Surgical Technology Examination Appleton & Lange Pg109-124 CST Exam Prep
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Surgical Technology Examination Appleton & Lange pg74-88 CST exam prep
- 1.719. In a gastrointestinal closure, the mucosa of the intestinal tract is closed with
- A.
Chromic 4-0 or 3-0
- B.
Silk 4-0 or 3-0
- C.
Dacron 3-0 or 2-0
- D.
Novafil 3-0 or 2-0
- 2.720. Which type of suture would be used to invert the stump of an appendix?
- A.
Buried
- B.
Purse-string
- C.
Mattress
- D.
Tension
- 3.721. Why are bumpers or bolsters used on retention sutures?
- A.
To prevent the suture from cutting into the skin surface
- B.
To facilitate easy removal
- C.
To identify the order of suture removal
- D.
To prevent unequal tension on the wound edges
- 4.722. A Nissen Fundoplication procedure is done to correct
- A.
Repeated attacks of volvulus
- B.
Antireflux disease
- C.
Bladder prolapse
- D.
Gastroesophageal stenosis
- 5.723. A dissecting sponge that is a small roll of heavy cotton tape is a
- A.
Kitner
- B.
Peanut
- C.
Tonsil
- D.
Tape
- 6.724. Which procedure would not require a pressure dressing?
- A.
Plastic surgery
- B.
Knee surgery
- C.
Radical mastectomy
- D.
Hysterectomy
- 7.725. Peanuts and dissecting sponges are generally
- A.
Used dry
- B.
Moistened with saline
- C.
Moistened with water
- D.
Moistened with antibiotic solution
- 8.726. Intraabdominally, lap pads are most often used
- A.
Dry
- B.
Moistened with saline
- C.
Moistened with water
- D.
Moistened with glycine solution
- 9.727. A catheter commonly used in a gastrostomy is a
- A.
Mushroom
- B.
Rehfus
- C.
Cantor
- D.
Sengstaken-Blakemore
- 10.728. Before handing a Penrose drain to the surgeon
- A.
Place it on an Allis clamp
- B.
Attach a safety pin to it
- C.
Cut it to the desired length
- D.
Moisten it in saline
- 11.729. A closed-wound suction system works by
- A.
Possitive pressure
- B.
Negative-pressure vacuum
- C.
Air displacement
- D.
Constant gravity drainage
- 12.730. Which condition regarding sterile technique is NOT recommended?
- A.
Sterile tables are set up just before the operation
- B.
Sterile tables may be set up and safely covered until time of surgery
- C.
Once sterile packs are open, someone must remain in the room to maintain vigilance
- D.
Sterile persons pass each other back to back
- 13.731. Which of the following conditions is not an acceptable aseptic technique?
- A.
Scrub nurse standing on a platform or standing stool
- B.
Scrub nurse keeps hands below shoulder level
- C.
Scrub nurse folds arms with hands at axillae
- D.
Scrub nurse's hands are at or above waist level
- 14.732. The disposable circular staple designed to hold two tubular structures together after resection is known as
- A.
TA linear
- B.
LDS
- C.
EEA
- D.
GIA
- 15.733. When a sterile item is hanging or extending over the sterile table edge, the scrub nurse
- A.
Must watch closely that no one comes near it
- B.
Does not touch the part hanging below table level
- C.
Should pull it back onto the table so it does not become contaminated
- D.
May use the item
- 16.734. Which of the following is considered a break in technique?
- A.
A sterile person turns his or her back to a nonsterile person or area when passing
- B.
Sterile persons face sterile areas
- C.
A sterile person sits or leans against a nonsterile surface
- D.
Nonsterile persons avoid sterile areas
- 17.735. In which situation should sterility be questioned?
- A.
If a sterilized pack is found in an unsterile workroom
- B.
If the surgeon turns away from the sterile field for a brow wipe
- C.
If the scrub drapes a nonsterile table, covering the edge nearest the body first
- D.
If the lip of a pour bottle is held over the basin as close to the edge as possible
- 18.736. Transduodenal sphincterotomy refers to the incision made into the ________ to relieve stenosis.
- A.
Cardiac sphincter
- B.
Ileocecal sphincter
- C.
Sphincter of Oddi
- D.
Phyloric sphincter
- 19.737. when handing skin towels to the surgeon, where should the scrubperson stand in relation to the surgeon?
- A.
