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175 Cards in this Set
- Front
- Back
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A surgical technologist is preparing the incision site for the dressing following a TAH. The patient has developed a hematoma at the incision site. The surgeon has left the room. Which of the following actions should the surgical technologist take?
A. Place a pressure dressing. B. Cover with Dermabond. C. Steri-Strip the incision. D. Have the surgeon return. |
D. Have the surgeon return
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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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The number of Staphylococcus aureus micro-organisms carried by the surgical technologist can be drastically reduced by
A. wearing a surgical cap. B. wearing hospital scrubs. C. keeping the OR doors closed. D. a thorough surgical hand scrub. |
D. a thorough surgical hand scrub
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List in order the sequence of induction for general anesthesia:
1. leads placed on the patient 2. induction agent is given through an IV 3. patient is prompted to breathe 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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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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A ST has selected the sutures for a procedure based on the surgeon’s preference card. The surgeon states he would like additional sutures and his preference card is outdated. What is the ST's BEST course of action?
A. Open all sutures that were collected and place them on the back table just in case. B. Return the sutures that are not needed to sterile supply and proceed with the case. C. Ask the surgeon if he would like to have his preference card updated and proceed accordingly. D. Update the surgeon's preference card to reflect the sutures that have been requested for this case. |
C. Ask the surgeon if he would like to have his preference card updated and proceed accordingly.
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While being transferred from the stretcher to the operating room bed, the patient expresses fear of not awakening from anesthesia. The ST should
A. proceed with the transfer and disregard patient comments. B. explain the action of the anesthetic agent. C. reassure the patient that the anesthetic is safe. D. have the anesthesia care provider address the patient's concerns. |
D. have the anesthesia care provider address the patient's concerns.
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When preparing endoscopic cameras for ethylene oxide sterilization, which of the following monitoring processes would be utilized to ensure all parameters of sterilization were met?
A. external tape B. biological indicator C. dynamic air removal D. internal strip |
B. biological indicator
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Which of the following rongeurs is used to expand the antrostomy in a Caldwell-Luc procedure?
A. Cushing B. Bethune C. Kerrison D. Stille-Luer |
C. Kerrison
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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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After gowning and gloving, a surgeon activates the DuraPrep applicator and proceeds to prep the patient for surgery. Which of the following is the BEST action to take at this time?
A. Assist the surgeon in draping the patient. B. Regown and reglove the surgeon. C. Remove drapes and start over. D. Inform the supervisor. |
B. Regown and reglove the surgeon.
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Local anesthetics containing epinephrine should NEVER be used in which of the following areas?
A. arms and legs B. epidural spaces C. wrists and ankles D. digits and penis |
D. digits and penis
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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?
A. patient's drapes B. surgical gloves C. surgical gown D. Mayo stand drape |
B. surgical gloves
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During a procedure, a surgical technologist notices a hole in his glove. Which of the following should be done next?
A. Continue the case. B. Change the glove using the open-gloving technique. C. Change the glove using the closed-gloving technique. D. Break scrub, rescrub, gown and glove. |
B. Change the glove using the open-gloving technique.
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Which of the following is an unexpected occurrence that involves physiologic or psychologic injury or death?
A. unintentional tort B. sentinel event C. negligence D. malpractice |
B. sentinel event
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Which of the following is a benign fluid-filled sac that develops in the anterior testis?
A. rectocele B. cystocele C. enterocele D. hydrocele |
D. hydrocele
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When a cholecystectomy is performed, which of the following anatomical structures must be preserved?
A. cystic duct B. cystic vein C. common duct D. cystic artery |
C. common duct
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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. gastrostomy B. Nissen fundoplication C. Heller myotomy D. pyloromyotomy |
D. pyloromyotomy
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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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When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice?
