AST Exam B Questions With Correct
Answers
Which of the following is considered the MOST important skill for a surgical
| | | | | | | | | | | | |
technologist?
A.management of specimens | |
B.management of sponges | |
C.maintaining an orderly setup | | |
D.ensuring adequate lighting | |
A. Correctly managing specimens removed from patients during surgery is the
| | | | | | | | | | |
most important skill surgical technologists.
| | | |
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. The midline incision runs along the linea alba and is used in most abdominal
| | | | | | | | | | | | | | |
procedures, as it provides visualization to most of the abdominal contents.
| | | | | | | | | |
During the postoperative phase, the personnel primarily responsible for
| | | | | | | | |
transporting soiled instrumentation to decontamination is the
| | | | | |
A. housekeeping staff.
| |
B. anesthesia technician.
| |
C. surgical technologist.
| |
D. central processing technician.
| | |
,C. The surgical technologist is responsible for transporting instrumentation to the
| | | | | | | | | | |
decontamination room. The central processing tech will then retrieve the | | | | | | | | | |
instrumentation and continue the cleaning process. | | | | |
CSF is formed in the lateral ventricles of a patient and may not properly flow 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. The foramen of Sylvius drains CSF from the third to the fourth and is also
| | | | | | | | | | | | | | | |
referred to as the cerebral aqueduct.
| | | | |
During an excisional biopsy of sentinel nodes, the surgical technologist should
| | | | | | | | | | |
prepare specimens using which of the following methods?
| | | | | | |
A. Place on a Raytec 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. The surgical technologist must place each node in a separate sterile container
| | | | | | | | | | | | |
and ensure that they are identified appropriately.
| | | | | |
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, pledgets, and Alexis
| | | | |
D. nylon suture, Raytec, and Geralds
| | | | |
B. Laps, silk ties, and hemoclips are all used for acute hemostasis.
| | | | | | | | | | |
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 + 1 gm baci and 0.25 marc w/epi
| | | | | | | | |
C. saline + baci and 0.
| | | | |
25% marc with epi
| | |
D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine
| | | | | | | | | | |
D. Labels should have at least: name of medication, strength of medication and
| | | | | | | | | | | | |
concentration of drug. Also, abbreviations must not be used according to the
| | | | | | | | | | | |
Joint Commission ruling on "do not use" abbreviations.
| | | | | | |
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. The pathology department receives all tissue samples and other specimens
| | | | | | | | | | |
from surgery. |
The required number of air exchanges per hour in an OR is
| | | | | | | | | | |
A. 5 to 10.
| | |
B. 15 to 25.
| | |
C. 30 to 35.
| | |
D. 40 to 50.
| | |
B. About 15 to 25 air exchanges are needed to minimize bacterial growth.
| | | | | | | | | | | |
, 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 after sterilization.
| |
D. There are no wrappers or pouches available for sterilizing the instrument.
| | | | | | | | | | |
B. The manufacture standards for sterilization are not the same for every
| | | | | | | | | | | |
instrument. Therefore, knowing the guidelines is required for immediate-use
| | | | | | | | |
sterilization.
When transferring a thoracotomy patient to recovery, the chest drainage system
| | | | | | | | | | |
should be |
A. disconnected.
|
B. placed at the patient's side.
| | | | |
C. positioned above the patient's head.
| | | | |
D. maintained below the patient's chest level.
| | | | | |
D. Keeping the drainage system below the patient's chest level prevents re-entry
| | | | | | | | | | | |
of air and fluid into the chest cavity.
| | | | | | |
Which of the following procedures requires an incision in the suprasternal notch?
| | | | | | | | | | |
A. mediastinoscopy
|
B. bronchoscopy
|
C. parotidectomy
|
D. pericardectomy
|
A. A mediastinoscopy views the mediastinum through an incision in the
| | | | | | | | | | |
suprasternal notch. |
Answers
Which of the following is considered the MOST important skill for a surgical
| | | | | | | | | | | | |
technologist?
A.management of specimens | |
B.management of sponges | |
C.maintaining an orderly setup | | |
D.ensuring adequate lighting | |
A. Correctly managing specimens removed from patients during surgery is the
| | | | | | | | | | |
most important skill surgical technologists.
| | | |
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. The midline incision runs along the linea alba and is used in most abdominal
| | | | | | | | | | | | | | |
procedures, as it provides visualization to most of the abdominal contents.
| | | | | | | | | |
During the postoperative phase, the personnel primarily responsible for
| | | | | | | | |
transporting soiled instrumentation to decontamination is the
| | | | | |
A. housekeeping staff.
| |
B. anesthesia technician.
| |
C. surgical technologist.
| |
D. central processing technician.
| | |
,C. The surgical technologist is responsible for transporting instrumentation to the
| | | | | | | | | | |
decontamination room. The central processing tech will then retrieve the | | | | | | | | | |
instrumentation and continue the cleaning process. | | | | |
CSF is formed in the lateral ventricles of a patient and may not properly flow 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. The foramen of Sylvius drains CSF from the third to the fourth and is also
| | | | | | | | | | | | | | | |
referred to as the cerebral aqueduct.
| | | | |
During an excisional biopsy of sentinel nodes, the surgical technologist should
| | | | | | | | | | |
prepare specimens using which of the following methods?
| | | | | | |
A. Place on a Raytec 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. The surgical technologist must place each node in a separate sterile container
| | | | | | | | | | | | |
and ensure that they are identified appropriately.
| | | | | |
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, pledgets, and Alexis
| | | | |
D. nylon suture, Raytec, and Geralds
| | | | |
B. Laps, silk ties, and hemoclips are all used for acute hemostasis.
| | | | | | | | | | |
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 + 1 gm baci and 0.25 marc w/epi
| | | | | | | | |
C. saline + baci and 0.
| | | | |
25% marc with epi
| | |
D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine
| | | | | | | | | | |
D. Labels should have at least: name of medication, strength of medication and
| | | | | | | | | | | | |
concentration of drug. Also, abbreviations must not be used according to the
| | | | | | | | | | | |
Joint Commission ruling on "do not use" abbreviations.
| | | | | | |
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. The pathology department receives all tissue samples and other specimens
| | | | | | | | | | |
from surgery. |
The required number of air exchanges per hour in an OR is
| | | | | | | | | | |
A. 5 to 10.
| | |
B. 15 to 25.
| | |
C. 30 to 35.
| | |
D. 40 to 50.
| | |
B. About 15 to 25 air exchanges are needed to minimize bacterial growth.
| | | | | | | | | | | |
, 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 after sterilization.
| |
D. There are no wrappers or pouches available for sterilizing the instrument.
| | | | | | | | | | |
B. The manufacture standards for sterilization are not the same for every
| | | | | | | | | | | |
instrument. Therefore, knowing the guidelines is required for immediate-use
| | | | | | | | |
sterilization.
When transferring a thoracotomy patient to recovery, the chest drainage system
| | | | | | | | | | |
should be |
A. disconnected.
|
B. placed at the patient's side.
| | | | |
C. positioned above the patient's head.
| | | | |
D. maintained below the patient's chest level.
| | | | | |
D. Keeping the drainage system below the patient's chest level prevents re-entry
| | | | | | | | | | | |
of air and fluid into the chest cavity.
| | | | | | |
Which of the following procedures requires an incision in the suprasternal notch?
| | | | | | | | | | |
A. mediastinoscopy
|
B. bronchoscopy
|
C. parotidectomy
|
D. pericardectomy
|
A. A mediastinoscopy views the mediastinum through an incision in the
| | | | | | | | | | |
suprasternal notch. |
