Download the original attachment Week 2 CST Exam Multiple Choice

Identify the choice that best completes the statement or answers the question.
____ 1. When handling uterine curettings send the endometrial and the endocervical curettings to c the lab in one container send them on a 4 4 to the lab because it is too difficult d to remove them

never place them in a preservative keep the endometrial and the endo cervical b curettings separate

____ !. " #ulka forceps is used in a gynecologic surgery . b urologic surgery . c thoracic surgery . d neurologic surgery .

____ $. Which drug is given to aid in placental e%pulsion& a. b. o%ytocic anticholinergic c. d. antihistamine hypo%ic

____ 4. " humi cannula is used in

a eye surgery . b vascular surgery .

c urologic surgery . d gynecologic surgery .

____ '. (he aim of stress incontinence operations includes all of the following ) *)+( to improve performance of a to tighten and restore dislodged or dysfunctional the anteriorurethral a c vesicle neck vesicle angle to restore normal urethral b length to repair a congenital d defect

____ ,. " procedure done on young women who evidence benign uterine tumors but who wish to preserve fertility is a a subtotal hysterectomy . b wertheim procedure . c myomectomy . d -e .ort procedure .

____ /. " procedure to prevent cervical dilation that results in release of uterine contents is a a. b. 0hirodkar -e.ort c. d. Wertheim marsupiali1ation

____ 2. "n endoscopic investigation of the uterus and tubes is a a . b . c . d .

3ubin4s test hysterogram

hysterosalpingogram hysteroscopy

____ 5. 0terility can be accomplished by all of the following procedures ) *)+( a laparoscopy . b minilaparotomy . c .

posterior colpotomy

d culdoscopy .

____ 16. " scheduled procedure whose ultimate surgical goal involves abdominal7 perineal7 and groin dissection is a a radical vulvectomy and . lymphadenectomy b Wertheim procedure . c pelvic . e%enteration d 8anchester . procedure

____ 11. "n endoscopic approach to pelvic and intraabdominal e%amination is a. culdocentesis c. pelvisoscopy

b.

hysteroscopy

d.

salpingogram

____ 1!. (he procedure that provides visuali1ation of the internal contour of the uterus is a a. b. laparoscopy pelviscopy c. d. hysteroscopy culposcopy

____ 1$. )%trauterine pregnancies can occur in the a abdominal cavity and . tube b ovary and pelvic . ligaments c abdominal cavity and corpus . luteum d pelvic ligaments and tube .

____ 14. What gynecologic set up would include various si1es of sterile cannulas& a. b. cesarean hysterectomy c. d. oophorectomy suction curettage

____ 1'. " foley catheter is placed into the presurgical hysterectomy patient to a record accurate intake . and output c avoid in9ury to the bladder .

b distend the bladder . during surgery

d maintain a dry perineum . postoperatively

____ 1,. What would an anterior and posterior repair accomplish& a repair of cystocele and . rectocele b repair of vesicovaginal . fistula c repair of vesicourethral . fistula d repair of labial hernia .

____ 1/. 3econstruction of the cervical canal is called a. b. cervicectomy trachelorrhaphy c. d. vulvectomy circlage

____ 12. "n incision made during normal labor to facilitate delivery with less trauma to the mother is a:n; a. b. colpotomy colporrhaphy c. d. episiotomy celiotomy

____ 15. *ervical carcinoma in situ can be classified as a limited to the epithelial layer7 . noninvasive b microinvasive c clinically obvious . d vaginal e%tension

. limitations

____ !6. (he fallopian tube is grasped with a a. b. <ocher =abcock c. d. <elly -ahey

____ !1. 3econstruction of the fallopian tube setup would include a =owman lacrimal probes . b =akes dilators . c #egar dilators . d >an=uren sounds .

____ !!. (o confirm the diagnosis of ectopic pregnancy7 it is sometimes necessary to perform a a. b. 3ubin4s test culdocentesis c. d. paracentesis laparotomy

____ !$. *ervical coni1ation is accomplished using all of the following ) *)+( a. b. scalpel cautery c. d. laser sclerosing solution

____ !4. -aparoscopic tubal ligation can be effected by all of the following methods ) *)+( a silastic band . b bipolar coagulation . c spring clip . d chemical ablation .