A. 3-5 mL of sterile water B. 3-5 mL of normal saline C. 8-10 mL of sterile water D. 8-10 mL of normal saline |
C. 8-10 mL of sterile water
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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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When donning gloves using the open-gloving technique, the ungloved hand will touch the
A. outer side of the cuff of the glove. B. outer side of the sterile glove. C. cuffed edge nearest the glove palm. D. folded edge of the cuff of the glove. |
D. folded edge of the cuff of the glove.
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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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During a herniorrhaphy, the abdominal area that is bound by the rectus abdominis muscle, the inguinal ligament, and the inferior epigastric vessels is the
A. visceral peritoneum. B. abdominal peritoneum. C. subcutaneous tissue. D. Hesselbach triangle. |
D. Hesselbach triangle.
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Which of the following instruments may be used to extend the arteriotomy during carotid endarterectomy?
A. straight Mayo B. Potts-Smith C. Jorgenson D. Stevens tenotomy |
B. Potts-Smith
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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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Growth in the length of a long bone occurs at the
A. diaphysis. B. medullary canal. C. epiphyseal plate. D. articular cartilage. |
C. epiphyseal plate.
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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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A resectoscope is used to resect the
A. ovaries. B. prostate. C. vas deferens. D. fallopian tubes. |
B. prostate
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A cardiac arrest occurs during a procedure, and the surgeon is resuscitating the patient. What is the responsibility of the ST 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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During an abdominoperineal resection, which of the following stapling devices should the surgical technologist have available to form an anal pouch from the ileum?
A. TA B. GIA C. EEA D. LDS |
B. GIA
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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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Herniation of the rectum through a weakened posterior vaginal wall is known as
A. a rectocele. B. a cystocele. C. a varicocele. D. an enterocele. |
A. a rectocele.
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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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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 15 y/o girl with anemia is having a procedure and a transfusion is needed. The parents are Jehovah’s Witnesses and won't consent to a transfusion, but the girl wants it. The OR staff reports this to the nurse manager. What is the BEST course of action now?
A. The physician/nurse manager should contact the hospital’s admin to request legal aid become involved. B. The OR staff should tell the girl that her parents must give consent before she can receive the transfusion. C. The OR staff should tell the girl that since she is a minor, she can't make health care decisions for herself. |
A. The physician/nurse manager should contact the hospital’s administration to request that legal counsel becomes involved.
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A ST counts only 9 sponges in a pack on the initial count. After recounting the sponges, it is confirmed that there are only 9 sponges in the pack. What is the appropriate course of action?
A. Change the count sheet to match the initial count and use the sponges from the current package. B. Leave the current package on the surgical field; document the problem; open a new package; recount. C. Remove the current package from the surgical field, but not the OR; document the problem; open a new package; recount. |
C. Remove the current package from the surgical field, but not the operating room; document the problem; open a new package; recount.
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It is important that the patient void before pelvic surgery to prevent
A. incontinence. B. contamination. C. bladder injury. D. bladder infection. |
C. bladder injury.
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A pneumatic tourniquet may be used for extremity surgery to
A. exsanguinate the extremity. B. allow the surgeon more operating time. C. reduce blood loss. D. create an anesthetic effect. |
C. reduce blood loss.
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When utilizing a laparoscopic set-up, 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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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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Which of the following procedures may require a postauricular incision?
A. myringotomy B. tympanostomy C. adenoidectomy D. mastoidectomy |
D. mastoidectomy
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A patient with multiple trauma injuries requires surgical intervention. The patient has a history of DVT and is currently taking anticoagulants. Which of the following should be done to ensure a clot does not develop?
A. Administer a subcutaneous anticoagulant preoperatively. B. Continue current anticoagulation therapy. C. Place a sequential compression device on lower extremities. D. Draw a PT/PTT and send the patient to surgery. |
C. Place a sequential compression device on lower extremities.
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A ST is explaining the steps of the ESU circuit to a student. The ST should explain that the electric current is channeled back to the generator through the
A. power source. B. active electrode (ESU pencil). C. patient. D. dispersive (inactive) electrode. |
D. dispersive (inactive) electrode.
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While speaking to the nurse in the pre-operative area, the patient is crying excessively, pouting, and acting like a child. Which of the following coping mechanisms is MOST likely being displayed?
