RELIAS OPERATING ROOM - ACUTE A: EXAM
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
1. You are preparing for an abdominal myomectomy. The patient is known to
have 2 large fibroids. How can you BEST prepare considering the number of
fibriods.: Arrange for multiple specimen containers.
2. A mastectomy is being performed. What is the purpose of using sharp Rake
Retractors or Allis Clamps?: To provide traction on the skin as the flaps are raised.
3. What is the PRIMARY purpose of aseptic techniques in the operating room?: To
minimize and control microbial contamination.
4. You are positioning a patient in the lateral position. What is the PRIMARY
reason for using an axillary roll?: To prevent injury to the brachial plexus.
5. What is the purpose of a grounding pad?: It returns the current back to the electrosurgical unit.
6. What is the MOST commonly used chemical hemostatic agent that clots
fibrinogen directly?: Thrombin
7. An intraoperative pancreatic injury occurs. What is the rationale for irrigating
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, the peritoneal cavity with copious amounts of irrigation and placing a surgical
drain?: To prevent the formation of a pancreatic fistula.
8. You are preparing for a pediatric adenotonsillectomy. The child is frightened
and non-compliant. What would be your BEST approach to manage this situa-
tion?: Use gentle reassurance and explain the steps in age appropriate language.
9. What is the significance of the asset tag number on OR equipment?: It identifie
the equipment for maintenance and service records.
10. What guidelines are set for fasting before elective surgery?: Only clear fluids up to 2
hours before.
11. What is the PRIMARY function of the hemostatic clips during vascular
surgery?: To permanently occlude vessels or tissue bundles.
12. The laser machine is not being used between procedures. What precaution
should be taken?: **WRONG** It should be placed in standby mode and monitored.
13. What is the PRIMARY purpose for applying cricoid pressure during intuba-
tion?: To occlude the esophagus and prevent aspiration.
14. Your patient is receiving general anesthesia. The anesthesia provider alerts
the team that the patient is likely experiencing malignant hyperthermia (MH).
What early signs did the anesthesia provider likely observe?: Tachycardia and a rise in
ETCO2.
mailto:https://www.stuvia.com/user/Wisdoms
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
1. You are preparing for an abdominal myomectomy. The patient is known to
have 2 large fibroids. How can you BEST prepare considering the number of
fibriods.: Arrange for multiple specimen containers.
2. A mastectomy is being performed. What is the purpose of using sharp Rake
Retractors or Allis Clamps?: To provide traction on the skin as the flaps are raised.
3. What is the PRIMARY purpose of aseptic techniques in the operating room?: To
minimize and control microbial contamination.
4. You are positioning a patient in the lateral position. What is the PRIMARY
reason for using an axillary roll?: To prevent injury to the brachial plexus.
5. What is the purpose of a grounding pad?: It returns the current back to the electrosurgical unit.
6. What is the MOST commonly used chemical hemostatic agent that clots
fibrinogen directly?: Thrombin
7. An intraoperative pancreatic injury occurs. What is the rationale for irrigating
mailto:https://www.stuvia.com/user/Wisdoms
, the peritoneal cavity with copious amounts of irrigation and placing a surgical
drain?: To prevent the formation of a pancreatic fistula.
8. You are preparing for a pediatric adenotonsillectomy. The child is frightened
and non-compliant. What would be your BEST approach to manage this situa-
tion?: Use gentle reassurance and explain the steps in age appropriate language.
9. What is the significance of the asset tag number on OR equipment?: It identifie
the equipment for maintenance and service records.
10. What guidelines are set for fasting before elective surgery?: Only clear fluids up to 2
hours before.
11. What is the PRIMARY function of the hemostatic clips during vascular
surgery?: To permanently occlude vessels or tissue bundles.
12. The laser machine is not being used between procedures. What precaution
should be taken?: **WRONG** It should be placed in standby mode and monitored.
13. What is the PRIMARY purpose for applying cricoid pressure during intuba-
tion?: To occlude the esophagus and prevent aspiration.
14. Your patient is receiving general anesthesia. The anesthesia provider alerts
the team that the patient is likely experiencing malignant hyperthermia (MH).
What early signs did the anesthesia provider likely observe?: Tachycardia and a rise in
ETCO2.
mailto:https://www.stuvia.com/user/Wisdoms
