CST Prep Exam 2020 B

Which of the following is considered the MOST important skill for a surgical technologist? A. management of specimens B. management of sponges C. maintaining an orderly setup D. ensuring adequate lighting

The surgical incision that allows for the BEST visualization for a Billroth I procedure is A. McBurney's. B. Pfannenstiel. C. midline. D. subcostal.

During the postoperative phase, the personnel primarily responsible for transporting soiled instrumentation to decontamination is the A. housekeeping staff. B. anesthesia technician. C. surgical technologist. D. central processing technician.

CSF is formed in the lateral ventricles of a patient and may not properly flow into the third ventricle through the foramen of A. Magendie into the fourth ventricle. B. Monro into the fourth ventricle. C. Sylvius into the fourth ventricle. D. Luschka into the fourth ventricle.

During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? A. Place on a Raytec to be handed off to the circulator. B. Separate on Telfa and pass to the circulator. C. Place in separate containers and identify. D. Place in specimen container held by the circulator using a hemostat.

A surgical technologist received the following medications onto the sterile field: 0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine. Which of the following is the MOST appropriate way to label these medications? A. saline + bacitracin and .25 Marcaine + epinephrine B. NACL + 1 gm baci and 0.25 marc w/epi C. saline + baci and 0.25% marc with epi D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine

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? A. Monocryl suture and harmonic scalpel B. laps, silk ties, and hemoclips C. Vicryl ties, pledgets, and Alexis D. nylon suture, Raytec, and Geralds

If there is any question related to handling a specific type of specimen, which of the following departments should be consulted? A. histology B. laboratory C. pathology D. radiology

The required number of air exchanges per hour in an OR is A. 5 to 10. B. 15 to 25. C. 30 to 35. D. 40 to 50.

A special-made instrument without a backup falls to the floor during a procedure. Which of the following is the BEST reason to hesitate performing immediate-use sterilization? A. The sterilizer is used for implantable devices, but not instruments. B. The manufacturer's standards for sterilizing the instrument are unknown. C. The staff feels uncomfortable transporting the unwrapped instrument to the OR after sterilization. D. There are no wrappers or pouches available for sterilizing the instrument.

When transferring a thoracotomy patient to recovery, the chest drainage system should be A. disconnected. B. placed at the patient's side. C. positioned above the patient's head. D. maintained below the patient's chest level

Which of the following procedures requires an incision in the suprasternal notch? A. mediastinoscopy B. bronchoscopy C. parotidectomy D. pericardectomy

When preparing surgical specimens, in addition to the surgical technologist, who else is responsible for accurately labeling the specimen? A. surgeon and anesthesiologist B. circulating nurse and first assistant C. anesthesiologist and first assistant D. surgeon and circulating nurse

A T-tube drain may be used following A.a splenectomy. B. a choledochotomy. C. an appendectomy. D. a herniorrhaphy.

When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist places the staples through which two layers? A. cuticular and subcuticular B. subicular and subcutaneous C. subcuticular and subcutaneous D. subcutaneous and fascia

A type of regional anesthesia in which a tourniquet is applied and local anesthetic is administered intravenously is called a A. Bier block. B. peripheral nerve block. C. MAC. D. caudal anesthesia.

During a craniotomy, which of the following types of bone is entered? A. flat B. round C. long D. short

A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given? A. 0.5 mL B. 1.0 mL C. 1.5 mL D. 2.0 mL

Which of the following is MOST likely to be used during a posterior cervical decompression? A. Kirschner wire B. Hoffman device C. Steinmann pins D. Mayfield clamp

Which of the following is the MOST acceptable technique when placing a patient in the lithotomy position? A. arms placed on arm boards placed at 110 degrees B. legs placed in stirrups one at a time C. both legs placed in stirrups simultaneously D. hips placed above the lower break of the table

Which of the following supplies should the surgical technologist have available for placement of a long arm cast? A. Xeroform B. Webril C. Telfa D. Kerlix

How much 0.25% bupivacaine should be mixed with 1 mL of 1.0% lidocaine to make the solution equal strengths of both medications? A. 2.0 mL B. 4.0 mL C. 5.0 mL D. 10.0 mL

The appendiceal stump, when inverted, is held in place by which of the following types of sutures? A. mattress B. traction C. interrupted D. purse-string

A surgeon asks for warm irrigation after a right hemicolectomy. Which of the following BEST describes the reason for irrigating at this point in the procedure? A. to clean out the area of any loose tissue B. to maintain the core body temperature C. to eliminate any infection-causing microbes D. to aid visual inspection for leakage

Which of the following devices should the surgical technologist have delivered to the sterile field for a low anterior resection? A. GIA linear stapler B. ligating dividing stapler C. intraluminal stapler D. TA-60 stapler

Which of the following is reshaped during a total hip arthroplasty? A. fibula B. acetabulum C. iliac crest D. tibia

An organization that regulates the production of biological sterilization test packs in-house is A. CDC. B. ANSI. C. AAMI. D. SDS

Rod-shaped bacteria are called A. bacilli. B. cocci. C. vibrio. D. spirals.

