Download Cst Exam 2024 With Complete Solutions Latest Update and more Exams Surgical Pathology in PDF only on Docsity!
Cst Exam 2024 With Complete Solutions
Latest Update
DISINFECTION OR SANITATION - correct answers process by which surfaces, material and equipment are cleaned with specific substances. Crowe-Davis or McIvor Retractor - correct answers Used for Tonsillectomy, endotracheal tube rhytidectomy - correct answers face lift Wound Classification - correct answers I Clean Wound- no infection II Clean contaminated - hollow viscus such as the respiratory alimentary or genitourinary tracts III Contaminated- early after injury, inflammation is apparent IV Dirty wounds - significant delay in treatment, necrotic tissue present, pus is present, severe inflammation seen Mohs Surgery? What service? What is the procedure for? - correct answers Plastic surgery: Recurrent tumors, continuous growth. Procedure used to map out tumor, determine margins and identify boundries
BANKHART REPAIR (SHOULDER) - correct answers ANTERIOR CAPSULE IS REATTACHED TO THE GLENOID FOSSA How long is an instrument flashed if it has a lumen at 270 degrees? - correct answers 10 min Bowie-Dick Test - correct answers Specifically designed for use with a prevacuum steam sterilizer to test for air entrapment What solution is used for Schillers test? - correct answers Lugol A wrapped tray of instruments is sterilized in a gravity displacement sterilizer at 250 degrees is - correct answers 30 min The minimum exposure for unwrapped instruments in a flash sterilizer at 270 degrees is - correct answers 3 min Fogarty catheter - correct answers catheter, small in diameter and is balloon-tipped, used to facilitate the removal of an embolus
LDS - correct answers instrument used for ligation and division of the omental vessels and vagus nerve, splenectomies EEA stapler - correct answers Alias: intraluminal stapler Use: anastomosing bowel to the stomach or bowel to bowel Two basic steam cycles - correct answers Dynamic air removal and gravity displacement Pre-vacuum sterilizer - correct answers Pulls air by drawing a series of vacuums with an injection of steam between each vacuum pull Why newborns don't shiver - correct answers only have brown fat that blood runs through to keep warm, less SQ to keep warm Povidone-iodine - correct answers topical anti-infective agent produced by reacting iodine with the polymer povidone to release iodine; trade name Betadine
Chlorhexidine Gluconate - correct answers Hibiclens - Never used on Large, open wounds, burns, or infants younger than 2 months Iodophors - correct answers Complex of iodine and alcohol Have replaced free iodine solutions in medical antisepsis Used for surgical scrub Hexachlorophene - correct answers pHisoHex Duraprep - correct answers combination of povidone iodine and alcohol Suture for Hemorrhoidectomy - correct answers chromic sutures Lubricating Instruments - correct answers helps to prevent rust and corrosion Surgical positions - correct answers Laparotomy-strap above the knees, dorsal recumbent position is usual position, flat on back. Used for most abdominal surgeries except gallbladder or pelvis Trendelenberg- for surgery on lower abdomen and pelvis to obtain good exposure by displacing intestine in upper
Sterilizing rubber products - correct answers Ethylene oxide (EtO) is commonly used for____. Steps to appendectomy - correct answers McBurney incision Muscle layers retracted and peritoneum entered Surgeon grasps with Babcock clams Appendix isolated from mesoappendix with Metz scissors Portions ligated with free ties of 3-0 non-absorbalbe suture Purse string sutre is placed around the stump of the appendix stopcock - correct answers a device use to stop or regulate the flow of fluid through tubing Sharp and dull trocars - correct answers Blunt trocars- do not penetrate anchor tissue but push aside during entry Sharp trocars- What may affect suture choice - correct answers 1. Critical nature of the tissue
- Healing time
- Required strength during healing
- little or no scar formation
- Urinary tract
- Risk of infection
- skin
- Cosmetic closure First step in extracapsular cataract extraction - correct answers Surgeon places a bridle suture in the superior rectus muscle and creates a conjunctival flap with Westcott scissors What to do with stiff or difficult to open instrumentation - correct answers Loading a standard autoclave - correct answers Flat packs placed on their side Items capable of holding water should be placed on their edges Scissors for choledochotomy - correct answers pott smith scissors Aufricht nasal retractor - correct answers Rhinoplasty - Used for retracting the nares for visualization Agency dealing with medical waste - correct answers EPA
