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Test Number : NBSTSA-CST
Test Name : Certified Surgical Technologist
Vendor Name : NBSTSA
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NBSTSA-CST test Format | NBSTSA-CST Course Contents | NBSTSA-CST Course Outline | NBSTSA-CST test Syllabus | NBSTSA-CST test Objectives

The CST examination consists of 175 questions, 150 of which are scored. The 25 pretest items (unscored) are randomly distributed throughout the examination for the purpose of analysis and statistical evaluation. The passing score is the minimum number of questions that must be answered correctly. Candidates should refer to nbstsa.org for the number of questions which must be answered correctly in order to obtain a passing score. Score reports are provided to all candidates who take the examination

A. Preoperative Preparation (18 items)
- Review surgeons preference card.
- Verify availability of surgery equipment (e.g., reserve equipment for surgery).
- Don personal protective equipment.
- Utilize preoperative documentation (e.g., informed consent, advanced directives, allergies, laboratory results).
- Consider patient needs (e.g., bariatrics, geriatrics, pediatrics, immunocompromised, patient allergies).
- Prepare the operating room environment (e.g., temperature, lights, suction, wiping down the room and furniture).
- Coordinate additional equipment (e.g., bovie pad, pneumatic tourniquet, sequential compression devices, thermoregulatory devices, positioning devices).
- Obtain instruments and supplies needed for surgery.
- Perform medical hand wash.
- Check package integrity of sterile supplies.
- Open sterile supplies/instruments while maintaining aseptic technique.
- Perform surgical scrub (e.g., initial, waterless).
- Don gown and gloves.
- Assemble and set up sterile instruments and supplies for surgical procedures.
- Transport the patient to and from operating room.
- Transfer patient to operating room table.
- Apply patient safety devices (e.g., bovie pad, safety strap, protective padding, x-ray safety).
- Apply patient monitoring devices as directed.
- Participate in positioning the patient.
- Prepare surgical site (e.g., hair removal, surgical preparation).
- Gown and glove sterile team members.
- Participate in draping the patient.
- Secure cords/tubing to drapes and apply light handles.
- Drape specialty equipment (e.g., c-arm, Da Vinci, microscope).
- Participate in Universal Protocol (Time Out).

B. Intraoperative Procedures (61 items)
- Maintain aseptic technique throughout the procedure.
- Follow Standard and Universal Precautions.
- Anticipate the steps of surgical procedures.
- Perform counts with circulator at appropriate intervals.
- Verify, receive, mix, and label all medications and solutions.
- Provide intraoperative assistance under the direction of the surgeon.
- Identify different types of operative incisions.
- Identify instruments by:
- function.
- application.
- classification.
- Assemble, test, operate, and disassemble specialty equipment:
- microscopes.
- computer navigation systems.
- thermal technology.
- laser technology (e.g., helium, argon, CO2 beam coagulators).
- ultrasound technology (e.g., harmonic scalpel, phacoemulsification).
- endoscopic technology.
- power equipment.
- Assemble and maintain retractors.
- Pass instruments and supplies.
- Identify appropriate usage of sutures/needles and stapling devices.
- Prepare, pass, and cut suture material as directed.
- Provide assistance with stapling devices.
- Differentiate among the various methods and applications of hemostasis (e.g., mechanical, thermal, chemical).
- Irrigate, suction, and sponge operative site.
- Monitor medication and solution use.
- Verify with surgeon the correct type and/or size of specialty specific implantable items.
- Prepare bone and tissue grafts (e.g., allograft, autograft, synthetic).
- Verify, prepare, and label specimen(s).
- Prepare drains, catheters, and tubing for insertion.
- Observe patients intraoperative status (e.g., monitor color of blood, blood loss, patient position).
- Perform appropriate actions during an emergency.
- Initiate preventative actions in potentially harmful situations.
- Connect and activate drains to suction apparatus.
- Prepare dressings and wound site.
- Assist in the application of casts, splints, braces, and similar devices.

C. Postoperative Procedures (12 items)
- Report medication and solution amount used.
- Participate in case debrief.
- Remove drapes and other equipment (e.g., suction, cautery, instrumentation,nondisposable items) from patient.
- Report abnormal postoperative findings (e.g., bleeding at surgical site,hematoma, rash).
- Dispose of contaminated waste and drapes after surgery incompliance with Standard Precautions.
- Transfer patient from operating table to stretcher.
- Dispose of contaminated sharps after surgery in compliance with Standard Precautions.
- Perform room clean up and restock supplies.


