CST Exam Review (Final) With Complete Solutions Latest Update, Exams of Surgical Pathology

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CST Exam Review (Final) With Complete

Solutions Latest Update

B. neostigmine - correct answers An antgonist to nondepolarizing medication is? A. dopamine B. neostigmine C. nimodipine D. ketamine A. in the most challenging area of the load - correct answers For steam sterilization, biological indicators should be placed A. in the most challenging area of the load B. in the least challenging area of the load C. at the top of the load D. at the center of the load C. hematocrit - correct answers What is the name of the blood test that measures the percentage of red blood cells in the body?

A. prothrombin count B. hemoglobin C. hematocrit D. reticulocyte count B. grasp the inside of the gown just below the neckline, lifting it up and away from the table. - correct answers When donning a sterile surgical gown, the surgical technologist should A. grasp and unfold the gown before lifting it away from the table. B. grasp the inside of the gown just below the neckline, lifting it up and away from the table. C. grasp the inside of the the gown at the neckline, lifting it up and away from the table. D. grasp the outside of the gown, lifting it up and away from the table. A. stomach - correct answers Which of the following anatomical structures is involved in a hiatal hernia?

A. stomach B. intestine C. bladder D. rectum B. offering irrigating fluid when the tissues appear hydrated - correct answers Which of the following would provide intra-operative assistance to the surgeon during a surgical procedure? A. approximating the skin edges while the surgeon applied skin staplers B. offering irrigating fluid when the tissues appear hydrated C. closing the surgical incision while the surgeon dictates the operative report D. using the electrosurgical pencil to cauterize tissue while surgeon retracts A. activated glutaraldehyde - correct answers Which of the following solutions can be used to disinfect endoscopic instruments?

A. activated glutaraldehyde B. iodophors C. phenolic compound D. ethyl alcohol 70% C. arteriovenous malformation - correct answers Which of the following congenital conditions is an atypical communication of intracranial vessels? A. myelomeningocele B. patent ductus arteriosis C. arteriovenous malformation D. craniosynostosis D. satinsky - correct answers Which of the following is a non-crushing vascular clamp? A. mixter B. pean C. kocher D. satinsky

C. crile clamp - correct answers Which of the following instruments would be classified as a hemostatic clamp? A. allis clamp B. babcock clamp C. crile clamp D. kocher clamp B. da Vinci surgical system - correct answers What robotic system has three computer guided instrument arms that are controlled by the surgeon through a remote console? A. stereotaxis navigational system B. da Vinci surgical system C. computed tomography unit D. magnetic resonance imaging unit D. forceps - correct answers After passing a closing suture to the surgeon, what instrument should the surgical technologist pass to the surgeon next? A. allis clamp B. suture scissors C. crile hemostat

D. forceps A. immediately notify the surgeon and repeat the count - correct answers What action should the surgical technologist take if the count is incorrect? A. immediately notify the surgeon and repeat the count B. notify the operating room supervisor of the incident C. check the trash and waste receptacles for the lost item D. notify the radiology department to take an x-ray D. intermediate - correct answers What part of the three- layer dressing absorb wound secretions? A. inner B. dranage C. outer D. intermediate D. in separate basin - correct answers Where are the intestinal anastomosis instruments placed when using bowel technique? A. on mayo tray

B. off the sterile field C. on backtable D. in separate basin B. res ispa loquitur - correct answers If a kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal concepts apply? A. intentional tort B. res ispa loquitur C. misdemeanor D. extension doctrine D. CUSA - correct answers Emulsification of abnormal tissue during neurosurgical procedures is accomplished by the use of: A. LASER B. ESU C. PET D. CUSA B. weider tongue depressor - correct answers Which of the following instruments would be used to retract the tongue during a tonsillectomy?

A. metzenbaum scissors B. weider tongue depressor C. jennings mouth gag D. gwynne-evans dissector A. peroneal - correct answers Which of the following nerves can be injured when the patient is positioned in the lithotomy position? A. peroneal B. phrenic C. celiac D. ulnar B. corneal trephine - correct answers Which instrument is used during a keratoplasty? A. sphenoidal punch B. corneal trephine C. #11 knife blade D. westcott scissors

B. severe swelling of the arm, which can result in compartment syndrome - correct answers After a closed reduction and application of a long arm cast for a distal radius fracture, what post-operative complication must be monitored closely? A. loosening of the cast that will result in a malunion of the fracture B. severe swelling of the arm, which can result in compartment syndrome C. hyperthermia of the casting material that is a result of a chemical reaction D. an allergic reaction to the casting material that is evident by swelling of the upper arm A. polypropylene - correct answers Which of the following sutures would the surgical technologist pass if the surgeon is requesting a monofilament, nonabsorbable suture to close the peritoneum? A. polypropylene B. silk C. vicryl

D. stainless steel B. low lithotomy - correct answers In which of the following positions would the patient be placed initially for a laparoscopic vaginal hysterectomy? A. high lithotomy B. low lithotomy C. supine D. trendelenburg D. cardiopulmonary bypass pump - correct answers During a coronary artery bypass graft, what piece of equipment is used to circulate blood throughout the body and decrease body temperature, which slows cell metabolism? A. Swanz-Ganz thermodilution pulmonary artery monitor B. autotransfusion machine C. cardiotomy reservoir and myocardial protection system D. cardiopulmonary bypass pump A. nipple line to midthigh - correct answers When prepping a patient for an abdominal procedure, the

surgical skin prep should begin at the incision site and extend from the A. nipple line to midthigh B. midline to the inguinal area C. umbilicus to the symphysis pubis D. xiphoid process to the perineal area A. argon - correct answers What type of laser is used during a trabeculoplasty of the eye to treat glaucoma? A. argon B. CO C. Ho:YAG D. KTP A. the patient is asked to sign the consent form after the surgeon has explained the procedure - correct answers Which of the following procedures for obtaining an informed consent form is appropriate? A. the patient is asked to sign the consent form after the surgeon has explained the procedure B. the consent form is witnessed by one member of the patient's family

C. the patient is asked to read the entire consent form after signing it D. the surgical technologist in the circulator role is ultimately responsible for obtaining the signed consent form C. sharp weitlaner retractor - correct answers What self- retaining retractor would not be used to facilitate exposure of the operative site during an arteriovenous fistula procedure? A. gelpi retractor B. dull weitlaner retractor C. sharp weitlaner retractor D. beckman retractor B. using the electrocautery pencil - correct answers Which of the following is a thermal method of hemostasis? A. using a free tie to occlude the vessel B. using the electrocautery pencil C. applying Avitene to the bleeding tissue D. applying thrombin and Gelfoam

D. poole - correct answers Which type of suction tip should be used when irrigating the abdominal cavity? A. frazier B. yankauer C. psychon D. poole D. evert the skin edges while approximating the tissue to promote wound healing - correct answers When using a skin stapler to facilitate the wound closure, the surgeon often uses two Adson tissue forceps to A. assist with placing the staples perpendicular to the surgical incision B. provide additional support to the wound edges as the staples are applied C. remove misplaced staples along the suture line that may interfere with healing D. evert the skin edges while approximating the tissue to promote wound healing B. reverse Trendelenburg - correct answers What surgical position is used to access the upper abdominal cavity by facilitating gravitational pull of the viscera away from the diaphragm?

A. Trendelenburg B. reverse Trendelenburg C. supine D. lateral A. avoid excessive movement of the retractor after placement to prevent tissue damage - correct answers When the surgeon request the surgical technologist to assist with retracting, the surgical technologist should A. avoid excessive movement of the retractor after placement to prevent tissue damage B. reposition the retractor after placement to provide better exposure C. offer a self-retaining retractor to replace the handheld retractor D. ask the assistant to hold the retractor to prevent tying up hands to pass C. professional practice act - correct answers Which of the following terms best describes each state having established laws that govern the actions of those licensed in a given profession? A. constitutional law

B. administrative law C. professional practice act D. judicial or common law B. immunosuppressed patients - correct answers In which of the following special patient population groups is monitoring asepsis the most critical to the overall outcome of the surgical procedure? A. pediatric patients B. immunosuppressed patients C. sensory-impaired patients D. geriatric patients B. fragmenting and aspirating the cloudy lens during cataract surgery - correct answers What is phacoemulsification used for during surgical procedure? A. breaking up stones that have formed in the kidneys B. fragmenting and aspirating the cloudy lens during cataract surgery C. crushing stones in the gallbladder and common bile duct D. emulsifying the internal layer of the uterus to treat endometriosis

D. reduce and minimize the number of transient and resident microorganisms on the skin - correct answers The purpose of the surgical scrub is to A. sterilize the skin, which reduce the number of microorganisms on the skin B. protect the surgical technologist's hands and arms against any pathogenic microorganisms C. disinfect the skin to prevent the surgical technologist from being exposed to a pathogen D. reduce and minimize the number of transient and resident microorganisms on the skin D. pass the suture to secure the drain to prevent from being pulled from the wound - correct answers When assisting the surgeon with the placement of a Jackson- Pratt drain, the surgical technologist should be prepared to A. immediately attach the drain to the wall suction to assist with evacuation of fluid

B. flush the tubing with heparinized saline to prevent the tubing from clogging after the procedure C. cut the drain tubing close to the skin to assist with the application of the dressing D. pass the suture to secure the drain to prevent from being pulled from the wound D. lead apron - correct answers What personal protective equipment would the surgical technologist wear during extracorporeal shock wave lithotripsy? A. sterile gloves B. splash guard C. plume mask D. lead apron C. prepare moist and dry sponges for use - correct answers The intraoperative phase of an open laparotomy is ending with the application of a dressing. Which of the following actions should the surgical technologist perform FIRST for this dressing application? A. place a temporary dressing on the wound

