CSFA UPDATED TESTED QUESTIONS AND ANSWERS
GUARANTEE A+
✔✔A pledgeted suture is used for hemostasis in liver injury to
A. align the suture placement.
B. add bulk to the injury site.
C. reduce the likelihood of suture cut- through.
D. provide traction for increased exposure. - ✔✔C. Pledgeted sutures (buttresses) are
sutures passed through a small patch of reinforcing material (usually Teflon). This type
of suture is used in areas where the surgeon considers buffering to be beneficial,
particularly in delicate or friable tissue.
✔✔During cardiac arterial bypass grafting, a surgeon needs to vasodilate and stop
arterial spasm. Which of the following drugs should be used?
A. papaverine
B. heparin
C. protamine
D. norepinephrine - ✔✔A. Papaverine stops spasming and relaxes smooth muscles,
especially those of large arteries.
✔✔When ligating the short gastric arteries, placing them under too much tension may
result in a tear of the
A. splenic capsule.
B. lesser omentum.
C. celiac trunk.
D. common bile duct. - ✔✔A. The splenic capsule is attached to the short gastric
arteries and tension would result in tearing.
✔✔Which of the following is needed to complete the circuit on an ESU when using a
monopolar electrode tip?
A. a bipolar forceps
B. an insulated holster
C. an active electrode
D. a dispersive pad - ✔✔D. The dispersive pad disperses high-frequency current
released through the active electrode and provides low current density return from
tissues back to the generator to complete the circuit.
✔✔A complication of steep reverse Trendelenburg position is
A. deep vein thrombosis.
B. arterial compression.
C. cardiac overload.
D. respiratory alkalosis. - ✔✔A. Steep reverse Trendelenburg position decreases
venous return. Sequential compression stockings are applied to prevent deep venous
thrombosis.
, ✔✔The topical hemostatic agent thrombin should never be directly injected or allowed
to enter into a vessel because
A. it causes uncontrollable vasospasms.
B. the effects are reversed when directly injected and cause more severe bleeding.
C. it can cause clotting and may ultimately lead to death.
D. the risk of infection increases with direct injection. - ✔✔C. Thrombin will cause blood
in the vessel to clot and will cause thrombosis, which can lead to death if not realized
and corrected immediately.
✔✔According to Maslow's Hierarchy of Needs, which of the following patient needs
should be met first?
A. esteem
B. belonging
C. physiological
D. safety - ✔✔C. Physiological needs must be met first before any of the other needs
can be considered. Physiological needs include breathing, circulation, and the patient's
physical condition.
✔✔An epidural catheter is introduced into a patient in the preoperative holding room.
When the patient is given a bolus of local anesthetic in the OR, the surgical first
assistant observes hypotension and signs of complete respiratory failure. Which of the
following is the MOST likely cause?
A. migration of the epidural catheter through the dura
B. poor cardiac output
C. administration of ropivacaine instead of bupivacaine
D. use of a Bier block - ✔✔A. With patient movement, the epidural catheter may migrate
through the dura. A bolus injection into the subdural space can cause total spinal
anesthesia resulting in hypotension and respiratory failure.
✔✔Taper point needles are generally used in which of the following tissue types?
1. gastrointestinal
2. tendons
3. adipose
4. vascular - ✔✔1. It is used on GI tissues to reduce the amount of tissue trauma.
3. Adipose is a less dense tissue and a taper needle works well.
4. Vascular tissue needs a taper to prevent further tissue damage as well.
✔✔A threaded cortical screw cannot provide compression of bone fragments unless the
A. hole is tapped.
B. screw is self-tapping.
C. near cortex is overdrilled.
D. screw is cannulated. - ✔✔C. Cortical screws can function in interfragmentary
compression if the hole in the near cortex is overdrilled.
GUARANTEE A+
✔✔A pledgeted suture is used for hemostasis in liver injury to
A. align the suture placement.
B. add bulk to the injury site.
C. reduce the likelihood of suture cut- through.
D. provide traction for increased exposure. - ✔✔C. Pledgeted sutures (buttresses) are
sutures passed through a small patch of reinforcing material (usually Teflon). This type
of suture is used in areas where the surgeon considers buffering to be beneficial,
particularly in delicate or friable tissue.
✔✔During cardiac arterial bypass grafting, a surgeon needs to vasodilate and stop
arterial spasm. Which of the following drugs should be used?
A. papaverine
B. heparin
C. protamine
D. norepinephrine - ✔✔A. Papaverine stops spasming and relaxes smooth muscles,
especially those of large arteries.
✔✔When ligating the short gastric arteries, placing them under too much tension may
result in a tear of the
A. splenic capsule.
B. lesser omentum.
C. celiac trunk.
D. common bile duct. - ✔✔A. The splenic capsule is attached to the short gastric
arteries and tension would result in tearing.
✔✔Which of the following is needed to complete the circuit on an ESU when using a
monopolar electrode tip?
A. a bipolar forceps
B. an insulated holster
C. an active electrode
D. a dispersive pad - ✔✔D. The dispersive pad disperses high-frequency current
released through the active electrode and provides low current density return from
tissues back to the generator to complete the circuit.
✔✔A complication of steep reverse Trendelenburg position is
A. deep vein thrombosis.
B. arterial compression.
C. cardiac overload.
D. respiratory alkalosis. - ✔✔A. Steep reverse Trendelenburg position decreases
venous return. Sequential compression stockings are applied to prevent deep venous
thrombosis.
, ✔✔The topical hemostatic agent thrombin should never be directly injected or allowed
to enter into a vessel because
A. it causes uncontrollable vasospasms.
B. the effects are reversed when directly injected and cause more severe bleeding.
C. it can cause clotting and may ultimately lead to death.
D. the risk of infection increases with direct injection. - ✔✔C. Thrombin will cause blood
in the vessel to clot and will cause thrombosis, which can lead to death if not realized
and corrected immediately.
✔✔According to Maslow's Hierarchy of Needs, which of the following patient needs
should be met first?
A. esteem
B. belonging
C. physiological
D. safety - ✔✔C. Physiological needs must be met first before any of the other needs
can be considered. Physiological needs include breathing, circulation, and the patient's
physical condition.
✔✔An epidural catheter is introduced into a patient in the preoperative holding room.
When the patient is given a bolus of local anesthetic in the OR, the surgical first
assistant observes hypotension and signs of complete respiratory failure. Which of the
following is the MOST likely cause?
A. migration of the epidural catheter through the dura
B. poor cardiac output
C. administration of ropivacaine instead of bupivacaine
D. use of a Bier block - ✔✔A. With patient movement, the epidural catheter may migrate
through the dura. A bolus injection into the subdural space can cause total spinal
anesthesia resulting in hypotension and respiratory failure.
✔✔Taper point needles are generally used in which of the following tissue types?
1. gastrointestinal
2. tendons
3. adipose
4. vascular - ✔✔1. It is used on GI tissues to reduce the amount of tissue trauma.
3. Adipose is a less dense tissue and a taper needle works well.
4. Vascular tissue needs a taper to prevent further tissue damage as well.
✔✔A threaded cortical screw cannot provide compression of bone fragments unless the
A. hole is tapped.
B. screw is self-tapping.
C. near cortex is overdrilled.
D. screw is cannulated. - ✔✔C. Cortical screws can function in interfragmentary
compression if the hole in the near cortex is overdrilled.
