CST Review Questions Flashcards
The parotid gland secretes:
saliva
Which of the following positions would be most likely used for performing a Lumbar Laminectomy?
modified prone
You are scheduled to scrub on a cheiloplasty. The anatomical part being revised is:
lip
Standard Precautions are to be implemented:
when blood and body fluids may be encountered
During a Craniotomy, the brain is protected with:
cottonoid pledgets/patties
What kind of procedure is a La Fort III
repair of skull fracture
Microorganisms that cause disease are known as:
pathogens
A patient with chondromalacia would have softening of the:
cartilage
Would Surgical Gut (Chromic) suture be appropriate in cardiovascular surgery to suture vessels or vascular grafts
No
The procedure involving the removal of all orbital contents is called:
Exenteration
When assisting with the application of a plaster cast, would you secure a bucket of hot water?
No
When an infection is caused by a patient’s own normal flora, the source would be referred to as:
endogenous
All of the following are guides to be followed when using polymethylmethacrylate (bone cement) except:
mix with a gloved hand
use a fume evacuator
mix with a gloved hand
The pancreas is both an endocrine and an exocrine gland. The hormone secreted by the pancreas directly into the bloodstream is:
trypsin
T or F?
the following procedure would usually require a craniotomy incision:
Transphenoidal Hypophysectomy
F
Pathogens that get past the first line of defense are engulfed by white blood cells, a process known as:
phagocytosis
The thymus gland is located in the___________________cavity.
thoracic
Within the kidneys are million of microscopic units that carry out the functions of producing urine. These functional units are called:
nephrons
An enzyme produced by some virulent microorganisms, such as the hemolytic streptococcus, that breaks down fibrin and leads to wound infection is:
fibrinolysin
An abdominal lateral curvature of the spine for which stabilization procedure may be done is:
scoliosis
Venous air embolism would be a surgical complication more likely to occur in patients having a/an:
Posterioe Fossa Craniotomy in the sitting position
The part or organelle of the cell considered to be the powerhouse is the
mitochondria
The medial malleolus is a projection at the ankle of the:
tibia
An agent used against fever is a:
Antipyretic
A slow pulse rate is:
bradycardia
Bleeding that has occurred between the skull and the outer covering of the brain is a/an:
epidural hematoma
An arthrodesis is a procedure to:
fuse a joint
Tissue transfer from one part of the body to another with the graft tissue’s blood supply left intact is called a/an:
pedicle graft
Which of the following diagnostic procedures utilizes a contrast medium, a computer, and x-ray technology to show differences between normal and abnormal tissues?
CT scan
An anticoagulant used during vascular surgery that can be reversed with protamine sulfate is:
heparin sodium
The bacteria that are spherical in shape, appear in clusters, and are the most common cause of postoperative wound infections are:
Staphylococcus aureus
An infection acquired while in the health care facility is known as:
nosocomial infection
One of the most important glands in the body, often referred to as the “master gland”, is the:
pituitary
Equipment used to emulsify and remove a benign tumor is a/an;
ultrasonic aspirator
Which of the following infectious microorganisms is most likely to be transmitted through contaminated needle stick?
Hepatitis B
The large opening located in the occipital bone in called the :
foramen magnum
The term pertaining to hidden testicle is:
cryptorchidism
Surgical removal of half the stomach is:
Hemigastrectomy
Preoperative drops administered were recorded as “Cyclogyl gtts ii O.S. q 5 min times 3.” This means:
2 drops were placed in the left eye three times at 5-minute intervals
Of the following equipment, which would least likely be used for neurosurgery?
insufflation tubing
A preoperative diagnosis of cholelithiasis indicates a/an:
condition of gallstones
A burn patient is brought to the OR with an arm greatly charred and distended with cyanotic fingers. Which of the following procedures would you anticipate?
escharotomy
Immediately following surgery of the mouth or pharynx, before consciousness is regained, the patient is positioned:
in the lateral position with slight Trendelenburg
The hormones produced by the adrenal cortex to protect one during a stressful situation are:
corticoids
The scab or slough produced by a thermal burn is called:
eschar
When tissue is taken from one part of the body and grafted to another, it is
called a/an:
autograft
Water is absorbed mostly in the:
colon
For a vein graft procedure you are instructed to draw up 0.3 ml of a drug. The syringe you will use is:
Tuberculin
Normal flora of the intestinal tract includes:
Escherischia coli
A blepahroplasty is:
repair of the eyelids
The operative microscope in ophthalmic surgery often uses which objective lens distance?
