Pratice Question #1

Closure of a low transverse incision commonly begins with closure of the fascia using

#1 polyglycolic suture.

Which of the following drugs should be administered to a patient with malignant hyperthermia?

.dantrolene

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

0 suture and toothed tissue forceps

How many units of heparin need to be added to 1000 mL injectable saline to obtain a concentration of 10 units per mL?

10,000

The rate per hour in air exchanges in a standard OR suite is

15-25

Where should the safety strap be placed on a patient undergoing a laparotomy?

2 inches proximal to knees

Which of the following is the correct order of steps during a carotid endarterectomy? 1. The graft is checked for leaks and extra sutures are placed as needed. 2. An arteriotomy is made into the common carotid artery and extended upward. 3. A graft is sutured over the arteriotomy. 4. Atherosclerotic plaque is dissected from the vessel wall.

2, 4, 3, 1

A patient weighs 109 kg. What is the patient's weight in pounds?

240

Which of the following should be the MINIMUM exposure time in a FLASH sterilizer for unwrapped instruments?

3 minutes

Which of the following should be the MINIMUM exposure time in an immediate use sterilizer for unwrapped instruments?

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. submucosa2. muscularis3. serosa4. mucosa

3, 2, 1, 4

Which of the following is the correct sequence for the path of the electrical current in the monopolar electrosurgical unit? 1. The current exits the patient's body via the grounding pad and returns to the generator.2. The active electrode is activated by the surgeon to deliver the cutting or coagulating current to the tissue or vessel.3. The current travels from the generator to the active electrode.4. The current passes through the patient's body to the grounding pad.

3, 2, 4, 1

How many lobes do the right and left lungs have, respectively? A. three, two B. two, three C. three, three D.X two, two

3,2

One ounce is equal to how many milliliters?

30

During an intraoperative cholangiogram, the surgeon's preference card calls for 60 cc of 1% contrast media. The only option available is 30 cc of 2% contrast media. The surgical technologist should mix

30 cc saline and 30 cc contrast media.

A surgeon repeatedly asks the surgical technologist to refill the 10 cc syringe with local anesthetic. If the surgical technologist refilled the syringe three times and there was 5 cc left in the syringe, how much anesthetic was used?

35

In the middle of the surgical procedure a critical stainless steel instrument is contaminated and there is no sterile replacement . Which time setting would be selected for the flash autoclave?

3min ,temp 270F

Which of the following is the correct order of actions when placing a patient in the prone position? 1. Position the patient's arms alongside the body when rolling the patient onto the OR table. 2. Ensure that any patient monitoring lines are not disrupted when moving the patient. 3. Position breasts and external genitalia to alleviate pressure. 4. The patient is anesthetized on the stretcher.

4, 2, 1, 3

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?

4.0 mL

Which of the following is used to suture in a graft during a carotid endarterectomy?

6-0 Prolene

Which of the following important considerations should be taken by the surgical technologist when it comes to the suture material for third intention closure?

A low-capillary action suture will not retain moisture.

Which of the following hormones regulates urine concentration based on reabsorption?

ADH.Anti diuretic hormone (ADH) is responsible for the dilution of urine. ADH may be secreted by the posterior pituitary gland and may be released if fluid levels shift as little as 1% due to dehydration or blood loss

For an open hemicolectomy, a surgical technologist is preparing a second mayo stand for the placement of dirty surgical instruments. Which of the following instruments is MOST likely to be placed on the second mayo stand?

Allis forceps

During a trabeculectomy and iridectomy, which of the following instruments should be given to the surgeon for proper visualization?

Barraquer speculum

During a procedure, a surgical technologist notices a hole in his glove. Which of the following should be done next?

Change the glove using the open-gloving technique.

Which of the following fire extinguishers would be appropriate to extinguish an electrical fire?

Class C

A minor break in sterile technique would have which of the following wound classifications?

Class II

Which of the following is a fracture that occurs at the epiphysis of the distal radius?

