CIS Questions and Answers Rated A+
400 Series Steel ✔✔Scissors, osteotomes, chisels, rongeurs, forceps, hemostats, and needle
holders
400 Series Steel ✔✔Martensitic Stainless Steel,
400 Series Steel ✔✔hardened steel
...
CIS Questions and Answers Rated A+
400 Series Steel ✔✔Scissors, osteotomes, chisels, rongeurs, forceps, hemostats, and needle
holders
400 Series Steel ✔✔Martensitic Stainless Steel,
400 Series Steel ✔✔hardened steel
300 Series Steel ✔✔retractors, cannulas, rib-spreaders, and suctions
300 Series Steel ✔✔Austenitic Stainless Steel
300 Series Steel ✔✔workable and malleable
Titanium ✔✔lightweight instruments
non-magnetic
Silver ✔✔malleable
Silver ✔✔trachea tubes and lacrymal probes
Copper ✔✔malleable
Copper ✔✔trachea tubes and lacrymal probes
Forging ✔✔Stamp of the rough outline of an instrument
Flash ✔✔The excessive steel surrounding the forging
Final Heating ✔✔Instruments heated to roughly 1500 degrees F
Polishing ✔✔Necessary to achieve smooth finish
Mirror Finish ✔✔Shiny and stains less frequently
Matte or Satin Finish ✔✔Gray color and does not reflect light
Passivation ✔✔Nitric acid is used to remove all the iron content which helps to build a
protective outside layer of chromium oxide
Passivation ✔✔highly resistant to corrosion
Etching ✔✔an acid-based chemical procedure that employs stencils that apply the company
name, the part number, and the country of origin
Laser etching and stamping ✔✔additional methods used for marking instruments
Manufacturing cycle ✔✔from forging to finished instrument takes up to six weeks
Pakistan Instruments ✔✔Disposable or semi-disposable
Pakistan Instruments ✔✔will rust quickly (will cause staining of German made instruments if
processed together)
Pakistan Instruments ✔✔never sharpen or repair
400 Series Steel ✔✔Subject to corrosion due to lack of nickel
300 Series Steel ✔✔Highly corrosion resistant and cannot be heat-hardened
Pakistan Instruments ✔✔made from 420 Stainless Steel
Titanium ✔✔used for microsurgical instruments
Titanium ✔✔identified with a blue color
Tungsten Carbide ✔✔extremely hard metal
Tungsten Carbide ✔✔scissors and needle holders
Tungsten Carbide ✔✔identified with gold handles
Magnetic ✔✔new instruments tend to be _________ in the box locks, serrations, and ratchets
due to the manufacturing process
Enemies of Surgical Instruments ✔✔allowing blood to dry onto instruments
soaking in hard water
soaking in saline
long-term soaking
improper use
rough handling
improper cleaning solutions and lubricants
allowing water to dry onto instruments
Soaps to avoid ✔✔Housekeeping soaps
Laundry soaps
Surgeon's hand scrub
Iodine based soaps
Brown/Orange Stain ✔✔high pH surface deposit
Brown/Orange Stain ✔✔caused by chlorhexidine usage, improper soaps and detergents, cold
sterilization solution, possibly baked on blood, soaking in saline, or using laundry soap
Dark Brown/ Black Stains ✔✔Low ph (less than 6) acid stain
Dark Brown/ Black Stains ✔✔caused by improper detergents and soaps and/or dried blood
Bluish Black Stains ✔✔reverse plating when different metals are ultrasonically processed
together
Bluish Black Stains ✔✔exposure to saline, blood, or potassium chloride
