Surgical Tech Practice Exam

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To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following 2 vessels.

a. Internal Mammary artery to the affected coronary artery
b. Subclavian artery to the affected artery
c. Internal Mammary to Aorta
d. Subclavian artery to aorta

a. Internal mammary to the affected coronary

The drug most commonly used to treat ventricular tachycardia is

a. Epinephrine
b. Nitroglycerin
c. Lidocaine
d. Norepinephrine

c. Lidocaine

An ideal environment for holding the preoperative patient is a

a. Dimly lit quiet room
b. Brightly lit quiet room
c. Warm busy room
d. Cool, busy room

a. Dimly lit quiet room

Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infants stomach?

a. Gastrotomy
b. Nissan Fundoplication
C. Heller Myotomy
D. Pyloromyotmy

d. Pyloromyotomy

A cardiac arrest occurs during a procedure, the surgeon is resuscitation the patient. What is the responsibility of the surgical tech in the scrub role during this time?

a. Hand the dr. a loaded needle holder and forceps for closing
b. Break scrub and call for help
c. Remain sterile and maintain the sterile field
d. Move the electrosurgical unit away from the operating table

c. Remain sterile and maintain the field

Which of the following is the definition of instrument sterilization?

a. surgical cleaning with an antiseptic
b. manual decontamination
c. Destruction of microorganisms
d. Reduction of bacteria

c. Destruction of microorganisms

A preference card indicates a surgeon prefers a large paper gown and size 7.5 gloves and the assistant prefers an xl gown and size 8 gloves. The assistant usually scrubs first, in which order should the surgical attire be stacked from top to bottom?

a. towel,, xl gown, 7.5 gloves, towel, large gown, size 8 gloves
b. size 7.5 gloves, xl gown, towel, size 8 gloves, large gown, size 7.5 gloves
c. towel, xl gown, size 8 gloves, towel large gowns, size 7.5 gown

c.

Which of the following types of anesthetic is injected during a beir block?

a. Marcaine
b. Lidocaine with epi
c. Marcaine with epi
d. Lidocaine

d. Lidocaine

Aerobic organisms are BEST characterized as

a. Pathogenic
b. Nonpathogenic
c. Oxygen requiring
b. Non-oxygen requiring

c. Oxygen requiring

When positioning the patient in lithotomy position, the stirrups height should be adjusted according to the

a. height of the first assistant
b. manufacturer's recommendations
c. Height of the surgeon
d. Length of the patients legs

d. Length of the pt's legs

Which of the following is applied as a nonadherent dressing?

a. Adaptic
b. Collodion
C. Steri-strips

a. Adaptic

Which of the following conditions triggered by an injection of succinylcholine and causes an unusually high fever?

a. Osteomyelitis
b. Sepsis
c. Malignant hyperthermia
d. Appendicitis

c. Malignant myperthermia

When performing a dilation and curettage, which of the following instruments is used to grasp the cervix?

a. Sims
b. Auvard
c. Schroeder
d. Bozeman

c. Schroeder

The sterrad sterilization system MOST commonly uses which of the following chemical solutions?

a. Hydrogen peroxide
b. gluteraldehyde
c. Peracetic acid
d. carbon dioxide

a. hydrogen peroxide

Which of the following should be visualized on a xray to determine if a long bone is still growing?

a. periosteum
b. diaphysis
c. medullary canal
d. epiphyseal plate

d. epiphyseal plate

What type of incision is typically used for an open cholecystectomy?

a. McBurney's
b. Phannenstiel
c. Midline
d. Subcostal

d. Subcostal

Which of the following should be removed LAST by the ST in the scrub role to prevent contamination of the surgical procedure?

a. Patient's drapes
b.Surgical Gloves
C. Surgical Mask
D. Mayo cover

c. Surgical Mask

A chemical solution used to sterilize instruments by immersing them for at least 10 hrs is

a. activated glutaraldehyde
b. sodium hypochlorite
c. aqueous formaldehyde
d. methyl phenol

a. gluteraldehyde

Heany clamps are used for a

a. Hysterectomy
b. Lobectomy
c. cystecomy
d. gastrectomy

a. hysterectomy

Which of the following is done first when performing a myringotomy?

a. Insertion of the tube
b. Incision of the tympanic membrane
c. suctioning of the fluid of the middle ear
d. removal of cerumen from the ear canal

d. removal of cerumen (ear wax) from the ear canal

A circlage procedure is performed for which of the following conditions?

