SURGICAL FIRST ASSIST FINAL EXAM ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following tumors is most commonly found in the cerebellum of children
and in the cerebrum of adults and is the most common primary brain tumor? -
✔✔astrocytoma
✔✔A threaded cortical screw cannot provide compression of bone fragments unless the
- ✔✔near cortex is overdrilled
✔✔When removing a tumor, isolation technique is used to - ✔✔prevent mechanical
metastasis
✔✔Which of the following is the primary node associated with metastatic disease? -
✔✔sentinel
✔✔When a loop of jejunum is anastomosed end to side with the esophagus in a total
gastrectomy, a jejunojejunostomy may be done to - ✔✔prevent regurgitation
esophagitis
✔✔What is the purpose of a jejunojejunostomy? - ✔✔to prevent the reflux of bile and
pancreatic fluids into the esophagus.
, ✔✔During total hip arthroplasty through an anterolateral approach, which of the
following maneuvers is needed to dislocate the femoral head? - ✔✔adduction and
external rotation
✔✔Which of the following types of laser is used in retinal surgery? - ✔✔argon
✔✔When opening the aneurysmal sac during resection of an abdominal aortic
aneurysm (AAA), which of the following arteries is ligated? - ✔✔lumbar
✔✔Which of the following should be considered when positioning a patient?
1. Patency of the airway is the prime concern when positioning a patient
2. Pressue injuries are most common after surgical procedures lasting one hour or
longer.
3. An anesthetized patient with muscle paralysis is at increased risk for muscle strain
4. The most common sites of peripheral nerve injury are the divisions of the brachial
plexus and the ulnar, radial, peroneal, and facial nerves - ✔✔1, 2, and 4 only
✔✔Which of the following fractures runs between the maxillary and orbital floors and
may involve the medial and lateral walls of the maxillary sinuses and the pterygoid
processes of the sphenoid? - ✔✔Le Fort I
✔✔Which of the following are rotator cuff muscles?
1. teres major and teres minor
2. supraspinatus and teres minor
3. levator scapulae and infraspinatus
4. infraspinatus and subscapularis - ✔✔2 and 4 only
✔✔During a carotid endarterectomy, the patient's heart rate drops to 30 bpm. This is
likely due to the stimulation of the - ✔✔vagus nerve
✔✔Which of the following are reasons for keeping the OR at a relative humidity level
between 50-50%?
1. reduced risk of infection
2. lower levels of patient discomfort
3. minimization of static electricity
4. depressed waste anesthesia gas - ✔✔1 and 3
✔✔During digital reanastomosis, which of the following items is commonly used? -
✔✔operative miscroscope
✔✔Which of the following are requirements for a sharps container?
1. self-closing lid to prevent overfilling
2. biohazard labels and color coding
QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following tumors is most commonly found in the cerebellum of children
and in the cerebrum of adults and is the most common primary brain tumor? -
✔✔astrocytoma
✔✔A threaded cortical screw cannot provide compression of bone fragments unless the
- ✔✔near cortex is overdrilled
✔✔When removing a tumor, isolation technique is used to - ✔✔prevent mechanical
metastasis
✔✔Which of the following is the primary node associated with metastatic disease? -
✔✔sentinel
✔✔When a loop of jejunum is anastomosed end to side with the esophagus in a total
gastrectomy, a jejunojejunostomy may be done to - ✔✔prevent regurgitation
esophagitis
✔✔What is the purpose of a jejunojejunostomy? - ✔✔to prevent the reflux of bile and
pancreatic fluids into the esophagus.
, ✔✔During total hip arthroplasty through an anterolateral approach, which of the
following maneuvers is needed to dislocate the femoral head? - ✔✔adduction and
external rotation
✔✔Which of the following types of laser is used in retinal surgery? - ✔✔argon
✔✔When opening the aneurysmal sac during resection of an abdominal aortic
aneurysm (AAA), which of the following arteries is ligated? - ✔✔lumbar
✔✔Which of the following should be considered when positioning a patient?
1. Patency of the airway is the prime concern when positioning a patient
2. Pressue injuries are most common after surgical procedures lasting one hour or
longer.
3. An anesthetized patient with muscle paralysis is at increased risk for muscle strain
4. The most common sites of peripheral nerve injury are the divisions of the brachial
plexus and the ulnar, radial, peroneal, and facial nerves - ✔✔1, 2, and 4 only
✔✔Which of the following fractures runs between the maxillary and orbital floors and
may involve the medial and lateral walls of the maxillary sinuses and the pterygoid
processes of the sphenoid? - ✔✔Le Fort I
✔✔Which of the following are rotator cuff muscles?
1. teres major and teres minor
2. supraspinatus and teres minor
3. levator scapulae and infraspinatus
4. infraspinatus and subscapularis - ✔✔2 and 4 only
✔✔During a carotid endarterectomy, the patient's heart rate drops to 30 bpm. This is
likely due to the stimulation of the - ✔✔vagus nerve
✔✔Which of the following are reasons for keeping the OR at a relative humidity level
between 50-50%?
1. reduced risk of infection
2. lower levels of patient discomfort
3. minimization of static electricity
4. depressed waste anesthesia gas - ✔✔1 and 3
✔✔During digital reanastomosis, which of the following items is commonly used? -
✔✔operative miscroscope
✔✔Which of the following are requirements for a sharps container?
1. self-closing lid to prevent overfilling
2. biohazard labels and color coding
