SPM100 Skills Lab 1 Pretest by p7h2i4

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									Name: _________________________________                              SPM 100 Skills Lab 1 Pre-Test: Standard Precautions
                                                                     Sterile Technique (Updated: 6-2009)


Competency Milestones Booklet: Required                                 a.   mask, boots, gown, gloves
                                                                        b.   mask, shoe covers, gown, gloves
   1.   A 20 year-old patient presents to the Emergency                 c.   gloves, eye protection, gown
        Department (ED) with fever, RLQ abdominal                       d.   hair cover, mask, eye protection, shoe
        pain and requires an appendectomy. The                               covers, gown, gloves
        surgeon you are precepting with is obtaining an                 e.   double glove, mask, shoe covers, eye
        Informed Consent. It requires which of the                           protection, hair covering, gown, hip
        following:                                                           waders, lead apron
             a. the opportunity for the patient to ask
                 questions about the procedure and             5.   While precepting in the ED, you are
                 alternatives                                       inadvertently stuck with a contaminated hollow
             b. a life threatening circumstance that                bore needle. Which of the following is true of
                 dictates intervention                              needle stick exposure:
             c. a delusional grossly intoxicated patient                a. solid needle stick exposures carry the
             d. the necessity for second and third                           greatest risk to transmission
                 opinions prior to decision making                      b. risk for HIV transmission is between
             e. an understanding of only the top two                         0.3 and 0.4 %
                 most likely risks of the surgical                      c. seroconversion of Hep C is lower than
                 intervention                                                HIV
                                                                        d. superficial needle sticks carry the same
   2.   You are a first year medical student observing                       risk as deep tissue needle sticks
        patient care in a local hospital. Which of these                e. advanced HIV disease patients carry
        factors increase your risk for occupational                          the same risk as asymptomatic carriers
        exposures to infection:
             a. a cautions approach to combative               6.   An operating room has been prepared for an
                  patients                                          elective surgical case that you are observing.
             b. a decreasing incidence of Hepatitis B               The patient is in the room and the area has been
                  and Hepatitis C in the New Orleans                scrubbed and is now considered sterile. Which
                  area                                              of the following applies to the patient and the
             c. standard use of barrier protection                  sterile field of instruments:
                  during Trauma resuscitations                           a. only the primary surgeon is responsible
             d. close proximity of sharps containers in                        for vigilance of sterile technique
                  patient care areas                                     b. aseptic technique is maintained
             e. routine performance of history and                             primarily for healthcare provider safety
                  physical exams with contact of mucus                   c. self gowning and gloving should be
                  membranes without gloves                                     performed on a separate sterile field
                                                                         d. gloved hands should be maintained at
   3.   Which of the following actions would be most                           you sides and below waist level
        appropriate for medical students to reduce their                 e. at the end of surgery sterile dressings
        risk of occupational exposure in the hospital                          are applied after drapes are removed
        setting:
             a. gown, glove and mask for all history           7.   You are a first year medical student precepting
                  and physical exams                                in the OR. A 42 year-old female patient has
             b. wait to report percutaneous and                     been transported into the OR for an elective
                  mucosal exposures until symptoms                  abdominal hysterectomy (removal of her
                  develop                                           uterus). During skin preparation for her case
             c. get vaccinations for Hep B after                    which of the following applies:
                  exposure                                               a. belly button piercing and jewelry are
             d. practice invasive procedures on the                          irrelevant in an abdominal surgery case
                  newly dead to reduce exposure risk                     b. preoperative skin preparation is
             e. undergo routine skin test screening for                      necessary to reduce healthcare
                  mycobacterium tuberculosis                                 exposure risks
                                                                         c. shaving of hair at the surgical site
   4.   You are a first year medical student about to                        should be done the day before surgery
        participate in the vaginal delivery of a baby.                   d. pre-op skin preparation reduces
        Which of the following list of protective                            bacterial burden with minimal tissue
        equipment would be ideal when coming in                              harm
        contact with body fluids:
                                                           1
Name: _________________________________                         SPM 100 Skills Lab 1 Pre-Test: Standard Precautions
                                                                Sterile Technique (Updated: 6-2009)


            e.    tattoos raise the risk of post-op
                  infections due to increased bacterial
                  burden
   8.   You are asked to participate on the surgical
        team in the above patient. Which of the
        following is the appropriate order for your
        sterile preparation.
             a. hand scrubbing, shoe covers, surgical
                  mask, eye protection, gloves, gown
             b. shoe covers, hand scrubbing, surgical
                  mask, eye protection, gown, gloves
             c. shoe covers, surgical mask, eye
                  protection, hand scrubbing , gown,
                  gloves
             d. hand scrubbing, surgical mask, eye
                  protection, shoe covers, gloves, gown
             e. hand scrubbing, eye protection, gown,
                  gloves, surgical mask, shoe covers

   9.   Which of the following is essential surgical
        attire for you in the above case:
             a. hair covering, gloves, gown, mask
             b. gloves, gown, mask, eye protection,
                   shoe covers
             c. gloves, gown, mask, shoe covers
             d. hair covering, mask, eye protection,
                   shoe covers, gown, gloves
             e. hair covering, gown, mask, eye
                   protection, shoe covers

   10. In preparation for your participation in this
       challenging surgical case, the faculty and
       residents have asked you to “scrub in” with
       them. Which of the following is the correct
       order for the “scrub”:
            a. begin scrubbing the outside left little
                finger to thumb, palm, closed hand,
                forearm, and move to right hand scrub
            b. clean nails, begin scrubbing the outside
                left little finger to thumb, palm, closed
                hand, forearm, move to right hand and
                repeat above steps
            c. begin scrubbing the left little finger to
                thumb, closed hand, back of hand,
                palm, forearm, move to right hand and
                repeat above steps
            d. clean nails, begin scrubbing the outside
                of right hand little finger to thumb,
                palm, close hand, back of hand,
                forearm, and move to left hand
            e. clean nails, begin scrubbing the right
                little finger to thumb, closed hand,
                back of hand, palm, forearm, move to
                left hand




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