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Surgical Positioning & Draping 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.

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  1. Which surgical position places the patient supine with the head lower than the feet?

    Answer: Trendelenburg

    Trendelenburg position places the patient supine with the head lower than the feet, commonly used to improve surgical access to pelvic organs by allowing gravity to shift viscera cephalad.

  2. The axillary roll used during lateral decubitus positioning is placed to prevent injury to which structure?

    Answer: Brachial plexus

    The axillary roll is positioned under the thorax distal to the axilla to relieve pressure on the brachial plexus of the dependent arm, preventing neuropraxia.

  3. Which position provides optimal surgical access to the posterior skull and spine structures?

    Answer: Prone

    The prone position allows the surgeon to access posterior structures of the skull and spine, as the patient lies face-down exposing the dorsal surface.

  4. When draping the surgical site, sterile gloves must not drop below which boundary to maintain sterility?

    Answer: The level of the OR table

    The OR table surface is considered the lower boundary of the sterile field; gloved hands or instruments that fall below table level are considered contaminated.

  5. Which padding device is most effective for protecting heels and preventing pressure injuries during prolonged supine positioning?

    Answer: Gel heel protectors

    Gel heel protectors conform to the heel's contours and distribute pressure away from bony prominences, reducing pressure injury risk during lengthy procedures.

  6. When placing a patient in lithotomy position, what is the correct method for raising and lowering the legs?

    Answer: Raise and lower both legs simultaneously

    Both legs must be raised and lowered simultaneously in lithotomy position to prevent asymmetric stress on the lumbosacral spine and hip joints that could cause injury.

  7. What is the purpose of a fenestrated surgical drape?

    Answer: To expose only the surgical site while covering the rest of the patient

    A fenestrated drape has a pre-cut opening that exposes only the operative site, maintaining sterile coverage over the entire patient while allowing surgical access.