CST Practice Exam A Questions and
answers. Graded A+. latest updates.
Which of the following is the opening in the occipital bone through which the spinal cord passes? -
✔✔foramen magnum
Sterile supplies and instrum
...
CST Practice Exam A Questions and
answers. Graded A+. latest updates.
Which of the following is the opening in the occipital bone through which the spinal cord passes? -
✔✔foramen magnum
Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just
informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours.
Which of the following is the BEST course of action? - ✔✔New sterile supplies and instruments should
be obtained for OR 2 and the setup in OR 1 should be disposed of.
Which of the following is the body's local tissue reaction to injury? - ✔✔inflammation
Which of the following instruments is used for a common bile duct exploration? - ✔✔Randall forceps
Which of the following is the MOST important consideration when cutting suture? - ✔✔avoiding the
knot
Which of the following structures are ligated and divided during the cholecystectomy? - ✔✔cystic artery
and cystic duct
Which of the following may be used when applying a sterile dressing to a skin graft site? - ✔✔pressure
dressing
When performing a dilation and curettage, which of the following instruments is used to grasp the
cervix? - ✔✔Schroeder
On the way into the operating room, a terminally ill patient tells the nurse, "No matter what happens, it
will be okay." Which of the Five Stages of Grief is the patient MOST likely in? - ✔✔acceptance
Which of the following instruments is used for placement of cottonoid strips during a craniotomy? -
✔✔bayonet forceps
When two individuals in sterile attire pass one another in the sterile field, they should... - ✔✔pass backto-back.
Which of the following is used to oxygenate and circulate blood? - ✔✔extracorporeal bypass
The PRIMARY consideration in selecting an appropriate anesthetic agent is the... - ✔✔physiologic
condition of the patient.
If two basins are wrapped together for sterilizing, they should be packaged with one basin... -
✔✔stacked inside the other and separated by a towel.
Which of the following items may be used in positioning a patient for a total hip arthroplasty? - ✔✔bean
bag
A surgical technologist sees a neighbor being admitted. How should the surgical technologist respond? -
✔✔Do not acknowledge the neighbor unless greeted first
Instruments that come in contact with the appendiceal stump during an appendectomy should be... -
✔✔placed in a separate basin.
Which of the following is the MOST serious complication of a strangulated hernia? - ✔✔necrosis
Which of the following techniques is NOT acceptable for draping the patient? - ✔✔Readjust the drapes
as necessary after placement.
Which of the following structures is separated first when a paramedian incision is performed? -
✔✔rectus abdominis
Which of the following is MOST likely to be used to stabilize a cervical fracture? - ✔✔Mayfield clamp
During a transurethral resection of the prostate, bleeding is controlled by... - ✔✔cauterization.
To prevent contamination at the end of a surgical procedure, which of the following should be removed
LAST by the surgical technologist in the scrub role? - ✔✔surgical gloves
In order to remove a portion of the kidney, the surgeon must enter which of the following? -
✔✔Gerota's fascia
Which of the following is the MOST common straight catheter used prior to laparoscopic gynecological
surgery in the OR? - ✔✔Robinson
A Stamey needle is used for which of the following types of surgery? - ✔✔bladder suspension
Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the
patient in the operating room? - ✔✔sigmoidoscopy
Which of the following is a fenestrated drape? - ✔✔a drape with an opening that allows exposure of the
operative site
An appendectomy incision closed using suture is considered to be which of the following types of wound
closure? - ✔✔primary intention
Which of the following patients is MOST likely to acquire a nosocomial infection? - ✔✔a male patient
who has diabetes
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The appendiceal stump, when inverted, is held in place by which of the following types of suture? -
✔✔purse-string
Aerobic organisms are BEST characterized as... - ✔✔oxygen-requiring.
The PRIMARY purpose of chest tubes is to... - ✔✔re-establish negative pressure.
Which of the following is a surgical instrument designed for retracting?
A. Potts
B. Penfield
C. Lowman
D. Gelpi - ✔✔Gelpi
Which of the following surgical procedures may be used to remove a carcinoma from the head of the
pancreas? - ✔✔Whipple
A sterile item used with an electrosurgical unit is the... - ✔✔active electrode
What is the desired effect of atropine sulfate when used as a preoperative medication? - ✔✔drying of
secretions
A postoperative total arthroplasty patient presents to the emergency department with severe throbbing
pain, fever, and malaise. Which of the following is the likely diagnosis? - ✔✔osteomyelitis
Which of the following is used to stabilize a fractured finger?
A. Rush rods
B. Hagie pins
C. Knowles pins
D. Kirschner wires - ✔✔Kirschner wires
Which of the following is the primary purpose for changing into operating room attire? - ✔✔to prevent
the of spread of microorganisms
A surgical technologist is assigned to a room where the patient happens to be his neighbor. To protect
patient confidentiality, the technologist should indicate that he knows the patient and... - ✔✔request to
be removed from the room.
Mannitol (Osmitrol) is used in neurosurgical procedures to... - ✔✔decrease intracranial pressure.
