Advanced Surgical Skills Exam Bank
Course Introduction
Advanced Surgical Skills is a comprehensive course designed for medical students, residents, and practicing professionals seeking to enhance their technical expertise in complex surgical procedures. The curriculum emphasizes hands-on practice and theoretical understanding of advanced techniques, including minimally invasive surgery, microsurgery, laparoscopic and robotic systems, and management of intraoperative complications. Participants will engage in simulated environments and supervised clinical settings to refine critical decision-making, suturing, dissection, and tissue handling. By integrating the latest advances in surgical technology and evidence-based protocols, the course prepares learners to deliver safer, more effective patient care in high-stakes operative scenarios.
Recommended Textbook
Alexanders Surgical Procedures 1st Edition by Jane C. Rothrock
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18 Chapters
356 Verified Questions
356 Flashcards
Source URL: https://quizplus.com/study-set/2110 Page 2
Chapter 1: Importance of the Surgical Technologist on the Surgical Team
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/42048
Sample Questions
Q1) Professional settings for the surgical technologist can include:
A)Hospital suites and ambulatory surgery centers.
B)Ambulatory surgery centers and PACU
C)Labor and delivery units and for a physician as a private scrub
D)All of the above
Answer: D
Q2) Which role of the surgical technologist would likely include making hospital rounds, first-assisting, and expanded patient interaction?
A)scrub surgical technologist
B)circulating surgical technologist
C)labor and delivery technologist
D)private scrub technologist
Answer: D
Q3) The scrub surgical technologist is defined as the:
A)The non sterile member of the surgical team.
B)The assisting member of the team.
C)The sterile member of the team
D)None of the above
Answer: C
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Chapter 2: Gastrointestinal Surgery
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/42049
Sample Questions
Q1) Specific positioning considerations for bariatric patients require particular attention to protecting these patients from inherent risks related to their size and weight. Of considerable concern is the risk of injury to staff. Protective measures to protect both patient and staff include those below. Which measure reflects the most safety protection for both patient and staff?
A)Review back safety precautions and awareness during preincision briefing.
B)Ensure that the OR bed can accommodate the patient's weight and girth.
C)Employ at least three safety straps over the patient's largest girth.
D)Overlap the viscoelastic gel mattress top with three lifting sheets.
Answer: B
Q2) Triangulation is a term used to describe the method used to provide instrument access to the anatomy during abdominal surgery. It is uniquely associated with which surgical incision?
A)Mid-epigastric transverse incision
B)Left paramedian incision
C)Thoracoabdominal incision
D)Laparoscopic port incisions
Answer: D
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Chapter 3: Surgery of the Liver, Biliary Tract, Pancreas and Spleen
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/42050
Sample Questions
Q1) The recipient liver OR is arranged for a major laparotomy and vascular procedure with customized instruments, supplies, and sutures according to the transplant surgeon's preference. In addition to the general patient care accessories, equipment, and supplies needed for any large surgery, also included are intraoperative laboratory testing and an autotransfusion system. Describe the boundaries of the surgical skin prep for the patient about to receive a liver transplant.
A)From neck to midthigh; midaxillary line to midaxillary line
B)From nipple line to pubis; bedline to bedline
C)From the neck to midthigh; bedline to bedline
D)From nipple line to midthigh; midaxillary line on the patient's left side, and bedline on the right
Answer: C
Q2) An example of an indication for liver transplantation would be:
A)end-stage liver disease resulting from advanced hepatic cancer with metastasis.
B)acute fulminant biliary disease of unknown origin.
C)infection caused by untreated cystic anomalies.
D)primary hepatic cancer.
Answer: D
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Chapter 4: Repair of Hernias
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42051
Sample Questions
Q1) A group of United Kingdom (UK) researchers undertook an analysis of several research studies comparing the outcomes of laparoscopic versus open incisional hernia repair of patients who had prior laparotomies. They examined surgical time, duration of hospital stay, perioperative complications, postoperative surgical site pain, and recurrence rates in 183 patients whose incisional hernias were repaired by the open approach and 183 repaired by the laparoscopic approach. Based on the results of this study, an appropriate risk reduction strategy for patients with incisional hernias would be to repair incisional hernias:
A)laparoscopically.
B)through an open approach.
C)using either open or laparoscopic approaches for equally good patient outcomes. D)with the open approach to decrease surgical time.
Q2) Select the most common hernia that occurs in both males and females and name the side on which it would most likely occur.
