WorksheetsCST Prep #9
Total questions: 85
Worksheet time: 3hrs 50mins
For opthalmic surgical interventions the CST should know that the anterior chamber of the eye contains ________and the posterior chamber contains______________
aqueous humor, vitreous humor
ciliary body, vitreous humor
sclera, aqueous humor
vitreous humor, Iris
During opthalmic procedures the CST must periodically irrigate the eye using _________to prevent corneal drying
BSS
Lidocaine
NACL
H20
The CST scrubbed on the _________ opthalmic procedure must ensure that the donor tissue is in the room prior to intubation
Keratoplasty
Strabismus
Cataract
Enucleation
The pathology associated with the surgical intervention iridectomy is_________?
Opaque lens
Chlazion
Glaucoma
Diseased cornea
During opthalmic procedures, once gowned & gloved the CST should ensure that the surgeon?
Has no jewelry on
Has removed his cell phone
Has shoe covers on
Removes any powder from his gloves
A patient diagnosed with a misalignment or deviation of the eyes, might be scheduled for the following surgical intervention?
Strabismus
Keratoplasty
Enucleation
Cataract
The patients diagnosis was opacified lens OD, the CST should expect the surgical schedule to reflect the following surgical intervention?
Iridectomy, right eye
Cataract extraction, right eye
Enucleation, left eye
Chalazion, left eye
Use of the Phaco hand piece and phacoemulsification should be associated with the following surgical intervention?
Iridectomy
Cataract extraction
Keratoplasty
Strabismus
For most opthalmic procedures the anesthesiologist will perform a ________ Bier block.
Retrobulbar
Bier
Scalene
Spinal
The _______surgical instrument is essential for the surgeon in resection or recession of the extrinsic eye muscle
Castroviejo caliper
Colibri forceps
Westscott scissors
Jameson hook
When performing a tooth extraction, at the end of the procedure it is imperative for the CST to remember?
Ensure the retrieval of the throat pack
Call for an X ray
To have a frasier suction tip available
Discard the specimen
All of the following are considerations for the CST when dealing with a patient with maxillofacial fracture except?
Blood loss should be monitored closely
Surgeon will stand on the side of the patient
Maxillofacial bones are in close proximity to patients airways
Facial imaging studies should be available
When performing an application of arch bars on a patient, all of the following are true except?
Wires should be precut to 10cm length
Arch bar hooks should be placed facing downward on upper jaw and upward on lower jaw
Wire is tightened in clock wise manner
A wire cutter should accompany patient to PACU
The correct sequence for application of plate and screws for a mandibular fracture is?
Contour plate, drill, measure, tap, screw
Tap,drill,screw,measure,contour plate
Drill, contour plate, measure, tap, screw
Contour plate, drill, tap, measure, screw
While performing a maxillofacial fracture repair, Jose the CST hears the surgeon stating "there is a dural tear". He knows that the surgeon will probably use a _________ graft to seal the tear.
Xenograft
Bone
Clavical
Fat
Graft materials can be used to fill defects from bone loss. Which of the following choices would be an example of a Xenograft?
Autogenous bone
Coral
Homogenous bone
Synthetic material
Which of the following retractors should the CST choose for an odontectomy?
Minnesota
Army Navy
Gelpi
Senn
In preparation for draping the oral maxillofacial patient, the CST would need the following?
Turban style head wrap
Stockinette
Extremity sheet
Kerlix
The three regions of the tooth are the crown, neck and root. Each tooth is imbedded in a socket called the?
Periodontal ligament
Gum
Alveolar process
Mandible
Due to the concern with airway during oral and maxilla facial procedures, the surgical team should have the following available during extubation except?
Laryngoscope
Headlight
Endotracheal tube
Tracheostomy tray
When preparing for the Skin graft procedure, the CST knows that the donor site is prepped _______ and the recipient site prepped __________.
Both are prepped at the same time
Last, first
On order of extremity
First, last
All of the following would be equipment and supplies needed by the surgical team in preparation for the skin grafting procedure except?
Mesh graft device
Dermatome
Mineral oil
Heparin
When switching from a dirty set up to a clean set up the CST must ensure that?
No need to change gloves
They change the gloves of the surgeons first
They change their own gloves first
Everyone uses powder free gloves
In preparation for the liposuction procedure, the CST follows the surgeon's preference card in preparing a mixture that liquefies fat to make suctioning easier. This is called?
Tumescent
Local
Post op injection
Irrigation
The surgeon has booked a mastopexy procedure, the CST knows that the patient is probably suffering from lower back problems related to the pathology of?
Misalignment
Breast ptosis
Scoliosis
Lumbar disc
To perform a nipple reconstruction all of the following equipment might be required except?
#15 blades
Tumescent
Tatto equipment
Dermatome
During a TRAM flap reconstruction surgeon decides to use a reconstructed graft with the blood supply still attached. This would be considered a?
Free Flap reconstruction
Implant reconstruction
Pedicle flap reconstruction
Z-plasty
The CST will need to have a wire driver available for the patient with a diagnosis of radical dysplasia or club hand. The wire driver is necessary for?
