WorksheetsPre op questions
Total questions: 108
Worksheet time: 54mins
Which of the following positions requires the patient's lower extremities elevated?
Reverse Trendelenburg
Supine
Lateral
Trendelenburg
Which of the following surgeries is indicated in patients with biliary cirrhosis?
Coronary artery bypass graft
Transcatheter aortic valve replacement
Liver transplant
Renal transplantation
Patients with severe and symptomatic spinal stenosis will require to undergo a/an?
Laminectomy
Mastectomy
Lumpectomy
Arthroplasty
Which of the following is a task generally assigned to the circulating surgical technologist?
Cutting sutures as he or she sees fit.
Maintaining the retractor in such a position indicated by the surgeon.
Supporting anesthesia providers.
Assisting with electrocautery of bleeders.
Prepping parameters of a surgical site should:
Only prep the immediate area where the surgical incision will be
Only prep 2 inches above and 2 inches below the site of the surgical incision
Always prep above and below (beyond) the surgical incision site
Never go beyond the area where the surgical intervention will take place
When organizing the Mayo stand, the CST should:
Place only instruments the surgeon is likely to use
Keep the Mayo away from the operating table until the surgeon asks for it
Put nothing on the Mayo stand
Have only clamps and sponges on the Mayo stand
The surgical team has been preparing the room for a case; once the sterile field has been set up, the circulator notifies the surgical technologist the case has been delayed for a few hours. What is the best course of action that should take place next?
Cover the sterile field with a sterile drape and break scrub.
Break down all of the supplies since they should not be exposed to potential contaminants over the next few hours.
Take turns with the circulator to monitor the supplies and each take a 30 minute break.
Ask the Anesthesiologist why the case has been delayed.
Which piece of furniture is placed at the sterile field first?
Back table
Prep table
Mayo stand
Ring stand
During which phase of the wound healing process does platelet aggregation occur?
Inflammatory phase
Proliferative phase
Remodeling phase
Maturation phase
What is the preferred method for the circulator to pass off sharps to the CST (certified surgical technologist) during a back table set-up?
Opening onto an exposed area of the back table
Opening onto the Mayo stand
Held until the CST can receive them
Opening on the back table before the CST goes to scrub
What distance must the certified surgical technologist (CST) keep from the sterile areas until the gown has been secured?
12 inches
24 inches
6 inches
36 inches
What can a CST (certified surgical technologist) be accused of if he/she leaves the Operating Room (OR) before the patient?
End of Case
Abandonment
Accountability
Standard of Care
Which of the following statements is a disadvantage of proper steam sterilization methodologies?
Any type of resistant and protective outer layer of microorganisms is softened by steam
Most economical sterilizing process
It is the safest
Not all items can be steam sterilized.
When closed gloving, where should the surgical technologist place their hand?
in the bias of the gown sleeve in order to don sterile gloves
before the bias of the gown sleeve in order to don sterile gloves
outside the bias of the gown sleeve in order to don sterile gloves
anyway they feel comfortable as long as they get their sterile gloves on
Which of the following monofilament sutures can be used for sternal closure?
Maxon
Chromic gut
Stainless steel
Prolene
Which of the following standard surgical positions places the patient on the table either on their left or right side down?
Lithotomy position
Fowler's surgical position
Prone surgical position
Lateral surgical position
Patients with acute cholecystitis will need to undergo what surgical procedure?
Coronary artery bypass graft
Transcatheter aortic valve replacement
Liver transplantation
Cholecystectomy
You are in the process of inspecting your forceps before placing them on your mayo stand. You notice what appears to be baked tissue in the jaws of your Bonney forceps. What is best practice at this juncture in your set-up?
Clean the Bonney forceps with your normal saline and continue with your set-up.
Isolate the Bonney forceps on your back table and continue with your set-up.
Pass off your Bonney forceps and continue with your set-up.
Consider your entire set-up contaminated and start over with an entirely new set-up.
The position that begins with the patient lying on their side, and then flexes one leg at the hip and knee is referred to as the?
Lithotomy surgical position
Fowler's surgical position
Prone surgical position
Sims' surgical position
What is the 'golden hour'?
