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1. which of the following congenital anomalies does the urethra open on the
underside of the penis
A. chordee
B. epispadias
C. phimosis
D. hypospadias: D. hypospadias
2. Which of the following are used for skin preparation prior to surgery?
1. Triclosan 1%
2. alcohol 70%
3. povidone-iodine
4. glutaraldehyde
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only: A. 1,2,and 3 only
3. When should the patient's chest tubes be attached to the drainage system
during a thoracotomy?
A. after the thoracic cavity is closed
B. immediately upon insertion
C. within an hour of the procedure
D. upon arrival in the PACU: A. after the thoracic cavity is closed
4. In patients who develop fever, abdominal pain, and profuse diarrhea, the
MOST frequently seen antibiotic-associated enterocolitis is due to which of
the following organisms?
A. Enterobacter cloacae
B. Enterococcus faecalis
C. Pseudomonas aeruginosa
D. Clostridium difficile: D. clostridium difficile
5. During a carotid endarterectomy, the final occlusion clamp to be removed
after anastomosis is on the
A. common carotid.
B. internal carotid.
C. external carotid.
D. thyroid branch.: B. internal carotid.
6. During a routine abdominal hysterectomy, the anesthesiologist notes that
the patient is becoming progressively tachycardic. He notes that there has
been virtually no blood loss. The surgeon requests additional muscle relax-
ation because the patient's abdominal musculature is "tightening up." The
esophageal temperature probe indicates a core body temperature of 103°F
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(39°C). The anesthesiologist notices that the CO2 monitors are alarming with
high levels. The anesthesiologist turns off his anesthetic agent, hyperventi-
lates the patient with 100% oxygen, and administers which of the following
drugs?
A. succinylcholine
B. dantrolene
C. atropine
D. epinephrine: B. dantrolene
7. A pledgeted suture is used for hemostasis in liver injury to
A. align the suture placement.
B. add bulk to the injury site.
C. reduce the likelihood of suture cut- through.
D. provide traction for increased exposure.: C. reduce the likelihood of suture cut-
through.
8. During cardiac arterial bypass grafting, a surgeon needs to vasodilate and
stop arterial spasm. Which of the following drugs should be used?
A. papaverine
B. heparin
C. protamine
D. norepinephrine: A. Papaverine
9. When ligating the short gastric arteries, placing them under too much
tension may result in a tear of the
A. splenic capsule.
B. lesser omentum.
C. celiac trunk.
D. common bile duct.: A. The splenic capsule
10. Which of the following is needed to complete the circuit on an ESU when
using a monopolar electrode tip?
A. a bipolar forceps
B. an insulated holster
C. an active electrode
D. a dispersive pad: D. The dispersive pad
11. A complication of steep reverse Trendelenburg position is
A. deep vein thrombosis.
B. arterial compression.
C. cardiac overload.
D. respiratory alkalosis.: A. deep vein thrombosis.
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12. The topical hemostatic agent thrombin should never be directly injected or
allowed to enter into a vessel because
A. it causes uncontrollable vasospasms.
B. the effects are reversed when directly injected and cause more severe
bleeding.
C. it can cause clotting and may ultimately lead to death.
D. the risk of infection increases with direct injection.: C. it can cause clotting
and may ultimately lead to death.
13. According to Maslow's Hierarchy of Needs, which of the following patient
needs should be met first?
A. esteem
B. belonging
C. physiological
D. safety: C. Physiological
14. 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 sur-
gical 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: A. migration of the epidural catheter through the dura
15. Taper point needles are generally used in which of the following tissue
types?
1. gastrointestinal
2. tendons
3. adipose
4. vascular: 1, 3, and 4 only
16. 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.: C. near cortex is overdrilled.
17. Which of the following is a normal adult hematocrit range?
A. 21 to 36%
B. 37 to 52%