Surgical Technology Examination Appleton & Lange Pg109-124 CST Exam Prep

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Surgical Technology Examination Appleton & Lange pg74-88 CST exam prep


Questions and Answers
  • 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

    Correct Answer
    A. Chromic 4-0 or 3-0
    Explanation
    The correct answer is chromic 4-0 or 3-0. Chromic refers to chromic gut sutures, which are absorbable sutures made from the collagen of sheep or cattle intestines. These sutures are commonly used in gastrointestinal closures because they provide good tensile strength and are absorbed by the body over time, eliminating the need for suture removal. The numbers 4-0 and 3-0 refer to the size of the suture, with 4-0 being smaller and 3-0 being larger. The choice of suture size depends on the specific needs of the closure, such as the thickness of the tissue being sutured.

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  • 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

    Correct Answer
    B. Purse-string
    Explanation
    A purse-string suture would be used to invert the stump of an appendix. This type of suture involves placing a circular stitch around the stump and then tightening it, creating a purse-like closure. This technique is commonly used to close off the opening of the appendix after it has been removed during an appendectomy. By inverting the stump, the risk of leakage or infection is reduced, promoting proper healing.

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  • 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

    Correct Answer
    A. To prevent the suture from cutting into the skin surface
    Explanation
    Bumpers or bolsters are used on retention sutures to prevent the suture from cutting into the skin surface. By providing a cushioning effect, the bumpers or bolsters distribute the pressure evenly along the suture line, reducing the risk of tissue damage or cutting. This helps to promote proper wound healing and minimize complications such as infection or dehiscence.

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  • 4. 

    722. A Nissen Fundoplication procedure is done to correct

    • A.

      Repeated attacks of volvulus

    • B.

      Antireflux disease

    • C.

      Bladder prolapse

    • D.

      Gastroesophageal stenosis

    Correct Answer
    B. Antireflux disease
    Explanation
    A Nissen Fundoplication procedure is done to correct antireflux disease. This procedure involves wrapping the upper part of the stomach around the lower part of the esophagus to strengthen the lower esophageal sphincter and prevent stomach acid from flowing back into the esophagus. This helps to alleviate symptoms such as heartburn, regurgitation, and difficulty swallowing that are associated with antireflux disease.

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  • 5. 

    723. A dissecting sponge that is a small roll of heavy cotton tape is a

    • A.

      Kitner

    • B.

      Peanut

    • C.

      Tonsil

    • D.

      Tape

    Correct Answer
    A. Kitner
    Explanation
    A dissecting sponge that is a small roll of heavy cotton tape is known as a Kitner.

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  • 6. 

    724. Which procedure would not require a pressure dressing?

    • A.

      Plastic surgery

    • B.

      Knee surgery

    • C.

      Radical mastectomy

    • D.

      Hysterectomy

    Correct Answer
    D. Hysterectomy
    Explanation
    A hysterectomy is a surgical procedure to remove the uterus, which does not typically require a pressure dressing. Unlike plastic surgery, knee surgery, and radical mastectomy, a hysterectomy involves the removal of internal organs rather than altering or operating on external tissues. Therefore, the absence of external incisions or wounds in a hysterectomy procedure eliminates the need for a pressure dressing to control bleeding or promote healing.

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  • 7. 

    725. Peanuts and dissecting sponges are generally

    • A.

      Used dry

    • B.

      Moistened with saline

    • C.

      Moistened with water

    • D.

      Moistened with antibiotic solution

    Correct Answer
    B. Moistened with saline
    Explanation
    Peanuts and dissecting sponges are generally moistened with saline because saline solution is sterile and helps to prevent infection. Additionally, saline solution closely resembles the body's natural fluids, making it less irritating to tissues. Moistening with water may not provide the same level of sterility, and moistening with antibiotic solution may be unnecessary unless there is a specific infection concern.

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  • 8. 

    726. Intraabdominally, lap pads are most often used

    • A.

      Dry

    • B.

      Moistened with saline

    • C.

      Moistened with water

    • D.

      Moistened with glycine solution

    Correct Answer
    B. Moistened with saline
    Explanation
    Intraabdominally, lap pads are most often used moistened with saline. Saline is a sterile solution of salt in water that closely resembles the body's natural fluids. Moistening the lap pads with saline helps to maintain a moist environment in the abdominal cavity, which is important for preventing tissue dehydration and minimizing the risk of adhesion formation. Additionally, saline is isotonic, meaning it has the same concentration of salt as the body, making it safe to use without causing harm or imbalance.