The hour immediately after surgery
The hour prior to induction of anesthesia
The initial hour after a traumatic injury
The first hour of a work shift
The following procedure is indicated in patients with metastatic breast cancer
Vasectomy
Mastectomy
Lumpectomy
Arthroplasty
What must the CST (certified surgical technologist) do prior to opening sterile supplies?
Inspect outer packages for tears
Verify sterility by checking chemical indicators
Ignore the expiration date
Do nothing
Which of the following is a non-penetrating towel a-traumatic clip used to secure cords or drapes?
Backhaus
Edna
Jones
Roeder
What is the first item the CST (certified surgical technologist) will hand off to the surgeon prior to the beginning of the case?
Surgical drapes
Medication
Scalpel
Electrocautery
Which of the following is a safe practice regarding the use of sharps?
Having the surgeon place sharps on a designated area on the Mayo stand
Allowing the surgeon to toss the sharp on the Mayo stand
Passing sharps with the cutting edge angled upward
Loading and passing sharps upon request
When opening a sterile item, the first flap is opened in which direction?
Toward you
Away from you
To the left
To the right
Which of the following surgeries is indicated in patients with thyroid carcinoma?
Laparoscopic appendectomy
Proctocolectomy
Partial thyroidectomy
Total thyroidectomy
What is the first sterile area prepared by the CST (certified surgical technologist)?
Mayo stand
Basin set
Prep table
Back table
An oscillating saw moves in which motion?
Up and down motion
Side to side motion
Back and forth motion
Circular motion
Which of the following is NOT an advantage of minimally invasive surgery (MIS)?
Increased blood loss
Rapid return of intestinal function
Faster recovery time
Decreased risk of infection
Upon receiving medications onto the sterile field, what is the first task the CST (certified surgical technologist) must perform?
Label all medications
Draw medications into proper syringes
Leave them until the surgeon asks
Nothing further needs to be done
Which of the following techniques will the CST (certified surgical technologist) employ when donning gloves immediately after gowning?
Open glove technique
Traditional gloving
Closed glove technique
Single glove technique
Minimally invasive surgery (MIS), such as laparoscopy, requires:
Long surgical and audio systems
Short instrumentation
Telescopic and imaging systems
Imaging and audio systems
When assisting in pediatric cases, the CST (certified surgical technologist) should always remember which of the following statements?
A) Children are not small adults
B) When in doubt, throw it out
C) They will have a loss of subcutaneous fat
D) Anti-embolic stockings will be used to prevent thromboembolism
Which of the following is the incision of choice for an appendectomy?
Subcostal
McBurney's
Transverse
Left paramedian
The surgical technologist, when donning their gown, should do which of the following?
Grab the gown below the neckline
Grab the gown at the neckline
Grab the gown below the neckline and step away
Grab the gown and let it unfold
A surgical technologist can cover a sterile table for use later under which of the following circumstances?
In an emergency
Up to an hour before a procedure
Up to two hours before a procedure
No circumstances
What is the purpose of the surgical scrub?
Removal of transient flora and reduction of resident flora
Removal of dead skin
General hand hygiene
Complete removal of resident flora
When should sterile supplies be opened?
While the CST (certified surgical technologist) is performing instrument counts
As close to the time of surgery as possible
During the procedure
When the surgeon needs them
The surgery indicated for patients with acute appendicitis is?
Laparoscopic appendectomy
Proctocolectomy
Partial thyroidectomy
Total thyroidectomy
In the operating room, the primary source of any airborne bacteria transmitted to the patient is:
Equipment
Surgical team
ESU
Patient
A surgeon’s preference card indicates the surgeon prefers a cloth towel, medium cloth gown, and size 7 gloves. The surgical assistant prefers a paper towel, small paper gown, and size 6 gloves. This assistant scrubs in first in most cases. What is the correct order from bottom to top for correct placement of the personal protective equipment on your sterile field?
Towel, small paper gown, size 6 gloves, medium cloth gown, size 7 gloves
Towel, size 6 gloves, small paper gown, towel, size 7 gloves, medium cloth gown
Towel, small paper gown, medium cloth gown, size 6 gloves, size 7 gloves
Size 7 gloves, medium cloth gown, cloth towel, size 6 gloves, small paper gown, paper towel
Which procedures is linked with gastric bypass surgery for morbidly obese patients?
Cholecystectomy
Pancreatectomy
Gastrectomy
Appendectomy
Which of the following precautions should the surgical team take during a procedure performed under fluoroscopy?