A type of passive transport when salt crystals dissolve in water is known as A. phagocytosis. B. endocytosis. C. osmosis. D. diffusion

Utilization of lasers in the operating room requires the use of A. a HEPA filter mask. B. a lead apron. C. double gloves. D. eye protection.

During application of a Volar splint, the surgical technologist notices that the splint was not completely dried and has caused a pressure point on the patient. Which of the following should be the surgical technologist's NEXT step? A. Allow the splint to remain as-is and allow more time to dry. B. Notify the nurse and let the nurse handle it. C. Bring it to the surgeon's attention and assist in putting on a new splint. D. Apply a new splint and notify the surgeon when finished.

Sponges that have been added to the sterile field after a procedure has begun should be counted by the A. circulator and surgeon. B. surgical technologist and surgical first assistant. C. surgeon and surgical first assistant. D. surgical tech and circulator

Which of the following spore-forming microorganisms are used as biological monitors for checking steam sterilization effectiveness for a load of instruments in a rigid container? A. Bacillus stearothermophilus B. Bacillus atrophaeus C. Mycobacterium tuberculosis D. Streptococcus pyogenes

After surgery, the scrub tech takes the instruments used in surgery to the decontamination area. How soon should these instruments be washed? A. within 20 minutes B. within 10 minutes C. as soon as they arrive to the decontamination area D. any time the technologist is available

Which of the following types of laser is typically used for stone fragmentation in the ureter? A. argon B. krypton C. carbon dioxide D. holmium: YAG

If a patient is undergoing a mastectomy immediately followed by reconstruction, how many surgical setups should be obtained A. One; the reconstruction will immediately follow the mastectomy, so the same instruments can be used without additional interventions. B. One; the reconstruction will immediately follow the mastectomy, so the same instruments can be used after they are cleaned with sterile water. C. Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding. D. Two; the reconstruction will immediately follow the mastectomy, but it will be done in a different OR so two sets are needed.

Which of the following instruments is used to thread a vascular graft from one incision to another? A. hemostat B. tunneler C. DeBakey vascular forcep D. Randall Stone forceps

A patient has developed a hematoma at the incision site after the surgeon has left the room. The surgical technologist should A. place a pressure dressing on the site. B. cover the site with Dermabond. C. use a Steri-Strip for the incision site. D. request the surgeon to return.

The surgical technologist hands the surgeon the dressing at the end of a procedure. Which of the following is the BEST method to follow in regard to removing the drape A. The circulator applies the tape before the removal of the drape. B. The circulator assists the surgeon with cleaning the patient before removing the drape. C. A sterile team member holds the dressing in place while the drape is removed. D. A sterile team member applies the tape after the drape has been removed.

Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured NEXT? A. fascia B. muscle C. subcutaneous D. subcuticular

Which of the following arteries is commonly used for taking a blood pressure reading? A. radial B. femoral C. brachial D. popliteal

Which of the following is applied as a nonadherent dressing? A. Adaptic B. Dermabond C. Steri-Strip D. Elastoplast

When donning gloves using the open-gloving technique, the ungloved hand will touch the A. outer side of the cuff of the glove. B. outer side of the sterile glove. C. cuffed edge nearest the glove palm. D. folded edge of the cuff of the glove.

Necrotizing fasciitis confined to the perineum and scrotum is known as A. cellulitis. B. Gerota's fasciitis. C. boil. D. Fournier's gangrene.

Where is the gastrocnemius muscle located? A. arm B. calf C. back D. thigh

For a splenectomy procedure, which of the following clamps should be used? A. Allen B. Doyen C. Duval D. Satinsky

A cystectomy with ileal conduit procedure was performed. The surgical technologist anticipates the need for a stoma A. pouch to collect body fluids. B. flange to create an artificial orifice. C. pouch to heal the wound. D. collar to provide suction for drainage.

IUSS sterilizers are typically located in an area A. that is designated as a restricted sub-sterile room. B. in the semi-restricted corridor with other equipment. C. outside of the OR department. D. inside a designated OR.

