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Worksheetsintra op
Total questions: 100
Worksheet time: 50mins
Which of the following is true during dilation and curettage?
The patient should be placed supine in Trendelenburg.
Instruments for a vaginal exam should be set up at the front of the D & C instrument set.
The surgeon should reglove after performing the pelvic exam under anesthesia.
A Pfannenstiel incision is used to expose the uterus.
During a carpal tunnel release, which structure is transected to decompress the median nerve?
Transverse carpal ligament
Ulnar collateral ligament
Dorsal intercarpal ligament
Palmar carpometacarpal ligament
A split-thickness skin graft (STSG) requires which of the following supplies/equipment?
Dermatome, mineral oil, sterile tongue blade
Dermatome, graft expander, sterile tongue blade
Dermatome, graft expander, mineral oil, sterile tongue blade
#10 blade on a #3 handle, graft expander, mineral oil, sterile tongue blade
The opacity of the crystalline lens is treatable by performing phacoemulsification. The procedure requires a small incision which is referred to as what?
Scleral corneal incision
Enucleation of the eye
Keratoplasty
Intracapsular cataract extraction
Which of the following surgeries is performed via an endovascular approach?
Coronary artery bypass graft
Transcatheter aortic valve replacement
Liver transplantation
Renal transplantation
The Pringle Maneuver involves a large atraumatic hemostat to clamp the hepatoduodenal ligament to interrupt blood flow and control bleeding to what abdominal organ?
Liver
Spleen
Gallbladder
Stomach
Which of the following procedures involves the removal of part of the spine?
Vasectomy
Mastectomy
Lumpectomy
Laminectomy
Often grafts are harvested from the patient: an ACL repair is performed arthroscopically, the ideal graft is removed from the center patellar tendon. What is the surgical technologist responsible for doing with the graft once the surgeon passes it off?
Graft must be kept moist with lactated ringers' solution
Graft must be kept moist with saline solution
Graft must be kept moist with sterile water
Graft must be preserved with formalin
Which of the following statements accurately describes a kidney transplant with a live donor?
A. A bilateral nephrectomy from the donor will be performed to ensure that one is viable.
B. Both kidneys are removed in the recipient prior to transplantation of the donor kidney.
C. A hemi-nephrectomy is all that is required for transplantation from a live donor.
D. During living donor kidney transplant, the kidney is removed from the donor by ligating the renal pedicle, along with Gerota's fascia.
Which of the following is used to manipulate tissue and can provide electrosurgical hemostasis?
Cannula
Probe
Trocar
Veress needle
The procedure done to provide a diagnosis of coronary artery disease is a/an:
Pacemaker
Angioplasty
Internal defibrillator
Cardiac catheterization
The saphenous vein is a common vessel harvested for coronary bypass grafting. What medication is utilized to prevent spasms of the vein after harvesting?
Protamine sulfate
Papaverine
Heparinized saline
Normal saline
The purpose of a transthoracic needle biopsy of the lung is performed to diagnose:
Pleural effusion
Carcinoma of the lung
Atelectasis
Pneumothorax
If an intubated patient experiences cardiac arrest, which would be the proper CPR protocol to follow within a healthcare setting?
As long as the airway is open, ventilation can occur even in the presence of foreign bodies.
A BVM (Ambu-bag) may be connected to the endotracheal tube to assist with breathing.
Breathing is administered in a mouth-mouth format.
An Ambu-bag may be connected to the patient's mouth to assist with breathing.
Which of the following self-retaining retractors would be used during total hip arthroplasty?
Aufranc
Charnley
Myerding
Bennett
At the end of an extracapsular cataract extraction with lens implant, the surgeon wants to check the integrity of the corneal epithelium. Which agent would be used to inspect the corneal epithelium?
Alpha-chymotrypsin
Depo-Medrol
Fluorescein
Wydase
The surgeon is performing an above the knee amputation and requests a knife, which of the following instruments should the surgical technologist have available?
Satterlee
Gigli-Strully
Ruskin
Liston
What should the surgical technologist do prior to wound closure?