Aortobifemoral bypass graft - correct answers bifurcated graft femoral arteries to bypass iliac arteries to restore arteries for circulation Skin incision for abdominoplasty - correct answers low transverse Phase 2 of wound healing - correct answers proliferation and new tissue formation Phase 1 of wound healing - correct answers inflammatory phase Phase 3 of wound healing - correct answers maturation phase Pinocytosis - correct answers Cell drinking major side effect of thrombolytics - correct answers hemorrhage ciliary body location - correct answers anteriorly, choroid becomes ciliary body
bacteri/o, bacter/i - correct answers kill/destroy Meiosis - correct answers Cell division that produces reproductive cells in sexually reproducing organisms Mitosis - correct answers part of eukaryotic cell division during which the cell nucleus divides What is the importance of humidity when using Eto sterilization? - correct answers Hydrate spores and bacteria The large artery that arises from the left side of the aortic and descends into the arm is - correct answers Subclavian What method is used to confirm that items have been exposed to the sterilization process, but sterility is not guaranteed - correct answers chemical Mechanical dermatome - correct answers Brown, Padgett, Zimmer Drum dermatome - correct answers Reese-, requires a skin adhesive, which is painted on the donor site in the shape and size of the graft required
Varicocelectomy - correct answers the removal of a portion of an enlarged vein to relieve a varicocele, to improve spermiogenesis Reuben, who is 45 years old, presents with a condition known as torticollis, also called twisted neck. Which of the following muscles is involved? - correct answers Sternocleidomastoid Which of the following causes flexion of the head and contraction that causes rotation of the head to the opposite side? - correct answers Sternocleidomastoid The intraoperative phase of case management ends with what final step? - correct answers When the surgeon applies the dressing During surgery, the patient loses heat through many mechanisms. If the skin, or tissue, has direct contact with a colder object, such as a patient positioned on the cold pads of the operating room table, by what mechanism is the heat lost? - correct answers Conduction heat loss Radiation heat loss - correct answers is the loss of heat from the body surface to COOLER SOLID SURFACES NOT in direct contact but in relative proximity
Convection heat loss - correct answers the flow of heat from the body surface to COOLER AIR Which of the uterine ligaments help suspend the uterus anteriorly? - correct answers Round ligament extends from the sides of uterus to the lateral walls and floor of pelvis; ... - correct answers Broad ligament curve along the bottom of the uterus and attach it to the sacrum. - correct answers Uterosacral ligaments What procedure is indicated after radical cystectomy? - correct answers Ileal conduit From which bone is the bone graft harvested for mandibulectomy reconstruction? - correct answers The iliac crest is a common bone used to obtain a bone graft for mandibular reconstruction. Which of the following instruments would be used to close the thoracic cavity of a lateral thoracotomy? - correct answers The Bailey is a rib contractor (approximator) used to bring the ribs together following a lateral approach for a thoracotomy procedure.
What is the procedure used to correct accidental vitreous loss during a cataract extraction? - correct answers vitrectomy allograft - correct answers skin graft from another person or a cadaver first degree burn - correct answers Superficial burns through only the epidermis. Partial thickness second degree burn - correct answers A partial-thickness burn involving the epidermis and the dermis. Skin is blistered, red and moist Full thickness second degree burn - correct answers The epidermis and full dermis are injured. These burns are characterized by a white, smooth, shiny surface with dry blisters and edema. Full thickness third degree burn - correct answers Involves the epidermis and dermis, hair follicles, sweat glands, and nerve endings. Burn is pain free, no sensation to light touch. Burn is pale and nonblanching. Requires skin graft.
Potential for hypertrophic scar is extremely high. GIA stapler (Gastrointestinal anastomosis) - correct answers used to divide and staple in a linear side-to-side or end-to-side fashion. Ligating and Dividing Stapler - correct answers used to ligate and divide blood vessels Intraluminal stapler - correct answers used to anastomose tubular structures within the gastrointestinal tract. The stapler fires a double row of staples and then trims the lumen with a knife located within the head of the stapler. These staplers are commonly used during resection and reanastomosis of the distal colon or rectum. They can be inserted into the rectum and advanced. TA-60 stapler - correct answers typically used to stable tissue that is transected Insertion of temporary pacemaker - correct answers Electrode sutured to right atrium or right ventricle insertion of permanent pacemaker - correct answers placed at the right ventricular apex
