Cst Certification Review Multiple Choice Test 3

Front 1

Give the name of the instrument in the picture and the basic instrument category in which it is a member.

a. Lane bone holding forcep; grasping
b. Bailey approximator; retracting
c. Backhaus towel clamp; grasping
d. Foerster sponge forcep; clamping

Back 1

c. Backhaus towel clamp; grasping

Front 2

The type of microbial relationship in which one organism lives completely at the expense of the other is known as:

a. symbiosis.
b. mutualism.
c. commensalism.
d. parasitism.

Back 2

d. parasitism.

Front 3

Venereal warts (condylomas) are caused by which of the following?

a. cytomegalovirus
b. prions
c. herpes zoster
d. human papillomavirus

Back 3

d. human papillomavirus

Front 4

Prior to a Total Knee Replacement , the surgeon orders Ancef 1 gram IV stat. Which of the following statements is true about this order?

a. Ancef is an anti-inflammatory agent.
b. 1000 milligrams of the medication would be given for antibiotic prophylaxis.
c. The medication would be given at the end of the procedure once the patient was in the PACU.
d. 1000 kilograms of the medication would be given intravenously immediately.

Back 4

b. 1000 milligrams of the medication would be given for antibiotic prophylaxis.

Front 5

The stage of general anesthesia that ends with the loss of consciousness is:

a. Stage III (Surgical Anesthesia).
b. Stage IV (Overdose).
c. Stage I (Amnesia).
d. Stage II (Excitement).

Back 5

c. Stage I (Amnesia).

Front 6

When using metal container systems to package instrument sets:

a. instruments are placed in the container closed on their first ratchet.
b. the filters must remain intact.
c. the package should weigh no more than 20 pounds.
d. a biologic monitor is placed inside the package.

Back 6

b. the filters must remain intact.

Front 7

Crystal A. is scheduled for a Laparoscopic Cholecystectomy. She has experienced severe abdominal pain, especially upon eating certain foods, and has been diagnosed as having gallstones.
Crystal’s pre-operative diagnosis would be:

a. colecystocalculi.
b. colitis.
c. cholelithiasis.
d. colelithosis.

Back 7

c. cholelithiasis.

Front 8

Crystal A. is scheduled for a Laparoscopic Cholecystectomy. She has experienced severe abdominal pain, especially upon eating certain foods, and has been diagnosed as having gallstones.
Crystal’s pain would be concentrated in which abdominal quadrant?

a. RLQ
b. LLQ
c. RUQ
d. LUQ

Back 8

c. RUQ

Front 9

Crystal A. is scheduled for a Laparoscopic Cholecystectomy. She has experienced severe abdominal pain, especially upon eating certain foods, and has been diagnosed as having gallstones.
Which type of food would most likely precipitate a painful attack?

a proteins
b. fats
c. carbohydrates
d. vitamins

Back 9

b. fats

Front 10

Crystal A. is scheduled for a Laparoscopic Cholecystectomy. She has experienced severe abdominal pain, especially upon eating certain foods, and has been diagnosed as having gallstones.
Which type of food would most likely precipitate a painful attack?

a. proteins
b. fats
c. carbohydrates
d. vitamins

Back 10

b. fats

Front 11

Crystal A. is scheduled for a Laparoscopic Cholecystectomy. She has experienced severe abdominal pain, especially upon eating certain foods, and has been diagnosed as having gallstones.
In preparing for this case, all of the following would be needed except:

a. Silverman needle.
b. video monitor.
c. defogging solution.
d. carbon dioxide.

Back 11

a. Silverman needle.

Front 12

Crystal A. is scheduled for a Laparoscopic Cholecystectomy. She has experienced severe abdominal pain, especially upon eating certain foods, and has been diagnosed as having gallstones.
Which of the following is true for this type of a precaution for this type of procedure?

a. Keep the lighted scope on the sterile drapes when not in use.
b. Instruments are passed to the surgeon in a firm manner with a slight snap.
c. The camera is white balanced using an x-ray 4x4.
d. The pressure in the abdomen must be at least 25 mm Hg.

Back 12

c. The camera is white balanced using an x-ray 4x4.

Front 13

Which of the following is not true of surgical attire?

A. Eyewear should be wiped with an antiseptic between cases.
B. Masks should be either on or off.
C. Mask strings should be criss-crossed on top of the head.
D. Caps should cover all hair including long facial hair with the wrap-around type of hood.

Back 13

c. Mask strings should be criss-crossed on top of the head.

Front 14

Any agent that causes a change in movement or the energy that causes acceleration is called:

a. speed.
b. velocity.
c. friction.
d. force.

Back 14

d. force.

Front 15

When using a surgical LASER, the following precaution should be observed:

a. persons entering the room should wear a lead shield.
b. shiny metal instruments are used to reflect the beam away from the patient’s eyes.
c. special masks are worn to prevent the inhalation of the carbonized particles in the laser plume.
d. during surgery on the esophagus, moistened sponges are placed in the esophagus to prevent the release of methane gas, which could cause an explosion.

