SURGICAL TECH CERTIFICATION II 2026 EXAM
PREPARATION PACK KEY OPERATING ROOM
TECHNIQUES AND SAMPLE QUESTIONS WITH
EXPLANATIONS
◉ During a vascular procedure a vessel is ligated. The surgeon states
that she will repair the vessel after bleeding is controlled. Which
needle type would she most likely require to complete this task?
a. control release needle
b. French eyed needle
c. tapered needle
d. cutting needle. Answer: Answer: C
◉ When steam sterilizing biological indicators, how long are they
incubated before the reading is recorded?
a. 48 hours
b. 24 hours
c. 12 hours
d. 72 hours. Answer: Answer: B
◉ An OB-GYN surgeon has posted a laparoscopic partial
hysterectomy and has informed the surgical team that the ovaries
,are remaining. However, the fallopian tubes will require ligation
involoving the tubes being clipped and cauterized. Which of the
following instruments should the surgical technologist open
a. a Flishie and hemoclip applier
b. a Flishie and Kleppinger
c. a Kleppinger and harmonic scalpel
d. a harmonic scalpel and hemoclip applier. Answer: Answer: D
◉ Which of the following instruments can be decontaminated in the
washer-sterilizer?
a. colonoscope
b. power drill
c. laser coated instrument set
d. phaco instrument set. Answer: Answer: C
◉ The patient has undergone cardiac bypass surgery. Protamine has
been administered and the surgeon is preparing to close the
sternotomy. Bleeding is a postoperative concern. Which of the
following systems should the surgical technologist anticipate the
surgeon will use?
a. Hemovac
b. Jackson Pratt
c. Pleur-Evac
d. Penrose. Answer: Answer: C
,◉ A patient presents to the operating room for irrigation and
debridement of a wound caused by penetrating trauma. The surgeon
states that the wound will heal by secondary intention. Which of the
following dressing types should the surgical technologist ask the
circulator for?
a. ABD
b. bolsters
c. bio-occlusive strips
d. Steri-strips. Answer: Answer: A
◉ During an abdominoperineal repair, which of the following is the
most appropriate stapler to assemble and hand to the surgeon to
perform an anastomosis between the proximal and distal ends of the
colon?
a. TA
b. GIA
c. EEA
d. LDS. Answer: Answer: C
◉ A pressure dressing is most likely applied over a
a. TURP
b. skin graft
c. fractured femur EX fix
, d. cataract surgery. Answer: Answer: B
◉ During an open laparotomy the surgeon drops a Poole suction tip
before irrigating. It is the only suction tip available and it has to be
re-sterilized to be used later in the procedure. Which of the
following types of sterilization should the surgical technologist use?
a. ethylene oxide
b. gravity displacement
c. pre vac
d. cobalt 60 radiation. Answer: Answer: C
◉ When disinfecting a flexible endoscope used on a patient with TB,
which of the following sterilization methods should be employed?
a. steris
b. steam
c. enzymatic
d. bleach. Answer: Answer: A
◉ Which of the following is the correct means of sterilizing a non-
flexible fiber optic endoscope?
a. phenol
b. steam
c. peracetic acid
PREPARATION PACK KEY OPERATING ROOM
TECHNIQUES AND SAMPLE QUESTIONS WITH
EXPLANATIONS
◉ During a vascular procedure a vessel is ligated. The surgeon states
that she will repair the vessel after bleeding is controlled. Which
needle type would she most likely require to complete this task?
a. control release needle
b. French eyed needle
c. tapered needle
d. cutting needle. Answer: Answer: C
◉ When steam sterilizing biological indicators, how long are they
incubated before the reading is recorded?
a. 48 hours
b. 24 hours
c. 12 hours
d. 72 hours. Answer: Answer: B
◉ An OB-GYN surgeon has posted a laparoscopic partial
hysterectomy and has informed the surgical team that the ovaries
,are remaining. However, the fallopian tubes will require ligation
involoving the tubes being clipped and cauterized. Which of the
following instruments should the surgical technologist open
a. a Flishie and hemoclip applier
b. a Flishie and Kleppinger
c. a Kleppinger and harmonic scalpel
d. a harmonic scalpel and hemoclip applier. Answer: Answer: D
◉ Which of the following instruments can be decontaminated in the
washer-sterilizer?
a. colonoscope
b. power drill
c. laser coated instrument set
d. phaco instrument set. Answer: Answer: C
◉ The patient has undergone cardiac bypass surgery. Protamine has
been administered and the surgeon is preparing to close the
sternotomy. Bleeding is a postoperative concern. Which of the
following systems should the surgical technologist anticipate the
surgeon will use?
a. Hemovac
b. Jackson Pratt
c. Pleur-Evac
d. Penrose. Answer: Answer: C
,◉ A patient presents to the operating room for irrigation and
debridement of a wound caused by penetrating trauma. The surgeon
states that the wound will heal by secondary intention. Which of the
following dressing types should the surgical technologist ask the
circulator for?
a. ABD
b. bolsters
c. bio-occlusive strips
d. Steri-strips. Answer: Answer: A
◉ During an abdominoperineal repair, which of the following is the
most appropriate stapler to assemble and hand to the surgeon to
perform an anastomosis between the proximal and distal ends of the
colon?
a. TA
b. GIA
c. EEA
d. LDS. Answer: Answer: C
◉ A pressure dressing is most likely applied over a
a. TURP
b. skin graft
c. fractured femur EX fix
, d. cataract surgery. Answer: Answer: B
◉ During an open laparotomy the surgeon drops a Poole suction tip
before irrigating. It is the only suction tip available and it has to be
re-sterilized to be used later in the procedure. Which of the
following types of sterilization should the surgical technologist use?
a. ethylene oxide
b. gravity displacement
c. pre vac
d. cobalt 60 radiation. Answer: Answer: C
◉ When disinfecting a flexible endoscope used on a patient with TB,
which of the following sterilization methods should be employed?
a. steris
b. steam
c. enzymatic
d. bleach. Answer: Answer: A
◉ Which of the following is the correct means of sterilizing a non-
flexible fiber optic endoscope?
a. phenol
b. steam
c. peracetic acid
