Certified Surgical Technologist Certified Surgical Technologist MCQ 2

Question 1

Which layer of the abdominal wall is the deepest fascial layer encountered before reaching the peritoneum?

Accepted Answer

Transversalis fascia

Answer

Transversalis fascia lies just deep to the transversus abdominis muscle and directly superficial to the peritoneum.

Question 2

During a laparotomy, the surgeon requests a Bookwalter retractor. This device is classified as a:

Accepted Answer

Self-retaining retractor

Answer

The Bookwalter is a ring-based self-retaining retractor system that holds itself open without manual assistance.

Question 3

What is the correct action when a scrubbed surgical technologist accidentally contaminates a glove during a procedure?

Accepted Answer

Step back and have the circulator pull off the contaminated glove

Answer

The contaminated glove must be changed immediately; the circulator removes the outer glove without contaminating the sterile inner glove or field.

Question 4

A patient is placed in the Trendelenburg position. Which primary physiological concern should the surgical team monitor?

Accepted Answer

Increased intracranial pressure

Answer

Trendelenburg position increases intracranial pressure due to venous pooling in the head, which can be hazardous in patients with head injuries.

Question 5

Which suture is most appropriate for closing contaminated wounds or bowel anastomoses due to its resistance to infection?

Accepted Answer

Polyglycolic acid (Dexon)

Answer

Polyglycolic acid (Dexon) is a synthetic absorbable suture that resists infection better than natural sutures like silk or chromic gut.

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