SURGICAL FIRST ASSIST PRACTICE EXAM
The primary purpose of a robotic device designed to hold and maneuver a laparoscope
is to - Answers - eliminate tremor associated with operating an endoscope.
Which of the following are the MOST important considerations when preventing wound
infection in the surgical patient?
1. pathogen transmittal
2. portal of entry into the susceptible host
3. anesthetic options for the patient's operative process
4. invasion of the susceptible host - Answers - B. 1, 2, and 4 only
Which of the following tendon autografts is MOST typically utilized when performing
ACL reconstruction? - Answers - patellar
What is the normal range of red blood cells in a complete blood count for an adult male?
- Answers - 4.6 - 6.2 million/nl
Which of the following organisms normally found on the skin can cause wound
infections? - Answers - Staphylococcus aureus
Which of the following is the desired effect when applying a partially threaded
cancellous screw to a bone fragment
A. distraction
B. rotation
C. compression
D. subluxation - Answers - compression
When transferring a thoracotomy patient to recovery, the chest drainage system should
be - Answers - maintained below the patient's chest level
Which of the following bones make up the pelvic girdle?
1. coccyx
2. acetabulum
3. sacrum
4. os coxae - Answers - coccyx, sacrum, os coxae
During a carotic endarterectomy, the arteries are unclamped and reclamped before
arteriotomy closure is performed to - Answers - flush free debris from the carotid
Injury to which of the following arteries is commonly seen in the temporal lobes, where
the skull is the thinnest and meningeal blood vessels are numerous, and is the usual
cause of epidural hematomas? - Answers - middle meningeal
, Epidural hematoma is typically caused by trauma to what artery? - Answers - middle
meningeal
During arterial cannulation in cardiopulmonary bypass (CPB), the cannula tip must be
directed into which of the following arteries? - Answers - aorta
Which of the following is an example of a high level disinfection agent?
A. glutaraldehyde
B. isopropyl alcohol
C. quaternary ammonium
D. iodophor solution - Answers - glutaraldehyde
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? - Answers - piriformis
When an open appendectomy is performed, it is necessary to identify the - Answers -
cecum and ileocecal valve
In patients who develop fever, abdominal pain, and profuse diarrhea, the MOST
frequently seen antibiotic-associated enterocolitis is due to which organism? - Answers
- clostridium difficile
Taper point needles are generally used in which of the following tissue types?
1. gastrointestinal
2. tendons
3. adipose
4. vascular - Answers - 1, 3, and 4
A patient who is opposed to the acceptance of blood transfusion on the 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, what is the appropriate response? - Answers - Increase IV fluid drip
to allow hemodilution
Which of the following conditions is MOST common when insulation failure occurs in
laparoscoopic surgery?
A. hypothermia
B. wound infection
C. tissue injury
D. adhesions - Answers - tissue injury
An adult male is injured in an automobile accident at 2 AM. An exploratory laparotomy
for possible perforated bowel is initiated at 5AM. Which of the following is the best
wound classification in this scenario? - Answers - contaminated
The primary purpose of a robotic device designed to hold and maneuver a laparoscope
is to - Answers - eliminate tremor associated with operating an endoscope.
Which of the following are the MOST important considerations when preventing wound
infection in the surgical patient?
1. pathogen transmittal
2. portal of entry into the susceptible host
3. anesthetic options for the patient's operative process
4. invasion of the susceptible host - Answers - B. 1, 2, and 4 only
Which of the following tendon autografts is MOST typically utilized when performing
ACL reconstruction? - Answers - patellar
What is the normal range of red blood cells in a complete blood count for an adult male?
- Answers - 4.6 - 6.2 million/nl
Which of the following organisms normally found on the skin can cause wound
infections? - Answers - Staphylococcus aureus
Which of the following is the desired effect when applying a partially threaded
cancellous screw to a bone fragment
A. distraction
B. rotation
C. compression
D. subluxation - Answers - compression
When transferring a thoracotomy patient to recovery, the chest drainage system should
be - Answers - maintained below the patient's chest level
Which of the following bones make up the pelvic girdle?
1. coccyx
2. acetabulum
3. sacrum
4. os coxae - Answers - coccyx, sacrum, os coxae
During a carotic endarterectomy, the arteries are unclamped and reclamped before
arteriotomy closure is performed to - Answers - flush free debris from the carotid
Injury to which of the following arteries is commonly seen in the temporal lobes, where
the skull is the thinnest and meningeal blood vessels are numerous, and is the usual
cause of epidural hematomas? - Answers - middle meningeal
, Epidural hematoma is typically caused by trauma to what artery? - Answers - middle
meningeal
During arterial cannulation in cardiopulmonary bypass (CPB), the cannula tip must be
directed into which of the following arteries? - Answers - aorta
Which of the following is an example of a high level disinfection agent?
A. glutaraldehyde
B. isopropyl alcohol
C. quaternary ammonium
D. iodophor solution - Answers - glutaraldehyde
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? - Answers - piriformis
When an open appendectomy is performed, it is necessary to identify the - Answers -
cecum and ileocecal valve
In patients who develop fever, abdominal pain, and profuse diarrhea, the MOST
frequently seen antibiotic-associated enterocolitis is due to which organism? - Answers
- clostridium difficile
Taper point needles are generally used in which of the following tissue types?
1. gastrointestinal
2. tendons
3. adipose
4. vascular - Answers - 1, 3, and 4
A patient who is opposed to the acceptance of blood transfusion on the 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, what is the appropriate response? - Answers - Increase IV fluid drip
to allow hemodilution
Which of the following conditions is MOST common when insulation failure occurs in
laparoscoopic surgery?
A. hypothermia
B. wound infection
C. tissue injury
D. adhesions - Answers - tissue injury
An adult male is injured in an automobile accident at 2 AM. An exploratory laparotomy
for possible perforated bowel is initiated at 5AM. Which of the following is the best
wound classification in this scenario? - Answers - contaminated
