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Entrance Exam Prep > QC > Flashcards

QC Flashcards

1
Q

Check all that are true about a Vascular Spasm

  • It occurs after the formation of a platelet plug
  • the smooth muscle in the wall of an injured vessel contracts
  • is triggered by several chemicals called endothelins
  • causes the vessel to draw back into surrounding tissue making it more difficult for a surgeon to locate, clamp and tie off severed vessel
A
  • the smooth muscle in the wall of an injured vessel contracts
  • is triggered by several chemicals called endothelins
  • causes the vessel to draw back into surrounding tissue making it more difficult for a surgeon to locate, clamp and tie off severed vessel
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2
Q

The formulation of a blood clot as part of the hemostasis is called:

  • Activation
  • Platelet plug
  • Fibrin plug
  • Coagulation
A
  • Coagulation
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3
Q

The initial coagulation pathway that begins with tissue damage

  • Extrinsic pathway
  • Intrinsic pathway
  • Common pathway
  • Final pathway
A
  • Extrinsic pathway
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4
Q

Physiological process by which bleeding ceases
* Hemophilia
* Platelet Plug
* Hemostasis
* Hemorrhage

A
  • Hemostasis
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5
Q

Accumulation and adhesion of platelets at injury site
* Thrombinogin
* Platelet plug
* Thrombin plug
* Blood clot

A
  • Platelet plug
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6
Q

Prothrombin is converted to thrombin during the
* Extrinsic pathway
* Common pathway
* Intrinsic pathway
* Final pathway

A
  • Common pathway
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7
Q

Hemostasis in surgery can be facilitated by the following methods (choose all that apply)
* Applying pressure
* Using a thermal-based energy device
* Suturing a bleeding vessel

A
  • Applying pressure
  • Using a thermal-based energy device
  • Suturing a bleeding vessel
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8
Q

What are the 3 groups of hemostatic agents? (choose all that apply)
* Hemostat group
* Sealant group
* Adhesive group
* Regenerative group

A
  • Hemostat group
  • Sealant group
  • Adhesive group
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9
Q

Nephro -

A

Kidney

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10
Q

Thoraco -

A

Relating to the chest cavity

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11
Q

Cysto -

A

Bladder

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12
Q

Laparo -

A

Relating to the abdomen

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13
Q

Itis -

A

Inflammation of

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14
Q

Oscopy -

A

Examination by visualization

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15
Q

Pexy -

A

Surgical repositioning

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16
Q

Otomy -

A

Cutting into

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17
Q

Ectomy -

A

Surgical removal of

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18
Q

Adhesion -

A

Abnormal fibrous joining of organs or structures to each

19
Q

Anastomosis -

A

Surgical joining of two hollow organs or structures

20
Q

Specimen -

A

The portion of a structure or organ that has been surgically removed

21
Q

All Level 1 Trauama centers (check all that apply)

  • provides public education to surrounding communities (such as a Stop the Bleed course)
  • are capable of providing total care for every aspect of an injury from prevention through rehabilitation.
  • incorporates a comprehensive quality assessment program
  • have access to 24 hour immediate coverage by general surgeons
A
  • provides public education to surrounding communities (such as a Stop the Bleed course)
  • are capable of providing total care for every aspect of an injury from prevention through rehabilitation.
  • incorporates a comprehensive quality assessment program
  • have access to 24 hour immediate coverage by general surgeons
22
Q

Trauma surgeons are only involved in performing emergency procedures on patients, and never see patients during rehabilitation.
* True
* False

A
  • False
23
Q

Uncontrollable bleeding is the #1 cause of preventable death from trauma
* True
* False

A
  • True
24
Q

What are clinical consequences of blood transfusions? check all that apply
* Immunologic response
* Increased risk of infection
* Increased ICU & Hospital stay

A
  • Immunologic response
  • Increased risk of infection
  • Increased ICU & Hospital stay
25
Q

The chief focus on a Trauma Laparotomy is to identify the greatest threat to the patient’s life and alleviate that threat as quickly as possible.
* True
* False

