Certified Surgical Technologist Certified Surgical Technologist MCQ 4 — Questions and Answers
Question 1: Which type of wound healing occurs when wound edges are approximated and closed primarily with sutures?
- Healing by secondary intention
- Healing by tertiary intention
- Healing by primary intention (Correct answer)
- Granulation healing
Correct answer: Healing by primary intention
Primary intention healing occurs when clean wound edges are surgically approximated, minimizing scar formation and healing time.
Question 2: During an open appendectomy, which incision is most commonly used?
- Midline laparotomy
- Pfannenstiel incision
- McBurney's incision (Correct answer)
- Kocher incision
Correct answer: McBurney's incision
McBurney's incision (oblique muscle-splitting) is made at McBurney's point in the right lower quadrant for direct access to the appendix.
Question 3: A scrub technologist notices a package with a compromised seal on the sterile field. The correct action is to:
- Use the item quickly before contamination spreads
- Cover it with a sterile drape and proceed
- Remove it from the sterile field and obtain a new sterile item (Correct answer)
- Inspect the item visually and use it if it appears clean
Correct answer: Remove it from the sterile field and obtain a new sterile item
Any item with a compromised package seal must be considered non-sterile and immediately removed from the sterile field.
Question 4: Which anatomical structure must be identified and protected during a radical mastectomy to preserve arm function?
- Brachial artery
- Long thoracic nerve (Correct answer)
- Ulnar nerve
- Radial nerve
Correct answer: Long thoracic nerve
The long thoracic nerve innervates the serratus anterior muscle; injury causes 'winged scapula' and loss of arm elevation.
Question 5: Ethylene oxide (EO) gas sterilization is best suited for which type of surgical item?
- Metal instruments that tolerate heat
- Delicate heat-sensitive instruments and endoscopes (Correct answer)
- Linen drapes and gowns
- Saline irrigation solution
Correct answer: Delicate heat-sensitive instruments and endoscopes
EO gas sterilizes at low temperatures, making it ideal for heat-sensitive items such as flexible endoscopes and delicate powered instruments.
Question 6: During a cesarean section (C-section), which layer is opened last immediately before entering the uterus?
- Skin
- Rectus fascia
- Vesicouterine peritoneum (bladder flap) (Correct answer)
- Rectus muscle
Correct answer: Vesicouterine peritoneum (bladder flap)
The vesicouterine peritoneum is incised and the bladder reflected inferiorly just before the uterine incision to protect the bladder.
Question 7: Which OSHA standard specifically governs occupational exposure to bloodborne pathogens in the surgical setting?
- 29 CFR 1910.132 (Personal Protective Equipment)
- 29 CFR 1910.1030 (Bloodborne Pathogens Standard) (Correct answer)
- 29 CFR 1910.1200 (Hazard Communication)
- 29 CFR 1910.147 (Lockout/Tagout)
Correct answer: 29 CFR 1910.1030 (Bloodborne Pathogens Standard)
OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) requires engineering controls, PPE, and exposure plans to protect workers from blood and body fluids.
Certified Surgical Technologist Certified Surgical Technologist MCQ 4
Which type of wound healing occurs when wound edges are approximated and closed primarily with sutures?