On the opposite side of the table
- B.
On the same side of the table
- C.
At the foot of the table
- D.
Any position is acceptable
- 20.738. Irrigating fluid used to flush the organ between harvest and transplantation of a liver is known as
- A.
Ringer's Lactate
- B.
Physiosol
- C.
Collin's
- D.
Normal saline
- 21.739. Each of the following actions by a scrubperson prevents wounds and punctures, according to CDC guidelines EXCEPT
- A.
Use an instrument to remove blades
- B.
Recap injection needles
- C.
Account for each needle as surgeon finishes with it
- D.
Protect sharp blades, edges, and tips
- 22.740. Which of the following is NOT an acceptable technique when draping a patient?
- A.
Hold the drapes high until directly over the proper area
- B.
Protect the gloved hands by cuffing the end of the drape over them
- C.
Unfold the drapes before bringing them to the OR table
- D.
Place the drapes on a dry area
- 23.741. The procedure to follow if a hair is found on the operative field is to
- A.
Notify circulator
- B.
Complete an incident report
- C.
Remove it with a clamp, cover over area
- D.
No action is necessary
- 24.742. Cancer technique in surgery refers to
- A.
The administration of an anticancer drug directly into the cancer site
- B.
The discarding of instruments coming in contact with tumor after each use
- C.
The use of radiation therapy at the time of surgery
- D.
The identification of the lesion
- 25.743. Why are gowns, gloves, drapes, and instruments changed following a breast biopsy and before incision for a mastectomy?
- A.
To respect individual surgeon's choice
- B.
To follow aseptic principles
- C.
To accommodate two separate incisions
- D.
To protect margins of healthy tissue from tumor cells
- 26.744. A postoperative complication attributed to glove powder entering a wound is
- A.
Granulomata
- B.
Infection
- C.
Inflammation
- D.
Keloid formation
- 27.745. The correct procedure for sterile dressing application is
- A.
Apply dressing after drape removal
- B.
Apply dressing before drape removal
- C.
Apply raytex sponges in thick layer
- D.
Apply dressing in recovery room
- 28.746. When drop technique for an intestinal procedure is utilized
- A.
Two Mayo stands are used
- B.
Drapes and gloves do not need to be changed
- C.
Contaminated instruments are discarded, gloves are changed
- D.
A separate setup is used for the closure
- 29.747. If the floor or wall becomes contaminated with organic debris during a case, the circulator
- A.
Calls housekeeping stat
- B.
Decontaminates promptly
- C.
Decontaminates after case is complete
- D.
Defers for terminal cleaning
- 30.748. The Sengstaken-Blakemore tube is used for
- A.
Esophageal hemorrhage
- B.
Tonsillar hemorrhage
- C.
Uterine hemorrhage
- D.
Nasal hemorrhage
- 31.749. A specially treated form of surgical gauze that has a hemostatic effect when buried in tissue is
- A.
Topical thrombin
- B.
Gelfoam
- C.
Human fibrin foam
- D.
Oxycel
- 32.750. An enzyme extract from bovine blood used as a topical hemostatic agent is
- A.
Oxytocin
- B.
Tannic acid
- C.
Thrombin
- D.
Collagen
- 33.751. A common complication of extubation is
- A.
Hypotension
- B.
Tachypnea
- C.
Hypoxia
- D.
Hypercapnia
- 34.752. The desirable position for better visualization in the lower abdomen or pelvis is
- A.
Fowler's
- B.
Reverse Trendelenburg
- C.
Trendelenburg
- D.
Kraske
- 35.753. Another name for the Kraske position is
- A.
Prone on an adjustable arch
- B.
Lateral
- C.
Knee-chest
- D.
Jackknife
- 36.754. All of the following are helpful in keeping accurate account of the sponges EXCEPT
- A.
Keep sponges separate from linen and instruments
- B.
Keep needles separate from sponges
- C.
Keep all sponges and tapes in a basin or close together on the field
- D.
Keep a mental count of the number of sponges on the field at any given time
- 37.755. Dark Blood in the operative field may indicate that the patient is
- A.
Hyperkalemic
- B.
Hypovolemic
- C.
Hypotensive
- D.
Hypoxic
- 38.756. In an extreme patient emergency, a sponge count
- A.
May be omitted
- B.
May be done by the scrub alone
- C.
Must be done before the case is allowed to begin
- D.
