CSA Practice Exam, Exams of Business Economics

Download CSA Practice Exam and more Exams Business Economics in PDF only on Docsity! CSA Practice Exam Which ligaments attach the uterus to the sides of the pelvic cavity? (A) Uterosacral (B) Cardinal (C) Broad (D) Rectouterine -           (C) Broad Where are the malleus, incus, and stapes located? (A) Middle ear (B) Outer ear (C) Inner ear (D) External ear -           (A) Middle ear Which of the following is the term for moving toward the midline? (A) Proximal (B) Lateral (C) Distal (D) Medial -           (D) Medial Excessive size of one or more digits is... (A) microdontia. (B) syndactyle. (C) macrodactylia. (D) macrocephaly. -           (C) macrodactylia. Where is bile produced? (A) Gallbladder (B) Liver (C) Duodenum Hepatic duct -           (B) Liver In which structure is urine collected before passing down the ureters into the bladder? (A) Renal pelvis (B) Calyces (C) Bowman's capsule (D) Collecting tubules -           (A) Renal pelvis Which of the following terms denotes low or decreased blood volume? (A) Anoxia (B) Hypovolemia (C) Hypoxia (D) Hypocapnia -           (B) Hypovolemia Oxygenated blood is carried to the heart via the... (A) pulmonary arteries. (B) pulmonary veins. (C) carotid arteries. (D) carotid veins. -           (B) pulmonary veins. Which of the following signs and symptoms of an allergic reaction poses the greatest risk to a patient's airway status? (A) Rhinorrhea (B) Urticaria (C) Pruritus (D) Edema -           (D) Edema Normal body temperature in Celcius is... (A) 37° (B) 56° (C) 98° (D) 112° -           (A) 37° Which nerve is compressed in the carpal canal as a result of Carpal Tunnel Syndrome? (A) Brachial (B) Radial (C) Median (D) Ulnar -           (C) Median Ruptured alveoli may result in Following the primary procedure, the surgeon notices a lipoma was not removed on the patient's leg. The surgeon instructs the surgical assistant to remove the lipoma, before leaving the operating room. The lipoma removal is consented for, but will require a new incision. How should the surgical assistant proceed? (A) Perform the removal as instructed (B) Request that another surgical assistant is present to assist (C) Assess if the surgical team is comfortable with the surgeon's request (D) Inform the surgeon that removal by the surgical assistant is out of the scope of practice -           (D) Inform the surgeon that removal by the surgical assistant is out of the scope of practice According to the NSAA Code of Ethics, when must a surgical assistant seek assistance when suspecting a colleague of impairment? (A) The colleague shows signs of distress (B) There is potential harm to the patient (C) The surgical assistant suspects impairment (D) There is a history of substance use with the colleague -           (B) There is potential harm to the patient Which of the following types of bacteria causes infection in various parts of the body and is the most resistant to treatment? (A) SARS (B) Pseudomonas (C) Streptococcus (D) MRSA -           (D) MRSA A surgical assistant is splashed in the eye with blood during a procedure. What is the first course of action for the surgical assistant? (A) File a workplace incident report (B) Flush the eye with copious amounts of water (C) Report the hazardous incident to the immediate supervisor (D) Proceed to the emergency department for treatment of the affected eye -           (B) Flush the eye with copious amounts of water For orthopedic or spine surgery, the operating room table selection is made to optimize the (A) illumination of the surgical field. (B) IV line placement and anesthesia induction. (C) imaging capabilities. (D) preparation for an intraoperative cardiac event. -           (C) imaging capabilities. The Babcock clamp is most often used on (A) brain tissue. (B) bone. (C) the uterus. (D) the bowel. -           (D) the bowel. All of the following are used for DVT prophylaxis EXCEPT (A) anticoagulant agents. (B) sequential compression stockings. (C) tourniquet. (D) elastic stockings. -           (C) tourniquet. Which of the following is the most appropriate needle placement site when performing an aspiration or intra-articular injection in the knee? (A) Lateral to the patella with knee in flexion (B) Medial to patellar tendon with knee in flexion (C) Medial