ST111 Final

Promoting public health through the regulation of food safety, tobacco products, medications, blood transfusions, medical devices, and cosmetic

FDA

maintain competence in a specialized body of knowledge and skills

Professional

Patient is lying face down

Prone

Errors in chart documentation should be erased to prevent confusion by subsequent caregivers. Select one: True False

false

which scalpel handle would accommodate a #15 blade when used in a plastics, cardiovascular case? A. #7 B. #3 C. #9 D. #4

A. #7

Produced the hierarchy of needs A. Abraham Maslow B. dr. Hans Selye C. sister callista roy D. dr. Elisabeth Kubler-ross

A. Abraham Maslow

Which of the following pertains to a patient's wishes about medical treatment and self-determination in the event of incapacitation or inability to communicate? Select one: a.advance directive b.deposition c.informed consent d.sentinel event

A. Advanced directives

When transfering a patient form the operating room table to her or his strecher, always __________. Select one: a.Make sure all wheels are locked b.make sur ethe surgeon is protecting the airway c.move the patient quickly d.leave the gravity drainage bag and IVV fluids in the bed with the patien

A. Make sure all wheels are locked

Surgical team members who fail to monitor and protect a medicated patient from falling could be charged with: Select one: a.abandonment b.assault c.battery d.larceny

A. abandonment

which type of general category of death would most likely generate high emotional trauma for family members and also allow protocols for preservation of evidence in the perioperative period? A.accidental B. terminal C. chronic D. prolonged

A. accidental

Which of the following is NOT a form of individual professional credentialing that protects the public from unqualified health care providers? Select one: a.accreditation b.certification c.licensure d.registration

A. accreditation

for what type of transmission- based disease would health care workers need to be fitted for an N-95 respiratory mask? A. airborne B. contact C. droplet D. vector-borne

A. airborne

Physical forces of deceleration, acceleration, compression, and shearing are factors in which type of injuries? A. blunt B. electrical C. hypothermia D. penetrating

A. blunt

the joint of a hemostat where one half of the instrument passes through the other is called the: A. box lock B. jaw C. ratchets D. articulations

A. box lock

Which type of legal action is MOST likely in cases involving tort law and operating room personnel? Select one: a.civil b.criminal c.federal d.statutory

A. civil

wounds are considered to be clean. they are uninfected, no inflammation is present, and are primarily closed. respiratory, alimentary, genital, or uninfected urinary tracts are not entered A. class 1 B. class 2 C. class 3 D. class 4

A. class 1

The broad objectives of the Health Insurance Portability and Accountability Act (HIPAA) include all of the following EXCEPT: Select one: a.eliminate medical errors b.improve patient services c.protect patient privacy d.reduce health care fraud

A. eliminate medical errors

All of the following carry the force of state or national legal enforcement EXCEPT: Select one: a.implementation of the neutral zone b.Health Insurance Portability and Accountability Act c.Patient Self-Determination Act d.scope of practice

A. implementation of the neutral zone

my current patient in the operating room is a documented child predator that was transported to our facility from a maximum security prison for a procedure. as a professional employee in the surgical technology how do you interact? A. introduce yourself when they arrive to the operating room and continue on with your normal duties B. introduce yourself when they enter and once field is set up break scrub and leave room C. remove yourself from the case (but only if you yourself suffered traumas similar) D. refuse to scrub the case as our tax payers money is paying for the procedure and you do not approve

A. introduce yourself when they arrive to the operating room and continue on with your normal duties

meets all the requirements to treat trauma patients 24 hours a day including qualified personnel and equipment needed. offers comprehensive service and the highest level of surgical care A. level 1 B. level 2 C. level 3 D. level 4

A. level 1

what level of trauma center designation can meet all the needs required for treating patients on a 24-hour basis? A. level 1 B. level 2 C. level 3 D. level 4

A. level 1

green tag- walking wounded, self-care, minor injuries (sprains, minor cuts) A. minor B. delayed C. immediate D. expectant

A. minor

Which of the following would NOT be considered an example of a potential ethical dilemma? Select one: a.patient privacy b.genetic engineering c.elective abortion d.right to die, termination of care

A. patient privacy

the first phase of healing begins at the onset of injury, and the objective is to stop the bleeding. in this phase, the body activates the emergency repair system, the blood clotting system, and forms a dam to block drainage. during this process, platelets come into contact with collagen, resulting in activation and aggregation. an enzyme called thrombin is at the center, and it initiates the formation of a fibrin mesh, which strengthens the platelet clumps into a stable clot A. phase 1: hemostasis phase B. phase 2: defensive/inflammatory phase C. phase 3: proliferated phase D. phase 4: maturation phase

