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NIFA FINAL EXAM | 100% Correct
Answers | Verified | Latest 2024 Version
peripheral nerve block for ankle ORIF would complain if which symptom - ✔✔metallic taste in mouth positioning arms correctly to avoid pressure on the elbow to prevent - ✔✔ulnar nerve injury positioning device for bariatric patients prior to intubation - ✔✔upper body ramp depolarizing muscle relaxant that produces generalized fasciculations - ✔✔succinylcholine hemostatic device offers rapid and secure method of clamping, metal and MRI compatible - ✔✔ligating clip positioning device for head cases - ✔✔mayfield head positioner suture permanently attached at the end of the needle referred to as - ✔✔swaged overpressurization can lead to - ✔✔hypercarbaria most commonly used local anesthetic - ✔✔lidocaine double gloving - ✔✔the american college of surgeons endorses double gloving for all surgery and invasive procedures anesthesia that lets patients maintain their own airway and be easily aroused from sleep - ✔✔moderate sedation / analgesia who requires two patient identifiers on specimen labels - ✔✔JCO
factor with high influence on wound healing that the surgical team can control - ✔✔tissue handling patient at highest risk for hypothermia in perianesthesia phase - ✔✔3 week old neonate for cardiac anomaly suture best suited for intestinal anastomosis - ✔✔vicryl trailing a new insuflation system, over-pressurization leads to - ✔✔hypercarbia process of decontamination begins when - ✔✔at completion of the surgical procedure which injury is NOT related to a patient being placed in the lateral position - ✔✔compression of abdominal cavity primary substance found in epidermis that protects body from fluid loss and invasion of pathogens - ✔✔keratin correct statement regarding closed gloving - ✔✔closed gloving can only be used for initial gloving what measure can be taken to prevent aspiration based on patient's history - ✔✔cricoid pressure during induction on factor that describes high incidence of musculoskeletal disorders among surgical techs and nurses - ✔✔the cumulative effect of repeated patient handling events q allergic contact dermatitis with natural rubber latex - ✔✔puritis, edema, erythema and visicles 6- 48 hours after exposure patient reports latex allergy, carries epi pen and beta-agonist inhaler - ✔✔true latex allergy
risk reduction strategy to reduce RSI - ✔✔replacing or tagging sponges and laparotomy instruments with RFID chips skin injuries related to shearing occur when the patient is in what position - ✔✔trendelenburg intracorporeal suture technique uses suture tying process analogous to - ✔✔instrument tying health professionals should employ which strategy to reduce risk of allergic reaction to latex - ✔✔use powder free gloves that have low levels of protein and chemical allergens patient right regarding consent - ✔✔right to informed consent patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve block - ✔✔a toxic overdose to local anesthetic, monitoring and increasing flow rate in IV saline select the intervention that is an engineered control factor to protect patient from hypothermia - ✔✔set ambient room temp between 68- 73 CO2 gas is used to insufflate to: - ✔✔9 L/min, 14-16 mm Hg treatment for LAST includes - ✔✔lipids correct order of removal for soiled sterile attire - ✔✔gown, gloves, mask sponge counts should be performed - ✔✔before the procedure, before closure of each body cavity, before wound closure, at skin closure suture that helps eliminate tension of primary suture line - ✔✔retention tensile strength of lactic and glycolic acid polymers is sufficient for how many weeks - ✔✔ 2 - 3
