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Surgical Assisting and Anesthesia Final Review Flashcards | StudBud
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Surgical Assisting and Anesthesia Final Review
Surgical Assisting and Anesthesia Final Review
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1
An average flow rate for isoflurane maintenance in camelids would be:
4.0% to 5.0%.
0.5% to 1%.
1.5% to 2.5%.
3.0% to 3.5%.
2
When considering the amount of post-op pain a p may experience, which factor can be assessed before the animal awakens?
The individual animal’s response to the procedure
The expectation of pain associated with the procedure
The individual animal’s response to the analgesic protocol
The patient’s pain score
3
This is the appropriate way to perform a sterile surgical scrub prior to surgery.
True
False
4
When handing over a ring handled tool, it's appropriate to hand it point toward the surgeon and facing to the ceiling.
False
True
5
An activated charcoal canister is least effective at removing which of the following anesthetics?
desflurane
isoflurane
sevoflurane
nitrous oxide
6
An anesthetic patient is swallowing and has an elevated heart rate. This is indicative of what?
the anesthetic level is inadequate; the patient is too light
the patient was intubated incorrectly
the anesthetic level is inadequate; the patient is too deep
these are signs of surgical plane anesthesia
7
If the endotracheal tube extends past the thoracic inlet, what is the concern?
that only one lung is receiving gas anesthetic and O2
an increased risk of mucus building up in the endotracheal tube
a risk of mechanical dead space
8
A ruminant is intubated and in sx stage plane but becomes tachypneic with very shallow resps. What should be done?
Increase inhalant anesthetic to take to a deeper stage of anesthesia
Place the animal on a ventilator
Nothing; this is normal in ruminants
Administer IV anesthetic agents to deepen anesthesia
9
An 11y K9 is being discharged after undergoing GI sx to tx intussusception. What is the first thing to provide PO?
dry kibble
soft food
high-fiber diet
water
10
Incomplete patient preparation leads to:
increased technician efficacy in their environment
better time management with young and healthy animals
complications ranging from mild to life threatening
increased technician time management
11
When squeezing the reservoir bag, which part of the machine should be watched to avoid overinflating the p's lungs?
flutter valves
e-tank pressure gauge
flowmeter
pressure manometer
12
Which of the following was not a reason the ACVAA updated guidelines for anesthetic monitoring in 2009?
The general standard of care had increased
Malpractice cases had increased
Client expectations were higher
Monitoring equipment was more widely available
13
Which bone plating specialty instrument does the surgeon need for pre-threading a hole in a bone?
bone plate bender
drill bit
tap
depth gauge
14
Which best describes the quality of “memory” desirable in an instrument pack wrap?
It returns to its original flat position when opened
It can conform to and retain (remember) the shape of the pack
15
The first step in decontamination of instruments is:
fill a basin with warm water and detergent
use a wire brush to discard debris
rinse each instrument with distilled water
open all box locks and unlock ratchets
16
A patient is being positioned for surgery to the right front limb. Which best describes positioning for this patient?
Left lateral recumbency with paw tied with tape to an IV pole
R lat with RFL hanging over a rolled towel; paw taped to leg of table
dorsal recumbency w/ RFL resting over rolled towel; paw taped
ventral recumbency with right foreleg secured to the table
17
Where should sterile drapes be applied? Sterile drapes should be applied over:
the anesthesia machine
the monitoring equipment
the surgical table, anesthesia machine and monitoring equipment
the surgical table
18
During an abd explore, the tech helps the surgeon explore the “gutters.” What is the technician most likely doing?
Expressing the gallbladder
Inspecting the inguinal rings
Palpating the liver
Retracting the intestine
19
Which patient will potentially need the longest intravenous catheter?
A cat weighing 2 pounds with a cephalic over-the-needle catheter
A cat weighing 5 pounds with a cephalic butterfly catheter
A cat weighing 4 pounds with a femoral over-the-needle catheter
A cat weighing 4 pounds with a jugular through-the-needle catheter
20
Proper handling and use of alfaxalone and propofol include:
intramuscular injection as a CRI
refrigeration
antiseptic technique
subcutaneous injection as a premedication
21
A new VT is instructed by his supervisor to perform terminal cleaning. Which task should the VT be prepared to do?
Stay to the end of the sx day to clean the sx and prep rooms and all equip
Disinfect and sanitize the sx equip at the end of each procedure
22
Which is an ideal characteristic of a disinfectant product?
