IMAGE BASED QUESTION aiims nursing officer

• Czerny retractor is double hooked retractor on one side  and single blade on other side 
• Czerny retractor is a superficial retractor  can be used to retract layer of abdominal wall , muscles etc 
• Czerny retractor is used in appendectomy , herniorrhaphy or thyroidectomy
  

• It is used to hold tough structures such as fascia and tissues 

• kocher`s forceps is  similar to artery forceps with serration 
• kocher`s forceps is of type curved and straight 
• There is a sharp tooth at the tip of instrument hence it has better grip 
• During thyroidectomy, it can be used as to hold the strap muscle for dividing them 
• Theodor Kocher got noblr prize for his contribution to thyroid surgery

IMAGE BASED QUESTION AIIMS EXAM  :

4.    SINUS FORCEPS USES :- 

4. SINUS-FORCEPS

• This is like an artery forceps but does not have lock system or no ratchet
• Serrations are only at tip so to hold the wall of abcess cavity,  for biopsy .

• This has ratchets (lock) and two long blades 
• Operating end is rounded with serrations 
• It is used to hold the swab ( gauze pieces )
• It can be also used as dissector with the swab  eg . in vagotomy

• It has ratchet  (lock ) and tringular expansion with fenestrations (a natural or surgically created opening in a surface )  at the opening end .
• It is used to hold intestine during anastomosis or resection

• It is simillar to bobcock`s forceps but tip is more broad expanded with bigger opening 
• It is used to hold appendix

8 .   DISSECTING SCISSORS  USES /MAYO`S SCISSORS USES :-

• It has ratchet ( lock ) and operating end is sharp
• It is popularly called tissue scissors
• It is used to dissect tissue planes during surgical operation and to cut or divide impotant structures

• It is also called toothed forceps 
• it is also available as non toothed forceps 
• The forcep is useful in pick individual layer such as serosa , seromascular layer etc 

• Nededle holder  is a long instrument with lock at non operating end .
• The operating end has two small blades with serrations 
• Used in holding the curved needle during suturing

• Bard parker scalple  is popularly known as surgeon`s knife
• Bard parker scalple is used to incise the skin and subcutaneous tissue 

• Cheatle forceps is long instrument having a curves shaft
• The handle has no lock’
• Cheatle forcep  is kept dipped in antiseptic solution
• Cheatle forcep is Used to pickup sterilised articles such as sponges , gauze pieces or othr instruments 

13 .   DEAVER RETRACTOR USES  :

13. DEAVER-RETRACTOR

• Deaver retractor  is also called Deaver liver retractor
• Deaver retractor has a long blade  and operating end is curved
• Deaver retractor is Used to retract the liver during vagotomy,cholecystectomy or gastrectomy 

• Morris retractor is  a long instrument with broad operating end  
• Morris retractor is used to retract abdominal wall  once the peritoneum is opened 

• LANGENBECK-RETRACTOR INSTRUMENT HAS ONLY ONE BLADE
• LANGENBECK-RETRACTOR is Uses are similar to czerny retractor 

• It is long instrument with lock 
• The operating end has two blades with serrations 
• It is used to occlude the intestinal lumen to prevent spillage of intestinal contents 
• It does not interfere with vascularity of intestine 

• This is a heavy instrument with double layer system 
• Payrs crushing clamp is Used during gastrectomy 

• DESJARDIN`S CHOLEDOCHOLITHOMY FORCEPS is  long instrument with no lock 

• the tip is blunt
• It is used to extract stones from common bile duct 

• It is long malleable instrument
• It has handle , long body and tip is blunt 
• Bakes dilator is Used during common bile duct exploration to asses any distal obsruction 

• It has long handle and operating end is small and blunt with an opening
• kocher`s thyroid dissesctor is Used to dissect upper pole of thyroid gland 
• kocher`s thyroid dissesctor used to dissect isthmus of thyroid gland from the trachea

• It has two parts
• Inner sharp part isthe trocar and outer blunt part is cannula
• Trochar cannula is used to drain hydrocoele fluid 

23 .  HUMBY`S KNIFE USES  :-

• It is handle  and long sheath
• Humbeys knife i Used to take skin graft 

24 .  MYER`S METAL STRIPPER USES :- 

• It is a long metallic chain 
• Myers metal stripper is Used in varicose vein surgery

• SELF retaining retractor is used to spread the laprotomy wound  

26 .  RIB SPREADER  USES :

26. RIB-SPREADER

• Rib spreader is Used to spread the RIBS 

• Protoscope is used  TO VISUALISE RECTUM AND ANAL CANAL 

• Is is long instrument curved at tip 

• This catheter is used to drain urine in case of retension of urine 

• Female metallic catheter is used to drain urine  in female case of retension of urine 

31  . TOWEL CLIP  USES :

31. TOWEL-CLIP

 

• TOWEL CLIP IS Used to hold towel in place .

