What structure is located in the alveolar processes?
teeth
Which of the following is the wound classification for a bronchoscopy?
A) clean
B) contaminated
C) dirty and infected
D) clean contaminated
Clean-contaminated procedures include those when the aerodigestive tract is entered. The bronchoscope is inserted through the mouth and into the bronchial tubes. The procedure is considered clean, not sterile.
The enzyme used to soften the zonules of the lens before cataract surgery is?
alpha-chymotrypsin
Alpha-chymotrypsin is a solution used to soften the zonules holding the lens before cataract surgery to ease extraction of the lens.
How should the stretcher be oriented when necessary to use an elevator to transport a patient to the OR?
enter head first, exit feet first
The patient should be placed in the elevator entering head first and exit feet first when being transported to the OR on the stretcher.
What is the curved, transverse incision across the lower abdomen frequently used in gynecological surgery?
Pfannenstiel
Pfannenstiel’s incision is a curved transverse incision across the lower abdomen and used frequently in gynecologic surgery.
When perforated metal trays are placed on the shelves of the steam sterilizing cart, they should be positioned?
flat
Metal trays that are perforated or have a mesh bottom should be placed on the sterilizing cart flat.
Hyperkalemia is a high concentration of?
Potassium
Potassium plays four important roles: influences the electrical excitability of cells; the amount of potassium in cells affects cell volume; potassium balance is important in maintaining the acid-base balance; the amount of potassium in cells affects cell metabolism. Hyperkalemia, an abnormal level of potassium, can be life threatening, causing cardiac irregularities.
Which tissue is cut using curved Mayo scissors?
fascia
Curved Mayo scissors are large scissors, with thick blades used to cut tough tissue, such as fascia, tendons, and muscle.
What laser beam can travel through clear tissues without heating them?
Argon
The argon laser beam can travel through clear fluids and tissues.
Permission for treatment given with full knowledge of the risks is a/an?
informed consent
Informed consent must be obtained from the patient before any invasive procedure can be performed. it protects the patient because it verifies that he/she understands the condition to be treated and the intervention to be performed.
Which portion of the stomach surrounds the lower esophageal sphincter?
cardia
The cardia is the portion of the stomach that surrounds the superior opening of the stomach.
Low level disinfectants kill most microbes, but do not destroy what?
spores
Low level disinfectants kill most types of bacteria and some fungi and viruses, but do not kill spores and M.tuberculosis
Syndactyly refers to?
webbed fingers
The surgical pack utilized to create the sterile field should be opened on the?
backtable
The islets of Langerhans secrete?
insulin
The islets of Langerhans secrete glucagon, insulin, somatostatin, and pancreatic polypeptide.
What type of procedure would involve the removal of teeth?
Extractions
The removal of a tooth or teeth is an extraction procedure. The resection of the soft tissue and excision of the bone surrounding the tooth prior to the removal is called odontectomy.
Which organism is a normal resident flora of the intestinal tract?
Escherichia Coli
Escherichia coli is a gram negative rod that is part of the normal flora of the intestinal tract of humans and is also an opportunistic bacteria.
Where should the first scrub surgical technologist stand when handing towels to the surgeon to square off an incision site?
same side as surgeon
When using four towels for squaring off the incision site, the first towel will be passed when standing on the same side as the surgeon.
A properly performed surgical scrub renders the skin?
surgically clean
Where do the common bile duct and the pancreatic duct empty?
Ampulla of Vater
What identifiers must be verified by the patient or their ID bracelet prior to transporting a patient to the OR?
Name, DOB, and physician
What are spiral shaped bacteria called?
spirilli
The primary function of the gallbladder is to?
store bile
The gallbladder stores bile until it is needed in the small intestine.
Which of the following is a non-sterile member of the surgical team?
A) surgeon
B) circulator
C) surgical assistant
D) surgical technologist
circulator
Which of the following is not a benefit of using surface mounted sliding doors for access to the operating room?
A) uses less space for opening
B) aid in controlling temperature
C) eliminate air turbulence
D) provides for thorough cleaning
aid in controlling temperature
Sliding doors are usually used in the OR because they eliminate air currents caused by swinging doors, but a disadvantage is they do not aid in controlling OR temperature.
What are the three factors for reducing ionizing radiation exposure?
time, shielding, distance
Which is the first part of the small intestine?
duodenum
The duodenum starts at the pyloric sphincter of the stomach.
What is the surgical position frequently used for patients undergoing kidney surgery?
lateral
The surgical position frequently used for patients undergoing kidney surgery is the lateral position with the operative site exposed.
How are rickettsiae transmitted?
arthropod bites
Most rickettsiae are obligated intracellular parasites. They are usually transmitted by arthropod vectors.
Which of the following is an examination of the cervix using a binocular microscope?
A) Colposcopy
B) Laparoscopy
C) Urethroscopy
D)Hysteroscopy
colposcopy
A binocular microscope is used during an examination of the vagina called a colposcopy. Colpo is a word root that means vagina.
Compression of the heart from excessive fluid or blood buildup is called?
tamponade
Tamponade is the compression of the heart due to a collection of blood or fluid within the pericardium.
Which surgical team member determines when the patient can be transported from the OR to the PACU?
anesthesia provider
Which suffix means surgical puncture to remove fluid?
-centesis
To which portion of the colon is the appendix attached?
cecum
Which laboratory test determines bacterial identification?
gram stain
A gram stain determines the shape and grouping characteristics of bacteria
Medication used to dilate the pupil is called?
Mydriatics
Mydriatics are used to dilate the pupil for examination of the retina, refraction testing, or easier removal of the lens.
Which of the following drapes is non-fenestrated?
A) laparotomy
B) u-drape
C) transverse
D) craniotomy
U-drape
A u-drape is a type of nonfenestrated split sheet. The tails are created by a U-shape in the center of the drape.
Under what circumstances would it be appropriate to remove a patient’s identification bracelet?
never until patient is discharged from facility
What is the position most commonly used for mitral valve replacement?
supine
Which laser is best used during a vitrectomy?
Argon
The argon laser is used because the beam travels through clear tissues without heating it, making it ideal for use on retinal disorders.
Which of the following monitors provides positive assurance of sterility?
A) clerical
B) mechanical
C) biological
D) chemical
biological
The biological indicator (BI) contains Bacillus stearothermophilus which is killed when exposed to steam sterilization conditions. The BI is the only test that guarantees sterility.
The apron like structure attached to the greater curvature of the stomach is the?
omentum
The greater omentum is an apron like structure that lies over the intestines.
Which microbes live without oxygen?
anaerobes
Which of the following is an abnormal tract between two epithelium lined surfaces that is open at both ends?
fistula
A fistula is an abnormal tract that is open at both ends; it most often develops after bladder, bowel and pelvic procedures.
What is the action of antagonist drugs?
counteract the action of another drug
An antagonist drug neutralizes or impedes the action of another drug, that is, reverses its effects.
Which of the following directional terms describes the type of skin prep of an entire extremity?
circumferential
What organs are excised if an ovarian tumor is malignant?
bilateral fallopian tubes and ovaries, uterus
If a tumor of an ovary is found to be malignant, the surgeon will excise both ovaries, both fallopian tubes, and the uterus to ensure that all cancer cells have been removed.
