Intraoperative Surgical Procedures Flashcards
7 cards from real CSFA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Intraoperative Surgical Procedures flashcards as text
During a laparoscopic cholecystectomy, the surgical first assistant notes the cystic duct has not been clearly identified. What is the most appropriate next action?
Answer: Alert the surgeon and advocate for further dissection of Calot's triangle
Failure to clearly identify the cystic duct before clipping risks bile duct injury; the SFA must advocate for safe dissection before proceeding.
When assisting with a total knee arthroplasty, which retractor is most commonly used to expose the medial compartment?
Answer: Hohmann retractor
Hohmann retractors are curved and designed to lever around bone, making them ideal for orthopedic joint exposure.
A patient undergoing open abdominal surgery develops a sudden drop in SpO2 and elevated peak airway pressures. The surgical first assistant should first:
Answer: Notify the anesthesia provider immediately
Sudden SpO2 drop with elevated airway pressures suggests a ventilatory emergency requiring immediate anesthesia intervention.
Which suture material is most appropriate for closing a contaminated abdominal fascia?
Answer: Poliglecaprone 25 (monofilament absorbable)
Monofilament absorbable sutures like poliglecaprone resist harboring bacteria compared to braided sutures in contaminated fields.
During retraction of the bowel, which technique best prevents serosal injury?
Answer: Packing moist laparotomy sponges around bowel before applying retractors
Moist laparotomy sponges cushion and protect the bowel serosa from injury by mechanical retractors.
The surgical first assistant is controlling hemorrhage from a mesenteric vessel. Which maneuver provides immediate proximal control?
Answer: Digital pressure proximal to the bleeding point while suture ligature is prepared
Digital compression proximal to the bleeding vessel controls hemorrhage and allows time to prepare definitive hemostatic measures.
When performing a surgical hand scrub using the anatomical (timed) method, what is the minimum required scrub duration per the Association of periOperative Registered Nurses (AORN) guidelines?
Answer: 5 minutes
AORN guidelines recommend a minimum 5-minute surgical scrub using the timed anatomical method for initial cases.