A. phase 1: hemostasis phases

Which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines in a laparotomy? A. poole B. frazier C. baron D. yankauer

A. poole

The most common types of patient-care errors committed by operating room personnel, including negligence and malpractice, are categorized as: Select one: a.intentional torts b.corporate liability c.unintentional torts d.standard of care

A. unintentional torts

Development, management, and use of safe and effective medical technology and devices

AAMI

Represents the interests of the perioperative nurse by establishing standards in nursing education and clinical practice

AORN

Accreditation Review Council on Education in Surgical Technology and Surgical Assisting

ARC/STSA

Established in 1969, a national nonprofit organization for Surgical Technologists

AST

which fine, pointed-tip scalpel blade could be used to incise a blood vessel or create a stab wound for drain placement? a. #10 b. #11 c. #12 d. #20

B. #11

morbid obesity refers to patients whose body weight is greater than how man pounds over their ideal weight? A. 50 B. 100 C. 15 D. 75

B. 100

The surgical team may begin positioning the patient only after the _______ gives his/her team permission. Select one: a.Doctor b.Anethesia c.Surgeon d.Medical Resident

B. Anesthesia

Which type of consent applies when emergency circumstances exist when reasonable providers believe that a patient would agree to treatment, even if no form was signed or verbal permission given? Select one: a.direct b.implied c.informed d.general

B. Implied

wounds are considered to be clean-contaminated. operative wounds in the respiratory, alimentary, genital, or uninfected urinary tract are electively entered without unusual contamination A. class 1 B. class 2 C. class 3 D. class 4

B. class 2

Bariatric patients undergoing surgery and in the immediate postoperative period should have a sequential compression device applied to the lower extremities to prevent: A. congestive heart failure B. deep vein thrombosis C. hypovolemic shock D. respiratory arrest

B. deep vein thrombosis

yellow tag- airway is good, bleeding has been treated and controlled, patient is physically stable A. minor B. delayed C. immediate D. expectant

B. delayed

Which of the following terms describes the system of moral principles and rules that become standards of conduct for professionals? Select one: a.doctrines b.ethics c.morals d.precedents

B. ethics

can treat seriously ill or injured patients, does not have all resources that level 1 facility has but works in collaboration with level 1 trauma centers A. level 1 B. level 2 C. level 3 D. level 4

B. level 2

a surgical technologist in the operating room is set up for an emergency case coming from the Emergency Department. What is the most important thing the surgical technologist should remember during this trying time? A. counts must be done prior to incision B. maintain a strong surgical conscience prior to the patient entering the room and during the case C. call the front desk to ask for help as timing is of the utmost importance D. confirm with circulating nurse with all procedures that need to be done on the trauma patient ( multiple cases tend to happen on trauma patients)

B. maintain a strong surgical conscience prior to patient entering the room and during the case

which type of instrument often has a tungsten carbide insert and crosshatch serration for stabilization? A. pneumatic drill B. needle holder C. vascular clamp D. handheld retractor

B. needle holder

which device can be used sterily by an ENT or neurosurgeon or un-sterily by an anesthesia provider to determine location, function, or conduction of certain anatomical structures? A. bayonet ESU bipolar forceps B. nerve stimulator C. cryotherapy unit D. phaco-emulsifier

B. nerve stimulator

In general, after what length of continuous pneumatic tourniquet use should the upper extremity be allowed to re-perfuse before re-inflating the tourniquet A. 30 minutes B. one hour C. two hours D. 90 minutes

B. one hour

a patient with acquired immunodeficiency virus may have complications of multiple infections from diseases considered to be: A. benign B. opportunistic C. symbiotic D. transient

B. opportunistic

Which of the following is an example of an intentional tort pertaining to surgical patient care? Select one: a.A patient suffers a burn due to hot instruments. b.Restraints are used on a patient who threatens to leave. c.A tissue specimen is misplaced by a transporter. d.A retained surgical sponge is discovered in subsequent procedure.

