NBSTSA General Surgery 2

Question 1

Which layer of the abdominal wall is encountered immediately deep to the external oblique muscle?

Accepted Answer

Internal oblique

Answer

The internal oblique muscle lies directly beneath the external oblique in the abdominal wall layers.

Question 2

During a laparoscopic cholecystectomy, what structure is identified at the hepatocystic triangle to confirm safe dissection?

Accepted Answer

Critical view of safety

Answer

The critical view of safety requires the hepatocystic triangle to be cleared of fat and fibrous tissue with two structures seen entering the gallbladder.

Question 3

A patient undergoing an inguinal hernia repair has an indirect hernia. Where does the hernia sac originate?

Accepted Answer

Internal inguinal ring

Answer

Indirect inguinal hernias originate at the internal inguinal ring and pass through the inguinal canal lateral to the inferior epigastric vessels.

Question 4

Which instrument is most appropriate for grasping the bowel during intestinal surgery without causing injury?

Accepted Answer

Babcock forceps

Answer

Babcock forceps have an atraumatic design with fenestrated blades that gently encircle bowel without crushing the tissue.

Question 5

During an open appendectomy, which incision is most commonly used?

Accepted Answer

McBurney's incision

Answer

McBurney's incision is made at McBurney's point (1/3 the distance from the ASIS to the umbilicus) and is standard for open appendectomy.

NBSTSA - National Board of Surgical Technology and Surgical Assisting Practice Test

NBSTSA - National Board of Surgical Technology and Surgical Assisting Practice Test

NBSTSA General Surgery 2