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WorksheetsBV Intra Op
Total questions: 100
Worksheet time: 50mins
Which of the following incisions describes a Chevron incision?
Midline from just below the xiphoid process at an oblique angle to the costal margin.
A bilateral subcostal incision in the abdomen, in the shape of an inverted "V," used in upper abdominal surgery.
Angles from the midline, following along the seventh or eighth intercostal space, used for esophagogastric access or Hiatal hernias.
Used to access pelvic bones, transverse incision follows the symphysis pubis.
What is the position of choice for a lumpectomy?
Supine
Kraske
Prone
Lateral recumbent
A patient that presents with obstructed breathing and nasal drainage has been diagnosed with a deviated septum. What procedure will they be scheduled for?
Myringotomy
Septoplasty
Mastoidectomy
Ethmoidectomy
What is the term that describes the action of a surgeon capable of operating a robot during a surgical procedure without having direct contact with their patient?
Telechir
Telepresence
Telesurgery
Telerobotic
Which of the following statements regarding an end-to-end anastomosis of the bowel is correct?
The anastomosis is best accomplished using a one-layer closure technique.
If a stapler is used to transect the bowel, the staple line will not be excised prior to the anastomosis.
Open ends of the bowel may be suctioned to remove any fecal matter prior to anastomosis.
The mucosal layer is typically closed with a non-absorbable continuous suture.
What is one of the goals of a Nissen fundoplication procedure?
Inguinal hernia
Femoral hernia
Umbilical hernia
Hiatal hernia
Which of the following is an advantage of a paramedian vertical abdominal incision compared to a median vertical abdominal incision?
Decreased intraoperative bleeding
Decreased infection rate
Better wound strength
No atrophy of the rectus abdominus muscle
The surgeon is ready to start the opening to expose the femoral canal during a total hip arthroplasty, what instrument should the surgical technologist have available?
Bone elevator
Bone retractor
Intramedullary Reamer
Bone Holding Clamp
When the circulator opens an envelope folded sterile package to give it to the sterile team member, the non-sterile individual opens the first flap?
On the left or right side
Toward him/herself
Away from him/herself
Onto the sterile field
Which of the following sutures would most likely be used when closing the uterus during a cesarean section?
2-0 or 0 non-absorbable suture
2-0 or 0 absorbable suture
#2 non-absorbable suture
3-0 absorbable suture
Select the best method for the surgical technologist to re-scrub the sterile field after leaving the room for a short period of time:
The surgical technologist will step away from the sterile field, remove gloves and gown, and re-glove and re-gown before returning to the sterile field.
The surgical technologist will step away from the field, remove gloves, and re-glove before returning to the sterile field.
The surgical technologist will step away from the field, the circulator will untie the gown, the surgical technologist will then face the circulator, the circulator will remove the gown from the shoulders, and the surgical technologist will hold their arms out with their palms oht
The surgical technologist will step away from the field, remove gloves and gown, and re-glove and re-gown before returning to the sterile field.
There are various preexisting hemostatic disorders, some are acquired others are genetic, these prevent the blood to adequately coagulate; which of the following is a preexisting hemostatic disorder?
Hemophilia
Liver disease
Aplastic anemia
Alcohol induced liver failure
You are attending a thoracic surgery for a patient with lung cancer. During the thoracotomy the surgeon asks for a clamp to grasp a pulmonary segment. Which clamp would most likely be used?
Kelly clamp
Duval clamp
Bulldog clamp
Babcock clamp
Which of the following fractures involves the piercing of bone through skin?
Comminuted
Compound
Greenstick
Oblique
For patients who are diagnosed with bladder malignancy, a radical cystectomy with ileal conduit is performed. To maintain urinary continuity, the ureters will be diverted to the:
Rectum
Ileum
Ilium
Urethra
Which of the following bladder catheters has a small, curved tip designed to maneuver around an enlarged prostate?
