AST Cert Exam #3
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| Which cranial nerve is affected by trigeminal neuralgia? | V
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| What is used to lubricate the donor site and reduce friction from the dermatome? | Mineral Oil
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| Which of the following is an example of proper sterile technique when performing the prep for a STSG? | Donor site first
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| What is the recommended range of intra-abdominal pressure in an adult patient when using an insufflator during a laparoscopic prodecure? | 12-15 mm Hg
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| Which of these terms refers to the inability to direct both eyes at the same object? | Strabismus
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| What procedure is performed to correct chronic cerebral ischemia? | Endarterectomy
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| According to the Rule of Nines, what percentage is assigned to the front and back of the trunk? | 18%
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| Which term refers to an abnormal increase in the number of cells? | Hyperplasia
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| A second intention wound heals by: | Granulation
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| Intraoperative ventricular arrhythmias are treated with: | Lidocaine
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| How many milliliters equals two ounces? | 60
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| Covering a sterile backtable for later use is: | Not permissible under any circumstances
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| In which position would a patient be placed to counteract hypovolemia? | Trandelenburg
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| Which of the following types of suture creates the least tissue trauma and drag? | Swaged monofilament
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| Which organization has legal oversight for the safety of healthcare providers in the work place? | OSHA
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| Which level of Maslow's Hierarchy of Needs is most applicable to the surgical patient? | Physiological and survival
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| Which of the following would be incorrect technique when removing the sterile gown and gloves? | Gloves removed first
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| Which type of procedure might require a laparoscopy combination drape? | Abdominoperineal resection
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| Cell destruction by steam sterilization occurs by: | Coagulation of protein
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| Which technique is not acceptable when draping? | Unfold drape before bringing up to the OR table
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| A patient's fingernail polish is removed to: | Allow for use of pulse oximeter
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| What is the purpose of maintaining the air exchange rate at 15-20 times per hour in the OR? | Reduce microbial count
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| How many mL of water is necessary to inflate a 5 mL balloon on the Foley indwelling catheter? | 10
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| If an ophthalmologist orders trimming of eyelashes, how is it safely performed? | Fine scissors coated with water-soluble gel
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| What is the correct technique for performing the surgical skin prep? | Incision site to periphery using circular motion
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| The laboratory test that determines the ratio of erythrocytes to whole blood is: | Hematocrit
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| What is the proper procedure to follow when a pack of sponges contains an incorrect number after the patient has entered the OR? | Hand off the sterile field and isolate
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| Which of the following types of specimens would not be placed in a preservative solution? | Calculi
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| Where should the surgical tech begin when performing closing counts? | Operative field
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| Which of the following catheter tips is used in a patient with a urethral stricture? | Coude
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| Which type of procedure would require a stent dressing? | Neck
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| Which of the following is used in order to ensure preservation of the facial nerve during a parotidectomy? | Nerve stimulator
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| Which of the following hemostatic agents is contraindicated for use in the presence of infection? | Absorbable collagen
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| During closure of nephrectomy in the lateral position, the OR table is straightened to facilitate: | Tissue approximation
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| Which of the following must be tested prior to the use of a fiberoptic bronchoscope? | Light source
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| Excision of a constricted segment of the aorta with reanastomosis is performed to correct: | Coarctation of the aorta
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| For which of the following diagnoses would a patient undergo endoscopic retrograde cholangiopancreatography? | Choledocholithiasis
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| The high ligation of the gonadal veins of the testes performed to reduce venous plexus congestion is a | Varicocelectomy
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| Trauma to which two of the following cranial nerves would result in the loss of smell and vision | I and II
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| Which of the following is performed for suspected ectopic pregnancy? | Culdocentesis
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| Which of the following is a procedure for treatment of glaucoma? | Iridectomy
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| What procedure is performed to immobilize the jaw following a mandibular fracture? | Arch bar application
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| Which of the following total arthroplasty procedures would require the postoperative use of an abduction splint? | Hip
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| Untreated acute otitis media may result in: | Mastoiditis
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| Which of the following is used intraoperatively to assess vascular patency? | Doppler ultrasound
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| Which of the following is the body's primary source of energy? | Carbohydrates
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| What is compressed during rapid-sequence induction and intubation? | Cricoid cartilage
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| What term refers to the spread of cancerous cells to other parts of the body? | Metastasis
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| The shared passageway for food and air is the: | Pharynx
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| The structure that lies along the posterior border of the testis is the: | Epididymis
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| The valve between the left atrium and the left ventricle is the: | Bicuspid
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| Which characteristic describes an amphiarthrosis? | Slightly movable
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| What is the most abundant ion in the body? | Calcium
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| Which of the following is a method of bacterial survival when environmental conditions are not conductive to growth and viability? | Spore formation
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| What organ detects changes in the level of insulin and releases chemicals to regulate the level of blood glucose? | Pancreas
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| What does the term strike-through mean? | Soaking of moisture from unsterile to sterile layers
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| Which of the following monitoring devices would be used within a vessel? | Swan Ganz