Wire tightening
Plate Fixation
K-wire fixation of the ulnar
K-wire fixation of the fibula
The reimplantation of severed digit of the hand, begins with the reattachment of?
Nerve
Bone
Veins
Artery
When performing the rhytidectomy the seventh cranial nerve must be preserved and protected during the procedure. This nerve is the?
Facial
Vagus
Vestibulocochlear
Lingual
A PSA blood value should be associated with the _____________ of the genitourinary system
Testes
Kidneys
Prostate
Ureters
In order to dilate the urethra prior to insertion of the cystoscope, the surgeon would use?
Hank dilators
Pratt dilators
Heager dilators
Van buren sounds
During the TURP procedure the surgeon will use the ____________to remove pieces of tumor and blood clots from the bladder.
Ellik evacuator
Foley catheter
Resectoscope
Mixter clamps
For implantation of a donor kidney the surgeon would make an incision that gives access to the lower portion of the ureter. This would be the _______ incision.
Pfannenstiel
Midline
Transverse
Gibson
The surgeon inserts a three way Foley catheter, for post-operative management of the TURP patient. The primary purpose of the three way foley is?
Both to asses hemostasis & provide irrigation
Asses hemostasis
Drain urine
Provide irrigation
A radical cystectomy with ileal conduit is performed on patients who have been diagnosed with malignancy of the bladder. The ureters will be diverted to the?
Ileum
Ascending colon
Duodenum
Cecum
During the cystoscopy TURBT the CST should use a nonelectrolytic solution to distend the bladder. Which of the following listed below would be the best choice?
NACL
NACL with antibiotic
Sorbitol
Ringers lactate
For kidney harvesting from a live donor, the surgeon would prefer to harvest the ________ kidney because the renal vein is longer
Right
Larger
Smaller
Left
In a surgical approach during a nephrectomy, the surgical team would encounter a fascia that surrounds the organ. This fascia is called?
Gerotas
Peritoneum
Retro peritoneal
Gleasons
The open surgical procedure used to treat stress incontinence in females is the?
Subureteral sling
TVT
Stamey
Marshall-Marchetti Krantz
What is the name of the technique used to treat a recurrent glenohumeral dislocation of the shoulder?
shoulder arthroplasty
rotator cuff repair
acromioplasty
Bankart procedure
What type of electrosurgical mode is most commonly used during neurosurgical procedures?
monopolar
ESU
bipolar
alternating
Which of the following instruments is used to clamp the branches of the mesentery artery during a colectomy?
Babcock intestinal forceps
Crile hemostat clamp
Kocher clamp
Allis tissue forceps
What anatomical landmark does a surgeon use when making a midline incision for an exploratory laparotomy?
McBurney's point
linea alba
Cooper's ligament
falciform ligament
What surgery is performed to correct a hallux valgus deformity?
hammer toe repair
carpal tunnel release
triple arthrodesis
bunionectomy
A defect in the pubocervical fascia that is typically torn by childbirth, obesity, or aging that allows the bladder to prolapse or herniate into the vagina is called a
enterocele.
varicocele.
cystocele.
rectocele.
If a patient has been diagnosed with a deep vein thrombus, what procedure is performed if he or she could not tolerate anticoagulant therapy?
a balloon angioplasty
insertion of a vena cava filter
insertion of a permanent pacemaker
a coronary artery bypass graft
What type of self-retaining retractor is used during an open abdominal aortic aneurysm repair to provide deep exposure as the vascular graft is being sutured into place?
Weitlaner retractor
Balfour retractor
O'Sullivan-O'Connor retractor
Bookwalter retractor
An instrument that is used to determine the direction and depth of the uterine cavity during a dilation and curettage is a
uterine sound.
uterine curette.
uterine dilator.
uterine tenaculum.
A tonsillectomy is completed on a pediatric patient, and the patient is awake and ready for extubation. Which position should the patient be placed in for extubation?
prone
lateral
supine
dorsal recumbent
Which of the following sutures is the best choice when closing the peritoneum and fascia together after an abdominal procedure, such as a small bowel resection?
2-0 absorbable
#1 nonabsorbable
#2 nonabsorbable
3-0 absorbable
An anastomosis of an artery and a vein is performed to provide vascular access for hemodialysis. What is this surgical procedure called?
an aneurysmectomy
an endarterectomy
an aortofemoral bypass
an arteriovenous fistula
What tendon is used to reconstruct a torn anterior cruciate ligament of the knee?
Achilles tendon
posterior tibial tendon
posterior tibial tendon
patellar tendon
The type of implant that is used to treat a midshaft fracture of the femur on an adult patient is a/an
condylar plate and screws.
intramedullary rod.
compression plate and screws
Harrington rod.
The plastic articular surface insert of a total knee tibial implant is made of what material?
polyethylene
titanium
polypropolene
latex
What type of fracture involves the distal radius and occurs when the patient extends the hand to prevent a fall?
