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175 Cards in this Set
- Front
- Back
- 3rd side (hint)
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To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following two vessels?
A. internal mammary artery to affected coronary artery B. subclavian artery to affected coronary artery C. internal mammary artery to aorta D. subclavian artery to aorta |
A. The internal mammary artery is the preferred vascular conduit to revascularize the myocardium.
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EXPLANATIONS:
(c) A. The internal mammary artery is the preferred vascular conduit to revascularize the myocardium. (u) B. The subclavian artery is distal to the internal mammary artery and would not be long enough to reach the affected coronary artery. (u) C. The internal mammary artery anastomosed to the aorta would not revascularize the affected heart muscle. (u) D. The subclavian artery anastomosed to the aorta would not revascularize the affected heart muscle. |
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The drug most commonly used to treat ventricular tachycardia is
A. epinephrine (Adrenalin). B. nitroglycerin (Nitrostat). C. lidocaine (Xylocaine). D. norepinephrine (Levophed). |
C. lidocaine (Xylocaine).
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An ideal environment for holding the preoperative patient is a
A. dimly lit, quiet room. B. brightly lit, quiet room. C. warm, busy room. D. cool, busy room. |
A. dimly lit, quiet room.
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Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infant's stomach?
A. gastrotomy B. Nissen fundoplication C. Heller myotomy D. pyloromyotomy |
D. pyloromyotomy
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A cardiac arrest occurs during a procedure, and the surgeon is resuscitating the patient. What is the responsibility of the surgical technologist in the scrub role during this time?
A. Hand the surgeon a loaded needle holder and forceps for closing. B. Break scrub and call for help. C. Remain sterile and maintain the sterile field. D. Move the electrosurgical unit (ESU) away from the operating table. |
C. Remain sterile and maintain the sterile field.
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Which of the following is the definition of instrument sterilization?
A. surgical cleaning with an antiseptic B. manual decontamination C. destruction of microorganisms D. reduction of bacteria |
C. destruction of microorganisms
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A preference card indicates a surgeon prefers a large paper gown and size 7.5 gloves and the surgeon's assistant prefers an XL cloth gown and size 8 gloves. The assistant usually scrubs in first. In which order should the surgical attire (PPE) be stacked, from top to bottom?
A. towel, XL cloth gown, size 7.5 gloves, towel, large paper gown, size 8 gloves B. size 7.5 gloves, XL cloth gown, towel, size 8 gloves, large paper gown, towel C. towel, XL cloth gown, size 8 gloves, towel, large paper gown, size 7.5 gloves D. towel, large paper gown, size 7.5 gloves, towel, XL cloth gown, size 8 gloves |
C. towel, XL cloth gown, size 8 gloves, towel, large paper gown, size 7.5 gloves
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Which of the following types of anesthetic is injected during a Bier block?
A. bupivacaine (Marcaine) B. lidocaine (Xylocaine) with epinephrine C. bupivacaine (Marcaine) with epinephrine D. lidocaine (Xylocaine) |
D. lidocaine (Xylocaine)
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Aerobic organisms are BEST characterized as
A. pathogenic. B. nonpathogenic. C. oxygen-requiring. D. non-oxygen-requiring. |
C. oxygen-requiring.
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When positioning a patient in the lithotomy position, the stirrup height should be adjusted according to the
A. height of the first assistant. B. manufacturer's recommendations. C. height of the surgeon. D. length of the patient's legs. |
D. length of the patient's legs.
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Which of the following is applied as a nonadherent dressing?
A. adaptic B. collodion C. steri-strip D. elastoplast |
A. adaptic
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Which of the following conditions is triggered by an injection of succinylcholine (Anectine) and causes an unusually high fever?
A. osteomyelitis B. sepsis C. malignant hyperthermia D. appendicitis |
C. malignant hyperthermia
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When performing a dilation and curettage, which of the following instruments is used to grasp the cervix?
A. Simms B. Auvard C. Schroeder D. Bozeman |
C. Schroeder
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The Sterrad sterilization system MOST commonly uses which of the following chemical solutions?
A. hydrogen peroxide B. glutaraldehyde C. peracetic acid D. carbon dioxide |
A. hydrogen peroxide
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Which of the following should be visualized on an x-ray to determine if a long bone is still growing?
A. periosteum B. diaphysis C. medullary canal D. epiphyseal plate |
D. epiphyseal plate
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What type of incision is typically used for an open cholecystectomy?
