CST Practice Exam #5

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175 Terms

1

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

Cryosurgery

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2

Which is used for scalp hemostasis in cranial procedures?

Raney

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3

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

Palpitations

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4

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

Consent signed by 2 consulting physicians

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5

Ethylene oxide sterilization destroys microbes by process of

Alkylation

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6

Most common cause of aortic aneurysm

Athersclerosis

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7

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

Guide pins

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8

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

Cervix

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9

Prior to being placed in EtO sterilizer, items must:

Be completely dry

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10

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

Hearing

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11

Purpose of creating an arteriovenous fistula is for

Hemodialysis

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12

What nerve is at greatest risk during a thyroidectomy?

Recurrent laryngeal

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13

Which nerve could be compressed against humerus in prone position?

Radial

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14

What is surgical procedure for reducing testosterone in prostate cancer?

Orchiectomy

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15

Name of retractor shown below (Sweetheart)

Hattington

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16

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

Items must be immediately recalled

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17

Specimen 5cm is equal to

2in

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18

Which vessels arises from right ventricle of heart?

Pulmonary artery

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19

Instrument below (lambotte osteotome) is used to

Cut bone

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20

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

Donor site

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21

Which has legal significance in mishandling of a bullet?

Damaging ballistic markings

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22

Which procedures requires preoperative high-level disinfection of endoscope?

Bronchoscopy

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23

Which maintains position of uterus?

Broad ligament

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24

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

Nerve stimulator

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25

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

12

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26

Gravity steam sterilization process can be rendered in effective if the

Temp is below 250°

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27

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

Traction suture

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28

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

Confirm ankles aren't crossed

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29

What body system aids in metastatic spread of cancer cells?

Lymphatic

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30

Which is inserted into TM incision during myringotomy?

PE tube

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31

Which organelle contains digestive juices?

Lysosome

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32

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

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33

Which surg instruments is used to retract lung?

Allison

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34

Which instruments would be used to remove nasal polyps?

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

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35

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

Cervix cerclage (Shirodkar's procedure)

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36

-ectomy

Excision

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37

What would preop DX be for infant undergoing craniectomy?

Craniosynostosis (when suture lines prematurely close)

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38

Where is anterior chamber of eye located?

Posterior to cornea & anterior to iris

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39

Which would contraindicate preop setting up cell saver machine?

Cancer patient

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40

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

Succinylcholine

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41

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

Myringotomy

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42

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

Safety belt placed below knees

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43

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

Container w/o preservative

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44

Body's 1st line of defense against infection

Intact skin

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45

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

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

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46

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

Rectum

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47

Lining of thoracic cavity

Pleura

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48

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

Use heavy hemostat/needle holder

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49

Route of drug administration is parenteral

Sublingual

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50

Vascular, fibrous covering of bone

Periosteum

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51

Type of dressing would usually be used for laparotomy procedure

Pressure

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52

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

Heparin- 30min before

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53

Which space is entered during thymectomy?

Mediastinum

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54

Femoral rasps used for

Prep intramedullary space for prosthesis

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55

Part of immune system

Spleen- tonsils & lymph nodes

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56

Incision frequently used for pedi aortic coarctation repair?

Posterolateral thoracotomy

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57

Type & cross match for blood is completed

If blood loss w/ replacement is anticipated

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58

Purpose of kidney elevator

Increase space b/w lower rib & iliac crest

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59

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

Save

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60

Proper method for handling disposable suction containers when turning over OR

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

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61

Can cause lumbosacral strain in lithotomy position

Buttocks extend past table break

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62

Midline xiphoid to pubis incision commonly made for

Abdominal aortic aneurysmectomy

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63

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

Loupes- magnifying lenses also used in platics & neuro

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64

How often should biological testing of EtO sterilization be conducted?

Every load

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65

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

Peracetic acid

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66

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

Prior to closure of body cavity

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67

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

Chlorhexidine

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68

Short-acting narcotic opioid given intramuscularly for preop sedation

Meperidine (Demerol)

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69

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

Quadriceps femoris

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70

Not a retractor used during prostatectomy

Harrington

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71

-scopy

Viewing

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72

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

10

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73

Preop procedures completed for diabetic patient

Antiembolic stockings placed in patient

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74

Induced hyperthermia typically associated w/ which specialty?

Cardiothoracic

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75

What block involved medication being injected into subarachnoid space?

Spinal

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76

Conditions might require use of Silastic urethral catheter

Latex allergy

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77

A patient receives preop instructions to remove nail polish to

Preevent pulse oximeter malfunction

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78

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

Daily

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79

Smallest microorganism that requires a host cell for replication?

Virus

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80

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

Otorhinolaryngologist

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81

Intraop mutagenic & carcinogenic hazard of laser use

Laser plume

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82

Type of solution recommended for cleaning OR floors during room turnover

Detergent-disinfection

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83

Used to remove resected prostatic tissue during TURP

Ellik- toomey syringe also

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84

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

Aspiration

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85

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

Hysterectomy

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86

Essential element of hemoglobin

Iron

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87

Large, bony process found on femur

Trochanter

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88

Incisions performed for repair of liver laceration

Midline

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89

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

Time-out

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90

Pulse rate of pregnant patients

Increases

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91

Portion of stomach superior to esophageal sphincter

Fundus

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92

Closing sponge count initiated at

Operative field

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93

Linen pack to be steam sterilized must not weigh more than

12lbs

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94

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

Tonsillectomy

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95

Statements concerning peel packs is correct

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

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96

2 structures identified & ligated during cholecystectomy?

Cystic artery & cystic duct

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97

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

Protect sterile field

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98

Pneumonectomy

Removal of lung

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99

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

24

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100

Responsible for causing transmission of spongiform encephalopathic?

Prion (protein substance)

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