Surgical Tech Certification Exam Study Guide Questions (176 Terms) with Verified Answers 2, Exams of Nursing

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Surgical Tech Certification Exam Study

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Which of the following structures is located in the alveolar processes? - Answer: Teeth Which of the following is the wound classification for a bronchoscopy? - Answer: Clean-Contaminated The enzyme used to soften the zonules of the lens before cataract surgery - Answer: Alpha-chymotrypsin How should the stretcher be oriented when necessary to use an elevator to transport a patient to the OR? - Answer: Enter head first, exit feet first Which portion of the stomach surrounds the lower esophageal sphincter? - Answer: Cardia The islets of Langerhans secrete - Answer: Insulin Where should the first scrub ST stand when handing towels to the surgeon to square off an incision site - Answer: Same side as the surgeon

Through which of the following do the common bile duct and the pancreatic duct empty? - Answer: Ampulla of Vater Which identifiers must be verified by the patient or their ID bracelet prior to transporting a patient to the OR? - Answer: Name, Date of birth, Physician Which of the following is not a benefit of using surface-mounted sliding doors for access to the operating room? Uses less space for opening Aid in controlling temperature Eliminate air turbulence Provides fro thorough cleaning - Answer: Aid in controlling temperature Compression of the heart from excessive fluid or blood buildup is called - Answer: Tamponade Which suffix means surgical puncture to remove fluid - Answer: - centesis Medication used to dilate the pupil is called - Answer: Mydriatics True or false, a U-drape is non-fenestrated - Answer: True Which laser is best used during a vitrectomy - Answer: Argon

Which of the following monitors provides positive assurance of sterility? Clerical Mechanical Biological Chemical - Answer: Biological What organs are excised if an ovarian tumor is malignant? - Answer: Bilateral fallopian tube, ovaries and uterus A topical steroid used to reduce inflammation after eye surgery is - Answer: Depo- medrol What routine preoperative laboratory study would be ordered to premenopausal women with no history of hysterectomy - Answer: HCG What is the surgical position commonly used for thyroid and gallbladder surgery - Answer: Reverse trendelenburg What is the first step taken for an incorrect sponge count - Answer: Notify surgeon The mumps may be diagnosed by finding inflammation in which of the following glands? - Answer: Parotid

Which of the following is a nonadherent dressing Kling Adaptic Collodion Elastoplast - Answer: Adaptic Which of the following is a fenestrated drape? Incise u-drape aperature half-sheet - Answer: Aperture What dilator is used in the common duct? - Answer: Bakes What organ is connected by a duct to the duodenum? - Answer: Pancreas What position is most commonly used for neurosurgical procedure? - Answer: Supine What solution should be used to prep the donor site for a split-thickness skin graft

• Answer: Chlorhexidine

What type of drape would be used for a flank procedure? - Answer: Transverse Where should the safety strap be placed on a patient who is in supine position? - Answer: Below the knees Which surgical procedure is performed to correct an abnormality in which the urethral meatus is situated on the superior aspect of the penis? - Answer: Epispadias repair What is the most common cause of intracerebral hemorage - Answer: Hypertension The larynx is located between what two structures? - Answer: Pharynx and trachea When would the anesthesia provider request cricoid pressure? - Answer: Endotracheal intubation Which instrument would be used during a keratoplasty to remove the cornea? - Answer: Trephine Which regulation states that blood and body fluids should be considered infection? - Answer: Body Substance Isolation rules Which structure has oral, nasal, and laryngeal divisions? - Answer: Pharynx

Otoplasty is performed to correct a congenital deformity of which structure? - Answer: Ear An injury a patient sustains as a result of the care given by a healthcare professional is called? - Answer: Latrogenic The highly vascular later of the eye that absorbs light rays and nourishes the retina is the - Answer: Choroid According to maslow's heirarchy of needs, which is the patient satisfying when they trust the surgical tems ability? - Answer: Physiological What is the next step for reattachment of a severed digit after debridment? - Answer: Bone to bone fixation Which term refers to absence of the external ear? - Answer: Microtia Which instrument would be used during a keratoplasty? - Answer: Cottingham punch The avascular clear portion of the eye convering the iris is the - Answer: Cornea Which legal principle applies when the patient is given the wrong dose of the local anesthetic - Answer: Res ipsa loquitor (the thing speaks for itself)

What is the space between the vocal cords called? - Answer: Glottis What retractor is used for spinal nerve roots? - Answer: Cushing How many hours must an item submerse in glutaraldehyde to sterilize? - Answer: 10 What is the name of the condition in which a loop of bowel herniates into the douglas's cul-de-sac? - Answer: Cystocele The nasal sinus located between the nose and the orbits is the` - Answer: Ethmoid The minimum fahrenheit temperature for sterilization to occur in a prevacuum steam sterilizer is - Answer: 270 - 276 What is the minimum number of minutes to sterilize unwrapped metal instruments with lumens in the gravity displacement sterilizer at 270? - Answer: 10 Which needle is used during the bladder suspension procedure for treating stress incontinence in women? - Answer: Stamey When placing a swaged needle onto a needle holder the needle should be clamped how? - Answer: One-third distance from the swaged end.

