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NBSTSA CSFA Exam Prep 1 Questions with Answers
1.1.A complication of steep reverse Trendelenburg position is A. deep vein thrombosis. B. arterial compression. C. cardiac overload. D. respiratory alkalosis.: A. deep vein thrombosis. 2.Which of the following positions should be utilized for posterior colpotomy? A. prone B. supine C. lithotomy D. Fowler's: C. lithotomy 3.Which of the following BEST prevents hypothermia in the OR? A. forced air warming blanket B. warmed IV solution C. warmed irrigation solution D. multiple layers of warm blankets: A. forced air warming blanket 4.OR humidity must be maintained between which of the following ranges? A.
2 / 68 5% to 20% B. 20% to 60% C. 40% to 80% D. 50% to 90%: B. 20% to 60% 5.An important process in which all team members must participate just prior to incision is called the A. huddle. B. timeout. C. debriefing. D. consent.: B. timeout. 6.Which of the following is Mohs surgery used to treat? A. malignant melanoma and basal cell carcinoma B. basal cell and squamous cell carcinoma C. malignant melanoma and squamous cell carcinoma D. basal cell and Merkel cell carcinoma: B. basal cell and squamous cell carcinoma 7.When reviewing the chart for a patient scheduled for a mammoplasty, it is noticed that the patient's K+ is 5.4. The patient is suffering from which of the following? A. hyperkalemia B. hypokalemia
4 / 68 hypocalcemia: A. hyperkalemia 8.Which of the following are the preferred positioning devices used during surgical procedures? A. foam pads B. saline bags C. gel pads D. sheet rolls: C. gel pads 9.When inserting a Foley catheter into a male patient, the surgical first as- sistant encounters difficulty. Which of the following is the NEXT step that the surgical first assistant should take? A. Proceed with force until the catheter goes in. B. Stop attempting and notify the surgeon. C. Abort the surgical procedure. D. Obtain a new kit and try again.: B. Stop attempting and notify the surgeon. 10.Which of the following could occur as a result of a tourniquet causing excessive pressure on the nerves? A. paralysis B. ischemia C. hematoma D. necrosis: A. paralysis
5 / 68 11.Which of the following positions is used for an LAVH? A. reverse Trendelenburg B. supine C. lateral recumbent D. lithotomy: D. lithotomy 12.Which of the following types of positioning injury occurs when underlying tissue is stationary while the skeletal structure moves? A. friction injury B. pressure injury C. shear injury D. negativity injury: C. shear injury 13.Which of the following patient positions would be MOST likely to cause an obturator nerve injury? A. lateral B. prone C. lithotomy D. semi-Fowler's: C. lithotomy 14.When the surgeon incises tissue, the surgical first assistant usually pro- vides a clear field by A.
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C.
8 / 68 liver D. spleen: D. spleen 18.Which of the following procedures would require a pneumatic tourniquet? A. femoral-popliteal bypass B. arteriovenous (AV) fistula creation C. total knee replacement D. intramedullary tibial nailing: C. total knee replacement 19.When applying clamps to a major vessel that is to be preserved, which of the following is the preferred clamp to use? A. Peon B. Crile C. Satinsky D. Ochsner: C. Satinsky 20.Which of the following is a role of the surgical first assistant during robotics cases? A. Place access cannula. B. Exchange instrument arms. C. Position the patient cart. D. Operate instruments from console.: B. Exchange instrument arms.
10 / 68 partially threaded cancellous screw to a bone fragment?
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A.
distraction B. rotation C. compression D. subluxation: C. compression
- During an abdominal hysterectomy, the surgeon initially isolates the uterus by separating it from the A. bladder. B. round ligaments. C. broad ligaments. D. cervix.: B. round ligaments. 26.During a carotid endarterectomy, the final occlusion clamp to be removed after anastomosis is on the A. common carotid. B. internal carotid. C. external carotid. D. thyroid branch.: B. internal carotid. 27.The primary purpose of a robotic device designed to hold and maneuver a laparoscope is to A. eliminate tremor associated with operating an endoscope.
13 / 68 replace the surgeon. C. decrease set-up time for an endoscope. D. reduce the incidence of fogging.: A. eliminate tremor associated with operating an endoscope. 28.During a carotid endarterectomy, the arteries are unclamped and reclamped before arteriotomy closure is performed to A. flush free debris from the carotid. B. restore complete blood flow to the brain. C. increase collateral flow. D. ensure patency of the carotid body.: A. flush free debris from the carotid. 29.When opening the aneurysmal sac during resection of an abdominal aortic aneurysm (AAA), which of the following arteries is ligated? A. lumbar B. supine mesenteric C. renal D. common hepatic: A. lumbar 30.When entering the skull during a craniotomy, it is important to prevent excess heat to the skull and to avoid floating bone dust by A. using a moist sponge to dab at the drill site. B. keeping suction close to the drill site. C. irrigating at the drill site with saline.
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D.
using Raney clips to prevent the drill from getting hot.: C. irrigating at the drill site with saline. 31.During arterial embolectomy, which of the following catheters is used for clot removal? A. Swan-Ganz B. Groshong C. Fogarty D. Broviac: C. Fogarty 32.A 3-way Foley catheter with a 30-cc balloon should be inserted following a transurethral prostate resection (TURP) to A. irrigate and facilitate hemostasis. B. prevent the patient from getting out of bed. C. keep accurate input and output records. D. minimize postoperative hypertrophy.: A. irrigate and facilitate hemostasis. 33.When should the patient's chest tubes be attached to the drainage system during a thoracotomy? A. after the thoracic cavity is closed B. immediately upon insertion C. within an hour of the procedure D. upon arrival in the PACU: A. after the thoracic cavity is
16 / 68 34.A 60-year-old obese patient with a history of diabetes and renal insuffi- ciency has undergone drainage of an abdominal abscess through a midline incision. Which of the following should be considered for wound closure? A. Multifilament, absorbable suture material provides for optimal wound healing. B. A continuous suture line should be used. C. An interrupted retention suture should be used. D. Use of blunt surgical needles is a consideration in the presence of infection.- : C. An interrupted retention suture should be used. 35.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? A. interrupted silk B. continuous polyglactin C. interrupted polypropylene D. continuous polyester: C. interrupted polypropylene 36.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? A. braided absorbable B. braided non-absorbable C. monofilament absorbable
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D.
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A.
Avitene B. thrombin spray C. Surgicel D. bone wax: D. bone wax
- Which of the following procedures is usually performed in conjunction with a Nissen or Toupet Fundoplication? A. sleeve gastrectomy B. gastric bypass (Roux-N-Y) C. Transoral Incisionless Fundoplication (TIF) D. hiatal hernia repair: D. hiatal hernia repair 42.A patient with both anterior and posterior knee joint instability and buck- ling during downhill ambulation is BEST treated by which of the following surgical interventions? A. ACL reconstruction B. total joint arthroplasty C. MCL reconstruction D. femoral chondroplasty: A. ACL reconstruction 43.Unused culture tubes are placed on the back table prior to incision. Which of the following should the surgical first assistant do NEXT? A.
