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AST Practice Exam #1

1.

Which of the following structures is located in the alveolar processes?

teeth

2.

Which of the following is the wound classification for a bronchoscopy?

Class V: Unclassified

3.

The enzyme used to soften the zonules of the lens before cataract surgery is?

alpha-chymotrypsin

4.

How should the stretcher be oriented when necessary to use an elevator to transport a patient to the or?

enter head first, exit feet first

5.

Which of the following is a curved transverse incision across the lower abdomen frequently used in gynecological surgery?,

pfannenstiel

6.

When perforated metal trays are placed on the shelves of the steam sterilizing cart they should be positioned?,

flat

7.

Hyperkalemia is a high concentration of?

potassium

8.

Which of the following tissues are cut using curved Mayo scissors?

fascia

9.

Which laser beam can travel through clear tissues without heating them?

Argon

10.

Permission for treatment given with full knowledge of the risks is a/an?

informed consent

11.

Which portion of the stomach surrounds the lower esophageal sphincter?

cardia

12.

Low level disinfectants kill most microbes but do not destroy?,

spores

13.

Syndactyl refers to?

webbed fingers

14.

The surgical pack utilized to create the sterile field should be opened on the?

backtable

15.

The islets of Langerhans secrete?

insulin

16.

What type of procedure would involve the removal of teeth?

extractions

17.

Which organism is a normal resident flora of the intestinal tract?

Escherichia coli

18.

Where should the first scrub surgical technologist stand when handing towels to the surgeon to square off an incision site?

same side as surgeon

19.

A properly performed surgical scrub renders the skin?

surgically clean

20.

Through which of the following do the common bile duct and the pancreatic duct empty?

Ampulla of Vater

21.

Which of the following identifiers must be verified by the patient or their ID bracelet prior to transporting a patient to the OR?

name, date of birth, physician

22.

What are spiral shaped bacteria called?

sprilli

23.

The primary function of the gallbladder is to?

store bile

24.

Which of the following is a non sterile member of the surgical team?

circulator

25.

Which of the following is not a benefit of using surface mounted sliding doors for access to the operating room?

aid in controlling temperature

26.

What are the three factors for reducing ionizing radiation exposure?

time, shielding, distance

27.

Which is the first part of the small intestine?

duodenum

28.

What is the surgical position frequently used for patients undergoing kidney surgery?

lateral

29.

How are rickettsiae transmitted?

arthropod bites

30.

Which of the following is an examination of the cervix using a binocular microscope?

colposcopy

31.

Compression of the heart from excessive fluid or blood buildup is called?

tamponade

32.

Which surgical team member determines when the patient can be transported from the OR to the PACU?

anesthesia provider

33.

Which suffix means surgical puncture to remove fluid?

-centesis

34.

To which portion of the colon is the appendix attached?

cecum

35.

Which laboratory test determines bacterial identification?

gram stain

36.

Medication used to dilate the pupil is called?

mydriatics

37.

Which of the following drapes is non fenestrated?

U drape

38.

Under what circumstances would it be appropriate to remove a patient's identification bracelet?

never until patient is discharged from facility

39.

What is the position most commonly used for mitral valve replacement?

supine

40.

Which laser is best used during a vitrectomy?

argon

41.

Which of the following monitors provides positive assurance of sterility?

biological

42.

The apron like structure attached to the greater curvature of the stomach is the?

omentum

43.

Which microbes live without oxygen?

anaerobes

44.

Which of the following is an abnormal tract between two epithelium lined surfaces that is open at both ends?

fistula

45.

What is the action of antagonist drugs?

counteract the action of another drug

46.

Which of the following directional terms describes the type of skin prep of an entire extremity?

circumferential

47.

What organs are excised is an ovarian tumor is malignant?

bilateral fallopian tubes and ovaries, uterus

48.

Which term refers to an abnormal thoracic curve of the spine referred to as "hunchback?"

kyphosis

49.

What is the medical term for a bunion?

Hallux valgus

50.

What incision is also known as a lower oblique?

inguinal

51.

The small intestine attaches to the posterior abdominal wall by the?

mesentery

52.

What is the term for a relationship in which two organisms occupy the same area and one organism benefits while the other is unharmed?

commensalism

53.

A topical steroid used to reduce inflammation after eye surgery is?

Depo-Medrol

54.

How is the surgical informed consent signed if an adult patient is illiterate?

patient marks with an "X" and witness verifies

55.

What direction should the stretcher be oriented when transporting a patient to the OR department?

feet first, side rails up

56.

Which of the following routine preoperative laboratory studies would be ordered for premenopausal women with no history of hysterectomy?

HCG

57.

Which portion of the surgical gown is considered non sterile?

upper arms, neckline and axillary region

58.

What is the name of the urinary catheter with a small curved tapered tip used on patients with urethral strictures?,

coude

59.

What is the surgical position commonly used for thyroid and gallbladder surgery?

reverse trendelenburg

60.

