What clip is used for scalp hemostasis in cranial procedures?

Raney

The local freezing if diseased tissue to facilitate removal without bleeding is called

Cryosurgery

In severe aortic stenosis, what is not an indications of valve replacement

Palpitations

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:

Alkylation

What is the most common cause of aortic aneurysm?

Atherosclerosis

What is used to determine the position of cannulated screws during repair of a femoral neck fracture?

Guide pins

The instruments show are used to dilate the:

Cervix

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?

Hearing

The purpose of creating an arteriovenous fistula is for:

Hemodialysis

What nerve is at greater risk during a thyriodectomy?

Recurrent laryngeal

Which nerve could be compressed against the humerus in the prone position?

Radial

What is the surgical procedure for reducing testosterone in prostate cancer?

Orchiectomy

What is the name of the retractor shown below?

Harrington
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:

2 inches

Which of the following vessels arises from the right ventricle of the heart?

Pulmonary artery

The instrument below is used to:

Osteotome - cut bone

Which area is prepped first when performing the skin prep for a skin grafting procedure?

Donor site

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?

Bronchoscopy

What maintains the position of the uterus?

Broad ligament

What device would the surgeon use to preserve facial motor and sensory functions during a parotidectomy?

Nerve stimulator

if the surgeon uses a knife blade to incise the oral mucosa, the preferred blade is:

12

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:

Traction suture

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?

Lymphatic

Which of the following is inserted into the symphonic membrane incision during a myringotomy?

PE tube

Which organelle contains digestive juices?

Lysosome

During a thyriodectomy, if all parathyroid glands are accidentally removed, what complications will occur?

Tetany

Which of the following surgical instruments is used to retract the lung?

Allison

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?

Cervix

What does the suffix - ectomy mean?

Excision

What would the preoperative diagnosis be for an infant undergoing craniotomy?

Craniosynostosis

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?

Myringotomy

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:

intact skin

Which stapling device would be used to create an anastomosis during a low anterior resection?

EEA

Packing material would be placed as a dressing after surgery on the:

rectum

What is the lining of the thoracic cavity?

Pleura

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

Intravenous

The vascular, fibrous covering of bone is the:

Periosteum

What type of dressing would usually be used for a laparotomy procedure?

pressure

To prevent deep-vein thrombosis in the bariatric patient, what preoperative drug is given?

Heparin

Which space is entered during a thymectomy?

Mediastinum

Femoral rasps are used for what reason:

Prepare the intramedullary space for a prosthesis

What is part of the immune system?

Spleen

What incision is frequently used for pediatric aortic coarctation repair?

Posterolateral thoracotomy

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?

save

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?

Loupes

How often should biological testing of EtO sterilization be conducted?

Every load

Which of the following is a liquid chemical sterilant often used for sterilizing endoscopes with a cycle time of 30 minutes?

Peracetic acid

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?

Chlorhexidine

A short-acting narcotic opioid given intramuscularly for preoperative sedation is:

Meperidine

The leg extensor muscle:rectus femurs, vastus laterals, vastgus medial is and the vast us intermedius are collectively called the;

Quadriceps femoris

What does the term - scope mean?

viewing

How many minutes should a Frazier suction tip be immediate-use sterilized (flash sterilized) in a gravity steam sterilizer?

10

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?

Cardiothoracic

What block involved medication being injected into the subarachnoid space?

spinal

What conditions might require use of a Silastic urethral catheter?

latex allergy

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?

daily

What is the smallest microorganism that requires a host cell for replication?

virus

Which surgeon might provide the operative exposure for the neurosurgeon in a transphenoidal approach to the sell turcica?

Otorhinolaryngologist

An intraoperative mutagenic and carcinogenic hazard of laser use is:

Laser plume

What type of solution is recommended for cleaning the OR floors during room turnover?

Detergent-disinfection

What is used to remove resected prostatic tissue during a TURP?

Ellik

A patient is instructed to be NPO for 8 hours prior to surgery to prevent:

Aspiration

The essential element of hemoglobin is:

Iron

In which procedure would the instrument shown below be used?

Hysterectomy

A large, bony process found on the femur is a :

Trochanter

What incisions would be performed for repair for a liver laceration?

