RLQ refers to what part of the abdominal section?
right lower quadrant
The abdomen is divided into nine regions; the organ located in the umbilicus area is in the
All of the following are distinct tissue layers that support the viscera, EXCEPT
What is achieved by insufflation of carbon dioxide into the abdominal cavity?
End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for:
A McBurney incision is used for surgical procedures of the
The freeing up of tissue from its attachments before anastomosis or resection is
Protrusion of abdominal or inguinal tissue directly through the transversalis fascia is a(n)
direct inguinal hernia
A hernia arising from a weakness in the transverse fascia below the inguinal ligament is a(n)
An abdominal wall defect occurring in the linea alba at the umbilical ring is a(n)
What term is used for surgical opening of the abdominal or peritoneal cavity?
The spermatic cord is retracted with a small
All of the following are supplies needed for a GI surgery, EXCEPT
A procedure in which two hollow organs are joined surgically is
When setting up the Mayo Stand for an Exploratory Laparotomy, which of the following instruments would NOT be placed there?
#11 on #3
During a laparoscopic cholecystectomy, which two structures are occluded?
cystic duct and cystic artery
During a splenectomy, what four major requirements must be met to stop bleeding?
access, visualization, good lighting, clamps
During this procedure, a gamma ray detecting probe is used to determine which lymph nodes are affected.
sentinel lymph node biopsy
give the appearance of a stone on x-ray
During cholangiography, bubbles in the contrast media would likely:
The most common type of hernia is the:
A Whipple procedure is done for treatment of a tumor in which abdominal organ?
Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis?
When checking gastrointestinal anastamoses for leaks, the surgeon will look for ____________ which would indicate that there is not a water tight seal present.
What term describes a benign condition of breast enlargement in men?
Parathyroid glands regulate the blood calcium concentration.
In a(n) _____________ hernia, tissue protruding from the hernia may be swollen and squeezed.
The Harrington Sweetheart retractor is commonly used in the Thyroidectomy procedure.
A direct hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle.
“Bowel technique” refers to steps used by the surgical team to prevent postoperative:
Due to the vascular and friable nature of the liver, a surgeon may choose to use suture on which type of needle?
Kate is setting up for an open exploratory laparotomy. When the surgeon asks for warm irrigation fluid, she knows she must change the suction tip. Which suction tip will be the safest to use to avoid tissue damage while in use?
A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the:
The most common incision used for an Exploratory Laparotomy would be the:
The tube used to drain bile from the common bile duct following exploration is a:
Relief of symptoms without curing a disease is referred to as a/an _________ procedure.
Fine dissecting scissors used during abdominal surgery are:
While manipulating the gall bladder, the liver is torn and begins to bleed. Which of the following technologies will the surgeon use to cauterie the liver bed using a “no-touch” technique?
argon beam coagulator
A Nissen Fundoplication procedure is done to correct:
anti reflux disease
The Ligating and Dividing Stapler (LDS) must be rinsed off in a “dirty” basin in after each use to avoid future misfire or damage to the anastamosis.
the four functions of the GI tract are: ingestion, secretion, digestion, and absorption.
What type of stitch will be placed around the base of the appendix?
The primary function(s) of the large intestine are:
all the above
_________ is often used in hernia repairs and is very expensive. Therefore, it must be kept in the room and only opened once the surgeon confirms that is what they want.
The surgical technologist knows that the surgeon may request Trendeleburg or Reverse Trendelenburg position to provide ______________.
displacement of abdominal contents for better visualization
Pro’s to Minimally Invasive Surgery include:
all the above
When scrubbing minimally invasive surgical procedures, the CST must always be prepared to convert to an open approach rapidly.
Wound evisceration is the partial or complete disrupture of the suture line. The organ does not come out of the opening.
Nerve damage near the incision site can be from poor instrument handling during the surgical procedure.
The organs and organ systems that are included in general surgery are the following EXCEPT
Paralytic ileus is the post-operative complication that presents as painful, distension of the abdomen and lack of peristalsis.
Excessive bleeding during menses is ____________.
The ________ is/are small projection(s) that extend from the end of the tube.
When there is a large abdominal mass, the pelvic organs are pushed out of their normal positions. __________ may be inserted prior to the procedure in order to permit easy identification of the ureters that are near or within the dissecting area.
The structures that together make up the external genitalia are called the
The ________ glands lie on both sides of the vestibule and secrete mucus during sexual intercourse.
Which instrument is used to manipulate the fallopian tubes without compression or damage?
Most ______________ procedures are performed with the patient in the supine or lithotomy position.
_____________ pelvic procedures require vaginal speculums and long instruments, including uterine clamps and heavy dissecting scissors.
surgical blockage prevents implantation (pregnancy) and development of a ________.
Continuous irrigation may be used to locate microscopic _________.
LAVH is the removal of the uterus by a combined ________ and vaginal approach.
In total abdominal hysterectomy, the surgeon uses _____ scissors and long tissue forceps to separate the bladder and the uterus.
A _________ hysterectomy is performed to treat pelvic malignancy.
During _________ a fiberoptic hysteroscope is inserted through the cervix and into the uterus.
_________ is absorption of fluid into the vascular system, leading to increased blood pressure and possible death related to fluid overload.
The hysteroscope is inserted into the uterus with the _________ in place.
The ________ is a thick organ that adheres to the uterus on the maternal side.
How many stages of labor and delivery does the patient go through?
The anatomical area between the posterior vestibule and the anus is the ____________.
In which procedure would the surgeon likely request 8-0 or 9-0 suture?
For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy?
weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes
What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?
What color is the abnormal tissue after staining with acetic acid in a cervical biopsy?
What is the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-section?
It reduces the pressure of the gravid uterus on the vena cava.
