CST Surgical Procedures & Techniques 2

Question 1

During a laparoscopic cholecystectomy, the surgical technologist should anticipate the need for which instrument to dissect the hepatocystic triangle?

Accepted Answer

Maryland dissector

Answer

The Maryland dissector is the standard instrument for blunt and sharp dissection of the hepatocystic triangle to expose the cystic duct and artery.

Question 2

When setting up for an open appendectomy, which incision is most commonly used?

Accepted Answer

McBurney incision

Answer

The McBurney incision is a muscle-splitting incision made at McBurney's point (1/3 the distance from ASIS to umbilicus) providing direct access to the appendix.

Question 3

During a total hip arthroplasty, the scrub technologist should have which type of saw ready for femoral neck osteotomy?

Accepted Answer

Oscillating saw

Answer

An oscillating saw is used for femoral neck osteotomy because its back-and-forth blade motion minimizes soft tissue damage during bone cutting.

Question 4

A patient is undergoing a CABG procedure. After harvesting the saphenous vein, the scrub tech should ensure the graft is stored in which solution?

Accepted Answer

Heparinized normal saline

Answer

Heparinized normal saline prevents clotting and maintains vessel viability during the period between harvest and anastomosis.

Question 5

During a thyroidectomy, identification and preservation of which structure is the primary concern to prevent postoperative voice hoarseness?

Accepted Answer

Recurrent laryngeal nerve

Answer

The recurrent laryngeal nerve innervates the intrinsic muscles of the larynx and its injury causes hoarseness or loss of voice.

(CST) Certified Surgery Technician Practice Test

(CST) Certified Surgery Technician Practice Test

CST Surgical Procedures & Techniques 2