 

32  . RIGHT ANGLED FORCEP USES
 ( LAHEY`S FORCEPS USES ) 

32. RIGHT-ANGLED-FORCEPS

 

• Right angled forceps Useful in ligating the major vascular pedicles 

 

33  .  HUDSON`S BRACE AND THE BURR USES : 

33. HUDSONS-BRACE-BURR

 

• HUDSONS BRACE BURR IS USED TO CREATE OPENING INTO THE CRANIUM 

 

34  .  CRICOID HOOK USES :

 

34. CRICOID-HOOK

 

 

• USED TO  stabilise trachea by hooking the cricoid cartilage up 

 

 

 

35  .  TRACHEAL DILATOR USES :- 

35. TRACHEAL-DILATOR

 

• Tracheal dilator is used in post tracheostomy period when tube has to be changes due to blockage

 

36 .  FERGUSSON`S AMPUTATION SAW USES :-

 

36. FERGUSSIONS-SAW

 

 

• Fergussions saw is used In lower limb amputation  i.e above knee or below knee amputaion

 

 

 

37 .  BONE FILE / RASPATORY USES  :-

 

37. BONE-FILE

 

 

• Bone file is Used in blunt separation of periosteum and connective tissue from surface of bone .

 

 

38 .  BONE NIBBLER USES :-

 

38. BONE-NIBBLER

 

• Bone nibbler is Used to make cut end of bone smooth after amputation 

 

39 .  VOLKMANN CURRETE USES :-

39. VOLKMANNS-CURRATE

• The edges are spoon shaped make possible to remove tissues
• Volkmanns currate i used to scoop granulation tissue , to clean the base of infected wound , to reove infected bone in case of osteomyelitis.

 

40  .  BECKMAN- ADSON LAMINECTOMY RETRACTOR uses:

 

40. BECKMAN-ADSON-RETRACTOR

• Beckman adsons retractor is Used in retraction procedure involving deep tissues like in laminectomy for spinal surgeries

 

41  .  RIBBON MALLEABLE RETRACTOR USES :-

41.RIBBON-MALLEABLE-RETRACTOR

 

• Ribbon malleable retractor is used in end of the case to keep viscera away from fascial closure and also used to retract deep wounds

 

42  .  HARMONIC SCALPEL  USES : –

 

42. HARMONIC-SCALPLE

 

 

• Harmonic scalple  is a device that uses high frequency mechanical energy to cut and coagulate tissues at same time .

 

43  .  BIPOLAR CAUTERY USES  : –

43. BIPOLAR-CAUTRY

 

• Bipolar cautry  is useful when  hemostasis is required to close the nerves 

 

44  .  ALLISON`S LUNG RETRACTOR USES:-

44. ALLISONS-LUNG-RETRACTOR

 

• Allisons lung retractor is used for retraction of lung in thoracotomy 
• It does not damage the lungs . The lungs can expand b/w the wires .

 

 

45  .  GIGLI SAW USES : –

45. GIGLI-SAW

 

• It is composed of wire as a blade  and two handle to hold the wire on either side 
• Gigli saw is Used for bone cutting on amputation surgeries 

46  .  JOLL`S RETRCTOR  USES :-

46. JOLLS-RETRACTOR

 

• It is self retaining retractor which is held by two towel clip  like forceps on both sides to hold fl;aps 

• JOLLS RETRACTOR IS Used to retract skin flaps during thyroid surgeries 

47  .  CURRUGATED RED RUBBER DRAIN USES : –

 

47. CURRUGATED-RED-RUBBER-DRAIN

 

 

• Currugated red rubber drain  is used to drain fluid outside in major surgeries when some amount of blood loss is expected

48  .  MOSSEAU BARBIN`S TUBE USES :-

48 . MOSSEAUS-BARBINS-TUBE

• It is also called MB tube 
• It is funnel shaped tube with ryle`s tube like attachment 

49  . T TUBE  USES ( KEHR`S TUBE USES  ) 

49. T-TUBE

 

• T tube or kehrs tube is   USED whenever common bile duct is incised it is sutured after inserting T tube 
• Presence of T tube prevents  peritonitis due to biliary leakage 

50   . SENSTAKEN BLAKEMORE DOUBLE BALLOON TRIPLE LUMEN TUBE USES : –

50. SENSTAKEN-BLAKENMORE

 

• It is used in controlling bleeding esophageal varices ,
• Its has three lumen and 2 ballons 
• Gasric ballon is inflated with 200 -250 ml of air and esophgeal ballon is inflated with 40 -60 ml of air .