CST Practice Exam #3 With Complete Solutions Latest Update, Exams of Surgical Pathology

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CST Practice Exam #3 With Complete Solutions Latest Update V - correct answers Which cranial nerve is affected by trigeminal neuralgia? - I - V - VI - VII Mineral oil - correct answers What is used to lubricate the donor site & reduce friction from the dermatome? - Bacitracin ointment - Iodophor solution - Peteolatum gel - Mineral oil Donor site first - correct answers Which of the following is an example of proper sterile technique when performing the prep for a split-thickness skin graft? - Donor site first - Recipient site first - Donor site only - Recipient site only 12-15 mm Hg - correct answers What is the recommended range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic procedure? - 8-11 mm Hg - 12-15 mm Hg - 16-19 mm Hg - 20-23 mm Hg Strabismus - correct answers Which of these terms refers to the inability to direct both eyes at the same object? - Strabismus - Chalazion - Glaucoma - Cataract Not permissible under any circumstances - correct answers Covering a sterile back table for later use is: - Permissible for up to 1 hour before the procedure - Permissible in instances of an emergency - Not permissible for up to 2 hours before the procedure - Not permissible under any circumstances Trendelenburg - correct answers In which position would a patient be placed to counteract hypovolemia? - Left lateral - Right lateral - Trendelenburg - Reverse Trendelenburg Swaged monofilament - correct answers Which of the following types of suture create the least tissue trauma & drag? - Swaged multifilament - Swaged monofilament - Threaded multifilament - Threaded monofilament OSHA - correct answers Which organization has legal oversight for the safety of healthcare providers in the work place? - EPA - CDC - OSHA - NIOSH Physiological & survival - correct answers Which level of Maslow's Hierarchy of Needs is most applicable to the surgical patient? - Esteem & prestige - Love & belonging - Safety & security - Physiological & survival Gloves removed 1st - correct answers Which of the following would be incorrect technique when removing the sterile gown & gloves? - Circulator unties gown - Gown removed inside-out - Gloves removed inside-out - Gloves removed 1st Abdominoperineal resection - correct answers What type of procedure might require a laparoscopy combination drape? - Pilonidal cystectomy - Subacromial decompression - Abdominoperineal resection - Femorofemoral bypass Coagulation of protein - correct answers Cell destruction by steam sterilization occurs by: - Cellular membrane damage - Interrupt cellular division - Altering cellular DNA - Coagulation of protein Unfold drape before bringing up to the OR table - correct answers Which technique is not acceptable when draping? - Periphery to incision site using back & forth motion Hematocrit - correct answers The laboratory test that determines the ratio of erythrocytes to whole blood is: - Reticulocyte count - Differential count - Hematocrit - Hemoglobin Hand off the sterile field & isolate - correct answers What is the proper procedure to follow when a pack of sponges contains an incorrect number after the patient has entered the OR? - Record actual number & use - Hand off the sterile field & isolate - Place on sterile backtable & do not use - Remove from the OR Calculi - correct answers Which of the following types of specimens would not be placed in a preservative solution? - Colon - Calculi - Tonsils - Uterus Operative field - correct answers Where should the surgical tech begin when performing closing counts? - Backtable - Mayo stand - Off the field - Operative field Coude - correct answers Which of the following catheter tips is used in a patient w/ a urethral stricture? - Olive - Coude - Whistle - Mushroom Neck - correct answers Which type of procedure would require a stent dressing? - Neck - Inguinal - Extremity - Abdominal Nerve stimulator - correct answers Which of the following is used in order to ensure preservation of the facial nerve during a parotidectomy? - Monopolar cautery - Nerve stimulator - Microscope - Doppler Absorbable collagen - correct answers Which of the following hemostatic agents is contraindicated for use in the presence of infection? - Topical thrombin - Oxidize cellulose - Absorbable gelatin - Absorbable collagen Tissue approximation - correct answers During closure of a nephrectomy in the lateral position, the OR table is straightened to facilitate: - II & IV Culdocentesis - correct answers Which of the following is performed for suspected ectopic pregnancy? - Culdocentesis - Colposcopy - Culdotomy - Colporrhaphy Iridectomy - correct answers Which of the following is a procedure for treatment of glaucoma? - Vitrectomy - Iridectomy - Enucleation - Keratoplasty Arch bar application - correct answers What procedure is performed to immobilize the jaw following a mandibular fracture? - Arch bar application - TMJ osteotomy - LeFort I - LeFort II Hip - correct answers Which of the following total arthroplasty procedures would require the postoperative use of an abduction splint? - Hip - Knee - Ankle - Shoulder Mastoiditis - correct answers Untreated acute otitis media may result in: - Tonsillitis - Mastoiditis - Adenoiditis - Ethmoiditis Doppler ultrasound - correct answers Which of the following is used intraoperatively to assess vascular patency? - Positron emission tomography - Magnetic resonance imaging - Computed tomography - Doppler ultrasound Tonsillectomy - correct answers The instrument shown below (hurd dissector) would be used during a: - Parotidectomy - Tonsillectomy - Rhytidectomy - Stapedectomy Carbohydrates - correct answers Which of the following is the body's primary source of energy? - Carbohydrates - Vitamins - Proteins - Fats Cricoid cartilage - correct answers What is compressed during rapid-sequence induction & intubation? - Calcium - Sodium - Potassium - Magnesium Spore formation - correct answers Which of the following is a method of bacterial survival when environmental conditions are not conducive to growth & viability? - Conjugation - Transduction - Spore formation - Genetic mutation Pancreas - correct answers What organ detects changes in the level of insulin & releases chemicals to regulate the level of blood glucose? - Liver - Stomach - Pancreas - Gallbladder Soaking of moisture from unsterile to sterile layers - correct answers What does the term strike-through mean? - Rupture of heat seal during sterilization - Failure of biological indicator during sterilization - Perforation of sharp object through sterile wrapper - Soaking of moisture from unsterile to sterile layers Swan Ganz - correct answers Which of the following monitoring devices would be used w/in a vessel? - ECG lead - Swan Ganz - Pulse oximeter -Sphygmomanometer 0.25% - correct answers When adding 30 mL of injectable saline to 30 mL of 0.5% Marcaine, what strength does the drug become? - 0.25% - 0.5% - 0.75% - 1.0% Do not transport patient; inform surgeon - correct answers What action should be taken if the patient has w/drawn the surgical informed consent prior to surgery? - Transport patient to OR; inform surgeon - Do not transport patient; inform surgeon - Do not transport patient; inform anesthesia provider - Transport patient to OR; inform OR supervisor Cross-contamination - correct answers Confining & containing instruments with bioburden prevents which of the following? - Fomite formation - Personal injury - Instrument loss - Cross-contamination 1 in. - correct answers The unsterile size of the perimeter of a sterile wrap is: - 1/2 in. Front to back - correct answers The sterile surgical tech should drape a table from: - Side to side - Back to front - Front to back - Open drape, lay it down Brachial plexus - correct answers Which of the following can be injured if the arm is placed on the arm board greater than 90°? - Brachial plexus - Cervical plexus - Rotator cuff - Acromioclavicular joint Instill irrigation fluids - correct answers What is the purpose of the 3rd lumen in a 3-way indwelling Foley catheter? - Obtain urine specimen - Instill irrigation fluids - Provide hemostasis - Prevent urine reflux Operating microscope - correct answers Which of the following enlarges and illuminates the surgical field during cataract procedures? - Fluorescent overhead lights - Fiberoptic headlamps - Operating microscope - Surgical loupes Cottonoids - correct answers Small radiopaque surgical patties used during cranial procedures are: - Raytecs - Kittners - Pledgets - Cottonoids Avitene - correct answers Which of the following hemostatic agents must be applied dry & only handled w/ dry gloves & instruments? - Oxycel - Avitene - Gelfoam - Thrombin Ophthalmology - correct answers Which surgical specialty would utilize a phacoemulsification machine? - Neurosurgery - Maxillofacial - Ophthalmology -Otorhinolaryngology Carbon dioxide - correct answers Which of the following lasers would be contraindicated for use in the posterior chamber of the eye? - Argon - Excimer - Ho:YAG - Carbon dioxide Right ventricle - correct answers In which structure of the heart are the leads for a permanent pacemaker placed? LeFort 1 - correct answers The facial fracture that involves the complete separation of the maxilla from the cranial base is a/an: - Orbital floor - Zygomatic - LeFort 1 - Frontal sinus Bennett - correct answers What is the name of this retractor? (bennett retractor) - Charnley - Bennett - Harrington - Richardson Canine fossa - correct answers Where is the incision for a Caldwell-Luc procedure made? - Canine fossa - Frontal sinus - Eyebrow - Tear duct Doppler - correct answers The device used for real-time intraoperative assessment of blood flow is a/an: - Caliper - Doppler - Pacemaker - Manometer Craniotomy - correct answers The needle holder shown below (castroviejo needle holder) would be used during a: - Vaginal hysterectomy - Repair of rotator cuff - Tonsillectomy - Craniotomy Catabolism - correct answers A chemical reaction that