Surgical Tech Exam Y

Eyeware, goggles, and/or faceshields should be worn on every case means that regardless of the type of case (orthopedic, vascular, or positive HIV), it is necessary to wear protective eyewear. This is a general safety precaution to protect the eyes from any potential hazards or splashes that may occur during any case.

Positioning the patient for a procedure requires ensuring maximum patient safety and maximum surgical site exposure. This includes ensuring that the patient's body does not touch metal on the table, that equipment, Mayo stand, or personnel are not resting on the patient, and that bony prominences are padded. By following all of these measures, the risk of injury or discomfort to the patient is minimized, and the surgical team can have optimal access to the surgical site.

When positioning an aging patient, it is important to consider all of the factors mentioned: skeletal changes, limited range of motion of joints, and tissue fragility. Skeletal changes can affect the patient's posture and stability, while limited range of motion of joints can impact their comfort and mobility. Additionally, tissue fragility is a crucial factor to consider in order to prevent skin breakdown and pressure ulcers. Therefore, all of these factors should be taken into account when positioning an aging patient.

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The ultimate responsibility for obtaining consent lies with the surgeon because they are the medical professional who will be performing the procedure on the patient. It is their duty to explain the risks, benefits, and alternatives of the procedure to the patient and ensure that the patient fully understands and gives their informed consent. The surgeon is also responsible for answering any questions or concerns the patient may have before proceeding with the surgery. While other healthcare professionals may assist in the consent process, the surgeon holds the primary responsibility.

The instrument shown above is a dental mouth gag, which is commonly used in tonsillectomy procedures to hold the patient's mouth open and provide access to the tonsils. Therefore, it would be found in a tonsillectomy set.

The given correct answer is "YES". The explanation for this answer is not available.

The correct answer is to report it to the supervisor or proper administrative authority. This is because the surgeon performed an additional procedure without obtaining proper consent from the patient. It is important to follow proper protocols and report any unethical or unauthorized actions to the appropriate authority for investigation and resolution.

The correct answer is "should be scrubbed last or separately". This is because any area that is considered contaminated should be prioritized last or separately to prevent the spread of contaminants to other areas. By scrubbing these areas last or separately, the risk of cross-contamination is minimized, ensuring that the cleaning process is effective and thorough.

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The correct answer is "a form authorizing all treatments or procedures." This means that a general consent form is a document that grants permission for any type of medical treatment or procedure that may be necessary for a patient's care. It is a comprehensive authorization that covers a wide range of medical interventions and ensures that the patient's consent is obtained before any treatment is performed.

A self-retaining retractor is a type of surgical instrument used to hold back tissues and organs during a surgical procedure. The Weitlaner retractor is a specific type of self-retaining retractor that features sharp, curved prongs that can be locked in place to hold tissues apart. It is commonly used in orthopedic and general surgeries to provide excellent exposure and maintain the desired position during the procedure. The Lincoln, Hibbs, and Deaver retractors are also types of surgical retractors, but they are not self-retaining like the Weitlaner retractor.

Cochlear implants are electronic devices that are used to restore hearing in individuals with severe hearing loss or deafness. These implants work by bypassing the damaged parts of the ear and directly stimulating the auditory nerve. The electrode device in cochlear implants is inserted into the cochlea, which is the spiral-shaped cavity in the inner ear responsible for detecting sound. By stimulating the auditory nerve, cochlear implants can provide individuals with the sensation of sound and help them regain their ability to hear.

A Kerrison is a rongeur instrument that is commonly used in spine surgery and neurosurgery. It is designed with a long, thin, and curved shaft, allowing surgeons to access hard-to-reach areas of the spine and remove bone or tissue with precision. The Kerrison rongeur is specifically designed for use in delicate procedures, such as laminectomies or discectomies, where the surgeon needs to remove small pieces of bone or tissue without causing damage to surrounding structures. Its unique design and functionality make it a preferred instrument in these types of surgeries.

