EXAM 2 2026 STUDY BUNDLE PRACTICE
QUESTIONS AND ANSWERS DETAILED REVIEW
◉ Define -lysis (surgical). Answer: - destruction of
- electrolysis (hair removal)
◉ Define -orrhaphy. Answer: - repair or suture of
- ex: herniorrhaphy
◉ Define -oscopy. Answer: - looking into
- ex: endoscopy
◉ Define -ostomy. Answer: - creation of opening into
- ex: colonoscopy
◉ Define -otomy. Answer: - cutting into or incision of
- ex: tracheotomy
◉ Define -plasty. Answer: - repair or reconstruction of
- ex: mammoplasty
,◉ Define bypass. Answer: - surgery to provide a conduit past a blockage
- ex: coronary artery bypass surgery; gastric bypass surgery
◉ Define rhino-. Answer: - nose
- ex: rhinoplasty (nose job)
◉ Define tympano-. Answer: - ear drum (tympanic membrane)
- ex: tympanostomy
◉ Define thorac-. Answer: - chest
- ex: thoracentesis
◉ Define pnemon-. Answer: - lungs
- ex: pneumonectomy
◉ Define herni-. Answer: rupture/protrusion
◉ Define col-. Answer: - colon
- ex: colectomy
◉ Define ileo-. Answer: - ilium
- ex: ileostomy
,◉ List critical parameters within the preoperative history and physical
that have the potential to delay surgery: *infection unrelated to surgical
procedure*. Answer: - check CBC for elevated WBC
- An impaired immune system can lead to delayed wound healing and an
increased risk for infections.
- Elective surgery may be canceled if the patient has an acute infection
(e.g., sinusitis, influenza).
◉ List critical parameters within the preoperative history and physical
that have the potential to delay surgery: *coagulapathy from drugs or
diseases*. Answer: - check INR/PT, aPTT
- gotta be able to control the bleeding as you cut someone open
◉ three legal requirements of informed consent. Answer: - *adequate
disclosure* of diagnosis, treatments, risks, probability of success,
alternative treatments, alternative prognoses
- *patient understanding* before sedation
- *gives consent voluntarily*
◉ discuss legal implications of informed consent. Answer: - surgeon is
ultimately responsible
- nurse is witness to signature
- nurse is advocate for patient understanding, implications, and no
coercion
, - consent can be withdrawn at any time (even if signed)
- If the patient is a minor, unconscious, or mentally incompetent to sign
the permit, a legally appointed representative or responsible family
member may give written permission
- A true medical emergency may override the need to obtain consent.
◉ what is presumed consent?. Answer: a legislative framework in which
citizens must place their name on a national opt-out register, otherwise
their consent for donating their organs will be presumed.
◉ are emancipated minors able to consent to their own treatment?.
Answer: yes
◉ Discuss the importance of surgical site and time out in the
preoperative checklist.. Answer: avoid a sentinel event by ensuring the
following:
- correct patient
- correct surgery
- correct limb
- proper consent
◉ Define general anesthesia. Answer: - loss of sensation with loss of
consciousness
- usually involves use of inhalation agents