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

Vessel loops are placed around the axillary vein to allow safe retraction and protect it during lymph node dissection.

Question 2

What is the purpose of intraoperative cholangiography during cholecystectomy?

Accepted Answer

Identify bile duct stones and ductal anatomy

Answer

Intraoperative cholangiography injects contrast into the biliary system to detect common bile duct stones and delineate ductal anatomy to prevent injury.

Question 3

Which position is used for a patient undergoing a hemorrhoidectomy?

Accepted Answer

Prone jackknife (Kraske) position

Answer

The prone jackknife position flexes the patient at the hips with the buttocks elevated, providing optimal exposure of the perianal region.

Question 4

A Penrose drain is classified as which type of drain?

Accepted Answer

Passive open drain

Answer

A Penrose drain is a passive, open drain that relies on gravity and capillary action to remove fluid rather than active suction.

Question 5

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

Accepted Answer

10–15 mmHg

Answer

Adult pneumoperitoneum is maintained at 10–15 mmHg, which provides adequate working space while minimizing cardiopulmonary compromise.

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 4