CST Prep Exam Chapters 13-24 Test and Flashcards

A fluoroscope uses _____ to project images of body structures onto a monitor.

x-rays

_____ remains the reference standard for assessing the cause and severity of peripheral vascular disease.

angiography

Cardiac catheterization can be used to diagnose:

coronary artery disease, pulmonary heart disease and congenital heart disease (ALL OF THE ABOVE)

Right heart studies are accomplished with the aid of a balloon-tipped _____ pulmonary artery catheter attached to a transducer and monitor.

Swan-Ganz

CT uses _____ radiation.

electromagnetic

PET scanning combines _____ to identify how different areas of the brain function by highlighting chemical and metabolic activity.

CT and radioisotope brain scanning

Doppler ultrasonography transmits the sound of moving _____ to the transducer.

red blood cells

Radiation can be used to treat specific types of _____ that are susceptible to radiation exposure.

neoplasms

The Gram stain uses the color blue to signify a gram-____ bacterium.

positive

During a spinal tap, _____ is(are) withdrawn from the lumbar area of the spinal column.

CSF

The Following instrument would not be used on an open appendectomy?

Senn Retractor

Victor the STSR is preparing for an emergency splenectomy in room 5, he knows the surgeon will be making a _________ incision and ask for an extra Yankhauer suction tip in anticipation of using the ________, for anticipated blood loss.

Left subcostal incision, cell saver machine

Dijana the STSR is preparing for the Thyroidectomy in room 4, in anticipation for the procedure she picks a sterile________ __________ and a_______ electrocautery to protect the _______ nerve.

d. Nerve stimulator, bipolar, laryngeal

The incision Dr. Smith will use on his scheduled appendectomy, will most likely be?

McBurneys

The self retaining retractor of choice for abdominal procedures in general surgery would be?

Balfour retractor

Stephanie the STSR is preparing for an exploratory laparotomy, when counting the following instrument the best way to state the instrument would be?

One Balfour retractor four blades, four screws, and one wing nut

An emergency gunshot wound to the abdomen is underway in room #4. The CST scrubbed on the procedure should have the following self-retaining retractor ready?

Balfour

During the Open Appendectomy the surgeon uses a #15 to cut free the base of the Appendix. Carlos the CST scrubbed on the case receives the knife back from the surgeon and places it in an isolated basin. This is known as __________technique?

bowel isolation

The CST scrubbed in on an Appendectomy is preparing the purse string suture for the surgeon. She knows that the suture should be a.

absorbable on a taper needle

The incision most commonly used on a laparoscopic Appendectomy is.

periumbilical

In preparation for a Laparoscopic procedure, the surgeon informs the CST that the patient has had several surgical interventions and plans to use a safer technique to establish Pneumoperitoneum. The CST knows the surgeon will most likely use __________ technique.

Hasson

During the Open Appendectomy, the CST should have the following retractor available for exposure.

u.s. army/navy

The preferred incision for exposure during an Exploratory Laparotomy is?

midline

The Inguinal Ligament, the Inferior Epigastric vessels, and the Lateral border of the Rectus Abdominus make up the?

Hesselbachs triangle

During the Open Cholecystectomy the surgeon has removed the Gallbladder and needs to perform a Cholangiogram. The opening into the Common Bile Duct is too tight; the CST knows the surgeon will probably need the _______________ dilators.

Bakes

All of the Following clamps might be used on the Colon Resection except.

Heaney

A CST is schedule to scrub on a Pancreatodudonectomy. The CST knows the pathology associates with this procedure are?

malignant neoplasm

During the Cholecystectomy the Cystic Artery and Cystic Duct are identified through blunt dissection, clipped, and cut. The instrument most likely used for blunt dissection is?

right angle clamp

For the Laparoscopic Cholecystectomy the CST should anticipate the surgeon need for _______________ to avoid spillage of the specimen.

endo bag

Kofi the CST preparing for Dr Carmelo's case, he has heard the surgeon say that the patient has a Meckel's Diverticulum. Kofi knows that this type of diverticulum occurs in the _____________.

