CSFA Exam 1 Questions With 100% Correct Answers | Verified | Latest Update 2024, Exams of Advanced Education

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CSFA Exam 1 Questions With 100% Correct

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Which of the following is separated from the lateral condyle of the femur by a bursa, keeping it separated from the lateral meniscus? lateral collateral ligament patella tendon medial collateral ligament popliteus tendon popliteus tendon The majority of cerebrospinal fluid is produced in the lateral ventricles. The lateral ventricles communicate with the third ventricle through a single opening known as the foramina of Luschka. foramina of Magendie. foramen of Monro. aqueduct of Sylvius. foramen of Monro. When performing a culdoscopy, the Sims tenaculum should be placed on which of the following aspects of the cervix to assist with visualization of the operative area? medial lateral posterior anterior posterior Disaster plans developed by the hospital disaster committee should be tested in drills how many times per year? 4 1 3 2 2 Which of the following is an affirmative defense that alleges that the plaintiff is mutually responsible for an injury through a lack of care in combination with negligence of the healthcare provider?

malevolence contributory negligence malfeasance comparative negligence contributory negligence Which of the following capsules must be entered to gain access to the kidney or suprarenal gland for repair? Gerota's fascia renal corpuscle Camper's fascia suprarenal cortex Gerota's fascia When prepping for a lateral thoracotomy, which of the following would be the appropriate superior and inferior parameters? xiphoid process to mid-thigh chin to umbilicus neck to iliac crest nipple line to umbilicus neck to iliac crest To reconstruct the pelvis after prolapse, which of the following anatomical structures could be used as a supportive repair in conjunction with the repair of a rectocele? transversalis fascia perivaginal fascia pelvic diaphragm levator ani levator ani Which of the following casts should be applied to a non-displaced humeral fracture? sugar tong Wedge hanging Munster hanging In a previously infected wound that has been opened and debrided, which of the following is the preferred suture material in the event that subcutaneous tissue is closed?

braided absorbable monofilament absorbable monofilament non-absorbable braided non-absorbable monofilament absorbable A purse-string suture is MOST commonly used for excision of the uterus. stomach. liver. appendix. appendix. When positioning a patient for an anterior cruciate ligament (ACL) repair, it is MOST important to place the tourniquet as high as possible on the thigh, slightly angle the leg holder (if used) towards the patient's head, and drape as high toward the thigh as possible to: use a six-in-ace bandage to wrap the extremity. allow the guide pin to emerge through a prepped and draped area. place additional ports. prevent contamination of the sterile area. allow the guide pin to emerge through a prepped and draped area. A patient who has sustained a shotgun wound to the right anterior superior area of the thigh is unable to extend the leg and has loss of sensation in the skin over the anteromedial aspect of the thigh. Which of the following nerves has been damaged? obturator femoral ilioinguinal genitofemoral femoral Event-related sterility is concerned with: pressure. time. integrity. temperature. integrity.

The topical hemostatic agent thrombin should never be directly injected or allowed to enter into a vessel because the risk of infection increases with direct injection. it causes uncontrollable vasospasms. the effects are reversed when directly injected and cause more severe bleeding. it can cause clotting and may ultimately lead to death. it can cause clotting and may ultimately lead to death. The acronym LASER stands for light acceleration by stimulated emission of radiation. light amplification by stimulated emission of radiation. lower amplification by stimulated emission of radiation. lower altitude by stimulated emission of radiation. light amplification by stimulated emission of radiation. Which of the following structures forms an envelope around the spermatic cord and is a continuation of the internal oblique? Cooper's ligament transversalis fascia conjoined tendon cremaster muscle cremaster muscle When performing total knee arthroplasty (TKA), the capsule is primarily entered: laterally. superiorly. medially. inferiorly. medially. Which of the following should be applied immediately postoperatively to immobilize the surgical site, limit limb motion, and allow for postoperative swelling in open reduction procedures? long arm cast long leg cast spica splint splint

