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NBSTSA Review > SURGCOM5 > Flashcards

SURGCOM5 Flashcards

1
Q

Perfluoropropane and sulfur hexafluoride are used to:

A) anesthetize the eye

B) constrict the pupil

C) keep pressure on the retina

D) prevent post-op infections

A

C) keep pressure on the retina

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2
Q

The graft used for a vaginoplasty is

A) full thickness graft

B) biological skin graft

C) split thickness skin graft

D) subcutaneous connective tissue

A

C) split thickness skin graft

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3
Q

The photo receptive layer of the eye is

A) choroid

B) cornea

C) iris

D) retina

A

D) retina

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4
Q

A sponge used in brain surgery ia a/n

A) cottonoid patty

B) Kitner

C) impregnated gauze

D) porcine

A

A) cottonoid patty

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5
Q

Tetracaine drops are used in ophthalmologic procedures to:

A) fill the posterior cavity to prevent retinal detachment

B) numb the surface of the eye and surrounding structures

C) irrigate the cornea to prevent drying and abrasions

D) flush traumatic laceration tissue to prevent post-op SSI

A

B) numb the surface of the eye and surrounding structures

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6
Q

Which maneuver might be performed by the surgical technologist during a cesarean section to aid in the delivery as the surgeon gently manipulates the head of the fetus out of the uterus?

A) application of external pressure over the bladder

B) application of external pressure over the fundus of the uterus

C) insertion of the surgical technologist’s hand into the uterus to pull the legs of the fetus out

D) use of two Balfour bladder blades to widen the uterine opening

A

B) application of external pressure over the fundus of the uterus

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7
Q

Why would gas sterilization be chosen over steam sterilization?

A) It is less expensive

B) It is less damaging to items

C) It is faster

D) It is more effective

A

B) It is less damaging to items

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8
Q

How many stages of labor and delivery does the patient go through?

A) two

B) three

C) four

D) five

A

C) four

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9
Q

During the surgical skin prep, areas that are considered contaminated should:

A) not be scrubbed at all

B) need no special attention

C) be scrubbed separately or last

D) be scrubbed vigorously and first

A

C) be scrubbed separately or last

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10
Q

When are counts done in the OR?

A) At the beginning and end of case

B) Before beginning of case, at beginning of wound closure, and at skin closure

C) As case begins and when case is in progress

D) before beginning of case and at the end of case

A

B) Before beginning of case, at beginning of wound closure, and at skin closure

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11
Q

For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis- Adair tissue forceps?

A) A&P repair

B) D&C

C) LAVH

D) TAH-BSO

A

A) A&P repair

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12
Q

At the end of the case, drapes should be

A) pulled off and placed in the hamper

B) rolled off and placed on the floor so they can be checked for instruments

C) rolled off and placed in the hamper

D) checked for instruments, rolled off, and placed in the hamper

A

D) checked for instruments, rolled off, and placed in the hamper

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13
Q

When opening sterile supplies, all of the following are proper techniques Except

A) do not readjust the table drape after it has been opened

B) open the first flap away from you on an unwrapped item

C) remember not to lean over a sterile field

D) when opening items in a peel pouch, slowly allow the item to slide out of the package onto the sterile field

A

D) when opening items in a peel pouch, slowly allow the item to slide out of the package onto the sterile field

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14
Q

Which of the following is the only acceptable plastic that can be used for a steam sterilization wrapper?

A) Polyethylene

B) Polypropylene

C) Polyamide

D) Polyvinyl Chloride

A

B) Polypropylene

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15
Q

Gauze packing is used

A) on a small incision

B) wrapping a limb

C) in nose or open wound

D) when compression is needed

A

C) in nose or open wound

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16
Q

Which of the following statements about lateral kidney positioning is INCORRECT?

A) The lower leg is flexed, the upper leg is straight, and a pillow is between them.

B) The lower leg is straight and the upper leg is flexed, with a pillow under the lower leg.

C) A small roll is placed under the nonoperative side axillary area to facilitate respiration.

D) The patient’s flank is positioned over the kidney lift to provide greater exposure of the operative area.

A

B) The lower leg is straight and the upper leg is flexed, with a pillow under the lower leg.

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17
Q

All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis, EXCEPT:

A) broad

B) round

C) cardinal

D) cooper’s

A

D) cooper’s

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18
Q

Chemical that inhibits growth of endogenous microorganisms (resident flora) on skin and mucous membranes

A) Aerosol

B) Antiseptic

C) Aseptic

D) Sporicidal

A

B) Antiseptic

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19
Q

Sagging and eversion of the lower lid is

A) entropion

B) blepharitis

C) ectropion

D) ptosis

A

C) ectropion

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20
Q

Oxytocics are given in a cesarean after the baby’s shoulders are delivered

A) to contract the uterus

B) to relax the uterus

C) to prolong the contraction

D) to facilitate membrane rupture

A

A) to contract the uterus

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21
Q

When opening supplies for a case, what should be passed directly to the scrub, or flipped into an area where they are clearly visible?

A) medications

B) 10cc syringe

C) Peanuts

D) Blades

A

D) Blades

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22
Q

If there is a break in sterile technique during the procedure, the STSR should tell

A) the surgeon

B) the person who broke technique

C) the circulator

D) everyone in the lounge

A

B) the person who broke technique

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23
Q

For which surgical procedure would an Ocutome be used?

