SOLUTIONS FOR SURGICAL TECHNOLOGY FOR THE SURGICAL
TECHNOLOGIST, A POSITIVE CARE APPROACH, 6TH EDITION BY
ASSOCIATION OF SURGICAL TECHNOLOGISTS (ALL CHAPTERS
INCLUDED)
During a laparoscopic appendectomy, what should the surgical technologist do if the
appendix is perforated? -ANSWER-Suction the fluid from the abdomen to limit postoperative
complications.
What is the consequence of continuing to remove the appendix after perforation during a
laparoscopic procedure? -ANSWER-It increases the possibility of postoperative
complications.
Why can't a Kelly clamp be placed over a perforation during a laparoscopic procedure? -
ANSWER-This step can only be performed during an open procedure.
What should not be done after a carotid endarterectomy until the patient leaves the room? -
ANSWER-The back table, mayo, and basin should not be torn down.
What is the best practice for handling the back table and instruments after a carotid
endarterectomy? -ANSWER-Keep the back table, mayo, and basin sterile until the patient is
transported to PACU.
What should a surgical technologist prepare for a mastoid dressing? -ANSWER-Several
fluffed sponges and rolled gauze.
Why are squared gauze sponges not suitable for a mastoid dressing? -ANSWER-They are not
bulky or compatible for this area of the body.
What is the purpose of using an abdominal pad in surgical dressings? -ANSWER-It is
primarily for pressure dressings to eliminate dead space.
,What is the significance of using fluffed sponges in complex ear procedures? -ANSWER-They
are required for mastoid dressings.
What is the role of Kerlix or Kling in mastoid dressing preparation? -ANSWER-They are types
of rolled gauze used in conjunction with fluffed sponges.
What is a potential issue with using gauze sponges and a Velcro strap for mastoid dressing? -
ANSWER-Gauze sponges need to be fluffed, and a Velcro strap is not necessary for mastoid
dressing.
What is the reference for the surgical technologist's preparation for a mastoid dressing? -
ANSWER-Surgical Technology for the Surgical Technologist: A Positive Care Approach, 2017,
5th Ed: pg. 632.
What is the reference for the surgical technologist's actions during a laparoscopic
appendectomy? -ANSWER-Surgical Technology: Principles and Practice, 2018, 7th Edition,
Joanna Kotcher Fuller: pg. 532.
What is the reference for the best practices after a carotid endarterectomy? -ANSWER-
Surgical Technology for the Surgical Technologist: A Positive Care Approach, 2017, 5th Ed: pg.
375.
What is the first step in applying a pneumatic tourniquet? -ANSWER-Padding the limb where
the tourniquet is to be wrapped with Webril.
What should be done before applying a pneumatic tourniquet? -ANSWER-The limb should
be prepped with ChloraPrep, avoiding the area where the tourniquet will be placed.
Which instrument is used to grasp the cervix during a dilation and curettage? -ANSWER-The
Schroeder, which is a tenaculum with a single tooth.
,How many lobes do the right and left lungs have, respectively? -ANSWER-Three lobes in the
right lung and two lobes in the left lung.
What is the significance of the left lung having fewer lobes than the right lung? -ANSWER-
The left lung has only an upper and lower lobe due to the position of the heart.
What should a surgical technologist do when a break in aseptic technique occurs? -ANSWER-
First notify the contaminating team member.
What pathological condition is caused by excessive production of cerebrospinal fluid in the
brain? -ANSWER-Hydrocephalus.
What is hydrocephalus? -ANSWER-It is the excessive production or build-up of cerebrospinal
fluid in the brain or ventricles.
What is an encephalocele? -ANSWER-A brain protrusion through a cranial fissure.
What does cranial bifida refer to? -ANSWER-An incomplete closure of the cranial bones.
What condition is characterized by premature ossification of skull sutures? -ANSWER-
Craniosynostosis.
What is the purpose of wrapping the limb with Webril before applying a tourniquet? -
ANSWER-To provide protection to the area where the tourniquet is placed and inflated.
What is the function of the Esmarch bandage in relation to the pneumatic tourniquet? -
ANSWER-It is applied after the Webril and tourniquet have been positioned, used for
exsanguination.
, What is the role of the circulating nurse in relation to breaks in aseptic technique? -
ANSWER-The circulating nurse does not need to be notified to make a decision concerning a
break in technique.
What is the role of the OR supervisor regarding breaks in aseptic technique? -ANSWER-The
OR supervisor does not need to be notified to make a decision concerning a break in
technique.
What is the role of the anesthesia provider in relation to breaks in aseptic technique? -
ANSWER-The anesthesia provider does not need to be notified to make a decision
concerning a break in technique.
What is the purpose of using a Sims instrument? -ANSWER-It is a vaginal retractor used for
gynecological procedures.
What is the Auvard instrument used for? -ANSWER-It is a weighted vaginal retractor used for
gynecological procedures.
What type of forceps is Bozeman? -ANSWER-It is a long dressing forceps used for packing the
vagina.
What is the recommended action if a break in aseptic technique occurs? -ANSWER-Each
person is responsible for taking appropriate action to correct the error.
What is the main concern with applying prep solution under the tourniquet cuff? -ANSWER-
It can cause burns.
What is the anatomical reason for the difference in lobes between the right and left lungs? -
ANSWER-The left lung has a reduced number of lobes due to the position of the heart.