Midline

Just before the surgeon makes the skin incision which of the following must be performed?

time-out

The pulse rate of pregnant patients:

Increases

Which portion of the stomach is superior to the esophageal sphincter?

fundus

A linen pack to be steam sterilized must not weigh more than:

12lbs

The closing sponge count should be initiated at the:

operative field

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?

Tonsillectomy

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?

24

Which of the following is responsible for causing transmission of spongiform encephalopathy?

Prion

The thyroid gland consists of right and left lobes joined by the ;

Isthmus

A sustained contraction produced by rapid stimuli is called:

tetany

What type of heart rate does tachycardia describe?

Fast

What would be the least likely complication of suprapubic prostatectomy?

Acute phlebitis

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?

Reverse cutting

Which ultrasonic devices can be used intraoperatively to assess the patency of arterial blood flow?

doppler probe

The instrument shown below is used to:

Dissect periosteum from bone
Key periosteal elevator

The area of the brain that controls respiration is the:

medulla oblongata

What factor is used to determine the inflation pressure of a tourniquet?

patients age

What describes the time from incision to the dressing application?

Intraoperative

At the end of a procedure, and after the patient has been transported out of the OR, the surgical tech should remove the:

gown

The instrument shown below is used during a/an

thyroidectomy
Green retractor

What is considered the operative stage of anesthesia?

third

When performing the surgical scrub, the hands and arms are considered:

surgically clean

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?

femoral head

What controls the arrow on your monitor?

Mouse

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?

right colectomy

A rapid-onset muscle relaxant used for intubation is:

Anectine

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
Jorgensen Scissors

What must be completed preoperatively if a patient underwent a barium study of the day of surgery?

Enema

What suture is contraindicated in the presence of infection?

Silk

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:

Calyces

What is a type of one-layer dressing?

steri-strips

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?

Foot drop

What immediate postoperative complication most often occurs with pediatric patients?

airway difficulty

Another name for a corneal transplant procedure is:

keratoplasty

Fertilization normally occurs in the:

Fallopian tube

What is the name of the instrument show below?

Kocher

The inner layer of an artery is the:

Intima

Which laser can be used on light and dark tissues?

Carbon dioxide

Which implant is used for individuals with sensorineural deafness?

cochlear implant

Splenectomy places the patient at an increased risk for:

Infection

In the presence of infection, the absorption rate of surgical gut is:

Increased

Dark blood in the sterile field could indicate?

Hypoxia

Which instrument will the surgeon use to free the entrapped orbital fat during repair of an orbital floor fracture?

Freer

A urinary tract infection, following a cystoscopy, is an example of what type of infection?

healthcare-acquired infection

What is a type of meniscal tear?

bucket handle

Which surgical procedure may require a suprabubic catheter to drain the urinary bladder?

Prostatectomy

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.

antiseptics

Which closed wound drainage requires being connected to a bulb evacuator?

Jackson-pratt

What term refers to items remaining indefinitely until the wrapper is compromised?

event-related sterility

Which vein would be harvested during a CABG?

Saphenous

When incubated, the ETo biological indicator can be read after:

24 hours

The structure that facilities the exchange of nutrients and wastes between the fetus and mother is the:

Placenta

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:

24 hours

Where should the biological indicator test be placed on the steam sterilizer cart?

bottom front

Which vessel empties into the right atrium?

Superior vena cava

Knife blades should be loaded onto the handle with:

Needle holder

Which vitamin is essential for the clotting proccess?

Vitamin K

From where do most intracanial aneurysms arise?

Circle of willis

What equipment would require preoperative draping by the surgical technologist?

c-arm

What dietary substance enhances the production of collagen?

Protein

The normal range of intraoperative pressure for the insufflator during a laparoscopy is?

12-15mm Hg

Where should the ETO biological indicator be placed in the load?

center

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?

Hepatic portal

Which specialized retractors are used during a rotator cuff repair?

Bankart

The concave notch of the kidney through which the ureter exits is the:

Hilum

The large artery found posterior to the knees is the:

Popliteal

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?

ileum

Which tank would be brought into the OR if a surgical technologist is preparing an oscillating saw?

compressed nitrogen