A) vitrectomy

B) enucleation

C) keratoplasty

D) strabismus correction

A

A) vitrectomy

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24
Q

Cervical effacement means

A) muscular action of the uterus to expel the fetus

B) measurementy of the uterus

C) cervical softening and thinning

D) movement of the fetus through the pelvic canal

A

C) cervical softening and thinning

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25
Q

What is the temporary position for a female patient for placement of urinary catheter prior to abdominal hysterectomy?

A) frog-legged

B) jackknife

C) low lithotomy

D) semi-Fowler’s

A

A) frog-legged

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26
Q

Angle at the fissure on wither side of the eyelids, corner of the eye

A) Canthus

B) Conjunctiva

C) Limbus

D) Trephine

A

A) Canthus

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27
Q

What is the name of the membrane that contains and encloses the vitreous humor in the posterior cavity?

A) ciliary body

B) conjunctiva

C) hyaloid

D) sclera

A

C) hyaloid

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28
Q

If looking at the right eye of a patient and assigning clock positions of 12, 3, 6, and 9 o’clock to the rectus eye muscles, which of the following would be CORRECT?

A) 12 = superior; 3 = medial; 6 = inferior; 9 = lateral

B) 12 = superior; 3 = lateral; 6 = inferior; 9 = medial

C) 12 = inferior; 3 = medial; 6 = lateral; 9 = superior

D) 12 = inferior; 3 = lateral; 6 = medial; 9 = superior

A

A) 12 = superior; 3 = medial; 6 = inferior; 9 = lateral

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29
Q

The third count on a c-section occurs prior to the

A) skin incision

B) closure of the uterus

C) closure of the abdominal cavity

D) skin closure

A

C) closure of the abdominal cavity

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30
Q

Who is directly responsible for receiving and handling the specimen on the sterile field?

A) STSR

B) Circulator

C) Anesthesiologist

D) Surgeon

A

A) STSR

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31
Q

Which of the following techniques uses a laser to treat retinal tears or proliferative diabetic retinopathy?

A) endophotocoagulation

B) keratoplasty

C) phacoemulsification

D) trephination

A

A) endophotocoagulation

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32
Q

A group of diseases resulting in increased intraocular pressure (IOP), which overtime can damage the retina resulting in blindness; can be due to overproduction of aqueous humor, obstruction of the drainage system, or a congenital membrane covering the pupil.

A) Macular degeneration

B) Glaucoma

C) Strabismus

D) Emmetropia

A

B) Glaucoma

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33
Q

When placing tubing in an activated gluteraldehyde solution, one should

A) use a shallow container

B) be certain that the interior of the tubing is completely filled

C) moisten it thoroughly before submersion

D) both B and C

A

B) be certain that the interior of the tubing is completely filled

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34
Q

In which of the following procedures would sutures most likely NOT be necessary?

A) extracapsular cataract extraction

B) intracapsular cataract extraction

C) recession/resection strabismus correction

D) vitrectomy with scleral buckle

A

A) extracapsular cataract extraction

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35
Q

Drugs that dilate the pupil but permit focusing are

A) cycloplegics

B) mydriatics

C) anesthetics

D) viscoelastics

A

B) mydriatics

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36
Q

What is the correct order of dressing a surgical wound: (1) place dressings, (2) wash the incision, (3) cover sterile dressing with a towel, and (4) remove drapes?

A) 1,2,3,4

B) 2,1,3,4

C) 3,4,1,2

D) 3,4,2,1

A

B) 2,1,3,4

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37
Q

The instrument used to excise vitreous humor is called a/an:

A) cryoprobe

B) ocutome

C) phacoemulsifier

D) wet-field “eraser”

A

B) ocutome

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38
Q

Which retinal structure allows for perception of general shapes and shades of gray in dim light?

A) cones

B) fovea

C) rods

D) macula

A

C) rods

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39
Q

A drug used to contract the sphincter of the iris during an intracapsular cataract extraction is

A) Zolyse

B) Healon

C) Miochol

D) Mitomycin

A

C) Miochol

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40
Q

For which procedure would the gynecologist likely wear surgical loupes?

A) cesarean section

B) endometrial ablation

C) robotically assisted hysterectomy

D) tubal reanastomosis

A

D) tubal reanastomosis

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41
Q

Term meaning dim vision

A) Amblyopia

B) Aphakia

C) OU

D) Pars Plana

A

A) Amblyopia

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42
Q

Removal of the entire eyeball is

A) keratoplasty

B) exenteration

C) enucleation

D) evisceration

A

C) enucleation

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43
Q

What suture would be placed into the wall of a large ovarian cyst before aspiration of its contents and final removal?

A) Mattress

B) Suture ligature

C) Purse-string

D) Figure- of- eight

A

C) Purse-string

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44
Q

For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy?

A) cervical dilators, uterine sound, weighted vaginal speculum, tenaculum, endometrial curettes

B) tenaculum, uterine sound, weighted vaginal speculum, cervical dilators, endometrial curettes

C) weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes

D) uterine sound, weighted vaginal speculum, tenaculum, cervical dilators, endometrial curettes

A

C) weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes

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45
Q

A benign, fleshy encroachment of opacified conjunctiva that grows over the cornea and can block the visual pathway.

A) Ptygerium

B) Strabismus

C) Glaucoma

D) Chalazion

A

A) Ptygerium

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46
Q

Delivery of the placenta is the conclusion of which stage of labor?