A congenital defect in which the fetal blood vessel between the pulmonary artery and aorta does not close is?

patent ductus arteriosus

61.

Which of the following is a commonly used preservative for tissue specimens?

formalin

62.

What is the first step taken for an incorrect sponge count?

notify surgeon

63.

The mumps may be diagnosed by finding inflammation in which of the following glands?

parotid

64.

What institutional document is completed when an adverse or unusual event takes place in the OR that may have legal consequences for the staff or patient?

incident report

65.

For which procedure would Trendelenburg position provide optimal visualization?

hysterectomy

66.

Which of the following is a nonadherent dressing?

adaptic

67.

Which of the following is a fenestrated drape?

aperture

68.

Which of the following terms describes a hernia that occurs within Hesselbach's triangle?

direct

69.

Which of the following incisions is oblique?

kocher

70.

Which of the following dilators are used in the common duct?

bakes

71.

Which of the following is a mechanical method of hemostasis?

ligature

72.

The organ that is connected by a duct to the duodenum is the?

pancreas

73.

A brain tumor causing alteration of muscle tone voluntary muscle coordination, gait and balance would likely be located in the?,

cerebellum

74.

What is the term for a relationship that benefits one organism at the expense of another?

parasitism

75.

What type of disease is characterized by rapid onset and a rapid recovery?

acute

76.

Which organelle is responsible for the production of energy?

mitochondria

77.

What type of anesthesia is a combination of inhalation and intravenous drugs?

balanced

78.

Who is ultimately responsible for obtaining the surgical informed consent?

surgeon

79.

What position is most commonly used for neurosurgical procedures?

supine

80.

The outer layer of the intestine is the?

serosa

81.

Which of the following solutions should be used to prep the donor site for a split thickness skin graft?

chlorhexidine

82.

What type of drape would be used for a flank procedure?

transverse

83.

Where should the safety strap be placed on a patient who is in the supine position?

over the thighs

84.

Which surgical procedure is performed to correct an abnormality in which the urethral meatus is situated on the superior aspect of the penis?

epispadias repair

85.

Which thermal method of hemostasis utilizes intense focused light?,

laser

86.

What is the most common cause of intracerebral hemorrhage?

hypertension

87.

The larynx is located between the?

pharynx and trachea

88.

The most common cause of retinal detachment is?

trauma

89.

What postoperative complication is associated with total hip arthroplasty?

pulmonary embolism

90.

Which of the following is a type of passive drain?

penrose

91.

The vocal cords are located in the?

larynx

92.

What type of acquired immunity is a vaccination?

artificial active

93.

When would the anesthesia provider request cricoid pressure?

endotracheal intubation

94.

Which instrument would be used during a keratoplasty to remove the cornea?

trephine

95.

What is the required minimum number of individuals to transfer an incapacitated patient from the OR table to the stretcher?

4

96.

Which of the following regulations states that blood and body fluids should be considered infectious?

standard precautions

97.

Which of the following is a major source of distress for toddler and preschool age patients being transported to the operating room?

separation anxiety

98.

Which structure has oral nasal, and laryngeal divisions?,

pharynx

99.

Otoplasty is performed to correct a congenital deformity of which structure?

ear

100.

An injury a patient sustains as a result of the care given by a healthcare professional is called?

latrogenic

101.

The highly vascular layer of the eye that absorbs light rays and nourishes the retina is the?

choroid

102.

According to Maslow's hierarchy of needs which of the following is the patient satisfying when he/she trusts the surgical team's abilities?,

safety

103.

Which aneurysm usually develops between the renal and iliac arteries?

abdominal aortic

104.

The agent used to flush an artery to prevent clotting is?

heparin

105.

What is the next step for reattachment of a severed digit after debridement?

bone to bone fixation

106.

What type of skin graft includes the epidermis and all of the dermis?

full thickness

107.

Which muscle type is striated and voluntary?

skeletal

108.

Which of the following terms refers to absence of the external ear?

microtia

109.

What is the recommended maximum time limit for a tourniquet to remain inflated on an adult lower extremity?

1 1/2 hours (90 minutes)

110.

Which organism causes gas gangrene?

clostridium perfringens

111.

Chest rolls should span the distance bilaterally between which two anatomical structures?

acromioclavicular joint to iliac crest

112.

Which ossicle of the middle ear covers the oval window?

stapes

113.

What is another name for the Kraske position?

jackknife

114.

What type of sponge is tightly rolled cotton tape used by surgeons for blunt dissection?

kitner (peanut)

115.

Which of these instruments would be used during a keratoplasty?

cottingham punch

116.

A partially dislocated joint is called?

subluxation

117.

What condition is characterized by build up of fatty deposits such as cholesterol?

atherosclerosis

118.

Plaster rolls for casting should be submerged in which of the following?

lukewarm water

119.

The avascular clear portion of the eye covering the iris is the?,

cornea

120.

How often should surgical masks be changed?

after each case

121.