Malecot
Pezzer
Foley three-way
Coude'
When a telescope is introduced to the body, the difference between room temperature and body temperature will cause which of the following on the lens?
Fogging
Cracks
Clearness
Crystallization
While preparing for a carotid endarterectomy, the surgical technologist will need which of the following suture for the vessel closure?
6-0 Prolene
2-0 Vicryl
6-0 Chromic Gut
2-0 Silk
A myringotomy is a surgical procedure performed due to chronic:
Laryngitis
Sinusitis
Rhinitis
Otitis media
To achieve intraperitoneal distention, a cannulated needle will provide the following.
Back flow
Air flow
Pneumoperitoneum
Intussusception
Who is responsible for monitoring implants on the surgical field?
CST (certified surgical technologist)
Surgeon
Circulator
Surgical First Assist
Which of the following would be an accurate characteristic of CO2 gas used during insufflation of the abdominal cavity during laparoscopy?
Highly combustible
Better solubility in blood
High risk of gas embolism
May cause extreme intraperitoneal adhesions
During orthopedic surgery once the surgeon has drilled an initial hole, the next step would require the following instrument prior to insertion of the screw:
Osteotome
Drill
Tap
Depth gauge
A surgeon is performing a cervical cone biopsy and has encountered bleeding. What solution can be used to control the bleeding?
Monsel's solution
Lugol's solution
Collodion
Acetic acid
Which of the following sutures is a monofilament, non-absorbable suture used to close the peritoneum?
Prolene
Silk
Vicryl
Monocryl
Which of the following incisions is used during an open gastrostomy procedure?
McBurney incision
Upper paramedian
Pfannenstiel
Right subcostal
What is the purpose of a three-way foley after a TURP?
Irrigate and maintain hemostasis
Keep the site sterile
Monitor output
Monitor input
A Rongeur is issued for removing small amounts of bone during laminectomies and various orthopedic surgical procedures. This instrument is considered to be a:
Clamping instrument
Cutting instrument
Grasping instrument
Probing instrument
Shorter endoscopic instrumentation are routinely used in which of the following specialties?
Gynecology
Cardiothoracic
General
Orthopedic
When passing instruments, how should the surgical technologist always pass them?
Always by the box lock
Always by the tips
Always in the position of function
Always by the screw
What item is placed over suture ends to prevent cutting into the skin?
Vessel loops
Suture anchors
Bridges
Bolsters
A pediatric patient is diagnosed with Hirschsprung Disease. What surgical procedure will address this pathology?
Anal transposition
Gastrostomy
Robot-Assisted Laparoscopic Pyeloplasty
Resection and pull-through of the right colon
What nerve will you find within the carotid sheath?
Trigeminal nerve
Recurrent laryngeal nerve
Vagus nerve
Facial nerve
The main role of a certified surgical technologist during a code blue is to:
Perform chest compressions.
Prepare and give intravenous medications as directed.
Leave the operating room to avoid overcrowding.
Keep himself or herself sterile and prevent contamination of the sterile field.
During an open cholecystectomy, it is important to expose the common bile duct. What would the retractor of choice be?
Israel
Senn
Bookwalter
Deaver
The surgeon has just performed a cesarean section and notices a hole in the bowel. What abdominal retractor should the surgical technologist tell the circulator to obtain?
Finochietto
Cloward
Bookwalter
Hohmann
Which of the following retractors would be most used in open liver procedures?
Weitlaner
Army-Navy
Harrington
O'Connor-O'Sullivan
The final intraoperative step to be done before wound closure, to ensure hemostasis is achieved is?
Suturing
Hemostasis
Wound irrigation
Instrument counts
Which operating room sentinel event(s) listed below would necessitate further analysis and investigating?
Latex allergy
Burn to the patient from the ESU pencil
Retained instrument
--
When performing a tympanoplasty, which suction tip is preferred for this surgical procedure?
Pincheon
Frazier
Yankhauer
Rosen
What type of suture is commonly used to close the mucosa of the intestine in a gastrointestinal procedure?
