Exam 3 Flashcards by Tiffany Finn

Which cranial nerve is affected by trigeminal neuralgia?

A- I
B- V
C- VI
D- VII

B- V

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What is used to lubricate the donor site and reduce friction from the dermatome?

A- Bacitracin ointment
B- Iodophor solution
C- Petrolatum gel
D- Mineral oil

D- Mineral oil

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Which of the following is an example of proper sterile technique the performing the prep for a split-thickness skin graft?

A- Donor site first
B- Recipient site first
C- Donor site only
D- Recipient site only

A- Donor site first

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What is the recommended range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic procedure?

A- 8-11mm Hg
B- 12-15 mm Hg
C- 16-19 mm Hg
D- 20-23 mm Hg

B- 12-15 mm Hg

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Which of these terms refers to the inability to direct both eyes at the same object?

A- Strabismus
B- Chalazion
C- Glaucoma
D- Cataract

A- Strabismus

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What procedure is performed to correct chronic cerebral ischemia?

A- Rhizotomy
B- Cranioplasty
C- Arteriography
D- Endarterectomy

D- Endarterectomy

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According to the Rule of Nines, what percentage is assigned to the front and back of the trunk?

A- 27%
B- 18%
C- 4 1/2%
D- 1%

B- 18%

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A second intention wound heals by?

A- Granulation
B- Evisceration
C- Primary union
D- Delayed suturing

A- Granulation

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Intraoperative ventricular arrhythmias are treated with?

A- Lidocaine
B- Digitoxin
C- Prostigmin
D- Furosemide

A- Lidocaine

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How many milliners equal two (2) ounces?

A- 40
B- 50
C- 60
D- 70

C- 60

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In which position would a patient be placed to counteract hypovolemia?

A- Left lateral
B- Right lateral
C- Trendelenburg
D- Reverse trendelenburg

C- Trendelenburg

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Which of the following types of suture create the least tissue trauma and drag?

A- Swaged multifilament
B- Swaged monofilament
C- Threaded multifilament
D- Threaded monofilament

B- Swaged monofilament

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Which organization has legal oversight for the safety of healthcare providers in the work place?

A- EPA
B- CDC
C- OSHA
D- NIOSH

C- OSHA

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Which level of Maslow’s hierarchy of needs is most applicable to the surgical patient?

A- Esteem and prestige
B- Love and belonging
C- Safety and security
D- Physiological and survival

D- Physiological and survival

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What type of procedure might require a laparoscopy combination drape?

A- Pilonidal cystectomy
B- Subacromial decompression
C- Abdominoperineal resection
D- Femorofemoral bypass

C- Abdominoperineal resection

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Cell destruction by steam sterilization occurs by?

A- Cellular membrane damage
B- Interrupt cellular division
C- Altering cellular DNA
D- Coagulation of protein

D- Coagulation of protein

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A patient’s fingernail polish is removed to?

A- Prevent surgical wound infection
B- Allow temperature to be recorded
C- Prevent ESU exit pathway
D- Allow for use of pulse oximeter

D- Allow for use of pulse oximeter

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How many mL of water is necessary to inflate a 5-mL balloon on the Foley indwelling catheter?

A- 5 mL
B- 10 mL
C- 15 mL
D- 20 mL

B- 10 mL

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What is the correct technique for performing the surgical skin prep?

A- Incision site to periphery using circular motion
B- Periphery to incision site using circular motion
C- Incision site to periphery using back and forth motion
D- Periphery to incision site using back and forth motion

A- Incision site to periphery using circular motion

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The laboratory test that determines the ration of erythrocytes to whole blood is?

A- Reticulocyte count
B- Differential count
C- Hematocrit
D- Hemoglobin

C- Hematocrit
(measure red blood cells)

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Which of the following types of specimens would not be placed in a preservative solution?

A- Colon
B- Calculi
C- Tonsils
D- Uterus

B- Calculi

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Where should the surgical technologist begin with performing closing counts?

