NCCT Prep #8
A chest tube drain for a thoracotomy should be placed through
A. the lower lobe of the left lung.
B. the inferior part of the incision.
C. a separate stab incision.
D. the superior part of the incision. - ANS-C. a separate stab incision.
A closed wound suction device is connected to an active drain to remove fluid or air. Which
of the following types of pressure is the device using?
A. wound pressure
B. positive pressure
C. negative pressure
D. pulse pressure - ANS-C. negative pressure
A colorectal surgeon has resected part of the small bowel while the patient was in lithotomy
position and now wants to perform an anastomosis from below. Which of the following
stapling devices should the surgical technologist have available?
A. EEA
B. GIA
C. purse-string
D. TA - ANS-A. EEA
A general surgeon is preparing to close a patient's abdomen. The patient has increased
swelling and the surgeon has informed the surgical team that he will need to reinforce the
closure. Which of the following materials should the technologist retrieve to prepare for the
closure?
A. silk suture on a straight needle
B. PDS suture on a reverse cutting needle
C. Monocryl suture
D. nylon suture and bolsters - ANS-D. nylon suture and bolsters
A laparoscopic procedure turns into an open laparotomy. Which of the following should the
surgical technologist have on the sterile field to help maintain the patient's temperature?
A. Bacitracin irrigation
B. scope warmer
C. warm saline
D. warm lactated ringer - ANS-C. warm saline
A patient has undergone a thoracic exploration due to a gunshot wound to the chest. At the
completion of the procedure, a double chest tube is placed superior and inferior in the
thoracic cavity. Which of the following is the primary purpose of the chest tubes?
A. eliminate chest leaks
B. irrigate the pleural space
C. prevent pulmonary emboli
D. re-establish negative pressure - ANS-D. re-establish negative pressure
A patient presents with pulmonary lung carcinoid tumor and the doctor removes a medium
sized tumor in the lower lobe during surgery. The doctor proceeds to suture the area where
,the tumor was removed, but the tissue is so fragile that as he sutures, the suture line leaks
air. Which of the following hemostatic agents would be best to use in this situation?
A. Tisseel - colonic sealant
B. Bio glue - pulmonary artery sealant
C. Pro gel - pleural sealant
D. Floseal - soft tissue sealant - ANS-C. Pro gel - pleural sealant
A possible melanoma is removed from the patient's left breast during surgery to be analyzed
as fresh frozen sample. The surgical technologist should place the specimen
A. in sterile formalin solution.
B. in sterile saline solution.
C. on a dry impervious drape.
D. on a moist Telfa pad. - ANS-D. on a moist Telfa pad.
A surgeon is performing a laparoscopic cholecystectomy. The lens is introduced to the
peritoneal cavity and the surgeon notices the color and brightness is off. Which of the
following steps was most likely missed during the set up for the procedure?
A. camera calibration
B. white balancing
C. aperture alignment
D. taking the light source out of standby mode - ANS-B. white balancing
A surgical technologist starts a surgical procedure with 1000cc/ml of normal saline on the
back table. At the end of the procedure, the surgical technologist has 300cc/ml of normal
saline on the back table and there is 1500cc/ml of fluid in the suction canister. Which of the
following is the estimated blood loss for the patient during this procedure?
A. 1000cc/ml
B. 700cc/ml
C. 800cc/ml
D. 1300cc/ml - ANS-C. 800cc/ml
After an ORIF of a tibia, the surgeon plans to apply a splint. Place the options below in the
correct order of application. (Click and drag the options in the left column to their correct
position in the right column.)
cast padding
dressings
Ace
fiberglass splint
water - ANS-dressings, cast padding, water, fiberglass splint, Ace
After prepping the patient's chest with duraprep the drapes are immediately placed by the
surgeon. When cautery is used, a fire ensues. The fire is in a contained area and has not
spread. Which of the following courses of action should the surgical technologist take?
A. Remove the mayo stand from patient, then remove the drapes
B. Immediately remove the surgical drapes from the patient
C. Place saline soaked towels on the fire, then remove the drapes
D. Pour water on the fire, then remove the drapes - ANS-D. Pour water on the fire, then
remove the drapes
An orthopedic surgeon asks for pop-off sutures during the closure of a total hip replacement.