provides energy by the breakdown of food is: - Anabolism - Catabolism - Metabolism - Commensalism Semicircular canals - correct answers Which structure of the ear is responsible for equilibrium? - Semicircular canals - Cranial nerve V - Labyrinth - Cochlea Glomerular filtration - correct answers The 1st step of urine production when fluids & dissolved substances are forced through a membrane by pressure is called: - Tubular secretion - Tubular reabsorption - Glomerular filtration - Glomerular absorption Mons pubis - correct answers The adipose tissue overlying the symphysis is the: - Labia majora - Mons pubis - Perineum - Vestibule - Respondeat superior - Negligence Separation anxiety - correct answers Which of the following psychosocial factors is important for the surgical team to address for pediatric patients? - Reliance on others - Postoperative schedule - Separation anxiety - Appearance of scar Maintain sterility & integrity of backtable - correct answers What is the surgical tech's role during the transfer of the patient from the OR bed to the stretcher? - Complete counts & signs the OR record - Maintains sterility & integrity of backtable - Begins breakdown of sterile setup after drapes removed - Does not remove sterile attire, but aids in patient transfer Basin w/ sterile water - correct answers When breaking down the sterile field, the surgical tech should place the grossly contaminated instruments in which of the following? - Biohazardous bag - Mesh-bottom flash pan - Basin w/ sterile saline - Basin w/ sterile water 3 - correct answers How many minutes are unwrapped instruments w/ no lumens sterilized at 270°F? - 3 - 6 - 9 - 12 Clippers w/ disposable heads - correct answers What is the recommended method of hair removal from an operative site? - Wet shave w/ disposable razor - Cream depilatory 2 days pre-op - Clippers w/ disposable heads - Dry shave w/ straight razor & tape History & physical - correct answers Which of the following must be in the chart prior to the patient being taken to the OR per The Joint Commission? - Incident report - Advanced directive - Insurance authorization - History & physical Facility - correct answers An ID bracelet is placed on a surgical patient upon admission to the: - Facility - Nursing unit - Pre-op care unit - Surgery department Feet 1st - correct answers To maintain control of the stretcher, the patient should be transported to the OR: - According to surgeon's orders - Based on patient's request - Head 1st - Secondary dentition - Deciduous teeth - 3rd molars - Bicuspids Thiopental - correct answers What is a frequently used IV barbiturate for general anesthesia induction? - Propofol - Ketamine - Thiopental - Lorazepam Vertebral - correct answers Which of the following arteries does not arise directly from the aorta? - Celiac - Vertebral - Superior mesenteric - Left common carotid 10 hrs - correct answers How long must an item be immersed in glutaraldehyde to be sterile? - 10 min - 90 min - 6 hrs - 10 hrs Antigens - correct answers Which chemical substance causes the immune system to form antibodies? - Antigens - Interferons - Complements - Immunoglobins Myringotomy - correct answers What is a surgical procedure for the treatment of acute otitis media? - Myringotomy - Stapedectomy - Mastoidectomy - Tympanoplasty Supine, knee at lower break - correct answers How is the patient positioned on the OR table for a knee arthroscopy? - Trendelenburg, knee over center break - Lateral, hip over lower break - Supine, knee at lower break - Low lithotomy, body centered Craniotomy - correct answers Which of the following instrument sets will be needed when a frontal sinus fracture repair is performed? - Plastic - Craniotomy - Ophthalmic - Vascular Shirodkar - correct answers Which of the following procedures is performed for cervical incompetence? - Culdocentesis - Colporrhaphy - Wertheim - Shirodkar - Cryotherapy unit Prepped separately w/ cotton applicators - correct answers What is done to the umbilicus during the abdominal skin prep? - Dabbed w/ 1st foam sponge only - Not prepped to prevent contamination - Prepped separately w/ cotton applicators - Filled w/ prep solution & left pooled Facilitate respiration - correct answers An axillary roll is placed for lateral positioning to: - Aid venous return - Facilitate respiration - Create good body alignment - Allow access to incision site Peroneal - correct answers Which nerve could be damaged by improperly padded stirrups? - Tibial - Sciatic - Gluteal - Peroneal Immediately w/o preservative - correct answers Frozen sections are sent to pathology: - Immediately w/o preservative - Immediately w/ preservative - End of case w/ preservative - End of case w/o preservative Nephrectomy - correct answers Which of the following procedures would be performed with the patient in the lateral position? - Suprapubic prostatectomy - Vaginal hysterectomy - Nephrectomy - Tonsillectomy G. stearothermophilus - correct answers Which heat- resistant, spore-forming Bacillus does the steam sterilization