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A series of multiple-choice questions and answers related to surgical procedures, patient positioning, and related medical concepts. It covers topics such as surgical techniques, complications, instruments, and patient care. The questions are designed to test knowledge and understanding of surgical principles and practices.
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A complication of steep reverse Trendelenburg position is? A. Deep vein thrombosis B. Arterial compression C. Cardiac overload. D. Respiratory alkalosis - answer-A which position should be used for Posterior Colpotomy? A. Prone. B. Supine. C. Lithotomy. D. Fowler's - answer-C Which is the BEST way to prevent hypothermia in the OR?
A. Forced air warming blanket. B. Warmed IV solutions. C. Warmed irrigation solution. D. Multiple layers of blankets. - answer-A OR humidity must be maintained between what range? A. 5-20% B. 20-60% C. 40-80% D. 50-90% - answer-B This is an important process in which all team members must participate just prior to incision. What is it called? A. Huddle B. Timeout. C. Debriefing D. Consent - answer-B
B. Saline bags. C. Gel pads. D. Sheet rolls. - answer-C When inserting a Foley catheter into a male patient, the surgical assistant encounters difficulty. What is the NEXT step that the surgical 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. - answer-B What could occur as a result of a tourniquet causing excessive pressure on the nerve? A. Paralysis B. Ischemia C. Hematoma D. Necrosis - answer-A
What position is used for a LAVH? A. Reverse Trendelenburg B. Supine C. Lateral Recumbent D. Lithotomy - answer-D What type 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 - answer-C What patient positioning would be MOST likely to cause an obturator nerve injury? A. Lateral B. Prone
A. Javid B. Fogarty C. Swan-Ganz D. Rummel - answer-A Which organ has a fragile collagen-rich capsule and must be handled carefully? A. Kidney B. Gallbladder C. Liver D. Spleen - answer-D Which procedure would require a pneumatic tourniquet: A. Fem-Pop bypass B. AV fistula creation C. Total knee replacement
D. intramedullary tibial nailing - answer-C When applying clamps to a major vessel the is to be preserved, What is the preferred clamp to use? A. Peon B. Crile C. Satinsky D. Ochsner - answer-C what is a role of the surgical assistant during robotic cases? A. Place Access cannula B. Exchange instrument arms C. Position the patient cart D. Operate instrument from console - answer-B What can be done to prevent wrong site surgeries?
A.Middle meningeal B. posterior meningeal C. Temporal D. Cerebal - answer-A what is the desired effect when applying a partially threaded cancellous screw to a bone fragment? A. Distraction B. Rotation C. Compression D. Subluxation - answer-C. 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 - answer-B
During a carotid endarterectomy, the final occlusion clamp to be removed after anastomosis is the? A. Common carotid B. Internal carotid C. External carotid D. Thyroid branch - answer-B The primary purpose of a robotic device designed to hold and maneuver a laparoscope is to? A. Eliminate tremor associated with operating the endoscope B. replace the surgeon C. Decrease set-up time for an endoscope D. Reduce the incidence of fogging - answer-A During a carotid endarterectomy, the arteries are unclamped and reclamped before arrteriotomy closure is performed to?
C. Irrigating at the drill site with saline D. Using Raney clips to prevent the drill from getting hot - answer-C During arterial embolectomy, which catheter is used for clot removal? A. Sawn-Ganz B. Groshong C. Fogarty D. Broviac - answer-C A 3-way Foley catheter with a 30-cc ballon should be inserted following a transurethral prostate resection 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 - answer-A
When should the chest tube 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 to the PACU - answer-A A 60-year old obese patient with a history of diabetes and renal insurfficiency has undergone drainage of an abdominal abscess through a midline incision. What 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 a blunt surgical needles is a consideration in the presence of infection - answer-C A 54 year old female presents to the OR with a 4 cm oblique solar forearm laceration and a 9 cm transverse
A. Pulmonary B. Brachiocephalic C. Aorta D. Coronaries - answer-C The primary purpose of a chest tube it to? A. Irrigate the chest B. Eliminate leaks in the lung C. Prevent pulmonary emboli D. Re-establish negative pressure - answer-D During the surgical treatment of a cerebral aneurysm, the aneurysm clip is placed at the? A. Neck of the aneurysm B. Apex of the aneurysm C. Arterial bifurcation D. Parent vessel - answer-A
Which mechanical method of hemostasis should a surgical assistant use in neurosurgery? A. Avitene B. Thrombin spray C. Surgicel D. Bone wax - answer-D 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 - answer-D A patient with both anterior and posterior knee joint instability and buckling during downhill ambulation is BEST treated by which of the following surgeries?
C. Rochester Pean clamp D. Bulldog clamp` - answer-A When the surgical assistant is placing the second port during a laparoscopic case, which is the MOST important step? A. Skin incision B. Direct visualization C. Trocar selection D. Patient positioning - answer-B A patient presents with a thigh abscess that was cultured and diagnosed as necrotizing fasciitis. Which of the following is the appropriate treatment? A. Pack the wound B. Place a drain and close the wound C. Close the wound. D, Debride al the necrotic tissue - answer-D
Which of the following muscles is used to re-implant a section of the parathyroid if it is inadvertently removed during a thyroidectomy? A. Sternohyiod B. Platysma C. Sternocleidomastoid D. Sternothyroid - answer-C Before the initiation of cardiopulmonary bypass, it is important that the ACT ( Activated Clotting Time) is greater than? A. 100 seconds B. 400 seconds C. 500 seconds D. 1000 seconds - answer-C During a thoracotomy for tumor resection, the surgeon wants to irrigate with a solution that will cause tumor cells to lyse. Which solution should the surgical assistant use?
