What clip is used for scalp hemostasis in cranial procedures?
Raney
The local freezing if diseased tissue to facilitate removal without bleeding is called
Cryosurgery
In severe aortic stenosis, what is not an indications of valve replacement
Palpitations
In the event a child requires emergency surgery, but the parents cannot be located to sign the surgical consent:
Consent is signed by two consulting physicians
Ethylene Oxide (ETO) sterilization destroys microbes by the process of:
Alkylation
What is the most common cause of aortic aneurysm?
Atherosclerosis
What is used to determine the position of cannulated screws during repair of a femoral neck fracture?
Guide pins
The instruments show are used to dilate the:
Cervix
What are the instruments below called and used for what procedure
Hagar dilators / D&C
Prior to being placed in the Eto sterilizer, items must:
Be completely dry
During general anesthesia induction, which sense is the last to be experienced by the patient?
Hearing
The purpose of creating an arteriovenous fistula is for:
Hemodialysis
What nerve is at greater risk during a thyriodectomy?
Recurrent laryngeal
Which nerve could be compressed against the humerus in the prone position?
Radial
What is the surgical procedure for reducing testosterone in prostate cancer?
Orchiectomy
What is the name of the retractor shown below?
Harrington
Great for retracting abdominal organs
If the broth in the steam sterilization biological indicator is yellow after incubation, what action to be taken?
Items must be immediately recalled
A specimen that is 5 centimeters is equal to:
2 inches
Which of the following vessels arises from the right ventricle of the heart?
Pulmonary artery
The instrument below is used to:
Osteotome - cut bone
Which area is prepped first when performing the skin prep for a skin grafting procedure?
Donor site
Which of the following has legal significance in the mishandling of a bullet?
Damaging ballistic markings
Which procedure requires preoperative high-level disinfection of the endoscope?
Bronchoscopy
What maintains the position of the uterus?
Broad ligament
What device would the surgeon use to preserve facial motor and sensory functions during a parotidectomy?
Nerve stimulator
if the surgeon uses a knife blade to incise the oral mucosa, the preferred blade is:
12
The gravity steam sterilization process can be rendered ineffective if the:
Temperature is below 250deg
A suture used to retract a structure to the side of the operative field is a/an:
Traction suture
What must the circulating surgical technologist do when placing the patient in the supine position?
Confirm angles are not crossed
What body system aids in the metastatic spread of cancer cells?
Lymphatic
Which of the following is inserted into the symphonic membrane incision during a myringotomy?
PE tube
Which organelle contains digestive juices?
Lysosome
During a thyriodectomy, if all parathyroid glands are accidentally removed, what complications will occur?
Tetany
Which of the following surgical instruments is used to retract the lung?
Allison
Which of the following instruments would be used to remove nasal polyps?
Krause nasal snare
What anatomical structure is Mersilene tape sutured around during a cerclage?
Cervix
What does the suffix - ectomy mean?
Excision
What would the preoperative diagnosis be for an infant undergoing craniotomy?
Craniosynostosis
Where is the anterior chamber of the eye located?
Posterior to the cornea and anterior to the iris
What would contraindicate preoperatively setting up the cell saver machine?
patient has cancer
Which medication is contraindicated for patients with a history of malignant hyperthermia?
Succinylcholine (triggers malignant hyperthermia)
What is an incision into the tympanic membrane for the removal of accumulated fluid?
Myringotomy
What is not required when a patient is placed in the prone position
safety belt is placed below the knees
A tissue specimen being sent to pathology for a frozen section is prepared by placing it into a :
container without preservative
The body's first line of defense against infection is:
intact skin
Which stapling device would be used to create an anastomosis during a low anterior resection?
EEA
Packing material would be placed as a dressing after surgery on the:
rectum
What is the lining of the thoracic cavity?
Pleura
What is the proper method of removing the knife blade from the handle when breaking down the Mayo stand?
Use a heavy hemostat or needle holder
What route of drug administration is parenteral
Intravenous
The vascular, fibrous covering of bone is the:
Periosteum
What type of dressing would usually be used for a laparotomy procedure?
pressure
To prevent deep-vein thrombosis in the bariatric patient, what preoperative drug is given?
Heparin
Which space is entered during a thymectomy?
Mediastinum
Femoral rasps are used for what reason:
Prepare the intramedullary space for a prosthesis
What is part of the immune system?
Spleen
What incision is frequently used for pediatric aortic coarctation repair?
Posterolateral thoracotomy
Type and cross match for blood is completed:
If blood loss with replacement is anticipated
The purpose of the kidney elevator is to:
Increase the space between the lower rib and iliac crest
When storing information on the hard drive of a computer, what is clicked?
save
What is the proper method for handling disposable suction containers when turning over an OR?
