AST Practice Exam #3
Which cranial nerve is affected by trigeminal neuralgia?A. IB. VC. VID. VII
What is used to lubricate the donor site and reduce friction from the dermatome?
What is an example of proper sterile technique when performing the prep for a split-thickness skin graft?
Donor site first
What is the recommended range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic procedure?
12-15 mm Hg
What refers to the inability to direct both eyes at the same object
What procedure is performed to correct chronic cerebral ischemia?
According to the Rule of Nines what percentage is assigned to the front and back of the trunk?,
What term refers to an abnormal increase in the number of cells?
A second intention wound heals by what?
Intraoperative ventricular arrhythmias are treated with what?
How many milliliters equal two ounces?
Covering a sterile backtable for later use is permissible or not permissible?
Not permissible under any circumstances
In which position would a patient be placed to counteract hypovolemia?
What type of suture creates the least tissue trauma and drag?
What organization has legal oversight for the safety of healthcare providers in the work place?
Which level of Maslow's Hierarchy of Needs is most applicable to the surgical patient?
Physiological and survival
What would be an incorrect technique when removing the sterile gown and gloves?
Gloves removed first
What type of procedure might require a laparoscopy combination drape?
Cell destruction by steam sterilization occurs by:
Coagulation of protein
Which technique is not acceptable when draping?
Unfold drape before bringing up to the OR table
A patient's fingernail polish is removed for what reason?
To allow for use of a pulse oximeter
What is the purpose of maintaining air exchange rate at 15-20 times per hour in the OR?
To reduce microbial count
How many mL of water is necessary to inflate a 5-mL balloon on the Foley indwelling catheter?
If an ophthalmologist orders trimming of eyelashes how is it safely performed?,
Fine scissors coated with water-soluble gel
What is the correct technique for performing the surgical skin prep?
Incision site to periphery using circular motion
The laboratory test that determines the ratio of erythrocytes to whole blood is what?
What is the proper procedure to follow when a pack of sponges contains an incorrect number after the patient has entered the OR?
Hand off the sterile field and isolate
Which of the following types of specimens would not be placed in a preservative solution?A. ColonB. CalculiC. TonsilsD. Uterus
Where should the surgical technologist begin when performing closing counts?
What catheter tips is used in a patient with a urethral stricture?
What type of procedure would require a stent dressing?
What is used to ensure the preservation of the facial nerve during a parotidectomy?
What hemostatic agents is contraindicated for use in the presence of infection?
During closure of a nephrectomy in the lateral position the OR table is straightened to facilitate what?,
What must be tested prior to the use of a fiberoptic bronchoscope?
Excision of a constricted segment of the aorta with reanastomosis is performed to correct what?
Coarctation of the aorta
Which diagnoses would a patient undergo endoscopic retrograde cholangiopancreatography?
The high ligation of the gonadal veins of the testes performed to reduce venous plexus congestion is a/an what?
Trauma to two of the following cranial nerves would result in the loss of smell and vision?
I and II
What is performed for suspected ectopic pregnancy?
What is the correct procedure for treatment of glaucoma?
What procedure is performed to immobilize the jaw following a mandibular fracture?
Arch bar application
After a total arthroplasty procedures what would require the postoperative use of an abduction splint?
Untreated acute otitis media may result in what?
What is used intraoperatively to assess vascular patency?
The instrument shown what and would be used during what procedure?
Hurd dissector-Pillar retractor used for a tonsillectomy
What is the body's primary source of energy?
What is compressed during a rapid-sequence induction and intubation?
What term refers to the spread of cancerous cells to other parts of the body?
The shared passageway for food and air is the what?
The structure that lies along the posterior border of the testis is the what?
The valve between the left atrium and the left ventricle is the what?
Which characteristic describes an amphiarthrosis?
What is the most abundant ion in the body?
What is a method of bacterial survival when environmental conditions are not conducive to growth and viability?
What organ detects changes in the level of insulin and releases chemicals to regulate the level of blood glucose?
What does the term strike-through mean?
Soaking of moisture from unsterile to sterile layers
What monitoring devices would be used within a vessel?
