Which of the following congenital anomalies does the urethra open on the underside of the
penis
A. Chordee
B. Epispadias
C. Phimosis
D. Hypospadias - ANSWER D.
Which of the following are used for skin preparation prior to surgery?
1. Triclosan 1%
2. Alcohol 70%
3. Povidone-iodine
4. Glutaraldehyde
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - ANSWER A. 1,2,and 3 only
When should the patient's chest tubes be attached to the drainage system during a thoracot-
omy?
A. After the thoracic cavity is closed
B. Immediately upon insertion
C. Within an hour of the procedure
D. Upon arrival in the PACU - ANSWER A
1
,In patients who develop fever, abdominal pain, and profuse diarrhea, the MOST frequently
seen antibiotic-associated enterocolitis is due to which of the following organisms?
A. Enterobacter cloacae
B. Enterococcus faecalis
C. Pseudomonas aeruginosa
D Clostridium difficile - ANSWER D
During a carotid endarterectomy, the final occlusion clamp to be removed after anastomosis
is on the
A. Common carotid.
B. Internal carotid.
C. External carotid.
D. Thyroid branch. - ANSWER B. The clamp on the internal carotid artery should be re-
moved last so that all debris left in the area is flushed out through the external carotid ar-
tery.
During a routine abdominal hysterectomy, the anesthesiologist notes that the patient is be-
coming progressively tachycardic. He notes that there has been virtually no blood loss. The
surgeon requests additional muscle relaxation because the patient's abdominal musculature
is "tightening up." The esophageal temperature probe indicates a core body temperature of
103°F (39°C). The anesthesiologist notices that the CO2 monitors are alarming with high lev-
els. The anesthesiologist turns off his anesthetic agent, hyperventilates the patient with
100% oxygen, and administers which of the following drugs?
A. Succinylcholine
B. Dantrolene
C. Atropine
D. Epinephrine - ANSWER B.The scenario is describing the anesthesia emergency malig-
nant hyperthermia (MH). Dantrolene is the medication given to combat MH (2-3 mg/kg until
signs are controlled). Some signs of MH are tachycardia, tachypnea, hypercarbia, muscle
stiffness and rigidity, hypoxia, elevated BP, cardiac dysrhythmias, changes in CO2 absorption,
and elevated temperature.
2
, A pledgeted suture is used for hemostasis in liver injury to
A. Align the suture placement.
B. Add bulk to the injury site.
C. Reduce the likelihood of suture cut- through.
D. Provide traction for increased exposure. - ANSWER C. Pledgeted sutures (buttresses)
are sutures passed through a small patch of reinforcing material (usually Teflon). This type of
suture is used in areas where the surgeon considers buffering to be beneficial, particularly in
delicate or friable tissue.
During cardiac arterial bypass grafting, a surgeon needs to vasodilate and stop arterial
spasm. Which of the following drugs should be used?
A. Papaverine
B. Heparin
C. Protamine
D. Norepinephrine - ANSWER A. Papaverine stops spasming and relaxes smooth muscles,
especially those of large arteries.
When ligating the short gastric arteries, placing them under too much tension may result in
a tear of the
A. Splenic capsule.
B. Lesser omentum.
C. Celiac trunk.
D. Common bile duct. - ANSWER A. The splenic capsule is attached to the short gastric ar-
teries and tension would result in tearing.
Which of the following is needed to complete the circuit on an ESU when using a monopolar
electrode tip?
A. A bipolar forceps
B. An insulated holster
3
penis
A. Chordee
B. Epispadias
C. Phimosis
D. Hypospadias - ANSWER D.
Which of the following are used for skin preparation prior to surgery?
1. Triclosan 1%
2. Alcohol 70%
3. Povidone-iodine
4. Glutaraldehyde
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - ANSWER A. 1,2,and 3 only
When should the patient's chest tubes be attached to the drainage system during a thoracot-
omy?
A. After the thoracic cavity is closed
B. Immediately upon insertion
C. Within an hour of the procedure
D. Upon arrival in the PACU - ANSWER A
1
,In patients who develop fever, abdominal pain, and profuse diarrhea, the MOST frequently
seen antibiotic-associated enterocolitis is due to which of the following organisms?
A. Enterobacter cloacae
B. Enterococcus faecalis
C. Pseudomonas aeruginosa
D Clostridium difficile - ANSWER D
During a carotid endarterectomy, the final occlusion clamp to be removed after anastomosis
is on the
A. Common carotid.
B. Internal carotid.
C. External carotid.
D. Thyroid branch. - ANSWER B. The clamp on the internal carotid artery should be re-
moved last so that all debris left in the area is flushed out through the external carotid ar-
tery.
During a routine abdominal hysterectomy, the anesthesiologist notes that the patient is be-
coming progressively tachycardic. He notes that there has been virtually no blood loss. The
surgeon requests additional muscle relaxation because the patient's abdominal musculature
is "tightening up." The esophageal temperature probe indicates a core body temperature of
103°F (39°C). The anesthesiologist notices that the CO2 monitors are alarming with high lev-
els. The anesthesiologist turns off his anesthetic agent, hyperventilates the patient with
100% oxygen, and administers which of the following drugs?
A. Succinylcholine
B. Dantrolene
C. Atropine
D. Epinephrine - ANSWER B.The scenario is describing the anesthesia emergency malig-
nant hyperthermia (MH). Dantrolene is the medication given to combat MH (2-3 mg/kg until
signs are controlled). Some signs of MH are tachycardia, tachypnea, hypercarbia, muscle
stiffness and rigidity, hypoxia, elevated BP, cardiac dysrhythmias, changes in CO2 absorption,
and elevated temperature.
2
, A pledgeted suture is used for hemostasis in liver injury to
A. Align the suture placement.
B. Add bulk to the injury site.
C. Reduce the likelihood of suture cut- through.
D. Provide traction for increased exposure. - ANSWER C. Pledgeted sutures (buttresses)
are sutures passed through a small patch of reinforcing material (usually Teflon). This type of
suture is used in areas where the surgeon considers buffering to be beneficial, particularly in
delicate or friable tissue.
During cardiac arterial bypass grafting, a surgeon needs to vasodilate and stop arterial
spasm. Which of the following drugs should be used?
A. Papaverine
B. Heparin
C. Protamine
D. Norepinephrine - ANSWER A. Papaverine stops spasming and relaxes smooth muscles,
especially those of large arteries.
When ligating the short gastric arteries, placing them under too much tension may result in
a tear of the
A. Splenic capsule.
B. Lesser omentum.
C. Celiac trunk.
D. Common bile duct. - ANSWER A. The splenic capsule is attached to the short gastric ar-
teries and tension would result in tearing.
Which of the following is needed to complete the circuit on an ESU when using a monopolar
electrode tip?
A. A bipolar forceps
B. An insulated holster
3
