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Surgical Procedures, CSFA Cert Exam –Qs And As
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Surgical Procedures, CSFA Cert Exam –Qs And AsWhich one of the following statements about the heart is INCORRECT?
a- Aortic valve sounds can best be heard over the right second intercostal
space.
b- Most cardiac veins drain into the coronary sinus.
c- Blood passes through the bicuspid (mitral) valve when it flows from the
right atrium to the right ventricle.
d- The fossa ovale is the site of the former, embryonic shunt from the right
atrium to the left atrium. ✔️Ans - Blood passes through the bicuspid
(mitral) valve when it flows from the right atrium to the right ventricle.
When blood passes from the right atrium to the right ventricle, it flows
through the tricuspid valve.
Where do the mental nerves and vessels exit from the mandible? ✔️Ans
- Mental Foramen
What artery does the Recurrent Laryngeal Nerve lie close to? ✔️Ans -
Inferior Thyroid Artery
When the subcostal incision is made on the right side of the patient it is
used for gall bladder, pancreatic and splenic surgical procedures. ✔️Ans
- False. It is only used for open gallbladder and biliary tree exposure.
Abdominoperineal resection is the mobilization and division of a diseased
segment of the ______________ through a midline incision. ✔️Ans - Lower
colon and rectum
To close a vertical midline incision the peritoneum and posterior fascia are
usually sutured as a single layer. ✔️Ans - True
The vertical midline incision is the simplest abdominal incision to perform.
✔️Ans - True
During esophagectomy, after the chest cavity is opened, ribs are spread;
lung is retracted, what is then incised? ✔️Ans - Mediastinal pleura
,During a total gastrectomy, a lateral ______________ anastomosis is completed
to permit irritating bile and pancreatic fluids to bypass the anastomosis
line. ✔️Ans - Jejunal
During lower anterior resection, after the anastomosis is done, the surgeon
observes for air leaks from the anastomosis ✔️Ans - True
During esophagectomy, the esophagus must be dissected free of the aorta?
✔️Ans - True
When performing a total gastrectomy, the incision may be long transrectus.
✔️Ans - True
When performing a laparoscopic nissen fundoplication, sutures are passed
through the 5mm port to place a row of interrupted sutures to join the
______ stomach around the esophagus. ✔️Ans - Fundus
The McBurney incision is a muscle-sparing incision used for removal of
appendix? ✔️Ans - False. To make a McBurney's incision, you must
separate fibers of the External Oblique muscle and split the Internal
Oblique Muscle.
A Billroth I gastrectomy is the resection of the diseased portion of the
stomach. ✔️Ans - True
In an abdominoperineal resection as well as lower anterior colon resection,
often time the patient is placed in the position versus the supine position?
✔️Ans - Modified lithotomy
When performing a gastrojejunostomy, a loop of ______ is grasped with
babcock forceps and freed from the mesentery. ✔️Ans - Proximal
jejunum
Hiatal herniorrhaphy is performed to restore the ________________ to its
correct anatomic position in the abdomen. ✔️Ans - Cardioesophageal
junction
The lateral position is not used for esophageal surgery. ✔️Ans - False.
Often a lateral prone or thoracodorsal prone position is utilized. Prone
,position offers optimal exposure and lateral position offers optimal control
in the event that bleeding occurs.
In a right hemicolectomy, an end-to-end, side-to-side, or end-to-side
anastomosis is performed between the colon and the _________ ✔️Ans -
Ileum
How many ports are normally used in a laparoscopic Nissen
Fundoplication? ✔️Ans - 5
Total gastrectomy is the complete removal of the stomach. ✔️Ans -
True
During a right hemicolectomy, a side-to-side anastomosis can be performed
by inserting the GIA stapler into both _______ segments and firing the device.
✔️Ans - Colon
During a Billroth II, the right and left ___________ arteries and veins are
clamped, divided, and ligated. ✔️Ans - Gastroepiploic
Excision of an Zenker's diverticulum is removing a weakening in the wall of
the_________. ✔️Ans - Esophagus
The transverse colectomy is performed for malignant lesions of the
descending colon. ✔️Ans - False. A transverse colectomy would be
performed on a patient that has malignancy extending from the region of
the hepatic flexure to the splenic flexure.
When dividing the stomach during esophagectomy, what artery is clamped
and cut? ✔️Ans - Left Gastric (LOOK UP IN ALEXANDERS)
During a Billroth II, the proximal portion of the stomach is resected.
✔️Ans - False. The distal portion of the stomach is resected and
anastomosed to the jejunum. Gastrojejunostomy.
What incision is made parallel to the inguinal ligament, ending two finger-
breadths lateral to the public tubercle? ✔️Ans - Oblique
, Laparoscopic cholecystectomy commonly requires about a _______ stay
postoperatively. ✔️Ans - 24 hour
A ______________ repair requires less overall dissection and ensures tension-
free hernioplasty. ✔️Ans - Plug
During an abdominoperineal resection, the pelvic peritoneum is mobilized
by blunt dissection to form the left side of the new pelvic floor and permit
early visualization of the _________. ✔️Ans - Ureter (LOOK UP IN
ALEXANDERS)
During a parathyroidectomy, the amount of tissue to remove is
controversial. ✔️Ans - True (LOOK UP IN ALEXANDERS)
Which of the following describes a total lobectomy with contralateral
subtotal thyroidectomy? ✔️Ans - Near-total thyroidectomy (LOOK UP
IN ALEXANDERS)
Removal of all breast tissue with the overlying skin and nipple left intact is
referred to as an adenomammectomy? ✔️Ans - True
During a suprapubic prostatectomy, a bilateral vasectomy may be
performed to reduce the incidence of ___________ postoperatively. ✔️Ans
- Inflammation of the epididymis and testicles
The sentinel node is not located in the same site in every patient. ✔️Ans
- True
___________ herniates into a weakened area between the anterior and
posterior vaginal walls. ✔️Ans - Enterocele
__________ is formed by a protrusion of the anterior rectal wall into the
vagina? ✔️Ans - Rectocele
Which two structures are identified and protected during a radical neck
dissection? ✔️Ans - Common carotid artery and Vagus nerve (LOOK
UP IN ALEXANDERS)
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