Principles of Surgical Technology
Textbook Exam Questions
Course Introduction
Principles of Surgical Technology introduces students to the foundational concepts and practices essential for a career in the surgical environment. The course covers the roles and responsibilities of surgical technologists, sterile techniques, infection control, instrumentation, and preparation of the operating room. Emphasis is placed on patient safety, communication within the surgical team, and adherence to legal, ethical, and professional standards. Students will develop the knowledge and skills required to assist in surgical procedures, manage surgical equipment, and support the operative team in various healthcare settings.
Recommended Textbook
Pharmacology for the Surgical Technologist 4th Edition by Katherine Snyder
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16 Chapters
738 Verified Questions
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Page 2
Chapter 1: Basic Pharmacology
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Sample Questions
Q1) The abbreviation PO represents which one of the following?
A)Intramuscularly
B)Orally
C)Subcutaneously
D)Intravenously
Answer: B
Q2) Which one of the following types of drug binds to receptor site proteins and then inhibits a response?
A)Agonist
B)Synergist
C)Antagonist
D)Electrolyte
Answer: C
Q3) An order for a drug to be given as needed is called a _______________ order.
A)standing
B)oral
C)stat
D)PRN
Answer: D
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Page 3
Chapter 2: Medication Development,regulation,and Resources
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Sample Questions
Q1) Which drug law established classifications,known as schedules,of medications that had potential for abuse?
A)Controlled Substances Act
B)Pure Food and Drug Act
C)Federal Food, Drug, and Cosmetic Act
D)Drug Enforcement Administration
Answer: A
Q2) Nonprescription medications are also known as which one of the following?
A)Addictive medications
B)Over-the-counter medications
C)Controlled substances
D)Schedule C-II medications
Answer: B
Q3) Which categories of medications under the FDA's pregnancy categories are considered to be within safe limits for use during pregnancy?
Answer: A,B
The FDA's Pregnancy Categories list A and B as either "no risk" (category A)or "little to no risk" (category B),respectively.
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Chapter 3: Pharmacology Mathematics
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Sample Questions
Q1) The surgeon's preference card asks for a 1:1:3 solution of polymyxin B sulfate,bacitracin,and saline mixture on the sterile field.What percentage of the solution does each ingredient represent?
A)80%, 10%, 10%
B)20%, 20%, 60%
C)10%, 40%, 50%
D)20%, 30%, 50%
Answer: B
Q2) Your surgery supervisor asks you to report to work by seven thirty in the morning.How would this be written in military time?
A)730
B)0730
C)7:30
D)7300
Answer: B
Q3) Cubic centimeter _____
Answer: cc
The accepted abbreviation for cubic centimeter is cc.
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5
Chapter 4: Medication Administration
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Sample Questions
Q1) Before medications are delivered into the sterile field,they must be identified by
A)scrub person and circulator.
B)two scrub personnel.
C)physician and circulator.
D)nurse anesthetist and circulator.
Q2) Which of the following steps does not apply once a medication error has occurred?
A)Notify the surgeon immediately.
B)Notify the unit supervisor.
C)Follow institutional policy.
D)An incident report is not required.
Q3) A recapped bottle of sterile saline is considered A)sterile.
B)unsterile.
C)expired.
D)none of these.
Q4) A 30-gauge hypodermic needle is larger in diameter than an 18-gauge needle.
A)True
B)False
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Chapter 5: Antibiotics
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Sample Questions
Q1) Erythromycin belongs to which group of antibiotics?
A)Cephalosporins
B)Macrolides
C)Aminoglycosides
D)Penicillins
Q2) To cause an infection,a pathogen must have which of the following?
A)A source
B)A bacteria
C)An unclean environment
D)An S. aureus
Q3) Which agent is bactericidal?
A)Macrolides
B)Penicillins
C)Tetracyclines
D)Fluoroquinolones
Q4) Which category of antibiotics is known to be ototoxic and nephrotoxic?
A)Cephalosporins
B)Macrolides
C)Aminoglycosides
D)Penicillins
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Chapter 6: Diagnostic Agents
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Sample Questions
Q1) During an operative cholangiogram,the surgeon incorrectly asks for a dye to determine the presence of biliary stones.What should the surgical technologist do?
A)Ask the circulating nurse to bring a selection of dyes.
B)Ask the surgeon to clarify what is being requested.
C)Break scrub and look at the patient's medical record.
D)The surgical technologist should do nothing.
Q2) All of the following are blue-colored dyes except A)methylene blue.
B)indigo carmine.
C)Lymphazurin.
D)Lugol solution.
Q3) Staining agents are used surgically to
A)identify abnormal cells.
B)mark normal tissue planes.
C)enhance visualization of body cavities.
D)visualize stones or blockages in body structures.
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8
Chapter 7: Diuretics
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Sample Questions
Q1) Minerals made up of electrically charged particles held together by ionic bonds in the body are called
A)urine.
B)electrolytes.
C)water.
D)hormones.
Q2) The trade,or brand name,for furosemide is A)Mannitol.
B)Osmitrol.
C)Diamox.
D)Lasix.
Q3) Which term indicates an abnormally high concentration of potassium in the blood?
A)Hypernatremia
B)Creatinine
C)Homeostasis
D)Hyperkalemia
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Chapter 8: Hormones
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Sample Questions
Q1) Which one of the following is not a steroidal hormone?
A)Cortisol
B)Estrogen
C)Testosterone
D)Epinephrine
Q2) A condition in which the skeletal system loses mineralized bone volume is
A)osteomalacia.
B)osteoporosis.
C)Addison disease.
D)Grave disease.
Q3) Natural thyroid hormones that are extracted from pig thyroid glands are made available under what trade name?
