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MAP 153.1 - Final Exam - Clinical Skills Flashcards | StudBud
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MAP 153.1 - Final Exam - Clinical Skills
MAP 153.1 - Final Exam - Clinical Skills
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Minor Surgery & Health Promotion
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Answers
1
Instruments that are most often used to grasp or hold objects are ___________.
Curettes
Scalpels
Forceps
Scissors
Probes
2
What is the term for the degree to which a joint is able to move?
Range of motion
Degree of spasm
Gait
Muscle strength
3
Which of the following would you include when preparing a room for laser surgery?
Open the blinds and shades to let the light in.
Place cotton-tipped applicators and liquid nitrogen within the Dr's reach.
Uncover any shiny or reflective surfaces.
Make sure everyone in the room, plus the patient, wears safe goggles.
4
Which of the following is the appropriate way to pour sterile solution into a sterile bowl that is on a sterile field?
Hold the bottle at an angle so you can reach over the sterile field area
Pour the liquid quickly into the bowl
Pour the liquid directly into the bowl and avoid discarding any
Place the cap of the bottle facing down
Cover the label on the bottle with your palm to keep the label dry
5
The primary method for sterilizing instruments is __________.
gas processes
autoclaving
chemical processes
washing with bleach
6
Which method uses extreme cold to destroy unwanted tissue?
conventional surgery
needle biopsy
laser surgery
cryosurgery
electrocauterization
7
Due to outbreaks of hepatitis B & C guidelines for safe injection practices established by what agency?
HITECH
OSHA
CDC
AMA
WHO
8
Influenza, measles, whooping cough, and meningitis are infectious diseases that are transmitted how?
Bloodborne
Casual Touch
Sexual contact
Sweat
Respitory droplets
9
The scissor-like instruments used for cutting nails or thick materials are __________.
Scalpels
Clippers
Forceps
Curettes
10
Which of the following occurs in the Maturation Phase of Healing?
Skin cells at the edges, move together to close off the wound
A layer of skin cells thickens and pushes off the scab, leaving a scar.
The wound contracts under the scab
The blood clots seal off the wound
White blood cells are released
11
Which of the following is an example of a dry heat treatment?
Hot compress
Hot soak
Paraffin bath
Diathermy
Hot-water bottled
12
Which of the following is a necessary step for the MA to take when sterilizing instruments using an autoclave?
Using distilled water in the unit
Placing the instruments in the closed position
Drying the instruments with a towel after sterilization
Preheating the instruments before placing them in the unit
13
Which of the following is necessary when sterilizing items using an autoclave?
Taking each instruments out of the unit by hand
Using distilled water in the unit
Preheating the instruments before placing them in the unit
Place the instruments in the closed position
Drying the instruments with a towel after sterization
14
What is the name for the needle that has the suture material permanently attached to it?
compound curved
curved
swaged
straight
15
A jagged, open wound in the skin that extends down into the underlying tissue is a ___________.
Abcess
Lesion
Laceration
Puncture
Incision
16
Which type of scissors is used to remove dressings?
tissue scissors
scalpel
suture scissors
clippers
bandage scissors
17
Employers are required by law to supply __________ at no charge to their employees
lab coats
insurance
scrubs
sturdy shoes
Personal protective equipment
18
What is the correct steps to clean and preheat the autoclave?
Load cold instruments into an overheated chamber.
Overheat the chamber to warm it.
Fill the water reservoir with tap water.
Check the discharge lines and valves for obstruction.
19
Which of the following is a problem related to latex gloves?
Latex gloves leak more than vinyl gloves
Latex gloves do not fit as snugly as vinyl or nitrate gloves.
Increased incidence of latex allergy with latex gloves among staff
Latex gloves do not prevent contamination as well as vinyl gloves.
Latex gloves cannot be sterilized
20
Which of the following is the appropriate way to add instruments to a sterile field?
Stand close to the sterile field and open the instrument pack.
Reach across the sterile field with the instrument to be added.
Hand-place the sterile instrument on the sterile field.
Place the instrument using sterile transfer forceps
21
Which of the following is a typical form of physical therapy?
performing a CT scan
removing wart or wart
casting a broken bone
drawing blood
applying cold and heat
22
Which of the following are characteristics of non-absorbable sutures?
