CST Exam QUESTIONS Correct 100%

In the middle of the surgical procedure, a critical stainless steel instrument is contaminated and there is no sterile replacement. Which time setting would be selected for the flash autoclave? - ANSWER 3 minutes The most reliable means of monitoring the effectiveness of the sterilizer that ensures sterilization parameters have been met is: - ANSWER biological When packaging instruments for sterilization, instruments should be: - ANSWER left open and placed on a rack When storing sterile packs, you should place them: - ANSWER behind packs with older dates Items that contact sterile tissue and must be sterilized are considered: - ANSWER critical When disinfecting instruments for use, you would do all of the following except: clean to reduce the bioburden rinse immediately before putting in the germicide rinse thoroughly with sterile distilled water following contact with the germicide ensure that all surfaces are exposed to the germicidal agent - ANSWER rinse immediately before putting in the germicide The disinfectant that should not be used on lensed instruments due to the potential for loosening the "cement" around the lens is: - ANSWER isopropyl alcohol Spillage of blood that occurs during surgery should be: - ANSWER cleaned up immediately The purpose of keeping doors to the operating room closed is to: - ANSWER maintain positive pressure The purpose of washing the hands prior to the surgical scrub is to: - ANSWER remove gross soil and transient microorganisms When draping a sterile field, the scrubbed person would do all of the following except: hold drapes in a compact position above the waist level drape from the periphery to the operative site drape the patient and all furniture and equipment to be included in the sterile field protect the gloved hand with a cuff - ANSWER drape from the periphery to the operative site When dispensing sterile items to a sterile field, the circulator would: open the far side of the package last stand as close to the sterile recap the remaining portion of the sterile saline for dispensing later during the procedure ensure that wrapper tails are properly secured - ANSWER ensure that wrapper tails are properly secured The scrub has completed the sterile setup when notified that the surgeon will be 30 minutes late. He or she would - ANSWER remain with the sterile field until further notified Bioburden refers to: - ANSWER the degree of microbial contamination Procedures performed at the end of a surgical case to protect the health care worker who will be handling the surgical instruments in the sterile processing department are known as: - ANSWER terminal disinfection and sterilization Which of the following is not an acceptable method of transporting contaminated instruments down the hall following a surgical procedure? covered in a plastic bag in an open-mesh bottom tray in a closed case cart any of the above are acceptable methods - ANSWER in an open-mesh bottom tray If the temperature on the steam sterilizer reads 270°F, what should the pressure reading be? - ANSWER 27 psi An expressed concern of the patient that he or she will be paralyzed following spinal anesthesia should be reported to the: - ANSWER anesthesia provider One way the surgical technologist could help meet the psychosocial needs of the surgical patient is to: embrace the patient and tell him or her you know just how he or she feels observe the patient's behavior and listen carefully to what the he or she says report your observations to the patient's family tell the patient that everything will be just fine - ANSWER observe the patient's behavior and listen carefully to what the he or she says Obtaining an informed consent for surgery is the ultimate responsibility of the: - ANSWER surgeon Persons witnessing the signing of the consent for surgery attest to all of the following except: the signature of the patient is given voluntary that the surgeon fully explained the surgery to the patient and family and they understand it the patient is mentally competent to sign the consent the person signing the form is the person whose name appears on the form - ANSWER that the surgeon fully explained the surgery to the patient and family and they understand it The operative permit must be signed: - ANSWER before the preoperative sedative medication is given In life-threatening circumstances, consent for surgery may be granted by any of the following methods except: telephone conversation with nearest relative two consulting physicians telegram or fax consent from nearest relative signature of the assistant surgeon - ANSWER signature of the assistant surgeon During a preoperative visit, the anesthesia provider assigned an ASA classification of class V to the patient. This means that: - ANSWER the patient is a very poor risk for surgery Patient identification can best be made by: - ANSWER comparing the name on the patient's identification band with the name on the OR schedule The reason for the 90° limit for extension of a patient's arms on a padded armboard is - ANSWER avoiding injury to the brachial plexus Which of the following positions for surgery might require the use of shoulder braces? lateral Trendelenburg dorsal recumbent Kraske (jackknife) - ANSWER Trendelenburg The position that permits enhanced visualization during pelvic surgery is: - ANSWER Trendelenburg Postural hypotension is a threat when the patient is placed in which of the following positions? lateral kidney Fowler prone Trendelenburg - ANSWER Fowler For the patient in the prone position, the weight of the body should be borne by the: - ANSWER iliac crests and acromion processes For a Right