First-Assist Surgical Roles Flashcards
7 cards from real CFA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 First-Assist Surgical Roles flashcards as text
During electrosurgery, the first assistant notices the active electrode is near a metal retractor. What should be done?
Answer: Reposition the electrode or retractor to prevent unintended energy transfer
Proximity of the active electrode to metal instruments can cause capacitive coupling and inadvertent burns, requiring repositioning.
The first assistant is knot-tying using a square knot. Which sequence is correct?
Answer: Right over left, then left over right
A square knot requires alternating throws: right over left, then left over right, to lie flat and hold securely.
Which statement about the first assistant's role in wound closure is accurate?
Answer: The first assistant assists with fascial and skin closure as directed by the surgeon
The first assistant participates actively in closure of fascia and skin layers under the surgeon's direction.
A surgeon requests the first assistant to place a purse-string suture around a stapler anvil. What is the purpose?
Answer: To secure the anastomosis staple line against leakage
A purse-string suture around a circular stapler anvil invaginates tissue to create a secure, leak-resistant anastomosis.
What does the first assistant do immediately after the surgeon ligates a major vessel?
Answer: Verify hemostasis by observing the ligation site while maintaining exposure
After vessel ligation, the first assistant maintains exposure and observes for bleeding to confirm hemostasis.
Which best describes the first assistant's intraoperative communication standard?
Answer: Communicate proactively and clearly using closed-loop technique for critical information
Closed-loop communication with proactive reporting ensures critical information is received and acknowledged, reducing errors.
During closure of a fascial layer, the first assistant notices the suture is placed through only half the fascia thickness. What action is appropriate?
Answer: Alert the surgeon immediately so the suture can be replaced with a full-thickness bite
Partial-thickness fascial bites weaken the closure and increase hernia risk; the surgeon must be alerted to replace it.