They do not have to be removed after the wound has healed.
They are used when there is considerable stress on the incision.
They must be removed after substantial healing has taken place.
a. They are used for the deep inner layers of the wound.
They are made of a sterile strand of collagen.
23
What part of the sterile field is considered contaminated?
the outer 1/ 2 inch
all of the sterile field is sterile
the outer 1 inch
the outer 2 inches
the edge of the field closest to the patient.
24
What is the proper way to wrap hinged instruments?
Using porous paper only
Placed in a pile, one on top of each other.
Wrapped in gauze
Single wrapped
Place in the open position
25
Posture testing includes ____________
moving various joints in specific ways
having the patient walk away, turn around, and walk back
looking at the patient's spinal curve from all sides
measuring joints with a goniometer
having the patient resist a force applied to a muscle group
26
Which of the following defines debridement?
The process of aspirating fluid and tissue cells through a needle
The use of extreme cold to destroy unwanted tissue
A deep wound caused by a sharp object
The surgical removal of debris or dead tissue from a wound
A collection of pus that forms as a result of infection
27
What is the reason for checking the date and sterilization indicator on an instrument pack prior to opening?
to be sure the items inside have not been exposed to moisture
to be sure items will work
to avoid putting the patient at risk for post-operative infection
to be sure the package was store properly
to make sure all the proper instruments are in the pack
28
A Mayo stand is a(n) __________.
incision and drainage tray
nail removal tray
male sterilization tray
movable, stainless steel instrument tray on a stand
suture removal tray
29
Which surgical instruments are used to close off blood vessels
scissors
retractors
curettes
forceps
hemostats
30
The goal of surgical asepsis in the medical facility is to _________
Reduce the number of microorganisms in the office
Clean all surfaces daily to promote cleanliness
Prevent microorganisms from spreading through the officice
Keep organisms from entering the body
Educate patients about their role in healthcare
31
Which of the following is used for scraping tissue?
curette
scalpel
dilator
hemostat
scissors
32
Which type of mobility device is especially useful for patients who have a weakness on one side of the body?
cane
wheelchair
crutches
standard walker
rolling walker
33
As a general rule, double-layer fabric or paper-wrapped sterile packages have a maximum shelf life of __________.
1 year
60 days
2 years
30 days
34
Health infection seen in outpt. setting, that is caused by specific type of staph bacterium and results in skin abcesses
Clostridium
CLABSI
MRSA
strep
35
What is the most common microorganism associated with a surgical site infection ?
Clostridium
Staphylococcu
CAUTI - catheter - associated urinary tract infection
Streptococcus
CLABSI - Central line associated bloodstream infection
36
Which of the following disorders might be treated using an ultraviolet lamp?
kidney disease
arthritis
headache
psoriasis
sprained ankle
37
What nutrient is essential for the production of red blood cells?
zinc
iron
iodine
magnesium
38
When wrapping items for sterilization, what information must be on the pack label?
Date, your initials, and contents of pack
Date, time, and your intials
Date and contents of pack
Date and time
Date, time, and contents of pack
39
The MA accidentally touches the inside of the sterile dressing pkg with no gloves on. Appropriate step to take now is __
Poor alcohol over the dressing to sterilize it
Continue to assist the physician without saying anything
Obtain another unopened sterile dressing
Avoid further touching of the inside of the pkg
Hand the dressing to the physician
40
Which of the following is the correct action for the MA to take when assisting a DR during a sterile surgical procedure?
Avoid reaching over the sterile field
Place unsterile items on the outer 1 inch of the sterile field
Hand the items to the doctor before putting on gloves
Hand the Dr. items outside the sterile field with the transfer forceps
Cover the open items that are not being used with a paper towel
41
A wound will heal better if the edges are brought close together or __________.
infected
abscessesd
minimized
approximated
debrided
42
Which instrument is used to grasp the scalpel blade when loading it on the scalpel handle?
needle holder
Foerster
forceps with teeth
tissue forceps with teeth
Adson
43
Which of the following is used in processing biopsy specimens for lab examinations?
10% chlorine bleach solution
normal saline solution
3% hydrogen peroxide
10% formalin solution
70% isopropyl alcohol
44
Which pre-op instruction is given to the patient who is scheduled for a minor surgical procedure in the medical office?