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  • 9. 

    727. A catheter commonly used in a gastrostomy is a

    • A.

      Mushroom

    • B.

      Rehfus

    • C.

      Cantor

    • D.

      Sengstaken-Blakemore

    Correct Answer
    A. Mushroom
    Explanation
    A catheter commonly used in a gastrostomy is a mushroom.

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  • 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

    Correct Answer
    D. Moisten it in saline
    Explanation
    Before handing a Penrose drain to the surgeon, it is necessary to moisten it in saline. This is because a Penrose drain is a soft, flexible tube that is used to remove fluid or air from a surgical site. By moistening it in saline, the drain becomes lubricated and easier to insert into the patient's body. Additionally, moistening the drain in saline helps to prevent it from sticking to tissues or causing discomfort to the patient during insertion. Therefore, moistening the Penrose drain in saline is an important step in preparing it for use in surgery.

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  • 11. 

    729. A closed-wound suction system works by

    • A.

      Possitive pressure

    • B.

      Negative-pressure vacuum

    • C.

      Air displacement

    • D.

      Constant gravity drainage

    Correct Answer
    B. Negative-pressure vacuum
    Explanation
    A closed-wound suction system works by creating a negative-pressure vacuum. This means that the system creates a low-pressure environment within the wound, which helps to remove excess fluids and promote healing. The negative pressure helps to draw out any fluid or debris from the wound, preventing the buildup of bacteria and promoting the formation of healthy tissue. This method is commonly used in medical settings to aid in wound healing and prevent infection.

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  • 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

    Correct Answer
    B. Sterile tables may be set up and safely covered until time of surgery
    Explanation
    Sterile tables should not be set up and covered until the time of surgery because covering the sterile tables can compromise their sterility. It is recommended to set up sterile tables just before the operation to ensure that they remain sterile and free from any contaminants.

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  • 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

    Correct Answer
    C. Scrub nurse folds arms with hands at axillae
    Explanation
    The correct answer is "scrub nurse folds arms with hands at axillae." This is not an acceptable aseptic technique because folding the arms with hands at the axillae can potentially contaminate the sterile field. Aseptic technique requires keeping the hands above waist level to minimize the risk of touching non-sterile surfaces and introducing pathogens into the sterile field. Standing on a platform or standing stool, keeping hands below shoulder level, and keeping hands at or above waist level are all acceptable aseptic techniques.

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  • 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

    Correct Answer
    C. EEA
    Explanation
    The correct answer is EEA. EEA stands for End-to-End Anastomosis, which is a surgical technique used to join two tubular structures together after resection. The disposable circular staple mentioned in the question refers to the EEA circular stapler, a medical device specifically designed for this purpose. It creates a secure and leak-proof connection between the tubular structures, promoting faster healing and recovery for the patient.

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  • 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

    Correct Answer
    B. Does not touch the part hanging below table level
    Explanation
    When a sterile item is hanging or extending over the sterile table edge, the scrub nurse must not touch the part hanging below table level. This is to ensure that the sterile field remains uncontaminated. Touching the part hanging below table level could introduce pathogens or contaminants onto the sterile item, compromising its sterility. Therefore, it is important for the scrub nurse to be vigilant and avoid touching the hanging part to maintain the integrity of the sterile field.

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  • 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

    Correct Answer
    C. A sterile person sits or leans against a nonsterile surface
    Explanation
    Sitting or leaning against a nonsterile surface is considered a break in technique because it can potentially contaminate the sterile person and compromise the sterile field. Sterile persons are expected to maintain a distance from nonsterile surfaces to prevent the transfer of microorganisms.

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  • 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

    Correct Answer
    A. If a sterilized pack is found in an unsterile workroom
    Explanation
    If a sterilized pack is found in an unsterile workroom, it raises concerns about the overall sterility of the environment and the potential for contamination. The presence of a sterilized pack in an unsterile workroom suggests that proper sterilization procedures may not have been followed or that there may be issues with the storage and handling of sterile items. This situation calls for questioning the sterility to ensure patient safety and prevent the risk of infection.