A. denial B. regression C. rationalization D. repression |
B. regression
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When performing a dilation and curettage, which of the following instruments is used to grasp the cervix?
A. Sims B. Auvard C. Schroeder D. Bozeman |
C. Schroeder
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Which of the following retractors may be used during an open cholecystectomy?
A. Sims B. Bennett C. Jennings D. Harrington |
D. Harrington
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A ST has been asked to serve as a preceptor to a new employee in the OR. If the surgeon becomes irritated or anxious because of the new employee's lack of experience, which of the following actions should be taken?
A. Perform the same task at the same time as the new employee. B. When the new employee is struggling, take over the case. C. Introduce the new employee to the surgical team after the procedure. D. Quietly coach the new employee in the background. |
D. Quietly coach the new employee in the background.
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Which of the following items may be used in positioning a patient for a total hip arthroplasty?
A. fracture table B. Wilson frame C. Andrews frame D. bean bag |
D. bean bag
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During a breast augmentation, the surgeon repeatedly asks the ST to refill the 10 cc syringe with local anesthetic. Which of the following is the BEST way to keep track of how much is used?
A. Keep note on the field of how much has been used. B. Leave it up to the circulator. C. Do not worry about it. D. Expect the surgeon to know how much has been used. |
A. Keep note on the field of how much has been used.
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A cerclage 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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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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A patient is complaining of nausea, fever, and severe back pain. The patient was previously diagnosed with hyperparathyroidism. This patient MOST likely suffers from
A. kidney stones. B. glomerulonephritis. C. hydrocele. D. chordee |
A. kidney stones.
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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 sending it to pathology. D. in a trash bag. |
B. in a bag or container with formalin
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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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Bacteria can be reduced in the operating room by
A. aeration of rooms overnight. B. damp dusting of surfaces each morning. C. reducing air exchange in the room. D. maintaining humidity level above 70%. |
B. damp dusting of surfaces each morning.
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A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which of the following types of drains should the ST have available at the end of the procedure?
A. passive B. suction C. gravity D. underwater |
D. underwater
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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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The MOST appropriate time to position the Mayo stand is after
A. completing the back table set-up. B. applying the electrosurgical grounding pad. C. draping the patient. D. positioning the back table. |
C. draping the patient.
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When performing a urinary bladder catheterization, it is essential to
A. place the patient in Sims' 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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In metastatic cancer, tumors extend beyond the regional area by which of the following systems?
A. skeletal B. lymphatic C. endocrine D. respiratory |
B. lymphatic
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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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Which of the following describes events that would require filing an incident report?
1. medication error 2. bullying 3. cardiac or respiratory arrest 4. equipment failure prior to surgery A. 1, 2, and 3 only B. 1, 2, and 4 only C. 1, 3, and 4 only D. 2, 3, and 4 only |
A. 1, 2, and 3 only
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Which of the following blades fits a #4 handle?
A. #10 B. #11 C. #15 D. #20 |
D. #20
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The MOST common method for decontaminating operating room floors at the end of each case is to
A. damp mop or wet vacuum with a virucidal solution. B. wet vacuum with a virucidal solution. C. damp mop or wet vacuum with a detergent-disinfectant solution. D. dry vacuum, then damp mop with a detergent-disinfectant solution. |
C. damp mop or wet vacuum with a detergent-disinfectant solution.
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Which of the following surgical procedures can induce menopause?
A. hysterectomy B. oophorocystectomy C. bilateral oophorectomy D. bilateral salpingectomy |
C. bilateral oophorectomy
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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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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 anesthetic agents is administered intravenously?
