Surgical First Assist UPDATED 1000+ ACTUAL Questions and CORRECT Answers

Surgical First Assist UPDATED 1000+ ACTUAL Questions and CORRECT Answers The renal artery and vein enter and exit the kidney on the medial side of the organ through a concave area known as the: - ANSWER-c. hilum. ._____ is an accurate way to monitor patient taking anticoagulant - ANSWER-INR ._______________ compression is a force that changes as needed depending on circumstances or outside influences. - ANSWER-Dynamic ._______% of patients diagnosed with pulmonary embolism also have DVT - ANSWER-80 .___Compression is a force that changes with the changing outside forces presented to the fracture site. - ANSWER-Dynamic .? is the most frequently damaged nerve of the lower extremity - ANSWER-*Common Peroneal Nerve. aka: fibular nerve *Mechanism of injury -Compression between the head of the fibula and the metal frame of the stirrup *May be mistaken for sciatic nerve injury .(______) = (dose-x-virulence)/(host resistance). What is _________? - ANSWER-Infection .*? is the most common position for surgery? *Head is in the ? position *? nerve is the most commonly injured nerve here - ANSWER-*Supine, aka: dorsal recumbent position *Head should be maintained in neutral position *Ulnar nerve most commonly injured in this position .10 Basic Concepts of Assisting - ANSWER-Pre-Practice All Techniques No Wasted Moves Anticipate Two Hands/Ten Fingers Assist, Don't Inhibit Think Team Know Your Limitations Practice to Improve Watch & Learn Take Notes .2 semi- elliptical skin wedges of the 5th toe run from dorsal-lateral- proximal to dorsal- medial distal over the PIPJ - ANSWER-Derotational arthroplasty .A 60 year old obese patient with a history of diabetes and renal insufficiency has undergone drainage of an abdominal abscess through a midline incision, what type of stitch should be considered for wound closure? - ANSWER-interrupted retention suture .A 70-year-old patient who underwent an 8-hour colon resection is at the greatest risk for what? - ANSWER-postoperative infection .A barbituate that may be used for sleep in the night before surgery is - ANSWER-secobarbital .A barbiturate that may be used for sleep the night before surgery is: A. Diazepam B. Meperidine C. Secobarbital D. Scopolamine - ANSWER-C. Secobarbital .A breast biopsy is an example of what class of wounds? A breast biopsy is an example of a class I Clean Wound. - ANSWER-List the three types of wound healing. The three types of wound healing are: (1) primary intention, (2) secondary intention, and (3) delayed primary closure (tertiary intention). .A broad range of implant materials are used in plastic and reconstructive surgery. Select the implant that represents a biologic composition of a surgical implan - ANSWER-a. Autologous human tissue .A broad spectrum bactericidal antibiotic that interferes with synthesis of the cell wall and has a chemical structure similar to the penicillins is - ANSWER-cefazolin .A broad spectrum bactericidal antibiotic that interferes with synthesis of the cell wall and has a chemical structure similar to the penicillins is: A. Cefazolin B. Aminoglycoside C. Tetracycline D. Sulfonamide - ANSWER-A. Cefazolin .A chalazion is a chronic inflammation of the - ANSWER-meibomian gland .A chemical reaction that provides energy by the breakdown of food molecules is called - ANSWER-catabolism .A chemical reaction that provides energy by the breakdown of food molecules is called: A. Catabolism B. Metabolism C. Glycogenesis D. Anabolism - ANSWER-A. Catabolism .A cholesteatoma is a benign tumor that develops in the - ANSWER-mastoid bone .A common autologous donor site for a free flap graft for replacing the jaw bone is the - ANSWER-fibula .A common complication during emergence from general anesthesia is - ANSWER-hypoxia .A common complication during emergence from general anesthesia is: A. Hypotension B. Hypoxia C. Hyperthermia D. Hyperemia - ANSWER-B. Hypoxia .A common pathogen associated with decubitus ulcers is Staphyloccocus - ANSWER-aureus .A cross section of the mid-shaft of the femur would appear _____. - ANSWER-d. Triangular .A cross section of the mid-shaft of the femur would appear - ANSWER-triangular .A cross section of the mid-shaft of the femur would appear - ANSWER-Triangular .A direct inguinal hernia is located _____. - ANSWER-a. Inside Hesselbach's triangle .a direct inguinal hernia occurs - ANSWER-Medial to the inferior epigastric artery .A disadvantage of an anterolateral incisional approach to the femoral shaft is - ANSWER-The vastus lateralis is incised requiring longer rehab; increased pain and bleeding .A disadvantage of an anterolateral incisional approach to the femoral shaft is - ANSWER-The vastus lateralis muscle is incised requiring