SURGICAL ASSISTANT
CERTIFICATION EXAM
The-surgeon-asks-you-to-first-gently-supinate,-then-gently-pronate-the-operative-wrist-of-a-
14-year-old-patient-in-supine-position.-The-operative-extremity-is-positioned-at-80-
degrees-to-the-torso.-Which-of-the-following-most-accurately-describes-the-movement-of-
the-operative-thumb-(which-direction-it-points)-as-you-carry-out-the-instructions?---ans-
✔✔Thumb-inferior,-then-back-to-superior
With-patient-in-the-prone-position,-the-dorsal-roots-of-the-spinal-nerves-are-oriented:---ans-
✔✔Superficial-to-its-corresponding-ventral-roots
A-choledoco-duodenostomy-refers-to-the-surgical-anastomosis-of-which-of-the-following-
two-structures:---ans-✔✔Duodenum-and-common-bile-duct
In-knee-arthroscopy,-the-antero-medial-portal-is-placed:---ans-✔✔Proximal-and-anterior-
to-the-pet-anserinus,-medial-to-the-patellar-ligament.
Epidural-anesthesia-is-administered:---ans-✔✔Into-the-space-between-the-spinal-canal-
and-the-dura-mater-covering-the-nerve-roots.
The-connective-tissue-between-the-patella-and-the-tibial-tuberosity-in-the-knee-facilitates-
quadriceps-muscle-contraction-across-the-knee-joint.-What-is-the-structure?---ans-
✔✔Patellar-Ligament
The-talus-forms-an-articulation-with-which-of-the-following-lists-of-bones:---ans-
✔✔Calcaneus,-navicular,-tibia,-and-calcaneus
The-acetabulum,-or-hip-socket,-is-comprised-of-the-fusion-of-which-of-the-three-bone-
chokes-below?---ans-✔✔Pubis,-ischium,-and-ilium
The-superior-mesenteric-artery-provides-primary-blood-supply-for-which-of-the-following-
structures:---ans-✔✔Pancreas
The-uterine-artery-is-a-most-commonly-a-direct-branch-of-the:---ans-✔✔Internal-iliac-artery
, After-what-percent-of-total-blood-volume-may-arterial-pressure-AND-cardiac-output-begin-
to-significantly-(and-precipitously)-drop?---ans-✔✔More-than-about-10%
Putting-a-patient-into-Trendelenberg-position-has-the-effect-of:---ans-✔✔Increasing-blood-
flow-to-the-brain
A-history-of-crushing-would-to-the-chest,-a-patient-exhibits-the-following-symptoms:-low-
blood-pressure;-chest-pain-radiating-to-the-neck,-shoulders,-and-back;-trouble-taking-
deep-breaths-and-rapid-shallow-breathing.-Which-of-the-following-cardio-pulmonary-
conditions-may-be-responsible-and-require-urgent-surgery?---ans-✔✔Cardiac-
Tamponade
Which-of-the-following-may-be-a-cause-of-acute-cyanosis-in-a-patient-undergoing-a-
surgical-procedure:---ans-✔✔Lower-than-normal-hemoglobin
Direct-inadvertent-stimulation-of-the-Vagus-nerve-during-carotid-endarterectomy-may-
have-which-of-the-following-transient-affects:---ans-✔✔Bradycardia
A-"foot-drop"-results-from-insufficiency-of-the-extensor-muscles-in-the-foot,-and-may-be-
caused-by-lumbar-disc-herniation-(damage-to-a-nerve-root-in-the-lumbar-spine),-or-
damage-to/compression-of-the-_______-nerve-as-it-courses-superficial-to-the-fibular-
head.---ans-✔✔Peroneal
The-recurrent-laryngeal-nerve-is-a-branch-of-the:---ans-✔✔Vagus-Nerve
The-anatomic-region-bordered-by-the-cystic-duct,-to-the-common-hepatic-duct,-and-the-
cystic-artery-is-referred-to-as:---ans-✔✔Calot`s-triangle
The-inferior-mesenteric-artery-serves-as-principal-blood-supply-to-which-of-the-following-
structures:---ans-✔✔The-Splenic-Flexure-of-the-colon
The-short-gastric-arteries-are-direct-branches-of-which-of-the-following:---ans-✔✔Splenic-
Artery
Which-of-the-flowing-statements-are-true-regarding-total-thyroidectomy-procedures?---
ans-✔✔The-open-approach-generally-utilizes-a-low-transverse-collar-incision
During-total-nephrectomy-and/or-adrenalectomy,-which-of-the-following-poses-the-
greatest-intra-operative-risk-from-a-systemic-perspective,-during-the-manipulation-of-the-
adrenal-gland?---ans-✔✔Rapid-blood-pressure-change
Which-of-the-following-are-true-statements-regarding-the-pancreas?---ans-✔✔1.-The-
pancreas-is-a-mixed-exocrine-and-endocrine-organ
CERTIFICATION EXAM
The-surgeon-asks-you-to-first-gently-supinate,-then-gently-pronate-the-operative-wrist-of-a-
14-year-old-patient-in-supine-position.-The-operative-extremity-is-positioned-at-80-
degrees-to-the-torso.-Which-of-the-following-most-accurately-describes-the-movement-of-
the-operative-thumb-(which-direction-it-points)-as-you-carry-out-the-instructions?---ans-
✔✔Thumb-inferior,-then-back-to-superior
With-patient-in-the-prone-position,-the-dorsal-roots-of-the-spinal-nerves-are-oriented:---ans-
✔✔Superficial-to-its-corresponding-ventral-roots
A-choledoco-duodenostomy-refers-to-the-surgical-anastomosis-of-which-of-the-following-
two-structures:---ans-✔✔Duodenum-and-common-bile-duct
In-knee-arthroscopy,-the-antero-medial-portal-is-placed:---ans-✔✔Proximal-and-anterior-
to-the-pet-anserinus,-medial-to-the-patellar-ligament.