Call for an instrument count
Remove all instruments from the operative site
Move the sterile back table away from the operative field
Ask the circulator to retrieve bloody sponges
Which of the following retractors will the CST (certified surgical technologist) have on the field for retraction of the internal mammary artery?
Weitlaner
Balfour
Bookwalter
Favaloro
The following is soaked in thrombin during procedures to gain hemostasis:
Mesh
Gortex
Gelfoam
Surgicel
While performing a pneumonectomy (removal of the lung), the surgeon identifies the vagus nerve. To isolate the nerve what should the CST (certified surgical technologist) pass to the surgeon next?
Kelly clamp
Nerve hook
Vessel loop
Stick tie
When handing off the drapes to the surgeon prior to incision, the certified surgical technologist should do what?
Hand the drapes to the circulating nurse.
Hand the drapes to the surgeon on the opposite side of the table.
Hand the drapes to the surgeon on the same side of the table.
Hand the drapes to the surgeon over the table.
A patient is experiencing a laryngospasm during intubation, and the anesthesiologist can not get an airway. What surgical procedure should the surgical technologist be prepared to do?
Bronchoscopy
Mediastinoscopy
Laryngectomy
Tracheotomy
In which of the following surgical specialties would you use the Gardner-Wells or Mayfield pin fixation device for cervical stabilization?
OB/GYN
Cardiothoracic
Neurosurgery
General Surgery
The surgical technologist did not verify the saline solution when the circulator poured it onto the sterile field. What is the correct action to take?
Break scrub and retrieve new saline solution.
Label the saline immediately.
Throw out the saline solution and ask for a replacement.
Proceed with labeling the saline-based on the circulator's confirmation.
Perioperatively there is a lot of charting done providing a timeline of the patient's surgical experience. The individual responsible for the intra-operative records is who?
Anesthesiologist
Nurse manager
Circulating nurse
Recovery room nurse
Open cholecystectomy requires a right subcostal incision, what is the name of this incision?
McBurney's
Kocher
Pfannenstiel
Rocky-Davis
The maximum length of time a tourniquet may remain inflated on the affected lower extremity is?
1 hour
2 hours
1 and 1/2 hours
30 minutes
A tympanoplasty is a repair of the tympanic membrane requiring a graft. What is the ideal graft obtained to perform this repair?
Goretex
Abdominal fascia
Temporalis fascia
Cadaver
Which of the following has one to two larger interlinking teeth at the head and is used to grasp tough, fibrous, slippery tissues, including fascia and muscle?
Allis forceps
Babcock forceps
Kocher forceps
Forester forceps
One approach to repair the a labral tear of the shoulder is called a:
McVay (Cooper's ligament) procedure
Chevron procedure
Bankart procedure
Shoulder arthroscopy
Split thickness skin grafts require the surgical technologist to incorporate various safety protocols such as what?
Functionality of the dermatome
Apply mineral oil to the blade
Shave the donor site
It is not necessary to check the dermatome's functionality
The next case in your room is a hemorrhoidectomy. Your preference card lists the rectal instrument set. What instrument will you find in this set specifically for a hemorrhoidectomy?
Buie pile forceps
Bonney tissue forceps
Gelpi self-retaining retractor
T tube
During gall bladder surgery, the surgeon performs a procedure to drain the gall bladder prior to removing stones. What is this procedure called?
Cholecystectomy
Cholecystostomy
Duodenostomy
Jejunostomy
Which of the following procedures might an abdominal fat graft be used to seal a dural leak?
Carpal tunnel release
Cervical discectomy
Transsphenoidal hypophysectomy
Ventricular-Peritoneal shunt
An orthopedic surgeon is performing a right leg amputation at the knee. When he reaches the patellar tendon he asks you for scissors to cut it. Which scissors will you provide the surgeon to cut the tendon?
Stille rongeur scissors
Westcott scissors
Lincoln scissors
Mayo scissors
What are the first ligaments separated from the uterus during a hysterectomy?
Infundibulopelvic ligament
Round ligament
Cardinal ligament
Broad ligament
The flexible tip of an endoscope is used to obtain:
Rotational views
Direct view
Biopsies
Irrigation
Subsequent to the arteriotomy made into the common carotid artery during a carotid endarterectomy, a graft may be sutured over the arteriotomy. What is the very next step prior to closing the wound?
