ST 204

Which knife blade is used to make the incisions for knee arthroscopy? #10 #12 #15 #11

#11

Which suture would be used to repair a rotator cuff? 3-0 Vicryl 0 Vicryl 7-0 Prolene #2 Ethibond

#2 Ethibond

Bacillus stearothermophilus spores are killed in 12 minutes at _____________. 240° F 270° F 275° F 250° F

250° F

The surgeon's preference card notes that this surgeon normally wears a size 9 glove. The surgeon wants to double-glove for the next procedure. Which glove size is the best size to use for the outer glove? 9.5 9 8 8.5

8.5

During total hip arthroplasty, how is the articular cartilage removed from the acetabulum? Femoral rasp Acetabular reamer Calcar planer Box chisel

Acetabular reamer

Which gland is responsible for secreting epinephrine and norepinephrine? Apocrine Adrenal Pineal Pituitary

Adrenal

Which of the following destroys bacterial spores? Antiseptic Germicide Sterilant Fungicide

Antiseptic

When is the best time to schedule a dirty case? At the end of the day At any time After lunch time As the first case

At the end of the day

An ST enters an OR at the beginning of the shift and notices a spot of blood on the wall. When should the blood be removed? At the end of the first case At the moment it is noticed During opening of the sterile field After the Charge Nurse has been notified

At the moment it is noticed

A type of white blood cell that produces antibodies and provide humoral immunity, which is particularly effective against bacterial and viral infections, is called: B lymphocyte CD 8 CD4 T lymphocyte

B lymphocyte

Which pharmacologic agent can be mixed with sterile saline for use as an irrigant during a surgical procedure? Furosemide Bacitracin Thrombin Avitene

Bacitracin

Which stage of grief is a patient in when he or she begins to state: "Just let me live to see my daughter finish school?" Bargaining Depression Anger Denial

Bargaining

The ST needs a step stool during a surgical procedure. When is the best time to position the step stool? Before the case begins At the moment it is requested Before the ST approaches the OR table After the last case in the room

Before the ST approaches the OR table

What type of suture needle would be used to close a laceration of the liver? Side-cutting Tapered point Blunt point Conventional

Blunt point

Which device is used to measure the insertion points during strabismus recession? Manometer Caliper Tonometer Speculum

Caliper

Which pulse can be felt in a groove in the neck? Radial Apical Carotid Brachial

Carotid

The ST has just passed a new #10 blade to the surgeon to make the first incision on the skin. The surgeon has requested a #10 blade again. What should the ST do? Tell the surgeon that you are unsure of what to do. Give the surgeon a new #15 blade. Change the blade to a new blade and pass. Pass the same #10 blade.

Change the blade to a new blade and pass.

Which suture is absorbable? Vicryl Prolene Nylon Chromic

Chromic

How often should a Bowie-Dick test be run? With each load Weekly Every other load Daily

Daily

In which direction should an extremity be wrapped for exsanguination before inflation of a pneumatic tourniquet? Proximal to distal Distal to proximal Side to side Up and down

Distal to proximal

Which position is used for a breast augmentation? Fowler Dorsal recumbent Kraske Lithotomy

Dorsal recumbent

A patient is having surgery to repair a torn rotator cuff. Which broad category of surgery would this surgery fall under? Optional Elective Emergent Urgent

Elective

Which drug does not cause uterine contractions? Oxytocin Carboprost Ergonovine Epinephrine

Epinephrine

Which of the four paranasal sinuses are located between the eyes and have a honeycomb appearance? Maxillary Frontal Sphenoid Ethmoid

Ethmoid

Which cranial nerve runs through the parotid gland, dividing it? Facial Hypoglossal Accessory Vagus

Facial

Which of the following is a chemical sterilant? Alcohol Glutaraldehyde Phenol Sodium hypochlorite

Glutaraldehyde

Which sterile irrigation fluid should be used during a cysto procedure in which an electrosurgical unit will be used? Saline Water Dextrose Glycine

Glycine

A sponge count has been performed, and the ST and circulator counted nine x-ray detectable (Ray-Tec) sponges. There should be 10 Ray-Tecs per package. What should the next step be? Hand those sponges off to the circulator to be bagged. Complete a sentinel event form and give it to the manager. Keep the Ray-Tecs on the field and inform the patient. Throw the sponges in the trash and request more

Hand those sponges off to the circulator to be bagged.

When using a laser, which precaution is best to use? Have sterile water available Have a fire team available Have sterile saline available Have dry towels available

Have sterile water available

When transporting a surgical patient on a stretcher, how should the stretcher be positioned on an elevator? Turned to the left Feet first Head first Turned to the right

Head first

When passing a loaded suture into the hand of a surgeon, what should the ST do with the trailing end of the suture? Let it hang free. Place it in the surgeon's hand. Place a tag on it. Hold on to it.

Hold on to it.