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| When adding 30 mL of injectable saline to 30 mL of 0.5% Marcaine, what strength does the drug become? | 0.25%
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| What action should be taken if the patient has withdrawn the surgical informed consent prior to surgery? | Do not transport patient; inform surgeon
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| Confining and containing instruments with bioburden prevents which of the following? | Cross-contamination
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| The unsterile size of the perimeter of a sterile wrap is: | 1 inch
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| A substance that inhibits the growth and reproduction of microbes on living tissue is an | Antiseptic
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| What action should be taken by the transporter if a discrepancy occurs in the identification of a patient in the nursing unit? | Do not transport; inform unit supervisor and OR personnel
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| A patient may be asked to shower at home with an antimicrobial soap before coming to the hospital for surgery to: | Achieve a cumulative antimicrobial effect
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| What are the sequential steps performed prior to entrance into the sterile field? | Scrub, gown, glove
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| Which area is prepped last when performing the skin prep for a Bartholin's cystectomy? | Anus
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| The sterile surgical tech should drape a table from: | Front to back
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| Which of the following can be injured if the arm is placed on the arm board greater than 90 degrees? | Brachial plexus
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| What is the purpose of the third lumen in a three-way indwelling Foley catheter? | Instill irrigation fluids
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| Which of the following enlarges and illuminates the surgical field during cataract procedures? | Operating microscope
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| Small radiopaque surgical patties used during cranial procedures are: | Cottonoids
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| Which of the following hemostatic agents must be applied dry and only handled with dry gloves? | Avitene
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| Which surgical specialty would utilize a phacoemulsification machine? | Ophthalmology
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| Which of the following lasers would be contraindicated for use in the posterior chamber of the eye? | Carbon dioxide
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| In which structure of the heart are the leads for the permanent pacemaker placed? | Right ventricle
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| For which of the following diagnoses would a patient require pancreaticojejunostomy? | Alcoholic pancreatitis
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| In which procedure would a Bookwalter retractor be used? | Retropubic prostatectomy
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| Which cranial nerve is severed as a last resort treatment of Meniere's disease? | VIII - Vestibulocochlear
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| Brachytherapy is performed to treat: | Cervical cancer
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| Which procedure is performed to improve the vision of patients with myopia? | Radial keratotomy
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| The facial fracture that involves the complete separation of the maxilla from the cranial base is a: | LeFort I
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| Where is the incision for a Caldwell-Luc procedure made? | Canine fossa
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| The device for real-time intraoperative assessment of blood flow is a | Doppler
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| A chemical reaction that provides energy by the breakdown of food is: | Catabolism
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| Which structure of the ear is responsible for equilibrium? | Semicircular canals
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| The first step of urine production when fluids and dissolved substances are forced through a membrane by pressure is called: | Glomerular filtration
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| The adipose tissue overlying the symphysis is the: | Mons pubis
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| The cranial nerve that regulates secretion of gastric juices is the: | X - Vagus
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| Phagocytosis by the WBC is an example of which line of defense? | Second
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| When opening a sterile wrapper, the unsterile person should open the first corner: | Away from self
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| Which of the following is the least inert of the synthetic meshes? | Polyester fiber
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| What radiopaque contrast medium is used intraoperatively when the patient is alergic to iodine? | Renografin
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| Which of the following legal terms would apply to a case when a non-English speaking patient signs a surgical informed consent in English, but does not fully understand it? | Assault and battery
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| Which of the following psychosocial factors is important for the surgical team to address for pediatric patients? | Separation anxiety
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| What is the surgical tech's role during the transfer of the patient from the OR bed to the stretcher? | Maintains sterility and integrity of backtable
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| When breaking down the sterile field, what should the surgical tech should place the grossly contaminated instruments into? | Basin with sterile water
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| How many minutes are unwrapped instruments with no lumens sterilized at 270 degrees F? | 3 minutes
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| What is the recommended method of hair removal from an operative site? | Clippers with disposable heads
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| Which of the following must be in the chart prior to the patient being taken to the OR per The Joint Commission? | History and physical
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| An identification bracelet is placed on a surgical patient upon admission to the: | Facility
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| To maintain control of the stretcher, the patient should be transported to the OR: | Feet first
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| At which point is it appropriate to lower the leg when draping for a knee arthroscopy? | After the tourniquet has been inflated
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| Which structure regulates the amount of light entering the eye? | Iris
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| A capillary network of blood vessels within the renal cortex that functions as a filter is called the: | Glomerulus
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| The kidneys are located in the: | Retroperitoneal space
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| The most abundant extracellular ion necessary for the transmission of impulses is: | Sodium
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| The set of teeth that erupt at about 6 months of age and are later replaced are the: | Deciduous teeth
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| What is a frequently used IV barbiturate for general anesthesia induction? | Thiopental
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| Which of the following arteries does not arise directly from the aorta? | Vertebral
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| How long must an item be immersed in glutaraldehyde to be sterile? | 10 hours
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| Which chemical substance causes the immune system to form antibodies? | Antigens
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| What is a surgical procedure for the Tx of acute otitis media? | Myringotomy
