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Which physiological response to environmental temperature changes is missing or undeveloped in an infant less than 6 months of age?
a. fever
b. flushing
c. shivering
d. shock
c.shivering
Diabetes mellitus is a disorder of which body system?
a. cardiovascular
b. endocrine
c. genitourinary
d. integumentary
b.endocrine
In what way can a surgical technology who is setting up his or her back table and mayo stand reduce an 18-months old patients anxiety prior to induction of anesthesia?
a. wave to and joke with patient, while maintaining distance from unsterile areas
b. break scrub and hold patient down on bed during IV placement
c. leave room when patient enters to reduce number of persons in room returned after anesthesia induction
d. perform normal duties of preparation of the sterile field, keeping as quiet as possible for induction
d. perform normal duties of preparation of the sterile field, keeping as quiet as possible for induction
What is the most common type of shock seen in infants and children?
a. cardiogenic
b. hypervolemic
c. hypovolemic
d. septic
d. septic shock (caused by gram negative bacteria)
An emergency laparotomy would be the indicated treatment for all of the following postoperative bariatric surgery complications EXCEPT:
a. abdominal catastrophe
b. gastric perforation
c. thrombophlebitis
d. bowel strangulation
c. thrombophlebitis
What is a common potential side effect or all forms of antibiotic therapy for major pediatric infections?
a. hypovolemic shock
b. kernicterus
c. pseudomembranous enterocololitis
d. tooth enamel staining and hypoplasia
c. pseudomembranous enterocololitis (inflammation of large intestine)
Overgrowth of which microorganism is most likely responsible for pediatric cases of enterocolitis following antibiotic therapy?
a. clostridium difficile
b. escherichia coli
c. helicobacter pylori
d. staphylococcus aureus
a. clostridium difficile
What is the number one cause of death in children ages one to fifteen in the Unities States?
a. accidents
b. carcinoma
c. genetic malformations
d. metabolic disorders
a. accidents
A patient undergoing bariatric surgery may require extra time for general anesthetic reversal because anesthetic agents may be accumulated in and slowly eliminated from what type of tissue?
a. adipose fat
b. hypertrophic liver
c. lung alveoli
d. smooth muscle
a. adipose fat
What is a copping mechanism often seen in children reacting to trauma?
a. adaption
b. denial
c. regression
d. trivializing
c. regression
Which of the following is a common response of pediatric patients to injury and may result in gastric dilatation?
a. assuming a fetal position
b. hyperventilation
c. projectile vomiting
d. syncope and collapse
b. hyperventilation
Which organ is responsible for the failure to produce insulin in a patient with type one diabetes?
a. kidney
b. liver
c. pancreas
d. spleen
c. pancreas
Which position enhances a bariatric patients total lung volume and aids in ventilation?
a. lateral chest
b. low-lithotomy
c. trendelenburg
d. reverse trendelenburg
d. reverse trendelenburg
Bariatric patients undergoing surgery and in immediate postoperative period should have sequential compression devices applied to the lower extremities to prevent:
a. congestive heart failure
b. deep vein thrombosis
c. hypovolemic shock
d. respiratory arrest
b. deep vein thrombosis
What is the name of the device used to test the blood of patients with diabetes for metabolic status?
a. acetometer
b. glucometer
c. insulometer
d. ketometer
b. glucometer
Which of the following is the major cause of serious trauma suffered by pediatric patients?
a. bicycle falls
b. birth injuries
c. electrical burns
d. motor vehicle accidents
d. motor vehicle accidents
What is the usual cause of clavicular fracture of a neonate during a vaginal delivery?
a. cephalopelvic disproportion
b. placenta previa
c. shoulder dystocia
d. use of surgical forceps
c. shoulder dystocia
What is the chemical and physiological classification of insulin?
a. carbohydrate
b. hormone
c. protein
d. sugar
b. hormone
During which part of pregnancy would an abdominal surgery be considered safest for both mother and fetus?