to proximal patella with knee in extension (D) Lateral to the patella with knee in extension -           (D) Lateral to the patella with knee in extension After three failed insufflation attempts at the umbilicus, which of the following entry points should be considered? (A) Right Upper Quadrant (RUQ) (B) Right Lower Quadrant (RLQ) (C) Left Upper Quadrant (LUQ) (D) Left Lower Quadrant (LLQ) -           (C) Left Upper Quadrant (LUQ) The gas introduced into the peritoneal cavity during a laparoscopic procedure to create a pneumoperitoneum is (A) nitrous oxide. (B) oxygen. (C) nitrogen. (D) carbon dioxide. -           (D) carbon dioxide. During a robotic assisted right colon resection, the surgeon encounters bleeding that requires emergent transition to a open laparotomy. Before the patient bed can be leveled and robot removed, the surgical assistant must (A) visually confirm all robotic instruments are clamped shut, clutch and remove robot arms, then withdraw robot. (B) visually confirm all robotic instruments are released, clutch and remove robotic arms, then withdraw robot. (C) visually confirm all robotic instruments are released then return patient to normal supine position. (D) push the emergency shut off on surgeons console, reboot system, remove robot arms, then robot. -           (B) visually confirm all robotic instruments are released, clutch and remove robotic arms, then withdraw robot. When using an isolated generator in electrosurgery, the circuit is made up of the (A) generator, active electrode, patient, and patient return electrode. (B) generator, active electrode, surgeon, and patient return electrode. (C) ground, active electrode, patient, and patient return electrode. (D) ground, active electrode, surgeon, and patient return electrode. -           (A) generator, active electrode, patient, and patient return electrode. Which of the following is a contraindication for Video Assisted Thoracic Surgery (VATS)? (A) Presence of a tumor < 6 cm (B) Positive hilar lymph nodes (C) History of emphysema Symptoms of tuberculosis -           (B) Positive hilar lymph nodes Which of the following may disrupt the circuit between an electro-cautery grounding-pad to patient interface and potentially harm the patient? (A) Dry, intact skin (B) Excessive body hair (C) Lean muscle mass (D) Hyperpigmentation -           (B) Excessive body hair Following a Total Knee Arthroplasty (TKA), the knee presents in valgus when in extension. This is most likely an indication that which ligament was damaged? (A) Anterior Cruciate Ligament (ACL) (B) Posterior Cruciate Ligament (PCL) (C) Lateral Collateral Ligament (LCL) (D) Medial Collateral Ligament (MCL) -           (D) Medial Collateral Ligament (MCL) (A) Patient positioning (B) Patient size (C) Patient's perineal area (D) Surgeon's preference -           (C) Patient's perineal area What is the anatomical sequence of antimicrobial preparation for a femoral - popliteal bypass? (A) Thigh, knee groin, foot (B) Groin, thigh, knee foot (C) Abdomen, groin, thigh, knee, foot (D) Abdomen, thigh, knee, groin, foot -           (D) Abdomen, thigh, knee, groin, foot Which of the following is the main consideration when draping the patient? (A) Tattoo in the operative site (B) Type of procedure (C) Size of the patient (D) Previous incision scar -           (B) Type of procedure What is the main benefit of epinephrine in a local anesthetic? (A) Increase vasoconstriction (B) Increase vasodilation (C) Decrease pain Decrease swelling -           (A) Increase vasoconstriction Which of the following is best practice prior to removing a Foley® catheter? (A) Cutting the distal catheter (B) Deflating the balloon with a surgical instrument (C) Cutting the inflation valve (D) Deflating the balloon with a syringe -           (D) Deflating the balloon with a syringe Which of the following is the main objective for administering local anesthesia after surgery? (A) Decrease infection (B) Decrease bleeding (C) Decrease pain (D) Decrease mobility -           (C) Decrease pain Which of the following is a urinary catheter? (A) Groshong catheter (B) Guiding catheter (C) Cudette catheter (D) Hickman catheter -           (C) Cudette catheter Which of the following should the surgical assistant have available for a difficult catheterization prior to robotic