Which elements primarily make up the body's mass? - Answer: Oxygen, Carbon, hydrogen, nitrogen Which instrument is used to contract the ribs for suturing purposes? - Answer: Bailey What is the length of time when thrombin loses it potency? - Answer: 3 hours Teeth are composed mostly of what? - Answer: Dentin The basis for the design of electrical equipment in the OR is - Answer: Based on the electron theory Which procedure is performed to decrease gastric secretions - Answer: Vagotomy A patient who underwent an apendectomy enters the emergency department with severe abdominal pain, constipation, and vomiting. What is occuring - Answer: Obstructed bowel Which organ shares the same blood supply with the pancreas and must be removed during a whipple procedure? - Answer: Duodenum During a cleft palate procedure which equipment should the surgical tech be prepared to set up quickly? - Answer: Drill

What is the purpose of inserting a ureteral stent catheter - Answer: Bypass calculi obstructions The walls of the vagina are lined with - Answer: mucosa A fogarty catheter is used during a - Answer: embolectomy What is used to obtain specimens during a bronchoscopy - Answer: Lukens tube What suture material would be used in the presence of an infection - Answer: Steel What kind of uterine tissue can grow in abnormal location including the ovaries, pelvic peritoneum, and small intestine? - Answer: Endometrial What is the correct sequence for placing a screw into bone? - Answer: Drill, depth gauge, tap, screw driver The removal of fibrous thickening of the visceral pleura is known as - Answer: decortication The only depolarizing muscle relaxant in clinical use is - Answer: Succinylcholine (anectine)

How are the legs of a patient positioned for lateral positioning? - Answer: Lower leg flexed, upper leg straight The neuroglia of the nervous system is - Answer: support and bind what muscles relax when a small pad is placed under a patients head in supine position? - Answer: The strap muscles A type of bone holding forceps is - Answer: Dingman the nasal sinus located between the nose and the orbits is the - Answer: ethmoid The minimum fahrenheit temp for a sterilization to occur in a prevacum steam sterilizer is - Answer: 270 - 276 Which condition of the small intestine can be misdiagnosed as acute appendicitis?

• Answer: Merkel's diverticulum What is a combination of two liquids which can not mix - Answer: Emulsion What anatomical structure must be approximated after a colectomy to prevent herniation of abdominal contents - Answer: Mesentery Instrument sets should not exceed - Answer: 25 lbs

The ureters enter the bladder medially - Answer: From the posterior aspect What nerve can be damaged when a patient is in fowler's position? - Answer: Sciatic What preop test is useful in diabetic patients with small vessel arterial disease? - Answer: Plethysmography The mandible articulates with which bone? - Answer: Temporal What degrees celcius equals 98.6 ferenheit - Answer: 37 What type of fracture is a lowman clamp used for? - Answer: Radius To prevent a cerebral aneurysm from rupturing the surgeon will - Answer: Apply a specially designed clip at the base of the aneurysm If cultures can't be immediately transported from the surgery department to pathology they should be - Answer: Place in a refrigerator When positioning a patient for a c-section where is the bolster placed and why? - Answer: Right side, to relieve pressure on the vena cava The conducting fibers that extend the av node to the interventricular septum form the - Answer: Bundle of his

During a TRAM procedure which is used to identify and preserve the superior epigastric arteries? - Answer: Doppler Which surgical approach is often used for a craniotomy for aneurysm repair? - Answer: Frontotemporal What is the purpose of histamine (H2 blockers) - Answer: Decrease gastric volume in the stomach What surgical procedure is an o'sullivan-o'connor retractor used for? - Answer: Abdominal hysterectomy What suture technique provides an excellent cosmetic closure? - Answer: Subcuticular During a radical neck dissection with mandibulectomy which bone is harvested for the graft? - Answer: Fibula What type of dressing washes or wears off after several days? - Answer: Collodion What type of drape is used for a thyroidectomy? - Answer: Transverse drape Testosterone is secreted by the - Answer: Leydig cells

What are the boundaries of the skin prep for a total hip arthroplasty? - Answer: Level of umbilicus to foot What are the skin prep perimeters for an exploratory laparotomy? - Answer: Nipple line to mid-thigh What substance is absorbed in the stomach? - Answer: Alcohol A drape is placed on the incorrect spot, what should be done? - Answer: Remove drape and place new drape in correct spot What stapling device would be used during an esophagectomy to divide the esophagus? - Answer: TA A movement disorder disease caused by radiation therapy can be characterized by destruction of the - Answer: myelin sheath What microorganism is used within biological indicators for ethylene oxide sterilization - Answer: Bacillus atrophaeus Retention bridges are used to - Answer: Prevent heavy suture from cutting into the skin During a CABG procedure the saphenous vein is sutured to the - Answer: Coronary artery