A. McBurney's B. Pfannenstiel C. midline D. subcostal |
D. subcostal
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Which of the following should be removed LAST by the surgical technologist in the scrub role in order to prevent contamination at the end of a surgical procedure?
A. patient's drapes B. surgical gloves C. surgical mask D. Mayo stand drape |
C. surgical mask
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A chemical solution used to sterilize instruments by immersing them for at least 10 hours is
A. activated glutaraldehyde. B. sodium hypochlorite. C. aqueous formaldehyde. D. methyl phenol. |
A. activated glutaraldehyde.
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Heaney clamps are used for a
A. hysterectomy. B. lobectomy. C. cystectomy. D. gastrectomy. |
A. hysterectomy.
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Which of the following is done FIRST when performing a myringotomy?
A. insertion of a drainage tube B. incision of the tympanic membrane C. suctioning of fluid from the middle ear D. removal of cerumen from the ear canal |
D. removal of cerumen from the ear canal
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A circlage procedure is performed for which of the following conditions?
A. Bartholin's cyst B. ectopic pregnancy C. incompetent cervix D. placenta previa |
C. incompetent cervix
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A laparotomy drape has been placed on a patient and unprepped skin on the operative site is exposed. Which of the following is the BEST next step?
A. Apply drapes over unprepped skin. B. Reposition the drapes closer together. C. Remove drapes and re-prep. D. Cover with an adhesive drape. |
C. Remove drapes and re-prep.
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Which of the following catheters is MOST commonly used to perform an embolectomy?
A. Robinson B. Fogarty C. Malecot D. Angiocath |
B. Fogarty
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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
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Traction sutures are used on common duct explorations to
A. ligate the duct. B. permanently close the duct. C. hold the duct open. D. seal the stones inside. |
C. hold the duct open.
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Which of the following anesthetic agents is administered intravenously?
A. enflurane (Ethrane) B. nitrous oxide C. propofol (Diprivan) D. methoxyflurane (Penthrane) |
C. propofol (Diprivan)
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A patient's dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures?
A. Return them to the patient's unit and leave them at the nurses' station. B. Place them in a labeled denture cup and keep them with the patient's chart. C. Wrap them in a paper towel and give them to the anesthesiologist. D. Ask the circulator to return them to the patient's room. |
B. Place them in a labeled denture cup and keep them with the patient's chart.
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Which of the following is responsible for the proper care and handling of an intraoperative specimen?
A. surgical technologist in the scrub role and anesthetist B. surgical technologist in the scrub role and the circulator C. surgical technologist in the first assistant role and the surgeon. D. surgical technologist in the circulator role and anesthetist |
B. surgical technologist in the scrub role and the circulator
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A surgical technologist sees a neighbor being admitted. How should the surgical technologist respond?
A. Acknowledge the neighbor. B. Reassure the neighbor that everything will be fine. C. Do not acknowledge the neighbor unless greeted first. D. Ignore the neighbor, even if greeted. |
C. Do not acknowledge the neighbor unless greeted first.
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Which of the following is MOST resistant to sterilization processes?
A. virus B. spore C. spirochete D. fungus |
B. spore
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A tourniquet is used in which of the following procedures?
A. patellectomy B. ORIF hip C. shoulder arthroscopy D. Bankart repair |
A. patellectomy
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Which of the following wounds is most likely in the inflammatory phase of wound healing?
A. a Bankart repair, one week post procedure B. a laparotomy incision with a cicatrix C. an open reduction internal fixation (ORIF) of a finger, two weeks post procedure D. an abdominal incision, 20 minutes post-closure |
D. an abdominal incision, 20 minutes post-closure
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Which of the following procedures is used for removal of an embolus?
A. endarterectomy B. balloon catheterization C. aneurysmectomy D. fasciotomy |
B. balloon catheterization
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During a craniotomy, which of the following types of bone is entered?
A. flat B. round C. long D. irregular |
D. irregular
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Which of the following instruments is found in a basic laparotomy setup?
A. Castroviejo needle holder B. Mayo scissors C. Dandy clamp D. Raney clip applier |
B. Mayo scissors
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Which of the following is the correct order, from the outermost to the innermost layer, of the tissues that compose the wall of the stomach and small intestine?
1. submucosa 2. muscularis 3. serosa 4. mucosa A. 1, 4, 2, 3 B. 3, 2, 1, 4 C. 1, 2, 4, 3 D. 3, 4, 2, 1 |
B. 3, 2, 1, 4
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A power saw is not functioning. Which of the following is the mostly likely cause?
