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CST Practice Exam A Continued (51-100)

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CST Exam A (51-100)
Jennifer Keough
Quiz by Jennifer Keough, updated more than 1 year ago
Jennifer Keough
Created by Jennifer Keough over 3 years ago
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Resource summary

Question 1

Question
Which of the following should be the MINIMUM exposure time in an immediate use sterilizer for unwrapped instruments?
Answer
  • 1 minute
  • 3 minutes
  • 5 minutes
  • 7 minutes

Question 2

Question
The anesthesia care provider (ACP) is gathering supplies to initiate a Bier block for the surgical patient. Which of the following items does the surgical technologist give to the ACP to assist in displacing the blood?
Answer
  • pneumatic tourniquet
  • stockinette
  • Esmarch bandage
  • Coban

Question 3

Question
Which of the following hormones regulates urine concentration based on reabsorption?
Answer
  • ADH
  • PTH
  • ANP
  • GFR

Question 4

Question
A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. The MOST appropriate NEXT step is to send the specimen to pathology in a
Answer
  • dry specimen container so that a frozen section can be completed.
  • container containing normal saline so that a frozen section can be completed.
  • dry specimen container so that a permanent section can be completed.
  • specimen container containing normal saline so that a permanent section can be completed.

Question 5

Question
In the break room, a precepting surgical technologist is overheard discussing a student's lack of instrument knowledge. The precepting surgical technologist just committed
Answer
  • tort
  • libel
  • malpractice
  • slander

Question 6

Question
Which of the following must be done before sterilizing an instrument with a lumen.
Answer
  • Allow the instrument to dry completely.
  • Ensure the stylet is still within the lumen.
  • Inject a small amount of distilled water into the lumen.
  • Wrap the instrument separately in a peel pack pouch and place in the tray.

Question 7

Question
Which of the following should occur after a Veress needle is inserted?
Answer
  • Place a trocar in the umbilical area
  • Provide the camera to the surgeon
  • Verify the white balance of the camera
  • Connect the insufflation tubing

Question 8

Question
Prions are unique from other infectious agents because they lack which of the following?
Answer
  • cytoplasm
  • nucleus
  • DNA
  • cell membrane

Question 9

Question
In metastatic cancer, which of the following systems allows for tumors to extend beyond the regional area?
Answer
  • skeletal
  • lymphatic
  • endocrine
  • respiratory

Question 10

Question
For which of the following procedures is Gelfoam MOST commonly used?
Answer
  • TVH
  • cataract extraction
  • TURP
  • Myringotomy

Question 11

Question
Which of the following is the receiving nerve end of all transmission?
Answer
  • cell body
  • dendrite
  • axon
  • trigger zone

Question 12

Question
A surgical "time out" must be performed prior to
Answer
  • leaving the pre-op holding area.
  • making the initial incision
  • placing the grounding pad
  • intubating the patient

Question 13

Question
The opening in the occipital bone which the spinal cord passes through is the foramen
Answer
  • of Monro
  • magnum
  • rotundum
  • of Bochdalek

Question 14

Question
When preparing cannulated instruments for steam sterilization, the instrument lumen should be
Answer
  • dry for dynamic air removal and wet for gravity displacement
  • wet for dynamic air removal and dry for gravity displacement
  • dry for both dynamic air removal and for gravity displacement
  • wet for dynamic air removal and for gravity displacement

Question 15

Question
When steam comes into an autoclave from an outside source, the steam is heated in the
Answer
  • vacuum system
  • chamber
  • thermostatic trap
  • jacket

Question 16

Question
Which of the following structures form major parts of the brain?
Answer
  • pituitary gland, thalamus, cerebrum, cerebellum
  • brain stem, cerebellum, diencephalon, cerebrum
  • cerebrum, cerebellum, pons, medulla oblongata
  • brain stem, midbrain, hypothalamus, thalamus

