Surgical Technology Certification Practice Exam with Verified Solutions, Exams of Biology

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Surgical Tech

Certification

Practice Exam

with complete

verified

solutions

The key to teamwork in an operating room is - answer communication The department that troubleshoots potential hazards and develops an action plan in a healthcare facility is the - answer risk management dept Critical items are processed to this state for subsequent use on a patients - answer sterilization

Standard precautions apply to - answer ALL OF THE ABOVE; body fluids, visible blood, secretions Instruments processed in a Steris are considered sterile after storage for - answer NONE OF THE ABOVE; 7 days, 1 day, 30 days All methods of sterilization require three elements. They are: - answer time, temp, concentration During the cleaning process, instruments are sorted and sharp instrument tips are - answer face down Complete destruction of all living organisms is termed - answer sterilization The acronym TURP means - answer transurethral resection of the prostate The term for moving toward the midline is - answer adduction How long after a tourniquet has been inflated does a CST need to notify the surgeon? - answer 1 hour

A lumpectomy performed for a cancerous breast tumor consists of - answer removal of the tumor and margins The procedure performed to remove the prepuce is called

• answer circumcision During this type of procedure, an endoscope is used to view a knee or a shoulder joint - answer arthroscopy Direct patient care is provided by the - answer surgical dept The following are important goals when positioning a patient except - answer comfort Pressure sores are most likely to occur on a patient's - answer sacrum and heels While moving the patient into the Trendelenburg position, the CST must - answer adjust the Mayo stand height higher The paranasal sinuses that are located below the eyes and lateral to the nasal cavity are called - answer maxillary

The organ located directly above the stomach is the - answer liver The 10th, 11th, and 12th ribs protect this organ - answer spleen Who can sign a consent form for an emergency procedure on a child if a parent cannot be located? - answer surgeon and anesthesiologist The artery located in the upper arm is the - answer brachial artery The needle used to instill CO2 gas is a - answer verres needle A Potts scissor is used for - answer vascular surgery An example of an angled suction tip with a thumbhole that allows for variability in suction strength is - answer Frazier Cheiloplasty is - answer correction of malfusion of the upper lip

An oscillating saw moves in a - answer side to side motion The self retaining retractor that can be sharp or blunt is a

• answer Weitlaner The most commonly used sponges employed during surgery are - answer Raytec and lap pad During a mini-tubal ligation, the Babcock clamp is used to grasp the - answer fallopian tube The incision made for an open cholecystectomy is located in the - answer RUQ A measuring device used during surgical procedures is a - answer caliper Nails, rods, and plates are used to correct - answer ORIF An exploratory laparotoy is performed to - answer diagnose a condition

The term that is defined as the farthest from the point of origin is - answer distal If a patient has been experiencing excessive uterine bleeding, her preoperative diagnosis is - answer menorrhagia If a thoracic procedure requires a median sternotomy what instruments are required? - answer sternal saw and retractor A uterine sound and Kevorkian curette is found on which type of instrument tray? - answer D&C Who is responsible for verifying medication on the sterile field? - answer CST and circulator The procedure that treatssinusitis or removes recurrent polyps in the maxillary sinus is called - answer antrostomy _____ must never be removed from the room until after the final count - answer ALL OF THE ABOVE; a droped instrument, broken sharps, a contaminated needle holder and needle

A dressing that draws fluids from the wound and allows for the passage of air is - answer nonocclusive Which dressing is used on a wound with primary closure and has little or no drainage? - answer one-layer dressing The patient should be protected during laser surgery with

• answer ALL OF THE ABOVE; wet towels, protective eyewear, matte finish metal airways Which device delivers electrical current to the surgical site? - answer active electrode Who activates the generator for an ESU? - answer surgeon The _____ laser is the most commonly used laser in the operating room - answer CO The laser of choice for gastrointestinal endoscopy is the - answer Nd:YAG Who is responsible for casting a fractured extremity? - answer orthopedic surgeon

An expected but unintended effect of a drug is termed _____ effect - answer side The abbreviation t.i.d. represents - answer 3x a day Which set of laws was passed in 1970? - answer Controlled Substance Act Which of the following fractions is the result of dividing 1/24 by 1/6? - answer 1/ Eight is what % of 20? - answer 40% Malleable, wire0like instruments used to explore fistulas or ducts are called - answer probes Which of the following groups of medications causes elimination of excess fluid by preventing reabsorption of sodium and water? - answer diuretics Which of the following types of diuretics are prescribed in the treatment of glaucoma? - answer carbonic anhydrase inhibitors

