Q2ST-scenario

15 Questions | By CSTmetc | Updated: Jan 24, 2013 | Attempts: 104

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1.

Scenario1 A patient is scheduled in the OR for an inguinal hernia repair. When the patient comes in to pre-op that morning he is complaining of more than usual pain upon palpation of the inguinal region of the abdomen. Test results show that the patient's WBC is abnormally high. Based on the physical exam, what should the CST be prepared for during the surgical procedure?
- A.
  
  Bowel resection due to strangulated hernia
- B.
  
  Repair of large defect in the transversalis fascia
- C.
  
  Casectomy in conjunction with herniorrhapy
- D.
  
  Removal of Meckel's diverticulum
Correct Answer
A. Bowel resection due to strangulated hernia
2.

Scenario1: A patient is scheduled in the OR for an inguinal hernia repair. When the patient comes in to pre-op that morning he is complaining of more than usual pain upon palpation of the inguinal region of the abdomen. Test results show that the patient's WBC is abnormally high. Which of the following tuypes of mesh should the CST have available, considering that the patient may have infected, necrosed tissue?
- A.
  
  Polyester fiber mesh
- B.
  
  Polypropylene mesh
- C.
  
  Polyglactin
- D.
  
  Prolene
Correct Answer
B. Polypropylene mesh
3.

Scenario1: A patient is scheduled in the OR for an inguinal hernia repair. When the patient comes in to pre-op that morning he is complaining of more than usual pain upon palpation of the inguinal region of the abdomen. Test results show that the patient's WBC is abnormally high. What is used to retract the spermatic cord?
- A.
  
  Penrose Drain
- B.
  
  Robinson straight catheter
- C.
  
  Vessel loop
- D.
  
  Green retractor
Correct Answer
A. Penrose Drain
4.

Scenario1: A patient is scheduled in the OR for an inguinal hernia repair. When the patient comes in to pre-op that morning he is complaining of more than usual pain upon palpation of the inguinal region of the abdomen. Test results show that the patient's WBC is abnormally high. For the surgeon to be able to reduce the contents back into their normal anatomical position, what instrument is used to clamp the edges of the hernia sac?
- A.
  
  Kocher Clamp
- B.
  
  Peans
- C.
  
  Right angle
- D.
  
  Curved Cile hemostat
Correct Answer
D. Curved Cile hemostat
5.

Scenario2: A baseball player was hit by a line drive as he raced from first base to second. Upon arrival in the ER X-rays were ordered which revealed a mandibular fracture. What is used to immobilize the fracture?
- A.
  
  Cast
- B.
  
  Splint dressing
- C.
  
  Arch Bar
- D.
  
  Kirschner wire
Correct Answer
C. Arch Bar
6.

Scenario2: A baseball player was hit by a line drive as he raced from first base to second. Upon arrival in the ER X-rays were ordered which revealed a mandibular fracture. What instrument should always be at the patients bedside once he leaves the OR?
- A.
  
  Knife Handle
- B.
  
  Poole Suction
- C.
  
  Hand drill
- D.
  
  Wire cutter
Correct Answer
D. Wire cutter
7.

Scenario2: A baseball player was hit by a line drive as he raced from first base to second. Upon arrival in the ER X-rays were ordered which revealed a mandibular fracture. What should the CST do before wires get inserted?
- A.
  
  Prestretch the wires
- B.
  
  Cut wires to exact length needed for the patient
- C.
  
  Attach a free needle to wires
- D.
  
  Twist wires to increase strength
Correct Answer
A. Prestretch the wires
8.

Scenario2: A baseball player was hit by a line drive as he raced from first base to second. Upon arrival in the ER X-rays were ordered which revealed a mandibular fracture. The surgical team has to be ready to perform a(n) _____ in the immediate postoperative period.
- A.
  
  Laryngoscopy
- B.
  
  Tracheostomy
- C.
  
  Rhitideectomy
- D.
  
  Mentoplasty
Correct Answer
B. Tracheostomy
9.

Scenario3: A CST goes to the ward to transport a patient to pre-op. After the IV is started in the right hand, the patient is left alone with the side railing down. The patient falls of the gurney and receives a clavicle fracture. Which unintentional tort applies to this situation?
- A.
  
