Embalming midterm review

The autopsied body requires

An autopsy aspirator

Generalized edema is called

Anasarca

The best drainage tool to help remove venous coagula would be which of the folowing?

Angular spring forceps

When an autopsy has taken place or other organs have been donated, which of the following donation incisions would more than likely be used for a spinal retrieval?

Anterior incision

Which of the following are responsibilities of the receiving funeral home?

Anticipate delays due to weather, avoid making promises with family about date/time of service, cooperate with shipping funeral home.

Which of these is not a recommended method for stimulating blood drainage?

Application of a cavity fluid compress

Hardening compound is used

As a preservative and drying agent in autopsied cases

Hospitals that receive federal funding from Medicare/Medicaid are required to do what?

Ask for tissue/organ donation

A general rule for shipping requires what document be included with the body for shipping?

Burial-Transit Permit

Solid edema ______ be removed by operative aids

Can

Solid edema _____ be removed by arterial injection

Cannot

Solid edema _____ be removed by mechanical means

Cannot

Which of the following are good practices for long-term embalming? (please choose all that apply)

Delay aspiration and cavity treatment, intermittent drainage, restricted cervical injection, use of effective chemical solutions.

cavity embalming is

Direct treatment, other than vascular (arterial) injection, of the contents of the body cavities and the lumina of the hollow viscera; usually accomplished by aspiration and injection.

Hydrocele ______ need to be treated because it is in a non-viewable area

Does

Solid edema ______ gravitate

Does not

The abnormal collection of fluid in tissue spaces, serous cavities, or both is the definition of...

Edema

Preparation of remains that will allow the initial viewing up to several weeks after death is the definition of

Embalming for delayed viewing.

Which of the following are factors that affect degree and length of embalming (please choose all that apply)

Embalming thoroughness, aftercare, effective arterial chemical formulations, condition of body at time of preparation.

The primary concern in embalming the diabetic patient is

Establishing good distribution

During injection of an eye enucleation, which of the following things should you avoid?

Excessive manipulation and massage, pre-injection, rapid rates of flow

Pressure on the outside of an artery or vein is known as

Extravascular resistance

The clavicle is referred to as "the shoulder blade", T or F

False

The name for the instrument that recovers skin in a full thickness donation is called a dermatome, T or F?

False

A decedent care report is necessary

For each deceased human body that comes into the facility

You are injecting the body of an individual who passed away of severe cardiopulmonary arrest due to the rupture of the aortic aneurysm via the right common carotid artery and draining via the right jugular vein. You notice that you are not draining and the abdomen is beginning to swell. The face is swollen, but this was present before embalming started. What should you do?

Immediately cease injection and go to multipoint.

An adjustable length of PVC piping with end caps containing surgical screws that is used in vertebral donation cases is called what?

Limbz

What is the middle layer of the artery called

Media

A funeral home that is shipping a body out of state find out that neither the receiving funeral home or the family of the deceased will pay for their services to ship the body. A common carrier arrives at the funeral home to pick up the deceased. The carrier was contracted by the receiving funeral home. Can the shipping funeral home hold the remains for payment?

No they can not.

Viscous blood due to an increase in red blood cells is most likely caused by

Polycythemia

What is a method in which both common carotid arteries are raised to control the flow of solution to the head?

Restricted cervical injection method

In the autopsied body how is the viscera typically returned?

Returned to the cavity in a plastic bag

Which of the following are extravascular resistances?

Rigor mortis, swollen lymph nodes, hydrothorax

The pinpoint hemorrhages seen in the areas of advanced livor mortis are best categorized as

Tardieu Spots

In some cases where organ procurement has taken place, the severity of the donation may cause the embalmer to embalm similar to protocols associated with autopsied bodies, T or F?

True

It is beneficial to massage cream around the orbit prior to injecting human remains that have undergone eye enucleation. T or F?

True

dehydration discolorations are not removed by arterial injection. T or F?

True

Inner wall is hardened and thickened, lumen is large and well defined

Type 1

Inner wall is hardened and thickened, lumen is reduced in size and pushed to one side of the artery

Type 2

Inner wall is hardened and thickened, lumen is completely occluded. Canalization may be present

Type 3

What does UAGA stand for?

Uniform Anatomical Gift Act

Which of the following garments could be utilized on the spinal donation case using a posterior incision where leakage is anticipated?