ileum

Dr Carmelo is closing the walls of intestines, Kofi knows the walls of the intestines from innermost to outermost are?

mucosa, submucosa, muscularis, and serosa

The surgeon makes a lower left paramedian incision; the surgical technologist realizes that the incision gives the surgeon access to the ______________.

sigmoid colon

Juan the CST scrubbed on the Hernia in room 4 listens to the surgeon who states the Male patient has a congenital hernia involving the spermatic cord. Juan realizes that this pathology is a __________ hernia.

indirect

While performing a laparoscopic Nissen Fundiplication the circulator hears the surgeon ask for Maloney dilators. The surgical technologist knows the dilators will be inserted by the ___________ to ensure that the esophagus should be closed; Maloney dilators are unsterile and cannot be in the sterile field. Pg 433 the esophagus has no _________.

anesthesiologist, stenosis

To perform an end to end anastomosis during the abdominal perineal resection, hector the CST on call anticipates the need for a _______ stapler.

EEA

A pregnant female patient is diagnosed with an incompetent cervix, The CST knows that this patient will likely be scheduled for the following surgical intervention?

Shirodkar's procedure

During a Cesarean section the surgical technologist should perform the first closing count when the __________is being closed.

uterus

The CST should be aware that the most common OB/GYN incision used is the ?

Pfannenstiel

While performing a tubal sterilization procedure the CST in the scrub role anticipates that the surgeon will need a ___________ to grasp the fallopian tube.

babcock

When performing a tuboplasty the surgeon will need to use magnifying loupes and micro surgical instrumentation. At the conclusion of the procedure to verify patency of the fallopian tubes the surgeon will need?

Indigo carmine

For a scheduled OB/GYN laparoscopic procedure, the surgeon informs the CST that the patient has undergone several surgical interventions and would like to use a blunt trocar. The CST anticipates that the surgeon will use the _________for his laparoscopic approach.

sharp 10 mm trocar

A uterine manipulator would be inserted into the_________ during an OB/GYN laparoscopic procedure.

cervix

To establish pneumoperitoneum during an OB/GYN procedure the CST uses insufflation tubing hooked up to an insfulator that provides ________gas.

carbon dioxide

During a marsupialization of Bartholins gland the CST expects the patient to be in the ___________position and for the wound to heal by _________intention.

Lithotomy, 2nd

When performing Dilation & Curettage, the CST is aware that the two specimens obtained by scrapping that will be sent are?

EMC

When a surgeon applies acetic acid or Lugol's solution to the outer portion of the cervix to stain the abnormal tissue white, this process is called ?

Schillers test

The procedure Myomectomy is performed to remove myomas from the myometrium of the uterus. Myomas are?

benign fibroids

The pelvic exenteration is performed on a patient with the probable diagnosis of?

chronic cervical cancer

For the surgical procedure vaginal hysterectomy or LAVH the patient will be placed in the __________position and ________ will be needed.

Lithotomy, Allen stirrups

During the LAVH the round & infundibular ligaments of the uterus are transected with _____________ and the specimen is deliverd through the ________.

Endo GIA, vagina

The CST knows that a patient with a diagnosis of cystocele & rectocele would be expected to have a surgical intervention of ______________________ and the CST should anticipate the need for _________.

Anterior & Posterior Colporrhaphy, Allis clamps

In OB/GYN two medications that can be used to treat uterine hemorrhage following childbirth are ?

Methergine,Pitocin

During the cesarean section once the fetal head is deliverd , The CST should _________ and __________.

Have Suction available, all sharps are removed from field

During the Cesarean section the CST in the scrubbed role should be prepared to gown and glove the?

Pediatrician

During an emergency cesarean section surgical counts?

should only include sponges

For Ophthalmic surgical interventions the CST should know that the anterior chamber of the eye contains ___________and the posterior chamber contains _______.

aqueous humor, vitreous humor

During ophthalmic procedures the CST must periodically irrigate the eye using ________ to prevent corneal drying.

BSS

The CST scrubbed on the ___________ ophthalmic procedure must ensure that the donor tissue is in the room prior to patient intubation.

