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202 Cards in this Set

  • Front
  • Back
Hypersecretion of thyroxine in adults characterized by decreased metabolism, increased
weight, hair loss, and thickening of the skin due to fluid accumulation is
a. hypoglycemia
b. hypercalcemia
c. myxedema
d. acromegaly
c. myxedema
Plastic surgery with non-human tissue is
a. prognathic
b. alloplasty
c. micrognathia
d. donor site
b. alloplasty
A small spot or area of the skin showing diffused redness is
a. alloplasty
b. erythema
c. micrognathia
d. microtia
b. erythema
A graft of tissue from an uninjured area to an injured area of the same patient as a
permanent means of replacement is a(an)
a. homograft
b. heterograft
c. autograft
d. xenograft
c. autograft
A skin graft that is composed of the dermis and epidermis is called a(an) graft.
a. auto
b. composite
c. split thickness
d. full-thickness
d. full-thickness
. Irrigation is required while drilling to prevent clogging of a bur and to remove bone dust in areas where osteogenesis is to be avoided. How often is this irrigation required during the procedure?
a. twice
b. at the end
c. continuously
d. none of the above
c. continuously
What are the two functions of suture material?
a. to hold tissue together until healing takes place and to provide a method of hemostasis
b. to allow fluids to move along the strand and the ability to bend
c. to remove vessels and to stretch tissue
d. to produce chemical bonding and to approximate tissue
a. to hold tissue together until healing takes place and to provide a method of hemostasis
Sponges used in throat procedures are relatively small and area hazard when blood-soaked because
a. they can occlude the airway
b. they can be lost
c. they may be swallowed
d. all of the above
d. all of the above
Cancer cells from the breast often metastasize to the nodes.
a. cervical
b. axillary
c. inguinal
d. mesenteric
b. axillary
The instrument used to obtain a split thickness skin graft is called a
a. debrider
b. dermabrader
c. dermatome
d. dermamesher
c. dermatome
. Wounds are classified by the way in which they are repaired and
a. incised
b. dressed
c. heal
d. scar
c. heal
Which of the following statements is true concerning suture preparation?
a. the inner pack is considered nonsterile and handled by the circulator only
b. the outer peel-pack wrapper is nonsterile and is opened by the circulator
c. there is only one applicable method for transferring sterile suture packs to the field
d. suture materials are very inexpensive
b. the outer peel-pack wrapper is nonsterile and is opened by the circulator
The suture material consisting of a single thread is
a. knot potential
b. multifilament
c. monofilament
d. monodrag
c. monofilament
The procedure which involves the incision and drainage of the lacrimal duct for acute
dacryocystitis is called
a. dacryocystitis
b. dacryocystectomy
c. dacryocystorhinostomy
d. dacryocystostomy
d. dacryocystostomy
This stage of bone healing occurs when the bone is fractured and forms a clot
a. hemorrhage/hematoma
b. granulation
c. callus formation
d. remodeling
c. callus formation
Which of the following does not promote professionalism?
a.attending educational seminars
b.being a patient advocate
c.gossiping about the nursing staff
d.having good work ethics
c.gossiping about the nursing staff
Which position in thoracic surgery is used for anterolateral thoracotomy incision and most thoracic endoscopic procedures?
a. lateral
b. supine
c. modified supine
d. kraske
b. supine
The gallbladder is found in the
a. LUQ
b. RUQ
c. RLQ
d. LLQ
a. LUQ
The amount of stress a suture will handle before breaking is termed
a. tensile strength
b. wire ability
c. hand
d. standard
b. wire ability
The process of clotting is called
a. desiccation
b. dehydration
c. coagulation
d. electrosurgery
c. coagulation
The process of clotting is called
a. desiccation
b. dehydration
c. coagulation
d. electrosurgery
c. coagulation
Which type of wound drain may be used to drain a wound after extensive dissection or where moderate to large amounts of drainage are expected (and has a self-contained collecting device)?
a. Hemovae
b. T-tube
c. Penrose
d. Jackson-Pratt
a. Hemovae
In types of wound disruption, partial protrusion of the abdominal contents through an
opening in the abdominal wall is known as
a. dehiscence
b. eventration
c. hemostasis
d. evisceration
d. evisceration
During an appendectomy procedure, the of the appendix is grasped with a straight clamp.
a. base
b. middle
C. top
d. back
a. base
Which classification of fracture will require bone allograft to supplement bone loss and bone cement to increase bone strength?
a. closed
b. open
c. traumatic
d. pathologic
d. pathologic
Staining the vaginal vault and cervical squamous epithelium with an iodine (Lugol's) solution to pinpoint abnormal tissues which do not stain brown as normal tissue do, is
a. Schiller's test
b. Rubin's test
c. punch biopsy
d. uterine curettage
a. Schiller's test
A baby born before 37 weeks of gestation regardless of birth weight, is called
a. fetal death
b. premature
c. term
d. post natal
b. premature
Which are possible reasons for the use of wound dressings?
