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AST Practice Exam #2 – Advanced Questions and Rationales for Surgical Technologist Certification (CST)

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This document features the second set of advanced practice questions for the AST Certified Surgical Technologist (CST) exam. It includes challenging multiple-choice questions with detailed rationales, focusing on surgical procedures, aseptic technique, instrumentation, and perioperative responsibilities. Ideal for final-stage CST exam prep and knowledge reinforcement.

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AST practice exam #2


1. Which of the following is a type of tissue forceps?

A. Brown-Adson

B. Pean

C. Allis

D. Schnidt - *answers * Brown-Adson



2. Which endoscope is used to visualize the heart and major vessels?

A. Ventriculoscope

B. Bronchoscope

C. Mediastinoscope

D. Angioscope - *answers * Angioscope



3. The goal of the surgical scrub is to lower the population of which flora to an irreducible
minimum?

A. Parasitic

B. Resident

C. Transient

D. Enteric - *answers * Resident



4. Which needle is used during the bladder suspension procedure for treating stress
incontinence in women?

A. Stamey

B. Chiba

C. Dorsey

D. Tru-Cut - *answers * Stamey



5. Which procedure can be performed without making an incision to treat varicose veins?

,AST practice exam #2


A. Sclerotherapy

B. Varicocelectomy

C. Vein ligation

D. Vein stripping - *answers * Sclerotherapy



6. When repairing a direct hernia, the surgeon works within the anatomical triangle formed by
the inguinal ligament, inferior epigastric vessels and the lateral border of the rectus abdominis
called:

A. Femoral

B. Anterior

C. Hesselbach's

D. Calot's - *answers * Hesselbach's



7. Which of the following is the correct postoperative sequence of actions completed by the ST?

1. Assist with postoperative patient care

2. Remove drapes

3. Remove gown and gloves

4. Break down sterile setup

A. 2,1,4,3

B. 2.3.1.4

C. 3,2,4,1

D. 4,2,1,3 - *answers * 2, 3, 1, 4



8. What should be completed before the sterile items are opened for the first procedure of the
day?

A. Lower temperature in the OR

B. Wipe down furniture and surfaces

,AST practice exam #2


C. Test sterilizer in substerile room

D. Test anesthesia machine - *answers * Wipe down furniture and surfaces



9. Cardiac muscles are controlled by which division of the nervous system?

A, Sympathetic

B. Somatic

C. Autonomic

D. Central - *answers * Autonomic



10. Oophor/o is the root word for which anatomical structure?

A. Ovary

B. Uterus

C. Cervical os

D. Fallopian tube - *answers * Ovary



11. In which of the following would absorbable suture be contraindicated?

A. Peritoneum

B. Muscle

C. Intestinal anastomosis

D. Vascular anastomosis - *answers * Vascular anastomosis



12. During a cesarean section, which organ is freed from the uterus to prevent injury?

A. Pelvic ligaments

B. Ureters

C. Fallopian tubes

D. Bladder - *answers * Bladder

, AST practice exam #2




13. Which of the following refers to the absence of pathogens?

A. Pathological

B. Aseptic

C. Septic

D. Nosocomial - *answers * Aseptic



14. Which surgical procedure would use the instrument shown above?

A. D&C

B. Colporrhaphy

C. LAVH D. Myomectomy - *answers * A. D & CThis is a Sims Uterine Curette



15. What must be done prior to positioning a patient undergoing a posterior lumbar
laminectomy?

A. Attachment of arm boards

B. Padding of knees

C. Endotracheal intubation

D. Skin prep - *answers * Endotracheal intubation



16. What is the name of the instrument shown above?

A. Carmalt

B. Ochsner

C. Adair

D. Pennington - *answers * Pennington



17. Which of the following damages the mastoid air cells and ossicles of the ear?

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