Jennifer Keough
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CST Exam A (51-100)

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Jennifer Keough
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CST Practice Exam A Continued (51-100)

Question 1 of 50

1

Which of the following should be the MINIMUM exposure time in an immediate use sterilizer for unwrapped instruments?

Select one of the following:

  • 1 minute

  • 3 minutes

  • 5 minutes

  • 7 minutes

Explanation

Question 2 of 50

1

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?

Select one of the following:

  • pneumatic tourniquet

  • stockinette

  • Esmarch bandage

  • Coban

Explanation

Question 3 of 50

1

Which of the following hormones regulates urine concentration based on reabsorption?

Select one of the following:

  • ADH

  • PTH

  • ANP

  • GFR

Explanation

Question 4 of 50

1

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

Select one of the following:

  • 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.

Explanation

Question 5 of 50

1

In the break room, a precepting surgical technologist is overheard discussing a student's lack of instrument knowledge. The precepting surgical technologist just committed

Select one of the following:

  • tort

  • libel

  • malpractice

  • slander

Explanation

Question 6 of 50

1

Which of the following must be done before sterilizing an instrument with a lumen.

Select one of the following:

  • 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.

Explanation

Question 7 of 50

1

Which of the following should occur after a Veress needle is inserted?

Select one of the following:

  • Place a trocar in the umbilical area

  • Provide the camera to the surgeon

  • Verify the white balance of the camera

  • Connect the insufflation tubing

Explanation

Question 8 of 50

1

Prions are unique from other infectious agents because they lack which of the following?

Select one of the following:

  • cytoplasm

  • nucleus

  • DNA

  • cell membrane

Explanation

Question 9 of 50

1

In metastatic cancer, which of the following systems allows for tumors to extend beyond the regional area?

Select one of the following:

  • skeletal

  • lymphatic

  • endocrine

  • respiratory

Explanation

Question 10 of 50

1

For which of the following procedures is Gelfoam MOST commonly used?

Select one of the following:

  • TVH

  • cataract extraction

  • TURP

  • Myringotomy

Explanation

Question 11 of 50

1

Which of the following is the receiving nerve end of all transmission?

Select one of the following:

  • cell body

  • dendrite

  • axon

  • trigger zone

Explanation

Question 12 of 50

1

A surgical "time out" must be performed prior to

Select one of the following:

  • leaving the pre-op holding area.

  • making the initial incision

  • placing the grounding pad

  • intubating the patient

Explanation

Question 13 of 50

1

The opening in the occipital bone which the spinal cord passes through is the foramen

Select one of the following:

  • of Monro

  • magnum

  • rotundum

  • of Bochdalek

Explanation

Question 14 of 50

1

When preparing cannulated instruments for steam sterilization, the instrument lumen should be

Select one of the following:

  • 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

Explanation

Question 15 of 50

1

When steam comes into an autoclave from an outside source, the steam is heated in the

Select one of the following:

  • vacuum system

  • chamber

  • thermostatic trap

  • jacket

Explanation

Question 16 of 50

1

Which of the following structures form major parts of the brain?

Select one of the following:

  • pituitary gland, thalamus, cerebrum, cerebellum

  • brain stem, cerebellum, diencephalon, cerebrum

  • cerebrum, cerebellum, pons, medulla oblongata

  • brain stem, midbrain, hypothalamus, thalamus

Explanation

Question 17 of 50

1

Which of the following wound classes is assigned to a surgery in which the bowel was accidently perforated during the procedure?

Select one of the following:

  • I

  • II

  • III

  • IV

Explanation

Question 18 of 50

1

A Javid shunt is used for which of the following procedures?

Select one of the following:

  • Carotid endarterectomy

  • femoral-popliteal bypass

  • abdominal aneurysmectomy

  • saphenous vein ligation

Explanation

Question 19 of 50

1

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?

Select one of the following:

  • intraluminal

  • linear

  • skin

  • purse-string

Explanation

Question 20 of 50

1

During a transurethral resection of the prostate, bleeding is controlled by

Select one of the following:

  • Gelfoam

  • irrigation

  • cauterization

  • suture ligature

Explanation

Question 21 of 50

1

During the intraoperative phase, which of the following activities can be completed by both sterile and non-sterile members of the surgical team?

Select one of the following:

  • handling of the specimen

  • maintaining the patient's operative record

  • clearing residual blood from the surgical field

  • maintaining the sterile field and neutral zone

Explanation

Question 22 of 50

1

When using an ultrasonic cleaner, which of the following should be done FIRST?

Select one of the following:

  • 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.

Explanation

Question 23 of 50

1

Which of the following important considerations should be taken by the surgical technologist when it comes to the suture material for third intention closure?

Select one of the following:

  • 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.

Explanation

Question 24 of 50

1

Which of the following is the name of the biological indicator used for hydrogen peroxide gas plasma?

