RNFA FINAL EXAM 2023 VERSION 1 & 2 ACTUAL EXAM 320
QUESTIONS AND CORRECT DETAILED ANSWERS
(100%VERIFIED ANSWERS) |ALREADY GRADED A+(BRAND
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The RNFA with the vascular surgery service is preparing to discharge Mark
Weston, a 51 yr old male who recently had endovascular surgery. He will be taking
anticoagulation therapy for the next 12 weeks. What statement regarding
anticoagulation therapy, that is relevant to Mark, is true? – ANSWER- Do not use
tools such as saws or hammers, which could lead to an accident.
Pericardial tamponade includes which of the following signs or symptoms? –
ANSWER- Narrow pulse pressure
Identify the venous structure that prevents blood back flow. – ANSWERSemilunar Intimal folds
Velour grafts are impregnated with which of the following to ease handling
without the need to preclot? – ANSWER- Gelatin
The blood is oxygenated in the lungs and returns to the left atrium through the
pulmonary veins. Where does the blood flow after leaving the left atrium? –
ANSWER- Through the mitral valve into the left ventricle
Which of the following documentation requirements is unique to vascular surgery?
- ANSWER- Clamp application and removal times
Identify from the following, the correct branch of the left main coronary artery. –
ANSWER- Circumflex coronary artery
What does the presence of bruit on auscultation of a blood vessel mean? –
ANSWER- Blood flow is disrupted
Of the following ocular blocks, which carries the highest risk? – ANSWERRetrobulbar Block
A portion of a parathyroid glands must remain for which of the following reasons? - ANSWER- Prevent hypocalcemia and it’s complications
Select the set of symptoms that is most commonly associated with hypothyroidism
- ANSWER- Increased swearing, insomnia, tremor, and muscle weakness
An important anatomical landmark in thyroid surgery is known as – ANSWERPoles
A power drill and assorted roasting burrs are essential for middle ear surgery and
some sinus procedures. During drill and power saw use, the scrub person keeps
irrigation solution on the sterile field to – ANSWER- Prevent clogging of the burr
and contamination of the area with bone dust
Which nodes in the lymphatic system are responsible for drainage from the mouth,
lips, and external nose? – ANSWER- Submandibular
Fibrous bands of tissue found between abdominal structures that are not normally
connected are known as – ANSWER- Adhesions
Choose the correct flow of bile from the gallbladder – ANSWER- Cystic duct,
common duct, ampulla of Vater, duodenum
Select the statement that best reflects the functional components of the
gastrointestinal tract – ANSWER- The alimentary canal extends from the mouth to
the anus
Which of the following hernia types is considered a surgical emergency –
ANSWER- Strangulated
Closed thoracostomy will require which of the following – ANSWER- Chest
catheters and water-seal drainage
A minimally invasive technique that may be used to remove parathyroid tumors
deep in the mediastinum is known as – ANSWER- Thoracoscopy
The common bile duct drains into the – ANSWER- Duodenum
Before reaching the rectus abdominis muscle during surgical exposure, the surgeon
must first progress through which of the following? – ANSWER- Scarpa’s fascia
The transverse colon ends at the – ANSWER- Splenic flexure
The mediastinal surface of the lungs contains a structure known as _ in
which nerves, vessels, bronchus, and lymphatics enter and leave the lung –
ANSWER- Hilum
The absence of distinct teniae serves as a visual landmark for what abdominal
structure – ANSWER- Upper margin of the rectum
A benefit to the patient undergoing SILS procedure is which of the following –
ANSWER- Less postoperative pain
Hernia that occur within Hesselbach’s triangle are called – ANSWER- Direct
inguinal hernia
Innervation of the lungs is part of the _______System – ANSWER- Autonomic
During kidney transplant surgery and prior to clamping the renal vessels, which of
the following drugs are administered to prevent intravascular clotting and
maximize diuresis – ANSWER- Heparin and mannitol
What term is used to describe inflammation of the gallbladder – ANSWERCholecystitis
Each lung contains how many segments – ANSWER- 10
The head of the pancreas is fixed to which structure – ANSWER- Duodenum
The pantaloon hernia can best be described as – ANSWER- A combination of
direct and indirect hernia
There are several risk factors associated with dehiscence. Which of the following
can be controlled by the RNFA? – ANSWER- Sutures placed too close together
James Romano, a 68 year old retired teacher, presents for surgical intervention of
recently diagnosed bladder cancer. He states the cancer is located in the urothelial
layer. As the RNFA you realize this is ________layer of the bladder – ANSWERInner
The most commonly injured Intraabdominal organ in blunt trauma is the –
ANSWER- Spleen
The mesh plug open hernia repair technique is indicated for which types of hernias
- ANSWER- Recurrent indirect inguinal hernias
The liver, pancreas, and spleen share many similarities. Select the statement about
these organs that is true – ANSWER- All three are solid organs and very vascular
From the following, choose a hernia type that is common in children and
frequently disappears spontaneously – ANSWER- Umbilical hernia
An example of a potential risk associated with pneumoperitoneum would be –
ANSWER- gas embolus into an exposed blood vessel during the procedure.
Femoral hernias occur more frequently in which group of individuals – ANSWERFemales
The renal artery and vein enter and exit the kidney the medical side of the organ
through a concave area known as the – ANSWER- Hilum
Select the triad of the boundaries of Hesselbach triangle – ANSWER- Inguinal
ligament, rectus abdominis muscle, deep epigastric vessels
Which of the following is a triangle anatomic landmark in surgical removal of the
gallbladder and may be remembered by the 3 Cs – ANSWER- Calot’s
Choose the correct statement regarding the trigone of the bladder – ANSWERForms the base of the bladder
An orchiopexy is the surgical placement and fixation of the testicles in a normal
anatomic position in the scrotal sac. If the testis fails to descend into the scrotum
during gestation, it is considered undescended. Which statement regarding
indications for orchiopexy is true – ANSWER- All testes that are undescended after
1 year require surgical placement in the scrotum
Which of the following describes a hydrocele – ANSWER- It refers to excess fluid
within the tunica vaginalis
Which of the following layers of the uterus contains the lymphatics – ANSWERMyometrium