All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis, EXCEPT:
Cervical cerclage is performed to:
prevent spontaneous abortion
Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section?
Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures?
What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy?
When is the first "uterine count" performed in a cesarean section?
when the first suture is given for closure of the uterus
Bulb syringes are used in obstetrical delivery procedures to:
suction the mouth and nares of the neonate
In which of the following procedures would the patient be left without a vagina or any of the female reproductive organs and have a permanent colostomy and ileostomy?
Cherney, Maylard, and Pfannenstiel are examples of gynecologic:
transverse abdominal incisions
For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps?
Which of the following is routinely done first in a basic gynecologic laparoscopy that may require a small separate setup and glove change before proceeding?
insertion of uterine manipulator
Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas?
Which type of needle holder is curved and frequently used for hysterectomy procedures?
________ is a nearly sterile fecal waste that accumulates while the fetus is in the uterus.
Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are:
isolated as contaminated
Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy?
Which procedure involves an en bloc removal of the uterus, bilateral ovaries and fallopian tubes, supporting ligaments, upper third of the vagina, and pelvic lymph nodes?
Which instrument should the surgical technologist have ready to provide exposure during cesarean section procedures when the uterine incision is made?
The cervix is the lower neck of the ______________.
Which instrument is used to grasp the cervix and provide traction during cervical dilation?
single tooth tenaculum
What is used to achieve tissue destruction in an endometrial balloon ablation?
hot dextrose water
in a robotically assisted hysterectomy, the surgical technologist may be responsible for removing the specimen from the vagina after the vaginal cuff closure has been completed.
Clamp, clamp, cut, tie (CCCT) is a way to anticipate routine dissection steps during hysterectomy procedures.
Which of the following procedures surgically removes an ovary?
Methods to reduce adhesion formation following a Myomectomy include:
all of these
Benefits to having a Vaginal Hysterectomy include:
all of these
Which of the following is a long bone that is the largest in the human body?
Which mineral is stored in the bones and constantly being removed to maintain necessary blood levels?
Which of the following is the hard, dense bone that surrounds the marrow cavity?
What type of bone is the patella?
What is the medical term for spongy bone?
What is the outside covering of bones that provides some nourishment and protection from infection?
Hallus valgus is a condition in which there is a turning outward from the midline found in the
What is the medical term for a bony prominence projecting from a bone, as in a bunion?
Which of the following is an acute, emergent condition of compression of neural and vascular structures, usually occurring in the upper and lower extremities following traumatic fractures?
The term C-arm refers to a(n):
Which device is sometimes used for achieving and maintaining the lateral position?
Which positioning device is frequently used for femoral nailing with leg traction and allows for placement of the C-arm?
Which of the following devices helps to achieve limb exsanguination?
Which of the following statements regarding generally safe continuous tourniquet inflation time is CORRECT?
lower extremity = 1 1/2 hours; upper extremity = 1 hour
What is polymethyl methycrylate used for in orthopedic procedures?
Which of the following is the longest bone in the upper extremity?
Which instrument is used frequently in arthroscopies to examine and manipulate internal structures?
A fracture of the neck of the femur would require a/an:
When should the CST scrubbing in Orthopedics plan to change their gloves due to high incidence of contamination?
after draping the limb
Which of the following surgical procedures requires the use of x-ray?
Which surgical instrument determines the length of the screws to be implanted into bone?
Examples of bone implants include all of the following except:
The proper order for the steps for screw insertion is:
drill measure tap screw
The cancellous screw has threads about two-thirds of the way up the screw (called the shank), and a nonthreaded area of shaft. Cortical screws have threads all the way up the shank to the head of the screw.
Bone plates are not used to stabilize bone or repair fractures.
If implants of differing alloys are used, they can corrode and cause implant breakdown.
Any implant that is used must be documented in the patient’s anesthesia record.
The CST should always measure any screws prior to handing them to the surgeon.
Reusing an implant could weaken them.
Patients diagnosed with shoulder impingement syndrome would likely undergo:
What should the surgical technologist do while the surgeon is using the oscillating saw during open acromioplasty?
drip small amounts of irrigation onto blade to prevent overheating
All of the following are indications for total shoulder arthroplasty EXCEPT:
moderate impingement syndrome
Which instrument is used to remove marrow from the canal of long bones for placement of prostheses?
Which bone is involved in a Colles’ fracture?
Which method of reducing a fracture carries the highest potential for surgical site infection?
ORIF for compound comminuted fracture
What is the name of the deep, round fossa of the hip joint?
Which positioning device will be used for ORIF of intertrochanteric femoral fracture?
Which additional PPE is frequently worn by sterile team members during total joint procedures to prevent possible SSI?
space suit or body exhaust suits
What should the surgical technologist have ready to clean bone or tissue from a rongeur?
Cannulated screws and nails are designed to follow the path created by a:
Which ligament of the knee keeps the femur from sliding posteriorly on the tibia and prevents hyperextension of the knee?
Patellar tendon, iliotibial band, and semitendinosus tendon are examples of:
autografts for ACL repair
Liston knife and Gigli saw are examples of instruments used for which type of procedure?
The Achilles Tendon is the thickest and strongest in the body.
Bone wax may be loaded onto the end of a Cobb Elevator to spread onto the tendon for excess bleeding.
Arthroscopic procedures require only one small incision through which all the instruments are passed.
There are limited choices of total joint systems available, making standardization routine and uncomplicated.
Double gloving should be done as a routine in orthopedic cases due to exposure to various sharp instruments and potentially jagged bones.
Which of the following demonstrates the correct order of steps for femoral canal preparation during total hip arthroplasty?
reamer, rasp, pulse lavage
What is a serious bone infection that may result from a compound fracture and become chronic later?