A) first

B) second

C) third

D) fourth

A

C) third

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47
Q

Packages wrapped in muslin must have

A) one thickness

B) two thickness

C) three thickness

D) four thickness

A

D) four thickness

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48
Q

Cervical conization is accomplished using all of the following EXCEPT

A) scalpel

B) cautery

C) laser

D) sclerosing solution

A

D) sclerosing solution

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49
Q

Opacity of the vitreous humor is treated by performing a

A) cataract removal

B) scleral buckling procedure

C) vitrectomy

D) goniotomy

A

C) vitrectomy

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50
Q

A technique employed for cervical biopsy is

A) random punches

B) multiple punches at 3,6,9, and 12 o’clock

C) one central punch at os

D) one inferior and one superior punch

A

B) multiple punches at 3,6,9, and 12 o’clock

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51
Q

How many tunics comprise the structure of the globe of the eye?

A) one

B) two

C) three

D) four

A

C) three

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52
Q

Instruments that are added after the case is in progress are counted by

A) STSR and circulator

B) STSR and first assist

C) does not need to be counted

D) included in final count

A

A) STSR and circulator

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53
Q

Reconstruction of the fallopian tube setup would include

A) Bowman lacrimal probes

B) Bakes dilators

C) Hegar dilators

D) VanBuren sounds

A

A) Bowman lacrimal probes

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54
Q

A holding instrument not found in a vaginal procedure is a

A) Jacobs

B) Lahey

C) Staude

D) Skene

A

B) Lahey

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55
Q

Gastrointestinal endoscopes are characterized as __________ under the Spaulding sterilization system.

A) critical

B) semi-critical

C) noncritical

D) scopes are not considered in the Spaulding system

A

B) semi-critical

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56
Q

OU stands for

A) Oculus Dexter, Right Eye

B) Oculus Sinister, Left Eye

C) Oculus Uterque, Both Eyes

D) Ointment

A

C) Oculus Uterque, Both Eyes

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57
Q

Failure to coordinate bilateral eye movements so that both eyes focus in the same direction, convergent/esotropia- eyes turn inward; divergent/exotropia-eyes turn outward

A) Strabismus

B) Glaucoma

C) Ectropian

D) Chalazion

A

A) Strabismus

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58
Q

The main purpose of the surgical skin prep is to:

A) provide a visible area of paint where the incision will be made

B) reduce the microbial count on the skin to an irreducible minimum

C) remove all resident and transient flora from the planned incision site

D) sterilize the patient’s skin to prevent post-op surgical site infections

A

B) reduce the microbial count on the skin to an irreducible minimum

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59
Q

The initial count requires

A) a count of both plain and radiopaque sponges

B) that counts be done in the right hand corner of the back table

C) that the count be done aloud by circulator and scrub

D) the scrub to count each item and report to the circulator for recording

A

C) that the count be done aloud by circulator and scrub

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60
Q

Before opening any supplies for delivery to the sterile field, what must be verified?

A) Removal of charge sticker

B) Initials of person who prepared item

C) Length of time item has been in storage

D) Package integrity being intact and not violated

A

D) Package integrity being intact and not violated

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61
Q

Eyewear, goggles, and or face shields should be worn

A) on every case

B) on orthopedic cases

C) on vascular cases

D) on positive HIV cases

A

A) on every case

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62
Q

What is the purpose of a radiofrequency tracking system in the operating room?

A) Aid in chargeable items being input into system.

B) Assist CSPD personnel in locating instrument trays.

C) Prevent potential for patient misidentification.

D) Reduce possibility of retained foreign objects.

A

D) Reduce possibility of retained foreign objects.

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63
Q

Keratoplasty involves surgery of the

A) eyelid

B) cornea

C) iris

D) retina

A

B) cornea

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64
Q

Which of the following instruments would be used to grasp the anterior cervix of the uterus just before dissection from the vaginal vault during a total abdominal hysterectomy?

A) Allis

B) Heaney

C) Phaneuff

D) Kelly

A

A) Allis

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65
Q

Asepsis means

A) without infection

B) destroys bacteria

C) clean

D) absence of microbes

A

D) absence of microbes

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66
Q

Misalignment or deviation from coordinated movement of the eyes is:

A) astigmatism

B) macular degeneration.

C) retinal detachment

D) strabismus

A

D) strabismus

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67
Q

Which of the following kills bacterial spores?

A) Sterilant

B) Germicide

C) Antiseptic

D) Fungicide

A

A) Sterilant

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68
Q

What type of gauze dressing is used on a circumcision?

A) Sponge

B) Tegaderm

C) Vaseline gauze

D) Roll Gauze

A

C) Vaseline gauze

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69
Q

Completely free from all microorganisms and spores

A) Sporicidal

B) Surgically Clean

C) Sterile

D) Decontamination

A

C) Sterile

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70
Q

Which of the following is a self retaining retractor?

A) Graves

B) Auvard

C) O’Sullivan - O’Connor

D) Heaney

A

C) O’Sullivan - O’Connor

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71
Q

The commercial name for gluteraldehyde is

A) peracetic acid

B) phenol

C) Quats

D) Cidex

A

D) Cidex

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72
Q

Strabismus repair

A) Strabismusopathy

B) Resection and Recession

C) Pterygium

D) Keratotomy

A

B) Resection and Recession

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73
Q

Damage to or loss of specimens result in

A) an incorrect diagnosis

B) repeat or needles surgery

C) delayed treatment

D) All of the above

A

D) All of the above

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74
Q

Opacification of the crystalline lens of the eye

A) Cataract

B) Chalazion

C) Glaucoma

D) Macular Degeneration

A

A) Cataract

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75
Q

What is the name of the common disposable surgical gown style?