Wipe down outside of the container and place in biohazard bag for disposal
Which of the following can cause lumbosacral strain in the lithotomy position?
Buttocks extend past table break
A midline xiphoid to pubis incision is commonly made for a/an:
Abdominal aortic aneurysmectomy
Which item should the surgical technologist confirm is available for a nerve repair?
Loupes
How often should biological testing of EtO sterilization be conducted?
Every load
Which of the following is a liquid chemical sterilant often used for sterilizing endoscopes with a cycle time of 30 minutes?
Peracetic acid
When should the first closing sponge, sharp and instrument count be completed?
prior to closure of the body cavity
Which of the following skin preps is contraindicated for use around eyes and ears because of potential for corneal abrasions and ototoxicity?
Chlorhexidine
A short-acting narcotic opioid given intramuscularly for preoperative sedation is:
Meperidine
The leg extensor muscle:rectus femurs, vastus laterals, vastgus medial is and the vast us intermedius are collectively called the;
Quadriceps femoris
What does the term - scope mean?
viewing
How many minutes should a Frazier suction tip be immediate-use sterilized (flash sterilized) in a gravity steam sterilizer?
10
What preoperative procedures should be completed for the diabetic patient
Antiembolic stockings placed on patient
Induced hypothermia is typically associated with which of the following surgical specialities?
Cardiothoracic
What block involved medication being injected into the subarachnoid space?
spinal
What conditions might require use of a Silastic urethral catheter?
latex allergy
A patient received preoperative instructions to remove nail polish to:
Prevent pulse oximeter malfunction
How often should the steam sterilizing machine's strainer be cleaned?
daily
What is the smallest microorganism that requires a host cell for replication?
virus
Which surgeon might provide the operative exposure for the neurosurgeon in a transphenoidal approach to the sell turcica?
Otorhinolaryngologist
An intraoperative mutagenic and carcinogenic hazard of laser use is:
Laser plume
What type of solution is recommended for cleaning the OR floors during room turnover?
Detergent-disinfection
What is used to remove resected prostatic tissue during a TURP?
Ellik
A patient is instructed to be NPO for 8 hours prior to surgery to prevent:
Aspiration
The essential element of hemoglobin is:
Iron
In which procedure would the instrument shown below be used?
Hysterectomy
A large, bony process found on the femur is a :
Trochanter
What incisions would be performed for repair for a liver laceration?
Midline
Just before the surgeon makes the skin incision which of the following must be performed?
time-out
The pulse rate of pregnant patients:
Increases
Which portion of the stomach is superior to the esophageal sphincter?
fundus
A linen pack to be steam sterilized must not weigh more than:
12lbs
The closing sponge count should be initiated at the:
operative field
During which procedure is it imperative that the surgical tech maintain the sterility of the back table and mayo stand until the patient is transported out of the OR?
Tonsillectomy
Which statements concerning peel-packs is correct?
When labeling with felt-tip marker write on the plastic side
Which two structures are identified and ligated during a cholecystectomy?
cystic artery and cystic duct
Which is the primary responsibility of the first scrub surgical tech during a cardiac arrest in the OR?
Protect the sterile field
What does pneumonectomy mean?
removal of a lung
How many hours must the steam biological indicator by incubated before reading the results?
24
Which of the following is responsible for causing transmission of spongiform encephalopathy?
Prion
The thyroid gland consists of right and left lobes joined by the ;
Isthmus
A sustained contraction produced by rapid stimuli is called:
tetany
What type of heart rate does tachycardia describe?
Fast
What would be the least likely complication of suprapubic prostatectomy?
Acute phlebitis
When is the surgical consent typically signed?
Before preoperative medications are administered
What is the order for postoperative case management?
Remove drapes; preserve sterile field until patient leaves OR; remove gown and gloves; don non-sterile gloves to break down back table.
What type of needle is used when suturing the skin?
Reverse cutting
Which ultrasonic devices can be used intraoperatively to assess the patency of arterial blood flow?
doppler probe
The instrument shown below is used to:
Dissect periosteum from bone
Key periosteal elevator
The area of the brain that controls respiration is the:
medulla oblongata
What factor is used to determine the inflation pressure of a tourniquet?
patients age
What describes the time from incision to the dressing application?