concern with large doses of ketamine - ✔✔respiratory depression patient having cardiac surgery, consider all of the following except: - ✔✔RBCcount? there are blank main coronary arteries which originate in the blank - ✔✔2, sinuses of valsalva most stable and rigid fixation of a fracture - ✔✔locked plating system NOT included in the retroperitoneal space - ✔✔spleen filtering mechanism if located in which region of the kidney - ✔✔renal cortex? damage to cranial nerve VII - ✔✔drooping of the corned of the mouth which lab values are indicative of acute pancreatitis resulting from blockage in the ampulla of vater - ✔✔amylase, lipase absolute contraindication for a cholecystectomy is - ✔✔uncontrolled coagulopathy ductal ectasia is difficult to distinguish from cancer because it presents with - ✔✔a hard irregular mass, nipple discharge, and enlarged axillary nodes wound classification for breast surgery - ✔✔clean correct path of cardiac conduction system - ✔✔SA, AV< bundle of his, purkinjie fibers branch of the left main coronary artery - ✔✔circumflex coronary artery
distinguishing characteristic of large intestine - ✔✔teniae coli, haustra, epiploic appendages 51 y/o male with hepatobiliary disease; pre op assessment includes - ✔✔review his chart for bleeding and coagulation times and platelet count boundaries for skin prep for patient receiving liver transplant - ✔✔neck to midthigh, bedline to bedline during kidney transplant prior to clamping vessels, drugs given - ✔✔heparin and mannitol hernias that occur in the heselbach's triangle - ✔✔direct inguinal hernia incision for removing cancerous testis - ✔✔midportion of scrotum correct statement regarding trigone of bladder - ✔✔forms the base of the bladder nerve supply for female pelvis comes from - ✔✔superior hypogastric plexus tear to the meningeal artery results in what kind of hematoma - ✔✔epidural bloodless plane that contains loose areolar tissue and permits mobility of scalp - ✔✔subgleal space vessels of the circle of willis include - ✔✔posterior communicating artery cranial nerve responsible for pupillary reaction - ✔✔cranial nerve III primary divisions of nerve are known as - ✔✔rami
disadvantage of harrington rods - ✔✔rod breakage is increased nerves in the lower extremity not commonly implicated in positioning related neuropathies - ✔✔popliteal use of PMMA can result in which adverse reaction - ✔✔transient hypotension ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDULLARY REAMING - ✔✔maintenance of fracture hematoma closed reduction is the treatment of choice for fractures because - ✔✔decreased opportunity for infection most commonly used pediatric premedication - ✔✔versed child is being pre oped for surgery and nurse notices mild myotonia congenita; appropriate risk reduction strategy would be - ✔✔perform careful assessment of family hx to identify risk for developing MH congenital anomaly that best reflects indications of fetal surgery - ✔✔congenital diaphragmatic hernia scoring range for GCS - ✔✔15, 3 pneumonic AMPLE - ✔✔allergies, medications, PMH, last meal, event leading to injury why must evidence be placed in a paper bag and not a plastic bag - ✔✔ mulitple trauma wound patient, what is appropriate for rapid preparation of this patient - ✔✔prep patient from suprasternal notch to mid thigh B
dry time for most skin preps - ✔✔ 3 - 5 minutes structures located within the broad ligaments - ✔✔fallopian tubes, ureters, uterine vessels most common size needle for skin closure - ✔✔3/ one of the two strongest layers in tissue closure - ✔✔fascia aortic root is located - ✔✔at the junction of the origin of the ascending aorta and the left ventricle a reason for conversion of lap cholecystectomy to open - ✔✔inability to remove a stone from the CBD via ERCP must consider which of the following when decided treatment for breast cancer - ✔✔size of tumor absolute contraindication for cholecystectomy - ✔✔uncontrolled coagulopathies most common used incision for C section - ✔✔pfannensteil another name for the left colonic flexure - ✔✔splenic flexure what structures comprise the medial border of Hesselbach's triangle - ✔✔lateral edge of the rectus abdominal muscle ligament that connects the laminae of the spine - ✔✔ligamentum flavum medication used in cardiac surgery to prevent spasms of vessels - ✔✔papaverine muscle critical in stabilization of knee joint - ✔✔quad