a. Bartholians cyst
b. ectopic pregnancy
c. incompetent cervix
d. placenta previa

c. incompetent cervix

A laparotomy drape has been placed on a pt and unprepped skin on the operative site is exposed. Which of the following is the BEST next step?

a. appy drapes over unprepped skin
b. reposition the drapes closer together
c. remove drapes and re prep
d. cover with an adhesive drape

c.remove drapes and re-prep

Which of the following catheters is MOST commonly used to perform an embolectomy?

a.Robinson
b. Fogarty
c. Malecot
d. angiocath

b. fogarty

Which of the following should be the MINIMUM exposure time in a flash sterilizer for unwrapped instruments?

a.1 min
b. 3 mins
c. 5 mins
d. 7 mins

b. 3 mins

Traction sutures are used on common bile duct explorations to

a. hold the duct open
b. permanently close the duct
c. ligate the duct
d. seal the stones inside

a. hold the duct open

Which of the following anesthetics is administered intravenously?

a. enflurane
b. nitrous oxide
c. propofol
d. methoxyflurane

c. propofol

At patient's dentures are removed in the OR. Which of the following is the proper procedure for the care of the dentures?

a. return them to the patient's unit and leave them at the nurses station
b. place them in a labeled denture cup and keep them with the pt
c. wrap them in a paper towel and give them to the anesthesiologist
d. Ask the circulator to return them to the pt's room

b. put them in a denture cup and label them and keep with the pt

Which of the following is responsible for the proper care and handling of an intraoperative specimen?

a. ST in the scrub role and the anesthetist
b. ST in the scrub role and the circulator
c. ST in the first assist role and the surgeon

b.

A surgical technologist sees a neighbor being admitted. How should he respond?

a. acknowledge the neighbor
b. Reassure the neighbor that everything is fine
c.Do not acknowledge the neighbor unless greeted first

c.Do not acknowledge the neighbor unless greeted first

Which of the following is MOST resistant to sterilization processes?

a. virus
b. spore
c. spirochete
d. fungus

b. spores

A tourniquet is used in which of the following procedures?

a. patellectomy
b. ORIF hip
c. shoulder arthroscopy

a. patellectomy

Which of the following wounds is most likely in the inflammatory phase of wound healing?

a. a Bankart repair, one week post procedure
b. a laparotomy incision with a cicatrix
c. an ORIF of a finger, 2 weeks post op
d. an abdominal incision 20 mins post closure

d. abdominal incision 20 mins post op

Which of the following procedures is used for removal of embolus?

a. endarterectomy
b. balloon catheterization
c. aneurysmectomy
d. fasciotomy

b. balloon catheterization

During a craniotomy, which of the following types of bone is entered?

a. Flat
b. round
c. long
d. irregular

d. irregular
flat bone are found in the scapula, sternum, and pelvic girdle
round bones are found in the tendons, patella, or head of the metatarsals
long bones are found in the arms, legs and consist of a shaft and 2 ends
irregular bones are found in the skull and vertebreal column

Which of the following instruments are found in a basic laparotomy set?

a. castro needle holder
b. mayo scissors
c.dandy clamp
d. raney clip applier

b. mayo scissors

Which of the following is the correct order, from the outermost to innermost layer, of tissues that compose the wall of of the stomach and small intestine?

1. submucuosa
2. muscularis
3. serosa
4. mucosa

a. 1,4,2,3
b. 3,2,1,4
c. 1,2,4,3
d. 3,4,2,1

b. Serosa, muscularis, submucosa, mucosa

A power saw is not functioning. Which of the following is the most likely cause?

a. It is not plugged in to the electrical outlet
b. The battery has not been adequately charged
c. It has not been joined to the foot pedal

b. the battery has not been adequately charged

Which of the following instruments may be used to extend the arteriotomy during a femoral-femoral bypass?

a. Straight mayo
b. Potts-Smith
c. Jorgenson
d. Stevens tenotomy

b. Potts-Smith

Which of the following classifications of disinfection is used to kill all bacteria, viruses, and fungi?

a. low level
b. intermediate level
c. high level
d. antiseptic

c. high level
a.low level disinfectants kill most vegetative bacteria, fungi, and least resistant viruses
b.intermidiate level kills most bacteria, viruses, and fungi
c.high level kills all bateria, viruses,fungi, and spores
d. antiseptic is used on the skin and has a broad sprectrum anitmicrobial action