175
Death of bone tissue due to the lack of circulation is:
A.arthritis
B. avascular necrosis
C. malunion
D. osteomyelitis
avascular necrosis
A drug commonly used to reduce vascular spasms during vascular surgery is:
- A. papaverine
- B. prostigmine (Neostigmine)
- C. gentamicin (Garamycin)
- D. Heparin sodium
papaverine
A device applied while an extremity is elevated for the purpose of exsanguinating blood prior to inflation of a pneumatic tourniquet cuff is a /an
- esmarch bandage
- kling bandage
- kerlix bandage
- elastoplast bandage
esmarch bandage
During minimally-invasive/laparoscopic pelvic surgery, the peritoneal cavity is insufflated with:
- A. oxygen (don’t you dare pick this one!!!)
- B. nitrous oxide
- C. Hyskon solution
- D. carbon dioxide
D. carbon dioxide
A particle of LASER light energy is called a/an:
- A. electron
- B. neutron
- C. photon
- D. proton
C. Photon
The general term for joint reconstruction is:
- A.osteotomy
- B.arthrodesis
- C.osteoarthritis
- D.arthroplasty
D. arthroplasty
An expressed concern of the patient that he or she will be paralyzed following spinal anesthesia should be reported to the:
- A.surgeon
- B.anesthesia provider
- C.circulating nurse
- D.OR supervisor
B. anesthesia provider
The legal term that means “first, do no harm” is:
- A.primum non nocere
- B.res ipsa loquitur
- C.iatorgenic medical injury
- D.respondent superior
A. primum non nocere
Excessive uterine bleeding occurring both during menses and at irregular intervals is:
- A.menopause
- B.menometrorrhagia
- C.dysmenorrhea
- D.endometriosis
B. menometrorrhagia
Careful dissection around the facial (VII) nerve and its branches is essential in which of the following procedures?
- A.parotidectomy
- B.thyroidectomy
- C.Caldwell Luc procedure
- D.turbinectomy
A. parotidectomy
The removal of devitalilzed tissue is:
- A. dermabrasion
- B. escharotomy
- C. fasciotomy
- D. debridement
D. debridement
Homografts or heterografts used as temporary coverings for denuded skin are called:
- A.biological dressings
- B.stent dressings
- C.hand dressings
- D.flaps
A. biological dressings
Dressing sponges are opened by the circulator:
- A.before the surgical procedure begins
- B.before the counts are taken
- C.after the final count is taken
- D.anytime the scrub calls for them
C. after the final count is taken
Blepharoplasty would be indicated for a patient with:
- A.microtia
- B.macromastia
- C.hypertrophy of the orbicularis oculi
- D.stabismus
C. hypertrophy of the orbicularis oculi
Fine dissecting scissors used during abdominal surgery are
- mayo
- potts
- metzenbaum
- tenotomy
metzenbaum
The patient would be placed in the prone position for which of these procedures?
- A.Excision of Baker’s Cyst
- B.AK Amputation
- C.Knee Arthroscopy
- D.Triple Arthodesis of the Ankle
A. Excision of Baker’s Cyst
Special fine-tipped forceps used in plastic surgery include:
- A.Senn
- B.Brown-Adson
- C.Webster
- D.Stevens
B. Brown-Adson
A contrast medium used when performing a cholangiogram is:
- A.methylene blue
- B.Schiller’s solution
- C.diatrizoate sodium (Hypaque)
- D.gentian violet
C. diatrizoate sodium (Hypaque)
During an open pelvic procedure the surgeon asks for the bladder stitch. Of the following sutures on your field, which one would you give the surgeon?
- A. 2-0 chromic
- B. 3-0 silk
- C. 4-0 Prolene
- D. 1 Vicryl
A. 2-0 Chromic
During which phase of wound healing is the strength of the wound limited to the suture holding it together?
