and how does it affect you as the 1st scrub on the procedure?
1. AIt means that cancerous tissue still remains in the patient and more tissue needs to be excised to leave only healthy tissue behind
2. BIt means that cancerous tissue still remains in the patient and no more tissue needs to be excised
12Describe the anatomical areas that are prepped for vaginal surgery.
1. Aprep starts at pubic area. Inner thighs preped next, sponge stick used for vagina, dried with sponge stick. Painting applied to all areas except vaginal canal. seperate sticks used for pubic area.
2. Bpainting applied first then area dried with stick sponge.
13Check the boxes of pieces of information to be included on a label to identify a specimen.
1. Apatients name
2. Bpatient address
3. Cwhat the specimen is
4. Dwhere the specimen came from anatomically
5. Ehospital of where surgical procedure is being performed
14The basic rule of prepping is to proceed from what to what?
1. Aclean to dirty
2. Bdirty to clean
15Check the boxes that list duties of the CST in the first scrub role while caring and handling surgical specimens.
1. Aobtain specimen from surgeon
2. Bclean specimen with sterile water only if needed
3. Cplace specimen in basin or telfa
4. Dnotify surgeon of specimen dimensions and structure if needed
5. Eif not sending specimen fresh, we can keep specimen in saline
6. Fask surgeon before handing specimen off to circulator
16What is the minimum amount of time Duraprep solution must be allowed to dry on hairless skin prior to the application of the surgical drapes? How long can it take to dry in hair?
1. A2 minutes minimum
2. B3 minutes minimum
3. C5 minutes minimum
4. D10 minutes minimum
17Describe the anatomical areas that are prepped for a knee arthroscopy. BE DESCRIPTIVE!
1. Alower hip down around the entire leg, not the foot though
2. Blower hip down around the entire leg, including the foot
3. Cupper hip down around the entire leg, not the foot though
18Describe what a surgeon may do to a specimen to assist the pathologist in identifying how the specimen was oriented when it was in the patient’s body.
1. Asurgeon may mark edges with suture on the specimen. Then surgeon will communicate with Circulator what the marks mean anatomically. Their needs to be clear margins for the pathologist.
2. Bsurgeon may tell the ST where the edges are on the specimen. Then surgeon will communicate with Circulator what the marks mean anatomically. Their needs to be clear margins for the pathologist.
19Identify the purpose of performing a prep on a surgical patient.
1. ATransient flora are reduced that live on the skin and resident flora that live underneeth the skin which make their way to the surface are reduced.
  It reduces/prevents infection from occuring as a result of the procedure.
2. Bnone.
20What is the difference between a permanent section and a frozen section?
1. Apermanent sections are sections taken that are not diagnosed intra-operativly and can be sent offgrounds for further analysis in formalin.
  Frozen sections are diagnosed intra-operatively and are sent to patholgy fresh and dry.
2. Bfrozen sections can be sent off grounds for further analysis, permanent sections are diagnosed intra-operatively
21Duraprep can be very dangerous and pose a fire risk to the patient if not utilized properly. Identify two safety techniques that are utilized to minimize the risk posed by duraprep.
1. Aavoid pooling and allow prep solution to dry completely.
2. Bif pooling occurs its ok if you allow it to dry all the way
22When should hair be removed from the surgical site to minimize the risk associated with hair removal?
1. AAs close as possible to the planned start and right before the prep is applied.
2. BAs close as possible to the planned start of the procedure but not in the OR
23Match the specimen type to the correct description.

A separate consent form is required for this type of specimen related to cultural concerns that may need to be addressed.
1. Achromosomal studues
2. Bamputated limb
3. Cculture and sensitivity
24Match the specimen type to the correct description.

Patients will go to the radiology department prior to coming to surgery to have this type of specimen excised.
1. Achromosomal studies
2. Bculture and sensitivity
3. Cneedle localization
25Match the specimen type to the correct description.

This type of test will be performed on the products of conception for patients who have had multiple miscarriages.
1. Achromosomal studies
2. Bculture ad sensitivity
3. Cmuscle biopsy
26Match the specimen type to the correct description.

An infected wound would often require this type of test.
1. Aneedle localization
2. Bculture and sensitivity
3. Cmuscle biopsy
27Match the specimen type to the correct description.