Check for leaks
Inspect for any defects
Ensure it is the proper size
Verify the diameter
Which of the following instruments will be used for wound retraction?
Kelly
Babcock
Army – Navy
Metzenbaum
What should the CST (certified surgical technologist) do when receiving an additional pack of laparotomy sponges while at the surgical field?
Count the sponges before using them
Place them in a secure spot on the back table
Let the surgeon know there are additional lap sponges on the field
No action needs to be taken
Which of the following types of hernias are the most common, overall?
Direct inguinal hernia
Indirect inguinal hernia
Femoral hernia
Spigelian hernia
Which of the following procedures involves a risk of pelvic adhesions?
Upper endoscopy
Colonoscopy
Salpingoophorectomy
Video-assist thoracotomy
Select the statement that accurately describes correct positioning for a patient in the left lateral kidney position.
The patient should be positioned with the right side down, lower leg straight and right leg flexed.
The patient should be positioned left side down, lower leg straight, and upper leg flexed.
The patient should be positioned left side down, lower leg flexed with padding protecting bony prominences, upper leg straight.
The patient should be positioned right side down, lower flexed, and upper leg straight.
Which of the following is the best suture type for closure of the dermal/subcutaneous layer of skin?
Polypropylene
Monocryl/poliglecaprone 25
Maxon
Ethilon
A congenital recessed mandible is corrected with a surgical mandibular advancement. The surgeon will place arch bars and use grafts and wires. What must be taken to PACU with the patient?
Mouth prop
Wire cutters
Throat pack
Cotton dental rolls
The purpose of an acromioplasty is to treat patients with:
Impingement syndrome
Subluxation of the shoulder
Torn rotator cuff
Distal biceps tendon rupture
Which suture needle is most commonly used for laceration and wound repair?
Blunt needle
Tapered needle
Reverse cutting needle
Spatula needle
In which of the following surgical positions will rapid lowering of the legs contribute to decreased venous return and hypotension?
Lateral kidney
Lithotomy
Supine
Krask
A patient who is suffering from stress incontinence may undergo a vesicourethral abdominal suspension. This procedure is also known as a:
Wertheim
Shrodkar
Marshall-Marchetti Kranz
Cystocele
What is the reason for using the very smallest amount of oxidized cellulose possible during a surgical procedure and removing it once hemostasis is achieved?
It is not absorbable at all by the human body.
It provides a physical barrier to achieve hemostasis only.
It is less readily absorbed and carries a risk for foreign body reactions.
It carries a risk of allergic reaction, as it is a derivative of bovine corium.
During surgery when the surgeon needs a scissor to cut thick fibrous tissue, the surgical technologist would hand off what?
Potts
Iris
Metzenbaum
Curved Mayo
The surgeon has placed the initial port in the umbilicus for a laparoscopic cholecystectomy and determines the surgery must be completed as an open procedure. What type of incision will be used for access to the gall bladder?
McBurney
Pfannenstiel
Kocher
Purse string
A patient exhibiting abdominal pain had an ultrasound and CT scan and was diagnosed with pancreatic cancer. Where does pancreatic cancer most commonly occur?
Body
Neck
Head
Tail
A patient goes to his eye doctor because he has developed a yellow mass in the corner of his eye. They have been diagnosed with a pterygium and scheduled for surgery. What is a pterygium?
Drooping of the eyelid
The lower eyelid inverts abnormally
A piece of degenerative tissue that begins and spreads from the conjunctiva
Creation of a permanent opening in the tear duct for drainage of tears
During a femoral-to-femoral bypass, the surgical technologist has several drugs on the back table, including Heparin, papaverine, protamine sulfate, and lidocaine with epinephrine. Which of these drugs is used to control vasospasms?
Heparin
Papaverine
Protamine sulfate
Lidocaine with epinephrine
A TURP, or transurethral resection of the prostate, is a surgical procedure performed when the prostate hypertrophies and puts pressure on the male urethra. What instrument will be used prior to the surgeon inserting the resectoscope?
