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AST Practice Exam #2

front 1

Which of the following is a type of tissue forceps?

back 1

Brown-Adson

front 2

Which endoscope is used to visualize the heart and major vessels?

back 2

Angioscope

front 3

The goal of the surgical scrub is lower the population of which flora to an irreducible minimum?

back 3

Resident

front 4

Which needle is used during the bladder suspension procedure for treating stress incontinence in women?

back 4

Stamey

front 5

Which procedure can be performed without making an incision to treat varicose veins?

back 5

Sclerotherapy

front 6

When repairing a direct hernia the surgeon works within the anatomical triangle formed by the inguinal ligament, inferior epigastric vessels and the lateral border of the rectus abdominis called:,

back 6

Hesselbach's

front 7

Which of the following is the correct postoperative sequence of actions completed by the surgical technologist?
1. Assist with postop patient care
2. Remove drapes
3. Remove gown and gloves
4. Break down sterile setup

back 7

2, 3, 1, 4

front 8

What should be completed before the sterile items are opened for the first procedure of the day?

back 8

Wipe down furniture and surfaces

front 9

Cardiac muscles are controlled by which division of the nervous system?

back 9

Autonomic

front 10

Oophor/o is the root word for which anatomical structure?

back 10

Ovary

front 11

In which of the following would absorbable suture be contraindicated?

back 11

Vascular anastomosis

front 12

During a cesarean section which organ is freed from the uterus to prevent injury?,

back 12

Bladder

front 13

Which of the following refers to the absence of pathogens?

back 13

Aseptic

front 14

Which surgical procedure would use the instrument shown below?

back 14

D&C

front 15

What must be done prior to positioning a patient undergoing a posterior lumbar laminectomy?

back 15

Endotracheal intubation

front 16

What is the name of the instrument shown below?

back 16

Pennington

front 17

Which of the following damages the mastoid air cells and ossicles of the ear?

back 17

Cholesteatoma

front 18

When placing a swaged needle onto a needle holder the needle should be clamped:,

back 18

One-third distance from swaged end of needle

front 19

Which endoscope is used for the removal of foreign bodies from the airway of a pediatric patient?

back 19

Rigid bronchoscope

front 20

Which of the following elements primarily make up the body's mass?

back 20

Oxygen, carbon, hydrogen, nitrogen

front 21

Which instrument is used to contract the ribs for suturing purposes?

back 21

Bailey

front 22

The largest muscle of the upper calf is the:

back 22

Gastrocnemius

front 23

What is the length of time when thrombin loses its potency?

back 23

3 hours

front 24

The function of the small intestine is:

back 24

Absorption of nutrients

front 25

The teeth are composed primarily of:

back 25

Dentin

front 26

The basis for the design of electrical equipment in the OR is:

back 26

Electron theory

front 27

Which of the following procedures is performed to decrease gastric secretions?

back 27

Vagotomy

front 28

A patient who underwent an appendectomy enters the emergency department with severe abdominal pain constipation and vomiting. Which of the following is occurring?,

back 28

Obstructed bowel

front 29

Which organ shares the same blood supply with the pancreas and must be removed during a Whipple procedure?

back 29

Duodenum

front 30

During a cleft palate procedure which equipment should the surgical technologist be prepared to set up quickly?,

back 30

Drill

front 31

The muscle that flexes and supinates the forearm and covers the anterior portion of the upper arm is the:

back 31

Biceps brachii

front 32

A surgeon tells a patient she has terminal cancer but requires prophylactic surgery to prevent a bowel obstruction and the patient replies "This can't be happening to me." Which stage of grief is the patient displaying?,

back 32

Denial

front 33

What is the purpose of inserting a ureteral stent catheter?

back 33

Bypass calculi obstruction

front 34

Which of the following is used to create the trough on the anterior glenoid rim during a Bankart procedure?

back 34

Shaver with abrader tip

front 35

Which of the following secretes hydrochloric acid?

back 35

Parietal cells

front 36

Which of the following preoperative diagnostic tests would be administered to a patient with a brain injury?

back 36

EEG

front 37

Which of the following is a type of fenestrated drape?

back 37

Extremity

front 38

The walls of the vagina are lined with:

back 38

Mucosa

front 39

Which type of scalpel uses ultrasonic energy to cut and coagulate tissue?

back 39

Harmonic

front 40

A Fogarty catheter is used during a/an:

back 40

Embolectomy

front 41

Which of the following positioning devices is needed when placing the patient in the supine position?

back 41

Elbow pads

front 42

During a trabeculectomy which two layers are incised at the beginning of the procedure?,

back 42

Tenon's capsule & Conjunctiva;

front 43

What instrument set should the surgical technologist have available in the OR when preparing for an inguinal herniorraphy?

