Shared Flashcard Set

Details

Final Review 1080
Quiz
222
Medical
11/20/2011

Additional Medical Flashcards

 


 

Cards

Term
The ECG is interpreted by the _______

a. lab technician
b. medical assisting
c. physician
d. nurse practicioner
Definition
physician, usually the one ordering the procedure
Term
the routine ECG consists of ________ leads

a. 6
b. 10
c. 8
d. 12
Definition
12
Term
The patient must be ______ for a good tracing to be obtained
Definition
relaxed
Term
metal electrodes should be cleaned with

a. mild detergent/scouring powder
b. alcohol/ether
c. baking soda/water
d. mild detergent/ silver polish
Definition
alcohol/ether
Term
a proper amount of ________ must be used with each metal electrode to provide maximum electrical conduction

a. alcohol
b. electrolyte
c. oil
d. powder
Definition
electrolyte
Term
the ______ of the ECG is necessary to enable a physician to judge deviations from the standard.
a. length
b. quality
c. standardization
d. augmentation
Definition
standardization
Term
the usual standardization mark is ________ in size
Definition
2 mm wide and 10 mm high
Term
if the tracing is too large, the ________ button should be turned down to (1/2) one half. producing a standardization mark of 5 mm high and 2 mm wide.
Definition
sensitivity
Term
the tracing paper is normally run at a speed of _______ mm/second
Definition
25
Term
the heart is a four-chambered pump that produces
Definition
a minute electrical current by muscular contraction
Term
where does an electrical impulse originates
Definition
in the modified myocardial tissue of the sinoatrial node, causing the beginning of atrial depolarization, which is the first part of the cardiac cycle
Term
the first impulse recorded on the graph is called
Definition
P wave
Term
the first three leads are called
Definition
standard or biopolar leads and are labeled I, II, or III
Term
Lead I
Definition
LA and RA
Term
Lead II
Definition
LL and RA
Term
Lead III
Definition
LL and LA
Term
The second three leads are called the
Definition
augmented: aVR, aVL, and aVF.
augmented means to become larger
Term
aVR
Definition
RA (LA-LL)
Term
aVL
Definition
LA (RA-LL)
Term
aVF
Definition
LL (RA-LA)
Term
the six standard chest leads
Definition
precordial leads
Term
reliable
Definition
dependable, can be relied upon
Term
repolarization
Definition
reestablishment of a polarized state in a muscle or nerve fiber following contraction or conduction of a nerve impulse
Term
sedentary
Definition
pertaining to sitting; inactivity
Term
segment
Definition
a part or section of an organ or a body
Term
simultaneous
Definition
occurring at the same time
Term
somatic
Definition
pertaining to the body as distinguished from the mind; physical.
Term
standardization
Definition
process of bringing into conformity with a standard; pertaining to ECG, a mark made at the beginning of each lead to establish a standard of reference
Term
stylus
Definition
a pen; the ECG writer
Term
trace
Definition
the production of a sketch by means of a stylus passing over the paper, as in electrocardiography
Term
treadmill
Definition
an apparatus with a movable platform that permits walking or running in place
Term
voltage
Definition
a measure of electromotive force
Term
amplifier
Definition
a device on an electrocardiongraph that enlarges the ECG impulses
Term
arrhythmia
Definition
without rhythm; irregularity
Term
artifacts
Definition
something extraneous to what is being looked for. Activity that causes interference on EKGs
Term
atrial depolarization
Definition
the excitement and contraction caused by the SA node at the beginning of the cardiac cycle
Term
augmented
Definition
refers to leads 4, 5, and 6 of the standard 12-lead ECG tracing; these leads are of different voltage.
Term
cardiology
Definition
the study of the heart and blood vessels.
Term
computarized
Definition
to store in a computer; to put in a form a computer can use; to bring computers into use to control an operation
Term
countershock
Definition
(in cardilogy) a high-intensity, short-duration, electric shock applied to the area of the heart, resulting in total cardiac depolarization.
Term
current
Definition
happenin now; of the present time; the latest information
Term
defibrillator
Definition
a device designed to deliver an electric shock to a patient, in an effort to stop pulseless ventricular fibrillation or ventricular tachycardia
Term
electrocardiograph
Definition
