Practice Exam #1 Pt.1 Flashcards
Which of the following structures is located in the alveolar processes?
- A. Teeth
- B. Vili
- C. Sinuses
- D. Tonsils
Teeth
Which of the following is the wound classification for a bronchoscopy?
- A. Clean
- B. Contaminated
- C. Dirty and infected
- D. Clean-contaminated
Clean-contaminated
The enzyme used to soften the zonules of the lens before cataract surgery is:
- A. Atropine sulfate
- B. Alpha-chymotrypsin
- C. Acetylcholine chloride
*D. Pilocarpine hydrochloride
Alpha-chymotrypsin
How should the stretcher be oriented when necessary to use an elevator to transport a patient to the OR?
- A. Place stretcher sideways in elevator
*B. Enter head first, exit feet first - C. Position in elevator is irrelevant
- D. Enter feet first, exit head first
Enter head first, exit feet first
Which of the following is a curved, transverse incision across the lower abdomen frequently used in gynecological surgery?
- A. Midline
*B. Paramedian - C. McBurney’s
*D. Pfannenstiel
Pfannenstiel
When perforated metal trays are placed on the shelves of the steam sterilizing cart, they
should be positioned:
* A. Flat
* B. Upside down
* C. Vertical
* D. Angled
Flat
Hyperkalemia is a high concentration of:
* A. Calcium
* B. Nitrogen
* C. Potassium
* D. Albumin
Potassium
Which of the following tissues are cut using curved Mayo scissors?
* A. Fascia
* B. Periosteum
* C. Dura mater
* D. Arterial wall
Fascia
Which laser beam can travel through clear tissues without heating them?
* A. Argon
* B. Excimer
* C. Carbon dioxide
* D. Neodymium: YAG
Aragon
Permission for treatment given with full knowledge of the risks is a/an:
* A. Tort
* B. Malpractice
* C. Personal liability
* D. Informed consent
Informed Consent
Which portion of the stomach surrounds the lower esophageal sphincter?
* A. Cardia
* B. Fundus
* C. Pylorus
* D. Antrum
Cardia
Low level disinfectants kill most microbes, but do not destroy:
* A. Viruses
* B. Bacteria
* C. Fungi
* D. Spores
Spores
Syndactyly refers to:
* A. Cleft palate
* B. Webbed fingers
* C. Fused tarsals
* D. Torn ligaments
Webbed Fingers
The surgical pack utilized to create the sterile field should be opened on the:
* A. Stretcher
* B. OR table
* C. Backtable
* D. Mayo stand
Backtable
The islets of Langerhans secrete:
* A. Bile
* B. Insulin
* C. Intrinsic factor
* D. Inhibiting hormones
Insulin
What type of procedure would involve the removal of teeth?
* A. Cleft palate repair
* B. Arch bar application
* C. Extractions
* D. Implants
Extractions
Which organism is a normal resident flora of the intestinal tract?
* A. Escherichia coli
* B. Staphylococcus aureus
* C. Pseudomonas aeruginosa
* D. Clostridium tetani
Escherichia Coli
Where should the first scrub surgical technologist stand when handing towels to the surgeon
to square off an incision site?
* A. . Opposite side from surgeon
* B. Same side as surgeon
* C. Foot of OR table
* D. Head of OR table
Same side of the surgeon
A properly performed surgical scrub renders the skin:
* A. Sterile
* B. Disinfected
* C. Surgically clean
* D. Moistened and dehydrated
Surgically clean
Through which of the following do the common bile duct and the pancreatic duct empty?
o A. Ampulla of Vater
o B. Duct of Santorini
o C. Wirsung’s duct
o D. Sphincter of Oddi
Ampulla of Vator
Which of the following identifiers must be verified by the patient or their ID bracelet prior to
transporting a patient to the OR?
o A. Name, social security #, physician
o B. Name, medical record #, allergies
o C. Name, date of birth, diagnosis
o D. Name, date of birth, physician
Name, date of birth, physician
What are spiral-shaped bacteria called?