A circulator is preparing to pour medication into a sterile container. What should the ST do? Set the container somewhere off the field. Tell the circulator not to pour the medication. Allow the circulator to reach over and pour. Hold the container away from the back table.

Hold the container away from the back table.

Who is authorized to sign a surgical consent for a patient who is 16 years old and whose parents are unavailable? Anesthesiologist Patient Patient's friend Hospital administrator

Hospital administrator

A pregnant patient has been diagnosed as having appendicitis and needs surgery. When should the surgery be performed? Second trimester Third trimester Immediately After delivery

Immediately

What is the first sign of malignant hyperthermia? Cyanosis Muscle rigidity Increased body temperature Increased end-tidal CO2

Increased end-tidal CO2

The patient undergoing a pilonidal cystectomy will be placed in which position? Fowler Lateral Lithotomy Kraske

Kraske

Which instrument would be used to hold a large bone during an Ortho procedure? Heaney Kerrison Backhaus Lane

Lane

When passing an osteotome, what additional instrument should the ST have ready to pass? Kocher Cobb Mallet Bovie

Mallet

When a case cart full of dirty instruments arrives in the decontamination area, what is the first step that should be taken? Soaking Place in ultrasonic washer Place in washer-sterilizer Manual cleaning

Manual cleaning

During cataract extraction surgery, the ST must be ready with which medication after removal of the sterile air? Mannitol Miochol Saline BSS

Miochol

Which two factors contribute to the killing of microbes? Pressure and time Time and heat Moisture and heat Temperature and time

Moisture and heat

Which organization oversees certification and credentialing of STs? NBSTSA CAAHEP ARC/STSA AST

NBSTSA

Which device is not necessary to achieve pneumoperitoneum? CO2 gas tank Pneumatic tourniquet Hasson trocar Veress needle

Pneumatic tourniquet

Which speculum would be used during anal fissure removal? Vienna Pratt Hirschmann Graves

Pratt

Which of the following is a monofilament suture? Nutolon Silk Prolene Vicryl

Prolene

Which position will the patient be in if a Wilson frame is in use? Prone Lithotomy Kraske Lateral

Prone

Which portion of the male urethra receives the openings to the ejaculatory ducts? Membranous Perineal Spongy Prostatic

Prostatic

Which suturing technique is used to close the opening in the cecum once the appendix has been removed? Primary suture line Secondary suture line Pursestring suture Traction suture

Pursestring suture

After handling an opened colon, during colon resection, what is the next best step for the ST? Remove gloves, sponges, bovie, suction tip, and instruments used on the colon. Throw the used instruments into the kick bucket; rescrub, gown, and glove; and start over. Wipe off the instruments and gloved hands with a fresh lap sponge. Place the instruments used on the colon back into the instrument tray.

Remove gloves, sponges, bovie, suction tip, and instruments used on the colon.

What step(s) should be taken to remove a piece of hair found in the sterile field? Remove it by hand and place it in a towel. Allow the circulator to remove it and redrape. Correct! Remove it with a hemostat and hand it to the circulator. Do not remove; cover it with a towel.

Remove it with a hemostat and hand it to the circulator.

The ST is setting up the back table and has picked up the basket of instruments to place on the back table. The circulator notices that there is water at the bottom of the tray that contained the basket of instruments and notified the ST. What should the STSR do? Request another tray and rescrub, gown, and glove Request another tray and a change of gloves Keep the instruments and regown and glove Flash that tray of instruments

Request another tray and a change of gloves

A patient has just been found to have a postsurgical infection. Which source was the primary means of infecting this patient? Contamination during the case The patient is a cigarette smoker The surgical team did not wear a hair cover SSI from the patient's own skin

SSI from the patient's own skin

Who should dispose of sharps from the back table at the end of a case? Anesthesia technologist Circulator Environmental services ST

ST

Which instrument is not used to remove cerumen from the external auditory canal during myringotomy? Rosen pick Alligator forceps Simms curette Baron suction

Simms curette

An instrument tray is not necessary during a surgical procedure and is removed from the sterile field. Where should these instruments go from there? To the case cart outside the OR To decontamination Stay in the OR until the case is over Into the flash sterilizer

Stay in the OR until the case is over

What solution should the ST use to clean instruments at the point of use? Cidex Sterile water Saline Sodium hypochlorite

Sterile water

Which piece of cleaning equipment has a "milking" phase? Steris Autoclave Washer sterilizer Ultrasonic washer

Steris

A passive drain used within the biliary system is called a Penrose Hemovac nephrostomy tube T-tube

T-tube

Once sterile gloves have been donned, what is the next step during Foley catheterization? Frog-leg the female patient Test the catheter's balloon Insert the catheter Cleanse the meatus

Test the catheter's balloon

During a Nissen fundoplication, who introduces the Maloney dilators? The surgeon The circulating nurse The anesthesia provider The ST

The anesthesia provider

How is the head positioned when positioning the patient in Trendelenburg? The head is turned to the side. The head is up. The head is hyperextended. The head is down.