a machine for obtaining a graphic recording of the electrical activity of the heart
Term
electrode
Definition
an instrument with a point or surface that transmits current to the patient's bpdy
Term
galvanometer
Definition
an instrument that measures current by electromagnetic action
Term
Holter monitor
Definition
a device that attaches electrodes to a patient's chest for the pupose of obtaining a 24-hour ECG tracing in an accessory tape recorder
Term
impulse
Definition
a charge transmitted through certain tissues, especially nerve fibers and muscles, resulting in physiologic activity
Term
interference
Definition
confusion of desired signals caused by undesired signals, as in artifacts on an ECG.
Term
intermittent
Definition
stopping and starting again at intervals
Term
interpretive
Definition
computarized analysis of ECG tracings
Term
interval
Definition
time between events, space
Term
limbs
Definition
refers to the arms and legs. extremities
Term
mechanical
Definition
pertaining to machinery
Term
multichannel
Definition
refers to the capability of ECG equipment of processing impulses from multiple leads
Term
precordial
Definition
pertaining to that area of the chest wall over the heart for the placement of ECG cheat leads
Term
Purkinje
Definition
network fibers found in the cardiac muscle that carries the electrical impulses resulting in the contraction of the ventricles
Term
electrocardiogram
Definition
ECG/EKG-a graphic record of the electric currents generated by the heart; a tracing of the heart action
Term
all muscle movement produces _______
Definition
electrical impulses
Term
the current enters the electricardiograph through the wires to reach the ___________
Definition
amplifier
Term
the amplifier _____ the electrical impulse
Definition
enlarges
Term
electrical impulses are transformed into mechanical motion by the ________
Definition
galvanometer
Term
an _______ produces printed representations on ECG paper
Definition
stylus
Term
an electrical impulse originates in the modified myocardial tissue in the _____
Definition
Sinoatrial SA node
Term
the first impulse recorded on the ECG paper from the atrial contraction is known as the
Definition
P-wave
Term
when the muscles of the ventricles contract, the _______ of waves is produced on the ECG paper
Definition
QRS complex
Term
During the recovery of the ventricles, before another contraction is called the ________. it represents the repolarization of the ventricles.
Definition
T-wave
Term
a routine ECG consists of ____ leads
Definition
12
Term
_________ means to make larger
Definition
augmented
Term
chest leads are also called _________ leads
Definition
precordial
Term
AC or _________ current interference is caused by additional electrical activity
Definition
artifacts
Term
the standardization mark is included in an EKG to provide an _______ reading
Definition
reliable
Term
In the electrical conduction system, the first area of the heart to receive the electrical impulse is the Purkinje fibers
Definition
false. the modified myocardial tissue of the SA node
Term
Shivering from being nervous or cold can cause somatic tremor
Definition
true. muscle voltage artifacts as well
Term
a rhythm strip indicates to the physician the size of a patient's heart
Definition
false. traces impulses of the heart
Term
for better electrode contact, the skin sites should be rubbed vigorously to increased circulation
Definition
Term
stress test ECGs str performed routinely on all patients
Definition
false. on patients with high risk of heart disease
Term
a fetal monitor is walking or 24- hour ECG
Definition
false. Holter monitor
Term
for a single- and multi-channel computerized electrocardiographs, you simply press "auto" to run a 12-lead ECG
Definition
Term
patients should keep a dairy of their activities and symptoms during a 24-hour electrocradiogram
Definition
Term
it is important to check the batteries and proper working order of the Holter monitor before applying the device to a patient
Definition
Term
it is necessary to shave dense chest hair for placement of electrodes
Definition
Term
AstroTraceClips "universal clip"
Definition
metal clips that attach to the electrodes
Term
first part of the cardiac cycle
Definition
atrial depolarization which is the P wave on the ECG paper
Term
what does the ECG measure?
Definition
electrical impulses of the heart muscle
Term
which of the following are the standard or bipolar leads?