o A .Cocci
o B. Bacilli
o C. Spirilli
o D. Diplococci
Spirilli
The primary function of the gallbladder is to:
o A. Store bile
o B. Produce bile
o C. Emulsify fatso
o D. Metabolize fats
Store Bile
Which of the following is a non-sterile member of the surgical team?
o A. Surgeon
o B. Circulator
o C. Surgical assistant
o D. Surgical technologist
Circulator
Which of the following is not a benefit of using surface-mounted sliding doors for access to
the operating room?
o A. Uses less space for opening
o B. Aid in controlling temperature
o C. Eliminate air turbulence
o D. Provides for thorough cleaning
Aid in controlling temperature
What are the three factors for reducing ionizing radiation exposure?
o A. Type of procedure, equipment, radiation dose
o B. Exposure, frequency, concentration
o C. Time, shielding, distance
o D. Site, age, gender
Time, shielding, distance
Which is the first part of the small intestine?
* A. Duodenum
* B. Jejunum
* C. lleum
* D. Cecum
Duodenum
What is the surgical position frequently used for patients undergoing kidney surgery?
* A. Prone
* B. Lateral
* C. Supine
* D. Lithotomy
Lateral
How are rickettsiae transmitted?
* A. Arthropod bites
* B. Physical contact
* C. Blood exposure
* D. Airborne organisms
Arthropod Bites
Which of the following is an examination of the cervix using a binocular microscope?
* A. Colposcopy
* B. Laparoscopy
* C. Urethroscopy
* D. Hysteroscopy
Colposcopy
Compression of the heart from excessive fluid or blood buildup is called:
* A. Tamponade
* B. Pericarditis
* C. Infarction
* D. Cardiomyopathy
Tamponade
Which surgical team member determines when the patient can be transported from the OR to
the PACU?
* A. Anesthesia provider
* B. Circulator
* C. Surgeon
* D. Surgical technologist
Anesthesia provider
Which suffix means surgical puncture to remove fluid?
* A. -dynia
* B. -tomy
* C. -lysis
* D. -centesis
-centesis
To which portion of the colon is the appendix attached?
* A. Ascending
* B. Descending
* C. Cecum
* D. Sigmoid
Cecum
Which laboratory test determines bacterial identification?
* A. Gram stain
* B. Manual count
* C. Prothrombin time
* D. Gel electrophoresis
Gram stain
Medication used to dilate the pupil is called:
* A. Miotics
* B. Myopics
* C. Mydriatics
* D.Muscarinics
Mydriatics
Which of the following drapes is non-fenestrated?
* A. Laparotomy
* B. U-drape
* C. Transverse
* D. Craniotomy
U-drape
Under what circumstances would it be appropriate to remove a patient’s identification bracelet ?
* A. During insertion of an IV catheter
* B. Never until patient is discharged from facility
* C. Postoperatively when taken to the nursing unit
* D. When patient is awake and alert and can verbally identify self
Never until patient is discharged from facility
What is the position most commonly used for mitral valve replacement?
* A. Prone
* B. Sims
* C. Supine
* D. Kraske
Supine
Which of the following monitors provides positive assurance of sterility?
* A. Clerical
* B. Mechanical
* C. Biological
* D. Chemical
Biological
Which laser is best used during a vitrectomy?
* A. Carbon dioxide
* B. Nd:YAG
* C. Excimer
* D. Argon
Aragon
The apron-like structure attached to the greater curvature of the stomach is the:
* A. Omentum
* B. Mesentery
* C. Ligamentum
* D. Peritoneum
Omentum
Which microbes live without oxygen?
* A. Aerobes
* B. Anaerobes
* C. Capnophiles
* D. Microaerophiles
anaerobes
Which of the following is an abnormal tract between two epithelium-lined surfaces that is
open at both ends?
* A. Epithelialization
* B. Fistula
* C. Herniation
* D. Sinus
Fistula
What is the action of antagonist drugs?
* A. Inhibit the clotting process
* B. Achieve neuroleptanesthesia
* C. Increase the effects of opiates
* D. Counteract the action of another drug
Counteract the action of another drug
Which of the following directional terms describes the type of skin prep of an entire
extremity?