- A.granulation
- B.inflammatory (lag) phase
- C.epithelization (proliferation)
- D.remolding (maturation)
B. inflammatory (lag) phase
The most likely donor site for an autogenous bone graft is the:
- A.femur
- B.ischium
- C.scapula
- D.ilium
D. ilium
The type of fracture that includes splintered or crushed bone is:
- A.Colles
- B.greenstick
- C.compound
- D.comminuted
D. comminuted
Bioburden refers to:
- A.an agent that kills microorganisms on inanimate objects
- B.the process of destroying all microorganisms, including spores
- C.inhibition of bacterial growth
- D.the degree of microbial contamination
D. the degree of microbial contamination
Any of the following instruments could be used for hemostasis EXCEPT
- babcock
- crile
- kelly
- tonsil
babcock
The most widely used method for identifying bacteria by dividing them into groups is:
- A.Gram stain
- B.acid-fast stain
- C.simple stain
- D.sensitivity study
A. Gram stain
In orthopedic surgery, absorbable suture would most likely be used on:
- A.tendons
- B.periosteum
- C.ligaments
- D.bone
B. periosteum
Following modified radical mastectomy, the breast incision would be drained using a
- closed wound drain attached to vacuum drainage
- foley catheter attached to gravity drainage
- penrose drain attached to vacuum drainage
- T-tube attached to gravity drainage
closed wound drain attached to vacuum drainage
The force or push that moves free electrons from one atom to antther is referred to as:
- A. amperes
- B. frequency
- C. power
- D. voltage
D. voltage
A sentinel node biopsy is performed to
- remove breast tissue in a female patient that is suspected of being cancerous
- remove enlarged breast tissue in the male patient
- remove all inguinal lymph nodes
- remove the first lymph node that drains an area of suspected cancer
remove the first lymph node that drains an area of suspected cancer
The reason for the 90 degree limit for extension of a patient’s arm on a padded arm board is:
- A. avoiding injury to the brachial plexus
- B. avoiding injury to the ulnar nerve
- C. avoiding injury to the peroneal nerve
- D. avoid injury to the sciatic nerve
A. avoiding injury to the brachial plexus
The needle point most appropriate for suturing liver, pancreas, or spleen is:
- A.taper
- B.blunt
- C.cutting
- D.trocar
B. blunt
Cardiac pacing is indicated for which of the following conditions?
- A.Atelectasis
- B.Atheroosclerosis
- C.Congestive Heart Failure
- D.Heart Block
D. Heart Block
An incision made below the breast is:
- A.Hypodermic
- B.Suprapubic
- C.Inframammary
- D.Subcutaneous
C. Inframammary
You are assigned to scrub on a gunshot wound of the abdomen with a perforated bowel and will expect the surgeon to:
- A.clean up the wound and approximate wound edges for primary intention healing
- B.irrigate and suction in preparation for second intention healing
- C.suture individual layers of tissue after debridement of the wound
- D.clean up the wound, pack the wound to keep wound edges apart, and bring the patient back at a later date for delayed closure
D. clean up the wound, pack the wound to keep wound edges apart, and bring the patient back at a later date for delayed closure
An outpouching of an alveolar sac which leads to subsequent rupture resulting in a pneumothorax is called a/an:
- A.Aneurysm
- B.Bleb
- C.Atelectasis
- D.Arteriovenous fistula
B. Bleb
A disease associated with bone conduction hearing loss whereby the stapes becomes fixed is:
- A.epistaxis
- B.acoustic neuroma
- C.Meniere’s Disease
- D.otosclerosis
D. otosclerosis
A local anesthetic that isonly used topically is:
- A.lidocaine hydrocholride (Xylocaine)
- B.cocaine hydrochloride
- C.bupivicaine hydrochloride (Marcaine)
- D.procaine hydrochloride (Nova=ocaine)
B. cocaine hydrochloride
The most reliable means of monitoring the effectiveness of the sterilizer that ensures sterilzation parameters have been met is:
- A.biological
- B.mechanical
- C.chemical
- D.non, monitoring is not required
A. biological
The medical term for a facelift is:
- A.Rhytidectomy
- B.Lipectomy
- C.Mentoplasty
- D.Rhizotomy
A. Rhytidectomy
As the scrub, with which of the following procedures would you anticipate the use of chest tubes and a water-seal drainage system?
- A. Lobectomy
- B. Scalene Node Biopsy
- C. Percutaneous Transluminal Coronary Angioplasty
- D. Cardiac Pacemaker Insertion
A. Lobectomy
Equipment used to debride and clean infected wounds and joints is:
- A. periosteal elevator
- B. drill/reamer
- C. suction irrigator
- D. impactor
C. suction irrigator
All of the following are indications for a Cesarean section except:
- A. cephalopelvic disproportion
- B. eclampsia
- C. ectopic pregnancy
- D. abruptio placenta
C. ectopic pregnancy
Benign tumors that grow on a stalk and can be found on mucous membranes are called:
- A. turbinates
- B. polyps
- C. adenoids
- D. scalene nodes
B. polyps
A “blowout” fracture would be repaired with which device(s)?
