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PFE/CST review
STUDY!!!
| Question | Answer |
|---|---|
| IF two basins are wrapped together for sterilizing, they should be packaged with one basin..... a. stacked inside the other upside down b. on its side and the other upside down c. stacked inside the other and separated by a towel | c. stacked inside the other and separated by a towel |
| Which of the following items may be used in positioning a patient for a total hip arthroplasty? A. fracture table B. Wilson frame C. Andrews frame D. Bean bag | D. Bean bag |
| Which of the following is MOST likely to be used to stabilize a cervical fracture? a. Kirshner wire b. Hoffman device c. Steinmann pinns d. Mayfield clamp | d. Mayfield clamp |
| Which of the following structures is separated first when a paramedian incision is performed? | rectus abdomnis |
| to prevent contamination at the end of a surgical procedure, which of the following should be removed last by the ST in the scrub role? | surgical gloves |
| Which of the following is the mmost common catheter used prior to laparoscopic gyn surgery in the OR? a. Foley b. Pezzer d. Robinson | d. Robinson |
| A stamey needle is used for which of the following types of surgery? a. hysterectomy b. prostatectomy c. bladder suspension d. ant. colporrhaphy | c. bladder suspension |
| immediately before a hemorrhoidectomy, whcih of the following procedures might be performed on the patient in the OR? a. cystoscopy b. culdoscopy c. sigmoidscopy | c. sigmoidscopy |
| Which of the following is the correctskin prep for a female PT undergoing a RT mastectomy w/ possible axillary dissection? | shoudder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder |
| to revasxularize the heart muscle of a PT w/ heart disease, a graft may be anastomosed between which of the following two vessels? | internal mammary artery to affected coronary artery |
| A laparotomy drape has been placed on a patient, and unprepped skin on the operative site is exposed. Which of the following is the Best next step? | remove drapes and re-prep |
| Scoliosis is most commonly found in which of the following curves of the vertebral column? | thoracic |
| Which of the following procedures is used for removal of an embolus? a. Endartectomy b. Ballon Catheterization c. Aneurysmectomy d. Fasciotomy | b. Ballon Catheterization |
| WHich of the following may be used for cerebral aneurysm? a. Dura hook b. Nerve hook c. Brain Spoon d. Rake Retractor | c. Brain Spoon |
| Which of the following suturing techniques features short lateral stitched that a re taken beneath the epithelial layer of skin? a. Purse-string b. Traction c. Mattress d. Subcuticular | d. Subcuticular |
| A ST is explaining the steps of the ESU circuit to a student. The ST should explain that the electric current is channeled back to the generatr through the | dispersive (inactive) electrode |
| A major function of the colon is to | a. absorb water |
| Which of the following is NOT a symptom of shock? a. Tachycardia b. Hypertension c. Cold, clammy skin d. increased respirations | b. Hypertension |
| WHich of the following items best describes a formal medical process when death occurs in surgery and the surgeon and anesthesia care provider must verify that death has occured? | DETERmination of death |
| to help prevent toxicity and vascualr events in a patient where polymethylmethacrylate (PMMA) is used, which of the following devices should be ST have available? | pulse lavage |
| what color is a nitrous oxide tank? | gray |
| A pneumatic tourniquet may be used for extremeity surgery to | reduce blood loss |
| In which of the following congenital anomilies does the urethra open on the underside of the penis? | hypospaidas |
| Once a ST dons a gown&glove, the cuffs on the gown are considered unsterile because thay are | absorbent and collect moisture |
| A marshall-Marchetti-Krantz (MMK) requires which of the following skin preparations? | abdominal and vaginal |
| a physician prescribed 50 mg of DEmerol. THe demerol is suppliedin 100mg/ml. How many ml of DEmerol should be given? | 2.0 Ml |
| WHich of the following spore forming microorganism are used as biological monitors for checking steam sterilization effectiveness for a load of instruments in a rigid container? | BAcillus Stearothermophilus |