A. It is not plugged into the electrical outlet. B. The battery has not been adequately charged. C. It has not been joined to the foot pedal. D. The arthroscopy shaver motor is not connected. |
B. The battery has not been adequately charged.
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Which of the following instruments may be used to extend the arteriotomy during femoral-femoral bypass?
A. straight Mayo B. Potts-Smith C. Jorgenson D. Stevens tenotomy |
B. Potts-Smith
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Which of the following classifications of disinfection is used to kill all bacteria, viruses, and fungi?
A. low-level B. intermediate-level C. high-level D. antiseptic |
C. high-level
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In a steam autoclave set on pre-vacuum, the minimum temperature that must be reached is
A. 200°. B. 230°. C. 250°. D. 270°. |
D. 270°.
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The PRIMARY consideration in selecting an appropriate anesthetic agent is the
A. physiologic condition of the patient. B. length of the procedure. C. type of the procedure. D. anxiety level of the patient. |
A. physiologic condition of the patient.
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Which of the following positions is used for mastopexy?
A. Kraske B. dorsal recumbent C. lateral Simms D. Fowler's |
B. dorsal recumbent
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Surgery to repair a Colles' fracture is performed on which of the following types of bone?
A. long B. short C. flat D. irregular |
A. long
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The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures?
A. laparoscopic cholecystectomy B. carotid endarterectomy C. total hip arthroplasty D. tympanoplasty |
B. carotid endarterectomy
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Which of the following is a monofilament suture?
A. silk B. cotton C. Ethibond D. Prolene |
D. Prolene
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A circumferential bandage should be applied to an extremity
A. proximal to distal. B. distal to proximal. C. ventral to dorsal. D. dorsal to ventral. |
B. distal to proximal.
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A patient has arrived in the operating room for a bilateral mastectomy. She is crying unconsolably. The surgical technologist can best console her by saying which of the following?
A. "I am sure we will be able to remove all of the cancer." B. "Everything will be fine." C. "Your surgeon is the best in the hospital." D. "We are going to give you the best care possible." |
D. "We are going to give you the best care possible."
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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.
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The surgeon asks a surgical technologist to place a drop of a mydriatic solution in OD. As a result of this medication, the pupil of the
A. right eye will dilate. B. left eye will dilate. C. right eye will constrict. D. left eye will constrict. |
A. right eye will dilate.
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Which of the following is the opening in the occipital bone through which the spinal cord passes?
A. foramen ovale B. foramen magnum C. foramen rotundum D. foramen of Bochdalek |
B. foramen magnum
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Herniation of the rectum through a weakened posterior vaginal wall is known as a
A. rectocele. B. cystocele. C. varicocele. D. enterocele. |
A. rectocele.
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Which of the following verifies that autoclave sterilization has occurred?
A. chemical indicator B. julian date C. heat-sensitive tape D. biological indicator |
D. biological indicator
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A resectoscope is used in which of the following prostatic approaches?
A. perineal B. suprapubic C. retropubic D. transurethral |
D. transurethral
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Which of the following is reshaped during a total hip arthroplasty?
A. fibula B. acetabulum C. iliac crest D. tibia |
B. acetabulum
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Which of the following is a sign of cardiac arrest?
A. edema B. convulsion C. cyanosis D. hypertension |
C. cyanosis
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Which of the following anticoagulants should be given during a vascular procedure to prevent normal blood clotting?
A. heparin sodium B. protamine sulfate C. atropine D. epinephrine |
A. heparin sodium
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Which of the following procedures should be followed when performing counts in an emergency situation?
A. All counts must be done. B. Omit counts, but document on the operative record. C. Only an initial count is required. D. Only count laparotomy sponges. |
B. Omit counts, but document on the operative record.
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Place the following phases of wound healing by first intention in correct order from first to last:
I. proliferation II. remodeling III. inflammatory A. I, II, III B. II, I, III C. III, I, II D. III, II, I |
C. III, I, II
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Which of the following supplies is part of the standard set-up for a diagnostic knee arthroscopy?
A. Poole suction tip B. irrigation tubing C. #20 blade D. 3000-ml bag glycine |
B. irrigation tubing
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Where is the gastrocnemius muscle located?
A. arm B. calf C. back D. thigh |
B. calf
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Which of the following lies between the lung and the chest wall?
A. mediastinum B. peritoneum C. pleura D. pericardium |
C. pleura
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At which abdominal layer is the first closing count performed?
