Veterinary Anesthesia Quizzes III – Flashcards
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The veterinary technician is looking at the list of surgeries to be performed tomorrow. They include: 1. Repair of a severed Achilles tendon in a 2-year-old male Pit Bull dog 2. Debridement of an old wound in an 8-year-old Domestic Longhaired cat 3. Hip replacement on an 11-year-old male Bullmastiff dog 4. Repair of an impacted anal sac of a 3-year-old female Manx cat 5. Repair of a femoral fracture in a 5-year-old Airedale terrier dog In what order should the surgeries be performed?
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3, 1, 5, 2, 4
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Which of the following is the largest suture size? No. 4, 4-0, No. 3, 11-0, 9-0
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No. 4
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Which of the following multifilament suture materials cannot be absorbed by the body and thus must be manually removed after healing?
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Polyester
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Which of the following needle points is most likely to penetrate tissue without leaving small cuts and thus is most appropriate to use for cutting tough fibrous tissue?
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Taperpoint
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Which of the following needles are used most likely to be used in bovine surgical closures?
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Doublecurved
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The veterinary technician is looking over the surgery schedule for tomorrow and sees three ophthalmic surgeries are scheduled. The technician knows that one instrument will not be needed tomorrow. Which of the following instruments is most appropriate to leave out of the surgery room?
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Intermedullary pins
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A 3-year-old male Quarterhorse is undergoing a bone graft. Which of the following instruments is most appropriate to use to break up pieces of bone in this horse?
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Bone rongeur
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During ultrasonography of a 12-year-old male Giant Schnauzer's thoracic region, a large mass is detected on tissue, and the surgeon orders cytology of a sample of the mass. To gather the sample to send to the laboratory, which of the following is most appropriate to use?
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Punch biopsy instrument
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A 6-month-old female Labrador retriever is undergoing ovariohysterectomy. The surgeon is about to exteriorize the uterine horns. Which of the following instruments is most appropriate to use?
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Snook spay hook
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A 3-year-old male Domestic Shorthaired cat is undergoing surgery. The surgeon wants to use a penetrating but lightweight towel clamp. Which of the following is most appropriate to use?
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Jones
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A 4-year-old male Great Dane dog is undergoing abdominal surgery. The surgeon wants to deflect tissue and other structures away from the surgical site for complete visualization. Which of the following instruments is most appropriate to use?
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Balfour retractor
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A 9-year-old female American Shorthaired cat is undergoing delicate vascular surgery. Which of the following forceps are most appropriate to use?
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DeBakey thoracic thumb tissue forceps
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Which of the following surgical instruments is most appropriate to hand the surgeon when she wants to grasp and retract a patient's tissue on a short-term basis?
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Thumb tissue forceps
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Which of the following scalpel blades is most likely to fit onto a no. 3 scalpel handle?
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17
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A 3-year-old female Boxer is undergoing surgery to repair a hindlimb cut she sustained when running through thick underbrush. The surgeon wants to use one instrument to hold a suture and then cut it. Which of the following is the most appropriate needle holder to use?
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Olsen-Hegar needle drivers
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The veterinary surgeon needs to clamp a small vessel in a Cairn terrier dog. Which of the following forceps is most appropriate to use?
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Halstead mosquito hemostatic forceps
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The veterinary surgeon needs to clamp a large mass on the flank of a Thoroughbred horse. Which of the following forceps is most appropriate to use?
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Rochester-Carmalt hemostatic forceps
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During surgery on a 3-month-old puppy, the veterinarian needs to cut a ligament. Which of the following surgical scissors is most appropriate to hand him?
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Metzenbaum dissecting scissors
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During surgery on a cat, the veterinarian needs to cut a sponge to fit a particular wound size. Which of the following surgical scissors is most appropriate to hand her?
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Operating scissors
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Which of the following parts of a ring-handled surgical instrument is most likely to lock the instrument closed during a surgical procedure?
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Ratchet
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A 7-year-old male Siamese cat is to undergo surgery for repair of a forelimb fracture sustained when he was hit by a bicycle. The veterinarian expects to drill into the animal's bone. Which of the following is most appropriate for the veterinary technician to use to keep the bone fragments out of the surgical site?
