Wiley - Intro to Surgery

Question 1

what color drape is usually sterile

Answer 1

blue

also clear or green

Question 2

where is the easiest, most sterile place to be in the OR

Answer 2

right next to the pt

Question 3

once scrubbed, sterile barriers are

Answer 3

nipple line → umbilicus → anterior axillary line

circumferentially from elbows → finger tips

Question 4

-orrhaphy

Answer 4

to repair/suture

ex herniorraphy

Question 5

-opexy

Answer 5

to suspend/perform fixation

ex sacropexy

Question 6

-otripsy

Answer 6

to crush or destroy

ex lithotripsy

Question 7

for surgery, abx that cover __ are most important

Answer 7

skin flora

Question 8

first maneuver to control bleeding in the OR

Answer 8

apply direct pressure on the wound

Question 9

leading symptom of acute abd conditions

Answer 9

pain w. no traumatic cause

Question 10

visceral abd pain is from

Answer 10

distension

inflammation

ischemia

Question 11

visceral pain is __

and difficult to __

Answer 11

dull

localize

Question 12

parietal pain is from

Answer 12

direct irritation of parietal peritoneum

Question 13

parietal pain is __

and easily __

Answer 13

sharp

localized

Question 14

what type of pain points to abd catastrophy

Answer 14

excruciating

generalized

Question 15

if pain lasts > __ hours, surgical problem is likely

Answer 15

6

Question 16

acute abd causes

Answer 16

acute cholecystitis

appendicitis

bowel obstruction

perforated peptic ulcer

acute pancreatitis

ureteral or renal colic

acute salpingitis

Question 17

gallbladder conditions that require OR

Answer 17

cholecystitis

large stones

calcified gallbladder → likely carcinoma

ascending cholangitis

Question 18

ascending cholangitis is a

Answer 18

medical emergency

Question 19

rf for cholecystitis

Answer 19

female

forties

fertile

fat

flatulent

Question 20

cholecystitis pain is

Answer 20

colicky RUQ

intermittent

+/- post prandial

Question 21

what do you think of when you see, dark urine and clay colored stools

Answer 21

cholecystitis

Question 22

what do you think when you see,

pericholecystic fluid

gallbladder wall thickening

nonvisualization of gallbladder

Answer 22

buzz words for surgical intervention for cholecystitis

Question 23

first test for cholecystitis

Answer 23

US

Question 24

what imaging shows gallbladder wall thickening and stones

Answer 24

CT

US

Question 25

MRCP is good to visualize

Answer 25

stones masses

Question 26

what imaging shows if gallbladder is filling and gives ejection fraction

Answer 26

HIDA

Question 27

what test is diagnostic and therapeutic for cholecystitis

Answer 27

ERCP

Question 28

s.e of ERCP

Answer 28

pancreatitis

Question 29

transaminitis indicates

Answer 29

common bile duct injury

Question 30

tx for transaminitis

Answer 30

ERCP OR hepatiocojejunostomy

Question 31

what does charcot's triad make you think

Answer 31

asending cholangitis

Question 32

what is charcot's triad

Answer 32

fever RUQ jaundice

Question 33

what does reynold pentad make you think of

Answer 33

acute obstructive cholangitis

Question 34

what is reynold pentad

Answer 34

charcot tirad PLUS AMS and hypotn

Question 35

reynold pentad means the pt is progressing to

Answer 35

shock

Question 36

up to __ mm is considered normal for the appendix

Answer 36

7

Question 37

what do you think when you see, silent BS or pops and rushes

Answer 37

SBO

Question 38

what procedure is diagnostic and therapeutic for SBO

Answer 38

small bowel follow through

Question 39

high grade obstruction means \_\_ and needs __ intervention

Answer 39

complete obstruction surgical

Question 40

things that will cause anatomosis to leak

Answer 40

tension twist foreign body infxn distal obstruction

Question 41

fxn of burr holes

Answer 41

allow space occupying fluid in brain to drain

Question 42

what are 4 orthopedic surgical emergencies

Answer 42

compartment syndrome open fx septic arthritis acute dislocations

Question 43

mc reason for ortho surgeons to go to court

Answer 43

compartment syndrome

Question 44

compartment syndrome is characterized by

Answer 44

lots of pain w. passive movement

Question 45

ABI \< __ is concerning

Answer 45

0.9

Question 46

if you suspect compartment syndrome, you have to do a \_\_

Answer 46

fasciotomy

Question 47

mc joint replaced in the US

Answer 47

knee *followed by hip*

Question 48

mc post op bugs

Answer 48

GAS costridium

Question 49

5 Ws of post op fever

Answer 49

wind water walking wound wonder drug

Question 50

what is the wind in the 5 post-op w's

Answer 50

atelectasis pna

Question 51

what is the water in the 5 post op w's

Answer 51

UTI

Question 52

what is the walking in the 5 post op w's

Answer 52

DVT