1. Which of the following retractors has
sharp disposable inserts that must be
disposed of in an appropriate sharps
container following the end of the surgical case?
Mayfield
Cloward
Bookwalter
Greenfield
Mayfield
The Mayfield is a headrest that
pins the head for stabilization. The
pins ...
NCCT Surgical Technology Preliminary
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1. Which of the following retractors has Mayfield
sharp disposable inserts that must be
disposed of in an appropriate sharps
container following the end of the sur- The Mayfield is a headrest that
gical case? pins the head for stabilization. The
Mayfield pins used are very sharp and must
Cloward be placed in the sharps contain-
Bookwalter er after the procedure. A Cloward
Greenfield is a hand held retractor used
in an anterior cervical procedure.
The Bookwalter is a self-retaining
retractor used for open abdomi-
nal procedure. The Greenfield is
a self-retaining retractor used on
the brain.
2. The surgeon is closing skin with the Wet Sponge, Dry Sponge, ABD
final stitch and all counts are complete. Pad
Which of the following should the sur-
gical technologist have ready for next After all counts are done and
step? (Select the three (3) correct an- the incision has been closed, the
swers.) sterile dressing should then be
Wet sponge opened. The incision needs to
Dry sponge be cleaned with a wet sponge
ABD pad then dried with a dry sponge. The
Duraprep dressing should be applied af-
Cottonoids ter the operative site has been
cleaned and dried.
3. Which of the following items should Extremity pack, Small fragment
the surgical technologist have in the tray
room for an ORIF of an ankle case?
, NCCT Surgical Technology Preliminary
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(Select the two (2) correct answers.) The ORIF Open Reduction In-
Reciprocating saw ternal Fixation involves the ankle
Laminectomy tray fracture which is an extremity so
Extremity pack an extremity pack will be needed.
Vascular tray The Small fragment will also be
Small fragment tray need because it contains screws,
plates and drill bits that will be
needed for the fixation.
4. In a sterilized package, a chemical indi- confirm that the package was ex-
cator is used to: posed to sterilization.
-verify elimination of living flora on the
package. Rationale: The chemical indicator
-confirm that the package was exposed is used internally and external-
to sterilization. ly to show that the package has
-show that no moisture entered the been exposed to the sterilization
package. process. They do not verify the
-ensure that the package is sterile. sterility of the items in the pack-
ages. They only mean that the
package has had the right temper-
ature, humidity, and sterilant. It will
not verify elimination of living flora
on the package or that moisture is
in the package.
5. During an I&D of a back wound with Cover the wound and remove the
the patient in the prone position the Mayo and back table.
anesthesiologist announces that the
patient is turning blue and calls a code. Rationale: The first thing that
Which of the following actions should needs to be done is to maintain
the surgical technologist take to as- the patient's airway. The wound
sist? should be covered and the mayo
should be removed so the patient
-Assist the surgeon in closing the can be flipped in order for anes-
wound, remove the drapes, and flip the thesia to take care of the airway,
patient. then assist anesthesia with the
-Cover the wound and remove the patient.
Mayo and back table.
, NCCT Surgical Technology Preliminary
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-Flip the patient immediately.
-Assist anesthesia with the patient
while the surgeon continues surgery.
6. When closing fascia after a laparotomy, PDS
which of the following is the suture of
choice? Rationale: PDS has a longer ab-
Gore-Tex sorption rate of 183-238 days,
PDS which makes it ideal for the
Plain slow-healing fascia. Gore-Tex is
Nurolon typically used for anastomosis of
vascular grafts or in valve repairs.
Plain gut suture is not to be used
on tissue under stress. Nurolon is
a nonabsorbable suture that loses
some of its tensile strength over
time.
7. The surgical technologist observed a Patient's name, Personnel in-
patient fall during the transfer from the volved, Location of the incident
gurney to the operating bed. Which of
the following items are required in the
incident report? (Select the three (3)
correct answers.)
Patient's name
Personnel involved
Type of anesthesia used
Location of the incident
Patient's weight
8. Which member of the surgical team is Anesthesia provider
in charge of the transfer of an immobile
or unconscious patient from the OR Rationale: The anesthesia
table to the stretcher? provider is in control of the pa-
Surgeon tient transfer and coordinates the
Circulator move. They have control of the
Anesthesia provider head and the patient's airway. The
Surgical technologist surgeon most likely has already
left the room and cannot help with
, NCCT Surgical Technology Preliminary
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the transfer. The circulator is on
the other side of the bed waiting
on the transfer device when anes-
thesia gives the permission. The
surgical technologist is on the oth-
er side waiting to help transfer the
patient. There should always be 4
people to transfer a patient. Anes-
thesia is at the head of the bed
and one person is on each side
with one at the end of the bed to
help transfer the feet.
9. Which of the following steps are tak- Wipe the gloves off, grasp the
en after the surgery has finished and gown at the shoulders, and roll the
the surgical technologist is breaking gown forward into a ball.
scrub?
-Wipe blood off of gloves and remove
them, then remove the gown.
-Using a gloved hand, untie the neck of
the gown and pull away from the body,
keeping all blood on the gown.
-Wipe the gloves off, grasp the gown
at the shoulders, and roll the gown for-
ward into a ball.
-Ask the circulator to assist in remov-
ing the gown and gloves.
10. The scheduled case is a prostate- Vicryl
ctomy. The surgeon has requested
chromic gut suture for reanastomosis. Rationale: The acceptable substi-
If Chromic gut is unavailable, which of tute for a Chromic Gut suture
the following sutures is a viable substi- would be a Vicryl suture. Vicryl,
tute? like Chromic Gut, it absorbable
Polyester/Dacron and would be the next best choice
Silk for re-anastomosis in a prostatec-
Nylon tomy.
Vicryl
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