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What distance from the portable x-ray unit should sterile members of the surgical team stand to reduce their exposure while the image is being taken?


A) 1 foot
B) 2 feet
C) 4 feet
D) 6 feet

E) A) and B)
F) None of the above

Correct Answer

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Harvey Cushing, M.D., and William Bovie, Ph.D., collaborated in the 1926 to create the first:


A) anesthesia machine
B) electrosurgical unit
C) heart-lung machine
D) portable x-ray generator

E) All of the above
F) B) and D)

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Polymethyl methacrylate is a gas used to sterilize heat-sensitive surgical instruments, but must be aerated from items before use on the patient.

A) True
B) False

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Which governmental agency mandates that operating rooms have a biohazard exposure control plan and make personal protective equipment available for personnel at risk?


A) EPA
B) FDA
C) NRC
D) OSHA

E) A) and C)
F) All of the above

Correct Answer

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Unless the patient is at risk of hypothermia, the temperature range in the OR should be between:


A) 55°F and 60°F
B) 63°F and 68°F
C) 68°F and 73°F
D) 75°F and 80°F

E) A) and B)
F) All of the above

Correct Answer

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Which piece of OR furniture is usually the MOST proximal to the operative site?


A) back table
B) kick bucket
C) Mayo stand
D) ring stand

E) A) and D)
F) A) and C)

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Which of the following is NOT part of a three-prong plug?


A) active (hot) wire/prong
B) ground pin/prong
C) bipolar wire/prongs
D) inactive (neutral) wire/prong

E) C) and D)
F) None of the above

Correct Answer

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All of the following are articulating breakpoints or removable sections of an operating table EXCEPT:


A) head
B) knee
C) side
D) waist

E) A) and C)
F) A) and D)

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Which type of electricity is generated primarily by friction between two surfaces?


A) alternating
B) bipolar
C) direct
D) static

E) All of the above
F) A) and B)

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Match each term below with its description

Premises
Area of an operating room suite where patients have IV lines started, sign consents, interview with surgeons, anesthesia providers, and nurses prior to transfer to the OR for procedures
Equipment used by CRNA or MD for induction, maintenance, monitoring, and reversal of a patient undergoing surgery
Connection points for negative pressure lines that allow for removal of irrigation and body fluids from the surgical site or by the anesthesia provider for management of patient secretions
Positive pressure gradient that prevents airborne contaminants in the corridors from entering the OR when doors are opened
Area of an operating room suite adjacent to an OR, which may contain a scrub sink or immediate-use steam sterilizer
Ignition source caused by friction between two surfaces and electron transfer; resulting in sparks or palpable shocks
Real-time intraoperative radiography that emits large amounts of ionizing radiation and requires use of a C-arm image intensifier
Category of "sharp" that has a beveled point and hollow cannula and either should not be recapped or should involve using the one-handed scoop method if recapping is necessary
Separate department with direct or indirect connections to OR suite where instrument decontamination, assembly, and sterilization takes place and may include hospital materials storage
Surgical energy that uses intense focused light beams and is an ignition source for surgical fires if proper precautions not taken
Responses
Hypodermics
Laser
Anesthesia cart
Suction outlets
Static electricity
Fluoroscopy
CSPD
Laminar flow
Pre-op holding
Substerile

Correct Answer

Area of an operating room suite where patients have IV lines started, sign consents, interview with surgeons, anesthesia providers, and nurses prior to transfer to the OR for procedures
Equipment used by CRNA or MD for induction, maintenance, monitoring, and reversal of a patient undergoing surgery
Connection points for negative pressure lines that allow for removal of irrigation and body fluids from the surgical site or by the anesthesia provider for management of patient secretions
Positive pressure gradient that prevents airborne contaminants in the corridors from entering the OR when doors are opened
Area of an operating room suite adjacent to an OR, which may contain a scrub sink or immediate-use steam sterilizer
Ignition source caused by friction between two surfaces and electron transfer; resulting in sparks or palpable shocks
Real-time intraoperative radiography that emits large amounts of ionizing radiation and requires use of a C-arm image intensifier
Category of "sharp" that has a beveled point and hollow cannula and either should not be recapped or should involve using the one-handed scoop method if recapping is necessary
Separate department with direct or indirect connections to OR suite where instrument decontamination, assembly, and sterilization takes place and may include hospital materials storage
Surgical energy that uses intense focused light beams and is an ignition source for surgical fires if proper precautions not taken

Which of the following is a substance that is derived from tropical trees and that patients and health care workers may be highly allergic to?


A) chlorhexidine
B) iodine
C) latex
D) polyvinylchloride

E) B) and C)
F) None of the above

Correct Answer

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The emergency shut-off valve for the supply of oxygen into an operating room is designated by which color?


A) black
B) blue
C) green
D) red

E) None of the above
F) C) and D)

Correct Answer

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Which of the following is the type of head fixation device that attaches to the operating table used frequently for craniotomy procedures?


A) C-arm unit
B) lithotomy stirrups
C) Mayfield brace
D) Wilson frame

E) None of the above
F) A) and B)

Correct Answer

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Effective surgical smoke evacuator units suction and filter particles as small as:


A) 0.1-0.5 µm
B) 1.0-5.0 µm
C) 0.1-0.5 mm
D) 1.0-5.0 mm

E) All of the above
F) B) and C)

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Locker rooms, administrative offices, and the departmental main desk are examples of semirestricted areas in the OR suite.

A) True
B) False

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Which of the following would be least damaging to and most effective on a fire involving a laser generator or electrosurgical unit?


A) Class D halon extinguisher sprayed on unit
B) cotton blankets used to smother fire
C) sterile saline poured to douse fire
D) unplugging power cord to stop flow of electricity

E) B) and C)
F) B) and D)

Correct Answer

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