A) cylindrical

B) turnaround

C) wraparound

D) circumferential

A

C) wraparound

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76
Q

When opening a wrapper, the circulator should open the top flap

A) toward self

B) away from self

C) after the sides

D) over the sterile field

A

B) away from self

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77
Q

The lumen of a tubing undergoing ethylene oxide (EO) sterilization is

A) well lubricated

B) dried thoroughly

C) prepared with risidual of distilled water

D) prepared with NaCl flush

A

B) dried thoroughly

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78
Q

Which anatomical area is located between the posterior vaginal opening and the anus?

A) labia majora

B) mons pubis

C) perineum

D) urethral orifice

A

C) perineum

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79
Q

Which anatomical structure is located anterior to the symphysis pubis and superior to the vaginal opening?

A) labia majora

B) mons pubis

C) perineum

D) urethral orifice

A

B) mons pubis

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80
Q

What color is the abnormal tissue after staining with Lugol’s solution in a cervical biopsy?

A) blue

B) white

C) brown

D) no color change

A

D) no color change

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81
Q

Which procedure surgically treats glaucoma?

A) enucleation

B) iridectomy

C) keratoplasty

D) scleral buckle

A

B) iridectomy

82
Q

Inflammation or infection of the lacrimal sac is

A) occularitis

B) uveitis

C) iritis

D) dacrocystorhinitis

A

D) dacrocystorhinitis

83
Q

Which of the following is a pharmacologic agent that constricts the pupil of the eye?

A) acetylcholine

B) atropine

C) betamethasone

D) viscoelastic

A

A) acetylcholine

84
Q

At which point in a cesarean is a bulb syringe used?

A) When the membranes are incised

B) When the fetal head is delivered

C) When the entire infant is delivered

D) After placental delivery

A

B) When the fetal head is delivered

85
Q

Which instrument is used to manipulate the fallopian tubes without compression or damage?

A) Babcock tissue forceps

B) Ferris-Smith tissue forceps

C) Heaney clamp

D) Kocher clamp

A

A) Babcock tissue forceps

86
Q

What is the MOST common surgical intervention for a vaginal delivery?

A) cerclage

B) episiotomy

C) labioplasty

D) marsupialization

A

B) episiotomy

87
Q

Personal protective equipment (PPE) used in includes all of the following Except

A) protective eyewear

B) facemask

C) surgical and/ or patient care gloves

D) full protectivebody suit or gown

A

C) surgical and/ or patient care gloves

88
Q

Removal of the contents of the globe, leaving sclera and muscle intact to accomidate the prosthesis.

A) enucleation

B) evisceration

C) exenteration

D) globotomy

A

B) evisceration

89
Q

Removal of a portion of an ocular muscle with reattachment is called

A) recession

B) resection

C) strabismus

D) myomectomy

A

B) resection

90
Q

The process of terminal decontamination follows every case. Decontamination of the walls consists of

A) cleaning all walls up to 3 feet

B) cleaning all walls up to 1 foot

C) spot clean where soiled

D) always clean with alcohol

A

C) spot clean where soiled

91
Q

Which of the following is NOT used for visualization in ophthalmologic procedures?

A) colposcope

B) loupes

C) microscope

D) ophthalmoscope

A

A) colposcope

92
Q

A method of applying dressings to an unstable area, such as the face or neck, utilizing long sutures tied over the dressing for stability is known as

A) pressure

B) stent

C) one-layer

D) three-layer

A

B) stent

93
Q

Marsupialization of a Bartholin cyst involves the

A) suturing the posterior wall of the cyst to the skin edges

B) removal of anterior wall of cyst

C) draining cyst contents

D) Both A and B

A

D) Both A and B

94
Q

Which of the following structures is NOT part of the anatomy of the vulva?

A) cervix

B) clitoris

C) labia

D) mons pubis

A

A) cervix

95
Q

the minimal temperature required to kill bacterial spores is:

A) 212F (100C)

B) 270F (132C)

C) 250* F (121*C)

D) 32F (0C)

A

C) 250* F (121*C)

96
Q

Parineal lacerations and incisions are labeled by degree. A third degree laceration or incision involves?

A) vaginal mucosa or perineal skin

B) extends into the vaginal submucosa

C) involves the anal sphincter

D) involves the rectal mucosa

A

C) involves the anal sphincter

97
Q

What is used to achieve tissue destruction in an endometrial balloon ablation?

A) electrical energy

B) hot dextrose water

C) laser light energy

D) ultrasonic friction

A

B) hot dextrose water

98
Q

Removal of the entire lens, including the capsule and the nucleus

A) Intracapsular Cataract Extraction(ICCE)

B) Extracapsular Cataract Extraction (ECCE)

C) Chalazion

D) Extropian

A

A) Intracapsular Cataract Extraction(ICCE)

99
Q

In an instrument count

A) all instruments and parts must be counted

B) precounted sets eliminates the need for precase count

C) large bulky instruments need not be counted

D) count only instruments that will be used

A

A) all instruments and parts must be counted

100
Q

What chemical system uses peracetic acid as the sterilant?

A) Ozone gas sterilization

B) Steris

C) Sterrad

D) vapor phase sterilizer

A

B) Steris

101
Q

Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele?

A) anterior colporrhaphy

B) posterior colporrhaphy

C) Shirodkar procedure

D) Wertheim’s procedure

A

A) anterior colporrhaphy

102
Q

What is a Veress needle used for?