A. skin B. fascia C. peritoneum D. subcutaneous |
C. peritoneum
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When preparing the Sterrad sterilization system for use in the surgical area, which of the following outlets must be available?
A. suction B. oxygen C. nitrogen D. electrical |
D. electrical
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During a laser laryngoscopy, which of the following supplies must be available?
A. wet cottonoids and water B. microscope, sterile water, and bronchoscope C. sterile water, thyroid tray, and methylene blue D. tracheotomy tray and tube, bronchoscope, and sterile water |
A. wet cottonoids and water
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When utilizing a laparoscopic setup, potential hazards associated with the equipment include
A. non-ionizing radiation. B. nitrogen embolus. C. pneumoperitoneum. D. fiberoptic beam fire. |
D. fiberoptic beam fire.
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Between each surgical procedure, decontamination of walls involves washing
A. only areas that have been splashed with blood or debris. B. all walls with a disinfectant solution. C. all walls from the floor up to a 5-foot level with a disinfectant solution. D. all walls from the floor up to a 5-foot level with a viricidal solution. |
A. only areas that have been splashed with blood or debris.
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Which of the following types of sponges is used directly on the structures of the brain?
A. RAY-TEC B. cherry C. Weck-cel D. cottonoid |
D. cottonoid
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The appendiceal stump, when inverted, is held in place by which of the following types of suture?
A. mattress B. traction C. interrupted D. purse-string |
D. purse-string
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Which of the following does NOT result after dipping a bloody RAY-TEC sponge into irrigation solution?
A. The solution is tainted. B. Lint is released into the solution. C. The solution is diluted. D. Cellular components are released into the solution. |
B. Lint is released into the solution.
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During a tympanoplasty, which of the following is the best choice for graft material?
A. temporal bone B. temporalis fascia C. vestibular membrane D. a Teflon graft |
B. temporalis fascia
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The primary reason padding is used in positioning a patient is to
A. ensure the patient's comfort. B. facilitate the surgeon's approach. C. prevent injury to pressure points. D. maintain the position during surgery. |
C. prevent injury to pressure points.
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If a sponge is missing, which of the following actions should be taken FIRST?
A. The patient's wound should be reopened. B. An x-ray of the operative site should be ordered intraoperatively. C. An x-ray of the operative site should be ordered in the recovery room. D. The count should be repeated. |
D. The count should be repeated.
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During an anterior cervical fusion, a bone graft is taken in order to fuse the vertebral
A. body. B. disk. C. spinous process. D. transverse process. |
A. body.
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Which of the following is necessary for ethylene oxide sterilization to occur?
A. indirect contact B. gravity displacement C. humidity D. steam |
C. humidity
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Which of the following retractors may be used during an open cholecystectomy?
A. Simms B. Bennett C. Jennings D. Harrington |
D. Harrington
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Which of the following arteries is MOST commonly used for taking a blood pressure reading?
A. radial B. femoral C. brachial D. popliteal |
C. brachial
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Sponges that have been added to the sterile field after a procedure has begun should be counted by the
A. circulator and surgeon. B. surgical technologist in the scrub role and surgical first assistant. C. surgeon and surgical first assistant. D. surgical technologist in the scrub role and the circulator. |
D. surgical technologist in the scrub role and the circulator.
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The required number of air exchanges per hour in an operating room is
A. 1 to 5. B. 6 to 10. C. 11 to 14. D. 15 to 20. |
D. 15 to 20.
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A Javid shunt is used for which of the following procedures?
A. carotid endarterectomy B. femoral-popliteal bypass C. abdominal aneurysmectomy D. saphenous vein ligation |
A. carotid endarterectomy
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Which of the following instruments is NOT used in otorhinolaryngology surgery?
A. Rosen B. Baron C. Frazier D. Poole |
D. Poole
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For which of the following procedures is Gelfoam MOST commonly used?
A. repair of abdominal aortic aneurysm (AAA) B. extraction of a cataract C. transurethral resection of the prostate (TURP) D. craniotomy for subdural hematoma |
D. craniotomy for subdural hematoma
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Which of the following structures are separated first when a paramedian incision is performed for a gastrectomy?
A. peritoneum B. transverse abdominis C. external oblique D. rectus abdominis |
D. rectus abdominis
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Which of the following destroys bacterial spores?
