TEST BANK
Differentiating Surgical Instruments
Colleen J. Rutherford
4th Edition
,Table of Contents
Chapter 01: Instruments, Care of Instruments, and Setup Guidelines 1
Chapter 02: General Instruments 10
Chapter 03: Laparoscopic Instruments 20
Chapter 04: Robotic Instruments 25
Chapter 05: OB-GYN Instruments 29
Chapter 06: Urology Instruments 37
Chapter 07: Orthopedic Instruments 44
Chapter 08: Neurosurgical Instruments 52
Chapter 09: Vascular, Cardiac, and Thoracic Instruments 61
Chapter 10: Ear, Nose, and Throat Instruments 69
Chapter 11: Maxillofacial and Dental Instruments 78
Chapter 12: Ophthalmic Instruments 83
Chapter 13: Plastic Surgery Instruments 91
,______________________________________________________________________________________________
Test Bank - Differentiating Surgical Instruments, 4th Edition (Rutherford, 2026)
Chapter 1: Instruments, Care of Instruments, and Setup Guidelines
MULTIPLE CHOICE
1. Which part of the instrument that determines the overall length of the instrument?
A. Screw joint
B. Blade
C. Shank
D. Tip
ANS: C DIF: Medium
2. Another name for the box lock is:
A. Hinge joint
B. Screw joint
C. Shank
D. Finger ring
ANS: A DIF: Medium
3. A camera would fall into which classification of instruments?
A. Retracting and exposing
B. Accessory
C. Probing and dilating
D. Viewing
ANS: D DIF: Easy
4. Most surgical instruments are made of:
A. Bronze
B. Titanium
C. Stainless steel
D. Aluminum
ANS: C DIF: Easy
5. A black finish on an instrument makes it safer to use with a(n):
A. laser.
B. electrocautery pencil.
C. endoscope.
D. camera.
ANS: A DIF: Medium
6. Instruments that are used to remove fluid, blood and debris from the surgical site are
classified as:
A. Probing and dilating
B. Clamping and occluding
C. Retracting and exposing
D. Suctioning and aspirating
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,______________________________________________________________________________________________
Test Bank - Differentiating Surgical Instruments, 4th Edition (Rutherford, 2026)
ANS: D DIF: Easy
7. During the case, instruments should be wiped clean or placed in a soaking basin containing:
A. Saline
B. Tap water
C. Sterile water
D. Hydrogen peroxide
ANS: C DIF: Medium
8. Cold or chemical sterilization is not recommended for instruments with:
A. Tungsten carbide tips
B. Stainless steel shanks
C. Stainless steel tips
D. Supercut blades
ANS: A DIF: Hard
9. Tissue, blood, or debris on instruments is referred to as:
A. Biomolecules
B. Bioburden
C. Biodegradeable
D. Biomess
ANS: B DIF: Medium
10. You are setting up a case and notice the blades on the Metzenbaum scissors are slightly
misaligned. What do you do?
A. Keep setting up and hope no one notices, as time is of the essence.
B. Remove them from the field and ask for a new one.
C. Say nothing; it is only a “slight” misalignment.
D. Toss them on the floor and tell the Circulator you need a new one.
ANS: B DIF: Easy
11. When cleaning up after a case, heavy instruments should never be placed:
A. On the bottom of the tray
B. Beside other heavy instruments
C. On top of more delicate instruments
D. In their special containers (if they have one)
ANS: C DIF: Medium
12. The most common method of sterilization is:
A. Steam under pressure
B. Immediate use
C. Cold chemical
D. Radiation
ANS: A DIF: Easy
13. A Dynamic Air Removal sterilizer is more commonly known as a:
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Differentiating Surgical Instruments, 4th Edition (Rutherford, 2026)
A. Flash sterilizer
B. Prevacuum sterilizer
C. Gravity displacement sterilizer
D. Immediate use sterilizer
ANS: B DIF: Hard
14. When using glutaraldehyde to sterilize an instrument, the instrument must soak in it for
_______________ to be deemed sterile.
A. 20 minutes
B. 60 minutes
C. 4 hours
D. 10 hours
ANS: D DIF: Hard
15. You are scrubbed on a total hip and one of the implants get contaminated. The circulator
goes out to look for another one and comes back saying that is the last one of that size that
they have available in the OR. What do you do?
