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Preparation for Surgery 2025 Final Exam Review Flashcards | StudBud
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Preparation for Surgery 2025 Final Exam Review
Preparation for Surgery 2025 Final Exam Review
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1
Which is the best general guideline for how often anesthetic parameters should be checked and recorded?
Only at induction and recovery
Every 5 minutes
Every minute
Every 15 minutes
2
What part of the anesthetic machine is indicated by (F)?
Reservoir bag
Waste anesthetic gas absorber
Precision vaporizer
Carbon dioxide absorber
3
This instrument is a good, general grasping instrument for suturing and wound/incision closure. What is it?
Kelly hemostatic forceps
Rat-tooth thumb forceps
Adson 1 x 2 thumb forceps
Adson-Brown thumb forceps
4
Which of the following is not a reason for placing an IV catheter in veterinary patients?
To measure blood pressure directly
To administer injectable anesthetics to effect
For emergency access
To provide fluid therapy
5
Which property of an inhaled anesthetic affects how easily it transitions from liquid to gas form?
Vapor pressure
Minimum alveolar concentration
Solubility in blood
Blood:gas partition coefficient
6
Why must you never leave a patient unattended with a pressure bandage after catheter removal?
There’s no need; pressure wraps are harmless
The bandage may fall off and cause contamination
It can cause vascular compromise
The patient may overheat due to compression
7
What is an advantage of inhalant anesthetics?
They allow easy adjustment of anesthetic depth
They provide excellent postoperative analgesia
They don’t require specialized equipment
They are inexpensive and require little training
8
These are large clamps used to crush large bundles of tissue and associated blood vessels. What are they?
Kelly hemostatic forceps
Rochester-Carmalt hemostatic forceps
Ferguson angiotribe
Crile hemostatic forceps
9
When scrubbing the patient, how should you move the sponge?
In a back-and-forth motion
From caudal to cranial
In concentric circles outward from the incision site
From cranial to caudal
10
These instruments are used to cut material such as paper drapes or suture, never to cut tissue. What are they?
LIster bandage scissors
Operating scissors
Mayo dissecting scissors
Metzenbaum dissecting scissors
11
These instruments are used to cut tough/thick tissue, such as thick skin or large tissue bundles. What are they?
Metzenbaum dissecting scissors
Sharp blunt operating scissors
Mayo dissecting scissors
Sharp sharp operating scissors
12
When wrapping a surgical gown in the Vet Tech Program at Madison College, the neck of the gown should face:
Towards your left
Directly away from you
It does not matter which way the neck faces
Towards your right
13
What is considered the ideal respiratory rate for an animal under surgical anesthesia?
>30 breaths/min
8 - 20 breaths/min
6–12 breaths/min
3–6 breaths/min
14
What part of the anesthetic machine is indicated by (A)?
Pressure manometer
Negative pressure relief valve
Pop off valve
Oxygen fast flush
15
What is the recommended action if a recovering cat begins to chew on its ET tube but hasn’t swallowed yet?
Remove the ET tube immediately to prevent injury
Turn the patient to sternal recumbency
Wait until the cat swallows
Increase oxygen flow and wait 10 minutes
16
Which of the following instruments is used to clamp blood vessels during surgery?
Adson Brown thumb forceps
Adson 1 x 2 thumb forceps
Allis tissue forceps
Kelly hemostatic forceps
17
When positioning a patient for abdominal surgery, which position is typically used?
Left lateral recumbency
Right lateral recumbency
Dorsal recumbency
Ventral recumbency
18
Why should drapes never be moved once they are placed on a patient?
They are no longer considered sterile and can't be touched.
They may wrinkle, hiding the surgical site.
They can be moved, as long as it's by someone "scrubbed in".
It risks contamination of the sterile surface
19
According to the ASA system, what does a Class III patient indicate?
Moderate systemic disease, increased risk
Normal, healthy, elective case
Requires no adjustments to protocol
Life-threatening illness, unlikely to survive
20
What is the most significant adverse effect of inhalant anesthetics?
