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Surgical Procedures & Techniques 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 Surgical Procedures & Techniques flashcards as text

  1. During laparoscopic surgery, the first assistant's primary role when the surgeon encounters unexpected bleeding is to:

    Answer: Provide suction and retraction to maintain visualization

    The first assistant maintains visualization by providing suction and retraction, allowing the surgeon to identify and control the bleeding source.

  2. When performing a running suture closure of a fascial layer, the first assistant should:

    Answer: Maintain slight tension on the suture tail while the surgeon advances

    The first assistant maintains slight tension on the free suture tail to prevent loosening while the surgeon places each successive bite.

  3. A Pfannenstiel incision is most commonly used for which type of surgical procedure?

    Answer: Cesarean section or pelvic surgery

    The Pfannenstiel (transverse suprapubic) incision provides excellent access to pelvic organs and is standard for cesarean sections and gynecologic procedures.

  4. When assisting with a total knee arthroplasty, the first assistant's role during cement application is to:

    Answer: Irrigate and dry the bone surfaces while the surgeon applies cement

    The first assistant irrigates and thoroughly dries bone surfaces immediately before cementation to maximize cement interdigitation and fixation strength.

  5. During a Whipple procedure (pancreaticoduodenectomy), the anastomosis performed between the pancreatic duct and jejunum is called:

    Answer: Pancreaticojejunostomy

    The pancreaticojejunostomy reconnects the pancreatic duct to a loop of jejunum to restore exocrine pancreatic drainage after the Whipple resection.

  6. Which technique is used to test the integrity of a bowel anastomosis intraoperatively?

    Answer: Both B and C are used depending on anastomosis location

    Air leak testing (submerging in saline and insufflating) and methylene blue instillation are both used depending on the anastomosis location and surgeon preference.

  7. When retracting the liver during an upper abdominal procedure, the first assistant should be aware that excessive pressure can cause:

    Answer: Hepatic vein laceration or liver capsule tears

    Excessive retractor pressure on the liver can tear the liver capsule (Glisson's capsule) or lacerate hepatic veins, causing significant hemorrhage.