____ !'. (he most commonly identified ovarian cyst is the a. b. chocolate follicle c. d. serous cystadenoma dermoid

____ !,. " herniation of the cul?de?sac at the +ouch of Douglas is a:n; a. b. cystocele rectocele c. d. hydrocele enterocele

____ !/. " vesicourethral abdominal suspension is known as a a. b. -e.ort Wertheim c. d. 8arshall?8archetti 0hirodkar

____ !2. " condition causing leakage of urine into the vagina is a:n;

a ureterovaginal fistula . b cystocele .

c vesicovaginal fistula . d rectovaginal fistula .

____ !5. What special technique is employed during a hysterectomy& a discard instruments used on . cervi% and vagina b use second set for closure . c redrape for closure . d remove .oley before . uterus is removed

____ $6. +apanicolaou indicates a removal of small pieces of . cervi% for e%amination b cytologic study of cervical . smear c staining of the cervi% . for study d direct visuali1ation of . pelvic organs

____ $1. " technique employed for cervical biopsy is a random punches . b multiple punches at $7 ,7 57 . and 1! o4clock c one central punch at os . d one inferior and one . superior punch

____ $!. In a cesarean birth7 the uterus is opened with a knife and e%tended with a:n; a. b. 8et1enbaum #eaney c. d. iris scissor bandage scissor

____ $$. "t which point in a cesarean is a bulb syringe used& a when the membranes . are incised b when the fetal head is . delivered c when the entire infant is . delivered d after placntal delivery .

____ $4. @%ytocics are given in a cesarean after the baby4s shoulders are delivered a to contract the . uterus b to rela% the uterus . c to prolong the contraction . d to facilitate membrane . rupture

____ $'. When closing a uterus in a cesarean7 the edges of the uterine incision are clamped with which of the following& a. b. "llis <ocher c. d. +ennington =abcock

____ $,. Intraoperative chromotubation can be effected by all of the following surgical cannulaes ) *)+( a. b. #umi 3ubin c. d. #ui #ulka

____ $/. What suture would be placed into the wall of large ovarian cyst before aspiration of its contents and final removal& a. mattress c. d. purse?string figure?of?eight

b. suture ligature

____ $2. What is the preferred procedure for recurrent or persistent carcinoma of the cervi% after radiation therapy has been completed& a Wertheim4s . b pelvic e%enteration . c abdominal perineal resecrtion . d low?anterior resection .

____ $5. Which of the following instruments would be used to grasp the anterior cervi% of the uterus 9ust before dissection from the vaginal vault during a total abdominal hysterectomy& a. b. "llis #eaney c. d. +haneuff <elly

____ 46. -aparoscopic tubal occlusion may utili1e all of the following methods of effecting sterili1ation ) *)+( a bipolar coagulation . b silastic bands . c suritie ligating loop . d spring clip .

____ 41. " holding instrument not found in a vaginal procedure is a a. b. Aacobs -ahey c. d. 0taude 0kene

____ 4!. *oni1ation of the cervi% may be accomplished by all of the following ) *)+( a scalpel . b (homas uterine curette . c laser . d electrosurgery .

____ 4$. "n enterocele differs diagnostically from a rectocele by its contents and its position in the perineum. Its location is in the a +ouch of Douglas . c posterior vaginal wall .

b anterior vaginal wall .

d pelvic floor .

____ 44. +elviscopy differs from laparoscopy in the utili1ation if a larger trocar and a scope utili1ation of au%iliary ports for b ancillary instrumentation c utili1ation of a . $6B angled scope d " and * .

____ 4'. " 0tamey endoscopic procedure is performed to a suspend the vesicle neck . b correct anterior wall . prolapse c correct posterior wall . prolapse d repair a bladder . laceration

____ 4,. What is the name given to a radical vaginal hysterectomy& a. b. e%enteration 0chauta c. d. Wertheim4s -e.ort

____ 4/. What surgical procedure provides obliteration of the vagina by denuding and appro%imating the anterior and posterior walls of the vagina& a. vaginoplasty c. colpoperinorrhaphy

b. colpocleises

d.

colporrhaphy

____ 42. (he hysteroscope may be used to identify or remove all of the following ) *)+( a fallopian adhesions . b lost ICDs . c intrauterine adhesions . d submucosa fibroids .

____ 45. Deedle aspiration of the cul?de?sac is surgically termed a. b. colpocleisis culdocentesis c. d. culdotomy colpotomy

____ '6. "n alternative to abdominal hysterectomy utili1ing an endoscope is surgically termed a:n; laparoscopic?assisted vaginal hysterectomy a :-">#; b -))* pelviscopic?assisted c vaginal hysterectomy . :+">#; d " and * .