Expensive
Nonirritating
Corrosive
Single spectrum
23
Which procedure is likely to be the most painful?
Lumbar disk surgery
Castration
Ear resection
Stabilization of a fractured femur
24
Which info is most appropriate to exclude from the aftercare instructions given to a client upon discharge of the pet?
Confinement
Technician’s contact information
Estimated cost, because they've already paid
Feeding
25
Which two agents are consistently more effective against gram-positive bacteria than against gram-negative bacteria?
Iodophors and parachlorometaxylenol
Triclosan and alcohol
Chlorhexidine gluconate and parachlorometaxylenol
Alcohol and chlorhexidine gluconate
26
In the surgical area, mechanical friction should be used to clean:
all horizontal surfaces
all vertical surfaces
27
Which type of drug has the ability to produce unconsciousness when given alone?
induction anesthetics
reversible anesthetics
tranquilizers
injectable anesthetics
28
Sedation is where a p is aware or unaware and can be roused by noxious stimuli.
True
False
29
The organization recognized in '99 by NAVTA that offers specialization to RVTs interested in anesthesia and analgesia.
American College of Veterinary Anesthesia and Analgesia
Academy of Veterinary Technician Anesthetists
Association of Veterinary Anaesthetists
International Veterinary Academy of Pain Management
30
Post-cesarean section, an o is alerted that vaginal discharge should be expected. What are the expected characteristics?
Red with no foul odor
Brown with a foul odor
Green with no foul odor
Red with a foul odor
31
The p listed below will need add'l analgesia intra-op. However, which one will be more likely to need CRI of an opioid?
Patient undergoing a rectal procedure
Patient undergoing ear resection
Patient with poor tolerance for gas anesthesia
Patient with multiple anastomoses
32
What do you do if you need to sneeze/cough in the OR during a procedure?
back away from the sterile fields and sneeze/cough forward
turn your head and cough/sneeze in your elbow
stand still and sneeze/cough where you are
exit the room first, then sneeze/cough
33
Which part of the anesthetic machine converts the liquid inhalant anesthetic to a usable form for the patient?
scavenging system
ventilator
vaporizer
manometer
34
After decontamination of surgical instruments, which is the most appropriate next step?
Applying antiseptic
Presoaking
Ultrasonic cleaning
Precleaning
35
Which organization was recognized in 1999 by NAVTA and offers specialization for credentialed VTs?
Academy of Veterinary Technician Anesthetists
American College of Veterinary Anesthesia and Analgesia
International Veterinary Academy of Pain Management
Association of Veterinary Anesthetists
36
A bloated rumen:
can lead to decreased heart rate
is not a problem in ruminant anesthesia
applies pressure on aorta, diaphragm, vena cava which ^ BP and RR
applies pressure on aorta, diaphragm, vena cava which decreases BP and RR
37
An aging foxhound is sent home from the hospital with plans to transition to a new Rx diet. Transition should occur over
3- to 5-day
14- to 28-day
7- to 10-day
10- to 12-day
38
A disinfectant is most likely to be rendered ineffective by which of the following?
Inorganic matter in the area
Glass
Stainless steel
Off-label dilution
39
Which type of sterilization is considered a high-level disinfection process?
High-vacuum sterilization
Cold sterilization
Gas plasma sterilization
Ethylene oxide sterilization
40
The manager notices that the metal scrub sink is becoming corroded. Which type of cleaner may have contributed?
Lysol
Bleach
Chlorhexadine
Iodine
41
Harold Davis is credited with suggesting the term anesthesia to describe the state of insensibility to painful stimuli.
False
True
42
What does WAG stand for?
waste anesthetic gas
waist anesthetic gas
43
An ASA P3 patients is more likely to require modified anesthetic protocols than a P2 patient.
False
True
44
The scavenger system of an anesthetic machine removes which gas from the patient?
O2
N
N2O
CO2
45
A post-op K9 has a bandaged for a wound on hock. Client is told to inspect the toes carefully each day for:
dehiscence
foul odor
color and dehiscence
color
46
When placing a drape for a surgical procedure, a general rule of thumb is to place the drape how close to the incision?
