The Jack-knife position is also known as:

Appeared in: DSSSB October 2024

Explanation

The Jack-knife position is a specific surgical posture also known by the eponym Kraske position.
This position involves placing the patient prone (on their abdomen) and flexing the operating table to elevate the hips, while the head and legs are lowered.
It is primarily utilized for procedures requiring access to the colorectal, perineal, or sacral areas, such as hemorrhoidectomies.

Option A: Sire position is not a standard or recognized term for any medical or surgical patient position.
Option B: The term 'Magill' in a medical context refers to anesthetic equipment, most notably Magill forceps, which are used to guide endotracheal tubes. It does not describe a patient position.
Option C: Root position is not a standard or recognized term for a surgical patient position.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Surgical Positioning Terminology as background academic context rather than a clinical decision trigger.
Proper patient positioning is a critical nursing responsibility in the perioperative setting to ensure optimal surgical exposure and prevent patient injury.
For the Kraske position, nurses must be vigilant about protecting pressure points (face, chest, genitals, knees, toes) and ensuring adequate respiratory function by using chest rolls.
Hemodynamic instability is a key risk. The dependent position of the head and legs can cause significant blood pressure changes, requiring careful monitoring during and after the procedure, especially when returning the patient to a flat position.

How to Approach the Question

First, identify the core concept in the question stem, which is the 'Jack-knife position'.
Next, understand the question's task, which is to find a synonym ('also known as').
This is a factual recall question that tests your knowledge of medical terminology.
Systematically evaluate each option. Recall or deduce that 'Kraske position' is the correct synonym for the prone Jack-knife position.
Eliminate the other options by recognizing they are either not related to patient positioning (Magill) or are not standard medical terms (Sire, Root).

Concept Tested & Keywords

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 pp. 91-93, 92-94

Practise the full DSSSB October 2024

Attempt every question from this paper in a timed mock, then review the full solution for each one.