____ '1. What procedure cannot be performed through a pelviscope&

a.

ovarian cystectomy

c. d.

oophorectomy adhesiolysis

b. hysterectomy

____ '!. )ndometrial ablation is performed to correct a. b. amenorrhea metrorrhagia c. d. menorrhagia endometriosis

____ '$. )ndoscopic visuali1ation of the uterine cavity is called a. b. pelviscopy laparoscopy c. d. hysteroscopy colposcopy

____ '4. 8arsupiali1ation of a =artholin cyst involves the a suturing of the posterior wall of the . cyst to the skin edges b removal of anterior wall of cyst . c draining cyst . contents d " and = .

____ ''. What is the self retaining retractor used in vaginal procedures& a. b. @40ullivan?@4*onner Eelpi c. d. Eraves "uvard

____ ',. )%trauterine disease of the female reproductive system may utili1e any of the following lasers via a colposcope or laparoscope ) *)+( a. b. *@! DdFG"E c. d. *andela argon

____ '/. During surgery7 towel clips may be removed only by the a circulator may not be removed once b fastened may be removed and discarded as long as the area is covered with c sterile linen may be removed and discarded from d the field

____ '2. "s grossly soiled instruments are returned to the scrub7 they should be placed in a basin of sterile saline a to soak off debris wiped off with a sponge moistened with water or soaked b in a basin of sterile distilled water wiped off with a dry c sponge discarded so that the circulator can d clean them thoroughly

____ '5. Which of the following actions by the scrubperson is D@( an acceptable sterile technique principle&

discarding tubing that falls below sterile field edges without a touching the contaminated part reaching behind sterile team members to retrieve instruments b so they do not collect on the patient

facing sterile areas when c passing them stepping away from the sterile d field if contaminated

____ ,6. When the scrubperson is draping a nonsterile table7 he or she must a cover the back edge of . the table first b use a single?thickness . drape c be sure the drape touches . the floor d cuff the drape over his or . her gloved hands

____ ,1. When covering a mayo stand7 the scrubperson should a use a wide . cuff b use no cuff . c open the cover fully before . placement d ask the circulator to pull on the cover .

____ ,!. If a sterile field becomes moistened during a case nothing can be done e%tra drapes are added to area c the wet sections are removed and . replaced with dry sections d the wet sections are covered with . a plastic adherent drape

____ ,$. (he main purpose of the skin prep is to remove all c bacteria from . the skin d sterili1e the . patient4s skin

remove resident and transient a flora remove dirt7 oil7 and microbes7 and b to reduce the microbial count

____ ,4. Which is the antiseptic solution of choice for a skin prep& a. b. *ipe% 0taphene c. d. povidone?iodine Hephiran

____ ,'. When are counts done in the @3& as case begins and when case is in c progress before beginning of case and at end d of case

at the beginning and end of case

before beginning of case7 at beginning of wound closure7 and b at skin closure

____ ,,. 0oiled sponges are never touched with a bare hands c removed from the room once . the peritoneum is closed

left in the kick bucket b until count begins

counted and stacked on a d towel or sheet on the @3 . floor

____ ,/. 0pecimens may be passed off the sterile @3 table by the scrubperson on all of the following items ) *)+( a. b. sponge towel c. d. basin paper

____ ,2. In a gastrointestinal closure7 the mucosa of the intestinal tract is closed with a chromic 4?6 or $?6 . b silk 4?6 or $?6 . c prolene 4?6 or $?6 . d vicryl 4?6 or $?6 .

____ ,5. Why are bumpers or bolsters used on retention sutures& to prevent the suture from a cutting into the skin surface to facilitate easy removal c to identify the order . of suture removal to prevent unequal d tension on the wound . edges

____ /6. Which type of suture would be used to invert the stump of an

appendi%& a. b. buried purse?string c. d. mattress tension

____ /1. " Dissen .undoplication procedure is done to correct a repeated attacks of . volvulus b antireflu% disease . c bladder prolapse . d gastroesophageal . stenosis

____ /!. " dissecting sponge that is a small roll of heavy cotton tape is a a. b. <itner peanut c. d. tonsil tape

____ /$. Which of the following specimens is D@( placed in preservative solution& a. b. stones curettings c. d. tonsils uterus

____ /4. Which breast procedure removes the entire breast and a%illary contents but preserves the pectoral muscles&

a lumpectomy . b wedge resection .

c modified radical mastectomy . d radical mastectomy .

____ /'. In which hernia does the herniation protrude into the inguinal canal but D@( the cord& a. b. incisional femoral c. d. direct indirect

____ /,. In a cholecystectomy7 which structures are ligated and divided& a cystic duct and cystic . artery b common bile duct and . hepatic duct c cystic duct and common . bile duct d hepatic duct and cystic . artery

____ //. "ll of the following statements refer to pilonidal cyst surgery ) *)+( a it is performed with an . elliptical incision b the wound frequently . heals by granulation c probes are required on . setup d the cyst is removed7 but . the tract remains

____ /2. "n important consideration during cholangiogram is to a irrigate with distilled water . b remove all air bubbles from . the cholanghiocath c flash sterili1e the . choledocoscope d dip the catherter in . lubricating 9elly

____ /5. (he intestinal layer in order7 from inside to outside7 is a serosa7 mucosa7 . musculature b mucosa7 submucosa7 . serosa c serosa7 musculature7 . mucosa d mucosa7 serosa7 . musculature

____ 26. +ortal pressure measurement is indicated in a liver transplant . b splenectomy . c .

hepatic resection

d Whipple operation .

____ 21. " device that may obviate the need for an abdominoperineal resection because a low anterior anastamosis can be performed is a:n; a end?to?end anastomosis :))"; . c . (" ''

b EI" .

d -D0 .

____ 2!. I0cratch I marking is done in surgery of the a. b. chin eye c. d. breast thyroid

____ 2$. .ogarty biliary catheters are used to a drain the gallbladder . b drain the common bile . duct c instill contrast media . d facilitate stone removal .

____ 24. In laparoscopy7 tubal patency is checked by a irrigating with . normal saline b in9ecting renografin . into the tube c in9ecting methylene blue into . the cervical canal d irrigating tube with -ugol4s . solution

____ 2'. In a thyroidectomy7 a loop retractor retracts the a platysma muscle . c thyroid veins .

b cervical fascia .

d sternocleidomastoid muscle .

____ 2,. Which structure:s; are identified and preserved in thryoid surgery& a parathyroid glands . b hyoid bone . c thyroglossal duct . d thyroid lobe .

____ 2/. Which incision would require cutting through 0carpa4s fascia& a. b. subcostal inguinal c. d. +fannenstiel 8c=urney

____ 22. Which item retracts the spermatic cord structure in herniorrhaphy& a army?navy retractor . b penrose drain . c .

Ereen retractor

d silk suture .

____ 25. "fter uterus removal in a hysterectomy

cervical and vaginal instruments are isolated from the instrument a set in a discard basin

new instruments are used on the c cervical closure cervical instruments are d returned to the basket

the cervi% is cauteri1ed

____ 56. "n irreducible hernia whose abdominal contents have become trapped in the e%tra?abdominal sac is called a:n; a incarcerated hernia . b sliding hernia . c spigelean hernia . d strangulated hernia .

____ 51. " palliative invasive procedure done to prevent malnutrition or starvation is known as a percutaneous endoscopic gastrostomy . :+)E; procedure b gastrotomy . c gastrostom . y d gastro9e9un . ostomy

____ 5!. "n inguinal hernia containing a 8eckel4s diverticulum is called a a. b. 3ichter4s -ittre4s c. d. 8aydl4s spigelian

____ 5$. (he three portions of the small intestine are the ____. a mesentery7 duodenum7 and . appendi% b cecum7 mesentery7 and . ileum c ilium7 sigmoid7 and . 9e9unum d duodenum7 ileum7 and . 9e9unum

____ 54. Which of the following are e%amples of oblique incisions& I. 0ubcostal II. +fannenstiel III. .ull 8idline I>. 8c=urney4s a. b. I7 III7 I> I and I> c. d. II7 III7 I> II and III

____ 5'. (he desirable position for better visuali1ation in the lower abdomen or pelvis is a .owler4s . b reverse (rendelenburg . c .

(rendelenburg

d <raske .

____ 5,. #ow is a fro1en section sent to the lab&

a. b.

in formalin in saline

c. d.

in water dry

____ 5/. (he curved transverse incision used for pelvic surgery is a midabdominal transverse . b +oupart . c +fannenstiel . d 8c>ey .

____ 52. (he instrument most commonly used to grasp the mesoappendi% during an appendectomy is a a. b. <elly <ocher c. d. =abcock "llis

____ 55. =lunt dissection of the gallbladder from the sulcus of the liver requires the use of a a. b. 8et1enbaum <elly c. d. tampon peanut

____ 166. "fter uterus removal in a hysterectomy a cervical and vaginal instruments are isolated from the instrument c new instruments are used on the

set in a discard basin

cervical closure cervical instruments are d returned to the basket

the cervi% is cauteri1ed

Week 2 CST Exam Answer Section MULTIPLE CH ICE 1. "D0F = 242 +(0F 1 !. "D0F " 2'1 +(0F 1 $. "D0F " 2'! +(0F 1 4. "D0F D 2'$ +(0F 1 '. "D0F D 2'4 +(0F 1 ,. "D0F * 2'' +(0F 1 /. "D0F " 2', +(0F 1 2. "D0F D

2'/ +(0F 1 5. "D0F D 2'2 +(0F 1 16. "D0F " 2'5 +(0F 1 11. "D0F * 2,6 +(0F 1 1!. "D0F * 2,1 +(0F 1 1$. "D0F " 2,! +(0F 1 14. "D0F D 2,$ +(0F 1 1'. "D0F * 2,4 +(0F 1 1,. "D0F " 2,' +(0F 1 1/. "D0F = 2,, +(0F 1 12. "D0F *

2,/ +(0F 1 15. "D0F " 2,2 +(0F 1 !6. "D0F = 2,5 +(0F 1 !1. "D0F " 2/6 +(0F 1 !!. "D0F = 2/1 +(0F 1 !$. "D0F D 2/! +(0F 1 !4. "D0F D 2/$ +(0F 1 !'. "D0F = 2/4 +(0F 1 !,. "D0F D 2/' +(0F 1 !/. "D0F * 2/, +(0F 1 !2. "D0F *

2// +(0F 1 !5. "D0F " 2/2 +(0F 1 $6. "D0F = 2/5 +(0F 1 $1. "D0F = 226 +(0F 1 $!. "D0F D 221 +(0F 1 $$. "D0F = 22! +(0F 1 $4. "D0F " 22$ +(0F 1 $'. "D0F * 224 +(0F 1 $,. "D0F " 22' +(0F 1 $/. "D0F * 22, +(0F 1 $2. "D0F =

22/ +(0F 1 $5. "D0F " 222 +(0F 1 46. "D0F * 225 +(0F 1 41. "D0F = 256 +(0F 1 4!. "D0F = 251 +(0F 1 4$. "D0F " 25! +(0F 1 44. "D0F D 25$ +(0F 1 4'. "D0F " 254 +(0F 1 4,. "D0F = 25' +(0F 1 4/. "D0F = 25, +(0F 1 42. "D0F "

25/ +(0F 1 45. "D0F = 252 +(0F 1 '6. "D0F D 255 +(0F 1 '1. "D0F = 566 +(0F 1 '!. "D0F * 561 +(0F 1 '$. "D0F * 56! +(0F 1 '4. "D0F D 56$ +(0F 1 ''. "D0F * 564 +(0F 1 ',. "D0F * 56' +(0F 1 '/. "D0F * 2$/ +(0F 1 '2. "D0F =

2$2 +(0F 1 '5. "D0F = 2$5 +(0F 1 ,6. "D0F D 246 +(0F 1 ,1. "D0F " 241 +(0F 1 ,!. "D0F = 24! +(0F 1 ,$. "D0F = 24$ +(0F 1 ,4. "D0F * 244 +(0F 1 ,'. "D0F = 24' +(0F 1 ,,. "D0F " 24, +(0F 1 ,/. "D0F " 24/ +(0F 1 ,2. "D0F " +(0F 1

,5. "D0F " +(0F 1 /6. "D0F = +(0F 1 /1. "D0F = +(0F 1 /!. "D0F " +(0F 1 /$. "D0F " +(0F 1 /4. "D0F * +(0F 1 /'. "D0F * +(0F 1 /,. "D0F " +(0F 1 //. "D0F D +(0F 1 /2. "D0F = +(0F 1 /5. "D0F = +(0F 1 26. "D0F * +(0F 1 21. "D0F " +(0F 1 2!. "D0F D +(0F 1 2$. "D0F D +(0F 1 24. "D0F * +(0F 1 2'. "D0F D +(0F 1 2,. "D0F " +(0F 1 2/. "D0F = +(0F 1 22. "D0F = +(0F 1 25. "D0F " +(0F 1 56. "D0F " +(0F 1 51. "D0F * +(0F 1 5!. "D0F = +(0F 1 5$. "D0F D +(0F 1 54. "D0F = +ages 411? 41! +(0F 1 5'. "D0F * +(0F 1 5,. "D0F D +(0F 1

5/. "D0F * +(0F 1 52. "D0F * +(0F 1 55. "D0F D +(0F 1 166. "D0F " +(0F 1