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2025 SURGICAL TECHNOLOGY CERTIFICATION
EXAM TESTBANK|500+Qs&As|ALREADY GRADED
A+
What is the first step to take if the appendix is perforated during a laparoscopic appendectomy? Suction the fluid from the abdomen. What should a surgical technologist do after a carotid endarterectomy is completed? Push the back table, mayo, and basin back and keep them sterile until the patient is transported to PACU. What materials should be prepared for a mastoid dressing? Several fluffed sponges and rolled gauze. What is the first step in applying a pneumatic tourniquet? Padding the limb where the tourniquet is to be wrapped with Webril. Why is suctioning fluid from the abdomen important after a perforation during surgery? It helps limit postoperative complications such as infection or peritonitis.
What is the consequence of continuing with the operation after a perforation? It increases the possibility of postoperative complications. Why can't a Kelly clamp be placed over a perforation during a laparoscopic procedure? It is a step that can only be performed during an open procedure. What should not be done after a carotid endarterectomy until the patient leaves the room? The setup should not be torn down. What is the purpose of using fluffed sponges in a mastoid dressing? They provide bulk and compatibility for complex ear procedures. What is the role of the Esmarch bandage in applying a pneumatic tourniquet? It is applied after the Webril and tourniquet have been positioned. What should be avoided when handling the back table after a vascular surgery?
What should be done with sharps and non-disposables after a carotid endarterectomy? They should be removed from the drapes before pushing everything back. What is the purpose of padding the limb before applying a pneumatic tourniquet? To protect the limb where the tourniquet is to be wrapped. What is the consequence of leaving the back table close to the patient after surgery? It increases the risk of contamination. What type of dressing is primarily used for complex ear procedures? Mastoid dressing. What is the importance of using rolled gauze in a mastoid dressing? It is used to secure the dressing and provide support. What should be done with the drapes after a carotid endarterectomy?
They should not be pulled off until the patient leaves the room. What is the primary concern when the appendix is perforated during surgery? Preventing infection or peritonitis. What should not be applied under the tourniquet cuff to prevent burns? Any prep solution. What is the purpose of wrapping Webril before applying a tourniquet? To provide protection to the area where the tourniquet is placed and inflated. Which instrument is used to grasp the cervix during a dilation and curettage? Schroeder. What is the function of the Sims instrument in gynecological procedures? It is a vaginal retractor.
Who should a surgical technologist notify first when a break in aseptic technique occurs? The contaminating team member. What is the condition called that results from excessive production of cerebrospinal fluid in the brain? Hydrocephalus. What is an encephalocele? A brain protrusion through a cranial fissure. What does cranial bifida refer to? An incomplete closure of the cranial bones. What is craniosynostosis? Premature ossification of skull sutures.
What should a surgical technologist request if unexpected heavy blood loss occurs during an abdominal procedure? Lap sponges. What is the primary use of lap sponges in surgery? To provide pressure on bleeding vessels or to absorb excess blood. What is the role of Raytec sponges during surgery? They should be secured to a sponge stick or removed from the field. Why are Kitner sponges not useful for major bleeding? Due to their small size. What is the epiphyseal plate responsible for in long bones? Growth in the length of a long bone. Where does growth in the length of a long bone NOT occur? Diaphysis.
It is elastic supportive tissue at the ends of bones but does not contribute to bone growth. Under what condition can a DNR order be continued in an unconscious patient during surgery? If the patient's durable Power of Attorney requests it be continued. Who does not have the legal authority to continue a DNR order? The patient's family, surgeon, and CRNA do not have legal authority to continue a DNR order. What is the primary reason for irrigating after a right hemicolectomy? To aid visual inspection for leakage. What is the standard rate of air exchanges in a standard OR suite? 15 - 25 air exchanges per hour. What department should be consulted for questions related to handling specific types of specimens? The pathology department.