- A. plates and cortical screws
- B. plates and cancellous screws
- C. cortical screws only
- D. silastic sling
D. silastic sling
A simple diagnostic procedure to differentiate normal from abnormal cervical or vaginal tissue by a staining technique is:
- A. culdocentesis
- B. hysteroscopy
- C. Papanicolaou (Pap smear)
- D. Schiller’s test
D. Schiller’s test
A woman who is pregnant for the first time is:
- A. primiparous
- B. primigravida
- C. multiparous
- D. multigravida
B. primigravida
A herniation of the brain and its coverings through a defect in the skull is:
- A. Meningoencephalocele
- B. Myelomeningocele
- C. Encephaloma
- D. Aneurysm
A. Meningoencephalocele
Development of the “surgical eye” and the “surgical ear” helps the surgical technologist develop which affective behavior?
- empathy
- motivation
- surgical conscience
- anticipation
anticipation
A radical hysterectomy with pelvic lymphadenectomy is a/an:
- A. anterior exenteration
- B. Le Fort operation
- C. cerclage
- D. Wertheim operation
D. Wertheim operation
In the middle of the surgical procedure a critical stainless steel instrument is contaminated and there is no sterile replacement. Which time setting would be selected for the flash autoclave?
- A. 3 minutes
- B. 10 minutes
- C. 15 minutes
- D. 30 minutes
A. 3 minutes
If the temperature on the steam sterilizer reads 270 degrees F, what should the pressure reading be?
- A. 15 to 17 psi
- B. 20 to 25 psi
- C. 27 psi
- D. 30 to 35 psi
C. 27 psi
The grounding pad which connects the patient to the electrosurgical generator is called a /an
- active electrode
- inactive dispersive electrode
- bipolar electrode
- monitor
inactive dispersive electrode
Obtaining an informed consent for surgery is the ultimate responsibility of the:
- A. anesthesia provider
- B. circulator
- C. OR supervisor
- D. surgeon
D. surgeon
Patient safety in the operating room is the responsibility of the:
- A. surgeon
- B. anesthesiologist
- C. nurse
- D. entire surgical team
D. entire surgical team
The ligament of Treitz is found between which two structures?
- stomach and duodenum
- duodenum and jejunum
- jejunum and ileum
- ileum and cecum
duodenum and jejunum
The characteristics of LASER light include all of the following except:
- A. coherence
- B. collimation
- C. divergence
- D. monochromatic
C. divergence
The legal rule broken when a surgical team member discloses information about a patient which he or she learned in the operating room is:
- A. invasion of privacy
- B. doctrine of reasonable man
- C. iatrogenic injury
- D. primum non nocere
A. invasion of privacy
The needle gauge most appropriate for local infiltration is:
- A. 16g
- B. 18g
- C. 20g
- D. 25g
D. 25g
Match the following sponges with their use.
- blunt dissection of tissue
- swabbing delicate (brain) structures
- walling off viscera
- swabbing superficial tissue
- A. cottonoid patties
- B. lap sponges
- C. peanut sponges
- D. raytecs
- Blunt dissection of tissue= peanut sponges
- swabbing delicate (brain) structures= cottonoid patties
- walling off viscera= lap sponges
- swabbing superficial tissue= raytecs
The AST Code of Ethics includes all of the following EXCEPT
- maintaining the highest standards of professional conduct and patient care
- always following the principles of asepsis
- respecting and protecting the patient’s legal and moral right to quality patient care
- all of the above are true; there are no exceptions listed
all of the above are true; there are no exceptions listed
The heat transference that results from contact of internal organs with a cool irrigation solution is:
- A. conduction
- B. collimation
- C. radiation
- D. reflection
A. conduction
The most common surgical management for BPH (benign prostatic hypertrophy) is:
- A. TURP (transurethral resection of the prostate)
- B. suprapubic prostatectomy
- C. retropubic prostatectomy
- D. perineal prostatectomy
A. TURP (transurethral resection of the prostate)
The instrument most commonly used to grasp the appendix during an appendectomy is a/an
- kelly
- kocher
- babcock
- allis
babcock
For a right nephrectomy, the patient would be placed in the _______ position:
- A. right lateral kidney
- B. left lateral kidney
- C. Sims
- D. Kraske
C. Sims
The autogenous graft which is left in place after destruction of the internal valves and then sutured into the arterial system is:
- A. in-situ saphenous vein graft
- B. human umbilical cord graft
- C. PTFE Graft
- D. ligation and stripping of the saphenous vein
A. in-situ saphenous vein graft
Relief of symptoms without curing a disease is referred to as a/an ____ procedure.
