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ABSA Exam Questions & Answers 2026 | High-Yield Review | Graded A+

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Prepare for the American Board of Surgical Assistants (ABSA) examination with this updated 2026/2027 review resource. Designed for surgical assistant certification candidates, this guide provides high-yield practice questions, detailed rationales, and focused concept reviews to support effective exam preparation. The resource covers essential surgical assisting topics including surgical anatomy and physiology, sterile technique, surgical instrumentation, sutures and wound repair, tissue handling, hemostasis, general surgery procedures, patient positioning, perioperative care, infection prevention, anesthesia principles, specimen handling, surgical complications, operating-room safety, and professional responsibilities. Practice questions with detailed rationales help reinforce key concepts, strengthen clinical judgment, and improve the application of surgical assisting principles to realistic perioperative scenarios. Ideal for focused study, knowledge review, and certification exam preparation.

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ABSA Exam Questions & Answers 2026 | High-Yield Review
| Graded A+
1. What type of obstruction leads to the development of esophageal varices?

Lymphatic obstruction

Venous thrombosis

Arterial blockage

Portal hypertension

2. In a scenario where a surgical team has only access to boiling water for
sterilization, what additional measures should they take to ensure effective
sterilization?

Limit the use of boiling water to 5 minutes.

Use additional chemical disinfectants or ensure prolonged exposure
time.

Use boiling water only for non-critical items.

Rely solely on boiling water for all instruments.

3. An ulcer in the lower portion of the anal canal is called:

Anal abscesss

Anal polyp

Haemorrhoids

Anal fistula

Anal fissure

,4. Describe the limitations of using boiling water as a sterilizing agent in surgical
settings.

Boiling water is the only method needed for sterilization.

Boiling water is effective for all types of surgical instruments.

Boiling water may not kill all spores and certain resistant
microorganisms.

Boiling water can be used indefinitely without losing effectiveness.

5. In a surgical procedure, if a suture with low tensile strength is used on a high-
tension wound, what could be the potential consequence?

Infection

Excessive scarring

Improper healing

Wound dehiscence

6. Techniques commonly used for perioperative blood conservation during
cardiac surgery include all of the following EXCEPT:

Red blood cell scavenging

Perioperative administration of antifibrinolytic agents

Intraoperative autologous hemodilution

Return of platelets via the blood-salvaging device

Use of membrane oxygenators

7. In a scenario where a patient presents with massive rectal prolapse but is
stable and asymptomatic, what would be the most appropriate course of
action?

, Initiate emergency intervention

Schedule for elective surgery

Discharge with no follow-up

Perform immediate surgery

8. ____ and ____ are the two main causes of intestinal obstruction.

Mechanical, acute

Functional, acute

Acute, severe

Mechanical, functional

9. Which of the following statements is false?

Sterile items can only touch other sterile items

Non-scrubbed personnel can touch only non-sterile items

If the sterility of an item is in doubt, consider it contaminated

Non-sterile items can be placed on the tray where the surgery pack
has been opened

10. What is the primary goal of sterile technique in the operating room?

To improve patient comfort

To prevent infections

To reduce anesthesia risks

To enhance surgical precision

11. If a patient undergoes a surgical procedure that results in the removal of their
parathyroid glands, what immediate postoperative care should be prioritized

, to monitor for complications?

Increasing dietary calcium intake

Performing routine blood pressure checks

Monitoring calcium levels

Administering thyroid hormones

12. Acromegaly is a condition resulting from the over-secretion of

parathyroid hormones.

the growth hormone

thyroid hormones.

thymus gland hormones.

adrenal cortex hormones.

13. Radical mastectomy for cancer involves removal of portion of the ___
muscles.

intercostal

pectoralis major and minor

rectus

serratus anterior

14. Whenever there is any question of sterility, the item in question is
considered:

Contaminated

Questionable but okay to use

None of these choices is correct.

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