When adding a 30 mL of injectable saline to 30 mL of 0.5% Marcaine what strength does the drug become?,
What action should be taken if the patient has withdrawn the surgical informed consent prior to surgery?
Do not transport patient and inform the surgeon
Confining and containing instruments with bioburden prevents what?
The unsterile size of the perimeter of a sterile wrap is what?
A substance that inhibits the growth and reproduction of microbes on living tissue is a/an what?
What action should be taken by the transporter if a discrepancy occurs in the identification of a patient in the nursing unit?
Do not transport, inform unit supervisor and OR personnel
A patient may be asked to shower at home with an antimicrobial soap before coming to the hospital for surgery for what reason?
To achieve a cumulative antimicrobial effect
What are the sequential steps performed prior to entrance into the sterile field?
Scrub, gown, glove
Which area is prepped last when performing the skin prep for a Bartholin's cystectomy?
The sterile surgical technologist should drape a table from where?
Front to back
What can be injured if the arm is placed on the arm board greater that 90 degrees?
What is the purpose of the third lumen in a three-way indwelling Foley catheter?
To instill irrigation fluids
Which of the following enlarges and illuminates the surgical field during cataract procedures?
Small radiopaque surgical patties used during cranial procedures are called what?
What hemostatic agents must be applied dry and only handled with dry gloves and instruments?
Which surgical specialty would utilize a phacoemulsification machine?
Which lasers would be contraindicated for use in the posterior chamber of the eye?
In which structure of the heart are the leads for a permanent pacemake placed?
Which diagnoses would a patient require pancreaticojejunostomy?
Which procedure would a Denis-Browne ring retractor be used?
Which cranial nerve is severed as a last resort treatment of Meniere's disease?
Brachytherapy is performed to treat what?
Which procedure is performed to improve the vision of patients with myopia?
The facial fracture that involves the complete separation of the maxilla from the cranial base is a/an what?
What is the name of this instrument?
Where is the incision for a Caldwell-Luc procedure made?
The device used for real-time intraoperative assessment of blood flow is a/an what?
The needle holder shown above would be used during what procedure and what is the name of it?
Craniotomy Castroviejo needle holder
A chemical reaction that provides energy by the breakdown of food is what?
Which structure of the ear is responsible for equilibrium?
The first step of urine production when fluids and dissolved substances are forced through a membrane by pressure is called what?
The adipose tissue overlying the symphysis is the what?
The cranial nerve that regulates secretion of gastric juice is the what?
Phagocytosis by the white blood cells is an example of which line of defense?
When opening a sterile wrapper the unsterile person should open the first corner how?,
Away from self
Which is the least inert of the synthetic meshes?
What radiopaque contrast medium is used intraoperatively when the patient is allergic to iodine?
What legal term would apply to a case when a non-English speaking patient signs a surgical informed consent in English but does not fully understand it?,
Assault and battery
Which psychosocial factors is important for the surgical team to address for pediatric patients?
What is the surgical technologist's role during the transfer of the patient from the OR bed to the stretcher?
Maintains sterility and integrity of the backtable
When breaking down the sterile field the surgical technologist should place the grossly contaminated instruments in what?,
Basin with sterile water
How many minutes are unwrapped instruments with no lumens sterilized at 270 degrees F?
What is the recommended method of hair removal from an operative site?
Clippers with disposable heads
What must be in the chart prior to the patient being taken to the OR per The Joint Commission?
History and physical
An identification bracelet is placed on a surgical patient upon admission to the:
To maintain control of the stretcher the patient should be transported to the OR how?,
At what point is it appropriate to lower the leg when draping for a knee arthroscopy?
After the tourniquet has been inflated
Which structure regulates the amount of light entering the eye?
A capillary network of blood vessels within the renal cortex that functions as a filter is called the what?
The kidneys are located in the:
The most abundant extracellular ion necessary for the transmission of impulses is what?
The set of teeth that erupt at about 6 months of age and are later replaced are the what?
What is a frequently used IV barbiturate for general anesthesia induction?
Which artery does not arise directly from the aorta?
How long must an item be immersed in glutaraldehyde to be sterile?
