Board Vitals PreOperative Preparation 76-110

Septoplasty is a procedure done to repair a deviated septum. Immediately prior to the repair what instruments should the surgical technologist have ready?

#15 blade on a #7 knife handle

Cancer invading the common bile duct may provide palliative care by preforming which procedure?

Whipple Procedure

So many of the positions patients need to be placed in on the operating room table require additional material and/or equipment. When placing a male patient in the prone position what will be needed?

Body rolls and padding

The surgical team has been preparing the room for a case: once the sterile field has been set up, the circulator notifies the surgical technologist the case has been delayed for a few hours. What is the best course of action that should take place next?

Break down all of the supplies since they should not be exposed to potential contaminants over the next few hours

During which phase of the wound healing process does platelet aggregation occur?

Inflammatory phase

Which of the following is preferred for closing the abdominal fascia?

Interrupted multifilament sutures

Surgery for lower pilonidal sinus excision requires the patient to be placed in which of the following position?

Jack Knife (kraske)

Clean attire can become contaminated if the proper safeguard is not in place, therefore?

Laundered materials require protection from contamination when transported and stored

What is the ideal patient positioning for a diagnostic colonoscopy?

Left lateral

Which of the following us an acceptable substitute for a rubber latex-sensitive team member?

Neoprene

In preparation for a surgical procedure it is imperative that the surgical team prepare all necessary equipment and supplies, as well as ensure everything is functioning. These activities are best accomplished during?

Preoperative Phase

which of the following is a duty of a scrubbed surgical technologist?

Prepares the sterile field

when transporting a patient through a corridor or elevator, what direction should the patient be facing?

Push the stretcher, patient's feet first and comfortable

Which of the following is the correct sequence of actions when preforming a sponge count before starting a case?

Remove paper bands before separating sponges inti separate piles

Prior to prepping a patient in preparation for their ophthalmic surgery, the anesthesiologist injects the area with Marcaine and lidocaine, this type of injection is referred to as what?

Retrobulbar Block

The following refers to the wound closure of a wound that is not sutured but heals from the base as granulation tissue forms?

Secondary Intention

The surgical technologist has just donned gown and gloves, the proceed to prep the patient for the procedure. After the prep the surgical technologist should:

re-gown and re-glove

Sponge, sharp, and instrument counts are important parts of the patient's intraoperative record, and should be recorded in the chart as documentation of every surgical procedure. What information is not recorded as part of this process?

The exact time of the day that the counts were preformed

When positioning a patient having a gynecologic procedure, the surgical team must ensure proper positioning. This is compromised of which of the following protocols?

The lithotomy position stirrup height is adjusted according to the length of the patient's legs

Which is the risk factor for a retained surgical item?

Emergency surgical procedures

Maintaining a sterile field adheres to specific protocols. One of those protocols incorporates information pertaining to non-sterile individuals. Which of the following is true of sterile procedure in the OR?

A nonsterile person should not come closer than 1 foot away from the sterile field.

Placing a rolled sheet, pad or blanket to elevate a pregnant patient's right hip is done to relieve pressure from?

Abdominal aorta and vena cava

Prepping parameters of a surgical site should:

Always prep above and below the surgical incision site

In the event of an emergent surgical procedure where the patient's life takes precedence, which of the following is the method that will be used to confirm that there are no retained surgical items?

An X-ray of the patient postoperatively

To prevent injury to a patient, while transferring them from the stretcher to the operating room table, the surgical team should?

Ask for additional help to assure patient safety

The surgical positions used in posterior cranial fossa surgeries is?

Fowler's Surgical position

Once the patient is anesthetized and the surgeon comes in the room and is ready to drape the patient, the surgical technologist should?

Go to the same side as the surgeon and pass off the drape by grasping the edge and forming a cuff

The surgical technologist, when donning their gown, should do which of the following?

Grab the gown below the neckline and step away

An example of a multifilament nonabsorbable suture is?

Surgical silk

what are the most commonly used absorbable sutures made of?

Synthetics

While counting instruments, how is a broken instrument handled?

Tag it and keep it on the field

For an abdominal hysterectomy, the patient will be placed in which of the following postitions?

Trendelenburg

Which of the following positions involves lying the patient face up with the head tilted below the feet?

Trendelenburg surgical position

As the team prepares to drape an extremity, which would be the drape of choice?

U-Drape