Certified Surgical Technologist Study Guide 2026

A resectoscope is a specialized endoscopic instrument primarily used in urology for transurethral resection procedures. Its most common application is in a Transurethral Resection of the Prostate (TURP). During this procedure, the resectoscope is used to remove prostatic tissue that is obstructing the urethra, improving urine flow.

Papaverine is a direct-acting smooth muscle relaxant and vasodilator. In vascular surgery, it is applied topically to harvested vessels, like the internal mammary artery or saphenous vein, to prevent or reverse spasms of the vessel wall, which ensures adequate blood flow through the graft.

Low lighting in the Post-Anesthesia Care Unit (PACU) helps create a calm and soothing environment for patients emerging from anesthesia. It reduces sensory overload, minimizes discomfort from bright glare, and can help prevent agitation or disorientation. This contributes significantly to the patient's psychological comfort and promotes a smoother recovery process.

Cell saver transfusions involve collecting, processing, and reinfusing a patient's own blood lost during surgery. However, this technique is generally contraindicated in cancer procedures. The primary concern is the risk that malignant cells from the surgical site could be collected and reinfused into the patient, potentially leading to the spread of cancer (metastasis).

During a Transurethral Resection of the Prostate (TURP), bleeding is primarily controlled through cauterization. The resectoscope used in the procedure employs an electrosurgical loop that simultaneously cuts away prostatic tissue and coagulates blood vessels. This dual action effectively minimizes blood loss during the resection.

Airway patency and hemodynamic stability are the immediate life-safety priorities during PACU handoff — all other information is secondary.