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
When assisting with coronary artery bypass grafting (CABG), harvesting the great saphenous vein involves careful preservation of:
Answer: Side branches tied close to the vein wall to prevent bleeding and spasm
Side branches must be ligated close to the vein wall to prevent bleeding after harvest while avoiding constricting sutures that could narrow the vein lumen.
During spinal surgery in the prone position, the first assistant must monitor for which positional complication?
Answer: Pressure injury to the eyes (ocular ischemia)
Prolonged prone positioning can cause external pressure on the eyes leading to central retinal artery occlusion and permanent vision loss.
A figure-of-eight suture configuration is most appropriate for:
Answer: Mass closure of abdominal fascia under tension
Figure-of-eight sutures distribute tension over a broader area and are useful for closing strong fascial layers that are under significant load.
During a robotic-assisted prostatectomy, the first assistant at the bedside is responsible for:
Answer: Passing instruments, retracting tissue, and applying clips at the surgical site
The bedside first assistant passes laparoscopic instruments, provides retraction, applies clips, and troubleshoots instrument issues during robotic cases.
The McBurney's point incision for open appendectomy is located:
Answer: One-third of the way from the anterior superior iliac spine to the umbilicus
McBurney's point is located one-third of the distance from the right anterior superior iliac spine (ASIS) to the umbilicus, overlying the appendix base.
When performing a Kocher maneuver during abdominal surgery, the surgeon mobilizes the:
Answer: Duodenum and pancreatic head by incising the lateral peritoneal reflection
The Kocher maneuver mobilizes the duodenum and pancreatic head medially by incising the lateral peritoneal reflection, exposing the retroperitoneum and IVC.
During vascular surgery on the abdominal aorta, proximal control is typically obtained at the aorta:
Answer: Below the renal arteries for infrarenal aneurysm repair
For infrarenal AAA repair, a cross-clamp is placed just below the renal arteries to minimize renal ischemia time while providing adequate proximal control.