question

surgeries is a Meckel's diverticulum typically discovered in

answer

Appendectomy

question

solution can be used to disinfect endoscopic instruments

answer

Activated glutaraldehyde

question

is the administration route for thrombin

answer

Topical application

question

Glove powder is normally wiped from the gloved hand because it has the potential to cause

answer

Granulomas

question

procedure is the removal of the entire orbital content, including the periosteum

answer

Exenteration

question

commonly used for wound closure in the presence of infection

answer

Stainless steel

question

When preparing the Sterrad sterilization system for use in the surgical area

answer

Electrical

question

When can instrument counts be omitted

answer

If the incision is too small for an instrument to become buried

question

When assisting with the closure of skin incision and operating the skin stapler, the surgical technologist in the scrub role is placing the staple through which two layers

answer

A cuticular and subcuticular

question

definition of instrument sterilization

answer

Destruction of microorganisms

question

When a cholecystectomy is performed, what anatomical structures must be preserved

answer

Common duct

question

instrument is used for placement of cottonoid strips during a craniotomy

answer

Bayonet forceps

question

When donning gloves using the open-gloving technique, the ungloved hand will touch the

answer

Folded edge of the cuff of the glove

question

reshaped during a total hip arthroplasty

answer

Acetabulum

question

A scleral buckle procedure repairs

answer

Detached retinas

question

Anterior and posterior knee stability is influenced by the dynamics of the

answer

Cruciate ligaments

question

During a craniotomy, removal of the bone flap is followed b

answer

Incision of the dura mater

question

suture technique that features short lateral stitches that are taken beneath the epithelial layer of skin

answer

Subcuticular

question

A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it

answer

Is sent to pathology immediately

question

In sterilized package, a chemical indicator is used to

answer

Confirm that the package was exposed to sterilization

question

statement regarding surgical scrubbing is NOT true

answer

Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe counts

question

the best sequence for cleaning the OR room after placement of the dressings

answer

Remove sterile drapes, remove gown and gloves, don a pair of unsterile gloves to clean the back table

question

A Pereyra needle is used for which of the following types of surgery

answer

Bladder neck suspension

question

A Pereyra needle is used for which of the following types of surgery

answer

Bladder neck suspension

question

conditions should be treated FIRST

answer

Obstructed airway

question

procedure treats a congenital obstructed lesion found at the distal end of an infant's stomach

answer

Pyloromyotomy

question

The surgeon asks a surgical technologist to place a drop of a mydriatic solution in OD. As a result of this medication, the pupil of the

answer

Right eye will dilate

question

A Balfour is used in which of the following procedures

answer

Sigmoid resection

question

a contrast media

answer

Hypaque

question

common complication of a strangulated hernia

answer

Necrosis

question

structures is behind and below the base of the penis

answer

Scrotum

question

In a steam autoclave on pre-vacuum, the minimum temperature that must be reached is

answer

270º

question

Hepatitis B is caused by a

answer

Virus

question

If two basins are wrapped together for sterilizing, how should they be packaged

answer

With one basin stacked inside the other and separated by a towel

question

A recectoscope is used to resect the

answer

Prostate

question

wounds is most likely in the inflammatory phase of wound healing

answer

An abdominal incision, 20 minutes post-closure

question

How must basins be positioned for sterilization in the autoclave

answer

On their sides

question

vasoconstrictors is used to prolong the action of local anesthetics

answer

Epinephrin

question

surgical procedure may be used to remove a carcinoma form the head of the pancreas

answer

Whipple

question

Place the following phases of wound healing by first intention in correct order from first to last

answer

Inflammatory, Proliferation, Remodeling

question

is NOT an acceptable technique when placing a patient in the lithotomic position

answer

Legs placed in stirrups one at a time

question

characterizes bacteria of the genus Clostridium

answer

Anaerobic

question

When performing a right hemicolectomy, the surgeon will most likely remove portions of

answer

Ascending and transverse colon

question

Retention sutures are advantageous when the patient is

answer

Obese

question

In order to remove a portion of the kidney, the surgeon must enter

answer

Gerota's fascia

question

A potential surgical complication of an inguinal herniorrhaphy is injury to the

answer

Spermatic cord

question

The diagnostic procedure that examines the interior of the respiratory structures is

