Final Exam

Question 1

How should the surgical technologist handle a bullet that has been removed from a surgical patient?

Answer 1

With Sterile Gauze

Question 2

A 10-year-old patient is scheduled for surgery in an operating room with a low temperature. What can be done to keep this patient from becoming hypothermic?

Answer 2

Warm the OR prior to patients arrival

Question 3

The first priority in treating a trauma patient is

Answer 3

Opening the airway

Question 4

What is the main role of the ST during an emergency cardiac arrest in the operating room?

Answer 4

maintain the sterility of the back table and Mayo stand.

Question 5

Which specialized area of the cardiac conduction system is known as the “Pacemaker of the heart”?

Answer 5

SA Node

Question 6

Why is important for the patient undergoing cardiopulmonary bypass to become hypothermic at some point during the procedure?

Answer 6

To reduce oxygen demands of the heart.

Question 7

A patient’s death has occurred in the OR, and a family member of the patient has asked the ST about the patient. What is the best step to take in this situation?

Answer 7

Defer any discussion about the patient to the doctor

Question 8

Failure of the intestines to encapsulate within the peritoneal cavity of a newborn is called

Answer 8

Omphalocele

Question 9

A congenital malformation of the chest wall with a pronounced funnel-shaped depression is called?

Answer 9

Pectus Excavatum

Question 10

Consent for an invasive procedure, including emergency surgery, is obtained from the patient if he or she is able, or from

Answer 10

Responsible individual

Question 11

During a true surgical emergency, more so than in any other scenario, what is key to a successful outcome for the patient

Answer 11

Teamwork

Question 12

During an emergency cardiac arrest in the or, what is the responsibility of the surgical technologist while CPR is being performed?

Answer 12

Give attention to the sterile field and the surgeon’s needs.

Question 13

The first action to be taken in the event there is a cardiac arrest in the OR during the surgical procedure is to

Answer 13

Alert the operating Room nursing supervisor and personnel.

Question 14

During a trauma an emergency drug that increases myocardial contractility is?

Answer 14

Calcium Chloride

Question 15

For a Coronary Artery Bypass Graft, if the saphenous vein will not be used, the other vessel of choice is

Answer 15

Internal mammary artery

Question 16

You are scrubbed in on an emergency case when the circulator tells you that all standardized ____________ Procedures may be suspended in a life-threatening situation.

Answer 16

Count

Question 17

A common fear of pediatric patients that the surgical technologist needs to be aware of is?

Answer 17

Separation from parents

Question 18

Until it is needed to revascularize the myocardium, the vein graft used in a Coronary Artery Bypass Graft procedure should be kept moist in which solution?

Answer 18

Heparinized Saline

Question 19

Insertion of an endocardial pacemaker is used to treat all except?

Answer 19

used to treat: Atrial fibrillation, Ventricular Dysrhythmia, Myocardial infarction

Not to treat: Bronchioectasis

Question 20

While performing a Coronary Artery Bypass Graft, which vessel would not be suitable to harvest?

Answer 20

Cephalic Vein

Question 21

Which of the following cardiac solution does not necessitate surgical intervention?

Answer 21

Pectus Excavatum

Question 22

If a patient’s heart rate drops below 40-50 beats per minute, which medication could be administered to correct the problem?

Answer 22

Atropine

Question 23

A scale that predicts recovery and disability in all types of trauma and brain injury is

Answer 23

Glasgow Coma Scale

Question 24

The SA node which indicates each cardiac cycle, is known as the

Answer 24

Pacemaker

Question 25

The aortic valve maintains one-way flow from the _____________ to the aorta

Answer 25

Left ventricle

Question 26

Cardiac Catherization is a ______________ procedure and involves the insertion of a cardiac catheter into the hearts chambers and large vessels via a peripheral artery or vein.

Answer 26

Interventional Radiology

Question 27

A pacemaker is a device that produces electrical impulses that stimulate the heart. This process is called

Answer 27

Pacing the heart

Question 28

Fibrillation is

Answer 28

Uncoordinated muscular activity in the heart muscles, that result in “quivering” rather than pumping action.

Question 29

During a surgical procedure for gunshot trauma, which member of the surgical team must document the medication that are been used in the surgical field?

Answer 29

Circulator??

Question 30

What statement regarding level I and level II trauma center best describes the difference between the two types of centers?

Answer 30

A level I trauma center provides care for every type of injury, while a level II lacks some specialized resources.

Question 31

When the patient arrives in the ED, the trauma team initiates a primary assessment. This is a logical, orderly process of patient assessment for potential life threats. These assessments are activities are based on established protocols for advanced trauma life support. The mnemonic “ABCDE” represents assessments of the following: Airway, Breathing, Circulation, Disability, and exposure. The D and E represent what degree of investigation?

Answer 31

D. A brief neurological examination

E- Exposure to reveal all life-threatening injuries.

Question 32

The patient is preparing to prep the patients for an STSG. the surgeon indicates that he will harvest the STSG from the left thigh and implant the graft into the right thigh. The best choice for prepping is?

Answer 32

Prepping the left side first and separately, then prepping the right side with a second prep set????

Question 33

The staff member who will be involved in a hemolytic transfusion must know that the universal donor blood type is ______ and that the universal recipient blood type is _____________

Answer 33

O, AB

Question 34

during a CABG the surgeon requests a medication that will act as a vasodilator. The CST should expect to draw up

Answer 34

Papaverine

Question 35

An arteriovenous fistula is an abnormal joining of a vein and an artery, the indication for this procedure is dialysis. the best choice for artery and vein anastomosis is the

Answer 35

Radial artery and cephalic vein.

Question 36

when working on an emergency tracheostomy, the CST in the scrub role should prepare the Mayo to stand for immediate use of items. The CST should also

Answer 36

Ensure patency of the tube balloon

Question 37

The first and most important step for successful resuscitation in cardiac arrest is

Answer 37

Immediate opening of the airways

Question 38

As a safety precaution, when a patient is being shocked with the defibrillator, the surgical team should know that

Answer 38

No one should touch the patient or anything metallic that comes into contact with the patient.

Question 39

During a surgical procedure, the patient needs cardiopulmonary resuscitation (CPR) what is the responsibility of the scrub tech during the CPR.

Answer 39

give attention to the sterile field and the surgeon’s needs.

Question 40

The first action to be taken in the event of a cardiac arrest in the OR during a surgical procedure is to

Answer 40

Alert the OR supervisor and relevant personnel

Question 41

The action of sodium bicarbonate in advance life support effort is to

Answer 41

Counteract Metabolic acidosis

Question 42

During an emergency, Xylocaine is used intravenously for

Answer 42

Treatment of cardiac arrhythmias

Question 43

During an emergency situation, airways should be

Answer 43

Left in place until the patient can breathe normally on their own