B. prepare the appropriate size retractor C. prepare moist and dry sponges for use D. obtain and arrange suture materials D. postural hypertension - correct answers A major complication of the Fowler's position is A. foot drop B. brachial plexus injury C. air embolism D. postural hypertension D. the upper leg is straight on a pillow with the lower leg flexed - correct answers The correct position of the patient's legs in the lateral position is A. the top leg is flexed and lower straight on a pillow B. both legs straight with pillow between the knees C. the lower leg straight on a gel pad with a pillow between the legs D. the upper leg is straight on a pillow with the lower leg flexed A. harmonic scalpel - correct answers An instrument that uses ultrasonic energy to simultaneously dissect and

coagulate tissue during a laparoscopic cholecystectomy is a(n) A. harmonic scalpel B. bipolar forceps C. resectoscope D. endoscopic scissor A. a surgical time out - correct answers What is the procedure that provides for a final verification of the patient's identity, correct surgical site, and correct surgical procedure? A. a surgical time out B. a surgical countdown C. an iatrogenic incident D. a sentinel event B. Trendelenburg - correct answers What surgical position provides exposure to the lower abdominal and pelvic cavity by shifting the abdominal viscera away from the pelvic area? A. prone B. Trendelenburg

C. supine D. reverse Trendelenburg A. restocking supplies and returning all equipment and furniture to their normal position - correct answers At the end of the surgical schedule, the surgical technologist is responsible for preparing for the next day by A. restocking supplies and returning all equipment and furniture to their normal position B. calling radiology to order a contrast media needed for a scheduled procedure C. checking the call list to see who will be staying if the scheduled cases run late D. checking the surgical schedule to see which surgeons are working the next day D. shaft of the instrument - correct answers When passing a ringed instrument, the surgical technologist should hold the A. tip of the instrument B. ringed portion of the instrument C. open end of the instrument D. shaft of the instrument

A. a #10 knife blade on a long handle - correct answers The surgical technologist has just passed a TA (thoracoabdominal) stapler to the surgeon during a lobectomy of the lung. Which of the following instruments will the surgeon use next to divide the tissue and free the specimen? A. a #10 knife blade on a long handle B. a lung0grasping clamp, such as a Duval C. a 3-0 silk on an intracardiac needle holder D. a Mixter right-angle clamp, followed by a tie on a passer A. a water-sealed drainage system, such as a Pleurovac - correct answers what type of drainage system is used to pull fluid and air from the chest cavity after a thoracic surgery? A. a water-sealed drainage system, such as a Pleurovac B. a passive drainage system that is connected to wall suction C. a passive drainage system, such as a Hemovac D. a gravity drainage system connected to a drainage bag

C. from the generator, to the active electrode, through the patient's body, to the dispersive electrode, back to the generator - correct answers What is the correct sequence of electrical current when using a monopolar electrocautery unit? A. from the generator, through the patient's body, to the dispersive electrode, to the generator, back to the active electrode B. from the active electrode, through the patient's body, to the generator, to the dispersive electrode, back to the active electrode C. from the generator, to the active electrode, through the patient's body, to the dispersive electrode, back to the generator D. from the dispersive electrode, to the generator, through the patient's body, to the active electrode, back to the patient generator B. the ST should re-check cutting blade and guard for proper placement and set the depth gauge to 0 - correct answers What safety measure should the surgical technologist take when preparing a dermatome for a split-thickness skin graft?

A. the ST should apply mineral oil directly to the bade of the dermatome to allow it to glide over smoothly over the skin B. the ST should re-check cutting blade and guard for proper placement and set the depth gauge to 0 C. the ST should ensure the dermatome is functioning by connecting the power cord to CO2 tank D. the St should shave the donor site to prevent excessive hair from damaging the dermatome blade B. to maintain body temperature during the surgical procedure to prevent hypothermia - correct answers An important goal for the surgical staff when caring for a pediatric patient is A. to provide IV fluids during the surgical procedure to prevent hydration of body tissues B. to maintain body temperature during the surgical procedure to prevent hypothermia

C. to use hot solutions, like sterile water, when irrigating the surgical wound D. to transport patient directly to the operating room to prevent separation anxiety A. to verify that the package is free of tears, holes, or water marks - correct answers What is the purpose of checking the integrity of a package before opening the contents onto the sterile field? A. to verify that the package is free of tears, holes, or water marks B. to guarantee that the outer wrapper is still sterile C. verify that the item has not been dropped on the floor D. to ensure that the correct supplies are being opened B. pulse oximeter - correct answers What medical device is used by the anesthesia provider to indirectly measure the oxygen saturation of the patient's blood? A. gas savaging system

B. pulse oximeter C. central venous line D. CO2 saturation monitor C. supine - correct answers Which of the following surgical positions provides the best exposure of the abdominal cavity? A. Trendelenburg B. Fowler's C. supine D. reverse Trendelenburg A. one third of the distance from the swaged end of the needle to the needle point - correct answers The correct placement of a surgical needle on a needle holder is A. one third of the distance from the swaged end of the needle to the needle point B. in the center of the needle at a 45-degree angle C. directly over the swaged section with the needle at a 90-degree angle