Back 15

c. special masks are worn to prevent the inhalation of the carbonized particles in the laser plume.

Front 16

Which of the following statements concerning abdominal surgical incisions is true?

a. a left subcostal incision (kocher) is made for an open cholecystectomy.
b. a pfannenstiel incision is an oblique incision.
c. a midline incision is made between the rectus muscles.
d. a right paramedian incision is used for a gastrostomy.

Back 16

c. a midline incision is made between the rectus muscles.

Front 17

The “window of the eye” is the:

a. retina.
b. cornea.
c. iris.
d. aqueous humor.

Back 17

b. cornea.

Front 18

Which of the following is an important safety protocol?

a. place all sharps in a puncture-proof container at the end of the case.
b. apply knife blades to the handle with the gloved hand to allow exact handling of the blade.
c. recap all needles to avoid injury.
d. break down mayo stands as soon as the skin incision is complete to prevent being rushed during the between-case clean-up.

Back 18

a. place all sharps in a puncture-proof container at the end of the case.

Front 19

Phacoemulsification involves:

a. application of a cryoprobe to remove a cloudy lens.
b. irrigation with glycine to prevent build-up of heat.
c. fragmentation of the lens by ultrasonic vibration and irrigation-aspiration.
d. procedures to decrease intraocular pressure.

Back 19

c. fragmentation of the lens by ultrasonic vibration and irrigation-aspiration.

Front 20

Charlie has entered the operating room for a Bronchoscopy for an aspirated foreign object. Which of the following is true of this procedure?

a. soaking the scope for 30 minutes in peracetic acid will result in high level disinfection of the scope.
b. a fiberoptic bronchoscope will be used
c. The apex of the lung will be visualized during this procedure.
d. The object is probably lodged in Charlie’s right bronchus since it is wider, shorter, and straighter than the left bronchus.

Back 20

d. The object is probably lodged in Charlie’s right bronchus since it is wider, shorter, and straighter than the left bronchus.

Front 21

Alicia is a dental assistant who has been experiencing pain and numbness in her thumb, index finger, and middle finger. She has been diagnosed as having carpal tunnel syndrome. Which of the following statements is true of the Carpel Tunnel Repair?

a. the repair involves the release of the ulnar nerve.
b. The scrub prep will begin with the proximal portion of the arm and proceed to the distal area.
c. A Bier block may be used and a double cuffed tourniquet would be needed.
d. A lithotomy sheet will be used to drape the area.

Back 21

c. A Bier block may be used and a double cuffed tourniquet would be needed.

Front 22

Carcinoma in situ means:

a. this is a fulmigating inflammation.
b. the cancer is not invasive.
c. the patient has a poor prognosis.
d. the cancer has spread to surrounding areas.

Back 22

b. the cancer is not invasive.

Front 23

A premedicated female patient was placed on a gurney and was then left alone while the nurse retrieved her x-rays. As the patient tried to get off the stretcher, she fell and broke her hip. The nurse is charged with:

a. assault and battery.
b. primum non nocern.
c. respondent superior.
d. abandonment.

Back 23

d. abandonment.

Front 24

Intracellular fluid is located:

a. in the blood stream.
b. between the cells.
c. in the lymph vessels.
d. within the cell.

Back 24

d. within the cell.

Front 25

The first cranial nerve (CN I) is the:

a. vestibulocochlear.
b. occulomotor.
c. olfactory.
d. optic.

Back 25

c. olfactory.

Front 26

What is the name of the only non-depolarizing neuromuscular blocking agent that can trigger Malignant Hyperthermia?

a. tubocurarine chloride (Tubarine)
b. succinylcholine hydrochloride (Anectine)
c. droperidol (Inapsine)
d. vecuronium bromide (Norcuron)

Back 26

b. succinylcholine hydrochloride (Anectine)

Front 27

Blood leaving the pulmonary veins enters the:

a. pulmonary valve.
b. lungs.
c. right atrium.
d. left atrium.

Back 27

d. left atrium.

Front 28

Which of the following methods of hemostasis is an absorbable gelatin sponge that may be moistened with saline or thrombin solution?

a. surgicel
b. avitene
c. gelfoam
d. oxycel

Back 28

c. gelfoam

Front 29

When his outside grill malfunctioned, Randy received burns to his arms and chest. He is scheduled for a STSG.
Which degree of burn involves the epidermis and a portion of the dermis and is characterized by pain, blisters, and a moist pink surface?

a. second-degree
b. third-degree
c. fourth-degree
d. first-degree

Back 29

a. second-degree

Front 30

When his outside grill malfunctioned, Randy received burns to his arms and chest. He is scheduled for a STSG.
What are the two methods used to determine the extent of burns?

a. Rule of Nine, Lund and Browder
b. Rule of Six, Brown and Sharp
c. Rule of Nine, Lane and Lowman
d. Rule of Eighteen, Beckman and Taylor

Back 30

a. Rule of Nine, Lund and Browder

Front 31

When his outside grill malfunctioned, Randy received burns to his arms and chest. He is scheduled for a STSG.
What does STSG stand for?

a. split thickness skin graft
b. standard thickness skin graft
c. sliced tissue skin graft
d. sterile tissue skin graft

Back 31

a. split thickness skin graft

Front 32

When his outside grill malfunctioned, Randy received burns to his arms and chest. He is scheduled for a STSG.
Prior to taking the graft, the skin is prepared with:

a. xylocaine.
b. mineral oil.
c. alcohol.
d. thrombin.