A- Backtable
B- Mayo stand
C- Off the field
D- Operative field

D- Operative field

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Which of the following catheter tips is used in a patient with a ureteral stricture?

A- Olive
B- Coude
C- Whistle
D- Mushroom

B- Coude

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Which type of procedure would require a stent dressing?

A- Neck
B- Inguinal
C- Extremity
D- Abdominal

A- Neck
(think artery is in the neck )

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Which of the following hemostatic agents is contraindicated for use in the presence of infection? A- Topical thrombin B- Oxidized cellulose C- Absorbable gelatin D- Absorbable collagen

D- Absorbable collagen (substance to help prevent/stop bleeding from the bleeding site)

During closure of a nephrectomy in the lateral position, the OR table is straightened to facilitate? A- Proper circulation B- Wound hemostasis C- Adequate respirations D- Tissue approximation

D- Tissue approximation

Excision of a constricted segment of the aorta with reanastomosis is performed to correct? A- Patent ductus arteriosus B- Coarctation of the aorta C- Aortic aneurysm D- Transposition of the great vessels

B- Coarctation of the aorta (reanastomosis: taking apart and rearranging the surgery)

For which of the following diagnoses would a patient undergo endoscopic retrograde cholangiopancreatograpy? A- Cholecystitis B- Choledocholithiasis C- Pancreatitis D- Pancreatolithiasis

B- Choledocholithiasis (Needing to see the biliary and pancreatic tract)

The high ligation of the fonadal veins of the testes performed to reduce venous plexus congestion is a/an? A- Spermatocelectomy B- Varicocelectomy C- Epididymectomy D- Vasovasostomy

B- Varicocelectomy

Trauma to which two of the following cranial nerves would result in the loss of smell and vision? A- I and II B- I and III C- II and III D- II and IV

A- I and II (1st and 2nd nerves cause loss of smell and vision.)

Which of the following is performed for suspected ectopic pregnancy? A- Culdocentesis B- Colposcopy C- Culdotomy D- Colporrhaphy

A- Culdocentesis

Which of the following is a procedure for treatment of glaucoma? A- Vitrectomy B- Iridectomy C- Enucleation D- Keratoplasty

B- Iridectomy

What procedure is performed to immobilize the jaw following a mandibular fracture? A- Arch bar application B- TMJ osteotomy C- LeFort I D- LeFort II

A- Arch bar application (wiring the jaw shut)

Which of the following total arthroplasty procedures would require the postoperative use of an abduction splint? A- Hip B- Knee C- Ankle D- Shoulder

A- Hip (Abduction splint: brace that prevents excessive hip flexion)

Untreated acute otitis media may result in? A- Tonsillitis B- Mastoiditis C- Adenoiditis D- Ethmoiditis

B- Mastoiditis (Acute otitis media: Infection of the middle ear)

Which of the following is used intraoperatively to assess vascular patency? A- Positron emission tomography B- Magnetic resonance imaging C- Computed tomography D- Doppler ultrasound

D- Doppler ultrasound

The instrument shown below would be used during a? (see exam for example) A- Parotidectomy B- Tonsillectomy C- Rhytidectomy D- Stapedectomy

B- Tonsillectomy

Which of the following is the body's primary source of energy? A- Carbohydrates B- Vitamins C- Proteins D- Fats

A- Carbohydrates

What is compressed during rapid-sequence induction and intubation? A- Hyoid B- Manubrium C- Thyroid gland D- Cricoid cartilage

D- Cricoid cartilage (prevents aspiration during induction and ET tube placement)

What term refers to the spread of cancerous cells to other parts of the body? A- In-situ B- In-vivo C- Metastasis D- Encapsulation

C- Metastasis

The shared passageway for food and air is the? A- Trachea B- Larynx C- Pharynx D- Bronchus

C- Pharynx

The structure that lies along the posterior border of the testis is the? A- Prostate B- Epididymis C- Tunica vaginalis D- Ejaculatory duct

B- Epididymis

The valve between the left atrium and the left ventricle is the? A- Bicuspid B- Tricuspid C- Aortic semilunar D- Pulmonary semilunar

