with 100% Correct Answers
AA21-year-oldApatientAisArushedAtoAtheAORAwithAaAself-
inflictedAstabAwoundAtoAtheAgroin.ATheAwoundAisAanAinchAinAlengthAandAtheApatientAhasAflat
AlinedAwithAaAsteadyAflowAofAbloodApumpingAfromAtheAsmallAwound.AWhichAofAtheAfollowing
AitemsAshouldAtheAsurgicalAtechnologistAhaveAreadyAforAtheAsurgeon?A(SelectAtheAthreeA(3)Acorr
ectAAnswers.)
A.AYankauerAsuctionA
B.ALapAsponges
C.ARaytecAsponges
D.AFrazierAsuctionA
E.AKnifeAbladeA-AAnswerALapAsponges,AKnifeAblade,AYankauerAsuction
A
Rationale:ALaparotomyAspongesAareAneededAbecauseAofAtheAsteadyAflowAofAbloodAthatAisAbeing
Alost.ATheAYankauerAsuctionAisAtheAappropriateAsuctionAtoAuseAbecauseAitAcanAkeepAtheAincisi
onAclearAandAabsorbAmoreAfluid.AAAknifeAbladeAwouldAbeAneededAtoAextendAtheAincisionAtoAf
indAoutAwhereAtheAbleedingAisAcomingAfromAsoAitAcanAbeAstopped.ARaytecAspongesAcannotAab
sorbAsubstantialAamountsAofAblood.AAAFrazierAsuctionAisAnotAneededAbecauseAitAisAusedAforAs
maller,ApreciseAsuctioning.
AAcardiacAarrestAoccursAduringAaAthoracotomyAprocedure,AandAtheAsurgeonAcallsAaACODEABLUE.
ATheAsurgeonAisAattemptingAtoAresuscitateAtheApatientAusingACPR.AWhichAofAtheAfollowingAisAt
heAresponsibilityAofAtheAsurgicalAtechnologistAinAthisAsituation?
A.AHandAtheAsurgeonAaAloadedAneedleAholderAandAforcepsAforAclosing.A
B.ABreakAscrubAandAretrieveAtheAcodeAcart.
C.APrepareAinternalAdefibrillatorApaddles.
D.APrepareAexternalAdefibrillatorApaddlesA-AAnswerAPrepareAinternalAdefibrillatorApaddles.
A
Rationale:ATheAsurgeryAisAalreadyAinAprogressAwhenAtheACodeABlueAisAcalledAtheAsurgicalAtech
nologistAmayAbeArequiredAtoAprepareAtheAinternalAdefibrillatorApaddles.ATheAsurgicalAtechnologis
tAdoesAnotAbreakAscrubAtoAgetAtheAcrashAcartAtheAcirculatorAwillAgetAanyAnecessaryAequipment
Aneeded.
AAchargeAnurseAhasAjustAnotifiedAtheAsurgicalAtechnologistAtoAbeApreparedAforAaApost-
AoperativeAemergencyAforAaApostAsalpingo-
oophorectomy.AWhichAofAtheAfollowingAisAtheAinstrumentationAneeded?A(SelectAtheAtwoA(2)Acorre
ctAAnswers.)
,A.ABookwalterAretractor
B.AC-sectionAset
C.ADilationAandAcurettageAset
D.AMajorAset
E.AMayfieldAreturnedA-AAnswerABookwalterAretractor,AMajorAset
A
Rationale:ATheAincisionAforAthisAemergentAprocedureAwillAmostAlikelyAbeAaAmidlineAverticalAinci
sion,AwhichAwouldArequireAaAlargerAself-
retainingAretractorAsuchAasAaABookwalter.AAAMajorAinstrumentAsetAwillAalsoAbeAneededAbecaus
eAitAwillAhaveAallAtheAbasicAinstrumentsAforAincision,AdissectionAandAhemostasis.AAAC-
sectionAsetAdoesAhaveAseveralAbasicAinstrumentations,AbutAaAMajorAinstrumentAtrayAwillAhaveA
moreAinstrumentsAtoAuse.AAAdilationAandAcurettageAsetAonlyAhasAvaginalAinstrumentsAinAit.AA
AMayfieldAretractorAisAusedAduringAcraniotomyAproceduresAtoAholdAtheAheadAinAplace.