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  • 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

    Correct Answer
    C. Sphincter of Oddi
    Explanation
    Transduodenal sphincterotomy refers to the incision made into the sphincter of Oddi to relieve stenosis. The sphincter of Oddi is a muscular valve that controls the flow of bile and pancreatic juice into the duodenum. Stenosis refers to the narrowing or constriction of a passage, in this case, the sphincter of Oddi. By making an incision into the sphincter, the stenosis can be relieved, allowing for better flow of bile and pancreatic juice into the duodenum.

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  • 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

    Correct Answer
    B. On the same side of the table
    Explanation
    The scrubperson should stand on the same side of the table as the surgeon when handing skin towels. This allows for easy and efficient transfer of the towels between the scrubperson and the surgeon. Standing on the same side ensures that the towels can be handed over without any obstruction or difficulty. It also allows for clear communication and coordination between the scrubperson and the surgeon during the procedure.

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  • 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

    Correct Answer
    C. Collin's
    Explanation
    Collin's solution is used as an irrigating fluid to flush the liver between harvest and transplantation. It is a balanced salt solution that contains various electrolytes, such as potassium, sodium, and calcium, which help maintain the organ's physiological environment. Collin's solution also contains glucose, which provides energy to the liver cells during the transplantation process. This solution is commonly used in liver transplantation surgeries to preserve the organ's viability and ensure its successful transplantation.

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  • 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

    Correct Answer
    B. Recap injection needles
    Explanation
    The correct answer is "recap injection needles." According to CDC guidelines, it is important to avoid recapping needles as it increases the risk of needlestick injuries. Recapping should only be done using a one-handed technique or a mechanical device. This helps prevent accidental needlestick injuries and exposure to bloodborne pathogens.

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  • 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

    Correct Answer
    C. Unfold the drapes before bringing them to the OR table
    Explanation
    Unfolding the drapes before bringing them to the OR table is not an acceptable technique when draping a patient. Drapes should be unfolded over the patient to ensure proper coverage and to minimize the risk of contamination. Unfolding them before bringing them to the OR table may increase the chances of the drapes coming into contact with unsterile surfaces and compromising the sterile field. It is important to maintain the integrity of the sterile field throughout the draping process to prevent infection and ensure patient safety.

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  • 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

    Correct Answer
    C. Remove it with a clamp, cover over area
    Explanation
    If a hair is found on the operative field, the correct procedure is to remove it with a clamp and then cover the area. This is important to maintain a sterile environment during surgery and prevent any potential complications or infections that could arise from the presence of a foreign object. Notifying the circulator and completing an incident report may also be necessary, but the immediate action should be to remove the hair and cover the area.

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  • 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

    Correct Answer
    B. The discarding of instruments coming in contact with tumor after each use
    Explanation
    The correct answer is "the discarding of instruments coming in contact with tumor after each use." This refers to a technique in surgery where any instruments that come into contact with the tumor are discarded after each use to prevent the spread of cancer cells. This is done to minimize the risk of cancer recurrence or metastasis. By discarding these instruments, the chances of leaving behind any cancer cells or spreading them to other parts of the body are greatly reduced.

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  • 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

    Correct Answer
    D. To protect margins of healthy tissue from tumor cells
    Explanation
    The reason gowns, gloves, drapes, and instruments are changed following a breast biopsy and before incision for a mastectomy is to protect the margins of healthy tissue from tumor cells. By changing these items, any potential contamination from the biopsy is eliminated, reducing the risk of spreading tumor cells to healthy tissue during the mastectomy procedure. This helps to ensure that the surgery is as effective as possible in removing the tumor while minimizing the chances of recurrence or further complications.

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  • 26. 

    744. A postoperative complication attributed to glove powder entering a wound is

    • A.

      Granulomata

    • B.

      Infection

    • C.

      Inflammation

    • D.

      Keloid formation

    Correct Answer
    A. Granulomata
    Explanation
    Glove powder entering a wound can lead to the formation of granulomata. Granulomata are small nodules that form as a result of the body's immune response to foreign substances. In this case, the glove powder acts as a foreign substance, causing an inflammatory reaction and the formation of granulomata. This complication can occur after surgery and may require further medical intervention to address the granulomata and prevent infection or further inflammation.