½ to ¾ inch
1/8 to ¼ inch
¼ to ½ inch
¾ to 1 inch
47
Incomplete patient preparation leads to:
increased technician efficacy in their environment.
better time management with young and healthy animals
complications ranging from mild to life threatening
increased technician time management
48
Due to the nature of preservative-free drugs, they should be handled with aseptic technique.
True
False
49
The decontamination of instruments is defined as:
HINT: a contaminant can be an inanimate object.
loosening biologic and other debris
manual cleaning with detergent to assist debris breakdown
inhibiting or preventing the growth of microbes on living tissue
ridding an object of all living microbes
50
During sx, the vet needs to cut a sponge to fit the wound size. Which of the following surgical scissors is most approp?
Hemostat
Mayo scissors
Metzenbaum scissors
Operating scissors
51
The term REL refers to:
redistributed exposure limit
recommended exposure limit
relative exposure limit
reactive exposure limit
52
A c is receiving postop instructions after his K9's aural hematoma repair. The drain needs removed in
2–3 weeks due to likelihood of recurrence
2–3 days since blood should clot quickly
4–6 weeks due to likelihood of recurrence
4–6 days since blood should clot quickly
53
Which of the following was not a reason the ACVAA updated guidelines for anesthetic monitoring in 2009?
The general standard of care had increased
Malpractice cases had increased
Client expectations were higher
Monitoring equipment was more widely available
54
Adding what drugs to a protocol for swine will result in a more predictable, heavier sedation and shorten anesth?
NSAIDs
opioids
sedatives
Dissociative drugs
55
During surgery, which precaution should an un-scrubbed assistant take?
don't step between 2 sterile personnel
don't step in btwn two scrubbed personnel/btwn the sterile tables
always face away from the sterile field
don't step between 2 sterile tables
56
What is cavitation?
Crevices or pits in instruments caused by debris buildup or scratches
Scrubbing effect of bubbles forming and collapsing thousands times per sec
Rust formation from extended exposure to tap water
Wearing away of the surface of an instrument with age and overuse
57
A K9 is being sent home with a drain in the LHL. Which instruction is most important to relay?
Spread petroleum jelly over the discharge area
The dog can return immediately to normal activity
Allowing other pets to lick the discharge area will aid in keeping it clean
Apply ice packs to the discharge area
58
Atipamezole is the nonproprietary name for which of the following drugs?
dexmedetomidine
ketamine
antisedan
guaifenesin
59
Which postoperative patient is experiencing emergence delirium?
A p is restless with vocalization and can't be quieted by human interaction
A p hallucinates and attacks defensively at the first human interaction
60
During surgery, the vet needs to cut a sponge to a particular size. Which sx scissors is most appropriate?
hemostats
metzenbaums
bandage
operating scissors
61
If an endotracheal tube is longer than the thoracic inlet, there is:
an increased risk of mechanical dead space
a risk of increased amount of mucus in the tube
a risk of fire due to the higher oxygen content
a risk of only one lung being infused with oxygen and anesthetic gas
62
Which of the following is an appropriate use of a peripheral catheter?
Extended fluid therapy over more than a few days
Anesthesia induction
Long-term use (>3 days)
Systemic monitoring
63
The drapes that are first applied to the patient during surgical draping are called...
corner draping
square draping
skin draping
quarter drapes
64
The use of injectable anesthetics as an alternative to inhalant agents in veterinary medicine began in the:
1950s
1930s
1960s
1980s
65
An increased sensitivity to sensation is called
central sensitization
pain threshold
hyperesthesia
hyperalgesia
66
Which is most appropriate for long-term IV fluid administration on a severely dehydrated patient?
butterfly catheter
jugular catheter
over-the-needle catheter
extension set
67
Name the instrument being applied in the photo below.
non-penetrating towel clamp
penetrating towel clamp
tissue forcep
Belfour retractor
68
A K9 underwent internal fixation of the right radius. Which of the following post-op care considerations is
NOT
approp?
Food reduction for roughly 5–7 days
Confinement for 6–8 weeks
Radiographs taken every 4–6 weeks
Sutures removed in 10–14 days
69
Which condition is most likely to be associated with elevated plasma protein levels?
Lymphosarcoma
Parasitic disease
Inflammatory bowel disease
Pancreatic disease
70
During an OR procedure, a VT feels she is about to sneeze. Which of the following is the most appropriate action?
