Download Surgical First Assist Practice Exam 2024 with Accurate Solutions and more Exams Nursing in PDF only on Docsity!
Surgical First Assist Practice Exam 2024 with Accurate
Solutions | Already Graded
The primary purpose of a robotic device designed to hold and maneuver a laparoscope is to - ✔✔eliminate tremor associated with operating an endoscope. Which of the following are the MOST important considerations when preventing wound infection in the surgical patient?
- pathogen transmittal
- portal of entry into the susceptible host
- anesthetic options for the patient's operative process
- invasion of the susceptible host - ✔✔B. 1, 2, and 4 only Which of the following tendon autografts is MOST typically utilized when performing ACL reconstruction? - ✔✔patellar What is the normal range of red blood cells in a complete blood count for an adult male? - ✔✔4.6 - 6. million/nl Which of the following organisms normally found on the skin can cause wound infections? - ✔✔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 - ✔✔compression When transferring a thoracotomy patient to recovery, the chest drainage system should be - ✔✔maintained below the patient's chest level
Which of the following bones make up the pelvic girdle?
- coccyx
- acetabulum
- sacrum
- os coxae - ✔✔coccyx, sacrum, os coxae During a carotic endarterectomy, the arteries are unclamped and reclamped before arteriotomy closure is performed to - ✔✔flush free debris from the carotid 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? - ✔✔middle meningeal Epidural hematoma is typically caused by trauma to what artery? - ✔✔middle meningeal During arterial cannulation in cardiopulmonary bypass (CPB), the cannula tip must be directed into which of the following arteries? - ✔✔aorta Which of the following is an example of a high level disinfection agent? A. glutaraldehyde B. isopropyl alcohol C. quaternary ammonium D. iodophor solution - ✔✔glutaraldehyde 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 - ✔✔delayed primary closure first intention - ✔✔Primary closure of a wound.
If a Kelly clamp is left in a patient who underwent a cholecystectomy, which legal charges can be filed - ✔✔res ipsa loquitur Res ipsa loquitur - ✔✔or the thing speaks for itself Primum non nocere - ✔✔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? - ✔✔piriformis When an open appendectomy is performed, it is necessary to identify the - ✔✔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? - ✔✔clostridium difficile Taper point needles are generally used in which of the following tissue types?
- gastrointestinal
- tendons
- adipose
- vascular - ✔✔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? - ✔✔Increase IV fluid drip to allow hemodilution Which of the following conditions is MOST common when insulation failure occurs in laparoscoopic surgery? A. hypothermia
B. wound infection C. tissue injury D. adhesions - ✔✔tissue injury An adult male is injured in an automobile accident at 2 AM. An exploratory laparotomy for possible perforated bowel is initiated at 5AM. Which of the following is the best wound classification in this scenario? - ✔✔contaminated Clean wound - ✔✔Operative wound in which no re4spiratory, alimentary, or genitourinary tracts are entered and no break in sterile technique. Clean contaminated wound - ✔✔Operative wound in which the respiratory, alimentary, or genitourinary tract is entered under controlled conditions. Contaminated wound - ✔✔Wounds that include traumatic wounds of less than 4 hours duration and those in which operations with major breaks in aseptic technique and gross spillage from the gastrointestinal tract are also included. Dirty or infected wound - ✔✔Old, physically induced wounds with retained devitalized tissue with existing infection like an abscess or delayed primary closure from a ruptured appendix. Which of the following angled plates is MOST frequently chosen for a compression hip screw fixation? - ✔✔135 degrees Foman, Cottle, and Aufricht retractors are all considered which of the following kinds of instrument? - ✔✔ENT An Exmarch bandage is MOST frequently used for which of the following types of surgery? - ✔✔Podiatric Which of the following techniques demonstrate a proven benefit in the prevention of postoperative wound infections?
What is the purpose of a jejunojejunostomy? - ✔✔to prevent the reflux of bile and pancreatic fluids into the esophagus. During total hip arthroplasty through an anterolateral approach, which of the following maneuvers is needed to dislocate the femoral head? - ✔✔adduction and external rotation Which of the following types of laser is used in retinal surgery? - ✔✔argon When opening the aneurysmal sac during resection of an abdominal aortic aneurysm (AAA), which of the following arteries is ligated? - ✔✔lumbar Which of the following should be considered when positioning a patient?
