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Which cranial nerve is affected by trigeminal neuralgia?
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What is used to lubricate the donor site and reduce friction from the dermatome?
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AST Practice Exam 3
| Question | Answer |
|---|---|
| Which cranial nerve is affected by trigeminal neuralgia? | B. V |
| What is used to lubricate the donor site and reduce friction from the dermatome? | D. Mineral oil |
| Which of the following is an example of proper sterile technique when performing the prep for a split-thickness graft? | A. Donor site first |
| What is the recommended range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic procedure? | B. 12-15 mm Hg |
| Which of these terms refers to the inability to direct both eyes at the same object? | A. Strabismus |
| What procedure is performed to correct chronic cerebral ischemia? | D. Endarterectomy |
| According to the Rules of Nines, what percentage is assigned to the front and back of the trunk? | B. 18% |
| Which term refers to an abnormal increase in the number of cells? | C. Hyperplasia |
| A second intention wound heals by: | A. Granulation |
| Intraoperative ventricular arrhythmias are treated with: | A. Lidocaine |
| How many milliliters equal two (2) ounces? | C. 60 |
| Covering a sterile backtable for later use is: | D. Not permissible under any circumstances |
| In which position would a patient be placed to counteract hypovolemia? | C. Trendelenburg |
| Which of the following types of suture create the least tissue trauma and drag? | B. Swaged monofilament |
| Which organization has legal oversight for the safety of Healthcare providers in the work place? | C. OSHA |
| Which level of Maslow's Hierarchy of Needs is most applicable to the surgical patient? | D. Physiological and survival |
| Which of the following would be incorrect technique when removing the sterile gown and gloves? | D. Gloves removed first |
| What type of procedure might require a laparoscopy combination drape? | C. Abdominoperineal resection |
| Cell destruction by steam sterilization occurs by: | D. Coagulation |
| What is the proper procedure to follow when a pack of sponges contains an incorrect number after the patient has entered the OR? | B. Hand off the sterile field and isolate |
| Which of the following type of specimens would not be placed in a preservative solution? | C. Calculi |
| Where should the surgical technologist begin when performing closing counts? | D. Operative field |
| Which of the following catheter tips is used in a patient with a urethral stricture? | B. Coude |
| Which type of procedure would require a Stent dressing? | A. Neck |
| Which of the following is used in order to ensure preservation of the facial nerve during a parotidectomy? | B. Nerve stimulator |
| Which of the following hemostatic agents is contraindicated for use in the presence of infection? | D. Absorbable gelatin |
| During closure of a nephrectomy in the lateral position, the OR table is straightened to facilitate: | D. Tissue approximation |
| Which of the following must be tested prior to the use of a fiberoptic bronchoscope? | A. Light source |
| Excision of a constricted segment of the aorta with reanastomosis is performed to correct: | B. Coarctation of the aorta |
| For which of the following diagnoses would a patient undergo endoscopic retrograde cholangiopancreatography? | B. Choledocholithiasis |
| The higher ligation of the gonadal veins of the testes performed to reduce venous plexus congestion is a/an: | B. Varicocelectomy |
| Trauma to which two of the following cranial nerves would result in the loss of smell and vision? | A. I and II |
| Which of the following is performed for suspected ectopic pregnancy? | A. Culdocentesis |
| Which of the following is a procedure for treatment of glaucoma? | B. Iridectomy |
| What procedure is performed to immobilize the jaw following natural mandibular fracture? | A. Arch bar application |
| Which of the following total arthroplasty procedures would require the postoperative use of an abduction splint? | A. Hip |
| Untreated acute otitis media may result in: | B. Mastoiditis |
| Which of the following is used intraoperatively to assess vascular patency? | B. Magnetic resonance imaging |
| The instrument shown below would be used during a: | B. Tonsillectomy |
