CST Exam A With Complete Solutions Latest Update, Exams of Surgical Pathology

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CST Exam A With Complete Solutions

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Which of the following is the opening in the occipital bone through which the spinal cord passes? - correct answers foramen magnum 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 answers New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. Which of the following is the body's local tissue reaction to injury? - correct answers inflammation Which of the following instruments is used for a common bile duct exploration? - correct answers Randall forceps Which of the following is the MOST important consideration when cutting suture? - correct answers avoiding the knot

Which of the following structures are ligated and divided during the cholecystectomy? - correct answers cystic artery and cystic duct Which of the following may be used when applying a sterile dressing to a skin graft site? - correct answers pressure dressing When performing a dilation and curettage, which of the following instruments is used to grasp the cervix? - correct answers Schroeder On the way into the operating room, a terminally ill patient tells the nurse, "No matter what happens, it will be okay." Which of the Five Stages of Grief is the patient MOST likely in? - correct answers acceptance Which of the following instruments is used for placement of cottonoid strips during a craniotomy? - correct answers bayonet forceps When two individuals in sterile attire pass one another in the sterile field, they should - correct answers pass back- to-back. Which of the following is used to oxygenate and circulate blood? - correct answers extracorporeal bypass

The PRIMARY consideration in selecting an appropriate anesthetic agent is the - correct answers physiologic condition of the patient. If two basins are wrapped together for sterilizing, they should be packaged with one basin - correct answers stacked inside the other and separated by a towel. Which of the following items may be used in positioning a patient for a total hip arthroplasty? - correct answers bean bag A surgical technologist sees a neighbor being admitted. How should the surgical technologist respond? - correct answers Do not acknowledge the neighbor unless greeted first Instruments that come in contact with the appendiceal stump during an appendectomy should be - correct answers placed in a separate basin. Which of the following is the MOST serious complication of a strangulated hernia? - correct answers necrosis

Which of the following techniques is NOT acceptable for draping the patient? - correct answers Readjust the drapes as necessary after placement. Which of the following structures is separated first when a paramedian incision is performed? - correct answers rectus abdominis Which of the following is MOST likely to be used to stabilize a cervical fracture? - correct answers Mayfield clamp During a transurethral resection of the prostate, bleeding is controlled by - correct answers cauterization. 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 answers surgical gloves In order to remove a portion of the kidney, the surgeon must enter which of the following? - correct answers Gerota's fascia Which of the following is the MOST common straight catheter used prior to laparoscopic gynecological surgery in the OR? - correct answers Robinson

A Stamey needle is used for which of the following types of surgery? - correct answers bladder suspension Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the operating room? - correct answers sigmoidoscopy Which of the following is a fenestrated drape? - correct answers a drape with an opening that allows exposure of the operative site An appendectomy incision closed using suture is considered to be which of the following types of wound closure? - correct answers primary intention Which of the following patients is MOST likely to acquire a nosocomial infection? - correct answers a male patient who has diabetes The appendiceal stump, when inverted, is held in place by which of the following types of suture? - correct answers purse-string Aerobic organisms are BEST characterized as - correct answers oxygen-requiring.

The PRIMARY purpose of chest tubes is to - correct answers re-establish negative pressure. Which of the following is a surgical instrument designed for retracting? \ - correct answers Gelpi Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas? - correct answers Whipple A sterile item used with an electrosurgical unit is the A. generator. - correct answers active electrode What is the desired effect of atropine sulfate when used as a preoperative medication? - correct answers drying of secretions A postoperative total arthroplasty patient presents to the emergency department with severe throbbing pain, fever, and malaise. Which of the following is the likely diagnosis? - correct answers osteomyelitis Which of the following is used to stabilize a fractured finger? - correct answers Kirschner wires

Which of the following is the primary purpose for changing into operating room attire? - correct answers to prevent the of spread of microorganisms A surgical technologist is assigned to a room where the patient happens to be his neighbor. To protect patient confidentiality, the technologist should indicate that he knows the patient and - correct answers request to be removed from the room. Mannitol (Osmitrol) is used in neurosurgical procedures to

• correct answers decrease intracranial pressure. Which of the following lies between the lung and the chest wall? - correct answers pleura Which of the following is applied as a nonadherent dressing? - correct answers adaptic A Balfour is used in which of the following procedures? - correct answers sigmoid resection If the VII cranial nerve is severed, which of the following is the result? - correct answers facial paralysis

