#6 Flashcards

1
Q

Which type of anesthesia would be considered nontraditional in the United States?

A

acupuncture

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2
Q

Which of the following is the hard, dense bone that surrounds the marrow cavity?

A

cortical

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3
Q

Denial, rationalization, regression, and repression are common forms of what type of mechanisms?

A

coping

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4
Q

In which part of the respiratory system does the exchange of oxygen and carbon dioxide take place?

A

alveoli

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5
Q

The ventricles of the heart have thicker myocardium than the atria

A

true

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6
Q

The terms entry-level, proficient, and expert practitioners are applied to which of the following?

A

AST recommended clinical ladder levels

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7
Q

Which of the following bilateral paired nerves are the largest in the body and innervate the buttocks and lower extremities?

A

sciatic

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8
Q

A patient with a major abdominal wound requiring frequent dressing changes might have which type of binding layer to prevent excoriation of the skin by constant removal of adhesive tape?

A

Montgomery straps

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9
Q

Which of the following terms describes the principles such as benevolence, trustworthiness, and honesty for the care and well-being of others in society?

A

Morals

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10
Q

Which of the following is used for scalp hemostasis and resembles a Crile or Kelly hemostat except the curve is to the side?

A

Dandy

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11
Q

In which anatomical structure is the patella contained?

A

quadriceps tendon

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12
Q

For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy?

A

weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes

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13
Q

Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients

A

false

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14
Q

Which of the following structures encloses the kidneys and suprarenal glands?

A

Gerota’s fascia

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15
Q

Which type of endoscope would be appropriate for examination of the renal pelvis via a natural body orifice?

A

flexible uteroscope

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16
Q

Which of the following is NOT an example of blunt dissection of tissue?

A

endo shears are used through laparoscopic trocar to separate tissue.

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17
Q

Which structure of the eye is colored and its muscles constrict or relax to control the amount of light entering the pupil?

A

iris

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18
Q

Which type of wrapper material is compatible with the hydrogen peroxide gas plasma sterilization method?

A

tyvek

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19
Q

Which term refers to the standard unit of measurement for the absorption of ionizing energy by an object or person?

A

Rad

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20
Q

Which special patient population group has a 30% to 80% statistical likelihood of coexisting psychiatric illness in addition to the diagnosis for which they are coming to surgery?

A

substance abuse

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21
Q

Ligatures are use to:

A

occlude the lumen of a blood vessel

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22
Q

Which of the following is NOT a type of liposuction?

A

electrosurgery

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23
Q

Which of the following is NOT a form of polycystic kidney disease?

A

traumatic

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24
Q

Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis.

A

false

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25
Q

Inflammation can BEST be described as:

A

a normal protective response to tissue injury

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26
Q

For which surgical procedure would the Buie pile forceps be used?

A

hemorrhoidectomy

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27
Q

Into which anatomical structure or area is the distal catheter most often inserted in a V-P shunt procedure?

A

peritoneal cavity

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28
Q

Which diagnostic study provides the most detailed information for surgical planning in AAA repair?

A

aortogram

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29
Q

In which stage of normal bone healing is there bridging of the fracture site, and cartilage and immature bone provide support?

A

callus formation

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30
Q

If looking at the right eye of a patient and assigning clock positions of 12, 3, 6, and 9 o’clock to the rectus eye muscles, which of the following would be CORRECT?

A

12 = superior; 3 = medial; 6 = inferior; 9 = lateral

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31
Q

Baumrucker, Iglesias, Stern-McCarthy, and Nesbit are types of:

A

resectoscopes

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32
Q

Which structure within the respiratory tract is the proximal and superior?

A

larynx

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33
Q

Every instrument or catheter placed into the urethra should be lubricated to minimize mucosal injury or irritation

A

true

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34
Q

Two members of the surgical team must perform the checks of identification information: patient armband, blood and Rh type, unit number, and expiration date prior to administration of any blood products to a patient.

A

True

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35
Q

Which example of nonverbal body language might a patient perceive as a negative attitude from a team member?

A

tightly folded arms

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36
Q

What is the abbreviation for the sets of references that provide information about all potentially hazardous chemicals used in the perioperative setting and must be accessible to health care workers?

