Shelf Review ppt

Question 1

cardiac contraindications to surgery

Answer 1

EF<35%

MI < 3mo

Question 2

treatment for malignant hyperthermia

Answer 2

stop anesthetic
dantrolene/cooling
monitor kidney fxn (CK, K)

Question 3

5 W’s of post-op fever

Answer 3

Wind (atelectasis) - day 1-2
Water (UTI) - day 3-5
Walking (DVT/PE) - day 4-8 
Wound - day 5-7 
Wonder drugs

Question 4

management of wound evisceration

Answer 4

moist sterile dressing + immediate OR repair

Question 5

absolute indications for emergent ex-lap

Answer 5

BAT
hemorrhage/hemoperitoneum
perforated viscus
hemodynamic instability, +FAST

Question 6

management of pt w/ “blood at meatus, high riding prostate”

Answer 6

retrograde urethrogram

Question 7

immediate therapy post splenectomy

Answer 7

vax against encapsulated organisms

Question 8

hypovolemic shock: PCWP, CO, SVR

Answer 8

low, high, high

treat w/ IV fluids

Question 9

cardiogenic shock: PCWP, CO, SVR

Answer 9

high, low, high

treat w/ inotropes, revascularization

Question 10

distributive shock: PCWP, CO, SVR

Answer 10

low, high, low

treat w/ pressors, IV fluids

Question 11

dysphagia to liquids greater than solids

Answer 11

achalasia

Question 12

progressive dysphagia to solids then liquids

Answer 12

cancer

Question 13

dysphagia w/ concomitant eczema, asthma

Answer 13

EoE

Question 14

most common cause of acute pancreatitis in US

Answer 14

gallstones then EtOH

Question 15

respiratory complication assoc w/ pancreatitis

Answer 15

ARDS