2024 CST Exam Review Questions With Complete Solutions Latest Update, Exams of Surgical Pathology

Download 2024 CST Exam Review Questions With Complete Solutions Latest Update and more Exams Surgical Pathology in PDF only on Docsity! 2024 CST Exam Review Questions With Complete Solutions Latest Update Which of the following perioperative techniques promotes healing? 1. Achievement of hemostasis 2. Use of Montgomery straps 3. Elimination of dead space 4. Precise tissue approximation - correct answers A. 1, 3, and 4 only Which of the following solutions is used in arthroscopy surgery? A. Mannitol or urea B. Formalin or Bevins C. Lactated ringers or normal saline D. Sorbitol or glycine - correct answers C. Lactated ringers or normal saline The correct procedure for replacing a contaminated glove intraoperatively is to have the circulator remove the contaminated glove then: A. Re-scrub, re-gown, re-glove B. Use the closed glove technique to re-glove C. Have the circulator re-glove the team member D. Use the open-glove technique to re-glove - correct answers B. Use the closed glove technique to re-glove Which of the following types of instruments is a Tenaculum? A. Retracting B. Clamping C. Dissecting D. Grasping - correct answers D. Grasping Which of the following should be available for fire safety when lasers are in use? A. CO2 fire extinguisher B. Smoke evacuator C. Non-ebonized instruments D. Sterile water or saline - correct answers D. sterile water or saline A. Chiari malformation B. Craniosynostosis C. Hydrocephalus D. Encephalocele - correct answers B. Craniosynostosis Before transport to the PACU, which of the following should the surgical technologist do to assist the surgical team with patient transfer? A. Guide and direct from the patient's head to protect the airway and maintain body alignment. B. Transfer drainage tubes and other attached equipment, and then move the patient. C. Initiate the log roll by pushing the transfer board underneath the patient. D. Make sure the brake and steering component are in the neutral position. - correct answers B. Transfer drainage tubes and other attached equipment, and then move the patient. Which of the following retractors is used to expose the iliac crest during a bone graft? A. Harrington B. Alm C. Weitlaner D. Sims - correct answers C. Weitlaner Which of the following incisions would be appropriate for biliary surgery? A. Left subcostal B. Pfannenstiel C. Left upper paramedian D. Right subcostal - correct answers D. Right subcostal A CO2 laser beam is absorbed by: A. Air B. Steel C. Water D. Drapes - correct answers C. Water Doyan clamps are used for which of the following types of procedure? A. Gynecological B. Intestinal C. Plastic D. Orthopedic - correct answers B. Intestinal A Satinsky clamp is used for which of the following types of surgical interventions? A. Orthopedic B. Neurosurgical C. Intestinal D. Cardiovascular - correct answers D. Cardiovascular The purpose of preoperative skin preparation is to render the skin: A. Completely free of microbes B. Sterile C. Disinfected D. Antiseptically clean - correct answers D. Antiseptically clean All removable parts should be removed from which of the following instruments for sterilization? C. 1.5 D. 2.0 - correct answers A. 0.5 Which of the following describes the order of the tissue layers encountered during a midline abdominal incision from ventral to dorsal? 1. Peritoneum 2. Fascia 3. Skin 4. Subcutaneous fat A. 1, 2, 3 and 4 B. 1, 2, 4, and 3 C. 3, 1, 2, and 4 D. 3, 4, 2, and 1 - correct answers D. 3, 4, 2, and 1 Which of the following incisions would usually be made for a unilateral nephrectomy? A. Upper midline B. Right rectus C. Pfannenstiel D. Lumbar flank - correct answers D. Lumbar flank The gastrointestinal tract starts from the mouth and terminates at the anus in what order? A. Esophagus, stomach, duodenum, jejunum, ileum, colon, rectum B. Esophagus, jejunum, colon, ilium, duodenum, rectum, stomach C. Esophagus, duodenum, jejunum, stomach, ilium, rectum, colon D. Esophagus, stomach, jejunum, duodenum, ilium, colon, rectum - correct answers A. Esophagus, stomach, duodenum, jejunum, ileum, colon, rectum Which of the following introduces contrast media into the subarachnoid space? A. Echocardiography B. Myelography C. Angiography