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Worksheetsintra opp
Total questions: 100
Worksheet time: 50mins
What is the purpose of using a Penrose drain on an inguinal hernia repair?
To retract the spermatic cord
To retract the Poupart ligament
To drain the wound postoperatively
To irrigate the wound postoperatively
Which of the following procedures involves a surgeon entering into the pleural space?
Upper endoscopy
Colonoscopy
Salpingoophorectomy
Video-assist thoracotomy
What clamp should the CST have ready to occlude the ureters during a nephrectomy?
Right angle
Allis
Tonsil
Kelly
When does intubation occur on a patient whose surgery will be performed in the prone position?
After the patient is positioned prone
When the patient is in POHA
With the patient on their gurney in the supine position
With the patient in the lateral position on the Operating room bed
Select the correct stapling device used to perform an end to end anastomosis during a low anterior anastomosis.
LDS stapler
EEA stapler
GIA stapler
Purse-string stapler
The surgeon needs to decompress the gallbladder during a cholecystectomy, which of the following instruments would be used?
Maloney dilator
Randall Forceps
Ochsner trocar
Mayo scoop
When assisting on orthopedic procedures, what hemostatic agent should the CST (certified surgical technologist) have on the sterile field to control bleeding from bony prominences?
Gelfoam
Bone wax
Electrocautery
Thrombin
Which of the following points during the surgical procedure is an improper time for the CST and circulator to conduct a count of both sharps and sponges?
Prior to the skin incision
At the beginning of closure of the peritoneum or any first layer of an organ cavity
At the conclusion of the procedure
If there is a change of CST and/or circulator during the surgical procedure
What is the name of the layer of connective tissue surrounding the liver and encases the hepatic artery, portal vein, and bile ducts within the liver?
Glisson's capsule
Gerota's fascia
Parietal pleura
Visceral pleura
When using laparoscopic instrumentation, one of the greatest hazards posed in the operating room is:
Fire
Pneumoperitoneum
Embolus
Radiation exposure
Which of the following procedures would be recommended for a patient diagnosed with gastroesophageal reflux disease (GERD)?
Gastrectomy
Nissen fundoplication
Hemicolectomy
Gastrostomy
Which of the following procedures would be necessary after testicular torsion?
Orchiectomy
Orchiopexy
Prostatectomy
Vasovasostomy
Which of the following statements is true regarding chest compressions?
Health care providers should ensure complete recoil of the chest with each compression.
Compression depth for adults is 3 inches.
Compression rate should be 80 per minute.
Health care providers should give 2 rescue breaths before starting compressions.
The surgical technologist is scrubbed in an ACL reconstruction with a human donor graft. Which of the following tissue implants is the correct term for this graft?
Xenograft
Epidermal graft
Autograft
Allograft
Surgical team members should pass one another in which of the following ways?
front to back
back to front
front to front only
front to front or back to back
A patient is rushed to the operating room subsequent to being exposed to a loud explosion. The patient suddenly cannot hear. Upon exam, the patient has injured their tympanic membrane, which procedure should then take place?
Tympanoplasty
Mastoidectomy
Myringotomy
Cricoid pressure
What type of gas is used to inflate the abdomen to create a pneumoperitoneum during laparoscopic procedures?
Nitrogen
Helium
Carbon dioxide
Oxygen
Which of the following is the insufflator setting for maximum pressure to prevent intraoperative complications of hemodynamic changes, bradycardia, or potential gas emboli during laparoscopic procedures?
10 mm Hg
15 mm Hg
20 mm Hg
25 mm Hg
Which of the following procedures involves the removal of a blood clot in an artery?
CABG (coronary artery bypass graft)
Thrombectomy
Aneurysm repair
Arteriovenous shunt placement
What is the hollow structure that allows passage of instrumentation during laparoscopic surgery?
Obturator
Sheath
Shield
Scope
Ventricular tachycardia is treated by administration of:
Xylocaine
Levophed
Nitroglycerin
Adrenalin
The surgeon begins to close the uterus during a c-section. Which of the following actions should the surgical technologist take before continuing with the closure of the uterus?
Initiate the closing count.
Obtain dressing material.
Initiate cavity count.
Prepare the urinary catheter.
The surgeon is closing an abdominal incision and needs a retention suture. Which of the following sutures would be most likely used?
PDS
Vicryl
Chromic gut
Quill
A cochlear ear implant procedure is performed to provide a sense of sound when there is permanent damage to what cranial nerve?
Accessory
Trigeminal
Trochlear
Vestibulocochlear
The manipulators possess a specific number of degrees of freedom and rotation. What does the term "degrees of freedom" refer to?
The pitch
The yaw
The up and down, left and right and rotating movement
Clockwise and counterclockwise movement
Which of the following is a possible role of a certified surgical technologist during a code blue?