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Suction machine
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Use of which of the following is most likely to reduce the chance of hypothermia in a cat during surgery?
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Hard heated pad
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A veterinary technician is looking at the surgery schedule for tomorrow. For which of the following dogs is it most appropriate to plan on using a non-breathing circuit on the anesthesia machine?
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A 5-kg spayed Pekingese
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Which of the following valves is most likely to allow room air to enter an anesthesia machine?
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Negative-pressure relief valve
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Which of the following components of an anesthesia machine is most likely to enable quick infusion of O2 into the breathing circuit?
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Fast-flush valve
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In addition to delivering inhalation to a surgical patient, which of the following is the other purpose of an anesthesia machine?
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Remove respiratory waste products
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Which of the following is an example of a movable piece of equipment in a surgery room?
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Suction unit
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Which of the following is an example of a nonmovable piece of equipment in a surgery room?
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Radiographic view box
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A veterinarian is setting up a new clinic in another part of town and has asked for her veterinary technician's assistance. It is most appropriate to tell the veterinarian to put the autoclave in which of the following rooms?
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Scrub
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It is appropriate to do which of the following to the surgery room floor at the end of the day?
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Wet vacuum
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A new veterinary technician is taking packs out of the autoclave. How does she know the conditions for sterilization have been met?
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The chemical indicator tape has changed color
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During surgery, a veterinary technician drops a forceps. The surgeon says she needs them cleaned. Which of the following types of sterilization is most appropriate in this case?
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Flash
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An autoclave uses which of the following to do its job?
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Pressurized steam
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Which of the following processes is most likely to rid an object of all living microbes?
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Sterilization
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After a surgical pack is complete, which of the following is the most appropriate next step?
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Mark with an expiration date
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It is most appropriate to seal a surgical instrument pack with which of the following types of tape?
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Steam indicator
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Which of the following is not an ideal characteristic of wrapping material for a surgical pack?
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Memory
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After decontamination of surgical instruments, which of the following is the most appropriate next step?
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Ultrasonic cleaning
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Avoiding buildup of which of the following best explains why the technician should pay special attention to surgical instruments' box locks, joints, and serrations during the decontamination process?
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Biologic debris
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A new veterinary technician is instructed to decontaminate the surgical instruments. Which of the following is the most appropriate first step for the technician to take?
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Prepare a basin with warm water and an approved detergent.
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To prevent blood and other surgical debris from drying on the instruments, it is most appropriate for the veterinary technician to take which of the following steps?
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Presoaking
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Cleaning and sterilization are two of the three cornerstones to providing instruments in the surgery room. Which of the following is the third cornerstone?
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Decontamination
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Which of the following is considered a high-level disinfectant but not a sterilizing agent and is most appropriate for cleaning endoscopes?
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Glutaraldehyde
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It is most appropriate for the veterinary technician to clean and rinse an area with soft water before applying which of the following disinfectants to that area?
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Quaternary amine based
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A disinfectant is most likely to be rendered ineffective by which of the following?
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Off-label dilution
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Which of the following is most likely to deactivate the effects of a chlorine-based disinfectant?
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Fecal matter
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Which of the following is not an ideal characteristic of a disinfectant product?
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Single spectrum
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A new veterinary technician is instructed by her supervisor to properly clean the movable equipment in the surgery room. Which of the following is the most appropriate cleaning solution and methodology for the technician to use?
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Disinfectant
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A new veterinary technician is instructed by his supervisor to engage in terminal cleaning today. Which of the following should the technician be prepared to do?
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Stay to the end of the surgery day to clean the surgery and preparation rooms and all equipment
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The Association of Perioperative Room Nurses (AORN) recommends cleaning the perimeter of visibly soiled areas in the surgical field by a minimum of which of the following?
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3 to 4 feet
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A client brings in her cat for ovariohysterectomy. The veterinary technician explains the procedure to the client along with the risks, documents that the cat was fasted, tells the client an estimate of the final bill, and confirms that the client's contact information is still the same as that on record. The client then leaves the clinic. The cat dies during the procedure, and the client files a legal claim against the veterinary clinic. On what grounds is the client most likely filing this claim?
