CPSS EXAM ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED
ANSWERS TOP RATED VERSION FOR ALREADY A GRADED WITH EXPERT
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1. Purposeful reduction of pathogens to prevent the transfer of microorgan-
isms: Aseptic technique
2. A set of specific practices and procedures performed to make equipment
and areas free from all microorganisms: Sterile technique
3. Suture or wire used in surgery to tie off blood vessels to prevent bleeding-
: Ligature
4. When tying off a vessel, what knots are preferred?: Square knots
5. Are knots tied over incisions?: Never directly over an incision
6. Difference between a surgeons knot and a square knot: Surgeons knot has a
double wrapped first loop
7. the ideal knot has throws: 4-5
8. What blade is used for long, linear incisions: #10
9. What blade is used for short or curved incisions: #15
10. What blade is often held upside down: #11
11. Disadvantages of manual retractos: -fatigue
-poor control if assistant cant see end of retractor
12. Disadvantages of self retaining retractos: -adjustments take time
-does not allow periodic relief of tissue
-bulky
13. What instrument? Injects CO2 into the abdominal cavity to create a work-
ing space for trochanter placement: Insufflator
14. HEPA filters remove : Bacteria and fungi but NOT viruses
15. Types of antiseptic solutions: Iodophor based (Ex. Betadine)
Alcohol + CHG (Ex. ChloraPrep)
16. What antiseptic solutions cant be used in those with iodine/shellfish aller-
gies: Iodophor based (Ex. Betadine)
17. 3 phases of recovery: Immediate
intermediate
convalescent
,18. MC post op pulmonary complication: Atelectasis
19. MCC of post op fever within 48 hours of surgery: Atelectasis
20. Early respiratory failure (1-2 hours after surgery) is MC due to: -Major
abdominal/chest surgery
-severe chest trauma
, -pre existing lung disease
-excessive anesthetic agents
21. Late respiratory failure (beyond 48 hours after surgery) is MC due to: -car-
diac failure
-PE
-abdominal distention
-narcotic OD
22. MCC of death from pulmonary complications: PNA
-majority are gram negative infections
23. Collection of clear fluid in the wound: Seroma
24. Collection of lymph fluid in the operative wound: Lymphocele
25. MC organism for wound infection 12-24 hours post op: Clostridium and strep
26. What wound classification? Operation in which a viscus is entered and
there is potential exposure to bacteria: Clean contaminated
-Ex. Gastric and biliary surgery
27. What wound classification? Uninflected operative wounds that does not
enter a viscus: Clean
-Ex. Hernia repair, soft tissue biopsy
28. What wound classification? Massively contaminated traumatic wound,
devitalized tissue, FBs, or fecal contamination: Dirty
-Ex. Intra abdominal abscess, necrotic tissue
29. What wound classification? Open, fresh wounds or operations involving
breaks in sterility or gross spillage from a viscus: Contaminated
-Ex. Colorectal or vaginal surgery
30. What abx used for clean/clean contaminated cases: 3rd gen cephalosporin
(Ancef)
31. Best prophylaxis for VTE: Early mobilization after surgery
32. What is a fat embolism: Due to microglobules of fat from bone marrow that
break off into circulation
ANSWERS TOP RATED VERSION FOR ALREADY A GRADED WITH EXPERT
FEEDBACK|NEW!!{REVISED}
1. Purposeful reduction of pathogens to prevent the transfer of microorgan-
isms: Aseptic technique
2. A set of specific practices and procedures performed to make equipment
and areas free from all microorganisms: Sterile technique
3. Suture or wire used in surgery to tie off blood vessels to prevent bleeding-
: Ligature
4. When tying off a vessel, what knots are preferred?: Square knots
5. Are knots tied over incisions?: Never directly over an incision
6. Difference between a surgeons knot and a square knot: Surgeons knot has a
double wrapped first loop
7. the ideal knot has throws: 4-5
8. What blade is used for long, linear incisions: #10
9. What blade is used for short or curved incisions: #15
10. What blade is often held upside down: #11
11. Disadvantages of manual retractos: -fatigue
-poor control if assistant cant see end of retractor
12. Disadvantages of self retaining retractos: -adjustments take time
-does not allow periodic relief of tissue
-bulky
13. What instrument? Injects CO2 into the abdominal cavity to create a work-
ing space for trochanter placement: Insufflator
14. HEPA filters remove : Bacteria and fungi but NOT viruses
15. Types of antiseptic solutions: Iodophor based (Ex. Betadine)
Alcohol + CHG (Ex. ChloraPrep)
16. What antiseptic solutions cant be used in those with iodine/shellfish aller-
gies: Iodophor based (Ex. Betadine)
17. 3 phases of recovery: Immediate
intermediate
convalescent
,18. MC post op pulmonary complication: Atelectasis
19. MCC of post op fever within 48 hours of surgery: Atelectasis
20. Early respiratory failure (1-2 hours after surgery) is MC due to: -Major
abdominal/chest surgery
-severe chest trauma
, -pre existing lung disease
-excessive anesthetic agents
21. Late respiratory failure (beyond 48 hours after surgery) is MC due to: -car-
diac failure
-PE
-abdominal distention
-narcotic OD
22. MCC of death from pulmonary complications: PNA
-majority are gram negative infections
23. Collection of clear fluid in the wound: Seroma
24. Collection of lymph fluid in the operative wound: Lymphocele
25. MC organism for wound infection 12-24 hours post op: Clostridium and strep
26. What wound classification? Operation in which a viscus is entered and
there is potential exposure to bacteria: Clean contaminated
-Ex. Gastric and biliary surgery
27. What wound classification? Uninflected operative wounds that does not
enter a viscus: Clean
-Ex. Hernia repair, soft tissue biopsy
28. What wound classification? Massively contaminated traumatic wound,
devitalized tissue, FBs, or fecal contamination: Dirty
-Ex. Intra abdominal abscess, necrotic tissue
29. What wound classification? Open, fresh wounds or operations involving
breaks in sterility or gross spillage from a viscus: Contaminated
-Ex. Colorectal or vaginal surgery
30. What abx used for clean/clean contaminated cases: 3rd gen cephalosporin
(Ancef)
31. Best prophylaxis for VTE: Early mobilization after surgery
32. What is a fat embolism: Due to microglobules of fat from bone marrow that
break off into circulation