Tell the patient to eat a light breakfast right before surgery
Tell the patient to bring someone to bring them home
Tell the patient to take all regular medications before surgery
Avoid telling the patient of the possible risk
Tell her it doesn't matter what she wears because she'll change into a gown
45
The process that is required for instruments that penetrate the skin or contact with the body is ______________.
ultrasonic cleaning
sterilization
disinfection
sanitization
46
Most autoclaves must reach certain temperatures & pressures; if the temp. = 250 - 270 degrees the pressure must range?
20 - 35 pounds of pressure
25 to 40 pounds of pressure
30 to 45 pounds of pressure
10 to 20 pounds of pressure
15 - 30 pounds of pressure
47
Which two crutch gaits are often required for patients with severe disabilities, such as leg paralysis or deformity?
swing-to and swing-through
four-point and swing-to
four-point and two-point
swing-through and two-point
two- point and three -point
48
The most commonly used antiseptic for minor surgery is __________.
Betadine
Epinephrine
Xylocaine
Hydrogen peroxide
49
Which of the following are characteristics of absorbable sutures?
made of gut & do not require removal after the wound has healed
made of silk, nylon, or Dacron
used for the outside layer
must be removed after wound healing is well under way
inserted into the skin with a disposable staple unit
50
What cleaning process is used for instruments that penetrate the skin, contact with skin or tissue, or internal organs?
Sanitization
Disinfection
Purification
Ultrasonic cleaning
Sterilization
51
Which surgical instruments are used to explore wounds or body cavities & to locate or clear blockages?
dilators
hemostat
probes
curettes
forceps
52
What is important to increase in the diet of patients with cancer to help replace cells destroyed by cancer treatments.
Fats
Proteins
Carbohydrates
Minerals
53
Edges of an incision that are approximated
are overgrown w/ unhealthy tissue & require surgical removal of dead tissue
delay the healing process because of the infection present
protect the area from contamination & minimize scab & scar formation
disrupt tissue's blood supply, rupturing blood vessels throughout the area
must be debrided to remove the jagged edges
54
Which instruments and equipment must be sterilized ?
vaginal specula and curettes
stethoscopes and tuning forks
blood pressure cuffs
endotracheal tubes
nasal specula
55
The goal of medical asepsis in the medical facility to ______.
Prevent microorganisms from spreading through out the office
Sterilize all surfaces daily to promote cleanliness
Keep organisms from entering the body
Educate patients about their role in healthcare
Decrease microorganisms in the medical eviroment after they leave the body
56
Important step for MA's to remember when running an autoclave load?
Steam cycle ok , before the drying cycle, open the door to autoclave 1 inch
Do Not Unload any packs or instruments with wet wrapping
Do Not Touch the outside of the outside of the wrapped packs
If load has both wrapped packs & individual packs, place instruments above.
Place each item immediately in a cold location when unloading
57
The practitioner asks the patient to walk away, turn around, and walk back to test the patient's _______?
Muscle strength
Gait
Posture
Mobility
Range of Motion
58
What therapy can work the muscles that are atrophy to movement, causing the muscles to contract involuntary / relax?
hydrotherapy
electrical stimulation
diathermy
thermotherapy
59
Which of the following is a protractor device that is used to test a patient's range of motion ?
Mobility aid
Goniometer
Resistance bands
Endoscope
Gait belt
60
Crutch palsy is a condition caused by using axillary crutches _____
that are too long
for too long a time period
without the proper footwear
that are too short
without positioning the feet correctly
61
Which of the following crutch gaits is a slow gait that requires the patient to bear weight on both legs?
three-point gait
swing-to gait
swing-through gait
four-point gait
two-point gait
62
Which of the following occurs during the inflammatory phase of healing?
Blood vessels in the affected area constrict
Scar tissue forms
New tissue forms
Skin cells at the edge of the wound move together to close off the wound.
63
Which of the following should be included in a patient’s postoperative wound care instructions?
a. Cover the wound with a wet dressing.
Clean the wound every other day.
Change the dressing if it becomes wet, dirty, or soaked with blood.
Clean the wound with isopropyl alcohol.