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The client was not asked to sign a consent form
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During routine physical examination of a dog, the veterinary technician denotes the animal's general body condition and determines the heart rate and respiratory rate. Which of the following also is most appropriate to measure?
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Temperature
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A veterinary technician needs to record in the medical record the heart rate of a cat. To determine that information, the technician should count how many distinctive "lub-dub" heart sounds are heard in how many seconds and then multiply that by which number? Heart Sounds per ____ Seconds; Multiplied By _____
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15, 4
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A veterinary technician is performing thoracic auscultation on a 10-year-old mixed-breed dog. At which of the following anatomical locations is it most appropriate to place the stethoscope?
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Caudal to where the dog's left elbow meets the chest
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Which of the following is the most appropriate anatomical order for performing a physical examination?
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Head to tail
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A 12-year-old male Domestic Shorthaired cat is brought for evaluation because of a 2-month history of increased thirst and urination. The client says he is seeking a second opinion because he was dissatisfied with his previous veterinarian's treatment of the cat's condition. Which of the following is the most appropriate next question to ask the client?
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What treatment the cat was given
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A dog is brought for wellness examination. Which of the following is an example of a leading question that should not be asked of the owner?
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Are you taking the dog for walks twice daily?
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After denoting the signalment, which of the following information is most appropriate to ask the client?
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Reason for the visit
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Which of the following is not appropriate to include in a patient's signalment?
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Medications
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An 11-year-old female Doberman Pinscher dog is evaluated because of bradycardia and excessive panting after being given a presurgical dose of morphine. Which of the following additional adverse effects is most likely in this patient?
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Emesis
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Which of the following drugs is not used to deliver preemptive analgesia?
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Analeptics
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The veterinary surgical team can target several points along a patient's pain pathway by using which of the following processes?
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Multimodal analgesia
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A 7-year-old Domestic Shorthaired cat is brought for evaluation of a wound on the left flank after the animal got into a fight with a stray cat in the neighborhood. Palpation of the wound elicits pain, as indicated by loud vocalization and withdrawal from the technician. This cat is in which phase of nociception?
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Perception
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An 8-year-old male Dalmatian dog is scheduled to undergo surgery. He is given preoperative medications, including analgesics and sedatives. The client asks why the clinic is giving the medications before surgery. The veterinary technician replies that the drugs keep the dog relaxed before surgery, and they offer an easier transition out of anesthesia. Which of the following additional explanations is most appropriate for the technician to give?
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It provides pain management before tissue damage occurs.
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Which of the following best describes why it is important to check a patient's BUN concentration?
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To evaluate the kidney's ability to remove urea from the blood.
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The total proteins of a 12-year-old female Basset Hound dog are decreased. Which of the following is the most likely clinical finding in this dog?
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Edema
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Whole blood from a healthy cat is placed in a microhematocrit tube, sealed with clay, and spun in a centrifuge. Which of the following best describes the clear, colorless material that is left in the tube after the spinning?
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Plasma
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The buffy coat contains which of the following elements?
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White blood cells and platelets
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Which of the following is not considered to be part of a minimum database for a young and healthy surgical candidate?
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Fibrinogen
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In addition to administration of oxygen and inhalation anesthetics, endotracheal intubation is used to do which of the following during surgery?
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Assist with resuscitative needs
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A 10-year-old, severely dehydrated German Shepherd dog is about to undergo long-term fluid therapy after she was lost for 8 days. Which of the following tools is most appropriate to use to administer the fluids?
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Jugular catheter
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The veterinary technician notices that the catheter in a 4-year-old male Spotted Saddle horse seems clogged, and medications are not being administered as ordered. Which of the following is the most appropriate action for the technician to take?
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Leave the catheter in place and flush with heparinized saline.
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A veterinarian orders that continuous infusion of IV fluids be administered to a 2-year-old mixed-breed dog. It is most appropriate for the veterinary technician to connect the administration set to which of the following?
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T-port
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Which of the following catheters is most appropriate to use when vascular access is required for medication that needs to be administered slowly once?
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Butterfly
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A 2-year-old female Lhasa Apso dog is about to undergo a procedure that is expected to produce significant and sustained bradycardia. Which of the following premedications is most appropriate for this dog?