The gallbladder that is removed during a Laparoscopic Cholecystectomy for cholecystitis will have this type of examine performed on it.
1. Aculture sensitivity
2. Broutine/permanent section
3. Cmuscle biopsy
28Match the specimen type to the correct description.

The lab must be notified at least 24hrs in advance prior to harvesting this type of specimen.
1. Amuscle biopsy
2. Bculture sensitivty
3. Cneedle localization
29Match the specimen type to the correct description.

A luki tube is often utilized to obtain this type of specimen.
1. Abronchial washings
2. Bfrozen section
3. Cmuscle biopsy
30Match the specimen type to the correct description.

Excision of a melanoma from the scalp would have this type of study performed on the specimen where the results would be reported intraoperatively.
1. Afrozen section
2. Bpermanent section
3. Cneedle localization
31check the boxes of types of cultures
1. Abiological culture
2. Banaerobic culture
3. Caerobic culture
4. Dmicro flora
5. Etransient flora
32Check the boxes of the combination of what duraprep is made of?
1. Aiodine
2. Bbedadine
3. Cisopropyl
4. Dhibiclense
33Check the boxes of he reasons why the prep solution must not be allowed to pool under the patient.
1. Afire hazard
2. Bstrike through contamination
3. Cinfection
4. Dirritant to skin
34Chlorhexidine Gluconate is commonly known as?
1. Ahibiclense
2. Bduraprep
3. Cbetadine
4. Dsodium chloride
35Name the best method to remove hair without skin injury.
1. Ascissors
2. Bsharp blade that protects skin
3. Csurgically prepared razer
4. Dclippers
36When performing the prep for a pelviscopy procedure during which the abdomen and the perineal area must both be prepped, which area is prepped first? Why?
1. Aperineum is prepped first, then the abdomen from under breast to thighs. Genital contamination can spray to the cleaned area. if prepped the other way around.
2. Bperineum is prepped last, the abdomen first because we always prep from clean to dirt
37Identify two contaminated areas that need special consideration when performing the surgical skin prep. When during the prepping procedure are these areas prepped (first, last, middle, etc.)?
1. AThe vagina is prepped first so that contamination does not occure through spray to the abdomen.
  
  The anus is considered the dirtiest and sponges need to be discarded once touched.
2. BThe vagina is prepped last since we always prep clean to dirty.
  The anus is considered the dirtiest and sponges need to be discarded once touched.
38Match the prepping agent with its proper description.

Agent most commonly utilized to degrease the patient’s skin prior to the application of the prepping solution.
1. Aisopropyl alcohol
2. Bexidine
3. Cchloraprep
39Match the prepping agent with its proper description.

This type of prep solution only works through a cumulative action through multiple uses and only offers bacteriostatic action against microbes.
1. Aphisohex/phisoderm
2. Bisopropyl alcohol
3. Cactiprep
40Match the prepping agent with its proper description.

This type of prep solution is ototoxic and neurotoxic and cannot be utilized for facial preps.
1. Aisopropyl alcohol
2. Bbetadine
3. Chibiclense/chlorahexadine gluconate
41This prep is a good alternative to use on a patient who has an iodine allergy for a surgeon whose normal preference is to use Duraprep.
1. Aexidine
2. Bchloraprep
3. Cactiprep
42If a patient is to be scrubbed and painted this type of prep solution will be utilized.
1. Aprovodone-betadine/iiodine
2. Bchloraprep
3. Cactiprep
43This type of prep solution is applied by scrubbing the prep area for 2 minutes, drying, and then scrubbing the area for another 2 minutes
1. Aexidine
2. Bactiprep
3. Cduraprep
44The active ingredients in this type of prep solution are Trizenol and alcohol – It is effective against multi-drug resistant microorganisms
1. Aisopropyl alcohol
2. Bduraprep
3. Cactiprep
45This prep solution contains a patented sticky substance, which prevents the solution from being removed during the procedure prolonging its effectiveness and requiring a special remover to take it off the skin.
1. Aactiprep
2. Bduraprep
3. Cexidine

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Beschreibung: Surgical Technology, Clinical Orientation, Unit7-8(proctored practice)
Autor: Gelöschter Nutzer
Sprache: English
Aufrufe: 14
Verlauf: Erstellt am 29 Okt 2019 · aktualisiert am 30 Okt 2019
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Surgical Technology, Clinical Orientation, Unit7-8(proctored practice)

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