Multicolor Stains ✔✔excessive heat by a localized "hot spot" in the processing cycle
Light and Dark Spots ✔✔water spots from allowing instruments to air-dry. With slow
evaporation, the minerals (sodium, calcium, and magnesium) are left on the instrument's surface
Bluish Gray Stains ✔✔cold sterilization solution being used outside manufacturer's guidelines
Black Stains ✔✔exposure to ammonia
Bariatric Instruments ✔✔Longer overall length
Arthroscopy Punches ✔✔test with a thin piece of leather
Cervical Biopsy Punches ✔✔test by cutting two layers of facial tissue
Lister bandage scissor ✔✔test by cutting a towel or 3 layers of 4x4 gauze
Bone cutters, pin cutters, and nail clippers ✔✔test by cutting through an index card
Clipper blades ✔✔testing twine
Black handle scissors ✔✔sharpest, but will go dull the quickest
Black handled scissors ✔✔known as Microgrind or Supercut
Black handled scissors ✔✔slices tissue
Black handled scissors ✔✔only need resharpened 3-4 times a year
Roger Wire Scissor ✔✔test by cutting fine surgical wire
Balfour Retractor ✔✔used in abdominal surgery
Ferguson angiotribe ✔✔used to clamp and crush removable tissue and organs
Key Elevator ✔✔used to separate muscle from bone
Langenbeck Periosteal Elevator ✔✔used to separate muscle from bone
Doyen Elevator Rasp ✔✔used to scrape tissue and cartilage from ribs
Alexander-Farabeuf Periosteotome ✔✔used to scrape tissue and cartilage form ribs and bones
Lebsche Sternum Knife ✔✔
Bailey Rib Contractor ✔✔
Strabismus Scissor ✔✔
Littauer Stitch Scissors ✔✔
Castroviejo Corneal Scissors ✔✔
Sims Uterine Scissors ✔✔
Braun Episiotomy Scissor ✔✔
Caplan Nasal Bone Scissor ✔✔
Cottle Dorsal Scissor ✔✔
Derf Needle Holder ✔✔
Olsen Hegar Needle Holder ✔✔
Baron Suction tube ✔✔
Allison Lung Retractor ✔✔
Davidson Scapula Retractor ✔✔
Carmalt Forceps ✔✔
Jones Towel Forcep ✔✔
Ferguson Angiotribe ✔✔
Doyen Forcep ✔✔
Bonney Tissue Forcep ✔✔
Potts-Smith Dressing Forcep ✔✔
Jansen Dressing Forcep ✔✔
Lucae Forcep ✔✔
Gerzog Mallet ✔✔
Mead Mallet ✔✔
Langenbeck Periosteal Elevator ✔✔
Lowman Bone Holding Clamp ✔✔
Martin Cartilage Clamp ✔✔
Kern Bone Holding Forceps ✔✔
Doyen Elevator Rasp ✔✔
Alexander-Farabeuf Periosteotome ✔✔
Debakey Ring Handled Bulldog Clamp ✔✔
Debakey Vascular Clamp ✔✔
Bowman Lacrimal Probe ✔✔
Fomon Retractor ✔✔
Aufricht Retractor ✔✔
Hartman Ear Specula ✔✔
Hartman Ear Forcep ✔✔
Bruening Snare ✔✔
Ballenger Swivel Knife ✔✔
Jansen-Middleton Septum Forcep ✔✔
Barnhill Adenoid Curette ✔✔
Fomon Periosteal Elevator ✔✔
Gutmann Vaginal Speculum ✔✔
Goodell Uterine Dilator ✔✔
Bill Traction Handle ✔✔
Iowa Trumpet Pudendal Needle Guide ✔✔
Novak Uterine Curette ✔✔
Kogan Endocervical Speculum ✔✔
Heaney Hysterectomy Forceps ✔✔
Jacobs Uterine Vulsellum Forcep ✔✔
Schroeder Uterine Tenaculum ✔✔
Gomco clamp ✔✔
Mogen Circumcision Clamp ✔✔
Sheldon Circumcision Clamp ✔✔
Desmarres Chalazion Retractor ✔✔
Jameson Strabismus Hook ✔✔
Castroviejo Eye Speculum ✔✔
Eye Dressing Forcep ✔✔
Iris Tissue Forcep ✔✔
Graefe Fixation Forcep ✔✔
Nail Splitter ✔✔
Nail Nipper ✔✔
Cleaning ✔✔The removal of contamination from an item to the extent necessary for further
processing or the intended use.
