In minimally invasive surgery, which of the following would involve Cartesian coordinate
geometry? - ANSrobotic endowrist because it mimics the coordinated actions of the human arm
What is a direct complication resulting from a total laryngectomy with a radical neck dessection?
- ANSsalivary fistula due to weakness in the pharyngeal suture line
following an AV fistula procedure, a patient develops "steal syndrome." What is the MOST
appropriate action to remedy this condition? - ANSrevise fistula
which of the following is the reason a surgeon would choose to use a locking plate rather than a
non-locking when repairing a fracture?
a. low bone density
b. comminuted fracture
c. compound fracture
d. high bone density - ANSa. low bone density
after a coronary artery bypass, the patient is have difficult transitioning off the CPB machine.
What is the MOST frequently used intervention to address this situation? - ANSintra-aortic
balloon pump (IABP)
a patient requires breast reconstructive surgery for breast cancer. When the surgeon places a
tissue expander, which muscles are lifted to allow for the placement of the expander? -
ANSpectoralis major, serratus anterior, superior rectus sheath
which of the following conditions may be induced when thrombin is used in the management of
hemostasis during a vascular procedure?
a. thalassemia
b. disseminated intravascular clotting
c. thrombocytopenia
d. von Willebrand's disease - ANSb. disseminated intravascular clotting
a patient presents with a traumatic soft tissue injury with a Class III wound. Which of the
following is the MOST appropriate dressing?
a. dermabond
b. telfa
c. tegaderm
d. wound VAC - ANSd. wound VAC
which of the following is an example of a secondary dressing?
a. ACE bandage
, b. 4x4 sponge
c. wound VAC
d. Telfa - ANSa. ACE bandage
which type of drain is generally used for large open contaminated wounds such as perirectal,
perianal fistulas, and subcutaneous abscess cavities? - ANSPenrose drain
which of the following is a CONTRAINDICATION for the use of negative pressure wound
therapy?
a. skin grafts
b. pressure ulcers
c. skin flaps
d. untreated osteomyelitis - ANSd. untreated osteomyelitis
which type of splint would be placed on a patient immediately postoperative for an ORIF
olecranon fracture? - ANSlong arm
If operating with multiple sharps on the surgical field, what is the MOST effective way to reduce
potential injuries? - ANSUtilize a neutral zone
A patient presented in the OR with a cervical spine fracture. Which traction device is the MOST
appropriate?
a. gardner-wells tongs
b. thomas splint
c. traction splint
d. buck's traction - ANSa. gardner-wells tongs
What is the PRIMARY reason an elastic bandage would be utilized on an extremity undergoing
a skin graft? - ANSprevention of fluid accumulation at graft site
language barriers with a patient can be a stress-producing situation. One way to help ease their
anxiety is to - ANSuse a gentle touch
who makes medical decisions for a patient with a living will? - ANSthe patient
Which form of radiation is dispersed from a C-arm? - ANSionizing
During the timeout, why are all OR personnel required to stop all activity? - ANSto effectively
communicate patient ID issues or concerns
For efficiency & safety, the MOST appropriate approach for the first assist to indicate that the
long instrument may be needed & should be opened while preparing for an exploratory
laparotomy on an obese patient is to: - ANSconsult with the CST in order to have the long
instrument set placed on the field now
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