Cotton
Vicryl
Chromic gut
Pronova, Monofilament
Disinfectants used to kill all bacteria, viruses and fungi are classified as:
Low level
High level
Intermediate level
Antiseptic
You have injured your foot during a 5K race. At the physician's office visit, the physician asks you to point your toe as if you want to dip it in water. What is the joint movement of the ankle that will allow you to point your toe?
Supination
Circumduction
Eversion
Plantar flexion
Which of the following describes a tract leading from a point of infection to a point of eruption outside the body?
Evisceration
Hernia
Fistula
Seroma
Which of the following is true of the AST guideline on bowel technique?
The bowel technique should be recognized as beginning when the skin incision is made.
The instruments in the second Mayo stand set up are considered contaminated after coming in contact with the open GI tract.
Sterile towels should be placed around the surgical incision site after the GI tract is opened.
The CST should wait until the surgical team members change gloves and gowns before donning a new sterile gown and gloves.
When passing endoscopic instruments to a surgeon, the Certified Surgical Technologist (CST) should pass the working end of the instrument in which position toward the endoscope's opening?
Downward
Upward
Diagonally
Neutral
The surgeon has just closed an open reduction internal fixation of a right distal radius and has decided to apply a cast. Which of the following materials should the surgical technologist have available for the surgeon to apply before the casting material?
Coban
Webril
Esmark
Ace wrap
Which operating room sentinel event(s) listed below would necessitate further analysis and investigating?
Latex allergy
Burn to the patient from the ESU pencil
Retained instrument
--
When performing a tympanoplasty, which suction tip is preferred for this surgical procedure?
Pincheon
Frazier
Yankhauer
Rosen
What type of suture is commonly used to close the mucosa of the intestine in a gastrointestinal procedure?
Cotton
Vicryl
Chromic gut
Pronova, Monofilament
Disinfectants used to kill all bacteria, viruses and fungi are classified as:
Low level
High level
Intermediate level
Antiseptic
You have injured your foot during a 5K race. At the physician's office visit, the physician asks you to point your toe as if you want to dip it in water. What is the joint movement of the ankle that will allow you to point your toe?
Supination
Circumduction
Eversion
Plantar flexion
Which of the following describes a tract leading from a point of infection to a point of eruption outside the body?
Evisceration
Hernia
Fistula
Seroma
Which of the following is true of the AST guideline on bowel technique?
The bowel technique should be recognized as beginning when the skin incision is made.
The instruments in the second Mayo stand set up are considered contaminated after coming in contact with the open GI tract.
Sterile towels should be placed around the surgical incision site after the GI tract is opened.
The CST should wait until the surgical team members change gloves and gowns before donning a new sterile gown and gloves.
When passing endoscopic instruments to a surgeon, the Certified Surgical Technologist (CST) should pass the working end of the instrument in which position toward the endoscope's opening?
Downward
Upward
Diagonally
Neutral
The surgeon has just closed an open reduction internal fixation of a right distal radius and has decided to apply a cast. Which of the following materials should the surgical technologist have available for the surgeon to apply before the casting material?
Coban
Webril
Esmark
Ace wrap
Patients requiring hemodialysis need to have what procedure performed?
A. Aortofermoral bypass
B. Endarterectomy
C. Arteriovenous fistula
D. Cardiac catheterization
During a procedure, the CST (certified surgical technologist) notices the Bovie pencil lying exposed on the field. What action should the CST take?
None since the Bovie is not being used
Alert the surgeon
Cross the field and place the Bovie in a proper receptacle
Alert the circulating nurse
What is the term used when a clot dislodges and escapes either the iliac or femoral veins?
Varicose vein
Atherosclerosis
Deep vein thrombosis
Arteriosclerosis
Which of the following is an emphasis of CPR guidelines?
Give 2 rescue breaths before starting chest compressions.
Rate of compressions should be 80 per minute.
In order to decrease time without compressions, after a shock is given, compressions should start immediately.