Hyperthermia
Cardiac arrythmias
CNS excitement
Vasodilation
21
Which type of breathing circuit would be most appropriate for a 4.5 kg cat?
Modified Jackson-Rees circuit
Pediatric Universal F circuit
Adult Y tubing
Adult Universal F circuit
22
Which autoclave quality control method proves that microorganisms are killed?
Culture test indicators
Fusible melting pellets
Autoclave tape
Chemical indicator strip
23
Brachycephalic breeds require special anesthetic considerations because:
They have a low pain tolerance
They are prone to hypoglycemia from fasting
They are prone to airway obstruction
They are more sensitive to certain drugs than other breeds.
24
These instruments are used to cut fine, delicate tissue, such as fat or bowel. What are they?
Metzenbaum dissecting scissors
Mayo dissecting scissors
Sharp sharp operating scissors
Sharp blunt operating scissors
25
Which of the following is correct about client perception during patient prep?
Clients rarely see the clipped site
A sloppy external clip can suggest a sloppy internal procedure
Clipping quality doesn’t affect client trust
Clipping appearance is irrelevant as long as the surgery is successful
26
What part of the anesthetic machine is indicated by (H)?
Negative pressure relief valve
Oxygen flowmeter
Oxygen fast flush
Pop off valve
27
Which of these inhalant drugs is most potent?
Sevoflurane (MAC 2.1)
MAC and potency are not related
Desflurane (MAC 6.1)
Isoflurane (MAC 1.2)
28
What reflex should be absent in a patient at a surgical plane of anesthesia?
Withdrawal (toe pinch)
Palpebral
Gag/swallow
All of these
29
Why must care be taken not to “dig” with the clipper blade?
It causes more hair to remain
It leaves uneven fur patterns, which clients don't like
It can traumatize the skin
It dulls the blade faster
30
Which method would NOT qualify as true sterilization?
Hydrogen peroxide plasma
Autoclave
Ethylene oxide gas
Glutaraldehyde
31
This instrument is used in large animal surgery, commonly with a #20, 21, or 22 blade. What is it?
#15 Bard Parker scalpel handle
#4 Bard Parker scalpel handle
#4 Parker Brothers scalpel handle
#3 Bard Parker scalpel handle
32
What is the biggest risk factor for surgical wound infection in clean procedures?
Patient's age
Type of surgical scrub
Inadequate draping
Time under general anesthesia
33
When using a pediatric fluid administration set, what is the drip factor?
20 gtt/ml
60 gtt/ml
10 gtt/ml
15 gtt/ml
34
Which postoperative nursing care task is aimed at preventing GI stasis?
Advocating for additional analgesics for the patient
Rubbing the patient's chest and pinching its toes
Turning the patient every 10 - 15 minutes
Providing nutritional support and calorie-dense food
35
What part of the anesthetic machine is indicated by (G)?
Precision vaporizer
Carbon dioxide absorber
Waste anesthetic gas absorber
Oxygen flowmeter
36
This instrument of medium size is used to crush tissue and its associated blood vessels. What is it?
Mosquito hemostatic forceps
Rochester-Pean hemostatic forceps
Kelly hemostatic forceps
Crile hemostatic forceps
37
What property of inhalant anesthetics determines the speed of patient induction and recovery?
None of these
Vapor pressure
Blood-gas partition coefficient
Minimum alveolar concentration
38
Which piece of equipment is essential for visualizing the glottis during intubation?
Esophageal stethoscope
Mouth gag
Stylet
Laryngoscope
39
What is the significance of a MAP (mean arterial pressure) reading below 60 mmHg?
It indicates hypotension and poor organ perfusion
It’s normal in deep anesthesia
It suggests mild pain
It is expected during recovery
40
What is considered the gold standard method for measuring blood pressure during anesthesia?
Doppler probe
Pulse oximeter
Oscillometric monitor
Direct arterial catheterization
41
This instrument is used to put a blade onto a handle, to hold a needle for suturing, and to tie knots. What is it?
