CSFA COMPREHENSIVE EXAM UPDATED QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔A 54 year old female presents to the OR with a 4 cm oblique solar forearm
laceration and a 9 cm transverse dorsal forearm laceration from a dog bite. What suture
method and material is the BEST choice for closure.
A. Interrupted silk
B. Continuous polyglactin
C. Interrupted polypropylene
D. Continuous polyester - ✔✔C
✔✔In a previously infected wound that has been opened and debrided, which of the
following is the preferred suture material in the event that subcutaneous tissue is
closed?
A. Braided absorbable
B. Braided non-absorbable
C. Monofilament absorbable
D. Monofilament non-absorbable - ✔✔C
✔✔During arterial cannulation in cardiopulmonary bypass, the cannula tip must be
directed into which of the following arteries?
A. Pulmonary
B. Brachiocephalic
C. Aorta
D. Coronaries - ✔✔C
✔✔The primary purpose of a chest tube it to?
A. Irrigate the chest
B. Eliminate leaks in the lung
C. Prevent pulmonary emboli
D. Re-establish negative pressure - ✔✔D
✔✔During the surgical treatment of a cerebral aneurysm, the aneurysm clip is placed at
the?
A. Neck of the aneurysm
B. Apex of the aneurysm
C. Arterial bifurcation
D. Parent vessel - ✔✔A
,✔✔Which mechanical method of hemostasis should a surgical assistant use in
neurosurgery?
A. Avitene
B. Thrombin spray
C. Surgicel
D. Bone wax - ✔✔D
✔✔Which of the following procedures is usually performed in conjunction with a Nissen
or Toupet Fundoplication?
A. Sleeve gastrectomy
B. Gastric bypass (Roux-N-Y)
C. Transoral Incisionless Fundoplication (TIF)
D. Hiatal hernia repair - ✔✔D
✔✔A patient with both anterior and posterior knee joint instability and buckling during
downhill ambulation is BEST treated by which of the following surgeries?
A. ACL reconstruction
B. Total joint arthroplasty
C. MCL recontruction
D. Femoral chondroplasty - ✔✔A
✔✔Unused culture tubes are placed on the back table prior to incision. Which of the
following should the surgical assistant do NEXT?
A. Swab affected area
B. Obtain new culture swabs
C. Pass the culture swabs to the surgeon
D. Remove tops of tubes in preparation for culture - ✔✔B
✔✔During a low anterior resection, the iliac artery is transected. Which is the MOST
appropriate instrument to achieve hemostasis?
A. Debakey angled vascular clamp
B. Heaney clamp
C. Rochester Pean clamp
D. Bulldog clamp` - ✔✔A
✔✔When the surgical assistant is placing the second port during a laparoscopic case,
which is the MOST important step?
A. Skin incision
B. Direct visualization
, C. Trocar selection
D. Patient positioning - ✔✔B
✔✔A patient presents with a thigh abscess that was cultured and diagnosed as
necrotizing fasciitis. Which of the following is the appropriate treatment?
A. Pack the wound
B. Place a drain and close the wound
C. Close the wound.
D, Debride al the necrotic tissue - ✔✔D
✔✔Which of the following muscles is used to re-implant a section of the parathyroid if it
is inadvertently removed during a thyroidectomy?
A. Sternohyiod
B. Platysma
C. Sternocleidomastoid
D. Sternothyroid - ✔✔C
✔✔Before the initiation of cardiopulmonary bypass, it is important that the ACT (
Activated Clotting Time) is greater than?
A. 100 seconds
B. 400 seconds
C. 500 seconds
D. 1000 seconds - ✔✔C
✔✔During a thoracotomy for tumor resection, the surgeon wants to irrigate with a
solution that will cause tumor cells to lyse. Which solution should the surgical assistant
use?
A. Sterile water
B. Normal saline
C. Glycine
D. Sorbitol - ✔✔A
✔✔A patient present with extreme right lower quadrant pain, vomiting, and fever. A CT
scan shows free fluid in the abdomen and the extreme pain subsides. Which procedure
is the MOST likely intervention?