borders of the triangle of calot - ✔✔hepatic duct, cystic duct, inferior edge of right lobe of the liver during a THA using the posterior lateral approach, the RNFA will dislocate the head of the femur using - ✔✔flexion, adduction, external rotation identify the fascia which is an extension of the internal oblique muscle and covers the spermatic cord - ✔✔cremaster technique primarily used for women having prophylactic mastectomy with immediate reconstruction - ✔✔nipple sparing patient uses ephedra, if halothane is used during procedure, patient is at risk for - ✔✔ventricular arrhythmias left and right lobes of the liver are divided by - ✔✔falciform ligament of the nerves associated with thyroid gland, which can be affected by compression resulting from enlarged left atrium - ✔✔NOT right recurrent left recurrent? positioning considerations for a patient undergoing TRAM flap reconstruction - ✔✔raise head of bed to low fowlers flex position to reduce stretching on abdominal donor graft wound site fine needle aspiration of suspicious breast in males - ✔✔aspirate fluid is cytologically examined incision for a modified radical mastectomy - ✔✔oblique elliptical incision with lateral extension towards axilla patients with acute arterial insufficiency present with 6 Ps; occlusion can be result of which condition - ✔✔rupture of an unstable atherosclerotic plaque
which ocular blocks carries the highest risk - ✔✔retrobulbar block UPPP is performed to relieve OSA and snoring; common indications for UPPP - ✔✔o2 saturation below 80, apnea index worse than 20 benefit to patient undergoing SILS procedure - ✔✔less post operative pain hernia that involves both a direct and indirect hernia - ✔✔pantaloon hernia which is NOT a risk factor for developing ventral hernias - ✔✔male gender innervation of the lungs is part of what system - ✔✔autonomic blood supply to the jejunum and ileum come entirely from branches of the - ✔✔superior mesenteric artery blood supply to the transverse colon - ✔✔middle colic artery rationale for technique in tumor removal/cancer procedures is - ✔✔prevent mechanical metastasis the renal artery and vein enter the kidney o the medial side through a concave area known as the - ✔✔hilum best description of a successful skin graft outcome - ✔✔the recipient site develops a new blood supply from the base of the wound statement about the liver, pancreas, and spleen that is true - ✔✔all three are solid organs and are very vascular
"triangle" anotomic landmark that is knowns by the 3 C's - ✔✔Calot's most common complication of Meckel's diverticulum - ✔✔GI bleeding layer before reaching the rectus abdominis muscle - ✔✔scarpa's fascia structures located in the inguinal canal - ✔✔spermatic cord and round ligament cancer in the urothelial layer of the bladder - ✔✔inner the inner thoracic lymph nodes can also be a channel for - ✔✔spread of metastasis the mediastinal surface of the lungs contains a structure known as - ✔✔hilum the adrenal glands can be located by their shapes, which are - ✔✔triangular, crescent most commonly injured intra-abdominal organ in blunt trauma - ✔✔spleen statement that best reflects the functional components of the GI tract - ✔✔alimentary canal extends from the mouth to the anus The mesh-plug open hernia repair technique is indicated for which type(s) of hernias? - ✔✔recurrent indirect inguinal hernias how much of the entire circulating blood volume do the kidneys process - ✔✔1/ Incision for open cholecystectomy - ✔✔right subcostal perineal glands that secrete mucus - ✔✔bartholin glands
pelvic floor consist of which muscle group - ✔✔levator ani and coccygeal muscles structure that supports the uterus and contains uterine artery and vein - ✔✔cardinal ligaments which describes a hydrocele - ✔✔refers to an excess of fluid within the tunica vaginalis of the scrotum which statement about the prostate best reflects its location, size and weight - ✔✔the prostate sits below the base of the bladder, is 4 cm at the base and weighs 20-30 grams ovarian artery is a branch of which vessel - ✔✔aorta nerve supply for the female pelvis comes from the autonomic nerves that enter the pelvis through the - ✔✔superior hypogastric plexus which layer or the uterus contains the lymphatics - ✔✔myometrium signs of symptoms of TURP syndrome - ✔✔seizures cranial nerve that, if injured in surgery, results in vocal cord paralysis - ✔✔x singular bones in the cranial cavity - ✔✔frontal, ethmoid, sphenoid, occipital trigeminal nerve provides motor innervation for which muscle group - ✔✔muscle of mastication bloodless plane that contains loose areolar tissue and permits mobility of scalp - ✔✔subgleal space dura fold that separates right and left cerebral hemispheres - ✔✔falx cerebri