Which term describes a rod shaped microorganism?

bacillus

122.

When using the warm cycle of the EtO sterilizer what is the minimum sterilization temperature in Fahrenheit?,

85

123.

Which of the following actions would be a violation of aseptic technique?

repositioning penetrating towel clip

124.

Which legal principle applies when the patient is given the wrong dose of the local anesthetic?

res ipsa loquitor (thing speaks for its self)

125.

The space between the vocal cords is called the?

glottis

126.

Which bacteria could be found in a penetrating wound caused by a rusty nail?

clostridium tetani

127.

Which of the following retractors is used for spinal nerve roots?

love

128.

What is another name for the electrosurgical unit's patient return electrode?

grounding pad

129.

What size of Foley catheter is commonly used for adults?

16 Fr

130.

Which of the following tumors is typically benign encapsulated, and arises from tissue covering the central nervous system structures?,

meningioma

131.

The fibrous white layer that gives the eye its shape is the?

sclera

132.

What is the term for thread like appendages that provide bacteria with motion?

flagella

133.

What surgical position provides optimal visualization of the lower abdomen or pelvis?

trendelenburg

134.

How many hours must an item submerse in glutaraldehyde to sterilize?

10

135.

When a patient's blood pressure is 135/81 135 refers to?,

systolic

136.

A term referring to a waxy secretion in the external ear canal is?

cerumen

137.

Which of the following is an ossicle of the middle ear?

incus

138.

What is the term for the process of removing blood from an extremity prior to inflating the pneumatic tourniquet?

exsanguination

139.

Which of the following may require probing and dilating in pediatric patients with upper respiratory infections?

nasolacrimal duct

140.

Which surgical team member is responsible for setting up the sterile field?

surgical technologist

141.

In what circumstances would cell saver transfusion be contraindicated?

cancer procedures

142.

Use of an intraluminal (circular) stapler (EEA) would be indicated for which of the following surgical procedures?

sigmoidectomy

143.

Satinsky Herrick, and Mayo clamps may be specifically used on which of the following structures?,

kidney pedicle

144.

The nasal cavity is divided into two portions by the?

septum

145.

Which of the following is used by the surgeon to intermittently remove prostatic tissue fragments during a TURP?

ellik evacuator

146.

Which type of hematoma is a result of torn bridging meningeal veins?

subdural

147.

In addition to temperature time and moisture, what is the fourth factor that determines the outcome of the steam sterilization process?,

pressure

148.

The bowie dick test is performed?

daily

149.

The spiral conical structure of the inner ear is the?,

cochlea

150.

What is the name of the condition in which a loop of bowel herniates into the Douglas's cul-de-sac?

enterocele

151.

Which of these conditions is characterized by a fleshy encroachment of conjunctiva onto the cornea?

pterygium

152.

Which procedure would be listed in the OR schedule for a patient undergoing surgical treatment of uterine fibroids?

Myomectomy

153.

Where is a Baker's cyst located?

popliteal fossa

154.

Which of the following is a method of high level disinfection?

2% glutaraldehyde for 20 minutes

155.

Another name for the tympanic membrane is the?

eardrum

156.

What is the burn degree classification that involves the epidermis and subcutaneous tissue?

third

157.

Which portion of the ear is affected by Meniere's syndrome?

inner

158.

The cartilaginous nasal septum is anterior to which bone?

vomer

159.

The most reliable method for determining the efficiency of moist heat sterilizers is the controlled use of biological indicators containing the organism?

bacillus stearothermophilus

160.

Which neurosurgical pathology would a myelogram diagnose?

spinal stenosis

161.

Which of the following terms means a prolapsed bladder causing a bulge in the anterior vaginal wall?

cystocele

162.

How many hours must the steam sterilization biological indicator incubate?

24

163.

The nasal sinus located between the nose and the orbits is the?

ethmoid

164.

What is the definition of otosclerosis?

bony overgrowth of stapes

165.

Which of the following terms describes a fracture in which the bone penetrates the skin?

compound

166.

For which of the following procedures would a McBurney incision be indicated?

appendectomy

167.

What degrees Celsius is the steam sterilization biological indicator incubated?

55-60

168.

What is the medical term for removal of the uterus?

hysterectomy

169.

Which of the following methods removes small organic particles and soil from the box locks and ratchets of instruments?

ultrasonic washer

170.

What is the medical term for nosebleed?

epistaxis

171.

What is the proper method for preparing a Frazier suction tip for steam sterilization?

distilled water in lumen

172.

Which of the following is a telescoping of the intestines in neonates requiring immediate surgical intervention?

intussusception

173.

The minimum Fahrenheit temperature for sterilization to occur in a prevacuum steam sterilizer is?

270-276

174.

What is the name of the procedure for the excision of the tunica vaginalis?

hydrocelectomy

175.

What is the minimum number of minutes to sterilize unwrapped metal instruments with lumens in the gravity displacement sterilizer at 270 degrees F?

10 minutes