CST Domain 2: Intraoperative Procedures Welcome to your CST Domain 2: Intraoperative Procedures 1. CST: Intraoperative Procedures During a thyroidectomy, which instrument is preferred for dissecting the delicate thyroid tissue? A. Metzenbaum scissors B. Mayo scissors C. Suture scissors D. Iris scissors None 2. CST: Intraoperative Procedures What is the primary purpose of using a Kittner dissector during a laparoscopic cholecystectomy? A. To retract the liver B. To dissect loose areolar tissue C. To perform gallbladder resection D. To provide suction None 3. CST: Intraoperative Procedures In an anterior cervical discectomy and fusion (ACDF), which device is most commonly used to maintain intervertebral space after disk removal? A. Pedicle screw B. Spinal fusion cage C. Lamina spreader D. Kerrison rongeur None 4. CST: Intraoperative Procedures When performing a total knee arthroplasty, which instrument is essential for removing bone from the femoral surface? A. Osteotome B. Femoral reamer C. Gigli saw D. Bone curette None 5. CST: Intraoperative Procedures During a microdiscectomy, which instrument is crucial for removing herniated disc material without damaging the surrounding neural tissue? A. Pituitary rongeur B. Laminectomy rongeur C. Micro scissors D. Kerrison punch None 6. CST: Intraoperative Procedures What is the role of a Deaver retractor in an open cholecystectomy? A. To provide illumination within the surgical field B. To clamp the cystic duct C. To retract the liver and provide exposure of the gallbladder D. To close the incision None 7. CST: Intraoperative Procedures In vascular surgery, which clamp is preferred for controlling bleeding in small, delicate vessels? A. Kelly clamp B. Hemostatic clamp C. Bulldog clamp D. Mosquito clamp None 8. CST: Intraoperative Procedures What is the primary function of a Green retractor in abdominal surgery? A. To hold back abdominal layers for deep surgical access B. To clamp blood vessels C. To retract organs for improved visualization D. To assist in wound closure None 9. CST: Intraoperative Procedures During a mastectomy, which surgical tool is primarily used for dissecting through the breast tissue? A. Electrocautery pencil B. Scalpel C. Mayo scissors D. Adson forceps None 10. CST: Intraoperative Procedures In an orthopedic surgery involving the insertion of an intramedullary nail, which instrument is used to guide the nail into the medullary cavity of the bone? A. Awl B. Trocar C. Hammer D. Guide wire None 11. CST: Intraoperative Procedures What instrument is most effective for removing small bone fragments during a laminectomy? A. Rongeur B. Osteotome C. Curette D. Chisel None 12. CST: Intraoperative Procedures For a radical prostatectomy, which of the following retractors provides the best exposure of the prostate gland? A. Bookwalter retractor B. Balfour retractor C. Scott retractor D. Army-Navy retractor None 13. CST: Intraoperative Procedures In cardiac surgery, what instrument is used for performing internal mammary artery (IM A. dissection? A) Potts-Smith scissors B. Diethrich scissors C. Metzenbaum scissors D. Mayo scissors None 14. CST: Intraoperative Procedures Which instrument is specifically designed for grasping and holding the intestine during abdominal surgery? A. Allis clamp B. Babcock forceps C. Kocher clamp D. Debakey forceps None 15. CST: Intraoperative Procedures During a total hip arthroplasty, what tool is used to prepare the acetabulum to receive the prosthetic socket? A. Acetabular reamer B. Femoral head osteotome C. Charnley retractor D. Bone graft punch None 16. CST: Intraoperative Procedures In a deep anterior lamellar keratoplasty (DALK), which instrument is essential for creating a precise corneal dissection? A. Trephine B. Microkeratome C. Crescent blade D. Sinskey hook None 17. CST: Intraoperative Procedures What instrument is used to measure intraocular pressure during an eye surgery? A. Tonometer B. Keratometer C. Gonioscope D. Ophthalmoscope None 18. CST: Intraoperative Procedures Which specialized clamp is used for temporarily occluding the base of the appendix during an appendectomy? A. Heaney clamp B. Mosquito clamp C. Babcock clamp D. Doyen intestinal clamp None 19. CST: Intraoperative Procedures In a Whipple procedure, which instrument is essential for resecting the head of the pancreas? A. Scalpel with a #15 blade B. Harmonic scalpel C. Mayo scissors D. Gigli saw None 20. CST: Intraoperative Procedures During a transurethral resection of the prostate (TURP), what instrument is used to remove prostate tissue? A. Electrocautery loop B. Cold knife C. Laser fiber D. Resectoscope None 21. CST: Intraoperative Procedures What is the primary function of the Saphir footplate in middle ear surgery? A. To protect the facial nerve B. To remove ossicles C. To enhance visualization of the