Surgical First Assist Practice Exam, Exams of Surgical Pathology

Download Surgical First Assist Practice Exam and more Exams Surgical Pathology in PDF only on Docsity! Surgical First Assist Practice Exam With Complete Solutions The primary purpose of a robotic device designed to hold and maneuver a laparoscope is to - correct answer eliminate tremor associated with operating an endoscope. Which of the following are the MOST important considerations when preventing wound infection in the surgical patient? 1. pathogen transmittal 2. portal of entry into the susceptible host 3. anesthetic options for the patient's operative process 4. invasion of the susceptible host - correct answer B. 1, 2, and 4 only Which of the following tendon autografts is MOST typically utilized when performing ACL reconstruction? - correct answer patellar What is the normal range of red blood cells in a complete blood count for an adult male? - correct answer 4.6 - 6.2 million/nl Surgical First Assist Practice Exam With Complete Solutions Which of the following organisms normally found on the skin can cause wound infections? - correct answer Staphylococcus aureus Which of the following is the desired effect when applying a partially threaded cancellous screw to a bone fragment A. distraction B. rotation C. compression D. subluxation - correct answer compression When transferring a thoracotomy patient to recovery, the chest drainage system should be - correct answer maintained below the patient's chest level Which of the following bones make up the pelvic girdle? 1. coccyx 2. acetabulum 3. sacrum 4. os coxae - correct answer coccyx, sacrum, os coxae Surgical First Assist Practice Exam With Complete Solutions complete respiratory failure. Which of the following is the MOST likely cause - correct answer migration of the epidural catheter through the dura The main consideration in surgical needle selection is - correct answer to minimize trauma 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? - correct answer sciatic nerve Tetralogy of Fallot includes which of the following defects? 1. ventricular septal defect 2. aortic stenosis 3. pulmonary valve stenosis 4. right ventricular hypertrophy - correct answer 1, 3, and 4 Tetralogy of Fallot - correct answer A congenital heart defect which is classically understood to involve four anatomical abnormalities of the heart that include ventricular septal defect, pulmonary valve stenosis, right Surgical First Assist Practice Exam With Complete Solutions ventricular hypertrophy, and transposition of the aorta (although only three of them are always present). Pulling on the wrist to reduce a radius fracture incorporates which principle of surgical assisting? - correct answer traction-countertraction If a Kelly clamp is left in a patient who underwent a cholecystectomy, which legal charges can be filed - correct answer res ipsa loquitur Res ipsa loquitur - correct answer or the thing speaks for itself Primum non nocere - correct answer or first do no harm 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? - correct answer piriformis Surgical First Assist Practice Exam With Complete Solutions When an open appendectomy is performed, it is necessary to identify the - correct answer cecum and ileocecal valve In patients who develop fever, abdominal pain, and profuse diarrhea, the MOST frequently seen antibiotic- associated enterocolitis is due to which organism? - correct answer clostridium difficile Taper point needles are generally used in which of the following tissue types? 1. gastrointestinal 2. tendons 3. adipose 4. vascular - correct answer 1, 3, and 4 A patient who is opposed to the acceptance of blood transfusion on the 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, what is the appropriate response? - correct answer Increase IV fluid drip to allow hemodilution Surgical First Assist Practice Exam With Complete Solutions 1. administering appropriate antibiotics within 1 hour of incision time 2. maintaining suitable antibiotic coverage for 48-72 hours postoperatively 3. irrigating the wound with normal saline 4. irrigating the wound with sterile water - correct answer 1 and 3 only Immediately follow an arthroscopic assisted ACL reconstruction, a patient's knee is typically placed in - correct answer a hinged knee brace When should the patient's chest tubes be attached to te drainage system during a thoracotomy? - correct answer after the thoracic cavity is closed Which of the following is considered a non-impregnated, nonadherent dressing? a. adaptic b. vaseline gauze c. telfa d. xeroform - correct answer telfa Surgical First Assist Practice Exam With Complete Solutions 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? - correct answer astrocytoma A threaded cortical screw cannot provide compression of bone fragments unless the - correct answer near cortex is overdrilled When removing a tumor, isolation technique is used to - correct answer prevent mechanical metastasis Which of the following is the primary node associated with metastatic disease? - correct answer sentinel When a loop of jejunum is anastomosed end to side with the esophagus in a total gastrectomy, a jejunojejunostomy may be done to - correct answer prevent regurgitation esophagitis What is the purpose of a jejunojejunostomy? - correct answer to prevent the reflux of bile and pancreatic fluids into the esophagus. Surgical First Assist Practice Exam With Complete Solutions During total hip arthroplasty through an anterolateral approach, which of the following maneuvers is needed to dislocate the femoral head? - correct answer adduction and external rotation Which of the following types of laser is used in retinal surgery? - correct answer argon When opening the aneurysmal sac during resection of an abdominal aortic aneurysm (AAA), which of the following arteries is ligated? - correct answer lumbar Which of the following should be considered when positioning a patient? 