CSFA PRACTICE EXAM
A 60 YEAR OLD OBESE PATIENT WITH A HISTORY OF DIABETES AND RENAL
INSUFFICIENCY HAS UNDERGONE DRAINAGE OF AN ABDOMINAL ABSCESS THROUGH
A MIDLINE INCISION. WHICH OF THE FOLLOWING SHOULD BE CONSIDERED FOR
WOUND CLOSURE? - ANS-AN INTERRUPTED RETENTION SUTURE LINE SHOULD BE
USED
A CHIARI MALFORMATION IS THE DISPLACEMENT AND HERNIATION INTO THE
CERVICAL CANAL OF THE
1.HYPOTHALAMUS
2.CEREBELLUM
three.OCCIPITAL LOBE
4.PONS - ANS-CEREBELLUM
A LATISSIMUS DORSI FLAP USED FOR BREAST RECONSTRUCTION FOLLOWING A
MASTECTOMY GETS ITS MAIN BLOOD SUPPLY FROM WHICH OF THE FOLLOWING
ARTERIES?
1.THORACODORSAL
2.LONG THORACIC
three.SUPERIOR MESENTERIC
4.INFERIOR EPIGASTRIC - ANS-1.THORACODORSAL
A LONG TERM COMPLICATION OF A CEMENTED TOTAL HIP IS?
1. ANTERIOR DISLOCATION
2.POSTERIOR DISLOCATION
3. LOOSENING OF THE PROSTHESIS
four.IMPINGEMENT OF THE SCIATIC NERVE - ANS-three. LOOSENING OF THE
PROSTHESIS
A PATIENT WHO HAS SUSTAINED A SHOTGUN WOUND TO THE RIGHT ANTERIOR
SUPERIOR AREA OF THE THIGH IS UNABLE TO EXTEND THE LEG AND HAS LOSS OF
SENSATION IN THE SKIN OVER THE ANTEROMEDIAL ASPECT OF THE THIGH. WHICH
OF THE FOLLOWING NERVES HAS BEEN DAMAGED?
1.OBTURATOR
2.GENITOFEMORAL
three.FEMORAL
four.ILIOINGUINAL - ANS-three.FEMORAL
A PATIENT WHO IS OPPOSED TO THE ACCEPTANCE OF BLOOD TRANSFUSION ON
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? - ANS-INCREASE IV FLUID DRIP TO ALLOW HEMODILUTION
, AFTER A MITRAL VALVE REPLACEMENT, A PATIENT COMING OFF BYPASS SHOWS
SIGNS OF CARDIAC ISCHEMIA. WHICH OF THE FOLLOWING MOST LIKELY HAPPENED
DURING THE PROCEDURE TO CAUSE THIS?
1.LIGATION OF THE INFERIOR VENA CAVA
2.OCCLUSION OF THE CIRCUMFLEX ARTERY
three.OCCLUSION OF THE INNOMINATE VEIN
4.LIGATION OF THE SUBCLAVIAN ARTERY - ANS-2. OCCLUSION OF THE CIRCUMFLEX
ARTERY
AT WHICH LEVELS DOES THE SPINAL CORD TERMINATES? - ANS-L1-L2
CALOT'S TRIANGLE IS FORMED BY THE:
1.PORTAL VEIN, COMMON HEPATIC BILE DUCT, AND HEPATIC ARTERY
2.SPLENIC VEIN AND COMMON HEPATIC BILE DUCT, CYSTIC DUCT
three.PANCREATIC DUCT, PORTAL VEIN, AND COMMON BILE DUCT
four.COMMON HEPATIC BILE DUCT,CYSTIC DUCT, AND CYSTIC ARTERY - ANS-four.
COMMON HEPATIC BILE DUCT, CYSTIC DUCT, AND CYSTIC ARTERY
DURING A CAROTID ENDARTERECTOMY, THE PATIENT'S HEART RATE DROPS TO 30
BPM. THIS IS LIKELY DUE TO STIMULATION OF THE: - ANS-VAGUS NERVE
DURING A CHOLECYSTECTOMY, IT IS IMPORTANT TO ISOLATE WHICH OF THE
FOLLOWING LIGAMENTS, CONSISTING OF THE COMMON BILE DUCT, HEPATIC ARTERY,
AND PORTAL VEIN?
1.GASTROHEPATIC
2.HEPATODUODENAL
3.TRIANGULAR
four.CORONARY - ANS-2.HEPATODUODENAL
DURING A LOW ANTERIOR COLON RESECTION, THE ANVIL OF THE EEA IS INSERTED
INTO THE:
1.SIGMOID
2.ANUS
three.HARTMAN'S POUCH
4.ASCENDING COLON - ANS-1.SIGMOID
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?
1.GLUTEUS MEDIUS
2.GEMELLI
three.QUADRATUS
4.PIRIFORMIS - ANS-four.PRIRFORMIS
DURING A POSTEROLATERAL APPROACH TO THE HIP, WHICH OF THE FOLLOWING
STRUCTURES USUALLY FOUND SUPERFICIALLY TO THE OBTURATOR AND GEMELLI
SHOULD BE IDENTIFIED AND PROTECTED?
1.SCIATIC NERVE
2.SUPERIOR GLUTEAL
3.INFERIOR GLUTEAL
A 60 YEAR OLD OBESE PATIENT WITH A HISTORY OF DIABETES AND RENAL
INSUFFICIENCY HAS UNDERGONE DRAINAGE OF AN ABDOMINAL ABSCESS THROUGH
A MIDLINE INCISION. WHICH OF THE FOLLOWING SHOULD BE CONSIDERED FOR
WOUND CLOSURE? - ANS-AN INTERRUPTED RETENTION SUTURE LINE SHOULD BE
USED
A CHIARI MALFORMATION IS THE DISPLACEMENT AND HERNIATION INTO THE
CERVICAL CANAL OF THE
1.HYPOTHALAMUS
2.CEREBELLUM
three.OCCIPITAL LOBE
4.PONS - ANS-CEREBELLUM
A LATISSIMUS DORSI FLAP USED FOR BREAST RECONSTRUCTION FOLLOWING A
MASTECTOMY GETS ITS MAIN BLOOD SUPPLY FROM WHICH OF THE FOLLOWING
ARTERIES?
1.THORACODORSAL
2.LONG THORACIC
three.SUPERIOR MESENTERIC
4.INFERIOR EPIGASTRIC - ANS-1.THORACODORSAL
A LONG TERM COMPLICATION OF A CEMENTED TOTAL HIP IS?
1. ANTERIOR DISLOCATION
2.POSTERIOR DISLOCATION
3. LOOSENING OF THE PROSTHESIS
four.IMPINGEMENT OF THE SCIATIC NERVE - ANS-three. LOOSENING OF THE
PROSTHESIS
A PATIENT WHO HAS SUSTAINED A SHOTGUN WOUND TO THE RIGHT ANTERIOR
SUPERIOR AREA OF THE THIGH IS UNABLE TO EXTEND THE LEG AND HAS LOSS OF
SENSATION IN THE SKIN OVER THE ANTEROMEDIAL ASPECT OF THE THIGH. WHICH
OF THE FOLLOWING NERVES HAS BEEN DAMAGED?
1.OBTURATOR
2.GENITOFEMORAL
three.FEMORAL
four.ILIOINGUINAL - ANS-three.FEMORAL
A PATIENT WHO IS OPPOSED TO THE ACCEPTANCE OF BLOOD TRANSFUSION ON
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? - ANS-INCREASE IV FLUID DRIP TO ALLOW HEMODILUTION
, AFTER A MITRAL VALVE REPLACEMENT, A PATIENT COMING OFF BYPASS SHOWS
SIGNS OF CARDIAC ISCHEMIA. WHICH OF THE FOLLOWING MOST LIKELY HAPPENED
DURING THE PROCEDURE TO CAUSE THIS?
1.LIGATION OF THE INFERIOR VENA CAVA
2.OCCLUSION OF THE CIRCUMFLEX ARTERY
three.OCCLUSION OF THE INNOMINATE VEIN
4.LIGATION OF THE SUBCLAVIAN ARTERY - ANS-2. OCCLUSION OF THE CIRCUMFLEX
ARTERY
AT WHICH LEVELS DOES THE SPINAL CORD TERMINATES? - ANS-L1-L2
CALOT'S TRIANGLE IS FORMED BY THE:
1.PORTAL VEIN, COMMON HEPATIC BILE DUCT, AND HEPATIC ARTERY
2.SPLENIC VEIN AND COMMON HEPATIC BILE DUCT, CYSTIC DUCT
three.PANCREATIC DUCT, PORTAL VEIN, AND COMMON BILE DUCT
four.COMMON HEPATIC BILE DUCT,CYSTIC DUCT, AND CYSTIC ARTERY - ANS-four.
COMMON HEPATIC BILE DUCT, CYSTIC DUCT, AND CYSTIC ARTERY
DURING A CAROTID ENDARTERECTOMY, THE PATIENT'S HEART RATE DROPS TO 30
BPM. THIS IS LIKELY DUE TO STIMULATION OF THE: - ANS-VAGUS NERVE
DURING A CHOLECYSTECTOMY, IT IS IMPORTANT TO ISOLATE WHICH OF THE
FOLLOWING LIGAMENTS, CONSISTING OF THE COMMON BILE DUCT, HEPATIC ARTERY,
AND PORTAL VEIN?
1.GASTROHEPATIC
2.HEPATODUODENAL
3.TRIANGULAR
four.CORONARY - ANS-2.HEPATODUODENAL
DURING A LOW ANTERIOR COLON RESECTION, THE ANVIL OF THE EEA IS INSERTED
INTO THE:
1.SIGMOID
2.ANUS
three.HARTMAN'S POUCH
4.ASCENDING COLON - ANS-1.SIGMOID
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?
1.GLUTEUS MEDIUS
2.GEMELLI
three.QUADRATUS
4.PIRIFORMIS - ANS-four.PRIRFORMIS
DURING A POSTEROLATERAL APPROACH TO THE HIP, WHICH OF THE FOLLOWING
STRUCTURES USUALLY FOUND SUPERFICIALLY TO THE OBTURATOR AND GEMELLI
SHOULD BE IDENTIFIED AND PROTECTED?
1.SCIATIC NERVE
2.SUPERIOR GLUTEAL
3.INFERIOR GLUTEAL
