multiple choice exam

Caps and hoods are types of?

hair covers

A catalyst used to aid in the breakdown of organic material such as blood and tissue is an __?

enzyme

The goal of the ulnar nerve transposition is to free the ulnar nerve from the ?

epicondyle groove and move it anteriorly

What do the medulla of the adrenal glands secrete?

epinephrine and norepinephrine

Maloney dialators are used to dilate the __?

esophagus

What hormone is responsible for maintaining the growth of the uterine lining in preperation for the fertilzied egg?

estrogen and progesterone

The uterine appendages __?

fallopian tubes and ovaries

The inner layer of the digestive tract wall is called the ??

mucosa

What type of diseases are autoimmune diseases?

multiple sclerosis, lupus erythmatosus, rheumatoid arthritis

An example of an acquired hemostatic disorder is?

liver disease, anticoagulant therapy, aplastic anemia, alcoholic liver failure, drug-therapy induced

The Pfannenstiel incision is what type of incision?

lower transverse abdominal

Telechir is the name given to __?

remotely controlled robots

when an injury or illness takes place, certain stressors affect the patient physically and mentally. An adolescent patient is very conscious about their?

body and privacy

Bacteria is also classified by its need for oxygen and CO2. Which type of bacteria grow best in high levels of CO2?

capnophiles

What advantage do hand held retractors have over mechanical self-retained retractors? a. less exposure b. operator dependency c. lesser fatigue factor d. dynamic adjustability

d. dynamic adjustability

An otoscope is used for viewing the ___. a. peritoneal cavity b. eye c. brain d. ear

d. ear

Which of the following procedures may require a postauricular incision? a. myringotomy b. tympanostomy c. adenoidectomy d. mastoidectomy

d. mastoidectomy

What type of instrument finish is useful for procedures involving a laser?

ebonized finish

Strabismus and corneal scissors are most often used for __ procedures?

eye

What determines the shape of the needle body?

point of needle

In preparation for a cranial aneurysm, which of the following pieces of equipment would MOST likely be used? A. microscope B. cryoprobe C. Jordan Day drill D. Crutchfield tongs

A. microscope

C) Hydrocele

An enlarged, fluid-filled sac within the scrotum is termed a ______________. A) Cystitis B) Cryptorchism C) Hydrocele D) Wilm's tumor

What is the surgical connection of two hollow or tubular structures?

Anastomosis

Local anesthetics containing epinephrine should NEVER be used in which of the following areas? A. arms and legs B. epidural spaces C. wrists and ankles D. digits and penis

D. digits and penis

Angiography is used __?

assess the cause and severity of peripheral vascular disease

The uterine lining is called the __?

endometrium

To help prevent hypothermia in the surgical patient, the room temperature should be maintained between __ degrees F?

65-75

Yankauer and Poole suction tips are commonly used for?

aspiration of abdominal fluids

D) Proctoscope

A scope used for direct visualization of the rectum is __________. A) Gastroscope B) Sigmoidoscope C) Nephroscope D) Proctoscope

A) Scalpel handle B) Scalpel blade C) Scissors D) Thumb forceps E) Retractor F) Hemostatic clamp

(Figure 1) Name each of the above instruments with it's generic name, proceeding from left to right. A) B) C) D) E) F)

Drapes that have openings for exposure of the area to be incised are called?

fenestrated

Arterial bloood supply to the uterus is derived from the uterine branch of which artery?

internal iliac

The first scrub of the day is __ minutes and all subsequent scrubs are __ minutes.

10, 5

Tears are not produced until the age of __ months

2-3

The normal range for the hematocrit of a female is __?

35-46%

Tonsil sponges are assembled in packages of ?

5

The nerve stimulator is especially useful for identification of the __ cranial nerve?

7th (Facial)

D) Systemic

A drug that effects the whole body is referred to as _________. A) Strong B) Intravenous C) Parenteral D) Systemic

An example of a pressure device that may be used to prevent deep vein thrombosis?

sequential stockings

The outer layer of the digestive tract wall is called the __?

serosa

What immediate steps should be taken when a sterile needle penetrates a sterile team members glove?

Gloves should be removed

When performing a dilation and curettage, which of the following instruments is used to grasp the cervix? A. Sims B. Auvard C. Schroeder D. Bozeman

C. Schroeder

What department provides informed consent?

Nursing Care Units

B) Never

O.R. Techs _________ administer drugs to patients. A) Often B) Never C) Sometimes D) Rarely

B) Alloplasty

Plastic surgery with non-human tissue is __________. A) Prognathic B) Alloplasty C) Micrognathia D) Donor site

Accreditation is a term that applies to?

Programs

Why is Gelfoam used in ENT surgical procedures?

Reduces edema

__ is major biomedical advance introduced into the OR?

Robotics

What are the most commonly transmitted bacteria in the OR?

Staph aureus

Addison's disease affects what?

The adrenal glands

A) Surgeon

The operating table is adjusted to the most convenient height for the _________. A) Surgeon B) Scrub person C) Sterile team D) Anesthesiologist

A) 68-75*

What is the recommended range for room temperature in the operating room? A) 68-75* B) 60-67* C) 70-77* D) 55-62*

Informed consent may be given under specific circumstances, by any of the following EXCEPT?

a competent adult

The pneumatic tourniquet is routinely inflated__?

after exsanguination

While the STSR is passing instruments, the surgeon is focused on ___?

anatomy and next step of the procedure

Bacteria divide by a process called?

binary fission

what is the term given to a genetic malformation known commonly as a cleft lip?

cheiloschisis

Endoscopic sutures are tied using which of the following?

endoscopic needle holder and knot pusher

Which type of suture should be used to close an infected wound?

monofilament

Injury due to improper positioning can result in ALL member being sued for?

negligence

What is the medical term for kidney stones?

nephrolithiasis

List the symptoms of hypothyroidism?

nervousness, restlessness, emotional lability, fast speech, tachycardia, palpitations, arrhythmias, dyspnea, hear intolerance, sweating, fatigue, weakness, tremor, hair loss, nail separating from nail bed

What tonsils are removed during the procedure called tonsillectomy?

palatine of faucial

What gland has both exocrine and endocrine functions?

pancreas

What portion of the renal tubule system is responsible for increasing the surface area for enhanced absorption and secretion?

proximal convoluted tubule

The generator of the ESU is activated by ?

the surgeon

Mask-shield combinations without the upper foam band should be worn __?

with caution

Which of the following is MOST resistant to sterilization processes? A. virus B. spore C. spirochete D. fungus

B. spore

Hepatitis B is caused by a A. prion. B. virus. C. protozoan. D. bacterium.

B. virus.

Surgery to repair a Colles' fracture is performed on which of the following types of bone? A. long B. short C. flat D. irregular

A. long

Newton's third law is also known as the law of __?

Conservation of momentum

Which of the following suturing techniques features short lateral stitches that are taken beneath the epithelial layer of skin? A. purse-string B. traction C. mattress D. subcuticular

D. subcuticular

Identify the phases of the menstrual cycle.

Menstrual phase, Proliferative phase, Secretory phase

A) Aseptic technique

Methods and practices that prevent cross-contamination during surgery are called ____________. A) Aseptic technique B) Scrub work C) Common sense D) Surgery technique

Deep-vein thrombosis can be diagnosed with the use of __?

Phleborheography

What microbe is responsible for causing otitis media?

Strep. pneom

Define the vestibule, and what gland is located in this area?

The cavity between the labia minora. Vestibular Glands.

Parity

a term that indicates the number of times a woman has given birth; a multiple-birth experience is considered one birth.

Which of the following characterizes bacteria of the genus Clostridium? a. aerobic b. anaerobic c. gram negative d. non-spore-forming

b. anaerobic

When performing a right hemicolectomy, the surgeon will most likely remove portions of which of the following? a.jejunum and duodenum b. ascending and transverse colon c. transverse and descending colon d. sigmoid and rectum

b. ascending and transverse colon

Which of the following catheters is MOST commonly used to perform an embolectomy? a.Robinson b. Fogarty c. Malecot d. angiocath

b. fogarty

A pad like sac or cavity that prevents friction within a joint is known as a a. bursa b. fossa c.ganglion d. ligament

a. bursa

If unexpected heavy blood loss occurs during a surgical procedure, the surgical tech should request additional a. suction tubing b. babcocks c. kitners d. cottonoids

a. suction tubing

__ is a process of external quality review used by higher education to scrutinize colleges, universities, and educational programs for quality assurance and quality improvement?

accredidation

The absence or abnormal stoppage of the menses is called?

amenorrhea

The fornix?

annular recess created by the cervical-vaginal junction

Which of the following is a normal adult white blood cell count? a. 1000 to 4000 b. 5000 to 9000 c. 10,000 to 14,000 d. 15,000 to 20,000

b. 5000 to 9000

Which of the following should be removed LAST by the ST in the scrub role to prevent contamination of the surgical procedure? a. Patient's drapes b.Surgical Gloves C. Surgical Mask D. Mayo cover

c. Surgical Mask

If the parents of a minor requiring surgery cannot be located, the operative consent form for surgery may be signed by a. the patient b. a family friend c. two consulting physicians d. the operating room supervisor

c. two consulting physicians

What does a pap smear rule out?

cervical dysplasia

A myleogram is used to __.

To evaluate the spine for patients with neck, back, and leg pain.

All matter is made up of fundamental elements that cannot be broken down by?

chemical mass

Staphylococci can be identified by

cluster of round bacteria

Another name given to "rapid release" needles is?

controlled-release

Urine collected over a 24hour period is tested to determine_?

level of nitrogenous wastes

Back injury or back pain is usually the result of a number of factors?

lifting with back bowed out, bending/reaching with back bowed, jerking or twisting of hips, obesity, loss of strength and flexibility, poor nutrition

A stapler used to insert two straight, evenly spaced, side by side rows of staples into tissue as __ stapler?

linear staple

Bile is produced by the__?

liver

The lon vertical, strip like muscle of the abdominal wallis the __?

rectus abdominis

During a thyroidectomy, it is important to preserve the __?

recurrent laryngeal nerve

During a thyroidectomy, it is important to preserve what nerve?

recurrent laryngeal nerve

What term describes the following coping mechanism: "a patient holds in thoughts and feelings about a disease or illness"

repression

What position will the patient be placed in to facilitate thyroidectomy?

supine with neck extension

D) Capillarity

The ability of tissue fluid to move across the strand of suture material is called ________. A) Allergic reactions B) Free flow C) Pliability D) Capillarity

What is the largest parenchymal organ in the abdominal cavity?

liver

A surgical lamp is an example of resistive energy?

loads

What tasks belongs to the medical records department?

maintains and verifies all patient records, trascription of history and phsyical, requires proper signature, may provide past medical records when needed

Tuboplasty is?

restore tubal patency

To a very large extent, surgical technology and surgical assistant scope of practice is determined by the delagatory decisions made by ?

supervising surgeon

In what position is the patient placed for a total abdominal hysterectomy?

supine

Which of the following instruments is used for a common bile duct exploration? a. forgarty clamp b. randall forceps c. pennington clamp d. forester ring forceps

b. randall forceps

Which of the following procedures uses a trocar? A. cystoscopy B. laparoscopy C. proctoscopy D. bronchoscopy

B. laparoscopy

Which of the following positions is used for a pneumonectomy? A. Kraske B. lateral C. lithotomy D. Trendelenburg

B. lateral

When exposed to ionizing radiation, staff and patients should wear personal protective equipment containing A. silicone. B. lead. C. steel. D. rubber.

B. lead.

D) Full thickness graft

A skin graft that is composed of the dermis and epidermis is called a(n) __________ graft. A) Auto B) Composite C) Split thickness D) Full thickness

B) Erythema

A small spot or area of the skin showing diffused redness is __________. A) Alloplasty B) Erythema C) Micrognathia D) Microtia

D) Into the subarachnoid space

A spinal anesthetic is injected __________. A) Directly into the spinal cord B) Into the vertibral laminae C) Into the epidural space D) Into the subarachnoid space

A) Thrombus

A stationary blood clot in a vessel is a(n) _____________. A) Thrombus B) Embolism C) Hemangioma D) Fibroma

D) Atrophy

A wasting or a decrease in size of an organ or tissue is _____________. A) Dystrophy B) Myopathy C) Entrophy D) Atrophy

Which of the following items is used for sponging around the spinal cord? A. cottonoids B. gauze sponges C. peanut dissector D. laparotomy sponges

A. cottonoids

During a craniotomy, which of the following types of bone is entered? A. flat B. round C. long D. short

A. flat

Which of the following is associated with secondary intention wound healing? A. delayed suturing B. tissue granulation C. wound dehiscence D. uncomplicated healing

B. tissue granulation

Which of the following parts of the body are prepped for an ORIF of the olecranon process? A. leg, foot to knee B. leg, foot to hip C. arm, fingers to shoulder D. arm, fingers to elbow

C. arm, fingers to shoulder

Which of the following surgical procedures can induce menopause? A. hysterectomy B. oophorocystectomy C. bilateral oophorectomy D. bilateral salpingectomy

C. bilateral oophorectomy

When a cholecystectomy is performed, which of the following anatomical structures must be preserved? A. cystic duct B. cystic vein C. common duct D. cystic artery

C. common duct

A device used to measure fluid pressure is known as a A. capnometer. B. manometer. C. spirometer. D. thermometer.

B. manometer.

D) Metastic

Cancer that has spread from one place to another within the body is called ______________. A) Syndrome B) Acute C) Chronic D) Metastic

Which of the following items may be used in positioning a patient for a total hip arthroplasty? A. fracture table B. Wilson frame C. Andrews frame D. bean bag

D. bean bag

When a hernia is strangulated, which of the following instrument sets is added to the general abdominal set-up? A. rectal B. vascular C. common duct D. gastrointestinal

D. gastrointestinal

A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which of the following types of drains should the surgical technologist have available at the end of the procedure? A. passive B. suction C. gravity D. underwater

D. underwater

When was the first national certifying exam for the surgical technologist offered?

Dec 1970

What are the common physiological factors in the elderly?

Decreased cardiac and respiratory function

The development of the fetus in a location other than the uterus is called?

Ectopic pregnancy

B) Skull flap

In performing a craniotomy, a __________ is created. A) Muscle flap B) Skull flap C) Burr flap D) Dura flap

Sulfonamides are associated with an increased incidence of __?

Kernicterus

Which phase of would healing begins within minutes of an injury?

Lag phase of Inflammatory response phase, 1

The __ provides a ray an concentrated beam of light that is able to cut and coagulate tissues?

Laser

C) A and B

OSHA regulates standards for the prevention of _______. A) HIV B) Hepatitis B virus C) A and B D) Sterilization

D) Behind

Posterior means ___________. A) Above B) To the side C) Below D) Behind

Phacoemulsification is one method of what?

Removing an opaque lens.

A) 20 seconds

The more permanent blood clot begins for form within about _________ of a serious injury. A) 20 seconds B) 45 seconds C) 2 Minutes D) 5 Minutes

ACL graft material that is take from a cadaver is known as?

allograft

The __ is a division of the United Nations that promotes health activites worldwide?

World Health Organization

The Patients Bill of Rights establishes the patient as ?

a consumer of goods

Which item is required when setting up for a dilatation and curretage? a. stirrups b. LigaSure c. hysterectomy set d. Electrocautery unit

a. stirrups

Another name given to the fallopian tubes is the ?

oviducts

A common drug given to induce labor is?

oxytocin

In what position will the adult patient be placed to undergo tonsillectiomy under local anesthesia?

sitting position

Removal of all parathyroid glands leads to __?

tetany and death

The term gravida indicates?

the # of pregnancies

During which of the following surgeries is a Meckel's diverticulum typically discovered? a. hysterectomy b. appendectomy c. protatectomy d. variocelectomy

b. appendectomy

For a patient recovering from general anesthesia, which of the following complications of vomiting is considered the MOST dangerous? a. dehiscence b. aspiration c. dehydration d. evisceration

b. aspiration

To place a patient on a Wilson frame, in which position will the patent be for the procedure? a. supine b. prone c. lateral d. lithotomy

b. prone

Which of the following is a sign of cardiac arrest? a.edema b. convulsion c. cyanosis d. hypertension

c. cyanosis

A nasogastic tube (NG) is used to a. dilate the lower esophageal sphincter b. monitor the pH of the stomach contents c. drain the stomach d. promote vomiting

c. drain the stomach

Which diagnostic imaging procedure allows the surgeon to view anatomic structure during the surgical procedure? a. conventional X-ray b. ultrasound c. fluoroscopy d. gallbladder

c. fluoroscopy

Which of the following is a chemical sterilant? a. alcohol b. methiolate c. gluteraldehyde d. sodium hypochlorite

c. gluteraldehyde

In which of the following procedures will the surgical technologist expect to use cottonoids? a. abdominal hysterectomy b. abdominal perineal resection c. lumbar laminectomy d. open cholecystectomy

c. lumbar laminectomy

Which of the following is used during a tympanoplasty? a. image intensifier b. hypothermia unit c. operating microscope d. argon laser

c. operating microscope

When utilizing a laparoscopic setup, potential hazards associated with the equipment include a. non-ionizing radiation b. nitrogen embolus c. pneumoperitonium d. fiber-optic beam fire

d. fiber-optic beam fire

Which of the following retractors may be used in an open cholecystectomy? a. Simms b. bennet c. Jennings d. harrinton

d. harrington

In which of the following position should a patient be placed for a low anterior colon resection? a. Dorsal recumbent b. prone c. lateral d. lithotomy

d. lithotomy

C) Occlusion

Abnormal closure of a passageway such as a blood vessel is ____________. A) Septum B) Thrombus C) Occlusion D) Thrombosis

A surgical procedure involving a perforated viscera is classified as __?

Class IV, dirty wound

What is Tracheotomy

Creation of an opening into the trachea

What is the major concern when operating on the parotid gland?

Facial nerve (#7)

Receession or resection is the surgical treatment for what?

Strabismus

C) Foot

The calcaneus, metatarsals, and phalanges are located within the _____________. A) Spine B) Pelvis C) Foot D) Arm

D) Perineal

The region between the anus and the pubic arch is termed ___________. A) Iliac B) Lumbar C) Hypochondriac D) Perineal

Knives, scalpels, and scissors are classified as __ instruments?

cutting/dissecting

Clamping instruments are designed to __?

occlude or constrict tissue

The broach is used to_?

remove cancellous bone

The olfactory sense is the sense of?

smell

Phimosis

A condition affecting the penis.

Which of the following is used to cross-clamp the intestine during a bowel resection? A. Allen B. Lahey C. Heaney D. Duval

A. Allen

During dissection of the cystic duct in an open cholecystectomy, which of the following instruments is necessary? A. Ochsner forceps B. Jennings retractor C. Mixter clamp D. O'Sullivan-O'Connor retractor

C. Mixter clamp

The condition of undescended testes.

Cryptorchidism

Which of the following positions is used to provide access to the head and neck during a thyroidectomy? A. lateral B. lithotomy C. Kraske D. reverse Trendelenburg

D. reverse Trendelenburg

Reduction of hearing.

Deafness

What is Otosclerosis?

Fixation of the stapes

What organization acts both as an insurer and a provider of medical services

Health Maintenance Organization

The medial border of the kidneys that receives the renal blood vessels is called the?

Hilium

Collodian is an example of what type of dressing?

One-layer dressing

The production of femal gametes are called?

Oogenesis

What is used to create an easy entrance into most vessels of the body?

Seldinger Technique

A) Desiccation

The process of drying or to cause tissue destruction by drying is _______________. A) Desiccation B) Dehydration C) Fiberoptic D) Cauterization

D) Calibrations

Which of the following terms refers to a set of graduations to indicate value? A) Gauge B) Carpus C) Calculus D) Calibrations

Which of the following instruments has teeth? a. allis b. mixter c. babcock d. mosquito

a. allis

During an anterior cervical fusion, a bone graft is taken in order to fuse the vertebral a. body b. disk c. spinous process d. transverse process

a. body

Which of the following instruments may be used to extend the arteriotomy during a femoral-femoral bypass? a. Straight mayo b. Potts-Smith c. Jorgenson d. Stevens tenotomy

b. Potts-Smith

Cerlage is performed to_?

close the incompetent cervic

In physics, work is defined as force acting upon an object causing?

displacement

How caregivers should deal with pediatric patients?

in a truthful manner

One of the advantages to the life-stage approach is that it?

is practical and doesnt require advanced levels of education to apply

In a patient who is post-gasrtic-bypass, respiratory failure usually indicates?

peritonitis

B) Premature

A baby born before 37 weeks of gestation regardless of birth weight, is called _________. A) Fetal death B) Premature C) Term D) Post natal

When performing a Shirodkar procedure, on which of the following is attention being focused? A. cervix B. mouth C. stomach D. small intestine

A. cervix

After gowning and gloving, a surgeon activates the DuraPrep applicator and proceeds to prep the patient for surgery. Which of the following is the BEST action to take at this time? A. Assist the surgeon in draping the patient. B. Regown and reglove the surgeon. C. Remove drapes and start over. D. Inform the supervisor.

B. Regown and reglove the surgeon.

Which of the following is the MOST common straight catheter used prior to laparoscopic gynecological surgery in the OR? A. Foley B. Pezzer C. Malecot D. Robinson

D. Robinson

For a splenectomy procedure, which of the following clamps could be used? A. Allen B. Doyen C. Duval D. Satinsky

D. Satinsky

Which of the following is a benign fluid-filled sac that develops in the anterior testis? A. rectocele B. cystocele C. enterocele D. hydrocele

D. hydrocele

What type of incision is typically used for an open cholecystectomy? A. McBurney's B. Pfannenstiel C. midline D. subcostal

D. subcostal

Which of the following operations is performed to correct hearing loss due to defects of the eardrum? A. otoplasty B. myringotomy C. mastoidectomy D. tympanoplasty

D. tympanoplasty

To avoid damage, stainless steel instruments should NOT be placed next to __ in the washer sterilzer.

Instruments made of other metals

If adult response is the norm, pediatric patients must be observed for what response?

Paradoxical (opposite)

What pathogen leads in the percentage of SSI's?

Staph aureus

What term describes the concavity on the tympanic membrane where the malleus is attached?

Umbo

What is the usual cause of vocal cord nodule?

Vocal abuse

In the 1920s the physicist __ developed the first spark-gap tube generator, which culminated in the electrosurgical generator?

W.T. Bovie

The parathyroid gland regulates a. insulin b. calcium c. sodium

b. calcium

Cholangiography is a radiologic study of the ___. a. colon b. gallbladder c. stomach d. brain

b. gallbladder

What hormone increases the calcium levels in the blood?

calcitonin

Hypovolemic shock in neonates results in?

decreased venous return

What is the most common preexisting hemostatic defect?

hemophilia

Bone grafts are usually take from the __?

iliac crest

What muscles are part of the rotator cuff?

infraspinatus, subscapularis, surpraspinatus, and teres minor

A contractual relatinship and mutual benefit that exist when one party or entity agrees to pay another for a specified loss or condition is known as?

insurance

The ovaries function?

is the production and expulsion of oocytes and the release of the hormones estrogen and progesterone

Vessel loops are used to __?

isolate or retract vessels, nerves, or ducts

The right kidney is located slightly lower than the left, due to the?

liver

Which term describes the following coping mechanism: "The patient returns to an earlier stage of life such as that of a child and exhibits behaviors unique to that stage of life"

regression

A needle that can penetrate tissue without cutting is a __ needle?

tapered point needle

Hypodermic needles should be recapped how to avoid needle stick injury?

1 handed method

Herniation of the rectum through a weakened posterior vaginal wall is known as A. a rectocele. B. a cystocele. C. a varicocele. D. an enterocele.

A. a rectocele

pad-like sac or cavity that prevents friction within a joint is known as a A. bursa. B. fossa. C. ganglion. D. ligament.

A. bursa.

The movement of the ovum through the uterine tubes is facilitated by?

Fimbrae

What surgical procedure involves diverting urine flow through an isolated loop of bowel?

Ileal conduit

Which surgical procedure involves diverting urine flow through an isolated loop of bowel?

Ileal conduit

B) The O.R. tech and the circulating nurse

It is the responsibility of ________ to make certain that the correct drug, correct amount, and correct strength is administered. A) The O.R. tech B) The O.R. tech and the circulating nurse C) The anesthesiologist D) The perfusionist

Hemorrhoids are removed with the patient in the __ position?

Kraske

Any need or activity related to the identification and understanding of oneself is termed a __ need?

Psychological need

D) All answers are correct

Sponges are used in throat procedures are a hazard when blood-soaked because _________. A) If lost they might block the airway B) They are so small they can easily be lost C) They may be swallowed D) All answers are correct

The most frequently used scissors for cutting sutures are the __?

Straight Mayo

Straight hemostats are frequently used for __?

Tagging

Which of the following should be the MINIMUM exposure time in a flash sterilizer for unwrapped instruments? a.1 min b. 3 mins c. 5 mins d. 7 mins

b. 3 mins

The inner layer of the digestive tract wall is called? a. serosa b. submucosa c. muscularis d. mucosa

d. mucosa

__ dictates the methods of securing a consent under emergency circumstances?

state law

In the pregnant patient, what trimester is the ideal time to perform abdominal surgery?

2nd trimester

Gas gangrene and cellulitis are cause by which microbe?

Clostridium perfringens

What does stage 2 of the labor processes begin with?

Complete dilation of the cervix

What is the primary reason fro performing a total joint arthroplasty?

Degenerative joint disease

A) Side effects

Demerol is more commonly used than morphine because it produces less _________. A) Side effects B) Pain relief C) Addicted patients D) Drowsiness

B) Laryngoscopy

Direct visualization of the interior of the larynx through a lighted scope is called a(n) ________. A) Bronchoscopy B) Laryngoscopy C) Esophagoscopy D) Mediastinoscopy

A) Hospital policy and procedure

Disposal of used needles is regulated according to _______. A) Hospital policy and procedure B) The circulator in the room C) The surgeon D) The anesthesiologist

What structure unite to form the renal pelvis?

Major caylces

What religion does not drink coffee or tea?

Morman

The wearing of protective attire is mandated by the __ bloodborne pahtogens rule?

OSHA

A major concern in the OR for pediatric patients is insensible water loss. Why does this loss occur?

Overhead radiant heaters and phototherapy

The room where patients are "recovered" immediately following surgery is known as the

PACU

What type of scan is a diagnostic tool used to identify how different areas of the brain function by highlighting chemical or metabolic activity?

PET scan

A) After

Post refers to ___________. A) After B) Before C) Beside D) Coincidental

The suction tip typically used for ear procedures is the ?

Rosen suction tip

What suture is commonly used for tendon repair and bone repair?

Stainless Steel

What invasive procedure involves the introduction of a transducer attached to the end of a gastroscope into the esophagus to allow for closer approximation with the heart?

TEE

B) Before

The prefix ante refers to ____________. A) After B) Before C) Within D) Unity

What portion is used to displace the abdominal contents to enhance the surgeon's view of the lower abdominal region?

Trendelelenburg

C) Handel non-sterile items

Which function would not be one of the sterile team members? A) Wash their hands and arms B) Don sterile gowns and gloves C) Handle non-sterile items D) Function within the sterile field

D) All answers are correct

Which is a safety concern in controlling radiation in the operating room? A) Leave the fluoroscope on when not in use B) Reconcile each sponge and piece of equipment without x-ray C) Shield body areas from scatter radiation D) All answers are correct

Roy states that health involves becoming an integrated and __ person?

Whole

To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following 2 vessels. a. Internal Mammary artery to the affected coronary artery b. Subclavian artery to the affected artery c. Internal Mammary to Aorta d. Subclavian artery to aorta

a. Internal mammary to the affected coronary

Methods used to prevent contamination of the sterile field are referred to as __?

aseptic technique

Which of the following procedures is used for removal of an embolus? A. endarterectomy B. balloon catheterization C. aneurysmectomy D. fasciotomy

B. balloon catheterization

Give an example of a type of suprapubic catheter?

Foley, Pezzer, Malcot, Coude

D) Escherichia coli

Gastroenteritis is caused by _________________. A) Shingella B) Enterobacterium C) Isospora bacterium D) Escherichia coli

A) Head

The sphenoid, ethmoid, and parietal bones are located in the ___________. A) Head B) Chest C) Mouth D) Neck

D) Dehiscence

The splitting apart of a surgical wound postoperatively is called ___________. A) Adhesions B) Ligation C) Evisceration D) Dehiscence

A) Anesthetics

Xylocaine, Novocaine, Ophthcaine and Pontocaine are examples of which of the following drugs? A) Anesthetics B) Antibiotics C) Mydriatics/cyclolegics D) Irrigants

A surgical technologist has selected the sutures for a procedure based on the surgeon's preference card. The surgeon states he would like additional sutures and his preference card is outdated. Which of the following is the surgical technologist's BEST course of action? A. Open all of the sutures that were collected and place them on the back table just in case the surgeon needs them. B. Return the sutures that are not needed to sterile supply and proceed with the case. C. Ask the surgeon if he would like to have his preference card updated and proceed accordingly. D. Update the surgeon's preference card to reflect the sutures that have been requested for this case.

C. Ask the surgeon if he would like to have his preference card updated and proceed accordingly.

Which of the following rongeurs is used to expand the antrostomy in a Caldwell-Luc procedure? A. Cushing B. Bethune C. Kerrison D. Stille-Luer

C. Kerrison

The MOST appropriate time to position the Mayo stand is after A. completing the back table set-up. B. applying the electrosurgical grounding pad. C. draping the patient. D. positioning the back table.

C. draping the patient.

The __ coordinates operations of the computer?

CPU

Hemorrhage from the nose.

Epistaxis

What task should the circulating ST perform to assist the anesthesia provider during induction of a pediatric patient?

Hold the mask on face, hold patients hand, making sure the room is quiet, temp 70 degrees at least

A) Four

How many pulmonary veins return oxygenated blood to the left atrium? A) Four B) Two C) One D) Three

A) Oncology

The study of tumors is called ____________. A) Oncology B) Cardiology C) Pathology D) Histology

Gas is infused into the abdominal cavity through __?

Varess insufflation needle or Hasson blunt trocar

A) Stylet

Which of the following terms refers to a thin wire inserted into a catheter to maintain rigidity or into a hollow needle to maintain patency? A) Stylet B) Cannula C) Foley D) K-wire

Which of the following is applied as a nonadherent dressing? a. Adaptic b. Collodion C. Steri-strips

a. Adaptic

An ideal environment for holding the preoperative patient is a a. Dimly lit quiet room b. Brightly lit quiet room c. Warm busy room d. Cool, busy room

a. Dimly lit quiet room

Which of the following is reshaped during total hip arthroplasty? a. fibula b. acetabulum c. iliac crest d. tibia

b. acetabulum

The condition of gallstones is called? a. pyelolithiasis b. cholelithiasis c. cystolithiasis d. ureterolithiasis

b. cholelithiasis

Which of the following procedures uses a trocar? a. cystoscopy b. laparoscopy c. proctoscopy d. bronchoscopy

b. laparoscopy

Why would a patient be extubated in the recovery room instead of the OR suite?

because they still needed assistance with breathing

Instruments with multiple parts should be __ prior to cleaning.

disassembled

In the health care field, the term __ is used broadly to refer to the placing of information into a patients medical record?

documentation

The fundis is the _?

dome like portion of the uterus

What congenital condition is marked by the absence of the anterior wall of the urethra?

epispadias

What are the uterine appendages?

ovaries and fallopian tubes

When can instrument counts be omitted? A. if an emergency procedure must be performed B. when the surgical technologist in the circulator role becomes too busy C. if instruments are needed in another operating room D. when the patient is receiving outpatient surgery

A. if an emergency procedure must be performed

The credential held by a nurse with several years experience in critical nursing and specialty training in anesthesia is ?

CRNA

A) Silk

The material used to tie off blood vessels is _________. A) Silk B) Stapler (GIA) C) Subcutaneous D) Bovie

D) Flow or discharge

The suffix rrhea indicates ___________. A) Swelling B) Inflammation C) Stretching D) Flow or discharge

An abnormal attachment of two surfaces or structures that are normally separate is called?

adhesion

A culture provides information about the type of __ present?

bacteria

What part of the body is prepped for an ORIF of the olecranon process? a. leg, foot to knee b. leg, foot to hip c. arm, fingers to shoulder d. arm, fingers to elbow

c. arm, fingers to shoulder

What body parts are prepped for an ORIF of the olecranon process? a. leg, foot, knee b. leg, foot, hip c. arm, fingers, to shoulder d. arm, fingers to elbow

c. arm, fingers, to shoulder

The excision of tissue or aspiration of fluid to determine the nature of the diseases for treatment is known as a(n)? a. diagnosis b. fulguration c. biopsy d. emesis

c. biopsy

If the pleural cavity is entered, what should the STSR anticipate?

chest tube insertion

Names given to types of bunion repairs?

chevron repair, and austin moore

Who should stand nearby to assist the anesthesia provider during induction of a pediatric patient?

circulator or ST in circulating role

The tunica albuginea__?

covers the testes

The condition of undescended testes is?

cryptochidism

Tissue or fluid that is suspected of being infected may be cultured for a pathogen to be identified. This is called?

culture and sensitivity

In a steam autoclave set on prevacuum, the minimum temperature that must be reached is a. 200 b. 230 c. 250 d. 270

d. 270

A diaphragmatic hernia is located within Hesselbach's trinagle?

direct

The O'connor shield is ?

disposable item that allows visualization of prostatic urethra through rectum without contamination

The device used in the OR to determine patency of an arterial anastomosis is ?

doppler ultrasound

What is the correct sequence of surgical instruments for the insertion of a bone screw?

drill, depth, tap, screw

The tool used for inserting sharp pins to reduce a bone fracture or guide a driven nail is called?

drills

Why are neonates and infants not usually catheterized?

due to high risk of trauma to the urethra

The study of objects in motion with much concern for the forces that produced the motion is __?

dynamics

Shivering may cause __?

increased oxygen consumption

A stapler commonly used during resection and reanastomosis of the distal colon or rectume is a _ stapler?

intraluminal staples

A Level III trauma center typically?

is community or rural hospital

Nuclear medicine studies are also referred to as __?

isotope scanning

General abdominal procedures typically require a __ instrument set?

major or minor laparotomy set

For what purpose does a surgeon use a suture on a specimen?

mark the edges or margins

What is the term used to describe conversion of a closed cavity into an open pouch?

marsupialization

Occlusive adherent polyurethane, liquid collodion, and aerosol adhesive sprays are examples of?

one layer dressing

A properly written, informed consent should contain the __?

patients legal name, surgeons name, procedure performed, risks of anesthesia, patients legal signature, signature of witnesses, date and time of signatures

Give four examples of absorbable suture?

plain gut, polygyconate, polyglactin 910, polyglycdic acid

If a pediatric patient has a pneumothroax, there is an accumulation of air in the?

pleural cavity

The escape of fluid from the pleural space is known as ?

pleural effusion

What may be used in a nonselective angiography to quickly inject large amounts of contrast solution?

pressure injector

What hormone does the corpus luteum secrete?

progesterone

What artery provides the blood supply to the kidney?

renal artery

The basis for the practice of strict adherence to sterile technique is called__?

surgical conscience

Gastrostomy is the __?

surgical creation of an opening from gastric mucosa to the skin

Name the structure that separates the outer and middle ear?

tympanic membrane

Approximately what percentage of direct patient care personnel are sensitive to latex?