A. germicide B. antiseptic C. sterilant D. fungicide |
C. sterilant
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A sterile item used with an electrosurgical unit is the
A. generator. B. patent return electrode. C. active electrode. D. foot pedal. |
C. active electrode.
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In a sterilized package, a chemical indicator is used to
A. show that moisture entered the package. B. guarantee the sterility of the package. C. verify that the package was properly wrapped. D. confirm that the package was exposed to sterilization. |
D. confirm that the package was exposed to sterilization.
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A Pereyra needle is used for which of the following types of surgery?
A. hysterectomy B. prostatectomy C. bladder neck suspension D. anterior colporrhaphy |
C. bladder neck suspension
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Which of the following instruments should be included in a TURP set up?
A. lithotrite B. urethrotome C. resectoscope D. Randall |
C. resectoscope
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If a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal charges can be filed?
A. misdemeanor B. res ipso loquitur C. extension doctrine D. intentional tort |
B. res ipso loquitur
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When performing a urinary bladder catheterization, it is essential to
A. place the patient in Sim's position. B. keep the catheter tip sterile. C. inflate the balloon in the urethra. D. shave the pubis. |
B. keep the catheter tip sterile.
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Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the operating room?
A. cystoscopy B. culdoscopy C. proctoscopy D. laparoscopy |
C. proctoscopy
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Which of the following patients is MOST likely to acquire a nosocomial infection?
A. a healthy female patient who is 45 years of age B. a female patient in labor and delivery C. a healthy male patient who is 45 years of age D. a male patient who has diabetes |
D. a male patient who has diabetes
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If unexpected heavy blood loss occurs during a surgical procedure, the surgical technologist should request additional
A. suction tubing. B. Babcocks. C. Kitners. D. cottonoids. |
A. suction tubing.
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In order to remove a portion of the kidney, the surgeon must enter which of the following?
A. synovial membrane B. Gerota's fascia C. Hesselbach's triangle D. suprapleural membrane |
B. Gerota's fascia
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List in order the sequence of induction for general anesthesia:
1. leads placed on the patient 2. induction agent is give through an IV 3. patient is prompted to breath 100% oxygen 4. patient is intubated 5. anesthetic gas agent is selected and applied A. 1, 3, 5, 4, and 2 B. 5, 2, 3, 1, and 4 C. 1, 3, 2, 4, and 5 D. 4, 2, 3, 1, and 5 |
C. 1, 3, 2, 4, and 5
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During a procedure, the surgical technologist touches an unsterile item with a sterile glove. Which of the following should be done?
A. Change the glove at once. B. Break scrub and rescrub. C. Wait until closing to change the glove. D. Ask the surgeon what to do. |
A. Change the glove at once.
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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
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Which of the following is the primary purpose for changing into operating room attire?
A. to standardize uniforms B. to prevent the of spread of microorganisms C. to identify operating room personnel D. to avoid damage to personal attire |
B. to prevent the of spread of microorganisms
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A lumbar meningocele involves removal of
A. cerebrospinal fluid. B. lumbar disc. C. meninges. D. a fluid-filled sac. |
D. a fluid-filled sac.
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Which of the following procedures requires a microscope?
A. rhinoplasty B. pyeloplasty C. tympanoplasty D. blepharoplasty |
C. tympanoplasty
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Hair removed during preparation for cranial surgery should be
A. discarded by the circulator. B. sent to pathology. C. used for potential reimplantation. D. saved because it is personal property. |
D. saved because it is personal property.
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The safest method for placing a blade on a knife handle is with a
A. Mixter. B. gloved hand. C. needle holder. D. tissue forceps. |
C. needle holder.
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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
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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.
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When performing a right hemicolectomy, the surgeon will most likely remove portions of which of the following?
A. jejunum and duodenum B. ascending and transverse colon C. transverse and descending colon D. sigmoid and rectum |
B. ascending and transverse colon
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The tissue that covers bones and provides movement to the skeletal system is
A. nerve. B. cartilage. C. muscle. D. ligament. |
C. muscle.
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Which of the following is the best placement area for the electrosurgical grounding pad for a patient in the lithotomy position?
A. upper arm B. lower back C. anterior thigh D. posterior shoulder |
C. anterior thigh
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Which of the following conditions should be treated FIRST?
A. obstructed airway B. closed cerebral injury C. shock due to hemorrhage D. sucking wound to the chest |
A. obstructed airway
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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
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Which of the following wound classes is assigned to a perforated bowel?
A. I B. II C. III D. IV |
C. III
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A patient being prepped for surgery is hypokalemic. Which of the following must be done before a general anesthetic is given?
