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CSFA Final Exam & Practice Test 2025 – Complete
Study Guide, Questions, and Certification Prep
Prepare for your CSFA Final Exam (Certified Surgical First Assistant) with this complete
2025 study and practice guide. Review surgical procedures, anatomy, perioperative techniques,
and patient safety protocols. Includes realistic practice exams, detailed answer explanations,
and expert tips to help you pass the NBSTSA CSFA certification exam with confidence.
CSFA Final Exam,
CSFA practice exam 2025,
Certified Surgical First Assistant exam,
NBSTSA CSFA study guide,
A patient requires breast reconstructive surgery for breast cancer.
When the surgeon places a tissue expander, which of the
following muscles are lifted to allow for the placement of the
expander?
A.pectoralis major, deltoid, and superior rectus sheath
B.pectoralis minor, serratus anterior, and superior rectus sheath
C.pectoralis major, serratus anterior, and superior rectus sheath
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D.pectoralis minor, serratus anterior, and latissimus dorsi -
ANSWER-C.
The pectoralis major, serratus anterior, and superior rectus
sheath are lifted up and the tissue expander is placed
underneath and anchored into place. A biologic mesh may be
placed over the expander to help the pectoralis cover the
expander.
Which of the following conditions may be induced when thrombin
is used in the management of hemostasis during a vascular
procedure?
A.thalassemia
B.disseminated intravascular clotting
C.thrombocytopenia
D.von Willebrand's disease - ANSWER-B.
The entry of thrombin through larger vessels has a risk of
causing disseminated intravascular clotting (DIC). DIC
occurs when overactive coagulation factors cause clots to
form in the blood and travel throughout the vascular system.
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A patient presents with a traumatic soft tissue injury with a Class
III wound. Which of the following is the MOST appropriate
dressing?
A.Dermabond
B.Telfa
C.Tegaderm
D.wound VAC - ANSWER-D. wound VAC
Following an arteriovenous fistula procedure, a patient develops a
condition known as "steal syndrome." Which of the following is the
MOST appropriate action to remedy this condition?
A.Revise fistula.
B.Continue anticoagulant therapy
C.Discontinue anticoagulant therapy.
D.Revise fistula using an argyle shunt. - ANSWER-A.
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The most appropriate action is to revise the fistula, so
dialysis can be continued.
Which of the following is the reason a surgeon would choose to
use a locking plate rather than a non-locking plate when repairing
a bone fracture?
A.low bone density
B.comminuted fracture
C.compound fracture
D.high bone density - ANSWER-A.
A locking plate has threaded screw holes that lock the
screws into the plate to prevent the rocking of screws, which
tends to loosen them or cause them to back out when placed
in patients with low bone density.
After a coronary artery bypass procedure, the patient is having
difficulty transitioning off the cardiopulmonary bypass machine.
Which of the following is the MOST frequently used intervention to
address this situation?
CSFA Final Exam & Practice Test 2025 – Complete
Study Guide, Questions, and Certification Prep
Prepare for your CSFA Final Exam (Certified Surgical First Assistant) with this complete
2025 study and practice guide. Review surgical procedures, anatomy, perioperative techniques,
and patient safety protocols. Includes realistic practice exams, detailed answer explanations,
and expert tips to help you pass the NBSTSA CSFA certification exam with confidence.
CSFA Final Exam,
CSFA practice exam 2025,
Certified Surgical First Assistant exam,
NBSTSA CSFA study guide,
A patient requires breast reconstructive surgery for breast cancer.
When the surgeon places a tissue expander, which of the
following muscles are lifted to allow for the placement of the
expander?
A.pectoralis major, deltoid, and superior rectus sheath
B.pectoralis minor, serratus anterior, and superior rectus sheath
C.pectoralis major, serratus anterior, and superior rectus sheath
,2|Page
D.pectoralis minor, serratus anterior, and latissimus dorsi -
ANSWER-C.
The pectoralis major, serratus anterior, and superior rectus
sheath are lifted up and the tissue expander is placed
underneath and anchored into place. A biologic mesh may be
placed over the expander to help the pectoralis cover the
expander.
Which of the following conditions may be induced when thrombin
is used in the management of hemostasis during a vascular
procedure?
A.thalassemia
B.disseminated intravascular clotting
C.thrombocytopenia
D.von Willebrand's disease - ANSWER-B.
The entry of thrombin through larger vessels has a risk of
causing disseminated intravascular clotting (DIC). DIC
occurs when overactive coagulation factors cause clots to
form in the blood and travel throughout the vascular system.
,3|Page
A patient presents with a traumatic soft tissue injury with a Class
III wound. Which of the following is the MOST appropriate
dressing?
A.Dermabond
B.Telfa
C.Tegaderm
D.wound VAC - ANSWER-D. wound VAC
Following an arteriovenous fistula procedure, a patient develops a
condition known as "steal syndrome." Which of the following is the
MOST appropriate action to remedy this condition?
A.Revise fistula.
B.Continue anticoagulant therapy
C.Discontinue anticoagulant therapy.
D.Revise fistula using an argyle shunt. - ANSWER-A.
, 4|Page
The most appropriate action is to revise the fistula, so
dialysis can be continued.
Which of the following is the reason a surgeon would choose to
use a locking plate rather than a non-locking plate when repairing
a bone fracture?
A.low bone density
B.comminuted fracture
C.compound fracture
D.high bone density - ANSWER-A.
A locking plate has threaded screw holes that lock the
screws into the plate to prevent the rocking of screws, which
tends to loosen them or cause them to back out when placed
in patients with low bone density.
After a coronary artery bypass procedure, the patient is having
difficulty transitioning off the cardiopulmonary bypass machine.
Which of the following is the MOST frequently used intervention to
address this situation?