Monteggia's fracture
Colles' fracture
radial head fracture
olecranon fracture
A procedure to aspirate blood, fluid, or pus from the cul-de-sac of Douglas with a spinal needle when intraperitoneal bleeding, ectopic pregnancy, or a tubo-ovarian abscess is suspected is called a
culdotomy.
cold cone biopsy.
colposcopy.
culdocentesis.
During a laparoscopic procedure, CO2 is instilled into the abdominal cavity to provide visualization of the operative site and to prevent injury of the internal viscera. The insufflation of the abdomen with CO2 is called
pneumothorax.
pneumoperitoneum.
hemoperitoneum.
peritoneal ascites.
What type of scissors are used for an arteriotomy?
Mayo
Metzenbaum
Potts-Smith
Lister
Which of the following pathologies would require immediate surgical intervention to prevent necrosis of the bowel tissue?
reducible hernia
incarnated hernia
strangulated hernia
pantaloon hernia
In what surgical procedure would a nasoantral window be created in the maxillary bone above the canine teeth to improve drainage of a blocked or infected maxillary sinus?
Caldwell-Luc
submucous resection
turbinectomy
septoplasty
During a coronary artery bypass graft procedure, which of the following is used to stop the heart to reduce the energy required by the cardiac muscle during contraction?
sodium hypochlorite solution
lactated Ringer's solution
hypotonic cardiac solution
hypothermic cardioplegia solution
What layer of the intestines is closed first when performing an end-to-end anastomosis during a small bowel resection?
submucosa layer
seromuscular layer
mucosa layer
mesentery layer
To minimize injury to the abdominal viscera when suctioning irrigation out of the abdominal cavity, the surgical technologist would attach which of the following tips to the suction tubing?
Baron
Yankauer
Poole
Frazier
A patient has a history of osteoarthritis of the hip joint. The surgical procedure to treat this condition is called a total hip arthroplasty. Which of the following statements correctly describes this procedure? A total hip arthroplasty
involves the removal of the femoral head and articular surface of the acetabulum and replacement with prosthetic implants.
involves only the removal of the articular surface of the socket and insertion of metal and plastic prosthetic implants.
is the resection of the head of the femur and insertion of a bipolar hip prosthesis.
is the fusion of the bones of the femur and acetabulum with bone grafts from the iliac crest.
Which surgical procedure is performed using phacoemulsification through a small incision to remove a clouded crystalline lens?
keratoplasty with corneal transplant
intracapsular cataract extraction
enucleation of the eye
extracapsular cataract extraction
What instrument is used to remove a portion of the lamina during a lumbar laminectomy?
pituitary rongeur
dura separato
Penfield dissector
Love-Kerrison rongeur
To improve or increase the airflow through the nose, the surgeon would perform a/an
tracheostomy.
turbinate reduction.
adenoidectomy.
Caldwell-Luc procedure
What medication is used during a peripheral vascular surgical procedure to prevent spasm of the vessel?
sodium bicarbonate
atropine sulfate
papaverine hydrochloride
heparinized saline
What is another way of saying "cephalad to caudad"
back to front
front to back
head to tail
inside to outside
Which fascial sheet is attached to the iliac crest, linea alba, and pubis?
innominate
interparietal
Scarpa's
transbersalis
What is another name for an acquired ventral hernia through the linea semilunaris?
epigastric
femoral
inguinal
Spigelian
A gastrostomy can be created by all of the following methods EXCEPT:
open
endovascular
laparoscopic
percutaneous
Which suturing technique is often used on the appendiceal stump?
interrupted
horizontal mattress
vertical mattress
pursestring
Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical procedure?
laparoscopic cholecystectomy
laparoscopic Nissen Fundoplication
modified radical mastectomy
subtotal gastrectomy
Where are the parathyroid glands located in relation to the thyroid?
anterior midline
posterior midline
dorsal, superior and inferior
ventral, superior and inferior
What do the parathyroid glands regulate in the body?
blood calcium concentration
growth hormones
immune response
insulin release
The skin incision for a thyroidectomy will follow which anatomical lines?
anterior axillary
Langer's
midclavicular
semilunar
Which handheld retractors are frequently used to retract tissues during a throidectomy?
Green
Harrington
Malleable
Weinberg
What type of hernia results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum?
direct
femoral
indirect
umbilical
What is the name for the type of hernia in which both direct and indirect defects are present?
diaphragmatic
epigastric
incisional
pantaloon
What is the name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision?
bezoar
calculus
polyp
ulcer
For which type of hernia repair could a Penrose drain be used as a method of gentle traction of the spermatic cord?
laparoscopic Nissen Fundoplication
McVay inguinal herniorrhaphy
Total extraperitoneal patch (TEP)
ventral/incisional herniorrhaphy
A vagotomy is a surgical treatment option for
appendicitis
ductal carcinoma
gastric ulcers
pancreatitis
Which type of intestinal obstruction involves telescoping of a portion of the intestine into another portion?
adhesive stricture
fecal impaction
intussusception
volvulus