Unionall

The distribution route used by arterial fluids during preservation is the

blood vascular system

A device used as a means of fastening the calvarium after a cranial autopsy.

calvarium clamps

Arterial Tube

cannulae

Which of the following are operative aids?

channeling, incising, excising

Which of the following are mechanical aids used during injection?

controlled pressure/rate of flow, pulsation, drain tube sizes, size of arterial tube

Which of the following are accepted methods of embalming treatment for long bone removal?

injection with sutures open, saturated packing, free-flow method

Which of the following layers is present in all vascular structures

intima

Lack of blood to an area is called

ischemia

Cancer of the blood tissues that form white blood cells is known as

leukemia

A term that refers to the spiderweb appearance of veins

marbling

you should use a minimum of how many bottles of cavity fluid per major cavity in a long-term stored body

one

What are pinpoint extravascular stains visible as purplish hemorrhages on the skin known as?

petechiae

Inflammation of a vein is called:

phlebitis

The 1st stage of disinfection is

primary disinfection

Death form burned bodies (2nd/3rd degree) usually is a result of

renal failure due to skin damage

Which of the following is associated with congestive heart disease?

retention of salt in body fluids, neck veins engorged with blood, cyanotic lips, ears, and fingers

If a significant amount of preservative is injected, complete firming commonly occurs when?

several hours to a day later

When injecting a normal body with no complicated conditions, the first gallon should be injected....

slowly

Refrigeration __________ the decomposition process

slows

postmortem changes begin when?

time of death

Which of the following factors can speed decomposition?

translocation of microbes, high moisture content of tissues, heat

rate of flow is the amount of embalming solution that enters the body in a given period of time. Too high a flow can cause swelling in the skin. T or F?

true

What type of arteriosclerosis is this?

type 2

The decedent had a full autopsy, to include injections in the arms and legs. What type of plastic garment should the decedent be placed in?

unionall

An unequal distribution of arterial solution that appears only on one side of the body is probably due to

vasoconstriction

What is the best rate of injection for when there has been a long delay in preparation

very slow injection rate

When raising a sclerotic femoral it is best to

work from within the incision and not raise the vessel to the surface of the skin

A device used to peel or shave thin layers of skin in a skin donation case is called

dermatome

What is the first task to perform when preparing to embalm the dead human body

disinfect with droplet spray

which of the following are associated with delays in embalming a body?

distribution/diffusion problems, increased preservative demand, swelling

A common complication of surgical repair of the aortic aneurysm is

edema of the face

A thin, plastic, dome shaped disk used to restore contour just beneath the eyelids, an aid in eye closure.

eye cap

Which of the following are positive/strong arguments for long-term preservation? (please choose all that apply)

families have peace of mind knowing the embalming was quality, long term protection to match funeral merchandise, consumers expect more for their money.

Which of the following are manual aids used during injection?

firm massage, lowering arms

Nasal Tube Aspirator

for aspirating nose and throat

trocar

for aspiration and injection of body cavities

Vein tube

for draining blood

Scalpel

for making incisions

After the passage of rigor, preservative demand is

greatly increased

an embalming instrument used to hypodermically inject areas of the body with embalming chemicals is a

hypo-valve trocar

Which of the following are effective methods of internal treatments for re-embalming a body. (Please choose all that apply)

hypodermic injection, arterial injection, internal compresses

Our current method of preserving the dead human body is

arterial injection and cavity treatment

vascular embalming solutions are injected into the

arterial system

Which of the following is a vascular consideration you must consider in the embalming process?

arteriosclerosis, phlebitis, arteritis

AN accumulation of fluid in the abdominal cavity is

ascites

Edema is established when you have a _____ increase in body water

10%

if human remains are not placed into refrigeration, how long does the technician have to harvest tissue?

15 hours

When embalming the decedent with bilateral eye enucleation, what should you do before arterial injection?

Clean the orbit with phenol, reshape the eye with cotton and apply massage cream

Opaque cosmetics and wax must be applied to

Clean, dry skin

Which of the following are responsibilities of the shipping funeral home?

Communicate condition of the body, adequately preserve the body, arrange for transportation and container, secure necessary documents for shipping

An extravasation of blood due to hemorrhage does NOT result in which of the following?

Intense livor mortis

Which of the following are layers of the arterial walls

Intima, Adventitia, Media

Which of the following is present in all the vascular system

Intima, lumen

In order to ship a body by air in the USA, you must be registered as what with the TSA?

Known Shipper

Typically you should use what type of solutions when embalming an organ donor?

Stronger than average

The primary responsibility to restore human remains following donation falls to

The donation technician

The aortic semi-lunar valve is what kind of valve

Tri-cuspid

A reason most bodies show some degree of firming during the injection process is that the concentration of the solution is greatest when first introduced into the tissues. T or F?

True

Drying or hardening compound is recommended on tissue donation cases, T or F?

True