Download the original attachment Week 2 CST Exam Multiple ChoiceIdentify the choice that best completes the statement or answers the question. ____ 1. When handling uterine curettings

a.never place them in preservativec.send the endometrial and the endocervical curettings to the lab in one containerb.keep the endometrial and the endo cervical curettings separated.send them on a 4 X 4 to the lab because it is too difficult to remove them

____ 2. A Hulka forceps is used in

a.gynecologic surgeryc.thoracic surgeryb.urologic surgeryd.neurologic surgery

____ 3. Which drug is given to aid in placental expulsion?

a.oxytocicc.antihistamineb.anticholinergicd.hypoxic

____ 4. A humi cannula is used in

a.eye surgeryc.urologic surgeryb.vascular surgeryd.gynecologic surgery

____ 5. The aim of stress incontinence operations includes all of the following EXCEPT

a.to improve performance of a dislodged or dysfunctional vesicle neckc.to tighten and restore the anteriorurethral vesicle angleb.to restore normal urethral lengthd.to repair a congenital defect

____ 6. A procedure done on young women who evidence benign uterine tumors but who wish to preserve fertility is a

a.subtotal hysterectomyc.myomectomyb.wertheim procedured.Le Fort procedure

____ 7. A procedure to prevent cervical dilation that results in release of uterine contents is a

a.Shirodkarc.Wertheimb.LeFortd.marsupialization

____ 8. An endoscopic investigation of the uterus and tubes is a

a.Rubins testc.hysterosalpingogramb.hysterogramd.hysteroscopy

____ 9. Sterility can be accomplished by all of the following procedures EXCEPT

a.laparoscopyc.posterior colpotomyb.minilaparotomyd.culdoscopy

____ 10. A scheduled procedure whose ultimate surgical goal involves abdominal, perineal, and groin dissection is a

a.radical vulvectomy and lymphadenectomyc.pelvic exenterationb.Wertheim procedured.Manchester procedure

____ 11. An endoscopic approach to pelvic and intraabdominal examination is

a.culdocentesisc.pelvisoscopyb.hysteroscopyd.salpingogram

____ 12. The procedure that provides visualization of the internal contour of the uterus is a

a.laparoscopyc.hysteroscopyb.pelviscopyd.culposcopy

____ 13. Extrauterine pregnancies can occur in the

a.abdominal cavity and tubec.abdominal cavity and corpus luteumb.ovary and pelvic ligamentsd.pelvic ligaments and tube

____ 14. What gynecologic set up would include various sizes of sterile cannulas?

a.cesareanc.oophorectomyb.hysterectomyd.suction curettage

____ 15. A foley catheter is placed into the presurgical hysterectomy patient to

a.record accurate intake and outputc.avoid injury to the bladderb.distend the bladder during surgeryd.maintain a dry perineum postoperatively

____ 16. What would an anterior and posterior repair accomplish?

a.repair of cystocele and rectocelec.repair of vesicourethral fistulab.repair of vesicovaginal fistulad.repair of labial hernia

____ 17. Reconstruction of the cervical canal is called

a.cervicectomyc.vulvectomyb.trachelorrhaphyd.circlage

____ 18. An incision made during normal labor to facilitate delivery with less trauma to the mother is a(n)

a.colpotomyc.episiotomyb.colporrhaphyd.celiotomy

____ 19. Cervical carcinoma in situ can be classified as

a.limited to the epithelial layer, noninvasivec.clinically obviousb.microinvasived.vaginal extension limitations