A
  • True
26
Q

Check all that are true about Blunt Force Trauma
* it can cause concussions, lacerations and or fractures
* it occurs when the body is struck with an object or force
* an example would be internal bleeding after a car accident
* an example would be a gunshot wound to the leg

A
  • it can cause concussions, lacerations and or fractures
  • it occurs when the body is struck with an object or force
  • an example would be internal bleeding after a car accident
27
Q

What injury was re-created in the Dr. Koko (Hazelton) study?
* Aorta
* Superior Vena Cava
* Retrohepatic Inferior Vena Cava
* Retrohepatic Aorta

A
  • Retrohepatic Inferior Vena Cava
28
Q

A study that was performed ONLY on animals and not on humans is called a Pre-Clinical study.

  • True
  • False
A
  • True
29
Q

There WAS a statistically significant difference in blood loss between the group where Control+ was utilized vs standard lap pads.
* True
* False

A
  • True
30
Q

In the GSW case study, the patient arrived to the trauma bay with NORMAL vital signs
* True
* False

A
  • True
31
Q

According to data on mortality rates in pelvic fractures what % die of bleeding?
* 60%
* 20%
* 39%
* 46%

A
  • 39%
32
Q

According to the “Pelvis Pretzel” idea Martin discusses it’s common for the pelvis to break on one place
* True
* False

A
  • False
33
Q

In an open book pelvic fracture a pelvic binder should REDUCE the amount of bleeding because the area a patient can bleed into is reduced
* True
* False

A
  • True
34
Q

The patient in the GSW case study when into cardiac arrest…..
* Shortly after arriving to the trauma bay
* During anesthetic induction for a planned trauma laparotomy
* During anesthetic induction for a planned arm/pelvis fixation procedure

A
  • During anesthetic induction for a planned arm/pelvis fixation procedure
35
Q

In the Martin case study - upon removing the 6 standard lap pads and replacing them with Control+ the following were true (choose all that apply)
* Immediate hemostasis (no blood soaking through)
* The patient rapidly stabilized
* The transfusion of blood products was halted

A
  • Immediate hemostasis (no blood soaking through)
  • The patient rapidly stabilized
  • The transfusion of blood products was halted
36
Q

The benefits of using Control+ in the case study were the following (choose all that apply)
* It was the easiest and fastest maneuver that stabilized the patient and controlled bleeding immediately
* It spared further dissection into the pelvis to identify the bleeding source
* It prevented the patient from needing to go to IR for angioembolization

A
  • It was the easiest and fastest maneuver that stabilized the patient and controlled bleeding immediately
  • It spared further dissection into the pelvis to identify the bleeding source
  • It prevented the patient from needing to go to IR for angioembolization
37
Q

What sizes does QuikClot Non-Interventional Products come in? (Choose all that apply)
* QuikClot 3x3
* QuikClot 4x4
* QuikClot Roll (3in x 4yds)
* QuikClot Z-Fold (3in x 4yds)

A
  • QuikClot 4x4
  • QuikClot Roll (3in x 4yds)
  • QuikClot Z-Fold (3in x 4yds)
38
Q

According to the QuikClot IFU the dressing needs to applied directly to the source of bleeding and holding manual pressure is not necessary.
* True
* False

A
  • False
39
Q

According to the QuikClot IFU the dressing must be applied to the actual source of the bleeding AND cannot influence hemostasis by being placed in the proximity of the bleed.
* True
* False

A
  • True
40
Q

What sizes is QuikClot Control+ offered in?
* 5x5
* 2x2
* 8x8
* 12x12
* Z-Fold (3 in x 2 yds)

A
  • 5x5
  • 8x8
  • 12x12
  • Z-Fold (3 in x 2 yds)
41
Q

How long can QuikClot Control+ be left in place at wound site?
* 12 hours
* 24 hours
* 48 hours
* 6 hours

A
  • 48 hours
42
Q

The binding agent utilized on the the QuikClot Control+ is DIFFERENT than the binding agent for other QuikClot products.
* True
* False

A
  • True
43
Q
A

Entrance Exam Prep (2 decks)

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