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AST Exam B with complete solutions 2024_2025.
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AST Exam B with complete solutions 2024_2025.
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AST Exam B with complete solutions2024/2025
Which of the following is considered the MOST important skill for a surgical
technologist?
A.management of specimens
B.management of sponges
C.maintaining an orderly setup
D.ensuring adequate lighting
A. Correctly managing specimens removed from patients during surgery is the
most important skill surgical technologists.
The surgical incision that allows for the BEST visualization for a Billroth I
procedure is
A. McBurney's.
B. Pfannenstiel.
C. midline.
D. subcostal.
C. The midline incision runs along the linea alba and is used in most abdominal
procedures, as it provides visualization to most of the abdominal contents.
During the postoperative phase, the personnel primarily responsible for
transporting soiled instrumentation to decontamination is the
A. housekeeping staff.
B. anesthesia technician.
C. surgical technologist.
D. central processing technician.
,C. The surgical technologist is responsible for transporting instrumentation to
the decontamination room. The central processing tech will then retrieve the
instrumentation and continue the cleaning process.
CSF is formed in the lateral ventricles of a patient and may not properly flow into
the third ventricle through the foramen of
A. Magendie into the fourth ventricle.
B. Monro into the fourth ventricle.
C. Sylvius into the fourth ventricle.
D. Luschka into the fourth ventricle.
C. The foramen of Sylvius drains CSF from the third to the fourth and is also
referred to as the cerebral aqueduct.
During an excisional biopsy of sentinel nodes, the surgical technologist should
prepare specimens using which of the following methods?
A. Place on a Raytec to be handed off to the circulator.
B. Separate on Telfa and pass to the circulator.
C. Place in separate containers and identify.
D. Place in specimen container held by the circulator using a hemostat.
C. The surgical technologist must place each node in a separate sterile container
and ensure that they are identified appropriately.
We have an expert-written solution to this problem!
A thyroidectomy that was done earlier in the day is being brought back for
excessive bleeding from the incision. Which of the following items are needed for
this case?
A. Monocryl suture and harmonic scalpel
B. laps, silk ties, and hemoclips
C. Vicryl ties, pledgets, and Alexis
D. nylon suture, Raytec, and Geralds
B. Laps, silk ties, and hemoclips are all used for acute hemostasis.
A surgical technologist received the following medications onto the sterile field:
0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine.
Which of the following is the MOST appropriate way to label these medications?
A. saline + bacitracin and .25 Marcaine + epinephrine
B. NACL + 1 gm baci and 0.25 marc w/epi
C. saline + baci and 0.
25% marc with epi
D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine
, D. Labels should have at least: name of medication, strength of medication and
concentration of drug. Also, abbreviations must not be used according to the
Joint Commission ruling on "do not use" abbreviations.
If there is any question related to handling a specific type of specimen, which of
the following departments should be consulted?
A. histology
B. laboratory
C. pathology
D. radiology
C. The pathology department receives all tissue samples and other specimens
from surgery.
The required number of air exchanges per hour in an OR is
A. 5 to 10.
B. 15 to 25.
C. 30 to 35.
D. 40 to 50.
B. About 15 to 25 air exchanges are needed to minimize bacterial growth.
A special-made instrument without a backup falls to the floor during a procedure.
Which of the following is the BEST reason to hesitate performing immediate-use
sterilization?
A. The sterilizer is used for implantable devices, but not instruments.
B. The manufacturer's standards for sterilizing the instrument are unknown.
C. The staff feels uncomfortable transporting the unwrapped instrument to the
OR after sterilization.
D. There are no wrappers or pouches available for sterilizing the instrument.
B. The manufacture standards for sterilization are not the same for every
instrument. Therefore, knowing the guidelines is required for immediate-use
sterilization.
When transferring a thoracotomy patient to recovery, the chest drainage system
should be
A. disconnected.
B. placed at the patient's side.
C. positioned above the patient's head.
D. maintained below the patient's chest level.
D. Keeping the drainage system below the patient's chest level prevents re-entry
of air and fluid into the chest cavity.
Which of the following procedures requires an incision in the suprasternal notch?
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