assisted colectomy? (A) Foley (B) Coude (C) Dialysis (D) Straight -           (B) Coude A patient underwent surgery for an internal fixation of a 7-day-old tibial plateau fracture. Spinal anesthesia was used and the limb was exsanguinated. Within three minutes of tourniquet insufflation, the patient became unconscious and hypotensive. Which physiological event has likely occured? (A) Vasovagal syncope (B) Pulmonary embolism (C) Blockade of the cardiac sympathetic nerve (D) Anesthesia induced hypotension -           (B) Pulmonary embolism Appropriate tourniquet cuff pressure is determined by all of the following EXCEPT (A) vascular status. (B) surgery duration. (C) blood pressure. (D) limb circumference. -           (B) surgery duration. Bipolar cautery employs which of the following design features to reduce the likelihood for electrical current flowing to adjacent tissues? (A) Addition of conductive argon gas (B) Return electrode in immediate proximity to current source (C) Built-in irrigation with non-conductive liquid (D) Multiple grounding pads in several locations on the patient -           (B) Return electrode in immediate proximity to current source The control and cessation of bleeding is called? (A) coagulation. (B) hemostasis. (C) vasoconstriction. (D) aneurysm. -           (B) hemostasis. The first method of hemostasis in severe hemorrhage is (A) direct pressure. (B) clamping. (C) electro-cautery. (D) suction. -           (A) direct pressure. During a laparoscopic appendectomy, which of the following devices is used to divide the appendix from the cecum? (A) Thoracoabdominal Stapler (T.A. Stapler) (B) End-to-End Anastomosis Stapler (E.E.A. Stapler) (C) Intestinal Linear Anastomosis Stapler (I.L.A. Stapler) (D) Gastrointestinal Stapler (G.I.A. Stapler) -           (D) Gastrointestinal Stapler (G.I.A. Stapler) While performing a cervical laminotomy, which rongeur (supplied with variable widths) is the best choice for removing the lamina in small amounts? (A) Cushing (B) Leksell (C) Stille-Luer (D) Kerrison -           (D) Kerrison When plating any long bones of the leg or arm during an Open Reduction Internal Fixation (ORIF), removing the periosteum from the cortical bone before plating is best accomplished with which instrument? (A) Osteotome (B) Penfield (C) Elevator (D) Rasp -           (C) Elevator Which non-electrical instrument is the best choice for ligating small blood vessels? (A) Hemoclip (B) Water-tight running closure to eliminate risk for infection (C) Interrupted non-absorbable sutures for increased support (D) Incorporate the subcutaneous layer with a deep vertical mattress stitch -           (A) Re-approximation to reduce dead space Where would a subcuticular stitch be used? (A) Heart (B) Lung (C) Intestine (D) Skin -           (D) Skin Which of the following layers is the last to be closed in an open abdominal surgery? (A) Rectus muscle (B) Internal oblique muscle (C) External oblique fascia (D) Scarpa's fascia -           (D) Scarpa's fascia Which dressing is recommended following a total hip arthroplasty? (A) Compression (B) Steri strips (C) Occlusive (D) Wet to dry -           (C) Occlusive Which of the following is proper procedure for applying tape to a surgical dressing? (A) Unroll the tape before applying to the skin (B) Apply the tape to the skin and stretch to fit (C) Apply multiple layers for durability Wet the skin to prevent breakdown -           (A) Unroll the tape before applying to the skin A Wound VAC® uses what kind of pressure to help with healing? (A) Direct pressure (B) Negative pressure (C) Indirect pressure (D) Positive pressure -           (B) Negative pressure A Wound VAC® is appropriate for use in all of the following situations EXCEPT when a patient has (A) untreated osteomyelitis. (B) a wound infection. (C) exposed vasculature. (D) wound dehiscence. -           (C) exposed vasculature. Which of the following is the most serious complication of casting and splinting? (A) Blistering (B) Compartment syndrome (C) Skin breakdown (D) Infection -           (B) Compartment syndrome What type of reaction occurs when a plaster cast mixes with water and sets? (A) endothermic (B) exothermic (C) electrochemical (D) isothermic -           (B) exothermic During abdominal surgery, which structure is typically dissected