A

MSDS

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37
Q

What are the operative mortality rates of patients with unruptured AAA scheduled for elective repair?

A

2% to 3%

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38
Q

Which of the following is a commonly used self-retaining retractor used in total hip arthroplasty procedures?

A

Charnley

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39
Q

What does the adrenal medulla secrete?

A

catcholamine

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40
Q

By what name is the International System of Units more commonly known?

A

metric system

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41
Q

Which drug is an anticoagulant antagonist used to reverse the effects of heparin?

A

protamine sulfate

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42
Q

Which of the following religions typically prohibits its followers from receiving blood transfusions?

A

Jehovah’s Witness

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43
Q

Health care workers can focus better on their job of patient care in disaster situations if they have done their own personal disaster planning in advance with their family members.

A

True

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44
Q

Which of the following is a safety mechanism engineered into the ESU that alerts the surgical team that the device is being activated?

A

audible tone

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45
Q

A #11 blade and forward angle or reverse angle Potts-Smith scissors are frequently used for:

A

arteriotomy

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46
Q

The part of the complete ESU circuit that delivers alternating current back from exposed tissue to the ESU generator is the:

A

patient return electrode

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47
Q

A corneal abrasion would be assessed using a(n):

A

ophthalmoscope

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48
Q

What is the name of a small protuberance of a bone that is an attachment point for muscles or tendons?

A

tubercle

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49
Q

Crescent, Benelli, and Benelli-lollipop lifts are techniques used during:

A

mastopexy

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50
Q

Which of the following procedures does NOT require an incision, use of trocars, or distention with gas or fluid?

A

colposcopy

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51
Q

Which of the following is a glass or plastic evacuator used to remove tissue and debris during TURP?

A

Ellik

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52
Q

All of the following are components of the “heart-lung” machine EXCEPT:

A

defibrillator

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53
Q

What is the thickest part of the heart?

A

myocardium

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54
Q

What is the thickest part of the heart?

A

acromioplasty

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55
Q

Which diameter fixation screw would MOST likely be used for a fracture of the mandible

A

4.0 mm

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56
Q

Cryotherapy uses which of the following to seal retinal tears and holes?

A

cold

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57
Q

The broad objectives of the Health Insurance Portability and Accountability Act (HIPAA) include all of the following EXCEPT:

A

eliminate medical errors

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58
Q

The mandible articulates with which part of the temporal bone to form the temporomandibular joint (TMJ)?

A

glenoid fossa

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59
Q

Which of the following diagnostic procedures does NOT use ionizing radiation?

A

MRI scan

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60
Q

What is the name of the device used to test the blood of patients with diabetes for metabolic status?

A

glucometer

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61
Q

What tissue does the acetabular reamer remove?

A

cartilage

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62
Q

Patients in which age group are MOST commonly candidates for total hip arthroplasty?

A

over 65 years

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63
Q

What tissue type are the palatine tonsils?

A

lymphoid

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64
Q

The mandibular symphysis is better known as the:

A

chine

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65
Q

Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed?

A

mesentary

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66
Q

Which cranial nerve may be damaged by growth of a cholesteatoma?

A

7th

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67
Q

Which of the following is the name of locking or nonlocking needle holders frequently used in ophthalmology?

A

castroviejo

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68
Q

Medtronic OCTOPUS® and Guidant Ultima OPCAB® are what type of devices for coronary artery bypass done off-pump?

A

stabilizers

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69
Q

The tensile strength of suture material should equal the tensile strength of the tissue into which suture is placed.

A

True

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70
Q

Which phase of healing for wounds closed by first intention begins within minutes of the incision or injury?

A

inflammatory

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71
Q

What is the term used when a surgical team member who is on standby must return to the facility to do a case?

A

called inn

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72
Q

The skin incision for a thyroidectomy will follow which anatomical lines

A

Langer’s

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73
Q

Which organization enacts the NRF?

A

NDMS

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74
Q

What are the operative mortality rates of patients with ruptured abdominal aortic aneurysm (AAA) and shock?