Administering intravenous medications
Intubating the patient
Providing artificial respirations
Managing defibrillation when applicable
Which needle is used to establish pneumoperitoneum in a laparoscopic procedure?
Verres Needle
Keith Needle
Heparin Needle
Arterial Needle
The wound classification for a ruptured appendix that requires delayed primary closure would be:
Class I-Clean Wound
Class II- Clean Contaminated
Class III- Contaminated
Class IV- Dirty/Infected
To achieve hemostasis of the scalp edges during a craniotomy, the following are required:
Hemoclips
Raney clips
Bulldog clips
Endoclips
The surgical technologist is scrubbed in on a laparotomy. The surgeon asked for the room to be silent. The surgeon holds out his hand with his palm flat and vertical. What type of instrument should the surgical technologist be ready to pass?
Forcep
Scalpel
Clamp
Suction
Which of the following is a non-invasive procedure that determines the pitch, rhythm, quality, and sound of the peripheral vascular system?
Angiography
Computed tomography (CT Scan)
Doppler scanning and ultrasound
Doppler scanning
Which of the following procedures would require the use of a cell saver?
Appendectomy
Abdominal Aortic Aneurysm (AAA)
Gastrectomy
Total Abdominal Hysterectomy (TAH)
A hemostat is a what?
Grasping instrument
Retracting instrument
Cutting instrument
Occluding instrument
Blades may often need to be changed during a procedure. What is the safest means of changing a blade frequently?
With forceps
With a needle holder
With a clamp
With your fingers
Which of the following aneurysms is an example of a sacculated aneurysm?
Dilation within the vessel, involves at least one layer of the vessel wall.
Rupture of the blood vessel wall enables blood to escape into surrounding tissues, forming a clot.
Rupture of the inner layer, permitting blood between vessel wall layers.
Distention of the vessel wall on only one side, not around the entire circumference.
A doppler ultrasound uses both the ultrasound waves and the doppler effect. The sound is measured and reflected in a visual image. This image may detect:
Foreign substance in the blood cells
Stagnant blood cells
Moving blood
Blockage in the blood cell
What is the right-angled scissor to perform an arteriotomy together with the 11 blade?
Metzenbaum scissor
Potts scissor
Straight Mayo scissor
Jorgenson scissor
Which of the following retractors is used exclusively in OB/GYN cases?
Balfour
Army – Navy
Auvard weighted speculum
Senn retractor
During an abdominal aortic aneurysm repair, the surgeon needs to grasp a vessel. The surgical technologist will give alan:
Singleys forceps
Ferris Smith forceps
Adson Brown forceps
Debakey forceps
What is the vascular tissue that supplies blood to the duodenum and jejunum?
Mesentery
Peritoneum
Omentum
Cecum
Specimen care is critical; it will be the determinant in many cases for diagnosis. When the surgical technologist receives many specimens prior to passing them off to the circulator, they should?
Verify each one with the surgeon
Verify each one with the circulator
Verify each one with the anesthesiologist
Verify each one with the surgical resident
During surgical procedures, the circulating nurse is responsible for maintaining appropriate records of everything that takes place during the surgery. Besides the operative record, what document is a necessary and legal part of the operative record?
Lot numbers of suture packets
Instrument count sheet
Anesthesia record
Sterilization indicator strips
The surgeon is going to repair a facial laceration, what should the surgical technologist have available?
Tegasorb
Benzoin
Iodophor gauze
Steri Strips
Which of the following is used during cardiovascular and thoracic procedures to open and trim vessels?
Randall forceps
Allen clamp
Babcock tissue forceps
Potts Smith scissors
What is the main safety concern for the electrosurgical plume?
Offensive odor
Viability of cellular contents
Respiratory irritation
Eye irritation
Which of the following staplers may require reloading during an endoscopic procedure?
Linear dissecting stapler
TA stapler
Skin stapler
EEA stapler
During an inguinal hernia repair, the Penrose drain is used for retraction of which of the following structures?
Cooper's ligament
Spermatic cord
Epigastric artery
Inguinal ligament
Which of the following medications will the CST (certified surgical technologist) have ready for most vascular cases?
Lidocaine
Heparin
Bacitracin
Gelfoam
Kerrison rongeur's are the preferred instrument used during a:
Abdominoplasty
Craniotomy
Endarterectomy
Laminectomy
A breast biopsy was performed, and the mass removed en bloc. This is considered what type of biopsy?
Needle localization biopsy
Incisional biopsy
Core biopsy
Excisional biopsy
How does a lung transplant procedure start for the recipient?
Median sternotomy
Make incisions on both sides of the chest to minimize risk to heart
A horizontal incision beneath the sternum to minimize damage to sternum
Incision in the posterior thorax
During a thyroidectomy, which muscle will be retracted?
