General Considerations

Question 1

Chronic Renal

Answer 1

volume depletion, hypotension, pulmonary edema

Question 2

H/o asthma

Answer 2

bronchospasm

Question 3

Spirometer, atelectasis, hospital setting

Answer 3

Pneumonia

Question 4

TKA or hip arthroplasty

Answer 4

DVT

Question 5

take DVT prophylaxis when doing…

Answer 5

ankle or hindfoot surgery

Question 6

catheter

Answer 6

bacteremia

UTI

Question 7

toxic reactions

Answer 7

halothane hepatitis

antibiotic induced interstitial nephritis

Question 8

perioperative opioids

Answer 8

PONV
constipation
urinary retention

Question 9

sedatives

Answer 9

hypoventilation

Question 10

NSAIDS

Answer 10

gi bleed
asthma
renal failure

Question 11

unable to walk 4 blocks or up 2 flights of stairs

Answer 11

exercise intolerance

Question 12

severe RA

Answer 12

poor candidates for GA

Question 13

severe RA needs

Answer 13

neck x-ray, risk atalnto-axis subluxation

Question 14

S3, rales, peripheral edema

Answer 14

CHF

Question 15

absent S2

Answer 15

aortic stenosis

Question 16

high risk for cardiac complications

Answer 16

aortic stenosis

Question 17

murmur loudest in systole

Answer 17

LVH

Question 18

ascites, jaundice, splenomegaly, telangiectasia, icterus, gynecomastia, test. atrophy

Answer 18

chronic liver disease

Question 19

evaluate mental status of elderly

Answer 19

folstein mini-mental status exam

Question 20

h/o stroke

Answer 20

hyperreflexia

Question 21

hyperreflexia in surgery can cause

Answer 21

VTE
delirium
aspiration

Question 22

clubbing

Answer 22

cardiopulmonary dz

infection

Question 23

janeway lesions

Answer 23

subacute bacterial endocarditis

Question 24

look for nails

Answer 24

nicotine stains

subungual splinter hemorrhages

Question 25

writing order for admission

Answer 25

ADC VAAN DIL MAX

Question 26

ADC VAAN DIL MAX

Answer 26

Admit -floor
Dx
Condition
Vitals 
Allergies
Activity (WB/PT)
Nursing
Diet
IV/fluids
Labs
Medications
Ancillary/consults
X-rays

Question 27

start 2 units insulin at BGL

Answer 27

150-200

then increase 2 units/50

Question 28

5+ mg prednisone/day/7+ days

Answer 28

hyperthalamic pituitary axis shutdown!

Question 29

hyperthalamic pituitary axis shutdown

Answer 29

drop BP > death

Question 30

gout

Answer 30

colchicine 0.6 mg before, during, after

Question 31

anema, Ca, Renal, PE order..

Answer 31

Hb

Question 32

over 50 yo order…

Answer 32

EKG

Question 33

infection, MPD or medications that cause neutropenia order…

Answer 33

WBC

Question 34

MPD, platelet abnormalities, medications that cause thrombocytopenia order…

Answer 34

Platelets

Question 35

use coumadin, malnourished, chronic hepatic dz, perioperatively order..

Answer 35

PT/PTT/IRN

Question 36

abnormal bleeding history, PE order…

Answer 36

Bleeding Time

Question 37

Arrhythmia, hypokalemia, CHF, ARI, or on HTN medications (diuretics, ACEIs, ARBs, Digoxin) order…

Answer 37

Electrolytes

Question 38

predictor of cardiac complications

Answer 38

Cr, renal function

Question 39

older 50 yo, DM, HTN, RI, CAD, major surgery order…

Answer 39

Renal function test

Question 40

DM, obese, CAD order…

Answer 40

glucose test

Question 41

malnourished, hepatic dz, renal dz, enteropathy, recent blood loss, severe illness, cachexia order…

Answer 41

Albumin