brainstem consists of what three structures - ✔✔midbrain, pons, medulla oblongata which sulci is of particular anatomic importance during surgery - ✔✔lateral sulcus What part of the hip are the hemispherical reamers used on? - ✔✔acetabulum potential for limb shortening and malformation when the fracture line involes the - ✔✔epiphyseal plate The part of the femur that is most susceptible to fracture in conjunction with osteoporosis is: - ✔✔femoral neck good candidates for replantation are those with the following amputations - ✔✔almost any body part of a child intervention provided for elderly patient's skeleton - ✔✔position the patient using appropriate padding and joint protection devices which of the following regarding PMMA is NOT an effect on local tissue - ✔✔skin burns due to exothermic reaction postoperative infection in any joint replacement is - ✔✔usually catastrophic young children are predisposed to increased vagal tones which can be induced by - ✔✔painful stimuli such as eye surgery or abdominal retraction procedure designed to create a competent antireflux barrier - ✔✔nissen which is not included in the terrible triad - ✔✔PCL tear if PMMA is not used, what replacement product, element, or substances is - ✔✔autologous bone graft
contraindication to using autotransfusion as a blood replacement source - ✔✔blood contaminated with food, bowel contents, or antibiotic irrigation what group of scans is performs and what do they identify - ✔✔chest, pelvic, and four abdominal scans; collections of fluid and free air laceration on the neck that involves the lower trachea; which structure can be involved - ✔✔brachiocephalic artery blood at the urinary meatus when attempting to insert a catheter - ✔✔discontinue catheter insertion injury to the anterior chest from blunt force trauma, damage to what area - ✔✔right ventricle device used during anesthesia to confirm successful endotracheal tube placement and gas exchange - ✔✔capnometer statement about surgical dressings - ✔✔cushion and protect the wound from trauma and gross contamination, and absorb drainage abdominal trauma case; instrument set needed besides a vascular set - ✔✔laparotomy set technique that minimizes drag and wear on the suture material and needle - ✔✔double armed response to a patient experiencing laryngospasm for longer than 1 minute - ✔✔suctioning, IV succ, reintubation correct specimen care and handling - ✔✔avoid placing specimens for frozen section in formalin The linea alba extends from _____ to the _____ - ✔✔above the xiphoid process to the pubis
correct regarding non-absorbable suture - ✔✔increased reactive properties in tissue which of the following pressure points are included in an assessment to prevent pressure injury - ✔✔genitals, knees, toes, and eyes injury can be avoided by tucking the draw sheet () the arm and under the () - ✔✔over, the body which is true about the use of liquids in the OR - ✔✔skin prepping solutions can cause chemical burns surgery to repair ruptured diverticulum has a wound classification of - ✔✔contaminated wound; class III best practice for keeping instruments free of blood and bioburden during procedure - ✔✔wipe instruments with a sponge moistened with sterile water after each use instillation of local anesthetic into the subarachnoid space - ✔✔spinal anesthesia appropriate way to address a count discrepancy - ✔✔we have a count discrepancy, we started with 70 sponges and find only 68, we are missing 2 sponges surgical consents should be written on what grade level - ✔✔5th area between the surgeon and the scrub person for passing sharps safely - ✔✔neutral zone patient most likely to have a true latex allergy - ✔✔patient with spina bifida most commonly used method of sterilization - ✔✔steam sterilization which anesthetic could NOT be given if IV only anesthesia was planned - ✔✔desflurane
