CSFA Practice Exam 3
during a laparoscopic cholecystectomy, the infundibulum of the gallbladder is retracted to
expose the - ANStriangle of Calot
a distinguishing feature of lupus is - ANSa butterfly rash
which hemodynamic concept describes the resistance the heart must overcome to pump blood
into the systemic circulation? - ANSafterload
the third ventricle empties into the fourth ventricle through which small duct, which is the only
exit for the third & lateral ventricles? - ANSaqueduct of Sylvius
which type of hernia consists of a protrusion of fat through defects in the abdominal wall located
between the umbilicus & the xiphoid process & symptoms of nausea & slight upper abdominal
pain? - ANSepigastric hernia
which bone is the MOST superior tarsal & articulates with the distal end of the tibia? - ANStalus
a latissimus dorsi flap used for breast reconstruction following a mastectomy gets its main blood
supply from which artery? - ANSthoracodorsal
a surgeon is performing a lumbar laminectomy & discectomy for an L5-S1 herniation that has
protruded into the epidural space. Which part of the disc should be removed? - ANSnucleus
pulposus
during heart transplant surgery, what is the correct order of chamber/vessel anastomosis? -
ANSleft atrium, right atrium, pulmonary artery, aorta
during a Nissen fundoplication, care should be taken when placing medial traction on the
stomach to prevent avulsion of the - ANSgastric arteries
to reconstruct the pelvis after prolapse, which anatomical structure could be used as a
supportive repair in conjunction with the repair of a rectocele? - ANSlevator ani
during chest tube placement, it is MOST important to place the tube in the inferior aspect of the
intercostal space to avoid - ANSneurovascular injury
when performing a culdoscopy, the Sims tenaculum should be placed on which aspect of the
cervix to assist with visualization of the operative area? - ANSposterior aspect
, during a carotid endarterectomy, the patient's heart rate drops to 30 beats/min. This is likely due
to stimulation of the - ANSvagus nerve
which of the following prostate procedures involves a transvesical approach?
a. simple retropubic
b. suprapubic
c. radical perineal
d. laparoscopic - ANSb. suprapubic
a 47 yo female is recovering from a laparoscopic Roux-en-Y. On her first day home following
discharge, she develops sudden-onset anterior chest pain, shortness of breath, & begins
sweating profusely. Upon returning to the ER, her ECG shows tachycardia & her chest x-ray
appears normal. What is the MOST likely reason for her symptoms? - ANSpulmonary embolism
a 35 yo male presents with headache, palpitations, & diaphoresis brought on by micturition. The
patient's identical twin brother died of an undiagnosed sudden death. What diagnosis is MOST
likely? - ANSpheochromocytoma
a 68 yo female presents with hip pain. She was treated 15 years ago with radiation & chemo for
lobular breast cancer. Which is the MOST likely diagnosis?
a. pathologic hip fracture
b. traumatic hip fracture
c. trochanteric bursitis
d. osteoarthritis - ANSa. pathologic hip fracture
what is the goal of a supraglottic laryngectomy to preserve? - ANSnatural ability to speak
a patient present in the ER with a bowel obstruction due to a recto-anal mass. Which surgical
procedure can be used for a complete resection of the mass? - ANSabdominal perineal
resection
a patient arrives in the ER following a ground level fall with changes in personality & movement.
The patient's CT scan shows a subdural hematoma. In which lobe is the hematoma MOST likely
located? - ANSfrontal
a patient presents with a large benign tumor located 3cm proximal to the anal verge. The team
should be preparing for what procedure? - ANSlow anterior resection
a patient undergoing an aortic valve replacement is having difficulty converting to normal sinus
rhythm & cannot be weaned from CPB. Continued failure of the heart to beat correctly after
aortic valve replacement is MOST commonly caused by: - ANSocclusion of the right coronary
artery
during a laparoscopic cholecystectomy, the infundibulum of the gallbladder is retracted to
expose the - ANStriangle of Calot
a distinguishing feature of lupus is - ANSa butterfly rash
which hemodynamic concept describes the resistance the heart must overcome to pump blood
into the systemic circulation? - ANSafterload
the third ventricle empties into the fourth ventricle through which small duct, which is the only
exit for the third & lateral ventricles? - ANSaqueduct of Sylvius
which type of hernia consists of a protrusion of fat through defects in the abdominal wall located
between the umbilicus & the xiphoid process & symptoms of nausea & slight upper abdominal
pain? - ANSepigastric hernia
which bone is the MOST superior tarsal & articulates with the distal end of the tibia? - ANStalus
a latissimus dorsi flap used for breast reconstruction following a mastectomy gets its main blood
supply from which artery? - ANSthoracodorsal
a surgeon is performing a lumbar laminectomy & discectomy for an L5-S1 herniation that has
protruded into the epidural space. Which part of the disc should be removed? - ANSnucleus
pulposus
during heart transplant surgery, what is the correct order of chamber/vessel anastomosis? -
ANSleft atrium, right atrium, pulmonary artery, aorta
during a Nissen fundoplication, care should be taken when placing medial traction on the
stomach to prevent avulsion of the - ANSgastric arteries
to reconstruct the pelvis after prolapse, which anatomical structure could be used as a
supportive repair in conjunction with the repair of a rectocele? - ANSlevator ani
during chest tube placement, it is MOST important to place the tube in the inferior aspect of the
intercostal space to avoid - ANSneurovascular injury
when performing a culdoscopy, the Sims tenaculum should be placed on which aspect of the
cervix to assist with visualization of the operative area? - ANSposterior aspect
, during a carotid endarterectomy, the patient's heart rate drops to 30 beats/min. This is likely due
to stimulation of the - ANSvagus nerve
which of the following prostate procedures involves a transvesical approach?
a. simple retropubic
b. suprapubic
c. radical perineal
d. laparoscopic - ANSb. suprapubic
a 47 yo female is recovering from a laparoscopic Roux-en-Y. On her first day home following
discharge, she develops sudden-onset anterior chest pain, shortness of breath, & begins
sweating profusely. Upon returning to the ER, her ECG shows tachycardia & her chest x-ray
appears normal. What is the MOST likely reason for her symptoms? - ANSpulmonary embolism
a 35 yo male presents with headache, palpitations, & diaphoresis brought on by micturition. The
patient's identical twin brother died of an undiagnosed sudden death. What diagnosis is MOST
likely? - ANSpheochromocytoma
a 68 yo female presents with hip pain. She was treated 15 years ago with radiation & chemo for
lobular breast cancer. Which is the MOST likely diagnosis?
a. pathologic hip fracture
b. traumatic hip fracture
c. trochanteric bursitis
d. osteoarthritis - ANSa. pathologic hip fracture
what is the goal of a supraglottic laryngectomy to preserve? - ANSnatural ability to speak
a patient present in the ER with a bowel obstruction due to a recto-anal mass. Which surgical
procedure can be used for a complete resection of the mass? - ANSabdominal perineal
resection
a patient arrives in the ER following a ground level fall with changes in personality & movement.
The patient's CT scan shows a subdural hematoma. In which lobe is the hematoma MOST likely
located? - ANSfrontal
a patient presents with a large benign tumor located 3cm proximal to the anal verge. The team
should be preparing for what procedure? - ANSlow anterior resection
a patient undergoing an aortic valve replacement is having difficulty converting to normal sinus
rhythm & cannot be weaned from CPB. Continued failure of the heart to beat correctly after
aortic valve replacement is MOST commonly caused by: - ANSocclusion of the right coronary
artery
