CST Practice Exam #4

Penrose drain

What is used to retract the spermatic cord during in inguinal herniorraphy?

Avoid injury to bladder

Why is an indwelling Foley catheter placed prior to a hysterectomy?

Potts-Smith

Which of the following scissors is the best choice for extending an arterial incision?

Lugol's solution

Which of the following is used to stain the cervix for a Schiller's test?

Ascending aorta

Which of the following arises from the left ventricle of the heart?

Chemical

What method is used to confirm that items have been exposed to the sterilization process, but sterility is not guaranteed?

It is patient property

Why would the hair of a patient undergoing craniotomy be bagged, labeled & saved?

Basins should be separated by a porous, absorbent towel

When preparing a double basin for sterilization, the:

Femoral canal

Which structure, during a total hip arthroplasty, requires intramedullary reaming prior to placement of a prosthesis?

Registration

Which of the following is the least restrictive form of credentialing?

Analgesic

What drug classification is Demerol?

Tracheotomy tray

What should be transported to the PACU w/ a patient who underwent a thyroidectomy?

NaCl

What is the chemical abbreviation for sodium fluoride?

Golgi complex

What organelle is responsible for packaging of proteins?

Hemorrhoidectomy

Which procedure would utilize the instrument shown below? (Hirschmann anascope)

All routine treatments or procedures

What types of treatment does a patient authorize when signing a general consent form?

Xylocaine

Which medication can be used as a topical jelly during cystoscopy procedures?

Stroke

Which of the following is a primary postoperative complication of carotid endarterectomy?

TAH

During which procedure would the instrument shown below be used? (Ferris-Smith tissue forceps)

After final count

When is it acceptable to open surgical dressing sponges?

Don't use; return to Sterile Processing Department

What is the correct procedure to follow when a sterilized rigid instrument container is opened & condensation is observed?

EtO

Which method of sterilization requires in aeration cycle?

Aqueous humor

Elevated IOP in a glaucoma patient is a result of excess:

Left anterior thigh

Where should the grounding pad be placed on a patient undergoing a laparoscopic cholecystectomy who has a right hip prosthesis?

Vaginal hysterectomy

The instrument below (Auvard weighted vagina speculum) is used during a:

Lower abdomen & pelvis

The Trendelenburg position is often used for surgery on the:

Subclavian

The large artery that arises from the left side of the aortic arch & descends into the arm is the:

Cerebellum

Lesions in which part of the brain may affect balance & coordination?

Ultrasonic cleaner

Which of the following utilizes the process of cavitation?

Colles'

Which of the following is the name for a dorsally angulated fracture of the distal radius?

- Smith's
- Pott's
- Colles'
- Bennett's

Cholecystectomy

During which procedure would the instrument shown below be used? (Ferguson gallstone scoop)

- Pancreatectomy
- Gastrectomy
- Splenectomy
- Cholecystectomy

Dorsal carpal

Which ligament is transected during surgery for De Quervain's disease?

- Dorsal carpal
- Adductor pollicis
- Transverse carpal
- Extensor retinaculum

K-Y Jelly

In order to minimize mucosal irritation during urinary catheterization, the tip of the catheter is dipped in which of the following?

- Vaseline
- K-Y Jelly
- Chlorhexidine
- Sterile saline

4 times

How often is a medication prescribed as QID to be taken per day?

- 4 times
- 2 times
- 3 times
- 1 time

Pressure

What type of external dressing would be used to eliminate dead space?

- Immobilizing
- Bulky
- Packing
- Pressure

Compromised ventilation

In the prone position, patients are placed on chest rolls to prevent:

- Decubitis ulcers
- Lumbar strain
- Compromised ventilation
- Foot drop

Lithotomy

Which of the following positions would be used for an LAVH?

- Lateral
- Prone
- Sitting
- Lithotomy

Spleen

They left subcostal incision would be used to expose the:

- Descending:
- Spleen
- Ovary
- Gallbladder

Hypertensive

Intraoperatively, lidocaine w/ epinephrine may be contraindicated in patients who are:

- Immunocompromised
- Hypertensive
- Dehydrated
- Diabetic

Middle fossa

What approach is used for the removal of a small acoustic neuroma that is located in the internal auditory canal?

- Suboccipital
- Middle fossa
- Translabyrinthine
- Posterior fossa

Special written consent

Which of the following must be obtained from a patient undergoing surgical procedures, fertility treatments, chemotherapy or experimental treatment?

- General written consent
- Special implied consent
- Special written consent
- General implied consent

Levophed

What drug is used to treat hypotension & shock?

- Pronestyl
- Inderal
- Dantrolene
- Levophed

Dextran

The agent used to expand blood plasma volume is:

- Diprivan
- Duramorph
- Demerol
- Dextran

Bile

What does the term chole/ refer to?