A)Direct femoral hernia on the left
B)Indirect inguinal hernia on the right
C)Indirect femoral hernia on the left
D)Direct inguinal hernia on the right
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6
Chapter 5: Gynecologic and Obstetric Surgery
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/42052
Sample Questions
Q1) Marla Moriarity, a 32-year-old recently unemployed and uninsured college professor, is diagnosed with an early ectopic pregnancy. Her obstetrician has given her the option of surgical or medical therapy. She is well-informed about the details of each medical and surgical option, but her primary concern about her condition is that her decision will be based upon her strong cultural belief system that will not sanction the destruction of the fetus. Marla's treatment decision will most likely be:
A)the medical therapy of IM methotrexate for 5 to 7 days.
B)laparoscopic injection of methotrexate to the extrauterine gestational sac.
C)emergency laparotomy for a ruptured ectopic pregnancy.
D)salpingectomy.
Q2) When catheterizing the female patient, the urethra must be located. The correct order of the external organs of the vulva listed anterior to posterior is:
A)mons pubis, labia majora, labia minora, urethra, clitoris, vaginal opening.
B)labia majora, labia minora, clitoris, urethra, vaginal opening, mons pubis.
C)mons pubis, labia majora, labia minora, clitoris, urethra, vaginal opening.
D)labia majora, labia minora, urethra, mons pubis, clitoris, vaginal opening.
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Chapter 6: Genitourinary Surgery
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/42053
Sample Questions
Q1) Although each potential kidney transplant recipient is judged individually as a candidate, which condition from the list below would most likely eliminate a patient as a candidate for kidney transplant?
A)Systemic disease
B)Cardiovascular disease
C)Post-treatment cancer in remission
D)Active cancer
Q2) The flexible cystoscope is a delicate and valuable endoscopic instrument indicated for diagnostic bladder evaluation for patients with obstructive symptoms from prostatic hyperplasia and a rigid prostatic urethra. It has valuable benefits because of its small diameter and flexibility. Select all of the benefits from the list below that support the use of flexible endoscopy in the outpatient setting.
A)It may be accomplished using a local anesthetic.
B)It can be used for patients unable to assume the lithotomy position.
C)It can be performed on the patient's bed on the nursing unit.
D)The cystoscope can be processed between patients without manual cleaning and disinfection.
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Chapter 7: Thyroid and Parathyroid Surgery
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/42054
Sample Questions
Q1) Open parathyroidectomy is currently being replaced with less invasive and more targeted techniques; however, the amount of parathyroid tissue that should be removed remains controversial and relates to whether single or multiple glands are involved. A portion of a gland must remain to:
A)prevent hypocalcemia and its complications.
B)serve as a marker for later surgery should the gland fail to produce PTH.
C)regenerate into normal parathyroid tissue.
D)maintain the patient in a state of hypercalcemia to compensate for the lost glands.
Q2) Jennifer Peoples is a 41-year-old woman with suspected primary adenocarcinoma of the thyroid; she is scheduled for total thyroidectomy surgery. How can the scrub person, Joni, a new surgical technologist, participate in using risk reduction strategies in the scrub role?
A)Pay meticulous attention to sterile technique.
B)Provide efficient and expedient hemostatic devices and materials as needed.
C)Maintain sterility of the instruments until the patient leaves the room in the case of need for emergency tracheostomy.
D)All of the options reflect appropriate scrub role risk reduction techniques.
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Chapter 8: Breast Surgery
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/42055
Sample Questions
Q1) Ductal ectasia is a benign breast disorder that is difficult to distinguish from cancer, primarily because it presents with:
A)bilateral tenderness, mottled skin patterns of the breast, and fullness.
B)bilateral multicentric nodules and nipple discharge.
C)mottled skin patterns of the breast and edema.
D)a hard and irregular mass, nipple discharge, and enlarged axillary nodes.
Q2) The internal thoracic lymph nodes, which drain the inner half of the breast, can also be a channel for the:
A)secretion of estrogen.
B)spread of metastasis.
C)drainage of the outer half of the breast.
D)spread of infections.
Q3) A breast biopsy, performed after the patient has received a local anesthetic, will require adjunct sedation and monitoring equipment. What relevant considerations should the surgical team member note during the preoperative assessment?
A)Skin assessment
B)Allergies
C)ASA physiologic status
D)Risks for injury
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Page 10
Chapter 9: Ophthalmic Surgery
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42056
Sample Questions
Q1) The surgical technologist prepares a sterile treatment set-up for the surgeon to use before the DCR operative procedure is started. Select the statement that describes the justification for this sterile treatment set-up.
