McCurnin's Chapter 32 Surgical Instruments
Thumb forceps with delicate intermeshing teeth, which make them good for grasping delicate tissues atraumatically.
Adson
Traumatic tissue forceps that is used to securely grasp tissues, but that leaves the tissues "crushed." Therefore, this forceps should only be used on tissues that are to be removed during the procedure.
Allis
A hand-held surgical retractor that is designed with smooth blades and used to retract skin, fat, or muscle.
Army-Navy
The self-retaining retractor that facilitates retraction of the ribs for surgical site exposure within the thoracic cavity.
Finochietto
Thumb forceps with jaws composed of large interdigitating teeth that are primarily used for facia or skin.
Rat-tooth
Hemostatic forceps that are large in size with longitudinal grooves and cross-grooves at the tip of the jaws which aid in traction for crushing and calming across vessels. They are commonly used in spay procedures.
Rochester-Carmalt
Hemostatic forceps that are similar the Rochester-Pean but have interdigitating teeth at the tips used for grasping tissues. They are commonly utilized in orthopedic or large animal surgery.
Rochester-Ochsner
The hemostatic forceps designed with. large transverse grooves used to clamp bundles of tissues and large vessels.
Rochester-Pean
A traumatic type of thumb forceps with a broad curved surface that is good for handling needles.
Russian
The general type of forceps used for tissue manipulation that is designed with a "spring action." Used by compressing the two metal handles together to make the jaws meet.
Thumb forceps
The classification of instruments with a a locking mechanism that are used to clamp tissues.
Tissue forceps
Reliable methods of heat sterilization for fabrics and metals includes a. saturated steam under pressure b. boiling water c. dry heat d. both a and b
a
The adequate amount of spacing between each pack in an autoclave chamber to ensure proper steam penetration is a. 2.5-7.5 cm b. 3.5-8.5 cm c. 5.0-10 cm d. 7.5-12 cm
a
The general operating temperature for ethylene oxide is between a. 21 and 140 degrees C b. 15 and 60 degrees C c. 21 and 60 degrees C d. 21 and 70 degrees F
a
The inner pressure of an insufflated abdominal cavity source of contamination? a. 10-15 mm Hg b. 15-20 mm Hg c. 20-25 mm Hg d. 25-32 mm Hg
a
The most common sterilization method is a. wet heat b. filtration c. radiation d. hydrogen peroxide gas plasma
a
The most commonly used sizes of stainless steel cerclage (orthopedic) wire for small animal surgery are a. 18, 20, 22 b. 22, 24, 26 c. 12, 14, 16 d. 14, 16, 18
a
The result of laser-tissue interaction is dependent on the tissue's a. density and makeup b. location c. pigmentation d. elasticity
a
The suction tip designed for general purpose is a. Yankauer b. Poole c. Frazier d. Freer
a
The surgical scissors most commonly used for soft tissue dissection are a. Metzenbaum b. Mayo c. Iris d. Operating
a
The type of surgical instrument sometimes used to secure surgical drapes and instrument cords (such as those used for cautery) is a. Allis b. Babcock c. Doyen d. Russian
a
Which of the following events would render a sterile surgical pack contaminated? a. The pack was stored in an open closet b. The pack was stored in an upside-down position c. The outside of the pack came in contact with a nonsterile instrument d. The pack was dropped but the tape sealing the pack remained intact
a
Which of the following is not a surgical wound classification used to determine the degree of vigilance require regarding aseptic technique? a. sterile b. clean c. clean-contaminated d. contaminated
a
Which of the hemostatic forceps listed are the most commonly used for large animal surgery or orthopedic procedures? a. Rochester-Ochsner b. Rochester-Pean c. Crile d. Kelly
a
After instruments are cleaned, they should be rinsed thoroughly with ________ then allowed to dry prior to autoclaving: a. tap water b. deionized water c. sterile saline solution d. isopropyl alcohol
b
CO2 lasers are primarily used for a. vaporization of tissues b. precise cutting and vaporization of tissues c. transendoscopic surgery d. deep-tissue penetraton
b
The general recommendation for initial skin preparation of a surgical site consists of scrubbing and rinsing a. 2 times b. 3 times c. 4 times d. 5 times
b
The most commonly used gas for insufflation because it is non-combustible, making it relatively safe: a. Nitrous oxide b. Carbon dioxide c. Ethylene gas d. Hydrogen peroxide
b
