Quiz
Surgical Technology, Concepts, Unit Three, Laparotomy
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Questions in this quiz (38)
1What can be used as the "passer" on a tie with passer?
- Amayo
- Bforester ring forcep
- Cright angle lahey
- Dforcept
2When making an incision into the fascia the edges of the fascia are grasped with what instrument?
- Amosquito clamp
- Bmayo clamp
- Ckocher
- Dring forcept
3Sometimes a surgeon will make an incision with a scalpel and hand it back to the surgical technologist and then ask for a deep knife. What is the difference between a skin knife and a deep knife?
- Aa deep knife cuts better
- Ba deep knife is longer
- Ca deep knife could be less contaminated from bacteria
- Da deep knife could be cleaner
4What scissor is used to cut the fascia and the muscle?
- Asuture scissors
- Bcurved mayo
- Cjones
- Dmetzenbaum
5The [blank_start]metzenbaum[blank_end] scissors are used to extent the peritoneum opening.
- Ametzenbaum
6Once the surgeon has cut completely through the peritoneum, the [blank_start]balfour[blank_end] retractor may be asked for.
- Abalfour
7What is important to hand the surgeon when handling the balfour retractor?
- Araytec sponges
- Bwet lap sponges
- Cdry sponges to soak up bload after incision is made
- Droiled towel
8What are the two forceps commonly used inside the peritoneum?
- Adebakey and russian
- Baddsons with teeth
- Cdebakey alone
- Drussian alone
9What forceps are most commonly used on skin?
- Aaddsons with teeth
- Bkochers
- Crussian
- Ddebakey
10A [blank_start]kelly[blank_end] clamp is most commonly used on bleeders.
- Akelly
11What are the most common ways the peritoneum layer is incised?
- Ausing a sharp retractor to keep the peritoneum tensile
- Belevated from bowel with debakey forceps, mayo clamp or crile clamp
- Celevate from bowel using only the crile clamp
- D#10 blade used with #3 handle to knick opening into peritoneum
- Emetzenbaum used to extent opening
12What instruments would you need on your mayo stand to perform a exploratory laparotomy?
- A2 kelly/crile clamps, 2 mayo clamps, 2 kockers, 2 babcocks, 1 right angle loaded, 2 army/navy retractors
- Blots of instruments
- C2#3 handles with #10 blades, mayo scissors, metzenbaum, suture scissors, basic tissue forceps with teeth, medium debakey pickups, medium mayo hegar needle holder
13List two different types of items that can be use to cut during the CCCT routine of the resection concept.
- Ascalpel;mayo or mentzenbaum
- Bscissors;mayo or metzenbaum
- Cutility scissors
- Dsuture scissors
14three different ways the surgeon can close the skin after a procedure is finished?
- Astaple
- Bdermabond
- Csuper medical glue, medical grade
- Dhard tack
- Esuture
15[blank_start]Mastisol[blank_end] is used to cover the incision before dressings are applied when a subcuticular stitch is used to close the skin
- AMastisol
16How would a surgeon secure a drain to skin?
- Adrain is secured to skin using non-absorbable suture, 2-0 to 3-0 on a large cutting needle
- BSuture is tied, wrapped around tube a few times, tied again and cut long to half inch.
- Csuture is tightly woven around drain
- Ddrain is secured using absorbable suture
17What size and type of suture and needle are used on the peritoneum layer?
- Anon-absorbable
- Babsorbable; 2-0 or 0, CT-1 needle, vicryl suture continuous
18What size of suture and type of suture and needle are used on the muscle/fascia layer?
- Amuscle does not suture well, fascia us sutured with absorbable vicryl suture or PDS2
- Bmuscle is sutured very well
19What size, type of suture and needle are used on subcutaneous fat?
- ASub-Q does not tolerate suture well
- Bnon absorbable suture, CT1 needle with vicryle
- CWhen used, absorbable, 3-0 or 2-0, CT1 needle, Vicryl suture, interupted
20What size, type of suture and needle are used on the subcuticular layer?
