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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:
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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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