If the surgeon decides to suture the peritoneum, the suture that is frequently utilized is - answer 3- absorbable Which of the following glands is called the "master gland"? - answer pituitary Oxytocin is available under which trade name? - answer Pitocin Epinephrine is combined with local anesthetics to - answer prolong the effect of local anesthesia The term "tie on a pass" means - answer a suture loaded onto an instrument The portion of the needle where the suture strand is attached is called the - answer eye What is a normal range of coagulation time? - answer 6- 12 minutes Which group of medications is given to relieve a patient's preoperative anxiety? - answer sedatives

Which of the following are sedatives? - answer benzodiazepines Stimuli, such as stretching the peritoneum or retracting the eye muscles, cause which of the following physiological reactions? - answer decrease in heart rate Which method of anesthesia is likely to be used for a 51 yr old intoxicated man for a closed reduction and cast application of a fractured forearm? - answer axillary block Epinephrine is combined with local anesthetic agents in each of the following concentrations EXCEPT - answer 1: What are the five phases of general anesthesia in correct sequence? - answer preinduction, induction, maintenance, emergence, recovery Which phase of general anesthesia includes administration of anesthetic agents? - answer induction Where do sharps go after surgery? - answer red box

An isolation or retracting device used for vessels, ducts or nerves is called - answer vessel loop Who is responsible for discharging a patient from PACU? - answer anesthesiologist When should the surgical drapes be removed? - answer once dressings are applied The decontamination process starts with - answer CST What happens to the patient's skin if the prep solution is left on? - answer the skin becomes red and irritated Before transferring a patient from the operating room table to the stretcher, what needs to happen? - answer the stretcher needs to be locked Before taking instruments down to decontamination, what actions should be taken? - answer ALL OF THE ABOVE; instruments wiped, instruments unlocked, specimen secured Which of the following diseases is not caused by a virus? - answer tetanus

Which of the following is not true about viruses? - answer They can be transmitted only by direct contact A poisonous substance made by certain Gram-positive bacteria such as staphylococci is called - answer exotoxin The spore-forming bacillus that produces tetanus is called

• answer Clostridium tetani Which of the following microorganisms cause Lyme's disease, typhus, and Rocky Mountain spotted fever? - answer rickettsiae Most of the bacteria that causes human disease exist in a pH range of - answer 5.4-8. The stage of a disease that is characterized by the earliest, nonspecific symptoms and the appearance of a headache or malaise is called the - answer prodromal stage Gram-negative bacteria have a _____ - answer thin cell wall and stain pink Microorganisms that are facultative aerobes - answer can survive with or without the presence of O

Bacterial spores are resistant to - answer ALL OF THE ABOVE; heat, drying, chemicals Which of the following bacteria cause toxic shock? - answer Staphylococcus aureus Which of the following is a common nosocomial infection?

• answer Staphylococcus aureus Syphilis is caused by - answer Treponema pallidum Which of the following viruses causes herpes? - answer HSV Hepatitis E is of special concern to - answer pregnant women A chemical agent used to kill most microbes, including spores, that is used only on inanimate objects is a - answer sporicide A substance used to inhibit the growth and reproduction of microbes that is used on living tissue is an - answer antiseptic

In a gravity displacement sterilizer the pressure is - answer 15-17 psi Which of the following is associated with syphilis? - answer chancre Which of the following has inactive or hidden stages? - answer latent infection The basic structural unit of biological organization is the - answer cell A perforated viscera is classified as a - answer class IV, dirty wound Sterile individuals and items may have - answer contact with sterile items Nonsterile items and individuals may - answer contact only nonsterile items The end-product of the breakdown of amino acids is - answer ammonia

The cellular process of reading the code and bringing the appropriate amino acids in sequence along the mRNA to form a protein is known as - answer translation Hoods and caps are types of - answer head coverings Latex gloves hould not be worn - answer if the patient has a latex sensitivity Which part of the surgical gown is not sterile? - answer cuff What protective item/s can be worn to shield the body when exposed to x-ray beams? - answer lead apron The division process in cells that reduces the chromosome number by half is - answer meiosis Glands that have ducts that lead the secreted material away from the gland to the surface of a passageway or the skin and also secrete hormones are known as - answer exocrine The strongest portion of the hip bone, which bears the wight of the body in the sitting position, is known as the - answer ischium

What does the surgical team wear during extremely high- risk procedures on infected patients? - answer spacesuits Where in the operating room is the anesthesia machine set up in relation to the operating room table and the patient? - answer head After the scrub is complete it is necessary to - answer avoid touching nonsterile items When a CST scrubs for a prescribed length of time, what is the method for the surgical scrub called? - answer timed method The space along the nerve fiber where no myelin sheath is present is known as - answer Ranvier's node Resident microorganisms that are located on the skin are reduced by - answer scrubbing The closed glove technique is used - answer after putting on the sterile gown