Digastric
Sternocleidomastoid
Platysma muscle
Omohyoid muscle
A patient is scheduled for a vaginal hysterectomy and is placed in a lithotomy position with Allen stirrups. The assistant is responsible for the visualization of the surgical area. What nerve is at risk for injury from inappropriate placement of retractors?
Tibial nerve
Obturator nerve
Deep femoral nerve
Sciatic nerve
Which of the following is the procedure for removal of uterine fibroids?
Endometrial ablation
Oophorectomy
Myomectomy
Hysterectomy
A Mohs procedure will treat what type of cancer?
Basal and squamous cell cancer
Melanomas
Endometrial cancer
Prostate cancer
A patient has been diagnosed with a left sliding indirect hernia. What structure is most commonly involved?
Sigmoid
Cecum
Bladder
Descending colon
Subsequent to a colon resection the peritoneum is typically sutured with what?
2-0 absorbable
2 absorbable
0 absorbable
5-0 absorbable
______ is the viewing of a joint.
Laparoscopy
Ophthalmology
Bronchoscopy
Arthroscopy
The surgeon is using an autogenous vein graft for the vascular procedure scheduled in your room. He has requested a valvulotome. What is the function of a valvulotome?
To perform a balloon angioplasty
To remove the valves in the vein that might prevent arterial blood flow
To make an incision in the vein for vascular access
To make an incision into the cornea
Which of the following conditions is an indication for a Nissen fundoplication?
Breast cancer
Gastroesophageal reflux disease
Sphincter of Oddi stenosis
Pancreatic cancer
Which of the following statements correctly describe true diverticulosis?
A. Twisting of the sigmoid colon
B. Weakness in just the mucosa and submucosa
C. Weakness in all layers of the bowel wall, typically where blood vessels enter between antimesenteric and mesenteric taenia
D. Obstruction caused by bowel telescoping
Which of the following procedures would be termed Class III (contaminated)?
Pancreatectomy
Cholecystectomy
Open fracture
Coronary artery bypass graft (CABG)
For which of the following procedures would the CST (certified surgical technologist) have a minor tray and craniotomy tray on the sterile field?
Craniotomy
Laminectomy
Thyroidectomy
Ventriculoperitoneal shunt
During a Whipple procedure, the surgeon will identify and isolate the right gastric and gastroduodenal arteries. Which of the following should the CST (certified surgical technologist) have ready to pass off?
Hemoclips
Scissors
Silk ties
Lap sponges
To preserve the uterus and a woman's fertility at child bearing age, which is the procedure of choice to perform when she has been diagnosed with uterine fibroids?
Hysterectomy
Myomectomy
Tubal Anastomosis
Dilation and Curettage
In which of the following circumstances would the use of the cell-saver be contraindicated?
During spinal fixation surgery
During an Abdominal Aortic Aneurysm repair
Anytime that there is potential contamination of the blood from bile or bowel
During surgery to repair a ruptured spleen
Which of the following sutures would the CST (certified surgical technologist) have on the sterile field for a tuboplasty?
0 absorbable
2 – 0 non – absorbable
8 – 0 absorbable
8 – 0 non – absorbable
The most common site for harvesting an autologous bone graft is the anterior or posterior iliac crest. Which of the following is not a common complication of harvesting an autologous bone graft from the iliac crest?
infection
fracture
immobility
hematoma
During hip procedures when muscle needs to be retracted, which the following is the retractor of choice?
Balfour
Bookwalter
Israel
Deaver
Which of the following procedures is appropriate for a pregnant woman with an incompetent cervix?
Episiotomy
Marsupialization
Shiller’s
Shirodkar’s
Which of the following refers to a procedure for removal of the globe of the eyeball in patients with a malignant neoplasm?
Iridectomy
Enucleation
Dacryocystorhinostomy
Scleral buckle
Which incision would provide the best approach and visualization for an open cholecystectomy?
Left Kocher incision
Right Kocher incision
Left Flank incision
Right Flank incision
Removing a kidney due to a tumor, disease or injury is referred to as?
Nephrostomy
Nephrectomy
Nephroscopy
Nephroureterectomy
A patient diagnosed with PAD, Peripheral artery disease, will commonly experience claudication. What is a symptom of claudication?
Cramping pain, usually during exercise
Syncope
Bradycardia
Thrombocytopenia
Which of the following procedures would establish a new connection between the common bile duct and duodenum?
Cholecystectomy
Choledochojejunostomy
CBDE
Choledochoduodenostomy
Many orthopedic procedures require precise steps to be incorporated to achieve a positive outcome. During an ORIF (open reduction internal fixation) after the surgeon used a drill and drill guide to drill the first hole, what would be next?