a. absorb fluids
b. a and c
c. protect from contamination
d. aesthetic appeal
b. a and c
What are the advantages of surgical stapling instruments?
a. all of the below
b. tissue handling is minimized
c. suture lines are strong
d. staples are nonreactive
a. all of the below
The two basic types of suture techniques are
a.running and interrupted
b. visible and invisible
c. synthetic or animal
d. metal or absorbable
a.running and interrupted
The endoscope used for visualization of intra-articular surfaces (generally the knee),
requiring a small incision is
a. arthroscope
b. sigmoidoscope
C. cystoscope
d. colonoscope
a. arthroscope
The establishment of the opening into the gallbladder to permit drainage of the organ and removal of stones is called
a. cholecystotomy
b. choledochostomy
c. cholecystoduodenostomy
d. choledochojejunostomy
a. cholecystotomy
The term cholecystojejunostomy is the anastomosis between the gallbladder and
a. duodenum
b. jejunum
c. ilium
d. rectum
b. jejunum
The term transduodenal sphincterotomy refers to the partial division of which sphincter and exploration of the distal end of the common bile duct?
a. Oddi
b. Vater
c. Hepatic
d. Anal
a. Oddi
Which statement is true concerning the placement and securing of catheters, drains and tubes?
a. wound drains are generally placed preoperatively by the circulator
b. wound drains are never secured
c. gastrointestinal tubes and urinary catheters are secured according to the surgical scrub's preference
d. wound drains may be placed in the cavity and exteriorized through a separate stab wound
d. wound drains may be placed in the cavity and exteriorized through a separate stab wound
The surgeon reapproximates the periosteum with a running absorbable suture, closes
layers and anchors drains to the chest wall and connects it to the
a. closed drainage system
b. patient's bed
C. IV pole
d. patient's chest
a. closed drainage system
During the few seconds of darkness before alternative power sources activate after a power failure, who directs a flashlight beam onto the surgical wound?
a. O.R. Tech
b. circulator
c. anesthesiologist
d. surgeon
b. circulator
Thymectomy is removal of the gland.
a. thyroid
b. thymus
c. adrenal
d. parathyroid
b. thymus
The gastric procedure that refers to the excision of the portion of stomach and
anastomosis the stomach and jejunum is a
a. gastric bypass
b. Billroth 1
c. Billroth 2
d. total gastrectomy
c. Billroth 2
The partial excision of a structure is called
a. anastomosis
b. approximation
c. dehiscence
d. resection
d. resection
A laser that operates in the visible light spectrum emitting a red-yellow light beam
resembling an argon laser in construction and use is
a. CO2
b. krypton
c. holmium
d. excimer
b. krypton
Endoscopic visualization of the peritoneal cavity through the anterior abdominal wall primarily used as a diagnostic procedure, but which also may be used for other procedures such as aspiration of cysts, release of adhesions, tissue biopsies and tubal
ligation is called
a. pelvic examination
b. Rubin's test
c. laparoscopy
d. cesarean section
c. laparoscopy
Which type of fracture is described as when a portion of the bone is traumatically driven into another bone fragment or adjacent bone?
a. comminuted
b. impacted
c. multiple
d. greenstick
b. impacted
Craniotomy burr holes are enlarged with a
a. rongeur
b. scalpel
c. knife
d. burr hole enlarger
a. rongeur
Which of the following is not a special consideration for ophthalmic surgery?
a. the instruments are very delicate and costly, must be handled with care
b. general anesthesia is used for all ophthalmic surgery
c. wet field coagulators are reusable
d. since almost all ophthalmic solutions are colorless and may be in similar receptacles, it must be immediately and individually labeled to totally avoid confusion of identification
b.general anesthesia is used for all ophthalmic surgery
The common location for a bone graft is
a. clavicle
b. femur
c. iliac crest
d. rib
c. iliac crest
An excision of a small piece of lung tissue for microscopic examination is called
a. segmental resection
b. thoracotomy
c. thoracoplasty
d. lung biopsy
d. lung biopsy
In performing a craniotomy, a is created.
a. muscle flap
b. skull flap
c. burr flap
d. dura flap
b. skull flap
All of the following are indications for a laminectomy, except
a. meningocele
b. herniated disc
c. arterial spasms
d. spinal cord trauma
c. arterial spasms
A painful disorder of the wrist and hand in which pressure is exerted on the median nerve
at the point at which it goes through the wrist, is
a. spinal cord tumor
b. synoviatic doulourex
c. carpal tunnel syndrome
d. herniated disc
c. carpal tunnel syndrome
The repair of a defect in the abdominal wall with herniation of abdominal contents in the
groin area of a male is a(an)
a. umbilical hemiorrhaphy
b. inguinal herniorrhaphy
c. hiatal herniorrhaphy
d. hydrocelectomy
b. inguinal herniorrhaphy
To prevent the occurrence of a disease or illness is intervention.
a. surgical
b. restorative
c. palliative
d. prophylactic
b. restorative
What supply is most commonly used to support the arm when giving intravenous infusions?
