Surgical Technology – Certification2022/2023 Exam (STUDY GUIDE)

Teeth - ANSWER Which of the following structures is located in the alveolar processes? Clean-contaminated - ANSWER Which of the following is the wound classification for a bronchoscopy? Alpha-chymotrypsin - ANSWER ...

Teeth - ANSWER Which of the following structures is located in the alveolar processes? Clean-contaminated - ANSWER Which of the following is the wound classification for a bronchoscopy? Alpha-chymotrypsin - ANSWER An enzyme used before cataract surgery to soften the zonules of the lens is: Enter head first, exit feet first - ANSWER How should the stretcher be oriented when necessary to use an elevator to transport a patient to the OR Pfannenstiel - ANSWER A curved transverse incision across the lower abdomen used frequently in gynecological surgery is: Flat - ANSWER When perforated metal trays are placed on the shelves of the steam sterilizing cart, they should be positioned: Potassium - ANSWER Hyperkalemia is a high concentration of: Fascia - ANSWER Tissue that is cut using curved mayo scissors Argon - ANSWER Laser beam that can travel through clear tissues without heating them informed consent - ANSWER Permission for treatment given with full knowledge for the risks Cardia - ANSWER Portion of the stomach surrounds the lower esophageal sphincter Spores - ANSWER Low level disinfectants kill most microbes, but do not destroy: Webbed fingers - ANSWER Syndactyly refers to: Backtable - ANSWER The surgical pack utilized to create the sterile field should be opened on the: Insulin - ANSWER The islets of Langerhans secrete: Extractions - ANSWER Type of procedure that would involve the removal of teeth Escherichia coli - ANSWER Organism that is normal resident flora of the intestinal tract Same side as surgeon - ANSWER Where should the first scrub surgical technologist stand when handing towels to the surgeon to square off an incision site Surgically clean - ANSWER Properly performed surgical scrub renders the skin: Ampulla of Vater - ANSWER Through which of the following do the common bile duct and the pancreatic duct empty Name, DOB, physician - ANSWER Which of the following identifiers must be verified by the patient or their ID bracelet prior to transporting a patient to the OR Spirilli - ANSWER Spiral shaped bacteria Store bile - ANSWER Primary function of the gallbladder Circulator - ANSWER Which of the following is a non-sterile member of the surgical team? Aid in controlling temperature - ANSWER Which of the following is not a benefit of using surface-mounted sliding doors for access to the operating room Time, shielding, distance - ANSWER What are the three factors for reducing ionizing radiation exposure? duodenum - ANSWER first part of the small intestine Lateral - ANSWER Surgical position frequently used for patients undergoing kidney surgery Arthropod bites - ANSWER How are rickettsiae transmitted? colposcopy - ANSWER Which of the following is an examination of the cervix using a binocular microscope tamponade - ANSWER Compression of the heart from excessive fluid or blood buildup Anesthesia provider - ANSWER Surgical team member that determines when the patient can be transported from the OR to the PACU -centesis - ANSWER Suffice meaning surgical puncture to remove fluid Cecum - ANSWER Portion of the colon the appendix is attached to Gram stain - ANSWER Laboratory test determines bacterial indentification Mydriatics - ANSWER Medications that cause dilation of the pupil U-drape - ANSWER Which of the following drapes is non-fenestrated Never until patient is discharged from facility - ANSWER Under what circumstances would it be appropriate to remove a patient's identification bracelet Supine - ANSWER Position most commonly used for mitral valve replacement Argon - ANSWER Laser best used during a vitrectomy Biological - ANSWER Monitor that provides positive assurance of sterility omentum - ANSWER Apron-like structure attached to the greater curvature of the stomach Anaerobes - ANSWER Microbes that live without oxygen Fistula - ANSWER Abnormal tract between two epithelium-lined surfaces that is open at both ends Counteract the action of another drug - ANSWER Action of an antagonist drug Circumferential - ANSWER Directional terms that describes the type of skin prep of an entire extremity Bilateral Fallopian tubes/ovaries and uterus - ANSWER What organs are excised if an ovarian tumor is malignant? Kyphosis - ANSWER Abnormal thoracic curvature of the spine referred to as hunchback hallux valgus - ANSWER bunion Inguinal - ANSWER Incision also known as a lower oblique