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CST Exam With Complete Solutions Latest
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Which of the following is a sign of cardiac arrest? A. edema B.convulsion C. cyanosis D. hypertension - correct answers c While being transferred from the stretcher to the operating room bed, the patient expresses fear of not awakening from anesthesia. The surgical technologist should A. proceed with the transfer and disregard patient comments. B. explain the action of the anesthetic agent. C. reassure the patient that the anesthetic is safe. D. have the anesthesia care provider address the patient's concerns. - correct answers d Which of the following rongeurs is used to expand the antrostomy in a Caldwell-Luc procedure? A. Cushing B. Bethune C. Kerrison D. Stille-Luer - correct answers c
During a procedure, a surgical technologist notices a hole in his glove. Which of the following should be done next? A. Continue the case. B. Change the glove using the open-gloving technique. C. Change the glove using the closed-gloving technique. D. Break scrub, rescrub, gown and glove. - correct answers b Which of the following is an unexpected occurrence that involves physiologic or psychologic injury or death? A. unintentional tort B. sentinel event C. negligence D. malpractice - correct answers b The tissue that covers bones and provides movement to the skeletal system is A. nerve. B. cartilage. C. muscle. D. ligament. - correct answers C. Muscles are tissue that cover bone and provide movement to the skeletal system.
actions, the physician or nurse manager should contact the hospital's administration to request that legal counsel becomes involved. They will be able to advise the operating room staff as to the best course of action considering all of the legal and ethical implications. A surgical technologist counts only 9 sponges in a pack on the initial count. After recounting the sponges, it is confirmed that there are only 9 sponges in the pack. Which of the following is the appropriate course of action? A. Change the count sheet to match the initial count and use the sponges from the current package. B. Leave the current package on the surgical field; document the problem; open a new package; recount. C. Remove the current package from the surgical field, but not the operating room; document the problem; open a new package; recount. D. Remove the current package from the operating room; document the problem; open a new package; and recount. - correct answers C. If a package of sponges contains an incorrect number, it should immediately be handed off the sterile field and documented. It should be bagged, labeled as incorrect, and placed in a remote location in the OR. A new package of sponges should be opened and counted. When utilizing a laparoscopic set-up, potential hazards associated with the equipment include
A. non-ionizing radiation. B. nitrogen embolus. C. pneumoperitoneum. D. fiberoptic beam fire. - correct answers D. The intense fiberoptic beam can ignite the patient's drapes and cause fires. Therefore, cameras should be turned off when not in use and should be appropriately placed during procedures. A patient with multiple trauma injuries requires surgical intervention. The patient has a history of DVT and is currently taking anticoagulants. Which of the following should be done to ensure a clot does not develop? A. Administer a subcutaneous anticoagulant preoperatively. B. Continue current anticoagulation therapy. C. Place a sequential compression device on lower extremities. D. Draw a PT-PTT and send the patient to surgery. - correct answers C. Sequential compression devices are clinically proven to help in the prevention of developing clots. Which of the following catheters is MOST commonly used to perform an embolectomy? A. Robinson B. Fogarty
A. a splenectomy. B. a choledochotomy. C. an appendectomy. D. a herniorrhaphy. - correct answers B. A T-tube drain is used to irrigate and to demonstrate patency of the common bile duct. A T-tube's unique design fits into the common duct and facilitates drainage outside of the body. While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. Which of the following would MOST likely be the cause of this? A. The air was not evacuated from the pouch. B. The temperature of the autoclave was too high. C. The package was sterilized too long. D. The instruments in the pouch were too heavy. - correct answers A. Air should be evacuated from the pouch before it is sealed. Otherwise, the package may rupture during sterilization. For steam sterilization, biological indicators should be placed A. in the most challenging area of the load. B. at the center of the load. C. in the least challenging area of the load.
D. at the top of the load. - correct answers A. The test pack is placed in the area of the sterilizer that is most difficult for the sterilant to reach. Which of the following instruments may be used to clamp the aorta? A. Doyen B. Duval C. Bulldog D. Satinsky - correct answers D. A Satinsky may be used to clamp large vessels such as the aorta The drug MOST commonly used to treat ventricular tachycardia is A. epinephrine (Adrenalin). B. nitroglycerin (Nitrostat). C. lidocaine (Xylocaine). D. norepinephrine (Levophed). - correct answers C. Lidocaine is an antiarrhythmic. Which of the following types of anesthetic is injected during a Bier block? A. bupivacaine (Marcaine) B. lidocaine (Xylocaine) with epinephrine C. bupivacaine (Marcaine) with epinephrine
When a hernia is strangulated, which of the following instrument sets is added to the general abdominal set- up? A. rectal B. vascular C. common duct D. gastrointestinal - correct answers D. A resection of necrotic bowel calls for gastrointestinal instrumentation. Which of the following is used to cross-clamp the intestine during a bowel resection? A. Allen B. Lahey C. Heaney D. Duval - correct answers A. The Allen clamp is an intestinal clamp. On which of the following would an antiseptic be used? A. skin surface B. anesthesia masks C. intravenous tubing D. operating room table - correct answers A. Antiseptics are safe to use on human tissues.
