NBSTSA CSFA

Right.

Not quite. The answer is A.

The first-scrub technologist's job in DIC is to make every method of hemostasis available. On confirmation, the scrub immediately requests additional mosquito and Crile hemostats, ties of various sizes, and medium and large hemoclip appliers with clips, asks that the chemical and topical hemostatic agents be brought into the room, may ask whether the surgeon wants argon-enhanced or ultrasonic coagulation, and may request staplers to be available unopened. If a second surgeon is assisting, a second electrosurgical unit is set up. The scrub may also ask for another technologist to scrub in.

Takeaway. On a DIC call, request more hemostats, ties and clip appliers plus the topical hemostatics, and consider a second electrosurgical unit and a second scrub.

Right.

Not quite. The answer is C.

An empyema is pus in the pleural space. If it is not drained early, it organizes into a thick fibrinous rind that traps the lung and prevents ventilation, a condition called fibrothorax. Decortication, through a thoracotomy or thoracoscopically, strips this peel from the visceral and parietal pleura so the lung can re-expand, and chest tubes are left afterward. An early empyema that has not yet organized may be managed with a chest tube alone.

Takeaway. Decortication removes a restrictive fibrous peel from the pleura so a trapped lung can re-expand.

Right.

Not quite. The answer is A.

AORN, along with the American College of Surgeons and the American Society of Anesthesiologists, holds that a do-not-resuscitate order should not be suspended automatically for surgery. Instead the surgeon, the anesthesia provider and the patient or surrogate discuss the order before the procedure, a process called required reconsideration, and agree whether it stays in full effect, is modified for specific interventions, or is suspended for the operation and recovery. The decision is documented and shared with the whole team before the procedure begins.

Takeaway. Do-not-resuscitate orders are not automatically suspended in surgery; they are reconsidered with the patient beforehand and documented.

Right.

Not quite. The answer is C.

In hydrocephalus, a ventriculoperitoneal shunt carries excess cerebrospinal fluid out of a lateral ventricle and into the abdomen, where the peritoneum absorbs it. The ventricular catheter is placed through a burr hole and connected to a valve, and the distal catheter is carried under the skin from the scalp, down the neck and chest to the abdomen, through a tunnel made with a long, malleable shunt passer; its end is placed in the peritoneal cavity through a small abdominal incision. Because a shunt is an implant prone to infection, its components are opened only when needed and handled as little as possible, often after a glove change.

Takeaway. A shunt passer tunnels the distal catheter under the skin from the head to the abdomen.

Right.

Not quite. The answer is D.

This is the Adson Forceps. A delicate, elongated clamp with partial jaw serrations, designed for fine vascular control in restricted surgical fields.

Today, 64% of members get this one.