* A. Spiral
* B.- Horizontal
* C. Longitudinal
* D. Circumferential
Circumferential
What organs are excised if an ovarian tumor is malignant?
* A. Bilateral ovaries only
* B. Bilateral fallopian tubes and ovaries, uterus
* C. Unilateral involved ovary and fallopian tube
* D. Unilateral involved ovary and fallopian tube, uterus
Bilateral fallopian tubes and ovaries, uterus
Which term refers to an abnormal thoracic curve of the spine referred to as “hunchback”?
* A. Lordosis
* B. Scoliosis
* C. Kyphosis
* D. Alkalosis
Kyphosis
What is the medical term for a bunion?
* A. Talipes valgus
* B. Hallux valgus
* C. Hallux varus
* D. Talipes varus
Hallux valgus
What incision is also known as a lower oblique?
* A. Inguinal
* B. Paramedian
* C. Infraumbilical
* D. Thoracoabdominal
Inguinal
The small intestine attaches to the posterior abdominal wall by the:
* A. Mesentery
* B. Peritoneum
* C. Falciform ligament
* D. Lesser omentum
Mesentery
What is the term for a relationship in which two organisms occupy the same area and one
organism benefits while the other is unharmed?
* A. Commensalism
* B. Neutralism
* C. Mutualism
* D. Parasitism
Commensalism
A topical steroid used to reduce inflammation after eye surgery is:
* A. Depo-Medrol
* B. Miochol
* C. Healon
* D. Wydase
Depo-Medrol
How is the surgical informed consent signed if an adult patient is illiterate?
* A. Authorized individual signs patient’s name
* B. Patient marks with an “X” and witness verifies
* C. RN and surgeon sign that patient gave consent
* D. Surgeon and Risk Manager sign consent
Patient marks with an “X” and witness verifies
What direction should the stretcher be oriented when transporting a patient to the OR
department?
* A. Feet first, side rails up
* B. Feet first, side rails down
* C. Head first, side rails up
* D. Head first, side rails down
Feet first, side rails up
Which of the following routine preoperative laboratory studies would be ordered for premenopausal women with no history of hysterectomy?
* A. HCG
* B. HBV
* C. HIV
* D. HDL
HCG
Which portion of the surgical gown is considered non-sterile?
* A. Outside closure ties
* B. Two inches below neckline to table level
* C. Upper arms, neckline and axillary region
* D. Sleeves; two inches above the elbows to the cuffs
Upper arms, neckline and axillary region
What is the name of the urinary catheter with a small, curved tapered tip used on patients
with urethral strictures?
* A. Iglesias
* B. Coude
* C. Pigtail
* D. Bonanno
Coude
What is the surgical position commonly used for thyroid and gallbladder surgery?
* A. Supine
* B. Fowler’s
* C. Reverse Trendelenburg
* D. Lateral Kidney
Reverse Trendelenburg
A congenital defect in which the fetal blood vessel between the pulmonary artery and aorta does not close is:
* A. Coarctation of the aorta
* B. Patent ductus arteriosus
* C. Tetralogy of Fallot
* D. Ventricular septal defect
Patent ductus arteriosus
What is the first step taken for an initial incorrect closing sponge count?
* A. Notify surgeon and repeat count
* B. X-ray patient
* C. Check body cavity
* D. Complete incident report
Notify surgeon and repeat count
Which of the following is a commonly used preservative for tissue specimens?
* A. Saline
* B. Formalin
* C. Ethyl alcohol
* D. Lugol’s solution
Formalin
The mumps may be diagnosed by finding inflammation in which of the following glands?
* A. Sublingual
* B. Thyroid
* C. Parotid
* D. Submandibular
Paratyroid
What institutional document is completed when an adverse or unusual event takes place in
the OR that may have legal consequences for the staff or patient?
* A. Incident report
* B. Operative record
* C. Deposition report
* D. Advance directive
Incident report
Which of the following is a nonadherent dressing?
* A. Kling
* B. Adaptic
* C. Collodion
* D. Elastoplast
adaptic
For which procedure would Trendelenburg position provide optimal visualization?