stapes D. To dissect scar tissue None 22. CST: Intraoperative Procedures In a laminectomy procedure, which instrument is crucial for removing the lamina to decompress the spinal cord? A. Laminectomy rongeur B. Kerrison punch C. Pedicle screwdriver D. Spinal fusion cage inserter None 23. CST: Intraoperative Procedures For an anterior cruciate ligament (ACL) reconstruction, which device is specifically used to fixate the graft in the femoral tunnel? A. Interference screw B. Kirschner wire C. Cannulated screw D. Suture anchor None 24. CST: Intraoperative Procedures During an esophagectomy, which vascular clamp is preferred for controlling the arterial blood supply to the esophagus? A. Satinsky clamp B. Bulldog clamp C. DeBakey clamp D. Cooley clamp None 25. CST: Intraoperative Procedures What instrument is used for the precise dissection and isolation of nerves during a microvascular decompression surgery? A. Micro scissors B. Bipolar forceps C. Micro needle holder D. Micro dissector None 26. CST: Intraoperative Procedures During a robotic-assisted laparoscopic prostatectomy, which instrument is crucial for dissecting around the neurovascular bundles to preserve erectile function? A. Monopolar curved scissors B. Prograsp forceps C. Maryland bipolar forceps D. Hem-o-lok clip applier None 27. CST: Intraoperative Procedures What specialized surgical tool is used for creating precise corneal flaps during a LASIK procedure? A. Microkeratome B. Femtosecond laser C. Excimer laser D. Trephine None 28. CST: Intraoperative Procedures In a minimally invasive mitral valve repair, which device is most commonly used for stabilizing the heart while maintaining cardiac output? A. Intra-aortic balloon pump (IABP) B. Centrifugal pump C. Octopus tissue stabilizer D. Left ventricular assist device (LVAD) None 29. CST: Intraoperative Procedures During a retinal detachment surgery, which instrument is essential for applying cryotherapy to the retinal tear? A. Indirect ophthalmoscope B. Cryoprobe C. Laser photocoagulator D. Vitrectomy probe None 30. CST: Intraoperative Procedures For a carpal tunnel release, which instrument is used to cut the transverse carpal ligament while protecting the median nerve? A. Carpal tunnel knife B. Mayo scissors C. #15 Scalpel blade D. Pneumatic tourniquet None 31. CST: Intraoperative Procedures What is the primary tool used in endoscopic sinus surgery to remove nasal polyps and other obstructions without damaging surrounding structures? A. Nasal speculum B. Endoscopic microdebrider C. Freer elevator D. Blakesley forceps None 32. CST: Intraoperative Procedures In a thoracoscopic lobectomy, which instrument is essential for dividing the pulmonary vessels and bronchi? A. Endoscopic stapler B. Thoracoscopic scissors C. Ligasure D. Bronchial blocker None 33. CST: Intraoperative Procedures During an anterior lumbar interbody fusion (ALIF), which device is used to distract the intervertebral disc space for implant insertion? A. Pedicle screw B. Vertebral body spreader C. Distraction pliers D. Lordotic cage None 34. CST: Intraoperative Procedures What instrument is utilized for precise bone cutting during a cranial vault remodeling procedure in craniosynostosis surgery? A. Gigli saw B. Midas Rex drill C. Craniotome D. Osteotome None 35. CST: Intraoperative Procedures In a Roux-en-Y gastric bypass surgery, which surgical tool is critical for creating the gastrojejunostomy connection? A. Linear stapler B. Circular stapler C. Harmonic scalpel D. Laparoscopic needle driver None 36. CST: Intraoperative Procedures During a microsurgical repair of a digital nerve, which instrument is indispensable for manipulating and suturing the nerve ends? A. Micro needle holder B. Micro forceps C. Micro scissors D. Jeweler's forceps None 37. CST: Intraoperative Procedures What device is used during an endovascular abdominal aortic aneurysm repair (EVAR) to deploy the aortic stent graft? A. Guidewire B. Balloon catheter C. Stent graft delivery system D. Angioplasty balloon None 38. CST: Intraoperative Procedures In performing a total laryngectomy, which instrument is essential for resecting the thyroid cartilage? A. Sternal saw B. Cricoid hook C. Laryngeal knife D. Laryngoscope None 39. CST: Intraoperative Procedures During a pancreaticoduodenectomy (Whipple procedure), which instrument is specifically used for the dissection and division of the pancreas from the duodenum? A. Pancreatic duct dilator B. Ultrasonic aspirator C. Pancreatic spatula D. Bipolar electrocautery None 40. CST: Intraoperative Procedures What tool is crucial for the dissection of adhesions during a laparoscopic adhesiolysis procedure? A. Laparoscopic scissors B. Laparoscopic hook C. Laparoscopic grasper D. Laparoscopic harmonic scalpel None 41. CST: Intraoperative Procedures In a deep brain stimulation (DBS) surgery, which