Intraoperative
At the end of a procedure, and after the patient has been transported out of the OR, the surgical tech should remove the:
gown
The instrument shown below is used during a/an
thyroidectomy
Green retractor
What is considered the operative stage of anesthesia?
third
When performing the surgical scrub, the hands and arms are considered:
surgically clean
What is an obstetric complication resulting from overstimulation of the clotting processes?
disseminated intravascular coagulation
What does the term symbiosis mean?
Relationship between unlike species of organisms
What statements is true concerning cleaning OR walls between surgical procedures?
clean areas of wall splashed with blood or debris
Which anatomical structure is removed during a total hip arthroplasty?
femoral head
What controls the arrow on your monitor?
Mouse
Wound dressings should be opened:
After the last count is completed.
A stent may be placed to identify the ureter during which of the following procedures?
right colectomy
A rapid-onset muscle relaxant used for intubation is:
Anectine
A general consent form authorizes:
routine medical treatment
During which Step of an abdominal hysterectomy would the instrument shown below be used?
Make last cut to free the uterus
Jorgensen Scissors
What must be completed preoperatively if a patient underwent a barium study of the day of surgery?
Enema
What suture is contraindicated in the presence of infection?
Silk
When the surgical technologist is breaking down the back table, instruments with ratchets should be:
Placed in a basin with enzymatic solution in open position for transport to decontamination
The cup-like extensions of the renal pelvis that collect urine from the pyramids are:
Calyces
What is a type of one-layer dressing?
steri-strips
Braided nonabsorbable sutures should not be used in infected wounds because suture crevices:
Can harbor bacteria that travel length of suture
What postoperative complication can result from excess or prolonged planter flexion?
Foot drop
What immediate postoperative complication most often occurs with pediatric patients?
airway difficulty
Another name for a corneal transplant procedure is:
keratoplasty
Fertilization normally occurs in the:
Fallopian tube
What is the name of the instrument show below?
Kocher
The inner layer of an artery is the:
Intima
Which laser can be used on light and dark tissues?
Carbon dioxide
Which implant is used for individuals with sensorineural deafness?
cochlear implant
Splenectomy places the patient at an increased risk for:
Infection
In the presence of infection, the absorption rate of surgical gut is:
Increased
Dark blood in the sterile field could indicate?
Hypoxia
Which instrument will the surgeon use to free the entrapped orbital fat during repair of an orbital floor fracture?
Freer
A urinary tract infection, following a cystoscopy, is an example of what type of infection?
healthcare-acquired infection
What is a type of meniscal tear?
bucket handle
Which surgical procedure may require a suprabubic catheter to drain the urinary bladder?
Prostatectomy
What microorganisms is least likely to be associated with wound infections?
Treponema Pallidum (normally associated with syphilis)
Liquid agents used to reduce microorganisms on the patient's skin.
antiseptics
Which closed wound drainage requires being connected to a bulb evacuator?
Jackson-pratt
What term refers to items remaining indefinitely until the wrapper is compromised?
event-related sterility
Which vein would be harvested during a CABG?
Saphenous
When incubated, the ETo biological indicator can be read after:
24 hours
The structure that facilities the exchange of nutrients and wastes between the fetus and mother is the:
Placenta
When helping to turn over an OR between patients, the surgical technologists should:
Use a clean mop head
Vitrectomy is the removal of the:
Gel from the eye
When using ETO sterilization, the recommended aeration time for an aerator set at 140deg F is:
24 hours
Where should the biological indicator test be placed on the steam sterilizer cart?
bottom front
Which vessel empties into the right atrium?
Superior vena cava
Knife blades should be loaded onto the handle with:
Needle holder
Which vitamin is essential for the clotting proccess?
Vitamin K
From where do most intracanial aneurysms arise?
Circle of willis
What equipment would require preoperative draping by the surgical technologist?
c-arm
What dietary substance enhances the production of collagen?
Protein
The normal range of intraoperative pressure for the insufflator during a laparoscopy is?
12-15mm Hg
Where should the ETO biological indicator be placed in the load?
center
What is the proper way to remove a patient from the lithotomy position?
Lower legs together slowing in unison
What procedure should the first scrub technologist set up for when a female patient is undergoing a repair for a cystocele and rectocele?
anterior and posterior colporrhaphy
Which vein drains the small intestine?
Hepatic portal
Which specialized retractors are used during a rotator cuff repair?
Bankart
The concave notch of the kidney through which the ureter exits is the:
Hilum
The large artery found posterior to the knees is the:
Popliteal
Proper placement of the Foley catheter is confirmed prior to the balloon inflation by which of the following:
urine flowing out of the catheter
Which portion of the small intestine joins to the large intestine?
ileum
Which tank would be brought into the OR if a surgical technologist is preparing an oscillating saw?
compressed nitrogen