CST Practice Exam B and A Collective with 100% Correct Answers, Exams of Laboratory Practices and Management

Download CST Practice Exam B and A Collective with 100% Correct Answers and more Exams Laboratory Practices and Management in PDF only on Docsity! CST Practice Exam B and A Collective with 100% Correct Answers. Which of the following is a sign of cardiac arrest? List in order the sequence of induction for general anesthesia: - Correct answer leads placed on the patient patient is prompted to breathe 100% oxygen induction agent is given through an I.V. patient is intubated anesthetic gas agent is selected and applied Place the following phases of wound healing by first intention in correct order from first to last: - Correct answer Inflammatory proliferation remodeling When preparing endoscopic cameras for ethylene oxide sterilization, which of the following monitoring processes would be utilized to ensure all parameters of sterilization were met? - Correct answer biological indicator Which of the following rongeurs is used to expand the antrostomy in a Caldwell-Luc procedure? - Correct answer Kerrison The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? - Correct answer Carotid endarterectomy After gowning and gloving, a surgeon activates the DuraPrep applicator and proceeds to prep the patient for surgery. Which of the following is the BEST action to take at this time? - Correct answer Regown and reglove the surgeon. Local anesthetics containing epinephrine should NEVER be used in which of the following areas? - Correct answer Ddigits and penis To prevent contamination at the end of a surgical procedure, which of the following should be removed LAST by the surgical technologist in the scrub role? - Correct answer Surgical gloves During a procedure, a surgical technologist notices a hole in his glove. Which of the following should be done next? - Correct answer Change the glove using the open- gloving technique. Which of the following is an unexpected occurrence that involves physiologic or psychologic injury or death? - Correct answer Sentinel event Which of the following is a benign fluid-filled sac that develops in the anterior testis? - Correct answer hydrocele When a cholecystectomy is performed, which of the following anatomical structures must be preserved? - Correct answer common duct Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infant's stomach? - Correct answer pyloromyotomy When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice? - Correct answer 8-10 mL of sterile water The tissue that covers bones and provides movement to the skeletal system is - Correct answer muscle. When donning gloves using the open-gloving technique, the ungloved hand will touch the. - Correct answer folded edge of the cuff of the glove. Which of the following is MOST resistant to sterilization processes? - Correct answer Spore During a herniorrhaphy, the abdominal area that is bound by the rectus abdominis muscle, the inguinal ligament, and the inferior epigastric vessels is the - Correct answer Hesselbach triangle. Which of the following instruments may be used to extend the arteriotomy during carotid endarterectomy? - Correct answer Potts-Smith When an anesthetized patient's position is changed from lithotomy to supine, the patient's legs should be lowered slowly to prevent which of the following? - Correct answer Hypotension Growth in the length of a long bone occurs at the - Correct answer epiphyseal plate. pad-like sac or cavity that prevents friction within a joint is known as a - Correct answer Bursa A resectoscope is used to resect the - Correct answer Prostate A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which of the following types of drains should the surgical technologist have available at the end of the procedure? - Correct answer underwater A tourniquet is used in which of the following procedures? - Correct answer Patellectomy The MOST appropriate time to position the Mayo stand is after - Correct answer Draping the patient. When performing a urinary bladder catheterization, it is essential to - Correct answer keep the catheter tip sterile In metastatic cancer, tumors extend beyond the regional area by which of the following systems - Correct answer Lymphatic Which of the following structures is behind and below the base of the penis? - Correct answer scrotum Which of the following describes events that would require filing an incident report - Correct answer medication errored, bullying, and cardiac or respiratory arrestonly Which of the following blades fits a #4 handle? - Correct answer #20 The MOST common method for decontaminating operating room floors at the end of each case is to - Correct answer damp mop or wet vacuum with a detergent- disinfectant solution. Which of the following surgical procedures can induce menopause? - Correct answer Bilateral oophorectomy Which of the following instruments must be readily available for a modified radical mastectomy? - Correct answer Which of the following instruments must be readily