The MOST common complication seen in the unaffected leg related to positioning on a fracture table is: pudenal nerve damage. (NERVE) compartment syndrome. popliteal artery damage. skin shear. pudenal nerve damage. (NERVE) A 70-year-old patient with a history of tuberculosis undergoes a wedge resection of the right upper lobe of the lung. When the lung is reinflated, which of the following may cause poor lung compliance? excessive carbon dioxide excessive scarring damage to the phrenic nerve decompression sickness excessive scarring Which of the following characterizes bacteria of the genus Clostridium? nonspore-forming anaerobic fungal coagulase-negative anaerobic Which of the following arteries supply blood to the thyroid gland? innominate and superior thyroid external carotid and superior thyroid internal carotid and inferior thyroid superior laryngeal and inferior thyroid external carotid and superior thyroid At which of the following levels does the spinal cord terminate? L5-S L4-L L1-L T12-L L1-L Which of the following is a symptom of claudication? cramping

fever syncope nausea cramping Which of the following radiological techniques is described as an x-ray beam that moves back and forth across the body to project cross-sectional images? ultrasonography computerized axial tomography (CAT) angiography magnetic resonance imaging (MRI) computerized axial tomography (CAT) A Chiari malformation is the displacement and herniation into the cervical canal of the: hypothalamus. pons. occipital lobe. cerebellum. cerebellum. Which of the following is the casting method used to manage a pelvic fracture? spica cast short cast extensor block cast flexor block cast spica cast A type of wound in which the alimentary, oropharyngeal, respiratory, or genitourinary regions are entered is classified as: infected. contaminated. clean. clean contaminated. clean contaminated. During an ORIF of the distal radius, the surgeon may transect the transverse carpal ligament to: reduce the possibility of de Quervain's tenosynovitis postoperatively. provide exposure for the procedure.

reduce the possibility of carpal tunnel syndrome postoperatively. provide increased wrist range-of-motion reduce the possibility of carpal tunnel syndrome postoperatively. When ligating the short gastric arteries, placing them under too much tension may result in a tear of the: celiac trunk. common bile duct. lesser omentum. splenic capsule. splenic capsule. The distal portion of the Javid shunt used during carotid endarterectomy is inserted into which of the following arteries? external carotid middle cerebral common carotid internal carotid internal carotid A latissimus dorsi flap used for breast reconstruction following a mastectomy gets its main blood supply from which of the following arteries? long thoracic inferior epigastric thoracodorsal superior epigastric thoracodorsal During an abdominal hysterectomy, the surgeon initially isolates the uterus by separating it from the: cervix. bladder. round ligaments. broad ligaments. round ligaments. During a cholecystectomy, it is important to isolate which of the following ligaments, consisting of the common bile duct, hepatic artery, and portal vein? hepatoduodenal gastrohepatic

coronary triangular hepatoduodenal The BEST method of managing blood loss during a traumatic liver injury or hepatic resection is: suture ligation. harmonic scalpel. Pringle maneuver. Kocher maneuver. Pringle maneuver. Herniation of the rectum through a weakened posterior vaginal wall is known as: rectocele. enterocele. cystocele. varicocele. rectocele. Carpal tunnel syndrome is caused by compression of which of the following nerves? median radial ulnar obturator median In the steam sterilization process, biological indicators should be run with all implantable devices. These indicators should contain: Bacillus stearothermophilus. Staphylococcus aureus. Bacillus subtilis. Clostridium perfringens. Bacillus stearothermophilus. During cardiac arterial bypass grafting, a surgeon needs to vasodilate and stop arterial spasm. Which of the following drugs should be used? heparin norepinephrine papaverine protamine

papaverine The CO2 laser beam is absorbed by: hemoglobin. bone. water. oxygen. water. While assisting on a knee arthroscopy, access to the medial meniscus can be achieved by using which of the following manipulations?: adduction varus valgus abduction valgus Which of the following is the BEST indication for endovascular abdominal aortic aneurysm repair (EVAAAR)? a proximal infrarenal neck remnant of 1-2 cm appropriate jugular vein access an aneurysm with aortic and bilateral common iliac vessel involvement a patient who is unable to tolerate general anesthesia a proximal infrarenal neck remnant of 1-2 cm Which of the following types of hernia consists of a protrusion of fat through defects in the abdominal wall located between the umbilicus and the xiphoid process and symptoms of nausea and slight upper abdominal pain? interparietal umbilical spigelian epigastric epigastric During a carotid endarterectomy, the final occlusion clamp to be removed after anastomosis is on the common carotid. thyroid branch.