What does the histology department analyze? Tissue samples. What does the laboratory manage? Blood products and/or medication orders. What type of diagnostic procedures does the radiology department manage? Procedures such as x-ray, MRI, and CT scans. What is the main purpose of irrigation during surgery? To visually inspect the watertight seal of all anastomoses and prevent peritonitis. What is the role of the patient's Power of Attorney in medical decisions? They are legally permitted to make medical decisions when the patient is incapacitated. What happens to the DNR order during surgery in many hospitals?
What does the term 'ossification' refer to in the context of bones? The process of bone tissue formation. What is the primary function of articular cartilage? To provide a smooth surface for joint movement. What is the definition of a DNR order? Do Not Resuscitate order, a legal document indicating that a patient does not wish to receive CPR. What should be done with dentures after surgery? They should be placed in a labeled cup and kept with the patient's chart. Why is it important to keep dentures labeled and with the patient's chart? This ensures that the dentures are returned to the correct patient in the PACU. What is a risk of leaving dentures at the nurses' station? They may be lost in transit or not returned to the correct room.
What should be avoided when giving dentures to the anesthesiologist? They could get lost or thrown away without a label. Why should the circulator not leave the OR to return items to the patient's room? The circulator should remain in the OR during surgery. What special equipment should be available for laser removal of condyloma acuminata? A smoke evacuator. Why is a smoke evacuator necessary during laser surgery? It removes smoke plume that contains bacteria and viruses, reducing disease transmission risk. Why is a suction tip not considered an effective safety measure for smoke plume? While it helps remove plume, it does not effectively address transmissible disease risks.
It exerts external pressure over needle holes to prevent bleeding and promote clotting. What is the role of suction in a surgical setting? It removes blood from the surgical site but does not stop bleeding. What is a ligature used for in surgery? It is used to tie off blood vessels but is not the most effective for controlling bleeding from needle holes. What is the purpose of an endo-catch bag? It is used for minimally invasive abdominal cases. What is the main concern with using a lower transverse incision? It is less effective for sigmoid surgery compared to a vertical paramedian incision. What is the significance of the smoke plume during laser procedures? It poses a risk of disease transmission due to the presence of bacteria and viruses.
What is the recommended action for the surgical technologist regarding special equipment? Ensure that the smoke evacuator is open and available before the procedure. What is the risk of using a subcostal incision for sigmoid surgery? It is not the best choice compared to vertical paramedian incisions. Why is it important to have the right incision type for specific surgeries? Different incisions provide varying access and effectiveness for surgical procedures. What is the consequence of not using a pledget for controlling bleeding? Bleeding may continue from needle holes in vessel anastomoses. What is a clamp used for in surgical procedures? To compress the walls of vessels and grasp tissue, but not the most effective for controlling bleeding from needle holes.
What are Raney clips used for in a craniotomy? They are clamped on the skin flap for hemostasis before removal of the bone flap. What should be done after a surgeon preps the patient and walks to a non-sterile area? The surgeon should be regowned and regloved. Why is a specimen obtained for frozen section removed from the sterile field intraoperatively? It is sent to pathology immediately for special preparation and examination. What is the purpose of sending a frozen section to pathology? To determine whether the tissue is malignant, if nodes are involved, and if margins are clear of malignant cells. What should a surgical technologist have ready for closing the fascial layer? 0 suture and toothed tissue forceps.
What is the significance of using a 0 or 2-0 suture during fascial closure? It is most often used on patients who are not obese. What happens if a specimen is placed in formalin solution? The pathologist will not be able to do specific testing to determine a diagnosis. What is the best action to take if a surgeon activates the DuraPrep applicator? Regown and reglove the surgeon. What does the term 'fascial layer' refer to in surgical closure? The layer of connective tissue that surrounds muscles and organs. What is the role of the circulator regarding specimens during surgery? The circulator labels the specimen whenever it is handed off intraoperatively. What is the consequence of not draping the patient after skin prep? The surgeon is no longer sterile and cannot drape the patient.
