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100+ Free CSIS Practice Questions

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What is the main function of an absorbent towel placed in the bottom of a wrapped tray?

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Key Facts: CSIS Exam

100

Total Items

CBSPD CSIS

2 hrs

Exam Time

CBSPD

$135

Exam Fee

CBSPD

12 mo

SPD Experience

Or approved training program

CBSPD CSIS is the surgical instrument specialist credential. ~100 items, 2 hours, $135. Master instrument identification (Kelly/Crile/Mosquito/Mayo/Allis/Babcock; Mayo/Metzenbaum scissors; Weitlaner/Balfour/Bookwalter retractors; Mayo-Hegar/Castroviejo needle holders), gauze sharpness test, ratchet check, lap insulation testing, peel pouch loading (tip toward closure), and IUSS limits per AAMI ST79.

Sample CSIS Practice Questions

Try these sample questions to test your CSIS exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which hemostatic clamp is the smallest and is most commonly used to clamp small vessels in delicate or pediatric procedures?
A.Mosquito (Halsted)
B.Kelly
C.Mayo
D.Kocher
Explanation: Mosquito (Halsted) hemostats are the smallest hemostatic clamps with fine, fully serrated jaws designed to occlude small vessels in delicate or pediatric work.
2What distinguishes a Kelly hemostat from a Crile hemostat?
A.Kelly has serrations only on the distal half of the jaws while Crile has full-length serrations
B.Kelly is fully serrated and Crile is partially serrated
C.Kelly has teeth at the tip and Crile does not
D.Kelly is straight only and Crile is curved only
Explanation: Kelly hemostats have transverse serrations only on the distal portion of the jaws, while Crile hemostats have serrations along the full length of the jaws. Both come in straight and curved versions.
3Which clamp has heavy, perpendicular jaw teeth (1x2) and is used to grasp dense, slippery tissue such as fascia?
A.Kocher (Ochsner)
B.Babcock
C.Allis
D.Crile
Explanation: The Kocher (Ochsner) clamp has heavy interlocking teeth at the tip in a 1x2 pattern, allowing a secure grip on tough, slippery tissue like fascia.
4Which tissue forceps clamp has fenestrated, atraumatic jaws used for grasping bowel and other delicate hollow structures?
A.Babcock
B.Allis
C.Kocher
D.Mayo
Explanation: Babcock clamps have a triangular, fenestrated atraumatic tip that cradles delicate structures like bowel without crushing them.
5Mayo dissecting scissors are typically used for what purpose?
A.Cutting heavy tissue, fascia, and sutures
B.Delicate dissection of fine vessels and tissue planes
C.Microsurgical work on the eye
D.Cutting suture only inside a wound
Explanation: Mayo scissors have heavy, beveled blades designed for cutting tough tissue, fascia, and heavy sutures.
6Which scissor is most often used for delicate dissection of fine tissue planes such as during bowel or vascular work?
A.Metzenbaum
B.Mayo
C.Stevens tenotomy
D.Bandage
Explanation: Metzenbaum scissors have long handles with relatively short, slim blades, ideal for delicate dissection of fine tissue planes.
7Iris scissors are most associated with which surgical specialty?
A.Ophthalmic and microsurgical procedures
B.Orthopedic procedures
C.General abdominal procedures
D.Open cardiac surgery
Explanation: Iris scissors are small, sharp-pointed scissors originally designed for eye surgery and other delicate microsurgical applications.
8Which retractor is a self-retaining retractor commonly found in superficial wound and orthopedic sets?
A.Weitlaner
B.Army-Navy
C.Senn
D.Deaver
Explanation: Weitlaner retractors are self-retaining retractors with sharp or blunt prongs used to hold open superficial incisions in orthopedic and general procedures.
9Which retractor is a self-retaining frame retractor commonly used to hold open the abdomen during pelvic surgery?
A.Balfour
B.Army-Navy
C.Richardson
D.Malleable
Explanation: The Balfour retractor is a self-retaining retractor with adjustable lateral blades and a center blade used to hold open the abdomen in pelvic and lower abdominal procedures.
10Bookwalter retractors are characterized by which design feature?
A.A modular ring frame with multiple attachable blades
B.A spring-loaded self-retaining frame with two ratcheted arms
C.A hand-held single blade with cushioned handle
D.A bendable malleable ribbon
Explanation: Bookwalter retractors use a modular ring frame attached to the OR table, with multiple blades that can be positioned around the ring as needed.

