CST EXAM 4 WITH QUESTIONS AND
ANSWERS PROVIDED. REVISION FOR GRADE
A+ 2024
1. Which of the following is considered the MOST important skill
for a surgical tech?
a. management of specimens
b. management of sponges
c. maintaining an orderly setup
d. ensuring adequate lighting: a. management of specimens
2. The surgical incision that allows for the BEST visualization
for a Billroth I procedure is:
a. McBurney's
b. Pfannenstiel
c. midline
d. subcostal: c. midline
3. During the post-op phase, the personnel primarily responsible
fr transporting soiled instrumentation to decontamination is the:
a. housekeeping staff
b. anesthesia technician
c. surgical technologist
d. central processing technician: c. surgical technologist
4. CSF is formed in the lateral ventricles of a patient and may not
properly follow into the third ventricle through the foramen of:
a. magendie into the fourth ventricle
b. monro into the fourth ventricle
,c. sylvius into the fourth ventricle
d. luschka into the fourth ventricle: c. sylvius into the fourth
ventricle
5. During an excisional biopsy of sentinel nodes, the surgical
technologist should prepare specimens using which of the
following methods?
a. place on a RAY-TEC to be handed off to the circulator.
b. separate on Telfa and pass to the circulator.
c. place in separate containers and identify.
d. place in specimen container held by the circulator using a
hemostat.: c. place in separate containers and identify.
6. A surgical technologist received the following medications
onto the sterile field: 0.9% sodium chloride, bacitracin 1 gm, and
0.25% marcaine with epinephrine. Which of the following is the
MOST appropriate way to label these medications?
a. saline+bacitracin and .25 marcaine+epinephrine
b. NACL+I gm baci and 0.25 marc w/epi
c. saline_baci and 0.25% marc with epi
d. 0.9% saline+l gm bacitractin and 0.25% marcaine with
epinephrine: d. 0.9% saline+l gm bacitractin and 0.25%
marcaine with epinephrine
,7. A thyroidectomy that was done earlier in the day is being
brought back for excessive bleeding from the incision. Which of
the following items are needed for this case?
a. monocryl suture and harmonic scalpel
b. laps, silk ties, and hemoclips
c. vicryl ties, pledgest, and alexis
d. nylon suture, raytec, and geralds: b. laps, silk ties, and
hemoclips
8. If there is any question related to handling a specific type of
specimen, which of the following departments should be
consulted?
a. histology
b. laboratory
c. pathology
d. radiology: c. pathology
9. The required number of air exchanges per hour in an OR is:
a. 5-10
b. 15-25
c. 30-35
d. 40-50: b. 15-25
10. A special-made instrument without a backup falls to the
floor during a procedure. Which of the following is the BEST
reason to hesitate performing immediate-use sterilization?
a. the sterilizer is used for implantable devices, but not
instruments
, b. the manufacturer's standards for sterilizing the instrument are
unknown
c. the staff feels uncomfortable transporting the unwrapped
instrument to the OR sterilization
d. there are no wrappers or pouches available for sterilizing the
instrument: b. the manufacturer's standards for sterilizing the
instrument are unknown
1 1 . When transferring a thoracotomy patient to recovery, the
chest drainage system should be:
a. disconnected
b. placed on the patient's side
c. positioned above the patient's head
d. maintained below the patient's chest level: d. maintained
below the patient's chest level
12. Which of the following procedures requires an incision in the
suprasternal notch?
a. mediastinoscopy
2 /25
b. bronchoscopy
c. parotidectomy
d. pericardectomy: a. mediastinoscopy
13. When preparing surgical specimens, in addition to the ST,
who else is responsible for accurately labeling the specimen?
a. surgeon and anesthesiologist
b. circulating nurse and first assistant
ANSWERS PROVIDED. REVISION FOR GRADE
A+ 2024
1. Which of the following is considered the MOST important skill
for a surgical tech?
a. management of specimens
b. management of sponges
c. maintaining an orderly setup
d. ensuring adequate lighting: a. management of specimens
2. The surgical incision that allows for the BEST visualization
for a Billroth I procedure is:
a. McBurney's
b. Pfannenstiel
c. midline
d. subcostal: c. midline
3. During the post-op phase, the personnel primarily responsible
fr transporting soiled instrumentation to decontamination is the:
a. housekeeping staff
b. anesthesia technician
c. surgical technologist
d. central processing technician: c. surgical technologist
4. CSF is formed in the lateral ventricles of a patient and may not
properly follow into the third ventricle through the foramen of:
a. magendie into the fourth ventricle
b. monro into the fourth ventricle
,c. sylvius into the fourth ventricle
d. luschka into the fourth ventricle: c. sylvius into the fourth
ventricle
5. During an excisional biopsy of sentinel nodes, the surgical
technologist should prepare specimens using which of the
following methods?
a. place on a RAY-TEC to be handed off to the circulator.
b. separate on Telfa and pass to the circulator.
c. place in separate containers and identify.
d. place in specimen container held by the circulator using a
hemostat.: c. place in separate containers and identify.
6. A surgical technologist received the following medications
onto the sterile field: 0.9% sodium chloride, bacitracin 1 gm, and
0.25% marcaine with epinephrine. Which of the following is the
MOST appropriate way to label these medications?
a. saline+bacitracin and .25 marcaine+epinephrine
b. NACL+I gm baci and 0.25 marc w/epi
c. saline_baci and 0.25% marc with epi
d. 0.9% saline+l gm bacitractin and 0.25% marcaine with
epinephrine: d. 0.9% saline+l gm bacitractin and 0.25%
marcaine with epinephrine
,7. A thyroidectomy that was done earlier in the day is being
brought back for excessive bleeding from the incision. Which of
the following items are needed for this case?
a. monocryl suture and harmonic scalpel
b. laps, silk ties, and hemoclips
c. vicryl ties, pledgest, and alexis
d. nylon suture, raytec, and geralds: b. laps, silk ties, and
hemoclips
8. If there is any question related to handling a specific type of
specimen, which of the following departments should be
consulted?
a. histology
b. laboratory
c. pathology
d. radiology: c. pathology
9. The required number of air exchanges per hour in an OR is:
a. 5-10
b. 15-25
c. 30-35
d. 40-50: b. 15-25
10. A special-made instrument without a backup falls to the
floor during a procedure. Which of the following is the BEST
reason to hesitate performing immediate-use sterilization?
a. the sterilizer is used for implantable devices, but not
instruments
, b. the manufacturer's standards for sterilizing the instrument are
unknown
c. the staff feels uncomfortable transporting the unwrapped
instrument to the OR sterilization
d. there are no wrappers or pouches available for sterilizing the
instrument: b. the manufacturer's standards for sterilizing the
instrument are unknown
1 1 . When transferring a thoracotomy patient to recovery, the
chest drainage system should be:
a. disconnected
b. placed on the patient's side
c. positioned above the patient's head
d. maintained below the patient's chest level: d. maintained
below the patient's chest level
12. Which of the following procedures requires an incision in the
suprasternal notch?
a. mediastinoscopy
2 /25
b. bronchoscopy
c. parotidectomy
d. pericardectomy: a. mediastinoscopy
13. When preparing surgical specimens, in addition to the ST,
who else is responsible for accurately labeling the specimen?
a. surgeon and anesthesiologist
b. circulating nurse and first assistant