Keratoplasty

The pathology associated with the surgical intervention iridectomy is _______?

Glaucoma

During ophthalmic procedures, once gowned & gloved the CST should ensure that the surgeon?

Removes any powder from his gloves

A patient diagnosed with a misalignment or deviation of the eyes, might be scheduled for the following surgical intervention?

Strabismus

The patients diagnosis was opacified lens OD, the CST should expect the surgical schedule to reflect the following surgical intervention?

Cataract extraction, right eye

Use of the phaco handpiece and phacoemulsification should associated with the following surgical intervention?

Cataract extraction

For most ophthalmic procedures the anesthesiologist will perform a _______ Block.

Retrobulbar

The __________________surgical instrument is essential for the surgeon in resection or recession of the extrinsic eye muscle.

Castroviejo caliper

The myringotomy procedure involves the pathology of otitis media the use of a microscope. The CST should have the following implant available for the surgeon to implant.

Primary Eustachian Tube

The following patient position "supine with arms tucked at sides, scapular roll to hyperextend the neck" should be associated with the following surgical intervention:

Thyroidectomy

During a parotidectomy the CST in the scrub role must ensure what piece of equipment is on the sterile field to prevent damage to the facial nerve?

Nerve stimulator

The CST scrubbed on a T&A procedure knows that by removing the palatine & pharyngeal tonsils from the patients lymphatic system is weakened. The specimen needs to be sent?

Separated by left and right

A cholesteatoma is a benign cyst or tumor that can damage the ossicles and erode the mastoid cells. The surgical intervention associated with this pathology is:

Mastoidectomy

The pathology associated with the stapedectomy, in which there is a hardening of the ossicles of the inner ear is?

Otoschlerosis

The preferred topical anesthetic used by the otorhinolaryngologic surgeon prior to incision is?

Cocaine

Prior to incision on the surgical intervention of a tracheostomy, the CST in the scrub role should ensure that the tracheostomy tube is on the field and _____?

patency of the balloon

All of the following are sinuses associated with the FESS surgical intervention except:

Parotid

In otorhinolaryngologic surgery which of the following interventions might require two surgical teams with two separate set ups and counts?

Radical Neck Dissection

A patient diagnosed with temporomandibular disorder might be scheduled for the following surgical intervention?

TMJ arthroscopy

When performing a tooth extraction , at the end of the procedure it is imperative for the CST to remember?

Ensure the retrieval of the throat pack

All of the following are considerations for the CST when dealing with a patient with a maxillofacial fracture except?

Surgeon will stand on the side of the patient

When performing an application of arch bars on a patient, all of the following are true except?

Arch bar hooks should be placed facing downward on upper jaw and upward on lower jaw.

The correct sequence for application of plate and screws for a mandibular fracture is?

contour plate, drill, measure, tap, screw

While performing a maxillofacial fracture repair ,Jose the CST hears the surgeon stating "there is a dural tear". He knows that the surgeon will probably use a ______ graft to seal the tear.

Fat

Graft materials can be used to fill defects from bone loss. Which would be an example of a xenograft?

Coral

Which retractor should the CST choose for an odontectomy?

Minnesota

In preparation for draping the oral maxillofacial patient, the CST would need the following?

Turban style head wrap

The three regions of the tooth are the crown, neck and the root. Each tooth is imbedded in a socket called the?

Alveolar process

Due to the concern with airway during oral and maxilla facial procedures, the surgical team should have the following available during extubation except?

Headlight

When preparing for the Skin graft procedure, the CST knows that the donor site is prepped ________and the recipient site prepped _______.

first, last

All of the following would be equipment and supplies needed by the surgical team in preparation for the skin grafting procedure except

Heparin

When switching from a dirty set up to a clean set up the CST must ensure that?

they change their own gloves first

In preparation for the liposuction procedure, the CST follows the surgeon's preference card in preparing a mixture that liquefies fat to make suctioning easier. This is called?

tumescent

The surgeon has booked a mastopexy procedure, the CST knows that the patient is probably suffering from lower back problems related to the pathology of?

breast ptosis

To perform a nipple reconstruction all of the following equipment might be required except

Tumescent

During a TRAM flap reconstruction the surgeon decides to use a reconstructed graft with the blood supply still attached. This would be considered a?

pedicle flap reconstruction

The CST will need to have a wire driver available for the patient with a diagnosis of radial dysplasia or club hand. The wire driver is necessary for?