Don full body and neck lead
Stand far away from the patient
Don skirt apron only
Stand behind lead screen
Which of the following procedures is indicated in patients with severe brain swelling following trauma?
Esophagectomy
Craniotomy
Flexible sigmoidoscopy
Hysterectomy
craniectomy
What is the procedure for managing dressing sponges pre-operatively?
Dressing sponges can be opened onto the sterile field as long as they are not used in place of radiography detectable sponges.
Dressing sponges should be held until final closing counts have been deemed correct, and the surgical procedure has concluded.
Dressing sponges can be opened after the first closing count.
Provided you have enough extra clean radiography detectable sponges after the surgical procedure has concluded, you don’t need to open dressing sponges.
What type of dressing draws fluids from the wound and allows for the passage of air?
Partially occlusive
Semi occlusive
Occlusive
Non occlusive
The following surgical position is used when performing upper abdominal surgeries?
Supine surgical position
Trendelenburg surgical position
Jack knife surgical position
Reverse Trendelenburg surgical position
In the operating room, the healthcare professionals responsible for performing all counts are:
A) Circulator and surgeon
B) Circulator and surgical technologist
C) Circulator and first assistant
D) Circulator and nursing assistant
Back table packs once oriented should be opened as follows?
Center the pack on the table with long ends front and back
Place the pack to the right with short end to the right
Place the pack to the left with short end to the left
Center the pack with long ends left and right
To prevent damage, a telescope should never be carried:
Without a container
With one hand
By its shaft
By its head
After opening your sterile gown onto your mayo stand, you deliver your peel packaged sterile gloves. As the gloves leave the package, they slide off of the package edge and onto the sterile towel and gown. What is your next move?
Get rid of the gown wrapper and contents and open a new gown and a new pair of gloves.
Just leave the room and perform my surgical hand scrub.
Open another pair of surgical gloves to the area beside the sterile gown.
When grabbing your gown after your brushless scrub, only touch the inside of the gown wrapper to retrieve your gloves to the inside sterile gloves.
Which of the following is preferred for closing the abdominal fascia?
Continuous monofilament suture
Continuous multifilament suture
Interrupted monofilament sutures
Interrupted multifilament sutures
Pediatric patients lack this; therefore, it may be difficult to determine whether if they are suffering from hypothermia.
Ability to make a request for a blanket
Bladder control
Shivering ability
Speaking ability
What is the primary role of the CST (certified surgical technologist) in wound management?
Having the proper dressing prepared
Maintenance of the sterile field
Have sharps ready on the operative field
Keeping the wound dry
What is the first step the CST must perform in the event of a sponge miscount in the preoperative phase of case management?
Perform a re-count
Dispose of the miscounted sponges
Alert the surgeon
Continue with the preoperative count
The following procedure is indicated in patients with Hodgkin's lymphoma?
Splenectomy
Colonoscopy
Salpingo-oophorectomy
Video-assist thoracotomy
The return electrode for the ESU in a cholecystectomy will be placed:
On the upper chest
The posterior thigh
On the patient's bicep
Anterior portion of the thigh
The following are all components required when applying a pneumatic tourniquet. Which is the first step?
Wrapping the extremity with the Esmarch.
Applying the tourniquet.
Prepping the extremity.
Padding the area with webril where the tourniquet will be placed.
Once the patient is anesthetized and the surgeon comes in the room and is ready to drape the patient, the surgical technologist should?
Completely open the drape on their back table before placement.
Reach over the patient to pass off the drape.
Once placed the drape on the patient readjust if necessary.
Pass off the drape by grasping the edge and forming a cuff to cover their hands to prevent contamination.
During placement of the laparotomy drape on your patient, you notice the fenestration shift off-center beyond the toweled-out incision site. Identify best practices for addressing this situation.
Ask the circulator to remove the contaminated drape and provide you a new one.
Ask the circulator to remove the contaminated drape and towels and re-prep and re-drape the patient.
Pull the fenestration back to the center.
Request another drape to place on top of the existing drape and make sure it is centered.
What must the CST (certified surgical technologist) be prepared for when assisting on trauma cases?
