NCCT SURGICAL
TECHNOLOGY PRELIMINARY
QUESTIONS & ANSWERS
,1. Which of the following retractors has
Mayfield
sharp disposable inserts that must be
disposed of in an appropriate sharps
container following the end of the sur- The Mayfield is a headrest that pins the head
gical case? for stabilization. The pins used are very sharp
Mayfield and must be placed in the sharps container after
Cloward the procedure. A Cloward is a hand held retrac-
Bookwalter tor used in an anterior cervical procedure. The
Greenfield Bookwalter is a self-retaining retractor used for
open abdominal procedure. The Greenfield is a
self-retaining retractor used on the brain.
2. The surgeon is closing skin with the fi-
Wet Sponge, Dry Sponge, ABD Pad
nal stitch and all counts are complete.
Which of the following should the sur- After all counts are done and the incision has
gical technologist have ready for next been closed, the sterile dressing should then be
step? (Select the three (3) correct an- opened. The incision needs to be cleaned with
swers.) a wet sponge then dried with a dry sponge. The
Wet sponge dressing should be applied after the operative
Dry sponge site has been cleaned and dried.
ABD pad
Duraprep
Cottonoids
3. Which of the following items should the Extremity pack, Small fragment tray
surgical technologist have in the room
for an ORIF of an ankle case? (Select the The ORIF Open Reduction Internal Fixation in-
, two (2) correct answers.) volves the ankle fracture which is an extremity
Reciprocating saw so an extremity pack will be needed. The Small
Laminectomy tray fragment will also be need because it contains
Extremity pack screws, plates and drill bits that will be needed
Vascular tray for the fixation.
Small fragment tray
4. In a sterilized package, a chemical indi- confirm that the package was exposed to steril-
cator is used to: ization.
-verify elimination of living flora on the
package. Rationale: The chemical indicator is used inter-
-confirm that the package was exposed nally and externally to show that the package has
to sterilization. been exposed to the sterilization process. They
-show that no moisture entered the do not verify the sterility of the items in the pack-
package. ages. They only mean that the package has had
-ensure that the package is sterile. the right temperature, humidity, and sterilant. It
will not verify elimination of living flora on the
package or that moisture is in the package.
5. During an I&D of a back wound with the Cover the wound and remove the Mayo and back
patient in the prone position the anes- table.
thesiologist announces that the patient
is turning blue and calls a code. Which Rationale: The first thing that needs to be done
of the following actions should the sur- is to maintain the patient's airway. The wound
gical technologist take to assist? should be covered and the mayo should be re-
moved so the patient can be flipped in order for
-Assist the surgeon in closing the anesthesia to take care of the airway, then assist
wound, remove the drapes, and flip the anesthesia with the patient.
patient.
-Cover the wound and remove the
Mayo and back table.
-Flip the patient immediately.
, -Assist anesthesia with the patient
while the surgeon continues surgery.
6. When closing fascia after a laparotomy, PDS
which of the following is the suture of
choice? Rationale: PDS has a longer absorption rate
Gore-Tex of 183-238 days, which makes it ideal for the
PDS slow-healing fascia. Gore-Tex is typically used for
Plain anastomosis of vascular grafts or in valve repairs.
Nurolon Plain gut suture is not to be used on tissue under
stress. Nurolon is a nonabsorbable suture that
loses some of its tensile strength over time.
7. The surgical technologist observed a Patient's name, Personnel involved, Location of
patient fall during the transfer from the the incident
gurney to the operating bed. Which of
the following items are required in the
incident report? (Select the three (3)
correct answers.)
Patient's name
Personnel involved
Type of anesthesia used
Location of the incident
Patient's weight
8. Which member of the surgical team is Anesthesia provider
in charge of the transfer of an immo-
bile or unconscious patient from the OR Rationale: The anesthesia provider is in control
table to the stretcher? of the patient transfer and coordinates the move.
