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Surgical First Assist

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Cricoid pressure is applied to prevent
Azygos
Chemical burn
Aspiration
Iliohypogastic and ilioinguinal

2. What is the normal value of the BUN for adults?
7-8 mg/dl
Aid in preventing surgical site infections
Cefazolin
Iliac crest

3. The term epistaxis means
136 - 145 mEq/L
Nasal bleeding
Smith's
Fibroblasts

4. This local anesthetics has a longer duration
Craniosynostosis
Triangle of doom
HCO3
Marcaine

5. Which is the best indicator for possible failure of a below-th-knee amputation to heal?
Higher than the systolic pressure by one-half of the value
Levartenernol (levophed)
Absence of a popliteal artery pulse when palpated
Superficial peroneal

6. Which rectus muscle moves the eyeball upward and medially?
Superior
De Quervain's
Green
Anaphylaxis

7. What is at the greatest risk for fluid volume deficit?
Superior
Trauma victim with extensive burns of the body
Incisional
Arch bars

8. Which of the following arteries is a direct branch of the internal carotid?
Doctrine of reasonable man
Antibodies to the donor foreign proteins
Calcium chloride
Middle cerebral

9. The earliest sign of MH is...
Increase in end-tidal CO2
Diaphragm
Papaverine
Lateral pectoral - long thoracic - thoracodorsal - medial pectoral

10. The branches of the aortic arch are...
Gallbladder infundibulum
Recurrent laryngeal
Brachiocephalic - left common carotid - left subclavian
Nerves of latarjet

11. What microorganisms is responsbile for causing postoperative wound edge erythema and rebound tenderness?
Radical keratotomy
Group B steptococci
Margical artery of drummond
Permission is signed by two consulting physicians

12. Which nerves are compressed in carpal tunnel syndrome?
Tentorium cerebelli - transverse
Bacteria
Median
Pyloric stenosis

13. Continuous lateral stitches placed beneath the epithelial layer of the skin are...
Subcuticular
Water
According to surgeon's preference
Fungi

14. The veins of sappey drain the
Diaphragm
Catabolism
Basal cell carcinoma
Surgical conscience

15. The incision for the tracheostomy is approx. 1/4' above the
Myocardial ischemia
Suprasternal notch
Incisional
Hold everyone legally responsible for their hown negligent acts

16. During cataract surgery - the irrigation/aspiration handpiece is used for
Congenital aganglionosis
Removed residual cortex
Paramedian
50-70%

17. A sigmoid colostomy is brought through the
Rectus muscle
Vein
PaCO2
Dehiscence

18. Hernia means
Each leg raised slowly and gently as it is grasped by the toes
Hypovolemic shock
Rupture
5-7 days

19. The type of fracture that is caused by impaction of one one upon another is...
Foramen
Mannitol
Denonvilliers
Compression

20. Measures to treat atelectasis include
Pain control and early ambulation
Acetylcholine chloride
Genitofemoral and lateral femoral cutaneous nerves
Subscapularis

21. Which cranial nerves are at risk for injury during acarotid endarterectomy?
Perforation
Hypoglassal
3.5 - 5.5 mEq/L
Hold everyone legally responsible for their hown negligent acts

22. The fold of dura mater that seperates the cerebral hemispheres
Hypoglassal
Hypothyroidism - tetany - hoarseness
Falx cerebri
Splenic

23. Which diagnostic imaging techniques are used to aid in diagnosing a rotator cuff tear?
Mri
Boutonniere deformity
Traction sutures
Body fluids and laser plume

24. An emergency drug used in cardiac surgery that increases myocardial contractility is...
Aminoglycosides
Propofol
Calcium chloride
Tort

25. Which types of fractures is at the greatest risk for infection?
Fungi
Fissure of rolando
Open
Ileoanal

26. Adipose tissue lies in which skin layer?
Succinylcholine (Anectine)
Can cause severe ototoxicity and nephrotoxicity
Subcutaneous
The space of riolan

27. Dumping syndrome is a complication of...
Gastric bypass
Prevent escape of methane gas
Hepatic artery
Genitofemoral and lateral femoral cutaneous nerves

28. At what point does the external iliac artery become the femoral artery?
Provide exposure
At the location of the inguinal ligament
Hepatic
Healon

29. In which procedures will the patient be placed in supine position with the right side slightly elevated by a wedge?
Right and left common iliacs
Evisceration
4-8L/minute
Caesarean section

30. Polyglactin 910 suture is...
Atresia
Mastoid sinus - facial nerve
Absorbable - synthetic
Uterosacral

31. Intercostal nerves and vessels are located
Inferior to the rib
Circumflex and anterior descending arteries
Cricoid
Inguinal ligament

32. What cavities within the brain is filled with CSF?
Renal pelvis
Osteochondral defects
Ventricles
Mitral valve

33. A herniation of the cul-de-sac of Douglas is a/an
Kraske
Cardiac arrhythmias
Enterocele
Reducing as much as possible the trauma to the tissue

34. What is not considered a permanent urinary diversion?
Nephrostomy
Simple columnar epithelium
Increased blood flow
Marginal mandibular

35. What is the mechanism of action in heparin?
Naloxone hydrochloride (Narcan)
Breaks down the clot
Gastric bypass
Hematocrit value

36. The most appropriate devices to prevent skin pressure ulcers and deep tissue injury in the OR are...
Gel pads
Granulation
Splenic - superior mesenteric
Mattox

37. Which paired nerves must be carefully identified during a thyroidectomy?
Recurrent laryngeal
Prevent pressure on the lower arm
ACL
Denonvilliers

38. What should not be administered to a patient who is exhibiting asystole?
Isoproterenol
Stenosis - agenesis - membrane atresia
Arrest
Cardiac arrhythmias

39. The anatomical division between the inguinal and femoral regions is the

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40. Newborn vomiting - free of bile - and projectile in nature - is indicative of...
Cricoid cartilage and suprasternal notch
Pyloric stenosis
Suspend the vesicle neck
Wire scissors

41. Which anastomoses is accomplished during a Whipple procedure (pancreaticoduodenectomy)?
Anaphylaxis
Aid in preventing surgical site infections
Hepaticojejunostomy
Trochlear (IV)

42. To prevent the plates - screws and rods from breaking when performing a spinal fusion - bone graft is need to fuse to...
Prevent blood loss
Coronal
Fifth and tenth
Bone

43. When drawing a blood sample - a safe time lapse between blood drawing and analysis is...
Accessory
Each leg raised slowly and gently as it is grasped by the toes
Vitamin B12
10 minutes

44. When positioning a patient for a gnecological procedure involving the candy cane stirrups - the surgical assistant is deliverate in avoiding pressure on the laterl aspect of the patient's knee to prevent injury to which nerve?
Marshall-Marchetti
Splenectomy
Peroneal
Subcuticular stitch

45. A needle biopsy of the lung may be accomplished with a
Chiba
Arch bars
Aqueduct of Sylvius
Flame-retardant

46. Which artery is susceptible to injury during a cholesycstecomy?
Azygos
Right hepatic
Perforation
Axillary

47. The principle of personal liability
Accessory
Winged scapula
Hold everyone legally responsible for their hown negligent acts
Date of expiration

48. The sphincter located at the distal end of the common bile duct that opens into the duodenum is the
Oddi
Stenosis - agenesis - membrane atresia
Esophagus
Serratus anterior

49. Cardioplegia induces cardiac
Thrombin
Arrest
Tort
Patellar

50. Which breast procedure removes the entire breast and axillary contents but preserves the pectoral muscles?
Esophagus
Anaphylaxis
Modified radical mastectomy
Inflammation