NSAA Mock Certification Exam Questions

NSAA Mock Certification Exam Questions Three distinct and visible longitudinal bands of smooth muscle running the length of the colon are referred to as: - ✔✔Taenia Coli Complete obstruction of the cystic duct may res ...

NSAA Mock Certification Exam Questions Three distinct and visible longitudinal bands of smooth muscle running the length of the colon are referred to as: - ✔✔Taenia Coli Complete obstruction of the cystic duct may result in bile pigments to be reabsorbed, and the gall bladder becomes filled with clear mucoid substance which, in adults, requires cholecystectomy. This condition is known as: - ✔✔Hydrops Which of the following angled plates is MOST frequently chosen for a compression hip screw fixation? - ✔✔135 degrees The passage of urine from the kidney to the urinary bladder follows which pathway: - ✔✔Bowman's capsule, collecting ducts, renal calyx, renal pelvis, and ureter If an unsterile person is in the operating room, they should not do which of the following? - ✔✔Walk between two sterile areas Intra-operative superficial and deep suction drain placement with compression dressings following a mastectomy procedure reduces the incidence of which complication? - ✔✔Post-op seroma What instrument is commonly used to clamp blood vessels? - ✔✔Hemostats After what percent of total blood volume may arterial pressure AND cardiac output begin to significantly begin to drop? - ✔✔More than about 10% Damage to which of the following nerves during pelvis node dissection may lead to problems with micturition and/or bladder control in the patient: - ✔✔Pelvic nerve, hypogastric nerve, pudendal nerve The superior mesenteric artery provides primary blood supply for which of the following structures: - ✔✔Pancreas A Tru-Cut needle is used to : - ✔✔Obtain a biopsy A "foot drop" results from insufficiency of the extensor muscles in the foot, and may be caused by lumbar disc herniation (damage to a nerve root in the lumbar spine), or damage to/compression of the ___ nerve as it courses superficial to the fibular head - ✔✔Peroneal nerve A choledoco-duodenostomy refers to the surgical anastomosis of which of the following two structures: - ✔✔Duodenum and common bile duct Which of the following chambers of the heart ejects de-oxygenated blood into the pulmonary artery for oxygenation by the lungs? - ✔✔Right ventricle True or false: Hypoventilation lengthens the time taken to exhale the anesthetic agent and delays recovery - ✔✔True With patient is the prone position, the dorsal roots of the spinal nerves are oriented: - ✔✔Superficial to is corresponding ventral roots During a carotid endarterectomy, the injection of lidocaine into the common carotid body prior to performing the arteriotomy is done to: - ✔✔Prevent sinus bradycardia During a carotid endarterectomy, the arteries are unclamped and reclamped before arteriotomy closure is performed to _____. - ✔✔Flush debris from the carotid What are the fascial planes from external to internal that are passed through when performing an open appendectomy? - ✔✔Scarpa's fascia, obliques, transversus abdominus, transversalis fascia Thickening of the ligamentum flavum may provide the cause of which one of the following pathologic conditions: - ✔✔Central spinal stenosis The _____ saw is an unpowered type of saw that is used during amputations. - ✔✔Gigli saw The right colic artery is a branch of the: - ✔✔Superior mesenteric artery During a carotid endarterectomy, which two cranial nerves course through the operative field and must be preserved? - ✔✔X- Vagus Nerves XII- Hypoglossal Nerve When performing compression hip screw fixation, the lag screw is inserted _____. - ✔✔Within 1 cm of the femoral articular surface Where would you located the posterior tibial pulse? - ✔✔Posterior to the medial malleolus Innervation to the external genitalia are supplied by the: - ✔✔Pudendal nerve and its branches What is the surgical significance of the adductor hiatus in the thigh? - ✔✔Its opening marks the location for the distal anastomosis during a femoralpopliteal bypass What is the standard dry time for alcohol based prep solutions in order to prevent fires? - ✔✔3 minutes The uterine artery is most commonly a direct branch of the: - ✔✔Internal iliac artery Epidural anesthesia is administered: - ✔✔Into the space between the spinal canal and the dura mater covering the nerve roots Calaot's triangle is formed by: - ✔✔Common hepatic bile duct, cystic duct, and cystic artery The superior mesenteric artery and inferior mesentaric artery anastomose through which of the following vessels? - ✔✔Marginal artery A wound that is known to be infected at the time of surgery and is left open to be closed at a later date is categorized as : - ✔✔Delayed primary closure Direct inguinal hernias are identified by tissue herniation: - ✔✔Within Hessslbach's triangle outside the cord structure and internal inguinal ring During a tonsilectomy, which instrument can be used to put tension on the tonsil during dissection? - ✔✔Long Allis Spinal ganglia and nerve roots are protected by which two layers listed below? - ✔✔Arachnoid mater and dura mater Epinepherine is secreted by which gland? - ✔✔Adrenal gland During surgery, the patient inadvertently received an IV blous of Lidocaine with epinepherine. What is the patient's physiologic response to this? - ✔✔Tachycardia During a total nephrectomy and/or adrenalectomy, what is a systemic risk intraoperatively that the patient faces? - ✔✔Rapid blood pressure change A threaded cortical screw cannot provide compression of