Surgical Technology, Concepts, Unit 4, Laparoscopy

Question 1 of 27

1

What basic instrument would you not put on your mayo for a laparoscopic procedure?

Select one of the following:

Suture scciors
kelly
tissue forceps with teeth
deaver

Explanation

Question 2 of 27

1

When making an incision into the fascia the edges of the fascia are grasped with what instrument?

Select one of the following:

debakey
mayo clamp
carmalt
kochers

Explanation

Question 3 of 27

1

What order would you stock your cords in a basin, from top to bottom, when preparing for a laparoscopic case?

Select one of the following:

suction irrigator, insuflation tubing , light cord, camera, cautery cord,
camera, insuflation tubing, light cord, cautery cord, suction irrigator tubing
cautery cord, insuflation tubing, light cord, camera, suction irrigator tubing
insuflation tubing, light cord, camera, cautery cord, suction irrigator tubing

Explanation

Question 4 of 27

1

If your camera has a cap on the end that you hand off to the circulator, what is special about that end and important to remember when preparing for the case?

Select one of the following:

the whole end of the cord is sterile
inside the cap is sterile
the whole end of the cord is unsterile
inside the cap is unsterile

Explanation

Question 5 of 27

1

Spiked end of suction irrigator tubing is connected to what type of solution?

Select one of the following:

aseptic solution
glycine
injectable saline
water

Explanation

Question 6 of 27

1

The buttons on the suction irrigator do what during the procedure?

Select one of the following:

blue-irrigation
red-irrigation
blue-suction
white-suction

Explanation

Question 7 of 27

1

Check three contraindications for laparoscopic procedure?

Select one or more of the following:

unsterile instruments
bacteria
gross fecal contamination
uncontrollable bleeding
abdominal adhesions

Explanation

Question 8 of 27

1

check three instruments that would be placed on the mayo stand during set up for a laparoscopic procedure?

Select one or more of the following:

2 mayo clamps
suture scissors
utility scissors
cautery pencil
2 kellys

Explanation

Question 9 of 27

1

check three advantages for performing a case laparoscopically?

Select one or more of the following:

least invasive
less chance of SSI
less chance of bacterial infection
less anesthesia time
faster recovery

Explanation

Question 10 of 27

1

What is important to remember with the lightbox for patient safety?

Select one of the following:

make sure to turn on right away before procedure starts
wait till the circulating nurse has entered the OR before turning on
wait till the sterile field has been made
Do not turn on till surgeon is ready as well as the surgical technologist

Explanation

Question 11 of 27

1

what type of gas is instilled into the patients peritoneal cavity for pneumoperitoneum?

Select one of the following:

fresh air
carbon dixide
co2
oxygen

Explanation

Question 12 of 27

1

check off two pieces of information that are enetered into the printer before the laparoscopic case starts?

Select one or more of the following:

procedure
type of hospital
street address for hospital
patient name

Explanation

Question 13 of 27

1

when using a disposable scope warmer, how is the warmer activated?

Select one of the following:

let circulator prep the scope warmer
put scope warmer in the heating box
plug in the warmer to the outlet
pop the silver disk

Explanation

Question 14 of 27

1

When should the disposable warmer be activated and approximately how long will it stay warm?

Select one of the following:

should be activated when patient enters OR, stays warm for one hour which is enough time before the instrument will be inserted into the patient preventing fogging
should be activated when patient enters OR, stays warm for 20 minutes which is enough time before the instrument will be inserted into the patient preventing fogging
should be activated when patient enters OR, stays warm for hour and half which is enough time before the instrument will be inserted into the patient preventing fogging
should be activated when patient enters OR, stays warm for half hour which is enough time before the instrument will be inserted into the patient preventing fogging

Explanation

Question 15 of 27

1

What needs to be done with the camera after the scope and light cord are attached to make sure the picture quality is best for the surgeon?

Select one of the following:

camera needs to be checked for defects
camera needs to be reset
camera needs to be cleaned
camera white balance needs to be performed

Explanation

Question 16 of 27

1

check the steps that need to be done when performing a white balance on a camera?

Select one or more of the following:

connect scope with the white balance machine
aim scope at white raytec
wait for monitor to initialize with scope
wait till monitor says white balance is ok
hit white balance button

Explanation

Question 17 of 27

1

what is important to remember once the light source is turned on?

Select one of the following:

light cables should always be placed on the patients drape
light cables should always be placed on sterile skin
light cables should be held in place with suture
light cable should never be placed on a patient skin or drape

Explanation

Question 18 of 27

1

what does the light cord have inside and what do we need to be careful of when handling the light cord?