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| How is the patient positioned on the OR table for a knee arthroscopy? | Supine, knee at lower break
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| Which of the following instrument sets will be needed when a frontal sinus fracture repair is performed? | Craniotomy
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| Which of the following procedures is performed for cervical incompetence? | Shirodkar
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| What surgical instrument is used to visualize the prostate and remove tissue during a TURP? | Resectoscope
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| Which of the following facilitates exposure for thyroidectomy? | Interscapular pillow
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| Which of the following needles would be used for a liver Bx? | Tru-Cut
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| Why is cardioplegia used? | Cause diastolic arrest
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| What is the risk if a tourniquet is inflated for a prolonged period of time? | Tissue necrosis
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| What type of specialty equipment uses liquid nitrogen and is often utilized to repair retinal detachments? | Cryotherapy unit
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| What is done to the umbilicus during the abdominal skin prep? | Prepped separately with cotton applicators
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| An axillary role is placed for lateral positioning to: | Facilitate respiration
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| Which nerve could be damaged by improperly padded stirrups? | Peroneal
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| Frozen sections are sent to pathology: | Immediately, without preservative
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| Which of the following procedures would be performed with the patient in the lateral position? | Nephrectomy
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| Which heat-resistant, spore-forming Bacillus does the steam sterilization biological indicator contain? | G. stearothermophilus
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| The process by which blood cells are formed is known as: | Hemopoiesis
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| The pacemaker of the heart is the: | SA node
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| Thought processes take place in the: | Cerebral cortex
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| Kantrex, bacitracin or Ancef mixd with saline for irrigation would do what? | Inhibit SSI
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| Which of the following sterilizers operates with condition, exposure, exhaust and dry cycles? | Gravity air displacement
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| Preoperative bladder drainage prior to a D & C would be performed with which of the following catheters? | 14 Fr. Robinson
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| In the OR, HEPA is a type of: | Air filter
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| What precaution is utilized to prevent cardiovascular complications when positioning an anesthetized patient? | Move patient slowly
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| Why is the orientation of the vein graft reversed during a CABG? | Presence of valves
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| Which of the following neurosurgical retractors is handheld? | Cushing
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| Which of the following incisions may be used for the repair of a zygomatic Fx? | Below lower eyelid
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| The principle male hormone produced in the testes is: | Testosterone
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| All of the following statements are true for paper-plastic peel packs, except: | Staples are an acceptable method of closure
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| Following a TURP, a patient may have which of the following placed for bladder irrigation and compression? | 3-way Foley
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| Which of the following is a correct statement when using the closed-gloving technique? | Hand must not extend beyond cuffs
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| What drainage device is preferred for a radical neck dissection? | Jackson-Pratt
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| Which arteries are formed by the bifurcation of the abdominal aorta? | Iliac
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| The basic unit of the nervous system is the: | Neuron
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| The correct sterilization times required to render specific items sterile are initially established by the: | Equipment manufacturer
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| What procedure involves a series of treatments that result in permanent placement of prosthetic teeth? | Dental implants
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| In addition to temperature, time and moisture, what other factor determines the outcome of the steam sterilization process? | Pressure
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| The inner lining of the uterus is the: | Endometrium
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| Which of the following sterilization processes is most economical? | Steam
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| The basic, living structural and functional unit of the body is known as the: | Cell
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| The roof of the mouth is formed by the: | Hard and soft palates
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| In which position would a patient be placed following a tonsillectomy? | Lateral
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| What classification of drug reduces tissue inflammation? | Steroids
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| What is the result of adding epinephrine to a local anesthetic? | Prolong anesthetic effect
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| Which of the following is not a type of sterilizing agent? | Boiling water
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| A diagnostic procedure performed for patients with possible prostatic cancer is known as a: | Needle biopsy
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| How many hours is the steam biological indicator incubated? | 24 hours
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| What agent is used to flush the harvested saphenous vein during a CABG? | Heparinized saline
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| In which of the following cases might the surgeon use a Gigli saw? | Craniotomy
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| Low level disinfectants kill most microbes, but typically do not destroy: | Spores
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| Polymethyl methacrylate would most likely be used in which of the following procedures? | Total knee arthroplasty
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| Which of the following items should not be sterilized by dry heat? | Linen packs
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| What is a Verres needle used for during a laparoscopy? | Instill CO2
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| Which method uses ultrasonic energy to fragment the lens? | Phacoemulsification
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| In which of the following procedures would fine hooks of various angles be used? | Stapedectomy
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| Which incisional approach would be used for a splenectomy? | Left subcostal
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| During a strabismus correction, resection has a greater effect on which muscle? | Lateral rectus
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| What is the best site for obtaining cortical bone graft? | Iliac crest
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| Which of the following is a non-electrolytic and isotonic solution used during a TURP? | Glycine
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| The structures that allows the eardrum to vibrate freely and connects the middle ear and the oropharynx is the: | Eustachian tube
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| Which of the following procedures may require use of a manometer the check CSF pressure? | Ventriculoperitoneal shunt
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