Final Exam Flashcards
How should the surgical technologist handle a bullet that has been removed from a surgical patient?
With Sterile Gauze
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?
Warm the OR prior to patients arrival
The first priority in treating a trauma patient is
Opening the airway
What is the main role of the ST during an emergency cardiac arrest in the operating room?
maintain the sterility of the back table and Mayo stand.
Which specialized area of the cardiac conduction system is known as the “Pacemaker of the heart”?
SA Node
Why is important for the patient undergoing cardiopulmonary bypass to become hypothermic at some point during the procedure?
To reduce oxygen demands of the heart.
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?
Defer any discussion about the patient to the doctor
Failure of the intestines to encapsulate within the peritoneal cavity of a newborn is called
Omphalocele
A congenital malformation of the chest wall with a pronounced funnel-shaped depression is called?
Pectus Excavatum
Consent for an invasive procedure, including emergency surgery, is obtained from the patient if he or she is able, or from
Responsible individual
During a true surgical emergency, more so than in any other scenario, what is key to a successful outcome for the patient
Teamwork
During an emergency cardiac arrest in the or, what is the responsibility of the surgical technologist while CPR is being performed?
Give attention to the sterile field and the surgeon’s needs.
The first action to be taken in the event there is a cardiac arrest in the OR during the surgical procedure is to
Alert the operating Room nursing supervisor and personnel.
During a trauma an emergency drug that increases myocardial contractility is?
Calcium Chloride
For a Coronary Artery Bypass Graft, if the saphenous vein will not be used, the other vessel of choice is
Internal mammary artery
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.
Count
A common fear of pediatric patients that the surgical technologist needs to be aware of is?
Separation from parents
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?
Heparinized Saline
Insertion of an endocardial pacemaker is used to treat all except?
used to treat: Atrial fibrillation, Ventricular Dysrhythmia, Myocardial infarction
Not to treat: Bronchioectasis
While performing a Coronary Artery Bypass Graft, which vessel would not be suitable to harvest?
Cephalic Vein
Which of the following cardiac solution does not necessitate surgical intervention?
Pectus Excavatum
If a patient’s heart rate drops below 40-50 beats per minute, which medication could be administered to correct the problem?
Atropine
A scale that predicts recovery and disability in all types of trauma and brain injury is
Glasgow Coma Scale
The SA node which indicates each cardiac cycle, is known as the
Pacemaker
The aortic valve maintains one-way flow from the _____________ to the aorta
Left ventricle
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.
Interventional Radiology
A pacemaker is a device that produces electrical impulses that stimulate the heart. This process is called
Pacing the heart
Fibrillation is
Uncoordinated muscular activity in the heart muscles, that result in “quivering” rather than pumping action.
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?
Circulator??
What statement regarding level I and level II trauma center best describes the difference between the two types of centers?
A level I trauma center provides care for every type of injury, while a level II lacks some specialized resources.
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?
D. A brief neurological examination
E- Exposure to reveal all life-threatening injuries.
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?
Prepping the left side first and separately, then prepping the right side with a second prep set????
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 _____________
O, AB
during a CABG the surgeon requests a medication that will act as a vasodilator. The CST should expect to draw up
Papaverine
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
Radial artery and cephalic vein.
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
Ensure patency of the tube balloon
The first and most important step for successful resuscitation in cardiac arrest is
Immediate opening of the airways
As a safety precaution, when a patient is being shocked with the defibrillator, the surgical team should know that
No one should touch the patient or anything metallic that comes into contact with the patient.
During a surgical procedure, the patient needs cardiopulmonary resuscitation (CPR) what is the responsibility of the scrub tech during the CPR.
give attention to the sterile field and the surgeon’s needs.
The first action to be taken in the event of a cardiac arrest in the OR during a surgical procedure is to
Alert the OR supervisor and relevant personnel
The action of sodium bicarbonate in advance life support effort is to
Counteract Metabolic acidosis
During an emergency, Xylocaine is used intravenously for
Treatment of cardiac arrhythmias
During an emergency situation, airways should be
Left in place until the patient can breathe normally on their own
