CSFA Preoperative Patient Preparation 5

Question 1

Which preoperative measure is most important when preparing a patient with a known difficult airway?

Accepted Answer

Ensuring availability of difficult airway equipment and a backup airway plan

Answer

For difficult airway patients, the team must ensure specialized equipment (video laryngoscope, LMA, surgical airway tools) and a clear backup plan are ready.

Question 2

A preoperative patient is found to have a hemoglobin of 7.2 g/dL. Which intervention is the surgeon most likely to order before an elective major abdominal procedure?

Accepted Answer

Postpone surgery and treat the anemia preoperatively

Answer

A hemoglobin of 7.2 g/dL indicates significant anemia; elective major surgery is typically deferred until anemia is investigated and corrected.

Question 3

When preparing a patient with a history of MRSA for surgery, which preoperative decolonization protocol is commonly used?

Accepted Answer

Intranasal mupirocin and chlorhexidine body wash

Answer

MRSA decolonization protocols commonly involve intranasal mupirocin ointment and chlorhexidine gluconate body wash before surgery.

Question 4

A preoperative patient discloses using herbal supplement St. John's Wort daily. The primary concern for the surgical team is:

Accepted Answer

Potential drug interactions affecting anesthesia metabolism and platelet function

Answer

St. John's Wort induces cytochrome P450 enzymes, affecting anesthesia drug metabolism, and may also inhibit platelet aggregation.

Question 5

What is the correct sequence for the preoperative skin preparation of an abdominal surgical site?

Accepted Answer

Prep from the incision site outward toward the periphery

Answer

Skin prep begins at the cleanest area (intended incision site) and moves outward to prevent dragging bacteria toward the surgical site.

CSFA - Certified Surgical First Assistant Practice Test

CSFA - Certified Surgical First Assistant Practice Test

CSFA Preoperative Patient Preparation 5