Must be done before closure
- 39.757. Cultures obtained during surgery
- A.
Are handled as any other specimen
- B.
Are passed off the sterile field into a bag or container held by the circulator
- C.
Should be kept warm or sent to the lab immediately
- D.
Should be handled only by the scrub nurse
- 40.758. How is a frozen section sent to the lab?
- A.
In formalin
- B.
In saline
- C.
In water
- D.
Dry
- 41.759. Which of the following specimens is NOT placed in preservative solution?
- A.
Stones
- B.
Curettings
- C.
Tonsils
- D.
Uterus
- 42.760. The term transduodenal sphincterotomy indicates surgery of the
- A.
Hepatic duct
- B.
Proximal end of the common bile duct
- C.
Distal end of the common bile duct
- D.
Pyloric sphincter
- 43.761. McBurney is an incision used for
- A.
Appendectomy
- B.
Cholecystectomy
- C.
Herniorrhaphy
- D.
Pilonidal cystectomy
- 44.762. The simplest abdominal incision offering good exposure to any part of the abdominal cavity is the
- A.
Right subcostal
- B.
Kocher's
- C.
Midabdominal transverse
- D.
Vertical midline
- 45.763. During an appendectomy, a purse-string suture is placed around the appendix stump to
- A.
Amputate the appendiceal base
- B.
Retract the appendix
- C.
Tie off the appendix
- D.
Invert the stump of the appendix
- 46.764. Gastrointestinal technique is required in all of the following procedures EXCEPT
- A.
Cholecystectomy
- B.
Low anterior colon resection
- C.
Appendectomy
- D.
Hemicolectomy
- 47.765. A hernia occurring in Hesselback's triangle is called
- A.
Indirect
- B.
Spigelean
- C.
Direct
- D.
Femoral
- 48.766. Pathologic enlargement of the male breast is called
- A.
Subcutaneous adenoma
- B.
Gynecomastia
- C.
Hypoplasia
- D.
Cystic mastitis
- 49.767. Sutures placed in a wound to prevent wound evisceration are called
- A.
Stent
- B.
Fixation
- C.
Retention
- D.
Traction
- 50.768. Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is a
- A.
Pyloromyotomy
- B.
Pyloroplasty
- C.
Billroth I
- D.
Billroth II
- 51.769. A Whipple operation is surgically termed a
- A.
Pancreatectomy
- B.
Pancreatoduodenectomy
- C.
Pancreatic cyst marsupialization
- D.
Transduodenal sphincterotomy
- 52.770. A left subcostal incision indicates surgery of the
- A.
Gallbladder
- B.
Pancreas
- C.
Spleen
- D.
Common bile duct
- 53.771. A lower oblique incision is a(n)
- A.
Pfannenstiel
- B.
Inguinal
- C.
Paramedian
- D.
Midabdominal
- 54.772. The curved transverse incision used for pelvic surgery is
- A.
Midabdominal transverse
- B.
Poupart
- C.
Pfannenstiel
- D.
McVey
- 55.773. Which breast procedure removes the entire breast and axillary contents but preserves the pectoral muscles?
- A.
Lumpectomy
- B.
Wedge resection
- C.
Modified radical mastectomy
- D.
Radical mastectomy
- 56.774. The breast procedure performed to remove extensive benign disease is a(n)
- A.
Axillary node dissection
- B.
Simple mastectomy
- C.
Radical mastectomy
- D.
Modified radical mastectomy
- 57.775. What incision is indicated for an esophagogastrectomy?
- A.
Left paramedian
- B.
Upper vertical midline
- C.
Thoracoabdominal
- D.
Full midabdominal
- 58.776. In which incision could retention sutures be used?
- A.
Vertical midline
- B.
McBurney
- C.
Transverse
- D.
Thoracoabdominal
- 59.777. In which hernia is the blood supply of the trapped sac contents compromised and in danger of necrosing?
- A.
Direct
- B.
Indirect
- C.
Strangulated
- D.
Reducible
- 60.778. In which hernia does the herniation protrude into the inguinal canal but not the cord?
- A.
Incisional
- B.
Femoral
- C.
Direct
- D.
Indirect
- 61.779. Which hernia leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal?
- A.
Direct
- B.
Umbilical
- C.
Spigelian
- D.
Indirect
- 62.780. An abdominal wall defect may be reconstructed using
- A.
