How to pass National Certification Examination for the Surgical Technology?

How to pass National Certification Examination for the Surgical Technology?

How to pass National Certification Examination for the Surgical Technology?

HAND BOOKS FOR SURGICAL TECHNOLOGY CERTIFICATION EXAMINATION based on NEW SYLLABUS of NBSTSA prescribed on January of 2019. Now available in many Allied Health College Library. 

Please review and provide honest feedback to improve the quality of this Handbook.

I thank you for providing me the aspiration to write these two Handbooks. 

You have asked me "how can I pass this CST examination in my next attempt"  and others shared the need for a new Handbook which covers total syllabus and also cost effective.

I am able to keep the price very low with the help from Amazon direct publishing and KDP SELECT.

Use this tools to pass the CST examination on your first attempt and become a CST to practice with pride, Compassion, Acceptance, Respect, and Empathy. 

I have given my twenty five years experience in Surgical Technology to carefully and diligently write these two Handbooks. 

 A DAY IN THE OPERATING ROOM WITH SAM

COMPASSION

ACCEPTANCE

RESPECT

EMPATHY

I would like to teach the courses of the Surgical Technology and Surgical First Assisting to students who are pursuing the program. You can access tutorial through online. All you need access of a p.c.

Contact me by using this blog or using social media e.g. Facebook. 

Medical community need Nationally Certified Surgical Technologists and First Assistants. The way the Health Care is moving the Same Day Surgery Centers are being used for a large volume of surgeries. The need for Surgical Technologist is growing very fast. 

The dynamic and complex nature of technology is rapidly changing with the innovations through research and development to optimize the benefit for a patient.

We as Technologists has the duty to keep up with the changes taking place in the operating room, with the new procedures, and instruments.

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ TWENTY NINE:

1-A, 2-C, 3-A, 4-D, 5-C, 6-A, 7-B, 8-D, 9-A, 10-A

Minimally invasive surgery (MIS) spinal fusion 

Posterior Lumbar Fusion (PLF)

Transforaminal Lumbar Interbody Fusion (TLIF)

Overview and Indications

Today modern state of the art technology provides minimally invasive surgery (MIS) spinal fusion procedure to perform only through tiny nick hole incisions and reduce recovery time. This technique is being used to perform posterior lumbar fusion (PLF) and transforaminal interbody fusion (TLF). Less tissue trauma, less pain, and less time is needed.

Posterior Lumbar Fusion (PLF) is the technique used to create fusion of two or more lumbar spines. Bone graft is grafted by the spines to fuse. Minimally invasive PLF is performed with metal screws and rods to provide instant stabilization while the graft fuses fast to yield high fusion rate.

MIS TLIF with PLF also may incorporate interbody fusion where the intervertebral disc is replaced with bone spacer of metal or plastic. Technique requires no retraction of the spinal nerves. MIS TLIF is done with facetectomy and laminectomy.

As a second phase procedure for the multiple level ALIF, this MIS PLF is highly preferred to avoid laminectomy.  

These procedures are indicated for spondylolisthesis, degenerative disc disease, and many other spinal problems.

Surgical Technique

Patients are positioned in prone on wilson frame or special OR table with adequate padding to avoid pressure injury. IV antibiotic is administered. For general anesthesia endotracheal tube is inserted for ventilation during surgery. Surgery site low back is prepped and draped with lumbar laminectomy drape. Using aseptic technique surgery team is gowned and gloved.

Surgeon made less than one-inch holes on both side of the required spinal levels. Cannula with sleeves is introduced through these holes. Pedicle screws and rods are implanted to fuse facet using C-arm.

When TLIF is done, laminectomy and facetectomy are performed followed by discectomy using kerrison rongeur, and pituitary rongeur. Microscope and C-arm is used for this procedure. Proper size spacer is implanted using a distractor instrument.

Irrigated wound with antibiotic water. Layers are sutured with two 2-0 vicryl pop offs. Skin is approximated with surgical glue and one sponge is used as dressing.    