A. Add potassium to the IV solution. B. Add sodium to the IV solution. C. Complete a type and crossmatch. D. Place a urinary catheter. |
A. Add potassium to the IV solution.
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Which of the following is a type of herniation that occurs with protrusion of the peritoneal sac and its contents (omentum or abdominal viscera)?
A. epigastric B. umbilical C. hypogastric D. femoral |
B. umbilical
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What advantage do hand-held retractors have over mechanical self-retaining retractors?
A. less exposure B. operator dependency C. lesser fatigue factor D. dynamic adjustability |
D. dynamic adjustability
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When transferring a thoracotomy patient to recovery, the chest drainage system should be
A. disconnected. B. placed at the patient's side. C. positioned above the patient's head. D. maintained below the patient's chest level. |
D. maintained below the patient's chest level.
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If the parents of a dependent minor requiring emergency surgery cannot be located, the operative consent form for surgery may be signed by
A. the patient. B. a family friend. C. two consulting physicians. D. the operating room supervisor. |
C. two consulting physicians.
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A post-operative total arthroplasty patient presents to the emergency department with severe throbbing pain, fever and malaise. Which of the following is the likely diagnosis?
A. osteoarthritis B. osteoporosis C. osteomyelitis D. osteomalacia |
C. osteomyelitis
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Which of the following procedures repairs a ruptured abdominal aortic aneurysm?
A. endarterectomy B. debridement with irrigation C. excision with graft placement D. portacaval shunt |
C. excision with graft placement
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Which of the following instruments has teeth?
A. Allis B. Mixter C. Babcock D. Mosquito |
A. Allis
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Which surgical needle is MOST appropriately used in a liver resection?
A. cutting B. taper C. blunt D. trocar |
C. blunt
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Which of the following instruments is used for a common bile duct exploration?
A. Fogarty clamp B. Randall forceps C. Pennington clamp D. Forester ring forceps |
B. Randall forceps
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In which of the following congenital anomalies does the urethra open on the underside of the penis?
A. chordee B. epispadias C. phimosis D. hypospadias |
D. hypospadias
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Anterior and posterior knee stability is influenced by the dynamics of the
A. cruciate ligaments. B. joint capsule. C. patellar tendon. D. collateral ligaments. |
A. cruciate ligaments.
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In which of the following procedures will the surgical technologist expect to use cottonoids?
A. abdominal hysterectomy B. abdominal perineal resection C. lumbar laminectomy D. open cholecystectomy |
C. lumbar laminectomy
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Which of the following is used during a tympanoplasty?
A. image intensifier B. hypothermia unit C. operating microscope D. argon laser |
C. operating microscope
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What parts of the body are prepped for an ORIF of the olecranon process?
A. leg, foot to knee B. leg, foot to hip C. arm, fingers to shoulder D. arm, fingers to elbow |
C. arm, fingers to shoulder
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After completing an operative procedure, the FIRST item a surgical technologist in the scrub role should remove is the
A. mask. B. gown. C. gloves. D. shoe covers. |
B. gown.
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During surgery a patient becomes hypotensive. Which of the following medications should be given?
A. cephalexin (Keflex) B. propofol (Diprivan) C. epinephrine (Adrenalin) D. furosemide (Lasix) |
C. epinephrine (Adrenalin)
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To place a patient on a Wilson frame, in which of the following will the patient ultimately be placed for the procedure?
A. supine B. prone C. lateral D. lithotomy |
B. prone
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The primary effect of a hypnotic drug is to
A. induce sleep. B. relax the muscles. C. stimulate respirations. D. dry secretions. |
A. induce sleep.
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A patient is scheduled for a lumbar laminectomy and is positioned in the prone position without padding under the thorax. Which of the following physiological hazards should the surgical technologist be most concerned about?
A. pressure on the vena cava and abdominal aorta B. venous stasis in the lower extremities C. hyperextension of the head and neck D. pressure injury to the peroneal nerve |
A. pressure on the vena cava and abdominal aorta
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When a break in aseptic technique occurs, the surgical technologist in the scrub role should notify the
A. circulator. B. person who broke the technique. C. operating room supervisor. D. surgeon. |
B. person who broke the technique.
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The spore-forming organism used to test the proper functioning of steam sterilizer is
A. Bacillus subtilis. B. Clostridium perfringens. C. Mycobacterium tuberculosis. D. Bacillus stearothermophilus. |
D. Bacillus stearothermophilus.
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Mannitol (Osmitrol) is used in neurosurgical procedures to
A. prevent bleeding. B. decrease intracranial pressure. C. anesthetize the operative site. D. fight possible post-operative infection. |
B. decrease intracranial pressure.
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Which of the following types of connective tissue fastens muscle to bone?
