Surgical Assisting - Meridian 1 Latest 2023 Graded A+

Surgical Assisting - Meridian 1 Latest 2023 Graded A+ Delayed Primary Closure (Tertiary Intention) Wound closure occurs when intentionally delayed for three or more days. When tying any knot, what must first be done to ensure a flat throw? Cross the suture Scarpas The fascia located in the subcutaneous fat that must be incorporated for a secure wound. Evisceration Wound breakdown with protrusion of intestine Dehiscence Wound breakdown and separation without any intestinal protrusion. Exposure Main job of the surgical assistant End to end Side to side End to side 3 types of surgical anastomosis Pfannensteil Which incision are the rectus muscles separated and not incised? Bivalve When applying a cast and swelling is anticipated, what must be performed to the cast? Esophagus, Small intestines, Ureters What three areas in the body does peristalsis take place? Mucosa and Serosa Name the two tissue layers seen in the bowel or stomach. Vertebral and Internal Carotid Blood is supplied to the brain via which two arteries? Cystic duct, Artery, and common bile "hepatic" duct The "Triangle of Klot" contains which structures? Right side and transverse. Pancreas, Duodenum, spleen... The SMA (Superior Mesenteric Artery) supplies which parts of the body? Iliocolic, Right Colic, Middle Colic, Left Colic, and Sigmoid branch Name the five major arteries that supply the large intestine. Distal Transverse, descending, sigmoid colon The IMA (Inferior Mesenteric Artery) supplies which part of the body? Ligament of Treitz When running the bowel surgically, at what point would you begin? Vagus, Azygos vein, Hemiazygos, Esophagus, Thoracic duct Name the five birds of the posterior mediastinum? Laryngeal Nerve When performing a Thyroidectomy what nerve must be identified and protected? Gerotas fascia Fascia responsible for holding the kidney in place Medial Anterior Thoracic and Lateral Anterior Thoracic Two nerves spared during a modified radical mastectomy McBurneys Incision used for open Appendectomy 3 Number of lobes of lung found in the right side of the chest. Viscera Outer covering of the lung Diverticulitis The acute inflammation of the diverticulum Diverticular Disease Asymptomatic, without inflammation of the diverticulum Abdominal Aorta The ______, largest blood vessel, begins at the heart and passes backward to be located deep in the body just in front of the bony spine, then passes through an opening in the diaphragm and becomes ______ Common iliac arteries The aorta passes into the pelvis and splits into the Kidneys and bowl The most important branches of the abdominal aorta fee the 5cm or greater An elective repair is not done on a AAA unless the aneurism is 50-70% Ruptured AAA is an urgent surgical emergency with mortality rates of AAA incision location Just below the breast bone to just below the umbilicus The aorta above the aneurysm and the common iliac arteries below the aneurysm This is clamped with vessel clamps during a AAA Dacron graft Graft sutured in place between the two ends of the aortic opening. The aneurism wall is then wrapped around this Renal arteries AAA rarely occur above the area of the