CFA Surgical Procedures & Techniques 2

Question 1

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

Accepted Answer

Provide suction and retraction to maintain visualization

Answer

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

Question 2

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

Accepted Answer

Maintain slight tension on the suture tail while the surgeon advances

Answer

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

Question 3

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

Accepted Answer

Cesarean section or pelvic surgery

Answer

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

Question 4

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

Accepted Answer

Irrigate and dry the bone surfaces while the surgeon applies cement

Answer

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

Question 5

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

Accepted Answer

Pancreaticojejunostomy

Answer

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

CFA Practice Test

CFA Practice Test

CFA Surgical Procedures & Techniques 2