mesentery - ANSWER structure that attaches the small intestine to the posterior abdominal wall Commensalism - ANSWER Relationship in which 2 organisms occupy the same area and one organism benefits while the other is unharmed Depo-Medrol - ANSWER Topical steroid used to reduce inflammation after eye surgery Patient marks with an "X" and witness verifies - ANSWER How is the surgical informed consent signed if an adult patient is illiterate Feet first, side rails up - ANSWER What direction should the stretcher be oriented when transporting a patient to the OR department? HCG - ANSWER Which of the following routine pre-op laboratory studies would be ordered for premenopausal women with no history of hysterectomy? Upper arms, neckline and axillary region - ANSWER Which portion of the surgical gown is considered non-sterile Coude - ANSWER Type of urinary catheter with a small, curved tapered tip used on patients with urethral strictures Reverse Trendelenburg - ANSWER Surgical position commonly used for thyroid and gallbladder surgery Patent ductus arteriosus - ANSWER Congenital defect in which the fetal blood vessel between the pulmonary artery and aorta does not close Formalin - ANSWER Commonly used preservative for tissue specimens Notify surgeon and repeat count - ANSWER First step taken for an initial incorrect closing sponge count Parotid - ANSWER Mumps may be diagnosed by finding inflammation in which of the the following glands Incident report - ANSWER 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 Hysterectomy - ANSWER Which procedure would trendelenburg position provide optimal visualization Adaptic - ANSWER Type of nonadherent dressing Aperture - ANSWER Type of fenestrated drape Direct - ANSWER Hernia that occurs within Hesselbach's triangle Kocher - ANSWER Type of oblique incision Bakes - ANSWER Dilator used in the common duct Ligature - ANSWER Mechanical method of hemostasis Pancreas - ANSWER Organ connected by a duct to the duodenum Cerebellum - ANSWER Brain tumor causing alteration of muscle tone, voluntary muscle coordination, gait and balance would likely be located in the: Parasitism - ANSWER Relationship that benefits one organism at the expense of another Acute - ANSWER Disease characterized by rapid onset and a rapid recovery Mitochondria - ANSWER Organelle responsible for the production of energy Balanced - ANSWER Type of anesthesia that is a combination of inhalation and intravenous drugs Surgeon - ANSWER Ultimately responsible for obtaining the surgical informed consent Supine - ANSWER Position most commonly used for neurosurgical procedures Serosa - ANSWER Outer layer of the intestine Chlorhexidine - ANSWER Solutions that should be used to prep donor site for a split-thickness skin graft Transverse - ANSWER Type of drape used for flank procedure Over the thighs - ANSWER Where should the safety strap be placed on a patient who is in the supine position? Epispadias repair - ANSWER Surgical procedure is performed to correct an abnormality in which the urethral meatus is situated on the superior aspect of the penis Laser - ANSWER Thermal method of hemostasis utilizes intense, focused light Hypertension - ANSWER Most common cause of intracerebral hemorrhage Pharynx and trachea - ANSWER Where is larynx located Trauma - ANSWER Most common cause of retinal detachment pulmonary embolism - ANSWER Post-op complication associated with total hip arthroplasty Penrose - ANSWER Type of passive drain Larynx - ANSWER Where are the vocal cords located? Artificial active - ANSWER Type of acquired immunity is a vaccination endotracheal intubation - ANSWER When would the anesthesia provider request cricoid pressure? Trephine - ANSWER Instrument used during keratoplasty to remove the cornea 4 - ANSWER Required minimum number of individuals to transfer an incapacitated patient from the OR table to the stretcher Standard precautions - ANSWER Following regulations that states that blood and body fluids should be considered infectious separation anxiety - ANSWER Major source of distress for toddler and preschool age patient being transported to the OR Pharynx - ANSWER Structure that has oral, nasal, and laryngeal divisions Ear - ANSWER Otoplasty is performed to correct a congenital deformity of which structure Iatrogenic - ANSWER Injury a patient sustains as a result of the care given by a healthcare professional Choroid - ANSWER Highly vascular layer of the eye that absorbs light rays and nourishes the retina Safety - ANSWER According to Maslow's hierarchy of needs, which of the following is the patient satisfying when he/she trusts the surgical teams