- Chyme
- Bile
- Spleen
- Intestine

Lining the tray w/ a nonwoven disposable wrapper

When preparing instruments for sterilization, all the following are completed w/ the exception of:

- Maintaining the ringed instruments in an open position
- Placing heavy instruments on the bottom of the tray
- Placing the instruments in a mesh-bottom tray
- Lining the tray w/ a nonwoven disposable wrapper

Low transverse

Which of the following is an initial incision for abdominoplasty?

- Periumbilical
- Upper paramedian
- Low transverse
- Midline

Chisel

When performing a rhinoplasty, the exostosis in the nose is removed w/ a:

- Chisel
- Rongeur
- Scissors
- Saw

Prevacuum steam

Which type of sterilization requires the use of the Bowie-Dick test?

- Plasma
- Prevacuum steam
- EtO
- Steris

Health Insurance Portability & Accountability Act

What is the 1st federal act to establish patient privacy standards?

- Health Insurance Portability & Accountability Act
- Patient Protection & Affordable Care Act
- Patient Care Partnership
- Safe Medical Device Act

Respirator

What should the surgical tech wear when transporting a patient w/ tuberculosis from PACU to the isolation patient room?

- Hair cover
- Surgical mask
- No additional precautions necessary
- Respirator

Patients marks an 'X'

How is the informed consent signed if a patient is illiterate?

- 2 physicians sign consent
- Surgeon signs consent
- Verbal consent of patient
- Patient marks an 'X'

Isopropyl alcohol

Which of the following agents should not be used to disinfect endoscopes?

- Distilled water
- Glutaraldehyde
- Enzymatic solution
- Isopropyl alcohol

Non-dominant hand

Which of the following is used to expose the meatus during urethral catheterization?

- Cottonball
- Sponge stick
- Non-dominant hand
- Dominant hand

Proliferation

Which of the following is the 2nd phase of wound feeling?

- Proliferation
- Maturation
- Contraction
- Lag

Rectus abdominis

What muscle is commonly used for TRAM construction in a mammoplasty?

- Latissimus dorsi
- Transverse abdominis
- Internal oblique
- Rectus abdominis

Anesthesia provider gives permission

The patient is never positioned until the:

- Surgical tech is scrubbed
- Surgeon gives permission
- Circulator has finished all preparatory duties
- Anesthesia provider gives permission

Pinocytosis

What term refers to cell "drinking"?

- Osmosis
- Phagocytosis
- Pinocytosis
- Filtration

High BP

What does hypertension mean?

- High BP
- Normal BP
- No BP
- Low BP

Halon

Which type of fire extinguisher should be available when using a laser?

- Water
- Carbon dioxide
- Halon
- Dry chemical

Hemmorrhage

What is the major side effect of thrombolytics?

- Infection
- Hemmorrhage
- Nausea
- Clotting

Circulator pulls off glove; surgical tech is gloved by another sterile team member

If a sterile gloves becomes contaminated during a procedure, what action should the surgical tech take?

- Surgical tech pulls off glove covering hand w/ gown cuff; regloves using closed technique
- Circulator pulls off glove covering hand w/ gown cuff; surgical tech regloves using closed technique
- Circulator pulls off glove; surgical tech is regloved by another sterile team member
- Surgical tech pulls off glove; regloves using open technique

Purse-string

What type of suture technique is used to invert the stump of the appendix during an appendectomy?

- Purse-string
- Continuous
- Horizontal
- Interrupted

ST holds dressing in place; rolls drape head to feet

Which of the following is the proper procedure for removing a laparotomy drape?

- Circulator holds dressing in place & removes drape
- ST holds dressing in place; rolls drape 1 side to other
- Circulator holds dressing in place; ST rolls drape head to feet
- ST holds dressing in place; rolls drape head to feet

Around kidney

Gerota's fascia is located:

- Around kidney
- W/in kidney
- W/in bladder
- Around bladder

Chewing

What activity can aggravate the symptoms of trigeminal neuralgia?

Decrease static electricity

What is the purpose of maintaining 20% to 60% relative humidity in the OR?

- Eliminate microbial count
- Provide comfortable environment
- Decrease static electricity
- Reduce room temp

Tap

What surgical instrument is used to thread the drilled hole for the screw during an ORIF?

- Tap
- Depth gauge
- Osteotome
- Drill bit

Pituitary neoplasm

Which of the following pathology would be treated by transphenoidal hypophysectomy procedure?


- Pituitary neoplasm
- Trigeminal neuralgia
- Carotid stenosis
- Communicating hydrocephalus

Extrinsic

The muscles that cause strabismus are the:

- Orbicularis oculi
- Ciliary
- Tarsal plates
- Extrinsic

4

What is the minimum required # of people to transfer a patient from the OR table to the stretcher?

- 6
- 5
- 4
- 3

Alcohol & tinctures

When used as a skin prep, which of the following should be allowed to thoroughly dry if electrocautery will be used?

