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Certified Surgical Technologist Self-Assessment
Examination – Form A&B: Questions With Step-by-
Step Solutions
Which of the following is considered the MOST important skill for a surgical technologist? Correct Answer - management of specimens The surgical incision that allows for the BEST visualization for a Billroth I procedure is Correct Answer - midline The midline incision runs along the linea alba and is used in most abdominal procedures, as it provides visualization to most of the abdominal contents. During the postoperative phase, the personnel primarily responsible for transporting soiled instrumentation to decontamination is the Correct Answer - surgical technologist CSF is formed in the lateral ventricles of a patient and may not properly flow into the third ventricle through the foramen of Correct Answer - Sylvius into the fourth ventricle During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? Correct Answer - Place in separate containers and identify. A surgical technologist received the following medications onto the sterile field: 0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine. Which of the following is the MOST appropriate way to label these medications? Correct Answer - 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine
A thyroidectomy that was done earlier in the day is being brought back for excessive bleeding from the incision. Which of the following items are needed for this case? Correct Answer - laps, silk ties, and hemoclips If there is any question related to handling a specific type of specimen, which of the following departments should be consulted? Correct Answer - pathology The required number of air exchanges per hour in an OR is Correct Answer - 15-20 (20-25 needed to minimize bacterial growth) A special-made instrument without a backup falls to the floor during a procedure. Which of the following is the BEST reason to hesitate performing immediate-use sterilization? Correct Answer - The manufacturer's standards for sterilizing the instrument are unknown. When transferring a thoracotomy patient to recovery, the chest drainage system should be Correct Answer - maintained below the patient's chest level. Which of the following procedures requires an incision in the suprasternal notch? Correct Answer - mediastinoscopy When preparing surgical specimens, in addition to the surgical technologist, who else is responsible for accurately labeling the specimen? Correct Answer - surgeon and circulating nurse A T-tube drain may be used following Correct Answer - a choledochotomy When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist places the staples through which two layers? Correct Answer - cuticular and subcuticular
Which of the following devices should the surgical technologist have delivered to the sterile field for a low anterior resection? Correct Answer - intraluminal stapler Which of the following is reshaped during a total hip arthroplasty? Correct Answer - acetabulum An organization that regulates the production of biological sterilization test packs in-house is Correct Answer - AAMI Rod-shaped bacteria are called Correct Answer - bacilli A type of passive transport when salt crystals dissolve in water is known as Correct Answer - diffusion. Utilization of lasers in the operating room requires the use of Correct Answer - eye protection During application of a Volar splint, the surgical technologist notices that the splint was not completely dried and has caused a pressure point on the patient. Which of the following should be the surgical technologist's NEXT step? Correct Answer - Bring it to the surgeon's attention and assist in putting on a new splint. Sponges that have been added to the sterile field after a procedure has begun should be counted by the Correct Answer - surgical technologist and the circulator. 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? Correct Answer - √ Bacillus stearothermophilus.
After surgery, the scrub tech takes the instruments used in surgery to the decontamination area. How soon should these instruments be washed? Correct Answer - within 20 minutes Which of the following types of laser is typically used for stone fragmentation in the ureter? Correct Answer - holmium: YAG If a patient is undergoing a mastectomy immediately followed by reconstruction, how many surgical setups should be obtained? Correct Answer - Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding. Which of the following instruments is used to thread a vascular graft from one incision to another? Correct Answer - tunneler A patient has developed a hematoma at the incision site after the surgeon has left the room. The surgical technologist should Correct Answer - request the surgeon to return. The surgical technologist hands the surgeon the dressing at the end of a procedure. Which of the following is the BEST method to follow in regard to removing the drape? Correct Answer - A sterile team member holds the dressing in place while the drape is removed. Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured NEXT? Correct Answer - fascia Which of the following arteries is commonly used for taking a blood pressure reading? Correct Answer - brachial Which of the following is applied as a nonadherent dressing? Correct Answer - Adaptic
Answer - Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the patient. Which of the following will place a staff member at risk for work- related musculoskeletal disorders? Correct Answer - working in the same posture for prolonged periods While setting up for a surgical procedure, a surgical technologist discovers a puncture in the right surgical glove. If no one is available to assist, the BEST solution for the surgical technologist is to. Correct Answer - ask the circulator for a new gown and gloves to regown and reglove. During the application of arch bars, the surgeon will MOST likely use which of the following between the teeth and around the bar? Correct Answer - 24- or 26-gauge stainless steel wire Which of the following is necessary for ethylene oxide sterilization to occur? Correct Answer - humidity Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? Correct Answer - shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder. Which of the following is done FIRST when performing a myringotomy? Correct Answer - removing cerumen from the ear canal During a laminectomy, disk material is removed with a Correct Answer - pituitary rongeur
When positioning a patient for lithotomy, care should be taken to avoid injury of the peroneal nerve, which can cause injury to the Correct Answer - hip Which of the following is the name of the MOST common BI used for ethylene oxide sterilization? Correct Answer - Bacillus atrophaeus Apart from trauma cases, which of the following incisions would be BEST for sigmoid surgery? Correct Answer - vertical paramedian Which of the following suturing techniques features short lateral stitches that are taken beneath the epithelial layer of skin? Correct Answer - subcuticular Which of the following reflexes involves plantar flexion of the foot? Correct Answer - Achilles In which of the following procedures should the surgical technologist expect to use cottonoids? Correct Answer - lumbar laminectomy Which of the following advantages do hand-held retractors have over self-retaining retractors? Correct Answer - repositioning ability A surgical technologist is preparing a fresh specimen for frozen section to be passed off of the field. How should the specimen be prepared to be passed to the circulator? Correct Answer - Wrap it in a Telfa pad Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas? Correct Answer - Whipple The only true indicator of item sterility is Correct Answer - biological
Once a procedure has concluded, the proper order to remove personal protective equipment is Correct Answer - A. gown, gloves, and then mask Which of the following is the name of the incision made in a simple open nephrectomy? Correct Answer -
