CSFA Certification Exam Questions AND Correct Answers
A 16-year-old male comes in for an emergency
appendectomy. Surgeon states that the abdominal wall is very
rigid and asks if muscle relaxation has been given. The patient
is trachycardic and the end-tidal CO2 is rising. What is the
MOST likely cause?
A. sepsis
B. malignant hyperthermia
C. acute peritonitis
D. hypervolemia - ✔✔B. malignant hyperthermia
A 3-way Foley catheter with a 30-cc ballon should be inserted
following a transurethral prostate resection (TURP) to
A. irrigate and facilitate hemostasis.
B. prevent the patient from getting out of bed.
C. keep accurate input and output records.
D. minimize postoperative hypertophy. - ✔✔A. irrigate and
facilitate hemostasis.
A 35-year-old male presents with headache, palpitations, and
diaphoresis brought on by micturition. The patient's identical
,twin brother died of an undiagnosed sudden death. Which of
the following diagnoses is MOST likely?
A. pheochromocytoma
B. renal malignancy
C. pituitary tumor
D. lymphoma - ✔✔A. pheochromocytoma
A 47-year-old female is recovering nicely from a laparoscopic
Roux-en-Y gastric bypass procedure. On her first day at home
following discharge from the hospital, she develops sudden-
onset anterior chest pain and shortness of breath and begins
sweating profusely. Upon returning o the hospital emergency
room , her ECG shows tachycardia and her chest x-ray appears
normal. Which of the following is the MOST likely reason for
her symptoms?
A. acute respiratory distress syndrome (ARDS)
B. acute myocardial infarction
C. pulmonary embolism
D. nosocomial pneumonia - ✔✔C. pulmonary embolism
A 54-year-old female presents to the OR with a 4 cm oblique
volar forearm laceration and a 9 cm transverse dorsal forearm
laceration from a dog bite. Which of the following suturing
,methods and materials is the BEST choice for closure of the
wound?
A. interrupted silk
B. continuous polyglactin
C. interrupted polypropylene
D. continuous polyester - ✔✔C. interrupted polypropylene
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. Which of the following
should be considered for wound closure?
A. Multifilament, absorbable suture material provides for
optimal wound healing.
B. A continuous suture line should be used.
C. An interrupted retention suture should be used.
D. Use of blunt surgical needles is a consideration in the
presence of infection. - ✔✔C. An interrupted retention suture
should be used.
A 68-year-old female presents with hip pain. She was treated
15 years ago with radiation and chemotherapy for lobular
breast cancer. Which of the following is the MOST likely
diagnosis?
, A. pathologic hip fracture
B. traumatic hip fracture
C. trochanteric bursitis
D. osteoarthritis - ✔✔A. pathologic hip fracture
A 91-year-old woman presents to the OR with a hip fracture.
Efforts should be made to correct the fracture as soon as
possible to avoid complications related to
A. sartorius muscle injury.
B. thrombophlebitis.
C. lateral inferior genicular artery avulsion.
D. peroneal nerve injury. - ✔✔B. thrombophlebitis.
A complication of steep reverse Trendelenburg position is
A. deep vein thrombosis.
B. arterial compression.
C. cardiac overload.
D. respiratory alkalosis. - ✔✔A. deep vein thrombosis.
A distinguishing feature of lupus is
A. fatigue.
A 16-year-old male comes in for an emergency
appendectomy. Surgeon states that the abdominal wall is very
rigid and asks if muscle relaxation has been given. The patient
is trachycardic and the end-tidal CO2 is rising. What is the
MOST likely cause?
A. sepsis
B. malignant hyperthermia
C. acute peritonitis
D. hypervolemia - ✔✔B. malignant hyperthermia
A 3-way Foley catheter with a 30-cc ballon should be inserted
following a transurethral prostate resection (TURP) to
A. irrigate and facilitate hemostasis.
B. prevent the patient from getting out of bed.
C. keep accurate input and output records.
D. minimize postoperative hypertophy. - ✔✔A. irrigate and
facilitate hemostasis.
A 35-year-old male presents with headache, palpitations, and
diaphoresis brought on by micturition. The patient's identical
,twin brother died of an undiagnosed sudden death. Which of
the following diagnoses is MOST likely?
A. pheochromocytoma
B. renal malignancy
C. pituitary tumor
D. lymphoma - ✔✔A. pheochromocytoma
A 47-year-old female is recovering nicely from a laparoscopic
Roux-en-Y gastric bypass procedure. On her first day at home
following discharge from the hospital, she develops sudden-
onset anterior chest pain and shortness of breath and begins
sweating profusely. Upon returning o the hospital emergency
room , her ECG shows tachycardia and her chest x-ray appears
normal. Which of the following is the MOST likely reason for
her symptoms?
A. acute respiratory distress syndrome (ARDS)
B. acute myocardial infarction
C. pulmonary embolism
D. nosocomial pneumonia - ✔✔C. pulmonary embolism
A 54-year-old female presents to the OR with a 4 cm oblique
volar forearm laceration and a 9 cm transverse dorsal forearm
laceration from a dog bite. Which of the following suturing
,methods and materials is the BEST choice for closure of the
wound?
A. interrupted silk
B. continuous polyglactin
C. interrupted polypropylene
D. continuous polyester - ✔✔C. interrupted polypropylene
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. Which of the following
should be considered for wound closure?
A. Multifilament, absorbable suture material provides for
optimal wound healing.
B. A continuous suture line should be used.
C. An interrupted retention suture should be used.
D. Use of blunt surgical needles is a consideration in the
presence of infection. - ✔✔C. An interrupted retention suture
should be used.
A 68-year-old female presents with hip pain. She was treated
15 years ago with radiation and chemotherapy for lobular
breast cancer. Which of the following is the MOST likely
diagnosis?
, A. pathologic hip fracture
B. traumatic hip fracture
C. trochanteric bursitis
D. osteoarthritis - ✔✔A. pathologic hip fracture
A 91-year-old woman presents to the OR with a hip fracture.
Efforts should be made to correct the fracture as soon as
possible to avoid complications related to
A. sartorius muscle injury.
B. thrombophlebitis.
C. lateral inferior genicular artery avulsion.
D. peroneal nerve injury. - ✔✔B. thrombophlebitis.
A complication of steep reverse Trendelenburg position is
A. deep vein thrombosis.
B. arterial compression.
C. cardiac overload.
D. respiratory alkalosis. - ✔✔A. deep vein thrombosis.
A distinguishing feature of lupus is
A. fatigue.