Turn her head; leave the room
Step back from the sterile field; leave the room
Don’t turn her head; step back from the sterile field
Turn her head; stay in the sterile field
71
When first picking up a folded gown from a pack in order to put it on, hold the gown by the _____ to allow it to unfold.
mid section
shoulders
sleeves
neckline
72
A radiographs of a R radial fracture show the bone is broken in 3 places, but can be realigned. What type of fracture?
Oblique
Comminuted reducible
Comminuted nonreducible
Spiral
73
P is showing severe signs of pain from a nephrectomy. When VT attempts to pet the p’s head, p screams in pain. This is:
allodynia
hyperalgesia
hypoalgesia
nociception
74
One of the key elements to a successful anesthetic procedure is:
communication btwn the veterinarian, the vet tech, and the client
a competent veterinarian
a skilled credentialed veterinary technician
the bond between the client and the pet
75
When attempting to reverse bradycardia after Dexdomitor, which is the most appropriate drug to administer?
atipamezole
dexmedetomidine
levetiracetam
guaifenesin
76
Despite pre-op analgesics, a p wakes up in discomfort. What type of pain is this? Persists despite adequate pre-op meds
physiologic
acute
visceral
breakthrough
77
The minimum database consists of the following:
patient name, gender, and complete physical examination findings
history, signalment, PE findings, pre-op work-up results
Hx/signalment, p’s name, PE findings, and pre-op diagnostic findings
history and signalment, o's income, and complete PE findings
78
Halogenated compounds readily enter the brain due to what factor?
Alveoli partial pressure
Diffusion
Concentration gradient
High lipid solubility
79
What type of pain is defined as pain that acts as a protective mechanism that incites us to move away from the cause?
Breakthrough
Acute
Physiologic
Visceral
80
A surgeon is placing intramedullary pins in a radial fracture. What tool would she be using?
Hemi-cerclage wires
SK rods and clamps
Kirschner-Ehmer set
Jacob's chuck
81
It is most appropriate for the VT to clean and rinse an area with water before applying which disinfectants to the area?
Phenol based
Quaternary amine based
Chlorine based
Iodine
82
The strength of the pulse of the patient would be indicative of which group of vital signs?
oxygenation
ventilation
heart rate and rhythm
circulatory
83
Mechanical dead space is best defined as
space in the anesth. machine where gas moves both ways, but doesn't evac
space in the endotracheal tube where condensation pools
space in the flutter valves where condensation accumulates
extra space in the sodasorb canister if it isn't filled completely
84
Hypnosis is
a drug-induced sleeplike state where the patient cannot be roused
a complete loss of sensation
a drug-induced sleeplike state impairing the ability to respond to stimuli
a state of complete calmness that cannot be overridden
85
Which of the following tasks is the responsibility of the surgical assistant?
Maintain instrument table. Asceptically present needle/syringe for meds
Hemostasis and tissue retraction
Opening the outer covering of a sterile pack
Administering anesthesia to the patient
86
A disadvantage of using chlorhexidine as a disinfectant is chlorhexidine:
has no residual activity
is the most effective disinfectant against viruses and most bacteria
is made ineffective in the presence of organic material.
must have sufficient contact time to be effective
87
After denoting the signalment, which of the following information is most appropriate to ask the client?
Current medications the animal is being given
The animal’s diet
Reason for the visit
Current supplements the animal is being given
88
Which of the following class of patients is most likely to require modified anesthetic protocols?
PS 3
PS 0
PS 1
PS 2
89
Combining isopropyl alcohol with a scrub product can cause which effect?
Alcohol contributes significantly to ^ povidone-iodine residual activity
Alcohols cooling effect is a clear advantage in prepping a surgical patient
Alcohol can contribute to hyperthermia in an anesthetized patient
Alcohol can contribute to thermal burns if electrocautery is used
90
Which instrument is most appropriate to have ready for an exploratory abdominal surgery on a Bernese Mountain dog?
Ferguson angiotribe
Balfour retractor
Mayo dissecting scissors
Hand chuck
91
When a sterile drape becomes wet it is immediately discarded and replaced because it:
causes strike-through
promotes chill and fever in the patient
All of these
poses an electrical hazard in the presence of motorized instruments
92
Which is the most appropriate anatomical order for performing a physical examination?