A. Administrative and Personnel (9 items)

- Revise surgeons preference card as necessary.
- Follow proper cost containment processes.
- Utilize computer technology for:
- surgeons preference cards
- interdepartmental communication
- continuing education.
- research.
- Follow hospital and national disaster plan protocol.
- Recognize safety and environmental hazards (e.g., fire, chemical spill, laser, smoke).
- Understand basic principles of electricity and electrical safety.
- Apply ethical and legal practices related to surgical patient care.
- Use interpersonal skills (e.g., listening, diplomacy, responsiveness) and group dynamics.
- Understand the importance of cultural diversity.
- Understand concepts of death and dying.
- Participate in organ and tissue procurement.
- Serve as preceptor to perioperative personnel.

B. Equipment Sterilization and Maintenance (17 items)
- Troubleshoot equipment malfunctions.
- Decontaminate and clean instruments and equipment.
- Inspect, test, and assemble instruments and equipment.
- Sterilize instruments for immediate use (e.g., short cycle).
- Package and sterilize instruments and equipment.


A. Anatomy and Physiology (20 items)

- Use appropriate medical terminology and abbreviations.
- Demonstrate knowledge of anatomical systems as they relate to the surgical procedure:
- cardiovascular.
- endocrine.
- gastrointestinal.
- genitourinary.
- integumentary.
- lymphatic.
- muscular.
- neurological.
- ophthalmic.
- otorhinolaryngology.
- peripheral vascular.
- pulmonary.
- reproductive.
- skeletal.

- Demonstrate knowledge of human physiology as they relate to the surgical procedure:
- cardiovascular.
- endocrine.
- gastrointestinal.
- genitourinary.
- integumentary.
- lymphatic.
- muscular.
- neurological.
- ophthalmic.
- otorhinolaryngology.
- peripheral vascular.
- pulmonary.
- reproductive.
- skeletal.
- Identify the following surgical pathologies:
- abnormal anatomy.
- disease processes.
- malignancies.
- traumatic injuries.

B. Microbiology (6 items)
- Apply principles of surgical microbiology to operative practice:
- classification and pathogenesis of microorganisms (e.g., cultures).
- infection control procedures (e.g., aseptic technique).
- principles of tissue handling (e.g., Halsted principles, tissue manipulation methods, traction/counter traction).
- stages of, and factors influencing wound healing (e.g., condition of patient, wound type).
- surgical wound classification.
- Identify and address factors that can influence an infectious process.

C. Surgical Pharmacology (7 items)
- Apply principles of surgical pharmacology to operative practice:
- anesthesia related agents and medications.
- blood and fluid replacement.
- complications from drug interactions (e.g., malignant hyperthermia).
- methods of anesthesia administration (e.g., general, local, block).
- types, uses, action, and interactions of drugs and solution (e.g., hemostaticagents, antibiotics, IV solutions).
- weights, measures, and conversions.
- Maintain awareness of maximum dosage.

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NBSTSA Certified information hunger

What happens When weight loss program lifestyle Co-Opts Intuitive eating Language | NBSTSA-CST Latest Questions and test Questions

Intuitive ingesting—a science-backed method to food that rejects diets and suggestions, encourages physique acceptance, and suggests you a way to tune into your body’s hunger, fullness, cravings, and needs—has lately turn into totally customary. The hashtag has over 1 million posts on Instagram and 300 million views on TikTok so far, and the approach has been making headlines for years. it will be incorrect to name it a fad, though. quite, intuitive consuming, which fits hand-in-hand with the fitness at each measurement® circulate, is a completely new approach of considering food, nutrients, and fitness.

“Our intention in creating the mannequin was to alleviate the struggling that weight-reduction plan factors,” says Evelyn Tribole, RDN, co-creator of intuitive consuming who, together with fellow dietitian Elyse Resch, posted the first version of the Intuitive ingesting ebook in 1995. This philosophy is evident within the model’s 10 concepts, which inspire you to reject diets and meals suggestions, understand that everlasting weight loss isn’t functional or crucial for health, and admire your body as-is through giving it what it needs. It’s not an extra weight loss program, it’s the anti-food plan.

lamentably, as intuitive eating has received extra mainstream consideration, many courses, specialists, and influencers have started co-opting its language and ideas to advertise exactly what intuitive eating is combating in opposition t—weight reduction and weight handle, meals restrict, and ignoring your hunger cues and cravings. It’s ironic, yes, nonetheless it’s also tremendously hazardous, difficult, and undermining to each intuitive consuming as a stream and to anybody who’s trying to follow it.

