HIGH YIELD

Question 1

what are the peri-operative periods?

Answer 1

pre, intra, post operative surgeries

Question 2

what are the screening procedures in the pre-operative evaluation?

Answer 2

med history
physical examination
referrals
ancillary testing
-blood work
-urinalysis
-EKG/ECHO
-Chest x-ray

Question 3

main waves of the normal EKG?

Answer 3

P wave-atrial depolarization,(.12-20)
QRS complex-ventricular depolarization, (.06-.12)
T wave-ventricular recovery

Question 4

T/F, mild to moderate hypertension is not a significant risk to the surgical patient?

Answer 4

T

diastolic BP is stable and <110 mmHg

intra op and recovery room pressures are closely monitored and treated

Question 5

chest pain, palpitations, syncope, dyspnea, arrhythmias with anxiety are symptoms of?

cardiogenic findings?

Abx prophylaxis?

Answer 5

mitral valve prolapse

late or holosystolic murmurs with or without a midsystolic click, ST wave changes, T wave inversions, Q-T elongation

ampicillan, clindamycin, 1st gen cef, vanco

Question 6

for electrocautery units, what type do we use?

Answer 6

bipolar

Question 7

increased risk for surgical complications is indicated in patients with these diseases after a pulmonary assessment?

what should be ordered, if the patient is suspected of CHF, pulmonary masses, pleural effusions, pneumonia

Answer 7

asthma, smoking, COPD, duration of surgery

chest x-ray

Question 8

how do we avoid complications?

Answer 8

keep surgery under 3 hours
smoking cessation > 8 weeks
medications for asthma/COPD
lung expansion exercises]
-deep breathing
-spirometry

Question 9

affects of steroid therapy and surgery?

Answer 9

suppress the hypothalamus
poor wound healing
predisposition to infection

Question 10

what is an important consideration of vascular assessment?

Answer 10

if absent, must document popliteal/inguinal as well as obtain doppler examination

Question 11

major notes on ABI?

Answer 11

+/- .1 above or below 1.0 is normal, less than 0.4 is severe obstruction than anything above 1.3 is noncompressible

Question 12

patients on anticoagulant therapy have what types of anticoagulant therapy?

Answer 12

coumadin management
heparin management
-prevention of DVTs

Question 13

how is a rheumatoid patient treated?

Answer 13

with immunosuppressive drugs

-methotrexate, captopurine, azothioprine

Question 14

pre albumin
< 100 mg/L

100-170 mg/L

> 170 mg/L

Answer 14

severe risk

moderate risk

no risk