K-wire fixation of the ulnar

The replantation of severed digit of the hand, begins with the reattachment of?

bone

When performing the rhytidectomy the seventh cranial nerve must be preserved and protected during the procedure. This nerve is the?

facial

A PSA blood value should be associated with the ___________ of the genitourinary system.

prostate

In order to dilate the urethra prior to insertion of the cystoscope, the surgeon would use?

Van Buren sounds

During the TURP procedure the surgeon will use the _______ to remove pieces of tumor and blood clots from the bladder.

Ellik evacuator

For implantation of a donor kidney the surgeon would make an incision that gives access to the lower portion of the ureter. This would be the ______Incision.

Gibson

The surgeon inserts a three way Foley catheter, for post-operative management of the TURP patient. The primary purpose of the three way Foley is?

Both to assess hemostasis & provide irrigation

A radical cystectomy with ileal conduit is performed on patients who have been diagnosed with malignancy of the bladder. The ureters will be diverted to the?

Ileum

During the cystoscopy TURBT the CST should use a nonelectrolytic solution to distend the bladder. Which of the following listed below would be the best choice?

Sorbitol

For kidney harvesting from a live donor, the surgeon would prefer to harvest the __________kidney because the renal vein is longer.

Left

In a surgical approach during a nephrectomy, the surgical team would encounter a fascia that surrounds the organ. This fascia is called?

Gerotas

The open surgical procedure used to treat stress incontinence in females is the?

Marshall-Marchetti-Krantz

During the radical cystectomy if seeding of malignant cells is of concern, the bladder may be filled with?

Formalin

The patient who was brought into the ER has a fracture of the distal radius. The orthopedic surgeon informs the OR to prepare for an application of an external fixation device. The CST knows this fracture is called?

Colles'

A bucket handle tear is the pathology associated with the following orthopedic surgical intervention.

knee arthroscopy

For an ORIF of a hip fracture C-arm would be needed and the patient position would be?

supine with fracture table

The fixation used by the surgical team for an ORIF of a hip fracture would be?

AO dynamic hip screw

For a total joint arthroplasty procedure, the surgeon might use PMMA as means of implant fixation . When mixing PMMA the CST needs to use ___ to prevent exposure to the vapors?

closed mixing system

The following surgical intervention would be performed for chronic shoulder dislocation. Suture anchors would be used to reattach the glenoid ligament.

Bankart procedure

When the surgeon is using a power drill on bone and the bone begins to smoke, the CST in the scrub role should?

drip irrigation fluid onto drill bit

The patient position for an Achilles tendon repair would be ________. The surgeon might employ a ________ suturing technique might be used to repair the tendon.

prone, krakow

For the surgical intervention of a triple arthrodesis procedure the patient position would be supine and the three joints fused would be?

calcaneocuboid, talonavicular, & subtalar

An abnormal softening of the patient's bone caused by loss of calcification would be?

osteomalacia

The two vessels that are preferred for harvesting during the CABG procedure are?

saphenous vein, internal mammary artery

Todd the CST in room 5 is preparing for CABG, the surgeon tells Todd he will need to have the following medications on the field, one that can prevent vasospasm and one that acts as a blood thinner to prevent clot formation. Todd's choice should be?

Papaverine & Heparin

The right atrium receives ______________ blood and the left atrium receives _______ blood through the pulmonary veins.

deoxygenated, oxygenated

After the surgeon completes the median sternotomy with the oscillating saw, the most likely choice of self-retaining retractor would be?

Finocchietto

The anesthesia provider during cardiothoracic surgical intervention inserts a swan-ganz catheter to monitor the patients?

CVP (central venous pressure)

During the thoracotomy, the surgeon request's a clamp to grasp lung tissue. Paul the CST in the scrubbed role will most likely pass the surgeon a ______ clamp.