64
Which therapy utilizes two separate baths, one filled with hot water and the other with cold water?
underwater baths
paraffin baths
whirlpool baths
hydrotherapy baths
contrast bath
65
A small amount of tissue removed from the body for examination under a microscope is a(n) ____.
Incision
Biopsy specimen
Debridement
abcess
Laceration
66
The Proliferation Phase of Healing is characterized by _______.
A constriction of blood vessels
The development of new tissue
The formation of scar tissue.
The clotting of blood
A release of White Blood cells
67
The primary method for sterilizing instruments in the medical office is____.
Dry heat process
Chemical process
Autoclaving
Gas process
Soaking in bleach
68
The goal of medical asepsis in the medical facility is to _____.
Sterilize all surfaces daily to promote cleanliness
Keep organisms from entering the body
Prevent microorganisms from spreading throughout the office
Reduce no. of microorganisms in the medical place after leaving the body
Educate the patients about their role in healthcare
69
A slender, pointed surgical instrument used to enlarge a body opening, such as a tear duct, is a ___________
forceps
probe
hemostat
retractors
dilator
70
On which type of wound would staples be used?
the area where a mole was removed on the upper arm
area inside the mouth where the dentist accidentally scraped the tissue
a long, deep wound across the leg
puncture wound in the upper arm
a small, superficial cut on the finger
71
When preparing the patient's skin for surgery, after applying the antiseptic what is the next step ?
Reach over the area to position the patient correctly for the procedure.
Pat the antiseptic dry
Swab only the surgical site with the antiseptic
Trim the hair from around the surgical site.
Cover the area with a sterile, fenestrated drape, from front to back.
72
Surgical instruments used to hold back the sides of a wound or incision for greater access are _____
probes
curettes
forceps
retractors
scalpels
73
The CDC recommends that catheters be used for the least possible amount of time due to which type of infection?
CAUTI
Strep
CLABSI
Staph
Clostridium
74
A wound will heal better if the edges are brought close together or ______________.
Infected
Abscessed
Approximated
Minimized
75
Which of the following is characteristic of a topical anesthetic?
It provides general anesthesia.
It is applied directly to the skin.
It is used when the pain is severe.
It is injected under the skin.
76
If a cane is adjusted to the right height the patient's elbow will be flexed at which angle?
5-10 degrees
10-15 degrees
25-30 degrees
20-25 degrees
30-35 degrees
77
Which of the following using an intense beam of light to cut away tissue?
electrocauterization
conventional surgery
cryosurgery
laser surgery
needle biopsy
78
A patient is coughing uncontrollably & there is alot of spray, what PPE should the MA put on before entering the room?
Mask and goggles
Gloves, gown, goggles and mask
Gloves and mask
Gown, mask, and face shield
79
The primary method for sterilizing instruments is ___________?
Dry heat processes
Autoclaving
Chemical processes
Gas processes
Washing with bleach
80
Which method uses a needle, probe, or loop heated by an electric current to destroy target tissue?
conventional surgery
cryosurgery
laser surgery
needle biopsy
electrocauterization
81
You remove 14 sutures from the patient's wound, their chart states they had 15 sutures placed. What do you do?
Correct the medical record to show only 14 sutures were placed
Nothing; the other suture probably came out by itself sometime earlier
Document your removal of 14 sutures on today's date
Document your removal of 15 sutures on today's date
Notify the Dr. that the number of sutures removed does not match the record
82
Which of the following would cause incomplete sterilization of an autoclaved load?
Too short a time period
Allowing the autoclave to cool before emptying
Temperature of 250° to 270°F
Allowing the autoclave to cool before emptying
83
Which of the following should you include in preparing a patient for electrocauterization?
Teach patient a sterile dressing will be applied after the procedure
Ask the patient to wear safety goggles during the procedure..
Reassure the patient that some pain, swelling, and redness is normal.
Place a grounding pad somewhere on the patient's body.
84
What healthcare practitioner likely to refer a patient to help the patient recover from a stroke
ECG technician
respiratory therapist
radiologist
physical therapist
phlebotomist
85
A clean technique that is based on maintaining cleanliness & no spread of germs in a clinic setting is known as?
Disinfection
Sanitation
Surgical asepsis
Medical asepsis
Sterilization
