Question 1

Which is an advantage of using the argon beam coagulator?

Accepted Answer

A)  Increased air embolism 
B)  Beam weight lighter than air 
C)  Patent return electrode not required 
D)  Less plume created 
A)  Increased air embolism 
B)  Beam weight lighter than air 
C)  Patent return electrode not required 
D)  Less plume created D

Question 2

When adjusting the microscope,at what degree should the circulator set the focus of the ocular lens?

Accepted Answer

A)  0 degrees 
B)  30 degrees 
C)  45 degrees 
D)  90 degrees 
A)  0 degrees 
B)  30 degrees 
C)  45 degrees 
D)  90 degrees A

Question 3

What item should be on the sterile field while an ESU is being used during a procedure?

Accepted Answer

A)  Dry sponges 
B)  A full basin of saline to immerse the ESU between use 
C)  A suction evacuator device 
D)  Monopolar ESU 
A)  Dry sponges 
B)  A full basin of saline to immerse the ESU between use 
C)  A suction evacuator device 
D)  Monopolar ESU C

Question 4

Instruments used in or near the laser beam should be reflective to enhance the laser's effect on the tissue.

Accepted Answer

A) True 
 B)False

Question 5

What kind of current used in electrosurgery increases to produce an intense heat that sears the ends of small or moderate vessels?

Accepted Answer

A)  Moderate 
B)  Coagulating 
C)  Cutting 
D)  Blended 
A)  Moderate 
B)  Coagulating 
C)  Cutting 
D)  Blended

Question 6

Always use the highest setting of current when beginning a procedure that uses electrosurgery so that the surgeon has the maximum available power to cut or coagulate tissue.

Accepted Answer

A) True 
 B)False

Question 7

Which laser medium is used to create a lasing effect when the emission is stimulated?

Accepted Answer

A)  Normal saline 
B)  Light beam 
C)  Solid rods 
D)  UV light 
A)  Normal saline 
B)  Light beam 
C)  Solid rods 
D)  UV light

Question 8

What is the safest location for the placement of a dispersive electrode pad for a patient who has a total knee replacement on the left knee?

Accepted Answer

A)  Left calf 
B)  Left thigh 
C)  Right thigh 
D)  Right knee 
A)  Left calf 
B)  Left thigh 
C)  Right thigh 
D)  Right knee

Question 9

When using electrosurgery to cut or coagulate tissue,do not use a scalpel blade to remove charred tissue from the tip of the electrode.

Accepted Answer

A) True 
 B)False

Question 10

Why should laser plume be suctioned and evacuated during a surgical procedure?

Accepted Answer

A)  Laser plume increases the temperature in the OR. 
B)  The smoke may cause blindness. 
C)  Laser plume reduces visibility at the surgical site. 
D)  The electromagnetic waves created by plume may cause brain death. 
A)  Laser plume increases the temperature in the OR. 
B)  The smoke may cause blindness. 
C)  Laser plume reduces visibility at the surgical site. 
D)  The electromagnetic waves created by plume may cause brain death.

Question 11

If a skin knife is not available to make the initial skin incision,electrosurgery may be used for the incision.

Accepted Answer

A) True 
 B)False

Question 12

Electrosurgery should not be used in the mouth,around the head,or in the pleural cavity when high concentrations of ____ are present.

Accepted Answer

A)  air 
B)  water 
C)  oxygen 
D)  blood 
A)  air 
B)  water 
C)  oxygen 
D)  blood

Question 13

It is imperative that the surgical field be stable and immobile during a surgical procedure performed using the microscope.

Accepted Answer

A) True 
 B)False

Question 14

Which type of laser is useful in breaking up kidney stones?

Accepted Answer

A)  Excimer 
B)  Carbon dioxide 
C)  Free electron 
D)  Ho:YAG 
A)  Excimer 
B)  Carbon dioxide 
C)  Free electron 
D)  Ho:YAG

Question 15

Which microscope lens provides the greatest magnification?

Accepted Answer

A)  100 mm 
B)  200 mm 
C)  250 mm 
D)  400 mm 
A)  100 mm 
B)  200 mm 
C)  250 mm 
D)  400 mm

Question 16

Surgical procedures performed under the microscope tend to be shorter in duration than traditional open procedures.

Accepted Answer

A) True 
 B)False

Question 17

Only the operator of the laser must wear safety eyewear during the surgical procedure.

Accepted Answer

A) True 
 B)False

Question 18

A dispersive pad or return electrode is needed for both monopolar and bipolar units.

Accepted Answer

A) True 
 B)False

Question 19

Which is an incorrect statement regarding laser surgery?

Accepted Answer

A)  The laser beam can be precisely focused for localized tissue destruction. 
B)  The laser has minimal effect on surrounding tissue. 
C)  There is increased risk of contamination and infection. 
D)  Every facility that uses lasers in the operative setting shall have a laser safety officer within the surgical laser program. 
A)  The laser beam can be precisely focused for localized tissue destruction. 
B)  The laser has minimal effect on surrounding tissue. 
C)  There is increased risk of contamination and infection. 
D)  Every facility that uses lasers in the operative setting shall have a laser safety officer within the surgical laser program.

Question 20

Which type of electrosurgery unit is preferred when a patient has an implanted cardiac pacemaker?

Accepted Answer

A)  Bipolar unit 
B)  Monopolar unit 
C)  Active electrode unit 
D)  No unit is to be used with a pacemaker 
A)  Bipolar unit 
B)  Monopolar unit 
C)  Active electrode unit 
D)  No unit is to be used with a pacemaker

Exam 20: Specialized Surgical Equipment

Which is an advantage of using the argon beam coagulator?

When adjusting the microscope,at what degree should the circulator set the focus of the ocular lens?

What item should be on the sterile field while an ESU is being used during a procedure?

Instruments used in or near the laser beam should be reflective to enhance the laser's effect on the tissue.

What kind of current used in electrosurgery increases to produce an intense heat that sears the ends of small or moderate vessels?

Always use the highest setting of current when beginning a procedure that uses electrosurgery so that the surgeon has the maximum available power to cut or coagulate tissue.

Which laser medium is used to create a lasing effect when the emission is stimulated?

What is the safest location for the placement of a dispersive electrode pad for a patient who has a total knee replacement on the left knee?

When using electrosurgery to cut or coagulate tissue,do not use a scalpel blade to remove charred tissue from the tip of the electrode.

Why should laser plume be suctioned and evacuated during a surgical procedure?

If a skin knife is not available to make the initial skin incision,electrosurgery may be used for the incision.

Electrosurgery should not be used in the mouth,around the head,or in the pleural cavity when high concentrations of ____ are present.

It is imperative that the surgical field be stable and immobile during a surgical procedure performed using the microscope.

Which type of laser is useful in breaking up kidney stones?

Which microscope lens provides the greatest magnification?

Surgical procedures performed under the microscope tend to be shorter in duration than traditional open procedures.

Only the operator of the laser must wear safety eyewear during the surgical procedure.

A dispersive pad or return electrode is needed for both monopolar and bipolar units.

Which is an incorrect statement regarding laser surgery?

Which type of electrosurgery unit is preferred when a patient has an implanted cardiac pacemaker?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions, implants, and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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