instrument is used to create the burr hole through which the electrode is inserted? A. Cranial drill B. Stereotactic frame C. Trephine D. Micro burr None 42. CST: Intraoperative Procedures During a thoracoscopic sympathectomy, which instrument is essential for the ablation of the sympathetic chain? A. Endoscopic scissors B. Thoracoscopic electrocautery probe C. Endoscopic clip applier D. VATS lobectomy stapler None 43. CST: Intraoperative Procedures What is the preferred instrument for performing a capsulotomy during cataract surgery? A. Phacoemulsification probe B. Capsulorhexis forceps C. Bent needle D. Irrigation/aspiration handpiece None 44. CST: Intraoperative Procedures In a mastoidectomy, which instrument is specifically used to remove the mastoid air cells? A. Mastoid chisel B. Rosen needle C. Mastoid curette D. High-speed otologic drill None 45. CST: Intraoperative Procedures During an open heart surgery, which device is used to temporarily take over the function of the heart and lungs? A. Intra-aortic balloon pump (IABP) B. Ventricular assist device 'VAD' C. Cardiopulmonary bypass machine 'CPB' D. Extracorporeal membrane oxygenation (ECMO) machine None 46. CST: Intraoperative Procedures What specialized instrument is used for the insertion of intraocular lenses (IOLs) during cataract surgery? A. IOL injector B. Scleral fixated forceps C. Vitrector D. IOL manipulation hook None 47. CST: Intraoperative Procedures During a spinal fusion surgery, which tool is used to prepare the vertebral bodies for the insertion of an interbody fusion device? A. Pedicle screwdriver B. Vertebral body retractor C. Disc space spreader D. Annular retractor None 48. CST: Intraoperative Procedures In an endoscopic endonasal approach for pituitary tumor removal, which instrument is vital for the precise excision of the tumor? A. Endoscopic pituitary forceps B. Sphenoid punch C. Microdebrider D. Nasal speculum None 49. CST: Intraoperative Procedures During a total pelvic exenteration, which instrument is essential for dissecting and separating the bladder from the anterior wall of the vagina? A. Long Metzenbaum scissors B. Pelvic peritoneal retractor C. Electrocautery with a long tip D. Blunt pelvic dissector None 50. CST: Intraoperative Procedures What is the primary tool used for the removal of a subdural hematoma during neurosurgery? A. Ultrasonic aspirator B. Dural scissors C. Suction catheter D. Microdissector None 51. CST: Intraoperative Procedures In laparoscopic hernia repair surgery, which device is used to deploy and fixate the mesh to the abdominal wall? A. Hernia stapler B. Tacker C. Ligature carrier D. Mesh introducer None 52. CST: Intraoperative Procedures During a sleeve gastrectomy, which surgical tool is critical for resecting and removing the lateral portion of the stomach? A. Linear cutter stapler B. Gastric band C. Harmonic scalpel D. Bougie None 53. CST: Intraoperative Procedures In an autologous breast reconstruction with a deep inferior epigastric perforator (DIEP) flap, which instrument is indispensable for dissecting the perforator vessels? A. Microsurgical scissors B. Doppler ultrasound probe C. Needle holder D. Jeweler's forceps None 54. CST: Intraoperative Procedures What instrument is used to measure the depth of a joint space during a total joint arthroplasty? A. Depth gauge B. Caliper C. Vernier caliper D. Joint space marker None 55. CST: Intraoperative Procedures During a parathyroidectomy, which device is essential for localizing the parathyroid glands intraoperatively? A. Gamma probe B. Ultrasound machine C. Intraoperative PTH monitor D. Fluorescence imaging system None 56. CST: Intraoperative Procedures What specialized tool is used in ophthalmic surgery to create a flap in the cornea during a LASIK procedure? A. Femtosecond laser B. Microkeratome C. Excimer laser D. Trephine None 57. CST: Intraoperative Procedures During an anterior approach to spinal fusion, which retractor system is commonly used for exposing the lumbar spine? A. Caspar retractor system B. Bookwalter retractor C. Thompson retractor D. McCulloch retractor system None 58. CST: Intraoperative Procedures In a hand-assisted laparoscopic nephrectomy, which device facilitates the surgeon's hand entry while maintaining pneumoperitoneum? A. HandPort system B. GelPort laparoscopic system C. Lap disc D. Pneumo sleeve None 59. CST: Intraoperative Procedures Which instrument is used for precise bone removal and shaping during a dorsal hump reduction in rhinoplasty? A. Osteotome B. Raspatory C. Chisel D. Rhinoplasty saw None 60. CST: Intraoperative Procedures During an inguinal hernia repair, what instrument is used for the separation of the hernia sac from the spermatic cord? A. Metzenbaum scissors B. Kelly clamp C. Mosquito forceps D. Pean clamp None 1 out of 60 Time is Up! Time's up