SURGICAL SPECIALTIES COURSE 1- QUIZ 2- STUDY
GUIDE
Which of the following allows for the most stable and rigid fixation of a fracture?
Select one:
a. Locked plating system
b. Dynamic compression plating
c. Semi-tubular plates
d. Placement of a lag screw across the fracture - Answer-a. Locked plating system
During the cementing of components during total joint replacement, a new CRNA who
has never worked in orthopedics before begins to panic. A side effect that possibly
occurred with this patient as a result of the cement is:
Select one:
a. Hypotension
b. Hypertension
c. Hyperthermia
d. Increase airway resistance - Answer-a. Hypotension
Of the following, which is not included in the 5 P's of compartment syndrome?
Select one:
a. Pain
b. Pallor
c. Pulses
d. Paresis - Answer-c. Pulses
When preoperatively assessing a patient for cardiac surgery, the RNFA should consider
all of the following except:
a. Bleeding times
b. Glucose
c. Immunosuppressant use
d. RBC count - Answer-d. RBC count
Of the nerves that are associated with the thyroid gland, which one can be affected by
compression resulting from an enlarged left atrium?
Select one:
a. Left recurrent laryngeal nerve
b. Right recurrent laryngeal nerve
c. Superior laryngeal nerve
d. Inferior recurrent laryngeal nerve - Answer-a. Left recurrent laryngeal nerve
Injury to this particular layer of vascular tissue can initiate spasm and thrombosis. Which
layer must the RNFA be especially careful when handling?
a. Endothelium
b. Subendothelium
, c. Tunica Externa
d. Tunica Media - Answer-
Hesselbach triangle describes the location of the hernia. Which of the following
structures compromise the medial border of the triangle?
a. Lateral edge of the rectus abdominus muscle
b. Inferior border of the inguinal ligament
c. Anterior edge of the transversalis fascia
d. Inferior edge of the transversalis fascia - Answer-a. Lateral edge of the rectus
abdominus muscle
During mastectomy, injury to which of the following nerves can result in a "winged
scapula". Choose the correct nerve the RNFA must help protect.
a. Thoracodorsal nerve
b. Long thoracic nerve
c. Brachial plexus
d. Supraclavicular nerve - Answer-b. Long thoracic nerve
Nipple discharge is more commonly associated with benign breast lesions than with
cancer; however, discharge is usually significant only if it is spontaneous, persistent,
and:
a. chronic
b. unilateral
c. bloody
d. milky - Answer-c. bloody
Which of the following is the surgical goal for breast conserving surgery?
a. Removal of cancerous mass with a margin of normal tissue
b. Removal of cancerous mass only and fair cosmetic results
c. Removal of cancerous mass with extra posterior margins of normal tissue
d. Removal of cancerous mass with minimal lateral margins of normal tissue - Answer-
a. Removal of cancerous mass with a margin of normal tissue
Aneurysms may be caused by atherosclerosis, trauma, infection, or cystic medial
degeneration. What presenting conditions will indicate that surgical intervention is
necessary?
a. Compromised circulation or danger of rupture
b. Circumferential involvement
c. Spindle-shaped morphology
d. Combined saccular and fusiform morphology without dissection - Answer-a.
Compromised circulation or danger of rupture
The internal mammary arteries are frequently used as grafts during coronary bypass
surgery. Where are they located?
GUIDE
Which of the following allows for the most stable and rigid fixation of a fracture?
Select one:
a. Locked plating system
b. Dynamic compression plating
c. Semi-tubular plates
d. Placement of a lag screw across the fracture - Answer-a. Locked plating system
During the cementing of components during total joint replacement, a new CRNA who
has never worked in orthopedics before begins to panic. A side effect that possibly
occurred with this patient as a result of the cement is:
Select one:
a. Hypotension
b. Hypertension
c. Hyperthermia
d. Increase airway resistance - Answer-a. Hypotension
Of the following, which is not included in the 5 P's of compartment syndrome?
Select one:
a. Pain
b. Pallor
c. Pulses
d. Paresis - Answer-c. Pulses
When preoperatively assessing a patient for cardiac surgery, the RNFA should consider
all of the following except:
a. Bleeding times
b. Glucose
c. Immunosuppressant use
d. RBC count - Answer-d. RBC count
Of the nerves that are associated with the thyroid gland, which one can be affected by
compression resulting from an enlarged left atrium?
Select one:
a. Left recurrent laryngeal nerve
b. Right recurrent laryngeal nerve
c. Superior laryngeal nerve
d. Inferior recurrent laryngeal nerve - Answer-a. Left recurrent laryngeal nerve
Injury to this particular layer of vascular tissue can initiate spasm and thrombosis. Which
layer must the RNFA be especially careful when handling?
a. Endothelium
b. Subendothelium
, c. Tunica Externa
d. Tunica Media - Answer-
Hesselbach triangle describes the location of the hernia. Which of the following
structures compromise the medial border of the triangle?
a. Lateral edge of the rectus abdominus muscle
b. Inferior border of the inguinal ligament
c. Anterior edge of the transversalis fascia
d. Inferior edge of the transversalis fascia - Answer-a. Lateral edge of the rectus
abdominus muscle
During mastectomy, injury to which of the following nerves can result in a "winged
scapula". Choose the correct nerve the RNFA must help protect.
a. Thoracodorsal nerve
b. Long thoracic nerve
c. Brachial plexus
d. Supraclavicular nerve - Answer-b. Long thoracic nerve
Nipple discharge is more commonly associated with benign breast lesions than with
cancer; however, discharge is usually significant only if it is spontaneous, persistent,
and:
a. chronic
b. unilateral
c. bloody
d. milky - Answer-c. bloody
Which of the following is the surgical goal for breast conserving surgery?
a. Removal of cancerous mass with a margin of normal tissue
b. Removal of cancerous mass only and fair cosmetic results
c. Removal of cancerous mass with extra posterior margins of normal tissue
d. Removal of cancerous mass with minimal lateral margins of normal tissue - Answer-
a. Removal of cancerous mass with a margin of normal tissue
Aneurysms may be caused by atherosclerosis, trauma, infection, or cystic medial
degeneration. What presenting conditions will indicate that surgical intervention is
necessary?
a. Compromised circulation or danger of rupture
b. Circumferential involvement
c. Spindle-shaped morphology
d. Combined saccular and fusiform morphology without dissection - Answer-a.
Compromised circulation or danger of rupture
The internal mammary arteries are frequently used as grafts during coronary bypass
surgery. Where are they located?