6-7%

Which of the following describes events that would require filing an incident report? 1. medication error 2. bullying 3. cardiac or respiratory arrest 4. equipment failure prior to surgery A. 1, 2, and 3 only B. 1, 2, and 4 only C. 1, 3, and 4 only D. 2, 3, and 4 only

A. 1, 2, and 3 only

A surgeon is preparing to close the abdomen of an average weight patient. Which of the following closing supplies should the surgical technologist have ready for closing the fascial layer? A. 2-0 suture and toothed tissue forceps B. 7-0 Vicryl and toothed tissue forceps C. 0 retention sutures and toothed tissue forceps D. staples and Adson with teeth

A. 2-0 suture and toothed tissue forceps

Which of the following staplers should be used for end-to-end intestinal resection? A. EEA B. skin C. LDS D. purse string

A. EEA

What color is a nitrous oxide tank? A. blue B. gray C. green D. orange

A. blue

An RN has just asked a surgical technologist to complete a task that is within the surgical technologist's scope of practice, but the surgical technologist does not feel comfortable completing the task independently. Which of the following is the surgical technologist's BEST course of action? A. Ensure that the RN has documented that the task was delegated to the surgical technologist. B. Request that the RN provides the appropriate level of supervision during the task to ensure safety. C. Confirm that the initial orientation asked about the surgical technologist's competency for the task. D. Obtain verbal instructions for completing the task from the RN before she leaves the room.

B. Request that the RN provides the appropriate level of supervision during the task to ensure safety.

A surgeon's preference card indicates the surgeon wears a size L gown and double-gloves with a size 7 inner glove and size 6-1/2 outer glove, and the first assistant wears a size XL gown and double-gloves with a size 7-1/2 inner glove and size 7 outer glove. The first assistant arrives prior to the surgeon. Which of the following is the proper order to place the sterile attire on the back table? A. L gown, 7 glove, 6-1/2 glove, XL gown, 7-1/2 glove, 7 glove B. XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove C. XL gown, 7 glove, 7-1/2 glove, towel, L gown, 6-1/2 glove, 7 glove D. L gown, 6-1/2 glove, 7 glove, towel, XL gown, 7 glove, 6-1/2 glove

B. XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove

A T-tube drain may be used following A. a splenectomy. B. a choledochotomy. C. an appendectomy. D. a herniorrhaphy.

B. a choledochotomy.

To prevent contamination at the end of a surgical procedure, which of the following should be removed LAST by the surgical technologist in the scrub role? A. patient's drapes B. surgical gloves C. surgical gown D. Mayo stand drape

B. surgical gloves

A) Hemothorax

Bloody fluid in the pleural cavity is referred to as a ______________. A) Hemothorax B) Pneumothorax C) Pleurathorax D) Thoracocentesis

C) Mandibulectomy

Partial or total removal of the lower jaw for oral carcinoma extending into the mandible is __________. A) Laryngectomy B) Parodiectomy C) Mandibulectomy D) Glosectomy

A) Attitude of caring

Surgical conscience is based upon _________. A) Attitude of caring B) Ability to pass instruments correctly C) Ability to follow doctor's orders D) Attitude of dignity

A) Restricted

Surgical masks are required in which of the following areas within the surgical suite? A) Restricted B) Unrestricted C) Semirestricted D) Cafeteria

D) Dacryocystostomy

The procedure which involves the incision and drainage of the lacrimal duct for acute dacryocysitis is called ____________. A) Dacryodesiccation B) Dacryocystectomy C) Dacryosystorhinostomy D) Dacryocystostomy

C) Disinfection

The process by which most but not all pathogenic microorganisms on inanimate objects are destroyed is called: A) Sterilization B) Sanitation C) Disinfection D) Cleaning

C) Coagulation

The process of clotting is called _________. A) Desiccation B) Dehydration C) Coagulation D) Electrosurgery

C) Phagocytosis

The process of protecting the body from infection through digesting bacteria is known as _____________. A) mononucleosis B) Leukocytosis C) Phagocytosis D) Thrombocytosis

Iridectomy refers to what?

The removal of a section of the iris to relieve the pressure buildup that occurs in individuals with glaucoma.

B) Debridement

The removal of foreign material and dead or damaged tissue from a wound is __________. A) Dermatome B) Debridement C) Micrognathia D) Recipient site

B) Thymus

Thymectomy is removal of the _______ gland. A) Thyroid B) Thymus C) Adrenal D) Parathyroid

What two bones are involved in a patella harvest for an ACL reconstruction?

Tibia and patella

Addison's disease affects the ?

adrenal glands

A patient being prepped for surgery is hypokalemic. Which of the following must be done before a general anesthetic is given? a. Add sodium to the IV b. add potassium to the IV c. Complete a type and crossmatch d. place a urinary catheter

b. add potassium to the IV hypokalemic means low potassium

What outer portion of the kidney contains glomeruli?

cortex

Tracheotomy is the __?

creation of a tracheal stoma

Which incisional approach is most common for appendectomy? a. Kocher b. supraumbilical c. left paramedian d. McBurney's

d. McBurney's

Sponges that have been added to the sterile field after the procedure has begun should be counted by the a. circulator and surgeon b. ST in the scrub role and ST in the first assist role c. surgeon and first assist d. ST in the scrub role and circulator

d. ST and circulator

The PRIMARY purpose of a chest tube is to a. Irrigate the pleural space b. eliminate chest leaks c. prevent pulmonary emboli d. re-establish negative pressure

d. re-establish negative pressure

A fole catheter is used routinely during pelvic procedures to __?

decompress the bladder

Ultrasonography is ideal for the examination of a fetus because_

it doesnt use ionizing radiation

Name the three sections of the pharynx?

nasopharynx, otopharynx, laryngopharynx

Helicobacter pylori, known as H. pylori, are responsible for what condition?

peptic ulcers, stomach ulcers, chronic gastritis

The process that ensures that all microorganisms, including spores, are killed is called?

sterilization

Auscultation involves the use of a __?

stethoscope

Femoral shaft fractures are immediately treated by?

surgical intervention

The method in which hands and arms are scrubbed for a prescribed length of time is called __?

surgical scrub

The __ is used to remove small organic particles and soil from areas of instruments that are difficult to clean manually.

ultrasonic cleaner

What diagnostic procedure uses high-frequency sound waves?

ultrasound

E. coli in the intestines produces?

vitamins b and k

When a patient's body weight exceeds __ pounds greater than ideal body weight, the patient is considered to be obese.

100

One kilowatt equals?

1000 watts

All tables to be set up as part of the sterile field should be placed at least __ inches away from the walls

12-18

D) United States Pharmacopeia

A common source of information about drugs would be ____________. A) Webster's New Collegiate Dictionary B) Britannica Pharmacy Guide C) The Physician's Desk Restorative D) United States Pharmacopeia

C) Conductor

A medium that allows for the transmission of electricity is a(n) ___________. A) Electrocution B) Static electricity C) Conductor D) Grounding

B) Slander

A spoken defamation of character is _________. A) Libel B) Slander C) Liable D) Malpractice

A) Noscomial

An infection acquired in the hospital is called _______________. A) Noscomial B) Virulent C) Viral D) Bacterial

B) Mixed

An infection caused by more than one organism is referred to as ____________. A) Primary B) Mixed C) Secondary D) Latent

C) Pennington forceps

An instrument used to clamp the edges of the uterus after delivery of the infant during a C-section to control bleeding, is a(n) __________. A) Gaylor forceps B) Allis C) Pennington forceps D) Uterine manipulator

Which of the following anesthetic agents is administered intravenously? A. enflurane (Ethrane) B. nitrous oxide C. propofol (Diprivan) D. methoxyflurane (Penthrane)

C. propofol (Diprivan)

A pneumatic tourniquet may be used for extremity surgery to A. exsanguinate the extremity. B. allow the surgeon more operating time. C. reduce blood loss. D. create an anesthetic effect.

C. reduce blood loss.

A) Steroids

Celestone,hexadrol, soul-cortef, and kenalog-40, are examples of ________ that are used in surgery. A) Steroids B) Antispasmodics C) Narcotics D) No answer is correct

B) Circulator

During the few seconds of darkness before alternative power sources activate after a power failure, who directs a flashlight beam onto the surgical wound? A) O.R. Tech B) Circulator C) Anesthesiologist D) Surgeon

B) Stone forceps

Which type of forceps would be used for grasping kidney stones or gallstones? A) Tenaculum B) Stone forceps C) Toothed forceps D) Babcock

Mild stress incontinence in women can be reduced by an?

anterior colporrhapy

When creating the sterile field, __ should be opened first.

back table

Members of the sterile surgical team should pass each other within the sterile field by facing one another or __?

back to back rotating 360degrees

Surgical silk is?

multifilament nonabsorbable

A softening of adult bone due to a disorder in calcium and phosphorus metabolism is called?

osteomalcia

Elastic bandages, Montgomery straps, and tape are examples of?

outer layers

Filtered air form the decontamination room is exhausted to the __?

outside of the facility

The footplate of the stapes rests upon the?

oval window

What is the most effective way to keep an infant's body temperature at an acceptable level?

overhead radiant heater, keep extremities covered

When on organism benefits and the host is harmed?

parasitism

The __ is the physician who will provide a biopsy report?

pathologist

What patient condition should not have an angiogram?

patients allergic to shellfish

In which type of dialysis is the dialysate drained by gravity?

peritoneal dialysis, CAPD, CCPD

A fast-healing, thin membrane lining the abdominal cavity is called?

peritoneum

What tonsils are removed during the procedure called adenoidectomy?

pharyngeal tonsils

Special populations have unique __ needs

physical and psychological

The life-stage approach combines?

physical, psychological, social, and spiritual concerns

What color do gram-negative bacteria turn in a Gram stain?

pink

The term PACU refers to ?

post-anasthesia care unit

The rate at which work is done, expressed as the amount of work per unit time, is called?

power

The type of surgical dressing that eliminates dead space and prevents edema or post-op bleeding is called?

pressure dressing

Loss or mishandling of a specimen could be considered negligence and could result in?

preventing a diagnosis, and require another surgical procedure

What is the function of the liver?

produce bile

What is the following is a function of the colon?

production of vitamin K

What is the key to proper hemostasis?

proper visualization

What is the first priority of the STSR when an intraoperative X-ray is being taken?

protect the sterile filed form contaminatioon

__ is contained within the nucleus of an atom?

protons and neutrons

What does the term apnea mean?

stop breathing

A non-specific response of the body to demand is known as?

stress

An ECG is useful for graded exercise testing. This is also referred to as_?

stress test

The are of touch connective tissue just beneath the skin and just above the subcutaneous layer is called?

subcuticular layer

What muscle contributes to the stability of the shoulder joint?

subscapularis

A Billroth I or II refers to what?

subtotal gastrectomy

In what position is the patient placed when a McBurney's incision will be used?

supine

The surgical scrub is intended to render the hands and arms __?

surgically clean

Needles manufactured with suture strands inserted into one end are __ needles?

swaged

The term dysphagia means difficulty?

swallowing

What is used to irrigate wounds, aspirate fluids, or inject medications?

syringes

What is the most common autologous site for securing a graft for tympanoplasty?

temporalis fascia

Ethibond is commonly used on which type of tissue?

tendon repair

In both sexes, what are the essential organs of reproduction that produce gametes:

testes, ovaries

Modified radical mastectomy involves removal of ___?

the breast, pectoralis muscles are preserved

What name is given to the room in the surgery department that contains sinks for gross decontamination of instruments?

utility and decontamination room

What can stimulate preterm labor in the pregnant surgical patient?

vaginal bleeding, ruptured membranes, or uterine irritability, anesthesia, vasosuppresor

An example of an irregular bone is the__?

vertebrae

What artery provides blood supply to the bladder?

vesical arteries

The vascular supply for the ureters in the pelvic section come form the?

vesicle arteries

What is the name given to a fistula that forms between the bladder and vagina?

vesico vaginal fistula

For the most part, which of the following have replaced umbilical tape as isolation and retraction devices for vessels?

vessel loops

Electrical potential is measured in __?

volts

The external female genitalia are collectively referred to as the _?

vulva

The name given to the external female genetalia is the?

vulva

Patients who are obese are subject to increased postop

wound infections

Packs containing disposable drapes, supplies, sutures, blades, and items necessary for specific procedures are called __?

wrapped or peel packed items

Which of the following may be used to provide direct exposure to a cerebral aneurysm? a. dura hook b. nerve hook c. brain spatula d. rake retractor

c. brain spatula

During surgery a patient becomes hypotensive. which of the following medications should be given? a. cephalexin (Keflex) b. propofol c. epinephrine d. furosemide

c. epinephrine

Nissen fundoplication is the procedure performed to correct a(n) ___. a. gastic ulcer b. inguinal hernia c. hiatal hernia d. ruptured tubal pregnancy

c. hiatal hernia

Segmental resection of the breast refers to the removal of what?

the tumor and a reasonable margin of healthy tissue

Bartholin's glands are located within__?

the vestibule

Complications of thyrotoxicosis include?

thyroid storm

What are the factors to remember concerning the safety of the surgical technologist and ionizing radiation?

time, shielding, and distance

What procedure is used to evaluate heart function?

cardiac catherization

What name is given to the ligament that suspends the uterus anteriorly?

cardinal ligament

Pronova suture is commonly used in which type of surgery?

cardiovascular, neurological, and opthalmic surgery

Molecules are groups of atoms joined by __ bonds?

chemical

During birth, the most common bone fracture is of the ?

clavicle

The term used to describe when on organism benefits but the second organism neither is harmed nor recieves a benefit is know as?

commensalism

Cholangiography is a radiographic study of the __?

common bile duct or gallbladder

A general description of the abilities needed to perform a job is known as?

competencies

Materials that allow the flow of free electrons are called?

conductor

Patient safety and hospital efficiency and effectiveness are related to?

consistent communication

A common benign reaction associated with latex allergy is?

contact dermitis and irritant dermititis

Most surgical infections occur because of ?

contamination during the procedure

When taking hot surgical instruments from a steam autoclave, the surgical technologist is responsible for cooling instruments with ?

cool sterile water

The name given to where the fallopian tubes enter into the uterus is called the __?

corano

A "time out" period should take place immediately before starting the procedure in order to verify:

correct patient, procedure, surgical site and side, when applicable when implant placement is completed, everyone must agree

The contamination of a person or object by another person or object is called __?

cross-contamination

What term describes making an incision and dissecting through tissue layers to expose the vessel and make an incision into the vessel for the induction of a catheter?

cut-down

When an illness takes place, certain stressors affect the patient physically and mentally. Adult patients are worried about?

death, infirmity, family, paying bills, job security

Metaiodobenzylguanidine MIBG is a nuclear medicine study that is specifically designed to?

detect and locate pheochormocytoma

What two hormones do the ovaries release?

estrogen and progesterone

If a patient asks what you do, you should?

explain honestly in simple terms

What three components referred to as the fire triangle can result in a fire or explosion?

fuel, oxygen, ignition

What specimen can be altered if placed in formalin?

gallstones

The suture diameter is referred to as the?

gauge

Anesthesia affects the normal __ and physiological process of insulin.

metabolic

This chemical is also referred to as bone cement?

methyl methacrylate

What renal filtration structure restricts the movement of blood, cells, and large molecules?

glomerular capillary endothelium

What is the superior opening into the larynx called?

glottis

What is the acceptable fluid when doing a TURP?

glycine and sorbitol

Septic shock is caused by?

gram negative bacteria

What must be done to electrical devices in the OR to prevent the risk of burns to the patient?

grounded and tested frequently

The anesthesia machine should be set up at the __ of the OR bed

head of the table

latex gloves should not be worn

if you or the patient has a latex allergy

For routine surgeries, suture packages should remain unopened on the sterile field. Needle packages with multiple needles should be opened and counted for which purpose?

in order to avoid having to count the needles intraoperatively

Tympanotomy is ?

incision into the tympanic membrane

A wound expected to heal by first intention is an?

incision opened under ideal conditions, CLEAN WOUND

What type of biopsy involves the removal of a portion of the tissue mass or lesion for pathology study?

incisional biopsy

After scrub is complete, it is important to __?

keep hands b/w waist and mid-chest and avoid letting hands or arms touch anything

Raised, thickened scar due to excessive collagen formation is called?

keloid

Osteocytes are located in minute bone chambers called?

lacuna

What is the correct patient surgical position for a total hip arthroplasty?

lateral

In what position is the patient generally placed into for a D and C?

lithotomy

The two hormones from the anterior pituitary that stimulate the ovarian cycle__?

luteninizing hormone and follicle stimulating hormone

What is the function of the cristae located in the inner ear?

maintain dynamic equilibrium

Brain spoons are examples of __ instruments?

malleable retractor

The technical term for robotic arms are?

manipulators

Video cameras and light cords should be sterilized using __?

manufacturers recommendations

What is the standard for intraoperative monitoring of oxygenation levels for all age groups of surgical patients?

measuring the arterial blood gases

The ultrasonic washer is an example of a __

mechanical decontamination machine

As bone cement hardens it expands within the medullary canal, causing intramedullary hypertension that can lead to?

microembolism of fat, bone marrow, PMMA cement, and air into the femoral venous vessels

Maxon suture thread is?

monofilament absorbable

Which of the following procedures requires an incision in the suprasternal notch? A. mediastinoscopy B. bronchoscopy C. parotidectomy D. pericardectomy

A. mediastinoscopy

If an adult patient refuses a blood transfusion, the surgical staff should A. not administer blood to the patient. B. administer blood only in an emergency. C. administer blood only after sedation. D. not perform any procedure that may require a transfusion.

A. not administer blood to the patient.

Which of the following is the MOST effective mechanical method of controlling bleeding occurring from needle holes in vessel anastomoses? A. pledget B. suction C. ligature D. clamp

A. pledget

An appendectomy incision closed using suture is considered to be which of the following types of wound closure? A. primary intention B. secondary intention C. tertiary intention D. third intention

A. primary intention

During a carotid endarterectomy, which of the following is administered to reverse the effects of systemic heparin? A. protamine sulfate B. thrombin C. lidocaine D. atropine

A. protamine sulfate

A surgeon asks a surgical technologist to place a drop of a mydriatic solution in OD. As a result of this medication, the pupil of the A. right eye will dilate. B. left eye will dilate. C. right eye will constrict. D. left eye will constrict.

A. right eye will dilate.

When performing a urinary bladder catheterization, it is essential to A. place the patient in Sims' position. B. keep the catheter tip sterile. C. inflate the balloon in the urethra. D. shave the pubis.

B. keep the catheter tip sterile.

The safest method for placing a blade on a knife handle is with a A. Mixter. B. gloved hand. C. needle holder. D. tissue forceps.

C. needle holder

Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? A. pre-peritoneal fat B. linea alba C. oblique muscles D. rectus abdominis muscle

C. oblique muscles

Which of the following is used to stabilize a fractured finger? A. Rush rods B. Hagie pins C. Knowles pins D. Kirschner wires

D. Kirschner wires

B) Jaws

Which part of a clamp hold the tissue securely? A) Shank B) Jaws C) Hinge D) Blade

The most significant cause of morbidity during a cesarean section is?

anesthetic problems

The scope used for visualization of the heart and major vessels is called an?

angioscope

Projectile motion refers to the motion of an object launched into the air at a specific __?

angle

IV placement in the patient with AIDS may be difficult due to?

lack of suitable vein

The Pfannenstiel incision is which type of incision?

lower transverse abdominal

Clamps, ligatures, and clips are examples of what type of hemostasis?

mechanical hemostasis

Respiration is controlled by the __ in the brain?

medulla oblongata

A fibroid is a benign tumor found?

myometrium

What fluid fills the spaces of the bony labyrinth?

perilymph

What is best suited for reprocessing surgical instruments exposed to clostridium?

prevacuum

An estimation of the arterial levels of CO2 is determined with the use of__?

capnography

What is the name of the lowest tracheal cartilage that forms a ridge between the right and left main stem bronchi?

carina

The condition of gallstones is called?

cholelithias

What is the best suture choice for closing an episiotomy?

chromic

The end of which bone articulates with the manubrium?

clavicle

According to the text, what is key to teamwork among health care providers?

communication

What causes descent of the fetus through the pelvic canal?

contractions

What is used to enhance visualization of structures during a diagnostic imaging procedure?

contrast medium

Hemorrhage from the nose is described as?

epistaxis

What is used to report an unusual event that has occurred and may have legal ramifications for the staff or the patient?

incident report

Drapes that have an adhesive backing that can be impregnated with an antimicrobial iodine agent are called?

incise drapes

An intentional cut through intact tissue for the purpose of exposing or excising underlying structures is called?

incision

List the order of the sequence of induction for general anesthesia. 1. leads placed on patient 2. induction agent is given through IV 3. patient is prompted to breath 100% O2 4. patient is intubated 5. anesthetic gas agent is selected and applied

1,3,2,4,5

If blood products are not going to be used immediately, they should be stored in a refrigerator at a temperature between __ degrees Celsius

1-6

To keep the amount of airborne contamination in the OR room to a minimum, the CDC recommends how many air exchanges per hour?

20

The male urethra is approximately __ in length?

20 cm

Corneal graft rejection may occur up to how late following transplant?

20 years

The aggressive type of testicular cancer malignancy usually strikes males between the ages of?

20-40

The Joint Commision recommends a relative humidity level in the OR to be maintained at ?

50-55%

What suture would be appropriate for closure of a ureterotomy?

6-0 absorbable

Hypothermia affects up to __% of all surgical patients

60

A) False aneurysm

A condition that exists when all the vessel layers begin ruptured and the blood being retained by the surrounding tissue is a __________. A) False aneurysm B) True aneurysm C) Compound aneurysm D) Dissecting aneurysm

B) Anticoagulant

A drug that prolongs blood clotting time is called ___________. A) Coagulant B) Anticoagulant C) Diuretic D) Contrast medium

A) Nor epinephrine

A medication used to restore blood pressure in acute hypotensive states is ____________. A) Nor epinephrine B) Epinephrine C) Lidocaine D) No choices are correct

C) Running suture

A method of suturing that uses one continuous suture passing over and under the tissue edges is called ___________. A) Overhand B) Backstitch C) Running suture D) Slip stitch

C) Anesthesiologist

A physician who specializes in the branch of medical science concerned with drugs that produce the absence of sensation is referred to as a(n) _________. A) Anesthetist B) Anesthetic C) Anesthesiologist D) CRNA

The surgeon is performing a suprapubic prostatectomy. Control of bleeding is a major consideration. Which of the following clamps should the surgical technologist hand to the surgeon to aid in hemostasis? A. Long Right Angle Clamp B. Wertheim-Cullen Clamp C. Rochester Carmalt Clamp D. Jacobson Micro Mosquito Clamp

A. Long Right Angle Clamp

Which of the following solutions is used to identify diseased areas for a cold conization of the cervix? A. Lugol's B. fluorescein C. methylene blue D. Isovue

A. Lugol's

Which entity is responsible for verifying that the school attended by the ST meets national standarts?

ARC-ST

Who is responsible for ensuring accredited ST programs are engaged in an ongoing quest for quality?

ARC-ST

B) Designated processing area

After surgery, the instruments used and unused are cleaned in the _________. A) O.R. B) Designated processing area C) Corridor D) Surgical suite

C) 90*

Avoid hyperextension of the arm no more than __________. A) 20* B) 45* C) 90* D) 180*

What is the name of the second cervical vertebra?

Axis

When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice? A. 3-5 mL of sterile water B. 3-5 mL of normal saline C. 8-10 mL of sterile water D. 8-10 mL of normal saline

C. 8-10 mL of sterile water

When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice? A. 3-5 mL of sterile water B. 3-5 mL of normal saline C. 8-10 mL of sterile water D. 8-10 mL of normal saline

C. 8-10 mL of sterile water

Which of the following is a specimen container used in a flexible or rigid bronchoscopy? A. Ellik B. chest bottle C. Lukens D. suction canister

C. Lukens

A primary suture line consisting of a single strand of suture placed as a series of stitches is called?

Continuous of Running

A) True

Counts are to be performed prior to the beginning of a procedure. A) True B) False

What rare condition is indicated by an overproduction of cortisol by the cortex of the adrenal gland?

Cushing's disease

When transferring an unconscious, post-operative adult patient from the operating room table to a bed, what is the minimum number of people required for safe transfer? A. 1 B. 2 C. 3 D. 4

D. 4

The surgical technologist in the scrub role MUST keep track of blood loss as well as A. weigh the blood-soaked sponges. B. measure the amount of collected fluid. C. administer blood replacement. D. track amount of irrigation used.

D. track amount of irrigation used.

Another name for the alimentary canal is the __ tract?

Digestive

A) Meninges

Directly beneath the skull lie three protective coverings of the brain called __________. A) Meninges B) Periostea C) Galeas D) Pericranium

A bloodborne pathogen that puts health care workers at particular risk is __?

Hep C

A) Malpractice

Improper, careless or ignorant treatment is called __________. A) Malpractice B) Negligence C) Incompetence D) Misdemeanor

Where is Zenker's diverticulum found?

In the Esophagus

What is Balanced salt solution (BSS) used intraoperatively for?

Irrigate the cornea

What is the medical term for kidney stones?

Nephrolithiasis

Classical mechanics are based on __ laws of motion?

Newtons

Which blood test can indicate the possibility of prostatic cancer?

PSA

What department provides rehabilitation for the post-op patient?

Physical or Occupational therapy

Placement of the tourniquet cuff is determined by the __?

Physician

According to Maslow's hierarchy, what are the most basic needs

Physiological, biological needs, water, o2, food, and temp. regulation

What is the key feature of the fourth stage of the clotting process?

Platelet aggregate forms, initial thrombus is formed and may be enough to stop blood flow

Which disorder is marked by multiple fluid-filled, benign cysts in the parenchyma of the kidney?

Polycystic kidney disease

Define: power, load and switch

Power=rate @ which work is done and is measured in watts, Load: device that uses the electricity to perform a function, Switch: device used to open or close a circuit and controls flow of electricity

B) Non-radiopaque

Prep sponges are _________ and kept isolated from the sterile field. A) Contaminated B) Non-radiopaque C) X-ray detectable D) Very small

Failure to have a menstrual period is called?

Primary ovarian failure

A hospital that is owned by an individual or corporation in order to make a profit is known as which type of hospital?

Proprietary

C) Saliva

Rabies is a disease transmitted primarily through ____________. A) Feces B) Urine C) Saliva D) Respiratory secretions

What are the basic floor plan designs of the surgical services department?

Race track, hotel plan, specialty grouping, circular

Preoperative diagnostic studies are performed by the?

Radiologist

Scopes typically used for cystoscopy, laparoscopy, and thoracoscopy are called?

Rigid scopes

What type of bacteria can be found as common flora of the skin, hair, and nose?

Staph aureus

What microorganism is capable of causing endocarditis?

Staph epi.

What microorganism is capable of causing a UTI

Staph. epi

What microbe is responsible for causing tonsilitis

Strep pyogones

Which prostatectomy procedure involves an incision into the bladder to remove the prostate en bloc?

Suprapubic prostatectomy

What are the uterine appendages (adnexa)?

The fallopian tubes and ovaries.

A) Mediastinum

The heart lies in the ________ suspended by the great vessels with 2/3 of its mass to the left of the midline. A) Mediastinum B) Rid cage C) Thoracic pleura D) Visceral pleura

B) Between

The humerus is ___________ the clavicle and the wrist. A) Above B) Between C) Below D) Under

A) Meninges

The membranous sheaths that envelopes the brain and spinal cord are the ____________. A) Meninges B) Neurons C) Synapses D) Endoderm

C) Hemostats

The most common types of clamps are called _______. A) Scalpel B) Forceps C) Hemostats D) Holders

A) Pelvic cavity

The urinary bladder is found in the _________. A) Pelvic cavity B) Dorsal cavity C) Mediastinal space D) Thoracic cavity

C) Magnetic resonance imagine (MRI)

The use of electromagnetic energy and radio frequencies for identifying abnormalities in an anatomic structure is ___________. A) Ultrasonography B) Thermography C) Magnetic resonance imagine D) Endoscopy

D) Prophlyactic

To prevent the occurrence of a disease or illness is ___________ intervention. A) Surgical B) Restorative C) Palliative D) Prophlyactic

A patient is undergoing laser surgery for a cancerous lesion. Before using the laser, the ST should check the laser with what method?

Tongue depressor

What type of latex allergy is lease serious?

Type IV

What machine found in the decontamination room uses cavitation?

Ultrasonic washer

Surgical pathology requiring treatment within a relatively short period of time is known as?

Urgent

Parasympathetic innervation to the stomach is provided by the __ nerve?

Vagus

Endometriosis is _?

When the cells from the uterus grow outside of the uterine cavity

What tumor is the most common pediatric tumor of the abdomen?

Wilms'

A) Contrast medium

________ is a dye that is introduced into the body cavity in order to become visible to x-ray observation. A) Contrast medium B) Bile C) Apothecaries D) Color administration

A) Grounding

________ is necessary for safety and prevention of stray electrical current. A) Grounding B) Inspection C) Frayed wire D) Water

A) Varicocele

________ is the enlargement of veins of the spermatic cord. A) Varicocele B) Hydrocele C) Spermatocele D) Nephrosclerosis

Gravida

a term that indicates the number of times a woman has been pregnant.

Which of the following retractors is most commonly used in c-sections? a. De Lee b. Hibbs c. Oconnor-OSullivan d. Auvard

a. De Lee

A three-way foley is inserted following a transurethral prostate resection (TURP) in order to a. Irrigate and facilitate hemostasis b. prevent the patient from getting out of bed c. keep accurate input and output records d. keep a perineal area dry

a. Irrigate and facilitate hemostasis

When using power saws on bone, which of the following actions BEST helps prevent bone damage? a. Irrigation b. Suction c. Illumination d. Retractions

a. Irrigation

What procedure is used to treat cancer of the rectum?

abdominoperineal resection

A physical factor influencing wound healing is?

age, nutritional status, disease, smoking, radiation exposure, immunocompromised or suppressed

What type of laser produces a green wavelength with an affirmity for red or darker tissues, such as hemoglobin or melanin?

argon laser

Many surgical robot arms have __ geometry and versatility measured in degrees of freedom.

articulated

The chest tube collection unit must be maintained?

below the level of the throacic cavity

Cystocele is prolapse of the __?

bladder

The uterine tubes are contained within the __ ligament?

broad

The appendix is attached to the ?

cecum

A pap smear is performed to rule out__?

cervical dysplasia

Which of the following is the recommended location of a pneumatic tourniquet during a triple arthodesis? a. calf b. knee c. ankle d. thigh

d. thigh

The partial or total separation of a layer or layers of tissue after closure is called?

dehiscence

Curvid Iris and and Potts-smtih scissors are frequently used to dissect __ tissues?

delicate

what term describes the following coping mechanism: "The patient does not want to accept the truth of what is occuring"

denial

An otoscope is used to view the?

ear

Immediate operative intervention is performed on the pregnant patient for what emergency procedure?

ectopic pregnancy, appendicitis, trauma injury, incompetent cervix

Electrosurgery is the application of __ current to coagulate or cut tissue?

electrical current

When an electrical charge is in motion, it is referred to as a?

electrical current

The display and recording of the electrical activity of the skeletal muscle is called?

electromyography

The active electrode is also called the?

electrosurgical pencil

The seventh cranial nerve is also called?

facial

What classification is given to bacteria that can survive in an enviornment with or without oxygen

facilatative anaerobes

What is the most common reason for the performance of a cesarean section?

failure to progress

where is the most common site for ectopic pregnancy?

fallopian tube

Salpingectomy is the removal of the __?

fallopian tubes

An AP radiographic film is taken??

front to back

Nissen fundoplication is the procedure performed to correct ?

hiatal hernia

Emergency procedures on geriatric patients are associated with?

higher mortality rates

What percentage must humidity remain higher than to avoid the transmission of sparks in the OR?

higher than 50%

The incidence of pancreated cancer is highest in the __?

highest in the pancreatic head and ampulla vater

Detergent selection is primarily based on the?

instrument being used, pH plays a role

The Doppler probe can be used within the sterile field as long as?

it is covered with a sterile drape

Laser light is collimated, which means that?

its waves are parallel to each other and do no spread out as they travel away from their source

The internal cervical os is the __?

junction between the corpus uteri and the cervix

What is the largest and most complex synovial joint?

knee

What instruments is typically placed onto the fascia during a cesarean section?

kocher

The primary indication for a splenectomy is __?

laceration secondary to trauma

Mechanics is the study of __?

objects in motion

Bacteria that require oxygen to sustain life are called__?

obligate aerobes

In the normal child, the testes descend by the age of?

one

Segmental resection of the breast refers to the removal of ?

only the tumor and a reasonable margin of healthy tissue

What type of cells break down and assimilate bone?

osteoclasts

Marsupialization indicates?

pouch is created

What consideration may be more relevant to the elderly patient than to an adolescent?

pre-op planning, arthritis, decrease emotion, patient skin condition

The basic forms of matter--solids, liguids, and gases are called?

states of matter

the front of a surgical gown from waist to midchest and circumferentially to 2 inches above the elbows on the sleeves is considered?

sterile

A Bilroth I or II refers to an __?

subtotal gastrostomy

The primary source of airborne bacteria transmission in the OR is the __?

surgical team

An end ileostomy is created from the __?

terminal portion of the ileum

Cystocele is prolapse of what?

the bladder into the vaginal vault

Malpractice and negligence fall under what kind of law?

unintentional tort law

To prevent contamination of the surgical patient during an x-ray, the ST will?

use a sterile drape cover, x-ray tube itself may be covered with a sterile drape and wound may be protected with sterile towel

Correct placement of indwelling catheters, tubes, and drains may be verified by?

x-ray

What diagnostic study uses electromagnetic radiation to view internal structures?

x-ray

B) Anxiety

A preoperative visit by the anesthesiologist often reduces the patients __________. A) Charges B) Anxiety C) Weights D) Rights

__ recognizes patient safety as being an item of the highest priority and strongly urges individual hospitals and health care organizations to take all reasonable measures to prevent the retention of foreign bodies in the surgical wound.