  Assault
- B.
  
  Abandonment
- C.
  
  Indemnity
- D.
  
  Defamation
Correct Answer
B. Abandonment
10.

Scenario3: A CST goes to the ward to transport a patient to pre-op. After the IV is started in the right hand, the patient is left alone with the side railing down. The patient falls of the gurney and receives a clavicle fracture. The CST assigned to patient care duties in pre-op answers pretrial questions referred to as:
- A.
  
  Trial
- B.
  
  Tort
- C.
  
  Deposition
- D.
  
  Liability
Correct Answer
C. Deposition
11.

Scenario3: A CST goes to the ward to transport a patient to pre-op. After the IV is started in the right hand, the patient is left alone with the side railing down. The patient falls of the gurney and receives a clavicle fracture. During trial questioning, the CST intentionally provides false information. This is referred to as:
- A.
  
  Perjury
- B.
  
  Liability
- C.
  
  Tort-feasor
- D.
  
  Common Law
Correct Answer
A. Perjury
12.

Scenario3: A CST goes to the ward to transport a patient to pre-op. After the IV is started in the right hand, the patient is left alone with the side railing down. The patient falls of the gurney and receives a clavicle fracture. What is the legal term that applies to the CST who provided care to the patient?
- A.
  
  Battery
- B.
  
  Assault
- C.
  
  Allegation
- D.
  
  Negligence
Correct Answer
D. Negligence
13.

Scenario4: A CST working in the Sterile Processing Department is documenting test results for a steam biological indicator (BI). The BI was exposed to the sterilization process indicates positive results (growth of microbes occurred). The entire load is considered unsterile. To facilitate retrieval of unsterile items, what control measure is best used?
- A.
  
  Load control number
- B.
  
  Label on packages
- C.
  
  Expiration date
- D.
  
  Bar Code
Correct Answer
A. Load control number
14.

Scenario4: A CST working in the Sterile Processing Department is documenting test results for a steam biological indicator (BI). The BI was exposed to the sterilization process indicates positive results (growth of microbes occurred). The entire load is considered unsterile. What is the incubator temperature the CST should confirm for steam biological indicators?
- A.
  
  50-55 degrees Celcius
- B.
  
  55-60 degrees Celcius
- C.
  
  60-65 degrees Celcius
- D.
  
  65-70 degrees Celcius
Correct Answer
B. 55-60 degrees Celcius
15.

Scenario4: A CST working in the Sterile Processing Department is documenting test results for a steam biological indicator (BI). The BI was exposed to the sterilization process indicates positive results (growth of microbes occurred). The entire load is considered unsterile. How does the CST know the BI was positive?
- A.
  
  No change in liquid color
- B.
  
  No change in liquid temperature
- C.
  
  Change in liquid color
- D.
  
  Change in liquid temperature
Correct Answer
C. Change in liquid color

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Current Version
Jan 24, 2013

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Apr 26, 2011

Quiz Created by
CSTmetc

Q2st-scenario

Scenario2: A baseball player was hit by a line drive as he raced from first base to second. Upon arrival in the ER X-rays were ordered which revealed a mandibular fracture. What is used to immobilize the fracture?

Scenario2: A baseball player was hit by a line drive as he raced from first base to second. Upon arrival in the ER X-rays were ordered which revealed a mandibular fracture. What instrument should always be at the patients bedside once he leaves the OR?

Scenario2: A baseball player was hit by a line drive as he raced from first base to second. Upon arrival in the ER X-rays were ordered which revealed a mandibular fracture. What should the CST do before wires get inserted?

Scenario2: A baseball player was hit by a line drive as he raced from first base to second. Upon arrival in the ER X-rays were ordered which revealed a mandibular fracture. The surgical team has to be ready to perform a(n) _____ in the immediate postoperative period.

Scenario3: A CST goes to the ward to transport a patient to pre-op. After the IV is started in the right hand, the patient is left alone with the side railing down. The patient falls of the gurney and receives a clavicle fracture. Which unintentional tort applies to this situation?