A. enflurane (Ethrane) B. nitrous oxide C. propofol (Diprivan) D. methoxyflurane (Penthrane) |
C. propofol (Diprivan)
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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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When exposed to ionizing radiation, staff and patients should wear personal protective equipment containing
A. silicone. B. lead. C. steel. D. rubber. |
B. lead.
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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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A T-tube drain may be used following
A. a splenectomy. B. a choledochotomy. C. an appendectomy. D. a herniorrhaphy. |
B. a choledochotomy.
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Which of the following 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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While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. Which of the following would MOST likely be the cause of this?
A. The air was not evacuated from the pouch. B. The temperature of the autoclave was too high. C. The package was sterilized too long. D. The instruments in the pouch were too heavy. |
A. The air was not evacuated from the pouch.
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A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist will prepare suture attached to which of the following types of needles?
A. tapered B. reverse cutting C. blunt D. conventional cutting |
C. blunt
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For steam sterilization, biological indicators should be placed
A. in the most challenging area of the load. B. at the center of the load. C. in the least challenging area of the load. D. at the top of the load. |
A. in the most challenging area of the load.
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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 retractors is used during a femoro-femoral bypass?
A. Army-Navy B. skin hook C. Harrington D. Balfour |
A. Army-Navy
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Which of the following instruments may be used to clamp the aorta?
A. Doyen B. Duval C. Bulldog D. Satinsky |
D. Satinsky
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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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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 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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Sterile supplies and instruments for a case have been opened in OR 1. A ST 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?
A. Cover the sterile field with a sterile drape and move it from OR 1 to OR 2. B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. C. OR 1 should be left so that these supplies and instruments can be used by the next case. D. The ST should argue that the procedure be held in OR 1 as planned. |
B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of.
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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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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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During an open repair of an indirect hernia, which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected?
A. Malecot B. T-tube C. Jackson-Pratt D. Penrose |
D. Penrose
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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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An Esmarch 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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Which of the following instruments is found in a basic laparotomy set-up?
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 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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A surgeon asks for warm irrigation after a GI tract reanastomosis. Which of the following BEST describes the reason for irrigating at this point in the procedure?
A. to clean out the area of any loose tissue B. to maintain the core body temperature C. to eliminate any infection-causing microbes D. to aid visual inspection for leakage |
D. to aid visual inspection for leakage
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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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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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Which of the following statements is true regarding surgical correction of a Colles' fracture?
A. The distal radius is fractured and the periosteum will be closed with absorbable sutures. B. The distal fibula is fractured and the periosteum will be closed with absorbable sutures. C. The proximal tibia is fractured and the endosteum will be closed with non-absorbable sutures. D. The proximal ulna is fractured and the endosteum will be closed with non-absorbable sutures. |
A. The distal radius is fractured and the periosteum will be closed with absorbable sutures.
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Which of the following operations is performed to correct hearing loss due to defects of the eardrum?
A. otoplasty B. myringotomy C. mastoidectomy D. tympanoplasty |
D. tympanoplasty
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A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. Which of the following is the MOST appropriate next step?
A. Send specimen to path in a dry specimen container so that a frozen section can be completed. B. Send specimen to path in a specimen container containing normal saline so that a frozen section can be completed. C. Send specimen to path in a dry specimen container so that a permanent section can be completed. D. Send specimen to path in a specimen container containing normal saline so that a permanent section can be completed. |
A. Send the specimen to pathology in a dry specimen container so that a frozen section can be completed.
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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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When a hernia is strangulated, which of the following instrument sets is added to the general abdominal set-up?
A. rectal B. vascular C. common duct D. gastrointestinal |
D. gastrointestinal
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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
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A patient is having a mastectomy followed by a reconstruction, how many setups should be obtained?
A. 2; the reconstruction will immediately follow the mastectomy, but will be done in a different OR so two sets will be needed. B. 1; the reconstruction will immediately follow the mastectomy, so the same instruments can be used after they are cleaned with sterile water. C. 2; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding. |
C. Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding.
