BV_PREOP
when sterilizing instruments ______________________ Sterilization is confirmed by timing of the sterilization. A wrapped instrument tray should be sterilized in a gravity displacement sterilizer at 250 F for 3 minutes. A residual of distilled water should be left inside the lumen when using steam to sterilize rubber tubing. The maximum weight for a linen pack is 18 pounds for effective sterilization.
A residual of distilled water should be left inside the lumen when using steam to sterilize rubber tubing.
Which of the following surgeries is indicated in patients with adenocarcinoma of the pancreatic head? Laparoscopic appendectomy Proctocolectomy Partial thyroidectomy Whipple procedure
Whipple procedure
Which area of the surgical gown is considered nonsterile? Back of the gown The front of the gown The gown sleeves The entire gown is sterile
Back of the gown
What is the age criteria for pediatric patients? 28 days post-birth 2 years to 5 years Birth to 18 years 8 - 12 years
Birth to 18 years
Which of the following is an indication for urinary catheterization? Bladder decompression Patient comfort Facilitation of incontinence Control of urinary output Flag question for later Challenge a friend
Bladder decompression
Silk, cotton, and Mersilene are all examples of what? Show Explanation Absorbable sutures Braided sutures Synthetic sutures Monofilament sutures
Braided sutures
Evidence has demonstrated that the majority of surgical site infections occur due to: Keen surgical conscience Poor wound care Poor hygiene on behalf of the patient Break in aseptic technique during the procedure
Break in aseptic technique during the procedure
Bleeding uterine fibroids is an indication to have what following procedure? Esophagectomy Craniotomy Craniectomy Hysterectomy
Hysterectomy
Which of the following is a possible method for addressing a glove that has become contaminated? The circulator removes the glove and pulls the cuff over the team member's hand. 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 then re-gown and re-glove using the closed gloving method. The member with the contaminated glove can self-glove using the closed-glove technique. The team member can put a sterile glove over the contaminated glove using the closed gloving technique.
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 then re-gown and re-glove using the closed gloving method
What must the CST (certified surgical technologist) do prior to opening sterile supplies? Inspect outer packages for tears Verify sterility by checking chemical indicators Ignore the expiration date Do nothing
Inspect outer packages for tears
Describe the sequence of the surgical hand scrub. Inspect your skin and nails, open the scrub brush, and then scrub your nails, fingers, and arms to two inches above your elbows. Open the surgical scrub brush, clean your nails under running water and then scrub your nails, fingers, and arms to two inches above your elbows. Open the scrub brush and scrub your nails, fingers, and arms to two inches above your elbows. The surgical hand scrub is no longer necessary with the new water and brushless skin antiseptics.
Inspect your skin and nails, open the scrub brush, and then scrub your nails, fingers, and arms to two inches above your elbows.
Which of the following is preferred for closing the abdominal fascia? Continuous monofilament suture Continuous multifilament suture Interrupted monofilament sutures Interrupted multifilament sutures
Interrupted multifilament sutures
Surgery for lower pilonidal sinus excision requires the patient to be placed in the following position Supine Trendelenburg Jack knife (kraske) Reverse Trendelenburg
Jack knife (kraske)
Upon receiving medications onto the sterile field, what is the first task the CST (certified surgical technologist) must perform? Label all medications Draw medications into proper syringes Leave them until the surgeon asks Nothing further needs to be done
Label all medications
The surgery indicated for patients with acute appendicitis is? Laparoscopic appendectomy Proctocolectomy Partial thyroidectomy Total thyroidectomy
Laparoscopic appendectomy
Which of the following standard surgical positions places the patient on the table either on their left or right side down? Lithotomy surgical position Fowler's surgical position Prone surgical position Lateral surgical position
Lateral surgical position
Clean attire can become contaminated if the proper safeguard is not in place, therefore Laundering at the facility eliminates the risk of contamination. Infectious matter that requires facility-led laundering includes blood, body secretions, and sweat. Facilities are required to launder only visibly soiled garments. Laundered materials require protection from contamination when transported and stored.
Laundered materials require protection from contamination when transported and stored.
