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AST Cert Exam #4
AST Cert Exam #4 - small book and paper quizzes
|A TRAM flap would be used for which type of surgery?
|The legal term that means "first do no harm" is:
|primum non nocere
|Bioburden refers to:
|the degree of microbial contamination
|If a surgical sponge was left inside the patient, this would be an example of which legal doctrine?
|res ipsa loquitur (the thing speaks for itself)
|A wrongful act or an infringement of a right leading to civil legal liability is known as:
|Which of the following is not an acceptable method of transporting contaminated instruments down the hall following a surgical procedure?
|in an open meshed bottom tray
|A moist sponge is placed into the rectum during a LASER procedure of the anus to:
|prevent the escape of methane gas
|The disinfectant that should not be used on lensed instruments due to the potential for loosening the "cement" around the lens is:
|Of the following sutures, which will be adsorbed the quickest? prolene; PDS; dexon; surgical gut
|When tissue is taken from one part of the body and grafted to another is called an?
|A type of graft taken from a different species is known as a?
|Which of the following is not one of the carpal bones? hamate; scaphoid; pisiform; scapula
|What is not a part of the fire triangle?
|The prefix that designates 1000 times is the basic unit in the metric system for:
|The purpose of keeping the doors shut in the operating room is to:
|maintain positive pressure
|A contrast medium used when performing a cholangiogram is:
|Defamation or injury to an individuals character carried out in writing is called:
|Anesthesia produced by marked cooling is:
|To decrease airborne contamination and static electricity, the relative humidity in an operating room is maintained at:
|The removal of devitalized tissue is:
|An inadequate blood supply to an organ or part of the body is known as:
|Pressurized water is most effective in containing:
|class A fires - common combustibles
|The process of destroying microorganisms on inanimate objects is:
|The number of milliliters in an ounce is:
|The purpose of washing hands prior to the surgical scrub is to:
|remove gross soil and transient microorganisms
|Which of the following agents gives off toxic vapors when being mixed?
|If the temperature on the steam sterilizer reads 270 degrees F, what should the pressure reading be?
|All of the following are safety precautions when using a LASER except:
|use of reflective metal instruments
|During which phase of wound healing is the strength of the wound limited to the suture holding it together?
|All of the following are hand procedures except:
|Le Fort III
|The needle gauge most appropriate for local infiltration is:
|The scrub has completed the sterile setup when notified that the surgeon will be 30 minutes late. The scrub would then:
|remain with the sterile field until further notified
|An anticoagulant used during vascular surgery that can be reversed with protamine sulfate is:
|Which of the following signs would you expect if the patient is hemorrhaging?
|cool, moist skin
|For which of the following wound drains would a sterile safety pin be needed?
|The number of milliliters in a cup is:
|Which type of wound would be classified as a class I for infection:
|inguinal hernia without break in technique
|The minimal temperature required to kill bacterial spores is:
|250 degrees F
|Control of bleeding is called:
|The needle point most appropriate for suturing liver, pancreas, or spleen is:
|A local anesthetic that is used only topically is:
|All of the following factors delay would healing except:
|Aeration is essential following sterilization by:
|ethylene oxide gas
|A burn that involves the epidermis and part of the dermis layers of the skin and is characterized by redness, swelling, pain and blistering is called a:
|A scab or slough produced by a thermal burn is an:
|Which stapler would the surgeon need assistance in application?
|Which is not used as a skin prep when using electrosurgery or LASER?
|The stitch that provides the most rapid closure, even distribution of tension, and a leak-proof suture line is:
|Another name for mole is:
|A 50% solution of dextrose in water means that:
|there are 50g of dextrose in 100 mL of water
|What supplies would be needed for a STSG?
|mineral oil, wooden tongue blade
|Saying that a drug is given "hs" means that:
|it should be taken at bedtime
|Burns are assessed using what parameters?
|rule of nines
|The lungs are covered in a serous membranous sac called the:
|An anticoagulant given subcutaneously, intravenously or as a flush is:
|The chemical agent used in gas sterilization is:
|Liability is a legal rule that:
|holds each individual responsible for his/her own actions
|If a patient falls because he/she was left unattended, the OR team could be cited in a lawsuit for:
|An OR hazard that has been linked to the increased risk of spontaneous abortion is:
|waste anesthetic gas
|One of the principle muscles of the pelvic floor is the:
|Solu-Medrol is an:
|A connective tissue band that holds bones together is called:
|A drug used to reverse hypotension is:
|The vocal cords are located in the:
|The term "ung" refers to:
|The thick, fan-shaped muscle that lies on the anterior chest is the:
|Ionization radiation protection is afforded by the use of:
|The triangular muscle of the shoulder that abducts the arm is the:
|A topical antibiotic is:
|Ischemia can be defined as:
|a decreased blood supply to a body part
|The gastrocnemius is the chief muscle of the:
|calf of the leg
|The suffix -lysis means:
|Avitene is a:
|The lower jawbone is the :
|The most dependable control measure used to assure that sterile conditions have been met is:
|biological control test
|Radiation exposure can be monitored with:
|"Proximal" is a term that indicates a point:
|near the body
|A drug that decreases the tendency of blood platelets to clot is:
|Which of the abdominal muscles originates at the pubic bone and ends in the ribs?
