AST Certification Exam #4 | Baamboozle - Baamboozle

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What gynecologic procedure includes removal of the reproductive organs, bladder and rectum?o A. Posterior colporrhaphyo B. Total hysterectomyo C. Abdominoperineal resectiono D. Pelvic exenteration

D. Pelvic exenteration, a radical pelvic procedure, performed for highly invasive, persistent carcinoma is only performed if it offers the possibility...

Which of the following is a type of non-retaining catheter?o A. Foleyo B. Malecoto C. Whistleo D. Pezzer

C. The Whistle is a type of non-retaining catheter used to obtain urine specimen or decompress the bladder.

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.

Exophthalmos due to Grave's disease is associated with which gland?o A. Parotido B. Thyroido C. Pituitaryo D. Thymus

B. A primary characteristic of Graves' disease is hyperthyroidism. Other symptoms include weight loss, fatigue, palpitations, increased metabolic rate...

In large abdominal wounds that require frequent dressing changes, which of the following will minimize the skin break-down?o A. Steri-Strips™o B. Petrolatum gauzeo C. Liquid collodiono D. Montgomery straps

D. Montgomery straps are utilized for surgical wounds that require frequent dressing changes. They consist of two sections, the first has an adhesive...

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.

The process by which glucose is stored as glycogen is:o A. Glucolysiso B. Glycolysiso C. Glycogenesiso D. Gluconeogenesis

C. If glucose is not required for ATP production at once, it is mixed with other molecules of glucose to form glycogen, which is then stored in the li...

Which type of laser is used to remove polymethyl methacrylate from a cemented joint implant during a revision arthroplasty?o A. Excimero B. Argono C. Carbon dioxideo D. Ho:YAG

C. The carbon dioxide laser is used to vaporize polymethyl methacrylate to aid in the removal of the prosthesis.

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.

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.

Pneumoperitoneum is utilized during a laparoscopy to do which of the following?o A. Illuminate cavityo B. Prevent embolismo C. Create safe working spaceo D. Reduce blood pressure

C. Pneumoperitoneum is established to provide a working space in the abdomen and allow the intestines to fall away from the anterior of the abdominal...

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...

Use of a one-step applicator with little or no pressure on skin would be indicated in which of the following conditions?o A. Pleural effusiono B. Herniated lumbar disco C. Abdominal aortic aneurysmo D. Cholecystitis with cholelith...

C. To prevent rupturing the delicate aneurysm, very little pressure should be placed on the abdomen and the prep should be gently performed.

What is the purpose of maintaining 20% to 60% relative humidity in the OR?o A. Eliminate microbial counto B. Provide comfortable environmento C. Decrease static electricityo D. Reduce room temperature

C. Humidity level is kept between 20-60% to prevent static electricity.

What does the term 'os' mean?o A. Boneo B. Openingo C. Occlusiono D. Right

B. An opening or mouth is an 'os.'

Which catheter is used for an angioplasty?o A. Gruntzigo B. Robinsono C. Fogartyo D. Swan-Ganz

C. Fogarty catheter is used when performing an angioplasty.

What is the purpose of polymethyl methacrylate during a cranioplasty?o A. Reducing vascular spasmo B. Filling cranial defectso C. Adhesive skin closureo D. Subarachnoid space dye

B. Polymethyl methacrylate is an alloplastic material used to repair cranial defects caused by accidents, tumors or other trauma.

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.

Which of these drugs is a miotic?o A. Tropicamideo B. Atropineo C. Pilocarpineo D. Phenylephrine

C. Miotics are pupil-constricting agents and pilocarpine hydrochloride is a common miotic used for this purpose.

A tumescent solution is used in which of the following procedures?o A. Breast augmentationo B. Scar revisiono C. Collagen injectiono D. Suction lipectomy

D. A tumescent solution is used in the suction lipectomy procedure.

What is the term for the division of a reproductive cell into two cells with chromosome cells?o A. Binary fissiono B. Mitosiso C. Meiosiso D. Spontaneous generation

C. The division of a reproductive cell into two cells with 23 chromosomes each is called meiosis.

What type of clip is a Raney?o A. Scalpo B. Nerveo C. Aneurysmo D. Vessel

A. The Raney scalp clip is applied to the edges of the incised scalp to control bleeding during cranial procedures.

What type of dye is used intravenously to verify patency of the fallopian tubes during a pelvic procedure?o A. Methylene blueo B. Isovueo C. Renograffino D. Gentian violet

A. Methylene blue is used intravenously toverify patency of the fallopian tubes.

A wrapped instrument set that will be run in the steam prevacuum sterilizer at 270° must be sterilized for a minimum of:o A. 6 minuteso B. 2 minuteso C. 8 minuteso D. 4 minutes

D. A wrapped instrument set placed in a steam prevaccum sterilizer at 270° F must be exposed to that temperature for a minimum of 4 minutes.

