Surgery -- Hoffman

Question 1

What is the most common surgery in the US?

Answer 1

Cataract removal

Question 2

What about second most common?

Answer 2

Cesarean section

Question 3

What is the most costly surgery in the united states

Answer 3

CABG

Question 4

Breast biopsy, cholecystectomy, and hernia repair would be done by what type of surgeon?

Answer 4

General

Question 5

Coronary artery stent, CABG, valve replacement are procedures done by what type of surgeon?

Answer 5

Cardiothoracic and vascular surgery

Question 6

Arthroscopy, total joint replacement, and carpal tunnel release are procedures done by what type of surgeon?

Answer 6

Orthopedic surgeon

Question 7

Discetomy and tumor resections are done by what type of surgeon?

Answer 7

Neurosurgeon

Question 8

What are the advantages to laparoscopic surgery?

Answer 8

Small incisions

Less pain and hemorrhage

Shorter recovery times

Question 9

What is the biggest advantage and what is the biggest disadvantage to robotic surgery?

Answer 9

Advantage – surgeons can be anywhere in the world

Disadvantage – cost

Question 10

What 5 things determine the approach to a surgical procedure?

Answer 10

1. type of surgery
2. surgeon experience
3. equipment at facility
4. patient preference
5. EBM

Question 11

What instrument is used to cut, dissect, separate, and excise tissue

Answer 11

Sharps/Scalpel

Question 12

What instrument is used to cut or coagulate tissue?

Answer 12

Electrosurgical instruments – “Bovie”

Question 13

What instrument is used for grasping and holding objects?

Answer 13

Forceps

Question 14

What instrument is used to hold back or separate tissue/incision to better visualize the operative field

Answer 14

Retractors

Question 15

What instrument is used to apply heavy suture?

Answer 15

Needle holders

Question 16

What is used to remove blood and other fluid from a surgical field to provide better visualization?

Answer 16

Suction tips

Question 17

What instrument is used to enlarge or expand?

Answer 17

Dilators/Problems

Question 18

Used in place of sutures in open surgical procedures

Answer 18

Internal staples

Question 19

Used mostly for small and large bone procedures – their functions include drilling, shaving, reaming, cutting and fixation

Answer 19

Surgical power tools

Question 20

What percentage of PA’s work in surgery?

Answer 20

27%

Question 21

What are roles you would provide as a surgical PA-C?

Answer 21

1. Perform surgical consultation in clinic.
2. Get patient ready for operation in OR
3. First assist in surgery
4. Perform hospital rounds postoperatively
5. Perform post-op check in clinic