A. Tell the surgeon to cancel the surgery and start picking up your instruments.
B. Sterilize it using immediate use sterilization with an indicator tape in the pan.
C. Sterilize it using immediate use sterilization with a biological monitoring device in
the pan.
D. Tell the surgeon to use another size implant.
ANS: C DIF: Medium
16. You are assigned to scrub a laparoscopic cholecystectomy. When should you begin to set up
your sterile field?
A. 2 hours prior to the case
B. As close to the start of the case as possible
C. 3 hours prior to the case
D. 2 hours prior to the case and cover it with a sterile sheet
ANS: B DIF: Medium
17. You are scrubbed on an exploratory laparotomy. When should you ask for your dressing
material?
A. At the beginning of the case
B. In the middle of the case
C. At the end of the case
D. While you are setting up
ANS: C DIF: Medium
18. You are scrubbed on a laparoscopic appendectomy. Which instrument would NOT be
placed on your Mayo stand to begin the case, due to limited space?
A. Scalpel handle with blade
B. Superficial retractor
C. Trocars
D. Deep retractor
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3|Page
, ______________________________________________________________________________________________
Test Bank - Differentiating Surgical Instruments, 4th Edition (Rutherford, 2026)
ANS: D DIF: Easy
19. When setting up your sterile field, where should you place the basins and medicine cups ?
A. Near the middle of the back table
B. Near the back of the table, away from the circulator
C. Near the edge of the table so the circulator can pour without reaching over the
table
D. In the middle of the Mayo stand
ANS: C DIF: Easy
20. Forceps consist of _______________ parts.
A. 3
B. 4
C. 5
D. 6
ANS: C DIF: Hard
SHORT ANSWER
21. Name two categories which contain ringed instruments.
ANS:
clamping and occluding, grasping and holding, suturing
DIF: Medium
22. List four parts of a ringed instrument.
ANS:
tips, jaws, box lock, shank, ratchet, finger rings
DIF: Medium
23. What is the function of the joint on a forceps?
ANS:
Holding the forceps open until they are compressed
DIF: Hard
24. What happens when dissimilar metals come in contact with each other in a hot, wet
environment like an ultrasonic cleaner?
ANS:
The metals can plate to each other, causing permanent damage to the instruments.
DIF: Hard
______________________________________________________________________________________________
4|Page
Differentiating Surgical Instruments
Colleen J. Rutherford
4th Edition
,Table of Contents
Chapter 01: Instruments, Care of Instruments, and Setup Guidelines 1
Chapter 02: General Instruments 10
Chapter 03: Laparoscopic Instruments 20
Chapter 04: Robotic Instruments 25
Chapter 05: OB-GYN Instruments 29
Chapter 06: Urology Instruments 37
Chapter 07: Orthopedic Instruments 44
Chapter 08: Neurosurgical Instruments 52
Chapter 09: Vascular, Cardiac, and Thoracic Instruments 61
Chapter 10: Ear, Nose, and Throat Instruments 69
Chapter 11: Maxillofacial and Dental Instruments 78
Chapter 12: Ophthalmic Instruments 83
Chapter 13: Plastic Surgery Instruments 91
,______________________________________________________________________________________________
Test Bank - Differentiating Surgical Instruments, 4th Edition (Rutherford, 2026)