a. first trimester
b. second trimester
c. third trimester
d. concurrent with delivery
b. second trimester
Placement of a rolled sheet or pad to elevate a pregnant patients right hip tilting the operating room table to the left with slight trendelenburg or both will shift the weight of the gravies uterus and relieve pressure from the:
a. abdominal aorta and vena cava
b. bilateral sciatic nerves
c. pelvic floor and bladder
d. ureters and right kidney
a. abdominal aorta and vena cava
Multiple sclerosis, lupus erythematosus, and rheumatoid arthritis are examples of:
a. autoimmune diseases
b. congenital anomalies
c. demyelinating processes
d. hereditary disorders
a. autoimmune diseases
For which condition would a patient coming to the operating room likely need an interpreter?
a. total blindness
b. complete deafness
c. down syndrome
d. vegetative state
b. complete deafness
for which type of transmission based disease would health care workers need to be fitted for an N-95 respirator mask?
a. airborne
b. contact
c. droplet
d. vector borne
a. airborne
Which level of trauma designation can meet all the needs required for treating patients on a 24-1
a. level one
b. level two
c. level three
d. level four
a. level one
Which of the following activities would present no risk of contacting HIV from an infected individual?
a. conversation in close proximity
b. pregnancy and childbirth
c. sharing used hypodermic needles
d. unprotected sexual relations
a. conversation in close proximity
Kaposi’s sarcoma is sometimes seen in combination with which of the following diseases?
a. TB
b. HBV
c. HPV
d. AIDS
d. AIDS
Which organ is MOST often injured in motor vehicle accidents?
a. brain
b. heart
c. liver
d. spleen
d. spleen
The term “golden hour” refers to reduction of morbidity and mortality of which type of patient population?
a. pregnant patients
b. trauma victims
c. premature neonates
d. organ transplant recipients
b. trauma victims
During a surgical procedure on a pregnant patient the surgical technologist in the scrub role may be asked to palpate what area to detect possible contractions?
a. carotid artery
b. gravid uterus
c. radial artery
d. xiphoid process
b. gravid uterus
A patient with acquired immunodeficiency virus may have complications of multiple infections from diseases consider to be:
a. benign
b. opportunistic
c. symbiotic
d. transient
b. opportunistic
Which body system is highly susceptible to injury during positioning of bariatric and geriatric patients?
a. cardiovascular
b. digestive
c. integumentary
d. respiratory
c. integumentary
Vomiting from preoperative narcotics can predispose patients with diabetes to fluid and electrolyte imbalances resulting in:
a. hypertension
b. hypotension
c. hyperglycemia
d. hypoglycemia
d. hypoglycemia
Which of the following is NOT a potential risk from administration of general anesthesia to a pregnant patient?
a. fetal death
b. lower birth rate
c. placenta previa
d. preterm labor
c. placenta previa
Which diagnosis could create a social stigma and possible overdramatization of exposure risk by heath care workers?
a. carcinoma of the lung
b. human immunodeficiency virus
c. morbid obesity
d. type two diabetes mellitus
b.human immunodeficiency virus
Conditions such as severe arthritis, contractures and tremors are categorized under which type of challenge?
a. cognitive
b. developmental
c. physical
d. sensory
c. physical
Which broad category of routes of transmission of microorganisms includes food water and medical devices and equipment?
a. airborne
b. droplet
c. common vehicle
d. vector-borne
c. common vehicle
Approximately 80% of which special patient population presents to surgery with one or more comorbid conditions?
a. geriatric
b. pregnant
c. pediatric
d. sensory impaired
a. geriatric
Which special patient population group has a 30% to 80% statistical likelihood of coexisting psychiatric illness in addition to the diagnosis for which they are coming to surgery?
a. HIV/AIDS
b. geriatric
c. physically challenged
d. substance abuse
d. substance abuse
A surgical technologist working in a veterans administration facility (va) might frequently encounter patients with which of the following conditions?
a. COPD
b. DCIS
c. IDDM
d. PTSD
d. PTSD