Which chemical substances causes the immune system to form antibodies?
What is a surgical procedure for the treatment of acute otitis media?
How is the patient positioned on the OR table for a knee arthroscopy?
supine, knee at lower break
Which of the following instrument sets will be needed when a frontal sinus fracture repair is performed?A. PlasticB. CraniotomyC. OphthalmicD. Vascular
Which procedure is performed for cervical incompetence?
What surgical instrument is used to visualize the prostate and remove tissue during a TURP?
What facilitates exposure for thyroidectomy?
What type of needles would be used for a liver biopsy?
Why is cardioplegia used?
Causes diastolic arrest
What is the risk if a tourniquet is inflated for a prolonged period of time?
What type of specialty equipment uses liquid nitrogen and is often utilized to repair retinal detachments?
What is done to the umbilicus during the abdominal skin rep?
Prepped separately with cotton applicators
An axillary role is placed for lateral positioning to do what?
Which nerve could be damaged by improperly padded stirrups?
Frozen sections are sent to pathology when?
immediately without preservatives
What procedure would be performed with the patient in the lateral position?
Which heat-resistant spore-forming Bacillus does the steam sterilization biological indicator contain?,
The process by which blood cells are formed is known as what?
The pacemaker of the heart is/are what?
Thought processes take place where?
Kantrex bacitracin or Ancef mixed with saline for irrigation would do what?
Inhibit surgical site infection
What sterilizers operates with condition exposure, exhaust and dry cycles?
Gravity air displacement
Preoperative bladder drainage prior to D&C would be performed with which catheters?
14 Fr. Robinson
In the OR HEPA is a type of what?,
What precaution is utilized to prevent cardiovascular complications when positioning an anesthetized patient?
Move patient slowly
Why is the orientation of the vein graft reversed during a CABG?
Presence of valves
Which neurosurgical retractors is handheld?
Which of the following incisions may be used for the repair of a zygomatic fracture?A. Below lower eyelidB. CoronalC. Angle of the mandibleD. Preauricular
Below lower eyelid
The principal male hormone produced in the testes is what?
What is not a true statements for paper-plastic peel pack
Staples are an acceptable method of closing peel packs
Following a TURP a patient may have what placed for bladder irrigation and compression?
What is a correct statement when using the closed-gloving technique?
Hand must not extend beyond cuffs
What drainage device is preferred for a radical neck dissection?
Which arteries are formed by the bifurcation of the abdominal aorta?
The basic unit of the nervous system is what?
The correct sterilization times required to render specific items sterile are initially established by what?
What procedure involves a series of treatments that result in permanent placement of prosthetic teeth?
In addition to temperature time and moisture, what other factor determines the outcome of the steam sterilization process?,
The inner lining of the uterus is the what?
Which sterilization processes is most economical?
The basic living structural and functional unit of the body is known as the what?,
The roof of the mouth is formed by the what?
Hard and soft palates
In what position would a patient be placed following a tonsillectomy?
What classification of drug reduces tissue inflammation?
What is the result of adding epinephrine to a local anesthetic?
Prolong the anesthetic effect
What is not a type of sterilizing agent?
A diagnostic procedure performed for patients with possible prostatic cancer is known as a what?
How many hours is the steam biological indicator incubated?
What agent is used to flush the harvested saphenous vein during CABG?
In which of the following cases might the surgeon use a Gigli saw?
Low level disinfectants kill most microbes but typically do not destroy:
Polymethyl methacrylate would most likely be used on which procedures?
Total knee arthroplasty
Which item should not be sterilized by dry heat?
What is a Verres needle used for during a laparoscopy?
To install CO2
Whiat method uses ultrasonic energy to fragment the lens?
In procedure would fine hooks of carious angles be used?
Which incisional approach would be used for a splenectomy?
During a strabismus correction resection has a greater effect on which muscle?,
What is the best site for obtaining cortical bone graft?
What is a non-electrolytic and isotonic solution used during a TURP?A.
The structure that allows the eardrum to vibrate freely and connects the middle ear and the oropharynx is the what?
What procedures may require use of a manometer to check CSF pressure?