Which of the following would be used to remove the lamina during a laminectomy? - Answer: Kerrison rondgeur Which graft material does not require pre-clotting for placement during an abdominal aortic aneurysmectomy - Answer: PTFE What procedure is performed to correct cerebral ischemia? - Answer: Endarterectomy What drug treats intraoperative ventricular arrhythmias? - Answer: Lidocaine How many milliliters equal 2 ounces? - Answer: 60 When is it okay to cover a back table for later use? - Answer: Never What position would a patient be placed in to counteract hypovolemia - Answer: Trendelenburg Which level of maslow's heirarchy of needs is most applicable to the surgical patient? - Answer: Physiological and survival What is the proper procedure to follow when a pack of sponges contains and incorrect number after the patient has entered the OR? - Answer: Hand off the sterile field and isolate

Which of the following types of specimens would not be placed in a preservative solution? Colon calculi tonsils uterus - Answer: Calculi What catheter tip is used in a patient with a urethral stricture? - Answer: Coude What hemostatic agent is contraindicated for use in the presence of infection? - Answer: Absorbable Collagen What needs to be tested prior to the use of a fiberoptic brochscope? - Answer: Light source Trauma to which two cranial nerves would result in loss of smell and vision? - Answer: 1 & 2 Which of the following is performed for suspected ectopic pregnancy - Answer: Culdocentesis What is a procedure for treatment of glaucoma? - Answer: Iridectomy

Untreated acute otitis media may result in - Answer: Mastoiditis The shared passageway for food and air is - Answer: Pharynx The valve between the left atrium and the left ventricle is the - Answer: Bicuspid valve Which characteristic describes and amphiarthrosis? - Answer: Slightly movable What is the most abundant ion in the body? - Answer: Calcium The unsterile size of the perimeter of a sterile wrap is - Answer: 2 inches A substance that inhibits growth and reproduction of microbes on living tissue is a

• Answer: Sterilant Which area is prepped last when performing the skin prep for a batholin's cystectomy - Answer: Anus The sterile surgical tech should drape a table from - Answer: Front to back Small radiopaque surgical patties used during cranial procedures are - Answer: cottenoids

Which hemostatic agen must be applied dry and only handled with dry gloves and instruments - Answer: Avitene Which of the following lasers would be contraindicated for use in the posterior chamber of the eye? - Answer: Carbon dioxide Which structure of the heart are the leads for a permanent pacemaker placed? - Answer: Right ventricle In which procedure would a bookwalter retractor be used? - Answer: Retropubic prostatectomy Brachytherapy is performed to treat - Answer: Prostate cancer Which procedure is performed to improve vision of patients with myopia - Answer: Radial keratotomy The device used for real time intraoperative assessment of blood flow is - Answer: Doppler The castroviejo needle holder is used during - Answer: Tonsilectomy Chemical reaction that provides energy by the breakdown of food is - Answer: Catabolism

Cranial nerve which regulates secretion of gastric juices is - Answer: 10 Contrast medium which is used intraoperatively when the patient is allergic to iodine? - Answer: Renografin Which legal term would apply to a case when a non-english speaking patient signs a surgical informed consent in english. - Answer: Assault and battery When breaking down a sterile field the surgical tech should place the grossly contaminated instruments in what? - Answer: Basin with sterile water At what point is it appropriate to lower the leg when draping for a knee arthroscopy? - Answer: After the tourniquet has been inflated Which structure regulates the amount of light entering the eye? - Answer: Iris A capillary network of blood vessels within the renal cortex that functions as a filter is called - Answer: Glomerulus The kidneys are located in the - Answer: Retroperineal space The most abundant extracelluar ion necessary for the transmission of impulses is - Answer: sodium

What is a frequently used IV barbiturate for general anesthesia induction? - Answer: Thiopental How long must an item be immersed in glutaraldehyde to be sterile? - Answer: 10 hours Which instrument set would be needed for a frontal sinus fracture repair? - Answer: Craniotomy What surgical instrument is used to visualize the prostate and remove tissue during a TURP - Answer: Resectoscope Why is cardioplegia used? - Answer: Cause diastolic arrest An axillary role is placed for lateral positioning to - Answer: facilitate respiration Which nerve could be damaged by improperly padded stirrups - Answer: Peroneal The process by which blood cells are formed is known as - Answer: Hemopoiesis Thought processes take place in the - Answer: Cerebral cortex Which of the following sterilizers operates with condition, exposure, exhaust, and dry cycles - Answer: gravity air displacement

Preoperative bladder drainage prior to a D&C would be performed with which of the following catheters? - Answer: 14 Fr. Robinson In the OR a HEPA is a type of? - Answer: Air filter What precaution is utilized to prevent cardiovascular complications when positioning an anesthetized patient - Answer: Move patient slowly Why is the orientation of the vein graft reversed during a CABG? - Answer: Presence of valves Which of the following is a correct statement when using the closed-gloving technique - Answer: Hand must not extend beyond cuffs What drainage device is preferred for a radical neck dissection - Answer: Jackson- Pratt The correct sterilization times required to render spacific items sterile are initially established by who? - Answer: Equipment manufacturer What position would a patient be placed FOLLOWING a tonsilectomy? - Answer: Lateral What classification of drug reduces tissue inflammation - Answer: Steriods

Which incisional approach would be used for a splenectomy - Answer: Left subcostal Which structure allows the eardrum to vibrate freely and connects the middle ear and oropharynx? - Answer: Equstachian tube