In a steam autoclave set on prevacuum, the minimum temperature that must be reached is

a. 200
b. 230
c. 250
d. 270

d. 270

The PRIMARY consideration in selecting an appropriate anesthetic agent is the

a. physiologic condition of the patient
b. length of the procedure
c. type of procedure
d. anxiety level of the patient

a. physiologic condition of the patient

Which of the following positions is used in mastopexy?

a. kraske
b. dorsal recumbent
c. lateral Simms
d. Fowlers

b. Dorsal recumbant
Kraske (jackkinfe)
Dorsal recumbent (supine)
Fowlers (sitting) for shoulder area

Surgery to repair a Colles fracture is performed on which of the following bone?

a. Long
b. short
c. flat
d. irregular

a. long
colles fractures occure to the distal radial head

The surgical tech in the scrub role should remain sterile following which of the following surgical procedures?

a. Laparoscopic Cholecystectomy
b. Carotid endarterectomy
c. total hip arthroplasty
c. typanoplasty

b. carotid endarterectomy

Which of the following is a monofiliment suture?

a. silk
b. cotton
c. ethibond
d. prolene

d. prolene

A circumferential bandage should be applied to an extremity

a. proximal to distal
b. distal to proximal
c. ventral to dorsal
d. dorsal to ventral

b. distal to proximal
this pushes blood towards the trunk of the body

A patient has arrived in the operating room for a bilateral mastectomy. She is crying inconsolably. the surgical tech can best console her by saying which of the following?

a. I am sure we will be able to remove all of the cancer
b. everything will be fine
c. your surgeon is the best
d. we are going to give you the best care possible

d.

If an adult patient refuses a blood transfusion, the surgical staff should

a. not administer blood to the patient
b. administer blood only in an emergency
c. administer blood only after sedation
d. not perform any procedure that may require a transfusion

a. not administer blood

The surgeon asks a surgical tech to place a drop of mydriatic solution in the OD. As a result of this medication, the pupil of the

a. right eye will dilate
b. left eye will dilate
c. right eye will constrict
d. left eye will constrict

a. right eye will dilate
mydriactic will dilate the pupil
Od means right eye
OS means left eye

Which of the following is the opening in the occipital bone through which the spinal cord passes

a. foramen ovale
b. foramen magnum
c. foramen rotundum
d. foramen Bochdalek

b. foramen magnum
foraoen ovale is the opening between the two atria of the fetal heart
foramen rotundum is an opening in the sphenoid bone
foramen of bochdalek is a fetal diaphragmatic opening

Herniation of the rectum through a weakened posterior vaginal wall is known as a

a. rectocele
b. cystocele
c. varicocele
d. enterocele

a. rectocele

Which of the following verifies that autoclave sterilization occurred?

a. Chemical indicator
b. julian date
c. heat sensitive tape
d. biological indicator

d. biological indicator

A resectoscope is used in which of the following prostatic approaches?

a. perineal
b. suprapubic
c. retropubic
d. transurethral

d. transurethral

Which of the following is reshaped during total hip arthroplasty?

a. fibula
b. acetabulum
c. iliac crest
d. tibia

b. acetabulum

Which of the following is a sign of cardiac arrest?

a.edema
b. convulsion
c. cyanosis
d. hypertension

c. cyanosis

Which of the following anticoagulants should be given during a vascular procedure to prevent blood clotting?

a. heparin
b.protamine
c. atropine
d. epinephrine

a. heparin

Which of the following procedures should be followed when performing counts in an emergency situation?

a. all counts must be done
b. omit counts but document on the operative record
c. only an initial count it required
d. only count lap sponges

b. omit counts but document

Place the following phases of wound healing by first intention in correct order from first to last.