|Miochol is a:
|movement toward the medial plane
|A systemic agent used to control uterine hemorrhage is:
|Kerat/o refers to:
|In order to be sterilized, a linen pack must weigh no more than:
|An absorbable gelatin hemostatic agent that is often soaked in epinephrine solution is:
|The pounds of pressure necessary in a steam sterilizer at 250 degrees F is:
|Why would gas sterilization be chosen over steam sterilization?
|it is less damaging to items
|The process called cavitation occurs in the:
|The left eye is indicated by the following letters:
|The right eye is indicated by the following letters:
|"Slow exhaust" in a gravity displacement steam sterilizer is used for:
|While using this mixture, a scavenging system is used to collect vapors:
|Excessive exposure to radiation can affect the:
|The endoflush system:
|initially cleans resusable channeled instruments
|"Nulli-" is a prefix that means:
|The chemical sterilant used in the Steris method of sterilization is:
|Each of the following should be applied using dry gloves except: Gelfoam; Avitine; Collastat; Helistat
|The function of the trachea is to:
|conduct air to and from the lungs
|A potential safety hazard associated with laser surgery is:
|is a herniation of the urinary bladder
|The best measure for staff protection against HIV is:
|handling all needles and sharps carefully and using barriers to avoid direct contact with body fluids
|When using a high-level disinfectant always:
|rinse items with sterile water before use
|Which virus can be transmitted by a needle puncture of splash in the eye?
|Tissue death is called:
|What refers to the process of isolating the surgical site from the rest of the body?
|What is a type of drape that contains a specific opening to accommodate the surgical incision?
|What is a type of drape used to cover nonoperative sites?
|What is a type of drape in which the surgical incision is made through?
|What type of drape is used commonly during eye surgery?
|What skin preparation products provide a rapid decrease in the level of microorganisms?
|alcohol and iodine
|What is the benefit of using chlorhexidine for the purpose of skin preparation?
|chlorhexidine has a residual effect of 5 to 6 hours
|What is the first level, or bottom, of the pyramid in Maslow's hierarchy of needs?
|What is the process in which the surgical technologist rids his/her skin of microorganisms prior to the surgical procedure?
|surgical scrub process
|What is the normal lab value for white blood cells?
|5,000 to 10,000/mm3
|What is the normal value for red blood cells?
|4.3 to 5.9 x 10^6 cells/mm3
|What diagnostic procedure is used to determine abnormalities, tumors, disc herniation, or other problems associated with the spinal structures?
|What diagnostic procedure aids in the diagnosis of aneurysms, blood clots and vascular occlusions?
|What is the preferred patient position for cardiac and thyroid procedures?
|What is the preferred patient position for hip replacements and thoracotomies?
|The flow of air from inside the operating room outward is known as:
|laminar air flow
|An example of personal protective equipment is:
|An example of universal precautions:
|proper handling of sharps
|What is a tool used to assess the level of oxygen saturation of the hemoglobin in the blood and arterial system?
|What is the least effective method for monitoring the patient's core body temperature?
|head monitoring strip
|What are the three most common sizes of scalpel blades?
|#10, #11, and #15
|What is an example of a grasping instrument?
|What is an example of a clamping instrument?
|What is an example of a viewing instrument?
|What type of instrument is useful for exploring structures such as fistulas, ducts, and vessels?
|What type of instrument is used to enlarge the openings of structures?
|The method of hemostasis that involves the use of instruments to control bleeding is:
|What chemical cauterization substances is frequently used to control cervical or nasal bleeding?
|What chemical cauterization substance is a potent vasoconstrictor?
|What is not a common type of suture material?
|This surgical technique involves the generation of extreme cold at the end of a probe:
|What is the most commonly used substance in cryotherapy?
|What surgical technique is employed to perform a Greenfield filter placement procedure?
|What surgical technique involves the use of video assistance in the equipment?
|What surgical instrument produces sound waves at a level suitable for cutting tissue?
|What surgical method uses the combination of irrigation and aspiration simultaneously?
|Which surgical instrument is used primarily for tumor evacuation?
|The area that is established in order to reduce the potential for sharps-related injury is:
|What are commonly placed in surgical sites to remove excess fluid accumulation?