Question 17

Question
Which of the following wound classes is assigned to a surgery in which the bowel was accidently perforated during the procedure?
Answer
  • I
  • II
  • III
  • IV

Question 18

Question
A Javid shunt is used for which of the following procedures?
Answer
  • Carotid endarterectomy
  • femoral-popliteal bypass
  • abdominal aneurysmectomy
  • saphenous vein ligation

Question 19

Question
During a laparoscopic appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of bowel content?
Answer
  • intraluminal
  • linear
  • skin
  • purse-string

Question 20

Question
During a transurethral resection of the prostate, bleeding is controlled by
Answer
  • Gelfoam
  • irrigation
  • cauterization
  • suture ligature

Question 21

Question
During the intraoperative phase, which of the following activities can be completed by both sterile and non-sterile members of the surgical team?
Answer
  • handling of the specimen
  • maintaining the patient's operative record
  • clearing residual blood from the surgical field
  • maintaining the sterile field and neutral zone

Question 22

Question
When using an ultrasonic cleaner, which of the following should be done FIRST?
Answer
  • Visible debris and biologic matter should be removed.
  • Instruments should be closed and assembled.
  • All instruments should be checked to be the same metal type.
  • Cleaning solution should be changed.

Question 23

Question
Which of the following important considerations should be taken by the surgical technologist when it comes to the suture material for third intention closure?
Answer
  • A low-capillary action suture will not retain moisture.
  • Choosing the proper tensile strength of the suture can aid in healing
  • The handling of suture is more important than the suture material
  • The size of the suture is more important than the suture material.

Question 24

Question
Which of the following is the name of the biological indicator used for hydrogen peroxide gas plasma?
Answer
  • Geobacillus stearothermophilus
  • Bacillus atrophaeus
  • Staphylococcus aureus
  • Escherichia coli

Question 25

Question
Which of the following is MOST likely to be used when applying a sterile dressing to a skin graft recipient site?
Answer
  • bolster
  • ABD pad
  • 4x4s
  • Steri-Strips

Question 26

Question
Which of the following surgical instruments will a surgeon use in dissection of a breast tumor?
Answer
  • Potts scissors
  • electrosurgical unit
  • Metzenbaum scissors
  • #11 blade

Question 27

Question
A surgical incision that is sutured together so that the wound edges are in direct contact with one another is referred to as which of the following types of closure?
Answer
  • granulation
  • primary intention
  • secondary intention
  • delayed closure

Question 28

Question
The anterior chamber of the eye is located between the cornea and the
Answer
  • posterior chamber
  • lens
  • pupil
  • iris

Question 29

Question
After completion of a procedure, the nurse notices that the arms were extended beyond 90 degrees. This may have caused injury to the
Answer
  • brachial plexus
  • humeral head
  • femoral nerve
  • supraspinatus

Question 30

Question
Which of the following types of connective tissue fastens muscle to bone?
Answer
  • cartilage
  • ligament
  • synovium
  • tendon

Question 31

Question
What does the acronym TM stand for in otorhinolaryogology surgery?
Answer
  • tympanic membrane
  • transurethral meatus
  • total myomectomy
  • total metastasis

Question 32

Question
A surgeon requests a patient to be placed into the lithotomy position for the surgical procedure. Which of the following positioning devices must be obtained?
Answer
  • leg stirrups
  • chest rolls
  • bean bags
  • axillary rolls

Question 33

Question
When using a laparoscopic set-up, potential hazards associated with the equipment include
Answer
  • non-ionizing radiation
  • nitrogen embolus
  • pneumoperitoneum
  • fiberoptic beam fire

Question 34

Question
When performing a parotidectomy, which of the following nerves is identified and preserved with the use of a nerve stimulator?
Answer
  • facial
  • recurrent laryngeal
  • acoustic
  • vagus

Question 35

Question
A patient is undergoing a laser vocal cord nodule ablation. During the procedure, the anesthetist calls for all action to cease due to an airway fire that has suddenly occurred. Which of the following is the MOST likely cause of the fire?
Answer
  • The draping near the patient's face was compromised.
  • Wet sponges were used around the endotracheal tube cuff.
  • The laser-specific endotracheal tube was not used.
  • The draping was ignited by the heat near the surgical site.

