Cst Practice Exam Test B With Complete Solutions Latest Update, Exams of Surgical Pathology

Download Cst Practice Exam Test B With Complete Solutions Latest Update and more Exams Surgical Pathology in PDF only on Docsity! Cst Practice Exam Test B With Complete Solutions Latest Update Which of the following is considered the MOST important skill for a surgical technologist? - correct answers Management of specimens The surgical incision that allows for the BEST visualization for a Billroth I procedure is - correct answers Midline During the postoperative phase, the personnel primarily responsible for transporting soiled instrumentation to decontamination is the - correct answers Surgical Technologist CSF is formed in the lateral ventricles of a patient and may not properly flow into the third ventricle through the foramen of - correct answers Slyvius into the fourth ventricle (also referred to as the cerebral aqueduct. During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? - correct answers Place in separate containers and identify A surgical technolgist received the following medications onto the sterile field: 0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine and epinephrine. Which of the following is the MOST appropriate way to label these medications? - correct answers 0.9% saline + 1gm bacitracin and 0.25% Marcaine with epinephrine. A thyroidectomy that was done earlier in the day is being brought back for excessive bleeding from the incision. Which of the following items are needed for this case? - correct answers laps, silk ties, and hemoclips If there is any question related to handling a specific type of specimen, which of the following departments should be consulted? - correct answers Pathology The required number of air exchanges per hour in an OR is - correct answers 15 to 25 The required number of air exchanges per hour in the decontamination room is - correct answers 5 to 10 A special-made instrument without a backup falls to the floor during a procedure. Which of the following is the BEST reason to hesitate performing immediate-use sterilization? - correct answers The manufacturer's standards for sterilizing the instrument are unknown. A surgeon asks for warm irrigation after a right hemicolectomy. Which of the following BEST describes the reason for irrigating at this point in the procedure? - correct answers to aid visual inspection for leakage Which of the following devices should the surgical technologist have delivered to the sterile field for a low anterior resection? - correct answers intraluminal stapler A GIA linear stapler is used to - correct answers divide in a linear side-to-side or end-to-side fashion ligating dividing stapler - correct answers used to ligate and divide blood vessels TA-60 stapler - correct answers typically used to stable tissue that is transected Which of the following is reshaped during a total hip arthoplasty? - correct answers acetabulum An organization that regulates the production of biological sterilization test packs in-house is - correct answers AAMI: Association for the Advancement of Medical Instrumentation controls regulation of sterile processing ANSI - correct answers American National Standards Institute: regulates healthcare and other standards Rod-shaped bacteria are called - correct answers bacilli Round, spherical-shaped bacteria are called - correct answers Cocci Comma-shaped bacteria are called - correct answers Vibrio Spiral-shaped bacteria are called - correct answers spirochetes A type of passive transport when salt crystals dissolve in water is known as - correct answers diffusion Phagocytosis - correct answers large particles are engulfed and digested by lysosomes within the cell Endocytosis - correct answers a type of active transport in which molecules are engulfed and then carried to cell center Osmosis - correct answers is when particles cross a permeable membrane such as a cell wall Utilization of lasers in the operating room requires the use of - correct answers eye protection HEPA filter mask - correct answers used to protect against airborne pathogens During application of a Volar splint, the surgical technologist notices that the splint was not completely dried and has caused a pressure point on the patient. Which of the the following should be the surgical technologist's NEXT step? - correct answers Bring it to the surgeon's attention and assist in putting on a new splint Sponges that have been added to the sterile field after a procedure has begun should be counted by the - correct answers surgical technologist and the circulator 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 answers Bacillus sterothermophilus A brachial artery is located along the humerus. It runs from the shoulder to just past the elbow. The brachial artery is used for taking blood pressure and a pulse. Which of the following is applied as a nonadherent dressing? - correct answers Adaptic When donning gloves using the open-gloving technique, the ungloved hand will touch the - correct answers folded edge of the cuff of the glove. Necrotizing faciitis confined to the perineum and scrotum is known as - correct answers Fournier's gangrene Inflammation of skin and subcutaneous tissue - correct answers Cellulitis Boil - correct answers Infected hair follicle usually caused by staphylococcus aureus Gerota's fascia - correct answers Located in the abdomen. Surrounds the kidneys. For a splenectomy procedure, which of the following clamps should be used? - correct answers Satinsky Allen - correct answers intestinal clamp A cystectomy with ileal conduit procedure was performed. The surgical technologist anticipates the need for a stoma - correct answers pouch to collect body fluids IUSS sterilizers are typically located in an area - correct answers that is designated as a restricted sub-sterile room Which of the following surgical needles is MOST appropriate for use in a liver resection? - correct answers blunt To help in the calculation of the amount of blood loss, the surgical technologist should - correct answers report the amount of irrigation used During dilation and curettage, after the Auvard weighted vaginal speculum is placed, which of the following instruments is used to grasp the cervix? - correct answers single tooth tenaculum Which of the following is the MOST accurate method to check steam autoclave effectiveness? - correct answers biological indicator 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 patient. Which of the following will place a staff member at risk for work-related musculoskeletal disorders? - correct answers working in the same posture for prolonged periods While setting up for a surgical procedure, a surgical technologist discovers a puncture in the right surgical glove. If no one is available to assist, the BEST solution for the surgical technologist is to - correct answers ask the circulator for a new gown and gloves to regown and reglove 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 24-26 gauge stainless steel wire Which of the following is necessary for ethylene oxide sterilization to occur? - correct answers humidity Gravity displacement - correct answers one type of steam autoclave Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas? - correct answers Whipple Hella - correct answers A myotomy procedure Myotomy - correct answers incision into muscle myo / tomy muscle / incision Bankart procedure - correct answers Done to repair stability of the shoulder Billroth I - correct answers a partial gastrectomy procedure The only true indicator of item sterility is - correct answers biological A #12 knife blade on a #7 handle is MOST commonly used for which of the following types of surgery? - correct answers tonsillectomy Which of the following terms refers to the transfer of heat from one substance to another by the natural movement of molecules, setting other molecules in motion? - correct answers conduction Height of an electromagnetic wave - correct answers amplitude Displacement of cool air by warm air - correct answers Convection Substance that does not conduct an electrical current - correct answers insulator Which of the following important considerations should be taken by the surgical technologist when it comes to the suture material for third intention closure? - correct answers A low-capillary action suture will not retain moisture The parathyroid gland regulates - correct answers Calcium Aldersterone - correct answers released by the adrenal cortex and increases sodium reabsorption by the kidneys A pad-like sac or cavity that prevents friction within a joint is known as a - correct answers bursa Furrow or shallow depression - correct answers Fossa Ganglion - correct answers fluid-filled sac that can arise from almost any tendon sheath or joint in the hand or wrist Ligament - correct answers band or sheet of strong fibrous tissue connecting the articular ends of bones serving to bind them together and to facilitate or limit motion Which of the following staplers should be used for low anterior intestinal resection? - correct answers EEA LDS stapler - correct answers The ligation-dividing stapler (LDS) places a double row containing two staples in each row and severs the tissue between rows when fired. When passing a surgical stapling device, make sure any safety catch is activated to prevent accidental firing of staples. Which of the following is the name of the avascular strip of tissue at the midline which runs from the xiphoid process to the pubis? - correct answers linea alba Which of the following is a type of emergency that does not require Federal assistance and is MOST likely to occur in a larger city? - correct answers mass casualty event Which of the following instruments is found in a basic laparotomy setup? - correct answers Mayo scissors Which of the following instruments is used for placement of cottonoids during a craniotomy? - correct answers bayonet forceps Which of the following structures are ligated and divided during a cholecystectomy? - correct answers cystic artery and cystic duct A surgeon requests a patient to be placed into the lithotomy position for the surgical procedure. Which of the following positioning devices must be obtained? - correct answers leg stirrups A patient is in the supine position following a lung resection. Which of the following BEST describes the placement of the collection unit once it is connected to the chest tube? - correct answers below the level of the thoracic cavity Which of the following anatomical structures is located just under the diaphragm in the left upper quadrant of the abdomen? - correct answers stomach Which of the following is the most important consideration when cutting suture? - correct answers avoiding the knot The oxygen-carrying capacity of red blood cells is a function of - correct answers hemoglobin At the start of a surgical procedure, two Forester sponge forceps are clamped to the end of a drape sheet so the drape ends can be securely weighted down during C-arm use. At the end of the surgical case, the two Forester sponge forceps are unclamped by the radiology technician. The surgical technologist should - correct answers request that the sponge forceps be placed inside the case cart During a procedure, a surgical technologist touches an unsterile item with a sterile glove. The surgical technologist should - correct answers change the glove at once During an abdominoperineal resection, which of the following stapling devices should the surgical technologist have available to form an anal pouch from the ileum? - correct answers GIA In decontamination, the instruments are sticking and difficult to open. To aid in the process of washing instruments, the surgical technologist should have - correct answers used a basin with sterile water on the field to soak and clean instruments intraoperatively While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. The MOST likely cause is that the - correct answers air was not evacuated from the pouch A surgical technologist is explaining the steps of the electrosurgical unit circuit to a student. The surgical technologist should explain that the electrical current is channeled back to the generator through the - correct answers dispersive electrode When wrapping individual instruments, what is the MOST important sterilization principle? - correct answers having an indicator with the instrument Preparing instrument sets and packages for sterilization requires a label indicating the - correct answers sterilization date, sterilizer ID, load number and preparer's initials When steam comes into an autoclave from an outside source, the steam is heated in the - correct answers jacket Which of the following instruments has teeth? - correct answers Kocher Following a hysterectomy, the surgical technologist participates in the debriefing, which includes - correct answers completeness and correction of all counts A surgeon performing an arterial graft placement on a patient confirms that there is an occlusion in a portion of the artery, and that it must be removed. The surgeon requests a 3-way stopcock and a 1 milliliter tuberculin syringe. Which of the following items will the surgeon technologist also need to be delivered onto the sterile field for removal of the occlusion? - correct answers Fogarty catheter A surgical "time out" must be performed prior to - correct answers making the initial incision Which of the following classifications of disinfection is used to kill all bacteria, viruses, and fungi? - correct answers high-level Which of the following is true regarding Avitene? - correct answers It is a collagen powder that must be kept dry During general anesthesia, which of the following complications of vomiting is considered the MOST dangerous? - correct answers aspriation Which of the following types of hernias require urgent surgical treatment? - correct answers strangulated Which of the following is the receiving nerve end of all transmission? - correct answers dendrite Which of the following instruments must be readily available for a modified radical mastectomy? - correct answers extra #10 blades During knee meniscectomy, the surgeon notices bright spots in the picture. Which of the following is the MOST likely problem? - correct answers faulty fiber optic cable After manually removing bioburden from a Westcott scissor, the process to continue decontamination is called - correct answers cavitation The ultrasonic cleaner uses cavitation which is a mechanical cleaning process. This is used for microscopic instrumentation. Which of the following terms best describes the formal medical process when death occurs in surgery and the surgeon and anesthesia care provider must verify that death has occured? - correct answers determination of death While opening a back table, the surgical technologist notices a hair in the open sterile pack. The chemical indicators show that the pack has been properly sterilized. The surgical technologist should - correct answers Break down and obtain new equipment. 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 The surgical technologist is alarmed by the slurred speech, smell of alcohol, and disheveled appearance of the surgeon while he dons gown and gloves. the surgical technologist should - correct answers request a nurse manager to come to the room An Esmarch should be applied to an extremity - correct answers distal to proximal