Appleton and Lange Practice CST Certification

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Practice Exam

In an inguinal herniorrhaphy the spermatic cord is

Retracted with a penrose drain.

Polyglycolic acid sutures are

Absorbed by the process of hydrolysis.

The pounds of pressure necessary in a flash steam sterilizer set at 270 degrees is

27

A patient is having elective surgery. The nurse notes that her white cell count is 14,000 cu mm. This would indicate

There may be an inflammation or infection present.

Distal refers to

Away from the body.

Meckel's diverticulum is found in the

Ileum

In which case would a Frazier suction be used?

Ear

Airborne contamination is reduced by recirculation of filtered outside air at a rate of

25 air exchanges per hour.

The purpose of OSHA is to

Enssure safe and healthful working conditions.

Body heat in pediatric patients is controlled with all of the following EXCEPT

Hot water bottles.

If a family is contacted but cannot come in to sign a permission for emergency surgery paper, the surgeon should

Accept permission by phone, telegram, or in written communication.

Unwrapped instruments are sterilized at 270F (132C) for a minimum of

3 minutes

A retention suture passes through all of the following EXCEPT

Mesentery tissue.

A hernia that passes through the inguinal ring into the inguinal canal is termed

Indirect

Dead space is the space

Caused by separation of wound edges that have not been closely approximated.

Wrapped tubing can be sterilized at 250F for a minimum of

30 minutes

Funnel chest is also known as

Pectus excavatum.

Which term denotes low or decreased blood volume?

Hypovolemia

Injection of contrast media into the brachial, carotid, or vertebral artery to study the intracranial vessels is called

Angiography

Instruments and other items sterilized together in the flash autoclave require

10 minutes and 270F

Suture material that becomes encapsulated with fibrous tissue during the healing process is

Nonabsorbable suture.

A right hemicolectomy is performed to remove the pathology of the

Ascending and transverse colon

lacryo refers to

Lacrimal gland

When transporting a patient, drainage systems should be placed

Below stretcher level

The maximum size of a linen pack must not exceed

12 x 12 x 20inches

Another name for a stay suture is a(n)

Retention suture

Which two anatomic structures are ligated and divided to effect a cholecystectomy?

Cystic duct, cystic artery

Adeno means

Gland

When the patient is being transfered from the OR table after surgery, the action should be

Gentle and slow in order to prevent circulatory depression.

In steam sterilization, the function of pressure is to

Increase the temperature of the steam.

Which suture materials are NOT generally used in the presence of infection?

Silk

Radical surgery done for lower sigmoid or rectal malignancy is a(n)

Abdominal perineal resection.

The term for fluid or water in the ventricles of the brain is

Hydrocephalus

The patient may be left on the transport stretcher unattended

Under NO circumstances.

212 degrees F is equivalent to

100 degrees Celsius.

An anti-inflammatory drug whose effect is useful in reversing early rejection of organ transplants is

Prednisone

A congenital abnormality of the musculature between the stomach and the duodenum is called

Pyloric stenosis

A fossa is a

Basin-like depression

A procedure performed to treat myasthenia gravis is a(n)

Thymectomy

The purpose of lidocaine installation during a tracheotomy is to

Decrease coughing

A procedure that is done to give the bowel a rest when there is advanced inflammation is

Temporary colostomy

A forcep used to grasp lung tissue is a(n)

Duval

Heat-sensitive items that can be completely immersed can be processed via ____________ in 30 minutes.

STERIS

The maximum recommended dosage of local anestetic drug per hour is

50mL of 1% solution

Ischemia can be defined as

Deficient blood supply to a part.

The person transporting the patient on a stretcher should

Push the stretcher from the head.

Activated glutaraldehyde

Can be reused.

A Weitlaner is a

Retractor

Which part of the pancreas is the most common site of malignant tumors?

The head

The purpose of the two-way stopcock on a Verres needle is

To control the gas flow.