Which of the following destroys bacterial spores? A. germicide B. antiseptic C. sterilant D. fungicide - correct answers C. Sterilants destroy microbes including spore-forming organisms. A patient presented in the OR without family history related to anesthesia complications. Which of the following complications is of MOST concern related to the lack of family history? A. malignant hyperthermia B. bronchospasm C. cardiac arrest D. transfusion reaction - correct answers A. Malignant hyperthermia is a rare but life-threatening reaction triggered in susceptible individuals by administration of certain anesthetic agents. It is an inherited muscle condition that causes a hypermetabolic state in patients exposed to those specific trigger agents. The destruction of organisms in an autoclave is accomplished by the A. division of the nucleus. B. desiccation of the nucleus. C. coagulation of cell protein.
D. gunshot wound - correct answers A. A suprapubic prostatectomy is classified as a clean-contaminated wound because the genitourinary tract is entered under controlled conditions. A device used to measure fluid pressure is known as a A. capnometer. B. manometer. C. spirometer. D. thermometer. - correct answers B. A manometer measures fluid pressure. Which of the following wound classes is assigned to a bowel case in which the resident perforated during the procedure? A. I B. II C. III D. IV - correct answers C. Class III indicates that gross spillage from the gastrointestinal tract occurred during the procedure. Where is the gastrocnemius muscle located? A. arm B. calf
C. back D. thigh - correct answers B. The gastrocnemius is a muscle in the posterior portion of the lower leg. Which of the following instruments is used to grasp the base of the hemorrhoid during a hemorrhoidectomy? A. Allis B. Pennington C. Kocher D. mosquito - correct answers A. An Allis is a grasping forceps used to grasp the base of a hemorrhoid during a hemorrhoidectomy. For a splenectomy procedure, which of the following clamps could be used? A. Allen B. Doyen C. Duval D. Satinsky - correct answers D. A Satinsky is an atraumatic clamp used for vascular cases. Which of the following is an absorbable suture? A. silk B. nylon C. polypropylene (Prolene)
B. Sarot clamp C. vascular sets D. ligating clip appliers - correct answers B. A Sarot clamp would be required for an emergency splenectomy, but may not be required for a routine splenectomy. During a laser laryngoscopy, which of the following supplies must be available? A. wet sponges, towels, and sterile water B. microscope, sterile water, and bronchoscope C. sterile water, thyroid tray, and methylene blue D. tracheotomy tray and tube, bronchoscope, and sterile water - correct answers A. Sterile water must be available in the event of a fire to keep sponges and towels wet so that they do not ignite. Clostridium A. aerobic B. anaerobic C. Gram-negative D. non-spore-forming - correct answers B. anaerobic Which of the following is necessary for ethylene oxide sterilization to occur? A. indirect contact B. gravity displacement
C. humidity D. steam - correct answers C. Spores must be hydrated to facilitate passage of the ethylene oxide into the organism. In comparison to oral Fahrenheit temperatures, rectal Fahrenheit temperatures are A. exactly the same. B. approximately 1 degree lower. C. approximately 1 degree higher. D. approximately 2 degrees higher. - correct answers C. Rectal temperatures are 1 degree higher than oral temperatures. During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? A. Place on a RAY-TEC to be handed off to the circulator. B. Separate on Telfa and pass to the circulator. C. Place in separate containers and identify. D. Place in specimen container held by the circulator using a hemostat. - correct answers C. The surgical technologist must place each node in a separate sterile container and ensure that they are identified appropriately. Which of the following is a specimen container used in a flexible or rigid bronchoscopy?
D. III, II, I - correct answers C. The inflammatory phase begins within minutes of a tissue trauma. The proliferation phase begins on the third day following tissue trauma. The remodeling phase begins 14 days following tissue trauma. When a cholecystectomy is performed, which of the following anatomical structures must be preserved? A. cystic duct B. cystic vein C. common duct D. cystic artery - correct answers C. The common duct is preserved in order to drain bile or perform a common bile duct exploration. Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infant's stomach? A. gastrostomy B. Nissen fundoplication C. Heller myotomy D. pyloromyotomy - correct answers D. Infantile pyloric stenosis is relieved by removing the congenital obstructive lesion in the pylorus of the stomach. This procedure is called pyloromyotomy.
When an anesthetized patient's position is changed from lithotomy to supine, the patient's legs should be lowered slowly to prevent which of the following? A. hypotension B. laryngospasm C. respiratory distress D. peroneal nerve damage - correct answers A. The legs should be lowered slowly because blood supply has been altered by the position. They should be lowered simultaneously to avoid lumbar torsion. A pad-like sac or cavity that prevents friction within a joint is known as a A. bursa. B. fossa. C. ganglion. D. ligament. - correct answers A. The bursa is a pad-like sac or cavity found in connective tissues, usually in the vicinity of joints. During an abdominoperineal resection, which of the following stapling devices should the surgical technologist have available to form an anal pouch from the ileum? A. TA B. GIA
