A weak area in the muscular structure of the oesophagus is Killian's triangle, which is be-
tween the oblique muscle fibers of the inferior constrictor muscles, and the transverse fibers
of the crocopharyngous muscle. This area is the most common site for.
A. Richter's hernia
B. Spigelian hernia
C. Hartman hernia
D. Zenker's diverticulum - ANSWER D. Zenker's diverticulum
Which of the following statements regarding surgical scrubbing, is not true?
A. Two accepted methods of Surgical scrubbing are the timed method and the counted
brush-stroke method.
B. A vigorous five minute scribe with a reliable agent may be as affective as a 10 minute
scrub done with a less mechanical action.
C. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe
counts.
D. When gloves are removed at the end of a surgical procedure, the hands are contami-
nated, and should be immediately washed. - ANSWER C. Prolonging a scrub beyond the
standard scrub length is effective in decreasing microbe counts.
In a posterolateral approach the surgeon identifies this structure (which is often tagged with
a suture for reattachment during closure) short external rotators, and capsule are released
from the posterior femur
A. Gluteus minimus
B. Piriformis
C. Gemelli
D. Vastus lateralis - ANSWER B. Piriformis
1
,Which of the following procedures is used to visualize the cystic, hepatic, and common ducts
A. Barium enema.
B. Cholangiography
C. Intravenous pyelography
D. Upper gastrointestinal series. - ANSWER B. Cholangiography
If you have to tie under tension, the direction of a surgeon's knot to hold down the first
throw
A. Double
B. Reverse - ANSWER B. Reverse
Which of the following casts should be applied to a nondisplaced humeral fracture?
A. Wedge.
B. Hanging
C. Sugar tong
D. Munster - ANSWER B. Hanging
Which of the following tendon autografts is most typically utilized when performing anterior
cruciate ligament (ACL) reconstruction?
A. Quadriceps.
B. Semi tendinosis.
C. Patellar.
D. Biceps femoris - ANSWER C) patellar
The renal pedicle (renal artery, and renal vein) enters the kidney at the
A. Renal corpuscle
B. Renal hilium
2
,C. Bowmans capsule.
D. Henle's loop - ANSWER B. Renal hilium
Is a material made from cellulosic acid and is available in pad or fabric sheet form. It is often
placed around a bleeding structure or over a bleeding surface and the cellulose absorbs 7 to
10 times its own weight when applied near a nerve or vessel, as much cellulose as possible,
is usually removed at the end of the procedure to prevent stenosis and stricture formation
A. Oxidized cellulose (Surgicel, Nu-Knit, or Oxycel)
B. Microfibrillar collagen (Avetine or INSTAT)
C. Absorbable gelatin (Gelfiam)
D. Ferric subsulfate (Monsel's solution) - ANSWER A. Oxidized cellulose (Surgicel, Nu-Knit,
or Oxycel)
Which of the following methods of suturing should be used to close a deep layer located on
the medial edge of the myocutaneous flap closure of a sacral decubitus ulcer?
A. Simple running with 0 vicryl SH
B. Cushing suture with 1 prolene FS
C. Halstead suture with 0 Vicryl CTX
D. Half buried mattress suture with 0 PDS FS - ANSWER D. Half buried mattress suture
with 0 PDS FS
Which of the following is the correct skin preparation for a female patient undergoing a right
mastectomy with possible axillary dissection?
A. Shoulder, upper arm, and extending down to the elbow, axilla, chest to the table, line, and
to the left shoulder.
B. Base of the neck, shoulder, scapula, chest to midline, and circumference of the upper arm
down to the elbow.
C. Entire arm, shoulder, axilla, including the hand
D. Chin to umbilicus and laterally to the table line - ANSWER A. Shoulder, upper arm, and
extending down to the elbow, axilla, chest to the table, line, and to the left shoulder
3
, When removing a tumor, isolation technique is used to
A. Accommodate excess size of the growth.
B. Account for abnormal anatomy.
C. Minimize excessive blood loss.
D. Prevent mechanical metastasis. - ANSWER D. Prevent mechanical metastasis.
During a routine, abdominal hysterectomy, the anesthesiologist notes that the patient is be-
coming progressively tachycardic. He knows that there has been virtually no blood loss. The
surgeon request additional muscle relaxation because the patient abdominal musculature is
" tightening up". The esophageal temperature probe indicates a core body temperature of
103°F (39°C). The anesthesiologist noted that the CO2 monitors are alarming with high lev-
els. The anesthesiologist you turn off his anesthetic agent, hyperventilate the patient with
100% oxygen and administer
A. Succinylcholine
B. Dantrolene.
C. Atropine.
D. Epinephrine - ANSWER B. Dantrolene
Which of the following should be the minimum exposure time in a flash sterilizer for un-
wrapped instruments?
A. 1 minute
B. 3 minutes
C. 5 minutes
D. 7 minutes - ANSWER B. 3 minutes
Which of the following is the desired effect when applying a partially threaded cancellous
screw to a bone fragment?
