Board Vitals CST Exam 1

Board Vitals CST Exam 1 A hernia leaves the abdominal cavity at the deep inguinal ring and passes through the inguinal canal? - ANS-Indirect inguinal hernia A culture retrieved during a surgical procedure is considered sterile. What should the surg tech ensure when passing the culture off to the circulator? - ANS-The tip remains sterile by inserting it directly into the sheath A full thickness skin graft consists of which of the following? - ANS-Epidermis, dermis, vessels, nerves A function of the liver is to: - ANS-Store excess glucose in the form of glycogen which can be converted into glucose for energy A patient that does not accept the truth about what is taking place in the operating room during their surgical procedure is best known to be experiencing feelings of: - ANS-Denial A split-thickness graft is intended to cover a vast area, Which of the following is used to increase the graft size? - ANS-Skin mesher A spore forming micro organism used as a biological monitor to verify the effectiveness of a steam sterilization is: - ANS-Bacillus stearothermophilus A sterilized package contains a chemical indicator which is used to: - ANS-Confirm that the package was exposed to the sterilization process A surg tech should compare cardiac rhythms to which of the following rhythms? - ANS-Normal sinus A surgical incision is an intentional wound created under sterille conditions; however it is still at rick for the following microorganisms to enter because it lives on skin, this microorganism is: - ANS-Staphylococcus aureus A tissue specimen that is indicated for frozen section and will be sent to pathology should be placed in which of the following on the OR? - ANS-It should not be placed in liquid According to the Rule of Nines, what percentage is assigned to the front of the trunk and the entire arms on an adult- ANS-36% Advantages of gas sterilization includes all of the following except: - ANS-Aeration times can be lengthy After gowning ang gloving the surgeon, the surgeon activates a DuraPrep applicator and proceeds to prep the patient, Upon completion of the prep, what should the surg tech initiate next? - ANS-The surgeon should be re-gowned and re-gloved After setting up for a laparoscopic procedure, the circulator refuses to perform the initial count, What should the CST do in this situation? - ANS-Insist that an initial count be done Among the varied solutions used as a disinfectants, to adequately disinfect endoscopic instruments the following solution is used: ANS-Activated glutaraldehyde Among the various types of sterilization processes the one that does not corrode metal and can pass through woven material is: - ANS-EO sterilizer An ESU unit is also known as the electro-surgical unit functions off of a generator. Which component of this system is responsible for capturing the electrical current? - ANS-Return electrode An ET tube is placed within which structure? - ANS-Trachea As surg tech mastery of knowledge and skills are referred to as: - ANS-Scope of practice Assisting with a full thickness skin graft procedure, two separate areas created to prevent contamination of the donor site. When the surgical tech switches from one site to the other, which of the following should the CST do? - ANS-Change gloves Bacteria and viruses capable of causing disease are referred to as: ANS-Pathogenic Care must be taken during the skin prep to prevent pooling of solution used to disinfect the skin to avoid which of the following common complications? - ANS-Skin will become irritated Caring for a patient with which of the following infections should prompt you to wash your hands with soap and water instead of alcohol-based sanitizer? - ANS-Infectious diarrhea Clostridium is an example of: - ANS-Anaerobic bacteria Cranial Nerve X innervates which of the following anatomic structures? - ANS-Pharynx and larynx Donning OR attire refers to: - ANS-Scrubs, cap, booties During a craniotomy, what instrument is used to separate the periosteum from the bone? -ANS-A freer During a surgical procedure a surg tech accidentally pricks himself with a dirty needle. What is the risk of infection with HIV when a healthcare worker has a needle-stick injury? - ANS-Less than 1% risk During a vaginal procedure, which of the following should the CST pass when the surgeon requests a self-retaining retractor? - ANS-Graves During an above the knee amputation, which of the following instruments is used to sever the femur? - ANS-Gigli saw During an anal fistula or anal fissure repair, what is the instrument used to measure the depth and direction of the sinus fistula? - ANS-Probe Hepatitis consists of many different strains. Which one is transmitted through contaminated serum causing severe damage to the liver and is a blood bome hazard to a surg tech? -ANS-Hepatitis B How should a specimen be prepared