EXAM REVIEW

Question 1

Which of the following should be prepared for a mastoid dressing?

Answer 1

several fluffed sponges and a rolled gauze

Question 2

In which of the following situations can a DNR order be continued in an unconscious patient for a surgical procedure?

Answer 2

the patient’s durable POA requests it be continued.

Question 3

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?

Answer 3

to aid visual inspection for leakage

Question 4

Apart from trauma cases, which of the following incision would be BEST for sigmoid surgery?

Answer 4

vertical paramedian

Question 5

During a procedure, a hole is noticed in the surgical technologist’s glove. what should the surgical technologist do NEXT?
A. change the glove using the closed-gloving technique
B. change the glove using the open-gloving technique
C. break scrub, rescrub, gown and glove
D. continue the case

Answer 5

B. change the glove using the open-gloving technique

Question 6

Which of the following instruments should be included in a transurethral resection of the prostate (TURP) setup?
A. Randall Stone
B. lithotrite
C. resectoscope
D. urethrotome

Answer 6

C. resectoscope

Question 7

Which of the following verifies that autoclave sterilization has occurred?
A. biological indicator
B. julian date
C. chemical indicator
D. heat-sensitive tape

Answer 7

A. biological indicator

Question 8

For an open hemicolectomy, a surgical technologist is preparing a second mayo stand for the placement of dirty surgical instruments. Which of the following instruments is MOST likely to be placed on the second mayo stand?
A. Richardson retractor
B. Allis forceps
C. Bakes dilator
D. Penrose drain

Answer 8

B. Allis forceps

Question 9

When loading items in a gravity displaced steam sterilizer, heavy packs should be placed
A. on the top rack
B. at the periphery of the load
C. centered on the middle rack
D. on their sides

Answer 9

B. at the periphery of the load

Question 10

Which of the following instruments is used to thread a vascular graft from one incision to another?
A. Tunneler
B. hemostat
C. DeBakey vascular forceps
D. Randall Stone Forceps

Answer 10

A. Tunneler

Question 11

Which of the following combination of medications are commonly used during a MAC?
A. hemostatics, ringers’s solution, analgesics, amnesics or sedatives
B. tranquilizers, gastric acid management, or lubricants
C. induction agents, anticholinergics, and antiemetics
D. nerve conduction blockades with supplemental analgesics, sedatives, or amnesics

Answer 11

D. nerve conduction blockades with supplemental analgesics, sedatives, or amnesics

Question 12

Which of the following items must the surgical technologist have available after a thyroidectomy?
A. knife handle, scalpel blade, and nasogastric tube
B. endotracheal tube, hemostatic clamps, and scalpel
C. lap sponges, hemostatic clamps, and electrocautery
D. scalpel, hemostatic clamps and tracheostomy tube

Answer 12

D. scalpel, hemostatic clamps and tracheostomy tube

Question 13

A patient is in the supine position for a procedure. After the arms are placed on arm boards, padding is placed under the elbows to decrease pressure on which of the following nerves?
A. axillary
B. brachial
C. median
D. ulnar

Answer 13

D. Ulnar

Question 14

Which of the following supplies should be pulled by the surgical technologist for a thoracic procedure?
A. Jackson-Pratt drainage system
B. Andrews-Pynchon suction
C. Water-sealed drainage system
D. Passive drainage system

Answer 14

C. Water-sealed drainage system

Andrews-Pynchon suction is a tiny suction tip used in pediatric heart surgery

Question 15

During a partial nephrectomy, the surgeon asks for a large Chromic suture and Gelfoam. The surgeon would like the Gelfoam to be cut into pledget squares and loaded onto the suture. The MAIN perpose for the use of the Gelfoam and suture is to
A. cauterize the tissue.
B. seal or close the tissue.
C. topically stop bleeding.
D. cause a fibrin clot to form.

Answer 15

C. topically stop bleeding.

Question 16

Which of the following should be the MINIMUM exposure time in an immediate use sterilizer for unwrapped instruments?
A. 7 minutes
B. 1 minutes
C. 5 minutes
D. 3 minutes

Answer 16

D. 3 minutes

Question 17

A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. The MOST appropriate NEXT step is to send the specimen to pathology in a
A. specimen container containing normal saline so that a permanent section can be completed.
B. dry specimen container so that a permanent section can be completed.
C. dry specimen container so that a frozen section can be completed.
D.container containing normal saline so that a frozen section can be completed.