If there is a single rescuer, the compression to breath ratio is 60:2 for an adult.
Select the correct order of the phases of anesthesia.
Maintenance, Emergence, Induction, Recovery
Emergence, Induction, Recovery, Maintenance
Induction, Maintenance, Emergence, Recovery
Recovery, Maintenance, Emergence, Induction
Which of the following thoracic procedures involves inserting a scope into the chest between the pleural sacs to view the associated structures such as the heart and large vessels?
Bronchoscopy
Mediastinoscopy
Thoracoscopy
Angiography
During a total hip arthroplasty, what components are replaced?
Acetabulum, femoral head and pelvic pocket only
Acetabulum, femoral neck and femoral head only
Femoral head and neck only
Femoral head and acetabulum only
The surgeon is performing a carotid endarterectomy and needs to elevate the plaque. Which instrument should the surgical technologist pass to the surgeon?
Debakey
Freer
Weitlaner
Bulldog
Which of the following procedures involves excision of a hepatocellular tumor?
Liver resection
Liver biopsy
Cholecystectomy
Hemicolectomy
The surgeon has made an incision for a total abdominal hysterectomy. What abdominal retractor should the surgical technologist have available?
Adson-Beckman
O'Sullivan-O'Connor
Leyla-Yasargil
Greenberg
The surgeon is performing a liver resection and asks for a suture, what type of needle tip should the suture have?
Side cutting
Blunt
Cutting
Tapercut
When may a specimen be passed to the circulator?
Immediately after obtaining it
Upon the surgeon's permission is granted
When the circulator asks for it
Upon completion of the case
Choose the correct statement regarding why fingernail polish on surgical patients must be removed prior to surgery.
Fingernail polish on surgical patients may contribute to post-operative wound infection.
Fingernail polish will interfere with the oxygen level assessment.
Fingernail polish may interfere with the surgical prep.
The area under fingernail polish is rich with resident flora.
When reviewing the concepts of electrosurgical electrical energy which of the following flow is accurately defined?
While using a bipolar energy flow alternate site burn may occur
While using monopolar energy flow alternate site burn may occur
Monopolar electrical energy passes through tissue and returns through the instrument
Bipolar electrical energy passes through tissue and returns to the grounding pad
To repair a laceration on the liver, the surgical technologist should make sure that the needle tip for the suture to be used is:
Blunt
Reverse cutting
Cutting
Tapered
What is a major concern for a surgeon while performing telesurgery?
Distance
Trembling hands
Malfunction of the robotic arm
Time delay
Which of the following surgeries is performed by connecting new vessels to the myocardium?
Coronary artery bypass graft
Transcatheter aortic valve replacement
Liver transplantation
Renal transplantation
Which one of the following drapes would be referred to as a fenestrated drape?
A drape that has a squared off window allowing for exposure of the operative site
A drape that has two tails and may be placed around the neck region of the body
A drape that has an impregnated self-adhesive plastic
A drape that could be used to drape a two basin ring stand
The surgeon just completed a lobectomy on his patient. The patient will receive a chest tube to provide negative pressure to the thoracic cavity. When will the chest tube be attached to the closed drainage system?
Before he checks for air leaks during positive pressure inspiration
Once closure of the pleural space is complete
Once the patient is transferred to PACU
Immediately after the tube is inserted into the thoracic cavity
A transsphenoidal hypophysectomy involves the removal of:
The entire sphenoid sinus
A tumor on the pituitary gland
A meningioma
A tumor of the eighth cranial nerve
What is the common reason for a total gastrectomy?
Malignancy
Excessive stomach acid
Bloating
Chronic abdominal pain
Preparing the operating room for a breast reconstruction with a micro vascular free flap, how many set ups would there be?
One
Three
Two
Four
Which of the following describes a hernia with a compromised blood supply that may lead to necrosis?
Inguinal
Strangulated
Congenital
Incarcerated
The surgeon is performing an iridectomy, which instrument would be used as an eye speculum?