Epidural-anesthesia-is-administered:---ans-✔✔Into-the-space-between-the-spinal-canal-
and-the-dura-mater-covering-the-nerve-roots.
The-connective-tissue-between-the-patella-and-the-tibial-tuberosity-in-the-knee-facilitates-
quadriceps-muscle-contraction-across-the-knee-joint.-What-is-the-structure?---ans-
✔✔Patellar-Ligament
The-talus-forms-an-articulation-with-which-of-the-following-lists-of-bones:---ans-
✔✔Calcaneus,-navicular,-tibia,-and-calcaneus
The-acetabulum,-or-hip-socket,-is-comprised-of-the-fusion-of-which-of-the-three-bone-
chokes-below?---ans-✔✔Pubis,-ischium,-and-ilium
The-superior-mesenteric-artery-provides-primary-blood-supply-for-which-of-the-following-
structures:---ans-✔✔Pancreas
The-uterine-artery-is-a-most-commonly-a-direct-branch-of-the:---ans-✔✔Internal-iliac-artery
, After-what-percent-of-total-blood-volume-may-arterial-pressure-AND-cardiac-output-begin-
to-significantly-(and-precipitously)-drop?---ans-✔✔More-than-about-10%
Putting-a-patient-into-Trendelenberg-position-has-the-effect-of:---ans-✔✔Increasing-blood-
flow-to-the-brain
A-history-of-crushing-would-to-the-chest,-a-patient-exhibits-the-following-symptoms:-low-
blood-pressure;-chest-pain-radiating-to-the-neck,-shoulders,-and-back;-trouble-taking-
deep-breaths-and-rapid-shallow-breathing.-Which-of-the-following-cardio-pulmonary-
conditions-may-be-responsible-and-require-urgent-surgery?---ans-✔✔Cardiac-
Tamponade
Which-of-the-following-may-be-a-cause-of-acute-cyanosis-in-a-patient-undergoing-a-
surgical-procedure:---ans-✔✔Lower-than-normal-hemoglobin
Direct-inadvertent-stimulation-of-the-Vagus-nerve-during-carotid-endarterectomy-may-
have-which-of-the-following-transient-affects:---ans-✔✔Bradycardia
A-"foot-drop"-results-from-insufficiency-of-the-extensor-muscles-in-the-foot,-and-may-be-
caused-by-lumbar-disc-herniation-(damage-to-a-nerve-root-in-the-lumbar-spine),-or-
damage-to/compression-of-the-_______-nerve-as-it-courses-superficial-to-the-fibular-
head.---ans-✔✔Peroneal
The-recurrent-laryngeal-nerve-is-a-branch-of-the:---ans-✔✔Vagus-Nerve
The-anatomic-region-bordered-by-the-cystic-duct,-to-the-common-hepatic-duct,-and-the-
cystic-artery-is-referred-to-as:---ans-✔✔Calot`s-triangle
The-inferior-mesenteric-artery-serves-as-principal-blood-supply-to-which-of-the-following-
structures:---ans-✔✔The-Splenic-Flexure-of-the-colon
The-short-gastric-arteries-are-direct-branches-of-which-of-the-following:---ans-✔✔Splenic-
Artery
Which-of-the-flowing-statements-are-true-regarding-total-thyroidectomy-procedures?---
ans-✔✔The-open-approach-generally-utilizes-a-low-transverse-collar-incision
During-total-nephrectomy-and/or-adrenalectomy,-which-of-the-following-poses-the-
greatest-intra-operative-risk-from-a-systemic-perspective,-during-the-manipulation-of-the-
adrenal-gland?---ans-✔✔Rapid-blood-pressure-change
Which-of-the-following-are-true-statements-regarding-the-pancreas?---ans-✔✔1.-The-
pancreas-is-a-mixed-exocrine-and-endocrine-organ
