Certified Surgical Technologist (CST) Practice Exam

What is the term for positioning the lower leg flexed and the upper leg straight in surgery?

1. Fowler's position

2. Sims' position

3. Modified lithotomy

4. Supine position

The correct answer is: Modified lithotomy

The term for positioning the lower leg flexed and the upper leg straight in surgery is known as modified lithotomy. This position is commonly used in various surgical procedures, especially those involving the pelvic or perineal areas. The modified lithotomy position allows for better access to the surgical site while providing some comfort and stability to the patient. In this position, the patient typically lies on their back with their hips raised and the knees bent, which facilitates a clearer view and access for the surgical team. The adjustment of the legs helps to stabilize the body and maintain proper alignment, ensuring both patient safety and surgical efficiency. Other positioning options like Fowler's position, Sims' position, and supine position each serve different purposes and have distinct configurations. Fowler’s position, for instance, elevates the upper body and is generally used for patients with respiratory issues, while Sims’ position involves a lateral orientation which is primarily for rectal examinations. The supine position is simply lying flat on the back, suitable for a variety of procedures but does not provide the specific leg configuration described.