| Which of the following is the body's primary source of energy? | A. Carbohydrates |
| What is compressed during rapid-sequence induction and intubation? | D. Cricoid cartilage |
| What term refers to the spread of cancerous cells to other parts of the body? | C. Metastasis |
| The shared passageway for food and air is the: | C. Pharynx |
| The structure that lies along the posterior border of the testis is the: | B. Epididymus |
| The valve between the left atrium and the left ventricle is the: | A. Bicuspid |
| Which characteristic describes an amphiarthrosis? | C. Slightly movable |
| What is the most abundant ion in the body? | A. Calcium |
| Which of the following is a method of bacterial survival when environmental conditions are not conducive to growth and viability? | C. Spore formation |
| What organ detects changes in the level of insulin and releases chemicals to regulate the level of blood glucose? | C. Pancreas |
| What does the term strike-through mean? | Soaking of moisture from unsterile to sterile layers |
| Which of the following monitoring devices would be used within a vessel? | B. Swan Ganz |
| When adding 30 mL of injectable saline to 30 mL of 0.5% Marcain3, what strength does the drug become? | A. 0.25% |
| What action should be taken if the patient has withdrawn the surgical informed consent prior to surgery? | B. Do not transport patient; inform surgeon |
| Confining and containing instruments with bioburden prevents which of the following? | D. Cross-contamination |
| The unsterile size of the perimeter of a sterile wrap is: | B. 1 inch |
| A substance that inhibits the growth and reproduction of microbes on living tissue is a/an: | A. Antiseptic |
| What action should be taken by the transporter if a discrepancy occurs in the identification of a patient in the nursing unit? | D. Do not transport, inform unit supervisor and OR personnel |
| A patient may be asked to shower at home with an antimicrobial soap before coming to the hospital for surgery to: | A. Achieve a cumulative antimicrobial effect |
| What are the sequential steps performed prior to entrance into the sterile field? | D. Scrub, gown, glove |
| Which area is prepped last one performing the skin that for a Bartholin ‘s cystectomy? | A. Anus |
| The sterile surgical technologist should drape a table from: | C. Front to back |
| Which of the following can be injured if the arm is placed on the arm board greater than 90°? | A. Brachial plexus |
| What is the purpose of the 3rd lm in a three-way indwelling Foley catheter? | B. Instill irrigation fluids |
| Which of the following enlarges and illuminates the surgical field during cataract procedures? | C. Operating microscope |
| Small radiopaque surgical potty is used during cranial procedures are: | D. Cottonoids |
| Which of the following hemostatic agents must be applied dry and only handled with dry gloves and instruments? | B. Avitene |
| Which surgical specialty would utilize a phacoemulsification machine? | C. Ophthalmology |
| Which of the following lasers would be contradicted for use in the posterior chamber of the eye? | D. Carbon dioxide |
| In which structure of the heart are the leads for a permanent pacemaker placed? | A. Right ventricle |
| For which of the following diagnosis with a patient require pancreaticojejunostomy? | D. Alcoholic pancreatitis |
| In which procedure would a Bookwalter retractor be used? | C. Retropubic prostatectomy |
| Which cranial nerve is suffered as a last resort treatment of Ménière’s disease? | B. VIII |
| Brachytherapy is performed to treat: | C. Cervical cancer |
| Which procedure is performed to improve the vision of patients with myopia? | A. Radial keratotomy |
| The facial fracture that involves the complete separation of the maxilla from the cranial base is a/an: | C. LeFort I |
| What is the name of this retractor? | B. Bennett |
| Where is the incision for a Caldwell-Luc procedure made? | A. Canine fossa |
| The device used for real time interoperative assessment of blood flow is a/an: | B. Doppler |
| The needle holder shown below would be used during a: | D. Craniotomy |
| A chemical reaction that provides energy by the breakdown of food is: | B. Catabolism |
| Which structure of the year is responsible for equilibrium? | A. Semicircular canals |
| The first step of urine production when fluids and dissolve substances are forced through a membrane by pressure is called: | C. Glomerular filtration |
