Surgery EOR

Question 1

Alcoholic w/hematemesis

Unstable

Answer 1

Esophageal varices

Question 2

How do NSAIDs affect platelets?

Answer 2

Bleeding time

Question 3

Is Afib from K?

Answer 3

No

Question 4

ABO incompatibility

Answer 4

MC reaction blood not lung problem

Question 5

How do you reduce adrenergic activity?

Answer 5

B-blocker

Question 6

What is the most important factor related to giving antibiotics?

Answer 6

The timing

Question 7

What is a patient who has less risk of peri-op MI because of stents?

Answer 7

Patient w/revascularization

Question 8

1st 48 hour

Answer 8

atelectasis

Question 9

Obstipation + no gas

Answer 9

paralytic ileus

Question 10

Distended colon + air fluid level

Answer 10

LBO

Question 11

nosocomial diarrhea

Answer 11

C. diff

Question 12

painless hematuria

Answer 12

bladder CA

Question 13

MC bladder cancer

Answer 13

transitional cell

Question 14

no median sulcus

irregular

Answer 14

prostate CA

Question 15

what is diffuse ST elevation and tx?

Answer 15

Pericarditis

NSAID

Question 16

Does PCN allergy affect wound healing?

Answer 16

No

Question 17

With DTRs absent, which electrolyte may have changed?

Answer 17

Mg

Question 18

Arrested respiration with palpation of liver boarder

Answer 18

murphy sign

cholecystitis

Question 19

5 days
post op wound infection
PCN + Clinda

Strep + clostridia in first 24-48hr

Answer 19

?

Question 20

SBO bowel sounds

Answer 20

High –> low –> absent

Question 21

Imaging for DVT/PE

Answer 21

CT w/PE protocol (spiral CT)

Question 22

No pulses

Answer 22

arterial clot

Question 23

Elbow swelling

Answer 23

start low go slow

rest, NSAIDs

Question 24

Post op fever cause at 1 wk

Answer 24

drug
(wonder drug)
Ws of fever

Question 25

MC risk of chole

Answer 25

biliary tract damage

Question 26

how do you measure a wound

Answer 26

Length x width x depth

nice question mupa

Question 27

1 cm thyroid mass

what is your diagnostic tool

Answer 27

FNA

Question 28

First sign of malignant hyperthermia?

Tx?

Answer 28

Increased CO2

Tx: dantrolene

Question 29

neuroleptic hyperthermia

Answer 29

?

antipsych meds, know what it looks like

Question 30

methylene blue tx

Answer 30

met hemoglobinemia

topical lidocaine

Question 31

High K treatment

Answer 31

calcium gluconate to stabilize heart membrane

plus insulin and glucose

Question 32

what are the ABCs

Answer 32

airway breathing circulation

Question 33

dysphagia to solids + now liquid

Answer 33

achalasia

Question 34

rollerblading and had a FOOSH injury at base of thumb

Answer 34

scaphoid

Question 35

what is required for patient who had a h/o MI x 2yr, PND, HTN

Answer 35

stress test preop

Question 36

PCA =

• smaller dose
• steady blood concentration
• prompt analgesia

Answer 36

all the above

Question 37

delirium tremens tx

Answer 37

diazepam

Question 38

RLQ rebound tenderness

Answer 38

appy

Question 39

what is the best nutritional marker

Answer 39

serum prealbumin

Question 40

Na = 129

Tx?

Answer 40

free water restriction postop

dilutional!

Question 41

HyperK in CKD

Answer 41

dialysis

Question 42

lumpectomy tx

Answer 42

always Radiation

Question 43

central mass lung

Answer 43

EBUS

Question 44

confirmation of US carotid stenosis

Answer 44

angiography

Question 45

know basics of gastric bypass

Answer 45

?

Question 46

necrotic wound tx?

Answer 46

debridement and dressing