Van Buren sounds
Walther dilators
Hanks dilators
Garret dilators
Which of the following physiological changes must the CST (certified surgical technologist) remember when assisting with procedures involving geriatric patients?
Increased bone mass
Decreased range of motion
Decreased susceptibility to hypothermia
Increased muscle tone
The surgeon needs to switch from a laparoscopic case to an open. The CST should consult with which team member first?
Circulator
Anesthesiologist
Surgeon
Nurse manager
What are the small ducts that are a potential source of bile leaks after laparoscopic gallbladder surgery?
Cystic duct
Ducts of Luschka
Common hepatic duct
Pancreatic duct
A surgeon passes off to the surgical technologist sentinel nodes. How should the surgical technologist pass these off to the circulator?
Placing them on a lap pad
Placing them on telfa
Placing them on a ray tec
Placing them in a specimen cup
While performing a coronary artery bypass graft (CABG), the surgeon will dissect the saphenous vein. What will the CST (certified surgical technologist) have ready for immediate use?
Specimen cup
Heparinized saline
Saline
Telfa
The surgery performed to release abnormal tissue connections within the abdominal cavity is referred to as what?
Herniorrhaphy
Colon resection
Lysis of adhesions
Nissen Fundoplication
General safety and patient considerations and precautions when using the electrosurgical unit (ESU) are not inclusive of:
Use of a grounding pad.
Keeping the active electrode (Bovie) in a holster.
Not allowing prep solution to pool near the grounding pad.
Applying the grounding pad to a bony prominence.
Which of the following self-retaining retractors would be used to provide optimal exposure to the abdominal viscera?
Gelpi
Bookwalter
Greenberg
O'Sullivan/O'Connor
Fluid loss is important during surgery; often the team requires the surgical technologist to estimate how much fluid was used and how much fluid was lost during the case. This is best accomplished by?
Knowing how much was given and how much is left
Keeping track of how often you provided the surgeon with the Asepto
Calculate urine output and suction canister fluid
Calculating urine, what's left in your basin as well as the suction canister
What instrument would be used for dissection of the external oblique muscle?
Curved Mayo Scissors
Potts – Smith
Metzenbaum scissors
Stevens tenotomy scissors
While conducting the final count before closing, the surgical technologist has a miscount. Who must be notified?
Radiology
Circulator
OR Manager
Surgeon
During an open appendectomy, the ideal suture technique used on the appendix stump would be a:
Buried suture
Purse string suture
Traction suture
Interrupted suture
Which of the following procedures involves the removal of an intra-abdominal organ?
Upper endoscopy
Colonoscopy
Salpingoophorectomy
Splenectomy
When performing a pneumonectomy, the incision of choice would be the:
McBurney
Posterolateral
Epigastric
Midline
A stoma is a communication of a section of bowel with the outside of the abdominal cavity to divert the fecal stream, which of the following is not an accurate description of a type of stoma?
An end ileostomy is constructed from a terminal portion of ileum and may be permanent or temporary.
An end colostomy is created from the jejunum or the duodenum.
An end loop colostomy is one in which the loop is divided with a linear cutter, and both ends are brought out through the skin incision.
A loop colostomy utilizes the transverse colon.
During surgery when the certified surgical technologist is passing instruments and supplies to the surgeon, what is the surgeon focused on?
The instrument
The anesthesiologist
The surgical procedure
The nursing activities in the room
What should the CST (certified surgical technologist) monitor during a liver resection?
Oxygen
Urinary output
Sutures
Blood loss
There are various potential hazards associated with electrical equipment used in the operating room. When using a laparoscopic unit, what could occur?
Pneumoperitoneum
Nitrogen embolus
Fiberoptic fire
Radiation exposure
De Quervain's contracture can be defined as:
Stenosing tenosynovitis with pain over the radial styloid and first extensor compartment housing the abductor pollicis longus and extensor pollicis brevis tendons.
Stenosing tenosynovitis causing an enlargement of the flexor tendon or inflammation of the sheath, particularly the first annular pulley over the volar plate of the MCP joint.
Contracture of the fascia of the palm or fingers.
Compression of the median nerve, which results in pain, tingling, and numbness in the thumb, index, and middle fingers.
