CSFA Study practice exam (Questions + Answers) Verified 100% Correct!!.

A 3-way Foley catheter with a 30 cc balloon should be inserted following a transurethral prostate resection (TURP) to - The pressure of the 30 cc balloon against the walls of the urethra, where the prostate was removed by electrocautery, allows hemostasis, while the lumen of the catheter can be used to irrigate clots from the bladder. 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 to 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? - PE (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? - C. An interrupted suture would allow for drainage. A polypropylene suture is a monofilament suture, which would be appropriate in this case. 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? - Interrupted retention suturing effectively provides a secondary suture line relieving strain on the wound and providing a better opportunity for healing by first intention A 70-year-old patient who underwent an 8-hour colon resection is at the greatest risk for which of the following? - All three components to this question are contributing factors to higher risk of wound infection: 1) the age of the patient, 2) the extended time of the procedure, and 3) the wound classification. A 70-year-old patient with a history of tuberculosis undergoes a wedge resection of the right upper lobe of the lung. When the lung is reinflated, which of the following may cause poor lung compliance? - Tuberculosis can cause scar tissue to form in the lung tissu A Chiari malformation is the displacement and herniation into the cervical canal of the - cerebellumA latissimus dorsi flap used for breast reconstruction following a mastectomy gets its main blood supply from which of the following arteries? - The thoracodorsal artery supplies the latissimus dorsi and therefore would be used as the pedicle for the flap A long-term complication of a cemented total hip arthroplasty is - loosening of the prosthesis A meningioma - a type of tumor that arises from the meninges, which surround the brain and spinal cord. The majority of meningiomas are benign and slow growing. A patient is scheduled for a right thoracotomy with right upper lobectomy. The surgeon identifies that the procedure should instead be a left thoracotomy with left upper lobectomy. After all studies confirm the left thoracotomy is appropriate, which of the following should the team do NEXT? - Allow the patient or guardian to sign a revised permit and then proceed. The patient must understand and agree to the procedure being performed. A patient undergoing a 6-hour pelvic tumor debulking procedure is experiencing progressively worsening hypotension and tachycardia. At 4 hours into the operation, the anesthesia provider indicates that the patient's oxygen saturation is starting to decrease. Which of the following should be administered to this patient to correct the issues? - During a long operation, blood loss is increased. Hypotension and tachycardia are signs of moderate blood loss. Decreasing blood oxygen levels are a sign of major blood loss. Administration of blood products will increase blood volume and improve the amount of oxygen carried to the body. A patient who has sustained a shotgun wound to the right anterior superior area of the thigh is unable to extend the leg and has loss of sensation in the skin over the anteromedial aspect of the thigh. Which of the following nerves has been damaged? - femoral The femoral nerve innervates the flexor muscles of the hip joint and extensor muscles of the knee joint skin over the anterior and medial aspects of the thigh. A patient who is opposed to the acceptance of blood transfusion on religious principle is undergoing a hysterectomy. During surgery, there was significant blood loss causing hematocrit to drop to 30% with a resulting drop in oxygen saturation. Under these conditions, which of the following is the appropriate response? - Increase IV fluid drip to allow hemodilution. Hemodilution is a relative increase in the volume of blood plasma resulting in a decrease in the measure of concentration of red blood cells allowing for greater circulating volume.A pledgeted suture is used for hemostasis during arteriotomy closure to - reduce bleeding at the suture site. 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 or for use when bleeding might occur through needle holes in a major vessel. A purse-string suture is MOST commonly used for excision of the - appendix A purse-string stitch is a suture technique that encircles the cecum at the base of the appendix. Once the appendix is excised, the remaining stump is inverted and the purse-string is pulled tight to ensure tight closure. A surgeon has determined that a patient requires an ORIF, using a plate and screw, to repair a fracture of the distal radius. On which of the following aspects of the distal radius will the incision and approach to the fracture be made? - The volar (anterior) surface of the distal half of the radius is broad, flat, and smooth and provides a more satisfactory bed for a plate or a graft than does the dorsal (posterior) convex side. A suture ligature is also referred to as - a stick tie A threaded cortical screw cannot provide compression of bone fragments unless the - near cortex is overdrilled. A type of wound in which the alimentary, oropharyngeal, respiratory, or genitourinary regions are entered is classified as - clean contaminated