A Hurd dissector and pillar retractor are commonly used instruments in tonsillectomy procedures. Tonsillectomy is the surgical removal of the tonsils, which are two small masses of lymphoid tissue located at the back of the throat. The Hurd dissector is used to separate the tonsil from its surrounding tissues, while the pillar retractor helps to hold the tonsil in place and provide better visibility during the procedure. These instruments are not typically used in appendectomy, plastic surgery, or nasal surgery, making tonsillectomy the most appropriate answer.

The surgical consent form can be witnessed by the surgeon, a nurse, or an authorized hospital employee, but not the patient's spouse. This is because the spouse may have a personal or emotional connection to the patient, which could potentially compromise their ability to provide an unbiased witness. It is important to have witnesses who are objective and can ensure that the patient is fully informed and consenting to the surgery.

If the patient has only signed for the cystoscopy and not for the open reduction of the wrist, it means that they have not given their informed consent for the additional procedure. Informed consent is a legal and ethical requirement for any medical procedure, and it is important to ensure that the patient fully understands the risks, benefits, and alternatives of the procedure before proceeding. Therefore, the correct procedure would be to cancel the surgery until a valid permission can be obtained, ensuring that the patient has given their informed consent for both procedures.

Implied consent is allowed by law in emergencies when no other authorized person may be contacted. This means that in situations where immediate medical intervention is necessary and there is no time to obtain explicit consent from the patient or their authorized representative, healthcare providers are permitted to proceed with treatment based on the assumption that the patient would consent if they were able to do so. This is a legal concept that allows healthcare professionals to act in the best interest of the patient's well-being when time is of the essence.

The correct answer is A and B. This means that both the time method and the brush-stroke method are effective surgical scrub procedures. The time method involves scrubbing the hands and forearms for a specific amount of time, usually around 2-6 minutes. The brush-stroke method involves using a specific pattern of hand and finger movements to thoroughly clean all areas of the hands and forearms. Both methods are considered effective in reducing the risk of surgical site infections.

It is important for the surgical consent to be signed before administration of preoperative medications because these medications can affect the patient's ability to make informed decisions and understand the risks involved in the surgery. By obtaining the consent before administering any medications, the patient is able to make a clear and informed decision about the surgery and its potential risks. This ensures that the patient's autonomy and right to make decisions about their own healthcare are respected.

The scrub technique is a method used to clean and disinfect the hands and arms before surgery. It involves scrubbing the hands and arms for a certain amount of time and up to a specific point. In this case, the correct answer is "2 inches above the elbow," which means that the scrub technique should be performed on the arms up to a point that is 2 inches higher than the elbow joint. This ensures that the entire forearm, including the elbow area, is properly cleaned and prepared for surgery.

An informed consent is a legal document that authorizes routine duties carried out at the hospital and protects the patient from unratified or unwanted procedures. It also protects the surgeon and the hospital from claims of an unauthorized operation. Therefore, the correct answer is B & C.

The correct answer states that in preparation for surgery, the skin should be washed and painted from the incision site to the periphery in a circular motion. This means that the cleaning and painting should start from the area where the incision will be made and then move outward towards the surrounding skin in a circular motion. This technique helps to ensure that the area around the incision is thoroughly cleaned and prepared before the surgery.

Removing the gloves before the gown does not meet safe criteria because it increases the risk of contamination. When removing personal protective equipment, such as gloves and gowns, it is important to follow a specific order to minimize the spread of pathogens. The correct sequence is to remove the gown first, ensuring it is pulled off inside-out to prevent contact with the contaminated side. Then, the gloves should be removed, taking care not to touch the outer surface. Removing the gloves before the gown could potentially transfer pathogens from the gloves to the hands or arms during the gown removal process.

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In the event that a child needs emergency surgery and the parents cannot be located to sign the permission, a written consultation by two physicians other than the surgeon will suffice. This means that if the parents cannot be found, the two independent physicians can provide their professional opinion and give consent for the surgery on behalf of the child. This ensures that the child receives the necessary medical treatment in a timely manner, even if the parents are not available to give permission.