Olsen-Hegar needle holder
Mayo-Hegar needle holder
Derf needle holder
Mayo-Olsen needle holder
42
Which is a measure of perfusion?
Blood pressure
All of these are measures of perfusion
Mucous membrane color
Pulse quality/strength
43
Which statement about minimum alveolar concentration (MAC) is correct?
A low MAC means less anesthetic is needed to achieve surgical anesthesia
A high MAC indicates a very potent anesthetic
MAC applies only to injectable anesthetics
MAC is irrelevant if the patient is intubated
44
What information about an anesthetized patient does end tidal CO2 (ETCO2) monitoring (capnometry/capnography) provide?
Ventilation, perfusion, and metabolism
Perfusion
Metabolism
Ventilation
45
Which of the following is considered a correct method for stimulating a sluggish recovering patient?
Blowing in its face
Tapping loudly on its cage
Splashing cold water on its face
Gently rubbing the chest or pinching toes
46
This instrument is used to help a surgeon find and bring the uterine horn out of the abdomen. What is it?
Senn double ended retractor
Army-Navy retractor
Spay hook
Gelpi self-retaining retractor
47
Which of the following signs does NOT confirm correct endotracheal tube placement?
Visualization of the tube between the vocal folds
Patient's breath causes movement of a gauze strip
Palpation of two tubes within the patient's neck
Coughing upon insertion
48
Which of the following animals should not be fasted prior to anesthesia?
Diabetic dog
Neonatal kitten
Senior cat with a tumor
Adult dog undergoing elective neuter
49
This instrument of medium size is used to crush tissue and its associated blood vessels. What is it?
Kelly hemostatic forceps
Mosquito hemostatic forceps
Crile hemostatic forceps
Rochester-Pean hemostatic forceps
50
This instrument is used to put a blade onto a handle, to hold a needle for suturing, and to tie knots. What is it?
Olsen-Hegar needle holder
Derf needle holder
Mayo-Hegar needle holder
Mayo-Olsen needle holder
51
What part of the anesthetic machine is indicated by (B)?
Oxygen fast flush
Precision vaporizer
Pressure manometer
Oxygen flowmeter
52
What can cause inaccurate pulse oximeter readings?
Poor circulation
Motion
Pigmented tissue
All of the these
53
This instrument is used to secure the ground drape(s) to the patient. What is it?
Rochester-Carmalt hemostatic forceps
Lorna nonpenetrating towel clamps
Roeder penetrating towel clamp
Backhaus penetrating towel clamp
54
Which is the definition of sterilization?
The destruction or elimination of all living organisms from a material
The destruction or inhibition of pathogenic microorganisms on a material
The destruction or elimination of all living organisms from living tissue
The destruction or inhibition of pathogenic microorganisms on living tissue
55
To what part of the anesthetic machine does oxygen flow after passing through the flowmeter?
Inspiratory unidirectional (flutter) valve
The precision vaporizer
The soda lime cannister
Expiratory unidirectional (flutter) valve
56
When using a Doppler blood pressure monitor, what measurement does it provide?
Mean arterial pressure
Systolic arterial pressure
Diastolic arterial pressure
Systolic, diastolic, and mean arterial pressure
57
What is the primary role of the anesthetist during surgery?
Opening surgical packs for the surgeon and assistant
Monitoring and ensuring patient stability
Maintaining the surgical field
Administering post-op pain meds
58
This instrument has narrow tips with delicate intermeshing teeth and provides a relatively atraumatic grasp. What is it?
Rat-tooth forceps
Eyebrow tweezers
Adson 1 x 2 thumb forceps
Adson-Brown thumb forceps
59
What part of the anesthetic machine is indicated by (C)?
Expiratory unidirectional valve
Pop off valve
Oxygen fast flush
Inspiratory unidirectional valve
60
What is a normal end-tidal (ETCO
2
) value in a healthy anesthetized patient?
35–45 mmHg
20–25 mmHg
5–15 mmHg
95–100 mmHg
61
Clamps, more properly called hemostatic forceps, are used for what purpose?