Select one of the following:

  • Geobacillus stearothermophilus

  • Bacillus atrophaeus

  • Staphylococcus aureus

  • Escherichia coli

Explanation

Question 25 of 50

1

Which of the following is MOST likely to be used when applying a sterile dressing to a skin graft recipient site?

Select one of the following:

  • bolster

  • ABD pad

  • 4x4s

  • Steri-Strips

Explanation

Question 26 of 50

1

Which of the following surgical instruments will a surgeon use in dissection of a breast tumor?

Select one of the following:

  • Potts scissors

  • electrosurgical unit

  • Metzenbaum scissors

  • #11 blade

Explanation

Question 27 of 50

1

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?

Select one of the following:

  • granulation

  • primary intention

  • secondary intention

  • delayed closure

Explanation

Question 28 of 50

1

The anterior chamber of the eye is located between the cornea and the

Select one of the following:

  • posterior chamber

  • lens

  • pupil

  • iris

Explanation

Question 29 of 50

1

After completion of a procedure, the nurse notices that the arms were extended beyond 90 degrees. This may have caused injury to the

Select one of the following:

  • brachial plexus

  • humeral head

  • femoral nerve

  • supraspinatus

Explanation

Question 30 of 50

1

Which of the following types of connective tissue fastens muscle to bone?

Select one of the following:

  • cartilage

  • ligament

  • synovium

  • tendon

Explanation

Question 31 of 50

1

What does the acronym TM stand for in otorhinolaryogology surgery?

Select one of the following:

  • tympanic membrane

  • transurethral meatus

  • total myomectomy

  • total metastasis

Explanation

Question 32 of 50

1

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?

Select one of the following:

  • leg stirrups

  • chest rolls

  • bean bags

  • axillary rolls

Explanation

Question 33 of 50

1

When using a laparoscopic set-up, potential hazards associated with the equipment include

Select one of the following:

  • non-ionizing radiation

  • nitrogen embolus

  • pneumoperitoneum

  • fiberoptic beam fire

Explanation

Question 34 of 50

1

When performing a parotidectomy, which of the following nerves is identified and preserved with the use of a nerve stimulator?

Select one of the following:

  • facial

  • recurrent laryngeal

  • acoustic

  • vagus

Explanation

Question 35 of 50

1

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?

Select one of the following:

  • 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.

Explanation

Question 36 of 50

1

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?

Select one of the following:

  • subcostal

  • vertical

  • transverse

  • thoracoabdominal

Explanation

Question 37 of 50

1

Which of the following is a heavy, curved, tapered needle?

Select one of the following:

  • Mayo

  • Keith

  • Ferguson

  • Arterial

Explanation

Question 38 of 50

1

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?

Select one of the following:

  • defamation

  • sentinel event

  • malpractice

  • abandonment

Explanation

Question 39 of 50

1

Which of the following items should be disposed of in an appropriate sharps container?

Select one of the following:

  • skin rake

  • drill pin

  • damaged instrument

  • arthroscopy trocar

Explanation

Question 40 of 50

1

Which of the following is used to cross-clamp the intestine during a bowel resection?

Select one of the following:

  • Allen

  • Lahey

  • Heaney

  • Duval

Explanation

Question 41 of 50

1

During a Nissen fundoplication, after the pneumoperitoneum is established and trocars are placed, which of the following is the NEXT step?

Select one of the following:

  • 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.

Explanation

Question 42 of 50

1

Which of the following should be included on an orthopedic set-up

Select one of the following:

  • Smith perforator

  • Potts scissors

  • Key elevator

  • Heaney clamp

Explanation

Question 43 of 50

1

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?

Select one of the following:

  • passive

  • suction

  • gravity

  • underwater

Explanation

Question 44 of 50

1

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?

Select one of the following:

  • Monocryl suture and harmonic scalpel

  • laps, silk ties, and hemoclips

  • Vicryl ties, pledgets, and Alexis

  • nylon suture, Raytec, and Geralds

Explanation

Question 45 of 50

1

A plastic surgeon performs surgery PRIMARILY on which of the following anatomical systems?

Select one of the following:

  • vascular

  • genitourinary

  • endocrine

  • integumentary

Explanation

Question 46 of 50

1

An effective packaging material used for steam sterilization of a Balfour retractor

Select one of the following:

  • permits penetration by sterilant.

  • allows for condensation that produces wet packs.

  • allows for exposure to peracetic acid.

  • is dictated by the surgeon's preference.

Explanation

Question 47 of 50

1

Which of the following wounds is MOST likely in the inflammatory phase of wound healing?

Select one of the following:

  • 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

Explanation

Question 48 of 50

1

Preparing instrument sets and packages for sterilization requires a label indicating the

Select one of the following:

  • 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.

Explanation

Question 49 of 50

1

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?

Select one of the following:

  • 15

  • 25

  • 30

  • 35

Explanation

Question 50 of 50

1

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?

Select one of the following:

  • hand cleaning

  • disinfection

  • sorting

  • sterilization

Explanation

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