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Thoracic and Vascular Surgery Exam

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

Is a buildup of cellular debris on the lining of the artery.

a)

Embolism

b)

Ischemia

c)

Plaque

d)

Aneurysm

2.

All of the following are considered to be complications of thoracic surgery EXCEPT:

a)

Eupnea

b)

Atelectasis

c)

Pneumothorax

d)

Empyema

3.

Which of the following surgical procedure involves the removal of an entire lung for extensive disease or malignant neoplasm through a posterolateral incision ?

a)

Lobectomy

b)

Pneumonectomy

c)

Pulmonary decortication

d)

Thoracoplasty

4.

Kevin, the CST in room 5 is preparing to do a thoracotomy , he anticipates that patient will be place in ----------------- position and would need a ------------- to contract the rib

a)

Supine / Finochietto

b)

Supine / Bailey

c)

Lateral / Finochietto

d)

Lateral / Bailey

5.

Which solution or drug is NOT to be used during a coronary artery bypass grafting ?

a)

Water

b)

Papaverin

c)

Heparin

d)

Saline

6.

which of the following is the specimen in AAA procedure ?

a)

Blood cloth

b)

Vessel wall

c)

Pleura

d)

Aneurysm sac

7.

The manubrium, body , and xiphoid process are of the:

a)

Ribs

b)

Sternum

c)

Bronchial tree

d)

Lungs

8.

Which of the following is NOT considered a sterile procedure ?

a)

Cardiac catheterization

b)

Mediastinoscopy

c)

Thoracoscopy

d)

Bronchoscopy

9.

If a DVT from deep vein of the legs enters the cardiopulmonary system, what life threatening condition will likely occur ?

a)

cardiac tamponade

b)

Myocardial infarction

c)

Aortic dissection

d)

Pulmonary embolus

10.

Which choice indicates the correct sequence of events for clamping the vessels prior to arteriotomy ?

a)

Apply distal clamp, heparinize patient, apply proximal clamp, incise vessel

b)

Heparinize patient, apply distal clamp, apply proximal clamp, incise vessel

c)

Heparinize patient, apply proximal clamp, apply distal clamp, incise vessel

d)

Apply proximal clamp, heparinize patient, apply distal clamp, incise vessel

11.

The primary purpose of a femoral- popliteal bypass is to---------

a)

Remove an atheroma from the popliteal vein

b)

Excise an aneurysm and reconstruct with a synthetic graft

c)

Eliminate excess plaque from the femoral artery

d)

Restore blood flow to the lower limb

12.

The valve separating the right atrium and the right ventricle is the:

a)

Tricuspid

b)

Mitral

c)

Pulmonary

d)

Semi- lunar

13.

Which of the following is a thoracic retractor ?

a)

Davidson

b)

Greenburg

c)

Sauerbruch

d)

Sarot

14.

An arteriotomy are extended with:

a)

11 blade

b)

Potts Smiths scissors

c)

Metzenbaum scissors

d)

Stevens tenotomy scissors

15.

The -------------------self retaining retractor provides the best exposure in thoracotomy

a)

Balfour

b)

Gelpi

c)

Weitlaner

d)

Finochietto

16.

During vascular procedures, the CST in the scrub role should expect the surgeon to use ---------------- to prevent vasospasm

a)

Heparin

b)

Thrombin

c)

Cross- clamping

d)

Papaverine

17.

During thoracotomy, the surgeon requested a clamp to grasp the lung tissue. The CST in the scrub role prepares to hand the surgeon:

a)

Mosquito Forceps

b)

Allis Forceps

c)

Duval Forceps

d)

Mixter Forceps

18.

To ensure patency of the femoral artery during a bypass procedure, What should the CST in the scrub role have on the sterile field ?

a)

Pulse oximeter

b)

Capnography machine

c)

Sphygmomanometer

d)

Doppler

19.

If the saphenous vein will not be used during a CABG , another vessel of choice is the :

a)

Left axillary artery

b)

Popliteal vein

c)

Azygous vein

d)

Internal mammary artery

20.

Inflammation of the inner lining of the heart caused by bacteria is

a)

Pericarditis

b)

Endocarditis

c)

Pleuritis

d)

Infarction

21.

Where is the endocardial lead of a permanent pacemaker is place

a)

Right atrium

b)

Left atrium

c)

Subclavian vena

d)

Aorta

22.

Which of the following thoracic procedures would require the patient to be put on cardiopulmonary bypass ?

a)

Pneumonectomy

b)

Decortication of the lung

c)

Upper lobectomy

d)

Pulmonary thromboendarterectomy

23.

Where is a Swan- Ganz catheter placed ?

a)

Pulmonary artery

b)

Ascending aorta

c)

Coronary artery

d)

Vena cava

24.

Lung tissue has what type of consistency?

a)

Elastic

b)

Calcified

c)

Slimy

d)

Friable

25.

Which of the following surgical procedure includes a prep from the Xiphoid process to the symphysis pubis

a)

AAA

b)

CABG

c)

Pneumonectomy

d)

Inferior vena cava filter

26.

A newly diagnose patient in need of a vascular access long- term hemodialysis would undergo which procedure ?

a)

Inferior vena cava filter

b)

Embolectomy

c)

Arteriovenous fistula

d)

Endarterectomy

27.