1. proliferation
2. remodeling
3. inflammatory

a. 1,2,3
b. 2,1,3
c. 3,1,2
d. 3,2,1

c. 3,1,2

Which of the following supplies is part of the standard set-up for a diagnostic knee arthoscopy?

a. Poole suction tip
b. irrigation tubing
c. 20 blade
d. 3000 ml bag of glycine

b. irrigation tubing

Where is the gastrocnemius muscle located?

a. arm
b. calf
c. back
d. thigh

b. calf

Which of the following lies between the lung and the chest wall?

a. mediastinum
b. peritoneum
c. pleura
d. pericardium

c. pleura

At which abdominal layer is the first closing count performed?

a. skin
b. fascia
c. peritoneum
d. subcutaneous

c. peritoneum

When preparing the strerrad sterilization system for use in the surgical area, which of the following outlets must be available?

a. suction
b.oxygen
c.nitrogen
d. electrical

d. electrical

During a laser laryngoscopy, which of the following supplies must be available?

a. wet cottonoids and water
b. microscope, sterile water, and bronchoscope
c. sterile water, thyroid tray, and methylene blue

a. wet cottonoids and water

When utilizing a laparoscopic setup, potential hazards associated with the equipment include

a. non-ionizing radiation
b. nitrogen embolus
c. pneumoperitonium
d. fiber-optic beam fire

d. fiber-optic beam fire

Between cases, decontamination of walls involves washing

a. only walls that have been splashed with blood and debris
b. all walls with disinfectant
c. all walls from the floor up to a 5 ft level

a. only areas with blood and debris

Which of the following types of sponges is used directly on the structures of the brain?

a. RAY-TEC
b. cherry
c. Weck cell
c. Cottonoind

d. cottonoid

The appendiceal stump, when inverted, is held into place by which of the following types of suture?

a. Mattress
b. traction
c. interrupted
d. purse-string

d. purse-string

Which of the following is NOT result of dipping a bloody Ray-Tech sponge into irrigation solution?
a. The solution is tainted
b. Lint is released
c. the solution is diluted
d. cellular components are released into the solution

b. lint is released
Ray-Tecs are lint free

During tympanoplasty, which of the following is the best choice for graft material?

a. temporal bone
b. temporalis fascia
c. vestibular membrane
d. teflon graft

b. temporalis fascia

The primary reason padding is used in positioning the patient is to

a. Ensure the patients comfort
b. facilitate the surgeons approach
c. prevent injury to pressure points
d. maintain the position during surgery

c. prevent injury to pressure points

If a sponge is missing, which of the following actions should be taken FIRST?

a. The patients wound should be reopened
b. an xray of the operative site should be ordered interoperatively
c. an xray should be ordered in the recovery room
d. the count should be repeated

d. the count should be repeated

During an anterior cervical fusion, a bone graft is taken in order to fuse the vertebral

a. body
b. disk
c. spinous process
d. transverse process

a. body

Which of the following is necessary for ethylene oxide sterilization to occur?

a. indirect contact
b. gravity displacement
c. humidity
d. steam

c. humidity
spores must be hydrated to facilitate passage of the EO into an organism

Which of the following arteries is most common for taking a blood pressure?

a. radial
b. femoral
c. brachial
d. popliteal

c. brachial

Sponges that have been added to the sterile field after the procedure has begun should be counted by the

a. circulator and surgeon
b. ST in the scrub role and ST in the first assist role
c. surgeon and first assist
d. ST in the scrub role and circulator

d. ST and circulator

Which of the following retractors may be used in an open cholecystectomy?

a. Simms
b. bennet
c. Jennings
d. harrinton

d. harrington

The required number of air exchanges per hour in the OR is

a. 1 to 5
b. 6-10
c. 11-14
d. 15-20

d. 15-20

A Javid shunt is used for which kind of procedure?

a. carotid endarterectomy
b. femoral-popliteal bypass
c. abdominal aneurysm
d. saphenous vein ligation

a. carotid

Which of the following instruments is NOT used in a otorhinolaryngology surgery?

a.Rosen
b. Baron
c. Frazier
d. Poole

d. Poole

For which of the following procedures is gelfoam MOST commonly used?

a. repair of AAA
b. extraction of a cataract
c. transurethral resection of the prostate
d. craniotomy

d. craniotomy

Which of the following structures are separated first when a para-median incision is performed for a gastrectomy?

a.peritonium
b. transverse abdominals
c. external oblique
d. rectus abdominals

d. rectus abdominals

Which of the following destroys bacterial spores?

a.germicide
b. antiseptic
c. sterilant
d. fungicide

c. sterilant

A sterile item used with an electrosurgical unit it the

a. generator
b. patient return electrode
c. active electrode
d. foot pedal

c. active electrode

In a sterilized package, the chemical indicator is used to

a. show that moisture entered the package
b. guarantee the sterility of the package
c. Verify that the package was wrapped properly
d. confirm that the package was exposed to sterilization

d. confirm that the package was exposed to sterilization

A Pereyra needle is used for which of the following types of surgery?

a. hysterectomy
b. prostatectomy
c. bladder neck suspension
d. anterior colporrpaphy

c. bladder neck suspension
The pereyra needle is only used in pareyra pricedure to treat incontinence

Which of the following instruments should be used in a TURP set up?

a. lithotrite
b. urethrotome
c. resectoscope
d. Randall

c. resectoscope

If a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal charges can be filed?

a. misdemeanor
b. re ipso loquitor
c. extension doctrine
d. intentional tort

b. res ipsa loquitor
means it speaks for itself.

