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RNFA
RNFA FINAL EXAM 2 QUESTIONS AND
ANSWERS UPDATED (202 5 /202 6 )
(VERIFIED ANSWERS)
During a THA using the posterior lateral approach, the RNFA will dislocated the head of the femur using: - ANS ✓Flexion, adduction, external rotation Which of the following muscles are critical for stabilization of the knee joint? - ANS ✓Quadriceps femoris During the cementing of components during total joint replacement, a new CRNA who has never worked in orthopaedics before begins to panic. A side effect that possibly occurred with this patient as a result of the cement is: - ANS ✓Hypotension A medication often used in cardiac surgery to prevent spasms of vessels is: - ANS ✓Papaverine Physicians may consider which of the following options when determining the best treatment option for breast cancer surgery. - ANS ✓Size of tumour The most commonly used incision for Caesarean section is the: - ANS ✓Pfannenstiel This technique is primarily reserved for the patient having prophylactic mastectomy and immediate breast reconstruction. - ANS ✓Nipple sparing
RNFA
The RNFA should be prepared to assist with the _______ procedure if a patient needs surgical intervention for the treatment of atrial fibrillation - ANS ✓Maze Prepping for an abdominal hysterectomy that may include the cervix should be performed in what order? - ANS ✓Dirty then clean Care must be taken when placing reactors as an RNFA assisting with inguinal hernia repair. Which of the following is a vessel that is located in the area of i in inguinal hernias? - ANS ✓Inferior epigastric When intraoperative cholangiograms are performed, the cholangiogram catheter is placed in the: - ANS ✓Cystic duct When preoperatively assessing a patient for cardiac surgery, the RNFA should consider all of the following except: - ANS ✓RBC count Pre-op markings to determine nipple positioning for reduction mammoplasty will be drawn on the patient's chest _____________. - ANS ✓While sitting upright The wound classification assigned by the CDC to breast surgery. - ANS ✓Clean Identify the marginal boundaries of the breasts. - ANS ✓Second to sixth rib and horizontally from the lateral edge of sternum to anterior axillary line Reduction mammoplasty is not indicated for which of the following? - ANS ✓hyperthelia The RNFA with the vascular surgery service is preparing to discharge Mark Weston, a 51 yr old male who recently had endovascular surgery. He will be
RNFA
Select the set of symptoms that is most commonly associated with hypothyroidism - ANS ✓Increased swearing, insomnia, tremor, and muscle weakness An important anatomical landmark in thyroid surgery is known as - ANS ✓Poles A power drill and assorted roasting burrs are essential for middle ear surgery and some sinus procedures. During drill and power saw use, the scrub person keeps irrigation solution on the sterile field to - ANS ✓Prevent clogging of the burr and contamination of the area with bone dust Which nodes in the lymphatic system are responsible for drainage from the mouth, lips, and external nose? - ANS ✓Submandibular Fibrous bands of tissue found between abdominal structures that are not normally connected are known as - ANS ✓Adhesions Choose the correct flow of bile from the gallbladder - ANS ✓Cystic duct, common duct, ampulla of Vater, duodenum Select the statement that best reflects the functional components of the gastrointestinal tract - ANS ✓The alimentary canal extends from the mouth to the anus Which of the following hernia types is considered a surgical emergency - ANS ✓Strangulated Closed thoracostomy will require which of the following - ANS ✓Chest catheters and water-seal drainage
RNFA
A minimally invasive technique that may be used to remove parathyroid tumours deep in the mediastinum is known as - ANS ✓Thoracoscopy The common bile duct drains into the - ANS ✓Duodenum Before reaching the rectus abdominis muscle during surgical exposure, the surgeon must first progress through which of the following? - ANS ✓Scarpa's fascia The transverse colon ends at the - ANS ✓Splenic flexure The mediastinal surface of the lungs contains a structure known as ___________ in which nerves, vessels, bronchus, and lymphatics enter and leave the lung - ANS ✓Hilum The absence of distinct taeniae serves as a visual landmark for what abdominal structure - ANS ✓Upper margin of the rectum A benefit to the patient undergoing SILS procedure is which of the following
- ANS ✓Less postoperative pain Hernia that occur within Hessel Bach’s triangle are called - ANS ✓Direct inguinal hernia Innervation of the lungs is part of the _______System - ANS ✓Autonomic During kidney transplant surgery and prior to clamping the renal vessels, which of the following drugs are administered to prevent intravascular clotting and maximize diuresis - ANS ✓Heparin and mannitol
RNFA
provided, which of the following patients is the BEST candidate for orthopaedic surgery in an ASC? - ANS ✓A patient who needs a total hip replacement, is otherwise healthy, and has a short-term home care assistant When opening a sterile package, the LAST flap to be opened should be the flap: - ANS ✓Closest to you As of the following wound healing complications are attributed to smoking except: - ANS ✓Decreased blood viscosity A patient had the following lab values noted intraoperatively: pH <7.35, PCO2 <35 mmHg, HCO3<22mEq/L. This patient is in: - ANS ✓Metabolic acidosis This classification of medication can affect wound healing in the surgical patient: - ANS ✓Anticoagulants When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous tissue, the most appropriate choice is the _______ needle. - ANS ✓Taper There are several risk factors associated with dehiscence. Which of the following can be controlled by the RNFA? - ANS ✓Sutures placed too close together James Romano, a 68 year old retired teacher, presents for surgical intervention of recently diagnosed bladder cancer. He states the cancer is located in the urothelial layer. As the RNFA you realize this is ________layer of the bladder - ANS ✓Inner The most commonly injured Intraabdominal organ in blunt trauma is the - ANS ✓Spleen