Which term refers to an abnormal thoracic curve of the spine referred to as “hunchback?”
kyphosis
What is the medical term for a bunion?
hallux valgus
Hallux valgus is the medical term for a bunion, which is a bony exostosis located on the medial side of the first metatarsal head of the big toe.
What incision is also known as a lower oblique?
Inguinal
The small intestine attaches to the posterior abdominal wall by the?
Mesentery
The mesentery binds the small intestine to the posterior abdominal wall.
What is the term for a relationship in which two organisms occupy the same area and one organism benefits while the other is unharmed?
commensalism
A topical steroid used to reduce inflammation after eye surgery is?
Depo-Medrol
Methylprednisolone acetate (Depo-Medrol) is a steroid used topically to diminish inflammation after opthalmic surgery.
How is the surgical informed consent signed if an adult patient is illiterate?
Patient marks with an “X” and witness verifies
What direction should the stretcher be oriented when transporting a patient to the OR department?
feet first, side rails up
The direction of the stretcher should be oriented feet first, side rails up when a patient is being transported to the OR on the stretcher.
Which of the following routine preoperative laboratory studies would be ordered for premenopausal women with no history of hysterectomy?
HCG
Blood or a urine sample should be given preoperatively by a premenopausal woman to check for human chorionic gonadotropin (HCG) which is an indicator for pregnancy.
Which portion of the surgical gown is considered non-sterile?
A) outside closure ties
B) two inches below neckline to table level
C) upper arms, neckline and axillary region
D) sleeves; two inches above the elbows to the cuffs
upper arms, neckline and axillary region
What is the name of the urinary catheter with a small, curved tapered tip used on patients with urethral strictures?
coude
What is the surgical position commonly used for thyroid and gallbladder surgery?
reverse trendelenburg
The Reverse trendelenburg position provides good exposure of the operative site for a thyroidectomy and allows the viscera to fall away or toward the feet to provide better exposure of the gallbladder.
A congenital defect in which the fetal blood vessel between the pulmonary artery and aorta does not close is?
patent ductus arteriosus
Patent ductus arteriosus is a congenital defect when the fetal blood vessel between the pulmonary artery and aorta does not close.
Which of the following is a commonly used preservative for tissue specimens?
formalin
Formalin is the most common preservative solution that tissue specimens are placed in.
What is the first step taken for an incorrect sponge count?
notify surgeon
The surgeon should be immediately notified and a recount completed.
The mumps may be diagnosed by finding inflammation in which of the following glands?
parotid
The parotid glands are located inferior and anterior to the ears between the skin and masseter muscle. The parotid glands are attacked by the mumps virus.
What institutional document is completed when an adverse or unusual event takes place in the OR that may have legal consequences for the staff or patient?
incident report
An event/incident report is completed by members of the surgical team that are witness to any unusual or adverse event that affected the care provided to the surgical patient.
For which procedure would Trendelenburg position provide optimal visualization?
A) Cholecystectomy
B) Hysterectomy
C) Thyroidectomy
D) Acromioplasty
Hysterectomy
The Trendelenburg position is best used for pelvic and lower abdominal procedures, such as an abdominal hysterectomy. The position allows the viscera to fall away or toward the head for better exposure of the operative site.
Which of the following is a nonadherent dressing?
A) kling
B) adaptic
C) collodion
D) elastoplast
adaptic
Adaptic is a type of nonadherent dressing that can be used as the inner layer of a three layer dressing.
Which of the following is a fenestrated drape?
A) incise
B) U-drape
C) Aperture
D) Half-sheet
Aperture
A fenestrated drape is a drape with an opening, such as an aperture drape commonly used to drape eyes.
Which of the following terms describes a hernia that occurs within Hesselbach’s triangle?
direct
Hernias that occur within Hesselbach’s triangle and do not have a sac are a direct inguinal hernia.
Which of the following incisions is oblique?
A) Epigastric
B) Kocher
C) Paramedian
D) Pfannenstiel
Kocher
The kocher is a type of oblique incision used for exposing the biliary tract (right side) or spleen (left side).
Which of the following dilators are used in the common duct?
A) Pratt
B) Van Buren
C) Bakes
D) Hegar
bakes
Bakes common duct dilators are used to dilate the common bile duct during an exploration for gallstones.
Which of the following is a mechanical method of hemostasis?
A) Laser
B) Ligature
C) Thrombin
D) Electrosurgery
ligature
Ligature, also called ties or stick ties when a needle is attached, are strands of suture material used to tie off a blood vessel to stop bleeding
The organ that is connected by a duct to to the duodenum is the?
pancreas
The pancreas lies posterior to the greater curvature of the stomach; its ducts join the CBD to form the ampulla of Vater.
A brain tumor causing alteration of muscle tone, voluntary muscle coordination, gait and balance would likely be located in the?
cerebellum
The functions of the cerebellum include regulating the initiation and termination of voluntary movements of the body, regulating the msucle tone that is necessary for body movements and controlling the subconscious contractions of skeletal muscles.
What is the term for a relationship that benefits one organism at the expense of another?
parasitism
What type of disease is characterized by rapid onset and a rapid recovery?
acute
Which organelle is responsible for the production of energy?
mitochondria
Mitochondria produce energy rich ATP
What type of anesthesia is a combination of inhalation and intravenous drugs?
balanced
Balanced anesthesia is a combination of inhalation and intravenous drugs. It is also known as neuroleptanesthesia.
Who is ultimately responsible for obtaining the surgical informed consent?
surgeon
What position is most commonly used for neurosurgical procedures?
supine
The most commonly used position for neurosurgical procedures is supine since it allows exposure to the frontal, parietal and temporal lobes.
The outer layer of the intestine is the?
serosa
The serosa is the outermost layer of most portions of the gastrointestinal tract.
Which of the following solutions should be used to prep the donor site for a split thickness skin graft?
Chlorhexidine
The donor site should be scrubbed with a colorless antiseptic solution, such as chlorhexidine gluconate, to allow the surgeon the ability to evaluate the vascularity of the graft postoperatively.
What type of drape would be used for a flank procedure?
transverse
When the patient is placed in the lateral position, and a flank incision is made, a transverse drape will be used.
Where should the safety strap be placed on a patient who is in the supine position?
A) below the knees
B) across the waist
C) over the thighs
D) across the abdomen
over the thighs
Which surgical procedure is performed to correct an abnormality in which the urethral meatus is situated on the superior aspect of the penis?
A) hypospadias repair
B) epispadias repair
C) meatotomy
D) ureteroneocystostomy
epispadias repair
An epispadias repair is performed to correct the congenital absence of the anterior wall of the urethra and abnormal location of the urethral orifice on the dorsum of the penis.
Which thermal method of hemostasis utilizes intense, focused light?
A) laser
B) bipolar
C) harmonic
D) monopolar
laser
The laser provides an intense and concentrated beam of light.
What is the most common cause of intracerebral hemorrhage?
Hypertension
The larynx is located between the?
pharynx and trachea
The larynx is a small passageway between the pharynx and the trachea.
The most common cause of retinal detachment is?
A) aging
B) trauma
C) glaucoma
D) inflammation
trauma
What postoperative complication is associated with total hip arthroplasty?
urinary incontinence
Pulmonary embolism can be caused by fat which dislodges after fracture of a long bone or pelvis, or when performing a total hip arthroplasty.