B. restraints are used on a patient who threatens to leave

cushing. jorgenson, and castrociejo, are examples of which type of instrument? A. tissue forceps B. retractors C. scissors D. hemostats

B. retractors

what is the name of the paired parts of a hemostat that span between the box lock and the finger rings? A. ratchets B. shanks C. jaws D. rings

B. shanks

what is the geometric shape usually achieved by the placement of the first layer of sterile surgical drapes A. rectangle B. square C. circle D. triangle

B. square

which scissors are often called "suture scissors" A. castroviejo B. straight mayo C. curved mayo D. jorgenson

B. straight mayo

the term for golden hour refers to the reduction of morbidity and morality of what type of patient population? A. pregnant patients B. trauma victims C. premature neonates D. organ transplant recipients

B. trauma victims

Choose the action that is NOT part of the consent for surgery. Select one: a.Consent can be given in either two formats b.Requires the party granting permission has the capability and authority to do so c.Patient signed consent after being medicated due to axiety d.Individual preforming the action is the health care provider

C. Patient signed consent after being medicated due to anxiety

wounds are considered to be contaminated. open, fresh, accidental wounds, operations with major breaks in sterile technique or gross spillage from the gastrointestinal tract, and incisions in which acute, non-purulent inflammation is encountered A. class 1 B. class 2 C. class 3 D. class 4

C. class 3

what broad category of route of transmission of microorganisms includes food, water, and medical devices and equipment? A. airborne B. droplet C. common vehicle D. vector-borne

C. common vehicle

Which legal doctrine would be MOST applicable in a case involving injury to a patient as a result of a hospital employee's lack of proper training or credentialing? Select one: a.captain of the ship doctrine b.doctrine of borrowed servant c.doctrine of corporate negligence d.primum non nocere

C. doctrine of corporate negligence

red tag- immediate treatment intervention can stabilize patient , treatment must be given in "golden hour" within one hour to survive A. minor B. delayed C. immediate D. expectant

C. immediate

which of the following religions typically prohibits its followers from receiving blood transfusions? A. mormon B. protestant C. jehovahs witness D. roman catholic

C. jehovahs witness

community or rural hospital does not have resources level 1/2 centers have. Used for immediate treatment until trauma patient is stabilized and can be transported to level 1/2 A. level 1 B. level 2 C. level 3 D. level 4

C. level 3

Which of the following was identified in the late 1990's as causing more deaths in the United States than car accidents, AIDS, and breast cancer combined? Select one: a.equipment manufacturing flaws b.H1N1 influenza c.medical errors d.terrorist attacks

C. medical errors

Which of the following terms describes the principles such as benevolence, trustworthiness, and honesty for the care and well-being of others in society? Select one: a.doctrines b.ethics c.morals d.precedents

C. morals

What dose aeger primo mean? Select one: a.Doctor predicted b.Permission being given c.Patient first d.Certified to meet a standard

C. patient first

For which of the following processes are identification and reporting of unsafe conditions and hazards MOST critical? Select one: a.advance directives b.informed consent c.risk management d.unintentional torts

C. risk managment

Which member of the surgical team is ultimately responsible for obtaining a written, informed surgical consent from a patient? Select one: a.anesthesia provider b.circulating RN c.surgeon d.surgical technologist

C. surgeon

An emergency laparotomy would be the indicated treatment for all of the following postoperative bariatric surgery complications except? A. abdominal catastrophe B. gastric perforation C. thrombophlebitis D. bowel strangulation

C. thrombophlebitis

Provide a system of health surveillance to monitor and prevent disease outbreaks

CDC

in medical terminology, which suffix indicates an instrument as a cutting device? A. -orrhaphy B. -scope C. -graph D. -tome

D. -tome

When removing a patient's legs form the stirrups postoperatively, they are _____. Select one: a.lowered one at a time b.lowered together quickly c.lowered only after the patient is fully awake d.lowered together slowly

D. Lowered together slowly

a surgical technologist working in a veteran's administration (VA) facility might frequently encounter patients with what condition? A. COPD B. DCIS C. IDDM D. PTSD

D. PTSD

what is the number one cause of death in children ages 1 to 15 in the United States? A. metabolic disorders B. carcinoma C. genetic malformations D. accidents

D. accidents

wounds are considered to be dirty-infected. old traumatic wounds with retained devitalized tissue or those that involve existing clinical infection or perforated viscera A. class 1 B. class 2 C. class 3 D. class 4

D. class 4

black tag- injuries are so extensive patient is not expected to survive, made as comfortable as possible and pain relief given A. minor B. delayed C. immediate D. expectant

D. expecatant

Which part of the patient's medical record documentation would contain pre-op and post-op diagnoses, positioning, skin prep, start and stop times, counts, and dressings? Select one: a.advance directive b.anesthesia record c.informed consent d.intraoperative record