A) amniocentesis

B) epidural anesthesia

C) laparoscopic insufflation

D) suprapubic catheter placement

A

C) laparoscopic insufflation

103
Q

Typr of laser used for preoperative anterior capsulotomy, posterior capsulotomy, lysis of adhesions, and retinal disorders

A) Red-Yellow Krypton

B) Blue-green Argon

C) Nd:YAG

D) CO2

A

C) Nd:YAG

104
Q

Which of the following is an inward turning of the eyelid with resulting corneal irritation?

A) cataract

B) chalazion

C) ectropian

D) entropian

A

D) entropian

105
Q

Which of the following statements regarding transfer of an awake, mobile patient from stretcher to OR table is INCORRECT?

A) Both table and stretcher must be locked to prevent movement during transfer.

B) One staff member is positioned on table side to receive patient and one on stretcher side to stabilize.

C) Instruct patient to keep the blanket on during transfer, preventing hypothermia and for privacy.

D) The safety strap is secured tightly across patient’s waist to prevent possible fall due to narrow OR table.

A

D) The safety strap is secured tightly across patient’s waist to prevent possible fall due to narrow OR table.

106
Q

Preoperative drops administered were recorded as “Cyclogyl gtts ii O.S q 5 min times 3” This means:

A) 11 drops of medicine were put in the patient’s left eye five times, 3 minutes apart

B) 2 cc were put in the right eye five times at 3 minute intervals

C) 2 drops were placed in both eyes three times at 5-minute intervals

D) 2 drops were placed in the left eye three times at 5-minute intervals

A

D) 2 drops were placed in the left eye three times at 5-minute intervals

107
Q

The surgery performed to remove the embryo while preserving the tube is

A) salpingoopherectomy

B) salpingectomy

C) salpingostomy

D) oopherectomy

A

C) salpingostomy

108
Q

What is the role of moisture in EO sterilization?

A) The items will dry out during the process if no humidity is added

B) The sterilizer will deteriorate from gas over a period of time if no moisture is added

C) Dried spores are resistant to the gas, so the must be hydrated

D) Moisture is not an essential element in gas sterilization

A

C) Dried spores are resistant to the gas, so the must be hydrated

109
Q

What is the comparison between a neonate’s and an adult’s normal pulse rate?

A) Neonate’s pulse is twice as fast as an adult’s.

B) Neonate’s pulse is three times as fast as an adult’s.

C) Neonate’s pulse is half as fast as an adult’s.

D) Neonate’s pulse is typically the same as an adult’s.

A

A) Neonate’s pulse is twice as fast as an adult’s.

110
Q

The fallopian tubes are located bilaterally in the mesosalpinx of which uterine-pelvic ligaments?

A) broad

B) cardinal

C) round

D) uterosacral

A

A) broad

111
Q

An item used for padding that has smooth and clingy layers is called

A) Webril

B) stockingette

C) telfa

D) gypsum

A

A) Webril

112
Q

What procedure accomplishes correction of myopia?

A) keratoplasty

B) keratophakia

C) keratotomy

D) Both B and C

A

D) Both B and C

113
Q

What is the shelf life of Cidex?

A) Between 14 and 28 days

B) 7 days

C) 1 month

D) indefinite

A

A) Between 14 and 28 days

114
Q

In which procedure would the surgeon likely request 8-0 or 9-0 suture?

A) cervical cerclage

B) cesarean section

C) tubal ligation

D) tuboplasty

A

D) tuboplasty

115
Q

The desirable position for better visualization in the lower abdomen or pelvis is

A) Fowler’s

B) reverse Trendelenburg

C) Trendelenburg

D) Kraske

A

C) Trendelenburg

116
Q

Trendelenburg, reverse Trendelenburg, Fowler’s, and lithotomy are variations of which basic position?

A) decubitus

B) lateral

C) prone

D) supine

A

D) supine

117
Q

What passes through the canal of Schlemm?

A) aqueous humor

B) vitreous humor

C) lacrimal fluid

D) optic nerve

A

A) aqueous humor

118
Q

The thin transparent vascular membrane overlying the sclera and continuing on the undersurface of the upper and lower lids

A) Canthus

B) Limbus

C) Conjunctiva

D) Pars Plana

A

C) Conjunctiva

119
Q

What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?

A) endometrial ablation

B) myomectomy

C) oophorectomy

D) pelvic exenteration

A

B) myomectomy

120
Q

The surgical scrub is

A) sterilization of the skin

B) mechanical cleansing of the skin

C) chemical cleansing of the skin

D) mechanical washing and chemical antisepsis of the skin

A

D) mechanical washing and chemical antisepsis of the skin

121
Q

Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery?

A) dystocia

B) placenta previa

C) preeclampsia

D) uterine rupture

A

A) dystocia

122
Q

What is another name for the traction sutures used to manipulate the globe of the eye?

A) bridle

B) buckle

C) retention

D) tunic

A

A) bridle

123
Q

To achieve 270*F, the required pressure is

A) 15 psi

B) 20 psi

C) 27 psi

D) 40 psi

A

C) 27 psi

124
Q

An effective surgical scrub procedure is

A) time method

B) brush-stroke method

C) 3-minute anatomic method

D) both A and B

A

D) both A and B

125
Q

When draping the 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 the furniture and equipment to be included in the sterile field

D) hold drapes in a compact position above the waist level

A

A) drape from the periphery to the operative site

126
Q

What is the appropriate method for delivering a sterile item to the back table from a peel package?

A) Open peel pack away from self, using top flap to cover hand and arm; open item over center of back table.