Which of the following is a type of passive drain?
A) penrose
B) hemovac
C) pleur-evac
D) Jackson-Pratt
penrose
The penrose drain is a passive drain made from latex that relies on gravity for wound drainage.
The vocal cords are located in the?
larynx
What type of acquired immunity is a vaccination?
artificial active
When would the anesthesia provider request cricoid pressure?
endotracheal intubation
Cricoid pressure occludes the esophagus to prevent regurgitation.
Which instrument would be used during a keratoplasty to remove the cornea?
A) Trephine
B) Westcott
C) Oculotome
D) Phacoemulsifier
trephine
What is the required minimum number of individuals to transfer an incapacitated patient from the OR table to the stretcher?
4
Which of the following regulations states that blood and body fluids should be considered infectious?
Standard Precautions
Standard Precautions, as defined by the CDC in 1996, are a combination of Universal Precautions and body substance isiolation rules that state all body fluids and blood should be considered infectious.
What is a major source of distress for toddler and preschool age patients?
separation anxiety
Which structure has oral, nasal, and laryngeal divisions?
pharynx
Otoplasty is performed to correct a congenital deformity of which structure?
ear
An injury a patient sustains as a result of the care given by a healthcare professional is called?
A) iatrogenic
B) liability
C) battery
D) tort
Iatrogenic
The highly vascular layer of the eye that absorbs light rays and nourishes the retina is the?
choroid
The choroid is highly vascularized and provides nutrients to the posterior surface of the retina.
According to Maslow’s hierarchy of needs, which of the following is the patient satisfying when he/she trusts the surgical team’s abilities?
A) physiological
B) belonging
C) esteem
D) safety
safety
Which aneurysm usually develops between the renal and iliac arteries?
abdominal aortic
Abdominal aortic aneurysms occur chiefly below the renal arteries and between the renal and iliac arteries.
The agent used to flush an artery to prevent clotting is?
Heparin
Heparinized saline is an irrigating solution used to flush the inside of an artery.
What is the next step for reattachment of a severed digit after debridgement?
A) vessel reanastomosis
B) nerve reanastomosis
C) bone to bone fixation
D) tendon to tendon fixation
bone to bone fixation
The bone to bone fixation is first accomplished followed by reanastomosis of blood vessels and nerves.
What type of skin graft includes the epidermis and all of the dermis?
full thickness
Which muscle type is striated and voluntary?
skeletal
Skeletal muscle tissue is striated because the fibers contain alternating light and dark bands perpendicular to the long area of the fibers. it is considered voluntary, because it is controlled consciously.
Which of the following terms refers to absence of the external ear?
A) microtia
B) anophthalmia
C) cheiloschisis
D) ectrosyndactyly
microtia
What is the recommended maximum time limit for a tourniquet to remain inflated on an adult lower extremity?
1 1/2 hours (90 minutes)
The tourniquet should be deflated every 1 1/2 hours to allow blood flow into the leg and transport oxygen to prevent tissue necrosis.
Chest rolls should span the distance bilaterally between which two anatomical structures?
Acromioclavicular joing to iliac crest
Which organism causes gas gangrene?
clostridium perfringens
Which ossicle of the middle ear covers the oval window?
stapes
What is another name for the Kraske position?
jackknife
What type of sponge is tightly rolled cotton tape used by surgeons for blunt dissection?
Kitner (peanut)
Which of these instruments would be used during a keratoplasty?
A) kilner hook
B) bowman probe
C) kerrison rongeur
D) cottingham punch
cottingham punch
The Cottingham punch is used to create the correct size of the donor cornea during a keratoplasty.
A partially dislocated joint is called?
subluxation
A complete displacement of a joint or displacement of one articular surface from another is called a luxation, and a partial dislocation is called a subluxation.
What condition is characterized by buildup of fatty deposits such as cholesterol?
atherosclerosis
A disorder when fatty deposits form on the walls of arteries is known as atherosclerosis.
Plaster rolls for casting should be submerged in?
lukewarm water
Plaster rolls used in casting should be submerged in slightly lukewarm water at approximately 70-75 degrees F
The avascular, clear portion of the eye covering the iris is the?
cornea
How often should surgical masks be changed?
after each case
Which term describes a rod shaped microorganism?
bacillus
When using the warm cycle of the EtO sterilizer, what is the minimum sterilization temperature in Fahrenheit?
85 degrees F
Gas sterilizers operate at a lower temperature as compared to steam sterilizers. The gas sterilizer operates between 85-145 degrees F. EtO sterilization is used for products that cannot withstand heat. An example of this is a catheter.
Which of the following actions would be a violation of aseptic technique?
A) cuffing the hands within the drape
B) sterile person reaching over sterile surface
C) repositioning penetrating towel clip
D) sterile surgical members passing face to face
Repositioning penetrating towel clip
If a towel penetrates a sterile drape, the tips of the clip must be considered contaminated, and it should not be removed until the end of the procedure.
Which legal principle applies when the patient is given the wrong dose of the local anesthetic?
A) Res ipsa loquitor
B) Respondeat superior
C) Bona fide
D) Assault
Res ipsa loquitor
Res ipsa loquitur means “the thing speaks for itself.” It refers to the harm to the patient resulting from a given act when the caregiver had sole control.
The space between the vocal cords is called the?
glottis
Which bacteria could be found in a penetrating wound caused by a rusty nail?
Clostridium tetani
Which of the following retractors is used for spinal nerve roots?
A) taylor
B) love
C) cushing
D) meyerding
love
What is another name for the electrosurgical unit’s patient return electrode?
grounding pad
What size of Foley catheter is commonly used for adults?
16 Fr
Which of the following tumors is typically benign, encapsulated, and arises from tissue covering the central nervous system structures?
A) meningioma
B) astrocytoma
C) schwannoma
D) oligodendroglioma
meningioma
A tumor arising from the covering of the brain is a meningioma.
The fibrous white layer that gives the eye its shape is the?
sclera
What is the term for thread like appendages that provide bacteria with motion?
flagella
What surgical position provides optimal visualization of the lower abdomen or pelvis?
trendelenburg
The trendelenburg position allows the viscera to fall away or toward the head providing better exposure of the operative site when performing a lower abdominal or pelvic procedure.
How many hours must an item submerse in glutaraldehyde to sterilize?
10
Glutaraldehyde is a liquid disinfecting and sterilizing agent. To sterilize an item, it must be submersed for 10 hours
When a patient’s blood pressure is 135/81, 135 refers to?
systolic
Blood pressure is measured in 2 numbers, systolic over diastolic. The relaxation phase of the heart beat is called the diastolic blood pressure.
A term referring to a waxy secretion in the external ear canal is?
cerumen
Which of the following is an ossicle of the middle ear?
A) pinna
B) incus
C) labyrinth
D) vestibule
incus
What is the term for the process of removing blood from an extremity prior to inflating the pneumatic tourniquet?
exsanguination
Which of the following may require probing and dilating in pediatric patients with upper respiratory infections?
A) sinus cavities
B) eustachian tube
C) nasolacrimal duct
D) tympanic membrane
nasolacrimal duct
The nasolacrimal duct carries the lacrimal fluid and tears into the nasal cavity. The duct can become obstructed in pediatric patients who experience chronic URIs.