- diagnostic
- palliative
- interventive
- prophylactic
palliative
The incision used for a thyroidectomy is:
- A. postaural
- B. eyebrow
- C. Y-type incision on either side of the ear
- D. collar
D. collar
Inability to control urination is:
- A. uremia
- B. cystitis
- C. urinary continence
- D. urinary incontinence
D. urinary incontinence
Should a cardiac arrest occur in the OR, the role of the scrub would be to:
- A. perform mouth-to-mouth resuscitation
- B. perform cardiac compression
- C. obtain crash cart
- D. maintain the sterile field and keep track of counts
D. maintain the sterile field and keep track of counts
The most commonly used self-retaining urethral catheter is a:
- A. Pezzer
- B. Malecot
- C. Robinson
- D. Foley
D. Foley
The most effective and efficient method for sterilizing wrapped instrument sets is a /an
- prevacuum sterilizer
- flash autoclave
- ultrasonic cleaner
- peracetic acid sterilizer
prevacuum sterilizer
Mediastinoscopy is usually performed with the patient in what position?
- A. Lateral
- B. Sims
- C. Dorsal Recumbent
- D. Prone
C. Dorsal Recumbent
The incision for an Exploratory Laparotomy would be the
- McBurney
- Pfannenstiel
- periumbilical
- midline
midline
Subsequent counts are taken for all of the following EXCEPT
- before closure of a body cavity
- after closure of a body cavity
- at the time of permanent relief of scrub and / or circulator
- after the dressing sponges are opened
after the dressing sponges are opened
Hernias that significantly reduce the blood supply to the hernia contents are said to be ______ hernias
- incarcerated
- strangulated
- direct
- indirect
strangulated
The electrical energy device that causes the collagen matrix in vessel walls and connective tissue to reform into a permanently fused tissue matrix is the :
- A. Argon-enhanced coagulator
- B. Electrosurgical unit (ESU)
- C. Harmonic Scalpel
- D. LigaSure
D. LigaSure
The Bowie-Dick test must be run daily in which of the following types of sterilizers?
- A. ethylene oxide gas
- B. hydrogen peroxide plasma
- C. peracetic acid
- D. prevacuum
D. prevacuum
The artery that carries deoxygenated blood in the adult is the:
- A. Aorta
- B. Carotid Artery
- C. Pulmonary Artery
- D. Coronary Artery
C. Pulmonary Artery
Scalpel blades are applied with
- gloved fingers
- kocher
- needle holder
- tissue forceps
needle holder
Scissors found in the basic eye instrumet tray that are used to cut the conjunctiva are called:
- A. Wescott
- B. Vannas
- C. de Wicker
- D. Bishop Harmon
A. Wescott
The knife used to make an opening into the eardrum is:
- A. scalpel with #12 blade
- B. Fisher knife
- C. myringotomy knife
- D. Ballinger swivel knife
C. myringotomy knife
Items that contact sterile tissue and must be sterilized are considered:
- A. critical
- B. semicritical
- C. noncritical
- D. restricted
A. critical
Induced hypothermia may be accomplished by all of the following except:
- A. drugs
- B. packing the body in ice
- C. irrigating with cold fluids
- D. use of cooling blanket
A. drugs
The mechanical energy device that uses a piezoelectric transducer to create mechanical friction energy is called the :
- A. Argon-enhanced coagulator
- B. Harmonic Scalpel
- C. LigaSure
- D. Morcellator
B. Harmonic Scalpel
The instrument used to approximate the ribs following Thoracotomy is the:
- A. Duval Clamp
- B. Bailey Rib Contractor
- C. Harken-Finochetto Retractor
- D. Alexander Periosteotome
B. Bailey Rib Contractor
Of the following sutures, which will be absorbed quickest?
- A. surgical gut
- B. polyglycolic acid (Vicryl)
- C. Polypropylene (Prolene)
- D. polydioxanone (PDS)
A. surgical gut
The dressing that shoudl be placed nearest the wound is:
- A. primary dressing
- B. secondary dressing
- C. prussure dressing
- D. rigid dressing
A. primary dressing
The number of persons required to position a patient in stirrups is:
- A. one
- B. two
- C. three
- D. four
B. two
The characteristics of light energy include all of the following except:
- A. Color
- B. radiation
- C. reflection
- D. refraction
B. radiation
Solid medium LASERs include which of the following?
- A. argon and carbon dioxide
- B. carbon dioxide adn KTP
- C. KTP and Nd:YAG
- D. tunable dye adn Nd:YAG
C. KTP and Nd:YAG
If a premedicated patient were left unattended and fell from the stretcher and received an injury, this would be a direct example of :
- A. abandonment
- B. corporate negligence
- C. accountability
- D. doctrine of the reasonable man
A. abandonment
The instrument used to excise vitreous humor is called a/an:
- A. cryoprobe
- B. ocutome
- C. phacoemulsifier
- D. wet-field “eraser”
B. ocutome
For which of the following wound drains would a sterile safety pin be needed?
