Question 1

The purpose of the preoperative skin prep is to sterilize the patient's skin to prevent surgical site infections.

Accepted Answer

A) True 
 B)False

Question 2

Which statement regarding instrument counts is CORRECT?

Accepted Answer

A)  They should be counted while all still on back table. 
B)  They are unnecessary if only one tray is opened for use. 
C)  They are required by state law for every surgical procedure. 
D)  They have been replaced by routine practice of post-op x-ray to verify no retained instruments. 
A)  They should be counted while all still on back table. 
B)  They are unnecessary if only one tray is opened for use. 
C)  They are required by state law for every surgical procedure. 
D)  They have been replaced by routine practice of post-op x-ray to verify no retained instruments.

Question 3

When turning the sterile gown, what is handed to the circulator that completes the gowning process?

Accepted Answer

A)  gloved hand 
B)  glove wrapper 
C)  gown tab or card 
D)  gown wrapper 
A)  gloved hand 
B)  glove wrapper 
C)  gown tab or card 
D)  gown wrapper

Question 4

Which method of gloving is appropriate for placement of a urinary catheter as part of the skin prep?

Accepted Answer

A)  closed gloving 
B)  open gloving 
C)  double gloving 
D)  unsterile gloving 
A)  closed gloving 
B)  open gloving 
C)  double gloving 
D)  unsterile gloving

Question 5

The main purpose of the surgical skin prep is to:

Accepted Answer

A)  provide a visible area of paint where the incision will be made 
B)  reduce the microbial count on the skin to an irreducible minimum 
C)  remove all resident and transient flora from the planned incision site 
D)  sterilize the patient's skin to prevent post-op surgical site infections 
A)  provide a visible area of paint where the incision will be made 
B)  reduce the microbial count on the skin to an irreducible minimum 
C)  remove all resident and transient flora from the planned incision site 
D)  sterilize the patient's skin to prevent post-op surgical site infections

Question 6

Which of the following is NOT an example of blunt dissection of tissue?

Accepted Answer

A)  Gloved finger against tissue. 
B)  Dissection sponge (peanut) 
C)  Surgeon and assistant pull open peritoneum bilaterally. 
D)  Endo Shears are used through laparoscopic trocar to separate tissue. 
A)  Gloved finger against tissue. 
B)  Dissection sponge (peanut) 
C)  Surgeon and assistant pull open peritoneum bilaterally. 
D)  Endo Shears are used through laparoscopic trocar to separate tissue.

Question 7

Before opening any supplies for delivery to the sterile field, what must be verified?

Accepted Answer

A)  Removal of charge sticker 
B)  Initials of person who prepared item 
C)  Length of time item has been in storage 
D)  Package integrity being intact and not violated 
A)  Removal of charge sticker 
B)  Initials of person who prepared item 
C)  Length of time item has been in storage 
D)  Package integrity being intact and not violated

Question 8

What does the circulator verify before the surgical technologist places the basket of instruments on the back table?

Accepted Answer

A)  The internal indicator has changed color. 
B)  The filter on the container lid has changed color. 
C)  The filters on the bottom of the container are intact and the container is dry. 
D)  The numbers of instruments in the tray are correct on the count sheet from CSPD. 
A)  The internal indicator has changed color. 
B)  The filter on the container lid has changed color. 
C)  The filters on the bottom of the container are intact and the container is dry. 
D)  The numbers of instruments in the tray are correct on the count sheet from CSPD.

Question 9

What is the term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub?

Accepted Answer

A)  subacromial 
B)  subdermal 
C)  sublingual 
D)  subungual 
A)  subacromial 
B)  subdermal 
C)  sublingual 
D)  subungual

Question 10

What is the proper way to open a small, sterilely wrapped item for delivery to the sterile field?

Accepted Answer

A)  First flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self and secured before tossing item onto field. 
B)  First flap is pulled and opened toward self, the side flaps are pulled open, and the last flap is pulled and opened away from self; then item is tossed onto field. 
C)  Right flap is pulled and tucked into palm, left flap is pulled and tucked, top flap is pulled and opened toward self, and the bottom flap is opened away from self and secured before tossing onto field. 
D)  Left flap is pulled and tucked into palm, right flap is pulled and tucked, top flap is pulled and opened away from self and tucked, and bottom flap is pulled toward self and secured before tossing item onto field. 
A)  First flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self and secured before tossing item onto field. 
B)  First flap is pulled and opened toward self, the side flaps are pulled open, and the last flap is pulled and opened away from self; then item is tossed onto field. 
C)  Right flap is pulled and tucked into palm, left flap is pulled and tucked, top flap is pulled and opened toward self, and the bottom flap is opened away from self and secured before tossing onto field. 
D)  Left flap is pulled and tucked into palm, right flap is pulled and tucked, top flap is pulled and opened away from self and tucked, and bottom flap is pulled toward self and secured before tossing item onto field.

Question 11

What would be the likely result of positioning the patient's arms on armboards at a greater than 90° angle from the torso?

Accepted Answer

A)  hyperextension nerve damage 
B)  foot drop 
C)  hamstring strain 
D)  restriction of respiratory freedom 
A)  hyperextension nerve damage 
B)  foot drop 
C)  hamstring strain 
D)  restriction of respiratory freedom

Question 12

The proper sequence for performing intraoperative and closing counts is operative site, Mayo stand, back table, basins, kick bucket or off field.

Accepted Answer

A) True 
 B)False

Question 13

With what amount and which fluid is a 16 Fr., two-way Foley catheter with 5 cc balloon filled?