Which surgical team member is responsible for setting up the sterile field?
surgical technologist
In what circumstances would cell saver transfusion be contraindicated?
A) anemic patients
B) diabetic patients
C) cancer procedures
D) orthopedic procedures
cancer procedures
Cell saver transfusion cannot be used in the presence of cancer cells, gross contamination or infections.
Use of an intraluminal (circular) stapler (EEA) would be indicated for which of the following surgical procedures?
A) Pancreatectomy
B) Cholecystectomy
C) Polypectomy
D) Sigmoidectomy
sigmoidectomy
Intraluminal staplers are used to anastomose tubular organs in the gastrointestinal tract. They are often used during resection and reanatomosis of the colon or rectum.
Satinsky, herrick, and Mayo clamps may be specifically used on which of the following structures?
A) kidney pedicle
B) seminal vesicle
C) bladder neck
D) prostate gland
kidney pedicle
The nasal cavity is divided into two portions by the?
septum
Which of the following is used by the surgeon to intermittently remove prostatic tissue fragments during a TURP?
A) Randall forceps
B) Wire snare
C) Ellik evacuator
D) Poole suction
Ellik evacuator
The Ellik evacuator is filled with irrigation solution by the first scrub surgical technologist. It is used by the surgeon for the irrigation/evacuation of the bladder to remove prostatic tissue during a TURP.
Which type of hematoma is a result of torn bridging meningeal veins?
Intraventricular
A subdural hematoma is a large, encapsulated collection of blood over one or both cerebral hemispheres that causes intracranial pressure.
In addition to temperature, time and moisture, what is the fourth factor that determines the outcome of the steam sterilization process?
pressure
The Bowie-Dick test is performed how often?
daily
The Bowie Dick test is only used for prevacuum sterilizers to check for air entrapment and is conducted daily.
The spiral, conical structure of the inner ear is the?
cochlea
What is the name of the condition in which a loop of bowel herniates into the Douglas’s cul-de-sac?
Enterocele
An enterocele is a herniation of Douglas’s cul-de-sac that usually contains loops of the bowel.
What is the condition characterized by a fleshy encroachment of conjunctiva onto the cornea?
pterygium
Which procedure would be listed in the OR schedule for a patient undergoing surgical treatment of uterine fibroids?
A) pelvic exenteration
B) Cervical cerclage
C) Colporrhaphy
D) Myomectomy
myomectomy
A myomectomy is the procedure performed for the removal of fibromyomas or fibroid tumors from the uterine wall.
Where is a Baker’s cyst located?
popliteal fossa
Baker’s cysts affect the popliteal fossa.
Which of the following is a method of high level disinfection?
A) Peracetic acid for 30 minutes
B) 2% glutaraldehyde for 20 minutes
C) Steam under pressure for 10 minutes
D) Hydrogen peroxide gas plasma for 75 minutes
2% glutaraldehyde for 20 minutes
2% glutaraldehyde is a type of high level disinfectant solution. The device must be completely submersed for 20 minutes at room temperature in order to be disinfected.
Another name for the tympanic membrane is the?
eardrum
What is the burn degree classification that involves the epidermis and subcutaneous tissue?
third
The skin, along with its epithelial structures and subcutaneous tissue, is destroyed in a third degree burn.
Which portion of the ear is affected by Menieres syndrome?
inner
Menieres syndrome involves an increased amount of endolymph that enlarges the membranous labyrinth, located in the inner ear.
The cartilaginous nasal septum is anterior to which bone?
vomer
The vomer forms the inferior and posterior parts of the nasal septum.
The most reliable method for determining the efficiency of moist heat sterilizers is the controlled used of biological indicators containing the organism?
Bacillus searothermophilus
B.stearothermophilus, in spore form, is highly resistant to destruction by steam sterilization, but does not cause disease in humans.
Which neurosurgical pathology would a myelogram diagnose?
A) Subdural hematoma
B) Creutzfeldt-Jakob
C) Spinal stenosis
D)Myelomeningocele
Spinal stenosis
A myelogram is a diagnostic procedure when radiopaque dye is injected into the spinal subarachnoid space through a lumbar puncture. The myelogram would diagnose spinal stenosis.
Which term means a prolapsed bladder causing a bulge in the anterior vaginal wall?
cystocele
-cele means hernia. A cystocele is a herniation of the bladder that causes a downward bulge in the anterior vaginal wall, usually as a result of surgical trauma, age, or weakness of the supporting muscles of the bladder due to childbirth.
How many hours must the steam sterilization biological indicator incubate?
24 hours
The steam sterilization biological indicator must be incubated for 24 hours before the reading is recorded.
The nasal sinus located between the nose and the orbits is the?
ethmoid sinus
What is the definition of otosclerosis?
Otosclerosis is the formation and hardening of spongy bone in the ear.
Which of the following terms describes a fracture in which the bone penetrates the skin?
compound
A compound or open fracture is one when the bone has penetrated the skin layer and protrudes through the opening.
For which of the following procedures would a McBurney incision be indicated?
A) appendectomy
B) Cholecystectomy
C) Herniorrhaphy
D) Gastrectomy
appendectomy
The McBurney incision is primarily used for removal of the appendix
What degrees Celsius is the steam sterilization biological indicator incubated?
55-60 degrees Celsius
What is the medical term for removal of the uterus?
hysterectomy
Which of the following methods removes small organic particles and soil from the box locks and ratchets of instruments?
A) Ultrasonic washer
B) Manual cleaning
C) Washer-sterilizer
D) Enzymatic soak
Ultrasonic washer
The ultrasonic cleaner uses the process of cavitation to remove small organic particles and soil from the areas of instrumentation that can’t be accomplished through manual or mechanical cleaning.
What is the medical term for nosebleed?
epistaxis
What is the proper method for preparing a Frazier suction tip for steam sterilization?
A) Lumen is dry
B) Distilled water in lumen
C) Stylet is left inside lumen
D) Disinfectant solution in lumen
distilled water in lumen
Air trapped in the lumen will prevent steam from contacting the inner surface of the lumen. A residual amount of distilled water should be left inside the lumen which will boil and turn to steam to displace the air.
What is the telescoping of the intestines in neonates that requires immediate surgical intervention?
Intussusception
Intussusception is the most common emergency surgery for neonates when the portion of the bowel slides into another segment and causes obstruction. The motion is like a telescope.
The minimum Fahrenheit temperature for sterilization to occur in a prevacuum steam sterilizer is?
270-276 degrees F
What is the name of the procedure for the excision of the tunica vaginalis?
Hydrocelectomy
Excision of the tunica vaginalis of the testis is called a hydrocelectomy.
What is the minimum number of minutes to sterilize unwrapped metal instruments with lumens in the gravity displacement sterilizer at 270 degrees F?
10
When immediate use sterilization (formerly called “flash sterilization”) is used to sterilize items with lumens in the gravity sterilizer, the items must be exposed to 270 degrees F for 10 minutes.