The circulator asks the surgical technologist for an items count. Place the locations below in
the correct count order. (Click and drag the options in the left column to their correct position
in the right column.)
off sterile field
, Mayo
back table
sterile field - ANS-sterile field, Mayo, back table, off sterile field
An orthopedic surgeon requested a Hemovac drain during a total knee replacement
procedure due to excessive fluid drainage. At the end of the procedure, the surgeon asked
the surgical technologist to activate the drain. The technologist should connect the distal end
of the drain to
A. the "Y" connector.
B. the reservoir.
C. insufflation tubing.
D. suction tubing. - ANS-B. the reservoir.
At what point does the surgical technologist activate a Hemo-Vac drain?
A. when received on the back table
B. when handed to the surgeon
C. when inserted into the incision
D. when the incision is closed - ANS-D. when the incision is closed
At what point during a routine Cesarean section should the surgical technologist initiate the
first intra operative count?
A. peritoneum
B. skin
C. fascia
D. uterus - ANS-D. uterus
During a hernia repair, a surgeon informs the surgical technologist that he would like 25cc's
of a 50/50 strength mixture of 1% Lidocaine and 0.25% Marcaine. How many cc's of each
solution should the surgical technologist place in the syringe?
A. 15 cc Lidocaine & 10 cc of Marcaine
B. 20 cc of Lidocaine & 5 cc of Marcaine
C. 12.5 cc of Lidocaine & 12.5 cc Marcaine
D. 5 cc of Lidocaine & 20 cc of Marcaine - ANS-D. 5 cc of Lidocaine & 20 cc of Marcaine
During a laminectomy the patient begins to bleed at the surface of the vertebrae. Which of
the following hemostatic agents is the best choice?
A. Fibrillar
B. Floseal
C. Pledgets with thrombin
D. bone wax - ANS-D. bone wax
During a laparoscopic appendectomy the surgeon has stated that she needs to convert to a
mini open. Which of the following retractors should the surgical technologist prepare?
A. Army-Navy and Richardson
B. Bookwalter and O'Conner-O'Sullivan
C. Army-Navy and Bookwalter
D. Richardson and O'Conner-O'Sullivan - ANS-A. Army-Navy and Richardson
During a lumbar laminectomy the surgeon drills the facet and punctures the dura which
begins to leak. Which of the following types of suture should the surgical technologist pass to
repair the dura?
A. Vicryl
B. nylon
C. Prolene
D. cat gut - ANS-C. Prolene
A chest tube drain for a thoracotomy should be placed through
A. the lower lobe of the left lung.
B. the inferior part of the incision.
C. a separate stab incision.
D. the superior part of the incision. - ANS-C. a separate stab incision.
A closed wound suction device is connected to an active drain to remove fluid or air. Which
of the following types of pressure is the device using?
A. wound pressure
B. positive pressure
C. negative pressure
D. pulse pressure - ANS-C. negative pressure
A colorectal surgeon has resected part of the small bowel while the patient was in lithotomy
position and now wants to perform an anastomosis from below. Which of the following
stapling devices should the surgical technologist have available?
A. EEA
B. GIA
C. purse-string
D. TA - ANS-A. EEA
A general surgeon is preparing to close a patient's abdomen. The patient has increased
swelling and the surgeon has informed the surgical team that he will need to reinforce the
closure. Which of the following materials should the technologist retrieve to prepare for the
closure?
A. silk suture on a straight needle
B. PDS suture on a reverse cutting needle
C. Monocryl suture
D. nylon suture and bolsters - ANS-D. nylon suture and bolsters
A laparoscopic procedure turns into an open laparotomy. Which of the following should the
surgical technologist have on the sterile field to help maintain the patient's temperature?
A. Bacitracin irrigation
B. scope warmer
C. warm saline
D. warm lactated ringer - ANS-C. warm saline
A patient has undergone a thoracic exploration due to a gunshot wound to the chest. At the
completion of the procedure, a double chest tube is placed superior and inferior in the
thoracic cavity. Which of the following is the primary purpose of the chest tubes?
A. eliminate chest leaks
B. irrigate the pleural space
C. prevent pulmonary emboli
D. re-establish negative pressure - ANS-D. re-establish negative pressure
A patient presents with pulmonary lung carcinoid tumor and the doctor removes a medium
sized tumor in the lower lobe during surgery. The doctor proceeds to suture the area where
,the tumor was removed, but the tissue is so fragile that as he sutures, the suture line leaks
air. Which of the following hemostatic agents would be best to use in this situation?