The surgical scrub involves both mechanical washing and chemical antisepsis of the skin. Mechanical washing refers to the physical removal of dirt, debris, and microorganisms from the skin using friction and water. This helps to physically cleanse the skin and remove any potential contaminants. Chemical antisepsis, on the other hand, involves the use of antiseptic agents such as iodine or chlorhexidine to kill or inhibit the growth of microorganisms on the skin. This combination of mechanical washing and chemical antisepsis ensures a thorough and effective cleansing of the skin before surgery.

The correct answer is the Ballenger swivel knife. This instrument is commonly used in nasal surgery to make precise incisions in the nasal cartilage. It has a rotating blade that allows for controlled and accurate cutting. The other options listed, such as the Freer elevator, Duckbill rongeur, and Hurd dissector, are not typically used for making incisions in nasal cartilage.

The correct answer is abdominoperineal resection (APR). This procedure involves removing the anus, rectum, and part of the sigmoid colon. The patient is positioned supine in modified lithotomy, which means lying on their back with their legs raised and supported in stirrups. This position allows the surgeon better access to the perineal area during the surgery. Colonoscopy, marsupilization of pilonidal cyst, and ileostomy do not require the patient to be positioned supine in modified lithotomy.

When draping a table, the scrub nurse should drape from front to back. This ensures that the sterile field is maintained and prevents any contamination from occurring. Draping from front to back allows the nurse to work in a systematic manner, starting from the cleanest area and moving towards the dirtier areas. This helps to minimize the risk of introducing any pathogens or contaminants onto the sterile field. Draping in any other direction could compromise the sterility of the field and increase the chances of surgical site infections.

A rongeur is a surgical instrument commonly used in craniotomies to enlarge the burr hole. It has a strong, sharp, and curved tip that allows it to bite and remove small pieces of bone. This instrument is specifically designed for bone removal and is often used to create a larger opening in the skull during the procedure. The other options listed, periosteal elevator, Gigli saw, and Cloward punch, are not typically used for enlarging the burr hole in a craniotomy.

When preparing a patient for a breast biopsy, a breast scrub is either eliminated or done very gently to avoid dispersal of cancer cells. Scrubbing the breast vigorously can potentially cause the cancer cells to spread to other areas of the breast or even to nearby lymph nodes, increasing the risk of metastasis. Therefore, it is important to handle the breast with care during the preparation process to minimize the risk of cancer cell dispersal.

The holding area of the OR is the ideal place to do the shave prep because it allows for proper sterilization and preparation of the patient before surgery. This area is specifically designed to provide a clean and controlled environment for pre-operative procedures. Doing the shave prep in the patient's room may not have the same level of cleanliness and equipment available as the holding area. The operating room suite is typically reserved for the actual surgery and may not be the most suitable place for shave prep. The room where the surgery will be performed may also lack the necessary equipment and cleanliness required for shave prep.

Wire localization is a technique used to identify suspicious breast tissue. It involves inserting a needle or wire through a needle into the breast to mark the location of the abnormality. This procedure is typically done prior to a surgical biopsy to guide the surgeon to the exact area of concern. It is commonly used when the abnormality cannot be felt or seen on imaging alone, and helps ensure that the correct tissue is sampled during the biopsy procedure.

The most desirable position for a pilonidal cystectomy or a hemorrhoidectomy is the Kraske position. This position involves the patient lying on their stomach with their hips flexed, allowing for better access to the surgical site. The Kraske position provides optimal exposure and accessibility for the surgeon to perform the procedure effectively.

The correct answer is supine with a bolster under the pelvis. This position allows for easy access to the bladder during surgery. Placing a bolster under the pelvis helps to elevate the area, providing better visibility and access to the surgical site. The supine position also allows for the patient's legs to be comfortably positioned in stirrups, further facilitating the procedure.

The correct answer is with a preoperative shower. Preliminary preparation of the patient's skin before surgery typically involves a preoperative shower. This is done to remove any dirt, oils, or bacteria from the skin, reducing the risk of infection. The shower may involve using a specific antimicrobial soap or solution recommended by the healthcare provider. This step is usually done in the preoperative area or at home prior to coming to the hospital for surgery. Shave preparation may also be necessary in some cases, but the preoperative shower is a standard practice for skin preparation.