A

> 80%

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75
Q

Which term means the number of times a woman has been pregnant?

A

gravida

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76
Q

Which countable sponge is used in oral procedures to prevent bone or tooth fragments and other foreign matter from becoming lodged in the pharynx?

A

throat pack

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77
Q

Which type of drug is used to treat possible postoperative nausea and vomiting?

A

antiemetic

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78
Q

Which type of laser has a wavelength that creates a bright blue-green visible light within a plasma tube?

A

argon

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79
Q

Which position is usually used for microdecompression endoscopic diskectomy?

A

lateral

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80
Q

The 2010 AHA Guidelines for CPR stress activation of the ERS and follow:

A

CAB ( chest compressions, airway, breathing)

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81
Q

Kerlix fluffs, ABD pads, and plain 4 x 4 gauze sponges are examples of which part of a three-layer dressing?

A

absorbent intermediate layer

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82
Q

What is the term for the process of removing necrotic tissue or eschar prior to skin grafting?

A

debridement

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83
Q

What kind of anesthetic block is used for a vitrectomy procedure to block both sensory and motor nerve function?

A

retrobulbar

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84
Q

What is the average lifespan of biologic and mechanical heart valve replacements?

A

10 to 15 years

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85
Q

Which component of personal protective equipment (PPE) has shown the ability to decrease disease transmission from needle punctures?

A

double gloving

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86
Q

Which anatomical structure regulates temperature by monitoring processes of heat production and loss in the human body?

A

hypothalamus

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87
Q

Which of the following is an independent, nonprofit national organization that develops standards for and accredits health care organizations in the United States?

A

Joint commisision

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88
Q

Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning.

A

True

89
Q

Which of the following terms means surgical fixation of joint, eventually resulting in intentional bone fusion?

A

arthrodesis

90
Q

Where is the hilum of the kidney located?

A

medial midsection

91
Q

Where is the insertion point for the mediastinoscope?

A

suprasternal notch

92
Q

Which suture is frequently used for anastomosis of the saphenous vein or internal mammary artery in CABG?

A

6-0 or 7-0 polypropylene

93
Q

Which radiological study might be ordered preoperatively for a patient scheduled for tuboplasty?

A

hysterosaplingogram

94
Q

What is the topical agent used by peripheral vascular and neurosurgeons to dilate blood vessels intraoperatively?

A

papaverine HCI

95
Q

Craniofacial disjunction fractures are severe traumatic injuries categorized as Le Fort III fractures. T/F

A

True

96
Q

Which of the following statements regarding arch bars is CORRECT?

A

they are thin, malleable bars with hooks facing up for maxilla and down for mandible

97
Q

What is a potential risk of placing surgical instruments of dissimilar metallic type together in a washer sterilizer cycle?

A

electrolytic conduction reaction

98
Q

What does the acronym DRG stand for in the hospital setting?

A

diagnosis related groups

99
Q

Which positioning device is frequently used for femoral nailing with leg traction and allows for placement of the C-arm?

A

fracture table

100
Q

The action of pointing and putting a toe in the water to check the temperature would be an example of which movement?

A

plantar flexion

101
Q

What is the weight that AAMI has recommended instrument sets should NOT exceed?

A

25 pounds

102
Q

MRI scans require shielding of thyroid and gonads because of ionizing radiation emissions. T/F

A

false

103
Q

Which type of viewing instrument would be used for surgical treatment of hemorrhoids?

A

anoscope

104
Q

The lumens of veins are larger than the lumens of arteries. T/F

A

true

105
Q

Suture pledgets are used to bolster anastomosis sites when tissue is friable. T/F

A

true

106
Q

An emergency laparotomy would be the indicated treatment for all of the following postoperative bariatric surgery complications EXCEPT:

A

thromboplhebitis

107
Q

Which of the following studies combines computed tomography with isotope scanning to highlight chemical or metabolic activity?

A

PET

108
Q

What is the term that describes the measure of how much a suture strand can be stretched before breaking?

A

tensile strength

109
Q

All of the following are examples of devices used to anchor both ends of the ACL graft EXCEPT:

A

steinman pins

110
Q

Which suction tip is indicated for pharyngeal suctioning?