- Patency of the airway is the prime concern when positioning a patient
- Pressue injuries are most common after surgical procedures lasting one hour or longer.
- An anesthetized patient with muscle paralysis is at increased risk for muscle strain
- The most common sites of peripheral nerve injury are the divisions of the brachial plexus and the ulnar, radial, peroneal, and facial nerves - ✔✔1, 2, and 4 only Which of the following fractures runs between the maxillary and orbital floors and may involve the medial and lateral walls of the maxillary sinuses and the pterygoid processes of the sphenoid? - ✔✔Le Fort I Which of the following are rotator cuff muscles?
- teres major and teres minor
- supraspinatus and teres minor
- levator scapulae and infraspinatus
- infraspinatus and subscapularis - ✔✔2 and 4 only During a carotid endarterectomy, the patient's heart rate drops to 30 bpm. This is likely due to the stimulation of the - ✔✔vagus nerve
Which of the following are reasons for keeping the OR at a relative humidity level between 50-50%?
- reduced risk of infection
- lower levels of patient discomfort
- minimization of static electricity
- depressed waste anesthesia gas - ✔✔1 and 3 During digital reanastomosis, which of the following items is commonly used? - ✔✔operative miscroscope Which of the following are requirements for a sharps container?
- self-closing lid to prevent overfilling
- biohazard labels and color coding
- durable, closable, leakproof, and puncture resistant
- lids which allow sharps to enter by gravity - ✔✔2, 3, and 4 only A 70-year-old patient who underwent an 8-hour colon resection is at the greatest risk for what? - ✔✔postoperative infection 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? 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 - ✔✔occlusion of the circumflex artery Which of the following lasers is used to vaporize a portion of the residual lens capsule after cataract surgery? - ✔✔Nd: YAG Which of the following complications is MOST critical when positioning a patient for surgery? - ✔✔respiratory compromise
When assisting on a pancreaticoduodenectomy, the surgical first assistant should be prepared for reconstruction of which of the following structures?
- duct of Wirsung
- duct of Santorini
- common bile duct
- common hepatic duct - ✔✔1, 2, and 3 only What is a common complication when transporting a post-anesthesia patient? - ✔✔decreased cardiac output Postoperatively, what is closely monitored immediately after a loop colostomy is performed? - ✔✔ischemia What are the most common lasers used in gynecological surgery? - ✔✔CO2 and Nd: YAG The MOST common structure involved in a sliding left indirect hernia is the - ✔✔sigmoid During a routine shoulder arthroscopy on a patient wiht instability, a surgeon notices that the patient has a type II SLAP lesion. What is the appropriate treatment for this finding? - ✔✔repair the glenoid labrum What arteries may be detached and reanastomosed to the graft during a AAA resection? - ✔✔renal A suture ligature is also referred to as - ✔✔a stick tie What is a good way to prevent hypothermia in the OR - ✔✔forced air warming blanket What is the MOST likely cause for varicose veins? - ✔✔incompetent valves
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, what type of stitch should be considered for wound closure? - ✔✔interrupted retention suture Which of the following statements is true concerning hypophysectomy?
- Replacement of the adrenal steroid therapy is usually required.
- Diabetes may result
- Growth will be increased.
- Cessation of menses and infertility may result. - ✔✔1, 2, and 4 only What 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. During ulnar nerve transposition, the nerve is relocated to the - ✔✔anterior aspect of the medial epicondyle Which of the following sterilants is utilized by the Steris System I sterilizer? - ✔✔peracetic acid Which of the following cranial nerves innervates the heart? - ✔✔CN X What is the # 5 cranial nerve and what does it innervate? - ✔✔Trigeminal, face What is the #10 cranial nerve and what does it innervate? - ✔✔Vagus, organs of the thoracic and abdominal cavities What is the #6 cranial nerve and what does it innervate? - ✔✔abducens, eyes What is the #12 cranial nerve and what does it innervate? - ✔✔hypoglossal, tongue
What characteristics of sutures is described as the amount o force necessary to break suture? - ✔✔tensile strength What is the inherent ability to regain the original form and length after being restructured? - ✔✔elasticity
