Certified Surgical Technologist Certified Surgical Technologist MCQ 4

Question 1

Which type of wound healing occurs when wound edges are approximated and closed primarily with sutures?

Accepted Answer

Healing by primary intention

Answer

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?

Accepted Answer

McBurney's incision

Answer

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:

Accepted Answer

Remove it from the sterile field and obtain a new sterile item

Answer

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?

Accepted Answer

Long thoracic nerve

Answer

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?

Accepted Answer

Delicate heat-sensitive instruments and endoscopes

Answer

EO gas sterilizes at low temperatures, making it ideal for heat-sensitive items such as flexible endoscopes and delicate powered instruments.

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