QUIZ THIRTY:

Intra-Operative Procedures

SPECIAL TECHNIQUE 1 Reconstruction of cleft palate is common for pediatric patient, which of  the following surgery is performed  A otoplasty B blepharoplasty C cheiloplasty D chelotomy 2 What are the changes in body system that commonly occur in the older adult  A urinary system become nocturnal, kidney decrease size for the aging process,  reproductive organs atrophy with age B heart valve become  thicker as aging process, absorption rate of nutrients  decrease C aging process of the skin increases resistance to infection D hair and skin becomes drier, bones become  porous, joints become  too stiff E A, B, and D only 3 Which of the following is not true regarding the geriatric care A blood flow increases in elderly patient, they need to be positioned quickly,   geriatric patients are treated as part of the common population B they require anti-embolism stockings, extra pillows are needed for  positioning due to arthritis or degenerative problems C geriatric patients  are required special care in the operating room D blood and fluid loss should be carefully monitored 4 Inter-vertebral disc is composed of gel like substance A synovium B nucleus pulposus C disc D all of the above 5 Relieve of pressure from the nerve root in the vertebrae A discectomy B decompression C ablation  D ligation 6 Muscles function inside the eyeball as such  iris and ciliary body A Globe B intrinsic eye muscles C Iris D extrinsic eye muscles 7 The eye structure which  refracts light rays and focuses them on the retina A Globe B Retina C Crystalline lens D Sclera 8 Eyeball is housed in this socket in the cranium  A Globe B Sclera C Zonules D bony orbit 9 Light rays focus in front of the retina near sightedness A Hyperopia B Extraocular C Amblyopia D Myopia 10 Innermost structure of the eyeball receives images through the lens A extraocular B Pupil C Retina D Sclera Have fun with this Quiz TWENTY NINE. Answers will be posted on my next blog.

How to pass National Certification Examination for the Surgical Technology?

How to pass National Certification Examination for the Surgical Technology?

How to pass National Certification Examination for the Surgical Technology?

HAND BOOKS FOR SURGICAL TECHNOLOGY CERTIFICATION EXAMINATION based on NEW SYLLABUS of NBSTSA prescribed on January of 2019. Now available in many Allied Health College Library. 

Please review and provide honest feedback to improve the quality of this Handbook.

I thank you for providing me the aspiration to write these two Handbooks. 

You have asked me "how can I pass this CST examination in my next attempt"  and others shared the need for a new Handbook which covers total syllabus and also cost effective.

I am able to keep the price very low with the help from Amazon direct publishing and KDP SELECT.

Use this tools to pass the CST examination on your first attempt and become a CST to practice with pride, Compassion, Acceptance, Respect, and Empathy. 

I have given my twenty five years experience in Surgical Technology to carefully and diligently write these two Handbooks. 

 A DAY IN THE OPERATING ROOM WITH SAM

COMPASSION

ACCEPTANCE

RESPECT

EMPATHY

I would like to teach the courses of the Surgical Technology and Surgical First Assisting to students who are pursuing the program. You can access tutorial through online. All you need access of a p.c.

Contact me by using this blog or using social media e.g. Facebook. 

Medical community need Nationally Certified Surgical Technologists and First Assistants. The way the Health Care is moving the Same Day Surgery Centers are being used for a large volume of surgeries. The need for Surgical Technologist is growing very fast. 

The dynamic and complex nature of technology is rapidly changing with the innovations through research and development to optimize the benefit for a patient.

We as Technologists has the duty to keep up with the changes taking place in the operating room, with the new procedures, and instruments.

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ TWENTY EIGHT:

1-C, 2-E, 3-C, 4-E, 5-E,  6-F, 7-F, 8-D, 9-D, 10-D.

Minimally invasive surgery (MIS) spinal fusion 

Posterior Lumbar Fusion (PLF)

Transforaminal Lumbar Interbody Fusion (TLIF)

Overview and Indications

Today modern state of the art technology provides minimally invasive surgery (MIS) spinal fusion procedure to perform only through tiny nick hole incisions and reduce recovery time. This technique is being used to perform posterior lumbar fusion (PLF) and transforaminal interbody fusion (TLF). Less tissue trauma, less pain, and less time is needed.

Posterior Lumbar Fusion (PLF) is the technique used to create fusion of two or more lumbar spines. Bone graft is grafted by the spines to fuse. Minimally invasive PLF is performed with metal screws and rods to provide instant stabilization while the graft fuses fast to yield high fusion rate.

MIS TLIF with PLF also may incorporate interbody fusion where the intervertebral disc is replaced with bone spacer of metal or plastic. Technique requires no retraction of the spinal nerves. MIS TLIF is done with facetectomy and laminectomy.

As a second phase procedure for the multiple level ALIF, this MIS PLF is highly preferred to avoid laminectomy.  

These procedures are indicated for spondylolisthesis, degenerative disc disease, and many other spinal problems.