American College of Surgeons

A) Cholangiogram

An injection of radiopaque solution in the cystic duct or into a tube placed into the common duct to permit x-ray identification of the biliary ductal system is called a(n) __________. A) Cholangiogram B) Pyelogram C) Angiogram D) Cholecystogram

Growth in the length of a long bone occurs at the A. diaphysis. B. medullary canal. C. epiphyseal plate. D. articular cartilage.

C. epiphyseal plate.

Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? A. pre-peritoneal fat B. linea alba C. oblique muscles D. rectus abdominis muscle

C. oblique muscles

Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the operating room? A. cystoscopy B. culdoscopy C. sigmoidoscopy D. laparoscopy

C. sigmoidoscopy

B) Energy efficiency

Which lighting condition below is not necessary in the O.R.? A) Lack or shadow B) Energy efficiency C) Adjustability D) Minimal heat production

C) Neck

The sternocleidomastoid muscle is located in the ____________. A) Back B) Cecum C) Neck D) Clavicle

D) Surgeon

Which person has the ultimate responsibility for obtaining the signed consent? A) Tech in surgery B) Circulating nurse C) Anesthesiologist D) Surgeon

A) Lateral

Which position in thoracic surgery is used for anterolateral thoracotomy incision and most thoracic endoscopic procedures? A) Lateral B) Supine C) Modified supine D) Kraske

C) A wide stance

Which position is better to avoid fatigue during long periods in the O.R? A) Stand with heels together B) Relatively high heeled shoes C) A wide stance D) Weight bearing on one foot

C) It is a one piece bulb that tapers to a blunt end

Which statement is true concerning an irrigating syringe that has a bulb without a barrel? A) It is calibrated in ounces B) It has a glass bulb C) It is a one piece bulb that tapers to a blunt end D) It is used with a needle

A __ is the same as 1000 kilobytes

megabyte

Pronova suture thread is__?

monofilament nonabsorbable

Low-level disinfection may be appropriate for?

non critical, blood pressure cuff, OR furniture, OR table

A CRNA is part of what OR group

non sterile anesthesia dept

Most surgical technology programs are accredited through?

CAAHEP

For which of the following procedures is Gelfoam MOST commonly used? A. total abdominal hysterectomy (TAH) B. extraction of a cataract C. transurethral resection of the prostate (TURP) D. craniotomy for subdural hematoma

D. craniotomy for subdural hematoma

Which of the following items should be used to transport a patient in traction? a. bed b. stretcher c. wheel chair d. fracture table

a. bed

Which of the following anticoagulants should be given during a vascular procedure to prevent blood clotting? a. heparin b.protamine c. atropine d. epinephrine

a. heparin

D) Ostomy

The suffix meaning the creation of a new opening for drainage is __________. A) Otomy B) Ectomy C) Plasty D) Ostomy

B) Lithotomy

The suffix meaning the incision for removal os stones is __________. A) Pexy B) Lithotomy C) Desis D) Rraphy

A tourniquet is used in which of the following procedures? a. patellectomy b. ORIF hip c. shoulder arthroscopy

a. patellectomy

Current is measured in __?

amperes

Which of the following can be performed to creat an easy entrance into most vessels of the body? a. spinal tap b. seldinger technique c. thoracocentesis d. arthrotomy

b. seldinger technique

A sterile item used with an electrosurgical unit it the a. generator b. patient return electrode c. active electrode d. foot pedal

c. active electrode

Care of a surgical specimen includes placing it A. in a biohazard trash bag. B. in a bag or container with formalin. C. on a RAY-TEC sponge and sending it to pathology. D. in a trash bag.

B. in a bag or container with formalin.

Which of the following types of sponges is used directly on the structures of the brain? a. RAY-TEC b. cherry c. Weck cell c. Cottonoind

d. cottonoid

In which phase of healing does a wound undergo a slow, sustained increase in tissue tensile strength?

maturation or differentiation phase, 3

The proximal portion of the male urethra is the __?

prostatic section

The ligament that supports the bulk of the ovary is called the __ ligament?

suspensory ligament

A kocher-type of incision is__?

transverse

How many counts are performed during a cesarean section?

4

What term defines the relationship among coworker, surgeon, and other health care providers?

professional

During a procedure, a surgical technologist touches an unsterile item with a sterile glove. Which of the following should be done? A. Change the glove at once. B. Break scrub and rescrub. C. Wait until closing to change the glove. D. Ask the surgeon what to do.

A. Change the glove at once

Following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take? A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient. B. Remove gown and gloves, don a pair of unsterile gloves to remove drapes from the patient, and remove instruments and supplies from the back table. C. Remove gown and gloves, don a pair of sterile gloves to remove drapes from patient, and remove gloves and don a pain of unsterile gloves to clean the back table. D. Remove sterile drapes, remove gown and gloves, and don a pair of sterile gloves to clean back table.

A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient.

Which of the following is a preferred retractor for a groin incision? A. Weitlaner B. Finochietto C. O'Sullivan-O'Connor D. Balfour

A. Weitlaner

Why is the right kidney typically several centimeters lower than the left kidney? A. The liver rests superior and anterior to the right kidney. B. The liver rests superior and posterior to the right kidney. C. The liver rests inferior and anterior to the right kidney. D. The liver rests inferior and posterior to the right kidney.

A. The liver rests superior and anterior to the right kidney.

Which of the following should be the MINIMUM exposure time in a flash sterilizer for unwrapped instruments? A. 1 minute B. 3 minutes C. 5 minutes D. 7 minutes

B. 3 minutes

Which of the following is the correct order, from the outermost to the innermost layer, of the tissues that compose the wall of the stomach and small intestine? 1. submucosa 2. muscularis 3. serosa 4. mucosa A. 1, 4, 2, 3 B. 3, 2, 1, 4 C. 1, 2, 4, 3 D. 3, 4, 2, 1

B. 3, 2, 1, 4

The use of a Penrose drain is often employed during inguinal herniorrhaphy?

trap spermatic cord

Which of the following does NOT result after dipping a bloody RAY-TEC sponge into irrigation solution? A. The solution is tainted. B. Lint is released into the solution. C. The solution is diluted. D. Cellular components are released into the solution.

B. Lint is released into the solution.

Which of the following instruments may be used to extend the arteriotomy during carotid endarterectomy? A. straight Mayo B. Potts-Smith C. Jorgenson D. Stevens tenotomy

B. Potts-Smith

A patient undergoing a blood transfusion is having a hemolytic reaction. Which of the following actions should the healthcare providers take FIRST? A. Administer dantrolene. B. Stop the transfusion. C. Monitor urine output. D. Send blood sample to blood bank.

B. Stop the transfusion

Which of the following is reshaped during a total hip arthroplasty? A. fibula B. acetabulum C. iliac crest D. tibia

B. acetabulum

Which of the following is MOST likely to be used to stabilize a cervical fracture? A. Kirschner wire B. Hoffman device C. Steinmann pins D. Mayfield clamp

D. Mayfield clamp

A lumbar meningocele involves removal of A. cerebrospinal fluid. B. lumbar disc. C. meninges. D. a fluid-filled sac.

D. a fluid-filled sac.

What department repairs broken equipment?

Maintenance/Biomed

For what portion of the body is Renografin most often used?

kidney or urinary system

C) True aneurysm

A dilated sac consisting of one or more layers defines a ___________. A) Sacculated aneurysm B) False aneurysm C) True aneurysm D) Compound aneurysm

Healing where the wound is left open and allowed to heal from the inner layer to the outside surface is?

second intention (granulation)

An intermediate level of disinfection may be appropriate for __?

semi-critical, countertops, OR furniture, floors, and other surfaces

The term chyme refers to __?

semifluid mass of partially digested food

D) Squaring off

Four towels are placed around the immediate surgical site, this is called __________/ A) Identifying B) Bordering C) Containing D) Squaring off

Which of the following is the opening in the occipital bone through which the spinal cord passes? A. foramen ovale B. foramen magnum C. foramen rotundum D. foramen of Bochdalek

B. foramen magnum

After completing an operative procedure, the FIRST item a surgical technologist in the scrub role should remove is the A. mask. B. gown. C. gloves. D. shoe covers.

B. gown.

When using a tourniquet, the surgeon should be notified when the tourniquet has been inflated for?

1 hour, reminded every 15 mins after

The normal blood value of platelets is __?

130-140 x 10^3/mm#

During a C-section, a surgical technologist passes the surgeon a pair of Metzenbaum scissors and Russian forceps. Which of the following anatomical parts is dissected off the uterus and gently retracted prior to uterine incision? A. ovaries B. bladder C. peritoneum D. broad ligament

B. bladder

The parathyroid gland regulates A. insulin. B. calcium. C. sodium. D. aldosterone.

B. calcium.

What is cholesteatoma?

Benign cyst in the mastoid cavity

What is the initial sign of a postop infection?

Fever

E) Heavy needle drivers

Heavy suturing: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers

What incisional approach is most common for appendectomy?

McBurneys

The certification exam for surgical techs is given by what entity

National Board of Surgical Technologists and Surgical Assistants

Neurosurgical sponges are referred to as?

Patties (cottonoids)

A) Lungs

Pulmonic and pulmonary refer to the ___________. A) Lungs B) Glands C) Heart D) Vessels

Mydriatics and cycloplegic drugs cause what?

Pupil dilation

The range 4.3 to 5.9 is the normal hematology value for?

RBC in male

C) Blood

Serum hepatitis is transmitted through _____________. A) Urine B) Feces C) Blood D) Saliva

Information about the patient's lung capacity, resistance, and ventilatory pressure is obtained and displayed with the use of __?

Spirometry

A) Acetabulum

The depression in the hip bone which receives the head of the femur, is called the __________. A) Acetabulum B) Acromioclavicular (AC joint) C) Condyle D) Femoral condyle

A) Arthroscope

The endoscope used for visualization of intra-articular surfaces (generally the knee), requiring a small incision is __________. A) Arthroscope B) Sigmoidoscope C) Cystoscope D) Colonoscope

The name of the fistula that forms between the bladder and the vagina.

Vesicoginal fistula

What is the number one cause of death in children ages 1-15?

accidents

Which of the following is necessary for ethylene oxide sterilization to occur? a. indirect contact b. gravity displacement c. humidity d. steam

c. humidity spores must be hydrated to facilitate passage of the EO into an organism

If two basins are wrapped together for sterilizing, how should they be packaged? a. with one basin stacked inside the other and separated by impervious material b.with one basin on it's side and the other upside down c. with one basin stacked inside the other and wrapped in a towel d. with one basin stacked inside the other and separated by a towel

d. with one basin stacked inside the other and separated by a towel

D) Tetracaine

A common anesthetic for eye surgery is ____________. A) Marcaine B) Piperocaine C) Novocaine D) Tetracaine

A) Common bile duct

In a cholecystectomy procedure the surgeon identifies the cystic duct, cystic artery and the __________. A) Common bile duct B) Hepatic duct C) Jejunum D) Pancreatic duct

B) Block

Interferons ___________ the effect of the virus. A) Kill B) Block C) Increase D) Decrease

Identify where the internal and external os are located.

Internal - the junction between the corpus uteri and the cervix External - where the cervix ultimately opens into the vagina

What is the main source of blood supply to the nose?

Internal maxillary artery

A) Context

It is efficient to learn the names of instruments as they are in ________. A) Context B) The sterilizer C) Storage D) Pictures

How does high humidity affect the OR environment?

formation of sparks

How many components are implanted during a total knee arthroplasty?

four

D) All answers are correct

Which steps are necessary in order to arrest massive hemorrhage? A) Find the exact site B) Stop bleeding C) Correct the blood loss D) All answers are correct

What is a malignant neoplasm?

colon cancer, giloblastoma, cancerous growth

Implied consent may apply when?

conditions found during surgery

Normal pulse values for an adult are__?

60-80bpm

A resectoscope is used to resect the A. ovaries. B. prostate. C. vas deferens. D. fallopian tubes.

B. prostate.

When entering the abdominal cavity, which of the following BEST describes the order of contact with the layers of tissue? A. skin, fascia, subcutaneous, peritoneum, muscle B. skin, subcutaneous, muscle, fascia, peritoneum C. skin, fascia, peritoneum, subcutaneous, muscle D. skin, subcutaneous, fascia, muscle, peritoneum

D. skin, subcutaneous, fascia, muscle, peritoneum

Which of the following types of connective tissue fastens muscle to bone? A. cartilage B. ligament C. synovium D. tendon

D. tendon

When performing a parotidectomy, which of the following nerves is identified and preserved with the use of a nerve stimulator? A. facial nerve B. recurrent laryngeal nerve C. acoustic nerve D. vagus nerve

A. facial nerve

Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured next? A. fascia B. muscle C. subcutaneous D. subcuticular

A. fascia

At the conclusion of a surgical case, how would the surgical technologist in the scrub role aid in reducing bioburden on instruments as the first step in the sterilization cycle? A. hand cleaning B. disinfection C. sorting D. sterilization

A. hand cleaning

Which of the following anticoagulants should be given during a vascular procedure to prevent normal blood clotting? A. heparin sodium B. protamine sulfate C. atropine D. epinephrine

A. heparin sodium

Which of the following pathological conditions may be caused by an excessive production of cerebrospinal fluid in the brain? A. hydrocephalus B. encephalocele C. cranial bifida D. craniosynostosis

A. hydrocephalus

When an anesthetized patient's position is changed from lithotomy to supine, the patient's legs should be lowered slowly to prevent which of the following? A. hypotension B. laryngospasm C. respiratory distress D. peroneal nerve damage

A. hypotension

Heaney clamps are used MOST frequently for which of the following types of surgery? A. hysterectomy. B. lobectomy. C. cystectomy. D. gastrectomy.

A. hysterectomy

For steam sterilization, biological indicators should be placed A. in the most challenging area of the load. B. at the center of the load. C. in the least challenging area of the load. D. at the top of the load.

A. in the most challenging area of the load.

Which of the following conditions should be treated FIRST? A. obstructed airway B. closed cerebral injury C. shock due to hemorrhage D. sucking wound to the chest

A. obstructed airway

When two individuals in sterile attire pass one another in the sterile field, they should A. pass back-to-back. B. both face the wall. C. pass side-to-side. D. both face the sterile field.

A. pass back-to-back.

A tourniquet is used in which of the following procedures? A. patellectomy B. ORIF hip C. shoulder arthroscopy D. Bankart repair

A. patellectomy

An effective packaging material used for a Balfour to be steam sterilized A. permits penetration by the sterilant. B. allows for condensation that produces wet packs. C. allows for exposure to peracetic acid. D. is dictated by the surgeon's preference.

A. permits penetration by the sterilant.

An effective packaging material used for a Balfour to be steam sterilized A. permits penetration by the sterilant. B. allows for condensation that produces wet packs. C. allows for exposure to peracetic acid. D. is dictated by the surgeon's preference.

A. permits penetration by the sterilant.

The PRIMARY consideration in selecting an appropriate anesthetic agent is the A. physiologic condition of the patient. B. length of the procedure. C. type of the procedure. D. anxiety level of the patient.

A. physiologic condition of the patient.

To help prevent toxicity and vascular events in a patient where polymethylmethacrylate (PMMA) is used, which of the following devices should a surgical technologist have available? A. pulse lavage B. mask C. smoke evacuator D. cement mixer with charcoal filter

A. pulse lavage

Which of the following structures is behind and below the base of the penis? A. scrotum B. seminal vesicles C. vas deferens D. prepuce

A. scrotum

Wrinkle-free padding is applied to an extremity before application of a tourniquet to avoid A. skin injuries. B. improper inflation. C. excessive blood loss. D. skeletal injuries.

A. skin injuries

On which of the following would an antiseptic be used? A. skin surface B. anesthesia masks C. intravenous tubing D. operating room table

A. skin surface

The first pair of cranial nerves is associated with which of the following? A. smell B. sight C. speech D. balance

A. smell

Which of the following is MOST commonly used for wound closure in the presence of infection? A. stainless steel B. polyglactin-910 C. plain gut D. silk

A. stainless steel

Which of the following is classified as a clean-contaminated wound (Class II)? A. suprapubic prostatectomy B. incision and drainage of abscessed foot C. coronary artery bypass graft (CABG) D. gunshot wound

A. suprapubic prostatectomy

When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist in the scrub role is placing the staples through which two layers? A.cuticular and subcuticular B.subicular and subcutaneous C.subcuticular and subcutaneous D.subcutaneous and fascia

A.cuticular and subcuticular

Instruments that come in contact with the appendiceal stump during an appendectomy should be A.placed in a separate basin. B.wiped with a saline sponge. C.returned to the Mayo stand. D. wiped with an alcohol sponge.

A.placed in a separate basin.

Bacteria can be reduced in the operating room by A. aeration of rooms overnight. B. damp dusting of surfaces each morning. C. reducing air exchange in the room. D. maintaining humidity level above 70%.

B. damp dusting of surfaces each morning.

An Esmarch bandage should be applied to an extremity A. proximal to distal. B. distal to proximal. C. ventral to dorsal. D. dorsal to ventral.

B. distal to proximal.

Which of the following positions is used for mastopexy? A. Kraske B. dorsal recumbent C. lateral Sims D. lithotomy

B. dorsal recumbent

A) It is a soft sponge like material

Which one of the following statements is true concerning the characteristics of bone marrow? A) It is a soft sponge like material B) It is a hard compact material C) It is found covering bones D) It manufactures glucose

B) Supine

Which position in thoracic surgery is used for a median sternotomy incision? A) Lateral B) Supine C) Modified supine D) Trendelenburg

B) Superior

Which positional word conveys the idea of being above or over another region? A) Inferior B) Superior C) Bilateral D) Flexion

D) For aspiration of fluids

Which statement is true concerning the correct use for a syringe? A) To eliminate dead space B) To remove stones from vessels C) Used as a stent in urology D) For aspiration of fluids

Which of the following conditions must be treated FIRST? a. obstructive airway b. closed cerebral injury c. shock due to hemorrhage d. sucking wound to the chest

a. obstructive airway

In comparison to oral Fahrenheit temperatures, rectal Fahrenheit temperatures are A. exactly the same. B. approximately 1 degree lower. C. approximately 1 degree higher. D. approximately 2 degrees higher.

C. approximately 1 degree higher.

C) A and B

Which is not a proper way to handle tools during surgery? A) Throw instruments into basins B) Soak in saline solution C) A and B D) Keep sharp instruments away from other instruments

C) Sleeve

Which is not part of a typical surgical instrument? A) Tip B) Jaws C) Sleeve D) Finger rings

D) Outpatient laboratory

Which item below would not be desirable to place in the general location of the operating room suite? A) Solid walls without windows B) No unrelated traffic C) Near sterile processing department D) Outpatient laboratory

D) B and C

Which of the following are characteristics of protozoa? A) Diarrhea with mucous-filled stools B) Unicellular C) Reproduce by fission D) B and C

D) Shunts

Which of the following devices diverts blood flow? A) Arterial embolectomy catheters B) Venous thrombectomy C) Irrigating fogarty catheters D) Shunts

C) Gossiping about the nursing staff

Which of the following does not promote professionalism? A) Attending educational seminars B) Being a patient advocate C) Gossiping about the nursing staff D) Coming to work on time

C) Portable x-ray equipment

Which of the following equipment would probably not be included on a crash cart? A) Oxygen cylinder B) Tracheotomy tray C) Portable x-ray equipment D) ECG monitor

A) Carbon dioxide

Which of the following gases will be used to establish a pneumoperitoneum? A) Carbon dioxide B) Oxygen C) Nitrogen D) Argon

B) Dye solutions

Which of the following would not be on a crash cart? A) Cardiac stimulant B) Dye solutions C) Respiratory stimulants D) Vasoconstrictors

An example of a non malignant neoplasm is?

uterine fibroid

Acceleration is defined as the change in __ over time?

velocity

What three factors are important when considering the resulting injury that a patient will sustain from a trauma?

velocity of the injuring force, flexibility of the tissue, shape of the injuring force

A nonliving particle that is completely reliant on the host cell for survival is called a __?

virus

The three layers of the uterine wall are?

visceral peritoneum, endometrium, and myometrium

Indirect patient care is provided by which departments?

administration, maintenance, housekeeping, food services, purchasing/central services, medical records

The MIBG scan is a specific type of isotope scan used to identify a problem with the __?

adrenal glands

A circumferential bandage should be applied to an extremity a. proximal to distal b. distal to proximal c. ventral to dorsal d. dorsal to ventral

b. distal to proximal this pushes blood towards the trunk of the body

Which of the following is the opening in the occipital bone through which the spinal cord passes a. foramen ovale b. foramen magnum c. foramen rotundum d. foramen Bochdalek

b. foramen magnum foraoen ovale is the opening between the two atria of the fetal heart foramen rotundum is an opening in the sphenoid bone foramen of bochdalek is a fetal diaphragmatic opening

In order to remove a portion of the kidney, the surgeon must enter which of the following? a. synovial membrane b. Gerota's fascia c. hasselbach's triangle d. suprapleural membrane

b. gerota's triangle

After completing a surgical procedure, the FIRST item a surgical tech should remove is the a. mask b. gown c. gloves d. shoe covers

b. gown

Which of the following is NOT a symptom of shock? a. tachycardia b. hypertension c. cold, clammy skin d. increased inspiration

b. hypertension patients in shock usually have hypotension

The vermiform appendix originates from the a. cecum b. ileum c. sigmoid colon d. ascending colon

b. ileum

Care of a surgical specimen includes placing it a. in a bio-hazard trash bag b. in a bag or container with formalin c. on a RAY TEC sponge and sent to pathology d. in a trash bag

b. in a bag or container with formalin

The linea alba is found ___. a. at the inguinal crease. b. between the third and fourth lumbar vertebrae c. medially where abdominal aponeuroses join d. at lateral margins of the rectus abdomonis muscles

c. medially where abdominal aponeuroses join

The safest method of placing a blade on a knife handle is with a a. Mixter b. gloved hand c. needle holder d. tissue forceps

c. needle holder

Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? a.pre-peritoneal fat b. linea alba c. oblique muscles d. rectus abdominis

c. oblique muscles

How must basins be positioned in the autoclave? a. upside down b. right side up c. on their sides d. lightly stacked

c. on their sides

A post-operative total arthroplasty patient presents to the ER with severe throbbing pain, fever and malaise. Which of the following is likely the diagnosis? a.osteoarthritis b. osteoporosis c. osteomyelitis d. osteomalacia

c. osteomyelitis

Which gland has both exocrine and endocrine functions? a. liver b. spleen c. pancreas d. gallbladder

c. pancreas

The ___ is the physician who will provide a biopsy report. a. general surgeon b. family practitioner c. pathologist d. oncologist

c. pathologist

At which abdominal layer is the first closing count performed? a. skin b. fascia c. peritoneum d. subcutaneous

c. peritoneum

Which of the following lies between the lung and the chest wall? a. mediastinum b. peritoneum c. pleura d. pericardium

c. pleura

The primary reason padding is used in positioning the patient is to a. Ensure the patients comfort b. facilitate the surgeons approach c. prevent injury to pressure points d. maintain the position during surgery

c. prevent injury to pressure points

Which of the following instruments should be used in a TURP set up? a. lithotrite b. urethrotome c. resectoscope d. Randall

c. resectoscope

Which of the following procedures requires a microscope? a. rhinoplasty b. pyeloplasty c. tympanoplasty d. blepharplasty

c. tympanoplasty

Which diagnostic procedure uses high frequency sound waves? a. MIRI b. PET c. ultrasound d. CT

c. ultrasound

A surgical technologist sees a neighbor being admitted. How should he respond? a. acknowledge the neighbor b. Reassure the neighbor that everything is fine c.Do not acknowledge the neighbor unless greeted first

c.Do not acknowledge the neighbor unless greeted first

A laparotomy drape has been placed on a pt and unprepped skin on the operative site is exposed. Which of the following is the BEST next step? a. appy drapes over unprepped skin b. reposition the drapes closer together c. remove drapes and re prep d. cover with an adhesive drape

c.remove drapes and re-prep

Why is nitrous oxide NOT used during reconstructive ear surgery?

causes expansion of the middle ear and can cause dislocation of a tympanic membrane graft

Bacteria are identifed by the shape and form they assume. Which of the following is the shape and from of streptococci

chain of round bacteria

If a sponge is missing, which of the following actions should be taken FIRST? a. The patients wound should be reopened b. an xray of the operative site should be ordered interoperatively c. an xray should be ordered in the recovery room d. the count should be repeated

d. the count should be repeated

Permanent surgical specimens are usually sent to the pathologist in?

formalin solutions, and frozen sections dry, fresh normal saline

Outer electrons are referred to as __ electrons?

free

Precut ties that are removed as single strands from the package and placed into the open hand of the surgeon for use as ligatures are?

free ties

An enzyme is usually used as a __?

pre-soaker

Roux-en-Y technique is most commonly used to repair?

total gastrectomy

Turning the hand so that the palm is facing upward is referred to as?

plantar flexion

D) Wire cutters

Wire sutures: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers

The primary effect of a hypnotic drug is to a. induce sleep b. relax the muscles c. stimulate inspirations d. dry secretions

a. induce sleep

Arterial blood supply to the uterus is derived from the uterine branch of what artery?

internal iliac

Another name for Surgicel is?

oxidized cellulose

The posterior colporrhaphy is performed to_?

repair rectectocele

Any need or activity related to the identification and understanding of one's place in an organized universe (expressions may involve theology, philisophy, mythology, and intuition) is termed a __ need?

spiritual need

The __ is the number one organ injured in a motor vehicle accident?

spleen

A) Needle holder B) Suction tip C) Obstetric forceps D) Cardiovascular scissors E) Bone cutter

(Figure 2) Examine the photograph above and identify the instruments from left to right. A) B) C) D) E)

What is most useful for viewing soft tissue?

MRI

When the material used to tie off a bleeding blood vessel is of a monofilament type, the tails of the suture should be left approximately __ inches long form the knot?

1/4

Normal respiration rates for children are __ per minute.

18-30

The optical density of each laser varies. What is the reason for this?

each density absorbs wavelengths differently

Blades #11 and # 12 fit into a #__ knife handle

3, 7, 9 knife handle

The pH of vaginal fluid is?

3.8-4.5 acidic

Which of Newtons laws state that in an isolated system the total momentum before any event is equal to the total momentum after the event?

3rd

The pinna is also know as the?

ear or auricle

To reduce bacteria level in the OR, the Joint Commission recommends a humidity level below

60%

The normal percentage of oxygen saturation in arterial blood is __ of capacity?

96-100

A white blood cell count over __ usually indicates infection?

>10,000mm^3

What symbols are always employed within in e-mail address?

@

An otoscope is used for viewing the?

ears

C) Aneurysm

A sac-like bulging or weakening in a vessel, usually an artery, resulting from arteriosclerosis is __________. A) Artherosclerosis B) Coronary artery disease C) Aneurysm D) Heart block

B) Local

A __________ anesthesia is used for many procedures on adults. Epinephrine may be added to help localize the agent, prolong the anesthetic action and provide hemostasis. A) Hemopathic B) Local C) Spinal D) Abdominal

D) Endotoxin

A bacterial by-product that is released after the organism has died is called a(n) _______________. A) Capsule B) Spore C) Exotoxin D) Endotoxin

B) Subdural hematoma

A burr hole procedure is most commonly performed to treat ___________. A) Spinal tumor B) Subdural hematoma C) Spinal abcess D) Cerebral tumor

If the pleural cavity id entered, what should the STSR anticipate?

A chest tube insertion

A) Analgesic

A drug that relieves pain with out producing loss of consciousness is __________. A) Analgesic B) Anesthesia C) Epidural D) General anesthesia

C) Sedative

A drug that suppresses nervous excitement is called ___________. A) Ventilation B) Tachycardia C) Sedative D) Pain threshold

C) Autograft

A graft of tissue from an uninjured area to an injured area of the same patient as a permanent means of replacement is a(n) ____________. A) Homograft B) Heterograft C) Autograft D) Xenograft

B) Corticosteroids

A group of drugs that are used in surgery to reduce inflammation are __________. A) antibiotic B) Corticosteroids C) Diuretic D) Oxytocin

C) Adhesion

A holding together by new tissue produced by inflammation of injury of two structures which are normally separate, is called __________. A) Fistula B) Approximation C) Adhesion D) Lysis

B) Krypton

A laser that operates in the visible light spectrum emitting a red-yellow light beam resembling an argon laser in construction and use is _________. A) CO2 B) Krypton C) Holmium D) Excimer

A) Krypton

A laser that operates in the visible spectrum emitting a green beam which is strongly absorbed by hemoglobin and melanin is ___________. A) Krypton B) Excimer C) Holmium D) KTP

D) Brain abscess

A localized collection of pus in the intracranial region usually occurring secondary to infections of the middle ear, nasal sinuses, face or skull, or from contamination from penetrating wounds or skull fractures, describes a(n) _________. A) Brain tumor B) Hydrocephalus C) Hematoma D) Brain abcess

B) Ethics

A system of ideals is called _________. A) Morals B) Ethics C) Conscience D) Rights

D) Lumbar puncture

A needle puncture is made into the sub arachnoid space usually between the 3rd and 4th or the 4th and 5th lumbar vertebrae performed for the purpose of _____________. A) Echocephalography B) Digitalized angiography C) Cerebral angiography D) Lumbar puncture

C) Laryngoscope

A scope for direct visualization of the interior of the larynx is: A) Laparoscope B) Nephroscope C) Laryngoscope D) Esophogastroduodenoscope

B) Laparoscope

A scope used for visualization of the peritoneal cavity through the anterior abdominal cavity wall requiring a small incision, is called ____________. A) Bronchoscope B) Laparoscope C) Cystoscope D) Mediastinoscope

A) Lacerated

A wound made by a sharp, pointed instrument defines _______. A) Lacerated B) Incised C) Punctured D) Perforated

C) Libel

A written defamation of character is ___________. A) Assault B) Slander C) Libel D) Malpractice

A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given? A. 0.5 mL B. 1.0 mL C. 1.5 mL D. 2.0 mL

A. 0.5 mL

A Marshall-Marchetti-Krantz (MMK) requires which of the following skin preparations? 1. abdominal 2. vaginal 3. rectal 4. extremity A. 1 and 2 only B. 1 and 3 only C. 2 and 4 only D. 3 and 4 only

A. 1 and 2 only

Which of the following retractors is used for a C-section? A. De Lee B. Hibbs C. O'Connor-O'Sullivan D. Auvard

A. De Lee

Which of the following instruments is used for placement of cottonoid strips during a craniotomy? A. bayonet forceps B. Russian forceps C. Kelly clamp D. angled DeBakey clamp

A. bayonet forceps

Which of the following items should be used to transport a patient in traction? A. bed B. stretcher C. wheelchair D. fracture table

A. bed

A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. Which of the following is the MOST appropriate next step? A. Send the specimen to pathology in a dry specimen container so that a frozen section can be completed. B. Send the specimen to pathology in a specimen container containing normal saline so that a frozen section can be completed. C. Send the specimen to pathology in a dry specimen container so that a permanent section can be completed. D. Send the specimen to pathology in a specimen container containing normal saline so that a permanent section can be completed.

A. Send the specimen to pathology in a dry specimen container so that a frozen section can be completed.

While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. Which of the following would MOST likely be the cause of this? A. The air was not evacuated from the pouch. B. The temperature of the autoclave was too high. C. The package was sterilized too long. D. The instruments in the pouch were too heavy.

A. The air was not evacuated from the pouch.

Which of the following statements is true regarding surgical correction of a Colles' fracture? A. The distal radius is fractured and the periosteum will be closed with absorbable sutures. B. The distal fibula is fractured and the periosteum will be closed with absorbable sutures. C. The proximal tibia is fractured and the endosteum will be closed with non-absorbable sutures. D. The proximal ulna is fractured and the endosteum will be closed with non-absorbable sutures.

A. The distal radius is fractured and the periosteum will be closed with absorbable sutures.

Which of the following examples illustrates UNSAFE technique for disposing of contaminated sharps? A. Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps container. B. Used suture needles and scalpel blades remain in the needle counter and the closed needle counter is placed in the biohazard sharps container. C. The biohazard sharps container is located as close as possible to the area in which the items were used. D. Disposable surgical blades are removed from knife handles with a needle holder or other instrument.

A. Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps container.

An inanimate object that harbors and transmits a disease is a A. fomite. B. vector. C. carrier. D. arthropod.

A. fomite.

A patient is complaining of nausea, fever, and severe back pain. The patient was previously diagnosed with hyperparathyroidism. This patient MOST likely suffers from A. kidney stones. B. glomerulonephritis. C. hydrocele. D. chordee.

A. kidney stones.

If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should request additional A. lap sponges. B. RAY-TEC sponges. C. Kitners. D. cottonoids.

A. lap sponges

A patient presented in the OR without family history related to anesthesia complications. Which of the following complications is of MOST concern related to the lack of family history? A. malignant hyperthermia B. bronchospasm C. cardiac arrest D. transfusion reaction

A. malignant hyperthermia

Which of the following procedures involves the injection of contrast media into the spinal subarachnoid space? A. myelogram B. arteriogram C. lumbar puncture D. pneumography

A. myelogram

Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? A. shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder B. base of the neck, shoulder, scapula, chest to midline, and circumference of upper arm down to the elbow C. entire arm, shoulder, axilla, including the hand D. chin to umbilicus and laterally to the table line

A. shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder

During a laser laryngoscopy, which of the following supplies must be available? A. wet sponges, towels, and sterile water B. microscope, sterile water, and bronchoscope C. sterile water, thyroid tray, and methylene blue D. tracheotomy tray and tube, bronchoscope, and sterile water

A. wet sponges, towels, and sterile water

During the intraoperative phase, which of the following activities can be completed by both sterile and non-sterile members of the surgical team? A.caring for the specimen B.maintaining the patient's operative record C.clearing residual blood from the surgical field D.maintaining the sterile field and neutral zone

A.caring for the specimen

__ is the term used if a member of the surgical team leaves a patient who is dependent on his or her presence as a caregiver?

Abandonment

What procedure is performed to correct impingement syndrome?

Acromioplasty

B) Throw your mask away and get a new one

After a case is over, you should __________. A) Keep your mask around your neck B) Throw your mask away and get a new one C) Keep your mask on until all cases are finished D) Put the mask in your pocket until all cases are finished

C) Boiling water

All of the following are methods of sterilization except _________. A) Steam under pressure B) Cobalt 60 C) Boiling water D) Ethylene oxide

D) Move as quickly as possible

All of the following except __________ need to be done prior to transferring the patient. A) Obtain enough personnel B) Lock the gurney C) Respect the patients dignity D) Move as quickly as possible

B) Use the prescribed drying method with a sterile towel

After the sterile scrub, the next procedure is to ________________. A) Don sterile gloves B) Use the prescribed drying method with a sterile towel C) Air dry the hands D) Dry the hands on the scrub gown

D) Johnson technique

All but one of the following are techniques for performing a tubal ligation. A) Hulka clips B) Silastic band C) Pomeroy technique D) Johnson technique

C) Type of sterilant

All of the following are factors that affect the steam sterilization process except __________. A) Exposure B) Temperature C) Type of sterilant D) Pressure

A professional organization dedicated to the improvement of surgical care by elevating standards of surgical education and practice is the?

