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AST Certification Practice exam Questions with Correct Answers Which of the following methods should be used for routine processing of a specimen? A. frozen section B. in formalin C. smeared biop... sy D. aspiration biopsy >>>B Hydrocephalus is a condition marked by excessive A. HGH. B. CSF. C. subarachnoid space. D. gamma globulin. >>>B Immediately prior to ovulation, the structure preparing to rupture from the ovary wall is the A. corpus luteum. B. corpus albicans. C. graafian follicle. D. secondary follicle. >>>C Which of the following procedures is performed to correct a congenital malformation of the external ear or to create an ear destroyed by trauma? A. tympanoplasty B. myringoplasty C. otoplasty D. stapedectomy >>>C Which of the following sutures glides through tissue easily and does not readily harbor bacteria? A. monofilament B. multifilament C. absorbable D. non-absorbable >>>A Which of the following structures articulates with the head of the femur? A. coxal B. iliac crest C. tibia D. acetabulum >>>DDuring a C-section, the MOST appropriate time to perform the first closing count is A. while the uterus is being closed. B. while the peritoneum is being closed. C. during initiation of fascial closure. D. during initiation of skin closure. >>>A When opening and closing an instrument during the instrument inspection and assembly process, a surgical technologist discovers the hinge is stiff. The technologist should A. throw it away. B. tag it for repair. C. order a new instrument. D. use mineral oil as a lubricant. >>>B A Javid or Argyle shunt is used during which of the following surgical procedures? A. coronary artery bypass graft B. femoral popliteal bypass C. carotid endarterectomy D. creation of AV fistula >>>C When encountering resistance while inserting a urethral catheter, the circulating surgical technologist should A. remove the catheter and call a urologist. B. continue to advance the catheter using increased force. C. switch hands and then attempt to advance the catheter. D. withdraw the catheter slightly and gently reattempt to advance. >>>D Which of the following is the MOST toxic of known chemical agents, causing death with minutes due to respiratory obstruction and cardiac failure? A. vesicants B. choking agent C. phosgene D. nerve agent >>>D Which of the following is the closure order of layers from inner to outer in an abdominal wound? A. peritoneum, fascia, muscle, subcutaneous, subcuticular, skin B. peritoneum, fascia, muscle, subcuticular, subcutaneous, skinC. peritoneum, muscle, fascia, subcutaneous, subcuticular, skin D. peritoneum, muscle, fascia, subcuticular, subcutaneous, skin >>>A Electrocautery is considered which of the following types of hemostasis? A. topical B. chemical C. thermal D. mechanical >>>C Whenever laser surgery is planned for the head and neck, it is best practice to use specialty drapes coated with A. titanium. B. aluminum. C. copper. D. lead. >>>B At the conclusion of an operation, the surgical technologist in the scrub role must inform the circulating RN A. of the amount of local anesthetic used. B. that all sharps have been properly disposed of. C. of the number of gloves that were opened. D. that water is needed for the instruments. >>>A Tissue specimens that are sent to pathology for a frozen section are A. placed in formalin. B. sent dry. C. placed in water. D. sent sterile. >>>B When preparing for a male open inguinal herniorrhaphy, a surgical technologist should make sure which of the following items is available? A. 1/2 inch Penrose B. balloon expander C. Fogarty catheter D. 10 Fr. Robinson >>>A Which of the following is used to suture in a graft during a carotid endarterectomy? A. 6-0 Prolene B. 5-0 chromic C. 4-0 silkD. 3-0 Vicryl >>>A Which of the following sutures weakens and frays from excessive handling with rubber gloves? A. polyglactin B. chromic C. silk D. nylon >>>B A laminectomy is accomplished by which of the following types of approach? A. anterior B. posterior C. transabdominal D. cranial >>>B Recapping a sterile solution is A. always acceptable. B. only allowed in an emergent situation. C. permissible if contents are to be reused. D. never allowed unless for disposal. >>>D Which of the following vessels is MOST commonly used in a femoropopliteal bypass? A. radial artery B. femoral artery C. saphenous vein D. basilic vein >>>C Which of the following dressings immobilizes an area with added support, eliminates dead space, and reduces the chance of edema or the formation of a hematoma? A. rigid B. wet-to-wet C. bolster D. pressure >>>D To contain any biohazardous material when removing a drape after a procedure, the drape should be A. folded. B. secured. C. crumpled. D. rolled. >>>DWhen passing local anesthetic during a procedure, which of the following should read aloud the drug name and strength? A. surgeon B. surgical technologist C. first assistant D. anesthesiologist >>>A A patient is hospitalized for third degree burns and contracts a nosocomial deep tissue infection. Which of the following microorganisms is MOST likely the cause of the infection? A. Streptococcus pyogenes B. Bacillus cereus C. Staphylococcus epidermis D. Pseudomonas aeruginosa >>>D Which of