When performing a urinary bladder catheterization, it is essential to

a. place the patient in a Sims position
b. keep the catheter tip sterile
c. inflate the balloon in the urethra
d. shave the pubis

b. keep the tip sterile

Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the operating room?

a. cystoscopy
b. culdoscopy
c. proctoscopy
d. laparoscopy

c. proctoscopy

Which of the following patients in MOST likely to acquire a nosocomial infection?

a healthy female who is 45 years of age
b. a female in labor and delivery
c. a healthy male patient who is 45 years of age
d. a male patient who has diabetes

d. a male patient who has diabetes

If unexpected heavy blood loss occurs during a surgical procedure, the surgical tech should request additional

a. suction tubing
b. babcocks
c. kitners
d. cottonoids

a. suction tubing

In order to remove a portion of the kidney, the surgeon must enter which of the following?

a. synovial membrane
b. Gerota's fascia
c. hasselbach's triangle
d. suprapleural membrane

b. gerota's triangle

List the order of the sequence of induction for general anesthesia.

1. leads placed on patient
2. induction agent is given through IV
3. patient is prompted to breath 100% O2
4. patient is intubated
5. anesthetic gas agent is selected and applied

1,3,2,4,5

During the procedure, the surgical technologist touches an unsterile item with a sterile glove. Which of the following should be done?

a. change the glove at once
b. break scrub and rescrub
c. wait until closing and change glove
d. ask the surgeon what to do

a. change the glove at once

During a strabismus surgery, which of the following is the first tissue layer that must be incised?

a.iris
b. cornea
c. sclera
d. conjunctiva

d. conjunctiva
iris is the colored membrance between the lens and the cornia
. the cornea is the clear anterior part of the fibrous coat of the eye
the sclera is tough white fibrous tissue that extends from the optic nerve to the cornea.

Which of the following is the primary purpose for changing into operating room attire?

a. to standardize uniforms
b. to prevent the spread of microorganisms
c. to identify operating room personnel
d. to avaoid damage to personal attire

b. to prevent the spread of microorganisms

A lumbar meningocele involves removal of

a. cerebrolspinal fluid
b. lumbar disc
c. meniges
d. a fluid filled sac

d. a fluid filled sac

Which of the following procedures requires a microscope?

a. rhinoplasty
b. pyeloplasty
c. tympanoplasty
d. blepharplasty

c. tympanoplasty

Hair removal during preparation for cranial surgery should be

a. discarded by the circulator
b. sent to pathology
c. used for potential re-implantation
d. saved because it's personal property

d. saved because it's personal property

The safest method of placing a blade on a knife handle is with a

a. Mixter
b. gloved hand
c. needle holder
d. tissue forceps

c. needle holder

Which of the following procedures is used to visualize the cystic, hepatic, and common bile ducts?

a. barium enema
b. cholangiography
c. intravenous pyelography
d. upper gastrointestinal series

b. cholangiography

A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it

a. needs to be labeled by the circulator
b.sent to pathology immediately
c. will contaminate the sterile field
d. needs to be placed in formalin solution

b. is sent to pathology immediately

When performing a right hemicolectomy, the surgeon will most likely remove portions of which of the following?

a.jejunum and duodenum
b. ascending and transverse colon
c. transverse and descending colon
d. sigmoid and rectum

b. ascending and transverse colon

The tissue that covers bones and provides movement to the skeletal system is

a. nerve
b. cartilage
c. muscle
d. ligament

c. muscle

Which of the following is the best placement area for the electrosurgical grounding pad for a patient in the lithotomy position?

a. upper arm
b. lower back
c. anterior thigh
d. posterior shoulder

c. anterior thigh

Which of the following conditions must be treated FIRST?