A. Open appendectomy
B. Laparoscopic appendectomy
C. Exploratory celiotomy
D. Laparoscopic cholecystectomy - ✔✔A
ANSWERS GUARANTEE A+
✔✔A 54 year old female presents to the OR with a 4 cm oblique solar forearm
laceration and a 9 cm transverse dorsal forearm laceration from a dog bite. What suture
method and material is the BEST choice for closure.
A. Interrupted silk
B. Continuous polyglactin
C. Interrupted polypropylene
D. Continuous polyester - ✔✔C
✔✔In a previously infected wound that has been opened and debrided, which of the
following is the preferred suture material in the event that subcutaneous tissue is
closed?
A. Braided absorbable
B. Braided non-absorbable
C. Monofilament absorbable
D. Monofilament non-absorbable - ✔✔C
✔✔During arterial cannulation in cardiopulmonary bypass, the cannula tip must be
directed into which of the following arteries?
A. Pulmonary
B. Brachiocephalic
C. Aorta
D. Coronaries - ✔✔C
✔✔The primary purpose of a chest tube it to?
A. Irrigate the chest
B. Eliminate leaks in the lung
C. Prevent pulmonary emboli
D. Re-establish negative pressure - ✔✔D
✔✔During the surgical treatment of a cerebral aneurysm, the aneurysm clip is placed at
the?
A. Neck of the aneurysm
B. Apex of the aneurysm
C. Arterial bifurcation
D. Parent vessel - ✔✔A
,✔✔Which mechanical method of hemostasis should a surgical assistant use in
neurosurgery?
A. Avitene
B. Thrombin spray
C. Surgicel
D. Bone wax - ✔✔D
✔✔Which of the following procedures is usually performed in conjunction with a Nissen
or Toupet Fundoplication?
A. Sleeve gastrectomy
B. Gastric bypass (Roux-N-Y)
C. Transoral Incisionless Fundoplication (TIF)
D. Hiatal hernia repair - ✔✔D
✔✔A patient with both anterior and posterior knee joint instability and buckling during
downhill ambulation is BEST treated by which of the following surgeries?
A. ACL reconstruction
B. Total joint arthroplasty
C. MCL recontruction
D. Femoral chondroplasty - ✔✔A
✔✔Unused culture tubes are placed on the back table prior to incision. Which of the
following should the surgical assistant do NEXT?
A. Swab affected area
B. Obtain new culture swabs
C. Pass the culture swabs to the surgeon
D. Remove tops of tubes in preparation for culture - ✔✔B
✔✔During a low anterior resection, the iliac artery is transected. Which is the MOST
appropriate instrument to achieve hemostasis?
A. Debakey angled vascular clamp
B. Heaney clamp
C. Rochester Pean clamp
D. Bulldog clamp` - ✔✔A
✔✔When the surgical assistant is placing the second port during a laparoscopic case,
which is the MOST important step?
A. Skin incision
B. Direct visualization
, C. Trocar selection
D. Patient positioning - ✔✔B
✔✔A patient presents with a thigh abscess that was cultured and diagnosed as
necrotizing fasciitis. Which of the following is the appropriate treatment?
A. Pack the wound
B. Place a drain and close the wound
C. Close the wound.
D, Debride al the necrotic tissue - ✔✔D
✔✔Which of the following muscles is used to re-implant a section of the parathyroid if it
is inadvertently removed during a thyroidectomy?
A. Sternohyiod
B. Platysma
C. Sternocleidomastoid
D. Sternothyroid - ✔✔C
✔✔Before the initiation of cardiopulmonary bypass, it is important that the ACT (
Activated Clotting Time) is greater than?
A. 100 seconds
B. 400 seconds
C. 500 seconds
D. 1000 seconds - ✔✔C
✔✔During a thoracotomy for tumor resection, the surgeon wants to irrigate with a
solution that will cause tumor cells to lyse. Which solution should the surgical assistant
use?
A. Sterile water
B. Normal saline
C. Glycine
D. Sorbitol - ✔✔A
✔✔A patient present with extreme right lower quadrant pain, vomiting, and fever. A CT
scan shows free fluid in the abdomen and the extreme pain subsides. Which procedure
is the MOST likely intervention?
A. Open appendectomy
B. Laparoscopic appendectomy
C. Exploratory celiotomy
D. Laparoscopic cholecystectomy - ✔✔A
