Certified Instrument Specialist (CIS) Practice Exam 2025 – The All-in-One Guide to Achieving Certification Success!

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In the context of electrocautery, what does 'bipolar' refer to?

A device that uses alternating current

A type of electrocautery with separate active and return electrodes

The term 'bipolar' in the context of electrocautery refers to a type where the device includes separate active and return electrodes. This configuration is crucial because it allows for the precise application of electrical current directly to the targeted tissue without the need for a grounding pad, which is often required in monopolar systems. In bipolar electrocautery, the two electrodes are integrated into the surgical instrument itself—one acts as the active electrode that delivers the electrical energy, while the other serves as the return electrode, thus creating a localized circuit. This design minimizes the risk of current dispersing through other body tissues, improving safety and effectiveness during surgical procedures.

This level of specificity in the bipolar approach is especially advantageous in delicate surgical situations, where precision and control are vital. Monopolar devices do not provide the same level of control and may have a higher risk of unintended thermal damage to surrounding tissues, making the bipolar system a preferred choice in many surgical applications.

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A non-electrical surgical instrument

An instrument utilized only for diagnostic purposes

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