SURGICAL TECHNOLOGIST CERTIFYING EXAM …

1 ASSOCIATION OF SURGICAL technologists SURGICAL TECHNOLOGIST CERTIFYING EXAM study GUIDE, 3RD Ed. PRACTICE EXAM #3: EXPLANATIONS WITH REFERENCES Reference Key Alex Rothrock, J. C. (2011). Alexander s care of the patient in surgery. (14th ed.). St. Louis: Elsevier Anatomy Tortora, G., & Nielsen, M. T. (2009). Principles of human anatomy (11th ed.). Hoboken, NJ: John Wiley & Sons B&K Phillips, N. (2013). Berry & Kohn s operating room technique (12th ed.). St. Louis: Elsevier. Med Term Gylys, B. A., & Wedding, M. E. (2009). Medical terminology systems: A body systems approach (6th ed.). Philadelphia: Davis. Memmler s Cohen, B. J., & Taylor, J. J. (2009).

2 Memmler s the human body in health and disease (11th ed.). Philadelphia: Lippincott Williams & Wilkins. Micro Price, P., & Frey, K. B. (2003). Microbiology for SURGICAL technologists . Clifton Park, NY: Delmar Learning. OR Instr Tighe, S. M. (2007). Instrumentation for the operating room (7th ed.). St. Louis: Mosby. Pharm Snyder, K. C., & Keegan, C. (2006). Pharmacology for the SURGICAL TECHNOLOGIST (2nd ed.). St. Louis: Saunders. Physiology Rhoades, R., & Pflanzer, R. (2003). Human physiology (4th ed.). Pacific Grove, CA: Brooks/Cole. ST for ST Frey, K. B., & Ross, T. (Eds.). (2014 ). SURGICAL technology for the SURGICAL TECHNOLOGIST : A positive care approach (4th ed.)

3 Clifton Park, NY: Delmar Cengage Learning. 1. B. Trigeminal neuralgia arises from the irritation of the fifth cranial nerve. (Memmler s 229) 2. D. Sterile mineral oil is used to lubricate the skin at the donor site to reduce friction and provide a smooth surface for the dermatome. (ST for ST 735 ) 3. A. Donor site first is an example of proper sterile technique when performing skin prep for a split-thickness skin graft. (ST for ST 734 ) 4. B. The intra-abdominal pressure of the carbon dioxide should be maintained between 12-15 mm Hg to avoid damage to the abdomen; however, it should not be allowed to go below 8 mm Hg. (ST for ST 548 ) 5. A. Strabismus is the inability to direct both eyes at the same object due to the lack of coordination of the extraocular muscles.

4 (ST for ST 608 ) 6. D. Indications for a carotid endarterectomy include transient cerebral ischemia, asymptomatic bruits, and chronic cerebral ischemia. (ST for ST 1110 ) 7. B. According to the Rule of Nines, the percentage assigned to the front and back of the trunk of the body is 18%. (ST for ST 732-733 ) 8. C. An abnormal increase in the number of cells due to an increase in the frequency of cell division is known as hyperplasia. (Physiology 941) 9. A. During second intention healing, granulation tissue containing fibroblasts forms in the wound and closes it by contraction with secondary growth of epithelium. (ST for ST 293 ) 10. A. Lidocaine hydrochloride, trade name Xylocaine, is used as an emergency medication during surgery to treat cardiac arrest or ventricular tachycardia or fibrillation.

5 (ST for ST 214 ) 11. C. One fluid ounce equals 30 mL; two ounces equals 60 mL. (Pharm 209 ) 12. D. Covering a sterile table for later use is not permitted because it is nearly impossible to uncover without contaminating the sterile items on the top of the table; additionally, uncovering the table stirs up the dust in the (ST for ST 172 ) 13. C. Hypovolemia is low blood volume. Patients are placed in the Trendelenburg position to increase blood flow to the upper body. (ST for ST 362 ) 14. B. The use of monofilament suture swaged on a needle is best for minimizing tissue trauma and drag. (ST for ST 307 ). 15. C. Occupational Safety and Health Administration (OSHA) is an organization that is dedicated to protecting the health of workers by establishing standards that address issues related to safety in the work place.

6 (ST for ST 25, 85 ) 16. D. Physiological and survival is the most applicable to the SURGICAL patient. (ST for ST 49 -50 ) 17. D. The gown is removed first by grasping it near the shoulders and pulling it off. The circulator aids the effort by untying the back of the gown. This action slightly turns the inside of the gloves outward to aid in removing them without touching any patient blood or body fluids that are on the outside of the gloves. (ST for ST 391, 392 ) 18. C. A laparoscopy combination drape is a combination of laparotomy and perineal sheet. It is used for abdominoperineal resection. (B&K 520 ) 19. D. The thermal (steam) destruction of microbes is due to the denaturation and coagulation of cellular protein.

7 (ST for ST 162 ) 20. C. Drapes are to be carried to the table in folded condition. If allowed to unfold it could drag on the floor contaminating the drapes. The drapes are too large to place on the patient in an unfolded manner without contaminating them. (ST for ST 375-377 ) 21. D. The pulse oximeter cannot properly function with nail polish present. The light beam from the pulse oximeter is focused to travel through the nail and skin of the finger and nail polish changes the color of the light beam causing it to malfunction. (ST for ST 325 ) 22. A. Studies have shown that air exchange in the at the rate of 15 20 times per hour helps to reduce the microbial count.

8 (ST for ST 83 ) 23. B. 10 mL of water is necessary to inflate a 5-mL balloon on the Foley indwelling catheter. (ST for ST 358 ) 24. D. Fine scissors coated with water-soluble gel is used for trimming eyelashes. (ST for ST 599 ) 25. A. When performing the patient skin prep, the skin should be scrubbed and painted starting at the incision site using a circular motion. (ST for ST 372 ) 26. C. The percentage or ratio of erythrocytes that is present in the whole blood of the SURGICAL patient is determined by the laboratory test called the hematocrit. (Memmlers 292) 27. B. If a sponge pack contains an incorrect number of sponges, the first scrub SURGICAL TECHNOLOGIST should hand the sponges to the circulator who will place the sponges in an area of the where they will not be thrown away or mixed with other sponges until the end of the procedure and the is being cleaned (ST for ST 344 ) 28.

9 B. Any type of stones, salivary, gallbladder or renal, should be sent dry to pathology. Preservative solutions destroy the stones, making it impossible for pathological examination. (ST for ST 406 ) 29. D. The first scrub should begin at the operative field first and work her/his way backwards operative field, Mayo stand, back table, sponge bucket, floor. ( ST or ST 387 ) 30. B. Coude is a non-retaining catheter tip to maneuver around n obstruction if a patient has a urethral stricture. (ST for ST 285 ) 31. A. Bolster dressing also referred to as stent dressings are for wounds that are difficult to dress and keep in place, such as the face and neck. The long ends of sutures are tied over the dressing to keep it in place.

10 (ST for ST 284 ) 32. B. Nerve stimulators create very small electric currents that help to identify and preserve essential facial nerves. (ST for ST 277 ) 33. D. Absorbable collagen is contraindicated in the presence of infection or in areas where blood or other body fluids have pooled. (B&K 581) 34. D. To achieve proper wound closure, the table must be straightened to bring the tissue of the incision closer together and avoid tension on the suture and tissues. (Alex 156) 35. A. A fiberoptic light source is the power source for all fiberoptic instruments and equipment and should be tested prior to the use of a fiberoptic bronchoscope. (ST for ST 274 ) 36. B. Coarctation of the aorta can be corrected by excision of a constricted segment of the aorta with reanastomosis.