- Aqueous solutions
- Hexacholorophene
- Alcohol & tinctures
- Iodophor solutions

Use of urinary catheters

Healthcare-acquired infections (HAI) are most commonly associated w/ which of the following?

- Prolonged bed rest
- Use of urinary catheters
- Surgical site contamination
- Prescribed antibiotic therapy

Manipulator

What is the technical term for robotic arms?

- Manipulator
- Telechir
- Articulated
- Resolution

Low anterior resection

In which of the following procedures would the surgeon check for anastomotic leaks by injecting air into the rectum, looking for bubbles in the fluid-filled peritoneal cavity?

- Low anterior resection
- Nissen fundoplication
- Subtotal gastrectomy
- Roux-en-Y anastomosis

Hemorrhoids

What are varicosities of the rectum & anus?

- Hemorrhoids
- Polyps
- Fissures
- Sinuses

Intestine

Vitamins A, D, E, & K are absorbed in the:

- Stomach
- Intestine
- Pancreas
- Liver

Esmarch

The preoperative exsanguination of an extremity prior to inflating a tourniquet is accomplished w/:

- Webril
- Green towel
- Esmarch
- Kling

Internal mammary artery

Which of the following vessels is harvested for use during a CABG?

- Azygous vein
- Internal mammary artery
- Popliteal vein
- Left axillary artery

Bennett

Which of the following retractors would be used to retract the muscles during a hip pinning?

- Harrington
- Charnley
- Bennett
- Richardson

Vasovasostomy

The surgical reanastomosis of the vas deferens is called a:

- Vasovasostomy
- Spermatocelectomy
- Cystostomy
- Varicocelectomy

Carbon dioxide

Which type of laser is used to remove polymethyl methacrylate from a cemented joint implant during a revision arthroplasty?

Tympanic membrane

Sound waves travel through the external auditory canal & strike the:

- Tympanic membrane
- Auricle
- Oval window
- Ossicle

Montgomery straps

In large abdominal wounds that require frequent dressing changes, which of the following will minimize the skin break-down?

- Steri-strips
- Petrolatum gauze
- Liquid collodion
- Montgomery straps

Allen stirrups

Which of the following positioning devices would be used for in LAVH?

- Padded footboard
- Mayfield headrest
- Allen stirrups
- Kidney brace

Chin

The term mentoplasty refers to surgery of the:

- Lip
- Eyelid
- Palate
- Chin

Patient received preoperative medication

Which of the following situations could cause a patient's signature on a surgical informed consent to be challenged in court?

- Patient is of legal age
- Patient advised of alternative treatment
- Patient is emancipated minor
- Patient received preoperative medication

Hydrate spores & bacteria

What is the importance of humidity when using EtO sterilization?

- Remove chlorofluorocarbons
- Hydrate spores & bacteria
- Reduce flammability of gas
- Prevent instruments from drying

Filling cranial defects

What is the purpose of polymethyl methacrylate during a cranioplasty?

- Reducing vascular spasm
- Feeling cranial defects
- Adhesive skin closure
- Subarachnoid space dye

Fleshy area

The appropriate location when placing the grounding pad is over a:

- Keloid scar
- Bony prominence
- Mental processes moving
- Fleshy area

Fogarty

Which catheter is used for an angioplasty?

- Gruntzig
- Robinson
- Fogarty
- Swan-Ganz

Direct

A hernia that presents through Hesselbach's triangle is a/an:

- Pantaloon
- Direct
- Hypogastric
- Indirect

Tibia

The medial malleolus is part of which bone?

- Tibia
- Talus
- Calcaneous
- Fibula

Preclotting

What is performed prior to implantation of a Dacron knit polyester graft?

- Soak in thrombin
- Preclotting
- Heparinization
- Immerse in antibiotics

Acetabulum

Which structure articulates w/ the head of the femur?

- Ileum
- Pubis
- Acetabulum
- Issue

Retroflexion

An abnormal bending backward of the uterus is called:

- Cephalic version
- Anteversion
- Retroperitoneal
- Retroflexion

Scalp

What type of clip is a Raney?

- Scalp
- Nerve
- Aneurysm
- Vessel

Vascular

The ciliary body is part of which layer of the eye?

- Lens
- Fibrous
- Nervous
- Vascular

Pilocarpine

Which of these drugs is a miotic?

- Tropicamide
- Atropine
- Pilocarpine
- Phenylephrine

Retrieve reusable trocar from sharps container

Which of the following is a violation of Standard Precautions during postoperative case management?

- Sterile gloves removed one layer @ a time
- Linen items not thrown into hamper
- Use of bags w/ biohazard symbol
- Retrieve reusable trocar from sharps container

Pulse oximetry

Which type of monitoring equipment is noninvasive assessment of oxygen saturation of arterial blood?

- Electrocardiogram
- Bispectral index
- Pulse oximetry
- Capnography