____ 20. The fallopian tube is grasped with a

a.Kocherc.Kellyb.Babcockd.Lahey

____ 21. Reconstruction of the fallopian tube setup would include

a.Bowman lacrimal probesc.Hegar dilatorsb.Bakes dilatorsd.VanBuren sounds

____ 22. To confirm the diagnosis of ectopic pregnancy, it is sometimes necessary to perform a

a.Rubins testc.paracentesisb.culdocentesisd.laparotomy

____ 23. Cervical conization is accomplished using all of the following EXCEPT

a.scalpelc.laserb.cauteryd.sclerosing solution

____ 24. Laparoscopic tubal ligation can be effected by all of the following methods EXCEPT

a.silastic bandc.spring clipb.bipolar coagulationd.chemical ablation

____ 25. The most commonly identified ovarian cyst is the

a.chocolatec.serous cystadenomab.follicled.dermoid

____ 26. A herniation of the cul-de-sac at the Pouch of Douglas is a(n)

a.cystocelec.hydroceleb.rectoceled.enterocele

____ 27. A vesicourethral abdominal suspension is known as a

a.LeFortc.Marshall-Marchettib.Wertheimd.Shirodkar

____ 28. A condition causing leakage of urine into the vagina is a(n)

a.ureterovaginal fistulac.vesicovaginal fistulab.cystoceled.rectovaginal fistula

____ 29. What special technique is employed during a hysterectomy?

a.discard instruments used on cervix and vaginac.redrape for closureb.use second set for closured.remove Foley before uterus is removed

____ 30. Papanicolaou indicates

a.removal of small pieces of cervix for examinationc.staining of the cervix for studyb.cytologic study of cervical smeard.direct visualization of pelvic organs

____ 31. A technique employed for cervical biopsy is

a.random punchesc.one central punch at osb.multiple punches at 3, 6, 9, and 12 oclockd.one inferior and one superior punch

____ 32. In a cesarean birth, the uterus is opened with a knife and extended with a(n)

a.Metzenbaumc.iris scissorb.Heaneyd.bandage scissor

____ 33. At which point in a cesarean is a bulb syringe used?

a.when the membranes are incisedc.when the entire infant is deliveredb.when the fetal head is deliveredd.after placntal delivery

____ 34. Oxytocics are given in a cesarean after the babys shoulders are delivered

a.to contract the uterusc.to prolong the contractionb.to relax the uterusd.to facilitate membrane rupture

____ 35. When closing a uterus in a cesarean, the edges of the uterine incision are clamped with which of the following?

a.Allisc.Penningtonb.Kocherd.Babcock

____ 36. Intraoperative chromotubation can be effected by all of the following surgical cannulaes EXCEPT

a.Humic.Huib.Rubind.Hulka

____ 37. What suture would be placed into the wall of large ovarian cyst before aspiration of its contents and final removal?

a.mattressc.purse-stringb.suture ligatured.figure-of-eight

____ 38. What is the preferred procedure for recurrent or persistent carcinoma of the cervix after radiation therapy has been completed?

a.Wertheimsc.abdominal perineal resecrtionb.pelvic exenterationd.low-anterior resection

____ 39. Which of the following instruments would be used to grasp the anterior cervix of the uterus just before dissection from the vaginal vault during a total abdominal hysterectomy?

a.Allisc.Phaneuffb.Heaneyd.Kelly

____ 40. Laparoscopic tubal occlusion may utilize all of the following methods of effecting sterilization EXCEPT

a.bipolar coagulationc.suritie ligating loopb.silastic bandsd.spring clip

____ 41. A holding instrument not found in a vaginal procedure is a

a.Jacobsc.Staudeb.Laheyd.Skene

____ 42. Conization of the cervix may be accomplished by all of the following EXCEPT

a.scalpelc.laserb.Thomas uterine curetted.electrosurgery

____ 43. An enterocele differs diagnostically from a rectocele by its contents and its position in the perineum. Its location is in the

a.Pouch of Douglasc.posterior vaginal wallb.anterior vaginal walld.pelvic floor

____ 44. Pelviscopy differs from laparoscopy in the

a.utilization if a larger trocar and scopec.utilization of a 30 angled scopeb.utilization of auxiliary ports for ancillary instrumentationd.A and C

____ 45. A Stamey endoscopic procedure is performed to

a.suspend the vesicle neckc.correct posterior wall prolapseb.correct anterior wall prolapsed.repair a bladder laceration

____ 46. What is the name given to a radical vaginal hysterectomy?

a.exenterationc.Wertheimsb.Schautad.LeFort

____ 47. What surgical procedure provides obliteration of the vagina by denuding and approximating the anterior and posterior walls of the vagina?

a.vaginoplastyc.colpoperinorrhaphyb.colpocleisesd.colporrhaphy

____ 48. The hysteroscope may be used to identify or remove all of the following EXCEPT

a.fallopian adhesionsc.intrauterine adhesionsb.lost IUDsd.submucosa fibroids

____ 49. Needle aspiration of the cul-de-sac is surgically termed

a.colpocleisisc.culdotomyb.culdocentesisd.colpotomy

____ 50. An alternative to abdominal hysterectomy utilizing an endoscope is surgically termed a(n)

a.laparoscopic-assisted vaginal hysterectomy (LAVH)c.pelviscopic-assisted vaginal hysterectomy (PAVH)b.LEECd.A and C

