19986199
Questão 1
Questão
If a frozen section is indicated, the specimen must be
____.
Responda
-
preserved in a fixative
-
submerged in formalin
-
moistened with sterile water
-
sent to pathology dry
Questão 2
Questão
Proper care of the specimen is the responsibility of whom?
Responda
-
Joint Commission on Accreditation of Hospitals- JCAHO
-
CST
-
Circulator
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The Operating Room Team
Questão 3
Questão
When prepping the abdomen for a laparotomy, which of the following areas is prepped first?
Responda
-
Incision Site
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Bedside
-
Stoma
-
Umbilicus
Questão 4
Questão
All instruments and items must be removed from a specimen before it is sent to the pathology lab. Which of the following specimens is the exception to this rule, where an item will purposefully be left in the specimen as a reference point?
Responda
-
Needle Localization
-
Muscle Biopsy
-
Products of Conception
-
Amputated Limb
Questão 5
Questão
Prepping of the surgical patient occurs right before which of the following tasks?
Responda
-
Anesthesia Administration
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Urethral Catheterization
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Positioning
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Draping
Questão 6
Questão
Which of the following types of specimens CAN be submerged in formalin?
Responda
-
Frozen Section
-
Culture and Sensitivity
-
Bronchial Washings
-
Permanent Section
Questão 7
Questão
Breast tissue removed during a breast reduction for breast hypertrophy will be processed as which of the following types of specimens?
Responda
-
Amputation
-
Frozen Section
-
Permanent Section
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Needle Localization
Questão 8
Questão
When is the best time for the CST to hand the specimen off the sterile field to the circulating nurse?
Responda
-
Whenever the CST has time
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As soon as all of the specimen is excised and the surgeon gives permission to have the specimen handed off the field
-
A.S.A.P.
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Following the completion of the procedure
Questão 9
Questão
Who generally accepts responsibility for prepping traumatic wounds?
Responda
-
Circulator
-
Surgical Technologist
-
Surgical Assistant
-
surgeon
Questão 10
Questão
For which of the following prepping agents must the applicator be removed from the operating room following application of the prep?
Responda
-
Betadine Paint Sticks
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Duraprep
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Hibiclense Scrub Sponges
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Exidine Scrub Sponges
Questão 11
Questão
A surgeon sends a specimen for frozen section and the results come back from the pathologist stating that the “margins are not clear”. What does this mean and how does it affect you as the 1st scrub on the procedure?
Responda
-
It means that cancerous tissue still remains in the patient and more tissue needs to be excised to leave only healthy tissue behind
-
It means that cancerous tissue still remains in the patient and no more tissue needs to be excised
Questão 12
Questão
Describe the anatomical areas that are prepped for vaginal surgery.
Responda
-
prep starts at pubic area. Inner thighs preped next, sponge stick used for vagina, dried with sponge stick. Painting applied to all areas except vaginal canal. seperate sticks used for pubic area.
-
painting applied first then area dried with stick sponge.
Questão 13
Questão
Check the boxes of pieces of information to be included on a label to identify a specimen.
Responda
-
patients name
-
patient address
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what the specimen is
-
where the specimen came from anatomically
-
hospital of where surgical procedure is being performed
Questão 14
Questão
The basic rule of prepping is to proceed from what to what?
Responda
-
clean to dirty
-
dirty to clean
Questão 15
Questão
Check the boxes that list duties of the CST in the first scrub role while caring and handling surgical specimens.
Responda
-
obtain specimen from surgeon
-
clean specimen with sterile water only if needed
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place specimen in basin or telfa
-
notify surgeon of specimen dimensions and structure if needed
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if not sending specimen fresh, we can keep specimen in saline
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ask surgeon before handing specimen off to circulator
Questão 16
Questão
What is the minimum amount of time Duraprep solution must be allowed to dry on hairless skin prior to the application of the surgical drapes? How long can it take to dry in hair?
Responda
-
2 minutes minimum
-
3 minutes minimum
-
5 minutes minimum
-
10 minutes minimum
Questão 17
Questão
Describe the anatomical areas that are prepped for a knee arthroscopy. BE DESCRIPTIVE!
Responda
-
lower hip down around the entire leg, not the foot though
-
lower hip down around the entire leg, including the foot
-
upper hip down around the entire leg, not the foot though
Questão 18
Questão
Describe what a surgeon may do to a specimen to assist the pathologist in identifying how the specimen was oriented when it was in the patient’s body.
Responda
-
surgeon may mark edges with suture on the specimen. Then surgeon will communicate with Circulator what the marks mean anatomically. Their needs to be clear margins for the pathologist.
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surgeon may tell the ST where the edges are on the specimen. Then surgeon will communicate with Circulator what the marks mean anatomically. Their needs to be clear margins for the pathologist.
Questão 19
Questão
Identify the purpose of performing a prep on a surgical patient.
Responda
-
Transient flora are reduced that live on the skin and resident flora that live underneeth the skin which make their way to the surface are reduced. It reduces/prevents infection from occuring as a result of the procedure.
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none.
Questão 20
Questão
What is the difference between a permanent section and a frozen section?
Responda
-
permanent sections are sections taken that are not diagnosed intra-operativly and can be sent offgrounds for further analysis in formalin. Frozen sections are diagnosed intra-operatively and are sent to patholgy fresh and dry.
-
frozen sections can be sent off grounds for further analysis, permanent sections are diagnosed intra-operatively
Questão 21
Questão
Duraprep can be very dangerous and pose a fire risk to the patient if not utilized properly. Identify two safety techniques that are utilized to minimize the risk posed by duraprep.