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Anticholinergic
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A 4-year-old male Italian Greyhound dog is about to undergo surgery for the second time in 1 month and is in obvious distress and agitation. Which of the following are the most appropriate medications to give this dog before surgery?
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Sedative and analgesic
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Which of the following are the two alpha2-adrenergic agonists approved for use in dogs in the United States?
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Medetomidine and xylazine
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The veterinarian has prescribed a nonsteroidal anti-inflammatory drug (NSAID) to be administered to a 3-year-old Manx cat before surgery to repair a torn tendon. How long before surgery begins is it most appropriate to administer the NSAID?
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1 to 2 hours
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Which of the following anatomical structures is located lateral to the edges of the glottis?
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Vocal folds
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Which of the following techniques is most appropriate to use to confirm proper placement of an endotracheal tube?
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All of the answers are correct. (Air movement, blowing of gauze/hair, fogging in the tube, patient cough)
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A 4-year-old female Golden Retriever dog is being prepared for surgery to treat hip dysplasia. The veterinary technician cleans the animal and double checks the animal's ID badge, cage card, and medical record. The technician triple checks with the surgeon the patient's correct identity and exact procedure to be done. The dog's radiographs are brought into the surgery room and hung on the view boxes. Which of the following preparations did the technician skip?
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Start the anesthesia form
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When is the best time to clip a patient?
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Immediately after the patient has been stabilized under anesthesia.
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When preparing a surgical site on a female Beagle dog, which of the following is the most appropriate first step after clipping?
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Expression of the patient's bladder
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For which of the following patterns of scrubbing is it most appropriate to place a purse-string suture in the anus before the preparation is begun?
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Perineal
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A 6-month-old male Shorthaired cat is to undergo neutering. In which of the following positions is it most appropriate to place the animal on the surgical table?
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Dorsal recumbency with the hindlimbs pulled toward the head
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Which of the following is the most appropriate final sterile surgical site preparation for a veterinary technician to undertake?
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Apply surgical paint.
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A veterinary technician wants to eat a meal of substance before heading into the surgery room for a long morning of work. Which of the following is the most appropriate breakfast for him to eat?
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Whole wheat toast with peanut butter
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A new veterinary technician is preparing to start her job tomorrow. Which of the following are the most appropriate nail care practices she should begin tonight?
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Clip nails shorter than fingertips and remove all polish.
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A 4-year-old Bichon Frise dog that underwent surgery yesterday is showing signs of acute infection this morning. The veterinarian determines it was endogenous contamination during surgery. Which of the following is the most likely cause of this dog's signs?
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Underlying asymptomatic infection
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A veterinary technician is about to step out of the surgery room for a minute. Which of the following is the most appropriate action he should take before leaving the room?
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Put a clean laboratory coat over his scrubs.
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Proper scrub attire is meant to reduce the chance that microbes will be released into the surgery area. These microbes are most likely present where on the human body?
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Sebaceous and sweat glands around hair follicles
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A surgical mask should cover which of the following areas of the face?
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The nose and the mouth
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Toward the end of surgery on a 2-year-old cat, the technician's right glove is inadvertently contaminated. The technician steps away from the sterile field, and the circulating nurse properly takes off the technician's glove. So the technician can finish the surgery, which of the following regloving methods is most appropriate to use?
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Assisted
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During a surgical procedure, a veterinary technician feels she is about to sneeze. Which of the following is the most appropriate action for her to take?
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Don't turn her head; step back away from the sterile field.
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Which of the following is the minimum amount of time that presurgical mechanical scrubbing should take to be done correctly?
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5 minutes
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A veterinary technician is setting up protocols for a new clinic's scrub and surgery rooms. Which of the following notices should be posted elsewhere in the clinic?
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Fair employment notice
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When selecting an antimicrobial detergent, the veterinary technician should look for one that offers broad-spectrum activity, is non-irritating, offers persistent effects and cumulative activity, and is fast-acting and effective. Which of the following is the fifth most appropriate characteristic the technician should look for?
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FDA compliant
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Which of the following antimicrobial skin-cleansing agents does not have residual activity?
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Alcohol
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Which of the following antimicrobial skin-cleansing agents has residual effect that can last longer than 6 days?