answer

Bronchoscopy

question

An inanimate object that harbors and transmits a disease is a

answer

Fomite

question

used to cross-clamp the intestine during a bowel resection

answer

Allen

question

When utilizing a laparoscopic setup, potential hazards associated with the equipment include

answer

Fiberoptic beam fire

question

When exposed to ionizing radiation, staff and patients should wear personal protective equipment containing

answer

Lead

question

procedure requires an incision in the suprasternal notch

answer

Mediatinoscopy

question

instruments should be included in the set-up for a laminectomy

answer

Kerrison

question

procedures uses a troca

answer

Laparoscopy

question

The parathyroid gland regulates

answer

Calcium

question

solution is used to identify diseased areas for a cold conization of the cervix

answer

Lugol's

question

T-tube drain may be used for

answer

Choledochotomy

question

position is MOST often used for vaginal surgery

answer

Lithotomy

question

heavy, curved, tapered needle

answer

Mayo

question

To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following two vessels

answer

Internal mammary artery to affected coronary artery

question

MOST likely to be in place while transferring a patient from the operating room table to the stretche

answer

IV tubing, Foley catheter

question

In metastatic cancer, tumors extend beyond the regional area by which systems

answer

Lymphatic

question

When transferring an unconscious, postoperative adult patient from the operating room table to a bed, what is the minimum number of people required for safe transfer

answer

4

question

a type of herniation that occurs with protrusion of the peritoneal sac and its contents (omentum or abdominal viscera)

answer

Umbilical

question

what should the surgical technologist do during a cardiac emergency

answer

Remain sterile and keep the table sterile

question

most common straight catheter used prior to laparoscopic gynecological surgery in the OR

answer

Robinson

question

What is the desired effect of atropine sulfate when used as a preoperative medication

answer

Drying of secretions

question

When evaluating the patient's skin for the preoperative prep, which of the following is considered a contaminated area

answer

Draining sinus

question

A chemical solution used to sterilize instruments by immersing them for at least 10 hours is

answer

Activated glutaraldehyde

question

If an x-ray cassette must be placed directly against the operating site, it must be

answer

Placed in a sterile cassette cover

question

care of ratcheted instruments following surgery

answer

Instruments should be opened for washing and sterilizing

question

The oxygen-carrying capacity of red blood cells is a function of

answer

Hemoglobin

question

During a laminectomy, disk material is removed with

answer

A pituitary rongeur

question

which patient is MOST likely to acquire a nosocomial infection

answer

A male patient who has diabetes

question

position should a patient be placed for a low anterior colon resection

answer

Lithotomy

question

A patient who is HIV positive is having an abdominal procedure. Another patient who is HIV negative is having an orthopedic procedure. During and subsequent to the cases, the surgical technologist should take

answer

Standard Precautions

question

The destruction of organisms in an autoclave is accomplished by the

answer

Coagulation of cell protein

question

Which scissor is most likely found in a basic hysterectomy set-up

answer

Jorgenson

question

During a Lap Appendectomy, what type of stapler should the ST have ready on the back table for removing the appendix and ensuring no spillage of bowel content

answer

Linear

question

instrument is NOT used in otorhinolaryngology surgery

answer

Poole

question

the correct order, from the outermost to the innermost layer, of the tissues that compose the wall of the stomach and small intestine

answer

serosa, muscularis, submucosa, mucosa

question

When applying a pneumatic tourniquet preoperatively, what items is used to force blood from an extremity

answer

Esmarch bandage

question

List in order the sequence of induction for general anesthesia

answer

leads placed on patient, patient is prompted to breath 100% oxygen, induction agent is given through an IV, patient is intubated, anesthetic gas agent is selected and applied

question

In what position is a patient placed for a right nephrectomy

answer

Left lateral kidney position

question

class is assigned to a perforated bowel

answer

III

question

A circlage procedure is performed for

answer

Incompetent cervix

question

A Javid shunt is used for

answer

Carotid endarterectomy

question

What parts of the body are prepped for an ORIF of the olecranon process

answer

Arm, fingers to shoulder

question

organisms normally found on the skin can cause wound infections

answer

Staphylococcus aureus

question

A patient's dentures are removed in the operating room. What is the proper procedure for the care of the dentures