What is the ideal patient positioning for a diagnostic colonoscopy? Supine Left lateral Kraske Prone
Left lateral
Which of the following positions places the patient on their back and then flexes the hips and knees? Lithotomy surgical position Fowler's surgical position Prone surgical position Lateral surgical position
Lithotomy surgical position
Which of the following surgeries is indicated in patients with primary biliary cirrhosis? Coronary artery bypass graft Transcatheter aortic valve replacement Liver transplantation Renal transplantation
Liver transplantation
When positioning a patient for a laparoscopic vaginal hysterectomy, it is imperative that the patient be placed in? High lithotomy Prone Supine Low lithotomy
Low lithotomy
Which of the following with the CST (certified surgical technologist) prepare for an open liver resection? Major GYN set Major laparotomy set Minor laparotomy set Orthopedic set
Major laparotomy set
The following procedure is indicated in patients with breast cancer Vasectomy Mastectomy Lumpectomy Arthroplasty
Mastectomy
Which of the following sutures will not harbor bacteria? Nylon Vicryl Maxon Silk
Maxon
What is the first sterile item the CST (certified surgical technologist) will position at the operative field? Back table Basin set Mayo stand Prep table
Mayo stand
Which of the following is the incision of choice for an appendectomy? Subcostal McBurney's Transverse Left paramedian
McBurney's
Your patient is having phacoemulsification. Which of the following pieces of equipment will you need to ensure is available to the surgeon? Electrocautery unit Fluoroscopy Laser Microscope
Microscope
What substance is used for lubrication of the donor site for a split thickness skin graft? Water Mineral oil Bactroban ointment Petroleum jelly
Mineral oil
Which of the following medications is classified as an opioid? Bupivacaine Propofol Ketamine Morphine
Morphine
Which of the following is an acceptable substitute for a rubber latex-sensitive team member? Silicone Vinyl Neoprene Timprene
Neoprene
This type of dressing draws fluids from the wound and allows for passage of air: Partially occlusive Semi occlusive Occlusive Non occlusive
Non occlusive
Greater risk of complications can occur in this circumstance. Wounds that heal by primary intention have a higher risk of infection than wounds that heal by secondary intention, due to presence of sutures. Surgical wounds should be tightly packed. Sutures are removed at the end of the maturation phase of healing. Obese patients are at higher risk of wound complications.
Obese patients are at higher risk of wound complications.
In order to perform a sterile procedure while in the nonsterile role, what type of gloving is required? Clean gloving Closed gloving Open gloving No specific gloving technique is required; it is up to the practitioner
Open gloving
When organizing the back table, the CST (certified surgical technologist) should? Move around as much as possible Handle each item twice Organize in sections Change back table organization for each case
Organize in sections
What suction device should the CST (certified surgical technologist) have on the field for use in large abdominal cases? Yankauer Poole Frazier Asepto syringe
Poole
Which of the following medications is known as "milk of amnesia"? Etomidate Methohexital sodium Propofol Marcaine
Propofol
Why is a surgical scrub is performed? Reduce resident flora and rid of transient flora Protect the surgical technologist from potential of infectious microorganisms Sterilize the skin prior to contact with a patient Disinfect the skin against any potential pathogens
Reduce resident flora and rid of transient flora
What is the primary purpose behind the surgical skin prep? Removal of transient organisms and reduction of resident organisms Sterilization of skin Protection against surgical site infection (SSI) Highlighting the surgical site
Removal of transient organisms and reduction of resident organisms
Which of the following is the correct sequence of actions when performing a sponge count before starting a case? Remove paper bands before separating sponges into separate piles Leave paper bands on and fanfold each sponge while counting Remove paper bands and keep all sponges stacked in one pile Remove paper bands and place sponges in a fanfold to count
Remove paper bands before separating sponges into separate piles
A patient is having a radical neck dissection, the surgeon wishes to utilize a split sheet. Once placed on the patient some unprepped skin is exposed, what should be done next? Adjust the drape and apply an Ioban drape over it Add an additional drape to the existing drape Shift the drape over so the exposed skin is covered Remove the drapes, re-prep the patient
Remove the drapes, re-prep the patient
The surgical procedure indicated for a patient with ESRF (end stage renal failure) is? Coronary artery bypass graft Transcatheter aortic valve replacement Liver transplantation Renal transplantation
Renal transplantation
Patients with ovarian torsion will require which procedure? Upper endoscopy Colonoscopy Salpingoophorectomy Video-assist thoracotomy Splenectomy
Salpingoophorectomy
The certified scrub technologist (CST) must don a sterile gown and sterile gloves. They are to never fold their arms and place palms in their axilla. This is because The axilla is not sterile. The axilla cannot be viewed. The axilla is considered a dirty area. The axilla is considered to be sterile.
The axilla cannot be viewed.
Which of the following is correct when pouring sterile saline solution into a sterile bowl? Small drips of solution on the sterile field are not concerning when the solution is sterile. A bottle of sterile solution remains sterile after opening. The bottle should be held 4 to 6 inches above the bowl. The bottle of sterile solution can brush against the field since it is sterile.