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For which of the following procedures is Gelfoam MOST commonly used?
A. total abdominal hysterectomy (TAH) 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 is used to cross-clamp the intestine during a bowel resection?
A. Allen B. Lahey C. Heaney D. Duval |
A. Allen
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When a break in aseptic technique occurs, the surgical technologist in the scrub role should FIRST notify the
A. circulator. B. contaminating team member. C. operating room supervisor. D. surgeon. |
B. contaminating team member.
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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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On which of the following would an antiseptic be used?
A. skin surface B. anesthesia masks C. intravenous tubing D. operating room table |
A. skin surface
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During a transurethral resection of the prostate, bleeding is controlled by
A. Gelfoam. B. irrigation. C. cauterization. D. suture ligature. |
C. cauterization.
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Which of the following pathological conditions may be caused by an excessive production of cerebrospinal fluid in the brain?
A. hydrocephalus B. encephalocele C. cranial bifida D. craniosynostosis |
A. hydrocephalus
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Which of the following is the administration route for thrombin?
A. local infiltration B. topical application C. intravenous injection D. intramuscular injection |
B. topical application
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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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Which of the following positions is used for mastopexy?
A. Kraske B. dorsal recumbent C. lateral Sims D. lithotomy |
B. dorsal recumbent
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Which of the following is the FIRST step in applying the pneumatic tourniquet necessary in creating a bloodless field?
A. wrapping the limb sequentially with an Esmarch bandage from distal to proximal B. applying the pneumatic tourniquet to the limb and immediately inflating it C. prepping the limb with ChloraPrep, including the determined location of the tourniquet D. padding the area where the tourniquet is to be wrapped with Webril |
D. padding the area where the tourniquet is to be wrapped with Webril
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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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Which of the following is a contrast media?
A. Marcaine B. Hypaque C. Depo-Medrol D. Lymphazurin |
B. Hypaque
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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 patient presented in the OR without family history related to anesthesia complications. Which of the following complications is of MOST concern related to the lack of family history?
A. malignant hyperthermia B. bronchospasm C. cardiac arrest D. transfusion reaction |
A. malignant hyperthermia
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The destruction of organisms in an autoclave is accomplished by the
A. division of the nucleus. B. desiccation of the nucleus. C. coagulation of cell protein. D. destruction of the cell membrane. |
C. coagulation of cell protein.
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The first pair of cranial nerves is associated with which of the following?
A. smell B. sight C. speech D. balance |
A. smell
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The diagnostic procedure that examines the interior of the respiratory structures is
A. bronchoscopy. B. culdoscopy. C. esophagoscopy. D. mediastinoscopy. |
A. bronchoscopy.
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The surgeon is performing a suprapubic prostatectomy. Control of bleeding is a major consideration. Which of the following clamps should the surgical technologist hand to the surgeon to aid in hemostasis?
A. Long Right Angle Clamp B. Wertheim-Cullen Clamp C. Rochester Carmalt Clamp D. Jacobson Micro Mosquito Clamp |
A. Long Right Angle Clamp
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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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For a patient recovering from general anesthesia, which of the following complications of vomiting is considered the MOST dangerous?
A. dehiscence B. aspiration C. dehydration D. evisceration |
B. aspiration
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Which of the following is classified as a clean-contaminated wound (Class II)?
A. suprapubic prostatectomy B. incision and drainage of abscessed foot C. coronary artery bypass graft (CABG) D. gunshot wound |
A. suprapubic prostatectomy
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A device used to measure fluid pressure is known as a
A. capnometer. B. manometer. C. spirometer. D. thermometer. |
B. manometer
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Which of the following wound classes is assigned to a bowel case in which the resident perforated during the procedure?
A. I B. II C. III D. IV |
C. III
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A ST opened a tray that is wet inside after being steam sterilized. What is the MOST likely reason for the condensate in the tray and how can it be corrected?
A. Too few instruments in the tray to allow for revaporization of the condensate. The number of instruments should be increased and tray reprocessed. B. The absorbent towels were wrapped too tightly around the tray, so they retained moisture. The tray is reprocessed with loosely wrapped new towels. C. The tray had absorbant towels, which soaked up the moisture and prevented drying. The tray is reprocessed without towels. |
B. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels.
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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 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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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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Which of the following instruments is used to grasp the base of the hemorrhoid during a hemorrhoidectomy?
A. Allis B. Pennington C. Kocher D. mosquito |
A. Allis
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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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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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A nasogastric (NG) tube is used to
A. dilate the lower esophageal sphincter. B. monitor the pH of stomach contents. C. drain the stomach. D. promote vomiting. |
C. drain the stomach.
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An effective packaging material used for a Balfour to be steam sterilized
A. permits penetration by the sterilant. B. allows for condensation that produces wet packs. C. allows for exposure to peracetic acid. D. is dictated by the surgeon's preference. |
A. permits penetration by the sterilant.
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Which of the following items is used for sponging around the spinal cord?
A. cottonoids B. gauze sponges C. peanut dissector D. laparotomy sponges |
A. cottonoids
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For a splenectomy procedure, which of the following clamps could be used?
A. Allen B. Doyen C. Duval D. Satinsky |
D. Satinsky
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During a carotid endarterectomy, which of the following is administered to reverse the effects of systemic heparin?
A. protamine sulfate B. thrombin C. lidocaine D. atropine |
A. protamine sulfate
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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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A patient has arrived in the operating room for a bilateral mastectomy. She is crying inconsolably. 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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A surgeon is preparing to close the abdomen of an average weight patient. Which of the following closing supplies should the surgical technologist have ready for closing the fascial layer?
A. 2-0 suture and toothed tissue forceps B. 7-0 Vicryl and toothed tissue forceps C. 0 retention sutures and toothed tissue forceps D. staples and Adson with teeth |
A. 2-0 suture and toothed tissue forceps
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Which of the following is an absorbable suture?
A. silk B. nylon C. polypropylene (Prolene) D. polyglycolic acid (Dexon) |
D. polyglycolic acid (Dexon)
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Which of the following instruments is NOT used in otorhinolaryngology surgery?
A. Sexton B. Baron C. Frazier D. Poole |
D. Poole
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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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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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A trauma patient from a motor vehicle accident is on the way to the operating room. Which of the following injuries is MOST likely related to airbag deployment?
A. liver or spleen lacerations B. femur fracture C. arm fractures D. bruising of the heart muscle |
C. arm fractures
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Which of the following positions is used for a pneumonectomy?
A. Kraske B. lateral C. lithotomy D. Trendelenburg |
B. lateral
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Which of the following solutions can be used to disinfect endoscopic instruments?
A. iodophors B. ethyl alcohol 70% C. phenolic compounds D. activated glutaraldehyde |
D. activated glutaraldehyde
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When evaluating the patient's skin for the preoperative prep, which of the following is considered a contaminated area?
A. groin B. toes C. body hair D. draining sinus |
D. draining sinus
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Which of the following may be needed during an emergency splenectomy that may not be required during a routine splenectomy?
A. CUSA B. Sarot clamp C. vascular sets D. ligating clip appliers |
B. Sarot clamp
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Retention sutures are advantageous when the patient is
A. pediatric. B. athletic. C. thin. D. obese. |
D. obese.
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During a laser laryngoscopy, which of the following supplies must be available?
A. wet sponges, towels, and sterile 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 sponges, towels, and sterile water
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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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A surgeon's preference card indicates the surgeon wears a size L gown and double-gloves with a size 7 inner glove and size 6-1/2 outer glove, and the FA wears a size XL gown and double-gloves with a size 7-1/2 inner glove and size 7 outer glove. The FA arrives prior to the surgeon. Which of the following is the proper order to place the sterile attire on the back table?
