LMPT EXAMS BUNDLE FINAL SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
>> 1. Handle tissues gently
2. Meticulous hemostasis
3. Preserve blood supply
4. Observe strict asepsis
5. Minimize tissue tension
6. Appose tissues accurately
7. Eliminate dead space
Answer: What are Halsted's Surgical Principles? (7)
>> -Limit tissue manipulation to minimum required
Use proper instruments to decrease iatrogenic trauma
Keep tissues moist, especially during long procedures
Avoid excess traction with retractors
Answer: What are some ways to accomplish Handle Tissues Gently of
Halsteds surgical principle?
>> 1. Thumb forceps - delicately grab tissue instead of crushing
Select appropriate type (DeBakey vs Adson vs Brown Adson)
Minimize grabbing skin with thumb forceps !
2. Scissors:
NEVER USE TO CUT SKIN! Will crush the tissue
Mayo (tough tissue) vs metzenbaum (delicate)
3. Scalpel cut:
Cut perpendicular to skin, avoid making multiple jagged slices for proper
apposition
Answer: What are some proper instruments rules to remember when
wanting to handle tissues gently? (3)
, >> 1. Aim to prevent hemorrhage vs having to control once bleeding has start
2. Take the time in surgery to deal with bleeding, even if nuisance bleeding, as it
improves visualization and helps prevent post operative complications
Continued hemorrhage
Hematoma
Pain
Anemia
Delayed healing
Answer: Describe the goals of meticulous hemostasis as a surgical principle:
(2)
>> Aim to prevent hemorrhage:
Know your vascular anatomy!
Careful dissection and proper ligation of vessels prior to transection
Identify predisposing patient risk factors prior to surgery
-Tick borne disease, thrombocytopenia, coagulopathies
Ensure ligatures are tight and secure with proper knot formation!!!!
Controlling hemorrhage:
Use of instruments, suture, hemoclips
Manual pressure
Electrocautery
Hemostatic agents (Gelfoam, Surgicel) - provide scaffold and/or factors for
platelet formation
Note: Be sure to check ALL spay/neuter pedicles prior to closure!
Answer: Describe aim to prevent hemorrhage vs. Controlling hemorrhage in
regards to meticulous hemostasis during surgery:
>> pedicles
Answer: Be sure to check ALL spay/neuter _____ prior to closure!
>> 1. Monitor vital signs
Heart rate, respiration, blood pressure
Remember, may not see changes until significant blood loss because the
patient can compensate up until that point
2. Physical examination
QUESTIONS WITH ANSWERS GRADED A+
>> 1. Handle tissues gently
2. Meticulous hemostasis
3. Preserve blood supply
4. Observe strict asepsis
5. Minimize tissue tension
6. Appose tissues accurately
7. Eliminate dead space
Answer: What are Halsted's Surgical Principles? (7)
>> -Limit tissue manipulation to minimum required
Use proper instruments to decrease iatrogenic trauma
Keep tissues moist, especially during long procedures
Avoid excess traction with retractors
Answer: What are some ways to accomplish Handle Tissues Gently of
Halsteds surgical principle?
>> 1. Thumb forceps - delicately grab tissue instead of crushing
Select appropriate type (DeBakey vs Adson vs Brown Adson)
Minimize grabbing skin with thumb forceps !
2. Scissors:
NEVER USE TO CUT SKIN! Will crush the tissue
Mayo (tough tissue) vs metzenbaum (delicate)
3. Scalpel cut:
Cut perpendicular to skin, avoid making multiple jagged slices for proper
apposition
Answer: What are some proper instruments rules to remember when
wanting to handle tissues gently? (3)
, >> 1. Aim to prevent hemorrhage vs having to control once bleeding has start
2. Take the time in surgery to deal with bleeding, even if nuisance bleeding, as it
improves visualization and helps prevent post operative complications
Continued hemorrhage
Hematoma
Pain
Anemia
Delayed healing
Answer: Describe the goals of meticulous hemostasis as a surgical principle:
(2)
>> Aim to prevent hemorrhage:
Know your vascular anatomy!
Careful dissection and proper ligation of vessels prior to transection
Identify predisposing patient risk factors prior to surgery
-Tick borne disease, thrombocytopenia, coagulopathies
Ensure ligatures are tight and secure with proper knot formation!!!!
Controlling hemorrhage:
Use of instruments, suture, hemoclips
Manual pressure
Electrocautery
Hemostatic agents (Gelfoam, Surgicel) - provide scaffold and/or factors for
platelet formation
Note: Be sure to check ALL spay/neuter pedicles prior to closure!
Answer: Describe aim to prevent hemorrhage vs. Controlling hemorrhage in
regards to meticulous hemostasis during surgery:
>> pedicles
Answer: Be sure to check ALL spay/neuter _____ prior to closure!
>> 1. Monitor vital signs
Heart rate, respiration, blood pressure
Remember, may not see changes until significant blood loss because the
patient can compensate up until that point
2. Physical examination
