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CFA Practical Science
This set includes surgical closure, patient positioning and suture selection
116
Medical
Graduate
01/11/2009

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Cards

Term
How many thrown in a silk tie
Definition
2
Term
How many knots in a vicryl
Definition
2 (4 throws)
Term
The CFA's primary role in the surgical setting
Definition
Exposure
Term
When is the CFA allowed to close a body cavity
Definition
Never, it is against the law in all 50 states
Term
1st priority of the surgical team
Definition
Sterility
Term
Number of portals in a normal lap chole
Definition
4
Term
When selecting and using closing suture the CFA should always keep in mind
Definition
Right suture/Right tension
Term
When closing the elderly patient the CFA should remember
Definition
The elderly population general has low muscle tone
Term
When closing a patient with PVD the CFA should select ? because?
Definition
Monocryl, presents least amount of foreign body and less infection risk
Term
define obese
Definition
100lbs over weight
Term
Monocryl is a ? strand suture
Definition
single
Term
Vicryl is a ? suture
Definition
Multistrand
Term
How many drains on a radical mastectomy
Definition
2
Term
The simple interupted stitch is AKA
Definition
Halstead
Term
When using a mattress stitch always place knots
Definition
on the same side
Term
Normal psi setting for lap
Definition
15
Term
A significant sign that a patient placed in prone is not properly raised off the abdomen
Definition
Bloodier that normal field
Term
Missplacement of the veres needle and consequent insufflation of the subcuticular layer can lead to which will reabsorb in time
Definition
subcuticular emphysema-crepitus (crackly noise)
Term
This technique of insufflator insertion requires peritoneal cut down and tying off with suture.
Definition
Hussein Methos
Term
Main apparatus for positioning the head in neurosurgical cases
Definition
The Mayfield System
Term
always close the dura with this style of knot
Definition
slip knots
Term
Always keep the dura and the brain moist as they
Definition
tear easily
Term
The properly trained CFA may apply this clamp in neurosurgical positioning but removing it post-op is not recommended should never remove what clamp
Definition
The C-Clamp
Term
When closing the lumbar spine what should be done at each layer closure level
Definition
irrigate
Term
The lower leg of the laterally positioned patient should always be ? except for ? cases, where extension is needed to compare leg lengths.
Definition
bent 90 degree at the knee
Hip
Term
Your elective surgery patient's white cell count comes back at 14,000 cu/mm which would indicate what?
Definition
Normal WBC range is 5,000 and 10,000, so this would indicate an elevation which would indicate an unsuspected inflammatory process that would contraindicate elective surgery, unless the surgery was to correct and infectious condition such as acute appendicitis.
Term
In an inguinal hernia repair the spermatic cord identified, freed and retracted with a
Definition
Penrose drain
Term
Distal refers to
Definition
an area away from the initial point of origin. (The hand is distal to the elbow)
Term
Who can sign for an emergency surgical procedure if a patients family member is unable to sign because of distance or do not exsist
Definition
another surgeon
Term
A retention suture passes through what layers
Definition
The skin, subcutaneous, fascia. May also include the rectus and peritoneum in the case of an abdominal incision
Term
A hernia that passes through the inguinal ring into the inguinal canal which can be found in the scrotum is termed
Definition
Indirect
Term
Dead space is caused by
Definition
separation of wound edges
Term
Nerves preserved in a radical mastectomy
Definition
Long Thoracic
Term
This artery supplies the face and scalp
Definition
External Carotid
Term
This artery supplies 80% of the brain
Definition
Internal Carotid
Term
How many vertebra are fused to make up the sacrum
Definition
5
Term
The external portion of bone
Definition
Cortical
Term
Interior part of bone
Definition
Cancellous
Term
Ligaments connect
Definition
Bone to bone
Term
Tendons connect
Definition
Bone to muscle
Term
Position which exposes the medial compartment of the knee
Definition
Valgus
Term
Position which exposes lateral compartment of the knee
Definition
Varus
Term
Correct Anatomical Position
Definition
Standing erect arms out
Term
Part of the liver, a broad and thin antero-posterior peritoneal fold,
Definition
The Falciform ligament
Term
Normal positive air pressure within the human body
Definition
Valsalva
Term
This artery supplies 80% of the brain
Definition
Internal Carotid Arteries
Term
This artery supplies along with the basilar 20% of the head
Definition
Vertebral Artery
Term
An ACDF(anterior cervical discectomy and fusion) split what muscle
Definition
The platisma muscle
Term
Cortical bone is located on what part of bone
Definition
outer part of bone
Term
Cancellous bone is located
Definition
Inside
Term
A movement or position that exposes the medial compartment of the knee
Definition
Valgus
Term
a movement or position that exposes the lateral compartment of the knee
Definition
Vargus
Term
Ligaments hold
Definition
hold bone to bone
Term
Tendons hold
Definition
muscle to bone
Term
Zanker's diverticulum are only found in the
Definition
Esophagus
Term
An opening in the diaphragm through which the esophagus passes
Definition
Esophageal hiatus
Term
This free space behind the antrum of the stomach allows for filling and expansion
Definition
Lesser Sac
Term
This valve, is a strong ring of smooth muscle at the end of the pyloric canal and lets food pass from the stomach to the duodenum.
