intraoperative Flashcards
Which item would be a part of the back table setup while preparing for an otorhinolaryngology procedure involving the ear?
Myringotomy knife
Which of the following instruments is used to retract muscle during hip procedures?
Deaver retractor
Which of the following clamps will the surgeon use to achieve hemostasis in the proximal pancreas?
Mosquito
A full-thickness skin graft can extend to and include the anatomical layer called
Subcutaneous tissue
Which of the instruments is not used for occluding a blood vessel?
Kocher
In a premenopausal patient who wishes to have more children, removal of fibroids would be accomplished by performing a:
Myomectomy
__________are commonly used during a craniotomy to adhere the scalp to the bone flap.
Raney clips
Which of the following sutures will the certified surgical technologist (CST) have ready following a small bowel resection?
1 nonabsorbable
What surgical procedure is done to treat sleep apnea?
Uvulopalatopharyngoplasty
Who is responsible for preparing and labeling specimens for transport to the pathology lab?
The circulator
A _______ retractor has a reverse curve that is inserted under the bone for leverage.
Bennett
Strabismus repair is a type of:
Ophthalmic surgery
A technique used to seal tears and holes during which CO2 gas is passed under pressure through flexible tubes to the tip of a probe is called:
Cryotherapy
__________ is the drain of choice following a choledochotomy.
T-tube
During a laparoscopic cholecystectomy, the surgeon will advance the cholangiogram catheter through which of the following structures?
Cystic duct
The function(s) of stapling devices used during endoscopic surgery is/are:
Re-approximating tissue
Which of the following retractors can be used for both an open cholecystectomy and liver retraction?
Harrington
A mallet would be used during which of the following procedures?
Total knee arthroplasty
Which of the following instruments is a self-retaining retractor?
Weitlaner
An Army-Navy is a:
Retracting instrument
Which of the following instruments is used to retract muscle during hip procedures?
Israel retractor
Which of the following burns are the result of contact with fire, hot fluid, or hot objects?
Thermal
The dilation and partial excision of dilated veins in the scrotum is a(n):
Varicocelectomy
What percentage of all surgical patients can be affected by hypothermia?
60%
During a lumbar laminectomy, which of the following instruments will the certified surgical technologist (CST) have on the sterile field to remove a part of the lamina?
Love-Kerrison rongeur
What factor below is not advantageous to laser technology in a surgical procedure?
Continuous use of laser to shorten procedure time
A type of drain that facilitates drainage from a surgical wound and is considered a passive drain is called a:
Penrose
During an inguinal hernia repair, the surgeon asks for a retractor to retract the spermatic cord. What will the certified surgical technologist (CST) pass off?
Penrose drain
______ is the surgical repair of a testicle in the scrotum.
Orchiopexy
What is the medical term used when the bladder herniates into the vagina?
Cystocele
To diagnose coronary disease, the following procedure is performed:
Cardiac catheterization
During a reduction mammoplasty, in which position is the patient placed to assess the breasts for size and symmetry?
Fowler
_______ are plastic or rubber tubing that is threaded over retention suture ends before they are tied.
Bolsters
Which of the following procedures is performed to repair a detached retina?
Sclera buckling
What type of suture technique would be used on the appendix?
Purse string
What is the procedure of choice to treat a deep vein thrombus?
Vena cava filter insertion
Which member of the surgical team must document the medications that are used at the surgical field?
Circulator
What structures are removed in a modified radical mastectomy?
Breast and lymph nodes
The surgeon is asking for an instrument to grasp the base of a hemorrhoid. Which of the following will the certified surgical technologist (CST) have ready?
Allis
What is the correct location for an incision used in an open cholecystectomy?
Right upper quadrant
The removal of the entire uterus, including the cervix, is called:
Total hysterectomy
A type of drain that facilitates drainage from a surgical wound and is considered a passive drain is called a:
Penrose
Glycine is used for which of the following procedures?
TURP
__________ is used to examine patients with abnormal Pap smears
Colposcopy
Which of the following departments would be responsible for supplying blood during a surgical procedure?
Medical laboratory
Which of the following tasks can be performed by both a sterile and nonsterile team member during the intraoperative phase of a surgical procedure?
Specimen care
What is a common risk factor for an older adult patient compared to an adolescent patient?
Skin condition
From the list below, which is not indicated for irrigation?
To rinse the sutures
Which of the following steps can the certified surgical technologist (CST) take to prevent bone damage when the surgeon is working with a power saw on bone?
