board vitals 052623
procedure done to provide a diagnosis of coronary artery disease is?
cardiac catherization. this is a procedure where small wires are inserted into the heart and/or coronary arteries in real time to detect where the occlusions are located demonstrating disease.
which of the following pieces of equipment can salvage blood for the sole purpose of autotransfusion?
cell-saver unit
sodium and which other mineral work together in maintaining the bodys electrolyte balance?
chloride
which of the following surgical wound classifications describes a wound without any inflammatory response whatsoever?
clean
which type of medication is used to paralyze of the ciliary muscle of the eye
cycloplegic
a patient undergoing a surgical procedure, suddenly exhibits signs of malignant hyperthermia. the medication that needs to be administered is.
dantrolene
which of the following perioperative complications occurs when the surgical entry site re-opens?
dehiscence a partial or total separation of previously approximately wound edges.
which of the following is a principle of the back table setup a CST should know?
develop and maintain a logical pattern and repeat for every case
which condition occurs most frequently in patients with peripheral artery disease
dry gangrene
you are scrubbing an open thracotomy for a lung wedge resection. a thractomy set will include what instrument to grasp lung tissue?
duval forceps
which of the following is generally considered the most common gut flora
e. coli
an ultrasound is used for diagnostics or as part of sterile instrumentation. additionally there is an ultrasonic washer sterilizer in the sterile processing department. which solution is used to assist in the decontamination process.
enzymatic cleaner
which of the following is a catalyst that can facilitate the breakdown of organic materials such as blood?
enzyme.
which of the following bacteria is essential for metabolism?
escherichia coli
which of the following describes the process in which the entire bowel stops peristalsis following abdominal surgery?
paralytic ileus
which if the following incorrectly addresses immediate use steam sterilization
IUSS is considered acceptable if a facility does not have enough of particular instrument or instrument tray
which retractor will the CST have on the back table for use during an abdominal hysterectomy
O'connor - O'sullivan
the diagnostic procedure that combines CT and radioisotope brain scanning and helps to identify how different areas of the brain function by highlighting chemical or metabolic activity is the:
PET scan
what is the correct order of cardiac conduction through the hearts tissue
SA node, AV node, bundle of his, left and right bundle branches, purkinje fibers.
the safe medical device act became effective in 1990, expanding on the US food and drug administrations authority to regulate medical devices. as a result, hospitals are required to do which of the following?
participate in tracking medical devices when failure could result in serious adverse patients outcome.
which of the following is the most important stage in maslows hierarchy of needs?
physiological needs
what type of dressing is used to decrease the chances of hematoma development or swelling?
pressure dressing.
anesthetics are administered both IV and as inhalation agents, which of the following is administered IV only
propofol. is an anesthetic used during induction, only administered IV.
all patients all have specific needs that require the surgical teams attention in which area?
psychosocial needs
during a surgical procedure, what piece of equipment is used to measure o2 saturation levels of arterial blood?
pulse oximeter
many departments in a health care facility are responsible for different aspects of patient care. which department is responsible for identifying and resolving hazards posed to patients and personnel?
risk management department.
what is the most commonly fractured carpal bone?
scaphoid
the layout of an operating room is typically designed to control and manage traffic, minimizing the risk of infection. which area of the department requires OR attire but not a mask?
semi-restricted area.
which suture material is the most pliable, easy to tie, and easy to handle?
silk
which instrument would you hand to the surgeon who asks for a curette with a sharp jaw during a D&C procedure?
sims curette
a CST must possess a keen surgical conscience knowledge of aseptic technique and the ability to
solve problems
which of the following bacteria is gram positive cocci?
staphylococcus aureus
the process to destroy all microbes, including spores, is known as:
sterilization
which of the following is a single use 30 minute sterilization system for endoscope
steris
what is the gallbladder main function?
store and concentrate bile.
the extraocular anatomy has several extrinsic eye muscles, the two muscles that moves the eye upward and in towards the midline, and rotate the eye downward and away from the midline are the:
superior rectus and superior oblique
which of the following perioperative complications occurs when there is bleeding from the wound?
surgical site hemorrhage
the term dysphagia refers to difficulty with which function?
swallowing
which of the following describes the correct functions of the sympathetic nervous system?
sympathetic pupillary dilation, parasympathetic pupillary constriction
what are most commonly used absorbable sutures made of?
synthetics
what is gerotas fascia?
the fascia covering the kidneys and adrenal glans
which of the following is a standard of practice for packaging material and preparing items for stem sterilization?
the maximum recommended weight of a wrapped basin set is 7lbs
the sella turica is a structure that houses which of the following structures within the brain?
the pituitary gland
what is the purpose of the surgeons preference card?
to have all equipment and supplies ready before the case.
which ligament serves as a landmark for where the jejunum begins?
treitz. the ligament of treitz serves as the anatomical surgical landmark for where the jejunum begins.
if the surgeon is utilizing a hasson cannula, the verres needle is not required.
true statement
woven fabrics must be without lint and free fibers
true statement
a package that is permeable is always considered contaminated when dropped.
true statement.