available for a modified radical mastectomy? - Correct answer extra #10 blades In which of the following procedures will the surgical technologist expect to use cottonoids? - Correct answer lumbar laminectomy Which of the following anesthetic agents is administered intravenously? - Correct answer propofol (Diprivan) Which of the following is done FIRST when performing a myringotomy? - Correct answer removal of cerumen from the ear canal When exposed to ionizing radiation, staff and patients should wear personal protective equipment containing - Correct answer lead Which of the following conditions should be treated FIRST? - Correct answer obstructed airway A T-tube drain may be used following - Correct answer Choledochotomy. Which of the following parts of the body are prepped for an ORIF of the olecranon process? - Correct answer Arm, fingers to shoulder While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. Which of the following would MOST likely be the cause of this? - Correct answer The air was not evacuated from the pouch. For steam sterilization, biological indicators should be placed A. in the most challenging area of the load. B. at the center of the load. C. in the least challenging area of the load. D. at the top of the load. - Correct answer in the most challenging area of the load. A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist will prepare suture attached to which of the following types of needles? - Correct answer blunt The vermiform appendix originates from the - Correct answer Cecum Which of the following retractors is used during a femoro-femoral bypass? - Correct answer Army-Navy Which of the following instruments may be used to clamp the aorta? - Correct answer Satinsky The surgical technologist in the scrub role MUST keep track of blood loss as well as - Correct answer track amount of irrigation used. When performing a right hemicolectomy, the surgeon will MOST likely remove portions of which of the following? - Correct answer Ascending and Transverse colon The drug MOST commonly used to treat ventricular tachycardia is - Correct answer lidocaine (Xylocaine). Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours. Which of the following is the BEST course of action? - Correct answer New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. Surgery to repair a Colles' fracture is performed on which of the following types of bone? - Correct answer Long Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? - Correct answer oblique muscles During an open repair of an indirect hernia, which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected? - Correct answer Penrose Which of the following is a preferred retractor for a groin incision? - Correct answer Weitlaner An Esmarch bandage should be applied to an extremity - Correct answer distal to proximal. Which of the following instruments is found in a basic laparotomy set-up? - Correct answer Mayo scissors Which of the following types of anesthetic is injected during a Bier block? A. bupivacaine (Marcaine) B. lidocaine (Xylocaine) with epinephrine C. bupivacaine (Marcaine) with epinephrine D. lidocaine (Xylocaine) - Correct answer lidocaine (Xylocaine) A surgeon asks for warm irrigation after a GI tract reanastomosis. Which of the following BEST describes the reason for irrigating at this point in the procedure? - Correct answer to aid visual inspection for leakage Which of the following is associated with secondary intention wound healing? - Correct answer Tissue granulation Which of the following does NOT result after dipping a bloody RAY-TEC sponge into irrigation solution? - Correct answer Lint is released into the solution Which of the following statements is true regarding surgical correction of a Colles' fracture? - Correct answer The distal radius is fractured and the periosteum will be closed with absorbable sutures. Which of the following operations is performed to correct hearing loss due to defects of the eardrum? - Correct answer tympanoplasty in the package and how can it be corrected? - Correct answer The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels. Where is the gastrocnemius muscle located? - Correct answer Calf Which of the following is responsible for the proper care and handling of an intraoperative specimen? - Correct answer Surgical technologist in the scrub role and the circulator Which of the following INCREASES air contamination in the operating room? - Correct answer maintaining air pressure lower than in the outside hall Which of the following instruments is used to grasp the base of the hemorrhoid during a hemorrhoidectomy? - Correct answer Allis During surgery, a patient becomes hypotensive. Which of the following medications should be given? - Correct answer Epinephrine (Adrenalin) Which of the following procedures repairs a ruptured abdominal aortic aneurysm? - Correct answer Excision with graft placement A nasogastric (NG) tube is used to - Correct answer Drain the stomach. An effective packaging material used for a Balfour to be steam sterilized - Correct answer Permits penetration by the sterilant Which of the following items is used for sponging around the spinal cord? - Correct answer Cottonoids For a splenectomy procedure, which of the following clamps could be used? - Correct answer Satinsky During a carotid endarterectomy, which of the following is administered to reverse the effects of systemic heparin? - Correct answer Protamine sulfate Which of the following procedures involves the injection of contrast media into the spinal subarachnoid space? - Correct answer Myelogram A patient has arrived in the operating room for a bilateral mastectomy. She is crying inconsolably. The surgical technologist can best console her by saying which of the following? - Correct answer "We are going to give you the best care possible." A surgeon is preparing to close the abdomen of an average weight patient. Which of the following closing supplies should the surgical technologist have ready for closing the fascial layer? - Correct answer 2-0 suture and toothed tissue forceps Which of the following is an absorbable suture? - Correct answer polyglycolic acid (Dexon) Which of the following instruments is NOT used in otorhinolaryngology surgery? - Correct answer Poole Which of the following verifies that autoclave sterilization has occurred? - Correct answer biological indicator After completing an operative procedure, the FIRST item a surgical technologist in the scrub role should remove is the - Correct answer Gown A trauma patient from a motor vehicle accident is on the way to the operating room. Which of the following injuries is MOST likely related to airbag deployment? - Correct answer Arm fractures Which of the following positions is used for a pneumonectomy? - Correct answer lateral Which of the following solutions can be used to disinfect endoscopic instruments? - Correct answer activated glutaraldehyde When evaluating the patient's skin for the preoperative prep, which of the following is considered a contaminated area? - Correct answer draining sinus Which of the following may be needed during an emergency splenectomy that may not be required during a routine splenectomy? - Correct answer Sarot clamp Retention sutures are advantageous when the patient is - Correct answer obese During a laser laryngoscopy, which of the following supplies must be available? - Correct answer Wet sponges, towels, and sterile water Which of the following types of connective tissue fastens muscle to bone? - Correct answer Tendon A surgeon's preference card indicates the surgeon wears a size L gown and double- gloves with a size 7 inner glove and size 6-1/2 outer glove, and the first assistant wears a size XL gown and double-gloves with a size 7-1/2 inner glove and size 7 outer glove. The first assistant arrives prior to the surgeon. Which of the following is the proper order to place the sterile attire on the back table? - Correct answer B. XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove An inanimate object that harbors and transmits a disease is a - Correct answer Fomite Once the spinous process is exposed during a laminectomy, the next instrument needed for the removal of the lamina is an - Correct answer Kerrison rongeur. Which of the following should the surgical technologist in the scrub role do during a cardiac emergency? - Correct answer remain sterile and keep the table sterile Which of the following is the BEST placement area for the electrosurgical grounding pad for a patient in the lithotomy position? - Correct answer Anterior thigh If an x-ray cassette must be placed directly against the operative site, it must be - Correct answer placed in a sterile cassette cover Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are - Correct answer Absorbant and collect moisture. A form of contrast media used within the body that is visible when exposed to x-ray is - Correct answer Radiopaque When using power saws on bone, which of the following actions BEST helps prevent bone damage? - Correct answer irrigation Which of the following staplers should be used for end-to-end intestinal resection? - Correct answer EEA Which of the following characterizes bacteria of the genus - Correct answer Anaerobic When performing a Shirodkar procedure, on which of the following is attention being focused? - Correct answer Cervix Which of the following is necessary for ethylene oxide sterilization to occur? - Correct answer humidity Which of the following positions is used to provide access to the head and neck during a thyroidectomy? - Correct answer Reverse Trendelenburg In comparison to oral Fahrenheit temperatures, rectal Fahrenheit temperatures are - Correct answer Approximately 1 degree higher. During an anterior cervical fusion, a bone graft is taken in order to fuse the vertebral - Correct answer Body A three-way Foley catheter is inserted following a transurethral resection of the prostate (TURP) in order to - Correct answer irrigate and facilitate hemostasis Which of the following is the primary purpose for changing into operating