NBSTSA CST Practice Exam A Flashcards

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Questions and Answers

Which of the following is the opening in the occipital bone through which the spinal cord passes?

  • Foramen rotundum
  • Foramen of Bochdalek
  • Foramen magnum (correct)
  • Foramen ovale

Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2. Which of the following is the BEST course of action?

  • Cover the sterile field with a sterile drape and move it from OR 1 to OR 2.
  • The surgical technologist should argue that the procedure be held in OR 1 as planned.
  • OR 1 should be left so that these supplies and instruments can be used by the next case.
  • New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. (correct)

Which of the following is the body's local tissue reaction to injury?

  • Fever
  • Inflammation (correct)
  • Infection
  • Immune reaction

Which of the following instruments is used for a common bile duct exploration?

<p>Randall forceps (D)</p> Signup and view all the answers

Which of the following is the MOST important consideration when cutting suture?

<p>Avoiding the knot (A)</p> Signup and view all the answers

Which of the following structures are ligated and divided during the cholecystectomy?

<p>Cystic artery and cystic duct (A)</p> Signup and view all the answers

Which of the following may be used when applying a sterile dressing to a skin graft site?

<p>Pressure dressing (C)</p> Signup and view all the answers

When performing a dilation and curettage, which of the following instruments is used to grasp the cervix?

<p>Schroeder (D)</p> Signup and view all the answers

On the way into the operating room, a terminally ill patient tells the nurse, 'No matter what happens, it will be okay.' Which of the Five Stages of Grief is the patient MOST likely in?

<p>Acceptance (D)</p> Signup and view all the answers

Which of the following instruments is used for placement of cottonoid strips during a craniotomy?

<p>Bayonet forceps (D)</p> Signup and view all the answers

When two individuals in sterile attire pass one another in the sterile field, they should:

<p>Pass back-to-back (D)</p> Signup and view all the answers

Which of the following is used to oxygenate and circulate blood?

<p>Extracorporeal bypass (C)</p> Signup and view all the answers

The PRIMARY consideration in selecting an appropriate anesthetic agent is the:

<p>Physiologic condition of the patient (D)</p> Signup and view all the answers

If two basins are wrapped together for sterilizing, they should be packaged with one basin:

<p>Stacked inside the other and separated by a towel (A)</p> Signup and view all the answers

Which of the following items may be used in positioning a patient for a total hip arthroplasty?

<p>Bean bag (C)</p> Signup and view all the answers

A surgical technologist sees a neighbor being admitted. How should the surgical technologist respond?

<p>Do not acknowledge the neighbor unless greeted first (A)</p> Signup and view all the answers

Flashcards

Foramen magnum

The opening at the base of the skull through which the spinal cord passes.

Inflammation

The body's natural reaction to injury or infection, characterized by redness, swelling, pain, heat, and loss of function.

Cholecystectomy

A surgical procedure performed to remove the gallbladder.

Randall forceps

A type of forceps used for grasping and manipulating tissue during surgery, commonly used in biliary surgery.

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Cutting suture

The delicate process of cutting suture material, especially near the knot, to avoid damaging the surrounding tissue.

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Structures ligated during cholecystectomy

The cystic artery and cystic duct are both structures connected to the gallbladder that need to be closed off during a cholecystectomy.

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Pressure dressing

A dressing designed to apply pressure to a wound, used to prevent bleeding and support healing.

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Schroeder forceps

A surgical instrument used to grasp and dilate the cervix during a dilation and curettage (D&C) procedure.

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Acceptance (Grief)

One of the five stages of grief, in which the individual accepts the inevitable outcome of their situation.

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Bayonet forceps

Forceps designed to gently grasp and manipulate delicate tissues, such as those found during brain surgery.

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Extracorporeal bypass

A specialized medical technique used to bypass the heart and lungs during surgery, allowing their function to be temporarily taken over by a machine.

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Patient's physiologic condition

Factors related to the patient's overall health, such as organ function, allergies, and medical history, which are considered when choosing the most appropriate anesthetic.

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Sterilizing two basins

When two basins are sterilized together, one basin is placed inside the other and separated by a towel for proper sterilization and to prevent contamination.

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Bean bag

A type of positioning device used to support the patient's body during surgery, particularly for hip surgeries.

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Professional conduct

Maintaining a professional and respectful distance from patients, even when encountered outside of the workplace.

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Study Notes

Anatomy and Surgical Procedures

  • Foramen Magnum: Opening in the occipital bone where the spinal cord passes.
  • Cholecystectomy: Cystic artery and cystic duct are ligated and divided during this procedure.
  • Surgical Instruments:
    • Randall Forceps: Used for common bile duct exploration.
    • Schroeder: Instrument for grasping the cervix in dilation and curettage.
    • Bayonet Forceps: Utilized for placing cottonoid strips during a craniotomy.

Sterility and Patient Safety

  • Sterile Supplies: If a surgical case moves to another operating room, obtain new sterile supplies for the new location and dispose of the setup in the original room.
  • Passing Sterile Fields: Individuals in sterile attire should pass one another back-to-back to maintain sterility.
  • Positioning: The bean bag is commonly used for positioning a patient during total hip arthroplasty.

Surgical Techniques and Considerations

  • Cutting Suture: The most important consideration is avoiding the knot while cutting.
  • Dressing Application: A pressure dressing may be used when applying a dressing to a skin graft site.
  • Extracorporeal Bypass: Used to oxygenate and circulate blood.

Psychological and Ethical Aspects

  • Stages of Grief: Acceptance is the most likely stage for a terminally ill patient expressing comfort regardless of outcomes.
  • Professional Boundaries: Surgical technologists should not acknowledge neighbors being admitted unless greeted first to maintain professional boundaries.

Anesthesia and Surgical Environment

  • Anesthetic Consideration: The physiologic condition of the patient is the primary consideration in selecting an anesthetic agent.
  • Sterilization Packaging: When sterilizing two basins, they should be stacked inside one another and separated by a towel.

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