abilities? Abdominal aortic - ANSWER Which aneurysm usually develops between the renal and iliac arteries Heparin - ANSWER Agent used to flush an artery to prevent clotting Bone-to-Bone fixation - ANSWER Next step for reattachment of a severed digit after debridement Full-thickness - ANSWER Type of skin graft includes the epidermis and all of the dermis Skeletal - ANSWER Muscle type that is striated and voluntary Microtia - ANSWER Refers to absence of the external ear 1.5 hours - ANSWER Recommended maximum time limit for a tourniquet to remain inflated on an adult lower extremity Clostridium perfringens - ANSWER Organism that causes gas gangrene acromioclavicular joint to iliac crest - ANSWER Chest rolls should span the distance bilaterally between which 2 anatomical structures Stapes - ANSWER Ossicle of the middle ear that covers the oval window. Jackknife - ANSWER Another name for Kraske position Kittner - ANSWER What type of sponge is a tightly rolled cotton tape used by surgeons for blunt dissection? Cottingham punch - ANSWER Which of these instruments would be used during a keratoplasty? Subluxation - ANSWER Partial dislocation of a joint Atherosclerosis - ANSWER What condition is characterized by build up of fatty deposits such as cholesterol? Lukewarm water - ANSWER Plaster rolls for casting should be submerged in which of the following? Cornea - ANSWER Avascular, clear portion of the eye covering the iris After each case - ANSWER How often should surgical masks be changed? Bacillus - ANSWER Rod shaped microorganism 85 - ANSWER When using the warm cycle on the EtO sterilizer, what is the minimum sterilization temperature in Fahrenheit Repositioning penetrating towel clip - ANSWER Which of the following actions would be a violation of aseptic technique? res ipsa loquitur - ANSWER Which legal principle applies when the patient is given the wrong dose of the local anesthetic Glottis - ANSWER Space between vocal chords Clostridium tetani - ANSWER Bacteria could be found in a penetrating wound caused by a rusty nail Love - ANSWER Retractor used for spinal nerve roots Grounding pad - ANSWER What is another name for the electrosurgical unit's patient return electrode? 16 Fr - ANSWER Size of Foley catheter commonly used for adults Meningioma - ANSWER Tumor that is typically benign, encapsulated, and arises from tissue covering the central nervous system structures Sclera - ANSWER Fibrous white that gives the eye its shape Flagella - ANSWER Thread-like appendages that provide bacteria with motion Trendelenburg - ANSWER Surgical position that provides optimal visualization of the lower abdomen or pelvis 10 - ANSWER How many hours must an item submerse in glutaraldehyde to sterilize? Systolic - ANSWER Top number of blood pressure Cerumen - ANSWER Waxy secretion in the external ear canal Incus - ANSWER Ossicle of the middle ear Exsanguination - ANSWER Process of removing blood from an extremity prior to inflating pneumatic tourniquet Nasolacrimal duct - ANSWER Which of the following may require probing and dilating in pediatric patients with upper respiratory infection surgical technologist - ANSWER Surgical team members responsible for setting up sterile field Cancer procedures - ANSWER In what circumstances would a cell saver be contraindicated sigmoidectomy - ANSWER Use of an intraluminal (circular) stapler (EEA) would be indicated for which of the following surgical procedures Kidney pedicle - ANSWER Satinsky, Herrick, and Mayo clamps may be specifically used on which of the following structures Septum - ANSWER Nasal cavity is divided into 2 portions by the: Ellik evacuator - ANSWER Which of the following is used by the surgeon to intermittently remove prostatic tissue fragments during a TURP Subdural - ANSWER Hematoma that is a result of torn bridging meningeal veins Pressure - ANSWER In addition to temperature, time and moisture, what is the fourth factor that determines the outcome of the steam sterilizer process Daily - ANSWER How often is Bowie-Dick test performed? Cochlea - ANSWER Spiral, comical structure of the inner ear Enterocele - ANSWER Name of the condition in which a loop of bowel herniates into the Douglas's cul-de-sac Pterygium - ANSWER Condition characterized by a fleshy encroachment of conjunctiva into the cornea Myomectomy - ANSWER Which procedure would be listed in the OR schedule for a patient undergoing surgical treatment of uterine fibroids Popliteal fossa - ANSWER Location of bakers cyst 2% glutaraldehyde for 20 minutes - ANSWER Which of the following is a method of high-level disinfection? Eardrum - ANSWER Another name for