answer

Place them in a labeled denture cup and keep them with the patient's chart

question

a chemical sterilant

answer

Glutaraldehyde (Cidex

question

instrument is necessary for an open cholecystectomy

answer

Mixter clamp

question

The first pair of cranial nerves is associated with

answer

smell (olfactory)

question

pathological condition may be caused by an excessive production of cerebrospinal fluid in the brain

answer

Hydrocephalus

question

To place a patient on a Wilson frame, what will the patient ultimately be placed for the procedure

answer

Prone

question

During a craniotomy, which of the types of bone is entered

answer

Irregular

question

The ST enters the OR after scrubbing-in and finds that the circulator has already opened the back table pack, gown, and gloves. Spots of blood on the OR lights are visible. What action is the MOST appropriate

answer

Break scrub, clean lights, and help the circulator obtain replacements

question

What blade fits a #4 handle

answer

#20

question

The lower leg of a patient in the lateral position should be

answer

Flexed

question

A perforator is used for

answer

Craniotomy

question

does NOT result after dipping a blood RAY-TEC sponge into irrigation solution

answer

Lint is released into the solution

question

procedure for obtaining an informed consent form is appropriate

answer

The patient is asked to sign the consent form after the surgeon has explained the procedure

question

Which item is required when setting up for a dilation and curettage

answer

Stirrups

question

At the conclusion of the surgical procedure the Mayo stand should

answer

Remain sterile until the patient leaves the room

question

What procedure will the surgical technologist expect to use cottoniods

answer

Lumbar laminectomy

question

structures are ligated and divided during the cholecystectomy

answer

Cystic artery and cystic duct

question

procedure is Gelfoam MOST commonly used

answer

Craniotomy for subdural hematoma

question

is NOT a symptom of shock

answer

Hypertension

question

instrument must be readily available for a modified radical mastectomy

answer

Extra #10 blades

question

When using power saws on bone, what actions BEST helps prevent bone damage

answer

Irrigation

question

A patient has arrived in the OR for a bilateral mastectomy. She is crying inconsolably. The ST can best console her by saying

answer

"We are going to give you the best possible care."

question

item is used for sponging around the spinal cord

answer

Cottonoids

question

A three-way Foley catheter is inserted following a transurethral prostate resection (TURP) in order to

answer

Irrigate and facilitate hemostasis

question

should be removed LAST by the surgical technologist in the scrub role in order to prevent contamination at the end of a surgical procedure

answer

Surgical mask

question

During a transurethral resection of the prostate, bleeding is controlled by

answer

Cauterization

question

During a laser laryngoscopy, what supplies must be available

answer

Wet cottonoids and water

question

is MOST likely to be used to stabilize a cervical fracture

answer

Mayfield clamp

question

The Sterrad sterilization system MOST commonly uses what chemical solutions

answer

Hydrogen peroxide

question

The PRIMARY purpose of chest tubes is to

answer

Re-establish negative pressure

question

For completely effective steam sterilization, the surface of the instrument should be

answer

Free of oil and grease

question

is a normal adult white blood cell count

answer

5,000 to 9,000

question

A lumbar meningocele involves removal of

answer

A fluid-filled sac

question

is associated with secondary intention wound healing

answer

Tissue granulation

question

A surgical technologist sees a neighbor being admitted. How should the surgical technologist respond

answer

Ignore the neighbor, even if greeted

question

For a splenectomy procedure, which clamps could be used

answer

Satinsky

question

During the application of arch bars, the surgeon will most likely use what between the teeth and around the bar

answer

25- or 26- gauge stainless steel wire

question

retractors is most commonly used for a C-section

answer

De Lee

question

is used to stabilize a fractured finger

answer

Kirschner wires

question

Growth in length of a long bone occurs at the

answer

Epiphyseal plate

question

Once the spinous process is exposed during a laminectomy, the next instrument needed for removal of the lamina is a

answer

Kerrison rongeur

question

operations is performed to correct hearing loss due to defects of the eardrum

answer

Tympanoplasty

question

items should be used to transport a patient in traction

answer

Bed

question

positions is used for total hip arthroplasty

answer

Lateral

question

layers are transected when a subcostal flank incision is used for nephrectomy

answer

Oblique muscles

question

A patient being prepped for surgery is hypokalemic. What must be done before a general anesthetic is given

answer

Add potassium to the IV solution

question

The surgical technologist MUST keep track of blood loss as well as

answer

amount of irrigation used

question

The primary purpose of a local anesthetic is to

answer

Block peripheral nerve receptors

question

Which surgical needle is MOST appropriately used in a liver resection

answer

Blunt

question

Care of a surgical specimen includes placing it

answer

In a bag or container with formalin

question

The surgical technologist should remain sterile following what procedure

answer

Carotid endarterectomy

question

A pneumatic tourniquet may be used for extremity surgery in order to

answer

Reduce blood loss

question

At which abdominal layer is the first closing count performed

answer

Peritoneum

question

The PRIMARY consideration in selecting an appropriate anesthetic agent is the

answer

Physiologic condition of the patient

question

Removing a cataract by ultrasonic vibration and aspiration is called

answer

Phacoemulsification

question

A cardiac arrest occurs during a procedure, and the surgeon is resuscitating the patient. What is the responsibility of the ST during this time

answer

Remain sterile and maintain the sterile field

question

During surgery a patient becomes hypotensive. Which of the following medications should be given

answer

Epinephrine (Adrenalin)

question

A power saw is not functioning. What is the most likely cause

answer

The battery has not be adequately charged

question

is a sign of cardiac arrest

answer

Cyanosis

question

During set-up, if a surgical team member refuses to perform a count, how should the surgical technologist respond

answer

Report the refusal to the charge nurse immediately

question

A nasogastric (NG) tube is used to

answer

Drain the stomach

question

A circumferential bandage should be applied to an extremity

answer

Distal to proximal

question

Utilization of lasers in the operating room requires the use of

answer

Eye protection

question

A Marshall-Marchetti-Kranz (MMK) requires what skin preparations

answer

abdominal and vaginal

question

types of anesthetic is injected during a Bier block

answer

lidocaine (Xylocaine)

question

What advantage do hand-held retractors have over mechanical self-retaining retractors

answer

Dynamic adjustability

question

anticoagulant should be given during a vascular procedure to prevent normal blood clotting

answer

Heparin sodium

question

During a tympanoplasty, what is the best choice for graft material

answer

Temporalis fascia

question

may be used to provide direct exposure of a cerebral aneurysm

answer

Brain spatula

question

Instruments that come in contact with the appendiceal stump during an appendectomy should be

answer

Placed in a separate basin

question

retractors is used during a femoral embolectomy

answer

Army-Navy

question

The most common method for decontaminating operating room floors at the end of each case is

answer

Damp mop or wet vacuum with a detergent-disinfectant solution

question

The primary reason padding is used in positioning a patient is to

answer

Prevent injury to pressure points

question

classifications of disinfection is used to kill all bacteria, viruses, and fungi

answer

High-level

question

methods of sterilization does not corrode metal and passes through woven materials like steam

answer

Ethylene oxide

question

For a patient recovering from general anesthesia, what complications of vomiting is considered the MOST dangerous

answer

Aspiration

question

A patient scheduled for a lumbar laminectomy and is positioned in the prone position w/o padding under the thorax. What physiological hazards should the ST be most concerned about

answer

Pressure on the vena cava and abdominal aorta

question

The purpose of intravenous lidocaine (Xylocaine)

answer

exerts an anti-arrhythmic effect

question

The MOST appropriate time to position the Mayo stand is after

answer

Draping the patient

question

is the recommended location of a pneumatic tourniquet during a triple arthrodesis

answer

Thigh

question

If unexpected heavy blood loss occurs during a surgical procedure, the surgical technologist should request additional

answer

Suction tubing

question

should be included on an orthopedic set-up

answer

Key periosteal elevator

question

Surgery to repair a Colles' fracture is performed on

answer

Long

question

A tourniquet is used in

answer

Patellectomy

question

instrument is found in a basic laparotomy setup

answer

Mayo scissors

question

While being transferred from the stretcher to the operating room bed, the patient expresses fear of not awakening from anesthesia. The surgical technologist should

answer

Have the anesthesia provider address the patient's concerns

question

When a hernia is strangulated, what instrument sets is added to the general abdominal set-up

answer

Gastrointestinal

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