A- Bicuspid

Which characteristic describes an amphiarthrosis? A- Hinge B- Immobile C- Slightly movable D- Freely movable

C- Slightly movable (amphiarthrosis: Slight movement between the vertebrae/backbone)

What is the most abundant ion in the body? A- Calcium B- Sodium C- Potassium D- Magnesium

A- Calcium

Which of the following is a method of bacterial survival when environmental conditions are not conducive to growth and viability? A- Conjugation B- Transduction C- Spore formation D- Genetic mutation

C- Spore formation

What organ detects changes in the level of insulin and releases chemicals to regulate the level of blood glucose? A- Liver B- Stomach C- Pancreas D- Gallbladder

C- Pancreas (regulates sugar and blood glucose)

What does the term strike-through mean? A- Rupture of heat seal during sterilization B- Failure of biological indicator during sterilization C- Perforation of sharp object through sterile wrapper D- Soaking of moisture from unsterile to sterile layers

D- Soaking of moisture from unsterile to sterile layers

Which of the following monitoring devices would be used within a vessel? A- ECG lead B- Swan-Ganz C- Pulse oximeter D- Sphygmomanometer

B- Swan-Ganz

When adding 30mL of injectable saline to 30mL of 0.5% Marcaine, what strength does the drug become? A- 0.25% B- 0.5% C- 0.75% D- 1.0%

A- 0.25% 30mL + 30mL= 60mL 30mL/60mL x (X)/(0.5%) Cross multiply: 30mL x 0.5% = 15 and 60mL x (X)= 60 New equation becomes: 15/60 x 60/60= Cross multiply: 60’s cancel each other out Divide; 15/60= 0.25%

A patient may be asked to shower at home with an antimicrobial soap before coming to the hospital for surgery to? A- Achieve a cumulative antimicrobial effect B- Determine if the patient is allergic to the soap C- Reduce the amount of time for the pre-op prep D- Leave a visible film so the prep borders will show

A- Achieve a cumulative antimicrobial effect

Which area is prepped last when performing the skin prep for a Bartholin's cystectomy? A- Anus B- Mons pubis C- Vagina D- Perineum

A- Anus (Anus & vagina's are prepped last)

The sterile surgical technologist should drape a table from? A- Side to side B- Back to front C- Front to back D- Open drape, lay it down

C- Front to back

Which of the following can be injured if the arm is placed on the arm board greater than 90 degree's? A- Brachial plexus B- Cervical plexus C- Rotator cuff D- Acromicoclavicular joint

A- Brachial plexus (nerves that sends signals from the spinal cord to shoulder, arms, and hands.

What is the purpose of the third lumen in a three-way indwelling Foley catheter? A- Obtain urine specimen B- Instill irrigation fluids C- Provide hemostasis D- Prevent urine reflux

B- Instill irrigation fluids (Third lumen is put into the bladder)

Which of the following enlarges and illuminates the surgical field during cataract procedures? A- Fluorescent overhead lights B- Fiberoptic headlamps C- Operating microscope D- Surgical loupes

C- Operating microscope

Small radiopaque surgical patties used during cranial procedures are? A- Raytecs B- Kitners C- Pledgets D- Cottonoids

D- Cottonoids

Which of the following hemostatic agents must be applied dry and only handled with dry gloves and instruments? A- Oxycel B- Avitene C- Gelfoam D- Thrombin

B- Avitene (an absorbable topical microfibrilar collagen)

Which surgical specialty would utilize a phacoemulsification machine? A- Neurosurgery B- Maxillofacial C- Ophthalmology D- Otorhinolaryngology

C- Ophthalmology (Phacoemulsification: Cataract surgery)

Which of the following lasers would be contraindicated for use in the posterior chamber of the eye? A- Argon B- Excimer C- Ho: YAG D- Carbon Dioxide

D- Carbon Dioxide (the laser would not pass through clear fluids)

For which of the following diagnoses would a patient require pancreaticojeunostomy? A- Gastroschisis B- Morbid obesity C- Neonatal jaundice D- Alcoholic pancreatitis

D- Alcoholic pancreatitis

In which procedure would a Denis-Browne ring retractor be used? A- Cystectomy B- Nephrectomy C- Retropubic prostatectomy D- Transurethral prostatectomy

C- Retropubic prostatectomy

Which cranial nerve is severed as a last resort treatment of Ménière's disease? A- VII B- VIII C- IX D- X

B- VIII (Ménière's disease: Is a balance disorder. The 8th cranial nerve is sound & movement.)