| A type of herniation that occurs w/ protrusion of the peritoneal sac and its contents (omentum or abdominal viscera) | umbilial |
| After gowning and gloving, a surgeon activates Duraprep applicator & proceeds to prep the patient for surgery. WHich of the following is the BEST action to take at this time? | regown and reglove the surgeon |
| The drug most commonly used to treat ventricular tachycardia is | lidocaine (xylocaine) |
| which of the following procedures treats a congenital obstructed lesion found at the distal end of an infant''s stomach? a.gastrotomy b. nissen fundoplication c. heller myotomy d.pyloromyotomy | d.pyloromyotomy |
| which of the following types of anesthetic is injected during a bier block? a. marcaine b. lido w/ epi c. marcaine w/epi d. lidocaine (xylocaine) | d. lidocaine (xylocaine) |
| which of the following is applied as a nonadherent dressing? a. adaptic b. collodion c. steri-strip d. elastoplast | a. adaptic |
| The sterrad sterilization Most commonly uses which of the following chemical solutions? a. hydrogen peroxide b. glutaraldehyde c. peracetic acid d. carbon dioxide | a. hydrogen peroxide |
| which of the following should be removed LAST by the ST in the scrub role in order to prevent contamination at the end of a surgical procedure? a. pts drapes b. surgical gloves c. surgical mask d. mayo stand drape | c. surgical mask |
| which of the following is done first when performing a myringotomy? a. insertion of a drainage tube b. incision of the tympanic membrane c. suctioning of fluid from the middle ear d. removal of cerumen from the ear canal | d. removal of cerumen from the ear canal |
| Which of the following should be the minimum exposure time in a flash sterilizer for unwrapped instruments? a. 1 min b. 3 min c. 5 min d. 7 min | 3 min |
| During a craniotomy, Which of the following types of bone is entered? a. flat b. round c. long d. irregular | d. irregular |
| A power saw is not functioning. whats the cause? a. not plugged into the electrical outlet b. battery has not been adequately charged. c. not been joined 2 the foot pedal d. the arthroscopy shaver motor is not connected | b. battery has not been adequately charged. |
| In a steam autoclave set on pre-vacuum, the minimum temperature that must be reached is | 270 deg |
| surgery to repair a Colles fracture is performed on Which of the following types of bone? a. long b. short c. flat d. irregular | long |
| Which of the following is a monofilament suture? a. silk b. cotton c. ethibond d. prolene | d. prolene |
| A circumferential bandage should be applied to an extremity | distal to proximal |
| Which of the following verifies that autoclave sterilization has occurred? a. chemical indicator b. julian date c. sensitive tape d. biological indicator | d. biological indicator |
| A resectoscope is used in Which of the following prostatic approaches? a. perineal b. suprapubic c. retropubic d. transurethral | d. transurethral |
| Which of the following supplies is part of the the standard set-up for a diagnostic knee arthroscopy? a. poole suction tip b. irrigation tubing c. #20 blade d. 3000ml bag glycine | b. irrigation tubing |
| At which abdominal layer is the 1st closing count performed? a. skin b. fascia c. peritoneum d. subcutaneous | c. peritoneum |
| When preparing the Sterrad sterilization system for use in the surgical are, Which of the following supplies must be available? a. suction b. o2 c. nitrogen d. electrical | d. electrical |
| during a laser laryngoscopy, Which supplies must be available? | wet cottonoids and h20 |
| Which of the following does not result after dipping a bloody raytec sponge into irrigation solution? a. the solution is tainted b. lint is released into the solution c. the solution is drained d. cellular components are released into the solution | b. lint is released into the solution |
| During a ant. cervical fusion, a bone graft is taken in order to fuse the vertebral... | body |
| Which of the following is necessary for ethylene oxide sterilization to occur? a. indirect contact b. gravity displacement c. humidity d. steam | c. humidity |
| Which of the following structures are seperated 1st when a paramedian incision is performed for a gastrectomy? a. peritoneum b. transverse abdominis c. external oblique d. rectus abdominus | d. rectus abdominus |