Duval

The ____________ is a sterile procedure performed for the evaluation of nodal involvement or masses in patients with lung carcinoma.

mediastinoscopy

An IABP procedure is indicated for patients in need of cardiac support while awaiting for cardiac transplantation. The CST should expect the surgical incisional approach to be?

femoral

All of the following listed are equipment essential for a VATS (video- assisted thoracic surgery) procedure except

Bethune Rib shears

All of the following listed are indications for lung transplantation except

carcinoma

Rick the CST on call is preparing for a pneumonectomy, this will involve removal of a _______ and a wound classification of __________.

lung, class I

The surgeon is performing an Aortobifemoral bypass procedure, the graft that should be selected for the procedure would be ___________ and the suture used for the anastomosis would be ___________.

Bifurcated & 5-0 Prolene double armed

Pablo the CST in the Scrubbed role on an embolectomy should have a _______ scissors and a ___________catheter available for the arteriotomy.

Potts Smith, Fogarty

During the carotid endarterectomy the surgeon clamps the ___________carotid and places the ______________ shunt to allow for continuous blood flow to the brain.

External & Javid

During the carotid endarterectomy the surgeon removes the plaque occluding the artery with a blunt dissector such as a _______elevator or a Penfield # 4.

Freer

Arteriovenous fistula and shunt is created for vascular access for patients who require long-term renal dialysis. The surgeon will create an anastomosis between the _____ artery and the _____ vein.

Radial & Cephalic

Placement of the inferior vena cava filter (IVC) is indicated for preventing pulmonary embolism due to DVT. The surgeon can choose between two approaches involving the _______ vein and the _______vein.

Jugular & Femoral

___________ blood exits the right atrium and passes through the ________ valve and enters the right ventricle. Blood will exit the right ventricle and passes through the semilunar valve into the ___________artery.

Deoxygenated, Tricuspid, Pulmonary

Tetralogy of fallot is the most common cyanotic heart defect in children. The four defects consist of: Ventral septal defect, Infundibular valve stenosis, Aorta that overrides the Ventral septal defect and Right ventricular hypertrophy. Three of these conditions are congenital, which is acquired?

Right Ventricular Stenosis

All of the following listed are procedures for surgical intervention. Which would not require a perfusionist?

OPCAB

During the Aortofemoral bypass the surgeon notices a leak after the anastomosis is completed. The CST in the scrub role should anticipate the surgeons request for a?

Pledget

_____ Rongeurs are used to remove bone material and _______rongeurs are used to remove disc material during neurological procedures.

Kerrison & Pituitary

Doug the CST in the first scrub role is working on a patient who has a diagnosis of cerebral aneurysm. He knows that this type of aneurysm is usually found in the?

Circle of Willis

During the craniotomy the surgeon uses brain spoons and a self-retaining retractor for exposure. The CST should have the following self-retaining retractor available?

Leyla-Yasargil

During a craniotomy, prior to closing the Dura matter the surgeon asks for irrigation. The CST in the scrub role should ensure that the irrigation is?

Body temperature NACL

Hydrocephalus is the pathological indication for a ventriculoperitoneal shunt placement. The CST realizes that largest amount of CSF is produced by the?

Choroid plexus

During the Transphenoidal Hypophysectomy the CST in the scrub role must ensure that there are two set ups, one for the nasal/oral phase and a sterile set up for the surgical phase. The pathology related to this procedure is?

Tumor of the pituitary

The Wilson frame would be used in positioning the patient for the following surgical intervention. In addition the patient would place in the_____ position.

Lumbar discectomy & prone

During the anterior cervical discectomy and fusion the patient will be placed in the supine position. The surgeon will remove the disk material and the vertebral body fused. The best choice of harvesting graft material for this procedure would be?

Iliac crest

The carpal tunnel release is performed to relieve pressure on the _____nerve.

Median

During the lumbar laminectomy the surgeon will need the ________ a manual handheld retractor for exposure and a _________to retract the nerve.

Taylor, Scoville

Flashcards: CST Prep Exam Chapters 13-24