Brachytherapy is performed to treat? A- Uterine prolapse B- Endometriosis C- Cervical cancer D- Menorrhagia

C- Cervical cancer

Which procedure is performed to improve the vision of patients with myopia? A- Radial keratotomy B- Scleral buckling C- Keratoplasty D- Vitrectomy

A- Radial keratotomy to correct nearsightedness

What is the name of this retractor? (see exam for picture) A- Charnley B- Bennett C- Harrington D- Richardson

B- Bennett

Where is the incision for a Caldwell-Luc procedure made? A- Canine fossa B- Frontal sinus C- Eyebrow D- Tear duct

A- Canine fossa (upper jaw)

The device used for real-time intraoperative assessment of blood flow is a/an? A- Caliper B- Doppler C- Pacemaker D- Manometer

B- Doppler

The needle holder shown below would be used during a: A- Vaginal hysterectomy B- Repair of rotator cuff C- Tonsillectomy D- Craniotomy

D- Craniotomy

A chemical reaction that provides energy by the breakdown of food is: A- Anabolism B- Catabolism C- Metabolism D- Commensalism

B- Catabolism

Which structure of the ear is responsible for equilibrium? A- Semicircular canals B- Cranial nerve V C- Labyrinth D- Cochlea

A- Semicircular canals

The first step of urine production when fluids and dissolved substances are forced through a membrane by pressure is called: A- Tubular secretion B- Tubular reabsorption C- Glomerular filtration D- Glomerular absorption

C- Glomerular filtration

The adipose tissue overlying the symphysis is the? A- Labia majora B- Mons pubis C- Perineum D- Vestibule

B- Mons pubis

The cranial nerve that regulates secretion of gastric juice is the? A- III B- V C- VII D- X

D- X

Wounds during surgery are classified according to the degree of microbial contamination. A wound that is old and was contaminated prior to the procedure or that has perforated viscera is referred to as? A- Clean contaminated B- Clean C- Dirty D- Contaminated

C- Dirty

Which layer of the skin is composed of adipose tissue? A- Cutaneous B- Dermis C- Epidermis D- Subcutaneous

D- Subcutaneous

Which of the following techniques will the CST employ when donning gloves immediately after gowning? A- Open glove technique B- Traditional gloving C- Closed glove technique D- Single glove technique

C- Closed glove technique

When assisting with cases involving an immunecompromised patient , the CST must fulfill which of the following duties? A- Aseptic technique B- Proper instrumentation counts C- Assisting the surgeon D- Maintaining communication with he circulator

A- Aseptic technique

When a surgeon asks that a specimen be sent for permanent section, how will the circulator will place it in a specimen container? A- Dry B- Sterile saline C- Formalin D- Cidex

C- Formalin

The microorganism associated most with deep-tissue wounds post operatively is? A- Pseudomonos aeruginosa B- Enterococcus C- Streptococcus D- Escherichia coli

A- Pseudomonos aeruginosa

The time is takes from the administration of a drug until its action becomes evident refers to? A- Transition period B- Onset C- Duration D- Function

B- Onset

Which of the following is the least inert of the synthetic meshes? A- PTFE B- Polypropylene C- Polyester fiber D- Polyglactin 910

C- Polyester fiber

What radiopaque contrast medium is used intraoperatively when the patient is allergic to iodine? A- Isovue B- Renograffin C- Methylene blue D- Indigo carmine

B- Renograffin

Exam 3 Flashcards

(84 cards)