the following types of suture would MOST likely be used to repair an abdominal aortic aneurysm? A. polyglactin B. polydioxanone C. poliglecaprone D. polypropylene >>>D After the initial incision is made for an appendectomy, a surgical technologist should anticipate the next item needed is A. blunt forceps. B. Mayo scissors. C. an electrosurgical pencil. D. a Weitlaner retractor. >>>C When transferring an immobile or unconscious patient from a stretcher to an operating room table, the MINIMUM number of people required for the transfer is A. 2 B. 3 C. 4 D. 5 >>>C Pressure on the downside shoulder of a patient in the lateral position is alleviated by shifting the upper arm and shoulder slightly forward and placing a foam or gel pad under the flank area. Which of the following will be avoided using this positioning technique?A. retroclavicular compression B. lumbosacral nerve root impingement C. ulnar nerve compression D. subacromial impingement >>>A During a surgical procedure, a patient requires a blood transfusion. After the transfusion is initiated, the patient's urinary output ceases. This is indicative of A. malignant hyperthermia. B. a hemorrhage. C. a hemolytic reaction. D. anaphylaxis. >>>C A local medication containing epinephrine may be chosen for which of the following reasons? A. prolong anesthetic effect B. relax smooth muscles C. stop hemorrhage D. stimulates vasodilation >>>A Which of the following drugs should be administered to a patient with malignant hyperthermia? A. dantrolene B. naloxone C. carboprost D. vasopressin >>>A Which of the following is a fracture that occurs at the epiphysis of the distal radius? A. compound B. Pott's C. transverse D. Colles' >>>D Operating room equipment spreads microorganisms through which of the following? A. mutualism B. vector C. parasitism D. fomite >>>D A suture's ability to absorb moisture and hold in body fluids is referred to as which of the following?A. pliability B. capillary action C. absorption D. bioactivity >>>B Which of the following is used to retract lung tissue? A. Allison B. Doyen C. Army D. Davidson >>>A Items needed for immediate use should be sterilized with A. ethylene oxide. B. hydrogen peroxide. C. steam. D. glutaraldehyde. >>>C Which of the following is the correct order of steps during a carotid endarterectomy? 1. The graft is checked for leaks and extra sutures are placed as needed. 2. An arteriotomy is made into the common carotid artery and extended upward. 3. A graft is sutured over the arteriotomy. 4. Atherosclerotic plaque is dissected from the vessel wall. A. 2, 3, 1, 4 B. 2, 4, 3, 1 C. 3, 1, 2, 4 D. 3, 4, 2, 1 >>>B Which of the following is the sequence of events for an open procedure? A. incision, retraction, hemostasis, dissection B. incision, hemostasis, dissection, retraction C. incision, dissection, retraction, hemostasis D. incision, dissection, hemostasis, retraction >>>B Which of the following should the surgical technologist don first? A. hair cover B. mask C. sterile gloves D. gown >>>A Which of the following serrations is unique to most vascular clamps?A. horizontal B. atraumatic C. cross-hatched D. crushing >>>B Where should the safety strap be placed on a patient undergoing a laparotomy? A. 2 inches distal to knees B. 2 inches proximal to knees C. 2 inches proximal to pelvis D. 2 inches distal to pelvis >>>B For which of the following conditions would a miotic, such as acetylcholine chloride, be used? A. cataract B. retinal detachment C. pterygium D. chalazion >>>A Which of the following relative humidity levels is appropriate for the OR? A. 55% B. 65% C. 70% D. 75% >>>A Which of the following hernias occurs within Hesselbach's Triangle? A. direct B. indirect C. femoral D. pantaloon >>>A During a Wilms' tumor excision, which of the following veins should be identified, double-clamped with hemostats, divided, and ligated with 3-0 silk? A. mesenteric B. umbilical C. renal D. iliac >>>B Which of the following operating room personnel is required to accompany the general anesthesia patient to PACU? A. scrubbed surgical technologistB. PACU nurse C. anesthesia care provider D. surgeon >>>C A hammertoe deformity which has caused a contracture at the proximal interphalangeal joint can be corrected by performing which of the following procedures? A. extensor tenotomy B. flexor tenotomy C. bunionectomy D. joint arthrotomy >>>B Which of the following devices can be used in place of a handsewn anastomosis? A. GIA stapler B. Endoloop C. purse-string stapler D. LigaSure >>>A The surgical technologist monitors the amount of irrigation fluids used intraoperatively when significant blood is lost to A. make sure it does not run out. B. ensure proper charges to patient. C. know how much to place on next order. D. measure blood loss for transfusion. >>>D Which of the following would be applied for manipulation during a pelviscopy? A. Hulka B. Schroeder C. Jacobs D. Pennington >>>A A sudden decrease in vision, eye pain, headache, sensitivity to light, nausea, vomiting, and rapid increase in interocular pressure MOST likely indicates which of the following? A. glaucoma B. cataract C. pterygium D. chalazion >>>A If a patient has recurrent shoulder dislocations, which of the following requires surgical repair? A. glenohumeral