a. aVR, aVL, aVF
B. I, II, III
c. V1-V6
d. all of the above
Definition
I, II, III
Term
which of the following carries the electrical impulse across the heart and causes the ventricle to contract?

a. SA node
b. AV node
c. Bundle of His
d. Purkinje fibers
Definition
Purkinje fibers
Term
which part of the ECG complex is formed when the atria contract?
Definition
P
Term
which lead records the right leg?

a. I
b. II
c. II
d. none of the above
Definition
none of the above
Term
there is interference in Lead I on the ECG tracing. which electrodes would you check first?

a. LL and RA
b. LL and LA
c. LA and RA
d. LL and RL
Definition
LA and RA
Term
which of the following denotes the marking code for lead V3?

a. ...
b. ---
c. -...
d. ...-
Definition
c
Term
if the patient is cold, which type of interference may appear in the ECG tracing?
Definition
somatic tremor
Term
which of the following measurements denotes the usual standardization of an ECG machine?

a. 2 mm wide and 10 mm high
b. 4 mm wide and 20 mm high
c. 1 mm wide and 5 mm high
d. 10 mm wide and 2 mm high
Definition
2mm wide and 10 mm high
Term
if the ECG cycles are too close together, the speed should be changed to:

a. 50
Definition
Term
if the tracing is too small, the sensitivity dial can be turned up to 2, marking the impulse
Definition
20 mm high and 2 mm wide
Term
[image]
Definition
Wandering baselines
Term
[image]
Definition
Somatic interference
Term
[image]
Definition
Alternating current
Term
[image]
Definition
interrupted baseline
Term
[image]
Definition
Premature atrial contractions (PAC)
Term
[image]
Definition
Paroxysmal atrial tachycardia (PAT)
Term
[image]
Definition
Atrial fibrillation
Term
[image]
Definition
premature ventricular contractions
Term
[image]
Definition
venttricular tachycardia
Term
[image]
Definition
ventricular fibrillation
Term
[image]
Definition

Deaver Operating Scissors

(straight, sharp-sharp)