| The adipose tissue overlying the symphysis is the: | B. Mons pubis |
| The cranial nerve that regulates secretion of gastric juice is the: | D. X |
| Phagocytosis by the white blood cells is an example of which line of defense? | B. Second |
| When opening a sterile wrapper, the unsettled person should open the first corner: | A. Away from self |
| Which of the following is the least inert of the synthetic meshes? | C. Polyester fiber |
| What radiopaque contrast medium is used intraoperatively when the patient is allergic to iodine? | B. Renografin |
| Which of the following legal terms would apply to a case on a non-English-speaking patient signs of surgical informed consent in English, but does not fully understand it? | A. Assault and battery |
| Which of the following psychosocial factors is important for the surgical team to dress for pediatric patients? | C. Separation anxiety |
| What is the surgical technologist’s role during the transfer of the patient from the OR bed to the stretcher? | B. Maintains sterility and integrity of backtable |
| When breaking down the sterile field, the surgical technologist should place the grossly contaminated instruments in which of the following? | D. Basin with sterile water |
| How many minutes are unwrapped instruments with no lumens sterilized at 270°F? | A. 3 |
| What is the recommended method of hair removal from an operative site? | C. Clippers with disposable heads |
| Which of the following must be in the chart prior to the patient being taken to the OR per the joint commission? | D. History and physical |
| And identification bracelet is placed on the surgical patient upon admission to the: | A. Facility |
| To maintain control of the structure, patient should be transported to the OR: | D. Feet first |
| At what point is it appropriate to lower the leg one tripping for a knee arthroscopy? | A. After the tourniquet has been inflated |
| Which structure regulates the amount of light entering the eye? | B. Iris |
| A capillary network of blood vessels with the Marino cortex that functions as a filter is called the: | C. Glomerulus |
| The kidneys are located in the: | D. Retroperitoneal space |
| The most abundant extracellular ion necessary for the transmission of impulses is: | A. Sodium |
| The set of teeth that erupt at about six months of age and later replaced are the: | B. Deciduous teeth |
| What is a frequently used IV barbiturate for general anesthesia induction? | C. Thiopental |
| Which of the following arteries does not arise directly from the aorta? | B. Vertebral |
| How long must an item be immersed in glutaraldehyde to be sterile? | D. 10 hours |
| Which chemical substance causes immune system to form antibodies? | A. Antigens |
| What is a surgical procedure for the treatment of acute a ptosisWhat is a surgical procedure for the treatment of acute otitis media? | A. Myringotomy |
| How is the patient positioned on the OR table for a knee arthroscopy? | C. Supine, knee at lower break |
| Which of the following instrument sets will be needed when a frontal sinus fracture repair is performed? | B. Craniotomy |
| Which of the following procedures is performed for cervical incompetence? | D. Shirodkar |
| What surgical instrument is used to visualize the prostate and remove tissue during a TURP? | C. Resectoscope |
| Which of the following facilitates exposure for thyroidectomy? | A. Interscapular pillow |
| Which of the following needles would be used for a liver biopsy? | C. Tru-cut |
| Why is cardioplegia used? | B. Cause diastolic arrest |
| What is the risk if a tourniquet is inflated for a prolonged period of time? | A. Tissue necrosis |
| What type of specialty equipment uses liquid nitrogen and is often utilized to repair retinal detachments? | D. Cryotherapy unit |
| What is done to the umbilicus during the above my skin prep? | C. Prepped separately with cotton applicators |
| An axillary roll is placed for lateral positioning to: | B. Facilitate respiration |
| Which nerve could be damaged by improperly padded stirrups? | D. Peroneal |
| Frozen sections are sent to pathology: | A. Immediately without preservative |
| Which of the following procedures would be performed with the patient in the lateral position? | C. Nephrectomy |
| Which heat resistant, spore forming Bacillus does the steam sterilization biological indicator contain? | D. G. Stearothermophilus |