A. Tisseel - colonic sealant
B. Bio glue - pulmonary artery sealant
C. Pro gel - pleural sealant
D. Floseal - soft tissue sealant - ANS-C. Pro gel - pleural sealant
A possible melanoma is removed from the patient's left breast during surgery to be analyzed
as fresh frozen sample. The surgical technologist should place the specimen
A. in sterile formalin solution.
B. in sterile saline solution.
C. on a dry impervious drape.
D. on a moist Telfa pad. - ANS-D. on a moist Telfa pad.
A surgeon is performing a laparoscopic cholecystectomy. The lens is introduced to the
peritoneal cavity and the surgeon notices the color and brightness is off. Which of the
following steps was most likely missed during the set up for the procedure?
A. camera calibration
B. white balancing
C. aperture alignment
D. taking the light source out of standby mode - ANS-B. white balancing
A surgical technologist starts a surgical procedure with 1000cc/ml of normal saline on the
back table. At the end of the procedure, the surgical technologist has 300cc/ml of normal
saline on the back table and there is 1500cc/ml of fluid in the suction canister. Which of the
following is the estimated blood loss for the patient during this procedure?
A. 1000cc/ml
B. 700cc/ml
C. 800cc/ml
D. 1300cc/ml - ANS-C. 800cc/ml
After an ORIF of a tibia, the surgeon plans to apply a splint. Place the options below in the
correct order of application. (Click and drag the options in the left column to their correct
position in the right column.)
cast padding
dressings
Ace
fiberglass splint
water - ANS-dressings, cast padding, water, fiberglass splint, Ace
After prepping the patient's chest with duraprep the drapes are immediately placed by the
surgeon. When cautery is used, a fire ensues. The fire is in a contained area and has not
spread. Which of the following courses of action should the surgical technologist take?
A. Remove the mayo stand from patient, then remove the drapes
B. Immediately remove the surgical drapes from the patient
C. Place saline soaked towels on the fire, then remove the drapes
D. Pour water on the fire, then remove the drapes - ANS-D. Pour water on the fire, then
remove the drapes
An orthopedic surgeon asks for pop-off sutures during the closure of a total hip replacement.
The circulator asks the surgical technologist for an items count. Place the locations below in
the correct count order. (Click and drag the options in the left column to their correct position
in the right column.)
off sterile field
, Mayo
back table
sterile field - ANS-sterile field, Mayo, back table, off sterile field
An orthopedic surgeon requested a Hemovac drain during a total knee replacement
procedure due to excessive fluid drainage. At the end of the procedure, the surgeon asked
the surgical technologist to activate the drain. The technologist should connect the distal end
of the drain to
A. the "Y" connector.
B. the reservoir.
C. insufflation tubing.
D. suction tubing. - ANS-B. the reservoir.
At what point does the surgical technologist activate a Hemo-Vac drain?
A. when received on the back table
B. when handed to the surgeon
C. when inserted into the incision
D. when the incision is closed - ANS-D. when the incision is closed
At what point during a routine Cesarean section should the surgical technologist initiate the
first intra operative count?
A. peritoneum
B. skin
C. fascia
D. uterus - ANS-D. uterus
During a hernia repair, a surgeon informs the surgical technologist that he would like 25cc's
of a 50/50 strength mixture of 1% Lidocaine and 0.25% Marcaine. How many cc's of each
solution should the surgical technologist place in the syringe?
A. 15 cc Lidocaine & 10 cc of Marcaine
B. 20 cc of Lidocaine & 5 cc of Marcaine
C. 12.5 cc of Lidocaine & 12.5 cc Marcaine
D. 5 cc of Lidocaine & 20 cc of Marcaine - ANS-D. 5 cc of Lidocaine & 20 cc of Marcaine
During a laminectomy the patient begins to bleed at the surface of the vertebrae. Which of
the following hemostatic agents is the best choice?
A. Fibrillar
B. Floseal
C. Pledgets with thrombin
D. bone wax - ANS-D. bone wax
During a laparoscopic appendectomy the surgeon has stated that she needs to convert to a
mini open. Which of the following retractors should the surgical technologist prepare?
A. Army-Navy and Richardson
B. Bookwalter and O'Conner-O'Sullivan
C. Army-Navy and Bookwalter
D. Richardson and O'Conner-O'Sullivan - ANS-A. Army-Navy and Richardson
During a lumbar laminectomy the surgeon drills the facet and punctures the dura which
begins to leak. Which of the following types of suture should the surgical technologist pass to
repair the dura?
A. Vicryl
B. nylon
C. Prolene
D. cat gut - ANS-C. Prolene
