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Surgical Tech Certification Exam – Questions With Accurate Solutions
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A patient is diagnosed with pneumothorax, which is a Correct Answer - Collapsed lung Which of the following medications is used to prevent blood from clotting when performing cardiac surgery? Correct Answer - Heparinized saline During a patient transfer in the OR, what actions should be done to both the bed and gurney? Correct Answer - Lock the wheels What is the purpose of a Javid shunt? Correct Answer - Redirects the flow of blood Positioning of the patient is controlled by which team member? Correct Answer - Anesthesia The surgeon is requesting contrast media to visualize the Renal Pelvis, what should the ST anticipate will happen during the procedure? Correct Answer - Retrograde pyelography A patient receiving medication through an IV is an example of______ route drug administration Correct Answer - Parenteral Which instrument would be the best choice for holding a 7-0 suture? Correct Answer - Castroviejo What is the proper technique to open a sterile peel pack? Correct Answer - Grasp the top edges pf the wrapper with both hands to peel apart, once exposed, propel on sterile field
The ST is responsible to inform the surgeon of the names and _______ 0f the drug when passing medications Correct Answer - Strength Which surgical step refers to the creation of a spiral path for screw placement in a drilled hole? Correct Answer - Tap Scrubbing in on an emergent craniotomy relieve the patient's increased intracranial pressure. What is the most likely cause of the increased pressure? Correct Answer - Hemorrhage What is the proper procedure to prepare instruments that have multiple parts for the decontamination process? Correct Answer - Disassemble all instrument parts What position are transvaginal procedures performed? Correct Answer - Lithotomy How should an elderly patient be properly addressed? Correct Answer - By their proper name, with the use of Ms., Miss., Mrs.... During a total hip arthroplasty, the surgeon asks the ST to help abduct the hip. In which direction will the ST move the hip? Correct Answer
Which of the following is used to remove gross soil from instruments to prepare for the decontamination process? Correct Answer - Sterile water soaked sponges Which surgical procedure might require the use of coblator? Correct Answer - Functional Endoscopic Sinus sugery Which of the following is required for all implantable items for the purpose of tracking, retrieving, and stock replacement? Correct Answer - Documentation The surgeon needs to clamp and suture a vessel deep within the abdomen. what could the ST pass to help the surgeon accomplish the task? Correct Answer - Tie- on- a- passer The surgeon requested a size 7 glove, 7.5 over the glove, and an extra large gown. what is the correct sequence? Correct Answer - Hand the towel, the extra large gown, the size 7 glove, and 7.5 glove What surgical team member is responsible for positioning the patient? Correct Answer - Circulator Which term describes the accountability and acknowledgment of errors for actions that occur among all surgical team members? Correct Answer - Surgical conscience What drainage system should be placed to restore negative pressure for proper ventilation? Correct Answer - Closed chest system What type of solution is found on the surgical scrub brush? Correct Answer - Antiseptic The surgeon's pref card requested the use of a phacoemulsification ( eye) machine for what type of procedure? Correct Answer - Cataract extraction
What special needs does a pediatric infant require prior to surgery? Correct Answer - A caregiver permitted in OR to hold child until sedated What is the first step of the surgical hand srub? Correct Answer - Put on mask and eye protection The center of the sterile field is the? Correct Answer - Incision site The scheduled surgery is a mastoidectomy with a tympanoplasty to treat a benign tumor of the middle ear. what will the surgeon remove? Correct Answer - Cholesteatoma Patients who undergo gastrointestinal procedures are at high risk for? Correct Answer - Hypothermia When doming the first glove during unassisted gloving, the glove should be oriented with the fingers pointing toward the? Correct Answer - Elbow Which of the following techniques are used to protect tissue when holding a retractor? Correct Answer - Maintain the position that is placed A pediatric preschool patient who tends to have a strong fear of the unknown and feelings or punished when in hospital? Correct Answer
Where should the ST place soiled sponges during surgery? Correct Answer - Kick bucket What fits over the hollow sheath of the cystourethroscopy that operates with a trigger-cutting device to resect prostate tissue? Correct Answer
How are the working tips of an MIS instrument pointed when passing? Correct Answer - Downward What is the purpose of using stereotactic equipment during surgery? Correct Answer - Creates a 3D image What is the formation of a blood clot in an artery of the brain? Correct Answer - Cerebral thrombosis What is the largest artery in the body? Correct Answer - Aorta Which of the following is the first level according to Maslow's Hierarchy of needs? Correct Answer - Most basic needs Which of the following procedures are used to treat defects of the uterus by distending the uterine cavity with continuous irrigation? Correct Answer - Hysteroscopy When the patient is in the left lateral position, their_____ side is on the OR table? Correct Answer - Left During a robotic- assisted hysterectomy, what type of instruments are used for 7 degrees of freedom of motion? Correct Answer - Wristed instruments What is the minimum number of people that is required to transfer an unconscious patient to the OR table? Correct Answer - 4 What instrument is acceptable to be sterilized in a peel pouch Correct Answer - Russian Immediately following extubating, the patients oxygen saturation begins to drop and stridor can be heard. what caused this to happen? Correct Answer - Laryngospasm
The surgeon is ready to separate the dura from the cranium. which type of instruments should the ST pass? Correct Answer - Elevator All removable parts should be removed from which instrument prior to sterilization? Correct Answer - Babcock A______ is performed to determine the cause of death Correct Answer
