Cst Certification Review Multiple Choice Test 4

Front 1

The type of heat loss experienced by surgical patients due to being uncovered and exposed in the cool operating room is called:

a. radiation.
b. convection.
c. conduction.
d. refraction.

Back 1

b. convection

Front 2

If the surgeon orders an acid fast stain, he or she is looking for which disease?

a. mycotic infections
b. tuberculosis
c. AIDS
d. strep throat

Back 2

b. tuberculosis

Front 3

Which pH is most acidic?

a. 7.98
b. 6.77
c. 7.35
d. 6.15

Back 3

d. 6.15

Front 4

Which of the following is not an antiseptic?

a. chlorhexadine gluconate
b. hexachlorophene
c. peracetic acid
d. povidine-iodine

Back 4

c. peracetic acid

Front 5

Which of the following, as a source of ionizing radiation, requires the OR staff to wear radiation protection?

a. radiant warmer for infant
b. fiberoptic light source
c. image intensifier for fluoroscopy
d. LASER for endoscopic surgery

Back 5

c. image intensifier for fluoroscopy

Front 6

A female patient signs the surgical consent, but because of a language barrier she does not fully understand what she has signed. This could constitute a liability case for:

a. respondeat superior.
b. improper documentation.
c. abandonment.
d. assault and battery.

Back 6

d. assault and battery.

Front 7

Which of the following is not true about operating room hazards?

a. A scavenging system should be used when mixing bone cement.
b. MSDS sheets on the chemicals in the department should be readily accessible.
c. A scavenging system should be used for exhaled anesthetic gases.
d. Blood-soaked sponges can be safely discarded in the regular trash.

Back 7

d. Blood-soaked sponges can be safely discarded in the regular trash.

Front 8

Computer applications in the OR setting include all of the following except:

a. word processing.
b. performing research on new surgical products and procedures.
c. operating robotic arms.
d. performing documentation.

Back 8

c. operating robotic arms.

Front 9

Transmission of microorganisms through a moisture-permeated sterile barrier is known as:

a. shelf life.
b. bioburden.
c. strike through.
d. osmosis.

Back 9

c. strike through.

Front 10

When soaking instruments for high-level disinfection, you would perform all of the following actions except:

a. rinse the instruments immediately before putting them in the germicide.
b. ensure that all surfaces and lumens of the instruments are in contact with the solution.
c. rinse the instruments with sterile distilled water following contact with the germicide.
d. clean the instruments to reduce the bioburden.

Back 10

c. rinse the instruments with sterile distilled water following contact with the germicide.

Front 11

Which of the following is not true of sterilization?

a. In steam sterilization, heat coagulates the protein in the bacteria cells, which causes its destruction.
b. Items sterilized by EO/ETO must be aerated.
c. Dry heat can be used to sterilize oils and powders.
d. Flash sterilization is recommended for implants.

Back 11

d. Flash sterilization is recommended for implants.

Front 12

The term for one of the characteristics of LASER light where all photons travel parallel to one another is called:

a. refraction.
b. coherence.
c. collumation.
d. monochromatic.

Back 12

c. collumation.

Front 13

Shannon J., an eight-year-old child, is scheduled for a Tonsillectomy and an Adenoidectomy.
Which knife blade and handle combination will be used on the Tonsillectomy?

a. an 11 blade on a 4 handle
b. an 11 blade on a 7 handle
c. a 12 blade on a 3 handle
d. a 12 blade on a 7 handle

Back 13

d. a 12 blade on a 7 handle

Front 14

Shannon J., an eight-year-old child, is scheduled for a Tonsillectomy and an Adenoidectomy.
Which tonsils will be removed during the Tonsillectomy?

a. pharyngeal
b. palatine
c. maxillary
d. lingual

Back 14

b. palatine

Front 15

Shannon J., an eight-year-old child, is scheduled for a Tonsillectomy and an Adenoidectomy.
Which of the following is the name of a mouth gag that may be used during the procedure?

a. Jennings
b. Davidson
c. Lane
d. Taylor

Back 15

a. Jennings

Front 16

Shannon J., an eight-year-old child, is scheduled for a Tonsillectomy and an Adenoidectomy.
Which of the following instruments or supplies would not be used?

a. Eve’s snare
b. prep solution
c. round sponges with a string attached
d. Hurd dissector/Pillar retractor

Back 16

b. prep solution

Front 17

Shannon J., an eight-year-old child, is scheduled for a Tonsillectomy and an Adenoidectomy.
Following the procedure, in which position will Shannon be placed?

a. on her side
b. Trendelenburg
c. prone
d. sitting

Back 17

a. on her side

Front 18

During a Caldwell-Luc procedure, the largest of the paranasal sinuses is opened with either a drill or an osteotome and mallet and the opening is enlarged with a Kerrison rongeur. The name of this sinus is the:

a. sphenoid.
b. frontal.
c. ethmoid.
d. maxillary.