Irrigation
Which of the following retractors attaches to the operating room table, requiring the assistance of the certified surgical technologist (CST) to ensure proper placement?
Bookwalter
Which of the following techniques will the surgeon use to ligate vessels during saphenous vein harvest?
Ligature reel
______ scissors are used for cutting thick, fibrous tissue.
Mayo
During a total hip arthroplasty, the anatomical structure(s) that are replaced are:
Femur head, acetabulum, femoral neck
Which of the following retractors should the certified surgical technologist (CST) have ready to expose the common bile duct during an open cholecystectomy?
Deaver
Which of the following are NOT members of the sterile team?
Circulator
The surgeon is performing an arteriotomy and asks the certified surgical technologist (CST) for a scissor. Which of the following will the surgeon need?
Potts-Smith
Which retractor is used during OB/GYN (obstetrics/gynecology) procedures?
O’Connor-O’Sullivan
A retractor used in a laminectomy is called:
Beckman
An approach into the maxillary sinus through the canine fossa, a gingivobuccal incision, is for the surgical procedure called:
Caldwell-Luc
Which of the following instruments is used to remove frayed edges from the meniscus?
Motorized shaver
In addition to the intraoperative record that is maintained by the circulator, what other document must be maintained for every patient during a surgical procedure?
Anesthesia record
A Baker cyst is located in the:
Back of the knee
In a pancreaticoduodenectomy, the certified surgical technologist (CST) will have which of the following sponges ready for the surgeon?
Moist laparotomy
Dissection through the intercostal space would be the initial incision for which surgical procedure?
Thoracoscopy
Which incision is most used for a cesarean section?
Pfannenstiel
Which piece of furniture is considered to be the Certified Surgical Technologist’s (CST) primary workstation?
Mayo stand
Spinal anesthesia may be used for any of the following procedures EXCEPT:
Gastric bypass
When is the draped Mayo stand moved into place in a surgical procedure?
After the patient is draped
An Open Reduction Internal Fixation (ORIF) is usually accomplished using all of the following EXCEPT:
Mesh
Which of the following hemostatic agents would NOT be used in bone procurement from the ilium?
Bone wax
Which of the following is a sign of malignant hyperthermia?
Severe muscle spasms
The hernia that leads to tissue necrosis is known as:
Strangulated hernia
Which of the following dissectors will the surgeon need during a hysterectomy?
Jorgenson
A measuring device used during surgical procedures is a(n)
Caliper
The surgical treatment for otitis media is:
Myringotomy
How long after a tourniquet has been inflated on the upper extremity does the certified surgical technologist (CST) need to notify the surgeon?
1 hour
Which of the options is not a valid option for suctioning in a surgical procedure?
Russian
The self-retaining retractor with sharp or blunt teeth is called a(n):
Weitlaner
When a patient is moved into Trendelenburg position, the operating team will do all of the following EXCEPT:
Place the Mayo stand in a lower position
The certified surgical technologist (CST) is assisting the surgeon during an abdominal resection. What device will the CST pass off for an end-to-end-anastomosis?
EEA
EEA (end-to-end anastomosis) is an intraluminar staple used to achieve anastomosis in abdominal resection procedures.
Removal of the prepuce is known as:
Circumcision
The procedure to transport cerebrospinal fluid from the ventricles of the brain to the peritoneal cavity is called:
Ventriculoperitoneal shunt
Who is responsible for counting items added to the sterile field during a procedure?
CST and circulator
Neurosurgical sponges are also known as:
Patties
Which of the following is an acceptable position for placement of a scrubbed, gowned, and gloved surgical technologist’s hands?
Clasped together above waist level
For which type of surgery could a retrobulbar block be administered for anesthesia?
Vitrectomy
Which of the following incisions will be used for an exploratory laparotomy?
Median
The removal of a kidney to treat a tumor, a disease, or an injury is called:
Nephrectomy
The initial step of a D&C (dilation and curettage) procedure is:
Placement of a weighted vaginal speculum
A patient with cryptorchidism can be treated with this surgical procedure
Orchiopexy
For which type of surgery could a retrobulbar block be administered for anesthesia?
Vitrectomy
The scleral buckle procedure uses low wattage cautery to mark the sclera over the retinal detachment and seal the sclerotomy. The cautery is called a:
Diathermy
___________ is a specially treated gauze that has a hemostatic agent.
Surgicel
Which of the following hemostats will the surgeon need to clamp branches of the mesentery artery during a colectomy?