back 43

Bowel

front 44

Which of the following is used to obtain specimens during a bronchoscopy?

back 44

Lukens tube

front 45

Which suture material would be used in the presence of infection?

back 45

Steel

front 46

Which surgical procedure uses the instrument shown below?

back 46

Blepharoplasty

front 47

Which surgical specialty most often uses the instrument shown below?

back 47

Gynecologic

front 48

Which of the following hernias can result in necrosis of the viscera?

back 48

Strangulated

front 49

When the surgeon makes a McBurney's incision which muscle is encountered first and divided in he direction of its fibers?,

back 49

External oblique

front 50

Which of the following maintains the position of the uterus?

back 50

Broad ligament

front 51

Transverse colectomy is incised through which incision?

back 51

Upper midline

front 52

Which kind of uterine tissue can grow in abnormal locations including the ovaries pelvic peritoneum and small intestine?,

back 52

Endometrial

front 53

Which preoperative diagnostic exam is quickly completed to confirm ectopic pregnancy?

back 53

Ultrasound

front 54

How would you position a patient with an intertrochanteric fracture?

back 54

Supine

front 55

What position allows optimal exposure of the retroperitoneal area of the flank?

back 55

Lateral

front 56

Which of the following is the correct sequence of instruments for placing a screw into bone?
1. Depth Gauge
2. Drill
3. Screw Driver
4. Tap

back 56

Drill, Depth gauge, Tap, Screw driver

front 57

The removal of fibrous thickening of the visceral pleura is

back 57

Decortication

front 58

The only depolarizing muscle relaxant in clinical use is:

back 58

Succinylcholine (Anectine)

front 59

What type of hernia involves a direct and indirect inguinal hernia?

back 59

Pantaloon

front 60

How are the legs of the patient position for lateral position?

back 60

Lower leg flexed; upper leg straight

front 61

The neuroglia of the nervous system:

back 61

Support and bind

front 62

The method of inhalation anesthesia that allows complete re-breathing of expired gases is:

back 62

Closed

front 63

Which member of the surgical team is responsible for protecting an unsplinted fracture during positioning?

back 63

Surgeon

front 64

What personal protective equipment should the surgical technologist don prior to the start of an extracorporeal shock-wave lithotripsy procedure?

back 64

Lead apron

front 65

Another name for tonsil suction is:

back 65

Yankauer

front 66

Which muscles relax when a small pad is placed under a patient's head in the supine position?

back 66

Strap

front 67

When a medication or local anesthetic is passed to the surgeon the surgical technologist should:,

back 67

State the name and dosage of the medication

front 68

A type of bone-holding forceps is:

back 68

Dingman

front 69

Which surgical procedure would use the instrument shown below?

back 69

Coronary artery by pass

front 70

According to OSHA standards protective eye wear of some form must be worn:,

back 70

On all cases

front 71

Which pathological condition of the small intestine could be misdiagnosed as acute appendicitis?

back 71

Meckel's diverticulum

front 72

Which piece of equipment is required for administration of a Bier block?

back 72

Double-cuffed tourniquet

front 73

Which subcategory of drug preparation is a combination of two liquids that cannot mix?

back 73

Emulsion

front 74

What is the average normal respiration rate for children?

back 74

18 to 30

front 75

The introduction of radiopaque contrast medium into an artery or vein is called a/an:

back 75

Angiography

front 76

What anatomical structure must be approximated after a colectomy to prevent herniation of abdominal contents?

back 76

Mesentery

front 77

To prevent density instrument sets should not exceed:,

back 77

25 lbs

front 78

When surgically treating hydrocephalus where is the shunt placed?,

back 78

Lateral ventricle

front 79

Which of the following is a type of uterine fibroid?

back 79

Leiomyoma

front 80

The ureters enter the bladder medially:

back 80

From the posterior aspect

front 81

The pathogen that most often causes postoperative surgical site infections is:

back 81

Staphylococcus aureus

front 82

Which organ is the most frequently injured during a motor vehicle accident?

back 82

Spleen

front 83

Where would the surgical technologist find pertinent information for "pulling" a case?

back 83

Preference card

front 84

Suture material that becomes encapsulated by fibrous tissue during the healing stage is:

back 84

Non-absorbable

front 85

If a mentoplasty is being performed the surgical technologist should confirm a prosthesis is available for the:,

back 85

Chin

front 86

Which of the following means cell "eating"?

back 86

Phagocytosis

front 87

Which nerve could be damaged when the patient is placed in Fowler's position?

back 87

Sciatic

front 88

What is the correct order for donning OR attire?
Scrub Suit
Mask
Shoe Cover
Hair Cover

back 88

Hair cover, Scrub suit, Mask, Shoe covers

front 89

The cranial nerve responsible for hearing and balance is the:

back 89

VIII

front 90

Which of the following is not a a hemostatic agent used in orthopedic surgery?