D. Encephalography - correct answers B. Myelography Which of the following procedures requires use of a fluoroscopic imaging table? A. Nissen fundoplication B. Hemi-arthroplasty C. Modified radical mastectomy D. Hip pinning - correct answers D. Hip pinning Which of the following terms can be defined as disease- causing? A. Saprophytic B. Parasitic C. Pathogenic D. Toxigenic - correct answers C. Pathogenic During a splenectomy, the FIRST closing count should be taken during closure of: A. Subcutaneous fat B. Fascia C. Muscle D. Peritoneum - correct answers D. Peritoneum Which of the following should be done when performing an autograft on a patient burn? A. Prepare graft with sterile water D. Document the number of needles counted in the patient's chart - correct answers B. Immediately pass the needles off the field to the circulator During an arterial venous fistula procedure, which of the following needle holders should be used? A. Ryder B. Mayo-Hegar C. Stratte D. Heaney - correct answers A. Ryder Which of the following drains uses capillary action? A. Jackson-Pratt B. Hemovac C. Sump D. Penrose - correct answers D. Penrose The condition of paralysis involving bilateral arms and legs is termed: A. Quadriplegia B. Paraplegia C. Paresthesia D. Quadrantanopia - correct answers A. Quadriplegia A patient has been brought back into the OR due to an abdominal wound infection. During the original procedure, two team members were regloved due to glove failure. Which of the following organisms is MOST likely the cause of the infection? A. Streptococcus B. Neisseria C. Bacillus D. Staphylococcus (aureus) - correct answers D. Staphylococcus (aureus) Which of the following devices should be used for the internal fixation of a femoral shaft? A. Kirschner wire B. Intramedullary rod C. Austin-Moore prosthesis D. Jewett nail - correct answers B. Intramedullary rod The weight of the tissue removed during a reduction mammoplasty is recorded using which of the following? A. Centimeters B. Milliliters C. Liters D. Grams - correct answers D. Grams Which of the following are the effects of the topical application of cocaine? A. Reduction of blood pressure B. Vasoconstriction and analgesia C. Reduction of anxiety D. Vasodilation and bronchospasm - correct answers B. Vasoconstriction and analgesia During a cesarean section, the FIRST closing count is begun at the closure of the: A. Uterus B. Fascia C. Peritoneum D. Skin - correct answers A. Uterus When there is a sudden death in the OR, the surgical technologist should: A. Notify the charge nurse to inform the patient's family B. Remove all tubes and drains for family viewing C. Refrain from informing the patient's family D. Inform the patient's family about their loss - correct answers C. Refrain from informing the patient's family Which of the following statements regarding the closed- gloving technique is true? A. Gloves are handled through the fabric of gowns sleeves B. Closed-gloving is not using for initial gloving C. Closed-gloving is the preferred regloving technique D. Bare skin is exposed in the process - correct answers A. Gloves are handled through the fabric of the gowns sleeves When a patient's arm is hyper abducted during surgery, injury may occur to the: A. Axillary veins B. Olecranon process C. Brachial plexus D. Vagus nerve - correct answers C. Brachial plexus A patient has been admitted for an orbital floor fracture. Which of the following antiseptics is appropriate? A. Betadine B. ChloraPrep C. DuraPrep D. Alcohol - correct answers A. Betadine Which of the following is necessary when performing a pelvic exenteration? A. Allen stirrups B. Wilson frame C. Vascular tray D. Resectoscope - correct answers A. Allen stirrups Which of the following factors affects a surgical patient's risk for developing infection? A. Elevated cardiac output B. Elevated metabolic rate C. Adhesions D. Normal flora - correct answers D. Normal flora Which of the following is suitable equipment for an ablation of condyloma? A. Bugbee B. NovaSure C. CO2 Laser D. Harmonic scalpel - correct answers C. CO2 Laser An anterior colporrhaphy is usually performed with patient in which of the following positions? A. Lithotomy B. Kraske C. Reverse trendelenburg D. Supine - correct answers A. Lithotomy Which of the following is the BEST way to precept a student? A. Challenge the student to increase the speed of passing instruments A. Axial B. Pectoral girdle C. Pelvic girdle D. Appendicular - correct answers A. Axial Electrosurgical units or lasers utilize which of the following methods of hemostasis? A. Manual B. Thermal C. Chemical D. Mechanical - correct answers B. Thermal Surgical dissection of the tunica vaginalis to remove a fluid-filled sac is referred to as a : A. Spermatocelectomy B. Hydrocelectomy C. Orchidectomy D. Oophorectomy - correct answers B. Hydrocelectomy A surgeon is performing a procedure on an obese patient with osteoarthritis of the knee. The other team members repeatedly make a derogatory statements about the patient's weight. Which of the following is the BEST response for the surgical technologist? A. Agree so there won't be any confilct among the team B. Ask all team members to respect the patient C. Demand the supervisor to take immediate action D. Ignore the statements since the patient is under anesthesia - correct answers B. Ask all team members to respect the patient A neurosurgeon would perform a craniotomy to repair premature closing of the cranial sutures of an infant suffering from: A. Chiari malformation B. Craniosynostosis C. Hydrocephalus D. Encephalocele - correct answers B. Craniosynostosis An operating bed that provides an x-ray compatible base, a drainage system, and lithotomy knee supports and is used for which of the following procedures? A. Tonsillectomy B. Arthroscopy C. Cystoscopy D. Myomectomy - correct answers B. Arthroscopy The jaws of most hemostatic forceps are designed with: A. Ratchets B. Serrations C. Springs D. Teeth - correct answers B. Serrations Foreign bodies are more frequently found in the right lung because: A. The right mainstem bronchus is shorter, wider, and more vertical than the left B. The right lung is larger than the left lung C. There are no cilia in the right mainstream bronchus D. The walls of the right primary bronchus are more rigid than the left - correct answers A. The right mainstream bronchus is shorter, wider, and more vertical than the left Which of the following is MOST likely to be classified as a break in sterile technique? A. 500 mL of normal saline B. 500 mL of injectable saline C. 1,000 mL of normal saline D. 1,000 mL of injectable saline - correct answers C. 1,000 mL of normal saline Which of the following terms refers to the superior portion of the stomach? A. Greater curvature B. Pyloric antrum C. Fundus D. Body - correct answers C. Fundus Which of the following medications is a vasoconstrictor? A. Epinephrine (Adrenaline) B. Propranolol (Inderal) C. Procainamide (Pronestyl) D. Nitroglycerin (Nitrostat IV) - correct answers A. Epinephrine (Adrenaline) Which of the following instruments is used for closing around anatomy in a crushing or non-crushing manner, is used for hemostasis or occlusion, and has jaws that are smooth or serrated? A. Dissection tool B. Scissors C. Grasping forceps D. Clamps - correct answers D. Clamps Which of the following are the correct steps for a Bier block? 1. 30mL of 0.5% Lidocaine is injected intravenously 2. The arm is elevated and exsanguinated with an Esmarch bandage 3. A pneumatic double cuffed tourniquet is placed proximally on the arm 4. A Webril bandage is wrapped around the proximal arm A. 2, 3, 1, 4 B. 3, 1, 4, 2 C. 3, 2, 4, 1 D. 4, 3, 2, 1 - correct answers D. 4, 3, 2, 1 What time and temperature is recommended for sterilizing and unwrapped instrument without a lumen by immediate-use steam sterilization? A. 3 minutes at 270 F B. 10 minutes at 250 F C. 15 minutes at 270 F D. 20 minutes at 250 F - correct answers A. 3 minutes at 270 F Surgeons typically like to leave the ovaries in during a hysterectomy to ensure that the patient will still produce which of the following two sex hormones? A. Estrogen and luteinizing hormone B. Progesterone and estrogen C. Testosterone and FSH D. Progesterone and HCG - correct answers B. Progesterone and estrogen Which of the following is the MOST appropriate location for the specimen label to be placed? A. Container lid B. Specimen bag B. 1, 2 , and 4 only C. 1, 3, and 4 only D. 2, 3, and 4 only - correct answers B. 1, 2 , and 4 only Following a colon resection, a patient in the PACU is noted to