Colles'

The hormones produced by the adrenal cortex to protect one during a stressful situation are:

Corticoids

Which of the following scissors would be used to extend a dural incision?

Cushing

Prions are unique from other infectious agents because they lack which of the following?

DNA

The condition that may present with non-painful nodules in the palms of the hands near the fourth or fifth digit is known as

Dupuytren's contracture

The anesthesia care provider (ACP) is gathering supplies to initiate a Bier block for the surgical patient. Which of the following items does the surgical technologist give to the ACP to assist in displacing the blood?

Esmarch bandage

Which of the following is a table-mounted retractor used during cardiovascular procedures involving the internal mammary artery?

Favaloro

During an abdominoperineal resection, which of the following stapling devices should the surgical technologist have available to form an anal pouch from the ileum?

GIA

Which of the following devices can be used in place of a handsewn anastomosis?

GIA stapler

While performing an open splenectomy, the surgeon asks for a retractor. Which of the following retractors would be MOST appropriate?

Harrington

A patient returns to the operating room for a laparotomy dehiscence. Which of the following may have caused the tissue breakdown? I. Skin staples were placed too close together. II. A running PDS suture was used too close to the abdomen and it broke. III. The wound edges were macerated during the laparotomy.IV. An electrocautery pencil was used and compromised the blood supply.

I, II, and III only

Place the following phases of wound healing by first intention in correct order from first to last: I. proliferation II. remodeling III. inflammatory

III, I, II

Which of the following contrast media would MOST commonly be used in an angiography?

Omnipaque

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?

Penrose

Prior to beginning a liver resection, which of the following is performed to control blood flow?

Pringle

A carotid endarterectomy has just been finished and the dressing is on. The surgical technologist begins removing all sharps and non-disposables from the drapes before pushing everything back. According to best practice, which of the following should be the NEXT step?

Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU

Which of the following is used in vascular surgery to prevent an anastomosis from leaking?

Teflon felt

Why is the right kidney typically several centimeters lower than the left kidney?

The liver rests superior and anterior to the right kidney

The thymus glad is located on the _____ cavity.

Thoracic, its part of both the endocrine and lymphatic system and is located in the upper mediastium

Which of the following positions is used to displace the abdominopelvic organs cephalad to provide better visualization of the surgical site?

Trendelenburg

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.

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

An acoustic neuroma is a benign lesion of what cranial nerve?

VIII

In a resection of a vestibular schwannoma, which of the following cranial nerves will need to be preserved?

VIII

Which of the following cranial nerves is associated with swallowing?

accessory

Whenever laser surgery is planned for the head and neck, it is best practice to use specialty drapes coated with

aluminum.

Which of the following serrations is unique to most vascular clamps?

atraumatic

Which of the following should be available when preparing for a transabdominal preperitoneal laparoscopy for a direct inguinal hernia?

balloon tissue expander

When taping a patient's urinary catheter in place, tension should NOT be applied due to the risk of injury to the

bladder neck and proximal urethra.

After completion of a procedure, the nurse notices that the arms were extended beyond 90 degrees. This may have caused injury to the

brachial plexus

Which of the following structures form major parts of the brain?

brain stem, cerebellum, diencephalon, cerebrum

A suture's ability to absorb moisture and hold in body fluids is referred to as which of the following?

capillary action

A surgeon is performing an anterior cervical fusion and discectomy. As the self-retaining retractors are placed, special care must be taken to avoid damaging the

carotid artery and esophagus.

A Javid shunt is used for which of the following procedures? A. carotid endarterectomy B.X femoral-popliteal bypass C. abdominal aneurysmectomy D. saphenous vein ligation

carotid endarterectomy

For which of the following conditions would a miotic, such as acetylcholine chloride, be used?

cataract

A patient scheduled for a Lugol's test is suspected of having which of the following cancers?

cervical

If a surgeon requests Gelfoam soaked with thrombin, the method to maintain hemostasis is A. thermal. B. mechanical. C. chemical. D. electrical.

chemical.