Surgical Technique

Patients are positioned in prone on wilson frame or special OR table with adequate padding to avoid pressure injury. IV antibiotic is administered. For general anesthesia endotracheal tube is inserted for ventilation during surgery. Surgery site low back is prepped and draped with lumbar laminectomy drape. Using aseptic technique surgery team is gowned and gloved.

Surgeon made less than one-inch holes on both side of the required spinal levels. Cannula with sleeves is introduced through these holes. Pedicle screws and rods are implanted to fuse facet using C-arm.

When TLIF is done, laminectomy and facetectomy are performed followed by discectomy using kerrison rongeur, and pituitary rongeur. Microscope and C-arm is used for this procedure. Proper size spacer is implanted using a distractor instrument.

Irrigated wound with antibiotic water. Layers are sutured with two 2-0 vicryl pop offs. Skin is approximated with surgical glue and one sponge is used as dressing.    

QUIZ TWENTY NINE:

Intra-Operative Procedures

SPECIAL TECHNIQUE 1 Repair and anastomosis of the esophagus, duodenum, ileum, colon is common procedure for the pediatric patient A anastomosis alimentary canal B repair of liver  C decortication of lungs D carpal tunnel  2 Removal of the appendix is common pediatric surgery called A appendicitis B ileoappendotomy C appendectomy D ileo conduit 3 Incision to release pyloric muscle stenosis is done by which of the procedure  A pyloromyotomy B myotomy C pyloroplasty D none of the above 4 Excision of the foreskin of the penis is done by which of the surgery  A meatotomy B epispadias repair C hypospadias repair D circumcision 5 Surgical fixation of testicle in the scrotal sac is performed by which surgery A orchiectomy B orchioplasty C orchiopexy D hydrocele repair                                                                                                                          6 Repair of the congenital anomalies in which urethra opens on the ventral surface of the penis in the male, or into the vagina in the female A hypospadias repair B epispadias repair C orchioplasty D urethral meatotomy 7 Repair of  the congenital anomalies in which urethra opens on the dorsal  surface of the penis in the male, or above the clitoris in the female A hypospadias repair B epispadias repair C urethral meatotomy D orchioplasty 8 Open heart procedure to repair congenital hole in the wall of chambers  of the heart A valve repair B transposition of aorta C coronary by pass D repair of septal defect 9 Removal of enlarged or infected tonsils is done by which of the surgery  for a pediatric patient A tonsillectomy B adenoidectomy C repair of glottis D all of the above 10 Creation of shunt to transfer excess cerebrospinal fluid from the brain to the peritoneal cavity or right atrium to reduce cranial pressure: A shunt for hydrocephalus B ventriculostomy C irrigation drainage of the ventricle D burr hole for evacuation Have fun with this Quiz TWENTY NINE. Answers will be posted on my next blog.

How to pass National Certification Examination for the Surgical Technology?

How to pass National Certification Examination for the Surgical Technology?

HAND BOOKS FOR SURGICAL TECHNOLOGY CERTIFICATION EXAMINATION based on NEW SYLLABUS of NBSTSA prescribed on January of 2019. Now available in many Allied Health College Library. 

Please review and provide honest feedback to improve the quality of this Handbook.

I thank you for providing me the aspiration to write these two Handbooks. 

You have asked me "how can I pass this CST examination in my next attempt"  and others shared the need for a new Handbook which covers total syllabus and also cost effective.

I am able to keep the price very low with the help from Amazon direct publishing and KDP SELECT.

Use this tools to pass the CST examination on your first attempt and become a CST to practice with pride, Compassion, Acceptance, Respect, and Empathy. 

I have given my twenty five years experience in Surgical Technology to carefully and diligently write these two Handbooks. 

                

                               A DAY IN THE OPERATING ROOM WITH SAM

COMPASSION

ACCEPTANCE

RESPECT

EMPATHY

            

I would like to teach the courses of the Surgical Technology and Surgical First Assisting to students who are pursuing the program. You can access tutorial through online. All you need access of a p.c.

Contact me by using this blog or using social media e.g. Facebook. 

Medical community need Nationally Certified Surgical Technologists and First Assistants. The way the Health Care is moving the Same Day Surgery Centers are being used for a large volume of surgeries. The need for Surgical Technologist is growing very fast. 

The dynamic and complex nature of technology is rapidly changing with the innovations through research and development to optimize the benefit for a patient.

We as Technologists has the duty to keep up with the changes taking place in the operating room, with the new procedures, and instruments.