A)The surgeon will cut and mold the nasal splint to size before the nose becomes edematous.
B)The silastic tubing needs to be cut to size and soaked during the procedure.
C)The skin markings, with methylene blue, are done on clean skin before the skin prep.
D)The nasal cavity is anesthetized with cocaine and a local anesthetic is administered.
Q2) The extraocular muscles work in yoked pairs, with ocular movements generated by an increase in the tone of one set of muscles and a decrease in the tone of the antagonistic muscles. Of the two muscle types, how many are represented in each eye?
A)Two recti muscles and four oblique muscles
B)Two superior muscles and one lateral muscle
C)Four recti muscles and two oblique muscles
D)Two inferior muscles and two medial muscles
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11
Chapter 10: Otorhinolaryngologic Surgery
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/42057
Sample Questions
Q1) The nasal septum is lined with blood vessels and mucus-secreting cells. The proper name of this lining is the:
A)Mucoperichondrium
B)Septochondrium
C)Nasoseptal mucosa
D)Cartilaginous vascular bed
Q2) Of the three salivary glands, which one is the largest?
A)Sublingual
B)Submandibular
C)Zygomatic
D)Parotid
Q3) Several types of diagnostic imaging studies visualize structures by producing serial sections through different anatomic planes, highlighting specific structures or tissue densities. Examples of these imaging diagnostics would be:
A)complementary CT scan with MRI.
B)MRI scan.
C)CT scan.
D)All of the options
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Chapter 11: Orthopedic Surgery
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42058
Sample Questions
Q1) Bone grafting using allografts or autografts may be used to fill cavities after removal of large amounts of bone that might result in instability, or to fill bony defects and to promote the union of fractures at the time of open reduction. Banked bone is available in many shapes of cortical and cancellous tissue. The American Association of Tissue Banks (AATB) accredits and periodically inspects bone-banking programs to ensure that specific standards are followed in the retrieval, processing, storage, and distribution of bone grafts. Bone graft that is sealed in a sterile labeled envelope from a tissue transplant company and stored in a vacuum-sealed freezer, monitored with an alarm, would be considered a(n):
A)reengineered human tissue product.
B)allograft.
C)xenograft.
D)autograft.
Q2) Layer of elastic, resilient supporting tissue found at the ends of the bones
A)Ligaments
B)Tendons
C)Cartilage
Q3) Invasion of osteoblasts
Q4) Fibrin network formation
Q5) Remodeling
Page 13
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Chapter 12: Neurosurgery
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42059
Sample Questions
Q1) Which of the following represents an intractable pain condition of the fifth (V) cranial nerve, also called tic douloureux, often treated with gamma knife radiosurgery, percutaneous rhizotomy, radiosurgery, or posterior fossa microvascular decompression?
A)Bell's palsy
B)Sciatica
C)Trigeminal neuralgia
D)AV malformation
Q2) What is the term for softening of brain matter or loss of brain tissue, often caused by cerebral infarct, ischemia, or trauma?
A)Abscess
B)Encephalomalacia
C)Kernicterus
D)Neurocysticercosis
Q3) The brainstem consists of which three structures?
A)Dura mater, arachnoid, pia mater
B)Midbrain, pons, and medulla oblongata
C)Mesencephalon, diencephalon, and cerebellum
D)Pons, medulla, and foramen magnum
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Chapter 13: Plastic and Reconstructive Surgery
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42060
Sample Questions
Q1) When coverage for a defect cannot be achieved through skin grafting, plastic surgeons rely on other techniques to replace tissue. After mastectomy, reconstruction with a transverse rectus abdominis myocutaneous (TRAM) flap is one of several options for nonsynthetic prosthetic reconstruction. Another descriptive term for the TRAM flap is the:
A)pedicle-based flap.
B)free flap.
C)mastopexy.
D)rotated tunneled flap.
Q2) Marissa Walton is transferred to the OR from the burn unit for debridement of the partial-thickness burn areas and a dressing change under anesthesia. What important preparation for the procedure will the perioperative team need to perform before Marissa arrives in the OR?
A)Procure the allograft skin from the freezer and begin the thaw process.
B)Procure a basic plastic instrument set plus a knife dermatome and sterile mineral oil.
C)Prewarm the OR to above the ambient high temperature for an adult.
D)Collaborate with the anesthesia provider to determine fluid replacement requirements.
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Chapter 14: Thoracic Surgery
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/42061
Sample Questions
Q1) The thoracic outlet is a junction bound anteriorly by the manubrium, anterolaterally by the first ribs, and posteriorly by the first thoracic vertebrae and posterior angles of the first ribs of the space. The great vessels of the head, neck, and arm pass through this space. What syndrome is caused by the compression of these structures?