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Chlorhexidine gluconate
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Which of the following is the first step the veterinary technician should take immediately before beginning the surgical scrub process?
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Wash the hands and forearms with an atimicrobial agent.
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Immediately after completing the hand scrub, which of the following is the most appropriate next step for the veterinary technician to take?
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Dry the hands with a sterile towel.
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A 5-year-old Toy Fox terrier is about to undergo catheterization for IV treatment. Which of the following gloving methods is most appropriate for the veterinary technician to use?
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Open
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During surgery on a 5-year-old Domestic Longhaired cat, a veterinary technician notices that liquids from an unclipped and nonsterile area on the animal's body have seeped through the sterile drape and onto a sterile portion of the cat. It is most appropriate for the technician to tell the surgical team that which of the following has occurred?
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Strike-through
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During surgery on a 2-year-old Domestic Shorthaired cat, a veterinary technician sees the unscrubbed assistant inadvertently handle the sterile surgical gown when giving it to a scrubbed anesthetist. The technician alerts the veterinarian to the possible contamination. The technician has demonstrated which of the following?
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Surgical conscience
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During surgery, which of the following precautions should an unscrubbed assistant take?
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All of the answers are correct (Don't step between the patient and the equipment table; When opening a pack, never touch the materials inside; Don't step in between two scrubbed personnel in the sterile field; Always face the surgical field.)
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During surgery on a 6-year-old Border Collie dog, the circulating nurse is asked to open a pack and check it for sterility. The nurse inspects the package outside of the sterile field and sees no holes or tears in the package. Following proper surgery room protocol, the nurse opens the package and gives the contents to the veterinarian, who admonishes the nurse for possibly contaminating the sterile field. Which of the following should the circulating nurse have done differently?
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Checked the sterile indicators on the package
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Which of the following parts of surgical apparel should not be considered sterile?
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Cuff portion of the gown
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The veterinary team wants to make the clinic's surgery room aseptic. Absence of which of the following would help ensure asepsis in the room?
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All pathogenic microorganisms that cause infection
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Which of the following drugs commonly given during surgery is most likely to cause prolonged capillary refill time (CRT)?
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Alpha2-adrenergic agonists
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The capillary refill time (CRT) of an anesthetized 11-year-old Ragdoll cat is 4 seconds. Besides reduced arterial blood pressure, which of the following is the most likely additional cause of the prolonged CRT?
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Peripheral vasoconstriction
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During surgery on a 4-year-old Holstein cow, the technician notices that the animal's mucous membranes have taken on a bluish color. Which of the following is the most appropriate next step for the technician to take?
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Check for obstruction of the endotracheal tube.
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During surgery on a 12-year-old Clydesdale horse, the technician determines that inadequate tissue perfusion is occurring. Which of the following organs in this horse is most at risk of damage from this condition?
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Kidneys
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A 5-year-old pet pig is undergoing surgery. A few minutes into the procedure, the technician notices pulse deficits. Which of the following is the most likely result of this condition if it is not treated quickly?
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Shock
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Which of the following are the acceptable lower and upper limits on heart beats per minute for an anesthetized Dachshund dog?
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70 to 200
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A 10-year-old female Wire Fox Terrier dog has been anesthetized. She is panting, and her respiratory rate is 25 breaths/min. She responds to the surgeon's touch by struggling, but she appears disoriented. Her eye position is central. Her pupils are normal and respond to light. Her muscle tone and reflexes appear normal. Which of the following stages of anesthesia is this dog most likely to be in?
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Stage I
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An 8-month-old male Devon Rex cat has been anesthetized. His respiratory rate is 10 beats/min, and respirations are shallow. Heart rate is 70 beats/min. He shows no response to surgery. His eye position is central. His pupils are moderately dilated and respond only sluggishly to light. Muscle tone is markedly reduced, and all reflexes are absent. Which of the following stages of anesthesia is this cat most likely to be in?
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Stage III, plane 3
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A 7-year-old female Golden Retriever dog has been administered anesthesia. Her respirations are jerky, and her eye position is central. Her pupils are widely dilated and unresponsive to light. Her heart rate is 55 beats/min. Mucous membranes are pale. Muscle tone is flaccid, and she demonstrates no reflex activity. Which of the following stages of anesthesia is this dog most likely to be in?