The bottle should be held 4 to 6 inches above the bowl.
When positioning a patient having a gynecologic procedure, the surgical team must ensure proper positioning. This is comprised of which of the following protocols? The lithotomy position stirrup height is adjusted according to the height of the table. The lithotomy position stirrup height is adjusted according to the length of the patient's legs. The safety strap should be placed 2" below the patient's knees. The safety strap should be placed across the patient's knees.
The lithotomy position stirrup height is adjusted according to the length of the patient's legs.
Which of the following is an endogenous source of surgical site infection (SSI)? Operating room personnel The patient The environment Contaminated equipment
The patient
Which of the following is a factor that can affect wound healing? Type of dressing The patient's physical condition Time of procedure Surgical approach
The patient's physical condition
What is the term used to verify safe medication handling? The six "rights" of medication administration Vigilance Doctor's orders Charting
The six "rights" of medication administration
Which of the following is a non-penetrating towel clip used to secure cords or drapes? Backhaus Edna Jones Roeder
Edna
When is terminal cleaning in the operating room (OR) performed? Beginning of the day Middle of the day End of day Overnight
End of day
What distance must the certified surgical technologist (CST) keep from the sterile areas until the gown has been secured? 12" 24" 6" 36"
12"
A surgical patient brought to the operating room is immobilized. How many individuals will it necessitate to move this patient? 2 4 3 6
4
What can a CST (certified surgical technologist) be accused of if he/she leaves the Operating Room (OR) before the patient? End of Case Abandonment Accountability Standard of Care
Abandonment
Placing a rolled sheet, pad or blanket to elevate a pregnant patient's right hip is done to relieve pressure from? Sciatic nerves Kidney Abdominal aorta and vena cava Bladder
Abdominal aorta and vena cava
Which is true of the correct use of gloves when assisting with a procedure? After removing the gloves, one must wash his or her hands. The gloves are removed before the gown is removed. Throwing gloves into the container may cause blood or body fluids to be splattered on the floor, but do not pose a threat of exposure to other team members. The gloves should be placed in impervious bags that are identified by the soiled utility symbol.
After removing the gloves, one must wash his or her hands.
What happens when the "Time Out" is called by the circulator? The surgeon makes the initial incision The CST (certified surgical technologist) will pass off medication All action comes to a halt The CST initiates the instrumentation count
All action comes to a halt
While transporting a patient from the holding area into the operating room, a means of patient protections is inclusive of Pressure on the arms from touching the side rails is most likely to injure the median nerve at the distal humerus. If the patient complains of low back pain, you should only provide reassurance. All patients should be covered for prevention of heat loss. It is helpful to place cables under the patient to prevent tangling.
All patients should be covered for prevention of heat loss.
Prepping parameters of a surgical site should: Only prep the immediate area where the surgical incision will be Only prep 2 inches above and 2 inches below the site of the surgical incision Always prep above and below (beyond) the surgical incision site Never go beyond the area where the surgical intervention will take place
Always prep above and below (beyond) the surgical incision site
In the event of an emergent surgical procedure where the patient's life takes precedence, which of the following is the method that will be used to confirm that there are no retained surgical item(s)? An X-ray of the patient postoperatively A preoperative and postoperative count A quick visual of the surgical equipment by the CST preoperatively A count initiated at closure is usually sufficient in these cases
An X-ray of the patient postoperatively
During placement of the laparotomy drape on your patient, you notice the fenestration shift off-center beyond the toweled-out incision site. Identify best practices for addressing this situation. Ask the circulator to remove the contaminated drape and provide you a new one. Ask the circulator to remove the contaminated drape and towels and re-prep and re-drape the patient. Pull the fenestration back to the center. Request another drape to place on top of the existing drape and make sure it is centered.
Ask the circulator to remove the contaminated drape and towels and re-prep and re-drape the patient.
What is the greatest risk to the patient undergoing general anesthesia? Aspiration of secretions Medication error Trauma to the airway Emerging too soon
Aspiration of secretions
Ensuring the integrity of a piece of sterile equipment when opening it in the OR requires the surgical technologist to The OR staff's approval of the instrument. Certify that the outer packaging should have no tears. An expiration date no more than 14 days before the surgery. The company logo should be on the external wrapper.
Certify that the outer packaging should have no tears.