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  • 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

    Correct Answer
    B. Apply dressing before drape removal
    Explanation
    The correct procedure for sterile dressing application is to apply the dressing before removing the drape. This is because the drape acts as a barrier to prevent contamination of the wound. By applying the dressing before removing the drape, the wound remains protected from any potential sources of contamination during the dressing change. Applying the dressing after drape removal would expose the wound to possible contamination, increasing the risk of infection.

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  • 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

    Correct Answer
    C. Contaminated instruments are discarded, gloves are changed
    Explanation
    When the drop technique is used for an intestinal procedure, contaminated instruments are discarded and gloves are changed. This is done to prevent the spread of infection and maintain a sterile environment. The drop technique involves dropping instruments into a sterile field without directly handling them, reducing the risk of contamination. However, if any instruments come into contact with the patient's body or any non-sterile surfaces, they are considered contaminated and must be discarded. Changing gloves is necessary to ensure that the surgical team does not transfer any contaminants while handling the instruments.

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  • 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

    Correct Answer
    B. Decontaminates promptly
    Explanation
    If the floor or wall becomes contaminated with organic debris during a case, the circulator decontaminates promptly. This means that as soon as the contamination is noticed, the circulator takes immediate action to clean and remove the debris. This is important to prevent the spread of bacteria or other harmful substances, ensuring a safe and sterile environment for the next procedure.

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  • 30. 

    748. The Sengstaken-Blakemore tube is used for

    • A.

      Esophageal hemorrhage

    • B.

      Tonsillar hemorrhage

    • C.

      Uterine hemorrhage

    • D.

      Nasal hemorrhage

    Correct Answer
    A. Esophageal hemorrhage
    Explanation
    The Sengstaken-Blakemore tube is a medical device used for the treatment of esophageal hemorrhage. It consists of a gastric balloon and an esophageal balloon, which when inflated, exert pressure on the bleeding vessels to control the hemorrhage. This tube is inserted through the mouth and into the esophagus, and it helps to stop the bleeding and stabilize the patient's condition. It is not used for tonsillar, uterine, or nasal hemorrhage.

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  • 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

    Correct Answer
    D. Oxycel
    Explanation
    Oxycel is a specially treated form of surgical gauze that has a hemostatic effect when buried in tissue. This means that when Oxycel is applied to a bleeding wound or surgical site, it helps to stop the bleeding by promoting clotting and sealing the blood vessels. It is commonly used in surgical procedures to control bleeding and promote faster healing.

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  • 32. 

    750. An enzyme extract from bovine blood used as a topical hemostatic agent is

    • A.

      Oxytocin

    • B.

      Tannic acid

    • C.

      Thrombin

    • D.

      Collagen

    Correct Answer
    C. Thrombin
    Explanation
    Thrombin is a suitable enzyme extract from bovine blood for use as a topical hemostatic agent. Thrombin plays a crucial role in the blood clotting process by converting fibrinogen into fibrin, which forms a mesh-like structure to stop bleeding. As a result, thrombin promotes blood clot formation and aids in stopping bleeding, making it an effective hemostatic agent. Oxytocin is a hormone involved in childbirth and breastfeeding, tannic acid is a plant-derived compound with astringent properties, and collagen is a protein found in connective tissues.

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  • 33. 

    751. A common complication of extubation is

    • A.

      Hypotension

    • B.

      Tachypnea

    • C.

      Hypoxia

    • D.

      Hypercapnia

    Correct Answer
    C. Hypoxia
    Explanation
    Hypoxia refers to a condition where there is a deficiency of oxygen supply to the body tissues. Extubation, the process of removing a breathing tube, can lead to hypoxia as it may cause a decrease in the amount of oxygen reaching the lungs. This can occur due to various reasons such as airway obstruction, inadequate respiratory effort, or respiratory muscle weakness. Hypoxia is a common complication of extubation and can have serious consequences if not promptly addressed.

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  • 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

    Correct Answer
    C. Trendelenburg
    Explanation
    The desirable position for better visualization in the lower abdomen or pelvis is Trendelenburg. This position involves tilting the patient's body with the head lower than the feet. By doing so, gravity helps to displace the abdominal organs away from the pelvis, providing a clearer view during surgical procedures or diagnostic imaging. This position is commonly used in gynecological surgeries, laparoscopic procedures, and certain radiological examinations.

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  • 35. 

    753. Another name for the Kraske position is

    • A.

      Prone on an adjustable arch

    • B.