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 answers cuticular and subcuticular During which of the following surgeries is a Meckel's diverticulum typically discovered? - correct answers appendectomy Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? - correct answers oblique muscles A perforator is used for which of the following procedures? - correct answers craniotomy In preparation for a cranial aneurysm, which of the following pieces of equipment would MOST likely be used? - correct answers microscope During strabismus surgery, which of the following is the first tissue layer that must be incised? - correct answers conjunctiva When can instrument counts be omitted? - correct answers if an emergency procedure must be performed

In which of the following positions is a patient placed for a right nephrectomy? - correct answers left lateral kidney Which of the following examples illustrates UNSAFE technique for disposing of contaminated sharps? - correct answers 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 answers The liver rests superior and anterior to the right kidney. Which of the following should be the MINIMUM exposure time in a flash sterilizer for unwrapped instruments? - correct answers 3 minutes If a routine surgical procedure was performed without consent, the surgeon committed - correct answers battery. If an adult patient refuses a blood transfusion, the surgical staff should - correct answers not administer blood to the patient. During the intraoperative phase, which of the following activities can be completed by both sterile and non-sterile

members of the surgical team? - correct answers caring for the specimen A lumbar meningocele involves removal of - correct answers a fluid-filled sac. Wrinkle-free padding is applied to an extremity before application of a tourniquet to avoid - correct answers skin injuries A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it

• correct answers is sent to pathology immediately. Which of the following procedures is used to visualize the cystic, hepatic, and common ducts? - correct answers cholangiography A scleral buckle procedure repairs - correct answers detached retinas. 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 answers Senn

The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? - correct answers carotid endarterectomy During dissection of the cystic duct in an open cholecystectomy, which of the following instruments is necessary? - correct answers 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 answers biliary obstruction The primary purpose of a local anesthetic is to - correct answers block peripheral nerve receptors. Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? - correct answers shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder When performing a parotidectomy, which of the following nerves is identified and preserved with the use of a nerve stimulator? - correct answers facial nerve

Which of the following medications is the anesthesia provider responsible for recording the name, amount, and delivery method during a surgical procedure? - correct answers propofol 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 answers cystocele 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 answers 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 answers resectoscope Which of the following instruments has teeth? - correct answers Kocher When entering the abdominal cavity, which of the following BEST describes the order of contact with the layers of tissue? - correct answers skin, subcutaneous, fascia, muscle, peritoneum

If a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal concepts apply? - correct answers 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 answers 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 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 answers XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove Following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take? - correct answers 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 answers protamine sulfate Which of the following wounds is MOST likely in the inflammatory phase of wound healing? - correct answers an abdominal incision, 20 minutes post-closure To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following two vessels? - correct answers 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 answers Remove drapes and re-prep While preparing a sterile field, a surgical technologist secures the Bovie holster to the Mayo stand. The surgeon insists on keeping the Bovie by him toward the head of the patient. Which of the following wou - correct answers Move Bovie holster up by head of patient. Ratcheted instruments should be - correct answers opened for washing and sterilizing.

An effective packaging material used for a Balfour to be steam sterilized - correct answers permits penetration by the sterilant. The parathyroid gland regulates - correct answers calcium. Scoliosis is MOST commonly found in which of the following curves of the vertebral column? - correct answers thoracic Which of the following is the MOST effective mechanical method of controlling bleeding occurring from needle holes in vessel anastomoses? - correct answers pledget Which of the following should be visualized on an x-ray to determine if a long bone is still growing? - correct answers epiphyseal plate Which of the following procedures for obtaining an informed consent form is appropriate? - correct answers The patient is asked to sign the consent form after the surgeon has explained the procedure. Which of the following procedures is used for removal of an embolus? - correct answers balloon catheterization

Which of the following items should be used to transport a patient in traction? - correct answers bed At the conclusion of the surgical procedure, the Mayo stand should - correct answers remain sterile until the patient leaves the room. Which of the following is used during a tympanoplasty? - correct answers operating microscope Removing a cataract by ultrasonic vibration and aspiration is called - correct answers phacoemulsification. Surgical loupes are used to - correct answers magnify the surgical field A patient undergoing a blood transfusion is having a hemolytic reaction. Which of the following actions should the healthcare providers take FIRST? - correct answers Stop the transfusion A patient's dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures? - correct answers Place them in a labeled denture cup and keep them with the patient's chart.

