CSFA Preoperative Patient Preparation 3

Question 1

During the preoperative Time Out, which element is NOT required per the Universal Protocol?

Accepted Answer

Surgeon's board certification

Answer

The Universal Protocol Time Out verifies patient identity, procedure, and site — not the surgeon's credentials.

Question 2

A patient with a history of malignant hyperthermia susceptibility (MHS) requires which preoperative measure?

Accepted Answer

Avoidance of triggering agents and preparation of dantrolene

Answer

MHS patients require avoidance of volatile anesthetics and succinylcholine, with dantrolene immediately available for treatment.

Question 3

Which preoperative intervention is most important to prevent surgical site infections (SSI)?

Accepted Answer

Appropriate timing of prophylactic antibiotics within 60 minutes before incision

Answer

Prophylactic antibiotics administered within 60 minutes before incision significantly reduce SSI risk, per evidence-based guidelines.

Question 4

An ASA Class IV patient is best described as having:

Accepted Answer

Severe systemic disease that is a constant threat to life

Answer

ASA Class IV patients have severe systemic disease that poses a constant threat to life, such as end-stage organ failure.

Question 5

Which preoperative assessment finding requires immediate notification to the anesthesia team and surgeon before proceeding?

Accepted Answer

Blood glucose of 380 mg/dL in a diabetic patient

Answer

Severely elevated blood glucose (380 mg/dL) indicates poor diabetic control and increases infection and healing risks, warranting provider notification.

CSFA - Certified Surgical First Assistant Practice Test

CSFA - Certified Surgical First Assistant Practice Test

CSFA Preoperative Patient Preparation 3