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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. What is the primary purpose of securing the patient to the OR table with safety straps during surgery?

    Answer: To prevent patient falls when the table is repositioned intraoperatively

    Safety straps prevent the anesthetized patient from sliding or falling when the OR table is tilted, rotated, or repositioned during the surgical procedure.

  2. Which positioning complication is most associated with prolonged lithotomy position?

    Answer: Compartment syndrome of the lower extremities

    Prolonged lithotomy position compresses lower leg compartments within stirrups and reduces perfusion, creating risk for compartment syndrome of the lower extremities.

  3. During prone positioning, what is the correct management of the patient's eyes?

    Answer: Tape closed and periodically check that no pressure is on the globes

    Eyes must be taped closed and periodically checked in prone position to prevent corneal abrasion and ischemic optic neuropathy from direct orbital pressure.

  4. Trendelenburg position is most commonly used to improve surgical exposure for which type of procedure?

    Answer: Pelvic and lower abdominal procedures

    Trendelenburg position displaces abdominal viscera cephalad by gravity, providing improved exposure of the pelvic organs and lower abdomen for surgical access.

  5. Final surgical positioning should ideally occur at which point during the perioperative process?

    Answer: After anesthesia induction and airway management are complete

    Final positioning occurs after anesthesia induction and airway securement so the patient cannot feel discomfort from improper positioning and the airway remains protected throughout movement.

  6. Which padding material is most appropriate for protecting bony prominences during surgical positioning?

    Answer: Gel foam positioning pads

    Gel foam pads conform to body contours and effectively redistribute pressure away from bony prominences, significantly reducing pressure injury risk during prolonged procedures.

  7. What is the maximum recommended arm abduction angle on an armboard to prevent brachial plexus injury?

    Answer: 90 degrees

    Arm abduction should not exceed 90 degrees; beyond this angle the brachial plexus is stretched and at risk for compression or traction neuropathy.