SPD - Sterile Processing Department Technician Surgical Instrument Identification Questions and Answers 1 — Questions and Answers
Question 1: An instrument with a ratcheted handle, ring grips, and sharp, inward-curving, penetrating tips designed to secure surgical drapes to a patient's skin is known as a:
- Allis Clamp
- Kocher Clamp
- Babcock Clamp
- Backhaus Towel Clamp (Correct answer)
Correct answer: Backhaus Towel Clamp
The Backhaus Towel Clamp is characterized by its penetrating, sharp, curved tips and a locking ratchet mechanism. It is specifically designed to pierce through towels and drapes to secure them to the patient, preventing shifts in the sterile field.
Question 2: A surgeon requires a delicate, long-shanked instrument with fine, curved, blunt-tipped blades for dissecting soft tissues deep within a cavity. Which of the following scissors would be the most appropriate choice?
- Straight Mayo Scissors
- Curved Metzenbaum Scissors (Correct answer)
- Lister Bandage Scissors
- Iris Scissors
Correct answer: Curved Metzenbaum Scissors
Curved Metzenbaum scissors are designed with a long shank-to-blade ratio and delicate, blunt-tipped blades, making them ideal for dissecting and cutting delicate soft tissues in deep surgical sites without causing inadvertent damage.
Question 3: Which of the following instruments is a self-retaining retractor commonly used to hold open a large abdominal incision, often utilizing two lateral blades and a central blade?
- Army-Navy Retractor
- Deaver Retractor
- Balfour Retractor (Correct answer)
- Richardson Retractor
Correct answer: Balfour Retractor
The Balfour retractor is a self-retaining retractor that holds itself in place with a locking mechanism. It consists of side blades and often a center blade to provide wide exposure of the abdominal cavity during major procedures like laparotomies.
Question 4: During the assembly of a laparoscopic tray, a technician identifies an instrument with a long, insulated shaft, a handle with a port for an electrosurgical cord, and fine, curved jaws. This instrument is primarily used for fine dissection and coagulation. What is its most likely identity?
- Laparoscopic Maryland Dissector (Correct answer)
- Endoscopic Clip Applier
- Laparoscopic Grasper
- Laparoscopic Trocar
Correct answer: Laparoscopic Maryland Dissector
The Laparoscopic Maryland Dissector is a versatile instrument characterized by its long insulated shaft, connection for monopolar cautery, and fine, curved jaws. It is widely used for fine tissue dissection and coagulation in minimally invasive surgeries.
Question 5: Which of the following forceps is considered atraumatic and is specifically designed with fenestrated, circular jaws to gently grasp delicate tubular structures like the intestines or fallopian tubes?
- Kocher Forceps
- Allis Forceps
- Russian Forceps
- Babcock Forceps (Correct answer)
Correct answer: Babcock Forceps
Babcock forceps are designed to be atraumatic. Their jaws are fenestrated and circular, allowing them to encircle and grasp delicate tissues, such as the bowel or appendix, with minimal pressure and without causing crushing damage.
Question 6: What is the primary function of a Mayo-Hegar Needle Holder?
- Cutting heavy sutures
- Grasping delicate tissue
- Holding heavy needles during suturing (Correct answer)
- Retracting skin edges
Correct answer: Holding heavy needles during suturing
The Mayo-Hegar Needle Holder is a robust instrument with strong, serrated jaws designed to securely grasp and drive large or heavy needles through dense tissue during suturing.
An instrument with a ratcheted handle, ring grips, and sharp, inward-curving, penetrating tips designed to secure surgical drapes to a patient's skin is known as a: