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AST Certification Exam #4

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  • Why is an indwelling Foley catheter placed prior to a hysterectomy? o A. Record fluid intakeo B. Avoid injury to bladdero C. Distend bladdero D. Demonstrate ureteral patency
    B. To decompress the bladder and prevent injury to the organ during a hysterectomy, an indwelling Foley catheter is preoperatively inserted into the p...
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  • Which of the following is used to stain the cervix for a Schiller's test?o A. Lugol's solutiono B. Indigo carmineo C. Methylene blueo D. Acetic acid
    A. The Schiller test involves staining the cervix with Lugol solution. The glycogen in the cervical epithelium takes up the iodine and abnormal tissue...
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  • What should be transported to the PACU with a patient who underwent a thyroidectomy?o A. Tracheotomy trayo B. Clean stent dressingo C. Extra Penrose draino D. Antiembolic stockings
    A. A tracheotomy tray should be transported with the patient to the PACU and ward room due to the postoperative risks of inflammation and hemorrhage.
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  • Which organelle is responsible for packaging of proteins?o A. Golgi complexo B. Mitochondriao C. Nucleuso D. Ribosome
    A. The Golgi complex, a group of organelles, processes, sorts, packages, and delivers proteins to the plasma membrane, lysosomes, and secretory vesicl...
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  • When is it acceptable to open surgical dressing sponges?o A. After first counto B. After skin incisiono C. After final counto D. After closure of cavity
    C. Surgical dressing sponges are opened after the wound is closed, and the final count was performed.
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  • Lesions in which part of the brain may affect balance and coordination?o A. Limbic Systemo B. Cerebral Cortexo C. Cerebellumo D. Medulla
    C. The cerebellum is at the base of the brain and is responsible for balance and coordination.
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  • Which of the following utilizes the process of cavitation?o A. Washer-sterilizero B. Ultrasonic cleanero C. Washer-decontaminatoro D. Steam sterilizer
    B. The ultrasonic cleaner uses the process of cavitation to dislodge minute particles of soil and debris from surgical instruments.
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  • Which ligament is transected during surgery for De Quervain's disease?o A. Dorsal carpalo B. Adductor polliciso C. Transverse carpalo D. Extensor retinaculum
    A. De Quervain's is caused by inflammation of the tendons in the first dorsal compartment of the wrist. The dorsal carpal ligament is cut to release t...
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  • What type of external dressing would be used to eliminate dead space?o A. Immobilizingo B. Bulkyo C. Packingo D. Pressure
    D. A pressure dressing is a type of three-layer dressing used to eliminate dead space.
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  • The agent used to expand blood plasma volume is:o A. Diprivano B. Duramorpho C. Demerol®o D. Dextran
    D. Dextran is a plasma volume expander that acts by drawing fluid from tissues, thus decreasing blood viscosity.
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  • Which of the following is an initial incision for abdominoplasty?o A. Periumbilicalo B. Upper paramediano C. Low transverseo D. Midline
    C. The skin incision for an abdominoplasty is a low transverse.
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  • When performing a rhinoplasty, the exostosis in the nose is removed with a:o A. Chiselo B. Rongeuro C. Scissorso D. Saw
    A. Two surgical instruments commonly used to remove the midline hump in the nose are chisel or rasp
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  • What should the surgical technologist wear when transporting a patient with tuberculosis from PACU to the isolation patient room?o A. Hair covero B. Surgical masko C. No additional precautions necessaryo D. Respirator
    D. The CDC and NIOSH recommend the use of a respirator when caring for a TB patient.
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  • Which of the following agents should not be used to disinfect endoscopes?o A. Distilled watero B. Glutaraldehydeo C. Enzymatic solutiono D. Isopropyl alcohol
    D. Isopropyl alcohol should not be used to clean endoscopes because it breaks down the cement.
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  • Which of the following is the second phase of wound healing?o A. Proliferationo B. Maturationo C. Contractiono D. Lag
    A. Phase 2 of wound healing is proliferation which begins approximately on the third postoperative day.
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  • What is the major side effect of thrombolytics?o A. Infectiono B. Hemorrhageo C. Nauseao D. Clotting
    B. The major side effect of thrombolytics is hemorrhage.
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