Which of the following prep solutions has a prolonged residual effect? Alcohol Betadine Chlorhexidine Iodophors
Chlorhexidine
Which of the following procedures are linked with gastric bypass surgery for morbidly obese patients? Cholecystectomy Pancreatectomy Gastrectomy Appendectomy
Cholecystectomy
Which of the following is an absorbable monofilament suture? Silk Vicryl Chromic gut Nylon
Chromic gut
Which of the following is the most common neonatal injury during dystocia? Adrenal glands Clavicle Liver Spleen
Clavicle
Which of the following surgeries is indicated in patients with 3-vessel coronary artery disease? S Coronary artery bypass graft Transcatheter aortic valve replacement Liver transplantation Renal transplantation
Coronary artery bypass graft
Which of the following sponges are used in neurosurgery? Laparotomy sponges Ray - tecs Kittner Cottonoids
Cottonoids
Which of the following medications is used to treat malignant hyperthermia (MH)? Bacitracin Succinylcholine Dantrolene Marcaine
Dantrolene
Which of the following is a principle of back table set - up a CST (certified surgical technologist) should know? Develop and maintain a logical pattern and repeat for every case Set up differently for every case Always consult with the circulator while setting up the back table Work all sections of the table at once
Develop and maintain a logical pattern and repeat for every case
While preparing the sterile field for surgery, your finger brushes against the edge of the field. Which of the following is the correct protocol in this case? Discard the field and items on the field into a regular disposal container. The field and items on the field should be placed in a biohazard container. Notify OR personnel that you touched the field and proceed with preparation. Since only the edge of the field was involved, continue with preparation.
Discard the field and items on the field into a regular disposal container.
When the CST (certified surgical technologist) is across the table from the surgeon, what technique should be used when passing instrumentation? Non - dominant hand to non - dominant hand Dominant hand to dominant hand Allow the surgeon to take instruments from the Mayo stand No special technique is required
Dominant hand to dominant hand
Which of the following precautions should the surgical team take during a procedure performed under fluoroscopy? Don full body and neck lead Stand far away from the patient Don skirt apron only Stand behind lead screen
Don full body and neck lead
The appropriate sequence when opening and positioning the sterile field is to When opening a package, the corner furthest away should be opened first. The sterile field should not be allowed to open freely. Sterile gloves should be used. Ensure the outer upper flap of the packaging should be opened first.
Ensure the outer upper flap of the packaging should be opened first.
Where should diabetic patients be placed in the operating room schedule? Last case of the day First case of the day Middle of the day Any time is appropriate
First case of the day
Patients with a suspected rectal malignancy will undergo what following procedure to be properly diagnosed? Esophagectomy Craniotomy Craniectomy Flexible sigmoidoscopy
Flexible sigmoidoscopy
The following is an intravascular catheter with a balloon tip that is placed in the lumen of a vein Pezzer Fogarty Penrose Hemovac
Fogarty
How many team members are required to transfer a patient from stretcher to the OR table? Four Two Three Five
Four
The following position involves placing the patient in a semi-upright sitting position Lithotomy surgical position Fowler's surgical position Prone surgical position Lateral surgical position
Fowler's surgical position
The surgical table best for exposing the affected area and also allowing for optional traction in an orthopedic case would be? Cysto table General surgical table Neuro table Fracture table
Fracture table
While setting up the sterile field blades need to be loaded onto the various knife handles; blades should never be handled with your hands and should be loaded using a: Ferris Smith Right angle Allis forceps Hagar needle holder
Hagar needle holder
Which of the following is a safe practice regarding the use of sharps? Having the surgeon place sharps on a designated area on the Mayo stand Allowing the surgeon to toss the sharp on the Mayo stand Passing sharps with the cutting edge angled upward Loading and passing sharps upon request Flag question for later Challenge a friend
Having the surgeon place sharps on a designated area on the Mayo stand
Considering best practice, when changing from street clothes to operating room (OR) attire, what article(s) of surgical attire should be placed first? Headcover Mask Surgical scrubs (top and pant) Shoe covers
Headcover
A surgeon's preference card indicates the surgeon prefers a medium cloth gown and size 7 gloves. The surgical assistant prefers a small paper gown and size 6 gloves. The assistant scrubs in first in most cases. What is the order from bottom to top for correct placement of the personal protective equipment? Towel, small paper gown, size 6 gloves, medium cloth gown, size 7 gloves Towel, size 6 gloves, small paper gown, size 7 gloves, medium cloth gown Towel, small paper gown, medium cloth gown, size 6 gloves, size 7 gloves Size 7 gloves, medium cloth gown, cloth towel, size 6 gloves, small paper gown, paper towel
Size 7 gloves, medium cloth gown, cloth towel, size 6 gloves, small paper gown, paper towel
A CST (certified surgical technologist) must possess a keen surgical conscience, knowledge of aseptic technique, and the ability to: Set up a sterile field Stand aside during emergencies Perform a basic hand wash Solve problems
Solve problems
What position will the patient be placed for a cholecystectomy? Supine Left lateral Kraske Right lateral
Supine
The CST's awareness of the total environment in the operating room is an example of what? Vigilance Aseptic technique Preoperative case management Surgical Conscience
Surgical Conscience
In the operating room, the primary source of any airborne bacteria transmitted to the patient is: Equipment Surgical team ESU Patient
Surgical team
Describe the best technique for obtaining the towel from the top of the sterile gown as you transition from the non-sterile to sterile role after performing the surgical scrub. Taking great care not to drip water on the opened sterile wrapper or its contents, grasp the towel with your fingers from the top of the sterile gown without touching the gown, your sterile glove wrapper, or the gown wrapper with your fingers or hand. Grasp the towel with your fingers from the top of the sterile gown without touching the gown, your sterile glove wrapper, or the gown wrapper with your fingers or hand. Grasp the towel with your fingers from the top of the sterile gown without touching your sterile glove wrapper or the gown wrapper with your fingers or hand. If you touch the gown, it's okay because you will be grabbing it after toweling off. You don't need the towel after the surgical scrub, so only grasp the gown with the towel on top. Discard the towel after stepping away from the wrapper.
