SURGICAL FIRST ASSIST
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ What is a condraindication for chloraprep?.
Answer: Sensitivity to chlorhexidine or isopropyl alcholholDO NOT USE
ON INFANTS
◍ Which of the following cranial nerves innervates the inferior, medial,
superior rectus, inferior oblique, and levator palpebrae muscles of the eye?
A. Olfactory (I)
B. Optic (II)
C. Oculomotor (III)
D. Trochlear (IV).
Answer: C. Oculomotor (III)
◍ Blood type O can recieve blood from and donate to.
Answer: Recieve: O+, O-, donate: O+, A+,B+,AB+
◍ Give an example: pedicle flap.
Answer: Tissue remains attached at one or both ends-"Swung" to
accommodate deficitOriginal blood supply is not sacrficied
◍ Q. To promote independent lifelong behavioral changes, a perioperative
nurse refers an obese patient to classes given onsite and offsite by fitness
and nutrition experts in the community. This strategy fosters which behavior
in patients?.
Answer: A. Self-learningExplanation: The nurse's action of referring the
patient connects the patient to helpful community resources. This nurse is
, fostering self-learning in and helping the patient to appreciate the support
provided by other professionals or experts.
◍ T/F We can have a pulmonary embolism and a DVT?.
Answer: True
◍ Duct incised for placement of cholangiocatheter.
Answer: Cystic Duct
◍ What is the action of Lasix® (furosemide).
Answer: Diuretic
◍ Lymph node of Calot found during.
Answer: Cholecystectomy
◍ What is a "sentinel" node biopsy?.
Answer: Instead of removing all the axillary lymph nodes, the primary
draining or sentinel lymph node is removed
◍ This is an absorbable suture, monofilament, with polyglyconate, same as
vicryl and PDS, with a complete absorbtion 180-210 days, more supple,
degraded by hydrolysis, maybe a the absorbable suture of choice.
Answer: Maxon
◍ Normal adult range for potassium is.
Answer: 3.5 - 5.5 mEq/L
◍ volvulus.
Answer: twisting of the bowel can cut off blood supply and lead to
gangrene; can be corrected by peristalsis
◍ CHAPTER 7.
Answer: NEEDLES, SUTURES, INSTRUMENTS
◍ Most common congenital defect of the heart.
Answer: Ventricular septal defect
◍ This type of ulcer is a result of incompetent venous return, most often near
medial ankle, and in pts over 65.
, Answer: Venous insufficiency ulcer
◍ With what type of ulcer is sharp debridement contraindicated?.
Answer: Arterail insufficiency ulcer, remember, no blood going there, no
healing!
◍ What is the role of axillary node dissection with DCIS?.
Answer: No role in true DCIS (without microscopic invasion), some
perform a sentinel node dissection for high-grade DCIS
◍ The sphincter located at the distal end of the common bile duct that opens
into the duodenum is the.
Answer: Oddi
◍ Intra-abdominal pressure is measured in.
Answer: mmHg
◍ Approximately how long is the large bowel?.
Answer: 5 ft long, 3 inches in diameter
◍ What are the radiographic tests for breast cancer?.
Answer: Mammography and breast USMRI
◍ _______________ compression is a force that changes as needed depending
on circumstances or outside influences..
Answer: Dynamic
◍ Local anesthesia, or monitored anesthesia care (MAC), is used for most
ophthalmic surgery. The local anesthetic regimen, administered by the
operative surgeon, is typically a combination of anesthesia delivery
methods, or routes. Select the anesthetic plan that is administered by the
surgeon before the start of surgery..
Answer: b. Topical anesthetic eye drops, subconjunctival infiltration, and
retrobulbar block
◍ Sutures placed in a wound to prevent wound evisceration are called.
Answer: retention
◍ Type of reaction that occurs when plaster set.
, Answer: Exothermic
◍ What stage of breast cancer?Tumor >5 cm with mobile axillary nodes or
tumor > 5 cm with fixed axillary nodes, no mets.
Answer: Stage III A
◍ premium non nocere.
Answer: first do no harm
◍ What is the anastomosis of choice when perfoming a total abdominal
colectomy for ulcerative colitis?.
Answer: ileoanal
◍ The inner lining of the mucosa within the g.i. tract is composed of.
Answer: simple columnar epithelium
◍ For a midshaft fracture, how many screws at minimum are placed in plate
above and below the fracture line?.
Answer: 3
◍ Lateral Surgeries: Examples.
Answer: *Total Hip Replacement*Partial Nephrectomy*Thoracotomy or
lung resection surgeries
◍ Spinal fluid is produced by the:
A. Choroid plexus
B. Lateral ventricle
C. Dura mater
D. Cerebrum.
Answer: A. Choroid plexus
◍ During a posterolateral approach for an intracapsular hip fracture, which of
the following muscles would be released along with the short external
rotators and capsule from the posterior aspect of the femur as a single
musculocapsular flap?.
Answer: piriformis
◍ Which nerves are most frequently injured due to a shoulder dislocation?.