- A. sump drain
- B. closed wound suction drain
- C. Penrose drain
- D. gravity drain
C. Penrose drain
Sagging and eversion of the lower lid is termed a/an:
- A. entropion
- B. blepharoptosis
- C. ectropion
- D. pterygium
C. ectropion
Possible complications of a nephrectomy include all of the following except:
- A. hemorrhage
- B. impotence
- C. accidental entry into the pleural space
- D. damage to the spleen or duodenum
B. impotence
The clamps most desirable for approximating uterine wound edges for closure during a Cesarean section are:
- A. Pennington
- B. Allis
- C. Adson
- D. hemostat
A. Pennington
The abdominal cavity is filled with whcih gas to create pneumoperitoneum during minimally-invasive surgery (laparoscopy)?
- nitrous oxide
- oxygen
- carbon monoxide
- carbon dioxide
carbon dioxide
The branch of medicine that deals with perinatal care is:
- A. obstetrics
- B. gynecology
- C. neonatology
- D. perinatology
A. obstetrics
The operating room temperature should be raised from the normal 68 F to 75 F for which of the following patient populations.
- A. the diabetic patient
- B. the female patient
- C. the infant
- D. the adolescent
C. the infant
When fibrous bands of scar tissue bind organs together, the condition is:
- A. adhesions
- B. cicatrix
- C. evisceration
- D. sinus tract
adhesions
The surgical procedure done to straighten a deviated septum in the nose is a/an:
- A. antrostomy
- B. sphenoidectomy
- C. submucous resection
- D. mastoidectomy
C. submucous resection
Vesicourethral suspension, such as the Stamey procedure and the Marshall-Marchetti-Krantz procedure, are performed to correct:
- A. hypospadias
- B. spermatocele
- C. cryptorchidism
- D. female urinary incontinence
D. female urinary incontinence
When suturing the cornea following an intraocular procedure, which material would most commonly be used?
- A. 10-0 chromic gut
- B. 7-0 polyglycolic acid
- C. 10-0 nylon
- D. 7-0 nylon
C. 10-0 nylon
To counteract the heat produced by an electric-powered instrument, the scrub will
- disconnect the instrument when not in use
- drip sterile saline from a bulb syringe onto the blade of the instrument while it is in action
- place the instrument in ice water when not in use
- cool it with a solution of alcohol while it is in action
drip sterile saline from a bulb syringe onto the blade of the instrument while it is in action
Which of the following is a urinary diversion procedure?
- A. pyelolithotomy
- B. ileal conduit
- C. lithopaxy
- D. retrograde pyelogram
B. ileal conduit
When receiving drugs from the circulator, the scrub should:
- A. clean the top of the vial before inserting the needle
- B. ask the circulator to read the label before withdrawing the solution
- C. Keep the medication vial on the back table until the procedure is over
- D. read aloud the name of the drug, strength and /or amount of the drug, and the expiration date
D. read aloud the name of the drug, strength and /or amount of the drug, and the expiration date
The prefix that designates 1000 times the basic unit in the metric system is:
- A. Milli-
- B. Centi-
- C. Kilo-
- D. Micro-
C. Kilo-
What specialty supply is used when performing minimally-invasive surgery (laparoscopy) using the open method?
- hasson device
- verres needle
- disposable poole suction
- 1X3 cottonoids/patties
hasson device
Which of the following methods of hemostasis is thermal?
- A. absorbable gelatin (Gelfoam)
- B. thrombin
- C. Esmarch bandage
- D. electrocautery
D. electrocautery
The surgical specimen which is examined immediately by the pathologist is a/an:
- A. amputated limb
- B. culture
- C. foreign body
- D. frozen section
D. frozen section
The purpose of performing a Dacrocystorhinostomy is to:
- A. create an opening into the maxillary sinus
- B. correct an entropion
- C. create an opening for tear flow from the eye
- D. correct a defect in the tarsal plate of the eyelid
C. create an opening for tear flow from the eye
When packaging instruments for sterilization, instruments should be:
- A. fully assembled
- B. lubricated
- C. placed in closely nested section
- D. left open and placed on a rack
D. left open and placed on a rack
The surgical procedure done to correct sleep apnea (absence of breathing for periods during sleep) is:
- A. laryngectomy
- B. tracheotomy
- C. rhinoplasty
- D. uvulopalatopharyngoplasty
D. uvulopalatopharyngoplasty
the method of heat transfer used in a neonatiol warmer is:
- A. conduction
- B. convection
- C. radiation
- D. refraction
C. radiation
Which of the following is not an acceptable method of transporting contaminated instruments down the hall following a surgical procedure?
