NBSTSA General Surgery 5

Question 1

What is the correct method for passing a sharp instrument to the surgeon on the sterile field?

Accepted Answer

Use the neutral zone (hands-free technique)

Answer

The neutral or hands-free zone technique places the sharp instrument in a designated area so the surgeon retrieves it without simultaneous hand contact, reducing sharps injuries.

Question 2

During a splenectomy, inadvertent injury to which adjacent organ is a common intraoperative complication?

Accepted Answer

Pancreatic tail

Answer

The tail of the pancreas lies in close proximity to the splenic hilum, making it vulnerable to injury during ligation of splenic vessels.

Question 3

Which suture technique is preferred for closing a bowel enterotomy to minimize luminal narrowing?

Accepted Answer

Transverse closure with interrupted or running suture

Answer

Closing an enterotomy transversely (perpendicular to the bowel axis) prevents luminal stenosis compared to longitudinal closure.

Question 4

What is the scrub technologist's role when the surgeon requests a 'loaded' needle holder?

Accepted Answer

Present the needle holder with the needle properly loaded and suture trailing

Answer

A loaded needle holder has the needle secured at the correct position (2/3 from tip, perpendicular to the jaws) with suture trailing, ready for immediate use.

Question 5

Which energy device uses ultrasonic vibration to simultaneously cut and coagulate tissue?

Accepted Answer

Harmonic scalpel (ultrasonic shears)

Answer

The harmonic scalpel converts electrical energy to mechanical ultrasonic vibration, denaturing tissue proteins to cut and seal vessels simultaneously with minimal thermal spread.

NBSTSA - National Board of Surgical Technology and Surgical Assisting Practice Test

NBSTSA - National Board of Surgical Technology and Surgical Assisting Practice Test

NBSTSA General Surgery 5