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Stage III, plane 4
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Several patient parameters should be monitored during surgery, including respiratory rate and rhythm, color of mucous membranes, temperature, muscle tone and reflexes, heart rate and rhythm, and eye position. Which of the following also is most appropriate to monitor?
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Capillary refill time
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During surgery on a 3-year-old Poodle, the veterinary technician anesthetist is monitoring the patient under anesthesia. How frequently is it most appropriate for the anesthetist to check the patient, and where should the results be recorded?
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Every 5 minutes on the anesthesia form
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Which of the following best explains why administration of anesthetic drugs can lead to hypothermia?
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The shivering response is diminished.
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During surgery on a cat, the technician manually ventilates the patient and immediately smells a pungent gas odor. This most likely is a sign of which of the following?
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The cuff seal on the ET tube is incomplete.
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It is most appropriate to manually ventilate a patient how frequently during the anesthetic period?
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Every 5 to 10 minutes
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During surgery on a 12-year-old Domestic Shorthaired cat, the technician notices agonal breathing in the animal. This is most likely a sign that which of the following has occurred?
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Cardiac arrest
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As anesthetic depth increases, which of the following best describes what happens to the respiratory rate?
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Decreases
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During surgery on a 7-year-old Australian Cattle Dog, the technician, using a stethoscope, notices that the breath sounds are increasing in intensity, and wheezing is heard. Which of the following is the most likely explanation of these findings?
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Fluid in the lungs or pulmonary airway narrowing
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The respiratory rate of an anesthetized 3-year-old cat is 5 breaths/min. This is most likely a sign which of the following?
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Excessive anesthetic depth
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The technician determines that the blood vessels of a mixed-breed dog under anesthesia are expanding, and blood is pooling. Venous return to the cardiac system is decreased, thus reducing the animal's blood pressure. Which of the following is the most likely cause of the dog's hypotension?
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Excessive vasodilation
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During surgery on a 9-month-old male Beagle dog, the technician notices pale mucous membranes in the animal. Poor tissue perfusion and shock are ruled out. The veterinarian asks the circulating nurse to check the patient's medical record to see if which of the following was done before surgery?
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Complete blood count
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The veterinarian should be notified immediately if the mean arterial pressure (MAP) of an anesthetized animal reaches which of the following thresholds?
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60 mm Hg
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Direct blood pressure monitoring is best performed by placing a catheter into which of the following on the patient?
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Artery
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During surgery, an anesthetized 4-year-old mixed-breed dog has an expired CO2 level of 55 mm Hg. The capnometer is checked and is in good working order. Which of the following is most likely to correct the hypercarbia?
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Increase ventilation
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During surgery, an anesthetized 4-year-old mixed-breed dog has an expired CO2 level of 25 mm Hg. The capnometer is checked and is in good working order. Which of the following is most likely to correct the hypocarbia?
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Decrease ventilation and administer an analgesic
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The plateau on the display wave of a capnography tracing is most likely to indicate which of the following in an anesthetized patient?
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End-tidal CO2 levels
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Which of the following machines is most helpful when the technician wants to evaluate an anesthetized patient's respiratory rate and the quality of its respirations?
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Capnometer
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Which of the following is the normal range of systolic blood pressure in an anesthetized dog or cat?
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90 to 160 mm Hg
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Which of the following is the normal range of arterial oxygen saturation in an anesthetized dog or cat?
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95% to 99%
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During surgery, a technician is using a pulse oximeter to monitor a patient. In addition to monitoring the pulse rate, which of the following additional tasks does the machine do?
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Measures percentage of available hemoglobin saturated with oxygen
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Which of the following drugs is most likely to interfere with the pupillary light response, rendering the reflex an unreliable gauge of anesthesia?
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Anticholinergics
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During surgery on a 4-year-old Domestic Shorthaired cat, the animal's eyes rotate ventrally. This is most likely to signify the animal is in which stage of anesthesia?
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Surgical
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Flaccid jaw muscle tone in an anesthetized animal is most likely to signify which of the following?
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Heavily anesthetized
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A pig with an infectious disease is being euthanized at the farm. Testing which of the following reflexes is most appropriate to determine death?