a. obstructive airway
b. closed cerebral injury
c. shock due to hemorrhage
d. sucking wound to the chest

a. obstructive airway

Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy?

a.pre-peritoneal fat
b. linea alba
c. oblique muscles
d. rectus abdominis

c. oblique muscles

Which of the following wound classes is assigned to perforated bowel?

a. I
b. II
c. III
d. IV

c. III
class I is a wound created under ideal condition with no entry into the GI tracts
class II is a wound with controlled entrance into the GI tract
Class III indicates gross spillage from the GI tract
Class IV identifies clinically infected wounds or necrotic tissue

A patient being prepped for surgery is hypokalemic. Which of the following must be done before a general anesthetic is given?

a. Add sodium to the IV
b. add potassium to the IV
c. Complete a type and crossmatch
d. place a urinary catheter

b. add potassium to the IV
hypokalemic means low potassium

Which of the following is a type of herniation that occurs with protrusion of the peritoneal sac and it's contents?

a. epigastric
b. umbilical
c. hypogastric
d. femoral

b. umbilical

What advantage do hand held retractors have over mechanical self-retained retractors?

a. less exposure
b. operator dependency
c. lesser fatigue factor
d. dynamic adjustability

d. dynamic adjustability

When transferring a thorocotomy patient to recovery, the chest drainage system should be

a. disconnected
b. placed at the patients side
c. positioned above the patients head
d. maintained below the patients chest level

d. maintained below the patients chest level

If the parents of a minor requiring surgery cannot be located, the operative consent form for surgery may be signed by

a. the patient
b. a family friend
c. two consulting physicians
d. the operating room supervisor

c. two consulting physicians

A post-operative total arthroplasty patient presents to the ER with severe throbbing pain, fever and malaise. Which of the following is likely the diagnosis?

a.osteoarthritis
b. osteoporosis
c. osteomyelitis
d. osteomalacia

c. osteomyelitis

Which of the following procedures repairs a ruptured abdominal aortic aneurysm?

a. endarterectomy
b. Irrigation and debridement
c. excision with graft placement
d. portacaval shunt

c. excision with graft placement

Which of the following instruments has teeth?

a. allis
b. mixter
c. babcock
d. mosquito

a. allis

Which surgical needle is MOST appropriately used in a liver resection?

a. cutting
b. blunt
c. tapered
d. trocar

b. blunt

Which of the following instruments is used for a common bile duct exploration?

a. forgarty clamp
b. randall forceps
c. pennington clamp
d. forester ring forceps

b. randall forceps

In which of the following congenital anomalies does the urethra open on the underside of the penis?

a. Chordee
b. epispadias
c. phimosis
d. hypospadias

d. hypospadias

Anterior and posterior knee stability is influenced by the dynamics of the

a. cruciate ligament
b. joint capsule
c. patellar tendon
d. collateral ligaments

a. cruciate ligaments

In which of the following procedures will the surgical technologist expect to use cottonoids?
a. abdominal hysterectomy
b. abdominal perineal resection
c. lumbar laminectomy
d. open cholecystectomy

c. lumbar laminectomy

Which of the following is used during a tympanoplasty?

a. image intensifier
b. hypothermia unit
c. operating microscope
d. argon laser

c. operating microscope

What part of the body is prepped for an ORIF of the olecranon process?
a. leg, foot to knee
b. leg, foot to hip
c. arm, fingers to shoulder
d. arm, fingers to elbow

c. arm, fingers to shoulder

After completing a surgical procedure, the FIRST item a surgical tech should remove is the

a. mask
b. gown
c. gloves
d. shoe covers

b. gown

During surgery a patient becomes hypotensive. which of the following medications should be given?

a. cephalexin (Keflex)
b. propofol
c. epinephrine
d. furosemide

c. epinephrine

To place a patient on a Wilson frame, in which position will the patent be for the procedure?
a. supine
b. prone
c. lateral
d. lithotomy

b. prone

The primary effect of a hypnotic drug is to

a. induce sleep
b. relax the muscles
c. stimulate inspirations
d. dry secretions

a. induce sleep

A patient scheduled for a lumbar laminectomy and is positioned in the prone position without padding under the thorax. Which of the following physiological hazards should the surgical tech be most concerned about?