back 90

Xeroform

front 91

Which of the following is responsible for disseminated intravascular coagulation?

back 91

Endotoxin

front 92

The copper wire in the electrosurgical unit that allows the flow of free electrons is called the:

back 92

Conductor

front 93

At the end of a procedure the surgeon asks for the local anesthetic to inject intra-articular. Where is the surgeon injecting the local drug?,

back 93

Within joint

front 94

Which preoperative diagnostic test is useful in diabetic patients with small vessel arterial disease?

back 94

Plethysmography

front 95

Which of the following is the most effective method for sterilizing items that can be damaged by steam sterilization?

back 95

Ethylene oxide

front 96

The mandible articulates with which bone?

back 96

Temporal

front 97

What could result from crossing the patient's arms across his/her chest in the supine position?

back 97

Interference with respiration

front 98

Which of the following is incorrect when preparing a paper-plastic peel pack?

back 98

Instruments are held together with autoclave tape within the peel pack

front 99

Which of the following degrees in Celsius equals 98.6 degrees Fahrenheit

back 99

37

front 100

When the surgical technologist is preparing surgical instruments for transport to the decontamination room which statement is incorrect?,

back 100

Instruments with multiple parts should be assembled

front 101

If a short bone is being removed from the wrist due to arthritis what is being removed?,

back 101

Carpal

front 102

Which of the following heals by contraction, granulation and connective tissue?

back 102

Delayed closure

front 103

Before transporting instruments to the decontamination room what should the surgical technologist complete?,

back 103

Presoak instruments in detergent solution

front 104

Which solution is best for presoaking instruments in the OR at the end of a procedure?

back 104

Enzyme

front 105

A mesh that is contraindicated in the presence of infection is:

back 105

PTFE

front 106

Which of the following provides additional protection to prevent contamination of a sterile package?

back 106

Dust cover

front 107

The stripes on a team chemical indicators change to what color upon exposure to sterilization parameters?

back 107

Black

front 108

For which fracture is the instrument shown below best used?

back 108

Radius

front 109

During a kidney transplant the renal vein of the donor kidney is anastomosed to the:,

back 109

External iliac vein

front 110

Which procedure corrects testicular torsion?

back 110

Orchiopexy

front 111

Which instrument is used to incise the tympanic membrane?

back 111

Myringotomy knife

front 112

An example of a nonadherent inner layer dressing is:

back 112

Xeroform

front 113

To prevent a cerebral aneurysm from rupturing the surgeon will:,

back 113

Apply a specially designed clip at base of aneurysm

front 114

The opthalmologist tells the surgical technologist to place 2 drops atropine sulfate OU. What does this mean?

back 114

Both eyes dilated

front 115

If a patient requests to see a member of the clergy upon arrival to preoperative holding:

back 115

Call for a clergy person before the anesthesia is administered

front 116

If cultures cannot be immediately transported from the surgery department to pathology they should be:,

back 116

Placed in a refrigerator

front 117

In terms of transmitting an infection what is a fomite?,

back 117

Inanimate object

front 118

When positioning the patient for a cesarean section where is the bolster placed and why?,

back 118

Right side; relieve pressure on vena cava

front 119

The conducting fibers that extend from the AV node to the interventricular septum form the:

back 119

Bundle of His

front 120

Items that are impenetrable to X-rays are described as:

back 120

Raiopaque

front 121

During surgical rotation the skills of a surgical technology student may be evaluated by the:,

back 121

Surgical technologist preceptor

front 122

During a TRAM procedure which is used to identify and preserve the superior epigastric arteries?,

back 122

Doppler

front 123

Which of the following should be accomplished when preparing an Esmarch bandage for sterilization?

back 123

Layer of Webril rolled with bandage

front 124

Which of the following is the correct order of the layers of the colon?
1. Serosa
2. Submucosa
3. Muscularis
4. Mucosa

back 124

4, 2, 3, 1

front 125

Air or fluid accumulation due to poorly approximated wound edges could result in:

back 125

Dead space

front 126

What is the first step of opening a small sterile wrapped package when establishing the sterile field?,

back 126

Open first flaw away from self

front 127

Which surgical approach is often used for a craniotomy for aneurysm repair?

back 127

Frontotemporal

front 128

Which of the following forceps would be used during a splenectomy?

back 128

Right angle

front 129

A blood pH of 7.5 indicates:

back 129

Alkalosis

front 130

Which knife blade should be placed on the knife handle when preparing the Mayo stand for a knee arthroscopy?

back 130

#11

front 131

What is the function of phagocytic white blood cells?