Which of the following is associated with secondary intention wound healing? - correct answers tissue granulation When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice? - correct answers 8-10 mL of sterile water During a craniotomy, removal of the bone flap is followed by - correct answers incision of the dura mater During a laparoscopic appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of bowel content? - correct answers linear Which of the following solutions is used to identify diseased areas for a cold conization of the cervix? - correct answers Lugol's Which of the following is the correct position for dilation and curettage? - correct answers lithotomy An RN has just asked a surgical technologist to complete a task that is within the surgical technologist's scope of practice, but the surgical technologist does not feel

comfortable completing the task independently. Which of the following is the surgical technologist's BEST course of action? - correct answers Request that the RN provides the appropriate level of supervision during the task to ensure safety. Which of the following may be used for a cerebral aneurysm? - correct answers brain spoon Which of the following instruments should be included in the set-up for a laminectomy? - correct answers Kerrison A surgical technologist is preparing a fresh specimen for frozen section to be passed off of the field. How should - correct answers wrap it in a Telfa pad Which of the following suturing techniques features short lateral stitches that are taken beneath the epithelial layer of skin? - correct answers subcuticular Which of the following surgical needles is MOST appropriately used in a liver resection? - correct answers blunt Which of the following is NOT an acceptable technique when placing a patient in the lithotomy position? - correct answers legs placed in stirrups one at a time

What is the function of silver sulfadiazine (Silvadene)? - correct answers antimicrobial If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should request additional - correct answers lap sponges A surgical technologist is explaining the steps of the ESU circuit to a student. The surgical technologist should explain that the electric current is channeled back to the generator through the - correct answers dispersive (inactive) electrode. Sponges that have been added to the sterile field after a procedure has begun should be counted by the - correct answers surgical technologist in the scrub role and the circulator. During a procedure, a surgical technologist touches an unsterile item with a sterile glove. Which of the following should be done? - correct answers Change the glove at once The oxygen-carrying capacity of red blood cells is a function of - correct answers hemoglobin.

Which of the following procedures uses a trocar? - correct answers laparoscopy A major function of the colon is to - correct answers absorb water Hepatitis B is caused by a - correct answers virus. At the conclusion of a surgical case, how would the surgical technologist in the scrub role aid in reducing bioburden on instruments as the first step in the sterilization cycle? - correct answers hand cleaning A potential surgical complication of an inguinal herniorrhaphy is injury to the - correct answers spermatic cord. What type of incision is typically used for an open cholecystectomy? - correct answers subcostal Which of the following pathogens would MOST likely cause a post-operative SSI? - correct answers Staphylococcus aureus

Which of the following must be done before sterilizing an instrument with a lumen? - correct answers injecting a small amount of distilled water into the lumen Which of the following is the correct order, from the outermost to the innermost layer, of the tissues that compose the wall of the stomach and small intestine?

1. submucosa
2. muscularis
3. serosa
4. mucosa - correct answers 3, 2, 1, 4 Which of the following is NOT a symptom of shock? - correct answers hypertension When transferring an unconscious, post-operative adult patient from the operating room table to a bed, what is the minimum number of people required for safe transfer? - correct answers 4 Which of the following scissors is MOST likely found in a basic hysterectomy set-up? - correct answers Jorgenson Which of the following is used to remove clots and tissue from the bladder during transurethral resections (TURPs)?

• correct answers Ellik evacuator

A Javid shunt is used for which of the following procedures? - correct answers carotid endarterectomy 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 answers 4.0 mL Hair removed during preparation for cranial surgery should be - correct answers saved because it is personal property 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 answers determination of death To help prevent toxicity and vascular events in a patient where polymethylmethacrylate (PMMA) is used, which of the following devices should a surgical technologist have available? - correct answers pulse lavage A pneumatic tourniquet may be used for extremity surgery to - correct answers reduce blood loss.

During a craniotomy, which of the following types of bone is entered? - correct answers flat Which of the following is a procedure for removing excess skin from the face and neck? - correct answers 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 answers Penrose What color is a nitrous oxide tank? - correct answers blue Which of the following is MOST likely to be in place while transferring a patient from the operating room table to the stretcher?

1. IV tubing
2. Fogarty catheter
3. EKG wires
4. Foley catheter - correct answers 1 and 4 only Which of the following types of sponges is used directly on the structures of the brain? - correct answers cottonoid

Which of the following procedures requires an incision in the suprasternal notch? - correct answers mediastinoscopy Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured next? - correct answers 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 answers 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 answers lithotomy A #12 knife blade on a #7 handle is MOST commonly used for what type of surgery? - correct answers tonsillectomy Which of the following anticoagulants should be given during a vascular procedure to prevent normal blood clotting? - correct answers heparin sodium

What advantage do hand-held retractors have over self- retaining retractors? - correct answers dynamic adjustability In which of the following congenital anomalies does the urethra open on the underside of the penis? - correct answers hypospadias Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are - correct answers absorbant and collect moisture. A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given? - correct answers 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 answers right eye will dilate. A Marshall-Marchetti-Krantz (MMK) requires which of the following skin preparations?

1. abdominal
2. vaginal
3. rectal
4. extremity - correct answers 1 and 2 only