Surgeon They have control of the head and the patient's
Circulator airway. The surgeon most likely has already left
Anesthesia provider the room and cannot help with the transfer. The
Surgical technologist circulator is on the other side of the bed waiting
TECHNOLOGY PRELIMINARY
QUESTIONS & ANSWERS
,1. Which of the following retractors has
Mayfield
sharp disposable inserts that must be
disposed of in an appropriate sharps
container following the end of the sur- The Mayfield is a headrest that pins the head
gical case? for stabilization. The pins used are very sharp
Mayfield and must be placed in the sharps container after
Cloward the procedure. A Cloward is a hand held retrac-
Bookwalter tor used in an anterior cervical procedure. The
Greenfield Bookwalter is a self-retaining retractor used for
open abdominal procedure. The Greenfield is a
self-retaining retractor used on the brain.
2. The surgeon is closing skin with the fi-
Wet Sponge, Dry Sponge, ABD Pad
nal stitch and all counts are complete.
Which of the following should the sur- After all counts are done and the incision has
gical technologist have ready for next been closed, the sterile dressing should then be
step? (Select the three (3) correct an- opened. The incision needs to be cleaned with
swers.) a wet sponge then dried with a dry sponge. The
Wet sponge dressing should be applied after the operative
Dry sponge site has been cleaned and dried.
ABD pad
Duraprep
Cottonoids
3. Which of the following items should the Extremity pack, Small fragment tray
surgical technologist have in the room
for an ORIF of an ankle case? (Select the The ORIF Open Reduction Internal Fixation in-
, two (2) correct answers.) volves the ankle fracture which is an extremity
Reciprocating saw so an extremity pack will be needed. The Small
Laminectomy tray fragment will also be need because it contains
Extremity pack screws, plates and drill bits that will be needed
Vascular tray for the fixation.
Small fragment tray
4. In a sterilized package, a chemical indi- confirm that the package was exposed to steril-
cator is used to: ization.
-verify elimination of living flora on the
package. Rationale: The chemical indicator is used inter-
-confirm that the package was exposed nally and externally to show that the package has
to sterilization. been exposed to the sterilization process. They
-show that no moisture entered the do not verify the sterility of the items in the pack-
package. ages. They only mean that the package has had
-ensure that the package is sterile. the right temperature, humidity, and sterilant. It
will not verify elimination of living flora on the
package or that moisture is in the package.
5. During an I&D of a back wound with the Cover the wound and remove the Mayo and back
patient in the prone position the anes- table.
thesiologist announces that the patient
is turning blue and calls a code. Which Rationale: The first thing that needs to be done
of the following actions should the sur- is to maintain the patient's airway. The wound
gical technologist take to assist? should be covered and the mayo should be re-
moved so the patient can be flipped in order for
-Assist the surgeon in closing the anesthesia to take care of the airway, then assist
wound, remove the drapes, and flip the anesthesia with the patient.
patient.
-Cover the wound and remove the
Mayo and back table.
-Flip the patient immediately.
, -Assist anesthesia with the patient
while the surgeon continues surgery.
6. When closing fascia after a laparotomy, PDS
which of the following is the suture of
choice? Rationale: PDS has a longer absorption rate
Gore-Tex of 183-238 days, which makes it ideal for the
PDS slow-healing fascia. Gore-Tex is typically used for
Plain anastomosis of vascular grafts or in valve repairs.
Nurolon Plain gut suture is not to be used on tissue under
stress. Nurolon is a nonabsorbable suture that
loses some of its tensile strength over time.
7. The surgical technologist observed a Patient's name, Personnel involved, Location of
patient fall during the transfer from the the incident
gurney to the operating bed. Which of
the following items are required in the
incident report? (Select the three (3)
correct answers.)
Patient's name
Personnel involved
Type of anesthesia used
Location of the incident
Patient's weight
8. Which member of the surgical team is Anesthesia provider
in charge of the transfer of an immo-
bile or unconscious patient from the OR Rationale: The anesthesia provider is in control
table to the stretcher? of the patient transfer and coordinates the move.
Surgeon They have control of the head and the patient's
Circulator airway. The surgeon most likely has already left
Anesthesia provider the room and cannot help with the transfer. The
Surgical technologist circulator is on the other side of the bed waiting