Answer 17

C. dry specimen container so that a frozen section can be completed.

Question 18

For which of the following procedures in Gelfoam MOST commonly used?
A. cataract extraction
B. TVH
C. myringotomy
D. TURP

Answer 18

C. myringotomy

Question 19

When preparing cannulated instruments for steam sterilization, the instrument lumen should be
A. dry for both dynamic air removal and for gravity displacement.
B. wet for both dynamic air removal and for gravity displacement.
C. wet for dynamic air removal and dry for gravity displacement.
D. dry for dynamic air removal and wet for gravity displacement.

Answer 19

D. dry for dynamic air removal and wet for gravity displacement.

Question 20

When steam comes into an autoclave from an outside source, the steam is heated in the
A. chamber
B. jacket
C. thermastatic trap
D. vacuum system

Answer 20

B. jacket

Question 21

During a laparoscopic appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of the bowel content?
A. pursestring
B. intraluminal
C. skin
D. linear

Answer 21

D. linear

Question 22

During a trans urethral resection of the prostate, bleeding is controlled by

Answer 22

cauterization

Question 23

Which of the following important considerations should be taken by the surgical technologist when it comes to the suture material for the third intention closure?
A. The handling of suture is more important than the suture material.
B. Choosing the proper tensile strength of the suture can aid in healing.
C. the size of the suture is more important than the suture material.
D. a low capillary action suture will not retain moisture.

Answer 23

D. a low capillary action suture will not retain moisture.

Question 24

The anterior chamber of the eye is located between the cornea and the
A. posterior
B. pupil
C. lens
D. Iris

Answer 24

D. Iris

Question 25

When using a laparoscopic set - up, potential hazards associated with the equipment include A. non-ionizing radiation. B. nitrogen embolus. C. fiberoptic beam fire. D. pneumoperitoneum.

Answer 25

C. fiberoptic beam fire.

Question 26

During a laparoscopic cholecystectomy, the surgeon determines that the procedure will convert to an open case. Which of the following incisions is preferred for access? A. transverse B. subcostal C. thoracoabdominal D. vertical

Answer 26

B. subcostal

Question 27

Which of the following is a heavy, curved, tapered needle? A. Ferguson B. Arterial C. Keith D. Mayo

Answer 27

D. Mayo

Question 28

During a procedure, a major piece of equipment malfunctions and causes a patient's death. Which of the following is this situation MOST likely to be classified as? A. malpractice B. sentinel event C. abandonment D. defamation

Answer 28

B. sentinel event

Question 29

Which of the following is used to cross-clamp the intestine during a bowel resection? A. Heaney B. Duval C. Lahey D. Allen

Answer 29

D. Allen

Question 30

During a Nissen fundoplication, after the pneumoperitoneum is established and trocars are placed, which of the following is the NEXT step? A. The phrenoesophageal membrane is dissected free. B. The stomach is mobilized and divided from the omentum. C. the upper portion of the fundus is wrapped around the esophagus. D. the surgeon performs a saline drop test.

Answer 30

B. The stomach is mobilized and divided from the omentum.

Question 31

A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which of the following types of drains should the surgical technologist have available at the end of the procedure? A. suction B. underwater C. passive D. gravity

Answer 31

B. underwater

Question 32

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? A. laps, silk ties, and hemoclips B. Vicryl ties, pledgets, and Alexis C. Monocryl suture and harmonic scalpel D. Nylon suture, Raytec, and Geralds

Answer 32

A. laps, silk ties, and hemoclips

Question 33

Which of the following wounds is MOST likely in the inflammatory phase of wound healing? A. an open reduction internal fixation (ORIF) of a finger, two weeks post-procedure B. an abdominal incision, 20 mintues post-closure C. a laparotomy incision with a cicatrix D. a Bankart repair, one week post-procedure

Answer 33

B. an abdominal incision, 20 mintues post-closure

Question 34

A surgeon repeatedly asks the surgical technologist to refill the 10cc syringe with local anesthetic. If the surgical technologist refilled the syringe three times and there was 5cc left in the syringe, how much anesthetic was used? A. 25 B. 15 C. 30 D. 35