a. pressure on the vena cava and abdominal aorta
b. venous stasis in the lower extremities
c. hyper-extension of the head and neck
d. pressure injury to the peroneal nerve

a. pressure on the vena cava and abdominal aorta

When a break in aseptic technique occurs, the surgical technologist in the scrub role should notify the

a. circulator
b. person who broke technique
c. operating room supervisor
d. surgeon

b. person who broke technique

The spore forming organism used to test proper functioning of steam sterilizers is

a. Bacillus subtilis
b. Clostridium perfringes
c. Mycobacterium tuberculosis
d. Bascillus stearothermophilus

d. Bascillus stearothermophilus (a highly heat resistant spore forming microorganism)

Mannitol is used in neurosurgical procedures to

a. prevent bleeding
b. reduce intracranial pressure
c. anesthetize the operative site
d. fight possible post-operative infection

b. reduce intracranial pressure
Mannitol is a osmotic diuretic and pulls fluid from cranial tissues

Which of the following types of connective tissue fastens muscle to bone

a. cartilage
b. ligament
b. synovium
d. tendon

d. tendon

Which of the following procedures requires an opening into the gallbladder to permit drainage and removal of stones?

a. choledochotomy
b. cholecystostomy
c. cholecystectomy
d. cholecystojejunostomy

b. cholecystostomy

Care of a surgical specimen includes placing it

a. in a bio-hazard trash bag
b. in a bag or container with formalin
c. on a RAY TEC sponge and sent to pathology
d. in a trash bag

b. in a bag or container with formalin

Which of the following is NOT an acceptable technique when placing a patient in the lithotomy position?

a. arms placed on an arm board
b. legs placed in stirrups one at a time
c. legs placed in stirrups simultaneously
d. hips placed over the lower break of the table

b. legs placed in stirrups one at a time

When assisting with the closure of the skin incision and operating a skin stapler, the surgical tech in the scrub role is placing the staples trough which two layer?

a. cuticular and subcuticular
b. subicular and subcutaneous
c. subcuticular and subcutanious

a. cuticular and subcuticular

Which of the following is MOST commonly used for wound closure in the presence of infection?
a. stainless steel
b. polyglactin-910
c. plain gut
d. silk

a. stainless steal

Which of the following procedures may require a postauricular incision?

a. myringotomy
b. tympanostomy
c. adenoidectomy
d. mastoidectomy

d. mastoidectomy

During a LAPAROSCOPIC appendectomy, which of the following types of staplers should the surgical tech have ready on the table for removing the appendix and ensuring no spillage of bowel?

a. intraluminal
b. linear
c. skin
d. purse-string

b. linear

Gravity displacement sterilizers function on the principle that

a. steam is heavier than air
b. air is heavier than steam
c. water is heavier than air
d. air is heavier than water

b. air is heavier than steam

Which of the following is a preferred retractor for a groin incision?

a. Weitlaner
b. Finochietto
c. O'Sullivan-O'conner
d. Balfour

a. Weitlaner

When evaluating the patient's skin for the preoperative prep, which of the following is considered a contaminated area?

a. Axilla
b. Tows
c. body hair
d. Draining sinus

d. draining sinus

Which of the following statements regarding surgical scrubbing is NOT true?

a. Two accepted methods of scrubbing are timed and counted brush stroke.
b. a vigorous 5-min scrub with a reliable agent may be as effective as a 10min scrub with less mechanical action.
c. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe counts.

c. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe counts.

Which of the following examples illustrates UNSAFE techniques for disposing of contaminated sharps?

a. Used suture needles and blades are removed from the needle container and individually placed in the bio-hazard container.
b. Used suture needles and blades remain in the counter and the closed counter is placed in a sharps box.
c. Th e bio-hazard sharps container is located as close to the area in which the items were used.

a. Used suture needles and blades are removed from the needle container and individually placed in the bio-hazard container.

Which of the following is a chemical sterilant?

a. alcohol
b. methiolate
c. gluteraldehyde
d. sodium hypochlorite

c. gluteraldehyde

Which of the following positions is MOST often used for vaginal surgery?

a. Kraske
b. Lithotomy
c .supine
d. trendelenburg

b. lithotomy

Which is the recommended temperature of the operating room?

a. 15-19 C (59-66 F)
b. 20-24 C (68-75 F)
c. 25-29 C (77-84F)

b. 20-24 C (68-75 F)

In what position is the patient placed for a right nephrectomy?

a. Left lateral position
b. right lateral position
c. left lateral kidney position
d. right lateral kidney position

c. left lateral kidney position

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