AAclassAIIAorAaAclean-contaminatedAsurgicalAwoundAentersAthroughAwhere?
A.ARespiratory,AGI,Agenital,AorAurinaryAtract
B.ARespiratory,Agenital,AorAurinaryAtractAbutAnotAGIA
C.AGIAandAgenitalAonly
D.ARespiratoryAonlyA-AAnswerARespiratory,AGI,Agenital,AorAurinaryAtract
A
Rationale:AClassAII:ACleanAContaminatedAinvolvesAminorAbreakAinAsterileAtechnique.AControlledAe
ntryAtoAaerodigestiveA(includingAbiliaryAtract)AorAgenitourinaryAtract;AthisAincludesArespiratoryAa
ndAGI.
AAgynecologicAoncologyAsurgeonAdecidesAtoAbringAherApatientAintoAtheAORAemergentlyAafterAse
eingAherAinAtheAoffice.ATheApatient'sAabdomenAisAgreatlyAdistended,AwarmAandAfirmAtoAtheAto
uch.AWhichAofAtheAfollowingAshouldAtheAsurgicalAtechnologistAhaveAavailable?
A.AAndrewsAtipAsuctionAandARaytecAspongesAB.APooleAtipAsuctionAandALapAsponges
C.APooleAtipAsuctionAandARaytecAsponges
D.AAndrewsAtipAsuctionAandALapAspongesA-AAnswerAPooleAtipAsuctionAandALapAsponges
Rationale:APooleAsuctionAcanAsuctionAmuchAmoreAquicklyAthanAanAAndrewsAtip,AdueAtoAitsAsize
.ALapAspongesAhaveAtheAabilityAtoAabsorbAgreaterAquantitiesAofAfluidAthanAaAraytecAdoes.
,AApatientAisAhavingAaAcervicalAconeAbiopsy.ATheAsurgeonAprefersAtoAnotAuseAaABovie.AWhichA
ofAtheAfollowingAsolutionsAshouldAtheAsurgicalAtechnologistAhaveAavailableAinAtheAroomAforAcon
trolAofAbleeding?
A.ALugol'sAsolutionA
B.AAceticAacid
C.AMonsel'sAsolution
D.ACollodianA-AAnswerAMonsel'sAsolution
A
Rationale:AMonsel'sAsolutionAisAaAchemicalAhemostaticAagent,AandACollodianAisAaAskinAadhesive.
AAceticAacidAisAalsoAknownAasAvinegarAwhichAisAusedAtoAidentifyAareasAofAabnormalAtissue,A
notAforAhemostasis.ALugol'sAsolutionAisAanAiodineAtoAstainAandAdisinfect.
AApatientAisAhavingAaAhysteroscopyAforAmyomectomyAexcision.ATheApatientAhasAbeenAunderAan
esthesiaAforAanAhourAandAisAstartingAtoAshowAsignsAofAextremeAswelling.AWhichAofAtheAfollow
ingAisAmostAcriticalAtoAmonitorAinAorderAtoApreventAtheseAsymptoms?
A.ANormalAsalineAintake
B.ATimeAunderAanesthesiaA
C.AFluidAintakeAandAoutput
D.AGlycineAlevelsA-AAnswerAFluidAintakeAandAoutput
A
Rationale:AExcessAfluidAintakeAcanAcauseAfluidAoverloadAwhichAcausesAedema.AMonitoringAfluidA
outputAisAtoAmakeAsureAfluidAisAnotAonlyAenteringAtheAbody,AbutAexitingAitAasAwellAtoAreduc
eAcomplicationsAassociatedAwithAedema.ATheAvolumeAandArateAofAflowAofAfluidAmustAbeAcareful
lyAmonitored.AGlycineAisAusedAtoAirrigateAbodyAcavities.