If a patient presents with palmar fascia contracture, what will the diagnosis be?
DeQuervain's
Carpal Tunnel
Radial Dysplasia
Dupuytren's
What structures are removed in a modified radical mastectomy?
Breast
Breast and lymph nodes
Breast, lymph nodes, and chest muscles
Lymph nodes and chest muscles
When a skin graft is not to be used immediately after it is harvested, the proper way to maintain it is to:
Wrap it in dry, sterile gauze
Allow it to sit on the mayo stand, keeping it on the sterile field
Spread it onto the convex surface of a metal basin, keeping it continuously moistened with saline or antibiotic solution
Place it onto the skin just adjacent to the donor site
Which of the following is a contrast media used when performing vascular studies utilizing the C-Arm?
Depo-Medrol
Hypaque
Morphine
Pitocin
In preparation for a cast application in the operating room, what is first placed to protect the skin before casting?
Coban
Webril
Fluffs
Ace wrap
Which of the following medications is used to counteract malignant hyperthermia?
Dantrolene
Bacitracin
Vancomycin
Succinylcholine
What intracranial malignant tumor is capable of crossing both hemispheres of the brain?
Glioblastoma multiforme
Astrocytoma
Medulloblastoma
Meningioma
Which of the following incisions is used to expose the pancreas in a Whipple procedure?
Right paramedian
Vertical midline
Bilateral subcostal
McBurney
When is the 'Time Out' called in a surgical procedure?
At the end of the case
After the initial incision is made
Before the initial incision is made
Prior to the patient entering the operating room
Which of the following procedures involves the replacement of a joint?
Vasectomy
Mastectomy
Lumpectomy
Arthroplasty
Breast reconstruction after a modified radical mastectomy may utilize a latissimus dorsi myocutaneous flap. Which artery supplies vascularity to the latissimus dorsi flap?
Thoracodorsal
External Mammary
Subclavian
Axillary
Wounds during surgery are classified according to the degree of microbial contamination. A wound that is old and was contaminated prior to the procedure or that has perforated viscera is referred to as:
Clean contaminated
Clean
Dirty
Contaminated
Which drape should the surgical technologist have available for an ophthalmic procedure?
Incise drape
Transverse
Beach chair
Aperture
The surgeon is performing a myringotomy with PE tube placement. After the surgeon places the ear speculum, what instrument would be needed next?
Buck ear curette
PE Tube
Rosen needle
Takahashi forceps
The surgical technologist is preparing to pass Avitene to the surgeon for intraoperative hemostasis. How should the surgical technologist pass the Avitene?
In an asepto with NaCl 0.9% and Avitene mixed
Rolled up with bacitracin
Moistened then passed with forceps
Passed with two dry forceps
What is the route of drug administration used mostly in the operating room by the anesthesiologist?
Intravenous
Intramuscular
Intraosseous
Intrathecal
This procedure allows for viewing the interior of the urinary meatus.
Meatoscopy
Myringotomy
Mediastinoscopy
Meatotomy
A patient who has suffered a fractured bone is requiring closed manipulation, with subsequent fixation. What is this type of procedure referred to as?
CREF
OREF
CRIF
ORIF
During a surgical procedure, the patient goes into cardiac arrest. The primary responsibility of the surgical technologist is to:
Break scrub and activate the emergency response system
Break scrub and initiate CPR
Inform everyone to stand back
Maintain a sterile field
Which of the following procedures involves entering through an artery in the groin?
Partial nephrectomy
Radical nephrectomy
Coronary angioplasty
Cystectomy
What is a standard retractor used in OB/GYN procedures?
Army – Navy
Goelet
Balfour
O’Connor – O’Sullivan
Which of the following describes metabolic acidosis, excess carbon dioxide in the body?
Hypertension
Hyperthyroidism
Hypercarbia
Hypotension
The patient is scheduled for a total hip arthroplasty. Which self-retaining retractor does the surgical technologist need to have available on the sterile field?
Charnley
Chandler
Hibbs
Lowman
The wall of the intestine is comprised of four layers; when performing an end to end anastomosis which is the last layer closed?
Mucosa
Submucosa
Muscle
Serosa