A. cartilage B. ligament C. synovium D. tendon |
D. tendon
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Which of the following procedures requires an opening into the gallbladder to permit drainage and removal of stones?
A. choledochotomy B. cholecystostomy C. cholecystectomy D. cholecystojejunostomy |
B. cholecystostomy
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Care of a surgical specimen includes placing it
A. in a biohazard trash bag. B. in a bag or container with formalin. C. on a RAY-TEC sponge and sent to pathology. D. in a trash bag. |
B. in a bag or container with formalin.
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Which of the following is NOT an acceptable technique when placing a patient in the lithotomy position?
A. arms placed on arm boards B. legs placed in stirrups one at a time C. both legs placed in stirrups simultaneously D. hips placed over the lower break of the table |
B. legs placed in stirrups one at a time
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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 ans subcutaneous D. subcutaneous and fascia |
A. cuticular and subcuticular
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Which of the following is MOST commonly used for wound closure in the presence of infection?
A. stainless steel B. polyglactin-910 C. plain gut D. silk |
A. stainless steel
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Which of the following procedures may require a postauricular incision?
A. myringotomy B. tympanostomy C. adenoidectomy D. mastoidectomy |
D. mastoidectomy
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During a LAPAROSCOPIC appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of bowel content?
A. intraluminal B. linear C. skin D. purse-string |
B. linear
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Gravity displacement sterilizers function on the principle that
A. steam is heavier than air. B. air is heavier than steam. C. water is heavier than air. D. air is heavier than water. |
B. air is heavier than steam.
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Which of the following is a preferred retractor for a groin incision?
A. Weitlaner B. Finochietto C. O'Sullivan-O'Connor D. Balfour |
A. Weitlaner
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When evaluating the patient's skin for the preoperative prep, which of the following is considered a contaminated area?
A. axilla B. toes C. body hair D. draining sinus |
D. draining sinus
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Which of the following statements regarding surgical scrubbing is NOT true?
A. Two accepted methods of surgical scrubbing are the timed method and the counted brush-stroke method. B. A vigorous 5-minute scrub with a reliable agent may be as effective as a 10-minute scrub done with less mechanical action. C. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe counts. D. When gloves are removed at the end of a surgical procedure, the hands are contaminated and should be immediately washed. |
C. Prolonging a scrub beyond the standard scrub length is effective in
decreasing microbe counts. |
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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 container 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 container and individually placed in the biohazard sharps container.
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Which of the following is a chemical sterilant?
A. alcohol B. merthiolate (Thimerosal) C. glutaraldehyde (Cidex) D. sodium hypochlorite |
C. glutaraldehyde (Cidex)
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Which of the following positions is MOST often used for vaginal surgery?
A. Kraske B. lithotomy C. supine D. Trendelenburg |
B. lithotomy
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What is the recommended temperature in an operating room?
A. 15-19° C (59-66° F) B. 20-24° C (68-75° F) C. 25-29° C (77-84° F) D. 30-34° C (86-93° F) |
B. 20-24° C (68-75° F)
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In what position is a patient placed for a right nephrectomy?
A. left lateral position B. right lateral position C. left lateral kidney position D. right lateral kidney position |
C. left lateral kidney position
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In which of the following positions should a patient be placed for a low anterior colon resection?
A. dorsal recumbent B. prone C. lateral D. lithotomy |
D. lithotomy
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How much 0.25% bupivacaine (Marcaine) should be mixed with 1 mL of 1.0% lidocaine (Xylocaine) to make the solution equal strengths of both medications?
A. 2.0 mL B. 4.0 mL C. 5.0 mL D. 10.0 mL |
B. 4.0 mL
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Which of the following INCREASES air contamination in the operating room?
A. restricting traffic flow in and out of the room B. damp-dusting with a germicidal solution C. maintaining air pressure lower than in the outside hall D. using pneumatic surgical equipment |
C. maintaining air pressure lower than in the outside hall
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During which of the following surgeries is a Meckel's diverticulum typically discovered?
A. hysterectomy B. appendectomy C. prostatectomy D. varicocelectomy |
B. appendectomy
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The vermiform appendix originates from the
A. cecum. B. ileum. C. sigmoid colon. D. ascending colon. |
A. cecum.
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Which of the following procedures uses a trocar?
