Medical Studies > QUESTIONS & ANSWERS > CST PRACTICE EXAM TEST B, Questions and answers, 100% verified. (All)
CST PRACTICE EXAM TEST B, Questions and answers, 100% verified. Which of the following is considered the MOST important skill for a surgical technologist? - ✔✔Management of specimens The surg... ical incision that allows for the BEST visualization for a Billroth I procedure is - ✔✔Midline During the postoperative phase, the personnel primarily responsible for transporting soiled instrumentation to decontamination is the - ✔✔Surgical Technologist CSF is formed in the lateral ventricles of a patient and may not properly flow into the third ventricle through the foramen of - ✔✔Slyvius into the fourth ventricle (also referred to as the cerebral aqueduct. During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? - ✔✔Place in separate containers and identify A surgical technolgist received the following medications onto the sterile field: 0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine and epinephrine. Which of the following is the MOST appropriate way to label these medications? - ✔✔0.9% saline + 1gm bacitracin and 0.25% Marcaine with epinephrine. A thyroidectomy that was done earlier in the day is being brought back for excessive bleeding from the incision. Which of the following items are needed for this case? - ✔✔laps, silk ties, and hemoclips If there is any question related to handling a specific type of specimen, which of the following departments should be consulted? - ✔✔Pathology The required number of air exchanges per hour in an OR is - ✔✔15 to 25 The required number of air exchanges per hour in the decontamination room is - ✔✔5 to 10 A special-made instrument without a backup falls to the floor during a procedure. Which of the following is the BEST reason to hesitate performing immediate-use sterilization? - ✔✔The manufacturer's standards for sterilizing the instrument are unknown. When transferring a thoracotomy patient to recovery, the chest drainage system should be - ✔✔maintained below the patient's chest level Which of the following procedures requires an incision in the suprasternal notch? - ✔✔mediastinoscopy When preparing surgical specimens, in addition to the surgical technologist, who else is responsbile for accurately labeling the specimen? - ✔✔Surgeon and circulating nurse A T-tube drain may be used following - ✔✔a choledochotomy When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist places the staples through which two layers? - ✔✔cuticular and subcuticular A type of regional anesthesia i which a tourniquet is applied and local anesthetic is administered intravenously is called a - ✔✔Bier block During a crainotomy, which of the following types of bone is entered? - ✔✔Flat A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given? - ✔✔0.5 mL Which of the following is MOST likely to be used during a posterior cervical decompression? - ✔✔Mayfield clamp Which of the following is the most acceptable technique when placing a patient in the lithotomy position? - ✔✔Both legs placed in stirrups simultaneously Which of the following supplies should the surgical technologist have available for placement of a long arm cast? - ✔✔Webril How much 0.25% bupivacaine should be mixed with 1 mL of 1.0% lidocaine to make the solution equal strengths of both medications? - ✔✔4.0 mL The appendiceal stump, when inverted, is held in place by which of the following types of suture? - ✔✔purse-string A surgeon asks for warm irrigation after a right hemicolectomy. Which of the following BEST describes the reason for irrigating at this point in the procedure? - ✔✔to aid visual inspection for leakage Which of the following devices should the surgical technologist have delivered to the sterile field for a low anterior resection? - ✔✔intraluminal stapler A GIA linear stapler is used to - ✔✔divide in a linear side-to-side or end-to-side fashion ligating dividing stapler - ✔✔used to ligate and divide blood vessels TA-60 stapler - ✔✔typically used to stable tissue that is transected Which of the following is reshaped during a total hip arthoplasty? - ✔✔acetabulum An organization that regulates the production of biological sterilization test packs in-house is - ✔✔AAMI: Association for the Advancement of Medical Instrumentation controls regulation of sterile processing ANSI - ✔✔American National Standards Institute: regulates healthcare and other standards Rod-shaped bacteria are called - ✔✔bacilli Round, spherical-shaped bacteria are called - ✔✔Cocci Comma-shaped bacteria are called - ✔✔Vibrio Spiral-shaped bacteria are called - ✔✔spirochetes A type of passive transport when salt crystals dissolve in water is known as - ✔✔diffusion Phagocytosis - ✔✔large particles are engulfed and digested by lysosomes within the cell Endocytosis - ✔✔a type of active transport in which molecules are engulfed and then carried to cell center Osmosis - ✔✔is when particles cross a permeable membrane such as a cell wall Utilization of lasers in the operating room requires the use of - ✔✔eye protection HEPA filter mask - ✔✔used to protect against airborne pathogens During application of a Volar splint, the surgical technologist notices that the splint was not completely dried and has caused a pressure point on the patient. Which of the the following should be the surgical technologist's NEXT step? - ✔✔Bring it to the surgeon's attention and assist in putting on a new splint Sponges that have been added to the sterile field after a procedure has begun should be counted by the - ✔✔surgical technologist and the circulator Which of the following spore-forming microorganisms are used as biological monitors for checking steam sterilization effectiveness for a load of instruments in a rigid container? - ✔✔Bacillus sterothermophilus After surgery, the scrub tech takes the instruments used in surgery to the decontamination area. How soon should these instruments be washed? - ✔✔within 20 minutes Which of the following types of laser is typically used for stone fragmentation in the ureter? - ✔✔holmium:YAG Laser used for procedures on the retina? - ✔✔Argon Krypton laser - ✔✔used to destroy tissue in the retina Carbon dioxide laser - ✔✔used for neurosurgical and reconstructive procedures If a patient is undergoing a mastectomy immediately followed by reconstruction, how many surgical setups should be obtained? - ✔✔Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding. Which of the following instruments is used to thread a vascular graft from one incision to another? - ✔✔tunneler A patient has developed a hematoma at the incision site after the surgeon has left the room. The surgical technologist should - ✔✔request the surgeon to return The surgical technologist hands the surgeon the dressing a the end of a procedure. Which of the following is the BEST method to follow in regard to removing the drape? - ✔✔A sterile team member holds the dressing in place while the drape is removed. Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured NEXT? - ✔✔Fascia Abdominal wounds are closed from inner to outer in the following order; peritoneum, fascia, subcutaneous, subcuticular, and skin layers. Which of the following arteries is commonly used for taking a blood pressure reading? - ✔✔Brachial A brachial artery is located along the humerus. It runs from the shoulder to just past the elbow. The brachial artery is used for taking blood pressure and a pulse. Which of the following is applied as a nonadherent dressing? - ✔✔Adaptic When donning gloves using the open-gloving technique, the ungloved hand will touch the - ✔✔folded edge of the cuff of the glove. Necrotizing faciitis confined to the perineum and scrotum is known as - ✔✔Fournier's gangrene Inflammation of skin and subcutaneous tissue - ✔✔Cellulitis Boil - ✔✔Infected hair follicle usually caused by staphylococcus aureus Gerota's fascia - ✔✔Located in the abdomen. Surrounds the kidneys. For a splenectomy procedure, which of the following clamps should be used? - ✔✔Satinsky Allen - ✔✔intestinal clamp A cystectomy with ileal conduit procedure was performed. The surgical technologist anticipates the need for a stoma - ✔✔pouch to collect body fluids IUSS sterilizers are typically located in an area - ✔✔that is designated as a restricted sub-sterile room Which of the following surgical needles is MOST appropriate for use in a liver resection? - ✔✔blunt To help in the calculation of the amount of blood loss, the surgical technologist should - ✔✔report the amount of irrigation used During dilation and curettage, after the Auvard weighted vaginal speculum is placed, which of the following instruments is used to grasp the cervix? - ✔✔single tooth tenaculum Which of the following is the MOST accurate method to check steam autoclave effectiveness? - ✔✔biological indicator Following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take? - ✔✔Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the patient. Which of the following will place a staff member at risk for work-related musculoskeletal disorders? - ✔✔working in the same posture for prolonged periods While setting up for a surgical procedure, a surgical technologist discovers a puncture in the right surgical glove. If no one is available to assist, the BEST solution for the surgical technologist is to - ✔✔ask the circulator for a new gown and gloves to regown and reglove During the application of arch bars, the surgeon will MOST likely use which of the following between the teeth and around the bar? - ✔✔24-26 gauge stainless steel wire Which of the following is necessary for ethylene oxide sterilization to occur? - ✔✔humidity Gravity displacement - ✔✔one type of steam autoclave Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? - ✔✔shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder Which of the following is done FIRST when performing a myringotomy? - ✔✔removing cerumen from the ear canal During a laminectomy disk material is removed with a - ✔✔pituitary rongeur is used to remove herniated disk fragments When positioning a patient for lithotomy, care should be taken to avoid injury to the peroneal nerve, which can cause injury to the - ✔✔hip Which of the following is the name of the MOSt common BI used for ethylene oxide sterilization - ✔✔Bacillus atrophaeus Apart from trauma cases, which of the following incisions would be BEST for sigmoid surgery? - ✔✔vertical paramedian incision... similar to median incisions, are used to provide access to any organ in the abdominal cavity; however, in cases of trauma, a median incision would be used. Lower left paramedian incisions are excellent for use in sigmoid surgery. Which of the following suturing techniques feature short lateral stitches that are taken beneath the epithelial layer of skin? - ✔✔subcuticular Which of the following reflexes involves plantar flexion of the foot? - ✔✔Achilles In which of the following procedures should the surgical technologist expect to use cottonoids? - ✔✔lumbar laminectomy Which of the following advantages do hand-held retractors have over self-retaining retractors? - ✔✔repositioning ability A surgical technologist is preparing a fresh specimen for frozen section to be passed off the field. How should the specimen be prepared to be passed to the circulator? - ✔✔Wrap it in a telfa pad Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas? - ✔✔Whipple Hella - ✔✔A myotomy procedure Myotomy - ✔✔incision into muscle myo / tomy muscle / incision Bankart procedure - ✔✔Done to repair stability of the shoulder Billroth I - ✔✔a partial gastrectomy procedure The only true indicator of item sterility is - ✔✔biological A #12 knife blade on a #7 handle is MOST commonly used for which of the following types of surgery? - ✔✔tonsillectomy Which of the following terms refers to the transfer of heat from one substance to another by the natural movement of molecules, setting other molecules in motion? - ✔✔conduction Height of an electromagnetic wave - ✔✔amplitude Displacement of cool air by warm air - ✔✔Convection Substance that does not conduct an electrical current - ✔✔insulator Which of the following important considerations should be taken by the surgical technologist when it comes to the suture material for third intention closure? - ✔✔A low-capillary action suture will not retain moisture The parathyroid gland regulates - ✔✔Calcium Aldersterone - ✔✔released by the adrenal cortex and increases sodium reabsorption by the kidneys A pad-like sac or cavity that prevents friction within a joint is known as a - ✔✔burs [Show More]
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