external carotid. internal carotid. internal carotid. A surgeon has determined that a patient requires an ORIF, using a plate and screw, to repair a fracture of the distal radius. On which of the following aspects of the distal radius will the incision and approach to the fracture be made? volar digital ulnar radial volar Which of the following organisms is the MOST likely etiology of pulmonary infection in a patient with AIDS? Klebsiella pneumoniae Diplococcus pneumoniae Mycobacterium tuberculosis Pneumocystis carinii Pneumocystis carinii Which of the following anatomical landmarks separates the frontal and parietal lobes and is clinically important because its anterior convolution contains the center for ipsilateral motor control? internal carotid artery fissure of Sylvius fissure of Rolando lenticulostriate artery fissure of Rolando The primary purpose of a chest tube is to: re-establish negative pressure. irrigate the chest. eliminate leaks in the lungs. prevent pulmonary emboli re-establish negative pressure. Prior to liposuction, 40 mL 1% lidocaine with epinephrine 1:100,000 and 1,000 mL saline are combined to create:

tumescent. Dakin's. Lugol's. papaverine. tumescent. Which of the following nerves is frequently damaged after fractures or wounds to the elbow? ulnar palmar median brachial ulnar After completion of an ORIF of the distal radius utilizing a volar plate and screws, the dressing application should include which of the following splints?: thumb spica ulnar gutter posterior wrist dorsal block posterior wrist Which of the following dressings are derived from bovine, equine, or porcine sources and are effective in recalcitrant wounds? composites alginates cyanoacrylate collagen collagen In which of the following positions should chest rolls be placed to raise the chest? supine jackknife beach chair lithotomy jackknife Winged scapula is a condition brought on by an injury to which of the following nerves? axillary medial pectoral

long thoracic thoracodorsal long thoracic During dissection of the internal mammary artery (IMA), which of the following diluted solutions should be used to dilate the artery and reduce muscle spasm? heparin papaverine lidocaine bacitracin papaverine Which of the following chambers of the heart ejects deoxygenated blood into the pulmonary artery for oxygenation by the lungs? left atrium left ventricle right ventricle right atrium right ventricle Which of the following hemodynamic concepts describes the resistance the heart must overcome to pump blood into the systemic circulation? preload contractility cardiac output afterload afterload Which of the following cranial nerves innervates the heart? CN V CN VI CN XII CN X CN X Which of the following sterilants is utilized by the Steris System I sterilizer? ethylene oxide hydrogen peroxide

peracetic acid ozone gas peracetic acid During ulnar nerve transposition, the nerve is relocated to the: lateral aspect of the radial head. anterior aspect of the medial epicondyle. olecranon fossa. ulnar notch. anterior aspect of the medial epicondyle. A 54-year-old female presents to the OR with a 4 cm oblique volar forearm laceration and a 9 cm transverse dorsal forearm laceration from a dog bite. Which of the following suturing methods and materials is the BEST choice for closure of the wound? interrupted polypropylene continuous polyester continuous polyglactin interrupted silk interrupted polypropylene Which of the following is an effective way to estimate proper femoral nail diameter and length of an acute, severely comminuted femur fracture? preoperative radiographs of the unaffected leg postoperative radiographs of the unaffected leg preoperative radiographs of the affected leg postoperative radiographs of the affected leg preoperative radiographs of the unaffected leg Which of the following statements is true concerning hypophysectomy?:

1. Replacement of adrenal steroid therapy is usually required.
2. Diabetes may result.
3. Growth will be increased.
4. Cessation of menses and infertility may result. 1, 2, and 4 only 1, 3, and 4 only 1, 2, and 3 only 2, 3, and 4 only 1, 2, and 4 only

A 60-year-old obese patient with a history of diabetes and renal insufficiency has undergone drainage of an abdominal abscess through a midline incision. Which of the following should be considered for wound closure? An interrupted retention suture should be used. Use of blunt surgical needles is a consideration in the presence of infection. Multifilament, absorbable suture material provides for optimal wound healing. A continuous suture line should be used. An interrupted retention suture should be used. Which of the following arteries may be detached and reanastomosed to the graft during an abdominal aortic aneurysm (AAA) resection? celiac renal left gastric inferior mesenteric renal During a routine shoulder arthroscopy on a patient with instability, a surgeon notices that the patient has a type II SLAP lesion. Which of the following is the appropriate treatment for this finding? Resect the tissue. Repair the glenoid labrum. No treatment is necessary. Perform a biceps tenolysis. Repair the glenoid labrum. The MOST common structure involved in a sliding left indirect hernia is the: descending colon. bladder. cecum. sigmoid. sigmoid. Which of the following are the most common lasers used in gynecological surgery? CO2 and Nd:YAG ruby and CO argon and ruby Nd:YAG and argon CO2 and Nd:YAG

Postoperatively, which of the following is closely monitored immediately after a loop colostomy is performed? herniation obstruction infection ischemia ischemia Which of the following is a common complication when transporting a post-anesthesia patient? mitral stenosis decreased cardiac output hypervolemia embolism decreased cardiac output Which of the following tests is widely used to assess the adequacy ofulnar collateral circulation to the hand? Tinel's Phalen's Allen's Finkelstein's Allen's The third ventricle empties into the fourth ventricle through which of the following small ducts, which is the only exit for the third and lateral ventricles? foramina of Luschka foramina of Magendie foramen of Monro aqueduct of Sylvius aqueduct of Sylvius Which of the following are desired outcomes for the Bankart procedure?

