AST Practice set

Which of the following come as numbered sets frequently used in neurosurgical procedures?
� A. Lacrimal probes
� B. Hegar dilators
� C. Van Buren sounds
� D. Penfield dissectors

D. Penfield Dissectors;
Used to separate the dura mater from the cranium

Which of the following is a uterine dressing forceps?
� A. Schubert
� B. Bozeman
� C. Staude
� D. Ballantine

B. Bozeman;
Long with a double curve located in D&C instrument set.

What is the medical term for accumulation of squamous epithelium that forms a mass that is destructive to the middle ear?
� A. Otosclerosis
� B. Otitis media
� C. Cholesteatoma
� D. Chondrolipoma

C. Cholesteatoma;
Forms an encrusted mass that destroys the middle ear.

Which muscle alters the shape of the lens to accommodate vision?
� A. Rectus
� B. Oblique
� C. Circular
� D. Ciliary

D. Ciliary;
Alters shape to accommodate near or far vision

Filiforms are used to:
� A. Bypass urethral obstruction
� B. Perform urethrogram
� C. Stent the ureter
� D. Remove ureteral stones

A. Bypass urethral obstruction;
Used to bypass an obstruction

Which retractor is used to provide exposure for a femoropopliteal bypass?
� A. Alm
� B. Meyerding
� C. Weitlaner
� D. Bookwalter

C. Weitlaner;
An atraumatic retractor used to facilitate exposure.

Which of the following is a nonadherent, nonpermeable, occlusive surgical dressing?
� A. Telfa
� B. Tegasorb
� C. Xeroform
� D. Tegaderm

C. Xeroform;
Used to create an airtight and watertight seal.

Which intravenous drug would be used to reduce intracranial pressure during a craniotomy?
� A. Sorbitol
� B. Mannitol
� C. Papaverine
� D. Epinephrine

B. Mannitol

What is used to inflate the Foley catheter balloon?
� A. Sterile water
� B. Normal saline
� C. Compressed air
� D. Antibiotic solution

A. Sterile water

Which of the following is commonly used in the treatment of retinal detachment?
� A. Electrosurgical unit
� B. Cryotherapy unit
� C. CO2 laser
� D. Cell saver

B. Cryotherapy unit;
Used to seal tears and holes.

Which of the following is a sharp endometrial curette?
� A. Sims
� B. Pratt
� C. Gaylor
� D. Thomas

A. Sims;
Has an oval shaped end that is sharp and used to obtain uterine tissue during a D&C.

Removal of an entire eyeball is called:
� A. Exenteration
� B. Evisceration
� C. Enucleation
� D. Evacuation

C. Enucleation

In which surgical procedure would Glisson's capsule be encountered?
� A. Total splenectomy
� B. Partial gastrectomy
� C. Hepatic lobectomy
� D. Subtotal thyroidectomy

C. Hepatic Lobectomy;
Glisson's capsule is the external covering of the liver.

Which instrument would be used during a dacryocystorhinostomy?
� A. Buckle
� B. Keratome
� C. Scleral hooks
� D. Oscillating saw

D. Oscillating saw;
The ostium is created using either punches, small oscillating saw or a powered burr.

Which of the procedures involves moving the ulnar nerve from one location to another?
� A. Neurolysis
� B. Neurectomy
� C. Transposition
� D. Transfixion

C. Transposition

Cephalosporins are what classification of drug?
� A. Amnesiacs
� B. Antibiotics
� C. Analgesics
� D. Antagonists

B. Antibiotics

Polyglycolic acid suture falls into which classification?
� A. Natural absorbable
� B. Synthetic absorbable
� C. Natural nonabsorbable
� D. Synthetic nonabsorbable

B. Synthetic absorbable

A patient with pain during mastication might require
surgical decompression of which cranial nerve?
� A. IV
� B. V
� C. XI
� D. XII

B. V

How would the Centers for Disease Control and Prevention classify a disease that is constantly present in a community?
� A. Endemic
� B. Social
� C. Pandemic
� D. Communicable

A. Endemic

For which of the following do burr holes provide adequate exposure?
� A. Meningocele
� B. Encephalocele
� C. Cranialdysraphism
� D. Subdural hematoma

D. Subdural hematoma;
Burr holes are placed to aspirate an abscess, introduce air in the lateral ventricles or place a shunt.

