CFA First-Assist Surgical Roles 3

Question 1

During electrosurgery, the first assistant notices the active electrode is near a metal retractor. What should be done?

Accepted Answer

Reposition the electrode or retractor to prevent unintended energy transfer

Answer

Proximity of the active electrode to metal instruments can cause capacitive coupling and inadvertent burns, requiring repositioning.

Question 2

The first assistant is knot-tying using a square knot. Which sequence is correct?

Accepted Answer

Right over left, then left over right

Answer

A square knot requires alternating throws: right over left, then left over right, to lie flat and hold securely.

Question 3

Which statement about the first assistant's role in wound closure is accurate?

Accepted Answer

The first assistant assists with fascial and skin closure as directed by the surgeon

Answer

The first assistant participates actively in closure of fascia and skin layers under the surgeon's direction.

Question 4

A surgeon requests the first assistant to place a purse-string suture around a stapler anvil. What is the purpose?

Accepted Answer

To secure the anastomosis staple line against leakage

Answer

A purse-string suture around a circular stapler anvil invaginates tissue to create a secure, leak-resistant anastomosis.

Question 5

What does the first assistant do immediately after the surgeon ligates a major vessel?

Accepted Answer

Verify hemostasis by observing the ligation site while maintaining exposure

Answer

After vessel ligation, the first assistant maintains exposure and observes for bleeding to confirm hemostasis.

CFA Practice Test