CST Practice Exam #5

Local freezing of diseased tissue to facilitate removal w/o bleeding

Cryosurgery

Which is used for scalp hemostasis in cranial procedures?

Raney

I'm severe aortic stenosis, all are indications of valve replacement except:

Palpitations

In event of child requires ER surgery, but parents can't be located to sign surgical consent

Consent signed by 2 consulting physicians

Ethylene oxide sterilization destroys microbes by process of

Alkylation

Most common cause of aortic aneurysm

Athersclerosis

Used to determine position of cannulated screws during repair of femoral neck fracture?

Guide pins

Instrument shown below (hank dilators) used to dilate the:

Cervix

Prior to being placed in EtO sterilizer, items must:

Be completely dry

During general anesthesia induction, which sense is last to be experienced by patient?

Hearing

Purpose of creating an arteriovenous fistula is for

Hemodialysis

What nerve is at greatest risk during a thyroidectomy?

Recurrent laryngeal

Which nerve could be compressed against humerus in prone position?

Radial

What is surgical procedure for reducing testosterone in prostate cancer?

Orchiectomy

Name of retractor shown below (Sweetheart)

Hattington

If the broth in steam sterilization biological indicator is yellow after incubation, what action should be taken?

Items must be immediately recalled

Specimen 5cm is equal to

2in

Which vessels arises from right ventricle of heart?

Pulmonary artery

Instrument below (lambotte osteotome) is used to

Cut bone

Which area is prepped 1st when performing skin prep for skin grafting?

Donor site

Which has legal significance in mishandling of a bullet?

Damaging ballistic markings

Which procedures requires preoperative high-level disinfection of endoscope?

Bronchoscopy

Which maintains position of uterus?

Broad ligament

What device would surgeon use to preserve facial motor & sensory functions during a parotidectomy?

Nerve stimulator

If surgeon uses a knife blade to incise oral mucosa, the preferred blade is

12

Gravity steam sterilization process can be rendered in effective if the

Temp is below 250°

A suture used to retract a structure to side of operative field is a/an

Traction suture

What must circulating surg tech do when placing patient in supine?

Confirm ankles aren't crossed

What body system aids in metastatic spread of cancer cells?

Lymphatic

Which is inserted into TM incision during myringotomy?

PE tube

Which organelle contains digestive juices?

Lysosome

During a thyroidectomy, if all parathyroid glands are accidentally removed, what complication will occur?

Tetany- severe cramps, convilsions, twitching muscles, extreme joint flexion from low calcium

Which surg instruments is used to retract lung?

Allison

Which instruments would be used to remove nasal polyps?

Krause nasal snare- loaded w/ flexible wire placed around polyp to dissect free

What anatomical structure is Mersilene tape sutured around during a cerclage?

Cervix cerclage (Shirodkar's procedure)

-ectomy

Excision

What would preop DX be for infant undergoing craniectomy?

Craniosynostosis (when suture lines prematurely close)

Where is anterior chamber of eye located?

Posterior to cornea & anterior to iris

Which would contraindicate preop setting up cell saver machine?

Cancer patient

Which med is contraindicated for patients w/ history of malignant hyperthermia?

Succinylcholine

Which is an incision into TM for removal of accumulating fluid?

Myringotomy

Which is not a requirement when patient is placed in prone?

Safety belt placed below knees

A tissue specimen being sent to pathology for frozen section is prepared by placing into a

Container w/o preservative

Body's 1st line of defense against infection

Intact skin

Which stapling device would be used to create anastomosis during a low anterior resection?

EEA- intraluminal used to resect & reanastomose distal colon/rectum

Packing material would be placed as a dressing after surgery on the

Rectum

Lining of thoracic cavity

Pleura

Proper method for removing knife blade from handle when breaking down Mayo

Use heavy hemostat/needle holder

Route of drug administration is parenteral

Sublingual

Vascular, fibrous covering of bone

Periosteum

Type of dressing would usually be used for laparotomy procedure

Pressure

To prevent deep-vein thrombosis in bariatric patient, what preop drug is given?

