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Clin Med II - Exam 3 > Wiley - Intro to Surgery > Flashcards

Wiley - Intro to Surgery Flashcards

1
Q

what color drape is usually sterile

A

blue

also clear or green

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2
Q

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

A

right next to the pt

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3
Q

once scrubbed, sterile barriers are

A

nipple line → umbilicus → anterior axillary line

circumferentially from elbows → finger tips

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4
Q

-orrhaphy

A

to repair/suture

ex herniorraphy

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5
Q

-opexy

A

to suspend/perform fixation

ex sacropexy

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6
Q

-otripsy

A

to crush or destroy

ex lithotripsy

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7
Q

for surgery, abx that cover __ are most important

A

skin flora

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8
Q

first maneuver to control bleeding in the OR

A

apply direct pressure on the wound

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9
Q

leading symptom of acute abd conditions

A

pain w. no traumatic cause

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10
Q

visceral abd pain is from

A

distension

inflammation

ischemia

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11
Q

visceral pain is __

and difficult to __

A

dull

localize

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12
Q

parietal pain is from

A

direct irritation of parietal peritoneum

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13
Q

parietal pain is __

and easily __

A

sharp

localized

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14
Q

what type of pain points to abd catastrophy

A

excruciating

generalized

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15
Q

if pain lasts > __ hours, surgical problem is likely

A

6

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16
Q

acute abd causes

A

acute cholecystitis

appendicitis

bowel obstruction

perforated peptic ulcer

acute pancreatitis

ureteral or renal colic

acute salpingitis

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17
Q

gallbladder conditions that require OR

A

cholecystitis

large stones

calcified gallbladder → likely carcinoma

ascending cholangitis

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18
Q

ascending cholangitis is a

A

medical emergency

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19
Q

rf for cholecystitis

A

female

forties

fertile

fat

flatulent

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20
Q

cholecystitis pain is

A

colicky RUQ

intermittent

+/- post prandial

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21
Q

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

A

cholecystitis

22
Q

what do you think when you see,

pericholecystic fluid

gallbladder wall thickening

nonvisualization of gallbladder

A

buzz words for surgical intervention for cholecystitis

23
Q

first test for cholecystitis

A

US

24
Q

what imaging shows gallbladder wall thickening and stones

A

CT

US

25
Q

MRCP is good to visualize

A

stones

masses

26
Q

what imaging shows if gallbladder is filling and gives ejection fraction

A

HIDA

27
Q

what test is diagnostic and therapeutic for cholecystitis

A

ERCP

28
Q

s.e of ERCP

A

pancreatitis

29
Q

transaminitis indicates

A

common bile duct injury

30
Q

tx for transaminitis

A

ERCP

OR

hepatiocojejunostomy

31
Q

what does charcot’s triad make you think

A

asending cholangitis

32
Q

what is charcot’s triad

A

fever

RUQ

jaundice

33
Q

what does reynold pentad make you think of

A

acute obstructive cholangitis

34
Q

what is reynold pentad

A

charcot tirad

PLUS

AMS and hypotn

35
Q

reynold pentad means the pt is progressing to

A

shock

36
Q

up to __ mm is considered normal for the appendix

A

7

37
Q

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

A

SBO

38
Q

what procedure is diagnostic and therapeutic for SBO

A

small bowel follow through

39
Q

high grade obstruction means __

and needs __ intervention

A

complete obstruction

surgical

40
Q

things that will cause anatomosis to leak

A

tension

twist

foreign body

infxn

distal obstruction

41
Q

fxn of burr holes

A

allow space occupying fluid in brain to drain

42
Q

what are 4 orthopedic surgical emergencies

A

compartment syndrome

open fx

septic arthritis

acute dislocations

43
Q

mc reason for ortho surgeons to go to court

A

compartment syndrome

44
Q

compartment syndrome is characterized by

A

lots of pain w. passive movement

45
Q

ABI < __ is concerning

A

0.9

46
Q

if you suspect compartment syndrome, you have to do a __

A

fasciotomy

47
Q

mc joint replaced in the US

A

knee

followed by hip

48
Q

mc post op bugs

A

GAS

costridium

49
Q

5 Ws of post op fever

A

wind

water

walking

wound

wonder drug

50
Q

what is the wind in the 5 post-op w’s

A

atelectasis

pna

51
Q

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

A

UTI

52
Q

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

A

DVT

Clin Med II - Exam 3 (14 decks)

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