The venous sinus at the junction of the sclera and cornea is the:
� A. Macula
� B. Uvea
� C. Canal of Schlemm
� D. Fovea centralis

C. Canal of Schlemm

What cardiac drug increases myocardial contractility?
� A. Calcium chloride
� B. Dantrolene sodium
� C. Sodium bicarbonate
� D. Isoproterenol hydrochloride

A. Calcium chloride

Which of the following types of specimens would not be placed in a preservative solution?
� A. Colon
� B. Calculi
� C. Tonsils
� D. Uterus

B. Calculi;
Any type of stones should be sent dry. Preservative solutions destroy the stones.

Which of the following surgical instruments would be used to dilate the cervix?
� A. Hegar
� B. Bougie
� C. Sims
� D. Bakes

A. Hegar;
Used in a D&C to dilate the opening of the cervix.

The prostate gland secretes:
� A. Alkaline fluid
� B. Semen
� C. Testosterone
� D. Inhibin hormone

A. Alkaline fluid;
Secretes an acidic liquid that contains citric acid, calcium and enzymes.

Dupuytren's disease is characterized by contraction of the:
� A. Palmar fascia
� B. Median nerve
� C. Dorsal tendon
� D. Ulnar ligament

A. Palmar fascia

Which preoperative drug is delivered transdermally to
prevent postoperative nausea?
� A. Scopolamine
� B. Bupivicaine
� C. Fentanyl
� D. Propofol

A. Scopolamine;
Delivered transdermally to prevent nausea.

Which of the following is one of four defects involved in tetralogy of Fallot?
� A. Atrial septal defect
� B. Coarctation of the aorta
� C. Tricuspid atresia
� D. Right ventricular hypertrophy

D. Right ventricular hypertrophy

Which of the following is used to instill contrast media into the biliary system intraoperatively?
� A. Fogarty
� B. Angiocath
� C. Cholangiocath
� D. Tenckhoff

C. Cholangiocath

Where is central venous pressure measured?
� A. Right atrium
� B. Left atrium
� C. Right ventricle
� D. Left ventricle

A. Right atrium

Lahey three-toothed forceps would most likely be used to grasp:
� A. Bowel
� B. Stomach
� C. Thyroid
� D. Gallbladder

C. Thryoid;
Lahey vulsellum forceps used to manipulate the gland.

Which organ is responsible for the synthesis of many of the coagulation factors?
� A. Liver
� B. Heart
� C. Spleen
� D. Pancreas

A. Liver;
Synthesized in the liver and released into blood plasma.

The acronym "MAC" denotes what type of anesthesia care?
� A. Mixed
� B. Managed
� C. Monitored
� D. Manipulated

C. Monitored;
"Monitored anesthesia care

Which ligament stabilizes the duodenojejunal angle?
� A. Poupart
� B. Round
� C. Retzius
� D. Treitz

D. Treitz

What disease causes the overproduction of adrenaline?
� A. Marfan's
� B. Meniere's
� C. Addison's
� D. Hashimotos'

C. Addison's

Which of the following conditions results from an uneven curvature of the cornea?
� A. Astigmatism
� B. Presbyopia
� C. Strabismus
� D. Myopia

D. Myopia;
Occurs when either the eyeball is longer than normal, or imperfections occur in the lens or cornea.

For which of the following conditions would a posterior repair be performed?
� A. Rectocele
� B. Cystocele
� C. Varicocele
� D. Hydrocele

A. Rectocele;
Prolapse of the rectum into the vaginal vault.

Which laser is used to coagulate bleeders during a laparoscopic procedure?
� A. Nd:YAG
� B. CO2
� C. Helium
� D. Argon

B. CO2

If a sterile package wrapped in pervious woven material drops to the OR floor, the surgical technologist should:
� A. Break the integrity of the package and discard the item
� B. Leave it on the floor until the procedure is completed
� C. Examine the pack

A. Break the integrity of the package and discard the item;
The fall to the floor allows for entrance of air into the package.

Which of the following anatomical structures is involved in a hiatal hernia?
� A. Rectum
� B. Bladder
� C. Stomach
� D. Intestine

C. Stomach;
Herniation of the stomach through the diaphragm.

What is the procedure for surgical repair of a cranial defect?
� A. Craniectomy
� B. Cranioplasty
� C. Craniotomy
� D. Craniotonoscopy

B. Cranioplasty

Which of the following congenital conditions is an atypical communication of intracranial vessels?
� A. Patent ductus arteriosus
� B. Arteriovenous malformation
� C. Craniosynostosis
� D. Myelomeningocele

B. Arteriovenous malformation;
May be a result of trauma or congenital defect.

Which of the following hemostatic agents is contraindicated for use on bone?
� A. Bone wax
� B. Topical thrombin
� C. Oxidized cellulose
� D. Absorbable collagen

C. Oxidized cellulose;
Not recommended unless immediately removed after hemostasis. It can interfere with bone regeneration.

Which of the following is used for bladder retraction during a cesarean section?
� A. Graves
� B. Auvard
� C. De Lee
� D. Heaney

C. De Lee;
Bladder retractor used to retract bladder inferiorly away from uterus in C-sections.

Which fixation device is indicated for a femoral neck fracture?
� A. Intramedullary rod
� B. Cannulated screw
� C. Gamma nail
� D. Kirschner wire

B. Cannulated screw

Which of the following tunica would be found in a blood vessel?
� A. Albuginea
� B. Vaginalis
� C. Intima
� D. Vasculosa

C. Intima;
Tunica adventitia, tunica intima and tunica media are all layers of an artery.

Which of the following is an endoscopic procedure of the suspension of the bladder neck for treatment of stress incontinence?
� A. Stamey procedure
� B. Retropubic urethrovesical suspension
� C. Vesicourethral suspension
� D. Tension free vaginal tape

A. Stamey procedure

What does the A represent in a V-A shunt procedure for hydrocephalus?
� A. Abdominal
� B. Aortic
� C. Axillary
� D. Atrial

D. Atrial;
Ventriculoatrial shunt is a multi-hole draining catheter that is placed in order to drain cerebral spinal fluid.

Which of the following terms refers to the removal of facial wrinkles?
� A. Iridectomy
� B. Blepharoplasty
� C. Rhytidectomy
� D. Panniculectomy

C. Rhytidectomy;
Medical term for "facelift

What part of the three-layer dressing absorbs wound secretions?
� A. Outer
� B. Inner
� C. Drainage
� D. Intermediate

D. Intermediate;
Outer, intermediate, and inner layers. Inner layer wicks secretions away to be absorbed by the intermediate.

Which of the following agents is a mechanical method of hemostasis?
� A. Bone wax
� B. Silver nitrate
� C. Argon plasma
� D. Oxidized cellulose

A. Bone wax

The primary function of the large intestine is:
� A. Digestion
� B. Secretion
� C. Absorption
� D. Compaction

C. Absorption;
Absorption of water and electrolytes.

Which of the following drains is inserted during a cholecystostomy?
� A. Robinson
� B. Malecot
� C. Penrose
� D. T-tube

B. Malecot

Where are intestinal anastomosis instruments placed when using bowel technique?
� A. On backtable
� B. In separate basin
� C. On Mayo tray
� D. Off the sterile field

B. In separate basin;
Contaminated and must be kept in a separate basin away from sterile items.

What personal protective equipment would the surgical technologist wear during extracorporeal shock wave lithotripsy?
� A. Lead apron
� B. Sterile gloves
� C. Plume mask
� D. Splash guard

A. Lead apron;
Involves two x-ray beams crossing at the point of the stone.

Which peripheral nerve is decompressed in a carpal tunnel release?
� A. Ulnar
� B. Radial
� C. Median
� D. Peroneal

C. Median

Pancreatic digestive secretions are collected in the:
� A. Acinar cells
� B. Duct of Wirsung
� C. Common bile duct
� D. Islets of Langerhans

B. Duct of Wirsung;
Main duct of the pancreas.

Which of these heart valves has two cusps?
� A. Pulmonary
� B. Tricuspid
� C. Mitral
� D. Aortic

C. Mitral;
Located between the left atrium and left ventricle.

What type of dilators is used for male urethral dilation?
� A. Van Buren
� B. Jackson
� C. Bakes
� D. Hegar

A. Van Buren

The procedure of choice for a detached retina is a:
� A. Scleral buckling
� B. Radial keratotomy
� C. Lens phacoemulsification
� D. Phototherapeutic keratectomy

A. Schleral buckling
Buckle ("Tire") is positioned to push on and close the retinal break.

To obtain direct arterial pressure, the catheter is inserted into which artery?
� A. Brachial
� B. Subclavian
� C. Ulnar
� D. Radial

D. Radial;
Indwelling catheter is inserted to measure radial and femoral artery pressure.

Which of the following procedures is a partial gastrectomy?
� A. Whipple
� B. Wertheim
� C. Billroth I
� D. Zenker

C. Billroth I

A type of cataract extraction when the lens and its capsule are removed is:
� A. Phacoemulsification
� B. Extracapsular
� C. Intracapsular
� D. Keratoplasty

C. Intracapsular

A Keller arthroplasty or McKeever procedure is performed to treat which of the following?
� A. Dislocation
� B. Fracture
� C. Arthritis
� D. Bunion

D. Bunion

For which of the following procedures would a HUMI cannula be used?
� A. Hysteroscopy
� B. Tuboplasty
� C. Salpingectomy
� D. Cystotomy

B. Tuboplasty

Why is an A-V fistula performed for long-term dialysis?
� A. Prevent aneurysm
� B. Accelerate clotting
� C. Eliminate ischemia
� D. Decrease thrombosis

D. Decrease thrombosis;
Arteriovenous fistula is preferred over an external A-V shunt since it carries high risk of thrombosis and infection.

Pedicle screws are used to correct which of these conditions?
� A. Anterior dislocations
� B. Femoral fractures
� C. Spinal degeneration
� D. Pelvic fractures

C. Spinal degeneration

What procedure is performed to correct talipes valgus or talipes varus?
� A. External fixation
� B. Total arthroplasty
� C. Tibial osteotomy
� D. Triple arthrodesis

B. Triple arthrodesis;
Relieves pain, aids in correct stance and walking, immobilizes the ankle.