- Aabsorbable or non-absorbable, 3-0 or 2-0, FS-1 or FS-2, PS-1 or PS-2 needles, continuous.
- Bdoes not tolerate suture well
21Which steps are used in the placement of a drain during a procedure?
- ADrain is attached to sharp trocar, trocar is used to puncture through the abdominal wall staying out of incision
- Btrocar is pushed through abdominal wall inserting drain
- Ctrocar is wrapped around the limb and sutured shut
- DMayo clamp is used to pull out trocar tip that made it through the abdominal layers, trocar is cut from drain tube using bandage scissors
22Three factors that would determine the type of forceps to hand the surgeon?
- Adepth of wound
- Btype of tissue
- Csurgeon preference
- Dsize of wound
23When closing the abdominal incision, when are the first and second closing counts completed?
- Awhen the final layer of skin has been stitched
- Bsecond count started when SUB-Q has been stitched.
- Cfirst closing count when peritoneal layer has been stitched
24Why is a good idea to have two knifes besides the clean/dirty knife standard procedure?
- Asurgeon preference
- Bblade may wear out during the procedure
- Cdull blade
25At what point during the laparotomy procedure do the dry lap sponges get traded out for wet ones?
- Aafter the peritoneum is breached
- Bafter the fascia is breached
- Cafter the sub-Q is breached
26Which surgical category listed doesn't belong?
- Adiagnostic
- Breconstruction
- Ccosmetic
- Drepair
- Ereplacement or implantation
- Fremoval
27Which are the correct conditions for performing an exploratory laparotomy?
- Aappendix rupture
- Bintestinal perforation
- Cectopic pregnancy
- Dforeign bodies (bullets gunshot victim)
- Einternal bleeding
- Fdiverticulitis
28While planning an exploratory laparotomy which answer is incorrect and not needed?
- Aknowledge of the case
- Bhospital address and name
- Croom and time of start of case
- Dname of surgeon
- Epatient information; age, size, and alergies
29what are the special pre-op for exploratory laparotomy?
- Afoley catheter insertion
- Bsequential compression device (SCD)
- Cforced warm air blanket
- Dcautery
30Which isn't a part of intraoperative preparation for exploratory laparotomy?
- Aanesthesia;general, NG tube may be placed
- Bposition;supine with or without arm boards
- Cmonitors placed behind patient head
- Ddraping; routine laparotomy
- Eskin prep;nipple to symphysis pubis, bed line to bed line
31Which isnt an category for instrumentation for laparotomies?
- Acutting & disecting, clamping, grasping & holding, probing, dilating retracting, suctioning
- Bcutting & disecting, clamping, grasping & holding, probing, dilating retracting, suctioning, cautery
32Forceps used with the Sub-Q are which?
- Atissue forceps with teeth, debakey forcep
- Btissue forceps with teeth, russian forcep
33Forceps used with the muscle fascia are which?
- Atissue forceps, ferris smith
- Btissue forceps, debakey
34The muscle/fascia and Sub-Q used the same self retaining retractors except for the?
- Aweitlander retractor
- Bcerebellar retractor
- Cgelpi retractor
- Dmedium/large springs retractor
35The skin layer uses what manual retractor?
- Aarmy/navy retractor
- Bmalleable retractor
- Crichardson retractor
- Dsenn-miller rakes; 4-6 prong
36The Sub-Q uses which manual retractors?
- ARichardson retractor
- Bsenn-miller retractor
- Carmy/navy retractor
- Dbards-parker retractor
37Which manual retractor is used on the muscle/fascia?
- Adeaver retractor
- Barmy/navy retractor
- Crichardson/appy richardson retractor
38which manual retractors are used on the peritoneum?
- Aharrington retractor
- Brichardson retractor
- Cdeaver retractor
- Darmy/navy retractor
- Esenn-miller
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- Concepts of Surgical Procedure, Unit Three, Laparotomy
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- Created on 3 Jun 2019 · updated on 11 Jun 2019
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