____ 51. What procedure cannot be performed through a pelviscope?

a.ovarian cystectomyc.oophorectomyb.hysterectomyd.adhesiolysis

____ 52. Endometrial ablation is performed to correct

a.amenorrheac.menorrhagiab.metrorrhagiad.endometriosis

____ 53. Endoscopic visualization of the uterine cavity is called

a.pelviscopyc.hysteroscopyb.laparoscopyd.colposcopy

____ 54. Marsupialization of a Bartholin cyst involves the

a.suturing of the posterior wall of the cyst to the skin edgesc.draining cyst contentsb.removal of anterior wall of cystd.A and B

____ 55. What is the self retaining retractor used in vaginal procedures?

a.OSullivan-OConnerc.Gravesb.Gelpid.Auvard

____ 56. Extrauterine disease of the female reproductive system may utilize any of the following lasers via a colposcope or laparoscope EXCEPT

a.CO2c.Candelab.Nd:YAGd.argon

____ 57. During surgery, towel clips

a.may be removed only by the circulatorc.may be removed and discarded as long as the area is covered with sterile linenb.may not be removed once fastenedd.may be removed and discarded from the field

____ 58. As grossly soiled instruments are returned to the scrub, they should be

a.placed in a basin of sterile saline to soak off debrisc.wiped off with a dry sponge b.wiped off with a sponge moistened with water or soaked in a basin of sterile distilled waterd.discarded so that the circulator can clean them thoroughly

____ 59. Which of the following actions by the scrubperson is NOT an acceptable sterile technique principle?

a.discarding tubing that falls below sterile field edges without touching the contaminated partc.facing sterile areas when passing themb.reaching behind sterile team members to retrieve instruments so they do not collect on the patientd.stepping away from the sterile field if contaminated

____ 60. When the scrubperson is draping a nonsterile table, he or she must

a.cover the back edge of the table firstc.be sure the drape touches the floorb.use a single-thickness draped.cuff the drape over his or her gloved hands

____ 61. When covering a mayo stand, the scrubperson should

a.use a wide cuffc.open the cover fully before placementb.use no cuffd.ask the circulator to pull on the cover

____ 62. If a sterile field becomes moistened during a case

a.nothing can be donec.the wet sections are removed and replaced with dry sectionsb.extra drapes are added to aread.the wet sections are covered with a plastic adherent drape

____ 63. The main purpose of the skin prep is to

a.remove resident and transient florac.remove all bacteria from the skinb.remove dirt, oil, and microbes, and to reduce the microbial countd.sterilize the patients skin

____ 64. Which is the antiseptic solution of choice for a skin prep?

a.Cipexc.povidone-iodineb.Staphened.Zephiran

____ 65. When are counts done in the OR?

a.at the beginning and end of casec.as case begins and when case is in progressb.before beginning of case, at beginning of wound closure, and at skin closured.before beginning of case and at end of case

____ 66. Soiled sponges are

a.never touched with bare handsc.removed from the room once the peritoneum is closedb.left in the kick bucket until count beginsd.counted and stacked on a towel or sheet on the OR floor

____ 67. Specimens may be passed off the sterile OR table by the scrubperson on all of the following items EXCEPT

a.spongec.basinb.toweld.paper

____ 68. In a gastrointestinal closure, the mucosa of the intestinal tract is closed with

a.chromic 4-0 or 3-0c.prolene 4-0 or 3-0b.silk 4-0 or 3-0d.vicryl 4-0 or 3-0

____ 69. Why are bumpers or bolsters used on retention sutures?

a.to prevent the suture from cutting into the skin surfacec.to identify the order of suture removalb.to facilitate easy removald.to prevent unequal tension on the wound edges

____ 70. Which type of suture would be used to invert the stump of an appendix?

a.buriedc.mattressb.purse-stringd.tension

____ 71. A Nissen Fundoplication procedure is done to correct

a.repeated attacks of volvulusc.bladder prolapseb.antireflux diseased.gastroesophageal stenosis

____ 72. A dissecting sponge that is a small roll of heavy cotton tape is a

a.Kitnerc.tonsilb.peanutd.tape

____ 73. Which of the following specimens is NOT placed in preservative solution?

a.stonesc.tonsilsb.curettingsd.uterus

____ 74. Which breast procedure removes the entire breast and axillary contents but preserves the pectoral muscles?

a.lumpectomyc.modified radical mastectomyb.wedge resectiond.radical mastectomy

____ 75. In which hernia does the herniation protrude into the inguinal canal but NOT the cord?

a.incisionalc.directb.femorald.indirect

____ 76. In a cholecystectomy, which structures are ligated and divided?

a.cystic duct and cystic arteryc.cystic duct and common bile ductb.common bile duct and hepatic ductd.hepatic duct and cystic artery

____ 77. All of the following statements refer to pilonidal cyst surgery EXCEPT

a.it is performed with an elliptical incisionc.probes are required on setupb.the wound frequently heals by granulationd.the cyst is removed, but the tract remains

____ 78. An important consideration during cholangiogram is to

a.irrigate with distilled waterc.flash sterilize the choledocoscopeb.remove all air bubbles from the cholanghiocathd.dip the catherter in lubricating jelly

____ 79. The intestinal layer in order, from inside to outside, is

a.serosa, mucosa, musculaturec.serosa, musculature, mucosab.mucosa, submucosa, serosad.mucosa, serosa, musculature

____ 80. Portal pressure measurement is indicated in

a.liver transplantc.hepatic resectionb.splenectomyd.Whipple operation

____ 81. A 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 (EEA)c.TA 55b.GIAd.LDS

____ 82. Scratch marking is done in surgery of the

a.chinc.breastb.eyed.thyroid

____ 83. Fogarty biliary catheters are used to

a.drain the gallbladderc.instill contrast mediab.drain the common bile ductd.facilitate stone removal

____ 84. In laparoscopy, tubal patency is checked by

a.irrigating with normal salinec.injecting methylene blue into the cervical canalb.injecting renografin into the tubed.irrigating tube with Lugols solution

____ 85. In a thyroidectomy, a loop retractor retracts the

a.platysma musclec.thyroid veinsb.cervical fasciad.sternocleidomastoid muscle

____ 86. Which structure(s) are identified and preserved in thryoid surgery?

a.parathyroid glandsc.thyroglossal ductb.hyoid boned.thyroid lobe

____ 87. Which incision would require cutting through Scarpas fascia?

a.subcostalc.Pfannenstielb.inguinald.McBurney

____ 88. Which item retracts the spermatic cord structure in herniorrhaphy?

a.army-navy retractorc.Green retractorb.penrose draind.silk suture

____ 89. After uterus removal in a hysterectomy

a.cervical and vaginal instruments are isolated from the instrument set in a discard basinc.new instruments are used on the cervical closureb.the cervix is cauterizedd.cervical instruments are returned to the basket

____ 90. An irreducible hernia whose abdominal contents have become trapped in the extra-abdominal sac is called a(n)

a.incarcerated herniac.spigelean herniab.sliding herniad.strangulated hernia

____ 91. A palliative invasive procedure done to prevent malnutrition or starvation is known as

a.percutaneous endoscopic gastrostomy (PEG) procedurec.gastrostomyb.gastrotomyd.gastrojejunostomy

____ 92. An inguinal hernia containing a Meckels diverticulum is called a

a.Richtersc.Maydlsb.Littresd.spigelian

____ 93. The three portions of the small intestine are the ____.

a.mesentery, duodenum, and appendixc.ilium, sigmoid, and jejunumb.cecum, mesentery, and ileumd.duodenum, ileum, and jejunum

____ 94. Which of the following are examples of oblique incisions? I. SubcostalII. PfannenstielIII. Full MidlineIV. McBurneys

a.I, III, IVc.II, III, IVb.I and IVd.II and III

____ 95. The desirable position for better visualization in the lower abdomen or pelvis is

a.Fowlersc.Trendelenburgb.reverse Trendelenburgd.Kraske

____ 96. How is a frozen section sent to the lab?

a.in formalinc.in waterb.in salined.dry

____ 97. The curved transverse incision used for pelvic surgery is

a.midabdominal transversec.Pfannenstielb.Poupartd.McVey

____ 98. The instrument most commonly used to grasp the mesoappendix during an appendectomy is a

a.Kellyc.Babcockb.Kocherd.Allis

____ 99. Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a

a.Metzenbaumc.tamponb.Kellyd.peanut

____ 100. After uterus removal in a hysterectomy

a.cervical and vaginal instruments are isolated from the instrument set in a discard basinc.new instruments are used on the cervical closureb.the cervix is cauterizedd.cervical instruments are returned to the basketWeek 2 CST ExamAnswer Section MULTIPLE CHOICE 1. ANS: B848 PTS: 1 2. ANS: A851 PTS: 1 3. ANS: A852 PTS: 1 4. ANS: D853 PTS: 1 5. ANS: D854 PTS: 1 6. ANS: C855 PTS: 1 7. ANS: A856 PTS: 1 8. ANS: D857 PTS: 1 9. ANS: D858 PTS: 1 10. ANS: A859 PTS: 1 11. ANS: C860 PTS: 1 12. ANS: C861 PTS: 1 13. ANS: A862 PTS: 1 14. ANS: D863 PTS: 1 15. ANS: C864 PTS: 1 16. ANS: A865 PTS: 1 17. ANS: B866 PTS: 1 18. ANS: C867 PTS: 1 19. ANS: A868 PTS: 1 20. ANS: B869 PTS: 1 21. ANS: A870 PTS: 1 22. ANS: B871 PTS: 1 23. ANS: D872 PTS: 1 24. ANS: D873 PTS: 1 25. ANS: B874 PTS: 1 26. ANS: D875 PTS: 1 27. ANS: C876 PTS: 1 28. ANS: C877 PTS: 1 29. ANS: A878 PTS: 1 30. ANS: B879 PTS: 1 31. ANS: B880 PTS: 1 32. ANS: D881 PTS: 1 33. ANS: B882 PTS: 1 34. ANS: A883 PTS: 1 35. ANS: C884 PTS: 1 36. ANS: A885 PTS: 1 37. ANS: C886 PTS: 1 38. ANS: B887 PTS: 1 39. ANS: A888 PTS: 1 40. ANS: C889 PTS: 1 41. ANS: B890 PTS: 1 42. ANS: B891 PTS: 1 43. ANS: A892 PTS: 1 44. ANS: D893 PTS: 1 45. ANS: A894 PTS: 1 46. ANS: B895 PTS: 1 47. ANS: B896 PTS: 1 48. ANS: A897 PTS: 1 49. ANS: B898 PTS: 1 50. ANS: D899 PTS: 1 51. ANS: B900 PTS: 1 52. ANS: C901 PTS: 1 53. ANS: C902 PTS: 1 54. ANS: D903 PTS: 1 55. ANS: C904 PTS: 1 56. ANS: C905 PTS: 1 57. ANS: C837 PTS: 1 58. ANS: B838 PTS: 1 59. ANS: B839 PTS: 1 60. ANS: D840 PTS: 1 61. ANS: A841 PTS: 1 62. ANS: B842 PTS: 1 63. ANS: B843 PTS: 1 64. ANS: C844 PTS: 1 65. ANS: B845 PTS: 1 66. ANS: A846 PTS: 1 67. ANS: A847 PTS: 1 68. ANS: A PTS: 1 69. ANS: A PTS: 1 70. ANS: B PTS: 1 71. ANS: B PTS: 1 72. ANS: A PTS: 1 73. ANS: A PTS: 1 74. ANS: C PTS: 1 75. ANS: C PTS: 1 76. ANS: A PTS: 1 77. ANS: D PTS: 1 78. ANS: B PTS: 1 79. ANS: B PTS: 1 80. ANS: C PTS: 1 81. ANS: A PTS: 1 82. ANS: D PTS: 1 83. ANS: D PTS: 1 84. ANS: C PTS: 1 85. ANS: D PTS: 1 86. ANS: A PTS: 1 87. ANS: B PTS: 1 88. ANS: B PTS: 1 89. ANS: A PTS: 1 90. ANS: A PTS: 1 91. ANS: C PTS: 1 92. ANS: B PTS: 1 93. ANS: D PTS: 1 94. ANS: BPages 411- 412 PTS: 1 95. ANS: C PTS: 1 96. ANS: D PTS: 1 97. ANS: C PTS: 1 98. ANS: C PTS: 1 99. ANS: D PTS: 1 100. ANS: A PTS: 1