D. intraoperative record

available in some states, can provide advanced trauma life support required to stabilize the patient before transported to a level 1/2 A. level 1 B. level 2 C. level 3 D. level 4

D. level 4

which if the following terms best describes a set of therapies that preserve a patient's life when body systems are no sufficiently? A. advance directives B. hierarchy of needs C. therapeutic surgery D. life support

D. life support

If a patient suffered a burn as a result of improper application of the ESU dispersive (grounding) pad, the individual team member responsible may be found guilty in a lawsuit of which of the following? Select one: a.assault b.battery c.intentional tort d.negligence

D. negligence

Specimen loss, mislabeling, and improper preparation are examples of which of the following? Select one: a.battery b.defamation c.intentional tort d.negligence

D. negligence

which type of surgical device provides a bloodless surgical field by way of extremity compression? A. phaco-emulsifier B. sequential compression device C. suction system D. pneumatic tourniquet

D. pneumatic tourniquet

In a common adage, what is the "best medicine" in health care? Select one: a.conscience b.documentation c.judgment d.prevention

D. prevention

Weitlaner, O' Connor-O' Sullivan, and balfour are example of: A. handheld retractors B. noncrushing clamps C. bone-holding forceps D. self-retaining

D. self-retaining

What is the name of the type of report sent to risk management in an effort to decrease the chance of harm to patients or staff or damage to hospital property? Select one: a.advance directive b.informed consent c.Safe Medical Device Act d.sentinel event

D. sentinel event

what is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps? A. suppressions B. secretions C. striations D. serrations

D. serrations

Which physiological response to environmental temperature changes is missing or undeveloped in an infant of less than 6 months of age? A. fever B. shock C. flushing D. shivering

D. shivering

The best assurance of safe and individual professional behavior by the CST or CSFA is a well-developed, unyielding: Select one: a.core curriculum b.liability insurance c.scope of practice d.surgical conscience

D. surgical conscience

what is the minimum number of suction systems or units required in an operating room A. four B. one C. three D. two

D. two

Protecting human health and the environment

EPA

Planned, non-emergent operative case

Elective

requires immediate surgical intervention

Emergency

There is only one way to verify the patient's identity. Select one: True False

False

modification of the supine position

Fowler's

cant have blood tranfusions

Jehovah's witness

circumcision's may require religious in procedure

Jewish

Right/left side down with bottom leg flexed with pillows. Table is flexed to position the patient as needed

Kidney position

prone with bed jackknifed

Kraske

Right/left side down with bottom leg flexed with pillows

Lateral

Supine with legs in stirrups

Lithotomy

Responsible for the development and delivery of the national certification examinations as well as recertification

NBSTSA

Preventing work related injuries by issuing and enforcing standards for workplace safety and health

OSHA

Supine, head up

Reverse Trendelenburg

modification of the fowler's position

Siting

Patient is lying on his/her back face upward

Supine

Independent organization that develops standards and accredits health care organizations

The joint Commission

Supine head down

Trendelenburg

While being moved, the paitent has a right to be protected from exposure and embarassment. Select one: True False

True

Requires surgical intervention within a short period of time

Urgent

Responsible for providing leadership on a global health matter

WHO

Accountability is: Select one: a.obligation to either to do or not do something b.obligation to disclose details for evaluation, commonly used to mean "to be held responsible" for c.all legal decisions reported on a given legal subject d.expected conduct of a professional in a given circumstance

b. obligation to disclose details for evaluation, commonly used to mean "to be held responsible" for

What is establishing a neutral zone designed to do? Select one: a.diffuse potential violence in high-stress situations b.prevent sharps injuries during surgical procedures c.reduce cross-contamination in the OR suite d.quarantine patients with airborne diseases

b. prevent sharps injuries during surgical procedures

A safety strap should be placed ________. Select one: a.directly on the patient's skin b.on top of a blanket or sheet c.2" above the ankles d.2" above the hips

b.on top of a blanket or sheet

Graduates of CAAHEP or ABHES programs are eligible to sit for the CST or CSFA examinations administered by: Select one: a.ARC/STSA b.AST c.CSPS d.NBSTSA

d.NBSTSA

instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it after repositioning true false

false

what are the layer of the abdominal tissue: inside/out

peritoneum, fascia, muscle, subcutaneous, subcuticular, skin

Living will and durable power of attorney are examples of advance directives in health care. Select one: True False

true

When passing a suture to the surgeon, the next step should be to pass straight Mayo scissors to the anesthesiologist true false

true