Certified Registered Nurse First Assistant MCQ Flashcards

This ligament is made up of two peritoneal folds that stretch laterally, posteriorly, and downward from the uterus.

Answer: Broad ligament

The broad ligament is a wide fold of peritoneum that extends from the sides of the uterus to the walls and floor of the pelvis. It is composed of two layers of peritoneum and contains various structures, including blood vessels, nerves, and connective tissue. Its primary function is to support the uterus and ovaries within the pelvic cavity, anchoring them in place.

What does the Chvostek symbol mean?

Answer: Clinical signs of hypocalcemia

Chvostek's sign is a clinical test used to assess for hypocalcemia, which is an abnormally low level of calcium in the blood. The sign is positive if a twitching of the facial muscles occurs when the facial nerve is tapped anterior to the earlobe. This involuntary twitching indicates neuromuscular irritability caused by the low calcium levels, making it a key indicator of this electrolyte imbalance.

Which of the following constructions should be avoided and an early identification made during TAH?

Answer: Ureters

During a Total Abdominal Hysterectomy (TAH), the ureters are in close proximity to the uterus and its vascular supply. Accidental ligation, transection, or kinking of the ureters is a serious complication that can lead to hydronephrosis, kidney damage, or even renal failure. Therefore, early identification and careful dissection to avoid injury to the ureters are crucial for patient safety and preventing severe postoperative complications.

Nerves to watch out for when having the thyroid removed?

Answer: Left and Right recurrent laryngeal Nerve Parathyroid

During thyroidectomy, the recurrent laryngeal nerves are at high risk of injury as they run very close to the thyroid gland; damage can cause vocal cord paralysis and hoarseness. Additionally, the parathyroid glands, which regulate calcium levels, are often embedded within or adjacent to the thyroid tissue. Preserving these glands is crucial to prevent hypocalcemia, a potentially life-threatening electrolyte imbalance.

What are the names of stitches that are applied horizontally to the wound?

Answer: Horizontal mattress

The horizontal mattress suture is a type of interrupted suture that provides excellent wound eversion and strength. It involves passing the needle through the skin on one side, then across the wound to the other side, and then back across the wound in a horizontal fashion before tying the knot. This technique distributes tension evenly along the wound edges, promoting better healing and cosmetic outcomes.

The uterus's upper, dome-like section is referred to as the?

Answer: Fundus

The fundus is the uppermost, rounded part of the uterus, situated superior to the entrance of the fallopian tubes. This region is significant as it is where the uterine wall is thickest and where implantation typically occurs during pregnancy. Its position and size are often assessed during obstetric examinations to determine uterine growth and fetal development.

What nerve damage following thyroid surgery would cause hoarseness?

Answer: Recurrent laryngeal

The recurrent laryngeal nerve innervates most of the intrinsic muscles of the larynx, which are responsible for vocal cord movement. During thyroid surgery, this nerve is vulnerable to injury due to its close anatomical relationship with the thyroid gland. Damage to the recurrent laryngeal nerve can lead to vocal cord paralysis, resulting in symptoms such as hoarseness, dysphonia, or even difficulty breathing.