have a first-degree burn to the upper thigh area. Which of the following is MOST likely cause of this injury? A. Improper transport of the patient B. Improper laser temperature C. Incorrect positioning of the patient D. Incorrect grounding pad placement - correct answers D. Incorrect grounding pad placement Which of the following is the position recommended for a patient in hypovolemic shock? A. Reverse Trendelenburg B. Supine., with head elevated C. Modified sims D. Supine, with legs slightly elevated - correct answers D. Supine, with legs slightly elevated Instruments are introduced via the cervical canal for the removal of tissue is a: A. Dilation and curettage B. Cervical conization C. Culdoscopy D. Colpotomy - correct answers A. Dilation and curettage Which of the following operating team members coordinates the safe transfers of the surgical patient from the operating table to the stretcher at the end of the surgical procedure? A. Primary surgeon B. Circulating nurse C. Anesthesia provider D. Surgical technologist - correct answers C. Anesthesia provider Following disinfection with glutaraldehyde, it is imperative that instruments be thoroughly rinsed with sterile water to prevent: A. Tissue burns and contamination B. Abrasions and hypertension C. Anaphylaxis and tachycardia D. Hypotension and bradycardia - correct answers A. Tissue burns and contamination When a drain is being placed, the surgical technologist should expect the surgeon to secure it to the skin with: A. Stapler B. Surgical gut suture C. Absorbable suture D. Nonabsorbable suture - correct answers D. Nonabsorbable suture Which of the following activities violates a principle of aseptic technique? A. A sterile person faces an unsterile area to pass it B. Sterile person faces a sterile area to pass it C. Unsterile person faces a sterile area to pass it D. Unsterile person avoids reaching over a sterile field - correct answers A. A sterile person faces an unsterile area to pass it Which of the following surgical devices requires a venous access? D. Individual items are counted silently by ST and circulator - correct answers A. Individual items are counted aloud by the ST and recorded by circulator For a pilonidal cystectomy, the patient should be placed in which of the following positions? A. Jackknife B. Fowler C. Supine D. Trendelenburg - correct answers A. Jackknife Which of the following is the BEST way a ST can practice cost containment? A. Review similar preference cards to determine which sutures to open B. Consult with surgical technologist in the circulator role as to which sutures to open before the case C. Ask the surgeon before the case begins which type of sutures to open D. Open each suture listed on the preference card - correct answers C. Ask the surgeon before the case begins which type of sutures to open Which of the following is an acceptable skin prep solution for a patient with a shell fish allergy? A. ChloraPrep B. Betadine C. DuraPrep D. Povodone-Iodine - correct answers A. ChloraPrep Which of the following solutions should be considered the highest risk in the surgical environment with respect to the fire triangle? A. A thyroidectomy prepped with alcohol and draped with an incise drape B. A total knee replacement prepped with betadine and draped with an extremity drape C. Bowel resection prepped with chlorahexadine and draped with a laparotomy drape D. Bunionectomy prepped with alcohol and draped with a split sheet - correct answers A. A thyroidectomy prepped with alcohol and draped with an incise drape When is the BEST time to remove specimens from the sterile field? A. Before any other specimens are obtained B. Only if the circulator asks C. Immediately after dissection D. When the surgeon gives permission - correct answers D. When the surgeon gives permission Acetic acid is used during surgery to identify: A. Abnormal cells C. Cholelithiasis C. Nerve roots on an x-ray D. Muscle tissue - correct answers A. Abnormal cells Which of the following happens if a closed drainage system is disconnected from the chest tube? A. The lung will collapse B. The lung will overinflate C. The chest tube will collapse D. The lung will perforate - correct answers A. The lung will collapse Which of the following are true about diabetic gangrene and gas gangrene?