Answer 34

D. 35

Question 35

Which of the following instruments may be used to extend the arteriotomy during carotid endarterectomy? A. Potts B. Stevens C. Mayo D. Jorgenson

Answer 35

A. Potts

Question 36

While removing the drapes, the surgical technologist recognizes some bleeding through the dressing. Which of the following should be the surgical technologist's FIRST step? A. Cover the dressing so the bleeding cannot be seen. B. Request the nurse to document and apply a pressure dressing. C. Apply pressure and notify the surgeon. D. notify the nurse and allow PACU to address the bleeding.

Answer 36

C. Apply pressure and notify the surgeon.

Question 37

Which of the following instruments is used to grasp the base of the hemorrhoid during a hemorrhoidectomy? A. Allis B. mosquito C. kocher D. pennington

Answer 37

A. Allis

Question 38

During ophthalmic procedures, the surgeon will use which of the following paralytic agents to dilate the pupil? A. BSS B. Miotics C. Viscoelastic D. Cycloplegics

Answer 38

D. Cycloplegics

Question 39

Which of the following is considered a contaminated area when evaluating a patient's skin for the preoperative prep? A. groin B. body hair C. draining sinus D. toes

Answer 39

C. draining sinus

Question 40

Which of the following is MOST commonly used for wound closure in the presence of infection? A. silk B. plain gut C. polyglactin-910 D. stainless steel

Answer 40

D. stainless steel

Question 41

Which of the following retractors should the surgical technologist have available to provide exposure to the patellar tendon while harvesting the graft for an ACL repair? A. Senn B. Hayes C. Fukuda D. Richardson

Answer 41

A. Senn

Question 42

Which of the following situations would present a problem when preparing instruments for sterilization using a paper-plastic peel pack? A. The instruments should be placed in the paper-plastic peel pack with the rings at the end that was sealed by the manufacturer. B. The instruments within the paper-plastic peel pack have been held together with tape to avoid shifting. C. A felt tip marker was used to label the plastic on the paper-plastic peel pack prior to sterilization. D. The open end of the paper-plastic peel pack has been sealed with tape.

Answer 42

B. The instruments within the paper-plastic peel pack have been held together with tape to avoid shifting.

Question 43

A surgeon received a report from PACU that a patient is bleeding at the surgical site after a lumbar laminectomy procedure. Upon inspection, the surgeon deems it necessary to return the patient to the OR to correct the issue. Which of the following should the surgeon suspect to occur if the issue is not resolved immediately? A. hematoma B. evisceration C. adhesion D. dehiscence

Answer 43

A. hematoma

Question 44

Factors that contribute to SSI include A. wearing proper PPE. B. portal hypertension. C. immunosuppression D. using aseptic technique.

Answer 44

C. immunosuppression

Question 45

In which of the following positions is a patient placed for a right nephrectomy? A. right lateral kidney B. left lateral C. Left lateral kidney D. right lateral

Answer 45

C. Left lateral kidney

Question 46

At the end of a posterior capsulectomy, a surgeon is having difficulty closing the sclerotomies. Which medication should the surgeon request? A. Hyaluronidase B. Viscoat C. Mannitol D. Prednisolone

Answer 46

C. Mannitol

Question 47

During a laser laryngoscopy, which of the following supplies must be available? A. wet sponges and towels B. thyroid tray and methylene blue C. a microscope and bronchoscope D. bronchoscope and tracheostomy tray and tube

Answer 47

A. wet sponges and towels

Question 48

A proper informed consent should include the A. known allergies. B. next of kin information. C. surgeon's name D. patient's blood type.

Answer 48

C. surgeon's name

Question 49

Which of the following is a preferred retractor for a groin incision? A. Weitlaner B. Finochietto C. Balfour D. Charnley

Answer 49

A. Weitlaner

Question 50

When preparing endoscopic cameras for ethylene oxide sterilization, which of the following monitoring processes is utilized to ensure all parameters of sterilization are met? A. dynamic air removal B. External tape C. biological indicator D. chemical strip

Answer 50

C. biological indicator