biological indicator contain? - S. aureus - B. tetani - E. coli - G. stearothermophilus Hemopoiesis - correct answers The process by which blood cells are formed is known as: - Erythropoiesis - Hemopoiesis - Diapedesis - Leukocytosis SA node - correct answers The pacemaker of the heart is/are the: - SA node - AV node - Purkinje fibers - Bundle of His Cerebral cortex - correct answers Thought processes take place in the: Presence of valves - correct answers Why is the orientation of the vein graft reversed during a CABG? - Thickness of tunica intima - Prevent atherosclerosis - Reduce vascular flow - Presence of valves Cushing - correct answers Which of the following neurosurgical retractors is handheld? - Greenburg - Cushing - Leyla - Beckman Below lower eyelid - correct answers Which of the following incisions may be used for the repair of a zygomatic fracture? - Below lower eyelid - Coronal - Angle of the mandible - Preauricular Testosterone - correct answers The principal male hormone produced in the testes is: - Inhibin - Prolactin - Aldosterone - Testosterone Staples are an acceptable method of closing peel packs - correct answers All of the following statements are true for paper-plastic peel packs, except: - Felt-tip markers should only be used on the plastic side of pack - Latex tubing should not be used to protect tip of instruments - Staples are an acceptable method of closing peel packs - Inner pack of a double peel-packed item should be sealed 3-way Foley - correct answers Following a TURP, a patient may have which of the following placed for bladder irrigation & compression? - T-tube - 3-way Foley - Robinson - Jackson-Pratt Hand must not extend beyond cuffs - correct answers Which of the following is a correct statement when using the closed-gloving technique? - Circulator assists w/ gloving - Hand must not extend beyond cuffs - Fingers of glove are pointed away from elbow - Glove is positioned palm up to facilitate pulling on Jackson-Pratt - correct answers What drainage device is preferred for a radical neck dissection? - T-tube - Penrose - Malecot - Jackson-Pratt - Myometrium - Endometrium Steam - correct answers Which of the following sterilization processes is most economical? - Gas - Steam - Liquid chemical - Ionizing radiation Cell - correct answers The basic, living structural & functional unit of the body is known as the: - Organism - Tissue - Organ - Cell Hard & soft palates - correct answers The root of the mouth is formed by the: - Filiform papillae - Palatoglossal arch - Hard & soft palates - Circumvallate papillae Lateral - correct answers In what position would a patient be placed following a tonsillectomy? - Sitting - Lateral - Trendelenburg - Reverse trendelenburg Steroids - correct answers What classification of drug reduces tissue inflammation? - Steroids - Antibiotics - Antiemetics - Sulfonamides Prolong anesthetic effect - correct answers What is the result of adding epinephrine to a local anesthetic? - Prevent clotting - Inhibit infection - Decrease heart rate - Prolong anesthetic effect Boiling water - correct answers Which of the following is not a type of sterilizing agent? - Cobalt 60 - Boiling water - Steam under pressure - Activated glutaraldehyde Needle biopsy - correct answers A diagnostic procedure performed for patients w/ possible prostatic cancer is known as a: - Needle biopsy - TURP - KUB - Cystostomy 24 - correct answers How many hours is the steam biological indicator incubated? - 4 - Instill CO2 - Aspirate fluid - Collect a specimen - Assist in trocar site closure Phacoemulsification - correct answers Which method uses ultrasonic energy to fragment the lens? - Diathermy - Cryotherapy - Irrigation/aspiration - Phacoemulsification Stapedectomy - correct answers In which of the following procedures would find hooks of various angles be used? - Myringotomy - Tonsillectomy - Stapedectomy - Tympanotomy Left subcostal - correct answers Which incisional approach would be used for a splenectomy? - Pfannenstiel - Right subcostal - Left subcostal - Supraumbilical Lateral rectus - correct answers During a strabismus correction, resection has a greater effect on which muscle? - Superior rectus - Inferior rectus - Medial rectus - Lateral rectus Iliac crest - correct answers What is the best site for obtaining cortical bone graft? - Iliac crest - Ischial spine - Femoral head - Symphysis pubis Glycine - correct answers Which of the following is a non- electrolytic and isotonic solution used during a TURP? - Saline - Distilled water - Glycine - Ringer's lactate Eustachian tube - correct answers The structure that allows the eardrum to vibrate freely & connects the middle ear & the oropharynx is the: - External auditory canal - Eustachian tube - Semicircular canal - Internal auditory meatus Ventriculoperitoneal shunt - correct answers Which of the following procedures may require use of manometer to check CSF pressure? - Transphenoidal hypophysectomy - Intracranial aneurysm clipping - Posterior fossa decompression - Ventriculoperitoneal shunt