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NBSTSA CSFA Exam Prep 1,Questions And Answers
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1.A complication of steep reverse Trendelenburg position is A. deep vein thrombosis. B. arterial compression. C. cardiac overload. D. respiratory alkalosis. - correct answer A. deep vein thrombosis. Which of the following positions should be utilized for posterior colpotomy? A. prone B. supine C. lithotomy D. Fowler's - correct answer C. lithotomy Which of the following BEST prevents hypothermia in the OR?
forced air warming blanket B. warmed IV solution C. warmed irrigation solution D. multiple layers of warm blankets - correct answer A. forced air warming blanket OR humidity must be maintained between which of the following ranges? A. 5% to 20% B. 20% to 60% C. 40% to 80% D. 50% to 90% - correct answer B. 20% to 60% An important process in which all team members must participate just prior to incision is called the A. huddle. B. timeout. C.
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 - correct answer C. gel pads When inserting a Foley catheter into a male patient, the surgical first assistant 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. - correct answer B. Stop attempting and notify the surgeon. 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 - correct answer A. paralysis Which of the following positions is used for an LAVH? A. reverse Trendelenburg B. supine C. lateral recumbent D. lithotomy - correct answer D. lithotomy 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.
Which of the following is known as a Kelly procedure? A. anterior colporrhaphy B. cervical conization C. Bartholin cyst marsupialization D. vulvectomy - correct answer A. anterior colporrhaphy Which of the following is a type of shunt used during a carotid endarterectomy? A. Javid B. Fogarty C. Swan-Ganz D. Rummel - correct answer A. Javid Which of the following organs has a fragile collagen-rich capsule and must be handled carefully? A. kidney B.
gallbladder C. liver D. spleen - correct answer D. spleen 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 - correct answer C. total knee replacement 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.
Jackson-Pratt B. Malecot C. Pleur-Vac D. T-tube - correct answer A. Jackson-Pratt 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? A. middle meningeal B. posterior meningeal C. temporal D. cerebral - correct answer A. middle meningeal 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 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. - correct answer B. round ligaments. 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. - correct answer B.
lumbar B. supine mesenteric C. renal D. common hepatic - correct answer A. lumbar 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. D. using Raney clips to prevent the drill from getting hot. - correct answer C. irrigating at the drill site with saline. During arterial embolectomy, which of the following catheters is used for clot removal? A. Swan-Ganz B.
Groshong C. Fogarty D. Broviac - correct answer C. Fogarty 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. - correct answer A. irrigate and facilitate hemostasis. 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.
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 D. monofilament non-absorbable - correct answer C. monofilament absorbable During arterial cannulation in cardiopulmonary bypass (CPB), the cannula tip must be directed into which of the following arteries? A. pulmonary B. brachiocephalic C.√ aorta D. coronaries - correct answer C. aorta The primary purpose of a chest tube is to
irrigate the chest. B. eliminate leaks in the lungs. C. prevent pulmonary emboli. D. re-establish negative pressure. - correct answer D. re-establish negative pressure. During surgical treatment for 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. - correct answer A. neck of the aneurysm. Which mechanical method of hemostasis should a surgical first assistant use in neurosurgery? A. Avitene B. thrombin spray C.
ACL reconstruction Unused culture tubes are placed on the back table prior to incision. Which of the following should the surgical first assistant do NEXT? A. Swab the affected area. B. Obtain new culture swabs. C. Pass the culture swabs to the surgeon. D. Remove tops of tubes in preparation for culture. - correct answer B. Obtain new culture swabs. During a low anterior resection, the iliac artery is transected. Which of the following is the MOST appropriate instrument to achieve hemostasis? A. Debakey angled vascular clamp B. Heaney clamp C. Rochester Pean clamp D. Bulldog clamp - correct answer A. Debakey angled vascular clamp When the surgical first assistant is placing the second port during a diagnostic laparoscopy, which of the following is the MOST important step?
skin incision B. direct visualization C. trocar selection D. patient positioning - correct answer B. direct visualization 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 all the necrotic tissue. - correct answer D. Debride all the necrotic tissue. Which of the following muscles is used to re-implant a section of the parathyroid if it is inadvertently removed during a thyroidectomy? A. sternohyoid