Question 36

Question
During a laparoscopic cholecystectomy, the surgeon determines that the procedure will convert to an open case. Which of the following incisions is preferred for access?
Answer
  • subcostal
  • vertical
  • transverse
  • thoracoabdominal

Question 37

Question
Which of the following is a heavy, curved, tapered needle?
Answer
  • Mayo
  • Keith
  • Ferguson
  • Arterial

Question 38

Question
During a procedure, a major piece of equipment malfunctions and causes a patient's death. Which of the following is this situation MOST likely to be classified as?
Answer
  • defamation
  • sentinel event
  • malpractice
  • abandonment

Question 39

Question
Which of the following items should be disposed of in an appropriate sharps container?
Answer
  • skin rake
  • drill pin
  • damaged instrument
  • arthroscopy trocar

Question 40

Question
Which of the following is used to cross-clamp the intestine during a bowel resection?
Answer
  • Allen
  • Lahey
  • Heaney
  • Duval

Question 41

Question
During a Nissen fundoplication, after the pneumoperitoneum is established and trocars are placed, which of the following is the NEXT step?
Answer
  • The stomach is mobilized and divided from the omentum.
  • The upper portion of the fundus is wrapped around the esophagus.
  • The phrenoesophageal membrane is dissected free.
  • The surgeon performs a saline drop test.

Question 42

Question
Which of the following should be included on an orthopedic set-up
Answer
  • Smith perforator
  • Potts scissors
  • Key elevator
  • Heaney clamp

Question 43

Question
A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which of the following types of drains should the surgical technologist have available at the end of the procedure?
Answer
  • passive
  • suction
  • gravity
  • underwater

Question 44

Question
A thyroidectomy that was done earlier in the day is being brought back for excessive bleeding from the incision. Which of the following items are needed for this case?
Answer
  • Monocryl suture and harmonic scalpel
  • laps, silk ties, and hemoclips
  • Vicryl ties, pledgets, and Alexis
  • nylon suture, Raytec, and Geralds

Question 45

Question
A plastic surgeon performs surgery PRIMARILY on which of the following anatomical systems?
Answer
  • vascular
  • genitourinary
  • endocrine
  • integumentary

Question 46

Question
An effective packaging material used for steam sterilization of a Balfour retractor
Answer
  • permits penetration by sterilant.
  • allows for condensation that produces wet packs.
  • allows for exposure to peracetic acid.
  • is dictated by the surgeon's preference.

Question 47

Question
Which of the following wounds is MOST likely in the inflammatory phase of wound healing?
Answer
  • A Bankart repair, one week post-procedure
  • a laparotomy incision with a cicatrix
  • an open reduction internal fixation (ORIF) of a finger, two weeks post-procedure
  • an abdominal incision, 20 minutes post-closure

Question 48

Question
Preparing instrument sets and packages for sterilization requires a label indicating the
Answer
  • sterilization date, sterilizer ID, load number, and preparer's initials.
  • preparation date, preparer's initials, and department to which the package belongs.
  • preparer's initials, manufacturer ID, and cycle number
  • department code, date of expiration, and sterilizer time parameters.

Question 49

Question
A surgeon repeatedly asks the surgical technologist to refill the 10 cc syringe with local anesthetic. If the surgical technologist refilled the syringe three times and there was 5 cc left in the syringe, how much anesthetic was used?
Answer
  • 15
  • 25
  • 30
  • 35

Question 50

Question
At the conclusion of a surgical case, how should the surgical technologist aid in reducing bioburden on instruments as the FIRST step in the sterilization cycle?
Answer
  • hand cleaning
  • disinfection
  • sorting
  • sterilization
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