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Chapter 11 fun

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  • Pneumatic hoses:
    Should be pressurized for proper inspection
    Must be inspected with a borescope
    Are manually cleaned using a mild acetic solution
    Should be cleaned in the ultrasonic cleaner
  • Dark areas on the lens of an endoscope are:
    Damaged light fibers
    Debris
    Light-emitting diode (LED) optics
    LED bulbs
  • Used in open heart surgery  
    dermatome/dermabrader  
    dental drill  
    sternal saw 
    cebatome  
  • Dental drills are used to remove cement.
    False
    True
  • Type of powered surgical instrument used for open heart surgery  
    pneumatic 
    electric 
    sternal saw  
    battery 
  • Type of powered surgical instrument usually used for large bone surgery  
    battery 
    pneumatic 
    sternal saw  
    electric 
  • Which of the following steps occurs first when processing flexible endoscopes?
    Leak testing
    High-level disinfection/sterilization
    Drying
    Manual cleaning
  • Arthroscopy instruments are used during:
    Laparoscopic surgery
    Joint surgery
    Robotic surgery
    All the above
  • The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion.
    True
    False
  • Which of the following is an advantage of minimally invasive surgery (MIS)?
    Cost savings for the patient
    All procedures can be done in a same-day surgery center
    Fewer instruments are used
    Shorter recovery times
  • Powered surgical instrument batteries should be charged per the manufacturers' instructions for use (IFU):
    In the decontamination area
    In the OR
    During PM inspections
    Before sterilization
  • Loaned instrument trays that are received sterile from do not need to be decontaminated.
    True
    False
  • Semi-rigid endoscopes:
    Are electrically powered
    Do not have fiber optics
    Should be leak tested prior to cleaning
    Are used during urological procedures
  • Used to remove cement  
    sternal saw 
    cebatome  
    dental drill  
    dermatome/dermabrader  
  • A problem with electric surgical instruments is condensation entering the device when the seals wear out.
    True
    False
  • Robotic instruments:
    May have exposed cables
    Must be containerized for sterilization
    Are processed the same as laparoscopic instruments
    Require extensive preventive maintenance (PM)
  • Which of the following statements about endoscopes is true?
    Ultrasonic cleaning is the process of choice for endoscopes
    All endoscopes should be steam sterilized
    Flexible endoscopes are not easily damaged
    Flexible endoscopes are time-consuming to clean
  • When returning loaned items to the vendor:
    All items should be completely assembled, tested and sterile
    Trays should be terminally sterilized
    Trays are returned immediately after point-of use treatment
    All items should be cleaned and decontaminated
  • 3. Type of powered surgical instrument used for dental surgery  
    battery 
    electric 
    operative  
    sternal saw  
  • Powered surgical instrument attachments:
    Can all be mechanically cleaned
    Should be sterilized while still attached to the handpiece
    Are interchangeable with all types of drills
    Can be peel packaged for if approved by the manufacturer
  • Pneumatic cords are a cleaning concern because:
    The cord does not detach from the device
    Of their length
    They are dark in color, so soil is difficult to see
    The electrical plug is very delicate
  • Electronic testing of laparoscopic insulation should be done:
    At the factory or onsite repair unit
    In the decontamination area prior to cleaning
    In the Operating Room (OR) at the end of the procedure
    In the clean assembly area prior to set assembly
  • Type of powered surgical instrument powered by compressed air or gas
    sternal saw  
    pneumatic 
    operative  
    electric 
  • Endoscopic cameras:
    Should be inspected for cuts, nicks or damage to the cabl
    Should be cleaned using a medium-bristled brush
    Should be inspected using a borescope
    Are only used with non-operative endoscopes
  • Used to repair and reconstruct teeth and jawbones  
    dental drill  
    cebatome  
    dermatome/dermabrader  
    sternal saw 
  • Type of flexible endoscope that allows physicians to perform some surgery
    pneumatic 
    electric 
    sternal saw  
    operative  
  • Information regarding cleaning processes for endoscopes should be provided by the:
    Society of Gastroenterology Nurses and Associates (SGNA)
    Association Professionals Infection Control (APIC)
    Instrument manufacturer
    Operating Room (OR) staff
  • Which of the following statements about endoscopes is true?
    All endoscopes should be steam sterilized
    Ultrasonic cleaning is the process of choice for endoscopes
    Flexible endoscopes are not easily damaged
    Flexible endoscopes are time-consuming to clean
  • The first step when inspecting the insulation of a laparoscopic instrument is to:
    Try to slide the insulation back
    Visually check the instrument's shaft
    Check the metal collar at the distal tip
    Check the handle for chipping or cracking
  • The purpose of using a decontamination battery or hose when cleaning powered surgical instruments is to:
    Keep fluid from entering the unit
    Test the unit while cleaning
    Prevent electrical shock
    Keep functioning batteries and cords clean
  • Powered surgical instruments have one of three power sources: electric, compressed gas (pneumatic) or battery.
    False
    True
  • The purpose of the insulation covering laparoscopic instruments is to:
    Protect the surgeon from burns
    Help keep the instrument from slipping during surgery
    Protect the patient from electrical current
    Protect the patient from cauterization
  • Endoscopes are often processed in a mechanical unit called
    a flush-pulse endoscope reprocesser
    an ultrasonic cleaner
    an automatic endoscope reprocessor
    a washer-decontaminator
  • Used in ear surgery and for driving very small wires through bone  
    sternal saw 
    dental drill  
    micro drill  
    dermatome/dermabrader  
  • Leak testing should be performed on each flexible endoscope on an annual basis.
    True
    False
  • All powered surgical instruments should be lubricated each time they are processed.
    True
    False
  • Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function.
    False
    True
  • All flexible endoscopes have internal channels.
    True
    False
  • Accessories for electric-powered equipment includes:
    Hoses
    Pressure regulators
    Decontamination hoses
    Foot switches
  • Endoscope channels should be cleaned and then left moist for storage.
    True
    False
  • Which of the following should be used to rinse (remove) detergent from a rigid endoscope's channels?
    Treated water
    Forced air
    Water containing an approved sterilant
    Water quality per the manufacturer's (IFU)
  • An arthroscope is an example of a pneumatic device.
    True
    False
  • Laparoscopic instrument insulation failure can cause burns.
    False
    True
  • Loaned instruments should:
    Be sterilized using a low-temperature process
    Not be used
    Be decontaminated if they appear soiled upon arrival
    Be decontaminated before use
  • One of the main reasons for powered surgical instrument repair is:
    Lack of preventative maintenance (PM)
    Poor sterilization practices
    Improper storage
    Kinking of the umbilical cable
  • Used to harvest skin grafts and reshape skin surfaces  
    dental drill  
    dermatome/dermabrader  
    cebatome  
    sternal saw 
  • Used to perform specific cutting actions  
    dermatome/dermabrader  
    dental drill  
    sternal saw 
    saw
  • Robotic instruments:
    All Choices
    Mechanical/electrical components on end of the instrument
    Do not come apart for cleaning
    Are heavier than standard laparoscopic instruments
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