Cst Certification Review Multiple Choice Test 1

Front 1

If the patient is scheduled for a Cheiloplasty, the surgery will be performed on
which area of the body?

a. nose
b. ear
c. lip
d. chin

Back 1

c. lip

Front 2

A mother tells you that her three year old daughter is scheduled to have “tubes
put in her ears.” You know that this will involve the surgeon’s making a small
opening in the eardrum which is called a/an:

a. Blepharoplasty.
b. Myringotomy.
c. Angiogram.
d. Dacryocystorhinostomy

Back 2

b. Myringotomy.

Front 3

A collection of specialized cells designed for a specific function is a/an:

a. system.
b. mitochondria.
c. organ.
d. tissue.

Back 3

d. tissue.

Front 4

The term meaning the farthest from the point of origin is:

a. inferior.
b. proximal.
c. medial.
d. distal.

Back 4

d. distal.

Front 5

The surgeon is performing a Total Abdominal Hysterectomy on a patient with uterine fibroids who
is experiencing excessive uterine bleeding during her menstrual periods,

If the surgeon needs to grasp the Fallopian tube or ovary, which instrument
would you have ready to pass?

a. Babcock
b. Schnidt
c. Mixter
d, Randall

Back 5

a. Babcock

Front 6

The surgeon is performing a Total Abdominal Hysterectomy on a patient with uterine fibroids who
is experiencing excessive uterine bleeding during her menstrual periods,
The patient’s pre-operative diagnosis is:

a. metrorrhagia.
b. menorrhagia.
c. dysmenorrhea.
d. menorrhalgia

Back 6

b. menorrhagia.

Front 7

The surgeon is performing a Total Abdominal Hysterectomy on a patient with uterine fibroids who
is experiencing excessive uterine bleeding during her menstrual periods,
Pre-operatively, the patient may have which type of catheter inserted?

a. Malecot
b. Foley
c. Fogarty
d. Mushroom

Back 7

b. Foley

Front 8

The surgeon is performing a Total Abdominal Hysterectomy on a patient with uterine fibroids who
is experiencing excessive uterine bleeding during her menstrual periods,
All of the following are uterine ligaments that would be encountered
except

a. broad.
b. round.
c. cardinal.
d. Cruciate

Back 8

d. cruciate.

Front 9

The surgeon is performing a Total Abdominal Hysterectomy on a patient with uterine fibroids who
is experiencing excessive uterine bleeding during her menstrual periods,
In a pre-menopausal patient who wishes to preserve fertility, the surgeon may
elect to remove only the uterine fibroids in a procedure called a:

a. Myomectomy.
b. Le Fort operation.
c. Shirodkar procedure.
d. Wertheim procedure



.

Back 9

a, Myomectomy

Front 10

One tablespoon equals which of the following?

a. 15 cc
b. 3 teaspoons
c, one-half ounce
d. All of the above

Back 10

d. All of the above

Front 11

Freely movable joints that are filled with synovial membrane are known as:

a. synarthrosis.
b. bursa.
c. amphiarthrosis.
d. diarthrosis.

Back 11

d. diarthrosis.

Front 12

Antonio has received his third hepatitis B vaccine and should have enough
antibodies to protect him from an exposure. This is an example of which type of
immunity?

a. artificially acquired active immunity
b. artificially acquired passive immunity
c. naturally acquired active immunity
d. naturally acquired passive immunity

Back 12

a. artificially acquired active immunity

Front 13

Which of the following drugs would be used during Creation of an AV Fistula to
prevent vascular spasms?

a. papavarin
b. pilocarpine (Miochol)
c. alpha chymotrypsin
d. protamine sulfate

Back 13

a. papavarin

Front 14

Cryptorchidism is treated by what surgical procedure?

a. Hydrocelectomy
b. Orchiopexy
c. Stamey procedure
d. Orchiectomy

Back 14

b. Orchiopexy

Front 15

Which of the following is not true of surgical counts?

a. if a pack of sponges contains an incorrect number, discard the entire pack and remove it from the room
b. sponges are counted audibly by the scrub before removal of the retaining band.
c. dressing sponges should be opened onto the field after the final count is complete
d. needles should be passed to the surgeon on an exchange basis

Back 15

b. sponges are counted audibly by the scrub before removal of the retaining
band.