Responda
-
avoid pooling and allow prep solution to dry completely.
-
if pooling occurs its ok if you allow it to dry all the way
Questão 22
Questão
When should hair be removed from the surgical site to minimize the risk associated with hair removal?
Responda
-
As close as possible to the planned start and right before the prep is applied.
-
As close as possible to the planned start of the procedure but not in the OR
Questão 23
Questão
Match the specimen type to the correct description.
A separate consent form is required for this type of specimen related to cultural concerns that may need to be addressed.
Responda
-
chromosomal studues
-
amputated limb
-
culture and sensitivity
Questão 24
Questão
Match the specimen type to the correct description.
Patients will go to the radiology department prior to coming to surgery to have this type of specimen excised.
Responda
-
chromosomal studies
-
culture and sensitivity
-
needle localization
Questão 25
Questão
Match the specimen type to the correct description.
This type of test will be performed on the products of conception for patients who have had multiple miscarriages.
Responda
-
chromosomal studies
-
culture ad sensitivity
-
muscle biopsy
Questão 26
Questão
Match the specimen type to the correct description.
An infected wound would often require this type of test.
Responda
-
needle localization
-
culture and sensitivity
-
muscle biopsy
Questão 27
Questão
Match the specimen type to the correct description.
The gallbladder that is removed during a Laparoscopic Cholecystectomy for cholecystitis will have this type of examine performed on it.
Responda
-
culture sensitivity
-
routine/permanent section
-
muscle biopsy
Questão 28
Questão
Match the specimen type to the correct description.
The lab must be notified at least 24hrs in advance prior to harvesting this type of specimen.
Responda
-
muscle biopsy
-
culture sensitivty
-
needle localization
Questão 29
Questão
Match the specimen type to the correct description.
A luki tube is often utilized to obtain this type of specimen.
Responda
-
bronchial washings
-
frozen section
-
muscle biopsy
Questão 30
Questão
Match the specimen type to the correct description.
Excision of a melanoma from the scalp would have this type of study performed on the specimen where the results would be reported intraoperatively.
Responda
-
frozen section
-
permanent section
-
needle localization
Questão 31
Questão
check the boxes of types of cultures
Responda
-
biological culture
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anaerobic culture
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aerobic culture
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micro flora
-
transient flora
Questão 32
Questão
Check the boxes of the combination of what duraprep is made of?
Responda
-
iodine
-
bedadine
-
isopropyl
-
hibiclense
Questão 33
Questão
Check the boxes of he reasons why the prep solution must not be allowed to pool under the patient.
Responda
-
fire hazard
-
strike through contamination
-
infection
-
irritant to skin
Questão 34
Questão
Chlorhexidine Gluconate is commonly known as?
Responda
-
hibiclense
-
duraprep
-
betadine
-
sodium chloride
Questão 35
Questão
Name the best method to remove hair without skin injury.
Responda
-
scissors
-
sharp blade that protects skin
-
surgically prepared razer
-
clippers
Questão 36
Questão
When performing the prep for a pelviscopy procedure during which the abdomen and the perineal area must both be prepped, which area is prepped first? Why?
Responda
-
perineum is prepped first, then the abdomen from under breast to thighs. Genital contamination can spray to the cleaned area. if prepped the other way around.
-
perineum is prepped last, the abdomen first because we always prep from clean to dirt
Questão 37
Questão
Identify two contaminated areas that need special consideration when performing the surgical skin prep. When during the prepping procedure are these areas prepped (first, last, middle, etc.)?
Responda
-
The vagina is prepped first so that contamination does not occure through spray to the abdomen. The anus is considered the dirtiest and sponges need to be discarded once touched.
-
The vagina is prepped last since we always prep clean to dirty. The anus is considered the dirtiest and sponges need to be discarded once touched.
Questão 38
Questão
Match the prepping agent with its proper description.
Agent most commonly utilized to degrease the patient’s skin prior to the application of the prepping solution.
Responda
-
isopropyl alcohol
-
exidine
-
chloraprep
Questão 39
Questão
Match the prepping agent with its proper description.
This type of prep solution only works through a cumulative action through multiple uses and only offers bacteriostatic action against microbes.
Responda
-
phisohex/phisoderm
-
isopropyl alcohol
-
actiprep
Questão 40
Questão
Match the prepping agent with its proper description.
This type of prep solution is ototoxic and neurotoxic and cannot be utilized for facial preps.
Responda
-
isopropyl alcohol
-
betadine
-
hibiclense/chlorahexadine gluconate
Questão 41
Questão
This prep is a good alternative to use on a patient who has an iodine allergy for a surgeon whose normal preference is to use Duraprep.
Responda
-
exidine
-
chloraprep
-
actiprep
Questão 42
Questão
If a patient is to be scrubbed and painted this type of prep solution will be utilized.
Responda
-
provodone-betadine/iiodine
-
chloraprep
-
actiprep
Questão 43
Questão
This type of prep solution is applied by scrubbing the prep area for 2 minutes, drying, and then scrubbing the area for another 2 minutes
Responda
-
exidine
-
actiprep
-
duraprep
Questão 44
Questão
The active ingredients in this type of prep solution are Trizenol and alcohol – It is effective against multi-drug resistant microorganisms
Responda
-
isopropyl alcohol
-
duraprep
-
actiprep
Questão 45
Questão
This prep solution contains a patented sticky substance, which prevents the solution from being removed during the procedure prolonging its effectiveness and requiring a special remover to take it off the skin.
Responda
-
actiprep
-
duraprep
-
exidine
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