Fasting is the opposite of intuitive

the most contemporary illustration of this is available in the sort of the new publication Intuitive Fasting: The flexible 4-Week Intermittent Fasting Plan To Recharge Your Metabolism and Renew Your fitness, written by means of a naturopath and promoted by using Gwyneth Paltrow. (It became published via her imprint, Goop Press.) In an Instagram put up merchandising the publication, Paltrow observed that the e-book became a mixture of “intuitive ingesting with intermittent fasting and ketotarian principles,” and that the goal of the program was to help individuals “be willing to listen to ourselves, to their own bodies, to their intuition.” some of this language comes straight from the intuitive ingesting playbook—particularly, the emphasis on instinct and paying attention to one’s physique.

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Yet consultants are brief to element out that fasting is anything else however intuitive. “one of the main dreams of intuitive ingesting is to assist americans learn the way to tune in to their their bodies and to respond to what their bodies want,” says Kim Daniels, PsyD, a certified medical psychologist and certified intuitive consuming counselor. meanwhile, intermittent fasting asks you to abstain from ingesting for particular intervals of time—either set hours of the day or selected days of the week, counting on the plan. “Calling fasting ‘intuitive’ doesn’t make any sense. Purposefully denying yourself food is the genuine opposite of intuitive, and most definitely goes in opposition t everything that intuitive consuming stands for,” Dr. Daniels says.

are looking to gain knowledge of extra about genuine intuitive eating? right here’s the 411 from a dietitian: 

Intuitive consuming isn’t the starvation-fullness weight loss plan

“Intuitive fasting” is an extreme illustration of diets co-opting intuitive eating language, and it’s handy to spot the hypocrisy of it. but other instances of intuitive eating language being misused are greater delicate.

one of the crucial normal examples of here's the co-opting of “aware” ingesting. conscious ingesting is a big a part of two core ideas of intuitive eating (honoring your hunger and feeling your fullness), and its intention, along with the other eight principles of intuitive eating, is to assist individuals become greater in-tune with their their bodies and enhanced remember the way to meet their wants through food without resorting to diets or restrict. although, diet subculture has twisted mindful eating and tried to follow it to weight loss—definitely, encouraging people to be “mindful” about consuming as a way to keep away from overeating.

Take the “banana test” from Blogilates founder Cassey Ho. There’s a variety of intuitive eating language within the video caption; Ho says that “some americans are ‘intuitive’ and might consume when they’re hungry and forestall when they’re full,” but that she simply can’t seem to try this. as an alternative of eating what you crave, she says, remember to ask your self: “Will a [banana] fulfill you right now? Or does most effective a [burger] or [cookie] sound good? in case you chose [burger] or [cookie], you’re now not definitely hungry. if you chose [banana], go eat!” (Ho isn’t the only 1 to have a “examine” for hunger; some dietitians suggest drinking water or other techniques to distract individuals from their cravings.)

whereas it may sound good value originally glance to check in along with your starvation cues before consuming, litmus checking out them during this certain manner implies that bananas are “respectable” and cookies or burgers are “dangerous,” which goes towards the ethos of intuitive consuming. “What tends to ensue when they feel of some meals pretty much as good and others as bad is that americans internalize, ‘I’m consuming a bad food, therefore, I’m unhealthy,’” Tribole says. “fitness exists on a gradient,” she provides. “We don’t should devour ‘pristinely’ to be in shape.”

similarly, many diets claim to be greater “intuitive” or “flexible” as a result of they don’t actively ask adherents to count number energy. Yet lots of these plans still ask people to music their meals intake through aspects, colours (eco-friendly foods being “in shape” and crimson foods being “unhealthy”), macronutrients, or different metrics. whereas some individuals may find these strategies valuable for nutritional functions, these habits are not a part of intuitive consuming and should be not branded as such.

actual intuitive eating potential giving yourself permission to consume the cookie or the burger or anything else, on every occasion you desire it. It potential that you don’t ever need to second-wager even if you’re hungry “enough” to warrant consuming. “It’s not the hunger-and-fullness food plan,” says Tribole, who sees intuitive consuming misrepresented this fashion the entire time. certain, part of what you be trained on the journey to intuitive consuming is the way to believe your hunger and fullness. but you’re no longer supposed to normally fixate on these cues, best consuming when you’re hungry and at all times stopping just if you happen to delivery to feel full.

