CSFA Advanced Surgical Anatomy 4

Question 1

During laparoscopic Nissen fundoplication, which anatomical structure must be divided to achieve adequate esophageal mobilization and reduce hiatal tension?

Accepted Answer

Short gastric vessels

Answer

Division of the short gastric vessels allows full fundic mobilization so the wrap can be created without tension.

Question 2

The brachial plexus terminal branches arise from which anatomical levels?

Accepted Answer

C5-T1

Answer

The brachial plexus is formed from the ventral rami of C5 through T1, giving rise to all major nerves of the upper extremity.

Question 3

Which compartment of the neck contains the carotid artery, internal jugular vein, and vagus nerve traveling together?

Accepted Answer

Carotid sheath

Answer

The carotid sheath is a fascial compartment containing the common carotid artery, internal jugular vein, and vagus nerve.

Question 4

During a radical nephrectomy, the left renal vein receives which additional tributaries not present on the right?

Accepted Answer

Left gonadal vein and left adrenal vein

Answer

The left renal vein receives the left gonadal (testicular/ovarian) vein and left adrenal vein, which drain directly into it rather than the IVC.

Question 5

The zona orbicularis of the hip joint is best described as:

Accepted Answer

A circular band of fibers in the articular capsule that encircles the femoral neck

Answer

The zona orbicularis is a circular band of capsular fibers that encircles the femoral neck and helps retain the femoral head within the acetabulum.

CSFA - Certified Surgical First Assistant Practice Test

CSFA - Certified Surgical First Assistant Practice Test

CSFA Advanced Surgical Anatomy 4