delee retractor (or a bladder blade) is used for
c section
what is the purpose of surfactant coating the alveoli
keeping them from collapsing. surfactant reduces surface tension.
what instrument will the surgeon use to remove the lamina during a lumbar laminectiomy?
kerrison rongeur
patients with severe and symptomatic spinal stenosis will require to undergo
laminectomy
which of the following surgeries is indicated in patients with primary billiary cirrhosis?
liver transplantation.
which of the following forms of anesthesia may utilize subcutaneous lidocaine?
local anesthesia
which of the following is a duty of the surgical facility
make available policies that address prevention of foreign object retention.
which of the following forms of anesthesia may utilize oral lorazapam?
minimal sedation
what does the term extension describe anatomically?
moving a joint so that the angle between both parts becomes larger.
hospital acquired infections are known as what?
nosocomial infection
which of the following is a patient specific risk factor for UTI
obesity
which of the following procedures would be necessary after testicular torsion?
orchiiopexy
wha tis the maximum amount of time spent checking a patients pulse when they become unresponsive?
10 seconds
wha tis the acceptable range for relative humidity in the OR?
20% - 60%
which weight should instrument sets not exceed?
25lbs
a patient is instructed to take 1.5 grams of their medication daily. each pill contains 500 milligrams, how many should the patient take each day?
3. there are 1000 milligrams in 1 gram , therefore if each pill contains 500 milligrams and the patient requires 1.5 grams, the patient must take 1500 milligrams which would be equal to 3 pills
which organization verifies, clarifies, and ensures surgical technology programs adhere to the standards set by CAAHEP
ARC-STSA accreditation review council on surgical technology and surgical assisting.
the following monitoring methods to verify air removal from a vacuum system sterilizer is?
bowie-dick testing
placing a rolled sheet, pad or blanket to elevate a pregnant patients right hip is done to relieve pressure from?
abdominal aorta and vena cava
which term applies to programs, such as surgical tech and other allied health programs that verifies the highest level of training for future health care professionals?
accreditation
when will wound dressing be applied?
after the final count is done.
which of the following hormones is produced in the adrenal gland?
aldosterone
which of the following prefixes, when used in a medical context, indicates the opposite of something?
anti
for your carotid endarterectomy case, you have emptied your patients drain reservoir twice prior to and after dressing application. you notice the patient blood pressure is up at 180/110, and the drain reservoir is full again with bright red blood. what will be your next action?
ask the circulator to call the surgeon back stat and to open you another gown and gloves for the surgeon.
microfibrillar collagen is typically known in the operating room as?
avitene
performing a surgical procedure without the patients informed consent is regarded as
battery
which department is responsible for environmental systems in the hospital according to the standards established by the joint commission and government
facilities maintenance.
which of the following arteries supplies blood to the lower limbs?
femoral
which of the following procedures carries the risk of rectal perforation?
flexible sigmoidoscopy
which of the following positions is frequently used in cranial procedures
flowlers
when a surgeon asks that a specimen be sent for permanent section, the circulator will place it in a specimen container.
formalin. formalin is the typical preservative used in specimens that are being sent to pathology as a permanent section.
which of the following elevators might be used to remove delicate septal tissue
freer
which of the following forms of anesthesia may utilize inhaled desflurane?
general anesthesia
which of the following is most important in halsteads principles of wound management
gentle handling of tissue
omphalocele
herniation of the intestines through a weakness in the abdominal wall around the navel occurring in infants at birth
which type of connective tissue provides protective rings around the bodys respiratory passage
hyaline
which of the following procedures carries the risk of developing post operative pelvic floor weakness?
hysterectomy
during which procedure would a surgical tech find a heaney clamp?
hysterectomy. heaney clamps are specifically designed to grasp the ligaments which suspend the uterus.
the multiplication of organism in tissue is known as
infection
which phase of wound healing occurs moments after injury or incision?
inflammation
which term defines an agreement between the surgeon and patient prior to surgery during which the pending procedure is discussed and explained?
informed consent
the lichtenstein tension free repair is performed to repair
inguinal hernia. lichtenstein repair uses a single sheet of polypropylene mesh
E.coli typically are found in the lumen of the
intestine
there are many advantages to remote manipulation and the incorporation of a Da Vinci Robotic system, which the following is one of the greatest advantages?
it is minimally invasive surgery.
what cutting instrument should the CAT have ready for the surgeon to cut the uterosacral ligaments during an abdominal hysterectomy
jorgenson scissors is a curved long scissor designed to dissect heavy tissue.
which of the following is a principle of economy of motion?
use the least movement possible.
when should CST have potts smiths scissors
vascular procedures
male patients desiring permanent contraception undergo the following procedure?
vasectomy
what is hapatitis B caused by?
virus
which of the following types of infection occurs due to superinfection of a gangrene limb with a non-gas forming organism.
wet gangrene.
where is core temperature monitored during long cardiac surgeries
with a foley catheter in the bladder
which statement accurately describe the dynamic air removal stem sterilization time/temp relationship
with dynamic air removal steam sterilization, instruments should be sterilized for either 4 min at 270 degrees or 3 min at 275 degrees.