Use of lap sponges
The possibility of multiple procedures
Lack of communication among team members
Extensive room turnover
Once the patient has been brought to the room, if during the first count the surgical technologist drops a lap pad, it:
is collected by the circulator as part of the count
may be bagged and tossed in the waste
is disposed of
is picked up and used
A patient with inflammation involving the appendix would undergo what surgical procedure?
Laparoscopic appendectomy
Proctocolectomy
Partial thyroidectomy
Total thyroidectomy
Donning PPE is inclusive of eye protection: appropriate eye protection would consist of what?
Eye protection should permit adequate peripheral vision.
Because face shields open from the top, they should only be worn with goggles.
To ensure a proper seal, eye protection will be tight enough to produce some amount of discomfort.
Removal of eye protection does not require aseptic technique.
Which of the following is a principle of back table set-up a CST (certified surgical technologist) should know?
Develop and maintain a logical pattern and repeat for every case
Set up differently for every case
Always consult with the circulator while setting up the back table
Work all sections of the table at once
The following procedure is indicated in patients with severe intractable joint pain.
Vasectomy
Mastectomy
Lumpectomy
Arthroplasty
Why is a surgical scrub performed?
Reduce resident flora and rid of transient flora
Protect the surgical technologist from potential of infectious microorganisms
Sterilize the skin prior to contact with a patient
Disinfect the skin against any potential pathogens
Which of the following closure devices should the CST (certified surgical technologist) have ready for use on obese patients?
Derma - Bond
Montgomery straps
Butterfly bandages
Mesh
When performing a laparoscopic procedure, it is important to have the following instrumentation available on the sterile field:
Bookwalter
Osteotome and curette
Drills and depth gauge
Trocars and veress needle
Surgery for lower pilonidal sinus excision requires the patient to be placed in which following positions?
Supine
Trendelenburg
Jack knife (krask)
Reverse Trendelenburg
After the patient has been draped, what is the furniture the surgical technologist should bring up to the field first?
Back table
Kick bucket
Mayo stand
ESU unit
The following refers to the wound closure of a wound that is not sutured but heals from the base as granulation tissue forms?
Primary intention
Secondary intention
Third intention
Proliferative healing
When positioning a patient on the operating room surgical table, the surgical team must consider which of the following?
Arms should never be extended away from the body at an angle greater than 110 degrees.
The patient's position can be changed upon request by the surgical assistant.
A horseshoe rest is used to support a patient's head in the prone position.
Positioning injuries are usually caused by equipment malfunction.
Which of the following is a primary factor that can affect wound healing?
Type of dressing
The patient's physical condition
Time of procedure
Surgical approach
An example of a multifilament nonabsorbable suture is?
Polyglycolic acid/Dexon
Plain gut
Surgical silk
Polyglactinone 25/Monocryl
Which of the following surgeries is indicated in patients with severe trauma involving both renal veins and leading to acute renal failure?
Coronary artery bypass graft
Transcatheter aortic valve replacement
Liver transplantation
Kidney transplant
Surgery for cancer invading the common bile duct, may provide palliative care by performing which of the following procedure?
Laparoscopic appendectomy
Proctocolectomy
Partial thyroidectomy
Whipple procedure
The following procedure is indicated in patients requiring a pulmonary lobectomy for cancer?
Upper endoscopy
Colonoscopy
Salpingoophorectomy
Video-assist thoracotomy
A 65-year-old diabetic man enters the emergency room with a penetrating stomach wound. Which of the following would increase his risk of surgical site infection?
Insulin use for diabetes treatment
Alcohol abuse
Previous surgery
Blood thinners
What type of shock is most commonly seen in infants and children in the operating room?
Septic shock
Hypovolemic shock
Cardiogenic shock
Neurogenic shock
The Patient Return Electrode (PRE) must be placed over:
Implants
Small muscle masses
Bony protuberances
Large muscle masses
The CST (certified surgical technologist) must do what prior to accepting medications onto the sterile field?
Have a medication cup ready
Verify the dosage with the circulator
Prepare hypodermic needle and syringe
Verify the name and dosage of the medication
Which phase of anesthesia occurs intraoperatively?
Maintenance
Induction
Recovery
Emergence
The certified surgical technologist (CST) must don a sterile gown and sterile gloves, prior to approaching their sterile field. They are to never fold their arms and place palms in their axillary region of their gown. This is because?
The axilla is part of the sterile gown.
The axillary regions are not considered sterile.
Once turning the gown, it is all considered sterile.
