CST Surgical Procedures & Techniques 3

Question 1

During a carotid endarterectomy, the surgical technologist should have which shunt available to maintain cerebral perfusion while the carotid artery is clamped?

Accepted Answer

Pruitt-Inahara shunt

Answer

The Pruitt-Inahara shunt has balloon tips that secure within both the common and internal carotid arteries, providing continuous blood flow during endarterectomy.

Question 2

In a Whipple procedure (pancreaticoduodenectomy), which anastomosis is performed last?

Accepted Answer

Gastrojejunostomy

Answer

The gastrojejunostomy (reconnection of the stomach to the jejunum) is the final anastomosis performed in the Whipple procedure reconstruction phase.

Question 3

When setting up for a radical mastectomy, the scrub technologist should prepare for sentinel lymph node biopsy by having which substance available for injection?

Accepted Answer

Isosulfan blue dye

Answer

Isosulfan blue (Lymphazurin) is injected peritumorally to visually identify the sentinel lymph node by staining lymphatic channels blue.

Question 4

During spinal fusion surgery, which positioning device is most commonly used to reduce intra-abdominal pressure and minimize surgical bleeding?

Accepted Answer

Wilson frame

Answer

The Wilson frame allows the abdomen to hang freely, reducing intra-abdominal pressure that would otherwise impede venous return and increase epidural bleeding.

Question 5

A surgeon requests 'Weitlaner' during a deep tissue dissection. What type of instrument should the scrub tech pass?

Accepted Answer

Self-retaining retractor

Answer

The Weitlaner is a self-retaining retractor with sharp or blunt prongs that lock open to hold tissue apart without an assistant holding it.

(CST) Certified Surgery Technician Practice Test

(CST) Certified Surgery Technician Practice Test

CST Surgical Procedures & Techniques 3