A. Distraction
B. Rotation
4
tween the oblique muscle fibers of the inferior constrictor muscles, and the transverse fibers
of the crocopharyngous muscle. This area is the most common site for.
A. Richter's hernia
B. Spigelian hernia
C. Hartman hernia
D. Zenker's diverticulum - ANSWER D. Zenker's diverticulum
Which of the following statements regarding surgical scrubbing, is not true?
A. Two accepted methods of Surgical scrubbing are the timed method and the counted
brush-stroke method.
B. A vigorous five minute scribe with a reliable agent may be as affective as a 10 minute
scrub done with a less mechanical action.
C. Prolonging a scrub beyond the standard scrub length is effective in decreasing microbe
counts.
D. When gloves are removed at the end of a surgical procedure, the hands are contami-
nated, and should be immediately washed. - ANSWER C. Prolonging a scrub beyond the
standard scrub length is effective in decreasing microbe counts.
In a posterolateral approach the surgeon identifies this structure (which is often tagged with
a suture for reattachment during closure) short external rotators, and capsule are released
from the posterior femur
A. Gluteus minimus
B. Piriformis
C. Gemelli
D. Vastus lateralis - ANSWER B. Piriformis
1
,Which of the following procedures is used to visualize the cystic, hepatic, and common ducts
A. Barium enema.
B. Cholangiography
C. Intravenous pyelography
D. Upper gastrointestinal series. - ANSWER B. Cholangiography
If you have to tie under tension, the direction of a surgeon's knot to hold down the first
throw
A. Double
B. Reverse - ANSWER B. Reverse
Which of the following casts should be applied to a nondisplaced humeral fracture?
A. Wedge.
B. Hanging
C. Sugar tong
D. Munster - ANSWER B. Hanging
Which of the following tendon autografts is most typically utilized when performing anterior
cruciate ligament (ACL) reconstruction?
A. Quadriceps.
B. Semi tendinosis.
C. Patellar.
D. Biceps femoris - ANSWER C) patellar
The renal pedicle (renal artery, and renal vein) enters the kidney at the
A. Renal corpuscle
B. Renal hilium
2
,C. Bowmans capsule.
D. Henle's loop - ANSWER B. Renal hilium
Is a material made from cellulosic acid and is available in pad or fabric sheet form. It is often
placed around a bleeding structure or over a bleeding surface and the cellulose absorbs 7 to
10 times its own weight when applied near a nerve or vessel, as much cellulose as possible,
is usually removed at the end of the procedure to prevent stenosis and stricture formation
A. Oxidized cellulose (Surgicel, Nu-Knit, or Oxycel)
B. Microfibrillar collagen (Avetine or INSTAT)
C. Absorbable gelatin (Gelfiam)
D. Ferric subsulfate (Monsel's solution) - ANSWER A. Oxidized cellulose (Surgicel, Nu-Knit,
or Oxycel)
Which of the following methods of suturing should be used to close a deep layer located on
the medial edge of the myocutaneous flap closure of a sacral decubitus ulcer?
A. Simple running with 0 vicryl SH
B. Cushing suture with 1 prolene FS
C. Halstead suture with 0 Vicryl CTX
D. Half buried mattress suture with 0 PDS FS - ANSWER D. Half buried mattress suture
with 0 PDS FS
Which of the following is the correct skin preparation for a female patient undergoing a right
mastectomy with possible axillary dissection?
A. Shoulder, upper arm, and extending down to the elbow, axilla, chest to the table, line, and
to the left shoulder.
B. Base of the neck, shoulder, scapula, chest to midline, and circumference of the upper arm
down to the elbow.
C. Entire arm, shoulder, axilla, including the hand
D. Chin to umbilicus and laterally to the table line - ANSWER A. Shoulder, upper arm, and
extending down to the elbow, axilla, chest to the table, line, and to the left shoulder
3
, When removing a tumor, isolation technique is used to
A. Accommodate excess size of the growth.
B. Account for abnormal anatomy.
C. Minimize excessive blood loss.
D. Prevent mechanical metastasis. - ANSWER D. Prevent mechanical metastasis.
During a routine, abdominal hysterectomy, the anesthesiologist notes that the patient is be-
coming progressively tachycardic. He knows that there has been virtually no blood loss. The
surgeon request additional muscle relaxation because the patient abdominal musculature is
" tightening up". The esophageal temperature probe indicates a core body temperature of
103°F (39°C). The anesthesiologist noted that the CO2 monitors are alarming with high lev-
els. The anesthesiologist you turn off his anesthetic agent, hyperventilate the patient with
100% oxygen and administer
A. Succinylcholine
B. Dantrolene.
C. Atropine.
D. Epinephrine - ANSWER B. Dantrolene
Which of the following should be the minimum exposure time in a flash sterilizer for un-
wrapped instruments?
A. 1 minute
B. 3 minutes
C. 5 minutes
D. 7 minutes - ANSWER B. 3 minutes
Which of the following is the desired effect when applying a partially threaded cancellous
screw to a bone fragment?
A. Distraction
B. Rotation
4