1. preventing recurrence of dislocation
2. reducing arthritic changes
3. tightening of the infraspinatus muscle
4. restoring joint motion 1, 3, and 4 only 1, 2, and 3 only

2, 3, and 4 only 1, 2, and 4 only 1, 2, and 4 only Which of the following nerves innervates the latissimus dorsi muscle? lateral pectoral long thoracic thoracodorsal medial pectoral thoracodorsal Comparatively, which of the following patients is at greatest risk for anesthesia complication during the operative phase? a patient who is immunosuppressed a patient who is undernourished a patient with COPD a patient with diabetes a patient with COPD Which of the following are safety factors to consider when using electrosurgery units (ESU)?

1. All active electrodes should be stored in an insulated holster.
2. All jewelry should be removed to prevent risk of potential burns to the patient.
3. Any malfunctioning ESU should be serviced before and after each case.
4. Dispersive electrodes should not be located in proximity to internal implants. 2, 3, and 4 only 1, 2, and 4 only 1, 2, and 3 only 1, 3, and 4 only 1, 2, and 4 only During a routine abdominal hysterectomy, the anesthesiologist notes hat the patient is becoming progressively tachycardic. He notes that there has been virtually no blood loss. The surgeon requests additional muscle relaxation because the patient's abdominal musculature is tightening up." The esophageal temperature probe indicates a core body temperature of 103° F (39° C). The anesthesiologist notices that the CO2 monitors are alarming with high levels. The anesthesiologist should turn off his anesthetic agent, hyperventilate the patient with 100% oxygen, and administer: atropine. dantrolene.

succinylcholine. epinephrine. dantrolene. Calot's Triangle is formed by the: splenic vein and common hepatic bile duct cystic duct. portal vein, common hepatic bile duct, and hepatic artery. common hepatic bile duct, cystic duct, and cystic artery. pancreatic duct, portal vein, and common bile d common hepatic bile duct, cystic duct, and cystic artery. During a Nissen fundoplication, care should be taken when placing medial traction on the stomach to prevent avulsion of the: gastric arteries. splenic artery. common duct. pancreatic duct. gastric arteries. Which of the following suturing techniques is used for aortic and atrial cannulation for cardiopulmonary bypass? mattress Grey-Turner purse-string Heaney purse-string During a low anterior colon resection, the anvil of the EEA is inserted into the: Hartman's pouch. sigmoid. anus. ascending colon sigmoid. Which of the following complications is MOST critical when positioning a patient for surgery? pressure injury postural hypotension respiratory compromise venous stasis

respiratory compromise Which of the following lasers is used to vaporize a portion of the residual lens capsule after cataract surgery? CO argon Excimer Nd:YAG Nd:YAG After a mitral valve replacement, a patient coming off bypass shows signs of cardiac ischemia. Which of the following MOST likely happened during the procedure to cause this? ligation of the inferior vena cava ligation of the subclavian artery occlusion of the innominate vein occlusion of the circumflex artery occlusion of the circumflex artery During a carotid endarterectomy, the patient's heart rate drops to 30 bpm. This is likely due to stimulation of the: hypoglossal nerve. jugular vein. carotid artery. vagus nerve. vagus nerve. Which of the following are rotator cuff muscles?

1. teres major and teres minor
2. supraspinatus and teres minor
3. levator scapulae and infraspinatus
4. infraspinatus and subscapularis 3 and 4 only 2 and 4 only 1 and 3 only 1 and 2 only 2 and 4 only We have an expert-written solution to this problem!