When patient skin prep or urinary catheterization is being done, which method of donning gloves is used? - answer open glove technique All of the following are surgical procedures that are performed on the uterus EXCEPT - answer salpingectomy The condition caused by too much secretion from the adrenal cortex, resulting in puffy skin, obesity, a moon- shaped face, a buffalo hump, and masculine changes in women, is known as - answer Cushing's syndrome The hormone secreted by the alpha cells of the pancreas that is responsible for stimulating the liver to convert stored glycogen into glucose when blood glucose levels are extremely low is - answer glucagon The hormone that stimulates ovarian follicle growth and estrogen secretion is - answer follicle-stimulating hormone If a patient is wearing nail polish, what will not function properly? - answer pulse oximeter All of the following are duties performed by the CST during the preoperative case management phase except - answer anticipating the needs of the surgeon

What should be done first when creating the sterile field?

• answer open basic pack on back table In which order are supplies counted for every procedure?
• answer sponges, sharps, instruments What percentage of all surgical patients can be affected by hypothermia? - answer 60% What term describes the loss of heat from a patient's body into the environment? - answer radiation A Deaver and a Richardson are types of _____ instruments
• answer retracting Diabetes mellitus results from inadequate production or use of the hormone - answer insulin Veins draining the lower parts of the body merge into a larger vein that transports the blood to the right atrium of the heart; this principal vein is called the - answer inferior vena cava

The principal vein draing blood from the upper portion of the body that empties into the right atrium of the heart is called the - answer superior vena cava The mitral valve is also known as the - answer bicuspid valve Relative deficiency of oxygen supply to the heart muscle that causes a sensation of pain and numbness in the left arm and shoulder is known as - answer angina pectoris Cells that are derived from activated T and B lymphocytes produced during an initial immune response that can quickly recognize a foreign antigen are known as

• answer memory cells What does the period called "Time OuT" verify? - answer correct patient, correct site, correct surgeon, correct procedure Which of the following is in the restricted area? - answer storage for sterile supplies The folds of the mucosa of the small intestine, which increase the surface area for absorption of nutrients, are called - answer plicae

The portion of the tooth above the level of the gums that consists of dentin covered by enamel is the - answer crown A condition caused by the protrusion of a portion of the stomach through the opening in the diaphragm is known as a - answer hiatal hernia The pear-shaped sac about 3 to 4 inches long that stores and concentrates bile is the - answer gallbladder Amass of dilated and tortuous veins in the anorectum is known as - answer hemorrhoid The excessive loss of water caused by bouts of diarrhea can lead to a serious condition known as - answer dehydration Whooping cough is also known as - answer pertussis The trachea is also known as the - answer windpipe What should be worn in a restricted area? - answer scrubs, cap, and mask

When should terminal cleaning be done? - answer at the end of the day What is the temperature and humidity of the operating room? - answer 70F and 75F, 60% humidity For a laminectomy, how is the patient positioned? - answer prone The reason the genital area is prepped last during skin prep is because - answer it is a dirty area What is the first thing that should be done in the operating room before the first case of the day is begun?

• answer damp dust What is the distance that any operating room personnel should maintain from a sterile field? - answer 12-18 inches Which instrument out of the following is a nonperforating instrument? - answer clamp Which instrument out of the following is a perforating instrument? - answer towel clamp

Which retractor is used during OB/GYN procedures? - answer O'Connor-O'Sullivan Padding under the heels of the surgical patient is provided for - answer protection Which nerve is protected by putting padding under the arms on an arm board? - answer ulnar nerve If a piece of equipment breaks, which department is called to fix it? - answer biomedical The curved Mayo scissor is used to cut - answer thick tissue When positioning the patient's arm on an arm board, avoid - answer hyperextension Rongeurs are used for - answer cutting The removal of the entire uterus, including the cervix, is called - answer total hysterectomy Excision of a cone of tissue from the mucous membrane of the cervix is termed - answer conization of the cervix

Excessive secretion of growth hormones in adults causes

• answer acromegaly Palms up is referred to as - answer supination The enzyme produced by the kidneys that helps regulate blood pressure is - answer renin The outermost layer of the tissue surrounding the kidneys that anchors the kidneys to their surrounding structures and to the abdominal wall is known as the - answer renal fascia Urine is expelled from the body by a process called - answer micturition Inflammation of the pelvis of the kidneys is known as - answer pyelitis The first menstrual period is called - answer menarche The formation of the female sex cells, or eggs, is called - answer oogenesis

A tube 10 inches long that allows the bolus to reach the stomach is called the - answer esophagus