Tap the hole if self tapping screws are used
Insert screw
Place bone holder
Measure with a depth gauge
Which of the following is a passive warming technique that should not be used intra-operatively to prevent hypothermia?
Warmed cotton or reflective blankets
Forced-air warming
Energy transfer pads
Circulating water garments
Resection of a vestibular schwannoma is performed to remove tumors from the branch of what cranial nerve?
VII
X
III
VIII
What is the purpose of using an argon enhanced electrosurgery?
It focuses the current to a specific area
Increases smoke plume
Decreases the efficiency of the procedure
Causes spark to occur
What will the CST (certified surgical technologist) do with soiled sponges at the surgical field?
Pass them to the circulator
Discard them into a kick bucket
Keep them in a safe area on the back table
Leave them on the operative field
A surgical position not often used in minimally invasive surgery is:
Lithotomy
Prone
Supine
Lateral
A patient diagnosed with a thyroid disorder and hyperthyroidism. The patient is scheduled for a thyroidectomy. What type of skin incision be made?
Lanz
Maylard
Langer's lines
Chevron
What dressing should the surgical technologist have available for a hydrocelectomy?
Ace bandage
Gauze packing
Scrotal support
Elastoplast
A Laparoscopic surgical procedure would convert to the traditional open approach for what reason?
It will allow a faster recovery for the patient.
It will provide better exposure and visualization.
It will help prevent infection and sepsis.
It will minimize adhesions.
Which of the following instruments should the CST (certified surgical technologist) have ready after the initial incision is made?
Army-Navy retractor
Bovie pencil
Metzenbaum scissors
Kelly clamps
When an intra-operative X-ray is required, to ensure prevention of contamination between the surgical patient and the surgical technologist, what needs to take place?
The surgical technologist steps out of the room.
The surgical technologist needs to don a lead apron.
The X-ray machine needs to be closer to the surgical patient.
The X-ray cassette needs to be covered with a sterile cover.
Which of the following procedures involves the passage of a small camera through the distal gastrointestinal tract?
Upper endoscopy
Colonoscopy
Salpingoophorectomy
Video-assist thoracotomy
The surgeon is doing an ulnar nerve repair, what is used and passed around the freed segment of the nerve to aid in handling it for further dissection until the length of the nerve has been freed?
Umbilical tapes
Cottonoid patties
Kitner
Ray-tec sponge
What term best describes performing a surgical procedure in real time from a distant location?
Expert system
Telemedicine
Geometry
Telesurgery
Which of the following retractors will the CST (certified surgical technologist) have ready for an open appendectomy?
Rongeur
Army – Navy
O’Connor – O’Sullivan
Weitlaner
Where does the surgical team member manipulating the camera usually stand during a laparoscopic cholecystectomy?
On the right side of the operating room table across from the surgeon.
To the right of the surgeon
At the head of the table
At the foot of the table
Who is the member of the surgical team who determines where the tourniquet is placed?
Surgeon
Surgical Technologist
Circulating Nurse
Anesthesiologist
Which of the following postoperative complications can result in bowel obstructions?
Surgical site hemorrhage
Evisceration
Adhesions
Dehiscence
What is the appropriate sequence of events when performing basic life support (BLS) for an infant who is choking?
Hold the patient so their head is below their body, do 5 chest thrusts, turn patient over, do 5 back blows, then repeat.
Hold patient so their head is above their body, do 5 chest thrusts, turn the patient over so their head is below their body, do 5 back blows, then repeat.
Hold patient so their head is above their body, do 5 chest thrusts, then the patient face up, then do 5 back blows, then repeat.
Hold patient so their head is below their body, do 5 back blows, turn the patient face up, then do 5 chest thrusts, then repeat.
The surgeon is performing a cesarean section, which retractor is used to protect the bladder?
Goodell
O’Sullivan-O’Connor
De Lee
Heaney-Ballantine
After developing seizures, your child is referred to a neurologist. They have diagnosed them with hydrocephalus, or water on the brain. What is the recommended permanent treatment to correct this pathology?
V-P shunt
Craniotomy
Decompressive craniectomy
Burr hole placement
The surgeon is going to perform a tuboplasty; what solution should the surgical technologist have on the sterile field?
Monsel’s solution
Vasopressin
Lugol’s solution
Indigo carmine
Peptic Ulcer disease is treated by completing a vagotomy with pyloroplasty. What cranial nerve will be ligated during the procedure?
Cranial nerve VII
Cranial nerve I
Cranial nerve X
Cranial nerve XI
What term is used to refer to a hernia when both a direct and indirect hernia is present?
Richter's
Hiatal
Pantaloon
Ventral
You are assigned to OR2. The surgeon approaches you and asks that you make sure you have a tumescent solution for the first case. What type of procedure is the surgeon performing?
TURP
Liposuction
Compound fracture
Bowel resection