Tail to head
Head to tail
93
Doxapram is considered to be in which drug category?
anxiolytic
analgesic
alpha 2 - agonist
analeptic (restorative) agent
94
Immediately after completing the hand scrub, which is the most appropriate next step for the vet tech to take?
Dry the hands with a sterile towel.
Don surgical gloves.
Proceed into surgery.
Clean under the nails with a disposable nail pick.
95
When counting a heart rate or respiratory rate, you should count each beat/inspire for 15 seconds, then multiply by 4.
False
True
96
Halogenated compounds readily enter the brain due to what factor?
High lipid solubility
Concentration gradient
Diffusion
Alveoli partial pressure
97
When handing a ring-handled instrument to a surgeon, what is the most appropriate placement of the instrument?
ring handles should be pointing toward the floor
ring handles should be pointing toward the ceiling
ring side of the instrument should be firmly placed in the surgeon’s palm
tips of the instrument should be firmly placed in the surgeon’s palm
98
According to the U.S. Centers for Disease Control and Prevention (CDC), the physical scrubbing away of soil after sx
even more important than the antimicrobial effect of the cleaning agent
sufficient cleaning in most veterinary facilities
is just as important as the antimicrobial effect of the cleaning agent used
2nd in importance only to the antimicrobial effect of the cleaning agent
99
Pain that has an exaggerated response beyond its protective usefulness is called:
pain threshold.
pain tolerance level.
physiologic pain
pathologic pain
100
Which surgical assistant makes an error while pouring an irrigation fluid?
Assistant D discards the remaining fluid
Assistant C replaces the cap to protect remaining fluid
Assistant B holds the basin away from the sterile field
Assistant A places the basin at the edge of the sterile field
101
The scavenging system is responsible for removing WAGs from the anesthesia machine out through the central air ducts.
False
True
102
Which of the following surgical procedures is commonly used to remove a small, smooth toy from the stomach?
endoscopy
laparoscopy
esophagoscopy
colonoscopy
103
A
linear foreign body
is cause for grave concern for plication. If this is suspected, check under the tongue for string.
True
False
104
WAG stands for
waste agents and gases
waste anesthetic gas
waste analgesics and gases
waste analgesic gas
105
Which surgical duty is generally the responsibility of a veterinary technician acting as surgical assistant?
Opening the outer covering of the surgical pack
Passing instruments from the open pack to the surgeon
Billing clients for procedures
Monitoring anesthetized patients
106
Which condition is most likely to be associated with elevated plasma protein levels?
Inflammatory bowel disease
Parasitic disease
Pancreatic disease
Lymphosarcoma
107
Which of the following is an appropriate use of a peripheral catheter?
Long-term use (>3 days)
Systemic monitoring
Extended fluid therapy
Anesthesia induction
108
Supination means that the palm of the hand is facing down
False
True
109
protected by clean cover apparel upon entering the surgical area to prevent contamination
Cuff indicator
Hose connector
Cuff syringe
Hose sleeve
110
1st anesthetic agent used successfully in a tumor removal that created a state of insensibility and pain relief was:
nitrous oxide
diethyl ether
halothane
chloroform
111
A local anesthetic that is injected around a single major nerve is referred to as a(n)
splash block
ring block
epidural
nerve block
112
In general, general anesthesia in canine and feline patients is induced and maintained via which techniques?
IM, IV, and inhalant
SQ, IM, and IV
SQ and inhalant
SQ and IV
113
The minimal amount of pain that a patient can recognize is called:
pain threshold
pain tolerance level
physiologic pain
nociception
114
Which of the following class of patients is most likely to require modified anesthetic protocols?
PS 2
PS 3
PS 1
PS 0
115
Which is most appropriate to use to place a blade into a scalpel handle?
fingers
needle holders
scissors
hemostats
116
When were anesthetic techniques refined to the point of the practical and widespread use of agents?
In the early part of the fifteenth century BC
Between the 1500s and the 1700s
Early 1900s
Mid-1800s
117
Which is most likely to deactivate the effects of a chlorine-based disinfectant?
Mucus
Fecal matter
Skin cells
Hair strands
118
What purpose does the Murphy’s eye serve on an endotracheal tube?
Used to monitor cuff inflation
Minimizes the risk of patient asphyxiation
Used to inflate the cuff
Prevents dead space
119
Halogenated compounds readily enter the brain due to what factor?
High lipid solubility
Diffusion
Concentration gradient
Alveoli partial pressure