questions
Cancer invading the common bile duct may provide palliative care by performing which procedure?
Whipple
When closed gloving, the surgical technologist should place their hand where?
Before the bias of the gown sleeve in order to don sterile gloves
which of the following is a possible method for addressing a glove that has become contaminated?
If no one else is able to assist with re-gloving, the team member with the contaminated glove should remove his or her gown and gloves, and the re-gown and re-glove using the closed gloving method
One of the most common complications found in diabetic patients is:
Infection
Which of the following can be classified as a post-operative complication?
Infection
What position will be utilized for anorectal suregry?
Kraske
What is the ideal patient positioning for a diagnostic colonoscopy?
Left lateral
What is the incision of choice for an appendectomy?
McBurney's
When performing a thoracotomy, the wound edges are covered with what?
Moist lap pads or towels
Which of the following organizations is tasked with reducing incidents of fire?
NFPA (National Fire Protection Agency)
Which of the following is an acceptable substitute for a rubber latex-sensitive team member?
Neoprene
Medication is known as "milk of amnesia"
Propofol
when transporting a patient through a corridor, which direction should the patient be facing?
Push the stretcher, patient feet first
While performing a closing count, the CST (certified surgical technologist) notices a missing lap sponge. What should the CST do next?
Re-count the laps
Describe best practices for dressing application after the surgical wound has been closed:
Remove your outer gloves, apply MD's requested dressing materials, cover the dressing with a towel, and hold in place as you remove the drapes. Have the circulator secure the dressing with tape. Clean the area around the wound with a wet sponge or towel to remove dried prep solution
Prior to prepping a patient in preparation for their ophthalmic surgery, the anesthesiologist injects the area with Marcaine and lidocaine, this type of injection is referred to as what?
Retrobulbar block
Setting up for an emergency case, the surgical technologist should set up the following first?
Scalpel
Once a patient is moved from the stretcher to the OR table, the very next action that should take place is:
Secure the safety strap
which of the following perioperative complications occurs when there is a simple fluid collection found post-op and next to the entry site?
Seroma
What must the CST be prepared for when assisting on trauma cases?
The possibility of multiple procedures
Which of the following suture tips are used for skin closure?
Cutting
Surgical gut is the only natural absorbable suture, what is the length of time for approximation of sufficient tensile strength?
2-3 weeks
Which of the following is true regarding routine decontamination of the surgical suite after each procedure?
A 3-4 foot area around the sterile field, the operating room table, all flat surfaces are considered adequate for routine decontamination between cases
Placing a rolled sheet, pad or blanket to elevate a pregnant patient's right hip is done to relieve pressure from?
Abdominal aorta and vena cava
When will wound dressings be applied?
After the final count is done
The following method can be used to reduce SSI's
Antimicrobial prophylaxis
According to the Joint Commission, which surgical team member leads the surgical procedural time-out?
Any designated member of the team
In order to remove the reusable nonwoven fabric surgical gown at the end of your procedure prior o removing your gloves, you should do what?
Ask the circulator to untie you at the neck and waist and pull forward away from your body
When a case is over, what is the correct way to dispose of the drapes used in a case?
Check the drapes for instruments, roll them off, and place in biohazard bag
Which classification would be used for a total gastrectomy?
Class II
The surgical wound classification that describes a wound with no sterile break in procedure:
Clean
Which of the following surgical wound classification describes a wound following thyroid surgery?
Clean
As you are preparing a room for the first case, a sterile package falls to the floor, what do you do?
Considered unsterile and be disposed of
Prior to the beginning of a surgical procedure, the surgical technologist should:
Count sponges, sutures, sharps, and instruments
Prior to removing all of the sterile drapes that were used for a procedure, once the dressings have been applied the surgical technologist should?
Cover the dressings with a clean, dry, and sterile towel
Patients with a suspected rectal malignancy will undergo what following procedure to be properly diagnosed?
Flexible Sigmoidoscopy
After a mastectomy the following is the dressing of choice, providing the patient comfort and support at the time, this type of dressing is referred to as?
Fluffs
The following is an intravascular catheter with a balloon tip that is placed in the lumen of a vein.
Fogarty
How many team members are required to transfer an unmobile conscious, or unconscious patient from stretcher to the OR table?
Four
What should the CST do immediately after breaking scrub?
Hand wash
Patients who have suffered second and third-degree burns of ten receive autologous skin grafts. Upon completion of these procedures which would be the ideal dressing to be used?
Stent dressing
Task assigned to the circulating surgical technologist:
Supporting anesthesia providers
An example of a multifilament nonabsorbable suture is?
Surgical Silk
which of the following refers to the thorough cleaning and disinfection of the operating room?
Terminal cleaning
What is the purpose of surgical ligatures?
blood vessel occlusion
Appropriately performing the skin prep requires:
Use of separate sponges for each area
What nerves are carefully preserved during a pneumonectomy?
Vagus, left recurrent laryngeal, Phrenic
Which of the following is an example of an absorbable suture?
Vicryl
What is the number one thing you can do to prevent infection and protect yourself after each procedure you participate in?
Wash your hands
Type of dressing material is considered occlusive:
Xeroform
Which of the following is a nonadherent dressing?
Xeroform