These suggestions are additionally not supposed to handle your weight or food consumption. in fact, the very first precept of intuitive consuming is to reject the eating regimen mentality—so cherry-settling on a couple of of the principles (as some diets and influencers have carried out) and making use of them to weight reduction is deeply disingenuous.

Intuitive eating is evidence-primarily based, “intuitive” fasting or weight reduction aren't

Tribole doesn’t take kindly to people capitalizing on the success of intuitive eating with a view to sell diet classes. “It’s misappropriating their work and the usage of it in a means that became never intended,” Tribole says. “It’s a mindf**okay.”

This form of appropriation isn’t just puzzling for patrons, but it also can cause hurt, Tribole argues. “these things that co-choose intuitive consuming, they’re making a lot of guarantees when there’s no proof to again those claims,” she says.

want to gain knowledge of greater about intuitive eating and eating regimen lifestyle? try the latest episode of The neatly+first rate Podcast:

The greatest possibility comes for individuals with eating disorders or a history of disordered consuming patterns. while intuitive ingesting itself is often used as a device for ingesting ailment restoration, issues like “intuitive fasting” and other restrictive behaviors indicate that it’s suitable, even healthy, to disclaim your starvation, prevent your food intake, or keep away from definite foods for no scientific motive. “any person with a heritage of an ingesting sickness or disordered consuming may well be mainly harmed with the aid of this,” Dr. Daniels says, explaining that the majority eating problems, even binge eating ailment, begin with restrict.

although that limit is commonplace to be both a trigger and a characteristic of consuming problems, and that consultants estimate 9 % of the U.S. inhabitants can have an consuming disease of their lifetime, people that promote diets as “intuitive” fail to notice this potential damage. a person looking to break away from disordered ingesting habits may additionally go looking for intuitive eating on the recommendation of a health-care company or a pal and in its place come across whatever that has the capabilities to make their complications far worse. “Many americans with a heritage of an eating disease will look for anything else with ‘scientific proof’ that helps the follow of restrict,” Dr. Daniels says.

Yet Tribole and other anti-eating regimen consultants argue that the science backing up restrictive consuming patterns is scant. “individuals promotion diets will say, ‘Oh, the science says…’ smartly, show me that science,” Tribole says. “changed into the look at in rats? humans? How long became it? how many subjects? Did researchers measure for unintended penalties?” certainly, the tremendous majority of analysis on fasting has been performed in rodents, and the few human reviews that exist are small and short-term, and don’t bear in mind how fasting probably affects ingesting issues and different facets of mental and social fitness. And weight-loss diets themselves tend not to aid long-time period outcomes: A 2020 assessment in the BMJ took information from 121 clinical trials with nearly 22,000 complete members and located that while most diets led to brief-term weight reduction, participants regained that weight within a year.

meanwhile, there is a starting to be physique of proof to aid the deserves of intuitive consuming—140 reports and counting, Tribole says. A 2013 look at of over 2,500 college-aged adults found that intuitive eating became associated with superior self-esteem, bigger body appreciation, much less preoccupation with food and body, and a decreased possibility of consuming disorders. And a 2017 evaluation of statistics from over forty,000 French adults discovered that intuitive eaters ate a more assorted and nutritious diet average than individuals who comply with food suggestions or make some meals forbidden.

if you’re drawn to intuitive eating, go to the source

If intuitive consuming is whatever thing that appeals to you, expert assistance is simple, specially given how its message may also be distorted. beginning with the aid of studying the Intuitive consuming book, which is now in its fourth version and crammed with up-to-date guidance.

in case you’re working with an expert—which you completely should still do when you've got an eating disease—seek a dietitian and/or therapist who's a licensed Intuitive eating Counselor. This skill they’ve achieved a detailed route on intuitive consuming and have labored at once with Tribole and Resch on their counseling approach. (There are over 1,300 certified Intuitive consuming Counselors, most listed during this directory).

Realistically, there’s no surefire strategy to cease food regimen classes and health influencers from co-opting intuitive eating language. The optimal that you would be able to do is be trained to identify false intuitive eating and tune it out. “Any time a program is asking you to disconnect out of your physique, that’s a pink flag,” Tribole says. “Any time a application asks you to count number things—food businesses, numbers, points, hours in a day—any time somebody is telling you what you should definitely or shouldn’t be consuming, that’s an issue.” these items are inherently not intuitive, and will in no way be framed as such.

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