and/or released for mobilization of the liver? (A) Ligament of Treitz (B) Falciform ligament (C) Ligamentum Teres (D) Poupart's ligament -           (B) Falciform ligament Which of the following is known as a Whipple procedure? (A) Choledocojejunostomy (B) Pancreaticoduodenectomy (C) Hepaticojejunostomy (D) Esophagogastrectomy -           (B) Pancreaticoduodenectomy The lymph node of Calot would normally encountered in which of the following procedures? (A) Cholecystectomy (B) Colo-rectal fistulectomy (C) Low anterior resection (D) Appendectomy -           (A) Cholecystectomy Which of the following procedures is used in bariatric surgery for treatment of obesity? (A) Total gastrectomy (B) Iliotibial band release (C) Sleeve gastrectomy (D) Nissen fundoplication -           (C) Sleeve gastrectomy What type of hernia passes through the inguinal ring into the inguinal canal? (A) Direct (B) Indirect (C) Pantaloon (D) Sliding -           (B) Indirect During axillary lymph node dissection procedures, damage to which of the following structures may result in weakness of the serratus anterior muscle or "winged scapula"? (A) Thoracodorsal nerve (B) Intercostal nerve (C) Long thoracic nerve (D) Lateral thoracic nerve -           (C) Long thoracic nerve Forming a new opening between the stomach and duodenum is known as a (A) gastroduodenostomy. (B) roux-en-Y procedure. (C) gastroduodenotomy. (D) gastrectasia. -           (A) gastroduodenostomy. An inguinal hernia is classified as reducible if its contents can be placed back into which cavity? (A) Ventral (B) Peritoneal (C) Scrotal (D) Parietal -           (B) Peritoneal Hernioplasty refers to the surgical repair of a hernia when (A) Sternotomy (B) Anterolateral thoracotomy (C) Posterioralateral thoracotomy (D) Mediastinotomy -           (A) Sternotomy Which of the following is the most common conduit used in coronary artery bypass grafting (CABG)? (A) Right internal mammary artery/Greater saphenous vein (B) Left internal mammary artery/Greater saphenous vein (C) Right internal mammary artery/Lesser saphenous vein (D) Left internal mammary artery/Lesser saphenous vein -           (B) Left internal mammary artery/Greater saphenous vein Damage to which of the following structures may cause vocal cord paresis? (A) Recurrent laryngeal nerve (B) Superior laryngeal nerve (C) Inferior laryngeal nerve (D) External laryngeal nerve -           (A) Recurrent laryngeal nerve Which of the following nerves is most commonly injured in a total parotidectomy? (A) Recurrent laryngeal (B) Ansa cervicalus (C) Greater auricular (D) Facial -           (D) Facial What surgical procedure is performed for an obstructed airway? (A) Thoracostomy (B) Laryngostomy (C) Tracheostomy (D) Mediastinotomy -           (C) Tracheostomy For Anterior Cervical Discectomy and Fusion (ACDF), which is the first muscle dissected to expose the vertebrae of the cervical spine? (A) Sternocleidomastoid (B) Splenius cervicus (C) Erector spinae (D) Platysma -           (D) Platysma Part of a spinal nerve that supplies the erector spinae, transversospinalis, interspinales, and anterior and lateral intertransversii muscles, and the skin overlaying them is (A) dorsal primary ramus. (B) dorsal root. (C) ventral primary ramus. (D) ventral root. -           (A) dorsal primary ramus. In an adult, the medullary cone of the spinal cord is normally located at which vertebral body levels? (A) T10-T12 (B) T12-L1 (C) L1-L2 (D) L5-S1 -           (C) L1-L2 When performing a Cesarean section it is important to protect which of the following organs from injury? (A) Bladder (B) Kidneys (C) Duodenum (D) Transverse colon -           (A) Bladder Excision of the uterus, fallopian tubes, and ovaries is refered to as a (A) hysterectomy. (B) hysterosalpingectomy. (C) hysterosalpingo-oophorectomy. (D) salpingo-colpectomy. -           (C) hysterosalpingo-oophorectomy. Which of the following is the most common reason for performing a Cesarean Section? (A) Ectopic pregnancy (B) Shoulder dystocia (C) Preeclampsia (D) Uterine menorrahgia -           (C) Preeclampsia Which of the following approaches is used to perform a Cesarean Section? (A) Low Pfannenstiel (B) McBurney's (C) Sub-costal (D) Sub-xiphoid midline -           (A) Low Pfannenstiel Which muscles are part of the rotator cuff? (A) Levator