The statement "nail polish may be worn, if not chipped" indicates inappropriate preparation for a surgical scrub because nail polish can harbor bacteria and interfere with proper hand hygiene.

Harrington rods are commonly used in surgical treatment for scoliosis. These rods are implanted along the spine to correct the curvature and provide stability. They are attached to the vertebrae using hooks or screws and then connected with rods. The rods help to straighten the spine and maintain the correction over time. This surgical technique is effective in reducing the curvature and improving the overall alignment of the spine in patients with scoliosis.

A Babcock is a surgical instrument that is specifically designed to grasp delicate structures during surgical procedures. It is commonly used in procedures where precision and gentleness are required, such as in neurosurgery or microsurgery. The Babcock's design allows for a secure grip on delicate tissues without causing damage or trauma. It is not typically used to grasp bone, clamp vessels, or retract soft tissue, as these tasks require different types of instruments.

Blunt nerve hooks are selected for a vasotomy setup. A vasotomy is a surgical procedure that involves making an incision in the vas deferens, the tube that carries sperm from the testicles. Blunt nerve hooks are used in this procedure to gently manipulate and separate the tissues surrounding the vas deferens without causing damage or injury to the nerves in the area. This allows for a precise and controlled dissection during the vasotomy procedure.

A rib raspatory is a surgical instrument used to scrape or smooth the surface of ribs during surgical procedures. It is commonly used in thoracic surgeries, such as rib resection or thoracotomy, to remove or reshape ribs. The term "doyen" refers to an experienced or respected person in a particular field, so in this context, it suggests that a rib raspatory is a well-known and widely used instrument in the field of surgery.

A nonperforating clamp is used to attach suction tubing to drapes. This type of clamp does not create holes or punctures in the material it is attached to, ensuring that the drapes remain intact and maintain their barrier function. It provides a secure and reliable connection between the suction tubing and the drapes, preventing any leakage or dislodgement during the procedure.

Wearing nail polish, even if it is freshly applied, would violate acceptable practice during a surgical scrub. This is because nail polish can harbor bacteria and prevent proper hand hygiene. It is important to have clean, bare nails to ensure thorough cleaning and reduce the risk of contamination during surgery.

The correct answer is 30 strokes for nails, 20 strokes for fingers, 20 strokes for the back of the hand, and 20 strokes for the palm of the hand.

Stapedectomy is a surgical procedure performed to treat hearing loss caused by otosclerosis, a condition in which the stapes bone in the middle ear becomes immobile. During the procedure, the stapes bone is removed and replaced with a prosthesis to restore hearing. The other items mentioned, such as small microsuction, speculum, and prosthesis, are all essential components required for performing a stapedectomy. However, an autograft, which is a tissue graft taken from one part of the patient's body and transplanted to another, is not necessary for this procedure.

A Lebsche is a surgical instrument used to open the sternum. This is typically done during procedures such as open-heart surgery or thoracotomies, where access to the heart or other organs in the chest cavity is required. The Lebsche is designed to safely and effectively separate the sternum, allowing surgeons to access the underlying structures without causing excessive damage or trauma.

Finochietto is a type of rib retractor used in thoracic surgeries. It is a self-retaining retractor that consists of two blades that can be spread apart to hold the ribs open, allowing access to the thoracic cavity. This type of retractor is commonly used in procedures such as lung resections or open heart surgeries.

Wescott scissors are commonly used in ophthalmic surgery. These scissors are specifically designed with delicate, sharp, and fine tips, making them ideal for precise and intricate procedures in the eye. Ophthalmic surgery involves various procedures such as cataract surgery, corneal transplantation, and retinal detachment repair, which require the use of specialized instruments like Wescott scissors for accurate and controlled cutting.

The Ballenger swivel knife is not required for the repair of a nasal fracture. Nasal fractures are typically treated by realigning the broken bones and stabilizing them with a splint. Bayonet forceps and Asch forceps are commonly used instruments for manipulating and realigning the fractured bones. However, the Ballenger swivel knife is not necessary for this procedure. It is a specialized surgical instrument used for other nasal procedures, such as septoplasty or turbinate reduction. Therefore, it is not required for the repair of a nasal fracture.