Gen Surg

Question 1

SCIP was a response to ________

Answer 1

77% deaths related to infection

but most common nonsurgical perioperative death=MI

Question 2

prophylactic Abx:

Answer 2

within 1 hour prior to incision
d/c in 24 hours
d/c in 48 hours cardiac patients

Question 3

Preop tests you don’t need

Answer 3

LFTs

UA

Question 4

Indications for preop CXR? ECG?

Answer 4

CXR: >50 years, hx of cardiac or pulm dz

ECG: M>45, F>55, cardiac dz, diuretic use, DM, HTN, major surgery

Question 5

Position for placing central lines

Answer 5

Trendelenburg

Question 6

Enhance exposure to pelvic organs? upper abdominal viscera?

Answer 6

pelvic organs: trendelenburg

upper abdominal viscera: reverse trendelenburg

Question 7

Lateral position is used for

Answer 7

thoracotomies
nephrectomies
retroperitoneal approaches

Question 8

General surgery covers

Answer 8

diaphragm to pelvis

Question 9

a large, open incision is called

Answer 9

laparotomy

not to be confused with laparoscopy

Question 10

Don’t let camera lens _____

Answer 10

come into contact with bowel

Question 11

Rule out infection if the patients has a fever postop days ____

Answer 11

3-5

Question 12

Buy this book

Answer 12

Maxwell guide

Question 13

Scrubbing takes

Answer 13

2 minutes

don’t use avaguard for first scrub

Question 14

Scrub when?

Answer 14

before and after prepping pt

Question 15

Vicryl is

Answer 15

absorbable and braided

Question 16

Silk is

Answer 16

NONabsorbable and braided

Question 17

Prolene is

Answer 17

NONabsorbable and NOT braided

Question 18

Moncryl is

Answer 18

absorbable and NOT braided

Question 19

Nylon is

Answer 19

NONabsorbable

Question 20

When stapling

Answer 20

it takes 2

do not invert skin edges

Question 21

Continue taking _____

D/C

Answer 21

Keep: statins, ACE/ARB IF cardiac surgery

D/C: ACE/ARB, antiplatelets, supps

Question 22

Mortality increases ______ with age

Answer 22

linearly

Question 23

High risk of pulm complications the ______

Answer 23

closer surgery is to diaphragm

Question 24

Which is more acute and sensitive of serum albumin vs prealbumin?

Answer 24

Serum Albumin
Half life 21 days
< 3.5 g/dL

Prealbumin
Half life 2-3 days
Highly sensitive
< 5-17g/dL

Question 25

Serum transferrin can show you if someone is

Answer 25

protein deficient?

<200 mg/dL

Question 26

In the core:

Answer 26

(wear a mask)

NO white coats

Question 27

Normothermia=

Answer 27

36-38 C

Question 28

FiO2 should be at ___ intraoperatively

Answer 28

80%

Question 29

Caloric needs:

Answer 29

Normal caloric needs
25-30 kcal/kg/day
0.8-1g protein/kg/day

‘Stressed’ patients need
50 kcal/kg/day
2.5g protein/kg/day

Question 30

Prevent seroma/hematoma with a ____

Answer 30

JP drain

Question 31

Small intestine returns

Answer 31

24 hours

Question 32

Right colon returns in

Answer 32

48 hours

Question 33

Left colon returns in

Answer 33

72 hours

Question 34

BUN/Cr is normally _____ if not on dialysis

Answer 34

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