SURGICAL FIRST ASSIST
Practice Exam| Questions &
Answers
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.
Which of the following angled plates is MOST frequently chosen for a compression hip screw fixation? -
✔✔135 degrees
Foman, Cottle, and Aufricht retractors are all considered which of the following kinds of instrument? -
✔✔ENT
An Exmarch bandage is MOST frequently used for which of the following types of surgery? -
✔✔Podiatric
Which of the following techniques demonstrate a proven benefit in the prevention of
postoperative wound infections?
Practice Exam| Questions &
Answers
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.
Which of the following angled plates is MOST frequently chosen for a compression hip screw fixation? -
✔✔135 degrees
Foman, Cottle, and Aufricht retractors are all considered which of the following kinds of instrument? -
✔✔ENT
An Exmarch bandage is MOST frequently used for which of the following types of surgery? -
✔✔Podiatric
Which of the following techniques demonstrate a proven benefit in the prevention of
postoperative wound infections?