| A pereyra needle is used for Which of the following types of surgery? a. hysterectomy b. prostatectomy c. bladder neck suspension d. anterior colporrhaphy | c. bladder neck suspension |
| List in order the sequence for induction of general anesthesia: 1. leads placed on Pt 2. induction agent is given through an IV 3. Pt is promted to breath 100% O2 4. anesthetic gas agent is selected and applied | 1,3,2,4,5 |
| The tissue that covers bones and provides movement to the skeletal system is | muscle |
| Which of the following wound classes is assigned to a perforated bowel? a. I b. II c. III d. IV | c. III |
| When transferring a thoractomy patient to recovery, the chest drainage system should be | maintained below the patient's chest level |
| Which of the following procedures repairs a ruptured abdominal aortic aneurysm? a. endartectomy b. debridement and irrigation c. excision w/ graft placement d. portacaval shunt | c. excision w/ graft placement |
| Which of the following instruments is used for a common bile exploration? a. forgarty clamp b. randall forceps c. pennington clamp d. forester ring forceps | b. randall forceps |
| What parts of the body are prepped for an ORIF of the olecranon process? | arms, fingers-shoulder |
| During surgery a patient becomes hypotensive. Which of the following medications should be given? a. cephalexin (keflex) b. propofol (diprivan) c. epinephrine (adrenalin) d. furosemide (lasix) | c. epinephrine (adrenalin) |
| The primary effect of a hypnotic drug is to | induce sleep |
| Which of the following procedures requires an opening into the gallbladder to permit drainage and removal of stones? a. choledochotomy b. cholecystostomy c. cholecystectomy d. cholecystojejunostomy | b. cholecystostomy |
| Which of the following is most commonly used for wound closure in the presence of infection? a. stainless steel b. polyglactin-910 c. plain gut d. silk | a. stainless steel |
| Which of the following proceudres my require a post auricular incision? a. myringotomy b. tympanostomy c. adenoidectomy d. mastoidectomy | d. mastoidectomy |
| GRavity displacement sterilizers function on the principle that | air is heavier than steam |
| Which of the following increases air contamination in OR? a. restricting traffic flow in & out of the room b. damp dusting with a germicidal solution c. maintaining air pressure lower than in the outside hall d. using pneumatic surgical equipment | c. maintaining air pressure lower than in the outside hall |
| WHen a anesthetized patient's postion is changed from lithotomy to supine, the patient's legs should be lowered slowly to prevent ... | hypotension |
| Which of the following instruments is necessary for an ope cholecsytectomy? a. oschner forceps b. jennins retractor c. mixter clamp d. o sullivan-o conner retractor | c. mixter clamp |
| A major function of the colon is to | absorb water |
| in comparison to oral fahrenheit temperatures, rectal fahrenheit temperatures are | approx. 1 deg higher |
| The plicae circulares, microvilli, and villi are a. all found in L intesine b. structures that increase surface absorption are in small intestine. c. glands that secrete digestive enzymes d. structures that give intestine its puckered appearence | b. structures that increase surface absorption are in small intestine. |
| The main function of the L intestine is to a. digest food b. absorb food nutrients c. reabsorb water & electrolytes d. digest carbohydrates | c. reabsorb water & electrolytes |
| A chemical reation that provides energy by the breakdown of food molecules is called a. anabolism b. catabolism c. metabolism d. glycogenesis | b. catabolism |
| Which bacteria causes rheumatic fever? a. E coli b. Pseudomonas c. streptococcus d. staphylococcus | c. streptococcus |
| Muscular fasculation refers to a. voluntary muscle contractions b. muscle degeneration c. involuntary muscle contractions d. muscle hypoxia | c. involuntary muscle contractions |
| Which of the following is not an inhalation anesthetic agent? a. Enflurane (Ehtrane ) b. Fentanyl citrate and droperidol and droperidol (Innovar) c. Ether d. Nitrous oxide | b. Fentanyl citrate and droperidol and droperidol (Innovar) |