Term
What is the use of:
Deaver Operating Scissors
Definition
Cut tissue and suture
Term
[image]
Definition
Deaver Operating Scissors
(straight, sharp-blunt, curved)
Term
[image]
Definition
Sistrunk Operating Scissors
Term
What is the use of Sistrunk Operating Scissors
Definition
Cut tissue and suture
Term
[image]
Definition
Lister Bandage Scissors
Term
[image]
Definition
Knowles Finger Bandage Scissors
Term
[image]
Definition
Judd-Allis Tissue Forceps
Term
[image]
Definition
Scaple Blades
Term
[image]
Definition
Collier Needle Holder
Term
[image]
Definition
Semken Dressing forceps
Term
[image]
Definition
Plain Splinter Forceps
Term
[image]
Definition
Spencer Suture Scissors
Term
[image]
Definition
Tissue Forceps
Term
[image]
Definition
Brown Needle Holder
Term
[image]
Definition
Thumb Forceps
Term
[image]
Definition
Sponge-holding Forceps
Term
[image]
Definition
Littauer Stitch Scissors
Term
[image]
Definition
Knife Handle
Term
[image]
Definition
Backhaus Towel Forceps
Term
[image]
Definition
Cushing Forceps
Term
[image]
Definition
Hemostats
Term
[image]
Definition
Jones Towel Forceps
Term
[image]
Definition
Adson Tissue Forceps
Term
What is the use of Adson Tissue Forceps
Definition
Pick up delicate tissue
Term
What is the use of Lister Bandage scissors
Definition
Cut dressing, tape
Term
What is the use of Knowles Finger Bandage Scissors
Definition
Cut dressing, tape
Term
What is the use of Judd-Allis Tissue Forceps
Definition
Grasp tissue
Term
What is the use of Scaple Blades
Definition
Cut tissue
Term
What is the use of Collier Needle Holder
Definition
Grasp suture needle
Term
What is the use of Semken Dressing Forceps
Definition
Pick up dressing
Term
What is the use of Plain Splinter Forceps
Definition
Remove splinters
Term
What is the use of Spencer suture scissors
Definition
Cut suture
Term
What is the use of Tissue Forceps
Definition
Grasp tissue securely for control during dissection or suturing
Term
What is the use of Brown Needle Holder
Definition
Grasp suture Needle
Term
What is the use of Thumb Forceps
Definition
Pick up dressing, delicate tissue
Term
What is the use of Sponge-holding Forceps
Definition
Pick up and hold dressings
Term
What is the use of Littauer Stitch Scissors
Definition
Cut suture
Term
What is the use of Knife Handle
Definition
Accept blades
Term
What is the use of Backhaus Towel Forceps
Definition
Grasp towels, dressings, hold drape towels in place
(use caution-will puncture skin)
Term
What is the use of Cushing Forceps
Definition
Close skin
Term
What is the use of Hemostats
Definition
Grasp tissue to hold, clamp, or pull out of the way
Term
What is the use of Jones Towel Forceps
Definition
Grasp towels, dressings, hold drape towel on place
(use caution-will puncture skin)
Term
[image]
Definition
Graves vaginal speculum
Term
[image]
Definition
Vienna nasal Speculum
Term
Guidellines that should be followed to protect sterile items?
Definition
an acceptable border between a sterile and nonsterile area is 1".

anything below the waist is considered contaminated.

do not turn your back on a sterile field

sterile objects must not be wet
Term
Hands held down during rising
Definition
medical hands cleansing
Term
Two to five minutes duration
Definition
surgical hand cleansing
Term
[image]
Definition
A. ratchet
B. ring handle
C. Box-lock
D. Guide pins
Term
Dressing
Definition
defined as the sterile material applied directly onto the surface of a wound or surgical site to completely cover the wound. They are usually made of gauze.
Term
Procaine hydrochloride is another name for Xylocaine
Definition
False
Term
Procaine hydrochloride is another name for
Definition
Novocaine
Term
Lidocaine hydrochloride is another name for
Definition
Xylocaine
Term
Most common local anesthetic agents used
Definition
Novocaine and Xylocaine
Term
If a surgical scrub has been performed within the past 48 hours, a 3 minutes surgical scrub is appropriate.
Definition
True
Term
A thorough surgical scrub should be performed for
Definition
6 minutes
Term
Which of the dressing and tissue forceps are used to pick up delicate tissue?
Definition
Adson serrated forceps
Thumb forceps
Term
When preparing a tray setup you must place the drape over the tray without reaching over the tray
Definition
True
Term
After surgery, the patient should be introduced to call the physician if he or she has a temperature higher than 39.2 degree C (102.6 degree F)
Definition
F
Term
After surgery the patient should be introduced to call the physician if he or she has a temperature of
Definition
37.7 degree C (100 degree F)
Term
Which of the following procedures includes applying silver nitrate to an area?
Definition
Chemical destruction
Term
When soaking surgical instruments, the detergent in the soaking solution should be of a neutral pH
Definition
T
Term
Which of the following are sponge-holding forceps?

Forrester sponge forceps
Thumb sponge forceps
Backhaus sponge forceps
Definition
Forrester sponge forceps
Term
which of the following is used to retract tissue?

Spencer retractor
Brown retractor
Volkman fork retracter
Definition
Volkman fork retracter
Term
A mosquito 3 1/2" straight curved petit-point hemostat is used to grasp towels and dressings and to hold drapes in place
Definition
F
Term
A mosquito 3 1/2" straight curved petit-point hemostat is used to grasp tissue to hold, clamp, or pull out of the way.
Definition
T
Term
A Backhaus (clip) 3 1/2" is used to grasp towels and dressings and to hold drape towels in place
Definition
True
Term
When draping a patient's skin for acupuncture, it is important to use soap and water to cleanse the area prior to using antiseptic, if the skin is obviously dirty
Definition
True (but only if the skin is obviously dirty: you should wash the area with soap and water and dry before proceeding)
(if not, simply prepare the skin by usingan antiseptic such as alcohol)
Term
How long does it usually take for a local anesthetic to numb area it was administered to?
Definition
5-15 minutes
(and will keep the area anesthetized for up to 3 hours)
Term
which scissors are used to cut sutures?

Definition
Littauer stitch scissors
(Spencer suture or Littauer stitch scissors are used both to cut sutures)
Term
A biopsy specimen must be preserved in a solution of 10% formain until it is prepared for examination
Definition
True
Term
A Collier Instrument is used to perform what?q
Definition
grasp suture needles
Term
It is possible for the skin to be completely sterile if the procedures are allowed?
Definition
No
Term
Why cannot the skin be completely sterile
Definition
the cells would be destroyed
Term
After putting a sterile glove on your dominant hand, put the glove on your nondominant hand by pulling it on with gloved dominant hand, but keep cuff turned back
Definition
F
Term
Place gloved fingers of your dominant hand under the cuff of the glove going on your nondominant hand. Put glove on by pulling on inside fold of cuff. Avoid touching thumb of dominant hand to outside cuff of other glove when it has been contaminated
Definition
True
Term
A No. 3 knife handle 5" holds which of the following blades ?
20,12, or 23
Definition
12
(holds total of 10,11,12,& 15)
Term
Judd-Allis tissue forceps are used to cut tissue
Definition
False
(grasp tissue
Term
Catgut suture is made from the intestines of sheeps
Definition
T
(it is eventually absorved by the body and does not need to be removed)
Term
It is not important to record the number of sutures in the patient chart if the sutures are superficial
Definition
F
(and the anatomical locations as well)
Term
On a surgical instrument, serrations can be classified as heavy and delicate and some intruments with serrations are even classified as nontraumatic
Definition
F
(surgical instruments with teeth can be classified as heavy or delicate, nontraumatic, or both)
Term
Antiseptic solution should be applied to a surgery site with a gauze square helf by transfer forceps, while gently wipping in a back-and-forth motion
Definition
F
(begin application in the center of the site and move outward in circular motion) This pattern of continuous movement ensures total coverage without contamination from untreated areas
Term
Immediately after each use, instruments should be soaked in a chilled solution containing a detergent and a solvent
Definition
F
(instruments should be soaked in a room-temperature solution containing detergent and a solvent)
Term
What angle is a razor held while shaving a patient for surgery?
Definition
30
Term
Medical aseptic hand washing should last approximately 1 minute before beginning work each day
Definition
T
Term
Liquid nitrogen is used in cryosurgery
Definition
T
Term
If a patient has hemophilia or family history of hemophilia, mark it in red ink on the patient's chart
Definition
T
Term
what type of scissors are used for cuttig tissue
Definition
sistrunk
(used to cut tissue and suture)
Term
A biopsy may be placed on a square gauze to be handled later
Definition
T
Term
hemophillia
Definition
hereditary condition, transmitted through sex-linked chromosomes of female carriers; affects make only, causing inability to clot blood
Term
anethesia
Definition
without sensation, with or without loss of consciousness
Term
anesthesiologist
Definition
one who studies anesthesiology
Term
anesthetic
Definition
an agent that produces insensibility to pain or touch, either generally or locally
Term
anesthetize
Definition
to cause a loss of sensation, loss of consciousness
Term
biopsy
Definition
