CFA Surgical Procedures & Techniques 3

Question 1

During a laparoscopic cholecystectomy, the critical view of safety (CVS) requires that the hepatocystic triangle be:

Accepted Answer

Cleared of fat and fibrous tissue, with only two structures entering the gallbladder

Answer

The CVS requires the hepatocystic triangle cleared of fat/fibrous tissue and only the cystic duct and cystic artery entering the gallbladder base.

Question 2

The Trendelenburg position during pelvic laparoscopic surgery places the patient:

Accepted Answer

Head down, feet up at 15-30 degrees

Answer

Trendelenburg (head-down tilt) causes bowel to fall toward the diaphragm by gravity, improving visualization of pelvic structures.

Question 3

When assisting with an open inguinal hernia repair (Lichtenstein), the mesh is secured to the:

Accepted Answer

External oblique aponeurosis and inguinal ligament

Answer

In the Lichtenstein tension-free repair, the mesh is sutured to the inguinal ligament inferiorly and the external oblique aponeurosis/conjoined tendon superiorly.

Question 4

During a thyroidectomy, the first assistant must help protect which nerve by avoiding excessive traction on the thyroid lobe?

Accepted Answer

Recurrent laryngeal nerve

Answer

The recurrent laryngeal nerve runs in the tracheoesophageal groove and is vulnerable to injury from excessive traction on the thyroid lobe, causing hoarseness or vocal cord paralysis.

Question 5

In a right hemicolectomy, the ileocolic vessels are divided near their origin from the:

Accepted Answer

Superior mesenteric artery

Answer

The ileocolic vessels branch from the superior mesenteric artery (SMA) and are divided at or near their SMA origin during oncologic right hemicolectomy.

CFA Practice Test

CFA Practice Test

CFA Surgical Procedures & Techniques 3