The recommended exposure time and temperature for flash-sterilization is a. 2 min. at 250 degrees F b. 3 min. at 131 degrees C c. 4 min. at 270 degrees F d. 5 min. at 131 degrees F
b
The residual bacteria activity of povidone-iodine when left in the skin is a. 2-4 hours b. 4-6 hours c. 6-8 hours d. 8-10 hours
b
The two basic types of bone screws are a. stainless and ceramic b. cortical and cancellous c. transverse and angled d. wide groove and narrow groove
b
The type of bone-holding forceps equipped with a ratcheted handle for secure bone clamping is known as a. Freer b. Kern c. Poole d. Frazier
b
These two hemostatic forceps share similarities in appearance but differ in jaw tooth pattern which covers the entire jaw in one and only the distal aspect of the jaw in the other a. Rochester-Pean and Rochester Ochsner b. Kelly and Crile c. Mayo-Hegar and Olsen-Hegar d. Rochester-Carmalt and Rochester Ochsner
b
Which of the following is a false statement regarding towel clamps? a. The Roeder towel clamp has a metal ball stop on the jaws b. The Backhaus towel clamp prevents deep tissue penetration c. Towel clamps are designed to secure drapes to the patient d. Towel clamps have tips that join together like ice tongs
b
Which of the following is most susceptible to damage form laser injury? a. thyroid glands b. eyes c. reproductive organs d. hands
b
Which of the following statements is false in regard to culture test indicators? a. They use spores of a particular strain of bacteria b. They yield rapid results c. They are the only type of indicator that provides evidence that microorganisms were destroyed d. They do not indicate if proper steam penetration has been achieved
b
Which of the following statements is not true regarding the surgical hand scrub a. The two basic methods include "counted brush strokes" and "timed." b. The "counted brush strokes" method is more commonly used c. 10-25 brush strokes are performed on all surfaces prior to rinsing d. The initial scrub of the day should be at least 5 minutes
b
Which of the following statements is true regarding radiation sterilization? a. materials that are easily damaged should not be sterilized by radiation b. radiation destroys microorganisms c. radiation produces high temperatures during the sterilization process d. radiation is not used for sterilization of medical supplies
b
A laser's ____________ within the light spectrum determines the effect it will have on tissue a. voltage b. wattage c. wavelength d. amplitude
c
Skin irritation or acute dermatitis related to the use of povidone-iodine iodophors in veterinary practice can affect up to a. 10% b. 25% c. 50% d. 75%
c
The general rule of thumb for clipping the perimeter around the incision site is a. 2-5 cm b. 3-10 cm c. 5-15 cm d. 10-20 cm
c
The laser energy applied to tissue is measured in a. volts b. watts c. joules d. amperes
c
The two most commonly used needle holders in veterinary medicine are the a. Rochester-Pean and Rochester Ochsner b. Kelly and Crile c. Mayo-Hegar and Olsen-Hegar d. Rochester-Carmalt and Rochester Ochsner
c
Two surgical devices made from soft metals that are used for bone cutting are the chisels and a. saws b. curettes c. osteotomes d. rongeurs
c
What is the sharp tool used with a cannula to penetrate subcutaneous tissues and the lining of the peritoneum in order to create a portal for a laporoscope? a. osteotome b. chisel c. trocar d. periosteal elevator
c
Which of the following is not acceptable for scrubbed-in personnel? a. resting gloved hands on a sterile drape b. clasping gloved hands in front of the body between shoulders and waist c. crossing arms at chest height d. touching the gown within the sterile zone while wearing gloves
c
Which of the following laser types is not commonly used in the veterinary field? a. CO2 b. Nd:YAG c. Argon d. Diode
c
For which of the following procures is it nor acceptable to use cold-sterilized instruments? a. dental surgery b. superficial laceration c. abscess debridement d. lumpectomy
d
Fusible pellet glass indicators provide evidence that a(n) a. pressure of 27 psi was reached b. adequate level of steam saturation was achieved c. time of 15 minutes passed d. temperature of 118 degrees C was reached
d
Lasers cause thermal tissue damage that is classified as either collateral or a. direct b. impact c. lateral d. latent
d
Lasers emit energized light produced from a a. crystal b. liquid c. gas d. all of the above
d
The Poole suction type is primarily used in the a. abdominal cavity b. thoracic cavity c. joints d. a and b