Gore-Tex patch
- B.
Heavy interrupted silk
- C.
Shouldice repair
- D.
Bassini repair
- 63.781. Mersilene is a(n)
- A.
Wire mesh
- B.
Absorbable suture
- C.
Nonabsorbable suture
- D.
Synthetic mesh
- 64.782. In a cholecystectomy, which structures are ligated and divided?
- A.
Cystic duct and cystic artery
- B.
Common bile duct and hepatic duct
- C.
Cystic duct and common bile duct
- D.
Hepatic duct and cystic artery
- 65.783. All of the following statements refer to pilonidal cyst surgery EXCEPT
- A.
It is performed with an elliptical incision
- B.
The wound frequently heals by granulation
- C.
Probes are required on setup
- D.
The cyst is removed, but the tract remains
- 66.784. An important consideration during cholangiogram is to
- A.
Irrigate with distilled water
- B.
Remove all air bubbles from the cholangiocath
- C.
Flash sterilize the choledocoscope
- D.
Dip the catheter in lubricating jelly
- 67.785. An instrument used to elevate the thyroid lobe during surgical excision is a
- A.
Babcock
- B.
Lahey
- C.
Green
- D.
Jackson
- 68.786. The intestinal layer in order, from inside to outside, is
- A.
Serosa, mucosa, musculature
- B.
Mucosa, submucosa, serosa
- C.
Serosa, musculature, mucosa
- D.
Mucosa, serosa, musculature
- 69.787. A common postoperative patient complaint following a laparoscopic procedure is
- A.
Headache
- B.
Diarrhea
- C.
Gastric upset
- D.
Shoulder pain
- 70.788. A subphrenic abscess occurs in the
- A.
Pancreas
- B.
Spleen
- C.
Lung
- D.
Liver
- 71.789. Portal pressure measurement is indicated in
- A.
Liver transplant
- B.
Splenectomy
- C.
Hepatic resection
- D.
Whipple operation
- 72.790. Which organ is removed either because of trauma, a blood condition, or as a staging procedure for malignancy?
- A.
Adrenals
- B.
Spleen
- C.
Liver
- D.
Pancreas
- 73.791. Following a hemorrhoidectomy, a
- A.
Dry dressing of 4 X 4s is packed in the rectum
- B.
Petroleum gauze packing is placed in the anal canal
- C.
Stent dressing is applied
- D.
Steri-strip dressing is used
- 74.792. A benign anal wall "slit" type of lesion requiring excision is a(n)
- A.
Hemorrhoid
- B.
Anal fistula
- C.
Anal fissure
- D.
Pilonidal sinus
- 75.793. Which gallbladder procedure ALWAYS requires intraoperative x-rays?
- A.
Choledochoscopy
- B.
Cholelithotripsy
- C.
Choledochoduodenostomy
- D.
Cholangiogram
- 76.794. In a pilonidal cystectomy, the defect frequently is too large to close and requires use of a(n)
- A.
Skin graft
- B.
Traction suture
- C.
Implant
- D.
Packing and pressure dressing
- 77.795. The instrument most commonly used to grasp the mesoappendix during an appendectomy is a
- A.
Kelly
- B.
Kocher
- C.
Babcock
- D.
Allis
- 78.796. Vaporization and coagulation of hemorrhoidal tissue can be accomplished with
- A.
Cautery, bipolar
- B.
Cautery monopolar
- C.
CO2 laser
- D.
Cryosurgery
- 79.797. An entire tumor / mass removal is termed
- A.
Needle biopsy
- B.
Staging biopsy
- C.
Excisional biopsy
- D.
Incisional biopsy
- 80.798. A surgical procedure performed to relieve esophageal obstruction caused by cardiospasm is an
- A.
Esophagectomy
- B.
Esophagogastrectomy
- C.
Esophagomyotomy
- D.
Esophagogastrostomy
- 81.799. Thrombosed vessels of the rectum are known surgically as
- A.
Polyps
- B.
Hemorrhoids
- C.
Fistulas
- D.
Anorectal tumors
- 82.800. A procedure done to give the colon a rest and then reversed is
- A.
Temporary colectomy
- B.
Temporary colostomy
- C.
Abdominoperineal resection
- D.
McVey procedure
- 83.801. A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed is a(n)
- A.
End-to-end anastomosis (EEA)
- B.
GIA
- C.
TA 55
- D.
