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CST - NBSTSA App Exams With Complete
Solutions Latest Update
Tympanosplasty - correct answers Surgical operation performed for the reconstruction of the eardrum (tympanic membrane) and/or small bones of the middle ear (ossicles) After gowning and gloving, a surgeon activates the Duraprep applicator and proceeds to prep the patient for surgery. What is the best action to take at this time? - correct answers Regown and reglove the surgeon What position is used for a pneumonectomy? - correct answers Lateral What is the kraske position? - correct answers Anatomical position in which the patient is prone, with hips flexed and elevated, head and feet down. Which position is correct for a dilation and curettage? - correct answers Lithotomy When a hernia is strangulated, which instrument set is added to the general abdominal set-up? - correct answers Gastrointestinal
What is a fenestrated drape? - correct answers A drape with an opening that allows exposure of the operative site Sterile supplies and instruments for a case have been opened in OR one. A surgical technologist was just informed that the case has been moved to OR two and the next case in OR one is scheduled in two hours. What is the best course of action? - correct answers New sterile supplies and instruments should be obtained for OR two and the setup in OR one should be disposed of What is the first step in applying the pneumatic tourniquet necessary in creating a bloodless field? - correct answers Padding the area where the tourniquet is to be wrapped with Webril For a splenectomy procedure, which clamp should be used? - correct answers Satinsky Surgical loupes are used to: - correct answers Magnify the surgical field Which position is the patient placed in for a right nephrectomy? - correct answers Left lateral kidney
Which retractor is preferred for a groin incision? - correct answers Weitlaner What type of dressing is applied as a nonadherent dressing? - correct answers Adaptic During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which method? - correct answers Placed in separate containers and identify Immediately before a hemorrhoidectomy, which procedure might be performed on the patient in the operating room? - correct answers Sigmoidectomy When a break in antisecptic technique occurs, the surgical technologist in the scrub role should first notify the: - correct answers Contaminating team member Sponges that have been added to the sterile field after a procedure has begun should be counted by the: - correct answers Surgical technologist in the scrub role and the circulator What is a procedure for removing excess skin from the face and neck? - correct answers Rhytidectomy
Which rongeur is used to expand the antrostomy in a Caldwell-Luc procedure? - correct answers Kerrison Which procedure is used to visualize the cystic, hepatic, and common ducts? - correct answers Cholangiography Once the spinous process is exposed during a laminectomy, the next instrument needed for the removal of the lamina is a: - correct answers Kerrison rongeur What should the surgical technologist in the scrub role do during a cardiac emergency? - correct answers Remain sterile and keep the table sterile What is used to stabilize a fractured finger? - correct answers Kirschner wires During the application of arch bars, the surgeon will most likely use what between the teeth and around the bar? - correct answers 25-gauge or 26-gauge stainless steel wire Which solution is used to identify diseased areas for a cold conization of the cervix? - correct answers Lugol's
surgical technologist have ready for closing the fascial layer? - correct answers 2-0 suture and toothed tissue forceps While preparing a sterile field, a surgical technologist secures the Bovie holster to the Mayo stand. The surgeon insists on keeping the Bovie by him toward the head of the patient. What would be the best course of action? - correct answers Move Bovie holster up by the head of the patient A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which type of drain should the surgical technologist have available at the end of the procedure? - correct answers Underwater A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist will prepare suture attached to which of the following type of needles? - correct answers Blunt A Stamey needle is used for which type of surgery? - correct answers Bladder suspension What advantage do hand-held retractors have over self- retaining retractors? - correct answers Dynamic adjustability
If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should request additional: - correct answers Lap sponges What is most commonly used for wound closure in the presence of infection? - correct answers Stainless steel A surgeon asks for warm irrigation after a GI tract reastomosis. What best describes the reason for irrigation at this point in the procedure? - correct answers To aid visual inspection for leakage In comparison to oral Fahrenheit temperatures, rectal Fahrenheit temperatures are - correct answers Approximately 1 degree higher What is the unexpected occurrence that involves physiologic or psychologic injury or death? - correct answers Sentinel event Following a surgical procedure, what is the best sequence of actions for a surgical technologist to take? - correct answers Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient
While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. What would most likely be the cause of this? - correct answers The air was not evacuated from the pouch Which layer is transected when a subcostal flank incision is used from a nephrectomy? - correct answers Oblique muscles In order to remove a portion of the kidney, the surgeon must enter what? - correct answers Gerota's fascia What lies between the lung and the chest wall? - correct answers pleura Where is the gastrocnemius muscle located? - correct answers Calf What is the most serious complication of a strangulated hernia? - correct answers Necrosis During a herniaorraphy, the abdominal area that is bound by the rectus abdominis muscle, the inguinal ligament, and the inferior epigastric vessels is the: - correct answers Hesselbach triangle
