Csfa Certification Exam | Certified Surgical First Assistant |Actual Questions And Verified Answers|Graded A+|Brand New 2026 Update!!!!!

A complication of steep reverse Trendelenburg position is

A. deep vein thrombosis.

B. arterial compression.

C. cardiac overload.

D. respiratory alkalosis. - 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 - ANSWER C. lithotomy



Which of the following BEST prevents hypothermia in the OR?

A. forced air warming blanket

B. warmed IV solution

C. warmed irrigation solution

D. multiple layers of warm blankets - 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% - ANSWER B. 20% to 60%



1

,An important process in which all team members must participate just prior to incision is
called the

A. huddle.

B. timeout.

C. debriefing

D. consent. - ANSWER B. timeout.



Which of the following is Mohs surgery used to treat?

A. malignant melanoma and basal cell carcinoma

B. basal cell and squamous cell carcinoma

C. malignant melanoma and squamous cell carcinoma

D. basal cell and Merkel cell carcinoma - ANSWER B. basal cell and squamous cell carci-
noma



When reviewing the chart for a patient scheduled for a mammoplasty, it is noticed that the
patient's K+ is 5.4. The patient is suffering from which of the following?

A. hyperkalemia

B. hypokalemia

C. hypercalcemia

D. hypocalcemia - ANSWER A. hyperkalemia



Which of the following are the preferred positioning devices used during surgical proce-
dures?

A. foam pads

B. saline bags

C. gel pads

D. sheet rolls - ANSWER C. gel pads



2

,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. - 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 - ANSWER A. paralysis



Which of the following positions is used for an LAVH?

A. reverse Trendelenburg

B. supine

C. lateral recumbent

D. lithotomy - 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. shear injury

D. negativity injury - ANSWER C. shear injury



Which of the following patients positions would be MOST likely to cause an obturator nerve
injury?

3

, A. lateral

B. prone

C. lithotomy

D. semi-Fowler's - ANSWER C. lithotomy



When the surgeon incises tissue, the surgical first assistant usually provides a clear field by

A. light adjustment

B. clamping.

C. retraction.

D. cauterizing. - ANSWER C. retraction



Which of the following is known as a Kelly procedure?

A. anterior colporrhaphy

B. cervical conization

C. Bartholin cyst marsupialization

D. vulvectomy - 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 - ANSWER A. Javid



Which of the following organs has a fragile collagen-rich capsule and must be handled care-
fully?

A. kidney

B. gallbladder

C. liver

4