Buzzwords

Question 1

Alcoholic with hematemesis, unstable. What do they have?

Answer 1

Esophageal varices

Question 2

NSAIDs affect platelets, which mean they alter what?

Answer 2

Bleeding time

Question 3

Afib is not from what?

Answer 3

Potassium

Question 4

What is the most common reaction from blood?

Answer 4

ABO incompatability, NOT lung problem

Question 5

What is the MOA of a beta blocker?

Answer 5

Reduce adrenergic activity

Question 6

What is the most important factor of antibiotics when considering the timeline?

Answer 6

Timing of the dose given is most important

Question 7

What do we need to know about risk of peri-op MI?

Answer 7

Less for patient with revascularization becuase of stents

Question 8

1st 48 hours post surgery, main concern

Answer 8

Atelectasis

Question 9

Paralytic ileus

Answer 9

Obstipation, no gas

Question 10

Large bowel obstruction keywords

Answer 10

Distended colon, air fluid level

Question 11

What is the most common cause of nosocomial diarrhea?

Answer 11

C diff

Question 12

What is the MC sign of bladder cancer?

Answer 12

Painless hematuria

Question 13

Where is the MC location of bladder cancer?

Answer 13

Transitional cell

Question 14

Describe key findings of prostate CA

Answer 14

No median sulcus, irregular

Question 15

Diffuse ST elevation is indicative of? How do you treat?

Answer 15

Pericarditis, NSAIDs

Question 16

Does a penicillin allergy affect the healing of a wound?

Answer 16

No

Question 17

PE findings for hypomagnesemia and hyperMg

Answer 17

HyperMg: Absent DTRs
HypoMg: Hyperactive DTRs, Chvostek’s sign

Question 18

Patient has a post op wound infection on POD5, what should you give them

Answer 18

PCN and Clindamycin

Question 19

Arrested respiration on palpation of RUQ

Answer 19

Murphy’s sign, cholecystitis

Question 20

Know what atelectasis is

Answer 20

Complete or partial collapse of a lung (first 24-48 hours post-op)

Question 21

Know the progression of bowel sounds in SBO

Answer 21

High -> low -> absent

Question 22

What type of protocol should be followed for suspected DVT/PE?

Answer 22

CT w/ PE protocol (spiral CT)

Question 23

No pulses in the lower extremities is indicative of what?

Answer 23

Arterial clot (PAD)

Question 24

Patient presents with elbow swelling, what’s your next step

Answer 24

Start low and go slow (rest, NSAIDs)

Question 25

Post-op fever at 1 week etiology

Answer 25

Drug related (wonderdrugs)

Question 26

MC risk of cholecystitis

Answer 26

Biliary tract damage

Question 27

How do you properly measure a wound?

Answer 27

Length x width x depth

Question 28

Patient has a 1cm thyroid mass, how should you proceed?

Answer 28

Fine needle aspiration

Question 29

How do you treat malignant hyperthermia? What is the first sign?

Answer 29

Dantrolene, first sign is CO2 increase

Question 30

Methylene blue treatment

Answer 30

Methemoglobinemia, topical lidocaine

Question 31

Patient is hyperkalemic and has peaked T waves, how do you treat?

Answer 31

Calcium gluconate first

Question 32

What is neuroleptic hypernatremia?

Answer 32

Anti-psych meds?

Question 33

Circulation, airway, breathing is

Answer 33

an answer on the exam

Question 34

Dysphagia to solids, now liquids is?

Answer 34

Achalasia

Question 35

Patient rollerbladding, falls on oustretched hand at base of thumb, what are you concerned about

Answer 35

Scaphoid injury, put in thumb spica

Question 36

Hx of MI x2 years, PAD, and HTN; what should you get in pre op?

Answer 36

Stress test

Question 37

Patient controlled analgesia = smaller dose, steady blood conc, prompt analgesia, what is the answer

Answer 37

All of the above

Question 38

Treatment of delirium tremens?

Answer 38

Diazepam

Question 39

Current abx use does not affect

Answer 39

Answer

Question 40

RLQ rebound = what?

Answer 40

Appy

Question 41

Know C diff

Answer 41

Answer

Question 42

What is the best nutritional marker?

Answer 42

Serum prealbumin

Question 43

Na of 129, how should we treat?

Answer 43

Free water restriction post-op, then dilutional

Question 44

Hyperkalemia in CKD is indicative of what?

Answer 44

Dialysis

Question 45

Lumpectomy buzz?

Answer 45

Always XRT

Question 46

What imaging to order with central lung mass?

Answer 46

EBUS (endobronchial US)

Question 47

You know carotid stenosis on US, how should you proceed?

Answer 47

Angiography confirmation

Question 48

Know the basics of gastric bypass

Answer 48

okay

Question 49

How do you treat a necrotic wound?

Answer 49

Debridement dressing