Crile
During a gastrostomy, a Malecot or Pezzar catheter is secured using what type of suture technique?
Purse string
Which of the following instruments is used to clear plaque from the tunica intima during an endarterectomy?
Freer elevator
Which of the following terms best describes a thin wire inserted into a catheter to maintain rigidity?
Stylet
During a total abdominal hysterectomy, which of the following sutures will the certified surgical technologist prepare to tie off the uterine ligament?
Chromic gut
Which suction tip is used during an otorhinolaryngological surgical procedure?
Frazier
The normal sequence of steps for placement of screws in a plate for an orthopedic ORIF procedure is to hand the instruments in the following sequence:
Depth gauge, tap, screw on a driver
Which of the following is the most important factor in a surgical technologist’s role in preventing surgical site infections (SSI)?
Strict surgical conscience
Gastric banding is a surgical procedure used for:
Morbid obesity
During an appendectomy, various supplies are used. Which of the following is not an ideal supply for this case?
Lubricant
What factor below is not advantageous to laser technology in a surgical procedure?
Continuous use of laser to shorten procedure time
Which of the following procedures best describes an obstruction in the vaginal labia?
Marsupialization of Bartholin’s cyst
An 82-year-old patient is scheduled for pacemaker insertion. What form of anesthesia is most commonly used?
Monitored anesthesia care (MAC)
Which of the following procedures will be done to treat a female patient suffering with stress incontinence due to pregnancy or menopause?
Marshall-Marchetti-Krantz (MMK)
What machine generates an electrical impulse to the heart during cardiac arrest to reestablish a heart rhythm?
Defibrillator
Which of the following tissues can be accidentally removed in a thyroidectomy?
Parathyroid glands
Which of the following instruments is used to retrieve gallstones?
Randall
______ is the removal of excess skin and fat between the muscle fibers of the eyelids.
Blepharoplasty
What procedure is commonly performed with a pyloroplasty?
Vagotomy
The mechanical device designed for circulatory support after cardiac procedures is called a/an:
Intraaortic balloon pump (IABP)
During a laparoscopic appendectomy, the surgeon requests a stapler. Which of the following staplers will the certified surgical technologist (CST) pass off?
Linear
During an open simple nephrectomy, the surgeon will need to occlude the ureter. Which of the following instruments will the certified surgical technologist (CST) pass off?
Crile
When passing a ringed surgical instrument to the surgeon, the Certified Surgical Technologist (CST) should pass it by holding the:
Box Lock
The certified surgical technologist (CST) is assisting on an open hysterectomy. Which of the following clamps will the CST have available?
Heaney
What structures are removed in a modified radical mastectomy?
Breast and lymph nodes
Who is responsible to maintain all rules, regulations, and precautions regarding the use of the laser by all personnel?
Laser safety officer
Retractors are used to________ the operative site.
Expose
Which of the following anatomic structures are anastomosed during a choledochoduodenostomy?
Common bile duct (CBD) and duodenum
When a CST (certified surgical technologist) performs a surgical scrub, he or she is:
Eliminating transfer flora
Which of the following patients will require the use of retention sutures?
Obese
For which surgical procedure would you not be required to have bone wax available?
Femoropopliteal bypass
_______catheters are used to dilate the ureters.
Garceau
Pedicle clamps, such as the Mayo-Guyon, are found on which type of instrument tray?
Genitourinary
Which of the following procedures uses closed manipulation of the bone with immobilization of a fracture?
CREF
CREF (Closed Reduction External Fixation) refers to closed manipulation of a fracture with immobilization.
A(n)________hernia exists when the contents are trapped.
Incarcerated
The _______ ________ is the area of the eye located in front of the iris; it contains the aqueous humor.
Anterior chamber
For which surgical procedure would a Dorman stone basket, a choledochoscope, and a T-tube be used?
Cholecystotomy
Which action below is not according to regular standards when an exposure incident occurs in the operative environment?
Wait 24 hours to assess the wound
Which type of catheter is used for an embolectomy?
Fogarty
Which of the following procedures involves anastomosis of the stomach and jejunum?
Billroth II
If it is necessary to unfasten a towel clip after initial placement, the surgical technologist should:
Remove the field from the clip and replace it
Who determines where the tourniquet should be placed prior to a surgical procedure on an extremity?
Surgeon
When passing instruments, the certified surgical technologist (CST) should place the instrument:
In the position of function