American College of Surgeons

A) Pharyngeal tonsils

An adenoidectomy is the surgical removal of the ________. A) Pharyngeal tonsils B) Lingual tonsils C) Palatine tonsils D) Sublingual tonsils

D) Pentothal

An example of a non-flammable anesthetic is _________. A) Halothane B) Ethrane C) Ether D) Pentothal

C) With out or lacking

An or a refers to ____________. A) Small B) Male C) With out or lacking D) Abnormal

B) Postoperative

Analgesics are normally used in the __________ period. A) Preoperative B) Postoperative C) Convalescent D) Outpatient

What ligament originates from the anterior intercondylar area of the tibia and extends to the lateral condyle of the Femur?

Anterior cruciate

Which of the following is MOST likely to be in place while transferring a patient from the operating room table to the stretcher? 1. IV tubing 2. Fogarty catheter 3. EKG wires 4. Foley catheter A. 1 and 2 only B. 1 and 4 only C. 2 and 3 only D. 3 and 4 only

B. 1 and 4 only

Which of the following catheters is MOST commonly used to perform an embolectomy? A. Robinson B. Fogarty C. Malecot D. Angiocath

B. Fogarty

Which of the following instruments is found in a basic laparotomy set-up? A. Castroviejo needle holder B. Mayo scissors C. Dandy clamp D. Raney clip applier

B. Mayo scissors

Which of the following situations would present a problem when preparing instruments for sterilization using a paper-plastic peel pack? A. The open end of the paper-plastic peel pack has been sealed with tape. B. The instruments within the paper-plastic peel pack have been held together with tape to avoid shifting. C. The instruments should be placed in the paper-plastic peel pack with the rings at the end that was sealed by the manufacturer. D. A felt-tip marker was used to label the plastic on the paper-plastic peel pack prior to sterilization.

B. The instruments within the paper-plastic peel pack have been held together with tape to avoid shifting.

When performing a right hemicolectomy, the surgeon will MOST likely remove portions of which of the following? A. jejunum and duodenum B. ascending and transverse colon C. transverse and descending colon D. sigmoid and rectum

B. ascending and transverse colon

The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? A. laparoscopic cholecystectomy B. carotid endarterectomy C. total hip arthroplasty D. tympanoplasty

B. carotid endarterectomy

Which of the following procedures is used to visualize the cystic, hepatic, and common ducts? A. barium enema B. cholangiography C. intravenous pyelography D. upper gastrointestinal series

B. cholangiography

When a break in aseptic technique occurs, the surgical technologist in the scrub role should FIRST notify the A. circulator. B. contaminating team member. C. operating room supervisor. D. surgeon.

B. contaminating team member.

A perforator is used for which of the following procedures? A. cordotomy B. craniotomy C. laminectomy D. spinal fusion

B. craniotomy

Removing a cataract by ultrasonic vibration and aspiration is called A. laser surgery. B. phacoemulsification. C. extracapsular extraction. D. intracapsular extraction.

B. phacoemulsification.

Which of the following is associated with secondary intention wound healing? A. delayed suturing B. tissue granulation C. wound dehiscence D. uncomplicated healing

B. tissue granulation

Which of the following is the primary purpose for changing into operating room attire? A. to standardize uniforms B. to prevent the of spread of microorganisms C. to identify operating room personnel D. to avoid damage to personal attire

B. to prevent the of spread of microorganisms

Which of the following is the administration route for thrombin? A. local infiltration B. topical application C. intravenous injection D. intramuscular injection

B. topical application

Which of the following is a type of herniation that occurs with protrusion of the peritoneal sac and its contents (omentum or abdominal viscera)? A. epigastric B. umbilical C. hypogastric D. femoral

B. umbilical

B) The same as

Bacteria that flourish within the human body generally prefer a temperature that is ___________ the human body. A) Higher than B) The same as C) Lower than D) 10* different from

What female gland secretes a lubricating mucoid substance?

Bartholins gland

C) Disposed of in proper receptacle

Before scrubbed personnel leave the O.R., gown and gloves should be ________. A) Wiped to remove powder B) Washed thoroughly C) Disposed of in proper receptacle D) Taken off and given to the circulator

A) Incompetence

Being inadequate to perform is called __________. A) Incompetence B) Negligence C) Malpractice D) Noncompliance

The compound operating microscopes uses __ for variable magnification of tissue?

Bent light waves

The initial step in the body's repair of a fracture involves?

Blood clot

When performing a dilation and curettage, which of the following instruments is used to grasp the cervix? A. Sims B. Auvard C. Schroeder D. Bozeman

C. Schroeder

During the application of arch bars, the surgeon will MOST likely use which of the following between the teeth and around the bar? A. 0-1 Dexon B. 5-0 to 6-0 Vicryl C. 25- or 26-gauge stainless steel wire D. 35- or 40-gauge stainless steel wire

C. 25- or 26-gauge stainless steel wire

WHICH OF THE FOLLOWING IS A SIGN OF CARDIAC ARREST? A. EDEMA B. CONVULSION C. CYANOSIS D. HYPERTENSION

C. CYANOSIS

Which of the following scissors is MOST likely found in a basic hysterectomy set-up? A. Potts-Smith B. Stevens C. Jorgenson D. Iris

C. Jorgenson

Which of the following instruments should be included in the set-up for a laminectomy? A. Hohmann B. Mayfield C. Kerrison D. Bennett

C. Kerrison

A patient with multiple trauma injuries requires surgical intervention. The patient has a history of DVT and is currently taking anticoagulants. Which of the following should be done to ensure a clot does not develop? A. Administer a subcutaneous anticoagulant preoperatively. B. Continue current anticoagulation therapy. C. Place a sequential compression device on lower extremities. D. Draw a PT/PTT and send the patient to surgery.

C. Place a sequential compression device on lower extremities

During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? A. Place on a RAY-TEC to be handed off to the circulator. B. Separate on Telfa and pass to the circulator. C. Place in separate containers and identify. D. Place in specimen container held by the circulator using a hemostat.

C. Place in separate containers and identify

Which of the following statements regarding surgical scrubbing is NOT true? A. Two accepted methods of surgical scrubbing are the timed method and the counted brush-stroke method. B. A vigorous 5-minute scrub with a reliable agent may be as effective as a 10-minute scrub done with less mechanical action. C. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe counts. D. When gloves are removed at the end of a surgical procedure, the hands are contaminated and should be immediately washed.

C. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe counts.

A cardiac arrest occurs during a procedure, and the surgeon is resuscitating the patient. What is the responsibility of the surgical technologist in the scrub role during this time? A. Hand the surgeon a loaded needle holder and forceps for closing. B. Break scrub and call for help. C. Remain sterile and maintain the sterile field. D. Move the electrosurgical unit (ESU) away from the operating table.

C. Remain sterile and maintain the sterile field.

A laparotomy drape has been placed on a patient, and unprepped skin on the operative site is exposed. Which of the following is the BEST next step? A. Apply drapes over unprepped skin. B. Reposition the drapes closer together. C. Remove drapes and re-prep. D. Cover with an adhesive drape.

C. Remove drapes and re-prep

A surgical technologist counts only 9 sponges in a pack on the initial count. After recounting the sponges, it is confirmed that there are only 9 sponges in the pack. Which of the following is the appropriate course of action? A. Change the count sheet to match the initial count and use the sponges from the current package. B. Leave the current package on the surgical field; document the problem; open a new package; recount. C. Remove the current package from the surgical field, but not the operating room; document the problem; open a new package; recount. D. Remove the current package from the operating room; document the problem; open a new package; and recount.

C. Remove the current package from the surgical field, but not the operating room; document the problem; open a new package; recount.

A surgical technologist just opened an instrument set that is wet inside after undergoing steam sterilization. Which of the following is the MOST likely reason for the condensate in the package and how can it be corrected? A. There are not enough instruments in the tray to allow for revaporization of the condensate. The number of instruments in the tray should be increased and the tray should be reprocessed. B. The instrument set contained absorbant towels, which soaked up the moisture and prevented efficient drying. The tray should be reprocessed without any towels. C. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels. D. Condensate has built up on the steam lines. The surgical technologist should clean the steam lines and reprocess the instrument tray.

C. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels

If a patient is undergoing a mastectomy immediately followed by a reconstruction, how many surgical setups should be obtained? A. One; the reconstruction will immediately follow the mastectomy, so the same instruments can be used without additional interventions. B. One; the reconstruction will immediately follow the mastectomy, so the same instruments can be used after they are cleaned with sterile water. C. Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding. D. Two; the reconstruction will immediately follow the mastectomy, but will be done in a different OR so two sets will be needed.

C. Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding.

Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are A. covered by the cuff of the sterile glove. B. double thickness. C. absorbant and collect moisture. D. stretchable and pliable.

C. absorbant and collect moisture.

Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are A. covered by the cuff of the sterile glove. B. double thickness. C. absorbant and collect moisture. D. stretchable and pliable.

C. absorbant and collect moisture.

A sterile item used with an electrosurgical unit is the A. generator. B. patient return electrode. C. active electrode. D. foot pedal.

C. active electrode

It is important that the patient void before pelvic surgery to prevent A. incontinence. B. contamination. C. bladder injury. D. bladder infection.

C. bladder injury.

A Stamey needle is used for which of the following types of surgery? A. hysterectomy B. prostatectomy C. bladder suspension D. anterior colporrhaphy

C. bladder suspension

The primary purpose of a local anesthetic is to A. lower skin temperature. B. reduce fear and anxiety. C. block peripheral nerve receptors. D. decrease bleeding.

C. block peripheral nerve receptors.

A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist will prepare suture attached to which of the following types of needles? A. tapered B. reverse cutting C. blunt D. conventional cutting

C. blunt

Which of the following surgical needles is MOST appropriately used in a liver resection? A. cutting B. taper C. blunt D. trocar

C. blunt

Which of the following may be used for a cerebral aneurysm? A. dura hook B. nerve hook C. brain spoon D. rake retractor

C. brain spoon

During a transurethral resection of the prostate, bleeding is controlled by A. Gelfoam. B. irrigation. C. cauterization. D. suture ligature.

C. cauterization.

The destruction of organisms in an autoclave is accomplished by the A. division of the nucleus. B. desiccation of the nucleus. C. coagulation of cell protein. D. destruction of the cell membrane.

C. coagulation of cell protein.

The MOST common method for decontaminating operating room floors at the end of each case is to A. damp mop or wet vacuum with a virucidal solution. B. wet vacuum with a virucidal solution. C. damp mop or wet vacuum with a detergent-disinfectant solution. D. dry vacuum, then damp mop with a detergent-disinfectant solution.

C. damp mop or wet vacuum with a detergent-disinfectant solution.

During surgery, a patient becomes hypotensive. Which of the following medications should be given? A. cephalexin (Keflex) B. propofol (Diprivan) C. epinephrine (Adrenalin) D. furosemide (Lasix)

C. epinephrine (Adrenalin)

Which of the following procedures repairs a ruptured abdominal aortic aneurysm? A. endarterectomy B. debridement with irrigation C. excision with graft placement D. portacaval shunt

C. excision with graft placement

Which of the following is used to oxygenate and circulate blood? A. Doppler ultrasound B. defibrillator C. extracorporeal bypass D. autotransfuser

C. extracorporeal bypass

Traction sutures are used on common duct explorations to A. ligate the duct. B. permanently close the duct. C. hold the duct open. D. seal the stones inside.

C. hold the duct open.

Which of the following is necessary for ethylene oxide sterilization to occur? A. indirect contact B. gravity displacement C. humidity D. steam

C. humidity

Which of the following is the body's local tissue reaction to injury? A. fever B. infection C. inflammation D. immune reaction

C. inflammation

Which of the following must be done before sterilizing an instrument with a lumen? A. allowing the instrument to dry completely B. ensuring the stylet is still within the lumen C. injecting a small amount of distilled water into the lumen D. wrapping separately in a peel pack pouch and placed in the tray

C. injecting a small amount of distilled water into the lumen

In which of the following positions is a patient placed for a right nephrectomy? A. left lateral B. right lateral C. left lateral kidney D. right lateral kidney

C. left lateral kidney

Surgical loupes are used to A. provide hemostasis. B. infuse the body cavity. C. magnify the surgical field. D. stimulate the circulatory system.

C. magnify the surgical field

Which of the following INCREASES air contamination in the operating room? A. restricting traffic flow in and out of the room B. damp-dusting with a germicidal solution C. maintaining air pressure lower than in the outside hall D. using pneumatic surgical equipment

C. maintaining air pressure lower than in the outside hall

Which of the following conditions is triggered by an injection of succinylcholine (Anectine) and causes an unusually high fever? A. osteomyelitis B. sepsis C. malignant hyperthermia D. appendicitis

C. malignant hyperthermia

The tissue that covers bones and provides movement to the skeletal system is A. nerve. B. cartilage. C. muscle. D. ligament.

C. muscle.

Ratcheted instruments should be A. soaked in a saline solution. B. prepared for decontamination with curved tips up. C. opened for washing and sterilizing. D. sterilized in the sonic washer.

C. opened for washing and sterilizing.

Which of the following is used during a tympanoplasty? A. image intensifier B. hypothermia unit C. operating microscope D. argon laser

C. operating microscope

A postoperative total arthroplasty patient presents to the emergency department with severe throbbing pain, fever, and malaise. Which of the following is the likely diagnosis? A. osteoarthritis B. osteoporosis C. osteomyelitis D. osteomalacia

C. osteomyelitis

Aerobic organisms are BEST characterized as A. pathogenic. B. nonpathogenic. C. oxygen-requiring. D. non-oxygen-requiring.

C. oxygen-requiring.

Which of the following lies between the lung and the chest wall? A. mediastinum B. peritoneum C. pleura D. pericardium

C. pleura

A pneumatic tourniquet may be used for extremity surgery to A. exsanguinate the extremity. B. allow the surgeon more operating time. C. reduce blood loss. D. create an anesthetic effect.

C. reduce blood loss.

Which of the following should the surgical technologist in the scrub role do during a cardiac emergency? A. open all of the emergency trays B. pull in the crash cart C. remain sterile and keep the table sterile D. record all medication being used

C. remain sterile and keep the table sterile

Which of the following instruments should be included in a transurethral resection of the prostate (TURP) setup? A. lithotrite B. urethrotome C. resectoscope D. Randall

C. resectoscope

A) Rongeur

Craniotomy burr holes are enlarged with a _________. A) Rongeur B) Scalpel C) Knife D) Burr hole enlarger

If the parents of a dependent minor requiring emergency surgery cannot be located, the operative consent form for surgery may be signed by A. the patient. B. a family friend. C. two consulting physicians. D. the operating room supervisor.

C. two consulting physicians.

A surgical technologist is preparing a fresh specimen for frozen section to be passed off of the field. How should the specimen be prepared to be passed to the circulator? A. wrap it in a moist sponge B. remove any suture material that may be attached C. wrap it in a Telfa pad D. remove from back table using a hemostat

C. wrap it in a Telfa pad

Which of the following techniques is NOT acceptable for draping the patient? A.Hold the drapes high until directly over the patient. B.Protect the gloved hands by cuffing the drapes. C.Readjust the drapes as necessary after placement. D.Place the drapes on a dry area.

C.Readjust the drapes as necessary after placement.

What organization established universal precautions and body substance isolation rules?

CDC

Medicare is a program administered by the federal government through which agency

CMS

The __ laser is the most frequently used laser system in the OR?

CO2

What type of gas is infused into the abdominal cavity for laparoscopic procedures?

CO2

Lasers can cause damage to the eyes, and it is important for the ST to wear appropriate eye protection while the laser is in use. What type of laser can cause corneal burns?

CO2 Laser

D) Once a day

Cabinet door and O.R. doors should be cleaned _________. A) After all cases are finished B) After every case C) At least once a week D) Once a day

Of the four basic chemical types of urinary calculi, which accounts for the majority of the cases?

Calcium

What is the name of the radical antrostomy procedure to provide adequate visualization?

Calwell-Luc

B) Axillary

Cancer cells from the breast often metastasize to the _________ nodes. A) Cervical B) Axillary C) Inguinal D) Mesenteric

What is the name of the lowest tracheal cartilage that forms a ridge between the right and left main stem bronchi?

Carina

In which religion is birth control not allowed?

Catholic

C) Thoraco-abdominal (left or right)

Choose the best abdominal incision which is used to perform operations on the upper stomach and lower esophagus. A) Right subcostal B) Left upper paramedian C) Thoraco-abdominal (left or right) D) Left lower paramedian

Which OR team member is responsible for opening sterile supplies onto the field DURING a surgical procedure?

Circulator and ST in circulating role

What class of fire extinguishers is used for flammable fires involving liquids and gases?

Class B

Which class of surgical wounds has the highest rate of infection?

Class IV: Dirty/Infected

What program allows for a surgical technologist to ascend to positions of increased responsibility

Clinical Ladder

The small organ that is made of erectile tissue and is located just behind the anterior junction of the labia minora is called the?

Clitoris

All developmental theories must account for changes in what domain?

Cognitive, social, and physical

A fracture at the distal end of the radius in which the smaller fragment is displaced posteriorly is called?

Colles' fracture

What entity accredits surgical technology programs?

Commission Accreditation of Allied Health Education Programs

D) Stockings

Components of the O.R. attire provided by the hospital include all of the following except ___________. A) Head covers and masks B) Shoe covers C) Sterile scrub attire D) Stockings

__ is the term that refers to permission being given for an action?

Consent

B) Stapes mobilization

Creation of an opening into the vestibule of the labrynth and reestablishment of a functioning linkage between the incus and the inner ear performed on patients who have a hearing loss resulting from fixation of the stapes, is ___________. A) Fenestration procedure B) Stapes mobilization C) Tympanoplasty D) No answer is correct

B) Anesthesia equipment

Critical items in surgery are those that must be sterile. Which of the following does not fit that category? A) Surgical instruments B) Anesthesia equipment C) Implants D) Needles

What types of values can create conflict in moral values?

Cultural and Religous

A patient has arrived in the operating room for a bilateral mastectomy. She is crying inconsolably. The surgical technologist can best console her by saying which of the following? A. "I am sure we will be able to remove all of the cancer." B. "Everything will be fine." C. "Your surgeon is the best in the hospital." D. "We are going to give you the best care possible."

D. "We are going to give you the best care possible."

Which of the following blades fits a #4 handle? A. #10 B. #11 C. #15 D. #20

D. #20

A surgical technologist enters the OR after scrubbing and notices spots of blood on the OR lights. Which of the following actions is the MOST appropriate? A. Ignore the spots because they are small. B. Tell the circulator to obtain replacements and wait at the scrub sink. C. Ask the circulator to clean the spot and then proceed. D. Break scrub to clean the lights and help open a new sterile field.

D. Break scrub to clean the lights and help open a new sterile field.

When applying a pneumatic tourniquet preoperatively, which of the following items is used to force blood from an extremity? A. stockinette B. Coban C. tourniquet cuff D. Esmarch bandage

D. Esmarch bandage

Which of the following is a surgical instrument designed for retracting? A. Potts B. Penfield C. Lowman D. Gelpi

D. Gelpi

A SURGICAL TECHNOLOGIST IS PREPARING THE INCISION SITE FOR THE DRESSING FOLLWING A (TAH). THE PATIENT HAS DEVELOPED A HEMATOMA AT THE INCISION SITE. THE SURGEON HAS LEFT THE ROOM. WHICH OF THE FOLLOWING ACTIONS SHOULD THE SURGICAL TECH TAKE? A. PLACE A PRESSURE DRESSING B. COVER WITH DERMABOND C. STERI-STRIP THE INCISION D. HAVE THE SURGEION RETURN

D. HAVE THE SURGEION RETURN

Which of the following retractors may be used during an open cholecystectomy? A. Sims B. Bennett C. Jennings D. Harrington

D. Harrington

A surgical technologist is preparing the incision site for the dressing following a TAH. The patient has developed a hematoma at the incision site. The surgeon has left the room. Which of the following actions should the surgical technologist take? A. Place a pressure dressing. B. Cover with Dermabond. C. Steri-Strip the incision. D. Have the surgeon return.

D. Have the surgeon return.

During an open repair of an indirect hernia, which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected? A. Malecot B. T-tube C. Jackson-Pratt D. Penrose

D. Penrose

During an open repair of an indirect hernia, which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected? A. Malecot B. T-tube C. Jackson-Pratt D. Penrose

D. Penrose

Which of the following instruments is NOT used in otorhinolaryngology surgery? A. Sexton B. Baron C. Frazier D. Poole

D. Poole

Which of the following is a monofilament suture? A. silk B. cotton C. Ethibond D. Prolene

D. Prolene

A surgical technologist has been asked to serve as a preceptor to a new employee in the operating room. If the surgeon becomes irritated or anxious because of the new employee's lack of experience, which of the following actions should be taken? A. Perform the same task at the same time as the new employee. B. When the new employee is struggling, take over the case. C. Introduce the new employee to the surgical team after the procedure. D. Quietly coach the new employee in the background.

D. Quietly coach the new employee in the background.

Which of the following patients is MOST likely to acquire a nosocomial infection? A. a healthy female patient who is 45 years of age B. a female patient in labor and delivery C. a healthy male patient who is 45 years of age D. a male patient who has diabetes

D. a male patient who has diabetes

The number of Staphylococcus aureus micro-organisms carried by the surgical technologist can be drastically reduced by. A. wearing a surgical cap. B. wearing hospital scrubs. C. keeping the OR doors closed. D. a thorough surgical hand scrub.

D. a thorough surgical hand scrub.

Where is the most common site for ectopic pregnancy?

Fallopian tube

Which of the following solutions can be used to disinfect endoscopic instruments? A. iodophors B. ethyl alcohol 70% C. phenolic compounds D. activated glutaraldehyde

D. activated glutaraldehyde

Which of the following wounds is MOST likely in the inflammatory phase of wound healing? A. a Bankart repair, one week post-procedure B. a laparotomy incision with a cicatrix C. an open reduction internal fixation (ORIF) of a finger, two weeks post-procedure D. an abdominal incision, 20 minutes post-closure

D. an abdominal incision, 20 minutes post-closure

Which of the following items may be used in positioning a patient for a total hip arthroplasty? A. fracture table B. Wilson frame C. Andrews frame D. bean bag

D. bean bag

Which of the following verifies that autoclave sterilization has occurred? A. chemical indicator B. Julian date C. heat-sensitive tape D. biological indicator

D. biological indicator

Which of the following types of sponges is used directly on the structures of the brain? A. RAY-TEC B. cherry C. Weck-cel D. cottonoid

D. cottonoid

A surgical technologist is explaining the steps of the ESU circuit to a student. The surgical technologist should explain that the electric current is channeled back to the generator through the A. power source. B. active electrode (ESU pencil). C. patient. D. dispersive (inactive) electrode.

D. dispersive (inactive) electrode.

When evaluating the patient's skin for the preoperative prep, which of the following is considered a contaminated area? A. groin B. toes C. body hair D. draining sinus

D. draining sinus

What is the desired effect of atropine sulfate when used as a preoperative medication? A. drowsiness B. pain relief C. decreased anxiety D. drying of secretions

D. drying of secretions

Which of the following should be visualized on an x-ray to determine if a long bone is still growing? A. periosteum B. diaphysis C. medullary canal D. epiphyseal plate

D. epiphyseal plate

Which of the following methods of hospital sterilization does not corrode metal and passes through woven materials like steam? A. ionizing radiation B. Steris C. glutaraldehyde D. ethylene oxide

D. ethylene oxide

Which of the following instruments must be readily available for a modified radical mastectomy? A. Stevens scissors B. Jorgenson scissors C. extra #11 blades Which of the following instruments must be readily available for a modified radical mastectomy? A. Stevens scissors B. Jorgenson scissors C. extra #11 blades D. extra #10 blades

D. extra #10 blades

When utilizing a laparoscopic set-up, potential hazards associated with the equipment include A. non-ionizing radiation. B. nitrogen embolus. C. pneumoperitoneum. D. fiberoptic beam fire.

D. fiberoptic beam fire.

When donning gloves using the open-gloving technique, the ungloved hand will touch the A. outer side of the cuff of the glove. B. outer side of the sterile glove. C. cuffed edge nearest the glove palm. D. folded edge of the cuff of the glove.

D. folded edge of the cuff of the glove.

A colonoscopy has just concluded, and it is time to reprocess the instruments utilized in the case. Which of the following is the MOST effective method for processing the endoscopes? A. gravity displacement sterilizer B. ethylene oxide C. cobalt-60 radiation D. glutaraldehyde

D. glutaraldehyde

Which of the following types of anesthetic is injected during a Bier block? A. bupivacaine (Marcaine) B. lidocaine (Xylocaine) with epinephrine C. bupivacaine (Marcaine) with epinephrine D. lidocaine (Xylocaine)

D. lidocaine (Xylocaine)

In which of the following positions should a patient be placed for a low anterior colon resection? A. dorsal recumbent B. prone C. lateral D. lithotomy

D. lithotomy

Which of the following is the correct position for dilation and curettage? A. Sims B. supine C. Kraske D. lithotomy

D. lithotomy

Which of the following procedures may require a postauricular incision? A. myringotomy B. tympanostomy C. adenoidectomy D. mastoidectomy

D. mastoidectomy

Retention sutures are advantageous when the patient is A. pediatric. B. athletic. C. thin. D. obese.

D. obese.

Which of the following is the FIRST step in applying the pneumatic tourniquet necessary in creating a bloodless field? A. wrapping the limb sequentially with an Esmarch bandage from distal to proximal B. applying the pneumatic tourniquet to the limb and immediately inflating it C. prepping the limb with ChloraPrep, including the determined location of the tourniquet D. padding the area where the tourniquet is to be wrapped with Webril

D. padding the area where the tourniquet is to be wrapped with Webril

If an x-ray cassette must be placed directly against the operative site, it must be A. sterilized using hydrogen peroxide plasma. B. put in a sterile pillowcase. C. sterilized using peracetic acid. D. placed in a sterile cassette cover.

D. placed in a sterile cassette cover

31 The appendiceal stump, when inverted, is held in place by which of the following types of suture? A. mattress B. traction C. interrupted D. purse-string

D. purse-string

Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infant's stomach? A. gastrostomy B. Nissen fundoplication C. Heller myotomy D. pyloromyotomy

D. pyloromyotomy

The PRIMARY purpose of chest tubes is to A. irrigate the pleural space. B. eliminate chest leaks. C. prevent pulmonary emboli. D. re-establish negative pressure.

D. re-establish negative pressure.

Which of the following structures is separated first when a paramedian incision is performed? A. peritoneum B. transverse abdominis C. external oblique D. rectus abdominis

D. rectus abdominis

Which of the following is done FIRST when performing a myringotomy? A. insertion of a drainage tube B. incision of the tympanic membrane C. suctioning of fluid from the middle ear D. removal of cerumen from the ear canal

D. removal of cerumen from the ear canal

A patient who is HIV-positive is having an abdominal procedure. Another patient who is HIV-negative is having an orthopedic procedure. During and subsequent to the cases, the surgical technologist should take A. standard precautions for the HIV-positive patient. B. standard precautions for the HIV-negative patient. C. no precautions for either patient. D. standard precautions for both patients.

D. standard precautions for both patients.

D) Halothane

Flammable anesthetic gasses include all of the following except __________. A) Divinyl ether B) Cylcopropane C) Ethyl ether D) Halothane

What involves irrigation to wash out contaminants and removal of devatilized tissue?

Debridement

Starbismus is defined as?

Deviation of the position of the eye.

What department provides sterotactic services?

Diagnostic Imaging

A) Bronchoscopy

Direct visualization of the tracheobronchial following insertion of a rigid or flexible light scope is called a(n) _________. A) Bronchoscopy B) Laryngoscopy C) Esophagoscopy D) Mediastinoscopy

C) Class B & C

Dry chemicals are used on ________ fires. A) Class A B) Class B C) Class B & C D) Class A & C

C) McBurney incision

During an appendectomy procedure, the surgeon enters the abdomen through a(n) _________. A) Subcostal incision B) Inguinal incision C) McBurney incision D) Transverse incision

B) Type

During surgery, many surgeons identify instruments by __________. A) Full name B) Type C) Size D) Code

A scheduled knee arthroscopy is classified as which type of surgery?

Elective

What surgical instrument is used to remove tissue fragments from within the bladder during a transurethral resection of the prostate, TURP?

Ellik evacuator or Toomey syringe

Surgical pathology treating life or limb is defined as which type of surgery?

Emergent

C) Intestine

Escherichia coli is normally found in the _____________. A) Ear B) Mouth C) Intestine D) Eye

C) Brachial

Extreme positions of the head and arm can cause injury to the _________ plexus. A) Cervical B) Solar C) Brachial D) All answers are correct

C) Supplement the body's natural defenses with specific drugs such as antibiotics

For Treatment of acute inflammation, one would ____________. A) Rest the inflamed part B) Open drainage to allow bacteria to escape and relieve tension and swelling of inflamed part C) Supplement the body's natural defenses with specific drugs such as antibiotics D) All answers are correct

The name given to the cervical-vaginal junction is the__?

Fornix

C) Epidermis and dermis

Full thickness grafts involves removal of what layers of skin? A) Dermis and subcutaneous tissue B) Epidermis C) Epidermis and dermis D) Subcutaneous tissue

Which extraperitoneal incision option can be used to access the lower portion of the ureter?

Gibson

What extraperitoneal incisional option can be used to access the lower portion of the ureter?

Gibson incision

A condition characterized by excess pressure of the aqueous humor.

Glaucoma

What is the superior opening into the larynx called?

Glottis

B) Dry out

Grafts must not be allowed to _________, which would destroy them. A) Get wet B) Dry out C) Get smashed D) No answer is correct

Curved needle holders are generally used during __ procedures?

Gyno

What type of filters is used in the OR to reduce the microbial count?

HEPA high efficiency particulate air filters

What health care organization requires a primary care physician for all referrals?

HMO

The danger of fire in the OR has been reduced with the introduction of which kind of anesthetic agents?

Halogenic

What type of fire extinguisher should be available for use when laser surgery is involved?

Halon fire extinguisher

B) Frequently

Head covers, masks, and shoes, should be changed __________. A) Once a day B) Frequently C) Once a week D) Twice a day

B) Granulation

Healing from the bottom of the wound to the top is called ________. A) Gradual B) Granulation C) Second intention D) Keloid

The __ is the first ever federal standards that establishes privacy standards to protect patient's medical records and other health related information?

Health Insurance Portability and Accountability Act HIPAA

What style of cast is applied to the trunk, around the affected leg, and around half of the unaffected leg?

Hip spica

B) Towel holders

Holding drapes: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers

Describe dielectric breakdown?

Hole in glove causes burn

A) Water or fluid

Hydro refers to ____________. A) Water or fluid B) Floating C) Unchanged D) Elevation

Which bone is posterior to the mandible and anterior to the trachea?

Hyoid

C) Myxedema

Hypersecretion of thyroxine in adults characterized by decreased metabolism, increased weight, hair loss, and thickening of the skin due to fluid accumulation is ___________. A) Hypoglycemia B) Hypercalcemia C) Myxedema D) Acromegaly

The Marshall-Marchetti-Krantz (MMK) procedure may be performed in conjunction with?

Hysterectomy

What diagnostic tool involves the use of intravenous dye and radiological films to view the urological system?

IVU

D) All answers are correct

Ideally, the central processing area is located _________ the surgical suite. A) Directly below B) Directly above C) Immediately adjacent D) All answers are correct

A) Salpingostomy

Incision of the fallopian tube to evacuate an early small tubal pregnancy and preserve the tube in women desiring children with subsequent anastomosis of the tube, is called _________. A) Salpingostomy B) Salpingectomy C) Salping-oophorectomy D) Tubal ligation

The perineum in the female is the area between which two structures?

Inferior vaginal opening and the anus

B) Osteomyelitis

Inflammation of the bone and bone marrow is called ___________: A) Osteomalacia B) Osteomyelitis C) Osteitis D) Fibromyelitis

B) Pneumoperitoneum

Inflating the peritoneal cavity with gas (usually carbon dioxide) to prevent injury to abdominal structures during a laparoscopic procedure, is called _________. A) Rectocele B) Pneumoperitoneum C) Hysteroscopy D) Retropenumoperitoneum

Another name for the iliac region of the abdomen is??

Inguinal

A) More controllable

Inhalation anesthetics are ________ than any other form of anesthetic. A) More controllable B) Easier C) Slower D) Cheaper

What does episiotomy mean and why would it be indicated?

Intentional surgical incision (usually midline in the US and mediolateral in Europe) in the vulva to ease the birth process or to protect the mother from uncontrolled perineal lacerations.

C) Continuously

Irrigation is required while drilling to prevent clogging of a bur and to remove bone dust in areas where osteogenesis is to be avoided. How often is this irrigation required during the procedure? A) Twice B) At the end C) Continuously D) No answer is correct

What religious group doesnt permit blood tranfusions

Jehovah's witness

A) Routinely

Jewelry and prosthetic devices are _________ removed from the patient. A) Routinely B) Occasionally C) Never D) No answers are correct

The most commonly used scissors during a hysteroscopy is__?

Jorgenson

What religion uses the Torah as a holy text?

Judaism

What situation would present difficulties in the intubation of a patient with AIDS

Kaposi sarcomas (lesions)

A) 60%

Liquids make up ___________ of the total body composition. A) 60% B) 35% C) 40% D) 65%

Given the focused and technical tasks of the OR, the team must struggle against the tendency to?

Lose sight of the total person as a whole

The two hormones that are secreted by the anterior pituitary gland and influence the female reproductive cycle are?

Luteinizing hormone (LH) and Follicle stimulating hormone (FSH)

C) Filters

Lymph nodes serve as ____________. A) Aarbohydrate synthesizers B) Fuel producers C) Filters D) Protein synthesizers

Why should saline NOT be used to clean stainless steel surgical instruments?

May cause pitting and corrosion

The most common form of energy is __ energy?

Mechanical

What department provides blood replacement services?

Medical Laboratory

What department maintains and verifies all patient records

Medical Records

What hospital committee verifies the credentials of the physicians and specialized health care personnel

Medical Staff Committee

D) Enlarged

Melago means __________. A) Soft B) In front of C) Changing D) Enlarged

D) A and B

Microsurgical and ophthalmic instruments are __________. A) Cleaned by hand B) Dried by hand C) Sterilized in the washer-sterilizer D) A and B

Once the peritoneum is entered, lap sponges should be?