Which of the following prep solutions provides the longest residual effect?

chlorhexidine

Which of the following sutures weakens and frays from excessive handling with rubber gloves?

chromic

The name of the artery that arises from the ascending aorta and carries blood to the heart muscleis the

coronary

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?

cuticular and subcuticular

During ophthalmic procedures, the surgeon will use which of the following paralytic agents to dilate the pupil? A. cycloplegics B.X miotics C. viscoelastic D. BSS

cycloplegics

Which of the following hernias occurs within Hesselbach's Triangle?

direct

The process of destroying microorganisms on inanimate (nonliving) object is:

disinfection

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

dispersive (inactive) electrode.

Hypokalemia is MOST often caused by which of the following categories of drugs?

diuretic

A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. The MOST appropriate NEXT step is to send the specimen to pathology in a

dry specimen container so that a frozen section can be completed

Which of the following techniques promotes safety and protection of the surgical technologist during the intraoperative phase?

establishing a neutral zone

Aeration is essential following sterilization by:

ethylene oxide gas

Compartment syndrome is MOST likely to occur because of

excess pressure within a closed space causing neurovascular compromise.

If the VII cranial nerve is severed, which of the following is the result?

facial paralysis

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

fascia

Which of the following is a complication of wound healing?

fistula

A hammertoe deformity which has caused a contracture at the proximal interphalangeal joint can be corrected by performing which of the following procedures?

flexor tenotomy

Operating room equipment spreads microorganisms through which of the following?

fomite

When performing a Caldwell-Luc procedure, the incision is made in the

gingivobuccal sulcus.

A sudden decrease in vision, eye pain, headache, sensitivity to light, nausea, vomiting, and rapid increase in interocular pressure MOST likely indicates which of the following?

glaucoma

If a patient has recurrent shoulder dislocations, which of the following requires surgical repair?

glenohumeral ligaments

Immediately prior to ovulation, the structure preparing to rupture from the ovary wall is the

graafian follicle

During the intraoperative phase, which of the following activities can be completed by both sterile and non-sterile members of the surgical team?

handling of the specimen

A hemostatic device that uses no thermal electrical energy and creates an immediate cool coagulum at the cellular level is the

harmonic scalpel.

The oxygen-carrying capacity of red blood cells is a function of

hemoglobin.

A surgical technologist is cleaning a patient's abdomen after a C-section and notices the area is beginning to swell and become large. When reporting this to the circulator, the technologist would refer to this condition as

hemorrhage

Which of the following scissors would be used to cut plaster casts and aluminum?

hercules

The elbow is which of the following joints?

hinge

Which of the following methods should be used for routine processing of a specimen?

in formalin

Which of the following is the sequence of events for an open procedure?

incision, hemostasis, dissection, retraction

During which of the following phases of infection do pathogens actively replicate, but the host shows no symptoms?

incubation

To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following two vessels?

internal mammary artery to affected coronary artery

The anterior chamber of the eye is located between the cornea and the

iris.

When preparing heparin for a procedure, a surgical technologist should remember that heparin

is diluted with injectable saline for intra-arterial irrigation.

Which of the following is an example of a diarthrosis joint?

knee

Which of the following is the name of the avascular strip of tissue at the midline which runs from the xiphoid process to the pubis?

linea alba

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?

linear

In the Sims position, the position of the patient's legs should be

lower leg straight, upper leg flexed

In metastatic cancer, which of the following systems allows for tumors to extend beyond the regional area?

lymphatic

A penile prosthesis is inserted to treat which of the following pathological conditions?

male impotence

Which of the following is the correct order of auditory ossicles from external to internal? A.stapes, incus, malleus B.incus, malleus, stapes C.malleus, incus, stapes D.malleus, stapes, incus

malleus, incus, stapes

The pericardial sac is located within the

mediastinum.