scapulae and Teres minor (B) Teres major and infraspinatus (C) Subscapularis and Teres major (D) Teres minor and Supraspinatus -           (D) Teres minor and Supraspinatus What is the insertion point of the achilles tendon? (A) Fibular head (B) Calcaneus (C) Navicular (D) Cuboid -           (B) Calcaneus The Anterior Drawer test is used to diagnose which of the following? (A) Patella femoral alignment (B) Anterior cruciate ligament (ACL) tear (C) Femur fracture (D) Septic bursitis -           (B) Anterior cruciate ligament (ACL) tear Mechanical axis of the femur is a line drawn (A) along the axis of the tibia. (B) between the center of the knee and ankle. (C) between the center of the femoral head and intercondylar notch. (D) along the inferior aspect of both femoral condyles. -           (C) between the center of the femoral head and intercondylar notch. The procedure most often performed for a femoral head fracture is (A) arthroplasty. (B) percutaneous pinning. (C) compression screw and plate. (D) cerclage wiring. - (D) occipital -           (A) cervical When performing an autologous fat transfer procedure, inadvertent cannulation of a vessel may result in (A) hypertension. (B) an electrolyte imbalance. (C) an embolism. (D) coagulopathy. -           (C) an embolism. An aorto-bifemoral bypass procedure corrects pathology in which of the following vessels? (A) Deep femoral arteries (B) Surperficial femoral arteries (C) Iliac arteries (D) Renal arteries -           (C) Iliac arteries When performing a carotid endarterectomy, which nerve runs parallel to the lateral aspect of the common carotid artery? (A) Hypoglossal nerve (B) Recurrent laryngeal nerve (C) Vagus nerve (D) Glossopharyngeal nerve -           (C) Vagus nerve Following a carotid endarterectomy procedure, when the carotid arteriotomy has been closed, which of the following vessels is unclamped last? (A) Internal jugular vein (B) Common carotid artery (C) External carotid artery (D) Internal carotid artery -           (D) Internal carotid artery Clamping which of the the following blood vessels carries the least risk for limiting circulation to the brain? (A) Common carotid artery (B) Internal carotid artery (C) Vertebral artery (D) External carotid artery -           (D) External carotid artery Femoral-popliteal bypass procedures are commonly performed to address vascular blockage at the (A) femoral canal. (B) adductor canal. (C) abductor foramen. (D) obturator foramen. -           (B) adductor canal. What surgical procedure would be performed to alleviate cardiac tamponade? (A) Sternotomy (B) Pericardial window (C) Thoracotomy (D) Mediastinoscopy -           (B) Pericardial window A complete transection of the radial nerve may cause all of the following EXCEPT loss of (A) forearm extension. (B) finger and hand extension. (C) sensation in the lateral arm. (D) proprioception of the elbow. -           (D) proprioception of the elbow. What surgical procedure is used to treat compartment syndrome? (A) Local skin resection (B) Fasciotomy (C) Compression bandaging (D) Vascular bypass -           (B) Fasciotomy Trauma from striking the steering wheel in a motor vehicle accident most commonly results in what kind of injury? (A) Rupture kidney (B) Rupture aorta (C) Ruptured spleen (D) Ruptured liver -           (C) Ruptured spleen Which of the following is a mediastinal tumor? (A) Thymoma (B) Hamartoma (C) Angioma (D) Astrocytoma -           (A) Thymoma Chest tubes are generally placed through the: (A) thyroid notch (B) 12th intercostal space at the sterno-costal margin (C) 9th intercostal space at the costo-chondral margin (D) 5th intercostal space at the mid-axillary line -           (D) 5th intercostal space at the mid-axillary line Surgical crushing of a calculus in the urinary tract is refered to as a (A) lithiasis. (B) ureteroplasty. (C) lithotomy. (D) lithotripsy. -           (D) lithotripsy. What is the term for a surgical procedure performed to correct a testicular tortion? (A) Epididymectomy (B) Orchiectomy (C) Vasectomy (D) Orchiopexy -           (D) Orchiopexy What is the typical entry point into the uterus when performing a Cesarean Section? (A) Mid-line cervical incision (B) Mid-line fundal incision (C) Low transverse incision (D) Upper transverse incision -           (C) Low transverse incision