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.

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.

The ciliary body is part of which layer of the eye?o A. Lenso B. Fibrouso C. Nervouso D. Vascular

D. The ciliary body is located in the anterior portion of the vascular tunic.

Catabolism of fats produces:o A. Ketone bodieso B. Glycogeno C. Amino acidso D. Bile

A. Ketone bodies are produced through the catabolism of fats

Which vein of an infant patient is a central venous catheter inserted?o A. Internal jugularo B. Saphenouso C. Subclaviano D. External jugular

D. In neonates and infants, a cutdown approach to the external jugular is preferred for insertion of a central venous catheter.

Which of the following is an intermediate-level disinfectant?o A. Isopropyl alcoholo B. Glutaraldehydeo C. Peracetic acido D. Hydrogen peroxide

A. Isopropyl alcohol is tuberculocidal, bactericidal, virucidal and fungicidal, but not sporidical.

What is done to the common bile duct during a choledochojejunostomy?o A. Excisedo B. Visualizedo C. Anastomosedo D. Bypassed

C. Choledochojejunostomy is an anastomosis between the common bile duct and jejunum to reestablish flow of bile.

What is the importance of humidity when using EtO sterilization?o A. Remove chlorofluorocarbonso B. Hydrate spores and bacteriao C. Reduce flammability of gaso D. Prevent instruments from drying

B. Moisture hydrates bacteria and spores to reduce their resistance to the gas.

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.

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...

Which of the following wound classifications would be assigned to a compound fracture?o A. Cleano B. Contaminatedo C. Clean-contaminatedo D. Dirty

B. Compound or open fracture would have a wound classification as contaminated.

Which of the following is not a function of the trachea?o A. Carry air to and from the lungso B. Amplify speecho C. Filter secretions and particulateso D. Humidify inspired air

B. The trachea does not assist in ampliflying speech.

What surgical instrument is used to thread the drilled hole for the screw during an ORIF?o A. Tapo B. Depth gaugeo C. Osteotomeo D. Drill bit

A. Once the hole for a screw has been drilled, the tap is used to pre-place threads within the hole to aid with insertion of the screws

Which of the following procedures is performed before completing an ileal conduit?o A. Ureterolithotomyo B. Prostatectomyo C. Cystectomyo D. Ileostomy

C. When the entire bladder is removed (cystectomy), a urinary bladder diversion procedure is required. Ileal conduit is the standard procedure perform...

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...

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.

During an EtO sterilization cycle, humidity is maintained at:o A. 50-90%o B. 80-100%o C. 20-80%o D. 10-25%

C. Humidity is maintained at 20-80% within the EtO sterilizer to hydrate the bacteria and spores.

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.

What is the technical term for robotic arms?o A. Manipulatoro B. Telechiro C. Articulatedo D. Resolution

A. The technical term for the robotic arms is manipulator.

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.

Which of the following assesses the electrical activity of the nervous system?o A. Spirometryo B. Electroencephalogramo C. Peripheral nerve stimulatoro D. Electrocardiogram

B. Electroencephalogram is a display and recording of the electrical activity of the brain through the placement of electrodes on the scalp.

Which of the following anatomical sites would be prepped last when performing a skin prep for a colostomy reversal procedure?o A. Suprapubic areao B. Stomao C. Umbilicuso D. Lateral borders

B. When prepping for a colostomy reversal procedure, the stoma site is prepped last since it is considered contaminated

An emergency drug given to stabilize ventricular fibrillation is:o A. Anectineo B. Isoproterenolo C. Vasopressino D. Nitroglycerine

B. Isoproterenol hydrochloride (Isuprel) is used to treat ventricular fibrillation that occurs during surgery

How are femoral shaft fractures in an adult repaired?o A. Hemiarthroplastyo B. Kirschner wireso C. Closed reductiono D. Intramedullary nailing

D. Femoral shaft fractures in adults are repaired with either compression plating or intramedullary nailing.

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...

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

Which of the following vessels is harvested for use during a CABG?o A. Azygous veino B. Internal mammary arteryo C. Popliteal veino D. Left axillary artery

B. The internal mammary artery or saphenous vein is anastomosed to the affected coronary artery during a CABG.

A clamp used for occluding a peripheral vessel is:o A. Duvalo B. Alleno C. Kochero D. DeBakey

D. There are several type of DeBakey clamps and the DeBakey peripheral vascular clamp is angled with smooth serrations making it ideal for clamping bl...