Quiz 50: Surgical Asepsis and Assisting With Surgical Procedures

Which of the following is (are) true about the autoclave process? A) Steam simultaneously heats and wets the objects being autoclaved. B) When the cycle is finished and the chamber has cooled, microorganisms have been destroyed. C) The mechanism of action is steam under pressure. D) Both A and C are true. E) All of the above are true.

____________ is the complete destruction of organisms on instruments or equipment that will enter the patient's body. This technique is mandatory for any procedure that invades the body's skin or tissues, such as surgery. A) Medical asepsis B) Surgical asepsis C) Sterilization D) Disinfection

The recommended temperature for sterilization in an autoclave is A) 121° to 123° C. B) 98.6°. C) 100.4° F. D) 37.6° C.

Which statement is not true about informed consent for surgery? A) The medical assistant is responsible for obtaining the patient's consent to treatment. B) The patient must understand the potential risks and benefits of the surgery. C) The patient must understand the possible risks of any alternative treatment. D) The patient cannot give consent if he or she has received preoperative medication.

The invasion of body tissue by pathogens, which proliferate and damage tissues is _______________________. A) Contamination B) Infection C) Spores D) Germicides

Reducing the number of microorganisms to a safe level is called A) sanitization. B) disinfection. C) sterilization.

What is the complete destruction of all forms of microbial life? A) Disinfection B) Germicide C) Sanitization D) Sterilization

Venipunctures or injections must be practiced using which of the following protocols? A) Asepsis B) Medical asepsis C) Surgical asepsis D) Sterile technique

Which of the following aseptic procedures is performed on blood pressure cuffs and stethoscopes after each use? A) Sanitization B) Disinfection C) Sterilization D) Either A or B

Which of the following may cause incomplete autoclave sterilization? A) Wet steam B) Residual air C) Fast exhaust D) Both A and B E) All of the above

Which of the following methods is the most current absolute indication that the proper sterilization time, temperature, and steam have been maintained? A) Autoclave tape B) Spore strip indicators C) Rapid-readout biological indicators D) Both B and C E) All of the above

The LEEP excisional procedure is considered which of the following? A) Electrosurgery B) Laser surgery C) Microsurgery D) Endoscopy E) Cryosurgery

Which of the following endoscopes is rigid? A) Laparoscope B) Colonoscope C) Bronchoscope D) Gastroscope

Which of the following instruments would be damaged by the high temperature and steam under pressure of autoclaves and must be disinfected after each procedure? A) Elecrosurg tip used in electrosurgery B) Laser tip used in laser surgery C) Microscope used in microsurgery D) Endoscope used in endoscopy E) Both C and D

The provider must have the patient's written informed consent before beginning any surgical procedure. This legal requirement is met simply by having the patient sign an operative permit. A) Both statements are true. B) Both statements are false. C) The first statement is true; the second is false. D) The first statement is false; the second is true.

Under which of the following post-operative conditions should a patient call the office immediately? A) Redness around the operative site B) Bleeding from the wound C) Fever or swelling D) Increasing or severe pain E) All of the above

Which of the following passes through to a body organ or cavity? A) Incised wound B) Lacerated wound C) Perforated wound D) Penetrating wound E) Both C and D

In which phase of wound healing is fibrin most involved? A) First phase B) Second phase C) Third phase D) All phases

Which of the following bandage materials is superior for covering round narrow surfaces such as fingers or toes? A) Plain roller gauze B) Wrinkled crepe-type roller bandage C) Elastic bandage D) Seamless tubular gauze bandage E) All of the above

__________ is the destruction of microbes after they leave the body.

__________ is the complete destruction of all forms of microbial life.

Sterilization __________ placed in the center of a large pack are the best indicators of proper sterilization in an autoclave.

In __________, a high-frequency current is used to cut through tissue and seal blood vessels.

Very low temperatures are used in __________ to destroy tissue by freezing it on contact.

A(n) __________ wound is infected with pathogens.

In the __________ phase of wound healing, fibrin is deposited at the site and clotting begins.

In the __________ phase of wound healing, collagen closes the gap between tissues and scar tissue forms.

A(n) __________ is a sterile covering that is placed directly over a wound.

A(n) __________ is early scar tissue formation that appears pale, contracted, and firm.

A(n) __________ is a wound that appears jagged and irregular and is usually caused by trauma.

__________ occurs when a nonsterile item either crosses over or comes in contact with a sterile field.

A wound usually caused by an accident that results in tearing or separation of tissues is called a(n) __________.

If correctly done, autoclaving destroys even __________, the dormant form of bacteria.

__________ healing occurs with a clean surgical cut and wound edges that approximate.

Autoclave wrapping material must be __________ so that steam can circulate around the instruments.

A(n) __________ occurs when a nonpenetrating wound damages blood vessels.

__________ can result if a bandage is applied too tightly.

With __________ healing, a wound heals by granulation from the bottom of the wound outward.

What rules must be followed for wrapping an instrument for the autoclave?

Describe the personal protective equipment used for autoclave procedures.

Describe the medical assistant's role during laser surgery.

Explain the preoperative instructions for a patient having surgery.

Define sanitization, disinfection, and sterilization. Include in your answer how each is performed.

Outline the rules for setting up and maintaining a sterile field.

Air currents carry bacteria, so body movements and talking over a sterile field should be kept to a minimum.

Infection can cause death in some circumstances.

No harm is done if a sterile field gets wet.

Sterile team members should always face one another.

The medical assistant should always keep the sterile field in view.

The medical assistant must never turn his or her back on a sterile field or wander away from it.

When autoclaving, place a gauze sponge around the tips of sharp instruments to prevent them from piercing the wrapping material.

Nonsterile individuals should never reach over a sterile field.

All hinged instruments are wrapped in the open position to allow full steam penetration of the joint.

When using sterilizing bags, insert the grasping end of the instrument first.

Techniques for medical asepsis create a sterile environment.

Sterile technique should be used for venipuncture.

Unwrapped items in an autoclave require more time for sterilization than wrapped items.

Wet steam in an autoclave can be caused by the placement of cold instruments in a hot chamber.

An autoclave pack with a small tear in the wrapper is no longer sterile.

After autoclaving, a change in the color of the dye of the autoclave tape indicates that the pack is sterile.

A wet instrument pack is not automatically considered contaminated.

The medical assistant should wear clean gloves when decontaminating the postsurgical room.

A large, gaping wound that must heal from the bottom of the wound outward heals by first intention.

Suppuration can cause problems with wound healing.

A bandage must be applied with sterile technique.