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Surgical Technology, Concepts, Unit 4, Laparoscopy

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Concepts of surgical procedures Unit 4, Laparoscopy
hey ohh
Quiz by hey ohh, updated more than 1 year ago
hey ohh
Created by hey ohh almost 5 years ago
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Resource summary

Question 1

Question
What basic instrument would you not put on your mayo for a laparoscopic procedure?
Answer
  • Suture scciors
  • kelly
  • tissue forceps with teeth
  • deaver

Question 2

Question
When making an incision into the fascia the edges of the fascia are grasped with what instrument?
Answer
  • debakey
  • mayo clamp
  • carmalt
  • kochers

Question 3

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

Question 4

Question
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?
Answer
  • 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

Question 5

Question
Spiked end of suction irrigator tubing is connected to what type of solution?
Answer
  • aseptic solution
  • glycine
  • injectable saline
  • water

Question 6

Question
The buttons on the suction irrigator do what during the procedure?
Answer
  • blue-irrigation
  • red-irrigation
  • blue-suction
  • white-suction

Question 7

Question
Check three contraindications for laparoscopic procedure?
Answer
  • unsterile instruments
  • bacteria
  • gross fecal contamination
  • uncontrollable bleeding
  • abdominal adhesions

Question 8

Question
check three instruments that would be placed on the mayo stand during set up for a laparoscopic procedure?
Answer
  • 2 mayo clamps
  • suture scissors
  • utility scissors
  • cautery pencil
  • 2 kellys

Question 9

Question
check three advantages for performing a case laparoscopically?
Answer
  • least invasive
  • less chance of SSI
  • less chance of bacterial infection
  • less anesthesia time
  • faster recovery

Question 10

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

Question 11

Question
what type of gas is instilled into the patients peritoneal cavity for pneumoperitoneum?
Answer
  • fresh air
  • carbon dixide
  • co2
  • oxygen

Question 12

Question
check off two pieces of information that are enetered into the printer before the laparoscopic case starts?
Answer
  • procedure
  • type of hospital
  • street address for hospital
  • patient name

Question 13

Question
when using a disposable scope warmer, how is the warmer activated?
Answer
  • let circulator prep the scope warmer
  • put scope warmer in the heating box
  • plug in the warmer to the outlet
  • pop the silver disk

Question 14

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

Question 15

Question
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?
Answer
  • camera needs to be checked for defects
  • camera needs to be reset
  • camera needs to be cleaned
  • camera white balance needs to be performed

Question 16

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

Question 17

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

Question 18

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

Question 19

Question
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.
Answer
  • 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.

Question 20

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

Question 21

Question
Laparoscopy was adopted by many to perform which procedures?
Answer
  • extractions
  • abdominal wall repair
  • major resection
  • minor resections
  • repair of intra-abdominal orgrans

Question 22

Question
which equipment is needed for laparoscopy?
Answer
  • camera box
  • cautery
  • suctioning
  • rover suction
  • light box
  • insuflator

Question 23

Question
A monitoring device for CO2 is called a [blank_start]insufflator[blank_end]?
Answer
  • insufflator

Question 24

Question
A suction machine with filter used in laparoscopic procedures that is self cleaning after procedures is known as a [blank_start]neptune[blank_end]?
Answer
  • neptune

Question 25

Question
Which common Instruments used in laparoscopic procedures?
Answer
  • endo scissors
  • endo retractors
  • trocars
  • endo
  • endo stapler
  • endo monitors

Question 26

Question
In Laparoscopic small bowel resection where is the monitor placed?
Answer
  • head
  • feet
  • side of patient

Question 27

Question
What disposable device comes in 5mm, 11mm, and 12mm?
Answer
  • tubing
  • trocars
  • table linens
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