longer rehab; increased pain and bleeding .A drug combined with heparin that causes a postop loss of anticoagulant activity is - ANSWER-protamine sulfate .A drug combined with heparin that causes a postoperative loss of anticoagulant activity is: A. Papaverine B. Protamine sulfate C. Tromethamine D. Angiovist - ANSWER-B. Protamine sulfate .A drug used to reverse hypotension is - ANSWER-levartenernol (levophed) .A drug used to reverse hypotension is: A. Isoproterenol hydrochloride (Isuprel(R)) B. Propranolol hydrochloride (Inderal(R)) C. Procainamide hydrochloride (Pronestyl(R)) D. Levarterenol (Levophed(R)) - ANSWER-D. Levarterenol (Levophed(R)) .A familiarity with basic neurologic assessment tools gives the nurse the ability to perform a standardized neurologic exam that can be used preoperatively to establish a baseline assessment and postoperatively to establish a return to baseline or assess postoperative neurologic stability. The Glasgow Coma Scale (GCS) is commonly used to assess patients with brain injury using three indicators of cerebral function: eye opening, verbal communication, and motor response to verbal and noxious stimuli. Within the scoring range for the GCS, the best possible score is _____ and the worst possible score is ______. - ANSWER-a. 15, 3 .A flap of tissue transferred from one site to another with its vascular supply intact - ANSWER-Skin Flaps .A hemodynamic complication in the patient could be caused by: A. Administration of 100% oxygen B: Myocardial ischemia C. Premature ventricular contractions D. Neurological thoracic outlet syndrome - ANSWER-B: Myocardial ischemia .A hemodynmaic complicatino in the patient could be caused by - ANSWER-myocardial ischemia .A hernia through which bowel or omentum extends and cannot be returned to its normal position through manipulation is referred to as a/an - ANSWER-incarcerated hernia .A herniated disc most commonly occurs in which section of the vertebral column? - ANSWER-Lumbar .A herniation of the cul-de-sac of Douglas is a/an - ANSWER-enterocele .A hysterectomy is an example of what class of wounds? A hysterectomy is an example of a class II Clean Contaminated Wound. - ANSWER-Describe the purpose of a surgical drain. Drains are important for the control of ecchymosis and provide egress of air and fluids to be evacuated from the operative site. They also eliminate dead space. .A laceration or avulsion of the extensor tendon at the proximal phalanx or proximal interphalangeal (PIP) join is called a - ANSWER-boutonniere deformity .A left subcostal incision indicates surgery of the - ANSWER-spleen .A left subcostal incision is typically used for - ANSWER-splenectomy .A linear dimensional flap (square, rectangle) rotated about a pivot point - ANSWER-Transpositional flap .A long-term complication of a cemented total hip arthroplasty is - ANSWER-loosening of the prosthesis .A lower oblique incision is called a/an - ANSWER-inguinal .A lower oblique incision is called a/an: A: Pfannenstiel B. Inguinal C. Paramedian D. Midabdominal - ANSWER-B. Inguinal .A major concern in draining a gangrenous gallbladder is - ANSWER-contamination .A method t protect tissue from the CO2 laser is to cover the area with: A. Dry towels B. Steri drape C. Ioban drape D. Wet towels - ANSWER-D. Wet towels .A method to protect tissue fromt the CO2 laser is to cover the area with - ANSWER-wet towels .A microscopic blood count that estimates the percentages of each type of leukocyte within a sample is called a - ANSWER-differential .A microscopic blood count that estimates the percentages of each type of leukocyte within a sample is called a: A. Platelet B. Differential C. Hematocrit D. Hemoglobin - ANSWER-B. Differential .A miotic drug is - ANSWER-pilocarpine .A miotic drug is: A. Pilocarpine B. Homatropine C. Atropine D. Scopolamine - ANSWER-A. Pilocarpine .A needle biopsy of the lung may be accomplished with a - ANSWER-Chiba .a number of screening tools have been developed for comprehensive geriatric assessment (CGA) - ANSWER-d. indentifying at-risk individuals .A patient is being evaluated for undergoing a breast reconstruction procedure and indicates she still smokes. Which procedures would the surgical assistant recommend? - ANSWER-free TRAM flap .A patient scheduled for surgery has a hematocrit reading of 45% of total blood volume, which is - ANSWER-within normal range .A patient scheduled for surgery has a hematocrit reading of 45% of total blood volume, which is: A. Within normal range B. Below normal range C. Above normal range D. Inconclusive - ANSWER-A. Within normal range .A patient who has undergone a right-side herniorrhaphy presents 2-5 days postoperatively with swollen and tender testis. What is a likely complication? - ANSWER-ischemic orchitis .