NBSTSA CERTIFICATION
EXAM/CERTIFICATION EXAM with answers 1000
QUESTIONS 2023-2024 ORIGINAL VERSION
WITH RATIONALES
Which of the following structures is located in the alveolar processes?
Teeth
Villi
Sinuses
Tonsils -CORRECT ANSWER-> A. Teeth
RATIONALE •The teeth are located in the socket's of the alveolar processes of the
mandible and maxillae.
Which of the following is the wound classification for a bronchoscopy?
Clean
Contaminated
Dirty & Infected
Clean-Contaminated -CORRECT ANSWER-> D. Clean-Contaminated
RATIONALE •Clean-Contaminated procedures include those when the aero-
digestive tract is entered. The bronchoscope is inserted through the mouth and
into the bronchial tubes. The procedure is considered clean, not sterile.
The enzyme used to soften the zonules of the lens before cataract surgery is:
Atropine sulfate
Alpha-Chymotrypsin
Acetylcholine chloride
Pilocarpine hydrochloride -CORRECT ANSWER-> B. Alpha-Chymotrypsin
RATIONALE •Alpha-Chymotrypsin is a solution used to soften the zonules
holding the lens before cataract surgery to ease extraction of the lens.
How should the structure be oriented when necessary to use an elevator
to transport a patient to the OR?
Place stretcher sideways in elevator
Enter head first, exit feet first
Position in elevator is irrelevant
Enter feet first, exit head first -CORRECT ANSWER-> B. Enter head first, exit
feet first
,For help mail.
RATIONALE •The patient should be placed in the elevator entering head first
and exit feet first when being transported to the OR on the stretcher.
,For help mail.
Which of the following is a curved, transverse incision across the lower abdomen
frequently used in gynecological surgery?
Midline
Paramedian
McBurney's
Pfannenstiel -CORRECT ANSWER-> D. Pfannenstiel
RATIONALE •Pfannenstiel's incision is a curved transverse incision across the
lower abdomen and used frequently in gynecologic surgery
When perforated metal trays are placed on the shelves of the steam sterilizing
cart, they should be positioned:
Flat
Upside down
Vertical
Angled -CORRECT ANSWER-> A. Flat
RATIONALE •Metal trays that are perforated or have a mesh bottom should be
placed on the sterilizing cart flat.
Hyperkalemia is a high concentration of:
Calcium
Nitrogen
Potassium
Albumin -CORRECT ANSWER-> C. Potassium
RATIONALE •Potassium plays four important roles: influences the electrical
excitability of cells; the amount of potassium in cells affects cell volume;
potassium balance is important in maintaining the acid-base balance; the amount of
potassium in cells affects cell metabolism. Hyperkalemia, an abnormal level of
potassium, can be life threatening, causing cardiac irregularities. Which of the
following tissues are cut using curved mayo scissors?
Fascia
Periosteum
Dura mater
Arterial wall -CORRECT ANSWER-> A. Fascia
RATIONALE •Curved mayo scissors are large scissors, with thick blades used to
cut tough tissue, such as fascia, tendons and muscle.
Which laser beam can travel through clear tissues without heating them?
Argon
Excimer
Carbon dioxide
Neodymium: YAG -CORRECT ANSWER-> A. Argon
RATIONALE •The argon laser beam can travel through clear fluids and tissues.
Permission for treatment given with full knowledge of the risks is a/an:
, For help mail.
Tort
Malpractice
Personal liability
Informed consent -CORRECT ANSWER-> D. Informed consent RATIONALE
•informed consent must be obtained from the patient before any invasive procedure
can be performed. It protects the patient because it verifies that he/she understands
the condition to be treated and the intervention to be performed. Which portion of
the stomach surrounds the lower esophageal sphincter?
Cardia
Fundus
Pylorus
Antrum -CORRECT ANSWER-> A. Cardia
RATIONALE •The cardia is the portion of the stomach that surrounds the
superior opening of the stomach.
Low-level disinfectants kill most microbes, but do not destroy:
Viruses
Bacteria
Fungi
Spores -CORRECT ANSWER-> D. Spores
RATIONALE •Low-level disinfectants kill most types of bacteria and some
fungi and viruses, but do not kill spores and M. Tuberculosis
Syndactyly refers to:
Cleft palate
Webbed fingers
Fused tarsals
Torn ligaments -CORRECT ANSWER-> B. Webbed fingers
RATIONALE •Webbing of the digits is syndactyly
The surgical pack utilized to create the sterile field should be opened on the:
Stretcher
OR table
Backtable
Mayo stand -CORRECT ANSWER-> C. Backtable
RATIONALE •Surgical packs should be opened on the backtable.
The islets of langerhans secrete:
Bile
Insulin
Intrinsic factor
Inhibiting hormones -CORRECT ANSWER-> B. Insulin
RATIONALE •The islets of langerhans secrete glucagon, insulin,
somatostatin, and pancreatic polypeptide.