|What type of dressing is used when drainage is expected to be minimal?
|What type of dressing is used when the drainage is expected to be moderate to heavy?
|What type of dressing is sutured into position?
|A type of surgical implant that is used to reduce and stabilize fractures of long bones are:
|A surgical procedure in which therapeutic agents are surgically implanted into the body:
|What is a type of surgical implant that is obtained from the patient, an animal, or a cadaver?
|A surgical implant that is used to re-route blood flow around an obstructed vessel:
|A bariatric surgical procedure that involves a circular band implanted around the upper portion of a patient's stomach:
|A surgical instrument that is commonly used to perform colonoscopy procedures:
|What is a surgical instrument that is commonly used to visualize the vagina, cervix and vulva?
|What is an intensely hot, precisely focused beam of light designed to alter or destroy target tissue?
|A partial representation of a tissue or entity that requires further evaluation:
|What type of biopsy requires the entire lesion to be removed to test for clean tissue margins after removal?
|What type of specimen is sent without any preservatives?
|What is the only difference when dealing with bullet specimens?
|bullets must be processed differently because they will become police evidence
|What surgical instruments consist of several robotic arms that are directed by a surgeon?
|da Vinci Surgical System
|What surgical instrument is a computer-based technology in which a surgical procedure is based on a starting point in space?
|Stealth Surgical Navigation
|What is the most common injury incurred due to faulty laparoscopic cautery?
|tissue and vessel damage
|The federal policy requiring all users of medical devices to report any incident that cause illness, injury, or death of a patient is known as:
|Safe Medical Devices Act
|When is not an appropriate time to perform an instrument count?
|during the surgical procedure
|What should be performed if an instrument used during a surgical procedure cannot be verified and reconciled?
|obtain an x-ray of the surgical site
|Which two individuals are responsible for the surgical count?
|surgical technologist and circulator
|What refers to the act in which the patient is made aware of the procedure, the risks, benefits and outcome of the procedure?
|The commission or omission of an act that results in a negative outcome:
|The 1998 legislation that contains eight areas that consumers have the right to expect regarding health care:
|Patient Bill of Rights
|A detailed summary of the surgical procedure:
|operating room record
|The level of moral accountability that a surgical technologist must have when dealing with the health and welfare of another individual is known as:
|The most critical responsibility of a surgical technologist:
|ensure sterile technique in the OR
|The destruction of all microorganisms on inanimate surfaces:
|The accepted standard mode of sterilization for items that are not heat, moisture or temperature sensitive:
|The number of microbes residing on items to be sterilized:
|What is the most common reason for sterilization failures?
|lack of contact between steam and surface of surgical items
|What is a type of sterilization used for items that are heat and moisture sensitive?
|ethylene oxide sterilization
|What is a device that contains a preset number and specific types of microorganisms that are destroyed when exposed to sterilization?
|What is the biological indicator for steam sterilizers?
|spores of B. stearothermophilus
|What is the biological indicator for EtO?
|The procedure designed to check for air entrapment within the chamber of a sterilizer:
|According to the Federal Food, Drug and Cosmetic Act, what is the primary purpose and function of packaging material?
|to ensure sterility until the instrument is used
|What is NOT a performance standard that must be met by packaging material?
|packaging material must be water, steam and heat resistant
|What is the membrane that is attached to and covers the lungs?
|visceral pleural membrane
|What is the medical term used to describe the action of intestinal smooth muscle layers?
|What refers to the small, bony projections between the transverse spinous processes and the vertebral bodies?
|What suffix refers to inflammation?
|What does the acronym COPD stand for?
|chronic obstructive pulmonary disease
|What congenital anomalies does the acronym VSD refer to?
|ventricular septal defect
|What does CHF refer to?
|congestive heart failure
|What describes the level of Hydrogen ions in a solution?
|What acronym means to administer a medication on an as-needed basis?
|A disruption or alteration in the integrity of the bony structure of the skeleton:
|A type of fracture in which the bone penetrates the soft tissue, muscle and skin:
|What stage of wound healing begins approximately three days post-surgery?
|What surgical wound carries a 10% to 15% infection rate?
|class III surgical wound
|What is the method of tissue handling that minimizes cell destruction?
|Halsted's Principles of Surgery
|What may result from an ineffective surgical wound closure?
|The type of anesthetic that requires exsanguination of blood from an extremity:
|IV regional anesthetic
|The process of alternating anesthetic injections and aspirating spinal fluid is known as:
|A white, isotonic solution used to achieve a state of altered consciousness ranging from mild sedation to deep anesthesia:
|What is commonly used for conscious sedation during minor surgical procedures?
|An agent that can cause illness or disease to the host:
|The ability of a microbe to cause disease:
|The ability of a microorganism to produce disease-causing poisons: