RNFA 2023

RNFA 2023 The most commonly used incision for Cesarean section is the: - CORRECT ANSWERPfannensteil Prepping for an abdominal hysterectomy that may include the cervix should be performed in what order - CORRECT ANSWER-Dirty then clean Which of the following muscles are critical for stabilization of the knee joint? - CORRECT ANSWER-Quadriceps femoris This technique is primarily reserved for patients having prophylactic mastectomy and immediate breast reconstruction. Choose the correct answering: A)skin sparing B) nipple sparing C) modified radical D) simple - CORRECT ANSWER-B nipple sparing A patient does not disclose the use of ephedra to the anesthesiologist during the preoperative visit. If Halothane is used during the procedure, the patient is at an increased risk for: - CORRECT ANSWER-Ventricular arrhythmias When preoperatively assessing a patient for cardiac surgery, the RNFA should consider all the following except: A) bleeding times B) glucose C) immunosuppressant use D) RBC count - CORRECT ANSWER-RBC count Care must be taken when placing retractors as an RNFA assisting with inguinal hernia repairs. Which of the following is a vessel that is located in the area of inguinal hernias. - CORRECT ANSWER-Inferior Epigastric The most common vein harvested endoscopically for cardiac surgery is: - CORRECT ANSWER-Lesser Saphenous vein??? Nipple discharge is more commonly associated with benign breast lesions than with cancer; however, discharge is usually significantly only if it is spontaneous, persistent and - CORRECT ANSWER-Bloody Identify the marginal boundaries of the breasts - CORRECT ANSWER-Second to sixth rib and horizontally from the lateral edge of sternum to anterior a axillary line. Which of the following structures is responsible for division between left and right chest cavity? - CORRECT ANSWER-Mediastinum The blood is oxygenated in the lungs and returns to the left atrium through the pulmonary veins. Where does the blood flow after leaving the left atrium? - CORRECT ANSWER-Through the mitral valve into the left ventricle. Identify from the following, the correct branch of the left main coronary artery. - CORRECT ANSWER-Circumflex coronary artery saphenous cutdown refers to a skin incision associated with - CORRECT ANSWERInsertion of a cannula into the external iliac vein The most common congenital cyst found in the neck is: - CORRECT ANSWERThyroglossal duct cysts Select the structure of the trachea that is a landmark during bronchoscopy: - CORRECT ANSWER-Carina Select the triad of the boundaries of the Hesselbach triangle - CORRECT ANSWERInguinal ligament, rectus abdominis muscle, deep epigastric vessels Before reaching the rectus abdominis muscle during surgical exposure, the surgeon first progress through which of the following? - CORRECT ANSWER-Scarpas fascia From the following, which is a possible benefit to the paramedian incision - CORRECT ANSWER-Decreased risk for hernia During the planning phase of a procedure for liposuction or post-bariatric contouring procedures, the perioperative nurse will assemble and organize supplies and devices because the procedure may require: - CORRECT ANSWER-Repositioning one or more times during surgery Exposure of inta-abdominal anatomy is crucial to safe surgery and employs varied instruments, applications of highly technical energy sources, patient manipulations, light, and imaging. What is unique to the laparoscopic approach that promotes exposure? - CORRECT ANSWER-Carbon monoxide pneumoperitoneum The phrenic nerve inner area which structure? - CORRECT ANSWER-The diaphragm The mesh plug open hernia repair technique is indicated for which type of hernias? - CORRECT ANSWER-Recurrent indirect inguinal hernias The major arterial blood supply to the descending colon is provided by which of the following - CORRECT ANSWER-Left colic artery (Alexander's 15th Ed. P 297, 16th Ed. Pg 289{290}) the arterial supply to the descending and sigmoid colon comes from the left colic and sigmoid arteries. Identify the name of the procedure that is an alternative treatment for patients with chronic pulmonary emphysema. - CORRECT ANSWER-Lung volume reduction surgery The most common injury intra-abdominal organ in blunt trauma is the : - CORRECT ANSWER-Spleen The head of the pancreas is fixed to which structure? - CORRECT ANSWERDuodenum Umbilical hernias occur in adults as a result of a defect in the: - CORRECT ANSWERLines Alba Which of the following is the most common non-emergent abdominal surgery on the US? - CORRECT ANSWER-Cholecystectomy The patient is placed in what position for open cholecystectomy? - CORRECT ANSWER-Supine While removing a cancerous testis, the surgeon will typically initiate the incision in which of the following locations? - CORRECT ANSWER-Just above the inguinal ring During robotic hysterectomy, the patient is placed in steep trendelenburg position. Which of the following is complication that can result from extended surgical time when the patient is in steep trendelenburg? - CORRECT ANSWER-Increased intracranial pressure Select the statement about the prostate that best reflects its location, size and weight. - CORRECT ANSWER-The prostate sits below the base of the bladder, is 4cm at the base and weighs 20 to 30 g. Which of the following sulci is of particular anatomic importance during surgery? - CORRECT ANSWER-Lateral sulcus A tear to the middle menigeal artery, often caused by a blow to the head, results in the formation of a: - CORRECT ANSWER-epidural hematoma What is the term for the bloodless plane that contains loose areolar tissue and permits mobility of the scalp? - CORRECT ANSWER-Subgaleal space This cranial nerve, if injured in surgery can result in vocal cord paralysis. Choose the correct nerve from the following: - CORRECT ANSWER-X