B) Open package laterally, and carefully slide item over glued edge onto top of back table.

C) Open package toward self; then project item into air, aiming for back table.

D) Open package laterally and completely; gently toss item without touching glued edge or going over back table.

A

D) Open package laterally and completely; gently toss item without touching glued edge or going over back table.

127
Q

What is the name of the gelatin-like fluid that fills the posterior cavity of the eye?

A) aqueous humor

B) crystalline lens

C) lacrimal fluid

D) vitreous humor

A

D) vitreous humor

128
Q

The normal condition of the lens of the eye is:

A) opaque and biconcave

B) opaque and biconvex

C) transparent and biconcave

D) transparent and biconvex

A

D) transparent and biconvex

129
Q

A drug used as a lubricant and as vesicoelastic support to maintain seperation of tissues before removal of lens during cataract surgery

A) 5- flourouracil

B) Healon

C) Mitomycin

D) Miostat

A

B) Healon

130
Q

Means without infection:

A) Antiseptic

B) Aseptic

C) Sanitary

D) Sterile

A

B) Aseptic

131
Q

When handling uterine curettings,

A) never place them in preservative

B) keep the endometrial and the endocervical curettings separate

C) send the endometrial and the endocervical curettings to the laboratory in one container

D) send them on a 4x4 to the laboratory because it is too difficult to remove them

A

B) keep the endometrial and the endocervical curettings separate

132
Q

What kind of anesthetic block is used for a vitrectomy procedure?

A) Bier

B) spinal

C) caudal

D) retrobulbar

A

D) retrobulbar

133
Q

Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas?

A) laparoscopy

B) hysteroscopy

C) cervical cerclage

D) dilation and curettage

A

B) hysteroscopy

134
Q

The indication that the DeLee suction may be needed on a C Section is….

A) the presence of muconium

B) anesthesia uses the suction on c sections

C) baby is breech

D) baby has a lot of mucous blocking the airway

A

A) the presence of muconium

135
Q

Which procedure done on an eye with internal malfunction or loss of contents and no possible recovery of sight provides better mobility and cosmetic result with a prosthetic eye?

A) iridectomy

B) enucleation

C) evisceration

D) recession

A

B) enucleation

136
Q

Bulky dressings added to the intermediate layer of a three-layer dressing are used to

A) eliminate dead space

B) concentrate pressure in one area

C) immobilize a body part

D) Both A and C

A

D) Both A and C

137
Q

What type of pressure dressing is molded into a thick pad that fits into the graft area and is secure with sutures?

A) Supportive

B) Stent

C) Flat

D) Tegaderm

A

B) Stent

138
Q

Eye lubricant which gives viscoelastic support to the eye during surgery include:

A) phenylephrine

B) carbochol

C) sodium hyaluronate

D) betamethasone

A

C) sodium hyaluronate

139
Q

Conization of the cervix may be accomplished by all of the following EXCEPT

A) scalpel

B) Thomas uterine curette

C) Laser

D) electrosurgery

A

B) Thomas uterine curette

140
Q

Plastic surgery to correct faulty position of the eyelids, ptosis, drooping, or sagging,

A) Blepharoplasty

B) Blepharochalasis

C) Pterygium

D) Keratotomy

A

A) Blepharoplasty

141
Q

What is the portion of the eye between the cornea and the iris in which aqueous fluid flows and nourishes tissues?

A) anterior chamber

B) posterior chamber

C) fovea

D) macula

A

A) anterior chamber

142
Q

A Humi cannula is used in

A) eye surgery

B) vascular surgery

C) urologic surgery

D) gynecologic surgery

A

D) gynecologic surgery

143
Q

When transporting a patient on a stretcher through the OR suite corridors, which method should be followed?

A) Pull the stretcher with the patient facing feet first and the patient flat and restrained.

B) Pull the stretcher with the patient facing head first and the patient flat and restrained.

C) Push the stretcher with the patient facing feet first in the position most comfortable for the patient.

D) Push the stretcher with the patient facing head first in the position most comfortable for the patient.

A

C) Push the stretcher with the patient facing feet first in the position most comfortable for the patient.

144
Q

What surgical procedure provides obliteration of the vagina by denuding and approximating the anterior and posterior walls of the vagina?

A) Vaginoplasty

B) Colpocleises

C) Colpoperinorrhaphy

D) Colporrhaphy

A

B) Colpocleises

145
Q

Retention suture with bolsters would be used in what type of incision?

A) pfannenstial

B) abdominal midline

C) oblique

D) transverse

A

B) abdominal midline

146
Q

Which of the following is the term for “crossed eyes”?

A) amblyopia

B) estropia

C) myopia

D) presbyopia

A

B) estropia

147
Q

Labor can be induced using

A) ergotrate

B) diazoxide

C) Pitocin

D) magnesium sulfate

A

C) Pitocin

148
Q

Drooping of the upper eyelid because of weakness or absence of the levator palpebra muscle

A) Amblyopia

B) Aphakia

C) Blepharoptosis

D) Retinopathy

A

C) Blepharoptosis

149
Q

A surgical treatment for chronic wide angle closure glaucoma that reestablishes communication between the posterior and anterior chamber of the eye is

A) iridectomy

B) elliot trephination

C) cyclodialysis

D) posterior lid sclerectomies

A

A) iridectomy

150
Q

The first closing count is performed on which abdominal layer?

A) skin

B) Subq

C) when the surgeon requests

D) Peritoneum

A

D) Peritoneum

151
Q

An assistant may be needed to properly perform which type of surgical skin prep?