An abnormal communication between two parts occuring in the anorectal area is called

Fistula in ano

Burn removal of tissue down to fascia where all superficial layers are denuded is called

Escharectomy

The method of sterilization used for liquids is

Slow exhaust

Medullary canal reamers are used to insert

Kuntschner nails

A protrusion of fat through an abdominal wall defect between the xiphoid process and umbilicus is a(n)

Epigastric hernia

The position frequently utilized in thyroid and gallbladder surgery is

Reverse trendelenburg

What part of the cell is destroyed in steam sterilization?

Cell protein

Which scope has a trocar?

Laparoscope

Laminar air flow provides

Ultraclean air, Controlled filter, dilution, and distribution of air, and undirectional positive-pressure stream of air.

A rotator cuff tear would occur in the

Shoulder

Which position would be chosen for a pneumonectomy?

Lateral

When preparing tubing or any item with a lumen for gas sterilization

The lumen should be blown out with air to force-dry before packaging.

A rib raspatory is a

Alexander

A right-angled gallbladder forcep is a

Mixture

A self-retaining mouth gag is a

Jennings

The maximum storage life for a muslin wrapped item on open shelving is

30 days

How are the legs placed in the lateral position?

The lower leg is flexed with the upper leg straight.

When changing a glove during and operation

Open-glove technique is used or another team member assist in regloving.

Which is not true about OR ventilation

Humidity is kept at 20-30%.

How many thoracic vertebrae are there?

12

When moving a patient from lithotomy position

Lower legs together slowly.

If a sterile muslin package drops to the floor

it may never be used.

A tonsil suction is a

Yankauer

The most susceptible organ to laser injury is the

eyes

The principle hazard encountered in spenectomy is

Hemorrhage

When assisting with a cast application one must

Handle cast with flat open hands.

The most common postoperative complication of orthopedic surgery is

Thromboembolism

Which is an acceptable means of pouring a sterile solution onto a sterile field?

Scrub nurse holds a receptacle away from the table as the circulator pours or the scrub nurse sets the receptacle near the edge of a waterproof-draped table

Which nerve is affected by pressure on the lower leg or knee?

peroneal

What advantage is phacoemulsification for cataract removal?

Shortened convalescence and it employs a small incision.

The structure that covers the entrance of the larynx when one swallows, thus preventing food from entering the airway (trachea) is called

Epiglottis

Physiologic salt solution used intravenously when the body needs additional sodium, calcium, and potassium is

Ringer's lactate

In the lateral chest position, a sandbag or padding is placed under the chest at axillary level to

Prevent pressure on the lower arm.

A viscous jelly used to occupy space, thus preventing damage, in anterior segment surgery of the eye is

Healon

Which is used over an incision following pediatric surgery?

Collodian

An agent used for epidural, spinal, or local providing good relaxation is

Marcaine

The instrument used to measure the depth of uterus during a dilation and curettage is a

Uterine sound

Vagotomy is performed for peptic ulcer disease to

Decrease secretion of gastric acid

Before surgery, elastic bandages or special stockings are sometimes applied to the lower extremities to

Prevent venous stasis

Surgical masks should be changed

After each case

Why would benzoin be applied to the skin before dressing application?

To increase adhesiveness

Closing the internal os of an incompetent cervix with a ligature of tape is called

Shirodkar

Pneumoperitoneum is effected by instilling gas into the peritoneal cavity by way of a

Verres needle

In addition to providing bladder drainage following a suprapubic prostatectomy, a Foley catheter

Exerts pressure to obtain hemostasis.

Electrical connection of the patient to the conductive floor is assured by

a conductive strap in direct contact with the patient's skin, with one end of the strap fastened to the OR table metal frame.

Safety during use of the defibrillator includes

maintaining contact with OR table and the patient.

A drug that may be used as an IV flush or as a flush for a blood vessel lumen is

Heparin

Nipple reconstruction can be enhanced by the use of a(n)

Tattoo

Where are the adrenal glands located?