A)Thyroid USP
B)Cytomel
C)Levothroid
D)Thyrolar
Q4) Which one of the following endocrine disorders may be treated surgically?
A)Hyposecretion
B)Hypersecretion
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Chapter 9: Medications That Affect Coagulation
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Sample Questions
Q1) Which of the following is not a form of absorbable gelatin?
A)Gelfilm
B)Gelfoam powder
C)Gelfoam sponge
D)Thrombogen
Q2) Which hemostatic agent can be used in the presence of a gram-positive microorganism?
A)Surgicel
B)Gelfoam
C)Avitene
D)Bone wax
Q3) Which form of anticoagulant is used for long-term management of deep vein thrombosis (DVT)?
A)Parenteral
B)Oral
C)Thrombolytics
D)Factor XIII
Q4) Hemostatic agents are effective against major arterial or venous bleeding.
A)True
B)False
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Chapter 10: Ophthalmic Agents
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Sample Questions
Q1) If the tip of a sterile medication applicator should touch the surgical patient's tissue,what should happen next?
A)Keep the medication on the sterile field
B)Should be sent back to the pharmacy
C)Should be refrigerated
D)Should be discarded after use
Q2) Long-term treatment of glaucoma may include any one of the following groups of drugs except
A)miotic agents.
B)carbonic anhydrase inhibitors.
C)mydriatic agents.
D)Beta-adrenergic blockers
Q3) An anti-inflammatory ophthalmic ointment that is made of tobramycin and dexamethasone is marketed under what trade name?
A)TobraDex
B)Tobrex
C)Timolol
D)Activase
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Chapter 11: Fluids and Irrigation Solutions
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Sample Questions
Q1) What blood product is given when clotting factors are required?
A)Whole blood
B)Packed cells
C)Plasma
D)Erythrocytes
Q2) The four major blood types are _________.
Q3) Which of the following is a low hemoglobin level for an adult female?
A)10 g/100 mL of blood
B)13 g/100 mL of blood
C)14 g/100 mL of blood
D)18 g/100 mL of blood
Q4) An example of a blood alternative is ____________.
Q5) Proteins responsible for transporting oxygen to cells are which one of the following?
A)Leukocytes
B)Platelets
C)Antigens
D)Hemoglobin
Q6) The process of collecting,processing,and reinfusing the patient's own blood is called
13
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Chapter 12: Antineoplastic Chemotherapy Agents
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Sample Questions
Q1) The use of genes to treat or prevent disease is called A)targeted therapy.
B)gene therapy.
C)nanotechnology.
D)epidemiology.
Q2) The anticancer agents that include androgens are A)antineoplastic antibiotics.
B)mitotic inhibitors.
C)hormones.
D)biologic response modifiers.
Q3) What does the term Precision Medicine mean?
A)Medicine that prevents cell growth signaling
B)Medicine that is molecularly targeted
C)Medicine that focuses on cellular changes specific to cancer cells
D)Medicine that uses information about the patient's genetic makeup
Q4) Antineoplastic agents are contraindicated in all of the following except A)metastatic disease.
B)pregnancy.
C)patients with renal disorders.
D)patients with hepatic disorders.
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Chapter 13: Preoperative Medications
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Sample Questions
Q1) Which physical status classification would be assigned to a surgical patient with cancer of the uterus who is undergoing a hysterectomy?
A)P1
B)P2
C)P3
D)P4
Q2) Medications used to reduce nausea and the possibility of vomiting are called
A)antacids.
B)antiemetics.
C)anticholinergics.
D)antimuscarinics.
Q3) Which one of the following drugs provides relief of pain without loss of consciousness?
A)Analgesic
B)Narcotic
C)Sedative
D)Anticholinergic
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Chapter 14: Patient Monitoring and Local and Regional Anesthesia
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Sample Questions
Q1) Which is not a correct concentration for epinephrine?
A)1:1000
B)1:50,000
C)1:100,000
D)1:200,000
Q2) Which one of the following statements is not true of cocaine used in surgery?
A)Available in 4% and 10% solutions.
B)4% solution may be administered intravenously.
C)May be sprayed on the mucous membrane.
D)May be placed topically on nasal packing.
Q3) For which type of regional block is the anesthetic agent injected into the space that surrounds the dura mater?
A)Spinal
B)Epidural
C)Caudal
D)Bier block
Q4) Cocaine is a controlled substance and when used in the surgical unit must never be left unattended.
A)True
B)False
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Chapter 15: General Anesthesia
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Sample Questions
Q1) Flumazenil (Mazicon)
A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative
Q2) Which one of the following statements is not true of laryngeal masked airway (LMA)?
A)Administering muscle relaxants is required.
B)It is a reusable airway.
C)It is contraindicated for patients with history of gastroesophageal reflux disease (GERD).
D)It may be used for certain ambulatory procedures.
Q3) Inhalation agents enter the bloodstream from the inhaled air through the alveoli in the lungs.
A)True
B)False
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Page 17
Chapter 16: Emergency Situations
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Sample Questions
Q1) Bolus
A)Abnormally rapid heart rate
B)Bluish discoloration of the skin
C)Cardiac standstill or arrest
D)Concentrated amount of IV medication administered rapidly
E)Febrile condition
F)Increased metabolism
G)Involuntary contraction of the smooth muscle of the bronchi
H)Measurement of expired carbon dioxide
I)Presence of free hemoglobin in the urine
J)Profuse perspiration
K)Reduction of oxygen saturation in the blood
L)Slow heart beat
M)Unusual or exaggerated allergic reaction
N)Very rapid respirations
Q2) Which drug is useful in treating bronchospasm?
A)Dantrolene
B)Lidocaine
C)Albuterol
D)Atropine
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Page 18