A) circumferential extremity

B) midline vertical abdominal

C) two-step prep with scrub and paint

D) vaginal/perineal prep in lithotomy position

A

A) circumferential extremity

152
Q

Stones are sent to pathology in

A) formalin

B) dry container

C) sterile saline

D) not sent to pathology

A

B) dry container

153
Q

What gynecologic set up would include various sizes of sterile cannulas?

A) Cesarean

B) Hysterectomy

C) Oophorectomy

D) Suction Curettage

A

D) Suction Curettage

154
Q

In an appendectomy, a purse string suture is used to

A) tie off the appendix

B) invert the stump of the appendix

C) use to retract the appendiceal stump

D) all of the above

A

B) invert the stump of the appendix

155
Q

Which self-retaining retractor has the shape of a figure-of-eight (8) when in the closed position?

A) Balfour

B) Franz

C) Gelpi

D) O’Sullivan-O’Connor

A

D) O’Sullivan-O’Connor

156
Q

When closing a uterus in a cesarean, the edges of the uterine incision are clamped with which of the following?

A) Allis

B) Kocher

C) Pennington

D) Babcock

A

C) Pennington

157
Q

A condition causing leakage of urine into the vagina is a/an

A) ureterovaginal fistula

B) cystocele

C) vesicavaginal fistula

D) rectovaginal fistula

A

C) vesicavaginal fistula

158
Q

Best practice states that all of the following items remain sterile until the patient leaves the room, EXCEPT the:

A) back table

B) basin set

C) Mayo stand

D) surgical drapes

A

D) surgical drapes

159
Q

If the sponge pack contains an incorrect number of sponges, the circulating nurse should

A) isolate the pack, do not use it

B) document it on the count record

C) use if after adding or subtracting the correct number

D) return it to the original outer package and set it aside

A

A) isolate the pack, do not use it

160
Q

Chromic and plain gut suture originate from

A) sheep intestine

B) beef intestine

C) pig intestine

D) both A and B

A

D) both A and B

161
Q

Process of detroying pathogenic organisms, except spores

A) Disinfection

B) Decontamination

C) Surgical asepsis

D) Sanitary

A

A) Disinfection

162
Q

The size of a suture is based on its diameter. An example of a suture with the same diameter is a 2-0 silk and

A) 3-0 silk

B) 2-0 nylon

C) 4-0 silk

D) both a and c

A

B) 2-0 nylon

163
Q

Which procedure involves an en bloc removal of the uterus, bilateral ovaries and fallopian tubes, supporting ligaments, upper third of the vagina, and pelvic lymph nodes?

A) anterior and posterior colporrhaphy

B) bilateral laparoscopic tubal ligation

C) radical hysterectomy

D) suprapubic hysterectomy

A

C) radical hysterectomy

164
Q

When packaging instruments for sterilization, instruments should be:

A) fully assembled

B) lubricated

C) placed in closely nested section

D) left open and/or placed on a rack

A

D) left open and/or placed on a rack

165
Q

The fallopian tube is grasped with a

A) Kocher

B) Babcock

C) Kelly

D) Lahey

A

B) Babcock

166
Q

When removing sterile attire, arrange following in proper order (1)remove your gloves, (2) remove your gown, (3) remove your mask, (4) remove gown and gloves together, then mask:

A) 1,2,3

B) 4

C) 2,1,3

D) 3.2.1

A

C) 2,1,3

167
Q

An alternative to abdominal hysterectomy utilizing an endoscope is surgically termed a/an

A) Laparoscopic-assisted vaginal hysterectomy (LAVH)

B) LEEC

C) Pelviscopic-assisted vaginal hysterectomy

D) Both A and C

A

D) Both A and C

168
Q

What is known as the center of your sterile field?

A) Back table

B) Mayo

C) Surgeon

D) Draped patient

A

D) Draped patient

169
Q

What is the name of the anatomical area where the fallopian tubes are attached and enter the uterus?

A) cervix

B) cornu

C) infundibulum

D) isthmus

A

B) cornu

170
Q

Which of the following names represents an eye speculum that resembles an uncoiled metal paper clip?

A) Barraquer

B) Castroviejo

C) Desmarres

D) McPherson

A

A) Barraquer

171
Q

Farsightedness, associated with aging

A) Myopia

B) Emmetropia

C) Amblyopia

D) Hyperopia

A

D) Hyperopia

172
Q

What is the preferred procedure for recurrent or persistent carcinoma of the cervix after radiation therapy has been completed?

A) Wertheim’s

B) Pelvic exenteration

C) Abdominal perineal resection

D) low-anterior resectin

A

B) Pelvic exenteration

173
Q

Which position is routinely used for flexible colonoscopy procedures and may be performed on the patient’s stretcher?

A) Fowler’s

B) Kraske

C) lithotomy

D) Sims’

A

D) Sims’

174
Q

What is the name of the routine surgical treatment of infected Bartholin’s gland cysts?

A) cerclage

B) episiotomy

C) labioplasty

D) marsupialization

A

D) marsupialization

175
Q

A trephine is used to remove a button hole graft from a donors cornea and then it is sewn into the recipients eye using a 10-0 nylon

A) Keratoplasty/ corneal transplant

B) Resection and Recession

C) Pterygium excision

D) Enucleation

A

A) Keratoplasty/ corneal transplant

176
Q

The term adnexa refers to which gynecologic anatomical structures?

