surgery incorrects

Question 1

when do surgical site infections usually occur?

Answer 1

4-10 days after surgery

Question 2

fourniers gangrene symptoms?

Answer 2

necrotizing fasciitis of peritineum, including scrotum

pain that goes to perinuem

edema, shock, crepitus, blisters

Question 3

fourniers gangrene risk factors?

Answer 3

catheter

diabetes

alcohol

rectal infection

Question 4

elderly person has ileus due to opioids, what to do?

Answer 4

mix opiod and nonopioid meds

Question 5

subclavian steal syndrome?

Answer 5

when exercising, blood flows retrograde

causes syncope, confusion, vertigo

Question 6

what is needle thoracentesis performed for?

Answer 6

tension pneumothorax

Question 7

what is pericardial centesis performed for?

Answer 7

pericardial tamponade

Question 8

fever 5 days after surgery, what should be suspected?

Answer 8

deep wound injury

Question 9

fever 48 hours after surgery, what should be suspected?

Answer 9

pneumonia, uti, phlebitis

Question 10

dumping syndrome?

Answer 10

GI and vasomotor symptoms 20-30 minutes after eating

Question 11

what is barium swallow used for?

Answer 11

looking for strictures and areas of obstruction

Question 12

few days after surgery, patient cant tolerate intake or has few intestinal movements , what is it? how is ti resolveled?

Answer 12

postoperative ileus

self resolving

Question 13

flushing, wheezing, taachycardia, liver lesions, diarrhae?

Answer 13

carcinoid syndrome

Question 14

treatment of carcinoid syndrome?

Answer 14

resection of tumors

Question 15

how to prevent DVT in surgery patients

Answer 15

SUBCUTANEOUS heparin or LMWH

Question 16

how do you deliver prophylaxis heparin?

Answer 16

IV

Question 17

when is IVC filter used?

Answer 17

DVT with contraindication to anticoagulation

Question 18

when to do FNA of thyroid?

Answer 18

1cm or larger nodule found on ultrasound, eu or hypothyroid

Question 19

whats the difference between mastitis and a breast abscess?

Answer 19

breast abscess will present with a palpable mass

Question 20

paget disease of the breast looks like?

Answer 20

scaly lesion that goes from the nipple to the areola

Question 21

treatment for breast abscess?

Answer 21

TMPSMX( MRSA)

or cephalexen

Question 22

confirm thoracic outlet syndrome?

Answer 22

arteriography

Question 23

what to do about lobular carcinoma in situ?

Answer 23

yearly mammogram, twice yearly breast self exam

Question 24

lumpectomy with sentinel node biopsy is used for?

Answer 24

invasive ductal carcinoma

invasive lobular carcinoma

Question 25

superficial thrombopletis?

Answer 25

cordlike beady area of erythema

Question 26

who gets superficial thrombopletis?

Answer 26

people with iv catheter varicose veins pregnant, postpartum women

Question 27

treatment of superficial thrombopletis?

Answer 27

nsaids, heat, stockings

Question 28

indirect inguinal hernia is

Answer 28

medial to inguinal ligament, lateral to vessels

Question 29

direct inguinal hernia is

Answer 29

medial to inguinal ligament, medial to vessels

Question 30

what to do with symptomatic hiatal hernia?

Answer 30

treat the symptoms of gerd

Question 31

when to do upper endo with ulcer disease?

Answer 31

one or more alarm symptom

Question 32

when to treat hiatial hernia with surgery?

Answer 32

if it is paraesophageal, gastric fundus is visible

Question 33

acute abdominal pain with n/v, air under diaphragm?

Answer 33

intestinal perforation

Question 34

first test to do for pancreatitis?

Answer 34

serum lipase

Question 35

if lipase less than 3x normal for pancreatitis then?

Answer 35

imaging via CT

Question 36

prolactinoma symptoms?

Answer 36

amenhorrea, galactorrhea, bitemporal vision loss, loss of libido

Question 37

dirty wounds are

Answer 37

wounds that were previously traumatic, had a prexisting infection

Question 38

clean contaminated wounds are

Answer 38

wounds that have planned entry without unusual contamination

Question 39

contaminated wounds are

Answer 39

wounds that are freshly opened or surgical wounds with bile spillage

Question 40

imaging for boerhaaves?

Answer 40

esophagram

Question 41

sign of DIC?

Answer 41

bleeding from IVs increased PTT and PT thrombocytopenia elevated d dimer

Question 42

treatment for DIC?

Answer 42

FFP

Question 43

painless swelling, bag of worms, does not transilluminate

Answer 43

varicocele

Question 44

median nerve compression at wrist, what will happem?

Answer 44

thumb muscles affected, but no numbness over thenar

Question 45

blind loop syndrome?

Answer 45

abnormal intestinal motility anemia, blosting, steattherea associated syndrome such scleroderma,ibd, arthirits

Question 46

test for blind loop syndrome?

Answer 46

carb breath test

Question 47

how to prevent atelectasis after surgery?

Answer 47

incentive spirometry

Question 48

fever and collapsed lung 48 hours after surgery?

Answer 48

atelectasis

Question 49

what causes atelectasis after surgery?

Answer 49

poor tidal volumes due to anesthesia or something

Question 50

treatment for acute abdomen with peritonitis?

Answer 50

immediate surgery

Question 51

diagbostic test for diveruculitis?

Answer 51

ct scan