      Lateral

    • C.

      Knee-chest

    • D.

      Jackknife

    Correct Answer
    D. Jackknife
    Explanation
    The correct answer is jackknife. The Kraske position is also known as the jackknife position. In this position, the patient is lying face down with the hips flexed and the chest resting on an adjustable arch. This position is commonly used in surgery, particularly for procedures involving the rectum or anus. It allows for better access and visualization of the surgical site.

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  • 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

    Correct Answer
    C. Keep all sponges and tapes in a basin or close together on the field
    Explanation
    Keeping all sponges and tapes in a basin or close together on the field is not helpful in keeping an accurate account of the sponges. This is because when sponges and tapes are kept together, it becomes difficult to differentiate and count them individually. It is important to keep sponges separate from linen and instruments, keep needles separate from sponges, and also maintain a mental count of the number of sponges on the field at any given time to ensure accuracy in accounting for the sponges.

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  • 37. 

    755. Dark Blood in the operative field may indicate that the patient is

    • A.

      Hyperkalemic

    • B.

      Hypovolemic

    • C.

      Hypotensive

    • D.

      Hypoxic

    Correct Answer
    D. Hypoxic
    Explanation
    Dark blood in the operative field may indicate that the patient is hypoxic. Hypoxia refers to a condition where there is a lack of oxygen supply to the tissues. When the blood is not adequately oxygenated, it appears dark in color. Therefore, the presence of dark blood in the operative field suggests that the patient may be experiencing a lack of oxygen, which can be indicative of hypoxia.

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  • 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

    Correct Answer
    A. May be omitted
    Explanation
    In an extreme patient emergency, a sponge count may be omitted. This means that in critical situations where immediate medical intervention is required, the healthcare team may not have the time to perform a count of surgical sponges used during the procedure. While it is generally important to keep track of all surgical instruments to prevent any complications, in emergency situations, the priority is to save the patient's life.

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  • 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

    Correct Answer
    B. Are passed off the sterile field into a bag or container held by the circulator
    Explanation
    During surgery, cultures obtained need to be handled properly to prevent contamination. The correct answer states that these cultures should be passed off the sterile field into a bag or container held by the circulator. This ensures that the cultures are transferred in a sterile manner and are not exposed to any potential sources of contamination. The circulator, who is responsible for managing the sterile field, holds the bag or container to maintain the sterility of the cultures. This procedure helps to maintain the integrity of the cultures for accurate laboratory analysis.

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  • 40. 

    758. How is a frozen section sent to the lab?

    • A.

      In formalin

    • B.

      In saline

    • C.

      In water

    • D.

      Dry

    Correct Answer
    D. Dry
    Explanation
    A frozen section is sent to the lab in a dry state. This means that it is not preserved or transported in any liquid medium such as formalin, saline, or water. Keeping the section dry helps to prevent any potential damage or artifacts that could occur during transportation or processing. Additionally, a dry section allows for easier handling and preparation for further analysis in the lab.

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  • 41. 

    759. Which of the following specimens is NOT placed in preservative solution?

    • A.

      Stones

    • B.

      Curettings

    • C.

      Tonsils

    • D.

      Uterus

    Correct Answer
    A. Stones
    Explanation
    Stones are not typically placed in a preservative solution because they do not require preservation for further analysis or examination. Unlike curettings, tonsils, and uterus, which are biological specimens that may need to be preserved in order to maintain their integrity and prevent degradation, stones are generally solid inorganic materials that do not undergo biological processes. Therefore, they do not need to be placed in a preservative solution.

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  • 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

    Correct Answer
    C. Distal end of the common bile duct
    Explanation
    Transduodenal sphincterotomy refers to a surgical procedure performed on the distal end of the common bile duct. This procedure involves making an incision in the sphincter of Oddi, which is a muscular valve that controls the flow of bile from the common bile duct into the duodenum. By performing a sphincterotomy, the surgeon can widen the opening of the sphincter and improve the flow of bile, which can be beneficial in cases of bile duct obstruction or gallstone removal. The other options mentioned, such as the hepatic duct, proximal end of the common bile duct, and pyloric sphincter, are not specifically related to transduodenal sphincterotomy.

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  • 43. 

    761. McBurney is an incision used for

    • A.

      Appendectomy

    • B.

      Cholecystectomy

    • C.