Above the kidneys

Which is not a contradiction to vaginal hysterectomy?

Presence of a cystocele.

Instruments used to close the vaginal vault in an abdominal hysterectomy must be

Considered contaminated after use.

The addition of adrenalin to a local ansethetic provides

Vasoconstriction, prolonged anesthesia, decreased bleeding

During laser surgery, which policy doesn't have to be adhered to

Prescription glasses are approved protection mechanisms.

There are ______ parathyroids.

4

A constant closed suction that utilizes a plastic container serving as both a suction and a receptacle for blood is a

Hemovac

The sphincter at the junction of the small and large intestine is the

Ileocecal sphincter

Which hepatitis poses a threat to health care workers?

B

A dye used in gynecology to test tubal patency is

Methylene blue

Which stage of wound healing takes place when there is tissue loss with an inability to approximate wound edge?

Second (granulation)

An abnormal accumulation of fluid in the tunica vaginalis is refered to as a

Hydrocele

Periosteum is lifted from the surface of the bone with a(n)

Elevator

Repair of a cranial defect is surgically represented by the term

Cranioplasty

For surgery on a known AIDS patient, all of the following precautions should be followed EXCEPT

Needles resheathed

Healthcare workers who are potentially exposed to blood, can be vaccinated to prevent____________.

hepatitis B virus (HBV)

An alternative indwelling urinary drainage system diverting urine away from the urethra is a ________.

suprapubic cystostomy catherization

A common radiopaque contrast medium used in the OR is ______________.

Renografin

What is the purpose of a chest tube and waterseal drainage?

Evacuate fluid and air.

Extreme flexion of the thighs in the lithotomy position impairs

respiratory function

A femoral-popliteal bypass is scheduled. Which self retaining retractor would be used to facilitate exploration of the femoral artery?

weitlaner

A double-bowl-shaped glass evacuator used to irrigate the bladder during transurethral surgery is called a(n)

Ellik

An approach to infection control designed to prevent transmission of blood-borne diseases in health care settings is called ____________.

universal precautions

An elevated PSA test could be indicative of cancer of the

lymph nodes

In which intention of healing is there a wide, fibrous scar?

Third

Which Gram-positive bacteria can cause abscesses?

Staphylococcus aureus

Mannitol is a(n)

Osmotic diuretic

The organism causing hepatitis B is a

Virus

An example of an anti-inflammatory is

cortisone

Hemorrhage is suspected if

the blood pressure drops and the pulse rate rises

How many feet above the ground is considered safe for electrical outlets and fixtures that are not explosion proof?

five

Carpal tunnel syndrome affects the

Wrist

Documenting, tracking, and registering are mandated for

implants

When the foreskin of the penis cannot be retracted over the glans it is called

phimosis

The burn characterized by blister formation, pain, and a moist and mottled red appearance is

second

Microorganisms that grow in the absence of oxygen are

Anaerobes

The islets of Langerhans are located in the

pancreas

The master gland is the

pituitary

A condition that can occur as a result of gross bone contamination or improper surgical technique is

osteomyelitis

Oxytocics are used to

contract the uterus

Which of the following instruments would be used to retract the bladder walls during a suprapubic prostatectomy?

Mason-Judd

Maintenance of bony exposure during a lumbar laminectomy is effected by the use of a

Beckman-Adson

A common abdominal complication caused by previous abdominal or pelvic surgery is

adhesions

Which of the following shunts would be used surgically to correct hydrocephalus?

Hakim

A spinal fusion is usually effected by autogenous grafts taken from the patient's

ilium

A complication of orthopedic surgery is

thromboembolism, fat embolism and infection

Nonunion of bone can be treated with

Artificially applied electric current

The word which best describes "staging" is

categorization and series

Nosocomial infection refers to

hospital-acquired infection

During a CPR effort in the OR, the scrub nurse

remains sterile and keeps tables sterile

The edge of a wrapper that encloses sterile contents are considered

nonsterile

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