- Which of the following structures if located in the alveolar processes?
a. Teeth
b. Villi
c. Sinuses
d. Tonsils
Teeth - Which of the following is the wound classification for bronchoscopy?
a. Clean
b. Contaminated
c. Dirty and infected
d. Clean-contaminated
Clean-contaminated - The enzyme used to soften the zonules of the lens before cataract surgery is:
a. Atropine sulfate
b. Alpha-chymotrypsin
c. Acetylcholine chloride
d. Pilocarpine hydrochloride
Alpha-chymotrypsin - How should the stretcher be oriented when necessary to use an elevator to transport a patient to the OR?
a. Place stretcher sideways in elevator
b. Enter head first, exit feet first
c. Position in elevator is irrelevant
d. Enter feet first, exit head first
Enter head first, exit feet first - Which of the following is a curved, transverse incision across the lower abdomen frequently used in gynecological surgery?
a. Midline
b. Paramedian
c. McBurney’s
d. Pfannenstiel
Pfannenstiel - When perforated metal trays are placed on the shelves of the steam sterilizing cart, they should be positioned
a. Flat
b. Upside down
c. Vertical
d. Angled
Flat - Hyperkalemia is a high concentration of
a. Calcium
b. Nitrogen
c. Potassium
d. Albumin
Potassium - Which of the following tissues are cut using curved mayo scissors?
a. Fascia
b. Periosteum
c. Dura mater
d. Arterial wall
Fascia - Which laser beam can travel through clear tissues without heating them?
a. Argon
b. Excimer
c. Carbon Dioxide
d. Neodymium YAG
a. Argon - Permission for treatment given with full knowledge of the risks is a/an
a. Tort
b. Malpractice
c. Personal liability
d. Informed consent
Informed consent - Which portion of the stomach surrounds the lower esophageal sphincter?
a. Cardia
b. Fundus
c. Pylorus
d. Antrum
Cardia - Low level disinfectants kill most microbes, but do not destroy
a. Viruses
b. Bacteria
c. Fungi
d. Spores
Spores - Syndactyly refers to
a. Cleft palate
b. Webbed fingers
c. Fused tarsals
d. Torn ligaments
Webbed fingers - The Surgical pack utilized to create the sterile field should be opened on the
a. Stretcher
b. OR table
c. Backtable
d. Mayo stand
Backtable - The islets of langerhans secrete
a. bile
b. insulin
c. intrinsic factor
d. inhibiting hormones
insulin - what type of procedure would involve the removal of teeth
a. cleft palate repair
b. arch bar application
c. extractions
d. implants
extractions - Which organism is a normal resident flora of the intestinal tract?
a. Escherichia coli
b. Staphylococcus aureus
c. Pseudomonas aeruginosa
d. Clostridium tetani
Escherichia coli - Where should the first scrub surgical technologist stand when handing towels to the surgeon to swaure off an incision site?
a. Opposite side from surgeon
b. Same side as surgeon
c. Foot of OR table
d. Head of OR table
Same side as surgeon - A properly performed surgical scrub renders the skin
a. Sterile
b. Disinfected
c. Surgically clean
d. Moistened and dehydrated
Surgically clean - Through which of the following do the common bile duct and the pancreatic duct empty?
a. Ampulla of vater
b. Duct of Santorini
c. Wirsung’s duct
d. Sphincter of Oddi
Ampulla of vater - Which of the following identifiers must be verified by the patient of their ID bracelet prior to transporting a patient to the OR?
a. Name, social security #, physician
b. Name, medical record #, allergies
c. Name, date of birth, diagnosis
d. Name, date of birth, physician
Name, date of birth, physician - What are spiral-shaped bacteria called?
a. Cocci
b. Bacilli
c. Spirilli
d. Diplococci
…c. Spirilli - The primary function of the gallbladder is to:
a. store bile
b. produce bile
c. emulsify fats
d. metabolize fats
…store bile - Which of the following is a non-sterile member of the surgical team?
a. Surgeon
b. Circulator
c. Surgical assistant
d. Surgical Technologist
…Circulator - Which of the following is not a benefit of using surface-mounted slidigin doors for access to the operating room?
a. Uses less space for opening
b. Aid in controlling temperature
c. Eliminate air turbulence
d. Provides for through cleaning
…Aid in controlling temperature - What are the three factors for reducing ionizing radiation exposure?
a. Type of procedure, equipment, radiation dose
b. Exposure, frequency, concentration
c. Time, shielding, distance
d. Site, age, gender
…Time, shielding, distance - Which is the first part of the small intestine?
a. Duodenum
b. Jejunum
c. Ileum
d. Cecum
…Duodenum - What is the surgical position frequently used for patients undergoing kidney surgery?
a. Prone
b. Lateral
c. Supine
d. Lithotomy
…Lateral - How are rickettsiae transmitted?
a. Arthropod bites
b. Physical contact
c. Blood exposure
d. Airborne organisms
…Arthropod bites - Which of the following is examination of the cervix using a binocular microscope?
a. Colposcopy
b. Laparascopy
c. Urethroscopy
d. Hysteroscopy
…Colposcopy - compression of the heart from excessive fluid or blood buildup is called:
a. tamponade
b. pericarditis
c. infarction
d. cardiomyopathy
tamponade - Which surgical team member determines when the patient can be transported from the OR to the PACU
a. Anesthesia provider
b. Circulator
c. Surgeon
d. Surgical technologist
…Anesthesia provider - Which suffix means surgical puncture to remove fluid
a. -dynia
b. -tomy
c. -lysis
d. -centesis
…-centesis - to which portion of the colon is the appendix attached?
a. Ascending
b. Descending
c. Cecum
d. Sigmoid
…Cecum - Which laboratory test determines bacterial identification?
a. Gram stain
b. Manual count
c. Prothrombin time
d. Gel electrophoresis
…Gram stain - medication used to dilate the pupil is called:
a. miotics
b. myopics
c. mydratics
d. muscarinics
…mydratics - which of the following drapes is non-fenestrated
a. laparotomy
b. U-drape
c. Transverse
d. Craniotomy
…U-drape - Under what circumstances would it be appropriate to remove a patient’s identification bracelet?
a. During insertion of an IV catheter
b. Never until patient is discharged from facility
c. Postoperatively when taken to the nursing unit
d. When patient is awake and alert and can verbally identify self
…Never until patient is discharged from facility - what is the position most commonly used for mitral valve replacement?
a. Prone sims
b. Sims
c. Supin
d. kraske
…Supin - Which laser is best used during a vitrectomy?
a. Carbon dioxide
b. Nd: YAG
c. Excimer
d. Argon
…Argon - Which of the following monitors provides positive assurance of sterility?
a. Clerical
b. Mechanical
c. Biological
d. Chemical
…Biological - the apron-like structure attached to the greater curvature of the stomach is the
a. omentum
b. mesentery
c. ligamentum
d. peritoneum
…omentum - Which microbes live without oxygen
a. Aerobes
b. Anaerobes
c. Capnophiles
d. Microaeorophiles
…Anaerobes - Which of the following is an abnormal tract between two epithelium-lined surfaces that is open at both ends?
a. Epitheliazation
b. Fistula
c. Herniation
d. Sinus
…Fistula - What is the action of antagonist drugs?
a. Inhibit the clotting process
b. Achieve neuroleptanesthesia
c. Increase the effects of opiates
d. Counteract the action of another drug
…Counteract the action of another drug - Which of the following directional terms describes the type of skin prep of an entire extremity?
