General

Question 1

3 independent variables associated with SSI risk?

Answer 1

1) Contaminated or dirty infected wound
2) ASA >2
3) Length of operation >75% percentile

Question 2

Operative antibiotic prophylaxis is given how long before the surgery?

Answer 2

60 minutes (don’t continue past 24 hours)

Question 3

Vancomycin and Fluoroquinolones should be given how long before surgery?

Answer 3

2 hours

Question 4

When to redose prophylactic antibiotics?

Answer 4

Surgeries longer than 3 hours (Every 3 hours give dose)

Question 5

Treatment for malignant hyperthermia?

Answer 5

Dantroline

Question 6

WHAT IS THE NUMBER 1 CAUSE OF FEVER 24 HOURS POSTOP?

Answer 6

ATELECTASIS

Question 7

6 W’s?

Answer 7

1) Wind
2) Water
3) Wound
4) Walking
5) Waste
6) Wonder

Question 8

Leading cause of death postop?

Answer 8

Ischemia/Infarction

Question 9

Key to treatment of hypertension/ischemia/infarction?

Answer 9

Prevention

Question 10

Causes of postop ileus?

Answer 10

1) Extensive operation
2) Narcotic use
3) Small bowel injury
4) Abscess
5) Pancreatitis

Question 11

Toxic colitis is:

Answer 11

A SURGICAL EMERGENCY

Question 12

Secondary hemorrhage is usually related to:

Answer 12

Infection

Question 13

The 2 main prognostic scoring systems which are in current use are:

Answer 13

1) Apache
2) ASA

Question 14

When to perform a pre-op CBC?

Answer 14

1) ALL emergency surgeries
2) ALL elective pre-op cases over 60 years old
3) ALL elective pre-op cases in adult females
4) Surgery resulting in significant blood loss
5) Suspicion of blood problems

Question 15

Child-Pugh involves:

Answer 15

1) Hepatic encephalopthy
2) Ascites
3) Bilirubin
4) Albumin
5) INR

Question 16

Normal plasma osmolality?

Answer 16

275-295 mosm/kg

Question 17

Normal plasma osmolality?

Answer 17

275-295 mosm/kg

Question 18

Contraindications to giving albumin?

Answer 18

1) Anemia
2) Cardiac failure

Question 19

Lipolysis is stimulated by:

Answer 19

1) Steroids
2) Catecholamines
3) Glucagon

Question 20

Severe malnutrition indicators:

Answer 20

1) If current weight is 80-85% of the ideal body weight
2) If energy intake ≤50% of estimated energy requirement for ≥5 days

Question 21

In an effort to stimulate appetite, enteral feeding can be modified by the following measures:

Answer 21

1) Providing fewer feedings
2) Holding daytime feedings
3) Decreasing the volume of feedings

Question 22

Hyperglycemia may occur in patients receiving tube feeds and is particularly common in:

Answer 22

1) Preexisting diabetics
2) Sepsis