A

Yankauer

111
Q

Surgical technologists may discuss details of their daily experiences as long as they are not in a public place. T/F

A

False

112
Q

EEG leads may be placed directly on the surface of the brain during craniotomy. T/F

A

True

113
Q

What is another name for the intermediate-level disinfectant compound phenol?

A

carbolic acid

114
Q

What would be the likely result of positioning the patient’s arms on armboards at a greater than 90° angle from the torso?

A

hyperextension nerve damage

115
Q

Another name for a thyroid clamp is a:

A

lahey

116
Q

Through which hospital department or committee would the certified surgical first assistant (CSFA) submit a request for privileges to work in the operating room?

A

medical staff

117
Q

Which of the following is an inward turning of the eyelid with resulting corneal irritation?

A

entropian

118
Q

Which of the following is NOT a classification of patient care items?

A

hypercritical

119
Q

Which of the following is found only in veins?

A

valves

120
Q

The function accomplished by the cardiopulmonary bypass machine

A

Perfusion

121
Q

Electrical conduction disorder requiring permanent pacemaker

A

Heart block

122
Q

Monitoring procedure that records electrical activity of the heart

A

electrocardiograph

123
Q

Noninvasive study used to diagnose mitral valve stenosis or other valvular disorders

A

echocardiography

124
Q

Percentage of blood volume pumped out of the heart into the systemic circulation; indicator of ventricular function

A

Ejection fraction

125
Q

Absence of a heartbeat; cardiac standstill

A

asystole

126
Q

Disorganized stimulation of the atria that prevents atrial contraction and does not allow for ventricular filling

A

atrial fibrillation

127
Q

Abnormally slow electrical impulses and heartbeat below 40 to 60 beats per minute

A

bradycardia

128
Q

Chaotic and disorganized stimulation of the ventricle, making it unable to effectively pump blood

A

ventricular fibrillation

129
Q

A heart rate that exceeds 100 beats per minute

A

ventricular fibrillation

130
Q

Harvey Cushing, M.D., and William Bovie, Ph.D., collaborated in the 1926 to create the first:

A

electrosurgical unit

131
Q

Which of the following wounds would be assigned a Class I?

A

inguinal hernia repair with no breaks in technique

132
Q

Which of the following religions believes in reincarnation and that the rebirth is influenced by the previous death experience?

A

buddhism

133
Q

What is used to achieve tissue destruction in an endometrial balloon ablation?

A

hot dextrose water

134
Q

What anatomical structure is the bladder attached to in males?

A

prostate

135
Q

Which member of the U.S. government makes a federal disaster declaration and mobilizes FEMA?

A

president

135
Q

Which term describes a physician-group-owned hospital?

A

proprietary

136
Q

Which of the following are used on tips of hemostats to prevent breaking of delicate monofilament suture when tagged?

A

suture aid booties

137
Q

Which acronym represents an organization that serves as both an insurer and provider of medical services?

A

HMO

138
Q

What is the chemical name for Dermabond™ or Indermil™?

A

cyanoacrylate

139
Q

What is the common name for the high-level disinfectant sodium hypochlorite?

A

bleach

140
Q

For which procedure would the surgeon require a sterile tattoo machine and inks?

A

nipple reconstruction

141
Q

What term is used to describe the transferring of files and documents to a compact disc (CD)?

A

burning

142
Q

Auscultation involves use of a(n):

A

stethoscope

143
Q

Craniosynostosis is a congenital defect involving:

A

premature cranial suture closure

144
Q

Which of the following is a commonly used method of preserving the heart by reducing its metabolic needs?

A

hypothermia

145
Q

Surgical technologists are not required to be proficient in endoscopic genitourinary procedures, only open cases because there are cystoscopy specialists who will do them. T/F

A

False

146
Q

What is the pharmacological agent administered specifically to treat malignant hyperthermia (MH)?

A

dantrolene

147
Q

Which of the following is all that is necessary for instrument setup for bilateral myringotomy tube (BMT) placement?

A

mayo stand

148
Q

Which wave of the cardiac cycle in an electrocardiogram indicates the ventricular repolarization phase?