1. Patency of the airway is the prime concern when positioning a patient 2. Pressue injuries are most common after surgical procedures lasting one hour or longer. 3. An anesthetized patient with muscle paralysis is at increased risk for muscle strain 4. The most common sites of peripheral nerve injury are the divisions of the brachial plexus and the ulnar, radial, peroneal, and facial nerves - correct answer 1, 2, and 4 only Surgical First Assist Practice Exam With Complete Solutions A. ligation of the inferior vena cava B. occlusion of the circumflex artery C. occlusion of the innominate vein D. ligation of the subclavian artery - correct answer occlusion of the circumflex artery Which of the following lasers is used to vaporize a portion of the residual lens capsule after cataract surgery? - correct answer Nd: YAG Which of the following complications is MOST critical when positioning a patient for surgery? - correct answer respiratory compromise During a low anterior colon resection, the anvil of the EEA is inserted into the - correct answer sigmoid Which of the following suturing techniques is used for aortic and atrial cannulation for cardiopulmonary bypass - correct answer purse-string Surgical First Assist Practice Exam With Complete Solutions During a Nissen fundoplication, care should be taken when placing medial traction on the stomach to prevent avulsion of the - correct answer gastric arteries Calot's Triangle is formed by the - correct answer common hepatic duct, cystic duct, and cystic artery Medication given to combat malignant hypothermia is - correct answer dantrolene (2-3mg/kg) Comparatively, which of the following patients is at greatest risk for anesthesia complication during the operative phase? A. a patient who is undernourished B. a patient who is immunosuppressed C. a patient with COPD D. a patient with diabetes - correct answer patient with COPD Which nerve innervates the latissimus dorsi muscle? - correct answer thoracodorsal Surgical First Assist Practice Exam With Complete Solutions What is the desired outcome for the Bankart procedure? - correct answer preventing recurrence of dislocation, reducing arthritic changes, and restoring joint motion The third ventricle empties into the fourth ventricle through which small duct, which is the only exit for the third and lateral ventricles? - correct answer aqueduct of Sylvius What degree of endoscope is MOST commonly used during a laparoscopic cholecystectomy? - correct answer 30 When assisting on a pancreaticoduodenectomy, the surgical first assistant should be prepared for reconstruction of which of the following structures? 1. duct of Wirsung 2. duct of Santorini 3. common bile duct 4. common hepatic duct - correct answer 1, 2, and 3 only Surgical First Assist Practice Exam With Complete Solutions What is an effective way to estimate proper femoral nail diameter and length of an acute, severely comminuted femur fracture? - correct answer preoperative radiographs of the unaffected leg. During ulnar nerve transposition, the nerve is relocated to the - correct answer anterior aspect of the medial epicondyle Which of the following sterilants is utilized by the Steris System I sterilizer? - correct answer peracetic acid Which of the following cranial nerves innervates the heart? - correct answer CN X What is the # 5 cranial nerve and what does it innervate? - correct answer Trigeminal, face What is the #10 cranial nerve and what does it innervate? - correct answer Vagus, organs of the thoracic and abdominal cavities Surgical First Assist Practice Exam With Complete Solutions What is the #6 cranial nerve and what does it innervate? - correct answer abducens, eyes What is the #12 cranial nerve and what does it innervate? - correct answer hypoglossal, tongue Which of the following hemodynamic concepts describes the resistance the heart must overcome to pump blood into the systemic circulation? - correct answer afterload What chamber of the heart ejects deoxygenated blood into the pulmonary artery for oxygenation by the lungs? - correct answer right ventricle During dissection of the internal mammary artery (IMA), what solution should be used to dilate the artery and reduce muscle spasm? - correct answer papaverine Following inflammation, what is the correct sequence of the stages of bone healing? 1. callus formation 2. cellular proliferation Surgical First Assist Practice Exam With Complete Solutions 3. ossification 4. remodeling - correct answer 2, 1, 3, 4 Winged scapula is a condition brought on by an injury to what nerve? - correct answer long thoracic What dressing is derived from bovine, equine, or porcine sources and is effective in recalcitrant wounds? - correct answer collagen What study is used to determine Zenker's diverticulum? - correct answer barium swallow After completion of an ORIF of the distal radius utilizing a volar plate and screws, the dressing application should include what splint? - correct answer posterior wrist The initial reaction to invasion of a foreign body or a local injury is called - correct answer inflammation. Positive assurance that sterilization conditions have been achieved can only be obtained through - correct answer biological indicators