a. Spiral
b. Horizontal
c. Longitudinal
d. Circumferential
…Circumferential - What organs are excised if an ovarian tumor is malignant?
a. Bilateral ovaries only
b. Bilateral fallopian tuebs and ovaries, uterus
c. Unilateral involved ovary and fallopian tube
d. Unilateral involved ovary and fallopian tube, uterus
…Bilateral fallopian tuebs and ovaries, uterus - Which term refers to an abnormal thoracic curve of the spine referred to as “hunchback”?
a. Lordosis
b. Scoliosis
c. Kyphosis
d. Alkalosis
…Kyphosis - What is the medical term for bunion?
a. Talipes valgus
b. Hallux valgus
c. Hallux varus
d. Talipes varus
…Hallux valgus - What incision is also known as a lower oblique?
a. Inguinal
b. Paramedian
c. Infraumbilical
d. thoracoabdominal
…Inguinal - The small intestine attaches to the posterior abdominal wall by the?
a. Mesentery
b. Peritoneum
c. Falciform ligament
d. Lesser omentum
…Mesentery - What is the term for a relationship in which two organisms occupy the same area and one organism benefits while the other is unharmed?
a. Commenalism
b. Neutralism
c. Mutualism
d. Parasitism
…Commenalism - A topical steroid used to reduce inflammation after eye surgery is:
a. Depo-medrol
b. Miochol
c. Healon
d. Wydase
…Depo-medrol - How is the surgical informed consent signed if an adult patient is illiterate?
a. Authorized individual signs the patient’s name
b. Patient marks with an “X” and witness verifies
c. RN and surgeon sign that patient gave consent
d. Surgeon and Risk Manager sign consent
…Patient marks with an “X” and witness verifies - What direction should the stretcher be oriented when transporting a patient to the OR department?
a. Feet first, side rails up
b. Feet first, side rails down
c. Head first, side rails up
d. Head first, side rails down
Feet first, side rails up - Which of the following routine preoperative laboratory studies would be ordered for premenopausal women with no history of hysterectomy?
a. HCG
b. HBV
c. HIV
d. HDL
…HCG - Which portion of the surgical gown is considered non-sterile?
a. Outside closure ties
b. Two inches below neckline to table level
c. Upper arms, neckline and axillary region
d. Sleeves; two inches above the elbows to the cuffs
…Upper arms, neckline and axillary region - What is the name of the urinary catheter with a small, curved tapered tip used on patients with urethral strictures?
a. Iglesias
b. Coude
c. Pigtail
d. Bonanno
…Coude - What is the surgical position commonly used for thyroid and gallbladder surgery?
a. Supine
b. Fowler’s
c. Reverse trendelenburg
d. Lateral kidney
…Reverse trendelenburg - a congenital defect in which the fetal blood vessel between the pulmonary artery and aorta does no close is:
a. coarctation of the aorta
b. patent ductus arteriosus
c. tetraogy of fallot
d. ventricular septal defect
…patent ductus arteriosus - Which of the following is a commonly used preservative for the tissue specimens?
a. Saline
b. Formalin
c. Ethyl alcohol
d. Lugol’s solution
…Formalin - What is the first step taken for an incorrect sponge count?
a. Notify surgeon
b. X-ray patient
c. Repeat count
d. Complete incident report
…Notify surgeon - The mumps may be diagnosed by finding inflammation in which of the following glands?
a. Sublingual
b. Thyrois
c. Parotid
d. Submandibular
…Parotid - What institutional document is completed when an adverse or unusal event takes place in the OR that may have legal consequences for the staff or patient?
a. Incident report
b. Operative record
c. Deposition report
d. Advance directive
…Incident report - For which procedure would trendelenburg position provide optimal visualization?
a. Cholecystectomy
b. Hysterectomy
c. Thyroidectomy
d. Acromioplasty
…Hysterectomy - Which of the following is a nonadherent dressing?
a. Kling
b. Adaptic
c. Collodion
d. Elastoplast
…Adaptic - Which of the following is a fenestrated drape?
a. Incise
b. U-drape
c. Aperture
d. Half-sheet
…Aperture - Which of the following terms decribes a hernia that occurs within hesselbach’s triangle?
a. Direct
b. Indirect
c. Femoral
d. Hiatal
…Direct - Which of the following incisions is oblique?
a. Epigastric
b. Kocher
c. Paramedian
d. Pfannesnstiel
…Kocher - Which of the following dilators are used in the common duct?
a. Pratt
b. Van buren
c. Bakes
d. Hegar
…Bakes - Which of the following is a mechanical method of hemostasis?
a. Laser
b. Ligature
c. Thrombin
d. Electrosurgery
…Ligature - The organ that is connected by a duct to the duodenum is the:
a. pancreas
b. gallbladder
c. stomach
d. liver
…pancreas - A brain tumor causing alteration of muscle tone, voluntary muscle coordination, gait and balance would likely be located in the:
a. diencephalon
b. cerebellum
c. medulla
d. pons
…cerebellum - What is the term for a relationship that benefits one organism at the expense of another?
a. Commensalism
b. Neutralism
c. Mutualism
d. Parasitism
…Parasitism - What type of disease is characterized by rapid onset and a rapid recovery?
a. Acute
b. Chronic
c. Primary
d. Asymptomatic
…Acute - Which organelle is responsible for the production of energy?
a. Lysosomes
b. Mitochondria
c. Golgi complex
d. Endoplasmic reticulum
…Mitochondria - What type of anesthesia is a combination of inhalation and intravenous drugs?
a. Spinal
b. Sedation
c. Regional
d. Balanced
…Balanced - Who is ultimately responsible for obtaining the surgical informed consent?
a. Guardian
b. Patient
c. Surgeon
d. Nurse
…Surgeon - What position is most commonly used for neurosurgical procedures?
a. Supin
b. Semi-fowler’s
c. Trendelenburg
d. Lithotomy
…Supin - The outer layer of the intestine is the
a. mucose
b. seros
c. muscilaris
d. submucosa
…seros - Which of the following solutions should be used to prep the donor site for a split-thickness skin graft?
a. Lodophor
b. Avagard
c. Chlorhexidine
d. Merthiolate
…Chlorhexidine - What type of drape would be used for a flank procedure?
a. Transverse
b. Extremity
c. Aperture
d. Perineal
…Transverse - Where should the safet strap be placed on a patient who is in the supine position?
a. Below the knees
b. Across the waist
c. Over the thighs
d. Across the abdomen
…Over the thighs - Which surgical procedure is performed to correct an abnormality in which the urethral meatus is situated on the superior aspect of the penis?
a. Hypospadias repair
b. Epispadias repair
c. Meatotomy
d. Ureteroneocystostomy
…Epispadias repair - Which thermal method of hemostasis utilizes intense, focused light?
a. Laser
b. Bipolar
c. Hamonic
d. Monopolar
…Laser - What is the most common cause of intracerebral hemorrhage?
a. Hypotension
b. Hypertension
c. Meningioma
d. Meningitis
…Hypertension - The larynx is located between the
a. pharynx and trachea
b. nasal cavity and pharynx
c. trachea and bronchi
d. nasal and oral cavities
…pharynx and trachea - The most common cause of retinal detachment is
a. aging
b. trauma
c. glaucoma
d. inflammation
…trauma - What postoperative complication is associated with total hip arhroplasty?