room attire? - Correct answer to prevent the of spread of microorganisms Mannitol a.k.a. Osmitrol is used in neurosurical procedures to - Correct answer decrease intracranial pressure. A scleral buckle procedure repairs - Correct answer detached retinas. Which of the following lies between the lung and the chest wall? - Correct answer pleura Which of the following retractors should the surgical technologist have available to provide exposure to the patellar tendon while harvesting the graft for an ACL repair? - Correct answer Senn A Balfour is used in which of the following procedures? - Correct answer sigmoid resection The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? - Correct answer carotid endarterectomy If the VII cranial nerve is severed, which of the following is the result? - Correct answer facial paralysis During dissection of the cystic duct in an open cholecystectomy, which of the following instruments is necessary? - Correct answer Mixter clamp A patient entering the operating room for a laparoscopic cholecystectomy looks jaundiced. Which of the following is the BEST explanation for this? - Correct answer biliary obstruction When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist in the scrub role is placing the staples through which two layers? - Correct answer cuticular and subcuticular The primary purpose of a local anesthetic is to - Correct answer block peripheral nerve receptors. During which of the following surgeries is a Meckel's diverticulum typically discovered? - Correct answer appendectomy Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? - Correct answer shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? - Correct answer oblique muscles When performing a parotidectomy, which of the following nerves is identified and preserved with the use of a nerve stimulator? - Correct answer facial nerve A perforator is used for which of the following procedures? - Correct answer craniotomy Which of the following medications is the anesthesia provider responsible for recording the name, amount, and delivery method during a surgical procedure? - Correct answer propofol In preparation for a cranial aneurysm, which of the following pieces of equipment would MOST likely be used? - Correct answer microscope During strabismus surgery, which of the following is the first tissue layer that must be incised? - Correct answer conjunctiva As a surgical technologist begins to prep a female patient for Foley catheterization, a bulge in the vaginal wall is noticed. Which of the following would cause this bulge? - Correct answer cystocele In which of the following positions is a patient placed for a right nephrectomy? - Correct answer left lateral kidney A surgical technologist enters the OR after scrubbing and notices spots of blood on the OR lights. Which of the following actions is the MOST appropriate? - Correct answer Break scrub to clean the lights and help open a new sterile field. Which of the following instruments should be included in a transurethral resection of the prostate (TURP) setup? - Correct answer resectoscope Which of the following examples illustrates UNSAFE technique for disposing of contaminated sharps? - Correct answer Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps container. Why is the right kidney typically several centimeters lower than the left kidney? - Correct answer The liver rests superior and anterior to the right kidney. Which of the following instruments has teeth? - Correct answer Kocher Which of the following should be the MINIMUM exposure time in a flash sterilizer for unwrapped instruments? - Correct answer 3 minutes When entering the abdominal cavity, which of the following BEST describes the order of contact with the layers of tissue? - Correct answer skin, subcutaneous, fascia, muscle, peritoneum A lumbar meningocele involves removal of - Correct answer fluid-filled sac If a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal concepts apply? - Correct answer res ipsa loquitur A surgical technologist just opened an instrument set that is wet inside after undergoing steam sterilization. Which of the following is the MOST likely reason for the condensate in the package and how can it be corrected? - Correct answer The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it - Correct answer is sent to pathology immediately. Which of the following procedures is used to visualize the cystic, hepatic, and common ducts? - Correct answer cholangiography Following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take? - Correct answer Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient. Which of the following drugs neutralizes the action of heparin? - Correct answer protamine sulfate To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following two vessels? - Correct answer internal mammary artery to affected coronary artery A laparotomy drape has been placed on a patient, and unprepped skin on the operative site is exposed. Which of the following is the BEST next step? - Correct answer Remove