What is the most common fact-acting, short-in-duration local anesthetic used in the OR? Correct Answer - Lidocaine When cleaning instruments as the end of the procedure, how should instruments with lumen be handled? Correct Answer - Flushed with sterile water If strike- through contamination occurs through the top drape, what is the best way to handle to the incident? Correct Answer - Cover the wet area with an impervious drape What is the proper procedure used when separating instruments that are delicate at the completion of the case? Correct Answer - Place all delicate instruments in the original container Which of the following does the function of drills, reamers, osteotomes, and chisels? Correct Answer - Cut bone What is part of the routine sterile setup when the chest is open and the heart is exposed? Correct Answer - Internal defibulator When cleaning up the room after the procedure, where should the Bovie tip be placed? Correct Answer - Sharps container Which of the following is true concerning robotic assisted surgery? Correct Answer - It is performed under the control of the surgeon Which of the following areas is where instruments are stored and scrub attire and head coverings are required? Correct Answer - Semi- restricted Serious post-op complication of a radical neck dissection? Correct Answer - Edema
what is an example of a "simple break" in sterile technique? Correct Answer - A gloved hand of a sterile team member touches a nonsterile surface Left total hip arthroplasty, the circulator is placing the grounding pad on the patient. what is the best placement for the grounding pad? Correct Answer - Right thigh An incident within the OR that results in severe or permanent harm is referred to as? Correct Answer - Sentinel event Which of the following positions is also a semi-seated position that can be used for reconstructive breast or shoulder surgery? Correct Answer - Modified fowlers What is the correct sequence for removing the soiled gown and gloves at the end of the procedure? Correct Answer - Gown, gloves, and mask is last During the procedure an active shooter located in the parking lot is announced over the intercom, what should the surgical team do? Correct Answer - Shelter in place What type of specimen is examined immediately by the pathologist after it is extracted?: Correct Answer - Frozen section What team member is responsible for the care and transfer of the specimen in the intraoperative period? Correct Answer - Surgical Tech Following a total hip arthroplasty, what should also accompany the patient to PACU? Correct Answer - Abductor pillow
What process identifies the patient identity, correct surgical site, and procedure information? Correct Answer - TIMEOUT What should the surgeon do after he just finished closing the incision? Correct Answer - Stay sterile until the patient leaves the room Where is the best place to perform unassisted gowning? Correct Answer - On a mayo stand what furniture is an adjustable stainless steel tray that is used immediately- use items during the surgery? Correct Answer - Mayo stand What is the only acceptable skin prep solution to use on or near the eye? Correct Answer - Dilute povidone- iodine What document must the patient sign prior to surgery? Correct Answer - Informed consent What includes health risks such as, burns, lung injury, and nerve damage, where large amounts of hazardous materials are stored? Correct Answer - Hazardous material spill what is the proper way to refer to a patient that had a disability? Correct Answer - Name the person first, not the dissability What is the removal of the entire breast without lymph node dissection? Correct Answer - Mastectomy How would an ST assist in positioning instruments in a port during MIS surgery? Correct Answer - Pass the instrument then guide the instrument to the port
What is the proper procedure to prepare instruments that have a lumen for the decontamination process? Correct Answer - Flush lumen with sterile water When counting cottonoids, what should the ST verify? Correct Answer - The string attached to the sponge Infection caused by a vector, what could be a source of infection? Correct Answer - Mosquito ST is preparing drapes for an ORIF of the tibia. what drapes will be placed on the patient last? Correct Answer - Extremity drape What is used to place catheters and stents common for urethral surgery? Correct Answer - Guidewires Where should the suture needles be placed? Correct Answer - In the sharps box What is a passive drain that requires no reservoir? Correct Answer - Penrose What term represents a body area nearest to the midline? Correct Answer - Medial What should always be available in the room following a thyroidectomy? Correct Answer - tracheotomy tray ST should have what available when using a laser? Correct Answer - Black chromium When bringing the arm closer to the midline of the body, the arm is being? Correct Answer - Adducted
what is done with the bone flap that is removed when performing a craniotomy? Correct Answer - Placed in antibiotic solution in a protected area on the back table What best describes and emergent cesarean section? Correct Answer
What drugs could the anesthesiologist give the patient to reduce their nervousness? Correct Answer - Anxiolytic Radial neck dissection? Correct Answer - Edema Part of brain Correct Answer - Cerebr/o An arm or leg prep is accomplished by preparing the extremity? Correct Answer - Circumferentially What step needs to be done to adjust the light color on the video equipment? Correct Answer - White balance Dilate pupils Correct Answer - Mydriatics Separate tissue layers within the eye during cataract surgery? Correct Answer - Healon What surgery would pose the highest risk of fire when lasers are in use? Correct Answer - Removal of laryngeal polyps Extract a piece of nasal septum during septoplasty. What would the ST hand the surgeon? Correct Answer - Kerrison What attire is applied first? Correct Answer - Surgeon cap Operating room, sterile core, and scrub sink Correct Answer - Restricted Midas rex might be used in what? Correct Answer - Craniotomy What is the purpose for keeping the back table and mayo stand sterile in the immediate post-op period Correct Answer - Complications of anesthesia
Preparing the room for a craniotomy. What equipment should be in the room? Correct Answer - Mayfield frame Skin prep solution near the eye? Correct Answer - Dilute provisions-iodine Document and operative cord is completed by both the ST and? Correct Answer - Circulator