A. L gown, 7 glove, 6-1/2 glove, XL gown, 7-1/2 glove, 7 glove B. XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove C. XL gown, 7 glove, 7-1/2 glove, towel, L gown, 6-1/2 glove, 7 glove |
B. XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove
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An inanimate object that harbors and transmits a disease is a
A. fomite. B. vector. C. carrier. D. arthropod. |
A. fomite.
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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 should the surgical technologist in the scrub role do during a cardiac emergency?
A. open all of the emergency trays B. pull in the crash cart C. remain sterile and keep the table sterile D. record all medication being used |
C. remain sterile and keep the table sterile
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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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If an x-ray cassette must be placed directly against the operative site, it must be
A. sterilized using hydrogen peroxide plasma. B. put in a sterile pillowcase. C. sterilized using peracetic acid. D. placed in a sterile cassette cover. |
D. placed in a sterile cassette cover.
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Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are
A. covered by the cuff of the sterile glove. B. double thickness. C. absorbant and collect moisture. D. stretchable and pliable. |
C. absorbant and collect moisture.
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A form of contrast media used within the body that is visible when exposed to x-ray is
A. exogenous. B. radiopaque. C. radiolucent. D. endogenous. |
B. radiopaque
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When using power saws on bone, which of the following actions BEST helps prevent bone damage?
A. irrigation B. suction C. illumination D. retraction |
A. irrigation
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Which of the following staplers should be used for end-to-end intestinal resection?
A. EEA B. skin C. LDS D. purse string |
A. EEA
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Which of the following characterizes bacteria of the genus Clostridium?
A. aerobic B. anaerobic C. Gram-negative D. non-spore-forming |
B. anaerobic
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When performing a Shirodkar procedure, on which of the following is attention being focused?
A. cervix B. mouth C. stomach D. small intestine |
A. cervix
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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 positions is used to provide access to the head and neck during a thyroidectomy?
A. lateral B. lithotomy C. Kraske D. reverse Trendelenburg |
D. reverse Trendelenburg
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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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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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A three-way Foley catheter is inserted following a transurethral resection of the prostate (TURP) in order to
A. irrigate and facilitate hemostasis. B. prevent the patient from getting out of bed. C. keep accurate input and output records. D. keep the perineal area dry. |
A. irrigate and facilitate hemostasis.
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During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods?
A. Place on a RAY-TEC to be handed off to the circulator. B. Separate on Telfa and pass to the circulator. C. Place in separate containers and identify. D. Place in specimen container held by the circulator using a hemostat. |
C. Place in separate containers and identify.
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Which of the following is a specimen container used in a flexible or rigid bronchoscopy?
A. Ellik B. chest bottle C. Lukens D. suction canister |
C. Lukens
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A patient who is HIV-positive is having an abdominal procedure. Another patient who is HIV-negative is having an orthopedic procedure. During and subsequent to the cases, the surgical technologist should take
A. standard precautions for the HIV-positive patient. B. standard precautions for the HIV-negative patient. C. no precautions for either patient. D. standard precautions for both patients. |
D. standard precautions for both patients.
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Following a surgical procedure, which of the following is the BEST sequence of actions for a St to take?
A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postop patient. B. Remove gown and gloves, don a pair of unsterile gloves to remove drapes from the patient, and remove instruments and supplies from the back table. C. Remove gown and gloves, don a pair of sterile gloves to remove drapes from patient, and remove gloves and don a pair of unsterile gloves to clean the back table. |
A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient.
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A colonoscopy has just concluded, and it is time to reprocess the instruments utilized in the case. Which of the following is the MOST effective method for processing the endoscopes?
A. gravity displacement sterilizer B. ethylene oxide C. cobalt-60 radiation D. glutaraldehyde |
D. glutaraldehyde
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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 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.
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