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A comprehensive set of test questions and answers covering key concepts in surgical anatomy and procedures relevant to the rnfa (registered nurse first assistant) course. It covers a wide range of topics, including surgical anatomy, procedures, complications, and patient care. The questions are designed to assess understanding of essential surgical principles and techniques, making it a valuable resource for students and professionals preparing for the rnfa exam.
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Inadvertent removal of the parathyroid glands may result in: - Solution Hypocalcemia During the THA using the posterior lateral approach, the RNFA will dislocate the head of the femur using: - Solution Flexion, adduction, external rotation The triage of calot is a landmark for locating the cystic artery. The borders of the triangle include: - Solution Hepatic duct, cystic duct and inferior edge of right lobe of the liver During the cementing of components during total joint replacement, a new CRNA who has never worked in orthopedics before begins to panic. A side effect that possibly occurs with this patient as a result of the cement is: - Solution Hypotension When assisting with a trauma patient in the surgical setting, it is important for the RNFA to be aware of the "vicious triad" that can increase mortality. The triad includes: - Solution Metabolic acidosis, hypothermia, hemodilution Which of the following allows for the most stability and rigid fixation of a fracture? - Solution Locking plating system There are______ main coronary arteries which originate in the ________. - Solution 2, sinuses of Valsalva An elevation of which lab values is indicative of acute pancreatitis resulting from a blockage in the Ampulla of Vater - Solution Amylase, lipase Pre-op markings to determine nipple positioning for reduction mammoplasty will be drawn on the patients chest_______ - Solution While sitting upright
What patient position is used for reduction mammoplasty? - Solution Supine Which of the following is the first major branch of the internal carotid artery?
The brain stem consists of what structures - Solution Midbrain, pons, and medulla oblongata The IXth cranial nerve provides which of the following? - Solution Taste to posterior 1/3 of tongue Commonly implicated in SAH, the vessels of the Circle of Willis include: - Solution Posterior communicating artery Indentify the dura fold that separates the right and left cerebral hemispheres. - Solution Falx cerebri There are 8 bones that form the cranial cavity. Four of the bones are paired and four are singular. Choose the correct list of singular bones from the following. - Solution Frontal, ethmoid, sphenoid, occipital Harrington rods are often used in scoliosis surgery. Of the following, which is a disadvantage to the use of Harrington rods? - Solution Rod breakage is increased The connective tissue that covers all bone and supplies nutrients is known as - Solution Periosteum Changes to the elderly person's skeleton can present challenges to the intraoperative team. In terms of additional attention and care, what interventions can the intraoperative team provide? - Solution Position the patient using appropriate padding and joint protection devices During the total hip arthroplasty, the instrument used to access the femoral canal is the - Solution Box osteotome Of the following, which is not a symptom of compartment syndrome? - Solution Moderate pain An important aspect to bone healing that is preserved through intramedullary reaming is which of the following - Solution Maintenance of fractures hematoma Alexander's pg 709 16ed. Pg 721 for 15 Ed. Infants and children with severe gastroesophageal reflux can have life- threatening complications, including obstructive apnea, aspiration
pneumonia, esophagitis and failure to thrive. What is the name of the procedure, performed open or laparoscopically, that is designed to create a competent antireflux barrier? - Solution Nissan fundoplication The toddler uses symbols and engages in creative play. Toddlers are beginning to develop free will and control over their bodies. Which of the interventions below is age appropriate for toddlers? - Solution Give only simple choices and involve them in actions when possible. Which of the following is a contraindication to using auto transfusion as a blood replacement source? - Solution Blood contamination with food, bowel contents or antibiotic irrigation A patient presents to the OR with an injury to the anterior chest from blunt force trauma. The RNFA can expect damage to which of the following areas? - Solution Right ventricle Once cervical spine precautions are implemented and a cervical collar is applied, what event needs to take place before the team removes the cervical collar and continues care? - Solution A cervical radiograph is obtained to rule out injury to the neck Select the injury or condition that reflects probable child abuse or neglect - Solution Severe diaper rash with the presence of ammonia burns