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ What is a condraindication for chloraprep?.
Answer: Sensitivity to chlorhexidine or isopropyl alcholholDO NOT USE
ON INFANTS
◍ Which of the following cranial nerves innervates the inferior, medial,
superior rectus, inferior oblique, and levator palpebrae muscles of the eye?
A. Olfactory (I)
B. Optic (II)
C. Oculomotor (III)
D. Trochlear (IV).
Answer: C. Oculomotor (III)
◍ Blood type O can recieve blood from and donate to.
Answer: Recieve: O+, O-, donate: O+, A+,B+,AB+
◍ Give an example: pedicle flap.
Answer: Tissue remains attached at one or both ends-"Swung" to
accommodate deficitOriginal blood supply is not sacrficied
◍ Q. To promote independent lifelong behavioral changes, a perioperative
nurse refers an obese patient to classes given onsite and offsite by fitness
and nutrition experts in the community. This strategy fosters which behavior
in patients?.
Answer: A. Self-learningExplanation: The nurse's action of referring the
patient connects the patient to helpful community resources. This nurse is
, fostering self-learning in and helping the patient to appreciate the support
provided by other professionals or experts.
◍ T/F We can have a pulmonary embolism and a DVT?.
Answer: True
◍ Duct incised for placement of cholangiocatheter.
Answer: Cystic Duct
◍ What is the action of Lasix® (furosemide).
Answer: Diuretic
◍ Lymph node of Calot found during.
Answer: Cholecystectomy
◍ What is a "sentinel" node biopsy?.
Answer: Instead of removing all the axillary lymph nodes, the primary
draining or sentinel lymph node is removed
◍ This is an absorbable suture, monofilament, with polyglyconate, same as
vicryl and PDS, with a complete absorbtion 180-210 days, more supple,
degraded by hydrolysis, maybe a the absorbable suture of choice.
Answer: Maxon
◍ Normal adult range for potassium is.
Answer: 3.5 - 5.5 mEq/L
◍ volvulus.
Answer: twisting of the bowel can cut off blood supply and lead to
gangrene; can be corrected by peristalsis
◍ CHAPTER 7.
Answer: NEEDLES, SUTURES, INSTRUMENTS
◍ Most common congenital defect of the heart.
Answer: Ventricular septal defect
◍ This type of ulcer is a result of incompetent venous return, most often near
medial ankle, and in pts over 65.
, Answer: Venous insufficiency ulcer
◍ With what type of ulcer is sharp debridement contraindicated?.
Answer: Arterail insufficiency ulcer, remember, no blood going there, no
healing!
◍ What is the role of axillary node dissection with DCIS?.
Answer: No role in true DCIS (without microscopic invasion), some
perform a sentinel node dissection for high-grade DCIS
◍ The sphincter located at the distal end of the common bile duct that opens
into the duodenum is the.
Answer: Oddi
◍ Intra-abdominal pressure is measured in.
Answer: mmHg
◍ Approximately how long is the large bowel?.
Answer: 5 ft long, 3 inches in diameter
◍ What are the radiographic tests for breast cancer?.
Answer: Mammography and breast USMRI
◍ _______________ compression is a force that changes as needed depending
on circumstances or outside influences..
Answer: Dynamic
◍ Local anesthesia, or monitored anesthesia care (MAC), is used for most
ophthalmic surgery. The local anesthetic regimen, administered by the
operative surgeon, is typically a combination of anesthesia delivery
methods, or routes. Select the anesthetic plan that is administered by the
surgeon before the start of surgery..
Answer: b. Topical anesthetic eye drops, subconjunctival infiltration, and
retrobulbar block
◍ Sutures placed in a wound to prevent wound evisceration are called.
Answer: retention
◍ Type of reaction that occurs when plaster set.
, Answer: Exothermic
◍ What stage of breast cancer?Tumor >5 cm with mobile axillary nodes or
tumor > 5 cm with fixed axillary nodes, no mets.
Answer: Stage III A
◍ premium non nocere.
Answer: first do no harm
◍ What is the anastomosis of choice when perfoming a total abdominal
colectomy for ulcerative colitis?.
Answer: ileoanal
◍ The inner lining of the mucosa within the g.i. tract is composed of.
Answer: simple columnar epithelium
◍ For a midshaft fracture, how many screws at minimum are placed in plate
above and below the fracture line?.
Answer: 3
◍ Lateral Surgeries: Examples.
Answer: *Total Hip Replacement*Partial Nephrectomy*Thoracotomy or
lung resection surgeries
◍ Spinal fluid is produced by the:
A. Choroid plexus
B. Lateral ventricle
C. Dura mater
D. Cerebrum.
Answer: A. Choroid plexus
◍ During a posterolateral approach for an intracapsular hip fracture, which of
the following muscles would be released along with the short external
rotators and capsule from the posterior aspect of the femur as a single
musculocapsular flap?.
Answer: piriformis
◍ Which nerves are most frequently injured due to a shoulder dislocation?.