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Corneal
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After intubating an 11-year-old Cocker Spaniel dog, the technician wants to determine if the animal is in the surgical plane of anesthesia. Testing which of the following reflexes is most appropriate?
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Palpebral
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An 11-year-old Cocker Spaniel dog has been prepared for surgery. The technician is about to intubate the dog. Testing which of the following two reflexes is most appropriate before attempting intubation of this dog?
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Pedal and laryngeal
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When handing thumb tissue forceps to a surgeon, which of the following is the most appropriate placement of the instrument?
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The tips should be pointing toward the floor.
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When handing a ring-handled instrument to a surgeon, which of the following is the most appropriate placement of the instrument?
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The ring handles should be pointing toward the floor.
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The surgeon is ready to start suturing a patient. The circulating nurse takes the exposed suture from the cassette and pulls it straight up, exposing about 6 inches of suture and being careful not to let the suture touch the inside of the cassette. The sterile assistant grasps the suture below the level that was initially exposed, and using a sterile operating scissors, cuts the suture close to the hand, between her hand and the circulating nurse's hand. The technician then hands the suture material to the surgeon. Which of the following should be done differently the next time?
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After the exposed suture is cut away, the technician should have pulled up as much fresh suture as needed and cut it close to the cassette.
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When threading an eyed needle, the technician should place the needle holder how far into the needle's curve?
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Two-thirds
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During surgery, a veterinarian asks for a scalpel. The assistant places the scalpel handle with the blade facing away from the hand and the point facing the technician. The assistant's thumb and index finger are holding the handle with the hand in a supinated position. The assistant maintains the supinated position and passes the instrument to the surgeon, maintaining a forward position to ensure the surgeon has received it firmly. Which of the following is it most appropriate for the assistant to do differently next time?
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Pronate the hand when passing the instrument to the surgeon.
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Which of the following is most appropriate to use to place a blade into a scalpel handle?
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Needle holder
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Which of the following tasks is not normally the responsibility of the surgical assistant?
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Administering anesthesia to the patient
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The surgical staff member taking a sterile pack from a circulating nurse during surgery should be most concerned with which of the following?
answer
Not touching the non-sterile parts of the packaging.
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The circulating nurse opens a sterile pack during surgery. To which of the following personnel is it most appropriate to give the pack?
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Surgical assistant
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The owner of a 3-year-old dog that underwent surgery this morning is looking at the animal's sutures. The sutures the surgeon used are nonabsorbable. It is most appropriate to tell the client to bring the dog back for suture removal in how many days?
answer
10 to 14
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Which of the following suture patterns is a surgeon most likely to use to close the skin of a dog in whom a Penrose drain has been placed?
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Simple interrupted
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A 3-year-old dairy cow is undergoing surgery. Which of the following is the most likely suture pattern the surgeon will use on this animal?
answer
Ford interlocking
question
Which of the following is not generally the responsibility of the surgical assistant regarding patient suturing?
answer
Determining the suture pattern
question
Which of the following is the most appropriate order for placing surgical drapes on a cat? 1 Caudal drape placed 2 Lateral drape placed opposite the side of the patient closest to the original position of the person draping 3 Lateral drape placed on the side of patient closest to the person draping 4 Cranial drape placed and towel clamps placed 5 Top drape placed
answer
3 (lateral, near), 2 (lateral, far), 4 (cranial), 1 (caudal), 5 (top)
question
The surgeon is about to finish surgery on a mixed-breed dog. The surgical assistant counts 18 discarded sponges in the sterile field. Which of the following is the most appropriate next step for the surgical team to take?
answer
Add 18 to the number of discarded sponges counted by the circulating nurse.
question
Which of the following sponges are best used for surgery?
answer
String woven radiopaque
question
During routine surgery on a 10-year-old cat, the assistant uses a sponge to wipe away blood from a hemorrhaging site, but the patient continues to bleed excessively. Which of the following is the most appropriate next step for the veterinary assistant to take?
answer
Firmly blot the site
question
Which of the following are most appropriate to use as lavage fluid during surgery?
answer
Lactated ringer's solution or normal saline
question
During surgery, how is it most appropriate to use a moist lap pad?
answer
Between a self-retaining retractor's blades and the patient's tissue