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14% Risks, complications, and legal limitations:
Patient's occupation and how surgery will impact on his/her post operative
recovery should be considered. There is HIGH RISK of infection or secondary
trauma with: - ANSWER -construction workers
carpenters
refuse workers
sewer workers
gardeners
landscapers
fisherman
butchers
janitors
farmers
14% Risks, complications, and legal limitations:
________ are often a problem in hospital minor surgery procedures and not DC
outpatient procedures (advantage) - ANSWER -Nosocomial Staph infection
10% Sterile fields:
Instrument sterilization technique that is effective, kills bacteria and spores, and is
accomplished by boiling water under pressure - ANSWER -Steam autclaving
10% Sterile fields:
Steam autoclaving kills vegetative bacteria and most resistant dry spores in
_________. - ANSWER -13 minutes
120 degrees Celsius
,750 mmHg/14.5 psi
10% Sterile fields:
A disadvantage to this method of instrument sterilization is that you cannot clean
sharp instruments such as scissors, it dulls them. - ANSWER -Steam autoclaving
10% Sterile fields:
The most effective method of instrument sterilization that kills both bacteria and
spores, does not dull instruments, but is too dangerous and not cost effective. -
ANSWER -Gas autoclaving
10% Sterile fields:
The deadly gas used in gas autoclaving is: - ANSWER -ethylene oxide
10% Sterile fields:
A good emergency instrument sterilization technique is dry sterilization. It
involves dry heat in an oven at __________. It kills most but not all bacteria. it
WILL NOT kill spores. - ANSWER -170 degrees Celsius for 1 hour
10% Sterile fields:
The least effective method of sterilization. - ANSWER -Cold sterilization
10% Sterile fields:
Cold sterilization method is usually an ______ bath that is used to immerse those
instruments that cannot be autoclaved such as _________ and ________. -
ANSWER -iodine (providyne, beta dyne)
scissors
non disposable scalpels
,10% Sterile fields:
Patient sterilization includes pre-operative skin preparation usually occurs after the
administration of a _____. - ANSWER -local anesthetic
10% Sterile fields:
Pre-operative skin preparation includes these three steps: - ANSWER -1. Green
soap + water
2. Thoroughly scrubbed five or more times with an effective ANTISEPTIC (BETA
DYNE)
3. Cleaning out the surgical site with a tincture of MERTHIOLATE on cotton
tipped applicators in concentric circles
10% Sterile fields:
______ is of extreme importance because it is the part of the physician's body that
comes into direct contact with the surgical site.
_____ is the single most important technique the physician must master -
ANSWER -hand scrubbing
gloving
10% Sterile fields:
An antiseptic does not necessarily kill all the bacteria but rather prevent the
multiplication of bacteria known as ______. - ANSWER -bacteriostasis
10% Sterile fields:
If the antiseptic actually kills all the bacteria outright it is more accurately referred
to as ____. - ANSWER -germicidal
, 10% Sterile fields:
Coal tar group of antiseptics include: - ANSWER -Phenol
Cresol
Resorcinol
Thymol
Trinitrophenol
10% Sterile fields:
Dye group of antiseptics include: - ANSWER -Proflavine dihydrochloride
Methyl-rosanline
Methyl-thionine chloride
Merthiolate
10% Sterile fields:
Halogen containing group of antiseptics include: - ANSWER -chlorine
iodine
10% Sterile fields:
Miscellaneous antiseptics include: - ANSWER -silver nitrate
alcohol
formaldehyde
hydrogen peroxide
10% Sterile fields:
Antiseptics used mainly as astringents (reduce bleeding from minor abrasions)
include: - ANSWER -boric acid
potassium aluminum sulfate
zinc
10% Sterile fields: