CST Specialty Surgical Procedures 3

Question 1

In neurosurgery, what is the purpose of a Mayfield skull clamp?

Accepted Answer

To rigidly fix the head in position

Answer

The Mayfield three-pin skull clamp rigidly immobilizes the head to prevent any movement during intracranial procedures.

Question 2

Which retractor system is most commonly used to expose the lumbar spine during a posterior spinal fusion?

Accepted Answer

Weitlaner self-retaining retractor

Answer

The Weitlaner self-retaining retractor provides sustained lateral retraction of the paraspinal muscles during posterior lumbar spine approaches.

Question 3

During ophthalmic surgery for cataract removal using phacoemulsification, what does the handpiece do?

Accepted Answer

Uses ultrasonic energy to emulsify and aspirate the lens

Answer

The phacoemulsification handpiece uses ultrasonic vibration to fragment the lens nucleus, which is then aspirated through the same tip.

Question 4

What is the primary role of the surgical technologist during the intraoperative phase of a liver resection (hepatectomy)?

Accepted Answer

Anticipate and pass instruments, maintain sterile field integrity

Answer

The scrub surgical technologist anticipates the surgeon's needs, passes instruments efficiently, and maintains strict sterile field integrity throughout the procedure.

Question 5

During a Whipple procedure (pancreaticoduodenectomy), which structure is anastomosed to the jejunum to restore biliary drainage?

Accepted Answer

Common bile duct (choledochojejunostomy)

Answer

A choledochojejunostomy reconnects the common bile duct to a loop of jejunum to restore bile flow after removal of the head of the pancreas.

(CST) Certified Surgical Technician Practice Test

(CST) Certified Surgical Technician Practice Test

CST Specialty Surgical Procedures 3