Which of the following is the MOST toxic of known chemical agents, causing death with minutes due to respiratory obstruction and cardiac failure?

nerve agent

Which of the following combination of medications are commonly used during a MAC?

nerve conduction blockades with supplemental analgesics, sedatives, or amnesics

When positioning a bariatric patient, accessory padding materials are needed to prevent

neurological injury.

Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy?

oblique muscles

The closed gloving technique is utilized

only when the hands have not passed through the gown cuff.

Inadequate intake of calcium or vitamin D or malabsorption of calcium in children may result in which of the following conditions?

osteomalacia

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?

osteomyelitis

Which of the following is the FIRST step in applying the pneumatic tourniquet?

padding the limb where the tourniquet is to be wrapped with Webril

A microbial relationship in which one organism lives comletely at the expense of the host is:

parasitism

Tetany is a severe complication of which of the following surgical procedures?

parathyroidectomy

Which of the following is the closure order of layers from inner to outer in an abdominal wound?

peritoneum, transversalis fascia, muscle, subcutaneous, subcuticular, skin

Which of the following nerves may be injured in the lithotomy position?

peroneal

Pathogens that get past the first line of defense are engulfed by white blood cells, a process known as:

phagocytosis

The liquid part of the blood is :

plasma

Which of the following is the MOST effective mechanical method of controlling bleeding occurring from needle holes in vessel anastomoses?

pledget

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.X ligature D. clamp

pledget

Which of the following types of suture would MOST likely be used to repair an abdominal aortic aneurysm?

polypropylene

An appendectomy incision closed using suture is considered to be which of the following types of wound closure?

primary intention

Which of the following structures is separated first when a paramedian incision is performed?

rectus abdominis

Pressure on the downside shoulder of a patient in the lateral position is alleviated by shifting the upper arm and shoulder slightly forward and placing a foam or gel pad under the flank area. Which of the following will be avoided using this positioning technique?

retroclavicular compression

Which of the following is a procedure for removing excess skin from the face and neck?

rhytidectomy

The parotid gland secrets:

saliva

When performing a lysis of adhesions procedure, the surgeon is working on which of the following layers of the bowel wall?

serosal

Which of the following should be prepared for a mastoid dressing?

several fluffed sponges and rolled gauze

Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection?

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

A Balfour is used in which of the following procedures?

sigmoid resection

When entering the abdominal cavity, which of the following BEST describes the order of contact with the layers of tissue?

skin, subcutaneous, fascia, muscle, peritoneum

Amphiarthrosis refers to which of the following?

slightly moveable joint

A potential surgical complication of an inguinal herniorrhaphy is injury to the

spermatic cord.

When applying a tourniquet, the pressure is determined by the surgeon according to the patient's

systolic blood pressure

The procedure for destroying pathogens at the end of the procedure is:

terminal sterilization

The medial malleolus is a projection at the ankle of the :

tibia

Which of the following is associated with secondary intention wound healing?

tissue granulation

Which of the following is used to measure intraocular pressure?

tonometer

During a partial nephrectomy, the surgeon asks for a large chromic suture and Gelfoam. The surgeon would like the Gelfoam to be cut into pledget squares and loaded onto the suture. The MAIN purpose for the use of the Gelfoam and suture is to

topically stop bleeding.

Which of the following instruments is used to thread a vascular graft from one incision to another?

tunneler

A patient is in the supine position for a procedure. After the arms are placed on arm boards, padding is placed under the elbows to decrease pressure on which of the following nerves?

ulnar

During a Wilms' tumor excision, which of the following veins should be identified, double-clamped with hemostats, divided, and ligated with 3-0 silk?

umbilical

Which of the following is a type of herniation that occurs with protrusion of the peritoneal sac and its contents (omentum or abdominal viscera)?

umbilical

Which of the following procedures is the MOST common cause of nosocomial infections?

urinary catheterization

Apart from trauma cases, which of the following incisions would be BEST for sigmoid surgery?

vertical paramedian

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?

wrap it in a Telfa pad