Which of the following surgical needles is MOST appropriate for use in a liver resection? A. cutting B. taper C. blunt D. trocar

To help in the calculation of the amount of blood loss, the surgical technologist should A. weigh the blood-soaked sponges. B. measure the amount of collected fluid. C. administer the blood replacement. D. report the amount of irrigation used.

During dilation and curettage, after the Auvard weighted vaginal speculum is placed, which of the following instruments is used to grasp the cervix? A. Hegar dilator B. uterine sound C. Sim's curette D. single tooth tenaculum

Which of the following is the MOST accurate method to check steam autoclave effectiveness? A. chemical indicator B. biological indicator C. external tape D. temperature recording device

Following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take? A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the patient. B. Remove gown and gloves, don a pair of unsterile gloves to remove drapes from the patient, and remove instruments and supplies from the back table. C. Remove gown and gloves, don a pair of sterile gloves to remove drapes from the patient, then replace those gloves with a pair of unsterile gloves to clean the back table. D. Remove sterile drapes, remove gown and gloves, and don a pair of sterile gloves to clean the back table.

Which of the following will place a staff member at risk for work-related musculoskeletal disorders? A. working in the same posture for prolonged periods B. making small adjustments to a chair or backrest C. using four team members to transfer a patient laterally D. frequent position changes while standing at the sterile field

While setting up for a surgical procedure, a surgical technologist discovers a puncture in the right surgical glove. If no one is available to assist, the BEST solution for the surgical technologist is to A. request the circulator to reglove the contaminated hand. B. ask the circulator for a new set of gloves to perform a closed-gloved technique. C. ask the circulator for a new gown and gloves to regown and reglove. D. request another set of gloves to place over the punctured glove.

During the application of arch bars, the surgeon will MOST likely use which of the following between the teeth and around the bar? A. 0-1 Dexon B. 5-0 to 6-0 Vicryl C. 24- or 26-gauge stainless steel wire D.35- or 40-gauge stainless steel wire

Which of the following is necessary for ethylene oxide sterilization to occur? A. indirect contact B. gravity displacement C. humidity D. steam

Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? A. shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder B. base of the neck, shoulder, scapula, chest to midline, and circumference of upper arm down to the elbow C. entire arm, shoulder, axilla, including the hand D. chin to umbilicus and laterally to the table line

Which of the following is done FIRST when performing a myringotomy? A. inserting a drainage tube B. incising the tympanic membrane C. suctioning fluid from the middle ear D. removing cerumen from the ear canal

During a laminectomy, disk material is removed with a A. Cobb elevator. B. Kerrison rongeur. C. pituitary rongeur. D. periosteal elevator.

When positioning a patient for lithotomy, care should be taken to avoid injury of the peroneal nerve, which can cause injury to the A. hip. B. ankle. C. foot. D. elbow.

Which of the following is the name of the MOST common BI used for ethylene oxide sterilization? A. Geobacillus thermoglucosidasius B. Bacillus atrophaeus C. Bacillus anthracis D. Geobacillus stearothermophilus

Apart from trauma cases, which of the following incisions would be BEST for sigmoid surgery? A. vertical midline B. vertical paramedian C. oblique subcostal D. lower transverse

Which of the following suturing techniques features short lateral stitches that are taken beneath the epithelial layer of skin? A. purse-string B. traction C. mattress D. subcuticular

Which of the following reflexes involves plantar flexion of the foot? A. Achilles B. patellar C. Babinski D. abdominal

In which of the following procedures should the surgical technologist expect to use cottonoids? A. abdominal hysterectomy B. abdominal perineal resection C. lumbar laminectomy D. open cholecystectomy

67.Which of the following advantages do hand-held retractors have over self-retaining retractors? A. less exposure B. operator dependency C. fatigue reduction D. repositioning ability

A surgical technologist is preparing a fresh specimen for frozen section to be passed off of the field. How should the specimen be prepared to be passed to the circulator? A. Wrap it in a moist sponge. B. Remove any suture material that may be attached. C. Wrap it in a Telfa pad. D. Remove it from the back table using a hemostat.

Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas? A. Heller B. Whipple C. Bankart D. Billroth I

The only true indicator of item sterility is A. mechanical. B. chemical. C. administrative. D. biological.

A #12 knife blade on a #7 handle is MOST commonly used for which of the following types of surgery? A. gastrectomy B. hysterectomy C. adenoidectomy D. tonsillectomy

Which of the following terms refers to the transfer of heat from one substance to another by the natural movement of molecules, setting other molecules in motion? A. amplitude B. conduction C. convection D. insulator

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

The parathyroid gland regulates A. insulin. B. calcium. C. sodium. D. aldosterone.

