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When should the consent form for surgery be completed? -ANSWERS-Prior to the
procedure, before any medications are administered
Rust can be transferred to an instrument from another source. To detect if the actual
instrument itself is rusting, a pencil eraser is used to remove the rust and check for _ -
ANSWERS-Pitting
There are several types of absorbable sutures that are used in ocular sutures. Name
one -ANSWERS-Plain or chronic surgical gut
Vicryl or Dexon
PDS (polydioxanone) suture
What is the main advantage of using an absorbable suture? -ANSWERS-The suture
dissolves
What is the disadvantage of using an absorbable suture? -ANSWERS-Tissue reaction
or inflammation and less tensile strength in the suture as it breaks down
What type of suture will not degrade or break apart over time? -ANSWERS-
Polypropylene (Prolene)
Mersilene polyester fiber suture
In what position is the patient placed during surgery? -ANSWERS-Supine
,What are 3 types of operative admissions for surgery? -ANSWERS-Emergency, urgent,
and elective
Name 3 types of ocular emergencies that may require surgical intervention -ANSWERS-
Lacerated globes and eyelids; intraocular foreign bodies; acute glaucoma; and,
intraocular hemorrhage
What should pre-operative patients bring to their surgical appointment? -ANSWERS-A
list of medications and allergies
When scheduling a patient for surgery, what information is needed for scheduling
purposes? -ANSWERS-Patient name, date of birth, type of insurance, contact
information, procedure, anesthesia, operative eye, and length of time needed for the
procedure
When preparing a patient for surgery, when are vital signs taken, as well as when are
dilating drops and sedatives administered? -ANSWERS-Prior to surgery
Who should a patient speak to if they are uncomfortable under the surgical drape? -
ANSWERS-The surgeon, anesthetist, or the nurse
What test is performed pre-operatively to determine axial length? -ANSWERS-A-scan
If a patient is scheduled for extraocular muscle surgery, what diagnostic tests are
generally performed? -ANSWERS-External photography and muscle balance
measurements
What are vital signs? -ANSWERS-Measurement of blood pressure, pulse, and
respirations
What is the most common cause of corrosion of instruments? -ANSWERS-Inadequate
cleaning and drying. Particles or materials that remain on the surface following
sterilization
, What is the recommended pH level for ophthalmic instrument cleaning solutions? -
ANSWERS-Neutral pH level (7.0-8.5)
How often should instruments be lubricated? -ANSWERS-Every 5 procedures and after
every cleaning process
The most common cause of corrosion and pitting of instruments are _ and _ -
ANSWERS-Blood and saline
What kind of disposable instrument wipes are recommended for cleaning microsurgical
instruments? -ANSWERS-Lint-free wipes
Ultrasonic cleaners remove foreign matter and all lubrication from instruments. What
step should follow the ultrasonic cleaning process? -ANSWERS-Instruments should be
bathed in instrument milk
Why are microsurgical instruments separated during ultrasonic cleaning? -ANSWERS-
To avoid vibrations that may cause premature precision tip wear
Instrument "rust" may actually be a _ -ANSWERS-Stain
The first steps in a maintenance program of instruments are _ and _ -ANSWERS-
Inspection and evaluation
Immediately after use, a diamond blade should be rinsed with what type of solution? -
ANSWERS-Sterile water
A diamond blade with baked-on protein may be cleaned by inserting the retracted
diamond blade into a wet _ _ and working it through incisions in the direction it is
designed to cut -ANSWERS-Styrofoam peanut