What lies between the lung and the chest wall? - ✔✔pleura
Which of the following is applied as a nonadherent dressing? - ✔✔adaptic
A Balfour is used in which procedures? - ✔✔sigmoid resection
If the VII cranial nerve is severed, what is the result? - ✔✔facial paralysis
When assisting with the closure of a skin incision and operating the skin stapler, the surgical
technologist in the scrub role is placing the staples through which two layers?
A.cuticular and subcuticular
B.subicular and subcutaneous
C.subcuticular and subcutaneous
D.subcutaneous and fascia - ✔✔A.cuticular and subcuticular
During which of the following surgeries is a Meckel's diverticulum typically discovered?
A. esophagectomy
B. appendectomy
C. prostatectomy
D. varicocelectomy - ✔✔B. appendectomy
Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy?
A. pre-peritoneal fat
B. linea alba
C. oblique muscles
D. rectus abdominis muscle - ✔✔C. oblique muscles
A perforator is used for which of the following procedures?
A. cordotomy
B. craniotomy
C. laminectomy
D. spinal fusion - ✔✔B. craniotomy
In preparation for a cranial aneurysm, which of the following pieces of equipment would MOST likely be
used?
A. microscope
B. cryoprobe
C. Jordan Day drill
D. Crutchfield tongs - ✔✔A. microscope
During strabismus surgery, which of the following is the first tissue layer that must be incised?
A. iris
B. cornea
C. sclera
D. conjunctiva - ✔✔D. conjunctiva
When can instrument counts be omitted?
A. if an emergency procedure must be performed
B. when the surgical technologist in the circulator role becomes too busy
C. if instruments are needed in another operating room
D. when the patient is receiving outpatient surgery - ✔✔A. if an emergency procedure must be
performed
In which of the following positions is a patient placed for a right nephrectomy?
A. left lateral
B. right lateral
C. left lateral kidney
D. right lateral kidney - ✔✔C. left lateral kidney
Which of the following examples illustrates UNSAFE technique for disposing of contaminated sharps?
A. Used suture needles and scalpel blades are removed from the needle counter and individually placed
in the biohazard sharps container.
B. Used suture needles and scalpel blades remain in the needle counter and the closed needle counter
is placed in the biohazard sharps container.
C. The biohazard sharps container is located as close as possible to the area in which the items were
used.
D. Disposable surgical blades are removed from knife handles with a needle holder or other instrument.
- ✔✔A. Used suture needles and scalpel blades are removed from the needle counter and individually
placed in the biohazard sharps container.
Why is the right kidney typically several centimeters lower than the left kidney?
A. The liver rests superior and anterior to the right kidney.
B. The liver rests superior and posterior to the right kidney.
C. The liver rests inferior and anterior to the right kidney.
D. The liver rests inferior and posterior to the right kidney. - ✔✔A. The liver rests superior and anterior
to the right kidney.
Which of the following should be the MINIMUM exposure time in a flash sterilizer for unwrapped
instruments?
A. 1 minute
B. 3 minutes
C. 5 minutes
D. 7 minutes - ✔✔B. 3 minutes
If a routine surgical procedure was performed without consent, the surgeon committed
A. assault.
B. battery.
C. malpractice.
D. liability. - ✔✔B. battery.
If an adult patient refuses a blood transfusion, the surgical staff should
A. not administer blood to the patient.
B. administer blood only in an emergency.
C. administer blood only after sedation.
D. not perform any procedure that may require a transfusion. - ✔✔A. not administer blood to the
patient.
During the intraoperative phase, which of the following activities can be completed by both sterile and
non-sterile members of the surgical team?
A.caring for the specimen
B.maintaining the patient's operative record
C.clearing residual blood from the surgical field
D.maintaining the sterile field and neutral zone - ✔✔A.caring for the specimen
A lumbar meningocele involves removal of
A. cerebrospinal fluid.
B. lumbar disc.
C. meninges.
D. a fluid-filled sac. - ✔✔D. a fluid-filled sac.
Wrinkle-free padding is applied to an extremity before application of a tourniquet to avoid
A. skin injuries.
B. improper inflation.
C. excessive blood loss.
D. skeletal injuries. - ✔✔A. skin injuries
A specimen obtained for frozen section is generally removed from the sterile field intraoperatively
because it
A. needs to be labeled by the circulator.
B. is sent to pathology immediately.
C. will contaminate the sterile field.
D. needs to be placed in formalin solution. - ✔✔B. is sent to pathology immediately.
Which of the following procedures is used to visualize the cystic, hepatic, and common ducts?
A. barium enema
B. cholangiography
C. intravenous pyelography
D. upper gastrointestinal series - ✔✔B. cholangiography
A scleral buckle procedure repairs
A. astigmatism.
B. detached retinas.
C. corneal scarring.
D. eye muscle contractures. - ✔✔B. detached retinas.
Which of the following retractors should the surgical technologist have available to provide exposure to
the patellar tendon while harvesting the graft for an ACL repair?
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