Front 16

During Laparoscopy, a pneumoperitoneum is created with which gas?

a. oxygen
b. ethylene oxide
c. carbon dioxide
d. nitrous oxide

Back 16

c. carbon dioxide

Front 17

The patient is scheduled for a Right Nephrectomy. Which position is correct?

a. right lateral position with the kidney rest elevated, top leg flexed
b. right lateral position with the kidney rest elevated, bottom leg flexed
c. left lateral position with the kidney rest elevated, bottom leg flexed
d. left lateral position with the kidney rest elevated, top leg flexed

Back 17

c. left lateral position with the kidney rest elevated, bottom leg flexed

Front 18

Which of the following statements concerning blood pressure is not true?

a. the bottom number is the systolic pressure and represents pressure exerted against the wall of the arteries when the ventricles are filling with blood
b. the top number is the first sound heard while the cuff is being deflated and represents the pressure against the arterial walls when the ventricles contract
c . blood pressure is determined by the force of the heart, diameter of the vessels, blood volume, and the blood viscosity (thickness)
d. hypertension is high blood pressure

Back 18

a. the bottom number is the systolic pressure and represents pressure exerted
against the wall of the arteries when the ventricles are filling with blood

Front 19

In the atom, the positively charged particles are called:

a. electrons.
b. neutrons.
c. protons.
d. photons.

Back 19

c. protons.

Front 20

Mark R. is scheduled for emergency surgery to treat a perforated gastric ulcer. Mark has been on warfarin (Coumadin). The surgeon orders a CBC (complete blood count)
and Mark’s blood work is as follows: hematocrit = 35%, hemoglobin = 9 grams, WBC
= 6,000.

Hematocrit is the percentage of red blood cells in the body.

Mark’s hematocrit
is:

a. above normal range.
b. within normal range.
c. below normal range.
d. inconclusive.

Back 20

c. below normal range.

Front 21

Mark R. is scheduled for emergency surgery to treat a perforated gastric ulcer. Mark has been on warfarin (Coumadin). The surgeon orders a CBC (complete blood count)
and Mark’s blood work is as follows: hematocrit = 35%, hemoglobin = 9 grams, WBC
= 6,000.
Due to Mark’s WBC count, the surgeon may:

a. cancel the surgery since it is too low.
b. give two units of blood and see if the WBC count will increase.
c. perform the surgery immediately since the WBC count is within normal range and it will have no effect on the surgery.
d. give antibiotics, since this indicates an infection is present.

Back 21

c. perform the surgery immediately since the WBC count is within normal range and it will have no effect on the surgery.

Front 22

Mark R. is scheduled for emergency surgery to treat a perforated gastric ulcer. Mark has been on warfarin (Coumadin). The surgeon orders a CBC (complete blood count)
and Mark’s blood work is as follows: hematocrit = 35%, hemoglobin = 9 grams, WBC
= 6,000.
Since Mark was on warfarin (Coumadin), which additional lab test may the surgeon
order?

a. differential white blood cell count, since Coumadin is an antibiotic
b. culture and sensitivity, since Coumadin is an anti-inflammatory agent
c. prothrombin time, since Coumadin is an anticoagulant which interferes with the synthesis of prothrombin in the liver
d. blood chemistry, since Coumadin affects the absorption of glucose from the intestines

Back 22

c. prothrombin time, since Coumadin is an anticoagulant which interferes with
the synthesis of prothrombin in the liver

Front 23

Mark R. is scheduled for emergency surgery to treat a perforated gastric ulcer. Mark has been on warfarin (Coumadin). The surgeon orders a CBC (complete blood count)
and Mark’s blood work is as follows: hematocrit = 35%, hemoglobin = 9 grams, WBC
= 6,000.
This procedure will be placed in which of the following wound classifications?

a. Class II - Clean/Contaminated
b. Class IV - Dirty or Infected
c. Class III - Contaminated
d. Class I – Clean

Back 23

b. Class IV - Dirty or Infected

Front 24

Mark R. is scheduled for emergency surgery to treat a perforated gastric ulcer. Mark has been on warfarin (Coumadin). The surgeon orders a CBC (complete blood count)
and Mark’s blood work is as follows: hematocrit = 35%, hemoglobin = 9 grams, WBC
= 6,000.
If the surgeon removes a portion of the pylorus of the stomach and performs a
Gastroduodenostomy, this procedure is called a:


a. Pyloromyotomy.
b. Billroth I.
c. Billroth II.
d. Roux-en-Y.

Back 24

b. Billroth I.

Front 25

The purpose of the surgical scrub is to:

a. remove resident flora.
b. reduce the number of transient flora.
c. eliminate the bioburden from the skin.
d. render the skin sterile.

Back 25

b. reduce the number of transient flora.