About the CSIS Exam

CBSPD specialist credential focused on surgical instrument identification, handling, inspection, assembly, and sterilization. Covers instrument anatomy and identification (clamps, scissors, retractors, needle holders, ortho/lap), cleaning and decontamination, inspection and testing (sharpness, ratchet, lap insulation), assembly and packaging, sterilization methods (steam, EtO, low-temp H2O2, IUSS), and tracking/QA.

Questions

100 scored questions

Time Limit

2 hours

Passing Score

Scaled (CBSPD-set)

Exam Fee

$135 (CBSPD)

CSIS Exam Content Outline

25%

Instrument ID & Anatomy

Hemostats (Kelly, Crile, Mosquito, Mayo), graspers (Allis, Babcock, Kocher), scissors, retractors, needle holders, ortho, lap

20%

Inspection & Testing

Gauze sharpness test (4-layer, 2/3 down blade), ratchet check, box-lock alignment, lap insulation, staining patterns

15%

Cleaning & Decontamination

Manual + ultrasonic (40-50 kHz cavitation), washer-disinfector, AAMI ST108 water quality, PPE

15%

Assembly & Packaging

Count sheets, ratcheted instruments OPEN, Class 5 internal CI, peel pouch tip toward closure, tip protectors

15%

Sterilization Methods

Steam prevac/gravity, EtO, low-temp H2O2 (incompatible with cellulosics), IUSS limits, BI/CI placement

10%

Tracking & QA

Load records, recall workflow, repair vs replace, wet packs, event-related shelf life, CQI

How to Pass the CSIS Exam

What You Need to Know

  • Passing score: Scaled (CBSPD-set)
  • Exam length: 100 questions
  • Time limit: 2 hours
  • Exam fee: $135

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CSIS Study Tips from Top Performers

1Memorize hemostat hierarchy: Mosquito (smallest) → Crile/Kelly (medium) → Mayo (heaviest)
2Distinguish Mayo (heavy/dissecting) from Metzenbaum (delicate dissection) scissors by handle:blade ratio
3Master 4-layer gauze sharpness test for Mayo scissors (cuts cleanly 2/3 down blade)
4Apply lap insulation testing before every use; failure = burn risk to non-target tissue
5Know AAMI ST79 IUSS rules: NOT for implants except documented emergencies; full BI required

Frequently Asked Questions

How do you test scissor sharpness?

Mayo dissecting scissors should cleanly cut through 4 layers of gauze 2/3 down the blade. Smaller scissors (iris, Metzenbaum) tested per IFU — many use red Test-Tabs or paper-cutting tests. Replace scissors that fail sharpness testing rather than continuing to issue dull instruments. Document inspection in repair/replace log.

How is laparoscopic insulation tested?

Use a high-frequency insulation tester (e.g., InsulScan) per device IFU — runs current along the shaft and detects any breaks in the insulation coating. Insulation failure causes capacitive coupling burns to non-target tissue (often outside the surgeon visual field). Test BEFORE every use and after cleaning; remove from service if any defect detected.

What does brown vs blue staining mean?

Brown stain is typically from protein/iron residue (incomplete cleaning, mineral deposits, retained blood) or from chlorides in tap water. Blue/black stain often indicates retained cold-sterilant residue (glutaraldehyde, OPA), or from dissimilar metals in contact. Distinguish from genuine pitting (chloride attack) requiring instrument retirement. Run instrument through repeat cleaning and re-inspect.

How should I study for CBSPD CSIS?

Plan 40-60 hours over 6-8 weeks. Focus on instrument identification with photographs (Kelly vs Crile vs Mosquito differences in length and serration; Mayo vs Metzenbaum scissor differences) — this is high-yield. Master sharpness/ratchet/insulation testing protocols. Know AAMI ST79 IUSS rules (no implants except documented emergencies) and Class 5 vs Class 6 chemical indicator placement.