d
The minimal humidity requirement for effective sterilization to occur by the use of ethylene oxide gas is a. 20% b. 25% c. 32% d. 35%
d
The most commonly used arthroscope for canine arthroscopy is a. 4 mm OD, 25 degree lens b. 4 mm OD, 32 degree lens c. 5 mm OD, 10 degree lens d. 2.7 mm OD, 30 degree lens
d
The periosteal elevator most commonly utilized in small animal orthopedics is known as a. Yankauer b. Poole c. Frazier d. Freer
d
The proper dilution for chlorhexidine antiseptic agents in order to produce a 0.05% lavage solution for open wound treatment is a. 1:40 with sterile water b. 1:40 with saline c. 1:20 with sterile water d. both a and b
d
The required exposure time when soaking instruments to achieve cold sterilization should exceed a. 32 minutes b. 1 hour c. 2 hours d. 3 hours
d
The two primary methods of sterilization used by manufacturers for packaging and the production of certain surgical supplies are: a. physical and chemical b. autoclave and flash c. dry heat and wet heat d. filtration and radiation
d
Tissue forceps are used for a. cutting and clamping tissues b. occluding and grasping vessels c. crushing and cutting tissues d. clamping and holding tissues
d
To prevent rapid cooling of packs after a sterilization cycle has finished, the autoclave door should be slightly cracked open for a minimum of how many minutes? a. 5 b. 10 c. 15 d. 20
d
Which of the following is not a recognized material used for orthopedic implants? a. cobalt-chromium alloys b. titanium c. stainless steel alloys d. aluminum alloys
d
Which of the following is not classified as a general type of physical sterilization? a. filtration b. radiation c. heat d. ethylene oxide
d
Which of the following is not classified as an exogenous source of contamination? a. air b. surgical instruments c. patient skin d. oral cavity bacteria
d
Which of the following products is most effectively sterilized by dry heat? a. rubber b. fabrics c. metals d. oils
d
Which of the following products is most effectively sterilized by moist heat? a. powders b. petroleum products c. oils d. rubber
d
Which of the following statements is not true of hydrogen peroxide gas plasma sterilization? a. Gas plasma is capable of inactivating mycobacteria and bacterial spores b. Gas plasma is capable of inactivating viruses and fungi c. Gas plasma is considered to be a more hazardous form of chemical sterilization compared with ethylene oxide
d
The tissue forceps that are similar to Allis tissue forceps but provide less tissue security as a result of having a less traumatic effect on tissues.
Babcock
The type of obturator used to penetrate the synovial membrane of the joint space. Provides a reduced risk of causing articular cartilage damage.
Conical
Thumb forceps that are relatively atraumatic with multiple sets of delicate teeth and long narrow jaws that are often used for vascular surgeries.
DeBakey
Intestinal tissue forceps designed with atraumatic flexible jaws, which allows for safe clamping of viable portions of the bowel in addition to other delicate tissues.
Doyen
The type of needle that shares similarities with trephine but is often disposable, making it only good for a single use.
Jamshidi
Hemostatic forceps that are relatively small in size and designed to occlude small tissues.
Halsted mosquito
One of the two type of hemostatic forceps that are similar in design to Halstead mosquito forceps but that differ from one another slightly in jaw-tooth pattern. Used to preform the function of crushing medium vessels and tissues.
Kelly
A specific type of rongeurs used for spinal surgeries with a "gun-shaped" appearance.
Kerrison
The type of bone pin that is similar to an intramedullary pin but is smaller in size and may be used to pin small fragments of bone.
Kirchner wire
An atraumatic handheld surgical retractor comprised of specialized metal that allows the retractor to be bent into a desired shape making it especially useful for retracting thoracic and abdominal organs.
Malleable
"Heavy-duty" operating scissors commonly used for cutting dense tissues.
Mayo dissecting scissors
Instruments used to rasp needles and pass suture material through tissues in addition to aiding with suture tying.
Needle holders
The needle holder that is equipped with scissors built into the instrument.
Olsen Hegar
A t-shaped stainless steel instrument that has a cutting cylindrical blade. Similar to the appearance for a general biopsy punch.
Trephine