Bishop-Harmon
Bowman
Barraquer
Keratome
When doing a bronchoscopy, which characteristics would be suggestive of right main bronchus instead of the left main bronchus?
A) Wider, shorter, more vertical
B) Narrower, shorter, more horizontal
C) Wider, longer, more horizontal
D) Narrower, longer, more vertical
What can be used in place of surgical ligatures to occlude vessels?
Sponges
Clips
Sutures
Clamps
A Doppler probe can be used within a sterile field as long as the surgical technologist has ________.
Wiped it down with saline
Covered it with a sterile drape
Wiped it down with sterile water
Soaked in Cidex®
The surgeon has made an incision for an anterior cervical discectomy, which of the following retractors should the surgical technologist have available?
Balfour
Cloward
Deaver
Mayfield
Which of the following retractors is typically used for a pneumonectomy?
Harrington
Balfour
Army – Navy
Allison lung retractor
Which of the following information is the surgical technologist responsible for reporting to the circulator for documentation in the operating room record?
Amount of contrast used during the procedure.
Amount of prep solution used.
Amount of saline used during the procedure.
Amount of Diprivan used.
What is the key skill a CST (certified surgical technologist) must possess for the intraoperative phase of surgical case management?
Anticipation
Good communication skills
Good rapport with the circulator
Organizational skill
Which of the following are the most common injuries associated with laser surgery?
Infection
Eye injury and tissue burn
Infertility and genetic mutation
Wound dehiscence
Which of the following procedures carries the risk of developing post-operative pelvic floor weakness?
Esophagectomy
Craniotomy
Craniectomy
Hysterectomy
A removal of the entire breast, lymph nodes, minor pectoral muscle is known as what?
Modified mastectomy
Mastectomy
Radical mastectomy
Excisional biopsy
Which of the following instruments is placed into the cervical canal to determine the direction and depth of the uterine cavity?
Hegar
Goodell
Sims
Bozeman
What is the procedure that removes the fibrotic plaque that may develop in the intima layer of the arteries?
Arteriovenous fistula creation
Angioplasty
Endarterectomy
Thrombectomy
Retracting what muscle will expose the thyroid gland?
Suprahyoid
Platysma
Trapezius
Sternocleidomastoid
Which of the following refers to placement of one or more clamps at a right angle to a tube or blood vessel during surgery in the GI tract?
Double-clamp
Clamp and divide
Cross-clamp
Division
A surgeon is doing an abdominal wall repair and asks for a suture, but you can't quite hear what size she asked for. What size is she most likely to need?
8-0
6-0
4-0
2-0
The surgical technologist is preparing to help the surgeon close on an aortic valve replacement. The surgeon is using a looped PDS suture to close the chest wall. Which of the following cutting devices should the technologist have ready to pass to the assistant?
Curved Mayo scissors
Metzenbaum scissors
Straight Mayo scissors
Potts Smith scissors
To restore circulation in the iliac arteries an aortofemoral bypass is performed. A graft is implanted between the aorta and the femoral arteries to bypass the occluded iliacs. The ends of the graft are usually trimmed in a:
90-degree angle
30-degree angle
45-degree angle
75-degree angle
The surgical technologist is scrubbed in on an incision and drainage of an abscess on the left thigh. How should the surgical technologist anticipate the surgeon would close and dress the wound?
Close with a 2-0 PDS and dressed with a 3-layer dressing
Leave the wound open and packed with iodoform gauze
Wound is packed with iodoform gauze, and skin is closed with retention sutures
Close with a 2-0 nylon and dressed with fluffs and paper tape
In cases involving the biliary tract, spleen, or pancreas, both general and vascular instruments are used. Which instrument should the CST have ready for the surgeon for any of these procedures?
Potts – Smith scissors
Right angle
Senn retractors
Mayo scissors
During a laparoscopic procedure, which of the following will the surgeon use to remove a specimen?
Lab sponge
Endo Catch
Ray Tec
Kittner