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? - ANSWER-Increase IV fluid drip to allow hemodilution .A patient with BP of 120/76 what should the ankle pressure be? - ANSWER-250mmHg .A percutaneous method of instituting femoral vein-femoral artery CPB can be used for minimally invasive (or conventional open) procedures and in emergency situations where the environment is not conducive to traditional CPB methods. Select all the areas where percutaneous CPB would be indicated. - ANSWER-c. Cardiac catheterization unit and intensive care unit .A plain radiograph of a patient following a knife wound to the left side of his neck showed elevation of the left hemidiaphragm, narrowing of the left intercostals spaces, and displacement of the trachea to the left. You suspect: - ANSWER-b. pneumothorax due to knife penetration of the cervical pleura. .A plain radiograph of a patient following a knife wound to the left side of his neck showed elevation of the left hemidiaphragm, narrowing of the left intercostals spaces, and displacement of the trachea to the left. You suspect: - ANSWER-b. pneumothorax due to knife penetration of the cervical pleura. .A potential complication that can occur when the patient is undergoing an occipital craniotomy while in Fowler's position is - ANSWER-hypotension .A procedure to treat retinal detachment is - ANSWER-scleral buckling .A prolongation of the breast tissue located in the upper, outer part of the breast that passes through an opening in the axillary fascia is called the - ANSWER-axillary tail of Spence .A Prolongation of the breast tissue located in the upper, outer part of the breast that passes through an opening in the axillary fascia is called the: A. Axillary tail of Spence B. Cooper's ligament C. Axillary fascia D. Sebaceous gland - ANSWER-A. Axillary tail of Spence .A radical lymphadenectomy is performed to treat cancer of the - ANSWER-testicles .A rounded protuberance found at a point of articulation with another bone is called a - ANSWER-condyle .A rounded protuberance found at a point of articulation with another bone is called a: A. Crest B. Trochlea C. Tubercle D. Condyle - ANSWER-D. Condyle .A sigmoid colostomy is brought through the - ANSWER-rectus muscle .A solution used for eye irrigation is - ANSWER-balanced salt solution (BSS) .A solution used for eye irrigation is: A. Phenylephrine HCL B. Normal saline C. Alpha chymotrypsin D. Balanced salt solution - ANSWER-D. Balanced salt solution .A stagnorn stone is one that lodges and continues to grow int he - ANSWER-renal calyx .A Stamey endoscopic procedure is performed to - ANSWER-suspend the vesicle neck .A stapedotomy is removal of the stapes superstructure and creation of a fenestra (opening) in the fixed stapes footplate for treatment of abnormal bone growth around the footplate that results in its immobility. A prosthesis is placed to restore ossicular continuity and alleviate conductive hearing loss. The patient scheduled for a stapedotomy will probably have a surgical diagnosis of: - ANSWER-a. otosclerosis. .A suture ligature is also referred to as - ANSWER-a stick tie .A thoracoabdominal incision should be used for - ANSWER-hiatal hernia repair .A threaded cortical screw cannot provide compression of bone fragments unless the - ANSWER-near cortex is overdrilled .A transplanted kidney is placed into the - ANSWER-iliac fossa .A tumor that involves the junction of the right and left hepatic ducts? - ANSWER-klatskin .A type A aneurysm is also known as what? - ANSWER-Fusiform .A type B aneurysm is also known as what? - ANSWER-Sacular or Berry .A type C aneurysm is also known as what? - ANSWER-Dissecting .A vagal response would be - ANSWER-bradycardia .A vaginal response would be: A. Tachycardia B. Bradycardia C. Hypothermia D. Pyrexia - ANSWER-B. Bradycardia .A vagotomy is typically performed in conjection with which other procedure? - ANSWER-pyloroplasty .A variety of implantable devices are used in aesthetic and reconstructive plastic surgery procedures. Tracking of these devices is critical to patient safety. Institutions must report any incident of death or serious injury relating to the use of a medical device. What regulatory agency, commission, or act mandates this process when medical devices fail or cause injury? - ANSWER-d. Safe Medical Device Act .A ventriculoperitoneal shunt is used to - ANSWER-treat hydrocephalus .A vesicourethral abdominal suspension is aka - ANSWER-Marshall-Marchetti .A vulsellum forceps is used in ___ surgery. - ANSWER-gynecologic .A white count of 14,000 cu/mm could most likely indicate: A. An infection B. Normal range C. An anemic condition D. The count is low - ANSWER-A. An infection .A white count of 14,000 cu/mm would most likely indicate - ANSWER-an infection