Kevin the CST in room 5,is in the middle of a peritoneal dialysis procedure , he knows that in any moment the surgeon will request a ---------- catheter

a)

Fogarty

b)

Swan- Ganz

c)

Tenckhoff

d)

Salem sump

28.

Which portion of the heart is responsible for pumping blood into the ascending aorta ?

a)

Left ventricle

b)

Right atrium

c)

Left atrium

d)

Right ventricle

29.

which of the following bypass graft would require preclotting ?

a)

Knitted polyester

b)

Saphenous vein

c)

Human umbilical cord graft

d)

Polytetrafluoroethylene

30.

During a carotid endarterectomy the surgeon wants to used a shunt . Which instrument should the ST have ready for the surgeon ?

a)

Javid

b)

Greenfield

c)

Potts- Smith scissors

d)

Bulldog

31.

A chest drain will be necessary for a lobectomy in room 1.

Where should the ST or circulator place the drainage system after the tubes have been connected ?

a)

Above the patient head

b)

Below the chest level

c)

Bed level

d)

On the patient chest

32.

If a drain is dislodged in a close drainage system , what happens ?

a)

Lung collapses

b)

Lung perforates

c)

Drain collapses

d)

Lung inflates

33.

Which valves divides the left atrium and left ventricle of the heart ?

a)

Bicuspid valve

b)

Tricuspid valve

c)

Pulmonary semilunar valve

d)

aortic semilunar valve

34.

If two chest tube are placed , what is the purpose of the first ( upper ) chest tube inserted in the lower portion of the thoracic cavity ?

a)

Evacuate air

b)

Access for irrigating fluids

c)

Provide hemostasis

d)

Evacuate fluids

35.

An abnormal communication between the aorta and pulmonary artery of an infant is termed.

a)

Truncus arterosus

b)

patent ductus arteriosus

c)

Pulmonary stenosis

d)

Hypoplastic left heart syndrome

36.

Which suture is frequently used for anastomosis of the saphenous vein or the internal mammary artery in a CABG

a)

2-0 or 3-0 poliglecaprone

b)

6-0 or 7-0 polypropylene

c)

2-0 or 3-0 polyester

d)

6-0 or 7-0 polyglactin

37.

The most common congenital cardiac anomaly in the cyanotic group is :

a)

Tricuspid atresia

b)

Tetralogy of Fallot

c)

Patent ductus arteriosus

d)

Truncus arteriosus

38.

Which of the following surgical procedures would a chest tube and a under water- seal drainage system is expected to be used:

a)

AAA

b)

Cardiac pacemaker

c)

Lung wedge resection

d)

Vena Cava Umbrella Insertion

39.

All of the following statements regarding the heart are true EXCEPTS:

a)

The right atrium receives deoxygenated blood from the vena cava

b)

The left atrium receives oxygenated blood from the pulmonary vein

c)

The left ventricle pumps deoxygenated blood into the systematic circulation

d)

The right ventricle pumps deoxygenated blood to the pulmonary artery

40.

During a AAA repair the surgeon asks for a vascular clamp to occluded the aorta . The CST prepares to pass a :

a)

Bulldog clamp

b)

Duval clamp

c)

Satinsky clamp

d)

Allen clamp

41.

While working in a peripheral vascular procedures, Kevin the CST is aware of the possibility of embolus formation .

Which of the following should be in the room in the event that this happens ?

a)

Swan-Ganz

b)

Fogarty

c)

Levin

d)

Groshong

42.

Transient cerebral ischemia episodes are treated surgically by:

a)

Arteriovenous fistula

b)

Angioplasty

c)

CABG

d)

Carotid endarterectomy

43.

Which of the following surgical instrument is use to remove a plaque during a carotid endarterectomy

a)

Penfield dissector

b)

Satinsky

c)

Fogarty

d)

11 blade

44.

Is a deformity of the chest wall characterized by a funnel-shaped, asymmetrical depression due to a posterior displacement of the sternal body ?

a)

Pectus excavatum

b)

Pectus cavernosum

c)

Pectus carinatum

d)

Pectus concavum

45.

In most vascular procedure, heparin is administer to the patient to prevent the formation blood clots. Once the procedure is complete, the surgeon might request that --------------- be administer to the patient to reverse the effects of the heparin

a)

Naloxone ( Narcan )

b)

Protamine sulfate

c)

Vitamin K

d)

Papaverine

46.

If a patient is in end stage renal disease ,Which of the following surgical procedure would he undergo ?

a)

By pass graft

b)

Vena Cava Filter

c)

Arteriovenous fistula

d)

Angioplasty

47.

Which of the following incision is used for CABG ?

a)

Median sternotomy

b)

Posterolateral thoracotomy

c)

Anterolateral thoracotomy

d)

Supraclavicular

48.

Which of the following procedures allows the visualization inside the chest, middle and lower mediastinum, visceral and parietal pleura and pericardium ?

a)

Thoracoscopy

b)

Mediastinoscopy

c)

Bronchoscopy

d)

Thoracocentecis

49.

Prior to closure of a lobectomy procedure the anesthesia provider performs a Valsalva maneuver to check for :

a)

Bleeding from the dissection bed

b)

Functionality of the diaphragm

c)

Air leak from bronchial closure

d)

Perfusion of the unaffected lobes

50.

In the event that a VATS procedure had to be converted to an open procedure , which open case would be performed?

a)

Tracheostomy

b)

Thoracotomy

c)

Pneumonectomy

d)

CABG