Nephrectomy, the patient would be placed in the ______ position. - ANSWER left lateral kidney The surgical specimen which is examined immediately by the pathologist is a/an: - ANSWER frozen section Which of the following lab values falls within the normal range? hematocrit of 45% specific gravity of urine 1.055 white blood cell count of 15,000 hemoglobin of 6-8 grams - ANSWER hematocrit of 45% You are assigned to scrub on a gunshot wound of the abdomen with a perforated bowel and will expect the surgeon to: suture individual layers of tissue after debridement of the wound clean up the wound, pack the wound to keep wound edges apart, and bring the patient back at a later date for delayed closure irrigate and suction in preparation for second intention healing clean up the wound and approximate wound edges for primary intention healing - ANSWER clean up the wound, pack the wound to keep wound edges apart, and bring the patient back at a later date for delayed closure During which phase of wound healing is the strength of the wound limited to the suture holding it together? - ANSWER lag phase (inflammatory) Based on the potential for infection, which one of the following described wounds would be classified as a class I? gunshot wound to the abdomen removal of the appendix with no major spill inguinal hernia repair without break in technique compound fracture - ANSWER inguinal hernia repair without break in technique Suturing a patch to a bifurcation of an artery to increase the blood flow is called AV fistula Profundoplasty Endarterectomy Arterial bypass - ANSWER Profundoplasty Arteriotomy is extended with Potts-Smith scissors Jamison scissors Tenotomy scissors Metzenbaum scissors - ANSWER Potts-Smith scissors When burr holes are being drilled, it is important to Keep site irrigated to reduce heat Surround area with cottonoids Clip vessels as needed Hold periosteal elevator for quick utilization - ANSWER Keep site irrigated to reduce heat Coaxial illuminators are Fiber optic Halogen Light tubes LASERs - ANSWER Fiber optic A J stent is a(n) Self-retaining cardiac stent Self-retaining urethral catheter Self-retaining cardiac catheter Self-retaining urethral stent - ANSWER Self-retaining urethral stent A common IV-administered anesthetic agent is Phenobarbital Diprivan Anectine Forane - ANSWER Phenobarbital Where is blood pressure commonly measured when a patient is laterally positioned with a double armboard Lower arm Upper arm Carotid artery Lower ankle - ANSWER Lower arm An example of a rolled gauze dressing is Ace Kerlix Coban Fluffs - ANSWER Kerlix Hallux valgus is also called Syndactyly Club foot Bunion Hammer toe - ANSWER Bunion Ethmoidectomy may be achieved through a(n) Oral incision Intranasal incision Craniotomy Subaural incision - ANSWER Intranasal incision The galea would most likely be closed with 6-0 synthetic nonabsorbable 10-0 synthetic nonabsorbable 3-0 natural nonabsorbable 3-0 synthetic absorbable - ANSWER 3-0 natural nonabsorbable Which of the following is true about Avitene It is oxidized cellulose It is absorbable gelatin It is an anticoagulant It is microfibrillar collagen - ANSWER It is microfibrillar collagen An example of a self-retaining scalp retractor is Cloward Greenburg Gelpi Omni - ANSWER Greenburg The first phase of mitosis is Telophase Prophase Anaphase Metaphase - ANSWER Prophase If a Ray-Tec sponge package contains 9 sponges, what should be done Circulator notes discrepancy Sponges are passed off the field and removed from the room Sponges are passed off the field and contained in a clear plastic bag Surgeon is informed of the discrepancy - ANSWER Sponges are passed off the field and removed from the room RAZ is performed for Interstitial cystitis Female incontinence Male incontinence Malignancy - ANSWER Female incontinence The procedure that may be done in combination with a tonsillectomy is a(n) Adenoidectomy Parotidectomy Turbinectomy FESS - ANSWER Adenoidectomy A class II wound has an infection rate of 15-20% 6-8% 8-11% 1-5% - ANSWER 8-11% A common local infiltration agent that is also used to treat ventricular arrhythmias is Cocaine hydrochloride Carbocaine Tetracaine Lidocaine hydrochloride - ANSWER Lidocaine hydrochloride Nd:YAG is also called Holmium Erbium Neodymium Yttrium - ANSWER Neodymium Intraabdominal pressure during insufflation should remain at 20-25 mmHg 12-15 mmHg 55-60 mmHg 5-10 mmHg - ANSWER 12-15 mmHg The type of access port used for peritoneal dialysis is a(n) Swan-Ganz Port-a-cath Levin Tenkhoff - ANSWER Tenkhoff The plane that divides the body into right and left sides is the Frontal plane Transverse plane Sagittal plane Dorsal plane - ANSWER Sagittal plane A stick tie is a Free tie Suture on a noncutting needle Free tie loaded on an instrument Silk suture on a Mayo needle - ANSWER Suture on a noncutting needle The microadapter of a microscope is used to Direct LASER beams through the microscope Direct a coagulation device to small capillary bleeders Direct visualization Direct light onto the operative field - ANSWER Direct LASER beams through the microscope Which of the following is an orthopedic instrument Chandler elevator Goodell Duvall Castroviejo forcep - ANSWER Chandler elevator Which structure carries oxygen and nutrients to a developing fetus Placenta Ductus venosus Umbilical artery Umbilical vein - ANSWER Umbilical artery The medication that dilates the eye is Corticosteroid Miotic Hyperosmotic Mydriatic - ANSWER Mydriatic An antrostomy is a FESS Roux-en-Y Le Fort I Caldwell-Luc - ANSWER Caldwell-Luc The optical portion of the microscope is the Optiscope Trocar/cannula combination Fiber optic lens Telescope - ANSWER Telescope