Surgical Tech Certification

The part that makes contact with tissue and is the working portions

This is where the instrument is hinged

Length of the instrument from the joint to the finger rings; the longer the shank, the deeper the penetration into a cavity

How an instrument may be locked in place; a sideways motion with your fingers in the finger rings may release the groove interlock when the instrument is closed

Located directly opposite the jaw; controls the opening and closing motion of the jaw

• Radiology
• Pathology
• Endoscopy
• Thermography
• Ultrasonography
• Magnetic Resonance imaging

Branch of medicine that uses x-rays, radioactive substances and ionizing radiation for diagnosis and treatment

Branch of biological science that studies the nature and cause of disease through changes in the structure and function of organ systems and all thier components

Visual examination of the interior of a body cavity or organ utilizing a lighted scope

Detecting and measuring variations of heat emitted by different regions of the body and transforming them into visible signals that can be recorded photographically

Use of sound vibrations to study alterations of anatomical structures

Use of electromagnetic energy and radiofrequencies for identifying abnormalities in anatomical structures

Visualization of intra-articular surfaces, generally the knee

Visualization of the broncial area, its branches, and the mucosa of the trachea

Visualization of the common bile duct

Visualization of the entire large intestine

Visualization of pelvic structures

Visualization of the urinary bladder

Visualization of the esphagus, stomach and duodenum

Visualization of esphagus and cardia of the stomach

Visualization of the stomach

Visualization of lymph nodes or tumors in the superior mediastinum

Visualization of renal pelvis, calyces and upper ureter

Visualization of the rectum

Visualization of the sigmoid colon

• Portable x-ray machine
• C-arm machine
• Lead aprons/shields
• OR tables
• Cysto tables
• Image intensifiers (c-arm)
• Floroscope

Machine which can be moved from room to room, creates diagnostic images either on film or digital images on monitors

A portable fluoroscopic machine that displays live images on a monitor

Protective devices to shield personnel from radiation during radiographic or fluoroscopic procedures

Operating room tables may have a tray or slot to place films for x-ray film exposures

Special tables with radiographic and fluoroscopic capability that are used for urological procedures

Amplifies the fluoroscopic optical image projected onto a television screen

Similar to x-ray generator except that it has an additional screen composed of fluorescent crystals; fluorescent light produces an optical image that is projected ona screen or retained in film

• Uses an x-ray beam in conjunction with computer graphics technology
• Produces a sequential series of positive images of transverse (cross) sections of organs and anatomical structures

• Uses high-frequency sound waves to produce an image or photograph of an organ or tissue
• Ultrasonic echos are recorded as they strike tissues of different densities and elasticities

• Uses electromagnetic energy and radiowaves to form image
• Does not use radiation

• Biopsy
• Culture and Sensitivity
• Frozen Section

• Removal of living tissue, cell or body fluid samples
• Samples are examined under a microsocpe by a pathologist

• Growing living material under sterile conditions in prepared nutrient media
• Material to be cultured is commonly obtained from abscesses, wounds or surgically removed tissue

• Cutting a thin piece of frozen tissue specimen for examination under a microscopes
• Performed on tissue when a rapid diagnosis is needed, usually while the patient is still anesthetized

• Stones
• Teeth
• Limbs
• Tissue scheduled for cultures or frozen section

• Remove all drapes and instruments from the limb
• Wrap the amputated limb adequately with a proper drape and place it in a plastic bag
• Attach label and specimen card for delivery to the laboratory
• Never leave an amputated limb lying on a specimen cart

• Provide hemostasis
• Provide strength to the wound
• Provide tissue approximation
• Hold tissues together
• Tie off tissue to be removed

Allows tissue fluids to move along the strand

A needle at both ends of a suture to allow for circumferential suturing

Ability to be stretched or expanded

No thread attached

Distance throug the center of the suture in millimeters

Straight needle for subcutaneious closure

Force necessary to cause a knot to slip

Ability to return to former condition

Strand consisting of a single thread

Strand made of more than one thread held together by twisting or braiding

Ability to bend freely and repeatedly without breaking

Suture can be pulled off the needle without using scissors

One needle and one strand of suture

Amount of tension or pull, expressed in pounds, that a strand of suture will withstand before it breaks

Ease at which suture slips through tissue

A suture that is absored by living mamailan tissue; the strand will not act like a foreign body in the wound but will be incorporated into the body

A suture that effectively resists enzymatic digestion in living tissue, and, therefore, must be manually removed

A suture made of materials that are provided by or that exist in nature

A suture produced artificially from pertroleum-based materials

• Condition of the tissue
• Condition of the wound
• Nature of the disease
• Probably postop course for the patient

Suturing friable tissue such as the liver, kidneys, and spleen

Approximation of tissue because they are easily placed

Tissues that are difficult to penetrate such as skin and tendons

ophthalmic tissue, blood vessels, and the intestines

Gynecological procedures and muscles

General closure and gynecological and muscle procedures

The tissue being sutured and the depth at which the surgeon is working

Tough, heavy tissues

Skin and superficial wounds

Soft, delicate tissues such as the intestine and peritoneum

• Inner
• Intermediate
• Outer

Layer is against the wound, provides a barrier against pathogens, acts as a passageway for the wound's secretions through wicking

• nonocclusive
• occlusive
• semiocclusive

Nonadherent material that draws secretions from the wound but remains air permeable

Hydroactive material that provides a mechanical surface with permeability

An airtight seal that prevents drying of the wound; impermeable to air and water but allows passage of secretions

An absorbent layer that holds the secretions passing from the inner layerDescrib

Holds the inner and intermediate layers in proper positions

• Absorbs a moderate to large amount of drainage
• Holds a bulky dressing in place
• May be used when frequent inspections of a wound are required
• Provides easy access to the wound

• Applies pressure and stabilizes tissue
• May be used when it is impossible to pressure dress an area such as the face or neck
• Provides a form-fitting mold that may be taped over the area or tied with long suture ends

• Absorbs excessive drainage
• Distributes pressure evenly
• Eliminates dead space and prevents edema and hematoma
• Encourages wound healing and minimizes scarring by influencing wound tension
• May be used following extensive operations
• Provides comfort to the patient postop
• Supports and immobilizes soft tissues

• Adherent, occlusive, polyurethane transparent film
• Allows the patient to shower or bathe with dressing in place
• May be used on a clean incision that is primarily closed with sutures, staples or steri-strips
• Provides easy visualization of the surgical wound
• Usually removed in 24 to 48 hours after the surgical procedure

Flow of electrical charge or rate of flow of electrons

Too many or too few electrons

Movement of an electrical charge

Negatively charged particles

Material that stop the flow of electrons

Any matter that occupies space

Neutral particles

Center of an atom

A mathematical explanation of the relationship between voltage, current, and resistance

Rate at which work is done, measured in watts

Particles contained within the nucleus that are positively charged

Electrical potential

How fast something is moving without concentration or direction

How fast something is moving and what direction it takes

Change in velocity over a period of time

Mothion of something projected at an angle

• 1 - An object will remain still unless an outside force affects it
• 2 - An object's acceleration is the same direction as its force
• 3 - For every action there is an equal and opposite reaction

Best described as the recoil of an object

The force that causes an object to change location

Produces changes in matter

Energy stored by an object

Energy in motion

The rate at which work is done

• Active electrode (bovie tip)
• Generator
• Grounding pad
• Patient

• Monopoloar (bovie)
• Bipolar

From the gernator to the pencil through the body to the grounding pad and back to the generator

Current flows from the generator to one of the prongs, to the other prong and back to the generator