excission of a small piece of tissue for microscopic examination
Term
cryosurgery
Definition
the use of a substance at subfreezing temperature to destroy or remove tissue
Term
electrocautery
Definition
an apparatus used to cauterize tissue with heat from a current of electricity
Term
cold cautery
Definition
a method used in removing skin tags, warts, and other skin growths and disorders. a process which uses subfreezing temp. to destroy/remove tissue, generally used substances are solid CO2/liquid nitrogen
Term
pre-operative instructions to patient
Definition
approximate time length of procedure, appropriate clothing to wear at appointment, amount of time to fast as instructed by Dr., arrange for someone to accompany her if necessary, anticipated time off work/arrange home care, the surgical care, printed material
Term
post-operative instructions to patient
Definition
make sure that return appointment visits are confirmed and reminder cards are given to patient before they leave office, limit activity for at least 2 weeks, phone patient the next day to follow-up and reassure patient that you and Dr. are genuinely concerned about their progress
Term
autoclaved items remain sterile for _____ days if properly processed
Definition
30
Term
An MA may assist in
Definition
Vasectomies (urologist's office)Arthroscopies, Lacerations/Wound repair, Outpatient procedures (D&C's, biopsies, IUD insertions, Wart, polyp, skin tags, toenail removals.
Term
Patient consent
Definition
gives the Dr. the authorization to perform a procedure on a patient
Term
when should sterile gloves be worn
Definition
whenever a sterile procedure is being performed
Term
when should clean gloves be worn
Definition
whenever there is a possibility of ocming into contact with blood or body fluids
Term
medical aseptic
Definition
2 to 3 minutes when you first get into the facility and then 20 seconds hand washing in between seeing each individual patient
Term
what would be found on basic suture-removal tray?
Definition
Sterile: thumb forceps, suture-removal scissors (or staple extractor), gauze, latex or vinyl gloves, cotton-tipped applicators, butterfly or Steri-Strip closures; antiseptic solution, hydrogen peroxide, basin with warm soapy water, bandages, towels, biohazardous waste bag, bandage scissors, patient's chart, and pen
Term
sutures that are not removed
Definition
will become infected
Term
which direction should the sutures be pulled?
Definition
up and toward the incision with thumb forceps because pulling away from incision may open it
Term
why should the MA tell the patient about the suture/staple procedure before beginning
Definition
because no matter how strong the sensation he/she might feel, he/she must stay calm because tension causes pain
Term
information MA should chart after suture-removal procedure
Definition
a. anatomical location
b. condition of site
c. number of sutures removed
d. type of anesthetic applied/support closures applied
e. type of bandage applied and your signature and title
Term
4 groups of instruments categories
Definition
sharps
graspers
clamps
retractors
Term
which glove should be put on first
Definition
dominant hand
Term
where are gloves placed after procedure is done
Definition
in bioharzardous waste bag
Term
what kind of handwashing is done before putting on sterile gloves
Definition
a surgical scrub using a nail brush. for at least 5 to 6 minutes
Term
what kind of handwashing is done after removing sterile gloves
Definition
medical aseptic hand wash
Term
general rules to follow when cleaning and caring for instruments
Definition
blood, tissue, or body fluids must not dry on an instrument

instruments should be soaked in a room-temp. solution containing detergent and a solvent immediately after ea. use

detergent in the soaking solution should be of a neutral pH

separate delicate instruments from others

the soaking solution should contain a special protein that breaks down blood and body fluids on the surface of the instrument

inst. should be placed in a plastic container for soaking to prevent damage to their points and cutting edges

separate sharp inst. from others when cleaning and storing

all surfaces and crevices must be scrubed with a brush to remove any foreign material

careful visual inspection to check nicks, dullness, or warping

damaged inst. should not be used and should be either repaired or replaced
Term
suggested clothing for a anatomical area of surgery
Definition
Loose-fitting, easy to put on and take off, and not Sunday best clothes.