Back 32

b. mineral oil.

Front 33

When his outside grill malfunctioned, Randy received burns to his arms and chest. He is scheduled for a STSG.
Which instrument is used to expand the skin to allow it to cover more area?

a. cusa
b. dermatome
c. dermabrader
d. mesh graft device

Back 33

d. mesh graft device

Front 34

What is the term used for the type of dressing in which skin sutures are left long and are tied over the dressing to apply even pressure? Such a dressing is often used on the recipient site of a skin graft to prevent fluid from accumulating under the graft.

a. bulky dressing
b. strip dressing
c. rigid dressing
d. stent dressing

Back 34

d. stent dressing

Front 35

What is the spore used for biological monitoring of the steam sterilizer?

a. bacillus stearothermophilus
b. staphylococcus aureus
c. bacillus subtilis
d. clostridium perfringes

Back 35

a. bacillus stearothermophilus

Front 36

Microorganisms that can live in both aerobic and anaerobic environments are know as:

a. autotrophs.
b. obligate aerobes.
c. facultative.
d. saprophytes.

Back 36

c. facultative.

Front 37

Why are non-absorbable sutures such as silk not recommended for use in the bladder or gallbladder?

a. they may become unraveled or unbraided.
b. they will dissolve too rapidly when they come in contact with urine or bile.
c. they will cause an infection.
d. they may become a nucleus for stone formation

Back 37

d. they may become a nucleus for stone formation.

Front 38

An inframammary incision is made:

a. behind the auricle.
b. below the ribs.
c. above the umbilicus.
d. below the breast.

Back 38

d. below the breast.

Front 39

The auditory ossicle that is proximal to the tympanic membrane is the:

a. stapes.
b. malleus.
c. hyoid.
d. incus.

Back 39

b. malleus

Front 40

The thyroid gland is composed of two lobes connected by a bridge of tissue known as the:

a. canal of schlemn.
b. falciform ligament.
c. isthmus.
d. corpus collosum.

Back 40

c. isthmus

Front 41

one kilogram equals:

a. 2.54 centigrams.
b. 0.001 grams.
c. 2.2 pounds.
d. none of the above.

Back 41

c. 2.2 pounds.

Front 42

Each of the following is a safety precaution when handling medications in the operating room except:

a. the circulator holds the vial of medication for the scrub to observe the appearance of the medication, and to read the name, amount, strength, and expiration date.
b. the scrub must label the containers and syringes containing medication on the back table.
c. once the medicines have been labeled, the vial should be removed from the room.
d. when presenting the medication to the surgeon, the scrub recites the name, strength, and amount of the drug.

Back 42

c. once the medicines have been labeled, the vial should be removed from the room.

Front 43

Which of the following equipment used in the OR setting does not use the concepts of mechanical movement?

a. Harmonic Scalpel®
b. Cavitational Ultrasonic Suction Aspirator (CUSA)
c. LigaSure
d. Morcellator

Back 43

c. LigaSure

Front 44

Which device uses ultrasonic energy to cut and coagulate tissue simultaneously, and, because of the lower temperature used there is less vaporized tissue plume, requires no grounding pad, and is used frequently during laparoscopic procedures?

a. Harmonic Scalpel®
b. cryotherapy unit
c. argon-enhanced coagulator
d. CUSA

Back 44

a. Harmonic Scalpel®

Front 45

Which of the following is not part of the fire triangle?

a. pressure
b. fuel
c. source of ignition
d. oxygen

Back 45

a. pressure

Front 46

Which of the following would not be considered a sentinel event in the operating room?

a. drug error
b. patient burn
c. aeger primo
d. abandonment

Back 46

c. aeger primo

Front 47

A power device that shoots saline solution into a traumatic or infected wound to cleanse and debride it, and may be powered by nitrogen, is called a/an:

a. Cavitron Ultrasonic Suction Aspirator
b. cryotherapy unit.
c. cell saver.
d. irrigation/aspiration unit

Back 47

d. irrigation/aspiration unit.

Front 48

Which of the following would be considered a semi-critical item?

a. blood pressure cuff
b. surgical instrument
c. colonoscope
d. cardiac catheter

Back 48

c. colonoscope

Front 49

Gas-medium LASERs include which of the following?

a. carbon dioxide and KTP
b. tunable dye and Nd:YAG
c. argon and carbon dioxide
d. KTP and Nd:YAG

Back 49

c. argon and carbon dioxide

Front 50

An inanimate object that transmits disease is termed a:

a. helminth.
b. fomite.
c. nosocomial.
d. vector.

Back 50

b. fomite.