Moistened with warm saline

What organizations mission is to reduce the frequency of fires through the establishment of fire prevention standards?

National Fire Protection Agency

What microbe is responsible for causing pelvic inflammatory disease?

Neisseria gonorrhoeae

__ for power instruments is suppled from a tank or piped in from outside to the surgery department?

Nitrogen

D) Black

Nitrogen is always stored in a ________ cylinder. A) Green B) Blue C) Brown D) Black

C) A and B

Nitrous oxide is a logical choice of anesthesia when _________. A) Muscle relaxation is unimportant B) Rapid induction and recovery are desired C) A and B D) Muscle relaxation is desired

B) Contrast media

Omnipaque, Renografin, and Cystografi are examples of __________. A) Animal protein B) Contrast media C) Stains D) Steroids

B) 1000

One (1) gram = _________ milligrams. A) 100 B) 1000 C) 10 D) 0.10

A) Heart, blood vessels, lymphatic vessels, and nodes

Organs of the circulatory system include ____________. A) Heart, blood vessels, lymphatic vessels, and nodes B) Heart, Liver lymph vessels, and lymph nodes C) Blood vessels, Lymph vessels, hemoglobin, and red bone marrow D) Blood vessels, kidneys, red bone marrow, and adrenal glands

Arterial blood supply to the fallopian tubes is derived from what arteries?

Ovarian and uterine arteries

A common drug given to induce labor

Oxytocin

Give examples of passive drains?

Penrose, Cigarette, T-tube, Gastrostomy, Cystostomy, Nephrostomy

During a tonsillectomy, which tonsils are removed?

Pharyngeal

Metaiodobenzylguanidine (MIBG) is a nuclear medicine study designed to detect what?

Pheochromocytoma

What suture can be used to attach a tendon to bone?

Polyester, Nylon, Prolene

The area where patients wait within the department before entering the OR is called?

Pre-op holding area

__ is truly the best medicine when taking care of the surgical patient?

Prevention

What are the two functions of the ovaries?

Production and expulsion of oocytes (ova, eggs) and the release of the hormones estrogen and progesterone.

What is a proper job description?

Provides a job title, definition, specified requirements, duties and tasks, and designation of ones immediate supervisor

Deep tissue nosocomial infections such as infections to puncture wounds and open bone fractures are caused by which microbe?

Pseudomonas aeruginosa

A) Pfannenstiel

Referring to Illustration # 1, identify abdominal incision # 158. A) Phannenstiel B) Left subcostal C) Left lower oblique inguinal D) Left mid-abdominal transverse

D) Median upper abdominal

Referring to Illustration # 1, identify abdominal incision # 159. A) Right upper oblique inguinal B) Left upper oblique inguinal C) Right upper paramedian D) Median upper abdominal

D) Left upper paramedian

Referring to Illustration # 1, identify abdominal incision # 160. A) Upper median B) Right upper paramedian C) Lower median D) Left upper paramedian

A) Left thoraco-abdominal

Referring to Illustration # 1, identify abdominal incision # 161. A) Left thoraco-abdominal B) Left upper paramedian C) Right thoraco-abdominal D) Right upper paramedian

B) Hemicolectomy

Removal of half of the colon is a(n) ___________. A) Anterior-posterior resection B) Hemicolectomy C) Colectomy D) Ileostomy

B) Cranioplasty

Repair of the skull defect resulting from trauma, malformation of a surgical procedure, involves convering the defect with some type of prosthetic materail such as metal, methyl, methacrylate, silicone rubber or bone and cartilage, describes __________. A) Craniotomy B) Cranioplasty C) Transphenoidal hypophysectomy D) Shunt operations

What pathology does the sclera buckle procedure treat?

Retinal detachment

A) Holding tissue to the side away from the wound

Retractors are used for _________. A) Holding tissue to the side away from the wound B) Closing vessels C) Incision D) Sutures

Hemolytic anemia may develop as a result of?

Rh incompatibility

What department identifies patient hazards and develops solutions?

Risk Management

__ is an integrated system developed by hospitals for the prevention and control of areas of potential liability?

Risk management

What is one of the most common post-op complications of patients with diabetes?

SSI

A) Child care

Same-day procedure units provide all of the following with the exception of _________. A) Child care B) Privacy for changing into a gown C) Decor conveying warmth and security D) Lockers and restrooms

What vein is least used for central venous catheter placement in the pediatric patient?

Saphenous vein

D) A balloon-tipped catheter is inflated and then is passed through a guiding catheter into the coronary artery and into the occluded area

Select the statement concerning percutaneous transluminal coronary angioplasty. A) Coronary arteries are accessed only by the common iliac artery after performing a cutdown B) Not performed under fluoroscopy with image intensifier C) A general anesthetic should be administered to the patient before the artery is exposed D) A balloon-tipped catheter is inflated and then is passed through a guiding catheter into the coronary artery and into the occluded area

What are the two common types of shock seen in all age groups?

Septic and hypovalemic

B) Cosmetic results

Skin closure tapes are commonly used in conjunction with subcuticular suturing to improve the __________. A) Color of the skin B) Cosmetic results C) Healing time D) Infection rates

A) Sagittal

The ___________ plane divided the body into left and right halves. A) Sagittal B) Transverse C) Frontal D) Coronal

The needs or activities related to one's identification or interaction with another individual or gorup forms which component of the human being

Social need

A) Bacteria

Spores, capsules, and falgella are part of __________. A) Bacteria B) Aseptic environment C) Cells D) Virus

A) Shiller's test

Staining the vaginal vault cervical squamous epithelium with an iodine (Lugol's) solution to pinpoint abnormal tissues which do not stain brown as normal tissue do, is __________. A) Schiller's test B) Rubin's test C) Punch biopsy D) Uterine curettage

What microorganism is capable of causing osetomyelitis?

Staph aureus

__ means microbes and infection are absent.

Sterile

B) Memory

The ability of suture material to return to its former condition is __________. A) Pliability B) Memory C) Tissue drag D) Elasticity

A) Only at table height

Sterile tables are considered sterile ______________. A) Only at table height B) At the full length and height that is draped C) So that suture ends may freely trail D) After drapes are repositioned

B) Defibrillation

Stopping fibrillation of the heart through the use of drugs or by physical or electrical means is ____________. A) Fibrillation B) Defibrillation C) Premature ventricular contraction D) Transient ischemic attack

What microbe is responsible for causing necrotizing fasciitis?

Strep pyogones

D) Between patients and at the end of the day

Stretchers should be wiped down __________. A) Monthly B) Weekly C) At the beginning of the day D) Between patients and at the end of the day

When wearing a sterile gown and gloves, why should you NOT fold your arms with the hands in the axilla?

Strike through contamination bc of sweat, NON STERILE

Who is responsible for checking diagnostic tests such as X-rays and CT scans to confirm the proper area or side before an incision is made?

Surgeon and Surgical assistant

C) Ambulatory surgery

Surgical care performed without overnight hospitalization is _________. A) General surgery B) Major surgery C) Ambulatory surgery D) Basic surgery

A) Stainless steel

Surgical instruments are made of what type of substance? A) Stainless steel B) Copper C) Silver D) Aluminum

A) Marshall-Marchetti-Krantz suspension

Suspension of the bladder neck to the symphysis pubis to correct urinary stress incontinence is called ____________. A) Marshall-Marchetti-Krantz suspension B) Pelvic exenteration C) Salpingectomy D) Tubal ligation

What bone articulates with the distal tibia and fibula?

Talus

The modem of a computer is a communication device that enables information to be sent over?

Telephone line

D) Mesenteric

The _______ nodes are significant from a surgical standpoint because of their location and their involvement with infection control following abdominal surgery. A) Cervical B) Axillary C) Inguinal D) Mesenteric

D) Anesthesiologist

The _______ will order the patients preoperative medications A) Tech in surgery B) Circulating nurse C) Surgeon D) Anesthesiologist

A) William Halsted

The American surgeon that developed an interrupted silk-suture closure technique, is ___________. A) William Halsted B) Harvey Cushing C) William Morton D) Crawford Long

What is the name given to where the fallopian tubes enter the uterus?

The Cornu

D) Pare

The French surgeon who revives the use of ligatures, is ___________. A) Vesalius B) Pasteur C) Morgagni D) Pare

The non-profit organization that develops standards and performance criteria for health care organiations is the?

The Joint Commission

C) Cost

The Material Safety Date Sheet on each chemical would typically include all but which of the following? A) Protective measures B) Exposure limits C) Cost D) Chemical name and common names

D) All answers are correct

The Tech in Surgery participates in _________. A) Gowning the surgeon B) Gowning the assistant C) Draping the patient D) All answers are correct

D) Hemoglobin

The oxygen-carrying red pigment of the red blood cells is _________. A) Hematocrit B) Oxyhemoglobin C) Plasma D) Hemoglobin

A) Spiral

The classification of fracture that is caused by forced twisting or bending of a bone is ________. A) Spiral B) Open C) Traumatic D) Closed

C) Iliac crest

The common location for a bone graft is _______. A) Clavicle B) Femur C) Iliac crest D) Rib

C) Fuel, heat, oxygen

The components of a fire include _________. A) Heat and oxygen B) Fuel, and oxygen C) Fuel, heat, and oxygen D) Oxygen, fuel, and CO2

What is an example of the interaction between personal and professional life?

The nature of the OR results in some isolation from the general public

B) 126

The appendicular skeleton is composed of how many bones? A) 123 B) 126 C) 136 D) 146

B) Arm

The bracial, cubital, and carpal regions are located in the ___________. A) Knee B) Arm C) Neck D) Head

D) Chromic salts

The chemicals used in the treatment of catgut that cause it to resist absorption for a longer period of time than plan cat gut are __________. A) Enzymes B) Iodized salts C) Synthetic salts D) Chromic salts

A) Vesalius

The chief founder of Modern Study of Anatomy, is __________. A) Vesalius B) Galen C) Malpighi D) Morgagni

A) Marrow

The deepest anatomical part of the bone is the ___________. A) Marrow B) Cartilage C) Periosteum D) Articular surface

C) Preoperative holding area

The designated room or area where patients wait prior to be admitted to the operating room, is the __________. A) Ambulatory surgery room B) Recovery room C) Preoperative holding area D) Visitor waiting area

A) Cholecystotomy

The establishment of the opening into the gallbladder to permit drainage of the organ and removal of stones is called _________. A) Cholecystotomy B) Choledochostomy C) Cholecystoduodenostomy D) Choledochojejunostomy

B) Joseph Lister

The father of Modern Antiseptic Surgery, is ____________. A) Crawford Long B) Joseph Lister C) Ambrose Pare D) William Morton

A) Anterior chamber

The frontal space in the eye bounded by the cornea, iris, and lens, is the __________. A) Anterior chamber B) Conjunctiva C) Pupil D) Sclera

D) 50-55%

The humidity in the O.R. is ideally controlled at ____________. A) 60-80% B) 45-55% C) 55-70% D) 50-55%

What does the pelvic girdle (bony pelvis) consist of?

The ilia, Ischia, and pubic bones and is attached to the vertebral column.

D) Scleral buckling

The implantation of a wedge of silicone or eye blank stare eip or intrasclerally and an encircling of silicone may be used to keep constant external pressure on the buckle is called ____________. A) Diathermy B) Cryosurgery C) Vitrectomy D) Scleral buckling

C) Incompetent cervical os

The inability of the cervix to remain closed (undilated) until the pregnancy reaches full term, thus resulting in habitual mid-trimester spontaneous abortion is termed _________. A) Ectopic pregnancy B) Footling presentation C) Incompetent cervical os D) Dystocia

B) Cells, tissue, organ, organ system, organism

The major types of body structures ranging from simplest to most complex are _____________. A) Cells, organ, tissue, organ system, organism B) Cells, tissue, organ, organ system, organism C) Cells, organ, tissue, organist organ system D) Cells, tissue, organism, organ, organ system

A) Calcium chloride

The medication that increases myocardial tone and opposes the effect of potassium is _________. A) Calcium chloride B) Sodium bicarbonate C) Dopamine D) Nitroprusside

D) All answers are correct

The member of the surgical team who is responsible for sterile supplies and equipment while within the sterile field may be __________. A) A registered nurse B) O.R. Technician C) Licensed vocational nurse D) All answers are correct

A) Midline

The most common and simplest incision used by the general surgeon is the _______. A) Midline B) Upper paramedian C) Subcostal D) Oblique

A) Povidone-iodine

The most commonly used prep solution is _________. A) Povidone-iodine B) Hexachlorophene C) Alcohol D) Clorhexidine gluconate

B) 2"

The most explosive area in the O.R. is that within a ________ radius around the patient's face mast. A) 12" B) 2" C) 2 1/2" D) 3"

C) Nd Yag

The most powerful coagulator of all surgical lasers capable of vaporizing large columns of tissue is a(n) __________. A) Argon B) CO2 C) Nd Yag D) Ruby

B) Supply myocardial substance of the heart with blood

The right and left coronary arteries _________. A) Branch off the pulmonary artery B) Supply myocardial substance of the heart with blood C) Branch off the superior vena cava D) Return oxygenated blood used by the cardial tissue to the right atrium

B) Upper left quadrant of the abdominal cavity in back of the stomach

The spleen is located in the ____________. A) Upper right quadrant of the abdominal cavity in back of the stomach B) Upper left quadrant of the abdominal cavity in back of the stomach C) Area behind the left kidney D) Area behind the right kidney

A) Dilation

The suffix ectasis refers to __________. A) Dilation B) Abnormally closed C) Weakening D) Narrowing

A) Closed drainage system

The surgeon re-approximates the periosteum with a running absorbable suture, closes layers and anchors drains to the chest wall and connects it to the __________. A) Closed drainage system B) Patient's bed C) IV pole D) Patient's chest

B) 2 hours

The surgical shave should occur no more than _________ prior to the procedure. A) 12 hours B) 2 hours C) 6 hours D) 4 hours

C) Monofilament

The suture material consisting of a single thread is __________. A) Knot potential B) Multifilament C) Monofilament D) Monodrag

B) Jejunum

The term cholecystojejunostomy is the anastomosis between the gallbladder and the ________. A) Duodenum B) Jejunum C) Ilium D) Rectum

A) Oddi

The term transduodenal sphincterotomy refers to the partial division of which sphincter and exploration of the distal end of the common bile duct? A) Oddi B) Vater C) Hepatic D) Anal

A) Entero

The term used when pertaining to the small intestine is _____________. A) Entero B) Gingivo C) Glosso D) Gastro

B) Diaphragm

The thorax and abdomen are divided by the _____________. A) Transverse plane B) Diaphragm C) Larynx D) Pelvic floor

B) Inflammation of

The word ending in itis means __________. A) Pertaining to B) Inflammation of C) Condition of D) Formation of

D) Right atrium and the right ventricle

The tricuspid valve is located between the ___________. A) Left atrium and the right atrium B) Left atrium and the left ventricle C) Left ventricle and the aorta D) Right atrium and the right ventricle

A) Running and interrupted

The two basic types of suture techniques are __________. A) Running and interrupted B) Visible and invisible C) Synthetic or animal D) Metal or absorbable

A) Clinical pathology

The use of laboratory methods to establish a clinical diagnosis of the nature of disease is ________. A) Clinical pathology B) Anatomic pathology C) Humoral pathology D) Surgical pathology

D) Ultrasonography

The use of sound vibrations to study alterations of anatomical structures is _________. A) Ultrashound B) Ultrasonogram C) Ultrastructure D) Ultrasonography

B) Photocoagulation

The used of intense heat from xenon photocoagulator to create adhesions which seal breaks in the retina and to destroy proliferating blood vessels which are producing hemorrahge into the retina and/or vitreous humor is called __________/ A) Laser surgery B) Photocoagulation C) Vitrectomy D) Diathermy

C) Above

Thoracic vertebrae is ____________ the lumbar vertebrae. A) Below B) Beside C) Above D) Within

C) Never

Thrombin is _________ injected. A) A dissolved powder B) Always C) Never D) Sometimes

B) Class B

To which category to gasoline fires belong? A) Class A B) Class B C) Class B & C D) Class C

What structures are removed during UPPP?

Tonsils, adenoids, uvula, portion of the soft palate.

An instrument that penetrates a body cavity for drainage of fluid is called a?

Trocar

C) Growth or development

Trophic refers to _____________. A) Disease process B) Degeneration C) Growth or development D) Wasting away

What medical term is used to refer to the first seven rib pairs?

True ribs

What is a Minerva jacket?

Type of cast extending from the head to the hips to immobilize the cervical and thoracic vertebrae

A sound wave is produced by __ objects that set surrounding air molecules into motion?

Vibrating objects

D) Viscerotrophic

Viral hepatitis is a common _____________ virus. A) Dermotropic B) Penumotropic C) Neurotropic D) Viscerotrophic

C) Septum

Wall dividing two cavities, such as the chambers of the heart, is called ____________. A) Stenosis B) Occlusion C) Septum D) Lumen

A) All answers are correct

What are the advantages of surgical stapling instruments? A) All answers are correct B) Tissue handling is minimized C) Suture lines are strong D) Staples are nonreactive

A) To hold tissue together until healing takes place and to provide a method of hemostasis

What are the two functions of suture material? A) To hold tissue together until healing takes place and to provide a method of hemostasis B) To allow fluids to move along the strand and the ability to bend C) To remove vessels and to stretch tissue D) To produce chemical bonding and to approximate tissue

A) Lidocaine 1%

What drug is given to treat ventricular dysrhythmias? A) Lidocaine 1% B) Protamine C) Heparin D) Epinephrine

A) Restraint patient movement

What is a reasonable action for the nursing staff during the loss of consciousness phase of general anesthesia? A) Restraint patient movement B) Prepare for cardiopulmonary resuscitation C) Close the O.R. doors D) Quiet the room

B) Anesthesia screen

What is used to hold drapes off the patients face and separates non-sterile area from sterile field? A) Padded body and kidney rest B) Anesthesia screen C) Draw sheet D) No answer is correct

A) Draw sheet

What is used to lift the body during transfer to a stretcher? A) Draw sheet B) Operating room take C) Pillow D) No answer is correct

C) Armboard

What supply is most commonly used to support the arm when giving intravenous infusions? A) Pillow B) Wrist strap C) Armboard D) Footboard

C) Heal

Wounds are classified by the way in which they are repaired and _________. A) Incised B) Dressed C) Heal D) Scar

Foreign bodies that may have legal value are often turned over to the police as evidence. It is recommended that the person who turns the foreign body over to a law enforcement officer receive a __?

Written receipt or record

Waves that are shorter than ultraviolet and about one-thousandth the wavelength of visible light are called?

X-rays

D) Cinematoradiogram

X-rays of an organ in motion is ___________. A) Thrombisis B) Fibrillation C) Occlusion D) Cinematoradiogram

B) Heparin

________ is used intravenously or as an irrigant and is the most common anticoagulant used. A) Protamine B) Heparin C) Thrombin D) Avetime

A) Alcohols

__________ are flammable, therefore, they must be used in small quantities and must not be allowed to pool around or under the patients especially when lasers or ESU are used. A) Alcohols B) Iodines C) Idophors D) Chlorohexidine gluconates

A Marchall Marchetti Krantz (MMK) procedure requires which of the following skin preparations? a. abdominal 2. vaginal 3. rectal 4. extremity a. 1 and 2 only b. 1 and 3 only c. 2 and 4 only d. 3 and 4 only

a. 1 and 2 only

Once the spinous process is exposed during a laminectomy, the next instrument needed for the removal of the lamina is a. Kerrison rongeur b. pituitary rongeur c. penfield d. periostial elevator

a. Kerrison rongeur

Which of the following is used to identify diseased areas for a cold conization of the cervix? a. Lugols b. flourescein c. methylene blue d. isovue

a. Lugols fluorenscein is a dye used in opthamology isovue is a water soluble contrastmedia used in radiographic procedures

A major function of the colon is to a. absorb water b. secrete hormones c. secrete digestive enzymes d. absorb the products of digestion

a. absorb water the small intestine absorbs the products of digestion

When an anesthetized patient's position is changed from lithotomy to supine, the patient's legs should be lowered slowly to prevent which of the following? a. hypotension b. laryngospasm c. respiratory distress d. peroneal nerve damage

a. hypotension The legs should be lowered slowly as blood supply has be altered by the position and simultaneously to aoid lumbar torsion.

Varicocelectomy is a procedure to repair?

abnormal dilation of the spermatic veins in the spermatic cord

Why should you cabinets and doors within the OR be recessed into the wall?

accumulation on top surfaces

What instrument is used to prepare the acetabulum?

acetabular reamer

The concave indentation that serves as the socket for the head of the femur is called?

acetabulum

The pectoral girdle contains of ?

acromioclavicular, sternoclavicular, glenohumeral joints

A reduction of hearing is referred to as?

active noise reduction-ANR

according to the text, which two broad factors apply to a patient's reaction to health, illness, and hospitilization?

adaptation and stress

At the end of the washer sterilization cycle, instruments are NOT considered

appropriate for use on patient

The goal of deformable modeling is?

aid surgeons in predicting potential complications through computerized manipulation during rehearsal

A consequence of hypertension from PMMA use is what?

air into the femoral venous vessels

Negligence is a breach of duty and is defined as?

an omission or commission of an act that a reasonable and prudent person would NOT do under the same circumstance

The lens color on protective eyewear for lasers indicates?

and indication of optical density

When an injury or illness takes place, certain stressors affect the patient physically and mentally. Pediatric patients fear?

anesthesia

An ACL reconstruction is performed to repair the __ stability of the knee?

anterior

Small, clear, plastic drapes with openings that are surrounded by an adhesive backing are called __ drapes?

aperature

The excision of tissue or aspiration of fluid to determine the nature of the diseases for treatment is known as _?

aspiration biopsy

If there is a settlement against a specific health care provider and there is no malpractice insurance to cover the settlement, the judge may?

attach a lien on property of defendant or money obtained from future earnings

Which of the following is responsible for the proper care and handling of an intraoperative specimen? a. ST in the scrub role and the anesthetist b. ST in the scrub role and the circulator c. ST in the first assist role and the surgeon

b.

which of the following is most likely to be in place while transferring a patient from the OR table to a stretcher? 1. IV tubing 2. fogarty catherter 3. ekg wires 4. foley catheter a. 1 and 2 only b. 1 and 4 only c. 2 and 3 only d. 3 and 4 only

b. 1 and 4 only

Which is the recommended temperature of the operating room? a. 15-19 C (59-66 F) b. 20-24 C (68-75 F) c. 25-29 C (77-84F)

b. 20-24 C (68-75 F)

How much .25% marcaine should be mixed with 1ml of 1 % lidocaine to make the solution equal strengths of both medications? a. 2.0ml b. 4.0ml c. 5.0ml d. 10.0 ml

b. 4.0ml

Which of the following is a procedure for removing excess skin from the face and neck? a. rhinoplasty b. rhytidectomy c. cheiloplasty d. blepharplasty

b. rhytidectomy

The tissue that covers bones and provides movement to the skeletal system is a. nerve b. cartilage c. muscle d. ligament

c. muscle

The name of the female erectile tissue located directly above the urtethral orifice is known as the __?

clitoris

Manipulating bone fracture fragments into alignment without incising the skin is called?

closed reduction

The bipolar cautery is used for?

coagulating

Avitene is a form of?

collagen

A key characteristic that the surgical technologist should exhibit and constantly improve on is?

communication, technique, problem solving skills, education

Newer dermatomes are high-speed dermabraders for skin grafts are powered by __?

compressed nitrogen

The term golden hour refers to?

concept that medical treatment of a trauma victim within the first hour following injury improves patient outcome

What is the desired effect of atropine sulfate when used as a preoperative medication? a. drowsiness b. pain relief c. decreased anxiety d. drying of secretions

d. drying of secretions

Sterile items and individuals may __?

contact sterile areas

Torn, perforated, or wet disposable supplies should be __?

discarded

The uterine lining is referred to as?

endometrium

Mastectomy is the removal of the __?

entire mammary gland breast

Safe positioning of the surgical patient is the responsibility of the __?

entire surgical team

A vasoconstrictor that is often mixed with local anesthetics is __?

epinephrine

On which bone is the chamfer cut perfromed during a total knee arthroplasty?

femur

The scope used for visualization of a fetus in utero is called a?

fetoscope

What type of casting material is inexpensive, lightweight, and strong?

fiberglass

The fallopian tubes are divided into four regions?

fibria, ampulla, isthmus, and intramural region

During the clotting process, thrombin reacts with fibrinogen and forms?

fibrin

A tract between two epithelium lined surfaces that is open at both ends is called?

fistula

What is the main reason tile floor in the OR are undesirable?

grout harbors bacteria and is difficult to clean

The goal of the surgical consent is to ?

guarantee that patient is aware of their condition, proposed intervention, risks, and alternatives that may occur--> protect the patient

In an ACL reconstruction, which device is used immediately following the insertion of the tibial guide?

guide pin

When changing into OR attire, the __ most be donned first.

hair cover

Whipple pancreaticoduodenectomy involves the removal of the __?

head of the pancreas, distal 1/3rd of the stomach, all of the duodenum, proximal 10 cm of the jejunum, the gallbladder, they cystic and common bile ducts, and lymph nodes

Per-op patient education is intended to __?

help alleviate anxiety and to provide better post-op outcomes

The range 11.5 to 15.5 is normal for what hematology value?

hemoglobin in female

What substance determines the radiodensity of contrast media?

hypaque

Patients who are obese are at high risk for coronary artery disease because of?

hypertension and diabetes

Enlargement of a structure due to an increase in the size of its cells is called?

hypertrophy

A child less than 6 months of age cannot shiver therefore the child is at risk for?

hypothermia, bradycardia, and acidosis

What are the characteristics of PMMA syndrome?

hypoxia, hypotension, cardiac arrhythmias, pulmonary hypertension, decreased cardiac output

An anesthesiologist may order plain radiographic films of the chest for which purpose?

identification of lung abnormalities

Typical physiological changes in the elderly patient include?

increased tolerance with pain

Microbes that live on the skin and inside the human body are referred to as __?

indigenous microflora

Materials that inhibit the flow of electrons are called?

insulators

The beta cells of the islets of Langerhans are responsible for the production of ?

insulin

Hospital employees who commit negligent acts are typically covered by?

insurance polices through facility

What is the function of the omenta?

limits peritoneal infection

Panendoscopy may involve viewing of the?

lining of the esophagus, stomach and upper duodenum

The first priority in a pediatric patient is to?

make sure patient has an open airway and that it is maintianed

Name the ossicles of the middle ear from lateral to medial?

malleus, incus, and stapes

At its distal end, the tibia expands to form a prominence on the inner ankle called the__?

medial malleolus

Pheochromocytoma is a tumor affecting the__?

medulla of adrenal gland

The Gram stain is a technique used to identify a __?

microorganism

Plain gut, chromic gut, PDS II, Monocryl, and Maxon are examples of?

monofilament absorbable sutures

Benevolence, trustworthiness, and honesty are examples of?

morals

The term used to describe when both organisms benefit from and depend on one another to a certain extent is known as?

mutualism

Instruments used to hold a curved suture needle for suturing are called?

needle holders

List the types of physical hazards?

noise, ionizing radiation, electricity injury to the body, fire and explosion

OR walls should have what characteristic?

non-porous, easy to clean with antimicrobial solution, fire proof, water proof, non-glare, non reflective, pleasant in color

When self gowning and gloving, the STSR should

not turn back to sterile field

The type of chemical cleaner that is least corrosive to surgical instruments is ?

one with a neutral pH

What does the term congenital mean?

present at birth

What suture technique is applied when closing the indirect hernia sac?

purestring

The flow of food and liquids from the stomach to the small intestine is controlled by the?

pyloric sphincter

The rectus femoris and vastus lateralis are part of what muscle group?

quadriceps

What is the major mode of heat loss to the patient, accounting for up to 80% of the total body heat lost intraoperatively?

radiation, convection

Roentgenography is synonymous with the term?

radiography

What is the term used to describe an item as being able to allow x-rays to pass through, such as an OR table?

radiolucency

The surgical connection of two hollow or tubular structures is called?

reanastomosis

Nonverbal communication involves several components. What term defines the following: be open-minded and objective

receptive

A __ bronchoscopy is preferred for retrieval of foreign body from a bronchus?

rigid

Bacilli are typically found to be in the shape of ?

rods

A rotating movement by the robotic manipulator is called_?

roll

The extent that a robot joint or a set of joints can move clockwise or counterclockwise about an axis is called degrees of?

rotation

The procedure involving the removal of only the testis and the epidymis?

simple orchiectomy

For pediatric patients, __ temperature is the primary means of monitoring temp.

skin

When placing the pregnant surgical patient in the supine position, the CST should place a small rolled pad or sheet under the right hip, this will help __?

take wight off the vena cava

__ has become the best weapon for the reduction of medical errors?

technology

Handing off a small specimen to the circulator can be a challenging task. The surgical technologist may use what device to make this task easier?

telfa pad

What are the critical parameters for monitoring pediatric patients?

temp, urine output, cardiac function, and oxygenation

Physical factors that affect the efficiency of disinfection are?

temp, water hardness and pH level, exposure time

The term staging refers to the __?

the degree of tumor metastasis

Electroencephalography is a recording of __?

the electrical activity of the brain

Salpingectomy is the removal of ___?

the fallopian tube

The final wound classification is assigned when?

the procedure ends

A purse-string suture is used_?

tighten or close an opening

A DeLee suction device is used ?

to clear the neonates airway

A __ incision is usually used for an adrenalectomy, a renal biopsy, or the removal of a small low-lying kidney?

traditional--flank or lumbar

Organism on the surface of the skin easily removed by handwashing are called?

transient organisms

Whose responsibility is it to identify the surgical patient?

transport personel, pre-op holding nurse, circulator, anesthesiologist, surgeon, ALL MEMBER OF SURGICAL TEAM

What important clinical landmark is marked by ureteral and urethral orifices?

trigone

When a patient is to be transported from an isolation room to the surgery department, what are the recommendations?

wear appropriate barriers, all team members be aware, patient is taught how to assist in preventing transmission, proper dressing on patient

During a laminectomy, disk material is removed with A. an osteotome. B. a Kerrison rongeur. C. a pituitary rongeur. D. a periosteal elevator.

C. a pituitary rongeur.

In which of the following positions is a patient placed for a right nephrectomy? A. left lateral B. right lateral C. left lateral kidney D. right lateral kidney

C. left lateral kidney

In which of the following congenital anomalies does the urethra open on the underside of the penis? A. chordee B. epispadias C. phimosis D. hypospadias

D. hypospadias

Which of the following examples illustrates UNSAFE techniques for disposing of contaminated sharps? a. Used suture needles and blades are removed from the needle container and individually placed in the bio-hazard container. b. Used suture needles and blades remain in the counter and the closed counter is placed in a sharps box. c. Th e bio-hazard sharps container is located as close to the area in which the items were used.

a. Used suture needles and blades are removed from the needle container and individually placed in the bio-hazard container.

A Javid shunt is used for which kind of procedure? a. carotid endarterectomy b. femoral-popliteal bypass c. abdominal aneurysm d. saphenous vein ligation

a. carotid

During the procedure, the surgical technologist touches an unsterile item with a sterile glove. Which of the following should be done? a. change the glove at once b. break scrub and rescrub c. wait until closing and change glove d. ask the surgeon what to do

a. change the glove at once

A myelogram is used to __. a. evaluate the spine b. assess peripheral vascular disease c. assess pneumothorax d. evaluate joint disease

a. evaluate the spine

The lower leg of a patient in the lateral position should be a. flexed b. extended c. internally rotated d. externally rotated

a. flexed (it aids in stabilization of the patient on the table)

An inanimate object that harbors and transmits a disease is a a. fomite b. vector c. carrier d. arthopod

a. fomite A fomite is an inanimate object or material A vector is a carrier; animal usually an arthropod a carrier is one who harbors disease organisms without symptoms an arthopod is an insect-carrier such as a mosquito

A chemical solution used to sterilize instruments by immersing them for at least 10 hrs is a. activated glutaraldehyde b. sodium hypochlorite c. aqueous formaldehyde d. methyl phenol

a. gluteraldehyde

Heany clamps are used for a a. Hysterectomy b. Lobectomy c. cystecomy d. gastrectomy

a. hysterectomy

Surgery to repair a Colles fracture is performed on which of the following bone? a. Long b. short c. flat d. irregular

a. long colles fractures occure to the distal radial head

Which of the following procedures involves the injection of contrast into the spinal subarachnoid space? a. myelogram b. anteriogram c. lumbar punture d. pneumography

a. myelogram

If an adult patient refuses a blood transfusion, the surgical staff should a. not administer blood to the patient b. administer blood only in an emergency c. administer blood only after sedation d. not perform any procedure that may require a transfusion

a. not administer blood

The PRIMARY consideration in selecting an appropriate anesthetic agent is the a. physiologic condition of the patient b. length of the procedure c. type of procedure d. anxiety level of the patient

a. physiologic condition of the patient

Instruments that come into contact with the appendiceal stump during an appendectomy should be a. placed in a separate basin b. wiped clean with a saline spnge c. returned to the mayo stand d. wiped clean with an alcohol spnge

a. placed in a separate basin

A patient scheduled for a lumbar laminectomy and is positioned in the prone position without padding under the thorax. Which of the following physiological hazards should the surgical tech be most concerned about? a. pressure on the vena cava and abdominal aorta b. venous stasis in the lower extremities c. hyper-extension of the head and neck d. pressure injury to the peroneal nerve

a. pressure on the vena cava and abdominal aorta

The surgeon asks a surgical tech to place a drop of mydriatic solution in the OD. As a result of this medication, the pupil of the a. right eye will dilate b. left eye will dilate c. right eye will constrict d. left eye will constrict

a. right eye will dilate mydriactic will dilate the pupil Od means right eye OS means left eye

The gallbladder is found in the ___ abdominal quadrant? a. right upper b. left upper c. left lower d. right lower

a. right upper

Which of the following structures is behind and below the base of the penis? a. scrotum b. seminal vesicles c. vas deferens d. prepuce

a. scrotum

Wrinkle free padding is applied to an extremity before application of a tourniquet to avoid a. skin injuries b. improper inflation c. excessive blood loss d. skeletal injuries

a. skin injuries

Which of the following is MOST commonly used for wound closure in the presence of infection? a. stainless steel b. polyglactin-910 c. plain gut d. silk

a. stainless steel

For which portion of the body is Renografin most often used? a. urinary system b. biliary tree c. ureters d. cerebral portal

a. urinary system

The Marshall-Marchettie-Krantz procedure may be performed in conjunction with a __?

abdominal hysterectomy

Removing a cataract by ultrasonic vibration and aspiration is called a. laser surgery b. phacomulsification c. extracapsular extraction d. intracapsular extraction

b. phacomulsification

Which of the following arteries is most common for taking a blood pressure? a. radial b. femoral c. brachial d. popliteal

c. brachial

To prevent contamination of the surgical patient during an X-ray, the surgical technologist will ___. a. step out of the room during the X-ray b. wear a lead apron c. cover the X-ray cassette with a cassette cover d. bring the X-ray machine closer to the surgical patient

c. cover the X-ray cassette with a cassette cover

Which of the following anesthetics is administered intravenously? a. enflurane b. nitrous oxide c. propofol d. methoxyflurane

c. propofol

During set up, if the surgical team member refuses to perform a count, how should the surgical tech respond? a. ask the surgeon if the count is necessary b. continue the case set up c. report the refusal to the charge nurse immediately d. perform a count with another surgical tech

c. report the refusal to the charge nurse immediately

parasympathetic innervation to the stomach is provided by the ___. a.gastric b. splenic c. vagus d. inferior esophageal

c. vagus

Which of the following patients in MOST likely to acquire a nosocomial infection? a healthy female who is 45 years of age b. a female in labor and delivery c. a healthy male patient who is 45 years of age d. a male patient who has diabetes

d. a male patient who has diabetes

Which of the following wounds is most likely in the inflammatory phase of wound healing? a. a Bankart repair, one week post procedure b. a laparotomy incision with a cicatrix c. an ORIF of a finger, 2 weeks post op d. an abdominal incision 20 mins post closure

d. abdominal incision 20 mins post op

Which of the following verifies that autoclave sterilization occurred? a. Chemical indicator b. julian date c. heat sensitive tape d. biological indicator

d. biological indicator

For which of the following procedures is gelfoam MOST commonly used? a. repair of AAA b. extraction of a cataract c. transurethral resection of the prostate d. craniotomy

d. craniotomy

When evaluating the patient's skin for the preoperative prep, which of the following is considered a contaminated area? a. Axilla b. Tows c. body hair d. Draining sinus

d. draining sinus

During a craniotomy, which of the following types of bone is entered? a. Flat b. round c. long d. irregular

d. irregular flat bone are found in the scapula, sternum, and pelvic girdle round bones are found in the tendons, patella, or head of the metatarsals long bones are found in the arms, legs and consist of a shaft and 2 ends irregular bones are found in the skull and vertebreal column

Which of the following types of connective tissue fastens muscle to bone a. cartilage b. ligament b. synovium d. tendon

d. tendon

a #12 knife on a #7 handle is MOST commonly used for what type of surgery? a. gastrectomy b. hysterectomy c. andenoidectomy d. tonsilectomy

d. tonsilectomy adenoidectomy is usually done with a currette

A tru-cut needle is used __?

for multiple biopsies

When positioning the elderly patient, the team must be especially aware of ?

fragile skin, restricted movement, joints, arthritis

The term working element refers to the?

resectoscope

The humidity of the OR should be no higher than?

