Pre-Op Preparation
Which of the following is a fenestrated drape?
A. an incise drape that is self-adhering
B. a split drape that has two tails
C. a drape with an opening that allows exposure to the operative site
D. a drape used to cover the operating table, instrument table, and body regions
C. a drape with an opening that allows exposure to the operative site
A three-way Foley catheter is inserted following a transurethral resection of the prostate (TURP) in order to:
A. keep the perineal area dry
B. prevent the patient from getting out of bed
C. irrigate and facilitate hemostasis
D. keep accurate input and output records
C. irrigate and facilitate hemostasis
A Javid shunt is used for which of the following procedures?
A. saphenous vein ligation
B. femoral-popliteal bypass
C. carotid endarterectomy
D. abdominal aneurysmectomy
C. carotid endarterectomy
A patient undergoing a blood transfusion is having a hemolytic reaction. Which of the following actions should the healthcare providers take first?
A. administer dantrolene
B. send blood sample to blood bank
C. monitor urine output
D. stop the transfusion
D. stop the transfusion
At the conclusion of the surgical procedure, the Mayo stand should:
A. be considered unsterile once the dressing is applied
B. be pulled away from the sterile field by the circulator after skin closure
C. remain sterile until the patient leaves the room
D. be completely emptied immediately after skin closure
C. remain sterile until the patient leaves the room
When donning gloves using the open-gloving technique, the ungloved hand will touch the:
A. folded edge of the cuff of the glove
B. outer side of the cuff of the glove
C. outer side of the sterile glove
D. cuffed edge nearest the glove palm
A. folded edge of the cuff of the glove
When performing an open biopsy with needle localization, the specimen is removed en bloc and the wire is:
A. removed with the specimen
B. removed before the specimen
C. left in the wound
D. cut below the skin
A. removed with the specimen
During an open repair of an indirect hernia, which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected?
A. Malecot
B. Penrose
C. T-tube
D. Jackson-Pratt
B. Penrose
Which of the following surgical needles is MOST appropriately used in a liver resection?
A. cutting
B. blunt
C. taper
D. trocar
B. blunt
A surgical technologist is preparing the incision site for the dressing following a TAH. The patient has developed a hematoma at the incision site. The surgeon has left the room. Which of the following actions should the surgical technologist take?
A. Place a pressure dressing
B. Cover with dermabond
C. Steri-Strip the incision
D. Have the surgeon return
D. Have the surgeon return
In preparation for a cranial aneurysm, which of the following pieces of equipment would most likely be used?
A. Cruchfield tongs
B. cryoprobe
C. Jordan Day drill
D. microscope
D. microscope
Which of the following instruments may be used to clamp the aorta?
A. Doyen
B. Duval
C. Bulldog
D. Satinsky
D. Satinsky
A. gastrectomy
B. hysterectomy
C. adenoidectomy
D. tonsillectomy
D. tonsillectomy
A Stamey needle is used for which of the following types of surgery?
A. bladder suspension
B. hysterectomy
C. prostatectomy
D. anterior colporrhaphy
A. bladder suspension
Which of the following is MOST likely to be in place while transferring a patient from the operating room table to the stretcher?
1. IV tubing
2. Fogarty catheter
3. EKG wires
4. Foley catheter
A. 1 and 4 only
B. 1 and 2 only
C. 3 and 4 only
D. 2 and 3 only
A. 1 and 4 only
Which of the following is the first step in applying the pneumatic tourniquet necessary in creating a bloodless field?
A. wrapping the limb sequentially with an Esmarch bandage from distal to proximal
B. applying the pneumatic tourniquet to the limb and immediately inflating it
C. padding the area where the tourniquet is to be wrapped with Webril
D. prepping the limb with Chloraprep, including the determined location of the tourniquet
C. padding the area where the tourniquet is to be wrapped with Webril
The appendiceal stump, when inverted, is held in place by which of the following types of suture?
A. mattress
B. purse-string
C. traction
D. interupted
B. purse-string
Which of the following solutions is used to identify diseased areas for a cold conization of the cervix?
A. Lugol's
B. Isovue
C. fluorescein
D. methylene blue
A. Lugol's
In which of the following procedures will the surgical technologist expect to use cottonoids?
A. abdomincal hysterectomy
B. abdominal perineal resection
C. lumbar laminectomy
D. open cholecystectomy
C. lumbar laminectomy
The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures?
A. laparoscopic cholecystectomy
B. tympanoplasty
C. carotid endarterectomy
D. total hip arthroplasty
C. carotid endarterectomy
A device used to measure fluid pressure is known as a:
A. capnometer
B. manometer
C. thermometer
D. spirometer
B. manometer
Which of the following instruments may be used to extend the arteriotomy during carotid endarterectomy?
A. straight mayo
B. Potts-Smith
C. Stevens tenotomy
Jogenson
B. Potts-Smith
During the application of arch bars, the surgeon will most likely use which of the following between the teeth and around the bars?
A. 0-1 Dexon
B. 5-0 to 6-0 Vicryl
C. 25 or 26-gauge stainless steel wire
D. 35 or 40-gauge stainless steel wire
C. 25 or 26-gauge stainless steel wire
Which of the following scissors is MOST likely found in a basic hysterectomy set-up?
A. Potts-Smith
B. Jorgenson
C. Stevens
D. Iris
B. Jorgenson
Following a surgical procedure, which of the following is the best sequence of actions for a surgical technologist to take?
A. Remove sterile drapes, remove gown and gloves, and don a pair of sterile gloves to clean back table
B. Remove gown and gloves, don a pair of unsterile gloves to remove drapes from the patient, and remove instruments and supplies from the back table
C. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient.
D. Remove gown and gloves, don a pair of sterile gloves to remove drapes from patient, and remove gloves and don a pair of unsterile gloves to clean back table.
C. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient.