SURGICAL FIRST ASSIST UPDATED EXAMS TEST
PAPER QUESTIONS AND ANSWERS SURE A+
✔✔Tetralogy of Fallot - ✔✔A congenital heart defect which is classically understood to
involve four anatomical abnormalities of the heart that include ventricular septal defect,
pulmonary valve stenosis, right ventricular hypertrophy, and transposition of the aorta
(although only three of them are always present).
✔✔Pulling on the wrist to reduce a radius fracture incorporates which principle of
surgical assisting? - ✔✔traction-countertraction
✔✔If a Kelly clamp is left in a patient who underwent a cholecystectomy, which legal
charges can be filed - ✔✔res ipsa loquitur
✔✔Res ipsa loquitur - ✔✔or the thing speaks for itself
✔✔Primum non nocere - ✔✔or first do no harm
✔✔During a posterolateral approach for an intracapsular hip fracture, which of the
following muscles would be released along with the short external rotators and capsule
from the posterior aspect of the femur as a single musculocapsular flap? - ✔✔piriformis
, ✔✔When an open appendectomy is performed, it is necessary to identify the -
✔✔cecum and ileocecal valve
✔✔In patients who develop fever, abdominal pain, and profuse diarrhea, the MOST
frequently seen antibiotic-associated enterocolitis is due to which organism? -
✔✔clostridium difficile
✔✔Taper point needles are generally used in which of the following tissue types?
1. gastrointestinal
2. tendons
3. adipose
4. vascular - ✔✔1, 3, and 4
✔✔A patient who is opposed to the acceptance of blood transfusion on the religious
principle is undergoing a hysterectomy. During surgery, there was significant blood loss
causing hematocrit to drop to 30% with a resulting drop in oxygen saturation. Under
these conditions, what is the appropriate response? - ✔✔Increase IV fluid drip to allow
hemodilution
✔✔Which of the following conditions is MOST common when insulation failure occurs in
laparoscoopic surgery?
A. hypothermia
B. wound infection
C. tissue injury
D. adhesions - ✔✔tissue injury
✔✔An adult male is injured in an automobile accident at 2 AM. An exploratory
laparotomy for possible perforated bowel is initiated at 5AM. Which of the following is
the best wound classification in this scenario? - ✔✔contaminated
✔✔Clean wound - ✔✔Operative wound in which no re4spiratory, alimentary, or
genitourinary tracts are entered and no break in sterile technique.
✔✔Clean contaminated wound - ✔✔Operative wound in which the respiratory,
alimentary, or genitourinary tract is entered under controlled conditions.
✔✔Contaminated wound - ✔✔Wounds that include traumatic wounds of less than 4
hours duration and those in which operations with major breaks in aseptic technique
and gross spillage from the gastrointestinal tract are also included.
✔✔Dirty or infected wound - ✔✔Old, physically induced wounds with retained
devitalized tissue with existing infection like an abscess or delayed primary closure from
a ruptured appendix.
PAPER QUESTIONS AND ANSWERS SURE A+
✔✔Tetralogy of Fallot - ✔✔A congenital heart defect which is classically understood to
involve four anatomical abnormalities of the heart that include ventricular septal defect,
pulmonary valve stenosis, right ventricular hypertrophy, and transposition of the aorta
(although only three of them are always present).
✔✔Pulling on the wrist to reduce a radius fracture incorporates which principle of
surgical assisting? - ✔✔traction-countertraction
✔✔If a Kelly clamp is left in a patient who underwent a cholecystectomy, which legal
charges can be filed - ✔✔res ipsa loquitur
✔✔Res ipsa loquitur - ✔✔or the thing speaks for itself
✔✔Primum non nocere - ✔✔or first do no harm
✔✔During a posterolateral approach for an intracapsular hip fracture, which of the
following muscles would be released along with the short external rotators and capsule
from the posterior aspect of the femur as a single musculocapsular flap? - ✔✔piriformis
, ✔✔When an open appendectomy is performed, it is necessary to identify the -
✔✔cecum and ileocecal valve
✔✔In patients who develop fever, abdominal pain, and profuse diarrhea, the MOST
frequently seen antibiotic-associated enterocolitis is due to which organism? -
✔✔clostridium difficile
✔✔Taper point needles are generally used in which of the following tissue types?
1. gastrointestinal
2. tendons
3. adipose
4. vascular - ✔✔1, 3, and 4
✔✔A patient who is opposed to the acceptance of blood transfusion on the religious
principle is undergoing a hysterectomy. During surgery, there was significant blood loss
causing hematocrit to drop to 30% with a resulting drop in oxygen saturation. Under
these conditions, what is the appropriate response? - ✔✔Increase IV fluid drip to allow
hemodilution
✔✔Which of the following conditions is MOST common when insulation failure occurs in
laparoscoopic surgery?
A. hypothermia
B. wound infection
C. tissue injury
D. adhesions - ✔✔tissue injury
✔✔An adult male is injured in an automobile accident at 2 AM. An exploratory
laparotomy for possible perforated bowel is initiated at 5AM. Which of the following is
the best wound classification in this scenario? - ✔✔contaminated
✔✔Clean wound - ✔✔Operative wound in which no re4spiratory, alimentary, or
genitourinary tracts are entered and no break in sterile technique.
✔✔Clean contaminated wound - ✔✔Operative wound in which the respiratory,
alimentary, or genitourinary tract is entered under controlled conditions.
✔✔Contaminated wound - ✔✔Wounds that include traumatic wounds of less than 4
hours duration and those in which operations with major breaks in aseptic technique
and gross spillage from the gastrointestinal tract are also included.
✔✔Dirty or infected wound - ✔✔Old, physically induced wounds with retained
devitalized tissue with existing infection like an abscess or delayed primary closure from
a ruptured appendix.