When opening the aneurysmal sac during resection of an abdominal aortic aneurysm (AAA), which of the following arteries is ligated? supine mesenteric common hepatic renal lumbar lumbar Which of the following types of laser is used in retinal surgery? argon carbon dioxide Excimer Nd:YAG argon During total hip arthroplasty through an anterolateral approach, which of the following maneuvers is needed to dislocate the femoral head? abduction and external rotation adduction and external rotation adduction and internal rotation abduction and internal rotation adduction and external rotation When a loop of jejunum is anastomosed end to side with the esophagus in a total gastrectomy, a jejunojejunostomy may be done to: prevent dumping syndrome. reduce gastric secretions. reduce protein maldigestion. prevent regurgitation esophagitis. prevent regurgitation esophagitis. When performing scalene node biopsy, which of the following muscles is dissected to provide visualization of the scalene fat pad? deltoid masseter platysma pectoralis minor

platysma A threaded cortical screw cannot provide compression of bone fragments unless the: hole is tapped. screw is cannulated. screw is self-tapping. near cortex is over drilled. near cortex is over drilled. Which of the following tumors is MOST commonly found in the cerebellum of children and in the cerebrum of adults and is the most common primary brain tumor? Kaposi sarcoma Ewing's sarcoma astrocytoma meningioma astrocytoma When should the patient's chest tubes be attached to the drainage system during a thoracotomy? immediately upon insertion upon arrival in the PACU after the thoracic cavity is closed within an hour of the procedure after the thoracic cavity is closed Which of the following angled plates is MOST frequently chosen for a compression hip screw fixation? 150° 135° 145° 130° 135° A patient who is opposed to the acceptance of blood transfusion on religious principle is undergoing a hysterectomy. During surgery, there was significant blood loss causing hematocrit to drop to 30% with a resulting drop in oxygen saturation. Under these conditions, which of the following is the appropriate response? Change IV fluid to dextrose 5% with water Transfuse platelets.

Transfuse whole blood. Increase IV fluid drip to allow hemodilution. Increase IV fluid drip to allow hemodilution. When an open appendectomy is performed, it is necessary to identify the: transverse colon and hepatic flexure. cecum and ileocecal valve. terminal ileum and line of Toldt. bladder and ligament of Treitz. cecum and ileocecal valve. During a posterolateral approach for an intracapsular hip fracture,which of the following muscles would be released along with the short external rotators and capsule from the posterior aspect of the femur as a single musculocapsular flap? gluteus medius gemelli quadratus femoris piriformis piriformis If a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal charges can be filed? foreseeability primum non nocere intentional tort res ipsa loquitur res ipsa loquitur Pulling on the wrist to reduce a radius fracture incorporates which of the following principles of surgical assisting? internal-external rotation supination-pronation extension-flexion traction-countertraction traction-countertraction During a posterolateral approach to the hip, which of the following structures usually found superficially to the obturator and gemelli should be identified and protected? lateral femoral cutaneous nerve

superior gluteal inferior gluteal sciatic nerve sciatic nerve After receiving a preoperative epidural catheter, a patient is given a bolus of local anesthetic intraoperatively. The patient then demonstrates signs of hypotension and complete respiratory failure. Which of the following is the MOST likely cause? migration of the epidural catheter through the dura CNS toxicity due to overdose administration of ropivacaine instead of bupivacaine poor cardiac output migration of the epidural catheter through the dura When performing compression hip screw fixation, the lag screw isinserted within 1 cm of the femoral articular surface. into the femoral neck with the threads 2 cm lateral to the fracture site. in the superior aspect of the femoral head. into the articular cartilage of the femoral head. within 1 cm of the femoral articular surface. A long-term complication of a cemented total hip arthroplasty is anterior dislocation. impingement of the sciatic nerve loosening of the prosthesis. posterior dislocation. loosening of the prosthesis. A wound that is known to be infected at the time of surgery and is left open to be closed at a later date is categorized as second intention. granulation. first intention. delayed primary closure. delayed primary closure. Which of the following is an example of a high-level disinfecting agent? glutaraldehyde quaternary ammonium

iodophor solution isopropyl alcohol glutaraldehyde During arterial cannulation in cardiopulmonary bypass (CPB), the cannula tip must be directed into which of the following arteries? pulmonary aorta coronaries brachiocephalic aorta Injury to which of the following arteries is commonly seen in the temporal lobes, where the skull is the thinnest and meningeal blood vessels are numerous, and is the usual cause of epidural hematomas? posterior meningeal middle meningeal cerebral temporal middle meningeal When transferring a thoracotomy patient to recovery, the chest drainage system should be: disconnected. maintained below the patient's chest level. positioned above the patient's head. placed at the patient's side. maintained below the patient's chest level. Which of the following is the desired effect when applying a partially threaded cancellous screw to a bone fragment? rotation distraction subluxation compression compression What is the normal range of red blood cells in a complete blood count for an adult male? 12.0-16.0 g/dl 14.0-18.0 g/dl

3.5-5.2 x 103/nl 4.6-6.2 x 106/nl 4.6-6.2 x 106/nl