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Exam (elaborations)

AST Surgical Technologist Certification – Practice Exam Questions and Answer Guide

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This document provides realistic practice questions and detailed explanations for the AST (Association of Surgical Technologists) certification exam. It covers essential topics such as aseptic technique, surgical procedures, instrumentation, anatomy, and perioperative care. Ideal for students and professionals preparing for the CST (Certified Surgical Technologist) exam.

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AST Certification Practice exam


Which of the following methods should be used for routine processing of a specimen?



A. frozen section

B. in formalin

C. smeared biopsy

D. aspiration biopsy - *answers * B



Hydrocephalus is a condition marked by excessive

A. HGH.

B. CSF.

C. subarachnoid space.

D. gamma globulin. - *answers * B



Immediately prior to ovulation, the structure preparing to rupture from the ovary wall is the

A. corpus luteum.

B. corpus albicans.

C. graafian follicle.

D. secondary follicle. - *answers * C



Which of the following procedures is performed to correct a congenital malformation of the
external ear or to create an ear destroyed by trauma?

A. tympanoplasty

B. myringoplasty

C. otoplasty

D. stapedectomy - *answers * C

,AST Certification Practice exam


Which of the following sutures glides through tissue easily and does not readily harbor
bacteria?



A. monofilament

B. multifilament

C. absorbable

D. non-absorbable - *answers * A



Which of the following structures articulates with the head of the femur?



A. coxal

B. iliac crest

C. tibia

D. acetabulum - *answers * D



During a C-section, the MOST appropriate time to perform the first closing count is



A. while the uterus is being closed.

B. while the peritoneum is being closed.

C. during initiation of fascial closure.

D. during initiation of skin closure. - *answers * A



When opening and closing an instrument during the instrument inspection and assembly
process, a surgical technologist discovers the hinge is stiff. The technologist should



A. throw it away.

B. tag it for repair.

,AST Certification Practice exam


C. order a new instrument.



D. use mineral oil as a lubricant. - *answers * B



A Javid or Argyle shunt is used during which of the following surgical procedures?



A. coronary artery bypass graft

B. femoral popliteal bypass

C. carotid endarterectomy

D. creation of AV fistula - *answers * C



When encountering resistance while inserting a urethral catheter, the circulating surgical
technologist should



A. remove the catheter and call a urologist.

B. continue to advance the catheter using increased force.

C. switch hands and then attempt to advance the catheter.

D. withdraw the catheter slightly and gently reattempt to advance. - *answers * D



Which of the following is the MOST toxic of known chemical agents, causing death with minutes
due to respiratory obstruction and cardiac failure?



A. vesicants

B. choking agent

C. phosgene

D. nerve agent - *answers * D

, AST Certification Practice exam


Which of the following is the closure order of layers from inner to outer in an abdominal
wound?



A. peritoneum, fascia, muscle, subcutaneous, subcuticular, skin

B. peritoneum, fascia, muscle, subcuticular, subcutaneous, skin

C. peritoneum, muscle, fascia, subcutaneous, subcuticular, skin

D. peritoneum, muscle, fascia, subcuticular, subcutaneous, skin - *answers * A



Electrocautery is considered which of the following types of hemostasis?



A. topical

B. chemical

C. thermal

D. mechanical - *answers * C



Whenever laser surgery is planned for the head and neck, it is best practice to use specialty
drapes coated with



A. titanium.

B. aluminum.

C. copper.

D. lead. - *answers * B



At the conclusion of an operation, the surgical technologist in the scrub role must inform the
circulating RN



A. of the amount of local anesthetic used.

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Written in
2024/2025
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