tympanic membrane Third - ANSWER Burn degree classification that involves the epidermis and subcutaneous tissue Inner - ANSWER Portion of the ear is affected by Méniére's syndrome Vomer - ANSWER Cartilaginous nasal septum is anterior to which bone Bacillus stearothermophilus - ANSWER Most reliable method for determining the efficiency of moist heat sterilizer is the controlled use of biological indicators containing the organism Spinal stenosis - ANSWER Neurosurgical pathology that would require a myelogram diagnosis Cystocele - ANSWER Prolapsed bladder causing a bulge in the center vaginal wall 24 - ANSWER How many hours must the steam sterilization biological indicator incubate Ethmoid - ANSWER Nasal sinus located between the nose and the orbits Bony overgrowth of the stapes - ANSWER Otosclerosis Compound - ANSWER Fracture in which bone penetrates the skin appendectomy - ANSWER Procedure requiring a McBurney incision 55-60 - ANSWER What degrees Celsius is the steam sterilization biological indicator incubated? Hysterectomy - ANSWER Medical term for removal of uterus Ultrasonic washer - ANSWER Method that removes small organic particles and soil from the box locks and ratchets of instruments Epistaxis - ANSWER Nosebleed Distilled water in lumen - ANSWER What is the proper method for preparing a Frazier suction tip for steam sterilization? intussusception - ANSWER telescoping of the intestines in neonates requiring immediate surgical intervention 270-276 - ANSWER Minimum Fahrenheit temperature for sterilization to occur in a prevacuum steam sterilizer hydrocelectomy - ANSWER Excision of the tunica vaginalis 10 - ANSWER Minimum number of minutes to sterilize unwrapped metal instruments with lumens in the gravity displacement sterilizer at 270'F Brown-Adson - ANSWER Type of tissue forceps Angioscope - ANSWER Endoscope used to visualize the heart and major vessels Resident - ANSWER Goal of the surgical scrub is to lower the population of which flora to an irreducible minimum Stamey - ANSWER Needle used during the bladder suspension procedure for treating stress incontinence in women sclerotherapy - ANSWER Procedure that can be performed without making an incision to treat varicose veins Hesselbach's - ANSWER 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: 2, 3, 1, 4 - ANSWER Which of the following is the correct post-op sequence of actions completed by the surgical tech? 1. Assist with post-op patient care 2. Remove drapes 3. Remove gown and gloves 4. Break down sterile field Wipe down furniture and surfaces - ANSWER What should be completed before the sterile items are opened for the first procedure of the day Autonomic - ANSWER Cardiac muscles are controlled by which division of the nervous system? Ovary - ANSWER Oophor/o is the root word for which anatomical structure vascular anastomosis - ANSWER In which of the following would absorbable suture be contraindicated Bladder - ANSWER During a c-section, which organ is freed from the uterus to prevent injury Aseptic - ANSWER Which of the following refers to the absence of pathogens D&C - ANSWER Which surgical procedure would use the instrument shown below? (Curette) Endotracheal intubation - ANSWER What must be done prior to positioning a patient undergoing a posterior lumbar laminectomy Pennington - ANSWER Name the instrument shown below (clamp with triangular shape at end) Cholesteatoma - ANSWER Which of the following damages the mastoid air cells and ossicles of the ear One-third distance from swaged end of needle - ANSWER When placing a staged needle onto a needle holder, the needle should be clamped: Rigid bronchoscope - ANSWER Endoscope used for the removal of foreign bodies from the airway of a pediatric patient Oxygen, carbon, hydrogen, nitrogen - ANSWER Elements that primarily make up the body's mass Bailey - ANSWER Instrument used to contract the ribs for suturing purposes Gastrocnemius - ANSWER Largest muscle of the upper calf 3 hours - ANSWER Length of time when thrombin loses its potency Absorption of nutrients - ANSWER Function of small intestine Dentin - ANSWER Teeth are primarily composed of: Electron theory - ANSWER Basis for design of electrical equipment in the OR Vagotomy - ANSWER Procedure performed to decrease gastric secretions Obstructed bowel - ANSWER Patient who underwent an appendectomy enters the emergency dept. with severe abdominal pain, constipation and vomiting. Which of the following is occurring? Duodenum - ANSWER Organ that shares the same blood supply with the pancreas and must be removed during a Whipple procedure? Drill - ANSWER During a cleft palate procedur