Taking great care not to drip water on the opened sterile wrapper or its contents, grasp the towel with your fingers from the top of the sterile gown without touching the gown, your sterile glove wrapper, or the gown wrapper with your fingers or hand.
Which of the following statements is true? It is unnecessary to place the Mayo stand over the patient because most certified surgical technologists work from a back table. The Mayo stand cannot be placed over the patient as the underside is not sterile. The Mayo stand can be placed over the patient as long as it has a sterile drape. The patient does not need a sterile drape. The Mayo stand can be placed over the patient as long as it has a sterile drape and the patient has a sterile drape.
The Mayo stand can be placed over the patient as long as it has a sterile drape and the patient has a sterile drape.
While draping an extremety of a surgical patient the surgical technologist should______________ When draping the extremity, the surgical technologist should lift the extremity with the nondominant hand while draping with the dominant hand. The surgical technologist may hold the extremity while the stockinette is unrolled. The sterile field extends below the table as far as the edge of the drape. When draping for a craniotomy, the drape must not be placed on the Mayo stand or Mayfield table.
The surgical technologist may hold the extremity while the stockinette is unrolled
A patient diagnosed with goiter, will undergo the following surgical procedure. Laparoscopic appendectomy Proctocolectomy Partial thyroidectomy Total thyroidectomy Whipple procedure
Total thyroidectomy
Which of the following surgeries is indicated in patients with multiple sites of thyroid carcinoma? Laparoscopic appendectomy Proctocolectomy Partial thyroidectomy Total thyroidectomy
Total thyroidectomy
For an abdominal hysterectomy, the patient will be placed in the following position Supine Trendelenburg Jack knife Reverse Trendelenburg Knee chest surgical position
Trendelenburg
Which of the following positions involves lying the patient face up with the head tilted below the feet? Supine surgical position Trendelenburg surgical position Jack knife surgical position Reverse Trendelenburg surgical position
Trendelenburg surgical position
As the team prepares to drape an extremity, which would be the drape of choice? U-Drape Thyroid Drape Aperture Drape Laparotomy Drape
U-Drape
Patients suffering from gastroesophgeal reflux disease will undergo the following procedure to avail a definitive diagnosis. Upper endoscopy Colonoscopy Salpingoophorectomy Video-assist thoracotomy Splenectomy
Upper endoscopy
What is the CST's primary responsibility when assembling equipment, such as drills and saws, for the surgeon? Verify the instrument is functioning Pass the instrument Let the surgeon assemble the equipment Do nothing
Verify the instrument is functioning
When draping the mayo stand or draping the patient, it is important to maintain your hand position where? At least twelve inches from the non-sterile drape edge Beyond the one-inch margin edge of the cuff or drape Within the existing or created cuff of the drape(s) You need not concern yourself with protecting your hand; just pay attention to your hand placement and that it is at least twelve inches from any non-sterile area
Within the existing or created cuff of the drape(s)
When closed gloving, the surgical technologist should place their hand where? in the bias of the gown sleeve in order to don sterile gloves before the bias of the gown sleeve in order to don sterile gloves outside the bias of the gown sleeve in order to don sterile gloves anyway they feel comfortable as long as they get their sterile gloves on
before the bias of the gown sleeve in order to don sterile gloves