The axilla cannot be verified.
Which of the following positions is frequently used in cranial procedures?
Trendelenburg
Kraske
Fowler’s
Sim’s
Upon opening your back-table pack in the non-sterile role, you find that it contains a wrapped sterile basin set. Describe best practices for obtaining the basin set to open it and retrieve its contents.
Continue opening your other items with a plan to place the wrapped sterile basin into a ring stand so you can open it after you are in the first scrub role.
Continue opening your other items with a plan to pass off the sterile basin set to your circulator to open after you are in the first scrub role.
Get rid of this pack and find one without a basin inside of it.
Grab the basin set off of the opened back-table, place it in a ring stand, and open it.
In preparation for a surgical procedure it is imperative that the surgical team prepare all necessary equipment and supplies, as well as ensure everything is functioning. These activities are best accomplished during?
Intraoperative phase
Preoperative phase
Decontamination phase
Postoperative phase
What is the term for patients who are 100 pounds over their ideal body weight?
Morbid obesity
Physically – challenged
Obese
Comorbid ailments
A CST (certified surgical technologist) must possess a keen surgical conscience, knowledge of aseptic technique, and the ability to:
Set up a sterile field
Stand aside during emergencies
Perform a basic hand wash
Solve problems
The surgical procedure indicated for a patient with end stage renal failure is?
Coronary artery bypass graft
Transcatheter aortic valve replacement
Liver transplantation
Renal transplantation
Appropriately performing the skin prep requires:
Use of the same sponge to back over an area that could have been missed
Prepping a contaminated area first
Use of separate sponges for each area
Allow for fluids to pool under the patient
The best instrument to use to secure the electrocautery cord and suction tubing onto the sterile field, is which of the following?
Backhaus
Hemostat
Allis
Kocher
Identify the position utilized for colonoscopy procedures.
Fowlers
Reverse Trendelenburg
Sims
Trendelenburg
Regardless of the surgical procedure that a patient will be undergoing, all surgical patients are initially placed in which position?
Trendelenburg position
Lithotomy position
Supine position
Jackknife position
Prior to a surgical procedure, all the following must be removed by the nurse in the holding area except?
plates and screws
prosthesis
hearing aids
contact lenses
What is the intraoperative medical condition characterized by elevated temperature and uncontrolled muscle spasms?
Malignant hyperthermia
Anaphylaxis
Seizure
Hypertensive crisis
Which of the following graspers will the CST (certified surgical technologist) have ready for use in an appendectomy?
Kocher
Babcock
Lane
Allis
Balloon dissectors can be used as an alternative to which of the following devices?
Veress needle
Port
Trocar
Cannula with sheath
When the CST is across the table from the surgeon, what technique should be used when passing instrumentation?
Non-dominant hand to non-dominant hand
Dominant hand to dominant hand
allow the surgeon to take instruments from the mayo stand
no special technique is required
The case cart for the next case in an operating room should be brought in?
after the room has been turned over
after the operating room table is made
after the previous patient leaves the room
after all the furniture is dry
placing a rolled sheet, pad or blanket to elevate a pregnant patients right hip is done to relieve pressure from?
sciatic nerve
kidney
abdominal aorta and vena cava
bladder
which of the following positions will a patient be placed for a mediastinoscopy
prone
low lithotomy
supine
trendelenburg
which of the following standard surgical positions is used in pilonidal sinus excision
lithotomy surgical position
fowlers surgical position
prone surgical position
lateral surgical position
what type of sutures are Silk, and Mersilene?
absorbable sutures
multifilament sutures
synthetic sutures
monofilament sutures
which of the following is the correct sequence of actions when performing a sponge count before starting a case?
remove paper bands before separating sponges into separate piles
leave paper bands on and fanfold each sponge while counting
remove paper bands and keep all sponges stacked in one pile
remove paper bands and place sponges in a fanfold to count
which of the following positions places the patient on their back and then flexes the hips and knees?
lithotomy surgical position
fowlers surgical position
prone surgical position
lateral surgical position
which of the following is not true of the surgical scrub?
there is a timed method and a counted method
increasing the duration of the scrub is the most effective method of reducing the bioburden of microorganisms
the surgical scrub eliminates transient flora and reduces resident flora
subsequent to the first scrub of the day Avaguard may be used for subsequent cases
