RNFA 2026 REVIEW MODULE QUESTION
BANK SURGICAL TECHNIQUES AND
EXPLANATIONS
◉ Which incisional approach is indicated for transthoracic
esophagectomy with lymph node dissection for esophageal cancer?
Answer: Upper midline abdominal and right thoracotomy
◉ Of the following, which is not a risk factor for the development of
postop ventral hernias? Advanced age. Male gender. Vertical incision.
Open repair.
Answer: Male gender
◉ Closed Thoracostomy will require which of the following: chest
catheters and water-seal drainage. Fiberoptic instrumentation.
General anesthesia. Bronchus clamps.
Answer: Chest catheters and water-seal drainage
◉ The absence of distinct teniae serves as a visual landmark for
what abdominal structure?
Answer: Upper margin of the rectum
,◉ An example of perineal glands that secrete mucus are:
Answer: Bartholin's glands
◉ Describe the surgical skin prep boundaries for a patient about to
receive a liver transplant:
Answer: From neck to midthigh; bedline to bedline
◉ The GI tract aka alimentary canal starts and ends from where to
where?
Answer: Extends from mouth to anus
◉ Patient sustained full-thickness burns; what treatment may be
needed?
Answer: Debridement and allograft placement during initial healing
◉ What supplies blood to the transverse colon?
Answer: middle colic artery
◉ The internal thoracic lymph nodes, which drain the inner half of
the breast, can also be a channel for the:
Answer: spread of metastasis
◉ Hernias that occur within Hesselbach's triangle are called:
, Answer: direct inguinal hernias
◉ What important prep for a debridement of partial-thickness
burns should be performed before patient arrives to OR?
Answer: Prewarm the OR to above ambient high temp for an adult
◉ The colon has 5 distinct layers that include which of the following:
haustra. Mucosa. Intima. Teniae coli.
Answer: Mucosa
◉ Before reaching the rectus abdominus muscle during surgical
exposure, the surgeon must first progress through what fascial
layer?
Answer: Scarpa's fascia
◉ Which structure is commonly injured in penetrating trauma?
Answer: Liver
◉ Specific conditions that may require splenectomy include all
except: non-Hodgkin's lymphomas. Hodgkin's disease. Idiopathic
thrombocytopenia purpura. Carcinoma of left kidney.
Answer: Carcinoma off left kidney
BANK SURGICAL TECHNIQUES AND
EXPLANATIONS
◉ Which incisional approach is indicated for transthoracic
esophagectomy with lymph node dissection for esophageal cancer?
Answer: Upper midline abdominal and right thoracotomy
◉ Of the following, which is not a risk factor for the development of
postop ventral hernias? Advanced age. Male gender. Vertical incision.
Open repair.
Answer: Male gender
◉ Closed Thoracostomy will require which of the following: chest
catheters and water-seal drainage. Fiberoptic instrumentation.
General anesthesia. Bronchus clamps.
Answer: Chest catheters and water-seal drainage
◉ The absence of distinct teniae serves as a visual landmark for
what abdominal structure?
Answer: Upper margin of the rectum
,◉ An example of perineal glands that secrete mucus are:
Answer: Bartholin's glands
◉ Describe the surgical skin prep boundaries for a patient about to
receive a liver transplant:
Answer: From neck to midthigh; bedline to bedline
◉ The GI tract aka alimentary canal starts and ends from where to
where?
Answer: Extends from mouth to anus
◉ Patient sustained full-thickness burns; what treatment may be
needed?
Answer: Debridement and allograft placement during initial healing
◉ What supplies blood to the transverse colon?
Answer: middle colic artery
◉ The internal thoracic lymph nodes, which drain the inner half of
the breast, can also be a channel for the:
Answer: spread of metastasis
◉ Hernias that occur within Hesselbach's triangle are called:
, Answer: direct inguinal hernias
◉ What important prep for a debridement of partial-thickness
burns should be performed before patient arrives to OR?
Answer: Prewarm the OR to above ambient high temp for an adult
◉ The colon has 5 distinct layers that include which of the following:
haustra. Mucosa. Intima. Teniae coli.
Answer: Mucosa
◉ Before reaching the rectus abdominus muscle during surgical
exposure, the surgeon must first progress through what fascial
layer?
Answer: Scarpa's fascia
◉ Which structure is commonly injured in penetrating trauma?
Answer: Liver
◉ Specific conditions that may require splenectomy include all
except: non-Hodgkin's lymphomas. Hodgkin's disease. Idiopathic
thrombocytopenia purpura. Carcinoma of left kidney.
Answer: Carcinoma off left kidney