| The process by which blood cells are formed is known as: | B. Hemopoiesis |
| The pacemaker of the heart is/are the: | A. SA node |
| Thought processes take place in the: | C. Cerebral cortex |
| Kantrex, bacitracin or Ancef mixed with saline for irrigation would do which of the following? | D. Inhibit surgical site infection |
| Which of the following sterilizers operates with condition, exposure, exhaust, and dry cycles? | A. Gravity air displacement |
| Preoperative bladder drainage prior to a D7C would be performed with which of the following catheters? | B. 14 Fr. Robinson |
| In the OR, HEPA is a type of: | A. Air filter |
| What precaution is utilized to prevent cardiovascular complications when positioning an anesthetized patient? | C. Move patient slowly |
| Why is the orientation of the vein graft reversed during a CABG? | D. Presence of valves |
| Which of the following neurosurgical retractors is handheld? | B. Cushing |
| Which of the following incisions may be used for the repair of a zygomatic fracture? | A. Below lower eyelid |
| The principal male hormone produced in the testes is: | D. Testosterone |
| All of the following statements are true for paper plastic peel packed, except: | C. Staples are an acceptable method of closing peel packs |
| Following a TURP, a patient may have which of the following placed for bladder irrigation and compression? | B. 3-way Foley |
| Which of the following is a correct statement when using the closed-gloving technique? | B. Hand must not extend beyond cuffs |
| What drainage device is preferred for a radical neck dissection? | D. Jackson-Pratt |
| Which arteries are formed by the bifurcation of the abdominal aorta? | D. Iliac |
| The basic unit of the nervous system is the: | A. Neuron |
| The correct sterilization times required to render specific items sterile are initially established by the: | B. Equipment manufacturer |
| What procedure involves a series of treatments that result in permanent placement of prosthetic teeth? | D. Dental implants |
| In addition to temperature, time and moisture, what other factor determines the outcome of the steam sterilization process? | C. Pressure |
| The inner lining of the uterus is the: | D. Endometrium |
| Which of the following sterilization processes is most economical? | B. Steam |
| The basic, living structural and functional unit of the body is known as the: | D. Cell |
| The roof of the mouth is formed by the: | C. Hard and soft palates |
| In what position would a patient be placed following a tonsillectomy? | B. Lateral |
| What classification of drug reduces tissue inflammation? | A. Steroids |
| What is the result of adding epinephrine to a local anesthetic? | D. Prolong anesthetic effect |
| Which of the following is not a type of sterilizing agent? | B. Boiling water |
| A diagnostic procedure performed for patients with possible prostatic cancer is known as a: | A. Needle biopsy |
| How many hours is the steam biological indicator incubated? | D. 24 |
| What agent is used to flush the harvested saphenous vein during a CABG? | C. Heparinized saline |
| In which of the following cases might the surgeon use a Gigli saw? | A. Craniotomy |
| Low level disinfectants kill most microbes, but typically do not destroy: | D. Spores |
| Polymethyl methacrylate would most likely be used on which of the following procedures? | B. Total knee arthroplasty |
| Which of the following items should not be sterilized by dry heat? | C. Linen packs |
| What is a Verres needle used for during a laparoscopy? | A. Instill CO2 |
| Which method uses ultrasonic energy to fragment the lens? | D. Phacoemulsification |
| In which of the following procedures would fine hooks of various angles be used? | C. Stapedectomy |
| During a strabismus correction, resection has a greater effect on which muscle? | D. Lateral rectus |
| What is the best site for obtaining cortical bone graft? | A. Iliac crest |
| Which of the following is a non-electrolytic and isotonic solution used during a TURP? | C. Glycine |
| The structure that allows the eardrum to vibrate freely and connects the middle ear and the oropharynx is the: | B. Eustachian tube |
| Which of the following procedures may require use of a manometer to check CSF pressure? | D. Ventriculoperitoneal shunt |
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