when it is obtained intraoperatively and the surgeon requires an immediate diagnosis? - ANS-Frozen If an X-ray needs to be taken intraoperatively and must be placed against the operative site, which of the following should be done to prepare the cassette? - ANS-Place in a sterile cassette cover If the final count is incorrect, what is the next step? - ANS-Repeat the count In an emergency, what procedure should be followed regarding counts? - ANS-Omit counts, document and take C-ray at end of the case Instruments with ratchets immediately following a surgical procedure should be: - ANS-Opened for washing Intraoperative supplies are counted in the following order: - ANS-Sponges, sharps, instruments Major abdominal surgery requires a self-retaining retractor. Which of the following retractors has the most parts and is capable of accommodating a large wound? - ANS-Bookwalter Many vascular cases require the use of fluoroscopy, since fluoroscopy provides live continuous imaging. When fluoroscopy is used in a case, which of the following should be used by the operating room surgical team for protection? - ANS-Lead apron Monitoring of the sterilization process is accomplished by all of the following except: -ANS-Physical monitors Most spine procedures will require the patient to be placed in: - ANS-Prone position Once a medication is placed within the oral cavity and within the cheeks, this route of medication administration is termed: ANS-Buccal Operating room personnel when assisting in procedures that incorporate X-ray need to don the following underneath their gown: - ANS-Lead apron Pediatric patients and geriatric patients can be compared because their bodies both lack: -ANS-Fat Positioning an elderly patient is very different than positioning an average adult or child; extra caution is required concerning the patient's: - ANS-Skin Prior to surgical closure of specific incisions, what is the purpose of straightening the operating table? - ANS-Better approximation of tissue Protamine is used in surgery to reverse the effects of which of the following medications? -ANS-Heparin Reducing a patient's anxiety is accomplished by anesthesia administering - ANS-Valium Regarding sterille packaging there are various boundaries required to be monitored. A peel pack's boundary is: - ANS-1 inch Standard sterile gloves unless specified contain a powder that can cause which of the following? - ANS-Adhesions Surgical mask should be changed: - ANS-Between each case The "white" part of the eye is called the:- ANS-Sclera The area on a gown considered to be sterille is: - ANS-Nipple line to waist The Bowie-Dick test is used to test which component: - ANS-Vacuum The concept of flash sterilization is now referred to as: - ANS-Immediate use sterilization The Da Vinci Robotic System helps to improve surgical patient care by helping to overcome the limitations encountered by human error. The Robotic systems provides precision and reliability utilizing the robotic arms. Which of the following is a measurement of the versatility and articulation of robotic joints? - ANS-Degrees of freedom The department that provides units of blood needed during a surgical procedure is the: -ANS-Medical laboratory The first count is performed: - ANS-After all items are on the table The first line of defense within the sterilization process is always the surg tech. After a surgical procedure, what is the first action a surg tech should take: - ANS-Hand clean and flush all the lumens of the instruments The fluid-filled spaces/areas in the brain are called: ANS-Ventricles The following is regarded as a semi-restricted area within the operating room: - ANS-Corridors The generic name for the analgesic Fentanyl is: - ANS-Sublimaze The instrument picture below is a Langenbeck, - ANS-Elevator The instrument pictured here is commonly used in which of the following types of procedures? (Hook scissor) - ANS-Laparoscopic The instrument pictured here is used for which purpose: (The Thomas-Gaylor biopsy forceps) - ANS-Uterine biopsy The liver is located where in the abdominal cavity? - ANS-Right upper quadrant The only sterile component of the electrical surgical unit is the: - ANS-Monopolar pencil The Patient's Bill of Rights clearly defines patients as being: ANS-The customer The steam sterilization process is dependent on the following factors: - ANS-Temperature, time, moisture, and pressure the sterile field should always be set up: ANS-Furthest from the door The Sterrad is a plasma sterilization system that uses the following chemical solution: -ANS-Hydrogen peroxide The structures in the lung that allow for oxygen and gas exchange with the blood are called: -ANS-Alveoli The surgeon is about to remove the spinous process during a spinal procedure. Which of the following instruments should the surg tech pass tp the surgeon? - ANS-Duckbill rongeur