- A. in a closed case cart
- B. covered in a plastic bag
- C. in an open-mesh bottom tray
- D. any of the above are acceptable methods
C. in an open-mesh bottom tray
Which of the following instruments would be considered contaminated during a craniotomy?
- A. craniotome used for burr holes in skull
- B. Penfield dissector used to separate dura from the skull
- C. Cushing forceps used in placement of traction sutures in the dura
- D. needle holder used when securing drape towels
D. needle holder used when securing drape towels
Which suture is contraindicated both in the presence of infection and in the urinary and biliary tract?
- A. chromic gut
- B. polypropylene (Prolene)
- C. polydioxanone (PDS)
- D. silk
D. silk
Which of the following statements is true of cocaine hydrochloride?
- A. A 5% solution of cocaine may be injected as a local anesthetic.
- B. It is used topically as an anesthetic and to lessen bleeding.
- C. It is mixed with epinephrine and given IV.
- D. It is applied to the postoperative dressing.
It is used topically as an anesthetic and to lessen bleeding
The operative permit must be signed:
- A. before the patient enters the hospital
- B. before the pre-operative sedative medication is given
- C. after the patient arrives in the holding area
- D. just before surgery is begun
B. before the pre-operative sedative medication is given
The safest, most practical means for sterilizing heat and moisture stable items is:
- A. saturated steam under pressure
- B. ethylene oxide gas
- C. activated glutaraldehyde
- D. boiling water
A. saturated steam under pressure
Which credential attests to the quality of an educational program in surgical technology?
- registration
- certification
- accreditation
- licensure
accreditation
The removal of a fibroid tumor from the uterus is a/an:
- A. oophorectomy
- B. fibroidectomy
- C. myomectomy
- D. hysterectomy
C. myomectomy
Which instrument is an example of a GI atraumatic clamp?
- Allen Clamp
- Debakey clamp
- Kerrison clamp
- Rochester Peon Hemostat
Allen Clamp
Which of the following materials is NOT a conductor of electrical energy?
- A. carbon
- B. rubber
- C. copper
- D. water
B. rubber
When draping a sterile field, the scrubbed person would do all of the following except:
- A. drape from the periphery to the operative site
- B. protect the gloved hand with a cuff
- C. drape the patient and all furniture and equipment to be included in the sterile field
- D. hold drapes in a compact position above waist level
A. drape from the periphery to the operative site
To decrease airborne contamination and static electricity, the relative humidity of the operating room is maintained at:
- A. 30% to 35%
- B. 40% to 45%
- C. 50% to 55%
- D. 70% to 75%
C. 50% to 55%
Which of the concepts of electrosurgical unit (ESU) electrical energy flow is correct?
- A. Use of monopolar energy flow may result in alternate site burns.
- B. During the use of monopolar electrical energy, the energy passes through the tissue and returns through the same instrument used to deliver the energy
- C. use of bipolar energy flow may result in alternate site burns.
- D. Use of bipolar energy flow requires the use of a return electrode pad.
Use of monopolar energy flow may result in alternate site burns.
Which of the following is a voluntary demonstration of competency in a professional area?
- registration
- certification
- accreditation
- licensure
certification
Which of the following instruments would be used to cut bone?
- rongeurs
- allis forceps
- # 4 scalpel handle with a #10 blade
- tenaculum
rongeurs
The position that permits enhanced visualizaion during pelvic surgery is:
- A. reverse Trendelenburg
- B. Trendelenburg
- C. lithotomy
- D. Sims
B. Trendelenburg
Which of the following solutions is electrolytic and would not be used with a fulgeration or transurethral resection of the prostate?
- A. normal saline
- B. sterile distilled water
- C. glycine
- D. sorbitol
A. normal saline
X-ray visualization of the kidneys, ureters and bladder following an intravenous injection of dye is a diagnostic test called:
- A. retrograde pyelogram
- B. intravenous urogram
- C. KUB
- D. cystometrogram
B. intravenous urogram
The physician asks for 30 mg of papaverine and the label on the bottle reads “60mg/2ml.” How much would you draw up?
- A. 1.5 ml
- B. 1ml
- C. 0.5 ml
- D. 2ml
B. 1ml
The treatment of choice for patent ductus arteriosus is:
- A. Patch Graft
- B. Suture ligation of the duct
- C. Atrial Septostomy
- D. Posterior Sagittal Anorectoplasty
B. Suture ligation of the duct
Which instrument is most commonly used to dissect through the gastrohepatic ligament during a laparoscopic cholecystectomy?