TECHNOLOGIST, A POSITIVE CARE APPROACH, 6TH EDITION BY
ASSOCIATION OF SURGICAL TECHNOLOGISTS (ALL CHAPTERS
INCLUDED)
During a laparoscopic appendectomy, what should the surgical technologist do if the
appendix is perforated? -ANSWER-Suction the fluid from the abdomen to limit postoperative
complications.
What is the consequence of continuing to remove the appendix after perforation during a
laparoscopic procedure? -ANSWER-It increases the possibility of postoperative
complications.
Why can't a Kelly clamp be placed over a perforation during a laparoscopic procedure? -
ANSWER-This step can only be performed during an open procedure.
What should not be done after a carotid endarterectomy until the patient leaves the room? -
ANSWER-The back table, mayo, and basin should not be torn down.
What is the best practice for handling the back table and instruments after a carotid
endarterectomy? -ANSWER-Keep the back table, mayo, and basin sterile until the patient is
transported to PACU.
What should a surgical technologist prepare for a mastoid dressing? -ANSWER-Several
fluffed sponges and rolled gauze.
Why are squared gauze sponges not suitable for a mastoid dressing? -ANSWER-They are not
bulky or compatible for this area of the body.
What is the purpose of using an abdominal pad in surgical dressings? -ANSWER-It is
primarily for pressure dressings to eliminate dead space.
,What is the significance of using fluffed sponges in complex ear procedures? -ANSWER-They
are required for mastoid dressings.
What is the role of Kerlix or Kling in mastoid dressing preparation? -ANSWER-They are types
of rolled gauze used in conjunction with fluffed sponges.
What is a potential issue with using gauze sponges and a Velcro strap for mastoid dressing? -
ANSWER-Gauze sponges need to be fluffed, and a Velcro strap is not necessary for mastoid
dressing.
What is the reference for the surgical technologist's preparation for a mastoid dressing? -
ANSWER-Surgical Technology for the Surgical Technologist: A Positive Care Approach, 2017,
5th Ed: pg. 632.
What is the reference for the surgical technologist's actions during a laparoscopic
appendectomy? -ANSWER-Surgical Technology: Principles and Practice, 2018, 7th Edition,
Joanna Kotcher Fuller: pg. 532.
What is the reference for the best practices after a carotid endarterectomy? -ANSWER-
Surgical Technology for the Surgical Technologist: A Positive Care Approach, 2017, 5th Ed: pg.
375.
What is the first step in applying a pneumatic tourniquet? -ANSWER-Padding the limb where
the tourniquet is to be wrapped with Webril.
What should be done before applying a pneumatic tourniquet? -ANSWER-The limb should
be prepped with ChloraPrep, avoiding the area where the tourniquet will be placed.
Which instrument is used to grasp the cervix during a dilation and curettage? -ANSWER-The
Schroeder, which is a tenaculum with a single tooth.
,How many lobes do the right and left lungs have, respectively? -ANSWER-Three lobes in the
right lung and two lobes in the left lung.
What is the significance of the left lung having fewer lobes than the right lung? -ANSWER-
The left lung has only an upper and lower lobe due to the position of the heart.
What should a surgical technologist do when a break in aseptic technique occurs? -ANSWER-
First notify the contaminating team member.
What pathological condition is caused by excessive production of cerebrospinal fluid in the
brain? -ANSWER-Hydrocephalus.
What is hydrocephalus? -ANSWER-It is the excessive production or build-up of cerebrospinal
fluid in the brain or ventricles.
What is an encephalocele? -ANSWER-A brain protrusion through a cranial fissure.
What does cranial bifida refer to? -ANSWER-An incomplete closure of the cranial bones.
What condition is characterized by premature ossification of skull sutures? -ANSWER-
Craniosynostosis.
What is the purpose of wrapping the limb with Webril before applying a tourniquet? -
ANSWER-To provide protection to the area where the tourniquet is placed and inflated.
What is the function of the Esmarch bandage in relation to the pneumatic tourniquet? -
ANSWER-It is applied after the Webril and tourniquet have been positioned, used for
exsanguination.
, What is the role of the circulating nurse in relation to breaks in aseptic technique? -
ANSWER-The circulating nurse does not need to be notified to make a decision concerning a
break in technique.
What is the role of the OR supervisor regarding breaks in aseptic technique? -ANSWER-The
OR supervisor does not need to be notified to make a decision concerning a break in
technique.
What is the role of the anesthesia provider in relation to breaks in aseptic technique? -
ANSWER-The anesthesia provider does not need to be notified to make a decision
concerning a break in technique.
What is the purpose of using a Sims instrument? -ANSWER-It is a vaginal retractor used for
gynecological procedures.
What is the Auvard instrument used for? -ANSWER-It is a weighted vaginal retractor used for
gynecological procedures.
What type of forceps is Bozeman? -ANSWER-It is a long dressing forceps used for packing the
vagina.
What is the recommended action if a break in aseptic technique occurs? -ANSWER-Each
person is responsible for taking appropriate action to correct the error.
What is the main concern with applying prep solution under the tourniquet cuff? -ANSWER-
It can cause burns.
What is the anatomical reason for the difference in lobes between the right and left lungs? -
ANSWER-The left lung has a reduced number of lobes due to the position of the heart.