To secure draping material
To provide tissue retraction for better visualization of the surgical field
To place and remove scalpel blades
To crush bundles of tissue and associated blood vessels
62
What should be worn by all personnel entering the surgical suite?
Clean scrubs, shoe covers, surgical cap, and mask
Sterile gloves
Surgical gown and mask
Clean scrubs and surgical cap
63
Which statement about the Vet Tech Program's method for surgical scrubbing is correct?
All jewelry and watches must be removed.
The top of the scrub suit should not be tucked into the pants.
Nail polish is acceptable, if it isn’t flaking.
Scrubbing should begin at the elbows and proceed towards the fingertips.
64
The SN1 anesthetic protocols include butorphanol, dexmedetomidine, ketamine, and midazolam. This is an example of:
General anesthesia
Balanced anesthesia
Regional anesthesia
Local anesthesia
65
This instrument is used in small animal surgery most commonly with a #10 or #15 blade. What is it?
#3 Bard-Parker scalpel handle
#10 Bard-Parker scalpel handle
#15 Bard-Parker scalpel handle
#2 Bard-Parker scalpel handle
66
What are the landmarks for measuring how far to insert the ET tube when intubating?
The canine teeth and caudal angle of the jaw.
The incisors and the manubrium.
The incisors and the wings of the atlas.
The incisors and the caudal angle of the jaw.
67
What is not a function of an endotracheal tube?
Protection of staff from exposure to waste anesthetic gases (WAGs)
Delivery of fresh gases to the lungs
None of the these
Protection of the airway (prevention of aspiration)
68
This instrument is the smallest instrument used to clamp and crush tissue and associated blood vessels. What is it?
Mosquito hemostatic forceps
Rochester-Pean hemostatic forceps
Kelly hemostatic forceps
Crile hemostatic forceps
69
Which antiseptic should NOT be used in open wounds?
Chlorhexidine solution
70% Alcohol
Povidone-iodine solution
Diluted iodine solution
70
Why is a precision vaporizer necessary for agents like isoflurane and sevoflurane?
To accurately control the delivery of volatile anesthetic vapors
To mix the anesthetic with oxygen
To warm the agent before administration
To provide positive pressure ventilation
71
What part of the anesthetic machine is indicated by (K)?
Expiratory unidirectional valve
Oxygen fast flush
Pop off valve
Inspiratory unidirectional valve
72
What part of the anesthetic machine is indicated by (J)?
Carbon dioxide absorber
Precision vaporizer
Oxygen flowmeter
Passive waste gas scavenger
73
Which of the following is correct about extubation in brachycephalic breeds?
Delay extubation until the patient can lift its head unassisted.
Extubate as soon as the animal begins to gag or swallow.
Extubate immediately upon signs of movement.
Extubation technique is the same as for any other breed.
74
This instrument is used to secure a top drape to the ground drape(s). What is it?
Lorna towel clamp
Jones towel clamp
Backhaus penetrating towel clamp
Roeder towel clamp
75
What part of the anesthetic machine is indicated by (I)?
Carbon dioxide absorber
Oxygen flowmeter
Oxygen fast flush
Passive scavenger
76
This instrument has a special blunted blade to prevent injury to the skin when used. What is it?
Mayo dissecting scissors
Lister bandage scissors
Metezenbaum dissecting scissors
Littauer suture removal scissors
77
What information does an intra-operative ECG provide?
Heart rate and rhythm
Perfusion
Pulse rate
Blood pressure
78
Why does sevoflurane allow for faster induction and recovery and faster depth changes compared to isoflurane?
It is more potent
It is more soluble in blood
It has higher vapor pressure
It has a higher MAC
79
Which antiseptic has the longest residual effect?
Hydrogen peroxide
Alcohol
Povidone-iodine
Chlorhexidine gluconate
80
You are monitoring a patient under anesthesia, when the pulse oximeter
Check the pulse oximeter's connections, wires, and battery.
Notify the veterinarian immediately and wait for instructions.
Keep monitoring; as long as SpO2 is > 90%, the patient is doing well.
Manually assess your patient's vitals.
