Surgical Pharmacology
A form of contrast media used within the body that is visible when exposed to x-ray is:
A. exogenous
B. endogenous
C. radiolucent
D. radiopaque
D. radiopaque
Which of the following wounds is MOST likely in the inflammatory phase of would healing?
A. a Bankart repair, one week post-procedure
B. a laparotomy incision with a cicatrix
C. an abdominal incision, 20 minutes post-closure
D. an open reduction internal fixation (ORIF) of a finger, two weeks post-procedure
C. an abdominal incision, 20 minutes post-closure
When exposed to ionizing radiation, staff and patients should wear personal protective equipment containing:
A. silicone
B. rubber
C. lead
D. steel
C. lead
Which of the following is necessary for ethylene oxide sterilization to occur?
A. humidity
B. indirect contact
C. gravity displacement
D. steam
A. humidity
To prevent contamination at the end of a surgical procedure, which of the following should be removed LAST by the surgical technologist in the scrub role?
A. patient's drapes
B. mayo stand drapes
C. surgical gloves
D. surgical gown
C. surgical gloves
A patient undergoing a procedure while under general anesthesia begins to experience muscle rigidity, followed by tachycardia, metabolic and respiratory acidosis, and cardiac dysrythmias. Which of the following is the patient experiencing?
A. malignant hyperthermia
B. septic shock
C. pulmonary embolism
D. cardiopulmonary arrest
A. malignant hyperthermia
Which of the following pathogens would Most likely cause a post-operative SSI?
A. Escherichia coli
B. Staphylococcus aureus
C. Enterococcus spp.
D. Streptococcus spp.
B. Staphylococcus aureus
Which of the following procedures for obtaining an informed consent form is appropriate?
A. The patient is asked to sign the consent form after the surgeon has explained the procedure
B. The consent form is witnessed by one member of the patient's family
C. The surgical technologist in the circulator role ultimately responsible for obtaining the signed consent form
D. The patient is asked to read the entire consent form after signing it.
A. The patient is asked to sign the consent form after the surgeon has explained the procedure
When preparing endoscopic cameras for ethylene oxide sterilization, which of the following monitoring processes would be utilized to ensure all parameters of sterilization were met?
A. external tape
B. internal strip
C. biological indicator
D. dynamic air removal
C. biological indicator
Which of the following is an unexpected occurrence that involves physiologic or psychologic injury or death?
A. unintentional tort
B. sentinel event
C. malpractice
D. negligence
B. sentinel event
A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given?
A. 2.0 mL
B. 1.0 mL
C. 0.5 mL
D. 1.5 mL
C. 0.5 mL
Which of the following characterizes bacteria of the genus Clostridium?
A. aerobic
B. anaerobic
C. non-spore forming
D. Gram-nagative
B. anaerobic
1. medication error
2. bullying
3. cardiac or respiratory arrest
4. equipment failure prior to surgery
A. 2,3, and 4 only
B. 1,2, and 4 only
C, 1,2, and 3 only
D. 1,3, and 4 only
C, 1,2, and 3 only
Which of the following spore-forming microorganisms are used as biological monitors for checking steam sterilization effectiveness for a load of instruments in a rigid container?
A. streptococcus pyogenes
B. Bacillus stearothermophilus
C. Bacillus atrophaeus
D. Mycobacterium tuberculosis
B. Bacillus stearothermophilus
Which of the following examples illustrates unsafe technique for disposing of contaminated sharps?
A. Disposable surgical blades are removed from knife handles with a needle holder or other instrument
B. Used suture needles and scalpel blades remain in the needle counter and the closed needle counter is placed in the biohazard sharps container
C. The biohazard sharps container is located as close as possible to the area in which the items were used.
D. Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps containter
D. Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps containter
The primary consideration in selecting an appropriate anesthetic agent is the:
A. anxiety level of the patient
B. physiologic condition of the patient
C. length of the procedure
D. type of the procedure
B. physiologic condition of the patient
The postoperative total arthroplasty patient presents to the emergency department with severe throbbing pain, fever, and malaise. Which of the following is the Most likely diagnosis?
A. osteoarthritis
B. osteoporosis
C. osteomyelitis
D. osteomalacia
C. osteomyelitis
Which of the following terms BEST describes a formal medical process when death occurs in surgery and the surgeon and anesthesia care provider must verify that death has occured?
A. livor mortis
B. rigor mortis
C. determination of death
D. postmortem procedures
C. determination of death
A surgical technologist just opened an instrument set that is wet inside after undergoing steam sterilization. Which of the following is the MOST likely reason for the condensate in the package and how can it be corrected?
A. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels.
B. there are not enough instruments in the tray to allow for revaporization of the condensate. The number of instruments in the tray should be increased and the tray should be reprocessed.
C. The instrument set contained absorbant towels, which soaked up the moisture and prevented efficient drying. The tray should be reprocessed without any towels.
D. Condensate has built up on the steam lines. The surgical technologist should clean the steam lines and reprocess the instrument tray.
A. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels.
After completing an operative procedure, the first item a surgical technologist in the scrub role should remove is the:
A. gown
B. mask
C. shoe covers
D. gloves
A. gown
Mannitol (Osmitrol) is used in neurosurgical procedures to:
A. prevent bleeding
B. decrease intracranial pressure
C. fight possible postoperative infection
D. anesthetize the operative site
B. decrease intracranial pressure
The purpose of the sentinel lymph node biopsy (SNLB) is for the:
A. identification of the area of contamination
B. diagnosing of the level of postoperative edema
C. counting the number of nodes on the axillary chain
D. staging of cancer in axillary node involvement
D. staging of cancer in axillary node involvement
To help prevent toxicity and vascular events in a patient where polymethylmethacrylate (PMMA) is used, which of the following devices should a surgical technologist have available?
A. cement mixer with charcoal filter
B. mask
C. smoke evacuator
D. pulse lavage
D. pulse lavage
While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. Which of the following would MOST likely be the cause of this?
A. The instruments in the pouch were too heavy
B. The temperature of the autoclave was too high
C. The air was not evacuated from the pouch
D. The package was sterilized too long
C. The air was not evacuated from the pouch
Care of a surgical specimen includes placing it:
A. in a biohazard trash bag
B. in a trash bag
C. in a bag or container with formalin
D. on a RAY-TEC sponge and sending it to pathology
C. in a bag or container with formalin