60%

Armboards must not extend beyond a __ degree angle?

90

B) Vasodilator

A __________ dilates blood vessels. A) Vasospasmodic B) Vasodilator C) Vasoconstrictor D) Vasodeferens

D) Pnenumothorax

A collection of air or gas in the pleural cavity characterized by lung collapse, it is called _________. A) Hemothorax B) Thoracocentesis C) Pleurathorax D) Pneumothorax

B) Apprehension

A desirable preoperative medication will decrease the patients ____________. A) Temperature B) Apprehension C) Excitability D) Perception

A) Anaphylaxis

A life-threatening acute allergic reaction in which cells release histamine-like substances is called ___________. A) Anaphylaxis B) Bolus C) Intravenous D) Adrenergic

B) Intracranial

A localized abnormal dilation of a blood vessel in the skull, may be due to a congenital defect or weakness of the wall of the vessel, defines _________. A) Meningocele B) Intracranial C) Herniated disc D) Intractable pain

B) The excision of a small portion of lung tissue for diagnosis

A lung biopsy involves __________. A) An incision into the thoracic cavity to provide access to organs of the chest B) The excision of a small portion of lung tissue for diagnosis C) The removal of one or more of the diseased lobes of the lung D) The removal of the entire lung

C) Carpal tunnel syndrome

A painful disorder of the wrist and hand in which pressure is exerted on the median nerve at the point at which it goes through the wrist, is _________. A) Spinal cord tumor B) Synoviatic doulourex C) Carpal tunnel syndrome D) Herniated disc

C) Whipple

A pancreaticojejunostomy is also known as a(n) _________ procedure. A) Miller B) Allison C) Whipple D) Gram

B) Disease-causing microorganism

A pathogen is a(n) _____________. A) Parasite B) Disease-causing microorganism C) Obligate D) Mycology

A) Fleshy area of skin

A patient grounding pad is placed on a(n) ________. A) Fleshy area of skin B) Bony prominence C) Area of thin skin D) Farthest away from the operative site

B) Topically

A patient is scheduled to undergo a septoplasty and the operating surgeon has requested 4% cocaine. Which of the following statments best describes the administration route for this drug? A) Intramuscularly B) Topically C) Intravenously D) As an inhalation anesthetic

A) Tempanoplasty

A procedure performed to repair defects in the tympanic membrane and/or middle ear structure, is ___________. A) Tympanoplasty B) Stapedectomy C) Stapes mobilization D) Otoplasty

A) Hypospadias repair

A surgical correction of a urethral meatus found abnormally on the undersurface of the penis is __________. A) Hypospadias repair B) Epispadias repair C) Wilms procedure D) Nephrectomy

Which of the following instruments is used to grasp the base of the hemorrhoid during a hemorrhoidectomy? A. Allis B. Pennington C. Kocher D. mosquito

A. Allis

Which of the following retractors is used during a femoro-femoral bypass? A. Army-Navy B. skin hook C. Harrington D. Balfour

A. Army-Navy

Which of the following spore-forming microorganisms are used as biological monitors for checking steam sterilization effectiveness for a load of instruments in a rigid container? A. Bacillus stearothermophilus B. Bacillus atrophaeus C. Mycobacterium tuberculosis D. Streptococcus pyogenes

A. Bacillus stearothermophilus

A Javid shunt is used for which of the following procedures? A. carotid endarterectomy B. femoral-popliteal bypass C. abdominal aneurysmectomy D. saphenous vein ligation

A. carotid endarterectomy

During a breast augmentation, the surgeon repeatedly asks the surgical technologist to refill the 10 cc syringe with local anesthetic. Which of the following is the BEST way to keep track of how much is used? A. Keep note on the field of how much has been used. B. Leave it up to the circulator. C. Do not worry about it. D. Expect the surgeon to know how much has been used.

A. Keep note on the field of how much has been used.

Once the spinous process is exposed during a laminectomy, the next instrument needed for the removal of the lamina is a A. Kerrison rongeur. B. pituitary rongeur. C. Penfield dissector. D. periosteal elevator.

A. Kerrison rongeur.

Which of the following instruments has teeth? A. Kocher B. Mixter C. Babcock D. Mosquito

A. Kocher

While preparing a sterile field, a surgical technologist secures the Bovie holster to the Mayo stand. The surgeon insists on keeping the Bovie by him toward the head of the patient. Which of the following would be the BEST course of action? A. Move Bovie holster up by head of patient. B. Do not move the Bovie holster. C. Tell the circulator to document the surgeon's response. D. Remove the Bovie from the field.

A. Move Bovie holster up by head of patient.

Following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take? A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient. B. Remove gown and gloves, don a pair of unsterile gloves to remove drapes from the patient, and remove instruments and supplies from the back table. C. Remove gown and gloves, don a pair of sterile gloves to remove drapes from patient, and remove gloves and don a pain of unsterile gloves to clean the back table. D. Remove sterile drapes, remove gown and gloves, and don a pair of sterile gloves to clean back table.

A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient.

Which of the following retractors should the surgical technologist have available to provide exposure to the patellar tendon while harvesting the graft for an ACL repair? A. Senn B. Richardson C. Hayes D. Fukuda

A. Senn

The vermiform appendix originates from the A. cecum. B. ileum. C. sigmoid colon. D. ascending colon.

A. cecum.

Which of the following pathogens would MOST likely cause a post-operative SSI? A. Staphylococcus aureus B. Enterococcus spp. C. Streptococcus spp. D. Escherichia coli

A. Staphylococcus aureus

The diagnostic procedure that examines the interior of the respiratory structures is A. bronchoscopy. B. culdoscopy. C. esophagoscopy. D. mediastinoscopy.

A. bronchoscopy.

Which of the following procedures for obtaining an informed consent form is appropriate? A. The patient is asked to sign the consent form after the surgeon has explained the procedure. B. The surgical technologist in the circulator role is ultimately responsible for obtaining the signed consent form. C. The patient is asked to read the entire consent form after signing it. D. The consent form is witnessed by one member of the patient's family.

A. The patient is asked to sign the consent form after the surgeon has explained the procedure.

Which of the following examples illustrates UNSAFE technique for disposing of contaminated sharps? A. Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps container. B. Used suture needles and scalpel blades remain in the needle counter and the closed needle counter is placed in the biohazard sharps container. C. The biohazard sharps container is located as close as possible to the area in which the items were used. D. Disposable surgical blades are removed from knife handles with a needle holder or other instrument.

A. Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps container.

Which of the following may be used when applying a sterile dressing to a skin graft site? A. pressure dressing B. ABD pad C. 4x4s D. Steri-Strips

A. pressure dressing

Anterior and posterior knee stability is influenced by the dynamics of the A. cruciate ligaments. B. joint capsule. C. patellar tendon. D. collateral ligaments.

A. cruciate ligaments.

To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following two vessels? A. internal mammary artery to affected coronary artery B. subclavian artery to affected coronary artery C. internal mammary artery to aorta D. subclavian artery to aorta

A. internal mammary artery to affected coronary artery

A three-way Foley catheter is inserted following a transurethral resection of the prostate (TURP) in order to A. irrigate and facilitate hemostasis. B. prevent the patient from getting out of bed. C. keep accurate input and output records. D. keep the perineal area dry.

A. irrigate and facilitate hemostasis

When using power saws on bone, which of the following actions BEST helps prevent bone damage? A. irrigation B. suction C. illumination D. retraction

A. irrigation

At the conclusion of the surgical procedure, the Mayo stand should A. remain sterile until the patient leaves the room. B. be pulled away from the sterile field by the circulator after skin closure. C. be completely emptied immediately after skin closure. D. be considered unsterile once the dressing is applied.

A. remain sterile until the patient leaves the room.

Which of the following structures are ligated and divided during the cholecystectomy? A.cystic artery and cystic duct B.hepatic artery and hepatic duct C. cystic artery and common bile duct D. hepatic artery and pancreatic duct

A.cystic artery and cystic duct

During a craniotomy, removal of the bone flap is followed by A.incision of the dura mater. B.incision of the galea aponeurotica. C.application of the Raney clips. D.suturing of the dura mater.

A.incision of the dura mater

B) Rectum

An abdominoperineal resection procedure is performed to treat cancer of the lower ________. A) Abdomen B) Rectum C) Liver D) Bladder

D) Iliac crests

All but one of the areas below need to be padded fore supine position, except for ________. A) Elbows B) Heels C) Scapula D) Iliac crests

A) Unlabeled bottle or container may be used if you recognize the fluid

All but one of the following precautions should be followed when working with disinfectants except __________. A) An unlabeled bottle or container may be used if you recognize the fluid B) Never mix two disinfectants together C) Wear personal protective equipment D) Store in well ventilated rooms

B) CPR

All hospital employees, including the O.R. Tech, are required to know the techniques of __________. A) Fibrillation B) CPR C) Suturing D) Open heart massage

B) Always shake or fan drapes

All of the following are draping rules except __________. A) Handel drapes as little as possible B) Always shake or fan drapes C) Slow careful movements are used D) Never allow a drape to extend outside the sterilization

D) Produces vitamin C

All of the following are functions of the skin except _____________. A) Protection against injury B) Prevents dehydration C) Maintains constant body temperature D) Produces vitamin C

C) Arterial spasms

All of the following are indications for a laminectomy, except ____________. A) Meningocele B) Herniated disc C) Arterial spasms D) Spinal cord trauma

C) Radiopaque

All sponges used during a surgical procedure should be _________. A) Tagged B) Moist C) Radiopaque D) All answers are correct

What religion does not permit abortion under any circumstance?

American indian, jehovahs witness, hinduism, Catholic

D) All answers are correct

An anastomosis along the alimentary canal may be the result of the removal of an obstruction of the ___________. A) Esophagus B) Duodenum C) Colon D) All answers are correct

D) Lung biopsy

An excision of a small piece of lung tissue for microscopic examination is called __________. A) Segmental resection B) Thoracotomy C) Thoracoplasty D) Lung biopsy

Betamethasone is what type of pharmalogical agent?

Anti-Inflammatory

D) Surgical specimen

Any tissue, fluid or foreign body, removed from the patient during the procedure will be sent to pathology for verification and/or diagnosis is a ___________. A) Biopsy B) Culture C) Frozen culture D) Surgical specimen

Patient possesions should be?

Gathered prior to surgery and given to family member or put into hospital safe

During which of the following surgeries is a Meckel's diverticulum typically discovered? A. esophagectomy B. appendectomy C. prostatectomy D. varicocelectomy

B. appendectomy

During a procedure, a surgical technologist notices a hole in his glove. Which of the following should be done next? A. Continue the case. B. Change the glove using the open-gloving technique. C. Change the glove using the closed-gloving technique. D. Break scrub, rescrub, gown and glove.

B. Change the glove using the open-gloving technique.

During an abdominoperineal resection, which of the following stapling devices should the surgical technologist have available to form an anal pouch from the ileum? A. TA B. GIA C. EEA D. LDS

B. GIA

In order to remove a portion of the kidney, the surgeon must enter which of the following? A. synovial membrane B. Gerota's fascia C. Hesselbach's triangle D. suprapleural membrane

B. Gerota's fascia

In order to remove a portion of the kidney, the surgeon must enter which of the following? A. synovial membrane B. Gerota's fascia C. Hesselbach's triangle D. suprapleural membrane

B. Gerota's fascia

Which of the following is a contrast media? A. Marcaine B. Hypaque C. Depo-Medrol D. Lymphazurin

B. Hypaque

Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours. Which of the following is the BEST course of action? A. Cover the sterile field with a sterile drape and move it from OR 1 to OR 2. B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. C. OR 1 should be left so that these supplies and instruments can be used by the next case. D. The surgical technologist should argue that the procedure be held in OR 1 as planned.

B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of.

Mannitol (Osmitrol) is used in neurosurgical procedures to A. prevent bleeding. B. decrease intracranial pressure. C. anesthetize the operative site. D. fight possible postoperative infection.

B. decrease intracranial pressure.

Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours. Which of the following is the BEST course of action? A. Cover the sterile field with a sterile drape and move it from OR 1 to OR 2. B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. C. OR 1 should be left so that these supplies and instruments can be used by the next case. D. The surgical technologist should argue that the procedure be held in OR 1 as planned.

B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of.

A patient's dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures? A. Return them to the patient's unit and leave them at the nurses' station. B. Place them in a labeled denture cup and keep them with the patient's chart. C. Wrap them in a paper towel and give them to the anesthesiologist. D. Ask the circulator to return them to the patient's room.

B. Place them in a labeled denture cup and keep them with the patient's chart.

A scleral buckle procedure repairs A. astigmatism. B. detached retinas. C. corneal scarring. D. eye muscle contractures.

B. detached retinas.

Which of the following instruments is used for a common bile duct exploration? A. Fogarty clamp B. Randall forceps C. Pennington clamp D. Forester ring forceps

B. Randall forceps

After gowning and gloving, a surgeon activates the DuraPrep applicator and proceeds to prep the patient for surgery. Which of the following is the BEST action to take at this time? A. Assist the surgeon in draping the patient. B. Regown and reglove the surgeon. C. Remove drapes and start over. D. Inform the supervisor.

B. Regown and reglove the surgeon.

Which of the following may be needed during an emergency splenectomy that may not be required during a routine splenectomy? A. CUSA B. Sarot clamp C. vascular sets D. ligating clip appliers

B. Sarot clamp

Which of the following is the MOST serious complication of a strangulated hernia? A. shock B. necrosis C. infection D. hemorrhage

B. necrosis

Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas? A. Heller B. Whipple C. Bankart D. Billroth I

B. Whipple

A surgeon's preference card indicates the surgeon wears a size L gown and double-gloves with a size 7 inner glove and size 6-1/2 outer glove, and the first assistant wears a size XL gown and double-gloves with a size 7-1/2 inner glove and size 7 outer glove. The first assistant arrives prior to the surgeon. Which of the following is the proper order to place the sterile attire on the back table? A. L gown, 7 glove, 6-1/2 glove, XL gown, 7-1/2 glove, 7 glove B. XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove C. XL gown, 7 glove, 7-1/2 glove, towel, L gown, 6-1/2 glove, 7 glove D. L gown, 6-1/2 glove, 7 glove, towel, XL gown, 7 glove, 6-1/2 glove

B. XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove

Which of the following characterizes bacteria of the genus Clostridium? A. aerobic B. anaerobic C. Gram-negative D. non-spore-forming

B. anaerobic

Where is the gastrocnemius muscle located? A. arm B. calf C. back D. thigh

B. calf

To prevent contamination at the end of a surgical procedure, which of the following should be removed LAST by the surgical technologist in the scrub role? A. patient's drapes B. surgical gloves C. surgical gown D. Mayo stand drape

B. surgical gloves

Which of the following is responsible for the proper care and handling of an intraoperative specimen? A. surgical technologist in the scrub role and anesthetist B. surgical technologist in the scrub role and the circulator C. surgical technologist in the first assistant role and the surgeon D. surgical technologist in the circulator role and anesthetist

B. surgical technologist in the scrub role and the circulator

Scoliosis is MOST commonly found in which of the following curves of the vertebral column? A. cervical B. thoracic C. lumbar D. sacral

B. thoracic

The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? A.laparoscopic cholecystectomy B.carotid endarterectomy C.total hip arthroplasty D.tympanoplasty

B.carotid endarterectomy

B) Cotton

Blankets in the operating room should be made of _________. A) Wool B) Cotton C) Nylon D) Polyester

D) All answers are correct

Blood pressure varies with which of the following? A) Age B) Sex C) Altitude D) All answers are correct

Hospital philosophy and policy are usually determined by the ?

Board of Trustees

In which religion is organ donation controversial

Buddhism

List in order the sequence of induction for general anesthesia: 1. leads placed on the patient 2. induction agent is given through an IV 3. patient is prompted to breathe 100% oxygen 4. patient is intubated 5. anesthetic gas agent is selected and applied A. 1, 3, 5, 4, and 2 B. 5, 2, 3, 1, and 4 C. 1, 3, 2, 4, and 5 D. 4, 2, 3, 1, and 5

C. 1, 3, 2, 4, and 5

Which of the following is used to remove clots and tissue from the bladder during transurethral resections (TURPs)? A. lithotrite B. asepto syringe C. Ellik evacuator D. Fogarty catheter

C. Ellik evacuator

Which of the following wound classes is assigned to a bowel case in which the resident perforated during the procedure? A. I B. II C. III D. IV

C. III

Place the following phases of wound healing by first intention in correct order from first to last: I. proliferation II. remodeling III. inflammatory A. I, II, III B. II, I, III C. III, I, II D. III, II, I

C. III, I, II

The drug MOST commonly used to treat ventricular tachycardia is A. epinephrine (Adrenalin). B. nitroglycerin (Nitrostat). C. lidocaine (Xylocaine). D. norepinephrine (Levophed).

C. lidocaine (Xylocaine).

In which of the following procedures will the surgical technologist expect to use cottonoids? A. abdominal hysterectomy B. abdominal perineal resection C. lumbar laminectomy D. open cholecystectomy

C. lumbar laminectomy

A potential surgical complication of an inguinal herniorrhaphy is injury to the A. phrenic nerve. B. sciatic nerve. C. spermatic cord. D. femoral artery.

C. spermatic cord.

Which of the following destroys bacterial spores? A. germicide B. antiseptic C. sterilant D. fungicide

C. sterilant

Insufflation of the abdomen is achieved with the use of ?

CO2

__ reflects Newton's third law that states for each action there is an equal and opposite reaction?

Canon's recoil or momentum

Identify the pelvic ligaments.

Cardinal, round, and infundibulopelvic ligaments.

An opacity of the crystalline lens.

Cataract

What is the most common indication for a c-section?

Cephalopelvic disproportion (CPD) - the head of the fetus is too large to pass through the maternal birth canal.

D) Thoracic

Chest tubes are required on most cases in which the _________ cavity is entered. A) Pelvic B) Abdominal C) Spinal D) Thoracic

Fast, deep breaths for a period of time followed by 20-60 seconds of apnea describe __?

Cheyne-Stokes breathing

A) Pfannenstiel

Choose the best abdominal incision which is used to perform operations on the uterus. A) Pfannenstiel B) Right lower paramedian C) Lower median D) Left subcostal

D) Peritoneum, muscle, facia, subcutaneous, skin

Chose the correct order of tissue beginning with the innermost layer. A) Peritoneum, muscles, subcutaneous, fascia, skin B) Peritoneum, subcutaneous, muscle, fascia, skin C) Periconeum, fascia, muscle, subcutaneous, skin D) Peritoneum, muscle, fascia, subcutaneous, skin

Whose responsibility is it to remove a patients personal items in the OR

Circulator

What is another name given to an anterior and posterior repair?

Colporraphy

On the way into the operating room, a terminally ill patient tells the nurse, "No matter what happens, it will be okay." Which of the Five Stages of Grief is the patient MOST likely in? A. denial B. bargaining C. depression D. acceptance

D. acceptance

D) Orange

Cylopropane is always stored in a(n) ________ cylinder. A) Green B) Black C) Brown D) Orange

D) All answers are correct

Criteria used when assessing a pulse and respiration rate is _________. A) Rate B) Rhythm C) Quality D) All answers are correct

Which rare condition is indicated by an overproduction of cortisol by the cortex of the adrenal gland?

Cushing's disease

A) Base

During an appendectomy procedure, the __________ of the appendix is grasped with a straight clamp. A) Base B) Middle C) Top D) Back

Which of the following instruments may be used to clamp the aorta? A. Doyen B. Duval C. Bulldog D. Satinsky

D. Satinsky

B) Bone wax

During an open thoracotomy, the surgeon may trim the bone edges with a rongeur or Sauerbrach rib shear and applies _________ for homeostasis. A) Bone cement B) Bone wax C) Heparin D) Thrombin

A 15-year-old girl with anemia will be undergoing an exploratory procedure and a blood transfusion will be necessary. The parents are Jehovah's Witnesses and will not consent to a blood transfusion, but the patient states that she wants the transfusion. The operating room staff reports this to the nurse manager. Which of the following is the BEST course of action now? A. The physician or nurse manager should contact the hospital's clergy to provide an intervention. B. The operating room staff should inform the patient that her parents must give consent before she can receive the transfusion. C. The operating room staff should inform the patient that since she is a minor, she cannot make health care decisions for herself. D. The physician or nurse manager should contact the hospital's administration to request that legal counsel becomes involved.

D. The physician or nurse manager should contact the hospital's administration to request that legal counsel becomes involved.

During strabismus surgery, which of the following is the first tissue layer that must be incised? A. iris B. cornea C. sclera D. conjunctiva

D. conjunctiva

A surgical technologist is explaining the steps of the ESU circuit to a student. The surgical technologist should explain that the electric current is channeled back to the generator through the A. power source. B. active electrode (ESU pencil). C. patient. D. dispersive (inactive) electrode.

D. dispersive (inactive) electrode.

What advantage do hand-held retractors have over self-retaining retractors? A. less exposure B. operator dependency C. lesser fatigue factor D. dynamic adjustability

D. dynamic adjustability

While being transferred from the stretcher to the operating room bed, the patient expresses fear of not awakening from anesthesia. The surgical technologist should. A. proceed with the transfer and disregard patient comments. B. explain the action of the anesthetic agent. C. reassure the patient that the anesthetic is safe. D. have the anesthesia care provider address the patient's concerns.

D. have the anesthesia care provider address the patient's concerns.

A #12 knife blade on a #7 handle is MOST commonly used for what type of surgery? A. gastrectomy B. hysterectomy C. adenoidectomy D. tonsillectomy

D. tonsillectomy

If two basins are wrapped together for sterilizing, they should be packaged with one basin A.stacked inside the other and separated by impervious material. B.on its side and the other upside down. C.stacked inside the other and wrapped in a towel. D.stacked inside the other and separated by a towel.

D.stacked inside the other and separated by a towel.

What is the most common cause of hypovalemic shock in infants?

Dehyrdration

A) Hypothermia

Deliberate lowering of the body temperature is called __________. A) Hypothermia B) Hypotension C) Oxygenated D) Vasoconstricton

A) Fine needle drivers

Delicate needles: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers

C) Hemostats

Delicate vessels: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers

A) Working order

Dermatomes must be carefully inspected prior to the procedure to make sure that all parts are in ________. A) Working order B) Wetting solution C) Greased D) Sharp

What muscle is responsible for emptying the bladder and closing the bladder orifice?

Detrusor muscle

D) Mediastinoscopy

Direct visualization of the mediastinal space and lymph nodes by means of a lighted scope is called a(n) __________. A) Bronchoscopy B) Laryngoscopy C) Esophagoscopy D) Mediastinoscopy

B) Extracapsular extraction

During a surgery on the lens, the anterior portion of the capsule is ruptured and removed and the lens cortex and nucleus are expressed from the eye leaving the posterior capsule behind, is the procedure known as ___________. A) Phacoemulsification B) Extracapsular extraction C) Intracapsular extraction D) Implantation of intracular lens

A) Lying face up

Dorsal recumbent refers to ________. A) Lying face up B) Standing bent over at the waist C) Standing erect D) Lying face down

C) Maintain the sterile field

During a cardiac arrest, the Tech in Surgery's main job is to __________. A) Maintain the patient's airway B) Maintain the surgeon's temper C) Maintain the sterile field D) Draw up the intra-cardiac medications

B) Right upper

During a cholecystectomy, the patient is placed in the supine position with a small pad or gallbladder left placed under the ________ quadrant. A) Left upper B) Right upper C) Left lower D) Right lower

B) Periosteal elevator

During a craniotomy, periosteum is stripped from the bone with a __________. A) Periosteal knife B) Periosteal elevator C) Scalpel D) Plain knife

C) Moist cottonoid strips

During a craniotomy, the brain surface is protected with __________. A) Moist gauze B) Bone wax C) Moist cottonoid strips D) Dry gauze

D) Angiography

During a(n) _________ of the cerebrum, a contrast medium is injected into the vessels of the cranium to cerebral aneurysms, certain tumors or other vascular lesions. A) Aneurrography B) Neurorrhaphy C) Meylography D) Angiography

C) Laparoscopy

Endoscopic visualization of the peritoneal cavity through the anterior abdominal wall primarily used as a diagnostic procedure, but which also may be used for other procedures such as aspiration of cysts, release of adhesions, tissue biopsies and tubal ligation is called _________. A) Pelvic examination B) Rubin's test C) Laparoscopy D) Cesarean section

Which congenital condition is marked by the absence of the anterior wall of the urethra?

Epispadias

B) Carbon dioxide and Frenon

Ethylene oxide is highly flammable, but when mixed with _________ and ________, it is rendered non-flammable. A) Freon and carbon monoxide B) Carbon dioxide and Frenon C) Nitrous and Carbon dioxide D) Frenon and CFC's

B) Pleural cavity

Following thoracotomy with rib resection, the surgeon inserts one or two chest tubes through separate incisions into the _________. A) Costal space B) Pleural cavity C) Axillary space D) Pericardial space

B) Sitting

Fowler position is ________. A) Face down B) Sitting C) Face up D) Lateral position

What is the term for a mature follicle and what hormone influence its growth?

Graafian follicle. Follicle stimulating hormone (FSH)

C) Two weeks

If properly cared for, a split thickness graft donor site can be reused in approximately how much time? A) One week B) Two days C) Two weeks D) No answer is correct

D) 5'

If the O.R. does not have explosion-proof electrical outlets, the outlets must be ________ off the floor. A) 2' B) 3' C) 4' D) 5'

D) Immediately stop using it

If a piece of equipment becomes damages, you should __________. A) Announce it to the nurse B) Announce it to the doctor C) Put an "out of order" sign on it D) Immediately stop using it

Mammography uses x-rays to locate tumors of the?

breast

A) Number and type

If the patient leaves the operating room with a counted sponged intentionally used as packing, the ________ of sponges retained should be documented on the operative record. A) Number and type B) Size and number C) Type and size D) No answer is correct

B) Label each to prevent confusion

If two or more syringes are of the same type, but contain different solutions, what is the appropriate action? A) Place the syringes on opposite ends of the back table B) Label each to prevent confusion C) Place a peanut (Kitner) inside of the syringes D) Place one syringe on the back table and place the other one on your mayo stand

D) Evisceration

In types of wound disruption, partial protrusion of the abdominal contents through an opening in the abdominal wall is known as __________. A) Dehiscence B) Eventeration C) Hemostasis D) Evisceration

What department provides preventive measures against infection?

Infection control

C) Hysterosalpingography

Insertion of a water-soluble radiopaque dye into the cervical canal to study the structure and function of the uterus and tubes in the evaluation of infertility, is ___________. A) Pelvic examination B) Culdoscopy C) Hysterosalpingography D) Culdocentesis

B) 98.6*F

Normal oral body temperature is _________. A) 97.6*F B) 98.6*F C) 99.6*F D) 96.7*F

B) Minute

Normal respirations occur approximately 12-20 times per _____________. A) Second B) Minute C) Hour D) Day

When using contrast media is indication, which type of scan would be used for a patient with an allergy to iodine?

MRI

A) Grounding

Making an electrical connection with the earth is called __________. A) Grounding B) Insulating C) Conducting D) Electrocution

Objects that have mass and take up space are referred to as?

Matter

In what modes are grounding pads applied?

Monopolar mode

What is used for wounds that require frequent dressing changes?

Montgomery Straps

Molecules carry thermal energy in the form of?

Motion

Gastroscopy is accomplished by inserting the gastroscope through the __?

Mouth

D) B and C

Movement is kept to a minimum during surgery because ______________. A) It annoys the circulator B) Dust can carry pathogens C) Turbulence may move bacteria into the sterile area D) B and C

B) Within

Movements of joints must be gentle and __________ their limited range of motion to avoid tissue damage. A) Near B) Within C) Away from D) No answer is correct

Nasal polyps originate from where?

Mucous membrane

A) Flaccid

Muscles that lack vigor or firmness are referred to as _________. A) Flaccid B) Fasciculation C) Weak D) Relaxed

The laser of choice for gastrointestinal endoscopy is?

Nd:YAG laser system

A) Vagus

Nerve damage can occur to all but the _________ nerve in patient positioning. A) Vagus B) Radial C) Ulnar D) Popliteal

What do the medulla of the adrenal glands secrete?

Norepinephrine

B) Exposure limits

OSHA controls the ________ for Isopropyl alcohol, Phenol, and Sodium hypochlorite. A) Cost B) Exposure limits C) Disposal methods D) Shelf life

B) Toxic substances

OSHA enforces the level of _________ permissible in the work environment. A) Sexual harassment B) Toxic substances C) Work day length D) Smoking

C) A and B

OSHA limits the percentage of ethlyne oxide gas because ___________. A) EO gas can cause burns to the skin B) Of irritation to the mucous membranes C) A and B D) It damages equipment

The scientific law that pertains to electricity is called?

Ohm's Law

C) 2.2

One (1) kilogram = ________ pounds. A) 3.0 B) 4.8 C) 2.2 D) 6.7

What blood test can indicate the possibility of prostatic cancer?

PSA--prostate specific antigen

A) Slowly

Patients who are already anesthetized must be positioned _________. A) Slowly B) At medium pace C) Quickly D) No answer is correct

The thin rubber tube that facilitates drainage by capillary action is called?

Penrose

C) Heavy

Pertaining to retention sutures, they consist of __________ non-absorbable sutures. A) Colored B) Light C) Heavy D) Clear

What machine uses electric impulses to generate heat and is cooled by air or fluid that flows through the power cord?

Piezoelectric Machine

What department oversees the sterilization needs of the hospital

Purchasing/central services

3.5-5% is the normal hematology value for what?

RBC in women

What name is given the the ligament that suspends the uterus laterally?

broad

Which of the following destroys bacterial spores? a.germicide b. antiseptic c. sterilant d. fungicide

c. sterilant

B) Right mid-abdominal transverse

Referring to Illustration # 1, identify abdominal incision # 155. A) Right lower paramedian B) Right mid-abdominal transverse C) Left thoraco-abdominal D) Pfannenstiel

C) McBurney

Referring to Illustration # 1, identify abdominal incision # 156. A) Left upper paramedian B) Pfannenstiel C) McBurney D) Upper median

D) Right lower paramedian

Referring to Illustration # 1, identify abdominal incision # 157. A) Left lower paramedian B) Left upper paramedian C) Right upper paramedian D) Right lower paramedian

D) Myomectomy

Removal of fibromyomas (fibroid/muscular tumors) from the uterine wall in women desiring children is _________. A) Microscopic reconstructive surgery of the fallopian tubes B) Oophorectomy C) Salpingectomy D) Myomectomy

C) The occurrence speaks for itself

Res ispa loquitor means __________. A) The occurrence is questionable B) All parties are involved C) The occurrence speaks for itself D) The occurrence never happened

What is the name of the procedure that is used to change the external appearance of the nose?

Rhinoplasty

What bones are attached to each of the thoracic vertebrae?

Ribs

What vein is frequently used for insertion of an angiographic catheter?

Saphenous

Epiretinal membrane is a term used to describe what?

Scar tissue tissue that forms over the macula

What medical condition is characterized by a lateral curvature of the spinal column and may require a posterior Spinal fusion with the use of a Harrington rod?

Scoliosis

The surgical technologist serving in the traditional role is called the?

Scrub tech or STSR

A) If the needle breaks, all pieces must be accounted for

Select the true statement concerning the handling of surgical needles. A) If the needle breaks, all pieces must be accounted for B) Used needles should be placed into the surgical suture packet for safe keeping and counting C) If needle defects or burrs are notes, sharpen the needle D) Once a needle is used, dispose of it into a sharp container

The biliary tract terminates at the __?

Sphincter of Oddi

What accessories are needed for the OR table in order to place the patient into the lithotomy poistion?

Stirrups and foot holders

The area that contains a sink, has a steam sterilizer, and acts as a workroom for an OR or a group of adjacent ORs is known as?

Substerile area

B) Electric shock

Sudden stimulation of nerves and convulsive contraction of the muscles caused by the discharge or electricity through the body is ________. A) Insulator B) Electric shock C) Electrocution D) Conductor

Surgical technologists are employed most often in which are of the hospital?

Surgery department

A) Tensile strength

The amount of stress a suture will handle before breaking is termed ___________. A) Tensile strength B) Wire ability C) Hand D) Standard

Fornix.

The annular recess created by the cervical-vaginal junction.

D) Proctoscopy

The examination of the mucosa of the rectum and anal canal is called ___________. A) Colonoscopy B) Gastroscopy C) Anoscopy D) Proctoscopy

B) Only the circulator is responsible for handling the specimen correctly

The following are guidelines to follow when handling A) Never hand specimens over on a surgical sponge B) Only the circulator is responsible for handling the specimen correctly C) Specimens should be kept moist but not soaking until ready to hand off D) Unless dictated by policy all specimens obtained must be sent to pathology

A) Cyclodialysis

The formation of a communication between the anterior chamber and the space located between the sclera and the choroids to reduce aqueous secretions and thus induce lower pressure is called __________. A) Cyclodialysis B) Enucleation of the eye C) Goniotomy D) Exenteration of the eye

C) Giovanni Morgagni

The founder of Pathologic Anatomy, is _________. A) Marcello Malpighi B) Vesalius C) Giovanni Morgagni D) Crawford Long

B) RUQ

The gallbladder is found in the _______. A) LUQ B) RUQ C) RLQ D) LLQ

A) Gastric bypass

The gastric procedure that refers to the creation of a small proximal gastric pouch by stapling with bypass of the distal end of the stomach by a gastrojejunostomy, is a ________. A) Gastric bypass B) Billroth 1 C) Billroth 2 D) Total gastrectomy

D) Plasma

The liquid part of the blood, which serves as a source of nutrition and a means of removing waste products from body cells, is known as __________. A) Keratin B) Fibrinogen C) Hemoglobin D) Plasma

D) Resection

The partial excision of a structure is called _________. A) Anastomosis B) Approximation C) Dehiscence D) Resection

B) Staphylococcus aureus

The pathogen that causes most post-operative infections is ____________. A) Streptococcus B) Staphylococcus aureus C) Bordetella pertussis D) Pseudomonas aeruginosa

B) Cause damage to the perineal nerve

The patients feet must not be crossed since it would __________. A) Damage the dorsal pedis artery B) Cause damage to the perineal nerve C) Damage the posterior tibial artery D) Damage the pedal nerve

B) Induction

The period from beginning of administration of anesthetic until the patient loses consciousness is called _________. A) Hypnosis B) Induction C) Narcotic D) Hypoxia

B) Endocrine

The pituitary, adrenal, thyroid and other ductless glands are all components of the ____________ system. A) Integumentary B) Endocrine C) Urinary D) Respiratory

A) Knee

The popliteal region is located at the back of the ____________. A) Knee B) Shoulder C) Wrist D) Elbow

What remains during extracapsular cataract extraction?

The posterior capsule

C) First

The prefix prim indicates ___________. A) Elementary B) Late C) First D) Middle

A) Antisepsis

The prevention or inhibition of pathogenic microorganisms is called ___________. A) Antisepsis B) Cavitation C) Critical D) Cleaning

B) Inguinal herniorrhaphy

The repair of a defect in the abdominal wall with herniation of abdominal contents in the groin area of a male is a(n) ___________. A) Umbilical herniorrahphy B) Inguinal herniorrahphy C) Hiatal herniorrhaphy D) Hydrocelectomy

Identify the essential and accessory organs of the female reproductive system:

The vagina, uterus, cervix, fallopian tubes, ovaries and the vulva

A) Cilia

Tiny hair-like organelles within the respiratory region are called ______________. A) Cilia B) Sacs C) Bronchi D) Capillaries

B) Wound healing

Tissue edges are brought together with precision, avoiding strangulation and eliminating dead space, promotes _________. A) Tissue healing B) Wound healing C) Radiation therapy D) Immune response

A) Epithelial

Tissue lining the inside surface of an organ is ______________. A) Epithelial B) Subcutaneous C) Endoderm D) Lipido

What is the action of acetylcholine chloride?

To dilate the pupil

A resectoscope is used in which of the following prostatic approaches? a. perineal b. suprapubic c. retropubic d. transurethral

d. transurethral

D) Instruments and/or gloved hands

Used sponges should be handled with ________. A) Gloves used for the prep B) Used instruments C) The circulator's permission D) Instruments and/or gloved hands

Identify the ligaments that suspend the uterus and in which ligament are the fallopian tubes located.

Uterus - the broad, the cardinal (anteriorly), the pubic (posteriorly), and the sacral (inferiorly). Fallopian - the broad ligament.

What is the usual cause of a vocal cord nodule?

Vocal abuse

D) All answers are correct

Which is/are the purpose(s) or draping the patient? A) To create a sterile field B) To maintain a sterile field C) To cover the patient and surrounding areas with sterile barriers D) All answers are correct

B) Hemostasis

What must be achieved to prevent loss of patient's blood, to provide as bloodless as field as possible for accurate dissection and to prevent hematoma formation? A) Necrosis B) Hemostasis C) Crenation D) Hemolysis

D) All basic syringes are calibrated in cubic centimeters (cc)

What statement is true concerning the characteristics of syringes? A) They are available in 3 sizes - 1, 25, and 50cc B) Syringes for irrigation are used with needles C) Syringes for injection or aspiration are used without needles D) All basic syringes are calibrated in cubic centimeters (cc)

D) Sterile mineral oil

What substance should be used to facilitate removal of donor skin with an osculating blade dermatome. A) Sterile xylocaine B) Sterile water C) Bacitacum ointment D) Sterile mineral oil

B) Idophor-impregnated

What type of adhesive drapes are frequently used to lower infection rates? A) Plain plastic B) Idophor-impregnated C) Alcohol D) Glutaraldehyde

A) Body jacket

What type of cast is applied to the trunk from the hips to or including the lower portion of the head for fractures of the cervical or upper thoracic vertebrae? A) Body jacket B) Shoulder spica C) Body cast D) Minerva jacket

B) Thromboplastin

When cells are injured, platelets release _____________. A) Prothrombin B) Thromboplastin C) Fibrinogen D) RBC's

B) Disconnect the equipment

When performing maintenance tasks on electrical equipment, first _________. A) Read the manual B) Disconnect the equipment C) Check for frayed cords and plugs D) Clean the floor

B) Placenta previa

When the placenta is abnormally implanted in the lower uterine segment and may completely cover the os servix, it is called ________. A) Abrution placenta B) Placenta previa C) Cephalopelvic disproportion D) Vertex presentation

A) Strike-through contamination

When water comes in contact with a sterile surface __________ occurs. A) Strike-through contamination B) Cleanliness C) Stains D) Moisture

A) Xylocaine

Which anesthetic might be used for a digital nerve block? A) Xylocaine B) Cocaine C) Brevitol D) Atropine

D) All answers are correct

Which are common possibilities during emergence from general anesthesia? A) Shivering B) Vomiting C) Restlessness D) All answers are correct

D) All answers are correct

Which are possible hazards in the operating room? A) Electric shock B) Burns C) Inhalation of toxic substances D) All answers are correct

B) A and C

Which are possible reasons for the use of wound dressings? A) Absorb fluids B) A and C C) Protect from contamination D) Aesthetic appeal

C) Muscle relaxants

Which is not a type of anesthesia? A) General B) Local C) Muscle relaxants D) Spinal

A) Anesthesiologist

Who is not a member of the sterile team? A) Anesthesiologist B) Surgeon C) Physician first assistant D) Scrub person

A) Second assistant to the surgeon

Who is not a member of the unsterile surgical team? A) Second assistant to the surgeon B) Perfusionist C) Circulator D) X-ray technician

List three blood replacement products?

Whole blood, plasma, packed RBC's or Platelets

B) Bordetella pertussis

Whooping cough is caused by ______________. A) Salmonella typhi B) Bordetella pertussis C) Shingella D) Pseudomonas

What tumor is the most common pediatric tumor of the abdomen?

Wilm's tumor, nephroblastoma

C) Extinguished

With the removal of any one component, a fire will be _______. A) Fueled B) Diminished C) Extinguished D) Started

The corpus luteum develops from ____ and what does it stimulate the secretion of?

Within the ruptured ovarian follicle and releases progesterone.

Latex is made from what substance harvested from trees found in warm tropical climates?

a natural rubber

posterior colporrhaphy is performed to repair what?

a rectocele

Which of the following is a preferred retractor for a groin incision? a. Weitlaner b. Finochietto c. O'Sullivan-O'conner d. Balfour

a. Weitlaner

Removal of the gallbladder is called? a. cholecystectomy b. choledochojejunostomy c. choletithiasis d. colectomy

a. cholecystectomy

Anterior and posterior knee stability is influenced by the dynamics of the a. cruciate ligament b. joint capsule c. patellar tendon d. collateral ligaments

a. cruciate ligaments

When assisting with the closure of the skin incision and operating a skin stapler, the surgical tech in the scrub role is placing the staples through which two layer? a. cuticular and subcuticular b. subicular and subcutaneous c. subcuticular and subcutaneous

a. cuticular and subcuticular

For completely effective steam sterilization, the surface of teh instrument should be a. free of oil and grease b. oiled before sterilization c. dry before placing them in the autoclave d. moistened before placing them in the autoclave

a. free of oil and grease

Whipple pancreaticoduodenectomy involves the removal of the ___. a. head of the pancreas, distal one-third of the stomach, duodenum, proximal 10 cm of jejunum, gallbladder, cystic and common bile duct, and peripancreatic and hepatoduodenal lymph nodes

a. head of the pancreas, distal one-third of the stomach, duodenum, proximal 10 cm of jejunum, gallbladder, cystic and common bile duct, and peripancreatic and hepatoduodenal lymph nodes

Traction sutures are used on common bile duct explorations to a. hold the duct open b. permanently close the duct c. ligate the duct d. seal the stones inside

a. hold the duct open

Which of the following pathological conditions may be caused by an excessive production of cerebrospinal fluid in the brain? a. hydrocephalus b. encephalocele c. cranial bifida d. craniosynostosis

a. hydrocephalus An encephalocele is a brain protrusion through a cranial fissure cranial bifida is an incomplete closure of the cranial bones craniosynostosis is a premature ossification of the skull

The sterrad sterilization system MOST commonly uses which of the following chemical solutions? a. Hydrogen peroxide b. gluteraldehyde c. Peracetic acid d. carbon dioxide

a. hydrogen peroxide

Between cases, decontamination of walls involves washing a. only walls that have been splashed with blood and debris b. all walls with disinfectant c. all walls from the floor up to a 5 ft level

a. only areas with blood and debris

What is the first priority of the STSR when an intraoperative X-ray is being taken? a. protect the sterile field from contamination b. gown and glove the X-ray technician c. bring the radiographic equipment into the operating room d. deliver the X-ray cassette to radiography department

a. protect the sterile field from contamination

Herniation of the rectum through a weakened posterior vaginal wall is known as a a. rectocele b. cystocele c. varicocele d. enterocele

a. rectocele

During a laser laryngoscopy, which of the following supplies must be available? a. wet cottonoids and water b. microscope, sterile water, and bronchoscope c. sterile water, thyroid tray, and methylene blue

a. wet cottonoids and water

Which procedure is used to treat cancer of the rectum?

abdominoperineal resection

Which of the following positions is used in mastopexy? a. kraske b. dorsal recumbent c. lateral Simms d. Fowlers

b. Dorsal recumbant Kraske (jackkinfe) Dorsal recumbent (supine) Fowlers (sitting) for shoulder area

Which of the following is the primary purpose for changing into operating room attire? a. to standardize uniforms b. to prevent the spread of microorganisms c. to identify operating room personnel d. to avaoid damage to personal attire

b. to prevent the spread of microorganisms

Which of the following is the correct order, from the outermost to innermost layer, of tissues that compose the wall of of the stomach and small intestine? 1. submucuosa 2. muscularis 3. serosa 4. mucosa a. 1,4,2,3 b. 3,2,1,4 c. 1,2,4,3 d. 3,4,2,1

b. Serosa, muscularis, submucosa, mucosa

Gravity displacement sterilizers function on the principle that a. steam is heavier than air b. air is heavier than steam c. water is heavier than air d. air is heavier than water

b. air is heavier than steam

Which of the following procedures is used for removal of embolus? a. endarterectomy b. balloon catheterization c. aneurysmectomy d. fasciotomy

b. balloon catheterization

Which surgical needle is MOST appropriately used in a liver resection? a. cutting b. blunt c. tapered d. trocar

b. blunt

Where is the gastrocnemius muscle located? a. arm b. calf c. back d. thigh

b. calf

The surgical tech in the scrub role should remain sterile following which of the following surgical procedures? a. Laparoscopic Cholecystectomy b. Carotid endarterectomy c. total hip arthroplasty c. typanoplasty

b. carotid endarterectomy

Which of the following procedures is used to visualize the cystic, hepatic, and common bile ducts? a. barium enema b. cholangiography c. intravenous pyelography d. upper gastrointestinal series

b. cholangiography

Which of the following procedures requires an opening into the gallbladder to permit drainage and removal of stones? a. choledochotomy b. cholecystostomy c. cholecystectomy d. cholecystojejunostomy

b. cholecystostomy

A perforator is used for which of the following procedures? a. cordotomy b. craniotomy c. laminectomy d. spinal fusion

b. craniotomy a perferator is used in a craniotomy to burr a hole in the skull in order to turn a flap

The term staging refers to the ___. a. presence of infection b. degree of tumor metastasis c. presence of blood d. degree of heart block

b. degree of tumor metastasis

Which specimen can be altered if placed in formalin? a. breast biopsy b. gallstones c. hernia sac d. gallbladder

b. gallstones

The oxygen carrying capacity of red blood cells is a function of a. albumin b. hemoglobin c. hematocrit d. prothrombin

b. hemoglobin albumin acts as a carrier molecular and helps maintain blood volume hemoglobin is the iron containing pigment of red blood cells that carries oxygen from the lungs to the tissues hematocrit is the measure of the percentage of red blood cells that are erythrocytes prothrombin is a plasma protein that is converted into thrombin in clotting the blood

Ethics is an attempt to define right and wrong based upon?

beliefs

What is a cholesteatoma?

benign cyst or tumor that fills the mastoid cavity

The ability of humans and surgical robots to determine the direction from which sound is coming is called?

binaural hearing

The number of microbes or organic debris that exist at a given time is referred to as__?

bioburden

The only method used to ensure the sterility of an item is?

biological indicators

The term neonate applies to the pediatric patient who is between the ages of __?

birth and 28 days of life outside the uterus

A patient is considered a pediatric patient if he or she is between the ages of ___?

birth to age 12

A "hot wire" is usually identified by having__?

black, blue, or red insulation

Positron emission tomography (PET) is a medical imaging technique that reveals dynamic activities within the body?

blood flow and glucose uptake in tissues

What color do gram positive bacteria turn in a Gram stain?

blue

Pieces of plastic or rubber tubing threaded over the retention suture ends prior to tying are called?

bolsters

Lane, Kern, Lowman, and Lewin are examples of ?

bone holding forceps

Otosclerosis is the term used to describe?

bony overgrowth of the stapes

__ is a device that delivers electrical current to the surgical site?

bovie pencil

A preference card indicates a surgeon prefers a large paper gown and size 7.5 gloves and the assistant prefers an xl gown and size 8 gloves. The assistant usually scrubs first, in which order should the surgical attire be stacked from top to bottom? a. towel,, xl gown, 7.5 gloves, towel, large gown, size 8 gloves b. size 7.5 gloves, xl gown, towel, size 8 gloves, large gown, size 7.5 gloves c. towel, xl gown, size 8 gloves, towel large gowns, size 7.5 gown

c.

During application of arch bars, the surgeon will most likely use which of the following between the teeth and around the bar? a. 0 Dexon b. 5-0 Vicryl c. 25 or 26 gauge stainless steel wire d. 35 or 40 gauge stainless steel wire

c. 25 or 26 gauges stainless steel wire

A cardiac arrest occurs during a procedure, the surgeon is resuscitation the patient. What is the responsibility of the surgical tech in the scrub role during this time? a. Hand the dr. a loaded needle holder and forceps for closing b. Break scrub and call for help c. Remain sterile and maintain the sterile field d. Move the electrosurgical unit away from the operating table

c. Remain sterile and maintain the field

When performing a dilation and curettage, which of the following instruments is used to grasp the cervix? a. Sims b. Auvard c. Schroeder d. Bozeman

c. Schroeder

Which of the following is the best placement area for the electrosurgical grounding pad for a patient in the lithotomy position? a. upper arm b. lower back c. anterior thigh d. posterior shoulder

c. anterior thigh

Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the operating room? a. cystoscopy b. culdoscopy c. proctoscopy d. laparoscopy

c. proctoscopy

Which of the following classifications of disinfection is used to kill all bacteria, viruses, and fungi? a. low level b. intermediate level c. high level d. antiseptic

c. high level a.low level disinfectants kill most vegetative bacteria, fungi, and least resistant viruses b.intermidiate level kills most bacteria, viruses, and fungi c.high level kills all bateria, viruses,fungi, and spores d. antiseptic is used on the skin and has a broad sprectrum anitmicrobial action

A circlage procedure is performed for which of the following conditions? a. Bartholians cyst b. ectopic pregnancy c. incompetent cervix d. placenta previa

c. incompetent cervix

A circlage procedure is performed in which of the following conditions? a. bartholin's cyst b. ectopic pregnancy c. incompetent cervix d. placenta previa

c. incompetent cervix a circlage is performed to prevent spontaneous abortion and preterm delivery by placing a purse string suture around the cervix

Which of the following is true regarding the care of ratcheted instruments following surgery? a. instruments should be soaked in saline b. instruments should be prepared for decontamination with curved tips up c. instruments should be opened for washing and sterilizing

c. instruments should be opened for washing and sterilizing

Which scissor is most likely to be found in a basic hysterectomy set up? a. Potts-smith b. stevens c. jorgenson d. iris

c. jorgenson

Which of the following should be included on an orthopedic set up? a. Smith perforator b. Potts-Smith scissors c. Key elevator d. heany needle holder

c. key elevator

The required number of air exchanges per hour in the OR is a. 1 to 5 b. 6-10 c. 11-14 d. 15-20

d. 15-20

Which of the following blades fits a number 4 knife handle? a. 10 b. 11 c. 15 d. 20

d. 20

The spore forming organism used to test proper functioning of steam sterilizers is a. Bacillus subtilis b. Clostridium perfringes c. Mycobacterium tuberculosis d. Bascillus stearothermophilus

d. Bascillus stearothermophilus (a highly heat resistant spore forming microorganism)

Which of the following is used to stabilize a fractured finger? a. Rush pins b. Hagie Pins c. Knowels Pins d. Kirschner wires

d. Kirschner wires rush pins are used for orif of arms hagie pins are threaded and used for orif of clavicles c. knowles pins are used on hip fractures

When positioning the patient in lithotomy position, the stirrups height should be adjusted according to the a. height of the first assistant b. manufacturer's recommendations c. Height of the surgeon d. Length of the patients legs

d. Length of the pt's legs

Which of the following types of anesthetic is injected during a bier block? a. Marcaine b. Lidocaine with epi c. Marcaine with epi d. Lidocaine

d. Lidocaine

Which of the following is MOST likely to be used to stablize a cervical frazcture? a. Kirschner wire b. Hoffman device c. Steinmann pins d. Mayfield clamp

d. Mayfield clamp

Which of the following instruments is NOT used in a otorhinolaryngology surgery? a.Rosen b. Baron c. Frazier d. Poole

d. Poole

Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infants stomach? a. Gastrotomy b. Nissan Fundoplication C. Heller Myotomy D. Pyloromyotmy

d. Pyloromyotomy

For a splenectomy, which of the following clamps could be used? a. Allen b. Doyen c. Duval d. Satinsky

d. Satinsky

What type of incision is typically used for an open cholecystectomy? a. McBurney's b. Phannenstiel c. Midline d. Subcostal

d. Subcostal

A lumbar meningocele involves removal of a. cerebrolspinal fluid b. lumbar disc c. meniges d. a fluid filled sac

d. a fluid filled sac

The surgical tech in the scrub role MUST keep track of blood loss as well as a. weigh the blood soaked sponges b. measure the amount of collected fluids c. administer blood replacement d. track amount of irrigation

d. track amount of irrigation

In a sterilized package, the chemical indicator is used to a. show that moisture entered the package b. guarantee the sterility of the package c. Verify that the package was wrapped properly d. confirm that the package was exposed to sterilization

d. confirm that the package was exposed to sterilization

During a strabismus surgery, which of the following is the first tissue layer that must be incised? a.iris b. cornea c. sclera d. conjunctiva

d. conjunctiva iris is the colored membrance between the lens and the cornia . the cornea is the clear anterior part of the fibrous coat of the eye the sclera is tough white fibrous tissue that extends from the optic nerve to the cornea.

Which of the following methods of sterilization does not corrode metal and passes through woven materials like steam? a. ionizing radiation b. steris c. glutaraldehyde d. ethylene oxide

d. ehtylene oxide

When preparing the strerrad sterilization system for use in the surgical area, which of the following outlets must be available? a. suction b.oxygen c.nitrogen d. electrical

d. electrical

Which of the following should be visualized on a xray to determine if a long bone is still growing? a. periosteum b. diaphysis c. medullary canal d. epiphyseal plate

d. epiphyseal plate

When applying a pnematic tourniquet preoperatively, which of the following items is used to force blood from an extremity? a. stockinette b. Coban c. touniquet cuff d. esmarch bandage

d. esmarch bandage

Which of the following procedures is the removal of the entire orbital content, including the periosteum? a. recession b. resection c. eviseration d. exenteration

d. exenteration

Which of the following should be readily available for a modified radical mastectomy? a. Stevens scissors b. jorgenson scissors c. extra #11 blade d. extra # 10 blade

d. extra # 10 blade

The term D and C represents?

dialation and curretage

The Trendelenburg position may be used to __?

displace the abdominopelvic organs for better visualization and it reduces blood flow to the lower body and venous drainage is promoted

The xiphoid proces is the __ portion of the sternum?

distal

Cylindrical tubes that allow for the removal of air or fluids from the body are called?

drains

What portion of the male reproductive system can be found passing through the spermatic cord and eventually conducting semen into the prostatic urethra?

ductus deferens

The three portions of the small intestine are the ?

duodenum, jejunum, ileum

The use of screw and plate geometry to apply forces at a fracture site is called?

dynamic compression

The term used to describe abnormal labor or childbirth is __?

dystocia

Consent may be given in either two formats?

express or implied

The suture is attached to the needle at the __?

eye

The medical record of a surgical patient will typically include all of the following EXCEPT?

family members names

In the proliferation phase, what forms into fibers that give the wound approximately 25-30% of its original tensile strength?

fibroblast secrete collagen

With the frequent use of radiation during the surgical procedure, the pregnant sterile team member may need what to track fetal exposure?

film badge

Thoracentesis is the removal of __?

fluid accumulation from within the pleural cavity

What diagnostic imaging procedure allows the surgeon to view anatomic structures during the surgical procedure?

fluoroscopy

The closed-glove technique is used __?

for donning the gloves following a surgical scrub and after gown is donned

If seeding of malignant cells is a concern, the bladder may be filled with __ prior to the urethral transection?

formalin solution

what are the limitations of using water as a presoaking solution?

ineffective in softening or removing dried debris

What term is used to describe "the multiplication of organisms in tissue"

infection

Pain, heat, redness, swelling, and loss of function are classic local signs of?

inflammation

What dressing layer is considered the absorbent layer?

inner contact layer

What machine infuses CO2 gas into the abdominal cavity?

insufflator

An example of a cartilaginous joint is the__?

intervertebral disk and pubic symphysis

Escherichia coli normally resides in the lumen of the __

intestines

Contrast media can be introduced __?

into arteries and veins

During a total hip replacement surgery, what instrument is used to replace the femoral head?

intramedullary reamer

Fluid bottles may be recapped and reused under what conditions?

none, they should never be

A uterine fibroid is an example of what type of factor causing surgical intervention?

nonmalignant neoplasm

The apex is the __ of the ?

nose

Infection contracted within the health care setting is known as

nosocomial infection

Gravida

number of pregnancies

The method used to don gloves for patient skin prep or catherization is called __?

open glove

Bacteria that reside naturally within the human body and cause no disease unless the opportunity arises are known as?

opportunistic pathogens

What mesh application may result in discomfort for the patient?

stainless steel

The kidneys are bound by the __ muscles on the medial side?

psoas

The external female genitalia is vascularized by the branches of the __?

pudendal artery

Arterial saturation of hemoglobin with oxygen is measured with the use of __?

pulse oximetry, passing a light through the tissues to determine the optical density of the blood

What term means loss of heat from the patient's body to the environment?

radiation

What term describes the following coping mechanism: "A patient tries to give excuses as to why he or she has a particular illness"

rationalization

Sponges used for procedures requiring smaller incisions are called?

raytecs

The neutral wire carries electrical current in a circuit away from a device, and typically is identified by a __ colored insulation

red

Large-gauged, interrupted, non absorbable sutures placed lateral to a primary suture line for wound reinforcement are called?

retention sutures

Instruments designed for the exposure of the operative site are called?

retractors/viewing

Placing the patient who is obese in __ position expands total lung volume and aids in ventilation.

reverse trendelenburg

The gallbladder is found in the __ abdominal quadrant.

right upper

The teres minor is one of the four muscles of what body structure?

rotator cuff

The linea alba is found __?

runs down the midline

Posteriorly, the ilium joins the sacrum at the_?

sacroiliac joint

What should take place immediately after the patient is moved from the stretcher to the OR table?

safety strap should be applied

The primary purpose of meniscus surgery is to __?

save as much of the torn meniscus as possible

The term knife is used interchangbley with the term __?

scalpel

A curette is a surgical instrument used to ?

scape off a tissue specimen

The acromion is part of which bone?

scaphoid

Knowledge and skills required for the profession to provide effective and reliable services is called?

scope of practice

What are the conchae?

scroll-shaped bony elements, forming the upper chambers of the naval cavity

To prevent the formation of condensate in nested basins, what must be done?

seperate basins with a towel

Bleeding in a pediatric trauma patient must be controlled to prevent?

severe hypovalemia

The neutral zone should be established for the placement of?

sharps

What are Pledgets?

small squares of Teflon, sewn over holes in vessels and exerts outside pressure to prevent bleeding and promote clotting

Any need or activity related to one's identification or interaction with another individual or group is termed a __ need?

social

Ultrasound imaging is a noninvasive diagnostic tool that transforms __ wave into images.

sound

Ultrasound involves the use of __?

sound waves

Name all the components of a DC circuit?

source of electricity, conductor, control device, load

How fast something is moving without consideration of the objects direction describes?

speed

Whereas speed is not dependent upon direction, velocity involves direction and __?

speed

What organ is the single largest mass of lymphatic tissue in the body?

spleen

Items are counted in what order for every procedure

sponges, sharps, instruments

What dormant structure can some bacteria form to survive in adverse enviornmental conditions?

spores

During which stage of labor is the placenta delivered?

stage 3

Most modern surgical instruments are made of__?

stainless steel

What structures are removed during UPPP?

tonsils, adenoids, uvula, and a portion of soft palate

During a rotator cuff repair, the suture anchor is placed into the bone and then it is passed through the _?

torn tendon and tied

Sutures placed into an anatomical structure to retract to the side are called __ sutures?

traction suture

Needles used to penetrate tissue for the delivery of endoscopes into body cavities or joint spaces are __ needles?

trocar point

Indigo carmine is used following tuboplasty to demonstrate?

tubal patency

What is the function of a T-tube?

tube used to drain, bile

The order of technique for opening sterile basin sets is __?

unfold 1st flap away from you, open 2nd flap in appropriate direction, reposition to open 3rd flap, move to opposite side to open 4th flap

A method used to reduce complication and avoid patient death is?

using uncemented prostheses, surgically venting the distal femur, increase the inspired oxygen concentration prior to injecting PMMA cement

Arterial blood supply to the uterus is provided by the_?

uterine branch of the paired internal iliac arteries

What is the synonym for the fallopian tube?

uterine tubes

Total abdominal hysterectomy involves the removal of what structures?

uterus

Vaginal hysterectomy is used to describe the removal of?

uterus through vaginal incision

Pheochromocytoma is?

A tumor affecting the adrenal medulla

What is the most commonly used hemostatic device?

Bovie

What kidney is preferred for and why regarding renal transplant?

The left because the renal vein is longer.

Post-op recovery time for the patient who is obese is increased because?

tissue retains anesthetic agent

Why is cerclage performed?

to close an incompetent cervix

D) Creation of a new passageway between the maxillary sinuses and the nasal cavity to establish drainage and to remove any diseased tissue, polups or tumors-incision is made in the oral mucous membrane above the canine teeth called fossa

A Caldwell-luc is the __________. A) Creation of a new passageway between the frontal sinus(es) and the nasal cavity to establish drainage and to remove any diseased tissue, polyps or tumors - incision is made externally to the eye B) Removal of portions of the inferior and middle turbinates to increase aeration and drainage and to relieve pressure against the floor of the nose C) Creation of a new passageway for drainage and removal of any diseased tissue in the sphenoidal sinuses - incision is made through an intranasal or external approach D) Creation of a new passageway between the maxillary sinuses and the nasal cavity to establish drainage and to remove any diseased tissue, polyps or tumors-incision is made in the oral mucous membrane above the canine teeth called fossa

Varicocelectomy

A procedure to repair an abnormal dilation of the spermatic veins in the spermatic cord that drain the testicle.

C) Computer

A programmable electronic device that can store, retrieve and process data is ____________. A) MRI B) Fluroscope C) Computer D) CT scan

B) Electrocardiogram

A recording of the electrical activity of the heart is a(n) _________. A) Sonogram B) Electrocardiogram C) Blood pressure D) Echocardiogram

B) CRNA

A registered nurse who has taken a two year course in the administration of anesthesia, administers anesthetics and works under the supervision of the anesthesiologist defines the position of _____________. A) Anesthesiologist B) CRNA C) Anesthetic D) Anesthesiologist

B) Choledochoscope

A scope for visualization of the common bile duct is __________. A) Colonoscope B) Choledochoscope C) Gastroscope D) Esophagoscope

C) Epinephrine

A short-acting cardiac stimulant is ________. A) Protamine B) Lidocaine C) Epinephrine D) Dopamine

D) All answers are correct

A special suction-irrigation tip is commonly used during otologic surgery which allows the surgeon to irrigate and suction the wound for the purpose of removing __________. A) Debris B) Fluid C) Foreign object D) All answers are correct

B) Radiopaque

A sponge that can be easily identified by x-ray is called ____________. A) Radiomimetic B) Radiopaque C) Radionuclide D) Radiolus

C) Palatine tonsils

A tonsillectomy is the surgical removal of the _________. A) Nasopharyngeal tonsils B) Lingual tonsils C) Palatine tonsils D) Sublingual tonsils

During an anterior cervical fusion, a bone graft is taken in order to fuse the vertebral A. body. B. disk. C. spinous process. D. transverse process.

A. body.

As a surgical technologist begins to prep a female patient for Foley catheterization, a bulge in the vaginal wall is noticed. Which of the following would cause this bulge? A. cystocele B. endometriosis C. leiomyoma D. ectopic pregnancy

A. cystocele

Which of the following terms best describes a formal medical process when death occurs in surgery and the surgeon and anesthesia care provider must verify that death has occurred? A. determination of death B. rigor mortis C. postmortem procedures D. livor mortis

A. determination of death

Which of the following is a fenestrated drape? A. a drape with an opening that allows exposure of the operative site B. a split drape that has two tails C. a drape used to cover the operating table, instrument table, and body regions D. an incise drape that is self-adhering

A. a drape with an opening that allows exposure of the operative site

A major function of the colon is to A. absorb water. B. secrete hormones. C. secrete digestive enzymes. D. absorb the products of digestion.

A. absorb water

Which of the following is applied as a nonadherent dressing? A. adaptic B. collodion C. steri-strip D. elastoplast

A. adaptic

What is the function of silver sulfadiazine (Silvadene)? A. antimicrobial B. hemostasis C. irrigation D. anticoagulant

A. antimicrobial

Between each surgical procedure, decontamination of walls involves washing A. areas that have been splashed with blood or debris. B. all walls with a disinfectant solution. C. from the floor up to a 5-foot level with a disinfectant solution. D. from the floor up to a 5-foot level with a viricidal solution.

A. areas that have been splashed with blood or debris.

Which of the following is the MOST important consideration when cutting suture? A. avoiding the knot B. using sharp scissors C.opening the scissors wide when cutting D. tagging the end of suture to be cut with a hemostat

A. avoiding the knot

C) Nephrotomy

An incision into the kidney is called _____________. A) Pyelostomy B) Ureterectomy C) Nephrotomy D) Nephroscopy

B) Colpotomy

An incision into the posterior cul-de-sac to diagnose by intraperitoneal palpation, inspection of pelvic organs, or determination of any fluid in the pouch of Douglas, is called ________. A) Culdocentesis B) Colpotomy C) Culdoscopy D) Colposcopy

A) Myrongotomy

An incision of the tympanic membrane under direct vision to treat acute otitis media or to release fluid in teh middle ear is ________. A) Myringotomy B) Stapes mobilization C) Simple mastoidectomy D) No answers are correct

D) Pyloromyotomy

An incision through the pyloric muscle to release a stenosis is a(n) ________. A) Meckel's diverticulectomy B) Omaphalocelctomy C) Gastrectomy D) Pyloromyotomy

A) Hypoxia

An increase in CO2/decrease in O2 in the body as a result of some interference with respirations is called ____________. A) Hypoxia B) Asphyxia C) Anoxia D) Nyoxia

When preparing endoscopic cameras for ethylene oxide sterilization, which of the following monitoring processes would be utilized to ensure all parameters of sterilization were met? A. external tape B. biological indicator C. dynamic air removal D. internal strip

B. biological indicator

Which of the following procedures requires an opening into the gallbladder to permit drainage and removal of stones? A. choledochotomy B. cholecystostomy C. cholecystectomy D. cholecystojejunostomy

B. cholecystostomy

How much 0.25% bupivacaine (Marcaine) should be mixed with 1 mL of 1.0% lidocaine (Xylocaine) to make the solution equal strengths of both medications? A. 2.0 mL B. 4.0 mL C. 5.0 mL D. 10.0 mL

B. 4.0 mL

For a patient recovering from general anesthesia, which of the following complications of vomiting is considered the MOST dangerous? A. dehiscence B. aspiration C. dehydration D. evisceration

B. aspiration

If a routine surgical procedure was performed without consent, the surgeon committed A. assault. B. battery. C. malpractice. D. liability.

