CSFA FINAL REVIEW PAPER 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉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. Answer: 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. Answer: 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.. Answer: C. Cortical screws can function in
interfragmentary compression if the hole in the near cortex is
overdrilled.
◉Which of the following is a normal adult hematocrit range?
A. 21 to 36%
B. 37 to 52%
C. 54 to 69%
D. 72 to 87%. Answer: B. A hematocrit range of 37 to 48% is normal
for a female. A hematocrit range of 45 to 52% is normal for a male.
◉Excessive limb lengthening during total hip arthroplasty can
increase the risk of injury to the
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉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. Answer: 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. Answer: 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.. Answer: C. Cortical screws can function in
interfragmentary compression if the hole in the near cortex is
overdrilled.
◉Which of the following is a normal adult hematocrit range?
A. 21 to 36%
B. 37 to 52%
C. 54 to 69%
D. 72 to 87%. Answer: B. A hematocrit range of 37 to 48% is normal
for a female. A hematocrit range of 45 to 52% is normal for a male.
◉Excessive limb lengthening during total hip arthroplasty can
increase the risk of injury to the