- Endoscopic babcock
- Maryland dissector
- endoscopic spatula
- hasson grasper
Maryland dissector
Which of the following retractors would be most useful in a posterolateral Thorocotomy?
- A. Balfour
- B. O’Sullivan-O’Connor
- C. Davidson Scapula
- D. Weitlaner
C. Davidson Scapula
the motto of the Association of Surgical Technologists is Aeger Primo,
- A. first do no harm
- B. the thing speaks for itself
- C. the patient first
- D. do your best
C. the patient first
when passing a prepared drug to the surgeon, the scrub would
- A. ask the physician to repeat the request
- B. recite the name, amount, and /or strength of the drug
- C. ask the circulator to read the label from the medication vial
- D. ask the anesthesia provider to recite the name of the drug
B. recite the name, amount, and /or strength of the drug
The surgical schedule shows the first operations to be “ECCE with IOL, OD.” You will be prepared for:
- A. removal of the right eye with prostheses replacement
- B. removal of a cataract with lens implant in the right eye
- C. correction of strabismus of both eyes
- D. corneal replacement of the left eye
B. removal of a cataract with lens implant in the right eye
With which of the following procedures should a patient be instructed to avoid blowing the nose, coughing, sneezing, swimming and air travel?
- A. stapedectomy
- B. thyroglossal duct cystectomy
- C. radical neck dissection
- D. parathyroidectomy
A. stapedectomy
which professional organization accredits the education f the profession of surgical technology?
- Joint Commission of Accreditation of Healthcare Organizations (JCAHO)
- Commission on Accreditation of Allied Health Education Program (CAAHEP)
- American National Standards Institute (ANSI)
- National Institute of Occupational Safety and Health (NIOSH
Commission on Accreditation of Allied Health Education Program (CAAHEP)
The position of choice for the patient with a prolapsed umbilical cord is:
- A. supine
- B. turned onto the left side
- C. prone
- D. Kraske
B. turned onto the left side
Which of the following instruments could be used to dilate a male urethra?
- A. Hegar dilator
- B. van Buren sound
- C. lithotrite
- D. urethratome
B. van Buren sound
The proper attire for the semi restricted area in the operating room suite, such as a conference room, is:
- A. street clothes
- B. scrub suit, cap, shoe covers
- C. scrub suit, cap, shoe covers, mask
- D. scrub suit, cap, shoe covers, mask, eye protection
B. scrub suit, cap, shoe covers
The scissors used to open the common bile duct during open duct exploration are called
- metzenbaum
- potts
- mayo
- tenotomy
potts
all of the following are safety measures for the sponge, sharp and instrument count EXCEPT
- if a sponge pack contains an incorrect number of sponges, repeat the count and make the necessary adjustments on the count sheet
- counts are performed before closure of a hollow organ such as the uterus
- specimens going to pathology should not be placed on a counted sponge
- needles should be handed to the surgeon on an exchange basis
if a sponge pack contains and incorrect number of sponges, repeat the count and make the necessary adjustments on the count sheet
which of the following is not a part of the fire triangle?
- A. fuel
- B. carbon dioxide
- C. an ignition source
- D. oxygen
B. carbon dioxide
When setting up the mayo stand for an exploratory laparotomy, which of he following instruments would NOT be placed there?
- curved metzenbaum scissors
- richardson retractor
- hemostat clamps
- # 3 Knife handle with a #11 blade
Correct #3 Knife handle with a #11 blade
The surgical incision that is commonly used for pelvic gynecological procedures and has a low incidence of dehiscence is the ______ incision.
- midline
- thoracoabdominal
- McBurney
- Pfannenstiel
Pfannenstiel
- Harrington rods
- internal splints that help maintain the spine as straight as possible until vertebral body fusion becomes solid
- used for scoliosis
mixter
Right Angle Forceps are ratcheted, finger ring forceps commonly used for working in obscured surgical sites. They are most frequently used for clamping, dissection, or grasping tissue
- Lebsche sternum knife
- used to open the sternum
- Finochietto Rib retractor
- pedicle clamp
- used in a spleenctomy
- A hurd dissector and pillar retractor
- used in tonsillectomy
- Lempert elevator
- used in surgery of the ear
- Scoville retractor
- used in laminectomy
- Sauerbruch rongeur
- Percy amputation retractor
- Hirschmann rectal anoscope retractor
- Hill-Fergussun rectum speculum
- ryder needle holder
- used for commonly used with very small suture needles in cardiovascular, plastic, and neurosurgical procedures
- Webster needle holder
- used in plastics