Chapter 1: Instruments, Care of Instruments, and Setup Guidelines
MULTIPLE CHOICE
1. Which part of the instrument that determines the overall length of the instrument?
A. Screw joint
B. Blade
C. Shank
D. Tip
ANS: C DIF: Medium
2. Another name for the box lock is:
A. Hinge joint
B. Screw joint
C. Shank
D. Finger ring
ANS: A DIF: Medium
3. A camera would fall into which classification of instruments?
A. Retracting and exposing
B. Accessory
C. Probing and dilating
D. Viewing
ANS: D DIF: Easy
4. Most surgical instruments are made of:
A. Bronze
B. Titanium
C. Stainless steel
D. Aluminum
ANS: C DIF: Easy
5. A black finish on an instrument makes it safer to use with a(n):
A. laser.
B. electrocautery pencil.
C. endoscope.
D. camera.
ANS: A DIF: Medium
6. Instruments that are used to remove fluid, blood and debris from the surgical site are
classified as:
A. Probing and dilating
B. Clamping and occluding
C. Retracting and exposing
D. Suctioning and aspirating
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Differentiating Surgical Instruments, 4th Edition (Rutherford, 2026)
ANS: D DIF: Easy
7. During the case, instruments should be wiped clean or placed in a soaking basin containing:
A. Saline
B. Tap water
C. Sterile water
D. Hydrogen peroxide
ANS: C DIF: Medium
8. Cold or chemical sterilization is not recommended for instruments with:
A. Tungsten carbide tips
B. Stainless steel shanks
C. Stainless steel tips
D. Supercut blades
ANS: A DIF: Hard
9. Tissue, blood, or debris on instruments is referred to as:
A. Biomolecules
B. Bioburden
C. Biodegradeable
D. Biomess
ANS: B DIF: Medium
10. You are setting up a case and notice the blades on the Metzenbaum scissors are slightly
misaligned. What do you do?
A. Keep setting up and hope no one notices, as time is of the essence.
B. Remove them from the field and ask for a new one.
C. Say nothing; it is only a “slight” misalignment.
D. Toss them on the floor and tell the Circulator you need a new one.
ANS: B DIF: Easy
11. When cleaning up after a case, heavy instruments should never be placed:
A. On the bottom of the tray
B. Beside other heavy instruments
C. On top of more delicate instruments
D. In their special containers (if they have one)
ANS: C DIF: Medium
12. The most common method of sterilization is:
A. Steam under pressure
B. Immediate use
C. Cold chemical
D. Radiation
ANS: A DIF: Easy
13. A Dynamic Air Removal sterilizer is more commonly known as a:
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Differentiating Surgical Instruments, 4th Edition (Rutherford, 2026)
A. Flash sterilizer
B. Prevacuum sterilizer
C. Gravity displacement sterilizer
D. Immediate use sterilizer
ANS: B DIF: Hard
14. When using glutaraldehyde to sterilize an instrument, the instrument must soak in it for
_______________ to be deemed sterile.
A. 20 minutes
B. 60 minutes
C. 4 hours
D. 10 hours
ANS: D DIF: Hard
15. You are scrubbed on a total hip and one of the implants get contaminated. The circulator
goes out to look for another one and comes back saying that is the last one of that size that
they have available in the OR. What do you do?
A. Tell the surgeon to cancel the surgery and start picking up your instruments.
B. Sterilize it using immediate use sterilization with an indicator tape in the pan.
C. Sterilize it using immediate use sterilization with a biological monitoring device in
the pan.
D. Tell the surgeon to use another size implant.
ANS: C DIF: Medium
16. You are assigned to scrub a laparoscopic cholecystectomy. When should you begin to set up
your sterile field?
A. 2 hours prior to the case
B. As close to the start of the case as possible
C. 3 hours prior to the case
D. 2 hours prior to the case and cover it with a sterile sheet
ANS: B DIF: Medium
17. You are scrubbed on an exploratory laparotomy. When should you ask for your dressing
material?
A. At the beginning of the case
B. In the middle of the case
C. At the end of the case
D. While you are setting up
ANS: C DIF: Medium
18. You are scrubbed on a laparoscopic appendectomy. Which instrument would NOT be
placed on your Mayo stand to begin the case, due to limited space?
A. Scalpel handle with blade
B. Superficial retractor
C. Trocars
D. Deep retractor
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Differentiating Surgical Instruments, 4th Edition (Rutherford, 2026)
ANS: D DIF: Easy
19. When setting up your sterile field, where should you place the basins and medicine cups ?
A. Near the middle of the back table
B. Near the back of the table, away from the circulator
C. Near the edge of the table so the circulator can pour without reaching over the
table
D. In the middle of the Mayo stand
ANS: C DIF: Easy
20. Forceps consist of _______________ parts.
A. 3
B. 4
C. 5
D. 6
ANS: C DIF: Hard
SHORT ANSWER
21. Name two categories which contain ringed instruments.
ANS:
clamping and occluding, grasping and holding, suturing
DIF: Medium
22. List four parts of a ringed instrument.
ANS:
tips, jaws, box lock, shank, ratchet, finger rings
DIF: Medium
23. What is the function of the joint on a forceps?
ANS:
Holding the forceps open until they are compressed
DIF: Hard
24. What happens when dissimilar metals come in contact with each other in a hot, wet
environment like an ultrasonic cleaner?
ANS:
The metals can plate to each other, causing permanent damage to the instruments.
DIF: Hard
______________________________________________________________________________________________
4|Page
