CFA First-Assist Surgical Roles 2

Question 1

When the surgeon is suturing deep tissue, what is the first assistant's primary role?

Accepted Answer

Maintain exposure, control bleeding, and facilitate suture passage

Answer

The first assistant actively maintains exposure and assists with suture placement to facilitate efficient closure.

Question 2

A patient begins experiencing unexpected hemorrhage during abdominal surgery. What is the first assistant's immediate priority?

Accepted Answer

Apply direct pressure while alerting the surgeon

Answer

Applying direct pressure to control hemorrhage while immediately communicating with the surgeon is the correct initial response.

Question 3

Which action by the first assistant demonstrates proper tissue handling technique?

Accepted Answer

Using smooth, atraumatic forceps with minimal pressure

Answer

Atraumatic technique using smooth forceps with minimal pressure reduces tissue damage and promotes healing.

Question 4

During a laparoscopic procedure, the first assistant is managing a port. Which of the following is most important?

Accepted Answer

Keeping the port stationary and preventing gas leakage

Answer

Maintaining port stability and preventing gas leakage preserves pneumoperitoneum and ensures safe instrument passage.

Question 5

The first assistant is asked to cut suture. What is the correct technique?

Accepted Answer

Leave a 3–4 mm tail beyond the knot using the scissor tip at a slight angle

Answer

Leaving a 3–4 mm tail at a slight angle ensures the knot is secure without excessive bulk.

CFA Practice Test