a. pillow
b. wrist strap
c. armboard
d. footboard
b. wrist strap
Surgical conscience is based upon
a.attitude of caring
b.ability to pass instruments correctly
c.ability to follow doctor's orders
d.attitude of dignity
b.ability to pass instruments correctly
Which of the following statements is not true regarding special considerations in caring for the pediatric patient?
a. temperature regulation of the room and patient are needed to decrease the risk of hypothermia
b. careful monitoring of fluids is required
c. have fewer nutritional requirements compared to adults
d. pressure points must be padded to decrease injury to skin
b. careful monitoring of fluids is required
A preoperative visit by the anesthesiologist often reduces the patients
a. charges
b. anxiety
c. weights
d. rights
d. rights
A desirable preoperative medication will decrease the patients
a. temperature
b. apprehension
c. excitability
d. perception
a. temperature
The will order the patients preoperative medications.
a. tech in surgery
b. circulating nurse
c. surgeon
d. anesthesiologist
a. tech in surgery
Jewelry and prosthetic devices are removed from the patient.
a. routinely
b. occasionally
c. never
d. none of the above
a. routinely
The designated room or area where patients wait prior to be admitted to the operating room, is the_______
a, ambulatory surgery room
b.recovery room
c.preoperative holding area
d.visitor waiting area
c.preoperative holding area
Which of the below is expected to act as the patient's advocate during a surgical procedure?
a. registered nurse
b. tech in surgery
c. anesthesia provider
d. all of the above
d. all of the above
An incision through the pyloric muscle to release a stenosis is a(an)
a. Meckel's diverticulectomy
b. omphalocelectomy
c. gastrectomy
d. pyloromyotomy
d. pyloromyotomy
If the patient leaves the operating room with a counted sponge intentionally used as
packing, the of sponges retained should be documented on the operative record.
a. number and type
b. size and number
c. type and size
d. none of the above
a. number and type
Used sponges should be handled with
a. gloves used for the prep
b. used instruments
c. the circulator's permission
d. instruments and/or gloved hands
d. instruments and/or gloved hands
Pertaining to retention sutures, they consist of nonabsorbable sutures.
a. colored
b. light
c. heavy
d. clear
c. heavy
All sponges used during a surgical procedure should be
a. tagged
b. moist
c. radiopaque
d. all of the above
c. radiopaque
What type of adhesive drapes are frequently used to lower infection rates?
a, plain plastic
b. idophor-impregnated
c. alcohol
d. glutaraldehyde
b. idophor-impregnated
A method of suturing that uses one continuous suture passing over and under the tissue
edges is called
a. overhand
b. backstitch
c. running suture
d. slip stitch
c. running suture
Choose the correct order of tissue beginning with the innermost layer.
a. peritoneum, muscle, subcutaneous, fascia, skin
b. peritoneum, subcutaneous, muscle, fascia, skin
c. peritoneum, fascia, muscle, subcutaneous, skin
d. peritoneum, muscle, fascia, subcutaneous, skin
c. peritoneum, fascia, muscle, subcutaneous, skin
Insertion of a water-soluble radiopaque dye into the cervical canal to study the structure
and function of the uterus and tubes in the evaluation of infertility is
a. pelvic examination
b. culdoscopy
c. hysterosalpingography
d. culdocentesis
c. hysterosalpingography
During a surgery on the lens, the anterior portion of the capsule is ruptured and removed and the lens cortex and nucleus are expressed from the eye leaving the posterior capsule
behind, is the procedure known as
a. phacoemulsification
b. extracapsular extraction
c. intracapsular extraction
d. implantation of intraocular lens
b. extracapsular extraction
Which of the following is not a true statement concerning prepping for ophthalmic surgery?
a. eyelids and periorbital areas are cleansed with a nonstaining antiseptic agent
b. eyebrows are never shaved or removed unless the surgeon deems this essential because the eyebrows do not grow back completely
c. eyes are kept open during the prep, so possible reactions to the prep can be noted
d. conjunctival sac is flushed with a nontoxic agent such as benzalkonium chloride
c. eyes are kept open during the prep, so possible reactions to the prep can be noted
Choose the best abdominal incision which is used to perform operations on the upper stomach and lower esophagus.
a.right subcostal
b.left upper paramedian
c.thoraco-abdominal (left or right)
d.left lower paramedian
c.thoraco-abdominal (left or right)
Ina cholecystectomy procedure the surgeon indentifies the cystic duct, cystic artery and the
a. common bile duct
b. hepatic duct
c. jejunum
d. pancreatic duct
a. common bile duct
Which of the following is a true statement of interrupted suturing?
a. may be rapidly placed
b. consists of one continual stitch
c. if the stitch breaks, the remainder of the wound will stay intact
d. lends itself to wicking action
c. if the stitch breaks, the remainder of the wound will stay intact
Which of the following devices diverts blood flow?
a. arterial embolectomy catheters
b. venous thrombectomy
c. irrigating fogarty catheters
d. shunts
d. shunts
Suspension of the bladder neck to the symphysis pubis to correct urinary stress incontinence is called

a. Marshall-Marchetti-Krantz suspension
b. pelvic exenteration
c. salpingectomy
d. tubal ligation
a. Marshall-Marchetti-Krantz suspension
Select the true statement concerning percutaneous transluminal coronary angioplasty.
a. coronary arteries are accessed only by the common iliac artery after performing a cutdown
b. not performed under fluoroscopy with image intensifier
c. a general anesthetic should be administered to the patient before the artery is exposed
d. a balloon-tipped catheter is inflated and then is passed through a guiding catheter into the coronary artery and into the occluded area
d. a balloon-tipped catheter is inflated and then is passed through a guiding catheter into the coronary artery and into the occluded area
Which of the following is not a true statement concerning the procedure for a myringotomy with insertion of PE tubea. the surgeon inserts an aural speculum in the ear canal
b. fluid or pus, if present, is suctioned
c. the patient is prepped and draped according to the circulator's preference
d. the surgeon inserts the PE tube, which has been positioned on alligator ear forceps, into the incisions?
c. the patient is prepped and draped according to the circulator's preference
During a(an) of the cerebrum, a contrast medium is injected into the vessels
of the cranium to reveal aneurysms, certain tumors or other vascular lesions.
a. aneurrography
b. neurorrhaphy
c. myelography
d. angiography
d. angiography
A special suction-irrigation tip is commonly used during otologic surgery which allows
the surgeon to irrigate and suction the wound for the purpose of removing
a. debris
b. fluid
c. foreign objects
d. all of the above
d. all of the above
Which of the following suffixes means the excision or surgical removal of?
a. Centesis
b. Otomy
c. Ectomy
d. Ostomy
c. Ectomy
The suffix meaning the incision for removal of stones is
a. pexy
b. lithotomy
c. desis
d. rrhaphy
b. lithotomy
The suffix meaning the creation of a new opening for drainage is

a. otomy
b. ectomy
c. plasty
d. ostomy
d. ostomy
Removal of fibromyomas (fibroid/muscular tumors) from the uterine wall in women
desiring children is
a. oophorectomy
b. salpingectomy
c. myomectomy
d. myomectomy
A Caldwell-luc is the
a. creation of a new passageway between the frontal sinus(es) and the nasal cavity to establish drainage and to remove any diseased tissue, polyps or tumors – incision is made externally to the eye
b. removal of portions of the inferior and middle turbinates to increase aeration and drainage and to relieve pressure against the floor of the nose
c. creation of a new passageway for drainage and removal of any diseased tissue in the sphenoidal sinuses – incision is made through an intranasal or an external approach
d. creation of a new passageway between the maxillary sinuses and the nasal cavity to establish drainage and to remove any diseased tissue, polyps or tumors – incision is made in the oral mucous membrane above the canine teeth called the canine fossa
d. creation of a new passageway between the maxillary sinuses and the nasal cavity to establish drainage and to remove any diseased tissue, polyps or tumors – incision is made in the oral mucous membrane above the canine teeth called the canine fossa
Healing from the bottom of the wound to the top is called
a. gradual
b. granulation
c. second intention
d. keloid _ -
b. granulation
Prep sponges are and kept isolated from the sterile field.
a. contaminated
b. non-radiopaque
c. x-ray detectable
d. very small
b. non-radiopaque
Stopping fibrillation of the heart through the use of drugs or by physical or electrical means is
a. fibrillation
b. defibrillation
c. premature ventricular contraction
d. transient ischemic attack
b. defibrillation
The ability of suture material to return to its former condition is
a. pliability
b. memory
c. tissue drag
d. elasticity
b. memory
The following are guidelines to follow when handling specimens except
a. never hand specimens over on a surgical sponge
b. only the circulator is responsible for handling the specimen correctly
c. specimens should be kept moist but not soaking until ready to hand off
d. unless dictated by policy all specimens obtained must be sent to pathology
b.only the circulator is responsible for handling the specimen correctly
Stretchers should be wiped down
a. monthly
b. weekly
c. at the beginning of the day
d. between patients and at the end of the day
d. between patients and at the end of the day
Cabinet door and O.R. doors should be cleaned
a. after all cases are finished
b. after every case
c. at least once a week
d. once a day
d. once a day
The urinary bladder is found in the
a. pelvic cavity
b. dorsal cavity
c. mediastinal space
d. thoracic cavity
a. pelvic cavity
Which of the following is the most active during prenatal life and infancy?
a. spleen
b. thymus
c. nasopharyngeal tonsils
d. palatine tonsils
b. thymus
Incision of the fallopian tube to evacuate an early small tubal pregnancy and preserve the
a. salpingostomy
b. salpingectomy
c. salpingo-oophorectomy
d. tubal ligation

tube in women desiring children with subsequent anastomosis of the tube, is called
a. salpingostomy
Which of the following is not a desirable working trait for an O.R. Tech?
a. the ability to identify breaks in aseptic technique
b. ability to prioritize
c. good organizational skills
d. to inform the surgeon that he/she is doing the procedure wrong
d. to inform the surgeon that he/she is doing the procedure wrong
Tissue edges are brought together with precision, avoiding strangulation and eliminating
a. tissue handling
b. wound healing
c. radiation therapy
d. immune response

dead space, promotes
b. wound healing
What must be achieved to prevent loss of patient's blood, to provide as bloodless a field as possible for accurate dissection and to prevent hematoma formation?
a. necrosis
b. hemostasis
c. crenation
d. hemolysis
b. hemostasis
The depression in the hip bone which receives the head of the femur, is called the
a. acetabulum
b. acromioclavicular (AQ joint
c. condyle
d. femoral condyle
a. acetabulum
A sponge that can be easily identified by x-ray is called
a. radiomimetic
b. radiopaque
c. radiolus
d. radionuclide
b. radiopaque
. During a cholecystectomy, the patient is placed in the supine position with a small pad or gallbladder lift placed under the quadrant.
a. left upper
b. right upper
c. left lower
d. right lower
b. right upper
Directly beneath the skull lie three protective coverings of the brain called
a. meninges
b. periostea
c. galeas
d. pericranium
a. meninges
During a craniotomy, periosteum is stripped from the bone with a
a. periosteal knife
b. periosteal elevator
c. scalpel
d. plain knife
b. periosteal elevator
What type of cast is applied to the trunk from the hips to or including the lower portion of the head for fractures of the cervical or upper thoracic vertebrae?
a. body j acket
b. shoulder spica
c. body cast
d. minerva jacket
a. body j acket
A collection of air or gas in the pleural cavity characterized by lung collapse, it is called
a. hemothorax
b. thoracocentesis
c. pleurathorax
d. pneumothorax
d. pneumothorax
An anastomosis along the alimentary canal may be the result of the removal of an obstruction of the
a. esophagus
b. duodenum
c. colon
d. all of the above
d. all of the above
During a craniotomy, the brain surface is protected with
a. moist gauze
b. bone wax
c. moist cottonoid strips
d. dry gauze
c. moist cottonoid strips
A localized collection of pus in the intracranial region usually occurring secondary to infections of the middle
ear, nasal sinuses, face or skull, or from contamination from penetrating wounds or skull fractures, describes a(an)
a. brain tumor
b. hydrocephalus
c. hematoma
d. brain abscess
d. brain abscess
The formation of a communication between the anterior chamber and the space located between the
sclera and the choroids to reduce aqueous secretions and thus induce lower pressure is called
a. cyclodialysis
b. enucleation of the eye
c. goniotomy
d. exenteration of the eye
a. cyclodialysis
Which of the following is false concerning the procedures required in sharps counts as wound closure begins?
a. circulator and scrub person count all sharps in the following order – on the surgical field, Mayo stand and back table
b. circulator and scrub person count all discarded sharps
c. scrub person reports results to surgeon – correct or incorrect
d. circulator reports results to surgeon – correct or incorrect
c. scrub person reports results to surgeon – correct or incorrect
Which is a true statement concerning the function of the skeletal system?
a. bone serves as banks for potassium and sodium
b. stores glycogen
c. support structure of the body
d. helps to reduce the friction between moving joints
support structure of the body
The oxygen-carrying red pigment of the red blood cell is
a. hematocrit
b. oxyhemoglobin
c. plasma
d. hemoglobin
d. hemoglobin
The inability of the cervix to remain closed (undilated) until the pregnancy reaches full term, thus resulting in habitual midtrimester spontaneous abortion is termed

a. ectopic pregnancy
b. footling presentation
c. incompetent cervical os
d. dystocia
c.incompetent cervical os
Which of the following is not included in a sponge, sharp and instrument count?a. cautery needle tips
b. telfa pad
c. thumb forceps
d. safety pin
b. telfa pad
Criteria used when assessing a pulse and respiration rate is
a. rate
b. rhythm
c. quality
d. all of the above
d. all of the above
A wound made by a sharp, pointed instrument defines
a. lacerated
b. incised
c. punctured
d. perforated
a. lacerated
A sac-like bulging or weakening in a vessel, usually an artery, resulting from arteriosclerosis is
a. atherosclerosis
b. coronaryartery disease
c. aneurysm
d. heart block
c. aneurysm
Which of the following is not an indication for a resection of the small
a. carcinoma
b. intasuception
c. cholecystitis
d. polyps
c. cholecystitis
Dorsal recumbent refers to
a. lying face up
b. standing bent over at the waist
c. standing erect
d. lying face down
a. lying face up
Normal oral body temperature is
a. 97.6°F
b. 98.6°F
c. 99.6°F
d. 96.7°F
98.6°F
The heart lies in the suspended by the great vessels with 2/3 of its mass to the left of the midline.a. mediastinum
b. rib cage
c. thoracic pleura
d. visceral pleura
a. mediastinum
The gastric procedure that refers to the creation of a small proximal gastric pouch by stapling with bypass of the distal end of the stomach by a gastrojejunostomy, is a
a. gastric bypass
b. Billroth 1
c. Billroth 2
d. total gastrectomy
a. gastric bypass
The gastric procedure that refers to the subtotal gastrectomy and gastrojejunostomy in
a. gastric bypass
b. Billroth 1
c. Billroth 2
d. total gastrectomy

which the remaining portion of the stomach is anastomosed to the jejunum is a
c. Billroth 2
Direct visualization of the mediastinal space and lymph nodes by means of a lighted scope is called a(an)
a. bronchoscopy
b. laryngoscopy
c. esophagoscopy
d. mediastinoscopy
d. mediastinoscopy
. Direct visualization of the interior of the larynx through a lighted scope is called a(an)
bronchoscopy
b. laryngoscopy
c. esophagoscopy
d. mediastinoscopy
b. laryngoscopy
Direct visualization of the tracheobronchial following insertion of a rigid or flexible light scope is
called a(an)
a. bronchoscopy
b. laryngoscopy
c. esophagoscopy
d. mediastinoscopy
a. bronchoscopy
A holding together by new tissue produced by inflammation or injury of two structures which are normally separate, is called
a. fistula
b. approximation
c. adhesion
d. lysis
c. adhesion
A anesthesia is used for many procedures on adults. Epinephrine may be added to help localize the agent, prolong the anesthetic action and provide hemostasis.
a. hemopathic
b. local
c. spinal
d. abdominal
b. local
Skin closure tapes are commonly used in conjunction with subcuticular suturing to improve the
a. color of the skin
b. cosmetic results
c. healing time
d. infection rates
b. cosmetic results
Full thickness grafts involves removal of what layers of skin?
a. dermis and subcutaneous tissue
b. epidermis
c. epidermis and dermis
d. subcutaneous tissue
c.epidermis and dermis
If properly cared for, a split thickness graft donor site can be reused in approximately how much time?
a. one week
b. two days
c. two weeks
d. none of the above
c. two weeks
Which tissue flap utilizes tissue to include muscle, fascia, subcutaneous fat and skin?
a. muscle flap
b. myocutaneous flap
c. subcutaneous flap
d. tissue expansion flap
b. myocutaneous flap
An injection of radiopaque solution in the cystic duct or into a tube placed into the common duct to permit x-ray identification of the biliary ductal system is called a(an)
a. cholangiogram
b. pyelogram
c. angiograrn
d. cholecystogram
a. cholangiogram
Grafts must not be allowed to , which would destroy them.
a. get wet
b. dry out
c. get smashed
d. none of the above
b. dry out
Dermatomes must be carefully inspected prior to the procedure to make sure that all parts are in
a. working -order
b. wetting solution
c. greased
d. sharp
a. working -order
What substance should be used to facilitate removal of donor skin with an osculating blade dermatome.
a. sterile xylocaine
b. sterile water
c. bacitracum ointment
d. sterile mineral oil
d. sterile mineral oil
Which classification of burn involves partial thickness damage to the epidermis and portions of the dermis?
a. 1st
b. 2nd
c. 3rd
d. 4th
b. 2nd
Removal of half of the colon is a(an)
a. anterior-posterior resection
b. hemicolectomy
c. colectomy
d. ileostomy
b. hemicolectomy
The examination of the mucosa of the rectum and anal canal is called
colonoscopy
b. gastroscopy
c. anoscopy
d. proctoscopy
d. proctoscopy
The use of laboratory methods to establish a clinical diagnosis of the nature of disease is
a. clinical pathology
b. anatomic pathology
c. humoral pathology
d. surgical pathology
a. clinical pathology
A programmable electronic device that can store, retrieve and process data is
a. MRI
b. fluoroscope
c. computer
d. CT scan
c. computer
The use of electromagnetic energy and radio frequencies for identifying abnormalities in an anatomic structure is
a. ultrasonography
b. thermography
c. magnetic resonance imaging
d. endoscopy
c. magnetic resonance imaging
The use of sound vibrations to study alterations of anatomical structures is
a. ultrasound
b. ultrasonogram
c. ultrastructure
d. ultrasonography
d. ultrasonography
Which of-the following gases will be used to establish a pneumoperitoneum?
a. carbon dioxide
b. oxygen
c. nitrogen
d. argon
a. carbon dioxide
Chest tubes are required on most cases in which the cavity is entered.
a. pelvic
b. abdominal
c. spinal
d. thoracic
d. thoracic
The chemicals used in the treatment of catgut that cause it to resist absorption for a longer period of time than plain cat gut are
a. enzymes
b. iodized salts
c. synthetic salts
d. chromic salts
c. synthetic salts
Which of the following pairs is the most common major complications of endoscopy?
a. pain, perforation
b. bleeding, pain
c. perforation, bleeding
d. pain, adhesions
c. perforation, bleeding
Which of the following statements is not true regarding the spleen?
a. it is a vital organ and cannot be removed
b. it filters blood and removes old red, white blood cells and platelets
c. activates lymphocytes to attack foreign matter in blood
d. this organ has an usually large blood supply
a.it is a vital organ and cannot be removed
Choose the best abdominal incision which is used to perform operations on the uterus,
a. pfannenstiel
b. right lower paramedian
c. lower median
d. left subcostal.
a. pfannenstiel
Which of the following is placed and tied so that it remains completely under the skin surface?
a. stick tie
b. traction suture
c. buried suture
d. continuous tie
c. buried suture
The ability of tissue fluid to move across the strand of suture material is called
a. allergic reactions
b. free flow
c. pliability
d. capillarity
d. capillarity
The most common and simplest incision used by the general surgeon is the
a. midline
b. upper paramedian
c. subcostal
d. oblique
a. midline
Referring to Illustration #1, identify abdominal incision #154.
a. right thoraco-abdominal
b. median or midline
c. right subcostal
d. mcburney
c. right subcostal
Referring Illustration #1, identify abdominal incision #155
a. right lower paramedian
b. right midabdominal transverse
c. left thoraco-abdominal
d. pfannenstiel
b. right midabdominal transverse
Referring to Illustration #1, identify abdominal incision #156.
a. left upper paramedian
b. pfannenstiel
c. mcburney
d. upper median
c. mcburney
Referring to Illustration #1, identify abdominal incision #157
a. left lower paramedian
b. left upper paramedian
c. right upper paramedian
d. right lower paramedian
d. right lower paramedian
Referring to Illustration #1, identify abdominal incision #158.
a. pfannenstiel
b. left subcostal
c. left lower oblique inguinal
d. left midabdominal transverse
a. pfannenstiel
Referring to Illustration #1, identify abdominal incision #159.
a. right upper oblique inguinal
b. left upper oblique inguinal
c. right upper paramedian
d. median upper abdominal
d. median upper abdominal
Referring to Illustration #1, identify abdominal incision #160.
a. upper median
b. right upper paramedian
c. lower median
d. left upper paramedian
d. left upper paramedian
Referring to Illustration #1, identify abdominal incision #161.
a. left thoraco-abdominal
b. left upper paramedian
c. right thoraco-abdominal
d. aright upper paramedian
a. left thoraco-abdominal
Referring to Illustration #1, identify abdominal incision #162.
a. lower median
b. pfannenstiel
c. left lower paramedian
d. right lower paramedian
a. lower median
Referring to Illustration #1, identify abdominal incision #163.
a. left subcostal
b. left oblique inguinal
c. upper median
d. McBurney
b. left oblique inguinal
Before scrubbed personnel leave the O.R., gown and gloves should be
a. wiped to remove powder
b. washed thoroughly
c. disposed of in proper receptacle
d. taken off and given to the circulator
c. disposed of in proper receptacle
Surgical care performed without overnight hospitalization is
a. general surgery
b. major surgery
c. ambulatory surgery
d. basic surgery
c. ambulatory surgery
Inflating the peritoneal cavity with gas (usually carbon dioxide) to prevent injury to
a. rectocele
b. pneumoperitineum
c. hysteroscopy
d. retropneumoperitoneurn

abdominal structures during a laparoscopic procedure is called
b. pneumoperitineum
Select the true statement concerning the handling of surgical needles
a. if the needle breaks, all pieces must be accounted for
b. used needles should be placed into the surgical suture packet for safe keeping and counting
c. if needle defects or burrs are noted, sharpen the needle
d. once a needle is used, dispose of it into a sharp container
a. if the needle breaks, all pieces must be accounted for
All but one of the following are techniques for performing a tubal ligation
a. Hulka clips
b. Silastic band
c. Pomeroy technique
d. Johnson technique
d. Johnson technique
The implantation of a wedge of silicone or eye blank stare epi or intrasclerally and an encircling of silicone may be used to keep constant external pressure on the buckle is called
a. diathermy
b. cryosurgery
c. vitrectomy
d. scleral buckling
scleral buckling
Which of the following is not a type of surgical complication?
a. infection
b. respiratory distress
c. procedure or equipment mishaps
d. lack of supplies
d. lack of supplies
During a cardiac arrest, the Tech in Surgery main job is to
a. maintain the patient's airway
b. maintain the surgeon's temper
c. maintain the sterile field
d. draw up the intra-cardiac medications
c. maintain the sterile field
The right and left coronary arteries
a. branch off the pulmonary artery
b. supply myocardial substance of the heart with blood
c. branch off the superior vena cava
d. return oxygenated blood used by the cardial tissue to the right atrium
b. supply myocardial substance of the heart with blood
Blood pressure varies with which of the following?
a. age
b. sex
c. altitude
d. all of the above
d. all of the above
A procedure performed to repair defects in the tympanic membrane and/or middle ear structure, is
a. tympanoplasty
b. stapedectomy
c. stapes mobilization
d. otoplasty
a. tympanoplasty
A pancreaticojejunostomy is also known as a(an) procedure.
a. Miller
b. Allison
c. Whipple
d. Graham
c. Whipple
Following thoracotomy with rib resection, the surgeon inserts one or two chest tubes through separate incisions into the
a. costal space
b. pleural cavity
c. axillary space d, pericardial space
b. pleural cavity
Which steps are necessary in order to arrest massive hemorrhage?
a. find the exact site
b. stop the bleeding
c. correct the blood loss
d. all of the above
d. all of the above
All hospital employees, including the O.R. Tech, are required to know the techniques of
a. fibrillation
b. CPR
c. suturing
d. open heart massage
b. CPR
A tonsillectomy is the surgical removal of the
a. nasopharyngeal tonsils
b. lingual tonsils
c. palatine tonsils
d. sublingual tonsils
c. palatine tonsils
An instrument used to clamp the edges of the uterus after delivery of the infant during a C-section to control
bleeding, is a(an)
a. Gaylor forceps
b. Allis
c. Pennington forceps
d. Uterine manipulator
c. Pennington forceps
The liquid part of the blood, which serves as a source of nutrition and a means of removing waste products from body cells, is known as
a. keratin
b. fibrinogen
c. hemoglobin
d. plasma
d. plasma
An adenoidectomy is the surgical removal of the
a. pharyngeal tonsils
b. lingual tonsils
c. palatine tonsils
d. sublingual tonsils
a. pharyngeal tonsils
Partial or total removal of the lower jaw for oral carcinoma extending into the mandible is
a. laryngectomy
b. paroidectomy
c. mandibulectomy
d. glossectomy
c. mandibulectomy
When the placenta is abnormally implanted in the lower uterine segment and may completely cover the os cervix, it is called
a. abruptio placenta
b. placenta previa
c. cephalopelvic disproportion
d. vertex presentation
b. placenta previa
The Tech in Surgery participates in
a. gowning the surgeon
b. gowning the assistant
c. draping the patient
d. all of the above
d. all of the above
A lung biopsy involvesa. an incision into the thoracic cavity to provide access to organs of the chest
b. the excision of a small portion of lung tissue for diagnosis
c. the removal of one or more of the diseased lobes of the lung
d. the removal of the entire lung
b. the excision of a small portion of lung tissue for diagnosis
The splitting apart of a surgical wound postoperatively is called
a. adhesions
b. ligation
c. evisceration
d. dehiscence
d. dehiscence
The frontal space in the eye, bounded by the cornea, iris and lens, is the
a. anterior chamber
b. conjunctiva
C. pupil
d. sclera
a. anterior chamber
An abdominoperineal resection procedure is performed to treat cancer of the lower
a. abdomen
b. rectum
c. liver
d. bladder
b. rectum
During an appendectomy procedure, the surgeon enters the abdomen through a(an)
a. subcostal incision
b. inguinal incision
c. McBurney incision
d. transverse incision
c. McBurney incision
During an open thoracotomy, the surgeon may trim the bone edges with a rongeur or Sauerbrach rib shear and applies for homeostasis.
a. bone cement
b. bone wax
c. heparin
d. thrombin
b. bone wax
Which of the following is not a special consideration for ophthalmic surgery?
a. the operating microscope is never used during ophthalmic procedures
b. eye sutures must be handled very carefully, as little as possible
c. all materials such as sponges and drapes must be lint free
d. ophthalmic sponges are precut, compressed cellulose on sticks
a. the operating microscope is never used during ophthalmic procedures
The intestinal operation that refers to a surgically created opening (stoma) from some portion of the colon to the exterior through the abdominal wall, is a(an)
colostomy
A burr hole procedure is most commonly performed to treat
a. spinal tumor
b. subdural hematoma
c. spinal abscess
b. subdural hematoma
Which of the following is not a purpose for thoracic endoscopic procedures?
a. treatment of diseased tissue by resection or repair
b. diagnosis of pathological processes and/or determining exact location by obtaining tissue biopsies and/or secretion specimens
c. to observe periodically the effects of therapy
d. to remove food or foreign body obstructions
a. treatment of diseased tissue by resection or repair
An incision of the tympanic membrane under direct vision to treat acute otitis media or to release fluid in the middle ear is
a. myringotomy
The nodes are significant from a surgical standpoint because of their location and their involvement with infection control following abdominal surgery.
a. cervical
b. axillary
c. inguinal
d. mesenteric
d. mesenteric
Inhalation anesthetics are than any other form of anesthetic

a. more controllable
b. easier
c. slower
d. cheaper
a. more controllable
is the enlargement of veins of the spermatic cord
a. varicocele
b. hydrocele
c. spermatocele
d. nephrosclerosis
a. varicocele
An incision into the posterior cul-de-sac to diagnose by intraperitoneal palpation, inspection of pelvic organs, or determination of any fluid in the pouch of Douglas, is called
a. culdocentesis
b. colpotomy
c. culdoscopy
d. colposcopy
b. colpotomy
The removal of foreign material and dead or damaged tissue from a wound is
a. dermatome
b. debridement
c. micrognathia
d. recipient site
b. debridement
Counts are to be performed prior to the beginning of a procedure.
a. true
b. false
a. true