AST Practice Exam #5
What clip is used for scalp hemostasis in cranial procedures?
The local freezing if diseased tissue to facilitate removal without bleeding is called
In severe aortic stenosis, what is not an indications of valve replacement
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:
What is the most common cause of aortic aneurysm?
What is used to determine the position of cannulated screws during repair of a femoral neck fracture?
The instruments show are used to dilate the:
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?
The purpose of creating an arteriovenous fistula is for:
What nerve is at greater risk during a thyriodectomy?
Which nerve could be compressed against the humerus in the prone position?
What is the surgical procedure for reducing testosterone in prostate cancer?
What is the name of the retractor shown below?
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:
Which of the following vessels arises from the right ventricle of the heart?
The instrument below is used to:
Osteotome - cut bone
Which area is prepped first when performing the skin prep for a skin grafting procedure?
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?
What maintains the position of the uterus?
What device would the surgeon use to preserve facial motor and sensory functions during a parotidectomy?
if the surgeon uses a knife blade to incise the oral mucosa, the preferred blade is:
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:
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?
Which of the following is inserted into the symphonic membrane incision during a myringotomy?
Which organelle contains digestive juices?
During a thyriodectomy, if all parathyroid glands are accidentally removed, what complications will occur?
Which of the following surgical instruments is used to retract the lung?
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?
What does the suffix - ectomy mean?
What would the preoperative diagnosis be for an infant undergoing craniotomy?
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?
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:
Which stapling device would be used to create an anastomosis during a low anterior resection?
Packing material would be placed as a dressing after surgery on the:
What is the lining of the thoracic cavity?
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
The vascular, fibrous covering of bone is the:
What type of dressing would usually be used for a laparotomy procedure?
To prevent deep-vein thrombosis in the bariatric patient, what preoperative drug is given?
Which space is entered during a thymectomy?
Femoral rasps are used for what reason:
Prepare the intramedullary space for a prosthesis
What is part of the immune system?
What incision is frequently used for pediatric aortic coarctation repair?
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?
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?
How often should biological testing of EtO sterilization be conducted?
Which of the following is a liquid chemical sterilant often used for sterilizing endoscopes with a cycle time of 30 minutes?
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?
A short-acting narcotic opioid given intramuscularly for preoperative sedation is:
The leg extensor muscle:rectus femurs, vastus laterals, vastgus medial is and the vast us intermedius are collectively called the;
What does the term - scope mean?
How many minutes should a Frazier suction tip be immediate-use sterilized (flash sterilized) in a gravity steam sterilizer?
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?
What block involved medication being injected into the subarachnoid space?
What conditions might require use of a Silastic urethral catheter?
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?
What is the smallest microorganism that requires a host cell for replication?
Which surgeon might provide the operative exposure for the neurosurgeon in a transphenoidal approach to the sell turcica?
An intraoperative mutagenic and carcinogenic hazard of laser use is:
What type of solution is recommended for cleaning the OR floors during room turnover?
What is used to remove resected prostatic tissue during a TURP?
A patient is instructed to be NPO for 8 hours prior to surgery to prevent:
The essential element of hemoglobin is:
In which procedure would the instrument shown below be used?
A large, bony process found on the femur is a :
What incisions would be performed for repair for a liver laceration?
Just before the surgeon makes the skin incision which of the following must be performed?
The pulse rate of pregnant patients:
Which portion of the stomach is superior to the esophageal sphincter?
A linen pack to be steam sterilized must not weigh more than:
The closing sponge count should be initiated at the:
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?
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?
Which of the following is responsible for causing transmission of spongiform encephalopathy?
The thyroid gland consists of right and left lobes joined by the ;
A sustained contraction produced by rapid stimuli is called:
What type of heart rate does tachycardia describe?
What would be the least likely complication of suprapubic prostatectomy?
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?
Which ultrasonic devices can be used intraoperatively to assess the patency of arterial blood flow?
The instrument shown below is used to:
Dissect periosteum from bone
Key periosteal elevator
The area of the brain that controls respiration is the:
What factor is used to determine the inflation pressure of a tourniquet?
What describes the time from incision to the dressing application?
At the end of a procedure, and after the patient has been transported out of the OR, the surgical tech should remove the:
The instrument shown below is used during a/an
What is considered the operative stage of anesthesia?
When performing the surgical scrub, the hands and arms are considered:
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?
What controls the arrow on your monitor?
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?
A rapid-onset muscle relaxant used for intubation is:
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
What must be completed preoperatively if a patient underwent a barium study of the day of surgery?
What suture is contraindicated in the presence of infection?
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:
What is a type of one-layer dressing?
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?
What immediate postoperative complication most often occurs with pediatric patients?
Another name for a corneal transplant procedure is:
Fertilization normally occurs in the:
What is the name of the instrument show below?
The inner layer of an artery is the:
Which laser can be used on light and dark tissues?
Which implant is used for individuals with sensorineural deafness?
Splenectomy places the patient at an increased risk for:
In the presence of infection, the absorption rate of surgical gut is:
Dark blood in the sterile field could indicate?
Which instrument will the surgeon use to free the entrapped orbital fat during repair of an orbital floor fracture?
A urinary tract infection, following a cystoscopy, is an example of what type of infection?
What is a type of meniscal tear?
Which surgical procedure may require a suprabubic catheter to drain the urinary bladder?
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.
Which closed wound drainage requires being connected to a bulb evacuator?
What term refers to items remaining indefinitely until the wrapper is compromised?
Which vein would be harvested during a CABG?
When incubated, the ETo biological indicator can be read after:
The structure that facilities the exchange of nutrients and wastes between the fetus and mother is the:
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:
Where should the biological indicator test be placed on the steam sterilizer cart?
Which vessel empties into the right atrium?
Superior vena cava
Knife blades should be loaded onto the handle with:
Which vitamin is essential for the clotting proccess?
From where do most intracanial aneurysms arise?
Circle of willis
What equipment would require preoperative draping by the surgical technologist?
What dietary substance enhances the production of collagen?
The normal range of intraoperative pressure for the insufflator during a laparoscopy is?
Where should the ETO biological indicator be placed in the load?
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?
Which specialized retractors are used during a rotator cuff repair?
The concave notch of the kidney through which the ureter exits is the:
The large artery found posterior to the knees is the:
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?
Which tank would be brought into the OR if a surgical technologist is preparing an oscillating saw?