Cleaning and thorough rinsing ✔✔first and most critical step in instrument processing
sterilized ✔✔instruments that have not been properly cleaned cannot be __________
new instruments ✔✔must be decontaminated before use
ultrasonic ✔✔chrome-plated, ebonized, or plastic instruments should not be cleaned in an
________
thermal disinfection ✔✔hot water
Green Goiter Retractor ✔✔
Spring Wire Retractor ✔✔
Cushing Vein Retractor ✔✔
Murphy Gall Bladder Retractor ✔✔
Sistrunk Retractor ✔✔
Mayo-Collins Retractor ✔✔
Ferguson Gall Stone Scoop ✔✔
Key Biopsy Punches ✔✔
Saurbach Retractor ✔✔
Bennett Retractor ✔✔
Gigli Saw Handles ✔✔
Chandler Elevator ✔✔
Crego Elevator ✔✔
Cooley Coronary Dilators ✔✔
Shoemaker Rib Shears ✔✔
Duval Lung Forceps ✔✔
Potts-Smith Scissors ✔✔
Reverse Cutting Potts-Smith Scissors ✔✔
Cooley Multipurpose Clamp ✔✔
Forgarty Hydragrip Clamp ✔✔
Hurd Tonsil Dissector and Pillar Retractor ✔✔
Weder Tongue Blade ✔✔
Soft Palate Retractor ✔✔
Wilde Ear Forceps ✔✔
Buck Ear Currette ✔✔
Billeau Ear Curette ✔✔
Jennings Mouth Gag ✔✔
Tydings Tonsil Snare with Automatic Ratchet ✔✔
Coakley Sinus Curettes ✔✔
Sickle Knife ✔✔
Somers Uterine Elevating Forceps ✔✔
Hulka-Kenwick Uterine Elevating and Manipulating Forceps ✔✔
Thomas Uterine Curette Blunt ✔✔
Kevorkian Endocervical Curette ✔✔
Heaney Uterine Curette ✔✔
Ballentine Hysterectomy Forceps ✔✔
Heaney-Simon Retractor ✔✔
Dee Lee Retractor ✔✔
Murless Head Extractor ✔✔
Capsule Forceps ✔✔
Vannas Scissors ✔✔
Barraquer Eye Speculum ✔✔
Eyelid Retractor ✔✔
Lacrimal Dilators ✔✔
Enucleation Scissors ✔✔
Cryer Elevator ✔✔
Apical Elevator ✔✔
Henahan Elevator ✔✔
Crane Pick ✔✔
Pennington Hemorrhoidal Forceps ✔✔
Pratt-Smith Hemostatic Forceps ✔✔
Hegar Dilators ✔✔
Hank Dilators ✔✔
Van Buren Urethral Sounds ✔✔
Otis Bougies Dilators ✔✔
Zipser Meatus Clamp ✔✔
LASER ✔✔Light Amplification of Stimulated Emission of Radiation
FFE ✔✔Flexible fiberoptic endoscopes
Laser ✔✔A concentrated beam of light that can be directed to incise or cauterize
PSI ✔✔Powered Surgical Instruments
direct ✔✔The quality of an instrument technician's work has a ______ impact on the success or
failure of the sterilization process
Skilled ✔✔_______ instrument technicians are regarded as a valuable resource by surgery
customer service skills ✔✔even though instrument technicians work behind the scenes they still
need ________
investment ✔✔The surgical instrument inventory represents a large _____ to the facility
impact ✔✔Every instrument handled by instrument technicians has the potential to _______
patient outcomes
replacement ✔✔Proper care and handling of instruments can reduce ________ costs
Dumont ✔✔
Debakey Tangential Occlusion Clamp ✔✔
Adson Elevator ✔✔
Operating Scissor ✔✔
Cooley-Derra Clamp ✔✔
Finochietto Rib Spreader ✔✔
Killian Septum Speculum ✔✔
Lewin Bone Forcep ✔✔
Tischler Biopsy Punch ✔✔
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