Front 26

When transporting a patient to surgery, you would:


a. transport him or her head first while pushing the stretcher from the feet.
b. carry any drainage bags at the level of the patient.
c. observe the patient for any adverse reactions to the pre-operative medication and if any are observed, leave the patient to call for assistance.
d. pull him or her head first into an elevator.

Back 26

d. pull him or her head first into an elevator.

Front 27

if the surgical patient is experiencing malignant hyperthermia, the appropriate
treatment is to:

a. place him or her in the reverse Trendelenburg position.
b. apply cricoid pressure, known as Sellick’s maneuver.
c. administer dantrolene sodium in large quantities.
d. insert a Swan-Ganz catheter.

Back 27

c. administer dantrolene sodium in large quantities.

Front 28

Which of the following hemostatic agents is a topical powder that may be mixed
with a solution but never injected?

a. microfibrillar collagen (Avitene)
b. thrombin (Thrombinar)
c. oxidized cellulose (Surgicel)
d. Gelfoam

Back 28

b. thrombin (Thrombinar)

Front 29

All of the following principles of aseptic technique are true except
which one?

a. Sterile persons pass each other front to front or back to back.
b. Self-gowning and gloving is performed from a separate sterile field.
c. When dispensing solutions are dispensed, the entire contents of the bottle are poured or the remainder is discarded.
d. If a sterile glove is contaminated during the case, the circulator will remove the contaminated glove and a new one will be donned using the closed method of gloving.

Back 29

d. If a sterile glove is contaminated during the case, the circulator will
remove the contaminated glove and a new one will be donned using the closed
method of gloving.

Front 30

Which of the following legal doctrines means “the thing speaks for itself” and
would apply if a sponge were left in a patient’s abdomen?

a. res ipsa loquitor
b. respondent superior
c. primum non nocere
d. iatrogenic injury

Back 30

a. res ipsa loquitor

Front 31

The skin prep for a Ileo-Conduit would:

a. include the umbilicus which should be cleaned first with a cotton-tipped applicator, then prepped with an antiseptic sponge last or separately.
b. be performed by the scrub followed by a 5-minute scrub with antiseptic soap by the circulator.
c. extend from the umbilicus to the mid-thigh.
d. extend from the nipple line to the umbilicus

Back 31

a. include the umbilicus which should be cleaned first with a cotton-tipped
applicator, then prepped with an antiseptic sponge last or separately.

Front 32

All of the following statements concerning urinary catherization are true
except which one?

a. Sterile technique is required.
b. A Robinson catheter is a straight catheter used to collect a sterile specimen or empty the bladder.
c. A three-way Foley with a 30-cc balloon may be used following a TURP to allow for continuous bladder irrigation and to provide hemostasis by applying pressure to the prostatic fossa.
d. If a 5-cc balloon Foley catheter is used, you should insert 5 cc of sterile water into the inflation port.

Back 32

d. If a 5-cc balloon Foley catheter is used, you should insert 5 cc of sterile
water into the inflation port.

Front 33

Which particles are not found in the nucleus of an atom?

a. electrons
b. neutrons
c. protons
d. b and c

Back 33

a. electrons

Front 34

When draping the patient or furniture for a surgical procedure, which principle
should be followed?

a. A sterile person drapes furniture from back to front, draping the farthest side first.
b. Gloved hands should be protected in a cuff of the drape to avoid touching unsterile areas.
c. Draping of the patient occurs from the periphery to the operative site.
d. If a perforating towel clip is moved from one place on the drape to another, cover the area where the towel clip was originally located with a towel.

Back 34

b. Gloved hands should be protected in a cuff of the drape to avoid touching
unsterile areas.

Front 35

During the draping routine, you observe the scrub’s arm coming close to the IV
pole, but you are not sure if it touched. Your appropriate response is to;

a. ask the circulator if he or she saw it.
b. consider it contaminated and have the scrub don a sterile sleeve or change the gown if you are in doubt about the sterility of anything.
c. ask the surgeon if he or she observed the action.
d. say nothing if you aren’t sure the arm touched the pole.

Back 35

b. consider it contaminated and have the scrub don a sterile sleeve or change
the gown if you are in doubt about the sterility of anything.

Front 36

Pediatric patients are not small adults. They have special needs which include
all of the following except:


a. a decreased circulation, which can delay wound healing
b. an increased danger of fluid and blood loss, which must be closely monitored and replaced
c. the possibility of a rapid change in body temperature due to their large skin surface for a small volume, so heat loss is prevented by methods such as warm blankets, increased room temperature (up to 80 degrees F for infants), radiant warmers, and forced-air skin-surface warmers (Bair-Hugger).
d. an increased need for oxygen and food due to an increased metabolism, so they may be NPO prior to surgery for a shorter duration than an adult.

Back 36

a. a decreased circulation, which can delay wound healing

Front 37

All patients undergoing surgery must have a valid consent. Which of the
following statements is not true concerning the surgical consent?

a. The surgeon has the ultimate responsibility for obtaining the consent.
b. Consent in life-threatening circumstances may be given by telephone, fax, or by two consulting physicians other than the operating surgeon if family members can not be reached.
c. If the consent has not been signed before the patient arrives in the operating room, and he or she has received his or her “pre-op” medication, it is acceptable for him or her to sign it as long as it is witnessed by the surgeon and the anesthesia provider.
d. If the patient is a minor, a parent or legal guardian must sign the consent

Back 37

c. if the consent has not been signed before the patient arrives in the
operating room, and he or she has received his or her “pre-op” medication, it is
acceptable for him or her to sign it as long as it is witnessed by the surgeon
and the anesthesia provider.

Front 38

An operating room requires a special environment which includes maintaining:

a. humidity at 65-70 %.
b. 10-15 air exchanges per hour.
c. temperature at 72-75 degrees for adult patients, higher for infants.
d. positive pressure.

Back 38

d. positive pressure.

Front 39

Traffic patterns for movement of patients and personnel have been established to
prevent the spread of microorganisms. Which of the following statements is not true concerning the various areas inside the operating room suite?

a. A race-track design is often the design of choice to control traffic patterns.
b. The non-restricted areas include the hallways, and scrub suits must be worn.
c. The restricted areas include the individual operating rooms and require wearing scrub suits, caps, masks, goggles (when there is a chance for a splash), and sometime shoe covers.
d. The semi-restricted areas require wearing scrub suits, caps, and sometimes shoe covers.

Back 39

b. The non-restricted areas include the hallways, and scrub suits must be worn.

Front 40

If a cardiac arrest occurs during a surgical case, what is the responsibility of
the scrub?

a. remain sterile, guard the sterile field, and assist the surgeon as needed
b. draw up medications as needed
c. summon help, secure the cart, and start the time clock
d. get the external electrodes ready for defibrillation

Back 40

a. remain sterile, guard the sterile field, and assist the surgeon as needed

Front 41

A pulse oximeter is used to measure which of the following?

a. pulmonary artery pressure
b. arterial hemoglobin oxygen saturation
c. central venous pressure
d. respiratory tidal volume

Back 41

b. arterial hemoglobin oxygen saturation

Front 42

Which of the following retractors is self-retaining?

a. Finochetti
b. Volkman
c. Harrington
d. Senn

Back 42

a. Finochetti

Front 43

Which of the following is not a term that refers to the secondary suture
line?

a. retention suture
b. through-and-through suture
c, traction suture
d. stay suture

Back 43

c. traction suture

Front 44

Which statement(s) describe(s) the correct utilization of the electrosurgical
unit ?

a. The inactive electrode directs current to the operative site and should be kept in its container to avoid inadvertent activation.
b. The controls should be set on the lowest setting and increased as necessary based on the surgeon’s request.
c. The active electrode provides a return of current to the generator and should be placed on a clean, dry surface of the patient, over a large muscle mass as close to the operative site as possible.
d. All of the above are true.

Back 44

b. The controls should be set on the lowest setting and increased as necessary
based on the surgeon’s request.

Front 45

Safety precautions when using ionizing radiation include:


a. providing shielding by the use of lead aprons, thyroid collars, gonadal shields, lead gloves, or portable lead screens.
b. protecting patients’ eyes with moistened pads or goggles.
c. utilizing non-reflective instruments.
d. using fire-retardant drapes.

Back 45

a. providing shielding by the use of lead aprons, thyroid collars, gonadal
shields, lead gloves, or portable lead screens.

Front 46

Which of the following is a nasogastric tube?

a. Pezzer
b. Malecot
c. Salem sump
d. Tenckhoff

Back 46

c. Salem pump

Front 47

When opening sterile supplies, one must:

a. not allow the contents of a peel-pack item to slide over the edge of the package.
b. open an envelope-wrapped package by grasping the nearest corner and opening the far side first to avoid reaching over the package contents.
c. check the package integrity, the chemical process indicator, and, if present, the expiration date.
d. All of the above.

Back 47

d. All of the above.