The head is down.

Why is dextran used during tuboplasty? To irrigate the pelvic area To keep tissues separated To demonstrate tubal patency To check for infertility

To keep tissues separated

Why is sterile mineral oil needed during split-thickness skin grafting procedures? To reduce friction during excision To reduce bleeding in the excised area To keep the area clean To keep the excised area moist

To reduce friction during excision

Why is it important for the patient undergoing cardiopulmonary bypass to become hypothermic at some point during the procedure? Because this will reduce infections To reduce oxygen demands of the heart Because it will stop the heart To create a bloodless site

To reduce oxygen demands of the heart

Which biopsy needle would be used to obtain cells from a breast lesion? Chiba Dorsey Tru-Cut Franklin-Silverman

Tru-Cut

In which order would you place the drapes to be used during a D&C? Under buttocks drape, abdominal drape, leggings Under buttocks drape, leggings, abdominal drape Abdominal drape, under buttocks drape, leggings Abdominal drape, leggings, under buttocks drape

Under buttocks drape, leggings, abdominal drape

Which structures make up the vesical trigone area inside the bladder? Ureteral openings and urethra Detrusor muscle and ureteral openings Urethra and ureters Internal sphincter and detrusor muscle

Ureteral openings and urethra

How should the surgical technologist (ST) handle a bullet that has been removed from a surgical patient? With a clamp Throw away into sharps container With a sterile raytec With sterile gauze

With sterile gauze

Which of the following is not a characteristic of good teamwork in the OR? Yielding Yelling Politeness Collaboration

Yelling

The fallopian tubes and ovaries are collectively called organs adnexa vulva genitalia

adnexa

A good ST preceptor will help the student ST by: performing tasks at the same time as the student. allowing the student time to think and act. coaching the student aloud during the procedure. letting the student observe the case only.

allowing the student time to think and act.

Antigens cause the immune system to produce high molecular weight proteins called immunoglobins or: pathogens androgens antibodies antiemetics

antibodies

An inflammation of the appendix, either obstructive or nonobstructive is known as: hepatitis ginivitis pancreatitis appendicitis

appendicitis

When an ST must move to the head of the OR table to retrieve a sponge, he or she must move: back to back. not at all. only when it is time to count front to back.

back to back.

Surgery has been performed on a patient who did not sign a consent form. This act is considered to be _______________. larceny negligence battery abandonment

battery

One of the most effective ways to counteract verbal abuse in the OR is by ____________. keeping quiet becoming assertive using sarcasm becoming aggressive

becoming assertive

The ________ is the first part of the small intestine. cecum ileum jejunum duodenum

duodenum

In the term "cholecystectomy" which of the following is the suffix? cyst/o chol/e stecto ectomy

ectomy

When passing a suture to the surgeon, the ST should ensure that the point of the suture is ____________________. facing the surgeon facing the ST facing the back table facing the ceiling

facing the surgeon

The goal of conflict resolution in the OR is to attempt to: become friends with everyone. gossip about the problem. win the argument. find a solution.

find a solution.

Which of the following means excessive or above? histo supra hypo hyper

hyper

Escherichia coli resides on humans in the lumen of the _____________. intestines urethra esophagus ureters

intestines

As PMMA hardens, it can cause: pulmonary hypertension. vasoconstriction. intramedullary hypertension. cardiac arrhythmias.

intramedullary hypertension.

The alimentary canal begins at the ________ and ends at the ______ . esophagus, cecum mouth, anus stomach, ilieum duodenum, rectum

mouth, anus

Which prefix means never? re multi primi nulli

nulli

When labeling a plastic-paper peel pouch, the information should be written: on the paper side. on a piece of paper placed inside the pouch. on the plastic side. on a piece of paper taped to the outside.

on the plastic side.

In which order should the intraoperative count be performed on the sterile field? Mayo stand, ring basin, back table, and operative field back table, ring basin, operative field, and Mayo stand operative field, Mayo stand, back table, and ring basin kick bucket, ring basin, Mayo stand, and back table

operative field, Mayo stand, back table, and ring basin

Which of the following means to cut into? otomy ostomy ectomy oid

otomy

The outermost layer of the digestive tract is the: mesentary serosa mucosa submucosa

serosa

The area between the box lock and the finger ring of a ratcheted instrument is called a _____________. shaft tip jaw shank

shank

An example of a nonfenestrated drape is a/n _____________. circumcision hip pinning drape laparotomy drape stockinette

stockinette

The end of a word that modifies the root is called a: prefix combining form suffix stem

suffix

The double lobed gland located in the mediastinum behind the sternum that is important in the development of the immune response is known as the: spleen Peyer's patch lung thymus gland

thymus gland

The balloon of a Foley catheter must be filled with sterile air lubricant water saline

water