A. cystoscopy B. laparoscopy C. proctoscopy D. bronchoscopy |
B. laparoscopy
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How must basins be positioned for sterilization in the autoclave?
A. upside down B. right side up C. on their sides D. tightly stacked |
C. on their sides
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During set-up, if a surgical team member refuses to perform a count, how should the surgical technologist respond?
A. Ask the surgeon if a count is necessary. B. Continue with case set up. C. Report the refusal to the charge nurse immediately. D. Perform a count with another surgical technologist. |
C. Report the refusal to the charge nurse immediately.
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When an anesthetized patient's position is changed from lithotomy to supine, the patient's legs should be lowered slowly to prevent which of the following?
A. hypotension B. laryngospasm C. respiratory distress D. peroneal nerve damage |
A. hypotension
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Which of the following instruments is necessary for an open cholecystectomy?
A. Oschner forceps B. Jennings retractor C. Mixter clamp D. O'Sullivan-O'Connor retractor |
C. Mixter clamp
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Once the spinous process is exposed during a laminectomy, the next instrument needed for the removal of the lamina is a
A. Kerrison rongeur. B. pituitary rongeur. C. Penfield dissector. D. periosteal elevator. |
A. Kerrison rongeur.
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Which of the following instruments must be readily available for a modified radical mastectomy?
A. Stevens scissors B. Jorgenson scissors C. extra #11 blades D. extra #10 blades |
D. extra #10 blades
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Which of the following is associated with secondary intention wound healing?
A. delayed suturing B. tissue granulation C. wound dehiscence D. uncomplicated healing |
B. tissue granulation
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The surgical technologist in the scrub role MUST keep track of blood loss as well as
A. weigh the blood soaked sponges. B. measure the amount of collected fluid. C. administer blood replacement. D. track amount of irrigation used. |
D. track amount of irrigation used.
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Which of the following is true regarding the care of rachetted instruments following surgery?
A. Instruments should be soaked in a saline solution. B. Instruments should be prepared for decontamination with curved tips up. C. Instruments should be opened for washing and sterilizing. D. Instruments should be sterilized in the sonic washer. |
C. Instruments should be opened for washing and sterilizing.
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Which of the following structures is behind and below the base of the penis?
A. scrotum B. seminal vesicles C. vas deferens D. prepuce |
A. scrotum
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A #12 knife blade on a #7 handle is MOST commonly used for what type of surgery?
A. gastrectomy B. hysterectomy C. adenoidectomy D. tonsillectomy |
D. tonsillectomy
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A pad-like sac or cavity that prevents friction within a joint is known as a
A. bursa. B. fossa. C. ganglion. D. ligament. |
A. bursa.
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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.
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Which of the following is the best sequence for cleaning the operating room after placement of the dressings?
A. Remove sterile drapes, remove gown and gloves, don a pair of unsterile gloves to clean the back table. B. Remove gown and gloves, don a pair of unsterile gloves to remove drapes from the patient, remove instruments and supplies from the back table. C. Remove gown and gloves, don a pair of sterile gloves to remove drapes from patient, remove gloves and don a pain of unsterile gloves to clean the back table. D. Remove sterile drapes, remove gown and gloves, don a pair of sterile gloves to clean back table. |
A. Remove sterile drapes, remove gown and gloves, don a pair of unsterile gloves to clean the back table.
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A major function of the colon is to
A. absorb water. B. secrete hormones. C. secrete digestive enzymes. D. absorb the products of digestion. |
A. absorb water.
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Which scissor is most likely found in a basic hysterectomy set-up?
A. Potts-Smith B. Stevens C. Jorgenson D. Iris |
C. Jorgenson
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Which of the following is a procedure for removing excess skin from the face and neck?
A. rhinoplasty B. rhytidectomy C. cheiloplasty D. blepharoplasty |
B. rhytidectomy
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In comparison to oral Fahrenheit temperatures, rectal Fahrenheit temperatures are
A. exactly the same. B. approximately 1 degree lower. C. approximately 1 degree higher. D. approximately 2 degrees higher. |
C. approximately 1 degree higher.
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Which of the following procedures involves the injection of contrast media into the spinal subarachnoid space?
A. myelogram B. arteriogram C. lumbar puncture D. pneumography |
A. myelogram
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Which of the following is NOT a symptom of shock?
A. tachycardia B. hypertension C. cold, clammy skin D. increased respirations |
B. hypertension
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