A

T-wave

149
Q

What chronically occurring condition is often the reason for placement of myringotomy tubes in one or both ears?

A

otitis media

150
Q

The hepatic and splenic flexures are located proximally and distally in which part of the large intestine?

A

transverse

151
Q

Penfield #1 through #5 are:

A

dissectors

152
Q

Which of the following substance is least likely to cause an anaphylactic reaction:

A

benadryl

153
Q

What is the term for a single alternating current cycle?

A

hertz

154
Q

Which of the following studies is a radiologic procedure in which contrast media is injected through a cystoscope?

A

retrograde urogram

155
Q

Which of the following is a result of torn bridging veins between the cerebral cortex and venous sinuses?

A

subdural hematoma

156
Q

Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy?

A

tischler

157
Q

What is the name of the dural fold that separates the right and left hemispheres of the cerebrum?

A

falx cerebri

158
Q

Which of the following is NOT a bone of the pelvis?

A

pelvis

159
Q

Pediatric patients require an enhanced team focus on the physiological needs in a more dramatic way than any other age group. T/F

A

True

160
Q

What is the portion of the eye between the cornea and the iris in which aqueous fluid flows and nourishes tissues?

A

anterior chamber

161
Q

Which instrument is used to extract pieces of the nucleus pulposus in a diskectomy?

A

pituitary rongeur

162
Q

Which anatomical area is located between the posterior vaginal opening and the anus?

A

perineum

163
Q

In many cases, for all age populations, pulse oximetry has replaced arterial blood gases (ABGs) as the routine method of monitoring blood oxygenation, due to its low cost, ease, and decreased potential for infection. T/F

A

True

164
Q

What is the name of the paired parts of a hemostat that span between the box lock and the finger rings?

A

shanks

165
Q

What is the medical term for visible changes in density on chest x-ray that indicates pulmonary pathology?

A

infiltrate

166
Q

Which classification of drugs is used to induce uterine contractions and reduce bleeding after vaginal or cesarean section delivery?

A

oxytocin

167
Q

Which of the following are the final branchings of the respiratory tree?

A

alveoli

168
Q

Which of the following is NOT a type of ESU tip?

A

trocar

169
Q

Which of the following roles is defined by the American College of Surgeons (ACS) as providing aid in exposure, hemostasis, and other technical functions that help the surgeon carry out a safe operation with optimal results for the patient?

A

surgical first assistant

170
Q

If a patient suffered a burn as a result of improper application of the ESU dispersive (grounding) pad, the individual team member responsible may be found guilty in a lawsuit of which of the following?

A

negligence

171
Q

Cystoscopy and ureteroscopy procedures are performed in which position?

A

low-lithotomy

172
Q

Which governmental agency mandates that operating rooms have a biohazard exposure control plan and make personal protective equipment available for personnel at risk?

A

OSHA

173
Q

Which artery is MOST commonly accessed with the Seldinger technique during cardiac catheterization?

A

femoral

174
Q

Which procedure may be done in conjunction with vitrectomy if the surgeon is unable to gain visualization of the posterior cavity of the eye?

A

lensectomy

175
Q

Which instrument is used to strip and separate the galea and pericranium from the skull before placement of burr holes?

A

Langenbeck periosteal elevator

176
Q

What is the term used for the process of cleaning an OR after one procedure and preparing for a subsequent one?

A

turnover

177
Q

In which surgical approach would the latissimus dorsi, internal and external oblique muscles be transected for access to the operative site?

A

subcostal flank

178
Q

Why must chest tubes be attached to a water-seal drainage system?

A

to keep air from reentering thoracic space to reestablish negative pressure for respiration

179
Q

What does the circulator verify before the surgical technologist places the basket of instruments on the back table?

A

the filters on the bottom of the container are intact and the container is dry

180
Q

During an anaphylactic reaction, the surgical team must maintain the airway and provide supplemental oxygen or the patient may die of:

A

respiratory failure

181
Q

Which position requires anesthesia administration and intubation to be performed on the patient’s stretcher prior to final positioning?