| The intravenous barbiturate general anesthesia used for induction most frequently is a. thiopental (pentothal) b. nitrous oxide c. diazepam (Valium) d. Ketamine | a. thiopental (pentothal) |
| Cephalothin sodium (Keflin) is a/an a. antibiotic b. steriod c. diuretic d. mydriatic | a. antibiotic |
| Indirect arterial blood pressure is obtained w/ a a. radial artery catheter b. sphygmomanometer c. Swanz-Ganz catheter d. CVP line | b. sphygmomanometer |
| Hypovolemia is | low blood volume |
| An emergency drug used in cardiac surgery that increases myocardial contractility is a. calcium chloride b. levaternol (levophed) c. isoproterenol hydrochloride (Isuprel) d. furosemide (Levophed) | a. calcium chloride |
| Meperdine hydrochloride (Demerol) is a/an | analgesic |
| Cardiac arrhythmias of ventricular origin can be treated with a. sodium bicarbonate b. atropine c. lidocaine d. furosemide (Lasix) | c. lidocaine |
| DExtran is used parenterally to a. expand blood plasma volume b. nourish vital tissue c. carry O2 through the system d. increase blood viscosity | a. expand blood plasma volume |
| a barbiturate that may be used for sleep the night before surgery is a. diazepam b. meperidine c. secobarbital (Seconal) d. scopolamine | c. secobarbital (Seconal) |
| A rapid-onset muscle relaxant used for intubation in short cases is a. succinylcholine chloride (Anectine) b. curare c. pancuronium bromide (Pavulon) d. norcuron | a. succinylcholine chloride (Anectine) |
| What amount is approx = to 500 ml? a. 4 ounces b. 8 ounces c. 1 quart d. 1 pint | d. 1 pint |
| THe healing process in which a wound is purposely left open and allowed to heal from the bottom up is called a. primary intention b. secondary intention c. interrupted intention d. third intention | b. secondary intention |
| which procedure would not be done for a patient with a suspended malignant hyperthermia? a. hyperventilation w/ O2 b. Administration of dantrolene c. Injection of succinycholine d. Administration of sodium bicarbonate | c. Injection of succinycholine |
| The quadrate lobe of the liver is ________________ shaped. a. tail-like b. square c. smaller d. wedge | b. square |
| An emergency drug useful in stabilizing ventricular fibrillation is a. metaraminol bitartrate (Aramine) b. Propranolol hydrochloride (Inderal) c. calcium chloride d. atropine | b. Propranolol hydrochloride (Inderal) |
| A commonly used barbiturate for intravenous rapid induction of general anesthesia is a. thiopental sodium b. scopolamine c. droperidol d. diazepam | a. thiopental sodium |
| The operative stage of an anesthetic is the ________________ stage. | third |
| The purpose of administering atropine pre-op is to a. allay anxiety b. produce amnesia c. inhibit secretions d. provide analgesia | c. inhibit secretions |
| One gram equals .... | 15 grains |
| One ml is equal to ... | 1cc |
| A short-acting narcotic opioid given intramuscularly (IM) for premedication is a. Meperdine hydrochloride (Demoral) b. Midazolam (Versed) c. Morphine Sulfate d. Promethazine hydrochloride (phenergan) | a. Meperdine hydrochloride (Demoral) |
| The action of sodium bicarbonate is an advanced life support effort is to a. stimulate heart muscle b. strenghten & slow hart beat c. reduce ventricular excitement d. counteract metabolic acidosis | d. counteract metabolic acidosis |
| Which of the following anesthetics must be augmented w/ a more potent agent for general abdominal surgery? a. nitrous oxide b. halothane (Fluothane) c. Methoxyflurane (penthrane) d. Enflurane (Ethrane) | a. nitrous oxide |
| Lidocaine (Xylocaine) is used intravenously for a. installation of local anesthetic b treatment of cardiac arrhythmias c. diuretic action d. restoration of blood volume | b treatment of cardiac arrhythmias |
| What agency establishes standards for drugs? a. US pharmacopeia/ National Formulary (USP) b. P.D.R c. Proprietary Table d. FDA | a. US pharmacopeia/ National Formulary (USP) |
| Naloxone hyrdochloride (Narcan ) is a/an a. narcotic b. vasoconstrictor c. narcotic anatagonist d. anticholinergic | c. narcotic anatagonist |
| An anticholinergic drug given pre-op to inhibit mucous secretions is a. meperdine hydrochloride (Demerol) b. Pentazocine lactate (talwin) c. atrophine d. naloxone |
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