bone fragments unless the : - ✔✔Near cortex is overdrilled The acetabulum is comprised of the fusion of what three bones? - ✔✔Pubis, ischium, ilium Describe a mechanical advantage of a locking screw head that makes threaded contact with reciprocal plate. - ✔✔Threaded screw heads facilitate mechanical coupling to the plate for angular screw stability Name 3 defects of Tetralogy of Fallot. - ✔✔1) Ventricular septal defect 2) Pulmonary valve stenosis 3) Right ventricular hypertrophy Winged scapula is a condition brought on by an injury to which of the following nerves? - ✔✔Long thoracic nerve Describe a Sentinel lymph node biopsy. - ✔✔Removal and biopsy of successive lymph nodes starting at the known tumor site along the lymphatic pathway until a "negative" node is discovered Damage to the long thoracic nerve during an axillary node dissection may cause: - ✔✔Paralysis of the serratus anterior muscle Fomon, cottle and aufricht retractors are all considered which of the following kinds of instrument? - ✔✔ENT Name the rotator cuff muscles - ✔✔supraspinatus, infraspinatus, teres minor, subscapularis What is the most common reason for performing a cesarean section? - ✔✔Breech position What does it mean to 'Potts' a vessel? - ✔✔place vessel loop twice around a vessel so that if you put tension on the vessel loop it will occlude the vessel Primary superficial sensation to the cheek and nose derives from which nerve? - ✔✔Maxillary branch of CN V (Trigeminal) Describe the area of skin prep for a reduction mammoplasty. - ✔✔Chest and breast, chin to hips, including axilla Which artery may be detatched and re-anastomosed to the graft during an abdominal aortic aneurysm (AAA) resection? - ✔✔Renal A hernia that presents through Hesselbachs triangle is a/an - ✔✔Direct hernia Fasciotomy of which compartments in the forearm will relieve compression on the median and ulnar nerves and the radial and ulnar arteries? - ✔✔Deep and superficial volar compartments A suture ligature is also known as a : - ✔✔Stick tie What 3 structures are reconstructed during a pancreaticoduodenectomy? - ✔✔Duct of Wirsung, duct of santorini, and common bile duct During a low anterior resection, the anvil of the EEA (end-to-end anastomosis) stapler is inserted into the ____. - ✔✔Sigmoid colon What are the contents of the thoracic outlet, which may be affected by thoracic outlet syndrome? - ✔✔Subclavian vein and artery, and brachial plexus When passing sutures for deep ligation with a tonsil hemostat, how far from the tip is most "optimal" for the suture to be clamped? - ✔✔The suture should exit the jaw of the clamp at the very tip Direct inadvertent stimulation of the vagus nerve during carotid endarterectomy may have which affect: - ✔✔Bradycardia The IMA (inferior mesenteric artery) serves as principal blood supply to which of structure? - ✔✔The splenic flexure What surgical instrument is used to remove tissue fragments from within the bladder during a transurethral resection of the prostate (TURP)? - ✔✔Ellik evacuator When placing a patient on cardiopulmonary bypass, the purpose of the cardioplegic solution is to: - ✔✔Reversibly put the heart into cardiac arrest The main consideration in surgical needle selection is : - ✔✔to minimize trauma The connective tissue between the patella and the tibial tuberosity in the knee facilitates quadriceps muscle contraction across the knee joint. What is this structure? - ✔✔Patellar ligament The recurrent laryngeal nerve is a branch of the: - ✔✔Vagus nerve The talus forms an articulation with which bones: - ✔✔Navicular, calcaneus, tibia, fibula A patient who is opposed to the acceptance of blood transfusion on religious principle is undergoing a hysterectomy. During the surgery, there was significant blood loss causing hematocrit to drop 30% with a resulting drop in oxygen saturation. Under these conditions, what is the appropriate response? - ✔✔Increase IV fluid drip to allow hemodilution Which artery does the cytic artery arise? - ✔✔Right hepatic artery The tricuspid valve of the heart lies between the: - ✔✔Right atrium and right ventricle What branch of the sciatic nerve supplies innervation to the distal lower extremity flexors? - ✔✔Tibial nerve The primary purpose of a robotic device designed to hold and maneuver a laparoscope is to: - ✔✔Eliminate tremor associated with operative an endoscope Why should humidity level be kept between 50-55% in the OR? - ✔✔Reduce risk of infection and minimize static electricity What is the normal range of red blood cells in a CBC (complete blood count) for an adult male? - ✔✔4.6-6.2 x 106 nl Through which vein is the pacemaker leads placed? - ✔✔Subclavian The short gastric arteries are direct branches of which artery: - ✔✔Splenic True or false: The omohyoid muscle is innervated by a branch/branches of the cervical plexus. - ✔✔True When performing scalene node biopsy, which muscle is dissected to provide visualization of the scalene fat pad? - ✔✔The platysma The ligament encountered just anterior to the dorsal lamina during laminectomy is known as the: - ✔✔Ligamentum flavum Which pair of nerves are present and should be identified/preserved during inguinal hernia repair? - ✔✔Ilioinguinal and iliohypogastric nerves Which artery courses medial to the internal inguinal ring? - ✔✔Inferior epigastric artery Sterilization is the process in which ____ - ✔✔an object is subjected to chemical, heat, water or gas to destroy all microorganisms on its surface Which portion of the liver would you expect to find medial and slightly superior to the gall bladder? - ✔✔The quadrate lobe