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ TWENTY SEVEN:

QUESTION NUMBER 1 . ANSWER IS : B) it is bowel technique  

QUESTION NUMBER 2 . ANSWER IS: A) lumen

  

QUESTION NUMBER 3 . ANSWER IS: B) anastomosis 

QUESTION NUMBER 4 . ANSWER IS: A) resection 

QUESTION NUMBER 5 . ANSWER IS: A)  reinforcing suture

QUESTION NUMBER 6 . ANSWER IS: A)  mayo stand   

QUESTION NUMBER 7 . ANSWER IS:  B)  biopsy 

QUESTION NUMBER 8 . ANSWER IS :  A)  frozen section

QUESTION NUMBER 9 . ANSWER IS:  A)  mastectomy

QUESTION NUMBER 10 . ANSWER IS: D) all of the above

QUIZ TWENTY EIGHT:

Intra-Operative Procedures

SPECIAL TECHNIQUE  1 Bowel technique requires change of gown and glove before closure, which of the following is true for bowel technique A pre-op bowel preparation is done for any bowel surgery B scrub person is responsible to isolate contaminated field from sterile  -field, scrub person is responsible to provide sterile instruments, gown and  glove and drapes after anastomosis prior to closure, policy may require two scrub persons C all of the above 2 Which of the following is not the characteristics of drop technique   A requires  fewer instruments and furniture B scrub person remain sterile and drops necessary instruments and supplies on the site for team members to use C more chances to have incorrect counts in this method, some instruments, sponges and sutures are dropped on the site, forceps is used to  pick up supplies from back table or mayo D Item touches the open bowel is not  sterile, before  the closure the surgeon discards every items from the site, contaminated items are discarded   in a basin placed on back table E gloves and gowns are not changed before closure, mayo and back table are not used for closure 3 Which is not true statements concerning the characteristics of clean - closure set  A provides greater margin of safety B utilizes two mayo stands C utilizes one mayo stand 4 Which is not  the steps of the drop technique A sterile transfer forceps are placed on the sterile field B this forceps is used to deliver the sterile item from the sterile field to the operative site during bowel operation C items are needed for bowel resection are arranged during basic set up for the case in the beginning sterile drape is placed on the extremities to the edge of the lower part of the site to create a sterile barrier to place the items needed for the bowel  D team members change gowns and gloves E all the non sterile items are not passed off to the circulator in a single basin before the closure 5 What is the steps of the clean - closure technique  A circulator removes the back table and mayo tray one with all non sterile instruments etc. before last row of suture is placed B extra back table  is used to set up gowns, gloves, and drapes for closure, two mayo trays are used one is kept for closure C team members change gowns and gloves D re-draped and the anastomosis is completed using the instruments and supplies from the second clean - closure mayo tray and the back table  set up E all of the above

6		Which of the following is true statements concerning cancer technique
	A	tumor cells can spread, requires minimal and gentle handling to avoid spread of tumor cells
	B	during multiple procedures cross contamination between each procedure should be prevented by separate set up
	C	two separate preps, drapes, and instruments are required for a biopsy followed by mastectomy
	D	when biopsies of mass in both breasts, followed by a frozen section and possible mastectomy is scheduled a separate set up must be arranged
		for each biopsy as well as for the possible mastectomy
	E	some surgeon discards  instruments come in contact with tumor cells
	F	all of the above
7		Which of the following states incorrect ages for the stages of pediatric development
	A	Newborn                        birth to 1 month
	B	Infant                              1 month to 18 months
	C	Toddler                            18 months to 30 months
	D	Preschooler                    30 months to 60 months
	E	School age child            5 years to 12 years
	F	Adolescent                    12 years to 28 years
8		List three major reasons for pediatric surgery
	A	congenital defect
	B	religious reason
	C	trauma
	D	all of the above
9		What are the  special considerations in caring for the pediatric patient
	A	fear and anxiety  of a child  should be alleviated  by keeping  their toys, blanket, and having parent in the pre-op
	B	extremities receiving casting should not be used for IV access, blood loss must be closely monitored
	C	children are more susceptible to infection, aseptic technique is must, adequate padding and loose wrappings are used to protect pressure points
	D	all of the above
10		What are the  special considerations in caring for the pediatric patient
	A	larger pillows are used for positioning, infants and children are insensitive to temperature variations due to less body fat, dressings are never used
	B	vital signs are not required to monitor as the chance of cardiac arrest is low
	C D	tissues and organs of infants and children are delicate and need the use of larger instruments and needles none of the above
		Have fun with this Quiz TWENTY EIGHT. Answers will be posted on my next blog.