Heparin- 30min before

Which space is entered during thymectomy?

Mediastinum

Femoral rasps used for

Prep intramedullary space for prosthesis

Part of immune system

Spleen- tonsils & lymph nodes

Incision frequently used for pedi aortic coarctation repair?

Posterolateral thoracotomy

Type & cross match for blood is completed

If blood loss w/ replacement is anticipated

Purpose of kidney elevator

Increase space b/w lower rib & iliac crest

When storing info on hard drive of comp, what's clicked?

Save

Proper method for handling disposable suction containers when turning over OR

Wipe down outside of container & place in biohazard bag for disposal

Can cause lumbosacral strain in lithotomy position

Buttocks extend past table break

Midline xiphoid to pubis incision commonly made for

Abdominal aortic aneurysmectomy

Which item should surg tech confirm is available for nerve repair?

Loupes- magnifying lenses also used in platics & neuro

How often should biological testing of EtO sterilization be conducted?

Every load

Liquid chemical sterilant often used for sterilizing endoscopes w/ cycle time of 30min?

Peracetic acid

When should 1st closing sponge, sharp & instrument count be completed?

Prior to closure of body cavity

Contraindicated for use around eyes & ears b/c of potential for corneal abrasions & ototoxicity

Chlorhexidine

Short-acting narcotic opioid given intramuscularly for preop sedation

Meperidine (Demerol)

Leg extensor muscles: rectus femoris, vastus lateralis, vastus medialis, vastus intermedius collectively called

Quadriceps femoris

Not a retractor used during prostatectomy

Harrington

-scopy

Viewing

Minutes a Frazier suction tip be immediate-use flash sterilized in gravity steam sterilizer

10

Preop procedures completed for diabetic patient

Antiembolic stockings placed in patient

Induced hyperthermia typically associated w/ which specialty?

Cardiothoracic

What block involved medication being injected into subarachnoid space?

Spinal

Conditions might require use of Silastic urethral catheter

Latex allergy

A patient receives preop instructions to remove nail polish to

Preevent pulse oximeter malfunction

How often should steam sterilizing machine's strainer be cleaned?

Daily

Smallest microorganism that requires a host cell for replication?

Virus

Which surgeon might provide operative exposure for neurosurgeon in transsphenoidal approach to sella turcica?

Otorhinolaryngologist

Intraop mutagenic & carcinogenic hazard of laser use

Laser plume

Type of solution recommended for cleaning OR floors during room turnover

Detergent-disinfection

Used to remove resected prostatic tissue during TURP

Ellik- toomey syringe also

Patient is instructed to be NPO for 8hrs prior to surgery to prevent

Aspiration

Which procedure would instrument (heaney hysterectomy clamp) be used?

Hysterectomy

Essential element of hemoglobin

Iron

Large, bony process found on femur

Trochanter

Incisions performed for repair of liver laceration

Midline

Just before surgeon make skin incision, which must be performed?

Time-out

Pulse rate of pregnant patients

Increases

Portion of stomach superior to esophageal sphincter

Fundus

Closing sponge count initiated at

Operative field

Linen pack to be steam sterilized must not weigh more than

12lbs

Procedure imperative that surg tech maintains sterility of backtable & Mayo until patient transports out OR

Tonsillectomy

Statements concerning peel packs is correct

When labeling w/ felt-tip marker right on plastic side

2 structures identified & ligated during cholecystectomy?

Cystic artery & cystic duct

Primary responsibility of 1st scrub surg tech during cardiac arrest in OR

Protect sterile field

Pneumonectomy

Removal of lung

Hours steam biological indicator must be incubated b/f recording results

24

Responsible for causing transmission of spongiform encephalopathic?

Prion (protein substance)