SURGERY EOR EXAM [PAEA BLUEPRINT] ||VERIFIED
EXAM!!|| MOST RECENT EXAM ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+!!
NEWEST EXAM!!!
Guidelines for the use of antibiotics include administration
within _______ of surgery and redosing after 4 hours.
What is the abx of choice? - Answer-1 hour
Abx of choice: cefazolin for all except colorectal then
cefazolin/metronidazole
Pre-op -- Metabolic disease/syndrome -- what are the 5
criteria? - Answer-3/5 to diagnose:
1 - diabetes
2 - central obesity
3 - HTN
4 - high serum triglycerrides
5 - low HDL levels
______should be monitored before surgery bc it is a
stimulant and vasoconstrictor -- can lead to severe
tachycardia - Answer-Cocaine
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Pre-Op -- What are the indications for EKG and CXR? -
Answer-EKG - men >40, women>50, known CAD, DM, or
HTN
CXR - age >50, known cardiac or pulmonary disease
What are the 5 classic "W's" of post operative fever? -
Answer-W - wind (atelectasis)
W - water (UTI)
W - wound (wound infection)
W - walking (DVT/thrombophlebitis)
W - wonder drugs (drug fever)
If the post op fever occurs within the first 24 hours of
surgery, what is the most likely cause? - Answer-
wind/atelectasis
If the post op fever occurs within days 3-5 post op, what is
the most likely cause? - Answer-water/UTI, catheter
related phlebitis, pneumonia
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If the post op fever occurs within days 5-10 post op, what
is the most likely cause? - Answer-wound infection,
pneumonia, abscess, infected hematoma, C diff colitis,
anastomotic leak, DVT, peritoneal abscess, drug fever,
PE, parotitis
_______is the most common pathogen in wound
infections and around foreign bodies. - Answer-Staph
aureus
_______invades the inner ear and enteric tissues as well
as the lung. - Answer-Klebsiella
______organisms are often found together with
anaerobes. - Answer-Enteric organisms ie.
enterobacteriaceae and enterococci
Among the anaerobes, ___&___are often present in
surgical infections and _____species are major pathogens
in ischemic tissue. - Answer-Bacteroides &
Peptostreptococci; Clostridium
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___&___are usually nonpathogenic surface contaminants
but may be opportunistic.
Some fungi and yeast cause abscesses in sinus tracts. -
Answer-Pseudomonas & Serratia
History of recent surgery, trauma, cancer, prolonged
immobilization, or oral contraceptive use increases the risk
of ____. - Answer-DVT - deep vein thrombosis
What is Homan's sign? - Answer-pain on passive
dorsiflexion of ankle
What is the test of choice for DVT? - Answer-doppler
ultrasound
How is the D-dimer text useful? - Answer-It is good at
ruling a DVT out (if the text is negative) but not rule it in
Tx of DVT --
1. Initiate use of ____or____to what dose?
2. Overlap with the use of ____to what therapeutic range?