A)Brachial plexus palsy
B)Vertebral tipping syndrome
C)Thoracic outlet syndrome
D)Thoracic plexus compression
Q2) The nerves of the lungs are a part of the autonomic nervous system. What structures are constricted and relaxed by their influence?
A)The bronchi and the blood vessels
B)The alveoli and the pulmonary vein
C)The pulmonary artery and vein
D)The bronchi and bronchioles
Q3) What is the ideal position for bronchoscopy?
A)Supine
B)Left semilateral
C)Supine with a shoulder roll
D)Semi-Fowler with neck extended
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Page 16
Chapter 15: Vascular Surgery
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42062
Sample Questions
Q1) What statement regarding risk factors for developing vascular disease is true?
A)Cigarette smoking is more of a risk factor for lung disease than vascular disease.
B)Advanced age, male gender, and family history are established risk factors for atherosclerosis.
C)A sedentary lifestyle can contribute to developing diabetes if one has atherosclerosis.
D)Arteriosclerosis is a natural part of the aging process.
Q2) When selecting a vascular graft for a vascular bypass or replacement procedure, what are the desirable characteristics that influence the surgeon's choice of graft? Select all that apply from the listed options.
A)Thrombo-resistant, biocompatible, and easy to handle
B)Fairly priced, variety of sizes, and ability to clot blood
C)Sterilizable, nonantigenic, and last a lifetime
D)Reasonably priced, permit blood passage without clotting, and hypoallergenic
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Chapter 16: Cardiac Surgery
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/42063
Sample Questions
Q1) An aneurysm of the left ventricle (LV) can develop after a severe myocardial infarction. The affected area of the myocardium is replaced by thin scar tissue that can rupture. The LV undergoes remodeling when the scar stretches as a result of the left ventricular pressure and forms an aneurysm. Left ventricular aneurysmectomy (LVA) is the excision of an aneurysmal portion of the left ventricle. LVA is a form of left ventricular reconstruction undertaken to optimize cardiac function. Select the appropriate actions in preparation for LVA surgery.
A)Place the patient in supine position.
B)Prepare for the procedure in the same manner as typical open-heart surgery.
C)Have Teflon felt pledgets, woven Dacron patches, and cardiovascular sutures available.
D)All of the options are appropriate for LVA.
Q2) The internal mammary arteries are frequently used as grafts during coronary bypass surgery. Where are they located?
A)They diverge from the anterior interventricular branch of the right coronary artery.
B)They diverge from the subclavian arteries behind the sternum.
C)They diverge from the subclavian arteries anterior to the sternum.
D)They diverge from the innominate artery.
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Page 18
Chapter 17: Pediatric Surgery
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42064
Sample Questions
Q1) Pharyngeal obstruction is revealed by a history of sleep-disordered breathing. Mouth breathing, snoring, pauses in breathing, restless sleep, waking at night, and enuresis may be related to obstruction. Pharyngeal obstruction may also be caused by recurrent pharyngitis or tonsillitis. Select all the procedures that are designed for the relief of pharyngeal obstruction from those listed below.
A)Tonsillectomy
B)Adenoidectomy
C)Flexible nasolaryngoscopy
D)Pharyngotomy
Q2) Much like the adult population, many traditional "open" pediatric surgical procedures are being replaced by minimally invasive surgery (MIS) procedures. Because the field of pediatric MIS is relatively new, surgeons are at an advantage because they are able to combine virtual reality techniques and robotics with the most current technology and instrumentation. Select all of the MIS procedures commonly performed in pediatric patients from the options listed below.
A)Living-related donor kidney transplant
B)Gastric fundoplication
C)Correction of pectus excavatum
D)Closure of patent ductus arteriosus
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Page 19
Chapter 18: Trauma Surgery
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/42065
Sample Questions
Q1) What special consideration should be made when assessing a pediatric trauma patient for level of consciousness?
A)Use the modified Glasgow Coma Scale for children.
B)Use the Broslow tape.
C)Stimulate the child gently in case he or she is a victim of shaken baby syndrome.
D)Use the universal Glasgow Coma Scale for all ages.
Q2) What special consideration should be made when assessing a geriatric trauma patient before surgery?
A)They may have preexisting diseases and conditions.
B)They may take many prescription and nonprescription drugs.
C)They have decreased physiologic reserves.
D)All of the options can negatively impact the geriatric patient's perioperative experience.
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