Definition
The pyloric sphincter
Term
AKA hepatopancreatic ampulla- formed by the union of the pancreatic duct and the common bile duct.
Definition
Ampulla of Vater
Term
This fibrous line runs the length on the colon, ending at the anus
Definition
Tinea Alba
Term
This muscular valve controls the flow of digestive juices (bile and pancreatic juice) through the ampulla of Vater into the second part of the duodenum (First part of the small intestine).
Definition
Sphincter of Oddi
Term
This is the insulin producing organ
Definition
The pancreas
Term
This is a reopening of a previously closed wound. (open up)
Definition
Wound dehiscence
Term
This is when internal contents advance out of a previously closed wound (open and out)
Definition
Wound Evisceration
Term
Subcutaneous layer AKA
Definition
Carpas Fascia
Term
The CFA should ensure padding of pressure points, which are locations where nerves are located
Definition
Superficially
Term
The Brachial Plexus is located in this region
Definition
Axilla
Term
The Sciatic nerve is superficially located at the
Definition
Hip
Term
Definition
Knee
Term
The Peroneal nerve is superficially located at the..
Definition
Ankle
Term
This artery feeds face and scalp
Definition
External carotid artery
Term
The spinal cord ends and meninges begin at what level of the spine
Definition
L1-L2 level
Term
When making a midline incision the CFA should visualize this white line and know if you're in muscle you off.
Definition
Linea Alba
Term
Gerota's fascia AKA
Definition
Renal Fascia
Term
clear pocket of fluid that develops post-op
Definition
Seroma Pocket
Term
#1 OR killer post-op
Definition
Surgical Site Infection
Term
An incision begins at 100% integrity and only ever regain
Definition
80%
Term
Collagen is considered the body's
Definition
glue
Term
Tissues 1st response to injury
Definition
inflammation
Term
These arteries are proximal to the renal arteries
Definition
Superior Mesenteric Arteries
Term
These arteries are distal to the renal arteries
Definition
Inferior Mesenteric arteries
Term
Artery found one hand's breath above the knee
Definition
Popiteal
Term
Stirrups are needed to do a (L) or (R) colon?
Definition
Left
Term
Meckle's diverticulum is only found in the
Definition
Small intestines
Term
How long does it take for an incision to heal to the ultimate state of 80% intregrity
Definition
1 year
Term
The esophagus reaches the stomach through the diaphragm via the
Definition
Mediastinum
Term
The hepatobiliary triangle AKA
Definition
Calot's Triangle
Term
The suspensory muscle of the duodenum
Definition
Ligament of Treitz
Term
This term denotes low or decreased blood volume
Definition
Hypovolemia
Term
A right hemicolectomy is performed to remove pathology of the
Definition
ascending colon
Term
another term for a stay suture is
Definition
Retention suture
Term
Which two anatomical structures are ligated and divided to effect a cholecystectomy
Definition
Cystic duct and cystic artery
Term
Adeno means
Definition
gland
Term
The radical surgery done for lower sigmoid or rectal malignancy
Definition
abdominal perineal resction
Term
A fossa is a
Definition
basin like depression (illiac fossa)
Term
an abnormal communication between two parts
Definition
fistula
Term
The most susceptible organ to lasar injury
Definition
the eye
Term
M/C post-op complication of orthopedic surgery
Definition
thromboembolism
Term
Vagotomy is performed for what reason and what disease
Definition
To decrease gastric acid production/peptic ulcer disease
Term
Where are the adrenal glands located
Definition
above each kidney
Term
Sphincter at the junction of the small and large intestines
Definition
illeocecal sphinter
Term
The condition where the foreskin of the penis can not be retracted over the glans
Definition
phimosis
Term
The Islets of Langerhans are located
Definition
Pancrease
Term
The master gland
Definition
The pituitary
Term
An infants average at rest heart rate
Definition
120/bpm
Term
Which nasal sinus can only be approached through an external eyebrow incision
Definition
frontal sinus
Term
the second cranial nerve
Definition
optic
Term
Normal body temp in centigrade
Definition
37C
Term
Purpose of ABG
Definition
asses arterial blood gasses
Term
Bradychardia is
Definition
slow, less thas 60 bpm
Term
endocrine glands function
Definition
produce hormones
Term
WBC function
Definition
destroy bacteria
Term
oxygenated blood is returned to the left atrium from the lungs via
Definition
pulmonary vein
Term
These are the only veins that carry oxygenated blood
Definition
pulmonary veins
Term
the first part of the small intestines
Definition
duodenum
Term
the part of the stomach located at the approach to the small intestines
Definition
pylorus
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