Scoliosis is most commonly found in which curve of the vertebral column? - correct answers Thoracic When performing a Shirodkar procedure, where is the attention being focused? - correct answers Cervix A patient entering the operating room for a laparoscopic cholecystectomy looks jaundiced. What is the best explanation for this? - correct answers Biliary obstruction Which surgical procedure may be used to remove a carcinoma from the head of the pancreas? - correct answers Whipple A scleral buckle procedure repairs: - correct answers Detached retinas Which procedure treats a congenital obstructed lesion found at the distal end of an infant's stomach? - correct answers Pyloromyotomy What is the surgical correction of a Colles' fracture? - correct answers The distal radius is fractured and the periosteum will be closed with absorbable sutures
What is the desired effect of atropine sulfate when used as a preoperative medication? - correct answers Drying of secretions Which condition is triggered by an injection of succinylcholine (Anectine) and causes an unusually high fever? - correct answers Malignant hyperthermia The primary purpose of a local anesthetic is to: - correct answers Block peripheral nerve receptors How is propofol (Diprivan) administered? - correct answers Intravenously A physician prescribed 50 mg of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given? - correct answers 0.5 mL A patient presented in the OR without family history related to anesthesia complications. Which complication is of most concern related to the lack of family history? - correct answers Malignant hyperthermia The primary consideration in selecting an appropriate anesthetic agent is the: - correct answers Physiologic condition of the patient
Which anticoagulant should be given during a vascular procedure to prevent normal blood clotting? - correct answers Heparin sodium A form of contrast media used within the body that is visible when exposed to x-ray is: - correct answers Radiopaque A sterile item used with an electrosurgical unit is the: - correct answers Active electrode What is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? - correct answers Shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder When donning gloves using the open-gloving technique, the ungloved hand will touch the: - correct answers Folded edge of the cuff of the glove A pneumatic tourniquet may be used for surgery for: - correct answers Reduce blood loss A device used to measure fluid pressure is known as a: - correct answers Manometer
In which position is the patient in if they are lying supine with legs separated, flexed, and raised in stirrups - correct answers Lithotomy A patient's dentures are removed in the operating room. What is the proper procedure for the care of the dentures? - correct answers Place them in a labeled denture cup and keep them with the patient's chart During a procedure, a surgical technologist notices a hole in his glove. What should be done next? - correct answers Change the glove using the open-gloving technique A patient undergoing a blood transfusion is having a hemolytic reaction. What should the healthcare provider do first? - correct answers Stop the transfusion Which instrument is most likely used to stabilize a cervical fracture? - correct answers Mayfield clamp What procedure may require a postauricular incision? - correct answers Mastoidectomy What is the surgical procedure that removes diseased mastoid air cells? - correct answers Mastoidectomy
What is the surgical procedure used to remove adenoids for reasons which include: impaired breathing through the nose, chronic infections, or recurrent earaches - correct answers Adenoidectomy What is the surgical procedure of an incision to the eardrum to relieve pressure or drain fluid? - correct answers Myringotomy During an abdominoperineal resection, which stapling device should the surgical technologist have available to form an anal pouch from the ileum? - correct answers GIA A #12 knife blade on a #7 handle is most commonly used for what type of surgery? - correct answers Tonsillectomy Which instrument is used to grasp the base of the hemorrhoid during a hemorrhoidectomy? - correct answers Allis Which retractor may be used during an open cholecystectomy? - correct answers Harrington What may be used when applying a sterile dressing to a skin graft site? - correct answers Pressure dressing
partially intact to allow implantation of an intraocular lens. - correct answers Extracapsular extraction What procedure repairs a ruptured abdominal aortic aneurysm? - correct answers Excision with graft placement This is the removal of material on the inside of an artery. - correct answers Endarterectomy What surgical procedure is done as a treatment for high blood pressure in the liver? - correct answers Portacaval shunt What is the first step when performing a myringotomy? - correct answers Removal of cerumen from the ear canal Which sponge can be used directly on the structure of the brain? - correct answers Cottonoid Who is responsible for the proper care and handling of an intraoperative specimen? - correct answers Surgical technologist in the scrub role and the circulator
During a procedure, a surgical technologist touches an unsterile item with a sterile glove. What should be done?
- correct answers Change the glove at once What is used for sponging around the spinal cord? - correct answers Cottonoids During a craniotomy, removal of the bone flap is followed by: - correct answers Incision of the dura mater What stapler should be used for end-to-end intestinal resection? - correct answers EEA What is the surgical operation to remove the back of one or more vertebrae, usually to give access to the spinal cord or to relieve pressure on nerves? - correct answers Laminectomy This procedure is performed to disable selected pain- conducting tracts in the spinal cord, in order to achieve loss of pain and temperature perception. - correct answers Cordotomy What is the most important consideration when cutting suture? - correct answers Avoid cutting the knot
