CSFA Preoperative Patient Preparation 4

Question 1

When applying sequential compression devices (SCDs) preoperatively, they should be placed:

Accepted Answer

Before induction of anesthesia to prevent DVT from the start

Answer

SCDs should be applied before induction to provide DVT prophylaxis from the beginning of the perioperative period.

Question 2

A patient with a pacemaker is scheduled for electrosurgery. The surgical first assistant should ensure:

Accepted Answer

Cardiology is consulted and pacemaker settings are evaluated preoperatively

Answer

Pacemaker settings may need reprogramming to prevent ESU interference; cardiology consultation is mandatory preoperatively.

Question 3

Which preoperative skin preparation agent is contraindicated for use near the ears and eyes?

Accepted Answer

Chlorhexidine gluconate

Answer

Chlorhexidine is ototoxic and can cause corneal injury; it must not be used near the ears or eyes.

Question 4

During the preoperative phase, the surgical first assistant notes the patient has not removed her tongue ring. The most appropriate action is:

Accepted Answer

Request the patient remove all oral jewelry to prevent airway complications

Answer

Oral jewelry can become dislodged during intubation, risking airway obstruction or aspiration, so removal is required.

Question 5

What is the rationale for assessing a patient's Mallampati score preoperatively?

Accepted Answer

To predict difficulty of endotracheal intubation

Answer

The Mallampati classification assesses oropharyngeal visibility to predict potential difficult airway and intubation challenges.

CSFA - Certified Surgical First Assistant Practice Test