AApatientAisAhavingAaAlaparoscopicAassistedAvaginalAhysterectomy.AIfAtheAsurgeonAisAunableAto
AextractAtheAuterusAvaginally,AwhichAofAtheAfollowingAequipmentAshouldAtheAsurgicalAtechnologi
stAhaveAavailableAtoAretrieveAtheAuterus?
A.AHarmonicAscalpelA
B.ALigaSure
C.AMorcellator
D.AEnsealA-AAnswerAMorcellator
A
Rationale:AMorcellation,AduringAgynecologicalAprocedures,AmeansAcuttingAtheAspecimenAintoAsmall
erApiecesAforAeasierAremoval.AThisAhasAmanyAbenefitsAtoAtheApatient,AincludingAsmallerAincisio
nsAandAshorterAsurgeryAtime.ATheAharmonicAscalpelAwouldAnotAbeAhelpfulAinAretrievingAtheAute
, rusAbecauseAitAisAusedAtoAcutAandAcoagulateAtissueAsimultaneously.ALigaSureAandAEnsealAareAu
sedAtoAhelpAsealAvessels.
AApatientAisAundergoingAaArightApartialApneumonectomy.AWhichAofAtheAfollowingAdrainsAshould
AtheAsurgicalAtechnologistAprepareAforAplacementAatAtheAendAofAtheAcase?
A.AJacksonAPrattA
B.AChestAtubeA
C.APenrose
D.AHemovacA-AAnswerAChestAtube
A
Rationale:AAnyAtimeAtheAchestAcavityAisAenteredAandAtheAnormallyApresentAnegativeAintrapleural
ApressureAisAcompromised,AaAchestAtubeAmustAbeAplacedAtoAreestablishAtheAnegativeApressure.
AAAPenroseAisAaApassiveAdrainAthatAisApartiallyAplacedAwithinAtheAwoundAallowingAfluidAtoA
moveAoutAofAtheAtubeAontoAaAdressing.ATheAJacksonAPrattAdrainAisAcommonlyAusedAforAgener
alAandAabdominalAproceduresAforAmoderateAdrainage.ATheAHemovacAdrainageAisAcommonlyAused
AforAorthopedicsAforAmoderateAdrainage.
AApatientApresentsAtoAtheAoperatingAroomAforAaAhydrocelectomy.AWhichAofAtheAfollowingAdressi
ngsAshouldAtheAsurgicalAtechnologistAanticipateAneeding?
A.AAceAbandageA
B.AGauzeApackingA
C.AScrotalAsupport
D.AElastoplastA-AAnswerAScrotalAsupport
Rationale:AAAhydrocelectomyAisAtheAaccumulationAofAfluidAinAtheAmembraneAtunicaAvaginalisAwh
ichAcoversAtheAmaleAtestes.ATheAscrotalAsupportAwouldAhelpAsupportAtheAmaleAtestes.AElastopla
stAisAtapeAandAwouldAnotAbeAused.AGauzeApackingAisAusedAtoApackAanAincisionAandAnotAuse
dAasAaAdressing.AAnAaceAbandageAisAusedAonAanAextremityAtoAcoverAdressings.
AApatientApresentsAtoAtheAoperatingAroomAforAirrigationAandAdebridementAofAaAwoundAcaused
AbyApenetratingAtrauma.ATheAsurgeonAstatesAthatAtheAwoundAwillAhealAbyAsecondaryAintention.
AWhichAofAtheAfollowingAdressingAtypesAshouldAtheAsurgicalAtechnologistAaskAtheAcirculatorAfor
?
AA.ASteri-Strips
B.ABio-occlusiveAOpsiteA
C.AABD
D.ABolstersA-AAnswerAABD