RNFA
The mesh plug open hernia repair technique is indicated for which types of hernias - ANS ✓Recurrent indirect inguinal hernias The liver, pancreas, and spleen share many similarities. Select the statement about these organs that is true - ANS ✓All three are solid organs and very vascular From the following, choose a hernia type that is common in children and frequently disappears spontaneously - ANS ✓Umbilical hernia An example of a potential risk associated with pneumoperitoneum would be - ANS ✓gas embolus into an exposed blood vessel during the procedure. Femoral hernias occur more frequently in which group of individuals - ANS ✓Females The renal artery and vein enter and exit the kidney the medical side of the organ through a concave area known as the - ANS ✓Hilum Select the triad of the boundaries of Hessel Bach triangle - ANS ✓Inguinal ligament, rectus abdominis muscle, deep epigastric vessels Which of the following is a triangle anatomic landmark in surgical removal of the gallbladder and may be remembered by the 3 Cs - ANS ✓Calot's Choose the correct statement regarding the trigone of the bladder - ANS ✓Forms the base of the bladder An orchiopexy is the surgical placement and fixation of the testicles in a normal anatomic position in the scrotal sac. If the testis fails to descend into the scrotum during gestation, it is considered undescended. Which
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Suction applied directly to neural tissue can be harmful. To prevent tissue damage, a _______ should be placed between the neural tissue and the suction tip - ANS ✓Cottonoid The innermost membrane of the brain is known as - ANS ✓Pia mater Pressure against which cranial never accounts for pupillary dilation when temporal lobe herniation is present - ANS ✓Cranial nerve III What is the term for the bloodless plane that contains loose areolar tissue and permits mobility of the scalp - ANS ✓Subgaleal space The trigeminal nerve provides motor innervation to which muscle group - ANS ✓Mastication Identify the cranial nerve that is responsible for pupillary reaction - ANS ✓Cranial III Which of the following is a complication of patellectomy - ANS ✓Reduced knee extension The rotator cuff consists of which muscle group - ANS ✓Supraspinatus, infraspinatus, teres Minor, and subscapularis What is the desired outcome for patients undergoing laminotomy - ANS ✓Resolve extremity pain Postoperative infection in any total replacement surgery is - ANS ✓Usually catastrophic
RNFA
Bone graft that is sealed in a sterile labeled envelope from a tissue transplant company and stored in a vacuum sealed freezer and monitored with an alarm would be considered an - ANS ✓Allograft The recommended length of time for inflation of an upper extremity tourniquet on a patient under 50 is ________ while the recommended pressure is - ANS ✓1 hr; 250-300 mmHg Which of the following regarding PMMA is not an affect on local tissue? - ANS ✓Skin burns due to exothermic reaction Which of the following is the instrument of choice in removing a foreign body from an infant or child airway - ANS ✓Rigid bronchoscope The most commonly fractured carpal bone is the - ANS ✓Scaphoid Metastatic cancer to the spine can occur in the thoracic spine, lumbar spine, and cervical spine area. Select the statement that best reflects a therapeutic goal for a metastatic tumor of the spine - ANS ✓Preservation of neurologic function The use of PMMA can result in adverse patient reactions. Which of the following is considered an adverse patient reaction - ANS ✓Transient hypotension While not as prevalent as arthroplasty of the shoulder, knee, or hip, total elbow replacement is indicated for patients with traumatic lesions or excessive bone loss from arthritis. The prosthesis may be used with or without PMMA. If PMMA is not used, what replacement product, element, or substance is used? - ANS ✓Autologous bone graft Harrington rods are often used in scoliosis surgery. Of the following, which is a disadvantage of Harrington rods? - ANS ✓Rod breakage is increased
RNFA
After retracting the nerve roots during a laminectomy, this structure is invited before getting to the disc - ANS ✓Posterior longitudinal ligament FAST may assist with diagnosis in difficult situations. What group of scans is performed and what do they identify - ANS ✓Chest, pelvic, and four abdominal scans; collections of fluid and free air GCS is commonly used to assess patients with brain injuries using three indicators of cerebral function: eye opening, verbal communication, and motor responses to verbal and noxious stimuli. Within the scoring range for the GCS the best possible score is ____ and the worst is ______ - ANS ✓15; Blunt trauma injuries may not fully reveal the degree or depth of injury. What noninvasive diagnostic test is critical to diagnose potential traumatic brain injury - ANS ✓CT scan of the head In the case of an adult victim with a low-velocity, low-caliber gunshot wound, at far range, of the anterior left quadrant off the lower abdomen, what is the mechanism of injury and description of the possible injuries - ANS ✓Penetrating, small entrance wound, puncture of the anterior wall of the signed colon, no disruption of vessels, and bullet not found in pelvis Which of the following is an indication for damage control surgery - ANS ✓Coagulopathy A 26 year old female is rushed to the OR after being hit by a truck as she was riding her bike. She has rib fractures and several fractures transverse verbal processes. Recall injury is suspected. As the OR nurse prepares to insert a urinary catheter she notices blood at the urinary meatus. What should her next action be - ANS ✓Discontinue the catheter insertion