a. Compartment syndrome
b. Upper extremity weakness
c. Urinary incontinence
d. Pulmonary embolism
…Pulmonary embolism - Which of the following is a type of passive drain?
a. Penrose
b. Hemovac
c. Pleur-evac
d. Jackson-pratt
…Penrose - The vocal cords are located in the
a. pharynx
b. larynx
c. trachea
d. bronchus
…larynx - What type of acquired immunity is a vaccination?
a. Artificial passive
b. Artificial active
c. Natural passive
d. Natural active
…Artificial active - When would the anesthesia provider request cricoid pressure?
a. Bier block
b. Epidural injection
c. Endotracheal intubation
d. Endotracheal extubation
…Endotracheal intubation - Which instrument would be used during a keratoplasty to remove the cornea?
a. Trephine
b. Westcott
c. Oculotome
d. Phacoemulsifier
…Trephine - What is the required minimum number of individual to transfer an incapacitated patient from the OR table to the stretcher?
a. 3
b. 4
c. 5
d. 6
…4 - Which of the following regulations states that blood and body fluid should be considered infectious?
a. Body substance isolation rules
b. Medical device safety act
c. Postexposure prophylaxis
d. Standard precautions
…Standard precautions - Which of the following is a major source of distress for toddler and preschool age patients being transported to the operating room?
a. Room temperature change
b. Lack of communication
c. Fear of anesthesia
d. Separation anxiety
…Separation anxiety - Which structure has oral, nasal, and laryngeal divisions?
a. Esophagus
b. Trachea
c. Pharynx
d. Glottis
…Pharynx - otoplasty is performed to correct a congenital deformity of which structure?
a. Mouth
b. Nose
c. Ear
d. Eye
…Ear - An injury a patient sustains as a result of the care given by a healthcare professional is called
a. latrogenic
b. liability
c. battery
d. tort
…latrogenic - The highly vascular layer of the eye that absorbs light rays and nourishes the retina is the
a. Sclera
b. Iris
c. Choroid
d. Macua
…Choroid - According to Maslow’s hierarchy of needs, which of the following is the patient satisfying when he/she trusts the surgical team’s abilities?
a. Physiological
b. Belonging
c. Esteem
d. Safety
…Safety - which aneurysm usually develops between the renal and iliac arteries?
a. Ascending thoracic
b. Aortic arch
c. Descending thoracic
d. Abdominal aortic
…Abdominal aortic - the agent used to flush an artery to prevent clotting is
a. heparin
b. thrombin
c. protamine sulfate
d. ringer’s lactate
…heparin - What is the next step for reattachment of a severed digit after debridment?
a. Vessel reanastomosis
b. Nerve reanastomosis
c. Bone-to-bone fixation
d. Tendon-to-tendon fixation
…Bone-to-bone fixation - What type of skin graft includes the epidermis and all of the dermis?
a. Composite
b. Split-thickness
c. Pedicle
d. Full-thickness
…Full-thickness - Which muscle type is striated and voluntary?
a. Visceral
b. Heart
c. Skeletal
d. Cardiac
…Skeletal - Which of the following terms refers to absence of the external ear?
a. Microtia
b. Anophthalmia
c. Cheloschisis
d. Ectrosyndactyly
…Microtia - What is the recommended maximum time limit for a tourniquet to remain inflated on an adult lower extremity?
a. 30 minutes
b. 60 minutes
c. 1 ½ hours
d. 2 ½ hours
…1 ½ hours - Which organism causes gas gangrene
a. Clostridium perfingens
b. Clostridium botulinum
c. Staphylococcus aureus
d. Staphylococcus epidermidis
…Clostridium perfingens - Chest rolld should span the distance bilaterally between which two anatomical structures?
a. Nipple to umbilicus
b. Iliac crest to ileac cerst
c. Scapula to gluteus maximus
d. Acromioclavicular joint to iliac crest
…Acromioclavicular joint to iliac crest - which ossicle of the middle ear covers the oval window?
a. Malleus
b. Incus
c. Stapes
d. Utricle
…Stapes - What is another name for the Kraske position?
a. Dorsal recumbent
b. Jackknife
c. Trendelenburg
d. Beach chair
…Jackknife - What type of sponge is tightly rolled cotton tape used by surgeons for blunt dissection?
a. Raytec
b. Kitner
c. Weck-cel
d. Cottonoid
…Kitner - which of these instruments would be used during a keratoplasty
a. kilner hook
b. bowman probe
c. kerrison rongeur
d. cottingham punch
…cottingham punch - a partially dislocated joint is called:
a. subluxation
b. malrotation
c. avulsion
d. malunion
…subluxation - What condition is characterized by build-up of fatty deposits such as cholesterol
a. Embolism
b. Thrombosis
c. Anteriospasm
d. Atherosclerosis
…Atherosclerosis - Plaster rolls for casting should be submerged in which of the following?
a. Lukewarm saline
b. Lukewarm water
c. Cold saline
d. Cold water
…Lukewarm water - the avascular, clear portion of the eye covering the iris is the:
a. cornea
b. sclera
c. pupil
d. conjuctiva
…cornea - How often should surgical masks be changed?
a. After lunch
b. Twice-a-day
c. After each case
d. Every two hours
…After each case - Which term describes a rod-shaped microorganism?
a. Coccus
b. Bacillus
c. Spirillum
d. Helical
…Bacillus - When using the warm cycle of the EtO sterilizaer, what is the minimum sterilization temperature in Fahrenheit?
a. 55
b. 65
c. 75
d. 85
…85 - Which of the following actions would be a violation of aseptic technique?
a. Cuffing the hands within the drape
b. Sterile person reaching over sterile surface
c. Repositioning pentrating towel clip
d. Sterile surgical members passing face-to-face
…Repositioning pentrating towel clip - Which legal principle applies when the patient is given the wrong dose of the local anesthetic?
a. Res ips loquitor
b. Respondeat superior
c. Bona fide
d. Assault
…Res ips loquitor - the space between the vocal cords is called the:
a. epiglottis
b. glottis
c. vocal fold
d. cricold cartilage
…glottis - which bacteria could be found in a penetrating wound caused by a rusty nail?
a. Treponema pallidum
b. Bacillus anthacis
c. Clostridium tetani
d. Helicobacter pylori
..Clostridium tetani. - Which of the following retractors is used for spinal nerve roots?
a. Taylor
b. Love
c. Cushing
d. Meyerding
…Love - What is another name for the electrosurgical unit’s patient return electrode?
a. Cautery
b. Generator
c. Foot pedal
d. Grounding pad
…Grounding pad - What size of foley catheter is commonly used for adults?
a. 8 Fr
b. 12 Fr
c. 16 Fr
d. 24 Fr
…16 Fr - Which of the following tumors is typically benign, encapsulated, and arises from tissue covering the central nervous system structures?
a. Meningioma
b. Astrocytoma
c. Schwannoma
d. Oligodendroglioma
…Meningioma - The fibrous white layer that gives the eye its shape is the
a. iris
b. cornea
c. sclera
d. choroid
…sclera - What is the term for thread-like appendages that provide bacteria with motion?