Accepted Answer

A)  5 mL of sterile water 
B)  5 mL of sterile normal saline 
C)  10 mL of sterile water 
D)  10 mL of sterile normal saline 
A)  5 mL of sterile water 
B)  5 mL of sterile normal saline 
C)  10 mL of sterile water 
D)  10 mL of sterile normal saline

Question 14

To secure the Mayo stand from moving during draping, what should be done?

Accepted Answer

A)  Push the Mayo stand against the wall. 
B)  Step on one leg of the Mayo stand. 
C)  Have the circulator hold the Mayo stand post. 
D)  Grasp the back side of the tray with one hand. 
A)  Push the Mayo stand against the wall. 
B)  Step on one leg of the Mayo stand. 
C)  Have the circulator hold the Mayo stand post. 
D)  Grasp the back side of the tray with one hand.

Question 15

Which of the following are NOT considered countable items for potential of retained foreign objects?

Accepted Answer

A)  dressings 
B)  instruments 
C)  sharps 
D)  sponges 
A)  dressings 
B)  instruments 
C)  sharps 
D)  sponges

Question 16

An assistant may be needed to properly perform which type of surgical skin prep?

Accepted Answer

A)  circumferential extremity 
B)  midline vertical abdominal 
C)  two-step prep with scrub and paint 
D)  vaginal/perineal prep in lithotomy position 
A)  circumferential extremity 
B)  midline vertical abdominal 
C)  two-step prep with scrub and paint 
D)  vaginal/perineal prep in lithotomy position

Question 17

Match each term below with its description.
-The area between the anus and scrotum in males or between the anus and vulva in females

Accepted Answer

A) Apical 
B) Lateral recumbent 
C) Auscultation 
D) Impervious 
E) Perineum
F)Neutral zone
G)Tachypnea
H)Perfusion
I)Depilatory
J)Torsion 
A) Apical 
B) Lateral recumbent 
C) Auscultation 
D) Impervious 
E) Perineum
F)Neutral zone
G)Tachypnea
H)Perfusion
I)Depilatory
J)Torsion

Question 18

Which term describes the condition of a surgical technologist's skin following skin prep?

Accepted Answer

A)  debrided 
B)  medically clean 
C)  surgically clean 
D)  sterile 
A)  debrided 
B)  medically clean 
C)  surgically clean 
D)  sterile

Question 19

When transporting a patient on a stretcher through the OR suite corridors, which method should be followed?

Accepted Answer

A)  Pull the stretcher with the patient facing feet first and the patient flat and restrained. 
B)  Pull the stretcher with the patient facing head first and the patient flat and restrained. 
C)  Push the stretcher with the patient facing feet first in the position most comfortable for the patient. 
D)  Push the stretcher with the patient facing head first in the position most comfortable for the patient. 
A)  Pull the stretcher with the patient facing feet first and the patient flat and restrained. 
B)  Pull the stretcher with the patient facing head first and the patient flat and restrained. 
C)  Push the stretcher with the patient facing feet first in the position most comfortable for the patient. 
D)  Push the stretcher with the patient facing head first in the position most comfortable for the patient.

Question 20

Match each term below with its description.
-The ability to prevent penetration of fluid through material, resulting in contamination

Accepted Answer

A) Apical 
B) Lateral recumbent 
C) Auscultation 
D) Impervious 
E) Perineum
F)Neutral zone
G)Tachypnea
H)Perfusion
I)Depilatory
J)Torsion 
A) Apical 
B) Lateral recumbent 
C) Auscultation 
D) Impervious 
E) Perineum
F)Neutral zone
G)Tachypnea
H)Perfusion
I)Depilatory
J)Torsion

Exam 12: Surgical Case Management

The purpose of the preoperative skin prep is to sterilize the patient's skin to prevent surgical site infections.

Which statement regarding instrument counts is CORRECT?

When turning the sterile gown, what is handed to the circulator that completes the gowning process?

Which method of gloving is appropriate for placement of a urinary catheter as part of the skin prep?

The main purpose of the surgical skin prep is to:

Which of the following is NOT an example of blunt dissection of tissue?

Before opening any supplies for delivery to the sterile field, what must be verified?

What does the circulator verify before the surgical technologist places the basket of instruments on the back table?

What is the term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub?

What is the proper way to open a small, sterilely wrapped item for delivery to the sterile field?

What would be the likely result of positioning the patient's arms on armboards at a greater than 90° angle from the torso?

The proper sequence for performing intraoperative and closing counts is operative site, Mayo stand, back table, basins, kick bucket or off field.

With what amount and which fluid is a 16 Fr., two-way Foley catheter with 5 cc balloon filled?

To secure the Mayo stand from moving during draping, what should be done?

Which of the following are NOT considered countable items for potential of retained foreign objects?

An assistant may be needed to properly perform which type of surgical skin prep?

Match each term below with its description. -The area between the anus and scrotum in males or between the anus and vulva in females

Which term describes the condition of a surgical technologist's skin following skin prep?

When transporting a patient on a stretcher through the OR suite corridors, which method should be followed?

Match each term below with its description. -The ability to prevent penetration of fluid through material, resulting in contamination

Orientation to Surgical Technology

Legal Concepts, Risk Management, and Ethical Issues

The Surgical Patient

Special Populations

Physical Environment and Safety Standards

Biomedical Science

Preventing Perioperative Disease and Transmission

Emergency Situations and All-Hazards Preparation

Surgical Pharmacology and Anesthesia

Instrumentation, Equipment, and Supplies

Hemostasis, Wound Healing, and Wound Closure

Diagnostic Procedures

General Surgery

Obstetric and Gynecologic Surgery

Ophthalmic Surgery

Otorhinolaryngologic Surgery

Oral and Maxillofacial Surgery

Plastic and Reconstructive Surgery

Genitourinary Surgery

Orthopedic Surgery

Cardiothoracic Surgery

Peripheral Vascular Surgery

Neurosurgery

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