Select one of the following:

glass fibers, make sure to always bend and wind it so it wont break
glass fibers, make sure to always clamp light cord with a mayo clamp for security
glass fibers, make sure to always bend at the ends to prevent fraying
glass fibers, do not bend or wind it to far which would break it

Explanation

Question 19 of 27

1

When preparing the OR for the laparoscopic case, what is important to remember when positioning video monitors? List two procedures and where the monitors would be placed for those procedures.

Select one of the following:

It depends on the anatomy of the procedure; laparoscopic appendectomy will be placed at head and laparoscopic cholecystectomy will be placed at the feet.
It depends on the anatomy of the procedure; laparoscopic appendectomy will be placed at feet and laparoscopic cholecystectomy will be placed at the head.

Explanation

Question 20 of 27

1

check three steps used in the process of establishing pneumoperitoneum and placing a trocar for a laparoscopic procedure?

Select one or more of the following:

an incision will be made with a #10 blade
verres needle inserted
dissect through layers with kelly camp
an incision will be made with a #15 or #11 blade
needle holders will be used to suture trocar to skin for security

Explanation

Question 21 of 27

1

Laparoscopy was adopted by many to perform which procedures?

Select one or more of the following:

extractions
abdominal wall repair
major resection
minor resections
repair of intra-abdominal orgrans

Explanation

Question 22 of 27

1

which equipment is needed for laparoscopy?

Select one or more of the following:

camera box
cautery
suctioning
rover suction
light box
insuflator

Explanation

Question 23 of 27

1

Fill the blank space to complete the text.

A monitoring device for CO2 is called a ?

Explanation

Question 24 of 27

1

Fill the blank space to complete the text.

A suction machine with filter used in laparoscopic procedures that is self cleaning after procedures is known as a ?

Explanation

Question 25 of 27

1

Which common Instruments used in laparoscopic procedures?

Select one or more of the following:

endo scissors
endo retractors
trocars
endo
endo stapler
endo monitors

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Concepts of surgical procedures Unit 4, Laparoscopy

Surgical Technology, Concepts, Unit 4, Laparoscopy

Question 1 of 27

What basic instrument would you not put on your mayo for a laparoscopic procedure?

Select one of the following:

Explanation

Question 2 of 27

When making an incision into the fascia the edges of the fascia are grasped with what instrument?

Select one of the following:

Explanation

Question 3 of 27

What order would you stock your cords in a basin, from top to bottom, when preparing for a laparoscopic case?

Select one of the following:

Explanation

Question 4 of 27

If your camera has a cap on the end that you hand off to the circulator, what is special about that end and important to remember when preparing for the case?

Select one of the following:

Explanation

Question 5 of 27

Spiked end of suction irrigator tubing is connected to what type of solution?

Select one of the following:

Explanation

Question 6 of 27

The buttons on the suction irrigator do what during the procedure?

Select one of the following:

Explanation

Question 7 of 27

Check three contraindications for laparoscopic procedure?

Select one or more of the following:

Explanation

Question 8 of 27

check three instruments that would be placed on the mayo stand during set up for a laparoscopic procedure?

Select one or more of the following:

Explanation

Question 9 of 27

check three advantages for performing a case laparoscopically?

Select one or more of the following:

Explanation

Question 10 of 27

What is important to remember with the lightbox for patient safety?

Select one of the following:

Explanation

Question 11 of 27

what type of gas is instilled into the patients peritoneal cavity for pneumoperitoneum?

Select one of the following:

Explanation

Question 12 of 27

check off two pieces of information that are enetered into the printer before the laparoscopic case starts?

Select one or more of the following:

Explanation

Question 13 of 27

when using a disposable scope warmer, how is the warmer activated?

Select one of the following:

Explanation

Question 14 of 27

When should the disposable warmer be activated and approximately how long will it stay warm?

Select one of the following:

Explanation

Question 15 of 27

What needs to be done with the camera after the scope and light cord are attached to make sure the picture quality is best for the surgeon?

Select one of the following:

Explanation

Question 16 of 27

check the steps that need to be done when performing a white balance on a camera?

Select one or more of the following:

Explanation

Question 17 of 27

what is important to remember once the light source is turned on?

Select one of the following:

Explanation

Question 18 of 27

what does the light cord have inside and what do we need to be careful of when handling the light cord?

Select one of the following:

Explanation

Question 19 of 27

When preparing the OR for the laparoscopic case, what is important to remember when positioning video monitors? List two procedures and where the monitors would be placed for those procedures.

Select one of the following:

Explanation

Question 20 of 27

check three steps used in the process of establishing pneumoperitoneum and placing a trocar for a laparoscopic procedure?