      Herniorrhaphy

    • D.

      Pilonidal cystectomy

    Correct Answer
    A. Appendectomy
    Explanation
    McBurney is an incision used for appendectomy. This means that the incision is made in the lower right side of the abdomen to remove the appendix. This is a common surgical procedure done to treat appendicitis, which is the inflammation of the appendix. The McBurney incision allows for easy access to the appendix and is often preferred due to its location and minimal scarring.

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  • 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

    Correct Answer
    D. Vertical midline
    Explanation
    The vertical midline incision is considered the simplest abdominal incision that provides good exposure to any part of the abdominal cavity. This type of incision is made vertically along the midline of the abdomen, dividing it into equal left and right halves. It allows for easy access to various abdominal organs and structures, making it a versatile choice for surgical procedures.

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  • 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

    Correct Answer
    D. Invert the stump of the appendix
    Explanation
    During an appendectomy, a purse-string suture is placed around the appendix stump to invert the stump of the appendix. This is done to prevent any spillage of the contents of the appendix into the abdominal cavity, reducing the risk of infection and complications. Inverting the stump also helps to ensure that the suture line is secure and prevents any potential leakage from the stump. This technique is commonly used during an appendectomy to ensure the safe removal of the appendix.

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  • 46. 

    764. Gastrointestinal technique is required in all of the following procedures EXCEPT

    • A.

      Cholecystectomy

    • B.

      Low anterior colon resection

    • C.

      Appendectomy

    • D.

      Hemicolectomy

    Correct Answer
    A. Cholecystectomy
    Explanation
    Gastrointestinal technique is not required in cholecystectomy because it is a surgical procedure to remove the gallbladder, which is not a part of the gastrointestinal system. On the other hand, low anterior colon resection, appendectomy, and hemicolectomy all involve the gastrointestinal system and therefore require gastrointestinal technique.

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  • 47. 

    765. A hernia occurring in Hesselback's triangle is called

    • A.

      Indirect

    • B.

      Spigelean

    • C.

      Direct

    • D.

      Femoral

    Correct Answer
    C. Direct
    Explanation
    A hernia occurring in Hesselback's triangle is called a direct hernia. Hesselbach's triangle is an anatomical region in the lower abdomen, bounded by the inguinal ligament, the rectus abdominis muscle, and the inferior epigastric vessels. A direct hernia occurs when abdominal contents protrude through a weakness in the posterior wall of the inguinal canal, specifically through the floor of Hesselbach's triangle. This type of hernia typically presents as a bulge in the groin area and is more common in older individuals.

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  • 48. 

    766. Pathologic enlargement of the male breast is called

    • A.

      Subcutaneous adenoma

    • B.

      Gynecomastia

    • C.

      Hypoplasia

    • D.

      Cystic mastitis

    Correct Answer
    B. Gynecomastia
    Explanation
    Gynecomastia is the term used to describe the pathologic enlargement of the male breast. It is characterized by the development of glandular tissue in the breast, leading to a swollen or enlarged appearance. This condition can be caused by hormonal imbalances, medication side effects, or underlying medical conditions. Gynecomastia is different from pseudogynecomastia, which refers to the accumulation of fat in the breast area. Treatment options for gynecomastia may include medication, surgery, or addressing the underlying cause.

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  • 49. 

    767. Sutures placed in a wound to prevent wound evisceration are called

    • A.

      Stent

    • B.

      Fixation

    • C.

      Retention

    • D.

      Traction

    Correct Answer
    C. Retention
    Explanation
    Sutures placed in a wound to prevent wound evisceration are called retention sutures. These sutures are used to hold the edges of the wound together and prevent the organs or tissues from protruding through the wound. They provide additional support and help in maintaining the integrity of the wound, reducing the risk of complications such as evisceration.

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  • 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

    Correct Answer
    B. Pyloroplasty
    Explanation
    Pyloroplasty is the surgical procedure that involves enlarging the passage between the prepylorus of the stomach and the duodenum. This procedure is performed to treat conditions such as pyloric stenosis, where the muscle at the lower end of the stomach becomes thickened and obstructs the passage of food into the small intestine. Pyloroplasty involves making an incision in the pylorus and then suturing it in a way that widens the opening, allowing for improved gastric emptying.

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Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 12, 2010
    Quiz Created by
    YourMainParadox

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