a. Flagella
b. Fimbriae
c. Mesosomes
d. Mitochondria
…Flagella - What surgical position provides optimal visualization of the lower abdomen or pelvis?
a. Fowler’s
b. Reverse trendelenburg
c. Trendelenburg
d. Kraske
…Trendelenburg - how many hours must an item submerse in glutaralhyde to sterilize?
a. 7
b. 8
c. 9
d. 10
…10 - When a patient’s blood pressure is 135/81, 135 refers to:
a. Diastolic
b. Systolic
c. Pedal pulse
d. Apical pressure
…Systolic - a term referring to a waxy secretion in the external ear canal is:
a. mucous
b. sputum
c. cerumen
d. perilymph
…cerumen - which of the following is an ossicle of the middle ear?
a. Pinna
b. Incus
c. Labyrinth
d. Vestibule
…Incus - what is the term for the process of removing blood from an extremity prior to inflating the pneumatic tourniquet
a. exsanguination
b. extravasation
c. evisceration
d. evacuation
…exsanguination - Which of the following may require probing and dilating in pediatric patients with upper respiratory infections?
a. Sinus cavities
b. Eustachian tube
c. Nasolacrimmal duct
d. Tympanic membrane
…Nasolacrimmal duct - Which surgical team member is responsible for setting up the sterile field?
a. Surgical first assistant
b. Surgical technologist
c. Circulating nurse
d. Surgeon
…Surgical technologist - In what circumstances would cell-saver transfusion be contraindicated?
a. Anemic patients
b. Diabetic patients
c. Cancer procedures
d. Orthopedic procedures
…Cancer procedures - Use of an intraluminal (circular) stapler (EEA) would be indicated for which of the following surgical procedures?
a. Pancreatectomy
b. Cholecystectomy
c. Polypectomy
d. Sigmoidectomy
…Sigmoidectomy - Stainsky, Herrick, and Mayor clamps may be specifically used on which of the following structures?
a. Kidney pedicle
b. Seminal vesicle
c. Bladder neck
d. Prostate gland
…Kidney pedicle - The nasal cavity is divided into two portions by the:
a. Ethmoid
b. Septum
c. Vomer
d. Sphenoid
…Septum - Which of the following is used by the surgeon to intermittently remove prostatic tissue fragments during a TURP?
a. Randall forceps
b. Wire snare
c. Ellik evacuator
d. Poole suction
…Ellik evacuator - Which type of hematoma is a result of torn bridging meningeal veins?
a. Subdural
b. Epidural
c. Intracerebral
d. Intraventricular
…Subdural - In addition to temperature, time and moisture, what is the fourth factor that determines the outcome of the steam sterilization process?
a. Concentration
b. Aeration
c. Weight
d. Pressure
…Pressure - The Bowie-Dick test is performed
a. hourly
b. daily
c. weekly
d. monthly
…daily - The spiral, conical structure of the inner ear is the
a. Cochlea
b. Stapes
c. Vestibule
d. Labyrinth
…Cochlea - what is the name of the condition in which a loop of bowel herniates into the Douglas’s cul-de-sac?
a. Cystocele
b. Rectocele
c. Enterocele
d. Omphalocele
…Enterocele - Which of these conditions is characterized by a fleshy encroachment of conjuctiva onto the cornea?
a. Chalazion
b. Pterygium
c. Strabismus
d. Ecchymosis
…Pterygium - Which procedure would be listed in the OR schedule for a patient undergoing surgical treatment of uterine fibroids?
a. Pelvic exenteration
b. Cervial cerclage
c. Colporrhaphy
d. Myomectomy
…Myomectomy
- Where is a Baker’s cyst located?
o Olecranon process
o Great tubercle
o Popliteal fossa
o Carpal tunnel
…Popliteal fossa
Which of the following is a method of high-level disinfection?
Peracetic acid for 30 minutes
2% glutaraldehyde for 20 minutes
Steam under pressure for 10 minutes
Hydrogen peroxide gas plasma for 75 minutes
…2% glutaraldehyde for 20 minutes
Another name for the tympanic membrane is the:
Ear tube
Ear canal
Earlobe
Eardrum
…Eardrum
What is the burn degree classification that involves the epidermis and subcutaneous tissue?
First
Second
Third
Fourth
…Third
Which portion of the ear is affect by Meniere’s syndrome?
Inner
Middle
Eustachian tube
Auditory ossicles
…Inner
The Cartilaginous nasal septum is anterior to which bone?
Hyoid
Vomer
Mandible
Palatine
…Vomer
The most reliable method for determining the efficiency of moist heat sterilizers is the controlled use of biological indicators containing the organism:
Bacillus Stearothemophilus
Clostridium Tetani
Bordetella Pertussis
Corynebacterium Diptheria
…Bacillus Stearothemophilus
Which neurosurgical pathology would a myelogram diagnose?
Subdural hematoma
Creutzfeldt-jakob
Spinal Stenosis
Myelomeningocele
…Spinal Stenosis
Which of the following terms means a prolapsed bladder causing a bulge in the anterior vaginal wall?
Rectocele
Cystocele
Enterocele
Herniation
…Cystocele
How many hours must the steam sterilization biological indicator incubate?
6
12
18
24
…24
The nasal sinus located between the nose and the orbits is the
Frontal
Sphenoid
Ethmoid
Maxillary
…Ethmoid
What is the definition of otosclerosis?
Earache
Tinnitus
Tearing of tympanic membrane
Bony overgrowth of stapes
…Bony overgrowth of stapes
Which of the following terms describes a fracture in which the bone penetrates the skin?
Comminuted
Compound
Simple
Closed
…Compound
For which of the following procedures would a McBurney incision be indicated?
Appendectomy
Cholecystectomy
Herniaorrhaphy
Gastrectomy
…Appendectomy
What degrees Celsius is the steam sterilization biological indicator incubated?
43-48
49-54
55-60
61-66
… 55-60
What is the medical term for removal of the uterus?
Salpingectomy
Ooporectomy
Myomectomy
Hysterectomy
…Hysterectomy
Which of the following methods removes small organic particles and soil from the box locks?
Ultrasonic washer
Manual cleaning
Washer-sterilizer
Enzymatic soak
…Ultrasonic washer
What is the medical term for nosebleed
Rhinitis
Sinusitis
Epistaxis
Hemoptysis
…Epistaxis
What is the proper method for preparing a Frazier suction tip for steam sterilization?
Lumen is dry
Distilled water in lumen
Stylet is left inside lumen
Disinfectant solution in lumen
…Distilled water in lumen
Which of the following is a telescoping of the intestines in neonates requiring immediate surgical intervention?
Intussusception
Pyloris stenosis
Tetralogy of fallot
Omphalocele
…Intussusception
The minimum Fahrenheit temperature for sterilization to occur in a prevacuum steam sterilizer is
249-255
256-262
263-269
270-276
…270-276
What is the name of the procedure for the excision of the tunica vaginalis?
Spermatocelectomy
Orchiectomy
Hydrocelectomy
Vasectomy
…Hydrocelectomy
What is the minimum number of minutes to sterilize unwrapped metal instruments with lumens in the gravity displacement sterilizer at 270 degrees F?
5
10
15
20
…10