Back 18

d. maxillary.

Front 19

Poor circulation is a concern for all of the following populations except:

a. geriatric patients.
b. diabetic patients.
c. obese patients.
d. pediatric patients.

Back 19

d. pediatric patients.

Front 20

Which of the following surgical positions might require the use of padded shoulder braces?

a. Kraske
b. lateral
c. reverse Trendelenburg
d. Trendelenburg

Back 20

d. Trendelenburg

Front 21

The state of matter that involves solutions is called a:

a. solid.
b. liquid.
c. plasma.
d. gas.

Back 21

b. liquid.

Front 22

Postural hypotension and air emboli pose a greater threat in which of the following positions?

a. Fowler
b. prone
c. Trendelenburg
d. lateral kidney

Back 22

a. Fowler

Front 23

Which of the following is not true of aseptic technique?

a. Uscrubbed persons open peel packs without tearing the pack or letting the item slide over the edge.
b. Peel packs are considered sterile to the inner edge of the heat seal.
c. Wrapped packages that are sterilized in-house should contain a chemical process monitor on the inside and outside of the package.
d. Envelope-wrapper packages are considered sterile all the way to the edge.

Back 23

d. Envelope-wrapper packages are considered sterile all the way to the edge.

Front 24

A Whipple procedure is performed in which of the following positions?

a. lithotomy
b. lateral
c. Fowler
d. supine

Back 24

d. supine

Front 25

The pre-operative urinalysis performed on Jan C. indicates that the specific gravity is 1.050. This is:
a. above normal range and she is dehydrated.
b. indicative of glycosuria.
c. within normal range.
d. below normal range and she is dehydrated.

Back 25

a. above normal range and she is dehydrated.

Front 26

A patient is scheduled for a Gastrojejunostomy. After completing the procedure, the surgeon proceeds to remove a mole from the shoulder while the patient is still under anesthesia. No operative permit was obtained for this. The circulator should:

a. inform the surgeon that he or she will be sued for abandonment and then report it to the anesthesia provider.
b. inform the surgeon that the second procedure is not covered on the operative permit and if he or she continues, report it to the supervisor or administrator in charge.
c. allow the surgeon to proceed and then report it to the chief of surgery.
d. let the surgeon proceed since it is his or her responsibility to obtain the consent.

Back 26

b. inform the surgeon that the second procedure is not covered on the operative permit and if he or she continues, report it to the supervisor or administrator in charge.

Front 27

In which procedure may the patient be placed in the supine position with the right side slightly elevated by a wedge to tilt the patient to the left to prevent pressure on the great vessels?

a. Shirodkar
b. Wertheim procedure
c. Cesarean section
d. Marsupialization of a Bartholin’s cyst

Back 27

c. Cesarean section

Front 28

Prior to surgery, the patient may have all of the following done except:

a. have a Fogarty catheter inserted.
b. receive a blood transfusion.
c. have a Levine tube inserted.
d. have a CBC performed.

Back 28

a. have a Fogarty catheter inserted.

Front 29

Which of the following diagnostic x-rays might be performed on a patient scheduled for a Laminectomy?

a. IVP
b. myelogram
c. cholangiogram
d. pneumoencephalogram

Back 29

b. myelogram

Front 30

When performing a pre-operative shave prep, the circulator should take all of the following precautions except:

a. the eyebrows are rarely shaved.
b. shave the hair against the direction of growth.
c. clippers and depilatory creams may be used.
d. shave as close to the time of surgery as possible, but preferably not in the operating room.

Back 30

d. shave as close to the time of surgery as possible, but preferably not in the operating room.

Front 31

Correct hand placement for cardiac compressions during CPR is on the:

a. epigastrium.
b. lower third of the sternum.
c. xiphoid process.
d. upper half of sternum.

Back 31

b. lower third of the sternum.

Front 32

Which surgical specimen is examined immediately by the pathologist?

a. frozen section
b. culture
c. foreign body
d. amputated limb

Back 32

a. frozen section

Front 33

Following a TURP, a patient will have a three-way Foley with a 30-cc balloon inserted. What is the purpose of this type of catheter?

a. The Foley is an embolectomy catheter which extracts blood clots when it is removed.
b. The 30-cc balloon exerts pressure on the prostatic fossa and provides hemostasis.
c. The Foley drains urine directly from the ureter.
d. The three lumens are for the prevention of urine reflux, continuous bladder irrigation, and drainage.

Back 33

b. The 30-cc balloon exerts pressure on the prostatic fossa and provides hemostasis.

Front 34

Prepping for a Pfannenstiel incision would extend from:

a. nipple line to groin.
b. clavicle to umbilicus.
c. groin to mid-thigh.
d. umbilicus to mid-thigh.

Back 34

d. umbilicus to mid-thigh.