LDS
- 84.802. An advanced inflammation of the bowel could be conservatively treated with which procedure?
- A.
Temporary colostomy
- B.
Anterior resection
- C.
Hemicolectomy
- D.
Abdominal perineal resection
- 85.803. Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a
- A.
Metzenbaum
- B.
Kelly
- C.
Tampon
- D.
Peanut
- 86.804. Direct visualization of the common bile duct is accomplished with a
- A.
Cholangiocath
- B.
Cholangiogram
- C.
Choledochoscope
- D.
Trocar
- 87.805. "Scratch" marking is done in surgery of the
- A.
Chin
- B.
Eye
- C.
Breast
- D.
Thyroid
- 88.806. Fogarty biliary catheters are used to
- A.
Drain the gallbladder
- B.
Drain the common bile duct
- C.
Instill contrast media
- D.
Facilitate stone removal
- 89.807. In laparoscopy, tubal patency is checked by
- A.
Irrigating with normal saline
- B.
Injecting renografin into the tube
- C.
Injecting methylene blue into the cervical canal
- D.
Irrigating tube with Lugol's solution
- 90.808. In a thyroidectomy, a loop retractor retracts the
- A.
Platysma muscle
- B.
Cervical fascia
- C.
Thyroid veins
- D.
Sternocleidomastoid muscle
- 91.809. Which structure(s) are identified and preserved in thyroid surgery?
- A.
Parathyroid glands
- B.
Hyoid bone
- C.
Thyroglossal duct
- D.
Thyroid lobe
- 92.810. Bariatric surgery treats
- A.
Ulcers
- B.
Obesity
- C.
Thyroid disease
- D.
Carcinoma of the pancreas
- 93.811. Which incision would require cutting through Scarpa's fascia?
- A.
Subcostal
- B.
Inguinal
- C.
Pfannenstiel
- D.
McBurney
- 94.812. A gastroplasty
- A.
Reduces stomach size
- B.
Corrects gastric junction stenosis
- C.
Releases adhesions
- D.
Provides avenue for hyperalimentation
- 95.813. Which item retracts the spermatic cord structure in herniorrhaphy?
- A.
Army-navy retractor
- B.
Penrose drain
- C.
Green retractor
- D.
Silk suture
- 96.814. After uterus removal in a hysterectomy
- A.
Cervical and vaginal instruments are isolated from the instrument set in a discard basin
- B.
The cervix is cauterized
- C.
New instruments are used on the cervical closure
- D.
Cervical instruments are returned to the basket
- 97.815. An irreducible hernia whose abdominal contents have become trapped in the extraabdominal sac is called a(n)
- A.
Incarcerated hernia
- B.
Sliding hernia
- C.
Spigelean hernia
- D.
Strangulated hernia
- 98.816. Which type of endoscopy camera produces the truest color?
- A.
One-chip
- B.
Two-chip
- C.
Three-chip
- D.
Four-chip
- 99.817. White balancing a video camera in endoscopy requires the scrub person to focus the camera on
- A.
A white sponge
- B.
A white wall
- C.
A glove wrapper
- D.
Any of the above
- 100.818. Defogging the video camera is usually the responsibility of the
- A.
Circulator
- B.
Surgeon
- C.
Scrub person
- D.
Camera operator
- 101.819. A palliative invasive procedure done to prevent malnutrition or starvation is known as
- A.
Percutaneous endoscopic gastrostomy (PEG) procedure
- B.
Gastrotomy
- C.
Gastrostomy
- D.
Gastrojejunostomy
- 102.820. The use of noninvasive high-energy shock waves to pulverize gallstones into small fragments for easy passage through the common bile duct and out of the body is called
- A.
Choledochoscopy
- B.
Cholelithotripsy
- C.
Choledochostomy
- D.
Choledochotomy
- 103.821. Intraoperative cholangiograms can be performed either through open abdominal or laparoscopic procedures using a contrast medium directly into the common bile duct through a
- A.
Cystocath
- B.
Cholangiocath
- C.
T-tube
- D.
Red rubber catheter
- 104.822. intra-abdominal pressure during the instillation of CO2 for creation of pneumoperitoneum is 8-10 mmHg. A pressure reading higher than this may indicate that the needle may be
- A.
Buried in fatty tissue
- B.
Buried in the omentum
- C.
In a lumen of intestines
- D.
All of the above
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