drapes and re-prep An effective packaging material used for a Balfour to be steam sterilized - Correct answer permits penetration by the sterilant. The parathyroid gland regulates - Correct answer calcium. Scoliosis is MOST commonly found in which of the following curves of the vertebral column? - Correct answer thoracic How much 0.25% bupivacaine (Marcaine) should be mixed with 1 mL of 1.0% lidocaine (Xylocaine) to make the solution equal strengths of both medications? - Correct answer 4.0 mL Which of the following terms best describes a formal medical process when death occurs in surgery and the surgeon and anesthesia care provider must verify that death has occurred? - Correct answer determination of death To help prevent toxicity and vascular events in a patient where polymethylmethacrylate a.k.a. PMMA is used, which of the following devices should a surgical technologist have available? - Correct answer pulse lavage During a craniotomy, which of the following types of bone is entered? - Correct answer flat Which of the following is a procedure for removing excess skin from the face and neck? - Correct answer rhytidectomy During an open repair of an indirect hernia, which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected? - Correct answer Penrose What color is a nitrous oxide tank? - Correct answer blue Which of the following is MOST likely to be in place while transferring a patient from the operating room table to the stretcher? - Correct answer IV tubing and Foley catheter only Which of the following procedures requires an incision in the suprasternal notch? - Correct answer mediastinoscopy Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured next? - Correct answer fascia During the application of arch bars, the surgeon will MOST likely use which of the following between the teeth and around the bar? - Correct answer 25- or 26-gauge stainless steel wire In which of the following positions should a patient be placed for a low anterior colon resection? - Correct answer lithotomy A #12 knife blade on a #7 handle is MOST commonly used for what type of surgery? - Correct answer tonsillectomy Which of the following anticoagulants should be given during a vascular procedure to prevent normal blood clotting? - Correct answer heparin sodium What advantage do hand-held retractors have over self-retaining retractors? - Correct answer dynamic adjustability In which of the following congenital anomalies does the urethra open on the underside of the penis? - Correct answer hypospadias A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given? - Correct answer 0.5 mL A surgeon asks a surgical technologist to place a drop of a mydriatic solution in OD. As a result of this medication, the pupil of the - Correct answer right eye will dilate. Which of the following conditions is triggered by an injection of succinylcholine (Anectine) and causes an unusually high fever? - Correct answer malignant hyperthermia Which of the following spore-forming microorganisms are used as biological monitors for checking steam sterilization effectiveness for a load of instruments in a rigid container? - Correct answer Bacillus stearothermophilus During a laminectomy, disk material is removed with - Correct answer Pituitary rongeur. Which of the following retractors is used for a C-section? - Correct answer De Lee Which of the following is a type of herniation that occurs with protrusion of the peritoneal sac and its contents (omentum or abdominal viscera)? - Correct answer umbilical Heaney clamps are used MOST frequently for which of the following types of surgery? - Correct answer hysterectomy During a C-section, a surgical technologist passes the surgeon a pair of Metzenbaum scissors and Russian forceps. Which of the following anatomical parts is dissected off the uterus and gently retracted prior to uterine incision? - Correct answer bladder Between each surgical procedure, decontamination of walls involves washing - Correct answer areas that have been splashed with blood or debris. Which of the following situations would present a problem when preparing instruments for sterilization using a paper-plastic peel pack? - Correct answer The instruments within the paper-plastic peel pack have been held together with tape to avoid shifting. A patient undergoing a procedure while under general anesthesia begins to experience muscle rigidity, followed by tachycardia, metabolic and respiratory acidosis, and cardiac dysrhythmias. Which of the following is the patient experiencing? - Correct answer malignant hyperthermia Anterior and posterior knee stability is influenced by the dynamics of the - Correct answer cruciate ligaments. After a lung resection is performed, which of the following BEST describes the placement of the collection unit once it is hooked up to the drainage tubing? - Correct answer below the level of the insertion tube Which of the following methods of hospital sterilization does not corrode metal and passes through woven materials like steam? - Correct answer ethylene oxide