Front 35

Which of the following statements is not true of pre-operative skin preps?

a. The umbilicus should be prepped last or separately to avoid spreading germs to cleaner areas.
b. Phenol compounds are frequently used as surgical skin preps.
c. Prep for a breast biopsy should be done gently to avoid dispersal of cancer cells.
d. For basic abdominal surgery, prep from the incision site to the periphery.

Back 35

b. Phenol compounds are frequently used as surgical skin preps.

Front 36

Which of the following statements is correct when taking and recording vital signs?

a. A weak, rapid pulse and cool, clammy skin are symptoms of shock.
b. The artery used in taking routine blood pressure is the median cubital in the arm.
c. The rate of the pulse may be full and bounding or weak and thready.
d. The normal body temperature in Celsius is 57 degrees.

Back 36

a. A weak, rapid pulse and cool, clammy skin are symptoms of shock.

Front 37

During an Operative Cholangiogram, the surgeon requests 30 cc of 50% Hypaque solution to be injected into the common bile duct to look for gallstones. What would you draw up?

a. 50 cc of saline, 50 cc of Hypaque
b. 30 cc of saline, 30 of Hypaque
c. 30 cc of Hypaque, 50 cc of Hypaque
d. 15 cc of saline, 15 cc of Hypaque

Back 37

d. 15 cc of saline, 15 cc of Hypaque

Front 38

The most basic of Maslow’s Hierarchy of Needs is/are:

a. self-esteem.
b. physiological needs.
c. safety needs.
d. love and belonging.

Back 38

b. physiological needs.

Front 39

A traumatic wound that leaves tissue torn or hanging from the body is a/an:

a. avulsion.
b. puncture.
c. abrasion.
d. contusion

Back 39

a. avulsion.

Front 40

Operative techniques to enhance wound healing include all of the following except:

a. careful dissection with adequate hemostasis.
b. obliteration of dead space.
c. closure of dirty wounds.
d. preservation of blood supply.

Back 40

c. closure of dirty wounds.

Front 41

Identify the instrument in the picture.

a. Leyla-Yarsargil retractor
b. Senn retractor
c. malleable or ribbon retractor
d. Weitlaner retractor

Back 41

c. malleable or ribbon retractor

Front 42

Which of the following is not true of a Repair of an Abdominal Aortic Aneurysm?

a. Heparin sodium will be given IV prior to clamping the aorta to prevent blood clots.
b. A preclotted bifurcated graft is sewn in place with double armed nonabsorbable sutures.
c. Satinsky or Cooley clamps may be used.
d. A midline incision from xiphoid to umbilicus is used.

Back 42

d. A midline incision from xiphoid to umbilicus is used.

Front 43

Surgery to treat Tetralogy of Fallot:

a. involves treating four congenital defects of the heart.
b. is generally performed on teenagers following puberty.
c. is performed through a transaxillary incision.
d. requires the insertion of a T-tube.

Back 43

a. involves treating four congenital defects of the heart.

Front 44

Cyclodiathermy and cyclocryotherapy :

a. decrease the aqueous secretions by the ciliary body to treat glaucoma.
b. treat myopia.
c. utilize phacoemulsification.
d. involve the insertion of a prosthesis.

Back 44

a. decrease the aqueous secretions by the ciliary body to treat glaucoma.

Front 45

A VP shunt:

a. involves the removal of epileptogenic tissue from the brain to treat seizures.
b. involves insertion of a catheter to drain cerebrospinal fluid from the ventricles to the peritoneal cavity.
c. involves the use of a Beckman-Adson retractor, Love nerve root retractor, and a Horsley bone cutter.
d. treats pectus excavatum.

Back 45

b. involves insertion of a catheter to drain cerebrospinal fluid from the ventricles to the peritoneal cavity.

Front 46

Hallux valgus is treated by which procedure?

a. Total Knee Arthroplasty
b. Bankart or Putti-Platt
c. Keller or McBride
d. Insertion of Harrington Rod

Back 46

c. Keller or McBride

Front 47

Which type of hernia is acquired and the peritoneal sac bulges through Hesselbach’s triangle?

a. femoral hernia
b. direct inguinal hernia
c. indirect inguinal hernia
d. umbilical hernia

Back 47

b. direct inguinal hernia

Front 48

What is another name for a Kocher incision?

a. McBurney
b. vertical midline
c. subcostal
d. paramedian

Back 48

c. subcostal

Front 49

The first of Erickson’s Developmental Stages is:

a. Industry versus Inferiority.
b. Autonomy versus Shame and Doubt.
c. Ego Integrity versus Despair
d. Trust versus Mistrust

Back 49

d. Trust versus Mistrust

Front 50

Which of the following surgical procedures is performed to treat morbid obesity?

a. Ramstedt-Fredet procedure
b. Roux-en-Y
c. Pancreaticoduodenectomy
d. Choledochojejunostomy

Back 50

b. Roux-en-Y