Which of the following procedures should a medical assistant identify as a surgical reconstruction?
A Thoracentesis
Rhinoplasty
Appendectomy
Colotomy
The Correct Answer is B
A. Thoracentesis: Thoracentesis is a procedure to remove fluid from the space between the lungs and the chest wall; it is not a reconstruction.
B. Rhinoplasty: Rhinoplasty is a surgical reconstruction of the nose, often performed for cosmetic or functional reasons.
C. Appendectomy: Appendectomy is the surgical removal of the appendix, not a reconstructive surgery.
D. Colotomy: Colotomy is the surgical incision into the colon, not a reconstructive procedure.
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Correct Answer is A
Explanation
A. Wrapping hinged instruments in the open, unlocked position: Hinged instruments should be wrapped in the open, unlocked position to ensure that steam can penetrate all surfaces for effective sterilization.
B. Allowing the temperature of the autoclave to reach 200° F before timing: The autoclave should reach the required temperature (typically 250°F or 121°C) for the appropriate amount of time for sterilization, not 200°F.
C. Using a ballpoint pen to label contents: It is not advisable to use a ballpoint pen for labeling sterilized items because ink might not withstand the autoclave's high temperatures. Permanent markers or labels that can endure high temperatures should be used.
D. Stacking wrapped packages tightly into the autoclave: Items should be arranged in a way that allows steam to circulate freely, so tightly stacking packages can hinder proper sterilization.
Correct Answer is B
Explanation
A. "Avoid alcohol for 48 hours prior to the test.": While avoiding alcohol may be generally recommended for some tests, fasting is the primary requirement for a glucose tolerance test (GTT).
B. "Do not eat for 8 hours prior to the test.": A GTT typically requires fasting for 8-12 hours to accurately measure glucose levels.
C. "Limit physical exertion for 24 hours prior to the test.": Physical exertion is not typically a specific concern for a GTT, but fasting is essential.
D. "Eat a high carbohydrate meal 3 hours prior to the test.": A high carbohydrate meal is not required; fasting is necessary before the test.