B. battery.

After a lung resection is performed, which of the following BEST describes the placement of the collection unit once it is hooked up to the drainage tubing? A. at the same level as the insertion tube B. below the level of the insertion tube C. above the level of the insertion tube D. at the level of the patient's feet

B. below the level of the insertion tube

A patient entering the operating room for a laparoscopic cholecystectomy looks jaundiced. Which of the following is the BEST explanation for this? A. pancreatitis B. biliary obstruction C. cholecystitis D. gastroschisis

B. biliary obstruction

The oxygen-carrying capacity of red blood cells is a function of A. albumin. B. hemoglobin. C. hematocrit. D. prothrombin.

B. hemoglobin.

Which of the following is NOT a symptom of shock? A. tachycardia B. hypertension C. cold, clammy skin D. increased respirations

B. hypertension

A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it A. needs to be labeled by the circulator. B. is sent to pathology immediately. C. will contaminate the sterile field. D. needs to be placed in formalin solution.

B. is sent to pathology immediately.

Which of the following is NOT an acceptable technique when placing a patient in the lithotomy position? A. arms placed on arm boards B. legs placed in stirrups one at a time C. both legs placed in stirrups simultaneously D. hips placed over the lower break of the table

B. legs placed in stirrups one at a time

During a laparoscopic appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of bowel content? A. intraluminal B. linear C. skin D. purse-string

B. linear

In metastatic cancer, tumors extend beyond the regional area by which of the following systems? A. skeletal B. lymphatic C. endocrine D. respiratory

B. lymphatic

A patient undergoing a procedure while under general anesthesia begins to experience muscle rigidity, followed by tachycardia, metabolic and respiratory acidosis, and cardiac dysrhythmias. Which of the following is the patient experiencing? A. septic shock B. malignant hyperthermia C. cardiopulmonary arrest D. pulmonary embolism

B. malignant hyperthermia

Which of the following drugs neutralizes the action of heparin? A. calcium chloride B. protamine sulfate C. lidocaine (Xylocaine) D. neostigmine (Prostigmin)

B. protamine sulfate

A form of contrast media used within the body that is visible when exposed to x-ray is A. exogenous. B. radiopaque. C. radiolucent. D. endogenous.

B. radiopaque

While speaking to the nurse in the pre-operative area, the patient is crying excessively, pouting, and acting like a child. Which of the following coping mechanisms is MOST likely being displayed? A. denial B. regression C. rationalization D. repression

B. regression

A surgical technologist is assigned to a room where the patient happens to be his neighbor. To protect patient confidentiality, the technologist should indicate that he knows the patient and A. continue with the procedure. B. request to be removed from the room. C. discuss patient personal medical information. D. inform the surgeon.

B. request to be removed from the room.

If a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal concepts apply? A. misdemeanor B. res ipsa loquitur C. extension doctrine D. intentional tort

B. res ipsa loquitur

Which of the following is a procedure for removing excess skin from the face and neck? A. rhinoplasty B. rhytidectomy C. cheiloplasty D. blepharoplasty

B. rhytidectomy

Hair removed during preparation for cranial surgery should be A. discarded by the circulator. B. sent to pathology. C. used for potential reimplantation. D. saved because it is personal property.

B. sent to pathology

Which of the following is an unexpected occurrence that involves physiologic or psychologic injury or death? A. unintentional tort B. sentinel event C. negligence D. malpractice

B. sentinel event

A Balfour is used in which of the following procedures? A. tracheostomy B. sigmoid resection C. pulmonary decortication D. stapedectomy

B. sigmoid resection

During a tympanoplasty, which of the following is the best choice for graft material? A. temporal bone B. temporalis fascia C. vestibular membrane D. a Teflon graft

B. temporalis fascia

Which of the following is the BEST placement area for the electrosurgical grounding pad for a patient in the lithotomy position? A. upper arm B. lower back C. anterior thigh D. posterior shoulder

C. anterior thigh

A surgical technologist sees a neighbor being admitted. How should the surgical technologist respond? A.Acknowledge the neighbor. B.Reassure the neighbor that everything will be fine. C.Do not acknowledge the neighbor unless greeted first. D.Ignore the neighbor, even if greeted.

C. Do not acknowledge the neighbor unless greeted first

A surgical technologist just opened an instrument set that is wet inside after undergoing steam sterilization. Which of the following is the MOST likely reason for the condensate in the package and how can it be corrected? A. There are not enough instruments in the tray to allow for revaporization of the condensate. The number of instruments in the tray should be increased and the tray should be reprocessed. B. The instrument set contained absorbant towels, which soaked up the moisture and prevented efficient drying. The tray should be reprocessed without any towels. C. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels. D. Condensate has built up on the steam lines. The surgical technologist should clean the steam lines and reprocess the instrument tray.

C. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels.

A trauma patient from a motor vehicle accident is on the way to the operating room. Which of the following injuries is MOST likely related to airbag deployment? A. liver or spleen lacerations B. femur fracture C. arm fractures D. bruising of the heart muscle

C. arm fractures

During a transurethral resection of the prostate, bleeding is controlled by A. Gelfoam. B. irrigation. C. cauterization. D. suture ligature.

C. cauterization.

A nasogastric (NG) tube is used to A. dilate the lower esophageal sphincter. B. monitor the pH of stomach contents. C. drain the stomach. D. promote vomiting.

C. drain the stomach.

If the VII cranial nerve is severed, which of the following is the result? A. loss of hearing B. loss of vision C. facial paralysis D. impairment of eye muscles

C. facial paralysis

A cerclage procedure is performed for which of the following conditions? A. Bartholin's cyst B. ectopic pregnancy C. incompetent cervix D. placenta previa

C. incompetent cervix

The primary reason padding is used in positioning a patient is to A. ensure the patient's comfort. B. facilitate the surgeon's approach. C. prevent injury to pressure points. D. maintain the position during surgery.

C. prevent injury to pressure points.

Which of the following is an absorbable suture? A. silk B. nylon C. polypropylene (Prolene) D. polyglycolic acid (Dexon)

D. polyglycolic acid (Dexon)

Which of the following medications is the anesthesia provider responsible for recording the name, amount, and delivery method during a surgical procedure? A. thrombin B. topically applied epinephrine C. polymyxin B sulfate irrigation D. propofol

D. propofol

During a herniorrhaphy, the abdominal area that is bound by the rectus abdominis muscle, the inguinal ligament, and the inferior epigastric vessels is the A. visceral peritoneum. B. abdominal peritoneum. C. subcutaneous tissue. D. Hesselbach triangle.

D. Hesselbach triangle.

Sponges that have been added to the sterile field after a procedure has begun should be counted by the A. circulator and surgeon. B. surgical technologist in the scrub role and surgical first assistant. C. surgeon and surgical first assistant. D. surgical technologist in the scrub role and the circulator.

D. surgical technologist in the scrub role and the circulator.

A surgeon asks for warm irrigation after a GI tract reanastomosis. Which of the following BEST describes the reason for irrigating at this point in the procedure? A. to clean out the area of any loose tissue B. to maintain the core body temperature C. to eliminate any infection-causing microbes D. to aid visual inspection for leakage

D. to aid visual inspection for leakage

A resectoscope is used in which of the following prostatic approaches? A. perineal B. suprapubic C. retropubic D. transurethral

D. transurethral

An absorbable mesh that provides temporary support during healing is __?

Polyglactin 910

C) Right subcostal

Referring to Illustration # 1, identify abdominal incision # 154. A) Right thoraco-abdominal B) Median or midline C) Right subcostal D) McBurney

A) Lower median

Referring to Illustration # 1, identify abdominal incision # 162. A) Lower median B) Pfannenstiel C) Left lower paramedian D) Right lower paramedian

B) Left oblique inguinal

Referring to Illustration # 1, identify abdominal incision # 163. A) Left subcostal B) Left oblique inguinal C) Upper median D) McBurney

C) Billroth 2

The gastric procedure that refers to the excision of the portion of stomach and anastomosis the stomach and jejunum is a ________. A) Gastric bypass B) Billroth 1 C) Billroth 2 D) Total gastrectomy

C) Billroth 2

The gastric procedure that refers to the subtotal gastrectomy and gastrojejunostomy in which the remaining portion of the stomach is anastomosed to the jejunum is a _______________. A) Gastric bypass B) Billroth 1 C) Billroth 2 D) Total gastrectomy

C) Dermatome

The instrument used to obtain a split thickness graft is called a ________________. A) Debrider B) Dermabrader C) Dermatome D) Dermamesher

D) Colostomy

The intestinal operation that refers to a surgically created opening stoma from some portion of the colon tot he exterior through the abdominal wall, is a(n) _________. A) Ileostomy B) Herniotomy C) Colectomy D) Colostomy

C) Callus formation

This stage of bone healing occurs when the bone is fractured and forms a clot _________. A) Hemorrhage/hematoma B) Granulation C) Callus formation D) Remodeling

B) Mouth and rectum

Which are the extreme starting and ending points of the digestive system? A) Mouth and intestine B) Mouth and rectum C) Sigmoid colon and esophagus D) Duodenum and throat

A) Cervical, Thoracic, Lumbar, Sacral

Which choice shows the correct order of vertebrae from upper to lower back? A) Cervical, Thoracic, Lumbar, Sacral B) Sacral, Lumbar, Thoracic, Cervical C) Thoacic, Sacral, Cervical, Lumbar D) Lumbar, Sacral, Cervical, Thoracic

B) 2nd

Which classification of burn involves partial thickness damage to the epidermis and portions of the dermis? A) 1st B) 2nd C) 3rd D) 4th

D) Pathologic

Which classification of fracture will require bone allograft to supplement bone loss and bone cement to increase bone strength? A) Closed B) Open C) Traumatic D) Pathologic

C) Anterior

Which directional word refers to the front of the body or body parts? A) Posterior B) Dorsal C) Anterior D) Prone

C) Glutaraldehyde

Which disinfectant agent is not recommended for O.R. housekeeping? A) Iodine B) Alcohol (70%-90% isopropyl) C) Glutaraldehyde D) Chlorine compound solution

B) Gastroscope

Which endoscope is used for direct visualization of esophagus and cardia of the stomach? A) Nephroscope B) Gastroscope C) Laryngoscope D) Esophagoscope

B) Cystoscope

Which endoscope is used for visualization of the urinary bladder? A) Gastroscope B) Cystoscope C) Colonoscope D) Culdoscope

B) Separation of clean areas from contaminated areas

Which factors might architects consider when planning the layout of an O.R. suite? A) Inclusion of contamination from outside the suite B) Separation of clean areas from contaminated areas C) Other hospital traffic moving through D) Noise from other departments

C) Support structure of the body

Which is a true statement concerning the function of the skeletal system? A) Bone serves as banks for potassium and sodium B) Stores glycogen C) Support structure of the body D) Helps to reduce the friction between moving joints

C) Protection from distressing sights and sounds

Which is an important consideration for patients in the preoperative holding area? A) Convince for the anesthesiologist B) Nurses' access to computers C) Protection from distressing sights and sounds D) Observation of other patients

B) Contains reflex centers

Which is not a function of the cerebrum? A) Center of intellect and memory B) Contains reflex centers C) Interprets sensory information D) Controls motor functions

B) Elastic tape, latex gloves

Which is not a possible alternative for latex-sensitive patient? A) Silicone catheters and drains B) Elastic tape, latex gloves C) Silk tape D) Glass syringes

C) Pull patients tables

Which is not a procedure for minimizing injury to the Tech in Surgery while moving a patient? A) Keep the body as close as possible to the person being moved B) Pivot the entire body to avoid twisting at the waist C) Pull patients tables D) Align the head and neck with the body

C) The patient should not be kept informed as the procedure progressed due to increasing stress on the patient

Which of the following is a false statement concerning common features of angiographic procedures? A) An automatic high-pressure injector correlates the injection of the contrast medium and the x-ray exposure B) Contrast medium doses are calculated according to the patients weight C) The patient should not be kept informed as the procedure progressed due to increasing stress on the patient D) Access to the vessel to be injected with the contrast medium may be made by a cutdown or percutaneous procedure

C) If the stitch breaks, the remainder of the wound will stay intact

Which of the following is a true statement of interrupted suturing? A) It may be rapidly placed B) It consists of one continual stitch C) If the stitch breaks, the remainder of the wound will stay intact D) It lends itself to wicking action

D) Oils and powders

Which of the following is dry heat sterilization used for? A) Cotton B) Metal instruments, power drills C) Lense instruments D) Oils and powders

C) Anesthesia provider

Which of the following is expected to act as the patient's advocate during a surgical procedure? A) Registered nurse B) Tech in surgery C) Anesthesia provider D) All answers are correct

C) Scrub person reports results to surgeon - correct or incorrect

Which of the following is false concerning the procedures required in sharps counts as wound closure begins? A) Circulator and scrub person count all sharps in the following order - on the surgical field, Mayo stand, and back table B) Circulator and scrub person count all discarded sharps C) Scrub person reports results to surgeon - correct or incorrect D) Circulator reports results to the surgeon - correct or incorrect

B) Walls and ceilings should have reflective surfaces

Which of the following is false when considering environmental safety precautions when using lasers? A) Warning signs should be posted on all doors to control access B) Walls and ceilings should have reflective surfaces C) Any window in the laser area must be covered while the laser is in use D) Warning labels must indicate points of danger to avoid personnel exposure to laser radiation

B) Flammable antiseptic should be used for skin preparation

Which of the following is false when considering patient safety precautions when using lasers? A) Noncombustible anesthetics should be used B) Flammable antiseptic should be used for skin preparation C) Patients exposed skin and mucous membranes outside the surgical field should be protected by a double layer of moistened surgical towels D) When used, endotracheal tubes must be protected from direct and reflected laser beam irradiation to prevent catastrophic airway fires

B) Convenience for the surgeon

Which of the following is not a concern when choosing the appropriate anesthesia for a particular patient? A) Maximum safety B) Convenience for the surgeon C) Easy reversibility D) Minimum side effects

D) To inform the surgeon that he/she is doing the procedure wrong

Which of the following is not a desirable working trait for an O.R. Tech? A) The ability to identify breaks in aseptic technique B) Ability to prioritize C) Good organizational skills D) To inform the surgeon that he/she is doing the procedure wrong

C) Replaces irrigation bottles as the empty and notes the number of bottles used

Which of the following is not a duty of Tech in Surgery during and after cystoscopy? A) Open sterile supplies for the urologist as needed B) Assembles cystoscope for surgeon, tests, and adjusts lighting C) Replaces irrigation bottles as the empty and notes the number of bottles used D) Receives any specimens from the urologist and labels them correctly

A) Skin

Which of the following is not a pathway for a microorganism to exit the body? A) Skin B) Blood C) Fecal matter D) Saliva

D) Sputum

Which of the following is not a portal of entry for microorganism? A) Genitourinary tract B) Alimentary tract C) Respiratory tract D) Sputum

B) Selects drugs for the procedure

Which of the following is not a possible job responsibility of the O.R. Technician as a scrub person? A) Performs surgical hand wash B) Selects drugs for the procedure C) Assists in gowning and gloving other personnel D) Assembles supplies and equipment for the sterile field

A) Treatment of diseased tissue by resection or repair

Which of the following is not a purpose for thoracic endoscopic procedure? A) Treatment of diseased tissue by resection or repair B) Diagnosis of pathological process and /or determining exact location by obtaining tissue biopsies and/or secretion specimens C) To observe periodically the effects of therapy D) To remove food or foreign body obstructions

A) The operating microscope is never used during ophthalmic procedures

Which of the following is not a special consideration for ophthalmic surgery? A) The operating microscope is never used during ophthalmic procedures B) Eye sutures must be handled very carefully, as little as possible C) All materials such as sponges and drapes must be lint free D) Ophthalmic sponges are precut, compressed cellulose on sticks

B) General anesthesia is used for all opthalmic surgery

Which of the following is not a special consideration for opthalmic surgery? A) The instruments are very delicate and costly, must be handled with care B) General anesthesia is used for all opthalmic surgery C) Wet field coagulators are reusable D) Since almost all opthalmic solutions are colorless and may be in similar receptacles, it must be immediately and individually labeled to totally avoid confusion of identification

B) Thyroid extract

Which of the following is not a synthetic drug? A) Penicillin B) Thyroid extract C) Streptomycin D) Progestin

C) Eyes are kept open during the prep, so possible reactions to the prep can be noted

Which of the following is not a true statement concerning prepping for opthalmic surgery? A) Eyelids and periorbital areas are cleansed with a non-staining antiseptic agent B) Eyebrows are never shaved or removed unless the surgeon deems this essential because the eyebrows do not grow back completely C) Eyes are kept open during the prep, so possible reactions to the prep can be noted D) Conjunctival sac is flushed with a nontoxic agent such as benzalkonium chloride

B) Staff diversion

Which of the following would not be a use for computers in the O.R? A) Results of lab tests B) Staff diversion C) Patient charges D) Timing parameters for anesthesia and other procedures

C) The patient is prepped and draped according to the circulator's preference

Which of the following is not a true statement concerning the procedure for a myringotomy with insertion of PE tubes? A) The surgeon inserts an aural speculum int he ear canal B) Fluid or pus, if present, is suctioned C) The patient is prepped and draped according to the circulator's preference D) The surgeon inserts the PE tube, which has been positioned on alligator ear forceps, into the incision

D) Lack of supplies

Which of the following is not a type of surgical complication? A) Infection B) Respiratory distress C) Procedure or equipment mishaps D) Lack of supplies

C) Include defective instruments

Which of the following is not a typical way to arrange surgical instruments? A) Arrange tips and finger loops in the same direction B) Avoid metal to metal contact C) Include defective instruments D) Arrange instruments by classification

C) Cholecystitis

Which of the following is not an indication for a resection of the small and large intestines? A) Carcinoma B) Intasuception C) Cholecystitis D) Polyps

B) Telfa pad

Which of the following is not included in a sponge, sharp and instrument count? A) Cautery needle tips B) Telfa pad C) Thumb forcep D) Safety pin

C) Buried suture

Which of the following is placed and tied so that it remains completely under the skin surface? A) Stick tie B) Traction suture C) Buried suture D) Continuous tie

A) Food may not be stored int he same refrigerator with blood or specimens

Which of the following is standard for the control of biohazards? A) Food may not be stored in the same refrigerator with blood or specimens B) Hospital break rooms may not be to near a dumpster C) Smoking is not allowed in hospital facilities D) Biohazard labeling must be in a certain type of font

A) 12lbs

Which of the following is the correct maximum weight for a linen pack to autoclave? A) 12lbs B) 74lbs C) 72lbs D) 24lbs

B) Thymus

Which of the following is the most active during prenatal life and infancy? A) Spleen B) Thymus C) Nasopharyngeal tonsils D) Palatine tonsils

B) It is available in various capacity sizes, the largest hold approximately 120cc

Which of the following is true concerning an irrigating syringe that has a bulb with a barrel? A) It is used to irrigate the ear B) It is available in various capacity sizes, the largest hold approximately 120cc C) It has a glass bulb D) It is calibrated in ounces

B) Vasoconstrictors

Which of the following is used to prolong duration of local anesthetic and to decrease bleeding? A) Miotics B) Vasoconstrictors C) Antibiotics D) Anti-inflammatories

B) Lateral

Which of the following means pertaining to the side? A) Medial B) Lateral C) Distal D) Dorsal

C) Percutaneous puncture

Which of the following means the direction and depth of needle punctures through the skin to locate lesions in various organs or structures, or injection of a substance into or out of an organ or structure, is ________________. A) Noninvasive B) Intraoperative C) Percutaneous puncture D) Perioperative

C) Perforation, Bleeding

Which of the following pairs is the most common major complications of endoscopy? A) Pain, Perforation B) Bleeding, Pain C) Perforation, Bleeding D) Pain, Adhesions

C) Aging patients are very resistant to infection, therefore, strict aseptic technique isn't necessary

Which of the following statements is not true regarding special considerations in caring for aging patients? A) Temperature regulations is important due to the risk of falling body core temperatures B) Skin is sensitive to abrasions C) Aging patients are very resistant to infection, therefore, strict aseptic technique isn't necessary D) patients must be positioned carefully on the O.R. table to prevent pressure points

C) Have fewer nutritional requirements compared to adults

Which of the following statements is not true regarding special considerations in caring for the pediatric patient? A) Temperature regulation of the room and patient are needed to decrease the risk of hypothermia B) Careful monitoring of fluids is required C) Have fewer nutritional requirements compared to adults D) Pressure points must be padded to decrease injury to the skin

A) It is a vital organ and cannot be removed

Which of the following statements is not true regarding the spleen A) It is a vital organ and cannot be removed B) It filters blood and removes old red, white blood cells, and platelets C) Activates lymphocytes to attack foreign matter in blood D) This organ has a usually large blood supply

B) The outer peel-pack wrapper is non-sterile and is opened by the circulator

Which of the following statements is true concerning suture preparation? A) The inner pack is considered non-sterile and handled by the circulator only B) The outer peel-pack wrapper is non-sterile and is opened by the circulator C) There is only one applicable method for transferring sterile suture packs to the field D) Suture materials are very expensive

C) Ectomy

Which of the following suffixes means the excision or surgical removal of? A) Centisis B) Otomy C) Ectomy D) Ostomy

C) Cancellous bone

Which of the following terms refer to the spongy tissue found in the epiphyseal portion of the long bone? A) Compact bone B) Bone marrow C) Cancellous bone D) Medullary cavities

A) Joint

Which of the following terms refers to a point of junction between two bones? A) Joint B) Bursa C) Ligament D) Cartilage

C) Bevel

Which of the following terms refers to a slant or incline that one surface makes with another when not at a right angle? A) 45* B) Gauge C) Bevel D) Diameter

A) Sutures

Which of the following terms refers to the lines of union of cranial bones by a thin fibrous membrane that eventually disappears? A) Sutures B) Processes C) Stitches D) Ligamentures

D) All answers are correct

Which of the following ways are approved for decontamination or surgical supplies and equipment? A) Processing through a washer-sterilizer B) Autoclave C) Trisodium phosphate and water in a metal basin D) All answers are correct

D) Wound drains may be placed in the cavity and exteriorized through a separate stab wound

Which statement is true concerning the placement and securing of catheters, drains, and tubes? A) Wound drains are generally placed preoperatively by the circulator B) Wound drains are never secured C) Gastrointestinal tubes and urinary catheters are secured according to the surgical scrrub's preference. D) Wound drains may be placed in the cavity and exteriorized through a separate stab wound

D) Human resources

Which support services is not located near the operating suite? A) Pathology B) Radiology C) Sterile processing D) Human resources

B) Myocutaneous flap

Which tissue flap utilizes tissue to include muscle, fascia, subcutaneous fat and skin? A) Muscle flap B) Myocutaneous flap C) Subcutaneous flap D) Tissue expansion flap

B) Impacted

Which type of fracture is described as when a portion of the bone is traumatically driven into another bone fragment or adjacent bone? A) Commuted B) Impacted C) Multiple D) Greenstick

D) Jackson-Pratt

Which type of would drain is used to drain a wound where a small to moderate amount of drainage is expected (and has a self containing collection device)? A) Pleur-evac B) Thor-evac C) Malecot D) Jackson-Pratt

A) Hemovac

Which type of wound drain may be used to drain a wound after extensive dissection or where moderate to large amounts of drainage are expected ( and has a self-contained collecting device)? A) Hemovac B) T-tube C) Penrose D) Jackson-Pratt

The written instructions dealing with the right of an incapacitated patient to self-determination is called?

advance directive

Sound travels through __ states of matter?

all

A patient is scheduled for an anterior cruciate ligament repair. The surgeon plans to use the patient's patellar tendon. Sample of which type of graft?

autograft

Which of the following supplies is part of the standard set-up for a diagnostic knee arthoscopy? a. Poole suction tip b. irrigation tubing c. 20 blade d. 3000 ml bag of glycine

b. irrigation tubing

A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it a. needs to be labeled by the circulator b.sent to pathology immediately c. will contaminate the sterile field d. needs to be placed in formalin solution

b. is sent to pathology immediately

When performing a urinary bladder catheterization, it is essential to a. place the patient in a Sims position b. keep the catheter tip sterile c. inflate the balloon in the urethra d. shave the pubis

b. keep the tip sterile

Which of the following is NOT an acceptable technique when placing a patient in the lithotomy position? a. arms placed on an arm board b. legs placed in stirrups one at a time c. legs placed in stirrups simultaneously d. hips placed over the lower break of the table

b. legs placed in stirrups one at a time

During a LAPAROSCOPIC appendectomy, which of the following types of staplers should the surgical tech have ready on the table for removing the appendix and ensuring no spillage of bowel? a. intraluminal b. linear c. skin d. purse-string

b. linear

Which of the following is NOT result of dipping a bloody Ray-Tech sponge into irrigation solution? a. The solution is tainted b. Lint is released c. the solution is diluted d. cellular components are released into the solution

b. lint is released Ray-Tecs are lint free

Which of the following positions is MOST often used for vaginal surgery? a. Kraske b. Lithotomy c .supine d. trendelenburg

b. lithotomy

Which of the following instruments are found in a basic laparotomy set? a. castro needle holder b. mayo scissors c.dandy clamp d. raney clip applier

b. mayo scissors

Which of the following procedures should be followed when performing counts in an emergency situation? a. all counts must be done b. omit counts but document on the operative record c. only an initial count it required d. only count lap sponges

b. omit counts but document

When a break in aseptic technique occurs, the surgical technologist in the scrub role should notify the a. circulator b. person who broke technique c. operating room supervisor d. surgeon

b. person who broke technique

At patient's dentures are removed in the OR. Which of the following is the proper procedure for the care of the dentures? a. return them to the patient's unit and leave them at the nurses station b. place them in a labeled denture cup and keep them with the pt c. wrap them in a paper towel and give them to the anesthesiologist d. Ask the circulator to return them to the pt's room

b. put them in a denture cup and label them and keep with the pt

Mannitol is used in neurosurgical procedures to a. prevent bleeding b. reduce intracranial pressure c. anesthetize the operative site d. fight possible post-operative infection

b. reduce intracranial pressure Mannitol is a osmotic diuretic and pulls fluid from cranial tissues

If a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal charges can be filed? a. misdemeanor b. re ipso loquitor c. extension doctrine d. intentional tort

b. res ipsa loquitor means it speaks for itself.

The biliary tract terminates at the ___. a. bladder b. sphincter of oddi c. common bile duct d. cystic duct

b. sphincter of oddi

Which of the following is MOST resistant to sterilization processes? a. virus b. spore c. spirochete d. fungus

b. spores

During tympanoplasty, which of the following is the best choice for graft material? a. temporal bone b. temporalis fascia c. vestibular membrane d. teflon graft

b. temporalis fascia

A power saw is not functioning. Which of the following is the most likely cause? a. It is not plugged in to the electrical outlet b. The battery has not been adequately charged c. It has not been joined to the foot pedal

b. the battery has not been adequately charged

Which of the following is associated with secondary intention wound healing? a. delayed suturing b. tissue granulation c. wound dissidence d. uncomplicated healing

b. tissue granulation

Which of the following is a type of herniation that occurs with protrusion of the peritoneal sac and it's contents? a. epigastric b. umbilical c. hypogastric d. femoral

b. umbilical

The display and recording of the elctrical activity of skeletal muscle is called a(an) ___. a. EEG b. ECG c. EMG d. PET scan

c. EMG (Electromyography)

When stainless steel instruments are manually cleaned, a __ should be used to avoid scratching the surface of the instrument.

back and forth

Which of the following suturing techniques features short lateral stitches that are taken beneath the epithelial layer of the skin? a. purse-string b. traction c. mattress d. subcuticular

d. subcuticular

Place the following phases of wound healing by first intention in correct order from first to last. 1. proliferation 2. remodeling 3. inflammatory a. 1,2,3 b. 2,1,3 c. 3,1,2 d. 3,2,1

c. 3,1,2

Which of the following is the definition of instrument sterilization? a. surgical cleaning with an antiseptic b. manual decontamination c. Destruction of microorganisms d. Reduction of bacteria

c. Destruction of microorganisms

The device used in the OR to determine patency of an arterial anastomosis is a(n) ____. a. C-arm b. nebulizer c. Doppler d. otoscope

c. Doppler

Which of the following wound classes is assigned to perforated bowel? a. I b. II c. III d. IV

c. III class I is a wound created under ideal condition with no entry into the GI tracts class II is a wound with controlled entrance into the GI tract Class III indicates gross spillage from the GI tract Class IV identifies clinically infected wounds or necrotic tissue

The drug most commonly used to treat ventricular tachycardia is a. Epinephrine b. Nitroglycerin c. Lidocaine d. Norepinephrine

c. Lidocaine

Which of the following conditions triggered by an injection of succinylcholine and causes an unusually high fever? a. Osteomyelitis b. Sepsis c. Malignant hyperthermia d. Appendicitis

c. Malignant myperthermia

Which of the following instruments is necessary for an open cholecystectomy? a. Oshner forceps b. Jennings retractor c. Mixter clamp d. O'Sullivan O'Conner

c. Mixter (right angle)

Aerobic organisms are BEST characterized as a. Pathogenic b. Nonpathogenic c. Oxygen requiring b. Non-oxygen requiring

c. Oxygen requiring

Which of the following statements regarding surgical scrubbing is NOT true? a. Two accepted methods of scrubbing are timed and counted brush stroke. b. a vigorous 5-min scrub with a reliable agent may be as effective as a 10min scrub with less mechanical action. c. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe counts.

c. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe counts.

In comparison to oral Fahrenheit, rectal Fahrenheit temperatures are a. exactly the same b. approximately 1 degree lower c. approximately 1 degree higher d. approximately 2 degrees higher

c. approximately 1 degree higher

A culture provides information about the type of ___ present. a. helminth b. virus c. bacteria d. cancer cells

c. bacteria

A Pereyra needle is used for which of the following types of surgery? a. hysterectomy b. prostatectomy c. bladder neck suspension d. anterior colporrpaphy

c. bladder neck suspension The pereyra needle is only used in pareyra pricedure to treat incontinence

The primary purpose of a local anesthetic is to a. lower skin temperature b. reduce fear and anxiety c. block peripheral nerve receptors d. decrease bleeding

c. block peripheral nerve receptors

Which of the following procedures repairs a ruptured abdominal aortic aneurysm? a. endarterectomy b. Irrigation and debridement c. excision with graft placement d. portacaval shunt

c. excision with graft placement

Glove powder is normally wiped from the gloved hand because it has a potential to cause a. dissidence b. infections c. granulomas d. contamination

c. granulomas

In what position is the patient placed for a right nephrectomy? a. Left lateral position b. right lateral position c. left lateral kidney position d. right lateral kidney position

c. left lateral kidney position

Which of the following INCREASES air contamination in the operating room? a. restricting traffic flow in and out of the room b. damp-dusting with a germicidal solution c. maintaining air pressure lower than in the outside hall d. using pneumatic surgical equipment

c. maintaining air pressure lower than in the outside hall contaminated air can enter the room if air pressure is less than in the hallway

During abdominal procedures on patients who are obese, what procedure might additionally be perfomed due to newly identified pathology

cholecystectomy

Removal of the gallbladder is called?

cholecystectomy

The scope used for exploration of the biliary system is called?

choledochoscope

What type of fracture is complete and results in several bony fragments?

comminuted

According to the text, which factor is a key component in developing relationships?

communication

Hair removal during preparation for cranial surgery should be a. discarded by the circulator b. sent to pathology c. used for potential re-implantation d. saved because it's personal property

d. saved because it's personal property

The needle used for tough tissue that is difficult to penetrate is called?

cutting

A patient has arrived in the operating room for a bilateral mastectomy. She is crying inconsolably. the surgical tech can best console her by saying which of the following? a. I am sure we will be able to remove all of the cancer b. everything will be fine c. your surgeon is the best d. we are going to give you the best care possible

d.

A scleral buckle procedure repairs a. astigmatism b. detatched retinas c. corneal scarring d. eye muscle contractures

d. eye muscle contractures

In which of the following congenital anomalies does the urethra open on the underside of the penis? a. Chordee b. epispadias c. phimosis d. hypospadias

d. hypospadias

When transferring a thorocotomy patient to recovery, the chest drainage system should be a. disconnected b. placed at the patients side c. positioned above the patients head d. maintained below the patients chest level

d. maintained below the patients chest level

a kocker-type incision is ___. a. vertical b. transverse c. paramedian d. oblique

d. oblique

Which of the following is a monofiliment suture? a. silk b. cotton c. ethibond d. prolene

d. prolene

The appendiceal stump, when inverted, is held into place by which of the following types of suture? a. Mattress b. traction c. interrupted d. purse-string

d. purse-string

Which of the following structures are separated first when a para-median incision is performed for a gastrectomy? a.peritonium b. transverse abdominals c. external oblique d. rectus abdominals

d. rectus abdominals

Which of the following is done first when performing a myringotomy? a. Insertion of the tube b. Incision of the tympanic membrane c. suctioning of the fluid of the middle ear d. removal of cerumen from the ear canal

d. removal of cerumen (ear wax) from the ear canal

Which of the following operations is performed to correct hearing loss due to defects of the eardrum? a. otoplasty b. myringotomy c. mastoidectomy d. tympanoplasty

d. tympanoplasty

What is used to create a pathway for electrical current to be returned from the patient back to the ESU?

grounding pad

one of the best approaches to understanding individuals is to study?

human development

The physical removal of blood and bodily fluids or gross debris from an inanimate object is called __?

mechanical cleaning

Where can a fibroid, benign tumor, be found?

myometrium

The pulse oximeter cannot function properly if the patient is wearing __?

nail polish

Eye, point, body, and shape are characteristics of?

needles

Chromic gut is used primarily in which of the following body structures?

peritoneum, fascia, urinary, and biliary tracts

Several components make up an individual. Any need or activity related to genetics, physiology, or anatomy is termed a __ need?

physical

An up and down movement by the surgical robotic arm is called?

pitch

During an ACL reconstruction, which instrument might a surgeon use to remove excess bone from the femoral tunnel?

pituitary rongeur

In comparison to adults, pediatric patients have little subcutaneous fat and therefore?

poor thermal insulation

The portion of the skin covering the distal base of the penis that forms a free fold is the?

prepuce or foreskin

Phimosis is a condition affecting the __?

prepuce or foreskin, prevents it from retracting

The gown is removed __?

prior to glove removal

Electrons revolve around the nucleus in paths called?

shells

What post-op complications are common for gastric bypass or gastroplasty surgery?

suture rejection

One of the most important pieces of information the STSR should learn to look for on a box of sutures is the ?

suture size and material, type/size of needle

What antibiotic should not be administered to children, because it causes staining and hypoplasia of the enamal of developing teeth?

tetracycline

To establish negligence, which of the following must be proven?

that the defendant had a duty to the patient, and they breached that duty failing to conform to the required standard of conduct, defendants negligence caused harm to patient and plaintiff was in fact harmed

Modified radical mastectomy involves removal of ?

the breast, pectoralis muscles are preserved

Accountability is defined as