* A. Cholecystectomy
* B. Hysterectomy
* C. Thyroidectomy
* D. Acromioplasty
Hysterectomy
Which of the following is a fenestrated drape?
* A. Incise
* B. U-drape
* C. Aperture
* D. Half-sheet
Aperture
Which of the following terms describes a hernia that occurs within Hesselbach’s triangle?
* A. Direct
* B. Indirect
* C. Femoral
* D. Hiatal
Direct
Which of the following incisions is oblique?
* A. Epigastric
* B. Kocher
* C. Paramedian
* D. Pfannenstiel
Kocher
Which of the following dilators are used in the common duct?
* A. Pratt
* B. Van Buren
* C. Bakes
* D. Hegar
Bakes
Which of the following is a mechanical method of hemostasis?
* A. Laser
* B. Ligature
* C. Thrombin
* D. Electrosurgery
Ligature
The organ that is connected by a duct to the duodenum is the:
* A. Pancreas
* B. Gallbladder
* C. Stomach
* D. Liver
Pancreas
A brain tumor causing alteration of muscle tone, voluntary muscle coordination, gait and
balance would likely be located in the:
* A. Diencephalon
* B. Cerebellum
* C. Medulla
* D. Pons
Cerebellum
What is the term for a relationship that benefits one organism at the expense of another?
* A. Commensalism
* B. Neutralism
* C. Mutualism
* D. Parasitism
Parasitism
What type of disease is characterized by rapid onset and a rapid recovery?
* A. Acute
* B. Chronic
* C. Primary
* D. Asymptomatic
Acute
Which organelle is responsible for the production of energy?
* A. Lysosomes
* B. Mitochondria
* C. Golgi complex
* D. Endoplasmic reticulum
Mitochondra
What type of anesthesia is a combination of inhalation and intravenous drugs?
* A. Spinal
* B. Sedation
* C. Regional
* D. Balanced
Balanced
Who is ultimately responsible for obtaining the surgical informed consent?
* A. Guardian
* B. Patient
* C. Surgeon
* D. Nurse
Surgeon
What position is most commonly used for neurosurgical procedures?
* A. Supine
* B. Semi-Fowler’s
* C. Trendelenburg
* D. Lithotomy
Supine
The outer layer of the intestine is the:
* A. Mucosa
* B. Serosa
* C. Muscularis
* D. Submucosa
Serosa
Which of the following solutions should be used to prep the donor site for a split-thickness
skin graft?
* A. Iodophor
* B. Avagard®
* C. Chlorhexidine
* D. Merthiolate
Chlorohexidine
What type of drape would be used for a flank procedure?
* A. Transverse
* B. Extremity
* C. Aperture
* D. Perineal
Transverse
Where should the safety strap be placed on a patient who is in the supine position?
* A. Below the knees
* B. Across the waist
* C. Over the thighs
* D. Across the abdomen
Over the thighs
Which surgical procedure is performed to correct an abnormality in which the urethral meatus is situated on the superior aspect of the penis?
* A. Hypospadias repair
* B. Epispadias repair
* C. Meatotomy
* D. Ureteroneocystostomy
Epispadias repair
Which thermal method of hemostasis utilizes intense, focused light?
* A. Laser
* B. Bipolar
* C. Harmonic
* D. Monopolar
Laser
What is the most common cause of intracerebral hemorrhage?
* A. Hypotension
* B. Hypertension
* C. Meningioma
* D. Meningitis
Hypertension
The larynx is located between the:
* A. Pharynx and trachea
* B. Nasal cavity and pharynx
* C. Trachea and bronchi
* D. Nasal and oral cavities
Pharynx and trachea
The most common cause of retinal detachment is:
* A. Aging
* B. Trauma
* C. Glaucoma
* D. Inflammation
Trauma
What postoperative complication is associated with total hip arthroplasty?
* A. Compartment syndrome
* B. Upper extremity weakness
* C. Urinary incontinence
* D. Pulmonary embolism
Pulmonary embolism
Which of the following is a type of passive drain?
o A. Penrose
o B. Hemovac
o C. Pleur-evac
o D. Jackson-Pratt
Penrose