A

prone

182
Q

When is the first “uterine count” performed in a cesarean section?

A

when the first suture is given for closure of the uterus

183
Q

What is achieved by wrapping an extremity with an Esmarch bandage prior to inflation of pneumatic tourniquet?

A

exsanguinations

184
Q

Which nerve passes through the carpal tunnel?

A

median

185
Q

Liston knife, Gigli saw, and Satterlee saw are examples of instruments used for which type of procedure?

A

amputation

186
Q

Which sterile irrigation fluid is used for ophthalmic procedures?

A

BSS

187
Q

In which anatomical organ does biotransformation of drugs most often take place?

A

liver

188
Q

Which instrument should the surgical technologist provide during cesarean section procedures for exposure during the steps preceding the uterine incision being made?

A

bladder blade

189
Q

What type of anesthesia nerve block involves injecting local anesthetics with Wydase around the optic nerves?

A

retrobulbar

190
Q

Which stage of breast cancer is characterized by evidence of distal metastasis?

A

Stage IV

191
Q

Suture gauge can range from #5 (being the smallest) to 11-0 (being the heaviest) diameter. T/F

A

False

192
Q

Which type of catheter is placed postoperatively following TURP?

A

3-way 22 Fr. Foley with 30 mL balloon

193
Q

Which of the following is NOT a form of advance directive?

A

document of self-actualization

194
Q

What is a serious bone infection that may result from a compound fracture and become chronic later?

A

osteomyelitis

194
Q
A
195
Q

Axillary nerve injury or detachment of the deltoid from the acromion are:

A

serious post-op complications of open acromioplasty

196
Q

“Bowel technique” refers to steps used by the surgical team to prevent postoperative:

A

surgical site infection

197
Q

Which of the following is a common response of pediatric patients to injury and may result in gastric dilatation?

A

hyperventilation

198
Q

Approximately 80% of which special patient population presents to surgery with one or more comorbid conditions?

A

geriatric

199
Q

A procedure sometimes performed in the ICU, ER, or PACU is a(n):

A

tracheotomy

200
Q

Which cutting instruments should the surgical technologist have ready for anastomosis of the renal vessels into the recipient?

A

11 blade and 45 degree angle potts scissors

201
Q

In adults, red bone marrow that produces red blood cells is mainly found in which type(s) of bone?

A

flat and irregular

202
Q

During the surgical skin prep, areas that are considered contaminated should:

A

be scrubbed separately or last

203
Q

A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the

A

breast

204
Q

The surgical technologist may have up to three separate setups in a transsphenoidal hypophysectomy procedure: nasal access, tumor excision, and fascial graft T/F

A

True

205
Q

Which of the following legislative rulings requires medical facilities to inform patients of their rights to choose the types and extent of medical care available and their legal right to advance directives?

A

Patient Self-Determination Act

206
Q

What is frequently used to repair atrial and ventricular septal defects in pediatric patients?

A

Dacron patch

207
Q

What suturing technique would the surgeon use to attach tendons in a toe-to-thumb transfer procedure?

A

figure of eight

208
Q

What is the outside covering of bones that provides some nourishment and protection from infection?

A

periosteum

209
Q

What type of irrigating solution is used during placement of synthetic grafts in cardiovascular surgery to prevent clotting?

A

heparinized saline

210
Q

Tetracaine drops are used in ophthalmologic procedures to:

A

numb the surface of the eye and surrounding structures

211
Q

At approximately what age or period would a patient MOST likely be diagnosed with a Wilms’ tumor?

A

between ages 3 and 8 years

212
Q

B-cells and T-cells are types of

A

lymphocytes

213
Q

Penrose drains are active drains that are connected to a reservoir called a J-P bulb or “grenade.” T/F

A

False

214
Q

By what action does a “cigarette” drain remove fluid from a wound?

A

wicking

215
Q

What process does the human body use to achieve natural hemostasis?

A

coagulation

216
Q

What is the term for the process of starting up when a computer is initially turned on?

A

booting

217
Q

When incising the cranium between burr holes, what attachment to the powered craniotome is necessary to prevent injury of underlying tissues?

A

dural guard with footplate