back 131

Engulf and destroy bacteria

front 132

A surgical technologist is talking with a patient in the PACU with arms folded and at a distance. This could be interpreted by the patient as:

back 132

Negative

front 133

Which of the following describes the action of histamine. (H2 blockers)?

back 133

Decrease gastric volume in the stomach

front 134

What decision should the OR team make when treating a minor who requires a blood transfusion but the family religion is Jehova's Witness?,

back 134

Do not give transfusion

front 135

What does 'x' equal in the proportion 3:5 = 9:x?

back 135

15

front 136

Which surgical procedure uses the instrument shown below?

back 136

Abdominal hysterectomy

front 137

During a suprapubic prostatectomy which needle holder may be used when reconstructing the bladder outlet?,

back 137

Heaney

front 138

When performing a total knee arthroplasty the surgeon removes the osteophytes from the rim of the femur and tibia with a:,

back 138

Kerrison

front 139

Which suture technique provides an excellent cosmetic closure?

back 139

Subcuticular

front 140

During a radical neck dissection with mandibulectomy which bone is harvested for the graft?,

back 140

Fibula

front 141

To prevent charring of bone when it is being cut or drilled the surgical technologist should use:,

back 141

Suction irrigator

front 142

Pain heat, redness and swelling indicate which of the following conditions?,

back 142

Inflammation

front 143

Which clamp is most often used to grasp the appendix?

back 143

Babcock

front 144

The inner lining of the uterus is the:

back 144

Endometrium

front 145

Which type of dressing washes or wears off after several days?

back 145

Collodian

front 146

A patient requires a stat cesarean section. Which of the following might be omitted?

back 146

Counts

front 147

Which of the following is the first action to be taken following a needle stick?

back 147

Remove needle from the sterile field

front 148

Which of the following drapes is used for a thyroidectomy?

back 148

Transverse

front 149

Testosterone is secreted by the:

back 149

Leydig cells

front 150

When a surgeon is using a Kocher subcostal incision which muscle is divide by electrosurgery?,

back 150

Rectus abdominis

front 151

What are the boundaries of the skin prep for a total hip arthroplasty?

back 151

Level of umbilicus to foot

front 152

Which of the following are abdominal skin prep perimeters for an exploratory laparotomy?

back 152

Nipple line to midthigh

front 153

Which of the following is the main reason for wearing the OR attire?

back 153

Limit spread of microbes

front 154

Which of the following substances are absorbed in the stomach?

back 154

Alcohol

front 155

A laparotomy drape is placed on the left side inguinal area of the patient but should have been placed on the right side. What should be done to correct the error?,

back 155

Remove drape and place new drape on right side

front 156

Which stapling device would be used during an esophagectomy to divide the esophagus?

back 156

TA

front 157

Movement disorder diseases caused by radiation therapy are characterized by destruction of the:

back 157

Myelin sheath

front 158

During which procedure would a Gigli saw possibly be used?

back 158

Craniotomy

front 159

A surgeon indicates that she may place a shunt during a carotid endarterectomy. What should the surgical technologist have available in the OR?

back 159

Javid

front 160

What is the best synthetic substitute for stainless steel?

back 160

Polypropylene

front 161

Which of the following microorganisms is used within the biological indicator for ethylene oxide sterilization?

back 161

Bacillus atrophaeus

front 162

What does the suffix -itis mean?

back 162

Inflammation

front 163

To prevent peel pack pouches from opening during sterilization the surgical technologist should:,

back 163

Force out air from pouch

front 164

Retention bridges are used to:

back 164

Prevent heavy sutures from cutting into the skin

front 165

During a CABG procedure the saphenous vein is sutured to the:,

back 165

Coronary artery

front 166

Which of the following would be used to remove the lamina during a laminectomy?

back 166

Kerrison rongeur

front 167

What category of instruments are a Hibbs and Hohmann?

back 167

Retractors

front 168

Which drain should the surgical technologist have available for insertion into the common bile duct during an exploration?

back 168

T-tube

front 169

A padded footboard is used in which surgical position?

back 169

Reverse Trendelenburg

front 170

The inner lining of the gastrointestinal tract is composed of which type of tissue?

back 170

Epithelial

front 171

Which of the following statements is incorrect when double peel packing an item(s) for sterilization?

back 171

Inner peel pack is folded

front 172

If a surgeon performs a surgical procedure without the patient having signed the consent form the surgeon can be charged with:,

back 172

Battery

front 173

Spores are a:

back 173

Form assumed by bacilli

front 174

Which of the following applies to a patient who suffers a burn due to improper placement of the patient return electrode?

back 174

Unintentional tort

front 175

Which graft material does not require pre-clotting for placement during an abdominal aortic anerysmectomy?

back 175

PTFE