ligamentsB. acromioclavicular joint C. rotator cuff D. coracoacromial ligament >>>A Which of the following practices demonstrates a compromise in aseptic technique during the draping process? A. discarding a drape that becomes contaminated B. discarding a drape that falls below table level C. maintaining a distance from the unsterile sheets on the bed D. readjusting the framing towel to make the operative space smaller >>>D Which of the following is an example of a diarthrosis joint? A. intervertebral B. knee C. pubis D. mandibular >>>B In the Sims position, the position of the patient's legs should be A. lower leg flexed, upper leg straight. B. lower leg straight, upper leg straight. C. lower leg straight, upper leg flexed. D. lower leg flexed, upper leg flexed. >>>C A young male patient arrives in the OR after being diagnosed with a ruptured appendix. What is the classification of his surgical wound? A. I B. II C. III D. IV >>>D Inadequate intake of calcium or vitamin D may result in which of the following conditions? A. osteoarthritis B. osteoporosis C. osteomalacia D. osteomyelitis >>>B Which of the following types of fracture compromises the integrity of the skin? A. compound B. impactedC. compression D. oblique >>>A Which of the following should be available when preparing for a transabdominal preperitoneal laparoscopy for a direct inguinal hernia? A. Penrose drain B. extended Bovie tip C. balloon tissue expander D. EndoCatch bag >>>C During a trabeculectomy and iridectomy, which of the following instruments should be given to the surgeon for proper visualization? A. Barraquer speculum B. iris retractor C. scleral hooks D. Desmarres retractor >>>A Which of the following contrast media would MOST commonly be used in an angiography? A. Pantopaque B. Sinografin C. Dionosil D. Omnipaque >>>D Which of the following instruments is a hemostat? A. Metzenbaum B. Richardson C. Kelly D. DeBakey >>>C When positioning a patient for an exploratory laparotomy, what is the potential hazard if the arm boards are placed at an angle greater than 90 degrees? A. rotator cuff injury B. ulnar nerve damage C. brachial plexus injury D. decreased circulation >>>C A 3-year-old child presents with hypertension, hematuria, and abdominal enlargement. The patient has a history of urinary tract abnormalities, and Wilms' Tumor is suspected. Which of the following procedures should a surgical technologist prepare to perform?A. nephrectomy B. polypectomy C. nephroblastoma D. oligodendroma >>>C Prior to beginning a liver resection, which of the following is performed to control blood flow? A. Pringle B. Halstead C. Whipple D. Kocher >>>A In a resection of a vestibular schwannoma, which of the following cranial nerves will need to be preserved? A. V B. VI C. VII D. VIII >>>D A patient returns to the operating room for a laparotomy dehiscence. Which of the following may have caused the tissue breakdown? I. Skin staples were placed too close together. II. A running PDS suture was used too close to the abdomen and it broke. III. The wound edges were macerated during the laparotomy. IV. An electrocautery pencil was used and compromised the blood supply. A. I, II, and III only B. I, II, and IV only C. I, III, and IV only D. II, III, and IV only >>>A Which of the following is the correct sequence for the path of the electrical current in the monopolar electrosurgical unit? 1. The current exits the patient's body via the grounding pad and returns to the generator. 2. The active electrode is activated by the surgeon to deliver the cutting or coagulating current to the tissue or vessel. 3. The current travels from the generator to the active electrode. 4. The current passes through the patient's body to the grounding pad. A. 2, 1, 4, 3 B. 3, 1, 2, 4 C. 3, 2, 4, 1 D. 4, 3, 1, 2 >>>CImmediately following a procedure, the surgical technologist in the scrub role should A. break down the sterile field and bring in items for the following case. B. maintain the sterile field until the patient is out of the OR. C. maintain the sterile field until the patient has recovered. D. break down the sterile field and leave the OR. >>>B When applying a tourniquet, the pressure is determined by the surgeon according to the patient's A. systolic blood pressure. B. body weight. C. diastolic blood pressure. D. skin condition. >>>A The elbow is which of the following joints? A. gliding B. hinge C. pivot D. saddle >>>B Which of the following is a table-mounted retractor used during cardiovascular procedures involving the internal mammary artery? A. Favaloro B. Amato C. Wilcox D. Parsonnet >>>A While gathering instruments for a carpal tunnel release, which of the following instruments would be the BEST option for retraction? A. Senn B. Army-Navy C. Richardson D. Deaver >>>A An acoustic neuroma is a benign lesion of what cranial nerve? A. III B. V C. VIII D. X >>>CWhich of the following cranial nerves is associated with swallowing? A. accessory B. vagus C. facial D. abducens >>>A How many people are required to place a patient in the lithotomy position? A. 1 B. 2 C. 3 D. 4 >>>B Which of the following is the main consideration when positioning a pediatric or neonatal patient? [Show More]

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