NBSTSA General Surgery 4

Question 1

During a mastectomy, the scrub technologist should have which vessel loops or ties ready for the axillary dissection portion?

Accepted Answer

Vessel loops to isolate the axillary vein

Answer

3-0 Vicryl ties for lymphatics

Answer

Silk ties for skin vessels only

Answer

Stapler loads for vascular control

Question 2

What is the purpose of intraoperative cholangiography during cholecystectomy?

Accepted Answer

Identify bile duct stones and ductal anatomy

Answer

Confirm liver function

Answer

Measure gallbladder volume

Answer

Assess hepatic arterial flow

Question 3

Which position is used for a patient undergoing a hemorrhoidectomy?

Accepted Answer

Prone jackknife (Kraske) position

Answer

Supine with Trendelenburg

Answer

Lateral decubitus

Answer

Lithotomy position

Question 4

A Penrose drain is classified as which type of drain?

Accepted Answer

Passive open drain

Answer

Active closed suction drain

Answer

Negative pressure wound therapy

Answer

Jackson-Pratt drain

Question 5

During laparoscopic surgery, what pressure range is standard for maintaining pneumoperitoneum in adults?

Accepted Answer

10–15 mmHg

Answer

5–8 mmHg

Answer

20–25 mmHg

Answer

30–35 mmHg

Question 6

What is the function of the argon beam coagulator (ABC) in surgery?

Accepted Answer

Conduct radiofrequency energy via an argon gas stream to coagulate bleeding surfaces

Answer

Cut tissue with a laser beam

Answer

Create pneumoperitoneum with argon gas

Answer

Seal vessels using ultrasonic energy

Question 7

Which complication is most associated with prolonged use of monopolar electrosurgery near bowel during laparoscopic surgery?

Accepted Answer

Capacitive coupling causing delayed bowel perforation

Answer

Port-site hernia

Answer

Carbon dioxide embolism

Answer

Subcutaneous emphysema