surgery

Question 1

surgical risk factor

Answer 1

male>45
ejection fraction below 35%
recent MI (defere 6 months)
CHF
Diabetes=coronary artery disease
Hypertension
High cholesterol

Question 2

pulmoary risk assessment

Answer 2

stop smoking 6 weeks prior to surgery

Question 3

surgery assessment in a cardiac diseased patietn

Answer 3

AKG
Stresst test
Echocargiogram(structural damage and ejection fraction)

Question 4

SIRS critera

Answer 4

2 or MORE

• Temp 38
• HR >90
• Tachypnea >20 BPM or PCO2 12000

Question 5

best initial test for ischemic bowel disease

Answer 5

CT scan of the abdomen

most accurate angiography

Question 6

best next step in ACUTEmesenteric ischemia

Answer 6

Angiography

Question 7

diverticulitis

Answer 7

• first bout are treated edically

- recurrent will need resection

Question 8

mosty common complication os diverticulitis

Answer 8

abscess

Question 9

abdominla pain radiates to the back

Answer 9

pancreatitis

aortic dissection

Question 10

surgery indication for AAA

Answer 10

> 5cm

Question 11

Aortic Dissection inial best step

Answer 11

stable patient: MRA

unstable: TEE

Question 12

Aortic disection treatment

Answer 12

ascendin: surgery
descending: b blocker

Question 13

postoperative fever

Answer 13

1-2d=Wind:atelectasis or postoperative pneumonia
3-4d=water:UTI
5-7d=walking:}DVT or thrombophlebitis of IV lines
7d=wound: wound infection and cellulitis
8-15d=weird:drug fever or deep abscess

Question 14

postoperative confusion

Answer 14

PE
atelectasia
Pneumonia

Question 15

supracondilar humeral fracture

Answer 15

bracheal artery damage and median nerver

Question 16

gastric perforation initial best step

Answer 16

-upright chest x-ray

Question 17

gastric perforation most acccurate test

Answer 17

CT scan

Question 18

anterior shoulder dislocation lession assoaciation

Answer 18

axillary  artery 
axillary nerve(flat deltoid,loss sensation on lat arm)

Question 19

clavicular fracture associated lession

Answer 19

subclavian artery or brachial plexus

Question 20

scaphoid fracture treatment

Answer 20

thumb spica cast

Question 21

fat embolism ABG and chast x-ray findings

Answer 21

• ABG- show PO2 under 60 mmHg

- infiltrates on chest-xray

Question 22

most common type of nosocomial bacteremia

Answer 22

CAUTI

• most accurate test: Urine culture
• long-term prevention: Intermittent catheterization
• CAUTI short-term prevention: Early removal

Question 23

how to treat CLABSI

Answer 23

treat for S.aureus immediately after blood cultures are obtained

Question 24

treatment of meconimu illeus

Answer 24

Gastrografin enema

Question 25

treatment for intussusception

Answer 25

air enema

Both diagnostic and therapeutic.

Question 26

diagnosis for meckel diverticulum

Answer 26

radioisotope scan

Question 27

antibiotics for abdominal infecction

Answer 27

Cipro/metronidazole
Levoflox/clinda
Cefoxitin or cefotetan
Ampicillin/sulbactam