A) labia minora, labia majora, urinary orifice, and clitoris

B) isthmus, internal os, cervix, and external os

C) fallopian tubes, ovaries, and infundibulum

D) endometrium, myometrium, and peritoneum

A

C) fallopian tubes, ovaries, and infundibulum

177
Q

When water comes in contact with a sterile drape or gown, it can cause

A) strike through contamination

B) slippery surface

C) resident flora

D) create a potential fire hazard

A

A) strike through contamination

178
Q

All of the following regarding steam sterilization are true except

A) flat packages are placed on the shelf on edge

B) small packages, placed one on top of the other, are crisscrossed

C) basins are placed on their sides

D) solutions may be autoclaved along with other items as long as they are on a shelf alone

A

D) solutions may be autoclaved along with other items as long as they are on a shelf alone

179
Q

Mydriatic drug used to dilate the pupil

A) pheneylephrine/neosynephrine

B) Acetylcholine

C) Carbochol

D) Mannitol

A

A) pheneylephrine/neosynephrine

180
Q

Turning inward of the margin of the eyelid, causing the eyelashes to rub against the cornea.

A) Ectropian

B) Glaucoma

C) Strabismus

D) Entropian

A

D) Entropian

181
Q

During the process of setting up the sterile field, efficiency and economy of motion recommend that the surgical technologist (ST):

A) move items only once if possible

B) position back table close to door

C) place as many instruments on Mayo stand as possible

D) request that circulating RN open all supplies for case after ST is gowned and gloved

A

A) move items only once if possible

182
Q

Procedure done to remove excess tissue from the eyelid, creating an elliptical shape and precenting visual obstruction.

A) Blepharoplasty

B) Blepharochalasis

C) Pterygium excision

D) Keratoplasty

A

B) Blepharochalasis

183
Q

Professional commitment to honesty, use of strict aseptic technique,conscientiousness, and respect for others

A) Surgical asepsis

B) Surgical Conscience

C) Code of Ethics

D) Code of Honor

A

B) Surgical Conscience

184
Q

Dyes used in ophthalmic surgery include which of the following

A) Mannitol

B) flourescent sodium

C) alpha chymotrypsin

D) Carbochol

A

B) flourescent sodium

185
Q

Ethelyne oxide destroys cells by

A) interfering with the normal metabolism of the protein and reproductive processes

B) coagulating cell protein

C) converting ions to thermal and chemical energy causing cell death

D) shrinking the cell

A

A) interfering with the normal metabolism of the protein and reproductive processes

186
Q

Junction of the cornea and the sclera

A) Limbus

B) Canthus

C) Tarsal Plate

D) Pars Plana

A

A) Limbus

187
Q

All of the following statements concerning sponges are true except?

A) only radiopaque sponges should be used on the sterile field

B) sponges should be counted from the folded edge

C) a pack containing an incorrect number of sponges is discarded

D) a count is unnecessary in a vaginal procedure

A

D) a count is unnecessary in a vaginal procedure

188
Q

Which needle would be used on a liver resection?

A) Cutting

B) Tapered

C) Keith

D) Blunt

A

D) Blunt

189
Q

Good contact between a skin graft and the recipient site is facilitated by use of a/n

A) stent dressing

B) Elastoplast

C) splint-Ace dressing

D) biologic dressing

A

A) stent dressing

190
Q

Which instrument is used to test the patency of the fallopian tube during tuboplasty?

A) Hegar dilator

B) lacrimal probe

C) uterine sound

D) Veress needle

A

B) lacrimal probe

191
Q

Needle aspiration of the cul-de-sac is surgically termed

A) colpocleisis

B) culdocentesis

C) culdotomy

D) colpotomy

A

B) culdocentesis

192
Q

Which term describes the condition of a surgical technologist’s skin following skin prep?

A) debrided

B) medically clean

C) surgically clean

D) sterile

A

C) surgically clean

193
Q

Gowns are considered sterile only from

A) waist to neck level in front and back, and the sleeves

B) waist to shoulder, front and back, and the sleeves

C) neck to thighs in front and the sleeves

D) only in front from chest to sterile field level, and sleeves from elbow to cuffs

A

D) only in front from chest to sterile field level, and sleeves from elbow to cuffs

194
Q

Up to what area of the arms does a surgical technologist scrub?

A) 1 inch below the elbows

B) 2 inches below the elbows

C) 1 inch above the elbows

D) 2 inches above the elbows

A

D) 2 inches above the elbows

195
Q

To kill spores , an item must be immersed in a 2% aqueous solution of gluteraldehyde for

A) 20 minutes

B) 2 hours

C) 10 hours

D) 24 hours

A

C) 10 hours

196
Q

What is the standard safety margin on package wrappers?

A) Up to the edge

B) less than 1 inch

C) 1 inch or more

D) None of the above

A

C) 1 inch or more

197
Q

Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures?

A) back table

B) ESU

C) kick bucket

D) Mayo stand

A

D) Mayo stand

198
Q

A noninvasion process to treat glaucoma by means of a slit lamp is a a/n

A) argon or ND:YAG laser

B) Cavitron I&A

C) phacoemulsifier

D) cryoprobe

A

A) argon or ND:YAG laser

199
Q

Degree of microbial contamination:

A) Bioburden

B) Contaminated

C) Infected

D) Surgical Asepsis

A

A) Bioburden

200
Q

Which position requires anesthesia administration and intubation to be performed on the patient’s stretcher prior to final positioning?

A) lateral

B) lithotomy

C) prone

D) supine

A

C) prone

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