A pad-like sac or cavity that prevents friction within a joint is known as a A. bursa. B. fossa. C. ganglion. D. ligament.

Which of the following staplers should be used for low anterior intestinal resection? A. EEA B. skin C. LDS D. purse string

Which of the following is the name of the avascular strip of tissue at the midline which runs from the xiphoid process to the pubis? A. linea semilunaris B. linea alba C. arcuate line D. midaxillary line

A wound that has regrowth of damaged blood vessels and synthesizes scar tissue is in which of the following wound healing phases? A. inflammatory B. migratory C. proliferative D. maturation

When cleaning instruments, the PH of the water that should be used is A. 5.0. B. 6.0. C. 7.0. D. 8.0.

Which of the following is a heavy, curved, tapered needle? A. Mayo B. Keith C. Ferguson D. Arterial

Once a procedure has concluded, the proper order to remove personal protective equipment is A. gown, gloves, and then mask. B. gloves, gown, and then hat. C. gloves, gown, and then mask. D. gown, gloves, and then hat.

Which of the following is the name of the incision made in a simple open nephrectomy? A. Gibson B. low transverse C. subcostal flank D. McBurney's

An excised lipoma was filled with non-purulent serosanguineous fluid. Which of the following should be documented as the wound classification for this procedure? A. clean wound B. dirty-infected C. clean-contaminated D. contaminated

Which of the following medications is the anesthesia provider responsible for recording the name, amount, and delivery method during a surgical procedure? A. thrombin B. topically applied epinephrine C. polymyxin B sulfate irrigation D. propofol

Which of the following can prevent thrombophlebitis in a patient who is considered bariatric? A. a Bair hugger B. sequential compression device C. another OR table to accommodate the patient D. extra positioning aids

Which of the following staplers is used to divide blood vessels? A. EEA B. LDS C. GIA D. TA-60

Which of the following cranial nerves' nuclei are associated with the medulla? A. trigeminal B. abducens C. facial D. vagus

Mannitol (Osmitrol) is used in neurosurgical procedures to A. prevent bleeding. B. decrease intracranial pressure. C. anesthetize the operative site. D. fight possible postoperative infection.

Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are A. covered by the inside of the sterile glove. B. twice as thick as the sleeve. C. absorbant and collect moisture. D. stretchable and pliable.

A patient is having a hemolytic reaction. Which of the following actions should the surgical team take FIRST? A. Administer dantrolene. B. Stop the transfusion. C. Monitor urine output. D. Send a blood sample to blood bank.

Which of the following is a type of emergency that does not require Federal assistance and is MOST likely to occur in a larger city? A. mass casualty event B. pandemic C. natural disaster D. terrorism

Which of the following instruments is found in a basic laparotomy setup? A. Castroviejo needle holder B. Mayo scissors C. Dandy clamp D. Raney clip applier

Which of the following instruments is used for placement of cottonoids during a craniotomy? A. bayonet forceps B. Russian forceps C. hemostat clamp D. DeBakey clamp

Which of the following structures are ligated and divided during a cholecystectomy? A. cystic artery and cystic duct B. hepatic artery and hepatic duct C. cystic artery and common bile duct D. hepatic artery and pancreatic duct

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? A. leg stirrups B. chest rolls C. bean bags D. axillary rolls

A patient is in the supine position following a lung resection. Which of the following BEST describes the placement of the collection unit once it is connected to the chest tube? A. above the level of the thoracic cavity B. below the level of the thoracic cavity C. at the level of the patient's head D. at the level of the patient's feet

Which of the following anatomical structures is located just under the diaphragm in the left upper quadrant of the abdomen? A. stomach B. appendix C. gallbladder D. liver

Which of the following is the MOST important consideration when cutting a suture? A. avoiding the knot B. using sharp scissors C. opening the scissors wide when cutting D. tagging the end of suture to be cut with a hemostat

The oxygen-carrying capacity of red blood cells is a function of A. albumin. B. hemoglobin. C. hematocrit. D. prothrombin.

At the start of a surgical procedure, two Forester sponge forceps are clamped to the end of a drape sheet so the drape ends can be securely weighted down during C-arm use. At the end of the surgical case, the two Forester sponge forceps are unclamped by the radiology technician. The surgical technologist should A. take the sponge forceps and place them on the back table. B. request that the sponge forceps be placed inside the case cart. C. rake the sponge forceps and place them in the case cart. D. request that the sponge forceps be placed onto the back table.